Digital Commons Network^™

Teamwork: Strategies To Prevent And Minimize Patient Aggression, Patricia M. O'Connell, Jennifer L. Appollo, Joyce Frank

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Espinosa et al. (2014) found that improving the milieu through early intervention and consistent structure and activities can reduce aggressive behavior and the need for seclusion and restraint. Boumans et al. (2015) found that staff's frequency of seclusion participation was positively related with the tendency to seclude. A literature review further identified that key influences over conflict are: anticipating aggression, staff team composition, physical environment, and leadership's role in assisting front line staff. Factors that contribute to aggression on inpatient units include: denial of a patient request by staff, staff demanding a patient …

Collaborative Clinical Learning Environment For Nursing Students: Perspectives From Botswana, Pabalelo Emmanuel Pule, Itumeleng Charity Okitlanye, Kegomoditswe Kgosiesele, Nametso Bhinoeh Matlhodi, Motshedisi Boitumelo Sabone

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

A collaborative clinical learning environment plays an important role in preparing nursing students to working with diverse patient care team. Collaboration could help in cultivating a smooth flow of work in a hospital environment where uncertainties are almost unavoidable (Hine, Fenton, & Custance, 2015). A collaborative clinical learning environment in nursing education can be defined as an atmosphere where various professionals participating in patient care support and enhance one another such that patients' needs are met, job satisfaction is enhanced and students learning is facilitated (Melrose, Park, & Perry, 2015). This presentation reports …

The Effect Of An Eight-Week Self-Care Program On Self-Perceived Compassion Fatigue, Me (May) Fuimaono-Poe, Kathleen W. King

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

The purpose of this study was to explore the impact of a personalized self-designed care plan on the burnout risk in registered nurses. The specific aim is to compare changes in self-reported compassion fatigue, burnout, and secondary traumatic stress scores using the Professional Quality of Life Questionnaire, in a group of registered nurses.

Icu Healthy Work Environments: A Concept Analysis, Sharon A. Little-Stoetzel

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

The evolutionary concept analysis model was used to define a healthy work environment from the ICU nurse perspective. Participants will learn the methodology used to determine the empirically based definition. Results of the study are framed with AACN's Healthy Work Environment standards.

Development And Testing Of The Nurse Manager Ebp Competency Scale, Clayton J. Shuman, Marita G. Titler

Creating Healthy Work Environments (CHWE)

Background: Nurse managers are ideally situated within an organization to influence implementation and use of evidence-based practices (EBP) (Birken, Lee, & Weiner, 2012; Stetler, Ritchie, Rycroft-Malone, & Charns, 2014). Although EBP competency is one of five core competencies espoused by the Institute of Medicine, nurse managers report a lack of confidence in EBP (Gifford, Lefebre, & Davies, 2014). Few studies have examined the role of nurse managers in promoting EBPs and no instruments are available to measure nurse manager EBP competencies. To explicate the relationship among the role of nurse managers, the practice culture that fosters application of evidence, and …

Nursing Students Communication Skills Training In The Face Of Incivility Or Bullying, Penny A. Sauer, Margaret M. Verzella, C. Elise Thompson

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Nurses must be able to effectively communicate information to other members of the healthcare team. Between 33% and 72.6% of nurses experience bullying in their work environment (Berry, Gillespie, Gates, & Schafer, 2012; Laschinger, Grau, Finegan, & Wilk, 2010). Bullying and incivility can negatively impact a nurse's ability to communicate vital information to other team members. The Joint Commission reports that a root cause of the majority of sentinel events involve communication (Joint Commission, 2015). There have been several initiatives aimed at improving communication between healthcare team members, but these programs are aimed …

Implementing A Birth Preference Protocol For Intrapartal Women To Promote Collaboration, Autonomy And Patient Satisfaction, Carrie Sue Halsey

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017: Laboring women have a right to informed consent and autonomy of their healthcare decisions. Having control over one's own healthcare decisions is an important element of autonomy and one that should be extended to pregnant women, just as it is to other healthcare populations. The American Congress of Obstetricians and Gynecologists supports informed consent and autonomy of women (Informed Consent, 2009). The Association of Women's Health, Obstetric, and Neonatal Nurses' (AWHONN) positions statement Nursing Support of Laboring Women (2011) describes the responsibility of nurses to advocate and support laboring women. A Birth Preference …

Implementation Of A Standardized Handoff During Transition Of Care From The Ed To The Icu, Melinda Abbring

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Patient safety and communication are crucial to the nursing handoff. Emergency department (ED) patients transferring to the intensive care unit (ICU) have life-threatening impairments. Stabilization of critically ill patients may not occur until after the handoff has occurred. Often, vital patient information may be omitted. EDs can be chaotic with numerous distractions that adversely affect the nursing handoff. The Institute of Medicine published two groundbreaking patient safety publications highlighting handoffs: To Err is Human: Building a Safer Health System (1999) and Crossing the Quality Chasm (2004). In 2006, the Joint Commission recognized handoffs …

Teaching And Learning Compassionate Care Through Introduction Of Self-Care Practices In A School Of Nursing, Regina M. Degennaro, Rachael Zrimm

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

This poster describes an analysis of a program at a School of Nursing in which innovative workshops are provided to encourage attention to self-care and promote compassionate interactions in healthcare settings. Promoting compassionate care practices in education can inform methods for supporting an empathic and caring healthcare workforce.

Bridging Inter-Generational Gaps To Increase Collaboration And Retention: Implications For Nurse Leaders, Ericka J. Sanner-Stiehr

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Lack of relatability between the older and younger generations of nurses often leads to friction and misunderstanding, and prevents true collaboration. Nursing administration can take steps to bridge generational gaps to increase collaboration by facilitating inter-generational mentorship programs, developing age-diverse teams, and implementation of generation-focused work environment models.

The Relationship Of Nurses Working Environment And Patient Safety, Sunjoo Kang

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Purpose: The enactment of the patient safety act will have a positive effect on hospital service and raise the quality of all medical and supportive services. This study analyzed the relationship between nurses' working environment and patient safety and identified any factors affecting nursing outcome among nurses from three different general hospitals.

Methods: A cross-sectional descriptive research design was used to collect data through random sampling. A questionnaire was used to identify the relationship and factors affecting nursing outcome. The working condition variables comprised organizational climate or culture, staffing, and workload; the patient …

Building Effective Mentorship Dyads With The Use Of Attachment Theory, Carann Elizabeth Tribbett, Vicky H. Becherer

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017: Scope of Abstract: New nurse educators often characterize their transition into the professional faculty role as being fraught with anxiety, uncertainty, and a general lack of confidence (Ferguson, 2011). A frequently identified factor that hinders the role transition is a lack of formal pedagogical education (Schoening, 2013). One evidence-based solution to combat this emotionally tumultuous challenge is through the use of formalized mentoring programs (Ferguson, 2011). According to Brody et al. (2016), 82% of mentored nurse educators report a willingness to mentor others, and 95.5% of the mentored nurse educators would recommend mentorship …

Creating A Civil Work Environment, Shalanda N. Perkins

Creating Healthy Work Environments (CHWE)

Combating incivility in healthcare is essential create and sustain a healthy work environment. Utilizing evidence-based interventions such as mentoring and cognitive rehearsal communication strategies in tandem has shown to produce effective results in creating a more civil workplace.

Equipping Students And Nurses To Recognize And Respond To Lateral And Horizontal Violence, Patty Peebles

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

This poster presents a workshop for student nurses with two main emphases. The first is to create a space where compassionate presence, respectful listening, and thoughtful dialogue are demonstrated and practiced, setting a template from which to evaluate future communication and behavior. (Burke & Williams, 2011; Cangelosi, 2008; Chinn & Falk-Rafael, 2015) The second emphasis is to define, explore, and learn responses to lateral and vertical violence, both in the academic and clinical setting. (Ceravolo, Schwartz, Foltz-Ramos, & Castner, 2012; Egues & Leinung, 2014) A growing body of evidence shows that bullying is …

Care Zones Staffing Model: Solving Workflow Barriers To Improve Patient And Nurse Outcomes, William G. Kingsley-Mota, Barbara J. Hill

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Care Zones Staffing Model schematic assist learners to understand pre and post workflow changes that lead to improved patient and nurse outcomes. Tools for implementation assist pilot projects in being replicated in multiple unit environments.

Empowering Experienced Pediatric Nurses Working On General Medical And Surgical Units, Alexandra De Almeida Vicente

Creating Healthy Work Environments (CHWE)

The purpose of this study was to explore experienced pediatric nurses' perceptions of work-related stressors in medical and surgical units using a qualitative descriptive design with semi-structured interviews.

Today's Nursing Student As Tomorrow's Nurse: The Role Of Academia In Shaping Healthy Work Environments, Kristi L. Frisbee, Susan Luparell

Creating Healthy Work Environments (CHWE)

Session presented on Friday, March 17, 2017:

In a seminal study of nursing faculty nationwide, Lashley and deMeneses (2001) identified that uncivil behavior by nursing students was an unfortunately common occurrence, with almost all faculty respondents reporting students who were inattentive, unprepared, late, or inappropriately talkative in class. Of concern was the large percentage of respondents who reported experience with students who yelled or verbally abused peers in the classroom (65.8%) or clinical setting (46.3%), as well as the nearly one in four who reported uninvited, objectionable physical contact by a student. Subsequent research ensued and further demonstrated the prevalence …

Successful Dnp Transition: Nurse Practitioner To Academician, Lisa Bridwell Robinson

Creating Healthy Work Environments (CHWE)

Session presented on Friday, March 17, 2017:

The last decade has seen increasing numbers of nurse practitioners completing DNP programs, leaving clinical practice, and entering academia. These providers have been experts in clinical practice and may expect the transition to the role of nurse educator to be seamless. A knowledge deficit related to the tripartite role of teaching, scholarship, and service impact the successful transition of nurses to the roles of nurse educators. The purpose of this presentation is to explore the support and development needed for a successful transition of a DNP to the role of nurse educator. Several …

Positive Practice Environment: A Coo/Cno's Testimony, Maricon Dans

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017: ANCC's Pathway to Excellence Program provides a blueprint to help hospitals and health care systems create a workplace that supports a culture of excellence leading to quality improvements. Increasingly, chief nursing officers (CNOs) at Pathway-designated organizations are validating how creating healthy work environments has strengthened engagement in their own settings. When Broward Health Imperial Point (BHIP) nursing leaders sought new ways to deliver high-quality, cost-effective care in a rapidly changing environment, they turned to ANCC's Pathway to Excellence Program as a blueprint. BHIP embarked on the Pathway journey to: build and strengthen workplace …

Teamstepps Training Improves Teamwork, Tina M. Withrow

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

"TeamSTEPPS is an evidence-based teamwork system aimed at optimizing patient care by improving communication and teamwork skills among health care professionals, including frontline staff. It includes a comprehensive set of ready-to-use materials and a training curriculum to successfully integrate teamwork principles into a variety of settings" (AHRQ, 2016). The hospital identified a requirement for improved teamwork within and between departments. Improved teamwork increases patient satisfaction and quality of care. "It helps you train your staff in teamwork skills and lead a medical teamwork improvement initiative in your organization from initial concept development through …

Work-Life Balance Of Doctoral Nursing Program Faculty And Implications For Nursing Education, Suzanne C. Smeltzer, Mary Ann Cantrell, Nancy C. Sharts-Hopko, Mary Ann Heverly

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017: Purpose and Significance: Work-life balance (WLB) contributes to a healthy work environment and is an issue that may affect job performance, job satisfaction and one's intent to remain in a position. WLB is defined as one's ability to achieve and maintain a 'balance' between work and life outside work. Data describing work-life balance of PhD and DNP program faculty were collected through administration of a work-life balance measure as part of a larger survey, and an open-ended question about their experiences. Strategies that doctoral program faculty use to achieve work-life balance were also …

Building Healthy Relationships Through Peer Review In Simulation Education, Jennifer Dwyer, Greg Hasty, Chassity Mays, Dylan Cooper

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017: Simulation as a methodology for education has been active in our setting for ten years. Our Simulation Center is a partnership between a large multi-site healthcare system, a school of nursing and medicine located in an urban setting that is rich with academic and clinical excellence. We began primarily with School of Medicine events related to the Objective Structured Clinical Exam (OSCE) and expanded to include School of Nursing multidisciplinary cases, healthcare professional cases and in more recent years interprofessional events. As leadership and governance for the Simulation Center has evolved so has …

Participatory Action Research: Learning About Work Environments Among Baccalaureate Nursing Faculty, Lisa A. Ruth-Sahd, Norma H. Beyer

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

The article discusses the implementation and results of a participatory action research (PAR) project carried out with baccalaureate nursing faculty from 2013 to 2016 in a private four year college in Northeastern United States. The aim of the project was to identify issues related to work environment according to the guidelines sent forth from the American Association of Critical Care Nurses (AACN, 2005) and the National League for Nurses (NLN, 2006). While research has been carried out in clinical practice settings related to work environment and its effects on nurses and patients, there …

Using A Microscope To Examine Human Caring Through The Lens Of The Nurse Manager, Katherine Ann Ricossa

Creating Healthy Work Environments (CHWE)

Session presented on Friday, March 17, 2017:

Background: The significance of examining caring among nurse managers corresponds directly with balancing quality of work life. Day to day demands requires nurse mangers to: staff the department (shift by shift); promote quality of care at the bedside; stay in budget; and have direct oversight of frontline staff. This middle management role is demanding with little support is provided by nursing leadership. Because of the imbalance of quality of work life, nurse managers are considered a vulnerable population. The reality is job longevity is non-existent for most due to undue pressures. Nurse Administrators …

Helping Nurses Cope With Stressful Workplace Events Through The Use Of Storytelling, Danna L. Curcio

Creating Healthy Work Environments (CHWE)

Session presented on Sunday, March 19, 2017:

The purpose of this presentation is to provide insight and knowledge about an important, efficient, and cost effective intervention to decrease workplace stress. Nursing sick and dying children can be a source of great stress and high exposure to such events can cause burnout and compassion fatigue (Ko & Kiser-Larson, 2016). This may eventually lead to an impact on nursing competencies and productivity including absenteeism, decreased work performance, and quality of patient care (Fathi, Nasae & Thiangchanya, 2012; Milliken, Clements & Tillman, 2007). Addressing workplace stress may also help reduce hospital costs associated …

Authentic Leadership Impact On Psychological Safety And Relationship Quality In The Acute Care Healthcare Setting, Mechelle Jean Plasse

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

A presentation of the significance, literature and research findings related to the impact of leadership behavior on nurse’s relationship quality with colleagues. The ability to have crucial conversations, the experience of psychological safety, and the relationship with patient outcomes as demonstrated in the literature is also explored.

Compare Nurse Engagement Level With Clinical Ladder Level And Perception Of Managerial Support, Mary A. Lang

Creating Healthy Work Environments (CHWE)

Session presented on Friday, March 17, 2017:

Purpose: To identify the work engagement level of nurses at a Midwestern academic medical center and determine whether a clinical ladder tool and perception of managerial support impact this engagement.

Significance: The study explores factors that impact nurse work engagement, using the globally recognized Utrecht Work Engagement Scale (UWES), which defines engagement by the attributes of vigor, dedication and absorption. In addition, his or her perception of managerial support is correlated for significance with their level of engagement. This perception of managerial support may be an example of authentic leadership, whereby the leader …

The Effect Of Play With Canines On Psychological And Physical Stress Measures In College Students, Cheryl Delgado, Margaret Toukonen, Corinne Wheeler

Creating Healthy Work Environments (CHWE)

This research examines the stress relieving effect of play with therapy dogs for college students during finals week. Initial data showed significant reductions in psychological measures and mixed results in physical measures (n=41). Additional data will be collected in fall 2016. The expanding use of therapy dogs is discussed.

How One Organization Used Evidence To Address Lateral Violence Among Nurses, Diane S. Salter, Toye Moore, Angela Robinson, Cynthia G. Stermer, Susanlee Wisotzkey, Barbara L. Buchko

Creating Healthy Work Environments (CHWE)

Session presented on Sunday, March 19, 2017:

Bullying and lateral violence in nursing is a serious problem and damages the dignity of the individual and the profession. A common definition of bullying at work is 'repeated actions by one or more persons that are unwanted by the victim and cause humiliation, offense, and distress' (Sauer, 2012, p. 48). This form of incivility violates the professional expectation of mutual respect. These recurring behaviors, whether overt or covert, demean and demoralize a victim, which affects his or her ability to complete work tasks (Sauer, 2012). Bullying among healthcare workers is a threat …

Caregiver Burden And Quality Of Life Factors Affecting Caregivers Caring For Patients With Cutaneous T-Cell Lymphoma, Sue Mccann, Jill Huwe, Cindy Lipner, Elizabeth Astley, Abraham Apfel, Anthony Fabio, Oleg Akilov

General Submissions: Presentations (Oral and Poster)

A unique caregiver burden and quality of life for the caregivers of CTCL patients exists, and as such, there may be unidentified, and thus unmet, caregiver needs.

The purpose of this pilot study was to determine the demographics, unique caregiver burden, quality of life issues in those caring for patients with cutaneous t-cell lymphoma and the differences in caregiver burden dependent upon disease severity.