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Relational Aggression In The Nursing Workplace Environment, Cheryl Dellasega

Creating Healthy Work Environments (CHWE)

Relational Aggression (RA), sometimes known as female bullying, drama, or "mean girls," is more common among women than men, especially during the formative adolescent years. While several studies on "lateral" or "horizontal" nurse-nurse violence have been reported, RA between workers of equal rank and job description is just one piece of the bad behavior pie, since RA occurs between nurses and unit clerks, physicians, and even patients. The purpose of these analyses was to: 1) Test The Relational Aggression Scale for reliability of use with health care workers, and 2) Compare and contrast RA and other variables of interest between …

Peer Coaching Program Between Graduating Seniors And Incoming Juniors In A Clinical Setting, Linda Smith Mcquiston, Kimberly Joyce Hanna

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, April 13, 2013:

The complexity of patient care challenges nurse educators to develop new approaches to clinical education that foster communication, decision-making and critical reasoning skills of students. A student peer coaching program, carried out within clinical courses for an undergraduate baccalaureate nursing program will be presented. The program has been shown to enhance: communication, delegation skills, clinical judgment, clinical reasoning, and professionalism for first-semester clinical nursing students and graduating senior nursing students. The aforementioned areas address key elements of the American Association of Colleges of Nursing (AACN) Essentials for Baccalaureate Education (2008). Skillful communication between …

National Network Study Of Operational Failures In Frontline Nursing: Scaling Up For Policy, Kathleen R. Stevens, Frank Puga, Robert Ferrer, Darpan I. Patel

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, April 13, 2013:

Nurses are aligned to drive frontline policy in quality improvement. Yet studies often lack rigor and sample sizes large enough to be definitive. While smaller studies show that frontline operational failures occur every hour of every shift and threaten patient safety, multi-setting studies are requisite in order to craft effective microsystems interventions. Such interventions will foster learning organization climates through decreasing workarounds and making system corrections. Aims: Using a new research network for healthcare improvement, conduct a landmark national study to explain first-order operational failures in medical-surgical units in context of work environment …

Factors Influencing Retention Among Students In An Rn-To-Bsn Program, Brelinda Kaye Kern

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, April 13, 2013:

The purpose of this study was to describe factors that restricted or promoted retention among RN-to-BSN students and examine if there was a difference in these factors between a group of senior students who were retained and a group of junior students who were at risk for attrition, with the overall goal to provide guidance for strategies to facilitate nursing student retention.

The Practice Environment Scale Of The Nurse Work Index: Translating Scores For Practice, Nora E. Warshawsky

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, April 13, 2013:

The Practice Environment Scale of the Nurse Work Index is a valid, reliable tool to assess the quality of professional nursing practice environments and is endorsed by several national quality organizations. Nursing leaders receive PES-NWI data with national benchmarks to guide their practice, yet not all know how to interpret the data and use it to guide practice. The PES-NWI was developed based on findings from studies of the original Magnet hospitals. It consists of 31 items situated in 5 domains: Nurse Participation in Hospital Affairs; Nursing Foundations for Quality Care; Nurse Manager …

Horizontal Violence Among Student Nurses: It's Time We Stop Eating Our Young!, Elizabeth Hammond-Ritschard

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, April 13, 2013: This presentation will provide an in depth description of causes and effects that horizontal violence has on the student nurse in the clinical setting. Where does horizontal violence begin? For many, it begins in nursing school. Students often are subject to horizontal violence by professional nursing staff, who serves as role models. A discussion will include the effects of a negative encounter between a staff nurse and a student nurse. Such encounters of horizontal violence among student nurses result in the student experiencing feelings of oppression and powerlessness, unfair treatment, fear, verbal abuse …

A Healthy Work Environment Endeavor: Postoperative Handover From The Or To Icu, Anna Dermenchyan

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, April 13, 2013:

In January 2005, American Association of Critical-Care Nurses published the Healthy Work Environment Standards in response to the concerns of acute and critical care nurses about the deterioration of healthcare work environments. In this report six standards were identified: skilled communication, true collaboration, effective decision-making, appropriate staffing, meaningful recognition and authentic leadership. In numerous studies, ineffective communication between nurses and physicians was the single factor most significantly associated with increased hospital mortality. In addition, during the transitions of care such as postoperative handover process, inadequate communication was implicated in nearly 70% of all …

Antecedents And Consequences Of New Graduate Nurses' Experiences Of Workplace Mistreatment, Emily Alicia Read, Heather K. S. Laschinger

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, April 13, 2013:

Background and Purpose: Given the impending nursing shortage and high turnover intentions of nurses within the first two years of practice, recent reports of workplace mistreatment targeting new graduate nurses are unsettling. Coworker and supervisor incivility and bullying negatively influence nurses' work and health however it is unclear whether these forms of workplace mistreatment have similar precipitating factors and outcomes. This study examines an exploratory model of antecedents and outcomes of three forms of workplace mistreatment.

Methods: Secondary data analysis was performed on data from a larger study of new graduate's worklife. From …

Sexual Safety Of Women In The Military Reserve: Perceptions Of Threats And Support, Roxanne M. Arndt

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, April 13, 2013: The purpose of this qualitative study was to explore perceptions reserve military women have about threats to their sexual safety and the support that they perceive is available to them should they choose to report to a sexual assault or harassment. Descriptive phenomenology provided the philosophical underpinning for this study. Military women represent a group at risk for victimization during their service. Sexual violence within the ranks of the military is a systemic problem. Personal safety is a significant occupational health issue for women in the military. Participants were United States Military women …

Incivility In Nursing Education, Shirley May Newberry, Ana M. Schaper

Creating Healthy Work Environments (CHWE)

Session presented on Sunday, April 14, 2013:

Clark (2009) extends the definition of incivility to incorporate both the behaviors (rude and disruptive) and their effect, that is, psychological or physiological distress. Academic incivility encompasses behaviors that disrupt or interfere with the teaching and learning environment (Clark & Springer, 2010). Incivility can progress from low risk behaviors, such as eye rolling to develop into threatening behaviors if left unaddressed. Incivility in nursing education is documented as a mild to moderate problem that increases with personal and environmental stressors. Undergraduate students and faculty at a Midwest university were asked to complete the …

Workplace Bullying: More Than Eating Our Young, Terri L. Townsend

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, April 13, 2013:

The playground bully who used physical means to demonstrate superiority has grown up, using social and psychological means to create hostility and fear. Bullying may be termed horizontal hostility, hazing, relational aggression, lateral violence, or workplace incivility. Bullying destroys unit morale and jeopardizes patient safety. With approximately 60% of nurses leaving their first job within six months because of bullying, the costs are high, both from a financial standpoint as well as the emotional standpoint from staff members. In addition, bullying can lead to poor communication, lack of teamwork, and inadequate staffing, as …

Building Healthy Workplace Environments Through Collaborative Care Councils, Launette Woolforde, Linda C. Olander

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, April 13, 2013:

Effective decision making is best achieved when those who have a stake in the decision have an opportunity to have input during the decision making process. As part of the implementation of TeamStepps, and in alignment with the organizational professional practice model - Collaborative Care, North Shore University Hospital (NSUH) initiated Collaborative Care Councils (CCCs) in 2007. These Councils, which are unit based and feed into a Central Council, are designed to enhance interdisciplinary communication, foster healthy work environments, and support decision making by those closest to the work being addressed. Typical representation …

Mandatory Nurse Staffing Models For Patient Safety, Linda Silas

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, April 13, 2013: Dynamic, shared decision making models of nurse staffing that incorporate both patient factors and nurse characteristics provide a process where frontline nurses have direct input into staffing decisions. Innovative methods of blending staffing solutions such as nurse patient ratios with more dynamic models (like Synergy Professional Practice Model) create systems that rely on direct and ongoing input from front line nurses. This presentation, based on recent research by the Canadian Federation of Nurses Unions on workload and patient care, will review the effects of excessive workload and how staffing models can help by …

Safe Patient Handling And Mobility National Standards: A Ground Breaking Collaborative Effort, Susan Harrington

Creating Healthy Work Environments (CHWE)

Session presented on Sunday, April 14, 2013:

This session will introduce and describe the collaborative process the American Nurses Association used to develop the multi-disciplinary and multi-setting Safe Patient Handling and Mobility National Standards. The goal of the standards is to establish a uniform, national foundation for programs to improve safety for patients and health care workers. The national standards are intended to be: multidisciplinary/intraprofessional across a variety of settings; realistic and attainable, but raising the bar; evidence-based and outcomes focused; ready to be incorporated into practices, policies, procedures, and regulation; disseminated with toolkits, model language, and other resources. This …

E-Mentoring: A New Model Of Mentoring To Support Healthy Nurse Work Environments, Theresa M. Pietsch

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, April 13, 2013:

The purpose of this presentation is to present a new model of nurse mentoring that can meet the needs of a multigenerational workforce, working in fast-paced and highly demanding healthcare environments.

Workplace Bullying Experienced By African-American Nurses And Its Impact On Intent To Leave, Debra L. Curry, Kathleen A. S. Cannella, Jennell P. Charles

Creating Healthy Work Environments (CHWE)

Session presented on Sunday, April 14, 2013:

Healthy Work Environments (HWEs) are the responsibility of all healthcare professionals. Several factors contribute HWEs, including skilled communication and true collaboration. Bullying as a disruptive behavior prevents true collaboration between nurses. In the workplace, this negative behavior frequently results in nurse turnover, decreased quality of care, and increased costs to organizations. With the current nursing shortage and with large numbers of nurses retiring in the next 15 years, it is critical that organizations find innovative ways to decrease bullying to retain nurses and contribute to the health of the environment. Further, it is …

Workplace Violence: Actual And Feared Events In A Southeast Medical Center, Jeffery Wade Forehand, Amy L. Yoder Spurlock

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, April 13, 2013:

Healthcare associated work place violence (WPV) remains an ever increasing danger to the nursing workforce. Healthcare workers are much more likely to be injured on the job than other professions with nurses at the highest risk of injury. In a recent year, registered nurses reported over 2,000 assaults and violent acts resulted in an average of 4 days lost from work. Outcomes impacted by WPV include patient care, medication errors, job satisfaction and retention and physical/mental health. The purpose of phase one of this study was to assess current workplace violence in a …

Nurses As Role Models For Healthy Lifestyle, Karen Gabel Speroni

Creating Healthy Work Environments (CHWE)

Session presented on Sunday, April 14, 2013:

Nurses have a distinct advantage to be a most effective role model of healthy living for all those lives who they touch daily (patients, families and their communities). Nurse leaders are encouraged to empower nurses in their organizations with the knowledge and tools to live a healthier lifestyle and to role model healthy lifestyle for others. Nurses must first be armed with knowledge and support to give them the courage to live a healthy lifestyle, to be a role model for others, and to transition healthy lifestyle into their work environment. The presenter …

Creating A Culture Of Patient Safety: Patient Safety Executive Rounds, Theresa Sampson, Dana Bjarnason, Angelica Ozaeta

Creating Healthy Work Environments (CHWE)

Session presented on Sunday, April 14, 2013:

As the acuity and complexity of patient care have increased, the challenge of providing quality care within the context of a safe patient environment has become a point of concern. At our institution, inculcating a culture of patient safety has been a core mission of hospital leadership over the past five years. Noteworthy improvements were apparent relative to reporting significant incidences, as well as in data collection, analysis, intervention and monitoring procedures. It was clear that through our formal processes including audits and focused rounding, substantial changes were occurring. However, hospital leadership continued …

The Dedicated Education Unit: A Model For Fostering Healthy Work Environments, Laura Ann Iacono, Launette Woolforde, Deborah Murphy, Patrick Coonan, Celia Marie Wells

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, April 13, 2013:

Background: Healthy work environments are essential to optimize quality patient and family centered care. The American Association of Critical Care Nurses (AACN) has identified the irrefutable link between healthy work environments and patient safety, nurse retention, and recruitment.

Method: The Dedicated Education Unit (DEU) model fosters the student nurse (SN) to professional nurse transition by immersing the SN in the clinical environment under the supervision of a consistent staff RN who serves as the Clinical Instructor (CI). North Shore University Hospital and Adelphi University School of Nursing partnered to launch the DEU in …

Medication Errors Reporting: Do Work Environment And Medication Practices Matter?, Amany A. Farag, Yelena Perkhounkova

Creating Healthy Work Environments (CHWE)

Session presented on Sunday, April 14, 2013: Background: Medication administration is a complex multi-stage process that involves many healthcare professionals. Medication errors occur in every step of the medication process, with 38% occurring at the administration phase. Nurses working in hospitals spend 40% of their time administering medication and blamed most of the time for medication errors. Designing intervention strategies to overcome this problem is highly challenged by the under-reporting of medication errors. Having non-punitive safety climate, transformational leader and proper medication administration practices in assumed to increase nurses willingness to report medication errors. Empirical evidence to support this proposition …

Work Stress/Strain, Low Job Satisfaction, And Intent To Leave Home Healthcare Nursing Among Home Healthcare Registered Nurses (Hhc Rns), D. Paxson Barker

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, April 13, 2013:

Background: The U.S. shortage of Home Health Care (HHC) Registered Nurses (RNs) is growing and the demand for HHC RNs is estimated to increase 109% by 2020. Factors associated with this shortage of HHC nurses include job stress/strain and low job satisfaction. Predictors of intent to leave their present HHC nursing position are not clear. To date, no published studies have been found that apply the effort-reward imbalance (ERI) model to HHC RNs.

Purpose: The purpose of this study was to measure the level of job stress/strain associated with a low job satisfaction …

Perceptions Regarding The Effect Of Doctoral Teaching On Faculty Ability To Maintain A Program Of Scholarship, Nancy C. Sharts-Hopko, Nancy J. Wise, Suzanne C. Smeltzer, Mary Ann Cantrell, Mary Ann Heverly, Amanda Jenkinson

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, April 13, 2013:

Purpose: The purpose of this qualitative study was to identify perceptions among faculty members teaching in DNP and PhD programs about the effects of their involvement in doctoral education, barriers and facilitators to scholarly productivity, and faculty characteristics related to success in maintaining an ongoing program of scholarship.

Framework: The significance of this study was supported by findings of the IOM report on The Future of Nursing that recommends doubling the number of doctorally prepared nurses by 2020.

Methods: Participants participated in two focus groups, one conducted at a national research conference (N=13) …

Assessing Healthy Work Environment: A Rapid Assessment Tool, David P. Hrabe, Carol Stevens, Mary Z. Mays

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, April 13, 2013:

A 12-item instrument based on the standards for a healthy work environment developed by the American Association of Critical Care Nurses was used to assess nurses' work environment during change projects in a large hospital system. The instrument was used in samples of direct care nurses, nurse managers, and administrators. Six items measured the individual's contribution to the work environment and six measured co-workers' perceived contributions. Each item was graded on a scale from 'A = well above average' to 'F = failing'. Psychometric evaluation of the instrument demonstrated excellent reliability and validity …

The Effect Of A Workplace-Based Intervention On Moral Distress Among Registered Nurses, Nancy Miller Powell

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, April 13, 2013:

The purpose of this study was to determine if RN's attending a workplace-based educational program would have decreased intensity, frequency, and total moral distress, compared to nurses not attending the program. This intervention was operationalized using the AACN program: The 4A's to Rise Above Moral Distress (2005). Moral distress is an insidious problem affecting many registered nurses, directly and or indirectly, with potentially harmful consequences. Review of the literature revealed that consequences of moral distress produce a negative effect on the overall well being of nurses, their peers, patient care, the work environment, …

Direct Care Rn Perceptions Of The Healthy Work Environment, M. Anne Longo

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, April 13, 2013:

The purpose of the qualitative mixed method study was to understand the perceptions of direct care registered nurses (RNs) regarding their work environment. Patricia Benner (1984) applied the Dreyfus Model of Skill Acquisition (1980) to describe and interpret skill acquisition and clinical judgment in nursing practice. Benner's operational definitions for the five levels of her Novice to Expert Practice Model were used by the study participants to self-identify their level of practice. Action research (AR) using Cooperrider's Model of Appreciative Inquiry guided the researcher in understanding the study participants' perception of The American …

Advances In Nursing Doctoral Education & Research [Complete Issue: April 2013, Vol 1, No 1], Richard Redman, Patricia Mary Davidson, Michelle Digiacomo, Debra Jackson

International Network for Doctoral Education in Nursing - ANDER

Advances in Nursing Doctoral Education & Research.

Official Journal of the International Network for Doctoral Education in Nursing (INDEN).

The file attached to this record is the first issue of ANDER, INDEN's peer-reviewed journal. This journal has evolved from the many years of publication of the INDEN Newsletter which has served the organization well for many years.

INDEN is very proud how the newsletter developed into a journal. INDEN now acknowledges the excellence of manuscripts submitted to the journal by having them peer-reviewed. Guidelines for submission to ANDER can be found at http://nursing.jhu.edu/excellence/inden/ander-journal.html

In the peer-reviewed section of the …

The Development And Testing Of The Codependency-Overeating Model In Undergraduate Social Science Students In A Mississippi College, Denise Bynum

Dissertations

Overeating is a common eating disorder and often leads to obesity and to significant physical, emotional and social problems often warranting nursing care. The psychological and behavioral factors surrounding overeating are noted frequently in the literature, but are not emphasized in most prevention and treatment programs for overeating. Codependency has expanded beyond the chemical dependency field and describes the dysfunctional pattern of behavior of an individual in a relationship with another person or from survival in a dysfunctional family of origin. This pattern of behavior includes the neglect of personal needs, focus and dependency on others, boundary/control issues, low self-worth …

Lessons In Leadership: Sheila P. Burke, Sheila P. Burke

General Submissions: Nursing as Profession

Lessons in Leadership: The Betty Irene Moore Speaker Series embodies Betty Irene Moore's vision and hope for nurses to lead within their teams, organizations and communities, with the ultimate goal of improving the experience and outcomes of patient care. Through personal experience, Betty recognized that nurses play a critical role in providing safe, high-quality patient care and outcomes. They are caregivers, mentors, teachers and researchers; and they provide 95 percent of direct patient care in hospitals. This recognition gave rise to the Betty Irene Moore Nursing Initiative, with building leadership skills in nurses as one of its main strategies.

This …

Role Of Nursing Professional Development In Helping Meet Institute Of Medicine's Future Of Nursing Recommendations, Association For Nursing Professional Development Public Policy Committee

General Submissions: Organizations - Position Statements, White and Resource Papers

The Robert Wood Johnson Foundation's Initiative on The Future of Nursing at the Institute of Medicine (IOM) (Committee, 2011) was formed with the goal of identifying ways to transform the nursing profession to meet the challenges of a complex and rapidly changing health care system. The report on their findings was released in 2010. The committee made several recommendations regarding the education and training of both pre-licensure and established nurses throughout their career.