Medicine and Health Sciences Commons^™

Building Thriving Healthcare Teams Through Organizational Learning, Bret Lyman, Marie M. Prothero, Adrianna L. Watson

Faculty Publications

The purpose of this article is to provide practical steps nurse leaders can use to build thriving healthcare teams through organizational learning. The climate, culture, and activities associated with organizational learning are well-aligned with those needed to build thriving teams. Nurse leaders who leverage this alignment can effectively recruit and retain teams while enhancing their team’s ability to effectively navigate change.

Building Thriving Healthcare Teams Through Organizational Learning, Bret Lyman, Marie M. Prothero, Adrianna L. Watson

Faculty Publications

The purpose of this article is to provide practical steps nurse leaders can use to build thriving healthcare teams through organizational learning. The climate, culture, and activities associated with organizational learning are well-aligned with those needed to build thriving teams. Nurse leaders who leverage this alignment can effectively recruit and retain teams while enhancing their team’s ability to effectively navigate change.

Building Organizational Learning Capacity: A Road Map For Nurse Executives, Bret Lyman, Marie M. Prothero, Joy Parchment

Faculty Publications

The purpose of this article is to guide nurse executives in building learning capacity within their organizations. The Organizational Learning Road Map provided is grounded in the American Organization for Nursing Leadership’s Nurse Leader Core Competencies. Key steps include: developing one’s self as a learning leader, sharing a learning-focused vision for the organization, establishing a culture of learning, charting a course toward becoming a learning organization, developing a leadership team to support learning throughout the organization, measuring progress toward the vision, and sustaining momentum.

Building Organizational Learning Capacity: A Road Map For Nurse Executives, Bret Lyman, Marie M. Prothero, Joy Parchment

Faculty Publications

The purpose of this article is to guide nurse executives in building learning capacity within their organizations. The Organizational Learning Road Map provided is grounded in the American Organization for Nursing Leadership’s Nurse Leader Core Competencies. Key steps include: developing one’s self as a learning leader, sharing a learning-focused vision for the organization, establishing a culture of learning, charting a course toward becoming a learning organization, developing a leadership team to support learning throughout the organization, measuring progress toward the vision, and sustaining momentum.

Diversity, Equity, Inclusion: Crucial For Organizational Learning And Health Equity, Bret Lyman, Joy Parchment, Kaitlyn C. George

Faculty Publications

Achieving health equity requires a diversity of perspectives, values, and insights, yet the composition of the United States’ nursing workforce does not reflect the communities where they practice. Nurse leaders can advance health equity and exemplary clinical outcomes by creating diverse, equitable, and inclusive health care teams. Such teams are well-equipped for organizational learning, a crucial process for advancing health equity. Nurse leaders advance health equity by fostering diversity, equity, inclusion, and thus organizational learning in the workplace.

Emily Lemoine Loveridge (1860-1941): Pioneer And Leader In Nursing, Pamela Wheeler

Faculty Publications

The life of Emily L. Loveridge reflects the context of the times in which she practiced as a nurse and assumed leadership roles as a superintendent of nurses and subsequently a hospital superintendent. Over the course of her remarkable 40-year career, she would begin the first training program for nurses in the Northwest and shepherd a foundling hospital from a wooden structure housing 50 patients to a brick structure of over 330 beds. She would also advance the professionalization of nursing while contributing significantly to a variety of professional organizations.

As an 1889 graduate of Bellevue Hospital in New York …

Filling The Knowledge Gap For Nurse Leaders: Next Steps Following Covid-19, Mikel W. Hand, Catherine Alexander, Bret Lyman, Joy Parchment, M Lindell Joseph, Esther Chipps

Faculty Publications

The purpose of this article is to share gaps in knowledge and research related to pandemic management identified by nurse leaders during the COVID-19 pandemic. As part of a larger Delphi study, nurse leaders responded to an open-ended question about gaps in research they saw as important following the pandemic. Responses were analyzed using directed content analysis. Results are presented as 4 supercategories: Organizational leadership preparedness, adaptive leadership in crisis, innovations in care delivery, and health, well-being, and resilience.

Setting The Research Agenda For Nursing Administration And Leadership Science: A Delphi Study, Esther Maria Chipps, M Lindell Joseph, Catherine Alexander, Bret Lyman, Logan Mcginty, Heather Nelson-Brantley, Joy Parchment, Reynaldo R. Rivera, Mary Anne Schultz, Danielle M. Ward, Susan Weaver

Faculty Publications

Objective: The aim of this study was to identify and prioritize research topics for nursing administration and leadership science.

Background: Nursing administration and leadership research priorities should provide a framework for building the science needed to inform practice.

Methods: The Association for Leadership Science in Nursing (ALSN) and American Organization for Nursing Leadership (AONL) Foundation (AONL-F) for Nursing Leadership and Education collaborated on a Delphi study. Initial input on research priority items were received from ALSN and AONL members. National experts participated in a 3-round Delphi study.

Results: Top-ranked priorities included: 1) nurses' health, well-being, resiliency, and safety in the …

Creating A Work Environment Conducive To Organizational Learning, Bret Lyman, Marisa E. Biddulph, V Grace Hopper, Morgan K. Horton, Camille R. Mendon

Faculty Publications

Through organizational learning, health care teams can consistently provide excellent patient care in a complex and changing environment. Nurse managers, educators, and other leaders can facilitate organizational learning within their teams by promoting certain contextual factors in the clinical work environment. This article provides an overview of contextual factors associated with organizational learning, includes practice-based examples of these factors, and offers evidence-based recommendations for creating a learning-focused work environment.

Patient With Questions About Cancer Risk, Deborah O. Himes, Jennie Vagher

Faculty Publications

Primary care nurse practitioners routinely care for patients with personal or family histories of cancer. Approximately 5% to 10% of all cancers are related to hereditary cancer syndromes (HCSs), which cause an increased risk for developing more cancers and cancers at earlier ages than the general population. Nurse practitioners in primary care must become comfortable with identifying patients at risk for HCSs. Ordering genetic tests can be a challenge because the number of genetic tests available is growing at a rapid pace. This case highlights a woman who survived breast cancer at age 25 and basal cell carcinoma at age …

Disruptive Innovation: Impact For Practice, Policy, And Academia, Heather V. Nelson-Brantley, K. David Bailey, Joyce Batcheller, Laura Caramanica, Bret Lyman, Francine Snow

Faculty Publications

The 2019 Association for Leadership Science in Nursing International Conference, Disruptive Innovation, was held in Los Angeles, California, with attendees from 30 US States, Canada, Brazil, and China. Presenters discussed the need for nurse leaders to advocate for health equity, lead evidence-based innovation, how robots and other technology are generating disruptive innovations in healthcare, and building strong academic-practice partnerships to address nursing workforce challenges. This article will report on these important insights.

The Effect Of Dyad Rounding On Collaboration And Patient Experience, Amy Christensen, Korby Miller, Jason Neff, Rusty A. Moore, Sharee Hirschi, Katreena Collette Merrill

Faculty Publications

Communication among the healthcare team is essential to providing high-quality patient care. In the hospital, nurses care for multiple patients during their shift. Physicians or advanced practice clinicians (APCs) visit hospitalized patients daily to update orders, complete assessments, and contribute to care plans. One method to ensure that healthcare providers communicate effectively is interdisciplinary, or dyad, rounding in the hospital. This consists of purposeful rounding on each patient by the nurse and the physician or APC together to review the patient's status and update the care plan. When healthcare providers and nurses round together, it improves communication, patients are more …

Using Information Practices Of Nurses To Reform Information Literacy Instruction In Baccalaureate Nursing Programs, Anne R. Diekema, Betsy S. Hopkins, Brandon Patterson, Nena Schvaneveldt

Faculty Publications

Objective - Seeking information is a key element of evidence based practice and successful healthcare delivery. Significant literature exists on both the information seeking behaviour of professional nurses and information literacy teaching methods, but scarce evidence connects nurses’ information behaviour and environments with their education. This study sought to use data from nursing alumni to answer the following research questions: What are the current information practices of professional bachelor’s-prepared nurses? How do recently-graduated nurses suggest that their education could have better prepared them to find and evaluate information in the workplace?

Methods - The researchers conducted a descriptive study using …

Antimicrobial Stewardship: Staff Nurse Knowledge And Attitudes, Katreena Collette Merrill, Sandra Forsyth Hanson, Sharon Sumner, Todd Vento, John Veillette, Brandono Webb

Faculty Publications

Background: Registered nurses are uniquely qualified to augment antimicrobial stewardship (AS) processes. However, the role of nursing in AS needs further development. More information is needed regarding gaps in registered nurse knowledge, attitudes toward AS, and how infection preventionists can help.

Methods: An online descriptive survey was deployed to a convenience sample of approximately 2,000 nurses at the bedside. The survey included 15 questions addressing: (1) overall knowledge of AS; (2) antimicrobial delivery; (3) knowledge and attitudes regarding antimicrobial use; (4) antimicrobial resistance; and (5) antimicrobial resources and education.

Results: Three hundred sixteen staff nurses from 3 hospitals (15.8%) responded …

Awareness And Knowledge Of Cochlear Implants Among Speech-Language Pathologists, Kimberly Ward, Kimberly Grubbs, Amitava Biswas

Faculty Publications

Speech-Language Pathologists work closely with individuals who have received cochlear implants across a multitude of settings which include early childhood education centers, schools, hospitals and skilled nursing facilities. However, previous research suggests that Speech-Language Pathologists do not have the adequate skills or knowledge to work with clients who have received cochlear implants. To assess whether Speech-Language Pathologists in the state of Mississippi had similar results as in the previous studies, a questionnaire was used to assess knowledge on cochlear implants. The results are consistent with previous studies which suggest that there is an overall lack in cochlear implant competency, specifically …

Organizational Learning In An Orthopaedic Unit: A Learning History, Bret Lyman, Lindsey Shaw, Carly Moore

Faculty Publications

The purpose of this study was to explore organizational learning in an orthopaedic hospital unit. Skill in organizational learning is necessary to achieve high reliability in a dynamic healthcare environment, yet organizational learning in hospital units is not well understood. A learning history was conducted with a high-performing orthopaedic unit. Findings were interpreted in the context of a previous learning history conducted with a critical care unit. Despite contextual differences, each unit progressed through the same four developmental stages to achieve its current state of high reliability. On both units, psychological safety and a healthy work environment proved essential for …

Using Patient-Centered Care After A Prenatal Diagnosis Of Trisomy 18 Or Trisomy 13: A Review, Shelly Haug, Mitchell Goldstein, Denise Cummins, Elba Fayard, Allen Merritt

Faculty Publications

IMPORTANCE Patient-centered care (PCC) has been advocated by the Institute of Medicine to improve health care in the United States. Four concepts of PCC align with clinical ethics principles and are associated with enhanced patient/parent satisfaction. These concepts are dignity and respect, information sharing, participation, and collaboration. The objective of this article is to use the PCC approach as a framework for an extensive literature review evaluating the current status of counseling regarding prenatal diagnosis of trisomy 18 (T18) or trisomy 13 (T13) and to advocate PCC in the care of these infants.

OBSERVATIONS Extensive availability of prenatal screening and …

Global Perinatal Nursing Research: Sustainable Development Goals Update, Lynn Clark Callister, Cheryl A. Corbett

Faculty Publications

Global health experts suggest that there is an urgent need for research supporting healthcare for childbearing women that is both respectful and evidence-based beyond “too little, too late and too much too soon.” The purpose of this editorial is to describe global perinatal research priorities, provide examples of global collaborative networking and research, identify global perinatal nursing research priorities, and describe exemplary global maternal health nursing research.

Nursing Informatics Research And Emerging Trends In 2015, Jane M. Carrington, Victoria Tiase, Nicolette Estrada, Kimberly D. Shea, Katherine M. Dudding, Brooke A. Finley, Christine Nibbelink, Ryan Jay Rasmussen, Monte L. Roberts

Faculty Publications

This article presents the annual project where we search the literature to learn the advances made in nursing informatics research. The Nursing Informatics Year in Review project originated with the American Medical Informatics Association (AMIA)-Nursing Informatics Work Group (NIWG) as a regular presentation at the AMIA-NIWG Sunday meeting. This article reports on the findings from project year four, 2015, that was presented at the AMIA-NIWG meeting in San Francisco, CA, in November 2015. As with prior years of this project, we have read articles that have contributed to further development of the science. This article presents the results from our …

Qualitative Analysis Of Student Perceptions Of Bachelor Of Science-To-Doctor Of Philosophy In Nursing Programs, Neil E. Peterson, Karen O. Moss, Gwyneth R. Milbrath, Jane R. Von Gaudecker, Eunhee Park, Mihee Chung

Faculty Publications

Background: To address the shortage of PhD-prepared nursing faculty, universities in the United States of America offer direct entry BSN-to-PhD nursing programs. Little research has been done to explore students’ perceptions of these programs and formally evaluate the successes and opportunities for growth of this academic track. Methods: Focusing on the perceptions and experiential reflection of BSN-to-PhD education, a survey with open-ended questions was distributed among voluntary participants who are current BSN-to-PhD students or recent graduates (years) from various universities in the country. Textual data were analyzed using a qualitative descriptive approach with thematic analysis. Results: This article elaborates on …

Napnap Position Statement On Immunizations, Lacey M. Eden

Faculty Publications

The National Association of Pediatric Nurse Practitioners (NAPNAP) fully supports timely and complete immunization of all infants, children, adolescents, and adults to maximize the health and well-being of all people. Routine childhood immunizations prevent approximately 2.5 million deaths every year (World Health Organization, 2012). Maintaining the highest immunization rates possible is essential to prevent outbreaks of vaccine preventable diseases across the nation (Centers for Disease Control and Prevention [CDC], 2013). The CDC recommends that all children, adolescents, and adults be immunized to protect children who are most vulnerable to serious illness and death (CDC, 2014). In concert with the American …

Journey To The Dnp, Jake Creviston

Faculty Publications

In this article, Dr. Jake Creviston shares details about his personal journey to earning the DNP (Doctor of Nursing Practice) degree. Creviston clarifies what the degree is and suggests opportunities and responsibilities for future DNPs.

Teaching Communication And Therapeutic Relationship Skills To Baccalaureate Nursing Students: A Peer Mentorship Simulation Approach, Leslie Miles, Linda Mabey, Sarah Leggett, Katie Stansfield

Faculty Publications

The literature on techniques for improving student competency in therapeutic communication and interpersonal skills is limited. A simulation approach to enhance the learning of communication skills was developed to address these issues. Second-semester and senior nursing students participated in videorecorded standardized patient simulations, with senior students portraying the patient. Following simulated interactions, senior students provided feedback to junior students on their use of communication skills and other therapeutic factors. To integrate the learning experience, junior students completed a written assignment, in which they identified effective and noneffective communication; personal strengths and weaknesses; and use of genuineness, empathy, and positive regard. …

Np Bookshelf. [Review Of The Book Compassion Fatigue And Burnout In Nursing: Enhancing Professional Quality Of Life, By V. Todaro-Franceschi], Leslie W. Miles

Faculty Publications

This book is not just for nurses who care for the dying patient but for all nurses who find themselves at some point in their career feeling burned out, dissatisfied with work life, bullied, or lacking a sense of meaning and purpose in their professional quality of life. Todaro-Franceschi identifies the causes of compassion fatigue and burnout as being multifactorial, yet having a core symptom of the nurse internalizing suffering to the point that it negatively transforms the care a nurse can give. The target audience is wide, with application to current practitioners, students, nurse educators, and anyone working in …

Study Abroad Programs: Using Alumni And Graduate Students As Affiliate Faculty, Sheri Palmer, Debra Wing, Leslie Miles, Sondra Heaston, Karen H. De La Cruz

Faculty Publications

To expand student appreciation of global health and diversity, many schools of nursing offer study abroad programs. However, this type of labor-intensive program can be difficult in light of faculty shortages and constrained resources. The authors discuss how these issues were addressed using alumni and graduate students as affiliate teachers in 3 clinical study abroad settings.

Medical Home Model Of Patient-Centered Health Care, Sandra N. Berryman, Sheri P. Palmer, James E. Kohl, Jon S. Parham

Faculty Publications

The medical home offers a patient-centered model of care. The foundation of a medical home is the organized and continuous interprofessional care of patients.

Virtual Collaboration In The Online Educational Setting: A Concept Analysis, Henny Breen

Faculty Publications

This study was designed to explore the concept of virtual collaboration within the context of an online learning environment in an academic setting. Rodgers’ method of evolutionary concept analysis was used to provide a contextual view of the concept to identify attributes, antecedents, and consequences of virtual collaboration. Commonly used terms to describe virtual collaboration are collaborative and cooperative learning, group work, group interaction, group learning and teamwork. A constructivist pedagogy, group-based process with a shared purpose, support and web-based technology are required for virtual collaboration to take place. Consequences of virtual collaboration are higher order thinking and learning to …

Oncology Nurses' Obstacles And Supportive Behaviors In End-Of-Life Care: Providing Vital Family Care, Renea L. Beckstrand, Joan Collette, Lynn Callister, Karlen E. (Beth) Luthy

Faculty Publications

Purpose/Objectives: To determine the impact of obstacles and supportive behaviors in end-of-life (EOL) care as perceived by hospital-based oncology nurses.

Design: A 69-item mailed survey.

Setting: National random sample.

Sample: 1,005 nurse members of the Oncology Nursing Society who had provided EOL care for patients with cancer.

Methods: Three mailings yielded 380 usable responses from 912 eligible respondents, resulting in a 42% return rate.

Main Research Variables: Size and frequency of EOL care obstacles and supportive behaviors for patients with cancer in a hospital setting.

Findings: Results of this research demonstrate the need for more EOL education and help in …

Constructivism Applied To Psychiatric–Mental Health Nursing: An Alternative To Supplement Traditional Clinical Education, Michelle Hampton

Faculty Publications

With the popularity of accelerated pre‐licensure nursing programmes and the growth in nursing student enrolments, traditional clinical education continues to be a challenge to deliver. Nursing faculty members are required to develop and implement educational innovations that achieve effective learning outcomes, while using fewer resources. The purpose of this qualitative study was to explore the effectiveness of a constructivism‐based learning project to achieve specific learning outcomes and to supplement approximately 30 clinical hours in a psychiatric–mental health nursing course. Students participated in a 10‐week, multistage project that examined life histories, treatment resources, and evidence‐based practice, as applied to a single …

Perspectives On Nursing: Using Multimedia Interviews To Influence Career Decisions, Karen M. Lundberg, Michael C. Johnson, Cheryl A. Corbett, Michael Thompson

Faculty Publications

Students often have misconceptions regarding the reality of nursing and the opportunities available to nurses that sometimes result in poor choices related to pursuing nursing as a career. To help prenursing students make better-informed career decisions and address misunderstandings, faculty developed the DVD and Web site Perspectives on Nursing, a collection of 15 nurse interviews. The authors describe and discuss the project, the value of recorded nurses' stories, analysis of student feedback, and recommendations.