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Author: Stephanie McClellan
Publisher:
ISBN:
Category : COVID-19 (Disease)
Languages : en
Pages : 0
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Book Description
Abstract: Background: Moral Distress has been studied in different healthcare environments and across disciplines. Most of the research and systematic reviews have evaluated the clinician at the bedside. While this information is valuable, a gap exists between what is known about leadership and the direct care provider and the effects of moral distress on one's ability to achieve moral resilience. The Coronavirus pandemic, also known as COVID-19, brought challenges to the nursing workforce that have proven difficult to overcome. Due to the complexity of what nurse leaders experienced, minimal research had been conducted on the impact of COVID-19 and moral distress. Purpose: The purpose of this EBP project was to determine if the webinar "Preventing and Managing Secondary Stress in the time of COVID-19" had an impact on the Nurse Leader's self-assessed Moral Resilience score. Methods: This project used a quasi-experimental design which consisted of a pre-intervention survey, the intervention, and a post-intervention survey. The nurse leaders were surveyed to understand their confidence with decisions during times of high stress. After completing the intervention, the Nurse Leaders completed a post-intervention survey. Results: Of the Nurse Leaders surveyed, a two-tailed Mann Whitney U test was used to evaluate findings. There was a statistical difference in the overall result of the pre and post intervention scale with a p score of 0.013 using and alpha of 0.05. The median for group 0 was 2.59 and the median for group 1 was 2.88. The results indicate an increase in the overall resilience score. Keywords: moral distress, leadership, healthcare, nurses, work engagement, moral sensitivity, COVID-19, nurse leaders.
Author: Stephanie McClellan
Publisher:
ISBN:
Category : COVID-19 (Disease)
Languages : en
Pages : 0
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Book Description
Abstract: Background: Moral Distress has been studied in different healthcare environments and across disciplines. Most of the research and systematic reviews have evaluated the clinician at the bedside. While this information is valuable, a gap exists between what is known about leadership and the direct care provider and the effects of moral distress on one's ability to achieve moral resilience. The Coronavirus pandemic, also known as COVID-19, brought challenges to the nursing workforce that have proven difficult to overcome. Due to the complexity of what nurse leaders experienced, minimal research had been conducted on the impact of COVID-19 and moral distress. Purpose: The purpose of this EBP project was to determine if the webinar "Preventing and Managing Secondary Stress in the time of COVID-19" had an impact on the Nurse Leader's self-assessed Moral Resilience score. Methods: This project used a quasi-experimental design which consisted of a pre-intervention survey, the intervention, and a post-intervention survey. The nurse leaders were surveyed to understand their confidence with decisions during times of high stress. After completing the intervention, the Nurse Leaders completed a post-intervention survey. Results: Of the Nurse Leaders surveyed, a two-tailed Mann Whitney U test was used to evaluate findings. There was a statistical difference in the overall result of the pre and post intervention scale with a p score of 0.013 using and alpha of 0.05. The median for group 0 was 2.59 and the median for group 1 was 2.88. The results indicate an increase in the overall resilience score. Keywords: moral distress, leadership, healthcare, nurses, work engagement, moral sensitivity, COVID-19, nurse leaders.
Author: Cynda Hylton Rushton
Publisher: Oxford University Press
ISBN: 0190619295
Category : Medical
Languages : en
Pages : 321
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Book Description
Suffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, in part a reflection of the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish that occurs when the burdens of treatment appear to outweigh the benefits; scarce human and material resources must be allocated; informed consent is incomplete or inadequate; or there are disagreements about goals of treatment among patients, families or clinicians. Each is a source of moral adversity that challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. If moral suffering is unrelieved it can lead to disengagement, burnout, and undermine the quality of clinical care. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. It is vital to shift the focus to solutions and to expanded individual and system strategies that mitigate the detrimental effects of moral suffering. Moral resilience, the capacity of an individual to restore or sustain integrity in response to moral adversity, offers a path forward. It encompasses capacities aimed at developing self-regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum approach, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all.
Author: Cynda H. Rushton
Publisher: Oxford University Press
ISBN: 0197667147
Category : Medical
Languages : en
Pages : 393
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Book Description
"Suffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, reflecting the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish experienced in response to various forms of moral adversity including moral harms, wrongs or failures, or unrelieved moral stress. Confronting moral adversity challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. Recent interest has expanded to include a more corrosive form of moral suffering, moral injury. Moral resilience, the capacity to restore or sustain integrity in response to moral adversity, offers a path designing individual and system solutions to address moral suffering. It encompasses capacities aimed at developing self- regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Moral resilience has been shown to be a protective resource that reduces the detrimental impact of moral suffering. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum Response, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all"--
Author: Cynda H. Rushton
Publisher:
ISBN: 9781558105874
Category :
Languages : en
Pages :
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Book Description
Author: Michael Traynor
Publisher: Routledge
ISBN: 131727248X
Category : Medical
Languages : en
Pages : 203
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Book Description
The nursing profession is under pressure. Financial demands, student debt, the target culture, political scrutiny in the wake of major care scandals and increasing workloads are all taking their toll on professional morale and performance. This timely book considers the meaning of resilience in this adverse context and explains why measures to preserve individual nurses’ and students’ well-being are flawed if they don’t take into account wider political and organizational perspectives. Arguing that healthcare can be thought about and experienced differently, this book: provides a summary of the latest research on resilience, explaining its relevance and also limitations for nurses; considers debates about compassion and highlights the effects of policy agendas on nurse education and nursing work; re-evaluates nursing’s professional identity, including where nursing has come from and the effects of class, gender and race on its powerbase; assesses the role of politics and social media, both in driving change and feeding resistance; and introduces the idea of critical resilience as a complete framework for resisting bullying and fostering survival and change in the nursing workforce. Direct, upbeat, at times provocative and witty, this agenda-setting book enables nurses to understand why they feel the way they do. It also lists what opportunities are available to them to change, resist and survive in what has become a complex, challenging – if still deeply rewarding – line of work.
Author: Joanne Connor, PhD, MPA, RN, NEA-BC, CPHQ
Publisher: Springer Publishing Company
ISBN: 082613677X
Category : Medical
Languages : en
Pages : 132
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Book Description
Helps nurse executives ethically navigate the unique challenges and moral dilemmas of healthcare This unique text is the first to introduce professional moral courage as an essential competency in nurse executive leadership. It provides a foundation and understanding of the role of professional moral courage in nursing practice, places it in the context of current healthcare challenges and dilemmas, and identifies the characteristics and qualities required to lead in such situations. Authored by a seasoned nurse executive, the text begins with an overview of the healthcare environment; roles, responsibilities, and challenges of the nurse executive; and ethical dimensions of nurse executive practice. It then introduces the construct of professional moral courage, establishes a supporting competency framework, delineates a measurement tool, and provides guidance on how a nurse executive can develop and nurture this vital competency. Chapters provide real-world scenarios that highlight professional moral courage in action and its related consequences. Key Features: Provides a foundation in professional moral courage and describes why it is important to the nurse executive role Examines the impact of current healthcare challenges, as well as moral and ethical dilemmas in nurse executive leadership Establishes professional moral courage as a critical leadership competency and provides a supporting framework and measurement tool Guides nurse executives in the development and cultivation of professional moral courage Purchase includes digital access for use on most mobile devices or computers
Author: American Nurses Association
Publisher: Nursesbooks.org
ISBN: 1558101764
Category : Business & Economics
Languages : en
Pages : 42
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Book Description
Pamphlet is a succinct statement of the ethical obligations and duties of individuals who enter the nursing profession, the profession's nonnegotiable ethical standard, and an expression of nursing's own understanding of its commitment to society. Provides a framework for nurses to use in ethical analysis and decision-making.
Author: James L. Harris
Publisher: Jones & Bartlett Learning
ISBN: 1284227278
Category : Medical
Languages : en
Pages : 461
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Book Description
Clinical Nurse Leaders Beyond the Microsystem: A Practical Guide, Fourth Edition is a core resource for CNLs which imparts the competencies necessary to lead improvement teams, analyze data, and ensure delivery of quality, safety, and value-based care in any healthcare setting.
Author: Mohammed Saad Waslallah Almutari
Publisher: Mohammed Saad Waslallah Almutari
ISBN: 6030484982
Category : Medical
Languages : en
Pages : 221
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Book Description
"Leadership in Nursing: A Comprehensive Guide for Professional Development" is meticulously organized to provide a thorough exploration of effective leadership within the nursing profession. The book systematically covers a range of essential topics for nursing professionals, beginning with an introduction that sets the stage for the reader. The early chapters delve into foundational concepts such as effective leadership, follower dynamics, and the role of a manager in nursing. Ethics and principles are thoroughly examined, establishing a robust framework for ethical decision-making in the complex healthcare landscape. The exploration then extends to various leadership theories and styles, offering insights into their applicability in nursing contexts. As readers progress through the book, attention is given to practical aspects of nursing leadership, including working within healthcare organizations, collaborating within multidisciplinary teams, and intricacies of nursing management. Specialized chapters address critical aspects like delegation and prioritization of client care, conflict resolution, and navigating individual growth within the profession. The book's scope broadens to cover topics crucial for a nurse's career journey, such as exploring career options, fostering positive workplace atmospheres, and addressing professional conduct issues. The essence of nurse leadership in health development is intricately woven into the narrative, emphasizing the vital role nurses play in shaping the future of healthcare. Chapters dedicated to leadership skills, interdisciplinary collaboration, and leading change highlight the dynamic nature of nursing leadership. The book takes a global perspective, addressing issues related to global health leadership and development, emphasizing the importance of innovation, entrepreneurship, advocacy, and policy influence in nursing. Towards the end, the book provides practical guidance on sustaining nurse leadership for ongoing development. It touches on data-driven decision-making, resilience in crisis leadership, and the imperative of promoting diversity, equity, and inclusion in healthcare settings. Practical considerations like personnel requirements, scheduling guidelines, and quality control for patient safety are addressed, providing valuable insights for nursing leaders. Concluding with a visionary outlook, the book emphasizes the role of nursing leaders in shaping a better future. Extensive references and a comprehensive index make this book a valuable resource for nursing professionals seeking continuous development in healthcare leadership. "Leadership in Nursing" stands as an indispensable guide, combining theoretical insights with practical wisdom to empower nursing professionals on their leadership journey. Key takeaways from the guide include: Fundamentals of Leadership: Grasp the essence of effective leadership, explore manager roles, and delve into ethical considerations in healthcare. Leadership Theories and Styles: Understand various leadership approaches and identify the most suitable style for different situations. Organizational Dynamics: Navigate the complexities of working within an organization, collaborate effectively with peers, and manage multidisciplinary teams. Nursing Management: Master the art of organizing, staffing, scheduling, directing, and delegating tasks within the nursing domain. Client Care: Prioritize and delegate client care effectively, while confidently addressing challenges and conflicts that may arise. Personal and Professional Development: Foster a positive work environment, cultivate your leadership skills, explore career options, and navigate professional conduct issues. Leadership in Healthcare: Discover the significance of nurse leadership in health development, explore interdisciplinary collaboration, and champion change for health transformation. Innovation and Advocacy: Embrace innovation and entrepreneurship in nursing, influence policy, and lead interprofessional teams to achieve optimal health outcomes. Global and Ongoing Development: Engage in global health leadership, promote diversity, equity, and inclusion in healthcare, and ensure sustainable leadership through ongoing development. Data-Driven Decisions and Crisis Management: Leverage data analytics for informed decision-making and develop resilience to effectively lead through challenging situations. Beyond the chapters, the book delves deeper into crucial aspects like personnel and scheduling guidelines, establishing a culture of patient safety, and paving the way for a better future in healthcare. This comprehensive guide serves as an invaluable resource for nurses at all stages of their careers, empowering them to become transformative leaders in the healthcare landscape.
Author: Susan Bartos
Publisher: Elsevier Health Sciences
ISBN: 0323760619
Category : Medical
Languages : en
Pages : 137
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Book Description
In consultaton with Consulting Editor, Dr. Cynthia Bautista, Dr. Bartos has put together a comprehensive and succint look at strategies to improve wellness for the critical care nurse. Expert authors have submitted clinical review articles on the following topics: Self-Assessments for Mental Wellness in Critical Care; Developing a Wellness Company for Critical Care Nurses; Self-Care Tips and Tricks for the Critical Care Nurse; Building Resilience in the Critical Care Nurse; The Impact of Rotating Shift Work on Self-Care Behaviors of the Critical Care Nurse; Mitigating the Stress of the Critical Care Nurse; Building a Program of Wellness for Critical Care Nurses; Evaluating the Secondary Stress of Critical Care Providers; Compassion Fatigue in the Intensive Care Unit; Creativity as a Means of Self-Care for Trauma ICU Nurses; and Supporting Self-Care Behaviors throughout the Critical Care Bereavement Process. Readers will come away with the information they need to improve self-care behaviors and mental wellness.
