Examining Nurses' Perception of Practice, Practice Environment, and Leadership in Primary Care

Examining Nurses' Perception of Practice, Practice Environment, and Leadership in Primary Care PDF Author: Sarah Brzozowski
Publisher:
ISBN:
Category :
Languages : en
Pages : 0

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Book Description
Formal nursing leadership influences many positive patient, nursing workforce, and organizational outcomes and has been heavily studied in hospital settings. Achieving leadership effectiveness and positive outcomes requires a leader to adjust their behaviors to both staff and work environment characteristics. A nurse's professional identity, including their values and beliefs, is also critical when evaluating nursing leadership. Yet, research of nursing leadership and the influence of staff and work environment characteristics has been predominately explored in hospital settings and little is known about nursing leadership in primary care settings. Primary care settings are an essential component of the healthcare system with nursing responsibilities expanding as new care models are developed that align with value-based payments and population health. This dissertation aimed to address identified gaps in the literature and increase the understanding of nurse identity and leadership needs, and the influence of the environmental context (staff and work environment characteristics) on leadership effectiveness in primary care settings. Two studies comprise this dissertation. The first study is a descriptive qualitative study of primary care direct care registered nurses exploring their perception of professional identity, components of their professional practice, and the support they need to function as a registered nurse and provide high quality patient care. The second study is an online survey study of primary care direct care registered nurses, which had two aims: 1) to explore differences in nurses' perceptions of their leaders' leadership behaviors and outcomes based upon registered nurses' individual and work setting characteristics; and 2) to explore effects of leadership styles, practice environment, and generational differences on nurse job satisfaction. Results of the first study indicate that a primary care nurse's identity and practice include unique characteristics and, to support nurses in this setting, it is necessary to recognize the needs of new nurses and ongoing support for all nurses. Results from the second study suggest individual and work setting characteristics influence nurses' perception of a leader's behaviors and outcomes. Furthermore, the study suggests practice environment and generational differences influence the relationship between perceived leadership style and job satisfaction. Findings from this dissertation provide additional knowledge to guide leadership training and inform future studies to create a more complete understanding of how the environmental context influences nurse leadership effectiveness.

Examining Nurses' Perception of Practice, Practice Environment, and Leadership in Primary Care

Examining Nurses' Perception of Practice, Practice Environment, and Leadership in Primary Care PDF Author: Sarah Brzozowski
Publisher:
ISBN:
Category :
Languages : en
Pages : 0

Get Book Here

Book Description
Formal nursing leadership influences many positive patient, nursing workforce, and organizational outcomes and has been heavily studied in hospital settings. Achieving leadership effectiveness and positive outcomes requires a leader to adjust their behaviors to both staff and work environment characteristics. A nurse's professional identity, including their values and beliefs, is also critical when evaluating nursing leadership. Yet, research of nursing leadership and the influence of staff and work environment characteristics has been predominately explored in hospital settings and little is known about nursing leadership in primary care settings. Primary care settings are an essential component of the healthcare system with nursing responsibilities expanding as new care models are developed that align with value-based payments and population health. This dissertation aimed to address identified gaps in the literature and increase the understanding of nurse identity and leadership needs, and the influence of the environmental context (staff and work environment characteristics) on leadership effectiveness in primary care settings. Two studies comprise this dissertation. The first study is a descriptive qualitative study of primary care direct care registered nurses exploring their perception of professional identity, components of their professional practice, and the support they need to function as a registered nurse and provide high quality patient care. The second study is an online survey study of primary care direct care registered nurses, which had two aims: 1) to explore differences in nurses' perceptions of their leaders' leadership behaviors and outcomes based upon registered nurses' individual and work setting characteristics; and 2) to explore effects of leadership styles, practice environment, and generational differences on nurse job satisfaction. Results of the first study indicate that a primary care nurse's identity and practice include unique characteristics and, to support nurses in this setting, it is necessary to recognize the needs of new nurses and ongoing support for all nurses. Results from the second study suggest individual and work setting characteristics influence nurses' perception of a leader's behaviors and outcomes. Furthermore, the study suggests practice environment and generational differences influence the relationship between perceived leadership style and job satisfaction. Findings from this dissertation provide additional knowledge to guide leadership training and inform future studies to create a more complete understanding of how the environmental context influences nurse leadership effectiveness.

The Future of Nursing

The Future of Nursing PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309208955
Category : Medical
Languages : en
Pages : 700

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Book Description
The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.

Patient Safety and Quality

Patient Safety and Quality PDF Author: Ronda Hughes
Publisher: Department of Health and Human Services
ISBN:
Category : Medical
Languages : en
Pages : 592

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Book Description
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Putting Patients First

Putting Patients First PDF Author: Susan B. Frampton
Publisher: John Wiley & Sons
ISBN: 047037702X
Category : Medical
Languages : en
Pages : 372

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Book Description
The second edition of Putting Patients First showcases what Planetree facilities and the Planetree organization have learned about the commitments, conditions, practices, and policies that are needed to do more than give lip service to being--patient-centered.--It should be read by every student, nurse, physician, administrator, trustee, policy maker, and lay person who is committed to creating healing environments, holding facilities accountable for their rhetoric, and truly reforming health care.

Critical-Care Nurses’ Perceived Leadership Practices, Organizational Commitment, and Job Satisfaction

Critical-Care Nurses’ Perceived Leadership Practices, Organizational Commitment, and Job Satisfaction PDF Author: Ngozi I. Moneke
Publisher: Xlibris Corporation
ISBN: 1524565245
Category : Education
Languages : en
Pages : 221

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Book Description
My writing of this book has evolved over the past thirty-six years of professional nursing practice. These were my first efforts as an author, which were published in 2013: Promoting a Culture of Safety: Preventing Central Line Infections in Weill Cornell Medical Center, which used a performance improvement process to lower the rate at which critically ill patients in cardiac care developed central line infections, and Factors Influencing Critical Nurses' Perception of their Overall Job Satisfaction: An Empirical Study, which used a correctional approach and was statistically analyzed to determine the perception of critical-care nurses of their manager's leadership style and its effect on their job satisfaction. Having been on the receiving end of leadership behaviors gave me a firsthand opportunity to observe these diverse nurse leaders at both extremes of the spectrumfrom laissez-faire leadership style to dictatorial leadership style and everything in between. Each encounter has enriched my life immeasurably. My personal and professional experiences, as well as the knowledge I gained from completing my dissertation, all compelled me to write this bookto share with novice managers and those aspiring for a leadership role an awareness and provide them with some valuable information needed as they forge their career paths into a leadership role, knowing that one of the keys to effective leadership is the ability to stay intellectually curious and committed to learning with the understanding that new knowledge can come from variety of sources and to make it a point of duty to be always on a lookout for new knowledge.

Individualized Care

Individualized Care PDF Author: Riitta Suhonen
Publisher: Springer
ISBN: 331989899X
Category : Medical
Languages : en
Pages : 232

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Book Description
This contributed book is based on more than 20 years of researches on patient individuality, care and services of the continuously changing healthcare system. It describes how research results can be used to respond to challenges on individuality in healthcare systems. Service users’, patients’ or clients’ point of views on care and health services are urgently needed. This book describes the conceptualisation of the individualized nursing care phenomenon and the process development of the measuring instruments of that phenomenon in different contexts. It describes results from a variety of clinical contexts about individualized nursing care and explains factors associated with the perceptions and delivery of individualized nursing care from different point of views. This book may appeal to clinicians, nurses practitioners and researchers from many fields.

Nursing's Social Policy Statement

Nursing's Social Policy Statement PDF Author: American Nurses Association
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 102

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Book Description


Evidence-Based Practice

Evidence-Based Practice PDF Author: Janet Houser
Publisher: Jones & Bartlett Learning
ISBN: 0763776173
Category : Medical
Languages : en
Pages : 295

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Book Description
Evidence-Based Practice: An Implementation Guide for Healthcare Organizations was created to assist the increasing number of hospitals that are attempting to implement evidence-based practice in their facilities with little or no guidance. This manual serves as a guide for the design and implementation of evidence-based practice systems and provides practice advice, worksheets, and resources for providers. It also shows institutions how to achieve Magnet status without the major investment in consultants and external resources.

Assessing Progress on the Institute of Medicine Report The Future of Nursing

Assessing Progress on the Institute of Medicine Report The Future of Nursing PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309380316
Category : Medical
Languages : en
Pages : 221

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Book Description
Nurses make up the largest segment of the health care profession, with 3 million registered nurses in the United States. Nurses work in a wide variety of settings, including hospitals, public health centers, schools, and homes, and provide a continuum of services, including direct patient care, health promotion, patient education, and coordination of care. They serve in leadership roles, are researchers, and work to improve health care policy. As the health care system undergoes transformation due in part to the Affordable Care Act (ACA), the nursing profession is making a wide-reaching impact by providing and affecting quality, patient-centered, accessible, and affordable care. In 2010, the Institute of Medicine (IOM) released the report The Future of Nursing: Leading Change, Advancing Health, which made a series of recommendations pertaining to roles for nurses in the new health care landscape. This current report assesses progress made by the Robert Wood Johnson Foundation/AARP Future of Nursing: Campaign for Action and others in implementing the recommendations from the 2010 report and identifies areas that should be emphasized over the next 5 years to make further progress toward these goals.

Leadership in Health Care

Leadership in Health Care PDF Author: Jill Barr
Publisher: SAGE
ISBN: 1446207633
Category : Medical
Languages : en
Pages : 321

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Book Description
Now revised and updated into a Second Edition, Leadership in Health Care retains its successful approach of looking at leadership theory from an individual, team and organizational perspective, and continues to focus on major areas such as problem solving, dealing with conflict, unhealthy behaviors and notions of quality, diversity and individual values. This new edition, however, responds to recent political changes in health care with the inclusion of two new chapters on interprofessional working and on emotional intelligence. Authors Jill Barr and Lesley Dowding have also taken the opportunity to focus more clearly on service users, and take forward the concept of project management.