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Author: Donna M. Bys
Publisher:
ISBN: 9781339496535
Category : Employee retention
Languages : en
Pages : 242
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Book Description
The purpose of this research study was to examine the reports of Intensive Care nurses with at least ten years of experience in the Intensive Care Unit (ICU) regarding their professional commitment. The study was designed to elicit participants’ perceptions of the impact of their job commitment, related to emotional and physical demands, threats and support encounter from relatives, social support, autonomy and professional development. Results from a study focusing on these key variables affecting professional commitment could help to improve the hospital work environment and retention of Intensive Care nurses. The research applied van Dam et al.’s (2012) work characteristics as the lens for examining ICU nurses’ professional commitment. According to van Dam et al.’s work characteristics are important indicators of retention and job satisfaction. Face to face interviews were conducted to collect the data for this research study. Study volunteers participated in one 45-60 minute individual interview. Eight ICU nurses, from Connecticut and Massachusetts participated in the study. Procedures associated with qualitative research were used to analyze the data, which consisted of verbatim transcripts of in-person interviews. This yielded 15 key findings. Conclusions were drawn and recommendations for practice and future research were presented. Interview data indicated that ICU nurses’ commitment can be positively or negatively impacted by emotional demands, physical demands, and threats from relatives and support from relatives, social support, autonomy and professional development. Study participants’ reports of job commitment revealed emotional demands as having both a positive and negative impact on their job commitment, while physical demands exposed only negative effects. Participants, also revealed threats from relatives while caring for their critically ill patients as negatively impacting their professional commitment, and support from relatives as positively affecting their professional commitment. Social support from family, friends, co-workers and the community impacted ICU nurses’ job commitment positively. Overall, participants perceived that their autonomy of their practice when making decisions about nursing care and communication with physicians as positively affecting their job commitment. In addition, opportunities for professional development and certification in Critical Care nursing positively impacted job commitment.
Author: Donna M. Bys
Publisher:
ISBN: 9781339496535
Category : Employee retention
Languages : en
Pages : 242
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Book Description
The purpose of this research study was to examine the reports of Intensive Care nurses with at least ten years of experience in the Intensive Care Unit (ICU) regarding their professional commitment. The study was designed to elicit participants’ perceptions of the impact of their job commitment, related to emotional and physical demands, threats and support encounter from relatives, social support, autonomy and professional development. Results from a study focusing on these key variables affecting professional commitment could help to improve the hospital work environment and retention of Intensive Care nurses. The research applied van Dam et al.’s (2012) work characteristics as the lens for examining ICU nurses’ professional commitment. According to van Dam et al.’s work characteristics are important indicators of retention and job satisfaction. Face to face interviews were conducted to collect the data for this research study. Study volunteers participated in one 45-60 minute individual interview. Eight ICU nurses, from Connecticut and Massachusetts participated in the study. Procedures associated with qualitative research were used to analyze the data, which consisted of verbatim transcripts of in-person interviews. This yielded 15 key findings. Conclusions were drawn and recommendations for practice and future research were presented. Interview data indicated that ICU nurses’ commitment can be positively or negatively impacted by emotional demands, physical demands, and threats from relatives and support from relatives, social support, autonomy and professional development. Study participants’ reports of job commitment revealed emotional demands as having both a positive and negative impact on their job commitment, while physical demands exposed only negative effects. Participants, also revealed threats from relatives while caring for their critically ill patients as negatively impacting their professional commitment, and support from relatives as positively affecting their professional commitment. Social support from family, friends, co-workers and the community impacted ICU nurses’ job commitment positively. Overall, participants perceived that their autonomy of their practice when making decisions about nursing care and communication with physicians as positively affecting their job commitment. In addition, opportunities for professional development and certification in Critical Care nursing positively impacted job commitment.
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/
Author: Leslie Neal-Boylan
Publisher: Springer Publishing Company
ISBN: 082611010X
Category : Medical
Languages : en
Pages : 226
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Book Description
" This is the first research-based book to confront workplace issues facing nurses who have disabilities. It not only examines in depth their experiences, roadblocks to successful employment, and misperceptions surrounding them, but also provides viable solutions for creating positive attitudes towards them and a welcoming work environment that fosters hiring and retention. From the perspectives and actual voices of nurses with disabilities, nurse leaders, nurse administrators, and patients, the book identifies nurses with disabilities (including sensory, musculoskeletal, emotional, and mental health issues), discusses why they choose to leave nursing or hide their disabilities, and analyzes how their disabilities may influence career choices. "
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309132967
Category : Medical
Languages : en
Pages : 359
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Book Description
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309187362
Category : Medical
Languages : en
Pages : 485
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Book Description
Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.
Author: Brendan McCormack
Publisher: John Wiley & Sons
ISBN: 1118990560
Category : Medical
Languages : en
Pages : 292
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Book Description
Person-centred Practice in Nursing and Health Care is a comprehensive and practical resource for all nurses and healthcare practitioners who want to develop person-centred ways of working. This second edition which builds on the original text Person Centred Nursing, has been significantly revised and expanded to provide a timely and topical exploration of an important subject which underpins all nursing and healthcare, edited by internationally renowned experts in the field. Person-centred Practice in Nursing and Health Care looks at the importance of person-centred practice (PCP) from a variety of practice, strategic, and policy angles, exploring how the principles of PCP underpin a variety of perspectives, including within leadership and in the curriculum. The book explores not only a range of methodologies, but also covers a variety of different healthcare settings and contexts, including working within mental health services, acute care, nursing homes, the community, and working with children and people with disabilities. Key features: Significantly updated and expanded since the previous edition, taking into account the considerable changes in recent health care advancements, including the ‘Francis’ report Builds on previous perspectives of person-centredness in nursing and applies them in a broader nursing and health care context Includes a stronger exploration on the role of the service-user Shows the use of life-story and narrative approaches as a way of putting the individual’s identity at the heart of the care relationship Includes learning features such as links to current practice developments and reflective questions
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.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309495474
Category : Medical
Languages : en
Pages : 335
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Book Description
Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.
Author: National Academies of Sciences Engineering and Medicine
Publisher:
ISBN: 9780309685061
Category :
Languages : en
Pages :
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Book Description
The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
Author: George W. Noblit
Publisher: SAGE
ISBN: 9780803930230
Category : Social Science
Languages : en
Pages : 112
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Book Description
How can ethnographic studies be generalized, in contrast to concentrating on the individual case? Noblit and Hare propose a new method for synthesizing from qualitative studies: meta-ethnography. After citing the criteria to be used in comparing qualitative research projects, the authors define the ways these can then be aggregated to create more cogent syntheses of research. Using examples from numerous studies ranging from ethnographic work in educational settings to the Mead-Freeman controversy over Samoan youth, Meta-Ethnography offers useful procedural advice from both comparative and cumulative analyses of qualitative data. This provocative volume will be read with interest by researchers and students in qualitative research methods, ethnography, education, sociology, and anthropology. "After defining metaphor and synthesis, these authors provide a step-by-step program that will allow the researcher to show similarity (reciprocal translation), difference (refutation), or similarity at a higher level (lines or argument synthesis) among sample studies....Contain(s) valuable strategies at a seldom-used level of analysis." --Contemporary Sociology "The authors made an important contribution by reframing how we think of ethnography comparison in a way that is compatible with the new developments in interpretive ethnography. Meta-Ethnography is well worth consulting for the problem definition it offers." --The Journal of Nervous and Mental Disease "This book had to be written and I am pleased it was. Someone needed to break the ice and offer a strategy for summarizing multiple ethnographic studies. Noblit and Hare have done a commendable job of giving the research community one approach for doing so. Further, no one else can now venture into this area of synthesizing qualitative studies without making references to and positioning themselves vis-a-vis this volume." -Educational Studies
