Showing posts with label nurse leaders. Show all posts
Showing posts with label nurse leaders. Show all posts

Wednesday, July 2, 2014

Nursing Leaders, Finance Professionals Should Improve Collaboration, Understanding

Nurses and finance professionals can align to improve finances at hospitals and health systems through a better understanding of their respective roles, a key nursing leader told attendees at the Healthcare Financial Management Association annual 2014 conference.

Pamela Thompson, CEO of the American Organization of Nurse Executives (AONE), suggested that understanding the importance of patient safety, and the changing science behind it, is one of the key steps in achieving alignment, Healthcare Finance News reports.

Nurses and other frontline providers deliver value to hospitals, but finance professionals often do not have a complete understanding of what they do, Thompson said in her remarks, noting that “the value of nursing is beyond the individual task performed … [it is] in the health outcomes achieved per dollar of cost spent.”

Patient safety is one area in particular that offers an opportunity to improve finances, particularly as the science surrounding patient care is becoming increasingly sophisticated. However, creating a safety culture takes time and resources and it can mean facing up to fears that reporting errors will lead to repercussions and retaliation, Thompson said.

“We have to convey the message that every time we reduce harm, we reduce costs,” Thompson said. “But we still need to work together to better determine the cost of allowing harm to occur. How do we measure the total patient harm rate per discharge?”

Ultimately financing and nursing professionals need to work collaboratively on questions such as these for the benefit of hospitals and patients, Thompson said. “Our commitments are very similar, we just articulate them differently. We have to align our goals, understand the interfaces and realize where coordination is essential.”

AONE houses the national program office of the RWJF Academic Progression in Nursing program.

Monday, May 19, 2014

Study Finds Weekly Emails Can Empower Nurse Leaders to Help Curb Hospital Acquired Infections

Incorporating hospital leaders into weekly email reports empowered nurses to better fight infections at Jackson Memorial Hospital (JMH) in Miami. As a result the hospital was finally able to curb the spread of the highly resistant organism Acinetobacter baumannii, which it had been battling for 20 years with little success, HealthLeaders Media reports. Acinetobacter baumannii can cause a variety of infections, ranging from pneumonia to wound infections.

When the medical director of infection control began sending weekly emails about infection rates to hospital executives and nurse leaders, things changed. According to a study published in the American Journal of Infection Control, for about a year the director sent weekly emails to the hospital leadership that were copied to staff. The emails:
  • Described and interpreted the findings of the preceding week's bundle of interventions;
  • Relayed the number and location of new carbapenem-resistant A. baumannii acquisitions;
  • Described environmental findings, including culture results and ultraviolet markers (as indicators of cleaning); and
  • Included maps of the units showing the location of patients and objects that had tested positive to the organism and weekly action plans.
This information provided a roadmap for how the bacteria moved through the unit and empowered nurses to take action, according to the study. Charge nurses used print outs of the emails to pre-plan patient placement within the unit. The maps and culture results also showed who was spreading the organisms and individuals who did not clean properly were appropriately disciplined.

Including the C-suite in this effort made everyone more accountable, and sharing the infection information helped everyone feel like they were making a difference, Elizabeth Davidson, nurse manager of the surgical intensive care unit at JMH told HealthLeaders Media. Having the weekly emails and directives from the hospital leadership empowered nurses on the unit speak up if they saw someone breaking protocol, such as failing to wash their hands or not cleaning patient rooms properly.

"The nurses became very, very territorial about their patients," Davidson said. "They would really have zero tolerance for a physician, perhaps, that would violate any kind of infection-control practice. They also got much pickier about their rooms being cleaned."

As a result, infections rates began to drop, according to the study, and as of December 2013, the number of new acquisitions of carbapenem-resistant A. baumannii was down to one per month hospital-wide, even after the weekly emails stopped.

Utilizing a nurse-led intervention to reduce central line-associated bloodstream infections was the focus of an INQRI-funded study led by David Thompson and Jill Marsteller. Their study, involving 45 intensive care units in 35 hospitals in 12 states, tested a nurse-led intervention that used a bundle of evidence-based practices to reduce infections. The intervention was successful in significantly reducing infections and also highlighted the importance of promoting a culture of safety and communication. It also established that nurses should play a central role in quality improvement interventions.

Friday, April 25, 2014

Nurse Intervention Beneficial to Patients Dealing with Chronic Pain

Nurses can help lead efforts to ease psychological distress and reduce suffering for people with chronic pain, according to a new study of U.S. veterans.

Nurse care managers in the study provided support, motivation, and encouragement that “many of the participants really clung to,” lead author Marianne Matthias tells Pain Medicine News. Nurses were also very important in providing cognitive-behavioral therapy (CBT) to the veterans.

Matthias’s paper is one of several being published from the Evaluation of Stepped Care for Chronic Pain (ESCAPE) study, which involved 242 U.S. veterans of the recent Afghanistan and Iraq wars. The study was funded by the Department of Veterans Affairs. In 2010, a U.S. Army Pain Management Task Force made recommendations on the best approach to helping veterans with chronic pain, which included making support available and creating a spectrum of best evidence-based practices for the continuum of care. The ESCAPE studies were conducted in response to those recommendations.

For Matthias’s study, patients were put into randomized groups to either receive “usual care” or “a nurse-led intervention” that included pain medication management and 12 phone conversations. During the conversations nurses provided information on medication management, pain self-management instruction, and CBT. The most recent findings from the study, which explored the pain’s emotional toll on 26 patients and their perceptions of need for support, found that nurses in particular had a positive impact on the patients.

An INQRI funded study: SPEACS 2: Improving Patient Communication and Quality Outcomes in the ICU, examined the value of a nurse-generated and nurse-led innovation on ICU patient care outcomes, including pain symptom management. The study was led by Mary Beth Happ and Amber Barnato.

Thursday, January 16, 2014

The Nursing Profession in 2014

Top nursing leaders make predictions of nursing trends to watch for in 2014, based on what has been happening in the field over the past year, in a recent NurseZone.com article.

Leaders agree that the profession will continue implementation of the Institute of Medicine’s (IOM’s) 2010 landmark report The Future of Nursing: Leading Change, Advancing Health recommendations, which include increasing the presence of nurses on hospital, state, and federal boards.

Without nurse leadership on boards “… our perspective is missing, and it’s an important perspective,” said Karen Daley, PhD, RN, FAAN, president of the American Nurses Association. “We speak for the patients. There’s no one closer to the everyday needs and care that we provide.”

Focus on patient safety, particularly in the areas of alarm management and the prevention of healthcare-acquired infections will also continue to be priorities for the industry, according to Vicki Good, RN, MSN, CENP, president of the American Association of Critical-Care Nurses.

Rollout of the Affordable Care Act (ACA) will continue to have an impact on nurses, including increased use of community-based settings for health care delivery, Daley said. New nurses may begin their careers in such settings, rather than at hospitals. As a result, the educational system may need to recognize and accommodate this trend, Daley said.

The Future for Nurse Practitioners 

The momentum to expand scope of practice for nurse practitioners could continue to build in 2014. In 2013, Nevada became the most recent state to pass a law granting nurse practitioners the freedom to practice independently, bringing the total to 17 states.

“I believe that other states will move slowly but will eventually see the resource that they have in nurse practitioners and be more willing to grant them the ability to practice in accordance with their education,” said Kenneth P. Miller, PhD, RN, CFNP, co-president of the American Association of Nurse Practitioners.

As the ACA seeks to increase medical services for the previously uninsured and underinsured, nurse practitioners must be included. “It is going to take all health care providers working together to achieve that goal,” Miller said.

Opportunities and Challenges Ahead

As the economy improves, many nurses may finally retire, leaving job openings for newer nurses in clinical settings. However, this trend could be a challenge for the academic world as nursing educators and nursing school deans retire and leave gaps that may be difficult to fill, experts said.

The nursing leaders told NurseZone that individuals must remember why they went into nursing and keep their focus, no matter what the future holds.

Tuesday, March 12, 2013

Advancing the Role of Nurses: A Summit to Remember

Recently at the Campaign for Action National Summit in Washington D.C., more than 200 leaders gathered from state Action Coalitions—nurses, other health leaders, consumers, educators, business leaders and others who are working at the state level to advance nursing and improve health care. These Action Coalition leaders are experts and activists who shared innovative ideas for transforming health care and improving health, and to plan for the future. One of the attendees, Susan Hassmiller, PhD, RN, FAAN, the Robert Wood Johnson Foundation (RWJF) Senior Adviser for Nursing and Director, Future of Nursing: Campaign for Action, provides an inside look and summary of the summit. She, along with Susan Reinhard, PhD, RN, FAAN,presented some imperatives for the Campaign for Action going forward, and said those working on the Campaign must:

•move beyond nursing;
•deliver short term results in the next 18 months, even as we develop long-term plans;
•have courage to place the right leaders at the helm and remove ineffective leaders;
•find the funding to sustain this work; and
•never ignore diverse stakeholders who are critical to our success.

Click here to read the article.
Click here to learn about an INQRI project contributing to the Future of Nursing.

Monday, February 18, 2013

Missed Last Week's Webinar?

Did you miss the session on the Creation of a Nurse Manager Development Program to Increase Patient Safety? Well, you can catch up right here! This presentation is the third in a series providing the study findings from INQRI's final cohort of grantees. Their work focused on translating research into practice. This video features Drs. Linda Flynn and Joel Cantor presenting study findings from the design and implementation of a nurse manager development program to positively effect patient safety.

 

To view past sessions in the translation series or register for upcoming events, please visit www.inqri.org.

Tuesday, February 5, 2013

Webinar: Creation of a Nurse Manager Development Program to Increase Patient Safety

Evidence indicates leadership skills of frontline nurse managers are key to creating magnetic work environments that promote positive outcomes. Yet, weaknesses in nurse managers' skills often result in environments that threaten patient safety. To translate evidence to practice, an INQRI team led by Linda Flynn and Joel Cantor has built upon their prior INQRI study to design an intervention to increase patient safety by enhancing the leadership and team building skills of nurse managers. They have partnered with award-winning journalist and patient safety advocate Suzanne Gordon and other interdisciplinary experts including a certified Crew Resource Management trainer to design and implement a nurse manager development program.

On February 14, the team will lead a webinar to present their study results.  Please join us from 3pm - 4pmET to learn all about this amazing project.

Click here to register.

Wednesday, October 17, 2012

Promoting Nurses as Leaders: IOM Elects Two Nurses as New Members

This week, the Institute of Medicine (IOM) announced the names of 70 newly elected members, including two nurses. Election to the IOM recognizes individuals who have demonstrated outstanding commitment to service and made major contributions to the advancement of the medical sciences, health care, and public health. The two newly elected nurses are:
  • Marilyn J. Rantz, Ph.D., R.N., F.A.A.N., Curators' Professor, University Hospitals and Clinics Professor of Nursing, and Helen E. Nahm Chair, Sinclair School of Nursing, University of Missouri, Columbia
  • Diana J. Wilkie, R.N., Ph.D., F.A.A.N., professor and Harriet H. Werley Endowed Chair for Nursing Research, and director, Center for Excellence for End-of-Life Transition Research, department of biobehavioral health science, College of Nursing, University of Illinois, Chicago 
See the full list of new members here.

Wednesday, August 22, 2012

Solving Many of the United States' Primary Care Challenges

With the Affordable Care Act being upheld earlier this summer, there will a large flux on individuals with insurance coverage that require primary care. As many of our previous blog posts have already discussed, there is already a primary care provider shortage and this shortage is expected to grow even further after 2014.

The most recent Charting Nursing's Future, published by the Robert Wood Johnson Foundation, highlighted how nurses can help solve many of primary care’s most pressing challenges, including access and cost.

Gene Steuerle, writing for his own blog, The Government We Deserve, also focused on the role of nurses in reducing costs while providing the same level, or even better care than physicians for many basic services. Mr. Steuerle, who is a renowned economic and tax expert, argued that the current primary care provider shortage is a result of an uncompetitive industry unwilling to relinquish control over services that many non-physicians have the training and education to provide.

Finally, a collaborative group of scholars published a thorough article in the New England Journal of Medicine, highlighting how our health system can reduce costs while improving care. The utilization of nurses and other allied health professionals was highlighted by the authors as an integral piece of reforming our broken health system.

Friday, June 29, 2012

A Quick Round Up of Nurses Responses to The Supreme Court's Ruling on Health Care Reform

With the Supreme Court ruling to uphold the entire Patient Protection & Affordable Care Act (ACA), we thought it would be fitting to share with you some responses by nursing organizations across the country in response to this landmark ruling.

Ohio Nurses Association Questions Impact of Issue 3 with the Supreme Court's Decision to Uphold Health Care Reform

Last November, the citizens of Ohio voted in support of legislation (Issue 3) that said no law can force someone to have insurance, thus negating the individual mandate included in the ACA. The Ohio Nurses Association is now left wondering how will Ohio implement the provisions in the ACA and what effect will this have on the nursing workforce?

Nurse leaders happy with ruling on ACA

The ANA has touted the law’s potential to increase the profile of RNs in the healthcare system through new models such as accountable care organizations and medical homes. These models would rely on RNs’ expertise in care coordination, the ANA has said.

ANA Lauds Supreme Court Decision Upholding Health Care Reform Law

The American Nurses Association (ANA) lauds the U.S. Supreme Court's decision today to uphold the Affordable Care Act (ACA), including the "minimum coverage provision," hailing it as a victory for all patients and their families.

Nurses: 'Court Ruling Does Not End Healthcare Crisis Or the Need to Continue the Campaign for Reform'

The Supreme Court decision should not be seen as the end of the efforts by health care activists for a permanent fix of our broken healthcare system, said National Nurses United. The union pledged to step up a campaign for a reform that is not based on extending the grip of a failed private insurance system, but "on a universal program based on patient need, not on profits or ability to pay.

Monday, June 11, 2012

Nurses Partner With New Mothers for Positive Outcomes

Last week, the Durango Herald highlighted on the very successful Nurse-Family Partnership (NFP), which we have covered many times on this blog. As with most the of the stories we have covered, this article gives a personal account on just how effective the NFP is in creating positive health outcomes, but empowering families for generations to come.

To read the full article, click here.

To access all of our blogposts related to the NFP, click here.

Thursday, June 7, 2012

Recording Up For Our Most Recent Webinar Addressing The Future of Nursing Report: "The Role of Nurse-Managed Health Clinics and Convenient Care Clinics in Preparing and Enabling Nurses to Lead Change and Advance Health"

Earlier this week, we hosted the seventh webinar in our series addressing the eight recommendations made in the Institute of Medicine report, "The Future of Nursing: Leading Change, Advancing Health." This webinar addressed recommendation seven, "Prepare and enable nurses to lead change to advance health", and was presented by Tine Hansen-Turton, JD, MGA, FCPP, FAAN.

We are pleased to share with all of you a full recording of the event, which you may access here.

If you would like to view our previous webinars and other materials discussing the work of INQRI's grantees, make sure to check out the resources section of our website here.

Monday, April 30, 2012

How Young Nurses Are Invigorating the Profession

Before we discuss our highlighted news story for today, we would like to thank all of you who attended INQRI's successful National Conference in Washington, DC last Thursday and Friday. We had the pleasure of hearing Dr. Ezekiel Emanuel discuss how the important role of nurses in improving the United States health care system post health reform and Dr. Sue Hasmiller highlight the growing influence of the Future of Nursing's: Call For Action in all 50 states. Stay tuned to the blog for further stories and videos from our highly engaging conference.

To that end, Laura Raine, of the Atlanta Journal Constitution, discussed the growing influence of young nurses in both clinical and academic settings. Ms. Raine highlights the story of three local nurses who embody the caring spirit that patients expect of nurses while also excelling at their professional duties.

Click here to read the full story.

Tuesday, April 10, 2012

The New Face of Health Care: Why Nurses Are in Such High Demand

Last week, Christine Mackey-Ross, reporting for The Atlantic, detailed how nurses are taking a leading role in the formation and implementation of Accountable Care Organizations (ACOs). This new delivery method is being heralded as a way to bend the cost curve while also providing higher quality care than previously delivered. Ms. Mackey-Ross also highlights the growing role for nurse executives who utilize their clinical expertise to help prepare their respective ACO as this new model of care is fully integrated.

Click here to read the full article.

Wednesday, April 4, 2012

INQRI Program Co-Director Interviewed for Last Month's Women's History Month

Yesterday, Stephanie Bouchard, Associate Editor for healthcarefinancenews.com, published her interview with INQRI's Co-Director Dr. Mary Naylor that discussed the role of women in healthcare. The interview provides great insight of Dr. Naylor's views on women leaders, decision makers and their continued role in improving the United States' health care system.

Click here
to read the full interview.

Monday, February 20, 2012

America's Three Million Nurses are Changing Healthcare in Dramatic Ways

This past weekend, the UCLA School of Nursing published a press release emphasizing the growing importance of nurses who are the largest segment of the health care workforce. The press release highlights the influence nurses have in clinical settings, conducting research and promoting state and national health policy. Many of the topics discussed in this press release were also featured in the IOM's Future of Nursing: Leading Change, Advancing Health report.

Click here to read the full article.

Click here to read other blogposts relating to the IOM's report.

Friday, February 10, 2012

INQRI Grantee, Kathleen Stevens, Slated To Be Inducted Into the International Nurse Researcher Hall of Fame

We are pleased to share with all of you the recent announcement that fourteen nurse researchers, including INQRI grantee, Kathleen R. Stevens, EdD, MS, RN, ANEF, FAAN, will be inducted into Sigma Theta Tau International (STTI)'s Hall of Fame in August of this year. This prestigious list of researchers have achieved significant and sustained national and/or international recognition for their work, and whose research has impacted the profession and the people it serves. For any of you interested in attending, the 23rd International Nursing Research Congress will be taking place in Brisbane, Australia from July 30th to August 3rd.

Please join the INQRI team in congratulating Dr. Stevens and her colleagues for this wonderful achievement!

Click here
to read the full announcement.

Click here to read more about Dr. Stevens' research.

Friday, January 20, 2012

Nurses Use IPhones For Work At Boston Hospital

This past week, Massachusetts General Hospital introduced an innovative clinical communication technology that is used on smartphones. This communication device allows nurses to recieve care alerts, make phone calls over the hospital's Wi-Fi network and manage workflow through text messages. Nurses at Mass General have already heralded the software's impact on their efficiency in responding their patients' needs.

Click here or here to read more about the new technology implemented at Mass Gen Hospital.

Tuesday, January 10, 2012

Nurse Leaders on Boards Video Interviews

The Center to Champion Nursing in America has recently released a set of twenty-four video interviews with various nurses serving on boards. The website also includes a link to a complementary PowerPoint presentation that highlights the importance and significance of nurses taking up these type of leadership roles.

Click here to view the interviews.

Click here to view the PowerPoint presentation.

Wednesday, January 4, 2012

Two INQRI Blogposts To Help Ring In 2012

We are pleased to share with all of you two blogposts written by an INQRI grantee and INQRI's Program Associate that were recently featured on RWJF's Human Capital Blog.

The first blogpost is written by INQRI's Program Associate, Heather Kelley-Thompson, MA, whom many of you may have corresponded with over the years.

Click here to read Ms. Kelley-Thompson's collective New Year's resolution.

The second blogpost is written by INQRI grantee, Nancy E. Donaldson, RN, DNSc, FAAN. Dr. Donaldson's blogpost discussed how self-empowerment and the IOM's Future of Nursing: Leading Change, Advancing Health report has, and will continue to shape her New Year's resolution through 2012.

Click here to read Dr. Donaldson's New Year's resolution.