The Journal of nursing administration
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The objective of this study was to investigate emergency nurses' experiences and perceptions of violence from patients and visitors in US emergency departments (EDs). ⋯ Violence against ED nurses is highly prevalent. Precipitating factors to violent incidents identified by respondents is consistent with the research literature; however, there is considerable potential to mitigate these factors. Commitment from hospital administrators, ED managers, and hospital security is necessary to facilitate improvement and ensure a safer workplace for ED nurses.
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Many hospital leaders are struggling with how to decrease patients' length of stay while maintaining appropriate care. The authors provide a transfer able model for daily rounds that can be used on many units to help decrease length of stay while improving communication, collaboration, and coordination. No increase in staff is required, and nursing satisfaction improves.
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Context matters: the impact of unit leadership and empowerment on nurses' organizational commitment.
The aim of this study was to test a multilevel model linking unit-level leader-member exchange quality and structural empowerment to nurses' psychological empowerment and organizational commitment at the individual level of analysis. ⋯ The contextual effects of positive supervisor relationships and their influence on empowering working conditions at the unit level and, subsequently, nurses' organizational commitment highlight the importance of leadership for creating conditions that result in a committed nursing workforce.
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The purpose of this article is to report findings from the preliminary evaluation of a major initiative to support the implementation of rapid response teams. From 2004 to 2006, the Robert Wood Johnson Foundation funded diverse learning collaboratives fostering the implementation of rapid response teams. The authors report preliminary evaluation findings exploring the impact of rapid response teams "through the eyes of the nurse." Results may be especially useful to clinical and administrative leaders who are either preparing to implement rapid response teams or considering how to strengthen rapid response team initiatives in their settings.
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Nurses continue to experience injuries related to patient handling. These injuries are costly to hospitals in both direct and indirect costs and intangible costs such as staff morale. The need for hospitals to establish safe patient handling programs is growing and is now mandated by legislation in several states. The authors describe the development, implementation, and 6-year outcomes of a lift team that is part of successful safe patient handling program.