The Journal of nursing administration
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The authors explore the meaning of failure to rescue and highlight empirical links between processes of care and failure to rescue that arise through a critique of nursing literature. They provide an example of one approach where administrative billing data were used to better understand healthcare system issues and practice patterns influencing failure to rescue.
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Comparative Study
Registered nurse job satisfaction and collective bargaining unit membership status.
To examine differences in job satisfaction levels between registered nurses who were or were not members of a nursing collective bargaining unit. ⋯ There is a need for interventions in institutions with collective bargaining units to improve job satisfaction, nurse retention, and job recruitment.
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Despite the tremendous gains nurse leaders have made in shaping the environment of care, an observable, dysfunctional dynamic resulting in organizational fatigue threatens the sustainability of those gains. At its peak, this dynamic cascades through all levels of nursing leadership, causing exhaustion, diminished decision making, and reluctance by nurses to assume formal leadership roles. ⋯ The authors offer a prescription for organizational fatigue, based on the cross-cultural research of Dr Angeles Arrien. Following this prescription can lead to healthier leaders, stronger nursing organizations, a richer pipeline of future nurse leaders, and a safer environment for patients.
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In response to growing nurse shortages and heightened attention to patient quality, many healthcare organizational leaders are developing and testing new care delivery models. These models strive to improve patient quality and satisfaction by engaging nurses and other healthcare professionals in different roles across the continuum of care. In this article, the authors profile 5 new care delivery models from their current work sponsored by the Robert Wood Johnson Foundation. In addition, the authors identify common elements underlying the success of the models.
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Public and professional concerns over the registered nurse shortage and its effect on quality of care have led to 18 state and 2 federal initiatives to ensure safe hospital nurse staffing. Policy analysis of registered nurses safe staffing legislation introduced by the Congress suggests that its implementation is not likely to achieve all of its stated goals. An alternative policy approach is introduced.