Nursing administration quarterly
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This article describes one health system's journey toward sustained redesignation of Magnet status for its flagship hospital, Inova Fairfax Hospital. The 14 forces of magnetism are described, with examples of how those forces are being met in a culture of shared governance and participation in decision making about clinical practice. The fundamental shift in thinking from Magnet designation as a project to Magnet as a way of organizing nursing services is underscored.
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The soul of nursing is seeking the good of self and others through compassionate caring. Healing and caring for oneself is vital to have the energy to compassionately care for others. Nurse leaders have the moral responsibility to facilitate self-care, renewal, and healing in the organizational culture to foster caring and trusting relationships. Nurses who have a strong sense of self and caring will provide holistic patient care grounded in caring values.
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Review
Consumer trust in healthcare organizations is waning. How will 21st century leaders bridge the gap?
Consumer trust in healthcare is crucial to the health and healing of individuals. This article explores the current status of consumer trust in healthcare and proposes several approaches to regaining trust that has been lost.
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The authors describe the evolution of a pediatric quality management program in a large community hospital that has rapidly grown in size and complexity to be a tertiary care center. Positive changes in senior leadership expectations, physician involvement, and training in performance improvement methodologies contributed to the development of a more comprehensive program. The authors from several specialty areas of the pediatric service illustrate three quality and performance improvement projects that they used in coping with the challenges of fast growth and higher acuity.