Nursing administration quarterly
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Health care organizations have focused considerable effort and resources on improving patient safety and health care quality. Yet, despite these efforts, patients continue to experience harm events within our institutions. Family engagement is a powerful and often untapped resource to improve the quality and safety of organizations. ⋯ For successful implementation, organization leaders must establish family engagement as a system-level priority. Roles to support the development of a family engagement program, methods to evaluate the level of family engagement, and strategies to enhance and sustain family engagement are described. Although there is limited evidence-based knowledge related to the best practices for family engagement, opportunities exist to drive the family engagement agenda at a regional and national level through participation in networks such as the Centers for Medicare & Medicaid Services Partnership for Patients campaign Hospital Engagement Networks.
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Defensive medicine is taxing our health care system more and more each year. Emergency departments are at more risk of malpractice claims due to their quick pace, lack of patient-physician relationship, and patient expectations and demands. ⋯ There are health risks and monetary and emotional consequences that result from the use of defensive medicine. Eradication of defensive medicine can begin with the use of evidence-based medicine and by ensuring that hospital policies and procedures are followed.
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Editorial Biography Historical Article
From the editor. Looking back on more than 37 years as founder and editor-in-chief of Nursing Administration Quarterly.
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Shared governance is a model of nursing leadership that drives practice. The purpose of this project was to determine whether nursing education, work experience, certification, employment position, setting (inpatient/ambulatory), participation in shared governance, and age were related and predictive of scores on the Index of Professional Nursing Governance (IPNG). The significance was to provide a basis on which to enhance a nursing shared governance model resulting in enhanced patient care. ⋯ No significant relationships were found among demographic measures and IPNG scores. A reported role in shared governance, when combined with work setting (inpatient or ambulatory), was predictive of IPNG scores. Nurses who worked in the inpatient setting reported higher mean IPNG scores.