Journal of nursing management
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Delirium is caused by pathophysiology but yet it presents as a disorder of cognition. It can be a transient phenomenon, and full recovery is common once the underlying cause has been diagnosed and treated. ⋯ Delirium has been neglected and trivialized. Nurse managers are the key to initiating and giving continued support to evidence-based facility-wide strategies to prevent or decrease the impact of delirium.
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This paper discusses how health and social care can work together collaboratively to improve the quality of care for older people resident in care homes, using Essence of Care benchmarking as an example. ⋯ Primary care nurses need to be more proactive in the way that they work with older people in care homes. Structured tools such as benchmarking can help them to recognize the range and complexity of resident's health needs, and work with care home staff in ways that acknowledge their expertise and improve the overall care of older people in these settings.
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The aim of the co-operative enquiry undertaken was to explore how the leadership component of the Consultant Nurse for Older People role was reflected in day-to-day working. ⋯ Within the context of the literature this area is under investigated. Understanding how leadership is reflected in the role of Consultant Nurses is complex as Consultant Nurses work across traditional interfaces and between different levels within organizations. Consultant Nurses have been 'challenged' to identify the 'difference' they are making; to do this it is important to understand how leadership (as one element) is reflected in a highly complex, multidimensional role and the links between leadership and enabling, quality person-centred ways of working with Older People within rapidly changing, pressurized healthcare settings.
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The recruitment and retention crisis has catalyzed interest in workplace empowerment for nurses. Many nurses feel that they do not receive the respect they deserve in hospital settings; however, there are few systematic studies of respect for nurses. ⋯ Changing workplace structures is within the mandate of nurse managers in their roles as advocates for and facilitators of high-quality care. Nurse managers have the influence and resources to facilitate empowering work conditions that can increase nurses' feelings of being respected. In addition, promoting collaborative inter-professional and intra-professional relationships and assuring continuous support to nurses are particularly important strategies for building respect.