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Search results for "Nurse Managers"

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Journal Article > Study

Nurses' perspectives regarding the disclosure of errors to patients: a qualitative study.

McLennan SR, Diebold M, Rich LE, Elger BS. Int J Nurs Stud. 2016;54:16-22.

In this qualitative interview study, most nurses believed that errors should be disclosed to patients, but few of them reported actually disclosing errors. Barriers to error disclosure included insufficient training, lack of organizational support, and personal fears. These findings are consistent with prior studies of physicians and underscore the difficulty in making error disclosure the standard of care.

Journal Article > Study

The impact of nursing work environments on patient safety outcomes: the mediating role of burnout engagement.

Spence Laschinger HK, Leiter MP. J Nurs Adm. 2006;36:259-267.

The investigators surveyed Canadian nurses to explore the relationship between ineffective working conditions and patient safety. Their findings suggest a correlation between a supportive working environment and high-quality, safe care.

Journal Article > Study

Cost–benefit analysis of a support program for nursing staff.

Moran D, Wu AW, Connors C, et al. J Patient Saf. 2017 Apr 27; [Epub ahead of print].

Medical errors and adverse events can have a devastating psychological impact on the providers involved, often referred to as second victims. Increasingly, health care institutions are implementing programs designed to provide emotional support to team members who experience emotional distress as a result of adverse events. This study provides an economic cost–benefit evaluation of the Resiliency In Stressful Events (RISE) program at Johns Hopkins Hospital. Investigators estimate a savings of $22,576.05 per nurse who used the RISE program and suggest that the hospital might save as much as $1.81 million annually as a result of RISE. These findings are consistent with a previous study, which demonstrated the positive impact of an emotional support program on work-related outcomes such as turnover intentions and absenteeism. In a past PSNet perspective, Susan Scott discussed the second victim phenomenon and its impact on health care providers.

Journal Article > Study

Video analysis of factors associated with response time to physiologic monitor alarms in a children's hospital.

Bonafide CP, Localio AR, Holmes JH, et al. JAMA Pediatr. 2017 Apr 10; [Epub ahead of print].

Bedside monitors alert nurses to clinical deterioration. This prospective observational study examined nurse responses to bedside physiologic monitors. The mean response time was over 10 minutes. Less than 1% of alarms were actionable, underscoring the importance of addressing alarm fatigue.

Journal Article > Study

Common predictors of nurse-reported quality of care and patient safety.

Stimpfel AW, Djukic M, Brewer CS, Kovner CT. Health Care Manage Rev. 2017 Mar 3; [Epub ahead of print].

Researchers analyzed survey data from 731 nurses to understand predictors of nurse-reported quality of care and patient safety. They found that both job satisfaction and organizational constraints were significant predictors of quality and safety.

Journal Article > Review

Evaluating situation awareness: an integrative review.

Orique SB, Despins L. West J Nurs Res. 2017 Mar 1; [Epub ahead of print].

Situation awareness in teams contributes to their reliability. Examining tools to monitor situation awareness among nurses, this review determined that measures to track this safety behavior are lacking. A WebM&M commentary discussed situation awareness and patient safety.

Journal Article > Study

Burnout mediates the association between depression and patient safety perceptions: a cross-sectional study in hospital nurses.

Johnson J, Louch G, Dunning A, et al. J Adv Nurs. 2017;73:1667-1680.

Burnout among health care providers is common. In keeping with prior research, this study involving 323 nurses suggests that burnout and depression have important implications for patient safety.

Journal Article > Study

Certified registered nurse anesthetist perceptions of factors impacting patient safety.

McMullan SP, Thomas-Hawkins C, Shirey MR. Nurs Adm Q. 2017;41:56-69.

Certified registered nurse anesthetists provide anesthesia to a large fraction of patients. This survey study explored the relationships between work environment, workload, experience, perceptions of safety culture, and adverse event reporting by certified registered nurse anesthetists.

Journal Article > Commentary

Promoting civility in the OR: an ethical imperative.

Clark CM, Kenski D. AORN J. 2017;105:60-66.

The operating room is a complex environment that can affect clinicians' communication and teamwork behaviors. Describing a disrespectful encounter in the operating room, this commentary illustrates how such interactions can influence the safety of care delivery and highlights ways nurses can mitigate the situation, such as by raising concerns about disruptive conduct.

Journal Article > Review

Hospital nurses' work environment characteristics and patient safety outcomes: a literature review.

Lee SE, Scott LD. West J Nurs Res. 2016 Sep 1; [Epub ahead of print].

The health care environment is known to influence teamwork and the culture of safety. This integrative review explored the literature to clarify the relationship between nurses' work environment and patient safety. The authors found weak definitional concurrence and measure inconsistency in the evidence base and advocate for improved research design to support future investigation in this area.

Newspaper/Magazine Article

Unprofessional workplace conduct...defining and defusing it.

MacLean L, Coombs C, Breda K. Nurs Manage. 2016;47:30-34.

Bullying and disruptive conduct hinder teamwork and diminish the safety of care delivery. This article discusses how policies, organizational guidelines, and educational strategies can help nurse leaders develop the skills to address unprofessional behaviors in the workplace.

Journal Article > Review

Patient safety and workplace bullying: an integrative review.

Houck NM, Colbert AM. J Nurs Care Qual. 2017;32:164-171.

Unprofessional behaviors have a negative influence on teamwork and staff retention. This integrative review examined bullying of nurses and how it undermines safe practice. Researchers found that bullying affected fall rates, medication or treatment errors, delays, adverse events, and communication. The authors call for improved policies and interventions to reduce workplace bullying and its effect on patient care.

Journal Article > Study

Patient safety culture and the second victim phenomenon: connecting culture to staff distress in nurses.

Quillivan RR, Burlison JD, Browne EK, Scott SD, Hoffman JM. Jt Comm J Qual Patient Saf. 2016;42:377-386.

The second victim phenomenon describes the distress health care providers can experience after adverse events. This survey of 358 nurses at a single pediatric hospital found that those working in a stronger safety culture were less likely to report distress after involvement in a patient safety event. The authors suggest that bolstering safety culture can help prevent negative effects of second victim experiences.

Journal Article > Review

A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment.

Fagan A, Parker V, Jackson D. J Adv Nurs. 2016;72:2346-2357.

Organizational culture, experience, and hierarchy can affect health care workers' ability to speak up about concerns. This concept analysis examines the factors that influence the willingness of student nurses to raise concerns if they see unsafe activities or care omissions. The authors describe ways nurse educators can encourage students to speak up.

Newspaper/Magazine Article

Mean girls of the ER: the alarming nurse culture of bullying and hazing.

Robbins A. Good Housekeeping. May 20, 2016.

Disruptive behaviors are receiving increased attention as a cultural factor that contributes to medical error. Although much of the focus has been on physicians, the presence of bullying among nurses is also a concern. This magazine article explores nurse behaviors such as withholding information, intimidation, and name calling that negatively affect patient safety and nurse retention.

Journal Article > Commentary

Design of an evidence-based "second victim" curriculum for nurse anesthetists.

Daniels RG, McCorkle R. AANA J. 2016;84:107-113.

The second victim phenomenon has been well-documented in health care, but the problem has rarely been studied in certain specialties. Reviewing the literature on how medical error can affect nurse anesthetists, this commentary describes the development of a curriculum for this specialty group which focuses on definitions, risks, barriers, and interventions.

Newspaper/Magazine Article

Nurses say stress interferes with caring for their patients.

Yu A. Health Shots. National Public Radio. April 15, 2016.

Many health care professionals exhibit symptoms of burnout, which may impair their ability to maintain safe practices and detect potential errors. This news article explores organizational factors that contribute to nurse burnout, including low staffing and increased workloads due to electronic health record implementation.

Journal Article > Review

Safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in home care settings: a systematic review.

Hignett S, Edmunds Otter M, Keen C. Int J Nurs Stud. 2016;59:1-14.

Adverse events are thought to be common in patients receiving home health care. This systematic review defined home care safety risks for both patients and caregivers, including awkward working positions, social distractions, abuse and violence, and other issues that are relatively unique to this care setting.

Journal Article > Study

Tune-in and time-out: toward surgeon-led prevention of "never" events.

Jones N. J Patient Saf. 2016 Jan 11; [Epub ahead of print].

This study surveyed surgical nurses at an Australian hospital regarding their perceptions of surgeon adherence to the World Health Organization surgical safety checklist. Though nurses felt surgeon-led time outs are valuable and lead to fewer adverse events, 94% of them reported experiencing hostility from surgeons, such as a "condescending, sarcastic attitude" related to the time out process.

Journal Article > Study

Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned behavior.

Lee YH, Yang CC, Chen TT. J Manag Organ. 2016;22:1-18.

Incident reporting systems are an important method for identifying system failures that expose patients to harm. This study examined how nurses' individual characteristics, values, and attitudes affect their willingness to voluntarily report safety incidents.

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