Purpose: The purpose of this paper is to improve the understanding of the social contexts of sustainable Lean culture in healthcare by examining self-efficacy (SE) as a fundamental construct related to the value of perceived readiness, prior education of Lean and the importance of leadership's system-level support.
Design/methodology/approach: A descriptive correlational study was conducted to identify the relationships between SE and Lean readiness factors, SE and prior Lean training, SE and clinical vs administrative roles and SE and perceived system-level support in a large health system.
Findings: There was a statistically significant difference in self-reported readiness to use Lean tools between individuals who had received Lean training during their academic education and those who had not; however, their level of education did not impact SE.
Peripheral vascular disease (PVD) is a leading health concern in the United States, with an estimated prevalence of 8.5 million. The incidence of PVD is growing due to increasing rates of obesity and diabetes, as well as an aging population.
View Article and Find Full Text PDFHealth care organizations have tasked nursing education leaders with increasing enrollment and graduating nursing students ready to practice. The purpose of this quality improvement project was to evaluate the effect of a perioperative clinical immersion on the perceptions of readiness for practice held by senior students working toward a bachelor of science in nursing. Seven senior nursing students participated in the perioperative clinical immersion at one midwestern university.
View Article and Find Full Text PDFAim: The purpose of this analysis is to provide an extensive exploration of the concept of transitions, specifically within the context of nursing students.
Background: Transitions are a universal part of life. The concept of transitions is rooted in disciplines such as anthropology, sociology, psychology, and business.
Ineffective collaboration and communication contribute to fragmented patient care and potentially increase adverse events, clinical errors, and poor patient outcomes. Improving collaboration and communication is essential; however, interprofessional education (IPE) supporting this cause is not a common practice. Most often healthcare profession students are educated in profession-centered silos limiting opportunities to develop effective communication and collaboration practices.
View Article and Find Full Text PDFSeasoned nurses frequently resign from their positions due to burnout. An innovative idea that could support nurse retention is nurse sabbaticals. Balanced scorecards with strategy maps can display financial benefit, positive customer experience, and operational and human capital development required to initiate and sustain a professional nurse sabbatical.
View Article and Find Full Text PDFJ Correct Health Care
October 2014
A study conducted at a Midwest county confinement center focused on detainees' intention to wash their hands to prevent the spread of infectious skin diseases. Results of a qualitative interview and learning style inventory were used in conjunction with the theory of planned behavior to develop a Standard Precautions DVD to address hand washing, use of personal protective equipment while cleaning body fluids, and handling of laundry. A postintervention survey revealed significant knowledge-based learning among inmates.
View Article and Find Full Text PDFPractice-based acute care nurses experience a high incidence of burnout and dissatisfaction impacting retention and innovation and ultimately burdening the financial infrastructure of a hospital. Business, industry, and academia have successfully implemented professional sabbaticals to retain and revitalize valuable employees; however, the use is infrequent among acute care hospitals. This article expands upon the synthesis of evidence supporting nursing sabbaticals and suggests this option as a fiscally sound approach for nurses practicing in the acute care hospital setting.
View Article and Find Full Text PDFPurpose: To review and examine the literature supporting a professional sabbatical, a potentially viable and innovative change strategy that could renew, revitalize, and retain nursing staff practicing in the acute care setting.
Method: A literature search was completed using multiple search engines to procure articles that could answer the question: What is the evidence related to professional sabbaticals in nursing?
Findings: The search yielded 19 articles: one historical document, eight scholarly business articles, and 10 nursing publications. The literature review revealed most sources described sabbaticals using anecdotal data and 14 of the 19 articles were labeled as expert opinion or consensus.
The literature confirms that much confusion exists regarding the terms quality improvement (QI), evidence-based practice (EBP), and research. A multifaceted approach was used to provide clarity regarding these three equally important concepts. First, the authors present a synthesis of the literature that discusses differences between QI, EBP, and research.
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