Applying the Patient Empowerment, Engagement, and Activation Survey to Improve Patient Outcomes.

This article focuses on applying the patient empowerment, engagement, and activation (PEEA) model as an implementation strategy to achieve patient- or person-centered care. There is substantial evidence linking PEEA to improved patient care outcomes and reduced healthcare costs. Interrelationships among the 3 concepts are discussed and how the PEEA survey can be used to evaluate patients' activation for self-care postdischarge and their perceptions of nurses' empowering and engaging them during the care encounter.

Preceptor Course Structures and Processes Contributing to Newly Licensed Nurse Outcomes.

Background: This article describes a preceptor program implemented across a health care system with standardized structures and processes that contribute to newly licensed nurse outcomes, including role satisfaction and retention.

Method: A quantitative design used two psychometrically tested instruments with data collected through Internet-based surveys.

Results: Newly licensed nurses' perceptions of their preceptors were consistently favorable.

Development and Psychometric Testing of a Leadership Competency Assessment.

Objective: This article discusses the development and psychometric testing of the Nursing Leadership Competency Assessment (LCA).

Background: Several leadership assessments are available for purchase, which are aligned with professional organizations. A competency-based leadership assessment is needed to identify the developmental needs of nurse leaders.

Adapting and Creating Healing Environments: Lessons Nurses Have Learned From the COVID-19 Pandemic.

The purpose of this article is to discuss how nurse leaders influenced facility design decisions, quickly evaluated the outcomes, and rapidly adapted the environment based on their own observations, assessments, changing regulatory requirements, and the needs of patients, nurses, and the caring workforce. Nurses must validate their clinical voice in the future design of healthcare environments based on the adaptations discovered and instituted during COVID-19. Many lessons were learned and physical adaptations made during the pandemic.

A 1-Year Accredited Nurse Residency Program's Effect on Intent to Leave.

Objective: This article describes the evaluation of a system-wide program to enhance new graduate nurse resident (NGNR) experience, enculturation, and commitment to the organization.

Background: Structured nurse residency programs support NGNR transition to the work environment and increase retention and organizational commitment.

Methods: The study used a descriptive, comparative design measuring NGNR perceptions of affective commitment, job satisfaction, job stress, and other variables over 3 times from baseline to 24 months.

Psychometric Testing of a Nurse Residency Program Stakeholder Evaluation Survey.

This article describes the development and psychometric testing of a 43-item nurse residency program stakeholder evaluation. The valid and reliable survey provides nursing professional development practitioners with insight into opportunities to improve nurse residency program design and educational content. Survey results may also substantiate human and capital resources required for effective programs.

Psychometric Testing of a Patient Empowerment, Engagement, and Activation Survey.

Background: Patient or person-centered care has become a widely used philosophical framework and yet has varying definitions and characteristics. Person-centered care has recently been conceptualized as patient empowerment, engagement, and activation with studies citing positive outcomes.

Purpose: This study reports the psychometric properties of the Patient Empowerment, Engagement, and Activation Survey.

A concept analysis of health literacy.

Aim: To propose a conceptual definition of health literacy incorporating system demands, burdens, and complexities that are a critical part of patients' level of health literacy.

Background: Health literacy is used frequently in health care and often is confused with patients' reading and comprehension levels.

Design: Walker and Avant's concept analysis method was used.

An Exploratory, Descriptive Study of Nurse Leaders' Personal and Work Experiences During Union Negotiations and Strike Events.

Objective: This study explored the experiences, perceptions and emotional state of nurse leaders during union activities to understand the impact on their personal and professional lives.

Background: Other than anecdotal stories shared during union negotiations and strike preparations, very little evidence exists in nursing and healthcare literature about nursing unions and their impact on nurse leaders and their organizational priorities.

Methods: This study used an exploratory, descriptive design with a convenience and snowball sample of Association of California Nurse Leaders members.

Effectiveness of a Psychiatric-Mental Health Nurse Residency Program on Retention.

Background: Nurse residency programs (NRPs) provide new graduate nurses (NGNs) with social support and experiential activities as a formal transition to clinical practice.

Aims: The study was conducted to answer the question: What is the effectiveness of an NRP in retaining NGNs in a psychiatric-mental health setting?

Method: This study used a quantitative time-sequenced comparative study of multiple cohorts of NGNs hired into an NRP at a freestanding hospital in California.

Results: The study yielded a turnover rate of 11.

Health Literacy: Essential for a Culture of Health.

Background: A culture of health requires a commitment from all-individuals, families, communities, organizations, and municipalities-to value health and make decisions reflective of a healthy society. At the individual level, health literacy is a necessary precursor to assist individuals in achieving a higher level of health.

Method: One method for ensuring that staff members are routinely assessing and promoting health literacy is using competencies and practices previously identified for all health professions.

Safety and Security Concerns of Nurses Working in the Intensive Care Unit: A Qualitative Study.

Intensive care units (ICUs) exist to serve as a safe place for critically ill patients to receive care from skilled practitioners. In this qualitative study, ICU nurses shared their perspectives on elements that promote safety and security on their units. After obtaining institutional review board approval, participants participated in telephone interviews with a nurse researcher who has experience as a bedside ICU nurse.

Design and Testing of a Postanesthesia Care Unit Readiness for Discharge Assessment Tool.

Purpose: This article describes the development and psychometric testing of a new Postanesthesia Care Unit (PACU) Readiness for Discharge Assessment Tool (RDAT) that can be used in assessing patients' readiness for discharge from a phase 1 PACU.

Design: This study used an instrument development methodology described by Waltz and Strickland that included item development and testing for content and convergent validity and interrater reliability.

Methods: Items were developed from a review the literature, best practice exemplars, and input from an expert panel.