Promoting civility in nursing practice using systems thinking: Evidence-based teaching strategies for nurse educators.

There is a critical need for nurse educators to promote civility in nursing practice using systems thinking to promote quality and safety and improve patient outcomes by preventing undue patient harm. In this article, evidence is synthesized in order that readers can recognize, respond and manage workplace incivility. Systems thinking is introduced as a best practice solution for advancing a civil workplace culture.

Using Systems Thinking to Implement the QSEN Informatics Competency.

There is an urgent need to improve the use and usability of the electronic health record (EHR) in health care to prevent undue patient harm. Professional development educators can use systems thinking and the QSEN competency, Informatics, to educate nurses about such things as nurse-sensitive indicators in preventing medical errors. This article presents teaching tips in using systems thinking to champion communication technologies that support error prevention (betterment).

Systems Thinking for Transitions of Care: Reliability Testing for a Standardized Rubric.

Purpose: The purpose of this study was to develop a standardized rubric for systems thinking across transitions of care for clinical nurse specialists.

Design: The design was a mixed-methods study using the Systems Awareness Model as a framework for bridging theory to practice.

Methods: Content validity was determined using a content validity index.

Systems Perspective for Incivility in Academia: An Integrative Review.

Aim: The purpose of this integrative review was to identify evidence of systems thinking on civility in academic settings.

Background: Incivility is present in academic systems, including nursing education. What is learned in academia translates to the workplace.

The relationships between coping, occupational stress, and emotional intelligence in newly hired oncology nurses.

Objectives: Associations between the varying levels of emotional intelligence in newly hired oncology nurses and their responses to stress and coping were examined. The secondary aim was to analyze whether emotional intelligence could moderate their choice of problem-focused or emotion-focused coping strategies.

Methods: Newly hired nurses (n = 114) were recruited from a national cancer institute.

A Concept Analysis of Systems Thinking.

Purpose: This concept analysis, written by the National Quality and Safety Education for Nurses (QSEN) RN-BSN Task Force, defines systems thinking in relation to healthcare delivery.

Methods: A review of the literature was conducted using five databases with the keywords "systems thinking" as well as "nursing education," "nursing curriculum," "online," "capstone," "practicum," "RN-BSN/RN to BSN," "healthcare organizations," "hospitals," and "clinical agencies." Only articles that focused on systems thinking in health care were used.

Sleep Patterns of Emergency Department Nurses on Workdays and Days Off.

Background: Shift workers, particularly night workers, are prone to disrupted circadian rhythms and sleep deprivation resulting in fatigue and sleepiness, thereby endangering patient safety. Little is known about the sleep patterns of emergency nurses who work highly variable around-the-clock schedules to meet the demands of fluctuating patient census and acuities throughout the 24-hour period.

Purpose: The purpose of this pilot study was to determine whether there are shift-related sleep pattern differences in emergency department nurses over seven consecutive 24-hour periods that include both workdays and days off.

Factors Affecting Job Satisfaction of Immigrant Korean Nurses.

Purpose: An increasing number of foreign-born nurses are working in the United States. Nurses' job satisfaction is a critical issue for quality patient care. The purpose of this study was to examine factors affecting the job satisfaction of immigrant Korean nurses.

Effects of napping on sleepiness and sleep-related performance deficits in night-shift workers: a systematic review.

Night-shift workers are prone to sleep deprivation, misalignment of circadian rhythms, and subsequent sleepiness and sleep-related performance deficits. The purpose of this narrative systematic review is to critically review and synthesize the scientific literature regarding improvements in sleepiness and sleep-related performance deficits following planned naps taken during work-shift hours by night workers and to recommend directions for future research and practice. We conducted a literature search using the Medline, PsychInfo, CINAHL, Cochrane Library, and Health and Safety Science Abstracts databases and included English-language quasi-experimental and experimental studies that evaluated the effects of a nighttime nap taken during a simulated or actual night-work shift.

Treatment options for insomnia.

Complaints of insomnia, including reports of difficulty initiating and remaining asleep, are often reported to primary healthcare providers. Nurse practitioners must be prepared to screen patients for this common sleep disorder as well as understand the latest treatment options for optimal patient outcomes.

Organizational culture, quality of work life, and organizational effectiveness in Korean university hospitals.

Purpose: This study investigated correlates and predictors of organizational effectiveness, focusing on organizational culture and quality of work life.

Design: Convenience sample of 145 nurses working in Korean university hospitals responded to a self-administered questionnaire.

Findings: There were significant correlations between organizational culture, quality of work life, and organizational effectiveness.

Health, work variables, and job satisfaction among nurses.

Background: Evidence from several studies suggests that there is widespread job dissatisfaction among nurses. Coupled with a critical shortage of RNs, this situation threatens the provision of safe healthcare.

Objective: The purpose of this study was to explore the relationships and relative contributions of selected work (stress, work load, weekends off), shift worker health (sleep, depression), and demographic variables (age, number of individuals needing care after work) to job satisfaction in a random, nationwide sample of 247 critical care RNs.

Sleep is related to physical function and emotional well-being after cardiac surgery.

Background: Emotional well-being and physical function are important quality-of-life outcomes after cardiac surgery. Alterations in sleep patterns, including sleep deprivation and altered circadian patterning, also are common. The relations among sleep pattern alterations, physical function, and emotional well-being are not well understood.

Correlates of fatigue in critical care nurses.

The purposes of this study were to examine shift-related differences in chronic fatigue and the contributions of sleep quality, anxiety, and depression to chronic fatigue among a random nationwide sample (N = 142) of female critical care nurses. Twenty-three percent of this sample met criteria for clinical depression. Day and night nurses did not differ in their reports of chronic fatigue.