Application of the model of leadership influence for health professional wellbeing during COVID-19.

Background: Nurse burnout is a top patient safety concern. Workplace stress and burnout results in high turnover rates, costs, and lessened productivity and quality care. Although the relationship of burnout to patient outcomes and communication has been proposed, there is little available in terms of a theoretical framework to guide leaders in developing a comprehensive and effective approach to promoting wellbeing and reducing burnout.

The nurse wellbeing self-assessment supports the model of leadership influence for health professional wellbeing.

Background: Despite emerging evidence of effective strategies for reducing burnout among health professionals, health professional burnout continues increasing.

Purpose: A systematic Model of Leadership Influence for Health Professional Wellbeing is presented suggesting steps to measurably improve wellbeing by managing or mitigating stressors that generate burnout.

Method: This paper examines (a) the psychometric properties of the Nurse Wellbeing Self-Assessment's (NWSAT)© four 10-item scales and (b) whether and how the Model of Leadership Influence can apply NWSAT results to reduce burnout.

Development and Test of a Text-Messaging Follow-Up Program After Sexual Assault.

Patients receiving medical forensic examinations following sexual assault often do not receive important follow-up care. To address this gap, we developed and tested a bidirectional text-messaging protocol, Text-SAFE (sexual assault forensic exams). Text-SAFE included automated text messages over 37 days, covering mental health, sexually transmitted infections, medications, and pregnancy.

Factors Associated With Law Enforcement Reporting in Patients Presenting for Medical Forensic Examinations.

Law enforcement reporting following sexual assault is lower than for other violent crimes. Sexual assault nurse examiners (SANEs) provide care for patients in the acute period following sexual assault and are well-positioned to identify and address barriers to reporting. We examined data from medical forensic examination records documented by SANEs for a 5-year period (2011-2015).

C-Suite Strategies for Nurse Empowerment and Executive Accountability.

Objective: We examined C-suite executives' strategies to empower the nursing workforce and to ensure their own accountability for nursing empowerment.

Background: Leadership affects workforce empowerment. The literature provides little formal guidance on optimal strategies C-suite executives can adopt for improving nurse empowerment or ensuring leadership accountability for empowering the workforce.

C-Suite Roles and Competencies to Support a Culture of Shared Governance and Empowerment.

Objective: The aim of this study was to examine C-suite executives' perspectives on empowerment early in shared governance implementation.

Background: Leadership influences a workplace culture for empowerment. However, the literature lacks clarity regarding the specific roles of C-suite executives in fostering empowerment.

A theory-based approach to nursing shared governance.

Background: The discipline of nursing uses a general definition of shared governance. The discipline's lack of a specified theory with precepts and propositions contributes to persistent barriers in progress toward building evidence-based knowledge through systematic study.

Purpose: The purposes of this article were to describe the development and elements of a program theory approach for nursing shared governance implementation and to recommend further testing.

Impact of a Shared Medical Appointment Lifestyle Intervention on Weight and Lipid Parameters in Individuals with Type 2 Diabetes: A Clinical Pilot.

Background: There is a growing awareness that lifestyle behavior modifications may reduce weight and the atherogenic dyslipidemia associated with obesity and type 2 diabetes mellitus (T2DM).

Objective: We pilot the effectiveness of a diabetes educational program combining shared medical appointments (SMAs) with an 8-week DVD-based diabetes education program emphasizing a plant-based diet in lowering weight and lipids in individuals with T2DM. This pilot also employed a nonrandomized convenience sample to explore which of the educational program's target behaviors were associated with the greatest risk factor reduction.

An examination of the sustainable adoption of whole-person care (WPC).

Aim: This study illustrates how King's theory of goal attainment was used to focus an examination of whole-person care (WPC) and to extend the range of knowledge needed for WPC and nursing practice.

Background: Leadership implemented a faith-based innovation using continuing education for patient care that incorporates body-mind-spirit and eight principles called CREATION. Three questions arose: (1) Is there an evidence-based framework to determine whether the philosophy supports the discipline of nursing? (2) How extensive is the adoption and application of WPC? (3) Does the model make a difference in the context of nurse-patient interactions and outcomes in support of Magnet recognition criteria?

Methods: Interpretative phenomenology was used and an interview protocol was developed to examine the adoption and movement toward a culture of WPC.

Shared governance as vertical alignment of nursing group power and nurse practice council effectiveness.

Aim(s): This study validates an instrument for measuring the effectiveness of nursing practice councils and offers a framework for measuring and understanding shared governance.

Background: Empowerment results from the vertical alignment of nursing group power with nursing unit power practices. The field lacks an instrument for measuring nurses' practice of power.