Publications by authors named "Shelly A Fischer"

Safety-specific transformational leadership (SSTFL) has been examined in high-risk industries for decades with solid evidence for its effectiveness and influence on safety climates and safety outcomes. The concept has recently been introduced to healthcare, with an operational definition developed through a concept derivation process and the development of a typology of factors that influence the relationship between leadership and safety climate. This article describes the evidence-based behavioral characteristics of leaders practicing SSTFL, which serve as a basis for the development and testing of an instrument to measure the latent variable of SSTFL in interprofessional healthcare leaders.

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Objective: To examine and report burnout, secondary trauma, and compassion satisfaction in acute care nurse leaders through a large mixed-methods research study.

Background: Although nurse leaders are removed from daily patient care activities, the pervasive challenges in the work environment create conditions for professional burnout. Nurse leaders must garner compassion satisfaction from different sources, including peer and staff interactions.

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Background: Peer review is an essential element of professional nursing practice.

Local Problem: Implementing nursing practice peer review is a challenge in any organization; some characteristics of small and rural hospitals can make the task especially daunting.

Methods: A team of nursing leaders and staff nurses from rural and critical access hospitals within 1 health care system was formed to make recommendations about implementing nursing practice peer review in the small rural facilities.

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A sample of 1933 registered nurses working in 24 hospitals with shared leadership was surveyed to examine perceptions of nurse decisional involvement. Council participation was associated with higher decisional involvement scores (P = .03), and nurse experience was a statistically significant predictor of decisional involvement (P < .

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Aim: To validate a framework of factors that influence the relationship of transformational leadership and safety climate, and to enable testing of safety chain factors by generating hypotheses regarding their mediating and moderating effects.

Background: Understanding the patient safety chain and mechanisms by which leaders affect a strong climate of safety is essential to transformational leadership practice, education, and research.

Methods: A systematic review of leadership and safety literature was used to develop an organising framework of factors proposed to influence the climate of safety.

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Transformational leadership is a trending style and competency that has been embraced by many industries and nursing practice settings. Similar positive influence on follower engagement, teamwork, and solidarity might be experienced if transformational leadership is employed by administration and faculty as a guiding framework for nursing education. The impact of embedding a teamwork culture in basic nursing education could be significant on students and ultimately on the nursing profession.

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Healthcare is a complex area with significant potential for service improvement despite the effects of increasing economic and social pressures on the quality and safety of patient care. As the largest group of healthcare professionals in direct contact with patients, nurses are well positioned to contribute to improvements in healthcare services and to the development of new policies. To influence healthcare improvements and policies effectively, nurses require leadership skills.

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Aim: To analyse the concept of transformational leadership in the nursing context.

Background: Tasked with improving patient outcomes while decreasing the cost of care provision, nurses need strategies for implementing reform in health care and one promising strategy is transformational leadership. Exploration and greater understanding of transformational leadership and the potential it holds is integral to performance improvement and patient safety.

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