This study aimed at identifying characteristics of ethical occurrences related to nursing care in a large private hospital in the city of São Paulo. There were 190 occurrences reported to the hospital's Nursing Ethical Committee (NEC) between 1995 and 2004. Most occurrences caused no damages to the patient, the health institution, the nursing staff or the professional involved. From the total of 398 procedures taken, 94.5% of the cases were advices given to nursing staff members by the NEC, including advice from the immediate superiors to the staff members involved. In 93.7% of the occurrences only one staff member was involved. Clinical units accounted for 76.3% of the services involved with ethical occurrences. As a result, it may be said that the study showed the importance of giving advices to the staff in order to prevent customers from damaging occurrences.
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http://dx.doi.org/10.1590/s0080-62342008000100005 | DOI Listing |
J Nurs Adm
February 2025
Author Affiliation: Director of Nursing, Inpatient, Perinatal, and Emergency Services, Mount Auburn Hospital, Cambridge, Massachusetts.
Objective: The aim of this study was to investigate the correlation between nurse leaders' transformational leadership and clinical nurses' structural empowerment in non-Magnet® hospitals, and the differences in this correlation by Magnet status.
Background: Nurse leaders' transformational leadership has been positively correlated to increased structural empowerment in clinical nurses, primarily in Magnet-designated hospitals and those pursuing Magnet designation.
Methods: A descriptive correlational study design was used to investigate the study aim.
J Nurs Adm
February 2025
Author Affiliations: Nurse Scientist (Dr Smith-Miller), Center for Nursing Excellence, UNC Medical Center; Chair - IRB Committee E (Dr Smith-Miller), UNC-CH Office of Human Research Ethics University of North Carolina, Chapel Hill; Adjunct Faculty (Dr Smith-Miller), UNC School of Nursing; and Oncology Nurse Navigator (Cline), Mary Anne Long Patient Family Resource Center, UNC Cancer Hospital, Chapel Hill, North Carolina.
Background: Persistently high turnover rates reflect nurses' discontent. Although personal reasons, career advancement, and relocation are cited as the top reasons for departures, macro-level data overlook the organizational and unit-level factors that erode nurses' desire to stay.
Methods: Survey methods were used for data collection.
J Nurs Adm
February 2025
Author Affiliation: Director of Policy and Professional Development (Dr Pate) and Director of Nursing Excellence (Dr Rankin), Atrium Health Carolinas Medical Center, Charlotte, North Carolina.
Although hospitals successfully achieving Magnet® designation demonstrate a multitude of positive outcomes, initial certification and maintenance require support from a highly engaged team. Two healthcare facilities used a team of master's-prepared nurses including the clinical nurse specialist, clinical nurse leader, and nursing professional development practitioner to strengthen a culture of nursing excellence, resulting in a successful redesignation cycle and the need for nurse executives to evaluate supportive nursing roles in acute care settings.
View Article and Find Full Text PDFJ Nurs Adm
February 2025
Author Affiliations: Assistant Professor (Dr House), University of North Carolina Greensboro School of Nursing; Assistant Professor (Dr Palazzolo), Truman State University Health and Exercise Science Department, Kirlsville, Missouri; Chief, Center for Nursing Science and Clinical Inquiry (Dr Stucky), Landstuhl, Germany; Instructor (Dr Campbell), Weber State University Annie Taylor Dee School of Nursing, Ogden, Utah; Clinical Nurse Specialist (Williams), Eglin Air Force Base Hospital, Eglin, Florida; PhD Student (Langerman), University of North Carolina Greensboro School of Nursing.
Objective: To determine if professional roles and demographic characteristics predict relational coordination (RC) among healthcare professionals in the ICU.
Background: Race, age, and sex diversity are increasing in the medical and nursing workforce, raising questions regarding how well healthcare professionals are collaborating. RC is a validated model for coordinating interdependent work among healthcare professionals.
J Nurs Adm
February 2025
Author Affiliations: Vice President, Learning and Development, Indiana University Health, Indianapolis; Social Media Editor, Journal of Nursing Administration, Philadelphia, Pennsylvania.
This interview explores the unexpected leadership journey of Dr Erik Martin, the 2022-2023 American Organization for Nursing Leadership President and chief nursing officer at Norton Children's Hospital. Starting as a bedside nurse, Dr Martin shares how others encouraged him to pursue leadership roles. The interview highlights the turning points in his career, the challenges he has faced, and valuable lessons learned.
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