Innovation and creativity are part of everyday life for the bedside nurse. Nursing clinicians continuously innovate and create to meet each patient's unique needs. However, policies, regulations, and drama can inhibit that creativity when clinicians move into management. Three nurse leaders discuss their journeys to bring innovation into their leadership practices through participation in a yearlong program, the "Executive Fellowship in Innovation Health Leadership."The authors share insights gained after they participated in a cohort of health care leaders who took part in this yearlong fellowship. Details of the fellowship program are discussed, along with the benefits of entering such a program. Three separate innovation projects are reviewed. In Iowa, an Assistant Vice President of Nursing led the restructure and development of a support role to remove unnecessary tasks from nurse managers. In California, a Director of Education, Practice, and Informatics took a personal journey to enhance her senior leadership skills. In Florida, a Chief Nursing Officer created a program designed to teach nurse leaders to be innovative in health care. Each author addresses the innovation model/methodologies that they applied in the execution of their individual projects.
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http://dx.doi.org/10.1097/NAQ.0000000000000361 | DOI Listing |
Nurs Outlook
January 2025
College of Health and Human Services, Department of Nursing, University of New Hampshire, Durham, NH.
Nurse practitioner (NP) programs have a long history of producing safe and competent NPs; however, bold, transformative leadership is needed to set a minimum standard for quality NP education to support a 21st-century healthcare system. This paper is a call to action for leaders in NP education to transition NP education to the DNP degree utilizing the 2022 National Task Force Standards for Quality NP Education and a competency-based approach as defined in the 2021 AACN Essentials. There is now an opportunity to redesign healthcare systems with quality and equity as a primary consideration and DNP-prepared NPs are positioned to lead this redesign.
View Article and Find Full Text PDFJ Adv Nurs
January 2025
DePaul University, Chicago, Illinois, USA.
Aim: The aim of this qualitative exploratory study aimed was to explore how nurses experienced and responded to the COVID-19 pandemic crisis in clinical settings to develop a response model.
Design: Focus group interviews.
Methods: Thirteen focus group interviews (n = 50) with nurses and nurse leaders practicing in diverse clinical settings were conducted between May and July of 2021 in South Korea.
Introduction: Job satisfaction and intention to leave have been consistently linked to the working environment. However, there are few studies of interventions for improving the environment or staff outcomes.
Aim: To determine the impact of implementing a framework for safe nurse staffing on the environment and staff outcomes.
Am J Nurs
February 2025
Joseph R. Danford is a medical student at the Tulane University School of Medicine in New Orleans, LA. Kayla Hearn is a military-civilian partner at Vanderbilt University Medical Center (VUMC) in Nashville, TN, where Elisa Bickett is the military-civilian program manager and Bradley M. Dennis is director of military-civilian partnerships. Cynthia Barrigan is director of military-civilian partnerships in the Office of the Army Surgeon General in Falls Church, VA. Daniel J. Stinner is a military-civilian partner at VUMC and Blanchfield Army Community Hospital in Fort Campbell, KY. Contact author: Joseph R. Danford, The authors have disclosed no potential conflicts of interest, financial or otherwise.
Background: In 2018, the U.S. Army Surgeon General created the Army Medical Department Military-Civilian Trauma Team Training (AMCT3) program to enhance the clinical proficiency of medical personnel serving on Army trauma teams called forward resuscitative surgical detachments (FRSDs).
View Article and Find Full Text PDFBMC Health Serv Res
January 2025
Care Directorate, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 4, Geneva, 1205, Switzerland.
Background: The evolving healthcare landscape emphasizes the need for health systems to adapt to growing complexities, with new models of care enabling healthcare providers to optimize their scope of practice and coordination of care. Despite increasing interest in advanced practice, confusion persists regarding the roles and scopes of practice of healthcare providers, exacerbated by variations in regulations and titles. We sought to clarify the differences between specialized healthcare professionals, practitioners, and clinical specialists; to describe their roles; and to propose initiatives aimed at supporting the implementation of advanced practice within a university hospital.
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