Breaking the Cycle of Nurse Manager Presenteeism: A Convergent Mixed-Methods Study.

Objective: The aim was to describe the factors leading to, and explore the coping strategies and the consequences of, nurse manager presenteeism.

Background: Presenteeism, or presence at work while not fully performing, is prevalent among direct-care nurses, yet no studies have explored nurse manager presenteeism.

Methods: This study used a convergent mixed-methods design with 1:1 interviews, a demographic questionnaire, mental/physical health and work situation questions, and the Job Stress-Related Presenteeism Scale (JSPS).

Development and Testing of the Relational and Structural Components of Innovativeness Across Academia and Practice for Healthcare Progress Scale.

Objective: Using data from 5 academic-practice sites across the United States, researchers developed and validated a scale to measure conditions that enable healthcare innovations.

Background: Academic-practice partnerships are a catalyst for innovation and healthcare development. However, limited theoretically grounded evidence exists to provide strategic direction for healthcare innovation across practice and academia.

Strategies for successfully completing a DNP final project.

Completion of a final project is an essential component of Doctor of Nursing Practice programs. Strategies for successful project planning, implementation, and evaluation are outlined, from identifying an evidence-based practice or quality improvement project, advisor, and practice mentor through completion, presentation, and dissemination of your work.

A Stakeholder Evaluation of an RN-to-BSN Academic Progression Program.

Objective: The aim of this study was to evaluate programmatic elements supporting BSN attainment by employed nurses holding associate degrees or diplomas, using a stakeholder involvement approach.

Background: Studies have associated higher percentages of baccalaureate-prepared nurses with improved clinical outcomes. Since 2013, the study organization supported an RN-to-BSN requirement with an academic progression benefit program and achieved an 80% BSN goal by 2021.

Design and Implementation of a COVID-19 Case Investigation Program: An Academic-Public Health Partnership, Arizona, 2020.

From May through July 2020, Arizona was a global hotspot for new COVID-19 cases. In response to the surge of cases, local public health departments looked for innovative ways to form external partnerships to address their staffing needs. In collaboration with the Maricopa County Department of Public Health, the Arizona State University Student Outbreak Response Team (SORT) created and implemented a virtual call center to conduct public health case investigations for COVID-19.

Psychedelic-Assisted Therapy: Emerging Treatments in Mental Health Disorders.

Psychedelics are a class of psychoactive substances that were studied extensively between 1943 and 1970 as potential therapies for treating a host of mental health disorders, including addiction. Despite promising early results, U.S.

An ecological perspective on implementing environmental control units for veterans with spinal cord injuries and disorders.

Guided by an ecological perspective, the purpose of this study was to identify multilevel factors that influenced the implementation of environmental control units (ECUs) in Veterans Health Administration (VHA) Spinal Cord Injury/Disorders (SCI/D) Centres. Mixed methods including an online survey and qualitative interviews of VHA healthcare employees. VHA healthcare employees participated in the online survey ( = 153, 21% participation rate) and semi-structured interview ( = 28; 54% participation rate).

Improving Patient Outcomes Through Closed-Claims Analysis: Salient Characteristics and Patterns Associated With Respiratory Events.

A retrospective, exploratory research design was used to analyze salient characteristics and patterns associated with closed claims involving Certified Registered Nurse Anesthetists (CRNAs) in which a respiratory event caused the adverse outcome. Alleged malpractice acts found in these claims occurred between 2003 and 2012. Respiratory events were the most frequent cause of adverse outcomes in the current database (34%).

Data-driven process to improve VA surgical flow.

Purpose During years 2014-2016, Veterans Health Administration National Surgery Office conducted a surgical flow improvement initiative (SFII) to assist low-performing surgery programs to improve their operating room efficiency (ORE). The initiative was co-sponsored by VHA National Surgery Office and VHA Office of Systems Redesign and Improvement. The paper aims to discuss this issue.

People Powered Health™:: Taking Front-Line Ownership to the Next Level.

Collaboration is a powerful force of social change. History has shown us time and time again that when people come together with a shared passion for making things better, high impact change can happen. Minds are opened.

Cancer Care Collaborative Approach to Optimize Clinical Care.

A collaboration between clinicians and industrial engineers resulted in significant improvements in cancer screening, the development of toolkits, and more efficient care for hepatocellular carcinoma and breast, colorectal, lung, head and neck, and prostate cancers.

Patient perceptions of environmental control units: experiences of Veterans with spinal cord injuries and disorders receiving inpatient VA healthcare.

Purpose: To assess patients' perceptions of environmental control units (ECUs) at Veterans Affairs Spinal Cord Injury Centers.

Materials And Methods: A brief questionnaire was conducted with patients in real-time while they were hospitalised ("on-the-spot questionnaire"); a survey was mailed to patients who had recently been discharged from a hospital stay ("discharge survey"). Data were analysed using descriptive statistics.

Whole scale change for real-time strategic application in complex health systems.

This department highlights change management strategies that may be successful in strategically planning and executing organizational change initiatives. In this article, the authors introduce Whole Scale Change™, an action learning approach that accelerates organizational transformation to meet the challenges of dynamic environments.

Costs and clinical quality among Medicare beneficiaries: associations with health center penetration of low-income residents.

Objective: Determine the association between access to primary care by the underserved and Medicare spending and clinical quality across hospital referral regions (HRRs).

Data Sources: Data on elderly fee-for-service beneficiaries across 306 HRRs came from CMS' Geographic Variation in Medicare Spending and Utilization database (2010). We merged data on number of health center patients (HRSA's Uniform Data System) and number of low-income residents (American Community Survey).

Has access to care changed in minority communities? A study of preventable hospitalizations over time in selected States.

This study assesses the changes in access to care in minority communities by examining the association between preventable hospitalization rates and racial/ethnic composition of the community during 1995-2005. Using hospital discharge data from Healthcare Cost and Utilization Project State Inpatient Database of the Agency for Healthcare Research and Quality in 5 states and focusing on the nonelderly adults and elderly age groups, the study includes a multivariate cross-sectional design using preventable hospitalization rates by primary care service area as the outcome and racial/ethnic compositions of total hospital discharges by resident population in the primary care service area as the primary explanatory variables. The study indicates increases in barriers faced by minority adults in accessing primary care over time, with no similar evidence for the elderly subgroup.

VA experience in implementing Patient-Centered Medical Home using a breakthrough series collaborative.

Background: Veterans Health Administration (VHA) seeks to improve the delivery of patient-centered care. A Patient-Centered Medical Home (PCMH) Model, named Patient Aligned Care Team (PACT), was implemented to transform the VHA primary care delivery process. VHA used a collaborative learning model as a key approach to disseminate PACT concepts and changes.

A conceptual model of the role of complexity in the care of patients with multiple chronic conditions.

Background: Effective healthcare for people with multiple chronic conditions (MCC) is a US priority, but the inherent complexity makes both research and delivery of care particularly challenging. As part of AHRQ Multiple Chronic Conditions Research Network (MCCRN) efforts, the Network developed a conceptual model to guide research in this area.

Objective: To synthesize methodological and topical issues relevant to MCC patient care into a framework that can improve the delivery of care and advance future research about caring for patients with MCC.