Leaders Benefit From Organizational Membership: Perspectives From the United States and Canada.

This article explores the value of nurse leader membership in professional organizations in the United States and Canada. Benefits include the sharing of scholarly information, enlarging networks, and professional development.

Identifying barriers and facilitators to seeking care for symptoms of bacterial sepsis: A qualitative study.

Aim: Research suggests that early access to quality care is essential to improving bacteraemia outcomes and reducing the risk of developing sepsis because it allows for early intervention. Currently, there are limited data regarding the facilitators and barriers that alter the trajectory of arrival at the hospital when patients in the United States experience symptoms of bacteraemia and sepsis. This study sought to explore and describe the facilitators and barriers to seeking care for suspected bacteraemia and sepsis symptoms.

A relational coordination training intervention to improve job satisfaction and intent to stay in the intensive care unit: A pilot study.

Background: Relational coordination (RC) explores the coordination of work between and among professionals in a workgroup. RC is associated with higher job satisfaction and retention; however, researchers have not tested RC training interventions to improve job satisfaction and retention.

Purpose: To explore changes in job satisfaction and intent to stay among health care professionals following a virtual RC training intervention.

The Use of Closing Questions in Qualitative Research: Results of a Web-Based Survey.

Background: Scarce and differing reasons for including closing questions in qualitative research exist, but how data generated from these questions are used remains uncertain.

Objectives: The purpose of the study was to understand if and how researchers use closing questions in qualitative research, specifically the research questions were: (a) "Why do qualitative researchers include or exclude closing questions during interviews?" and (b) "How do qualitative researchers use data from closing questions?"

Methods: A qualitative descriptive design using a single, asynchronous, web-based, investigator-designed survey containing 14 items was used to collect data. Convenience and snowball sampling were used to recruit participants.

Improved Anesthesia Handoff After Implementation of the Written Handoff Anesthesia Tool (WHAT).

Patient safety may be at risk when details are omitted during anesthesia handoff. The Written Handoff Anesthesia Tool (WHAT), designed by the author, was implemented to improve the quality of anesthesia handoffs in the operating room and postanesthesia care unit (PACU). The author used the Anesthesia Handoff Communication survey to evaluate Certified Registered Nurse Anesthetist (CRNA) and PACU registered nurse (RN) satisfaction with anesthesia handoff and the Targeted Solutions Tool to identify the adequacy, contributing factors, and specific patient data omitted by senders of anesthesia handoff before and after implementation of the WHAT.

The Effect of Leadership Interventions on Staff Nurse Job Enjoyment and Leadership Perception.

Nurse managers (NMs) influence retention and job satisfaction, although many facilities lack NM training programs. A program examined staff nurse perceptions after their NMs participated in leadership training. NMs with limited training may find it more challenging to positively affect their nurses' job satisfaction and retention.

Recognition and management of Clostridium difficile in older adults.

Clostridium difficile infection (CDI) is increasing in the outpatient setting, and older adults are at a higher risk for contracting CDI and experiencing poor outcomes. NPs may see this infection in the primary care setting. This article focuses on the presentation, treatment, and clinical practice implications for CDI in community-dwelling older adults.

Interdisciplinary Shared Governance in Ambulatory Care: One Health System's Journey.

The implementation of shared governance structures in acute care has illustrated the positive relationship between shared decision making and nurse empowerment and positive nurse and patient outcomes. Little is known, however, about interdisciplinary shared governance, and even less is known about shared governance in ambulatory care. This article details one health system's experience with the implementation of an interdisciplinary shared governance structure in ambulatory care over a 4-year period.

We want what's best for our baby: Prenatal Parenting of Babies with Lethal Conditions.

This article reports on qualitative research into the experience of couples who chose to continue their pregnancies after receiving a lethal fetal diagnosis, and to embrace the parenting of their baby in the shortened time they have. This analysis of interview data is part of a larger research project describing parents' experiences of continuing pregnancy with a known lethal fetal diagnosis (LFD).

Health-related quality of life in low-income older African Americans.

This study examined the relationships among comorbid conditions, symptom stress, depression, functional status and health-related quality of life (HRQOL) in low-income older African Americans with chronic diseases. A convenience sample of 83 older African American adults living in subsidized housing for elders participated in the study. Data were collected in face-to-face interviews.

Managing uncertainty in diabetes: an intervention for older African American women.

Objectives: One out of four older African American women (OAAW) may develop diabetes. The disproportionate number of complications suffered by OAAW with diabetes may be due in part to uncertainty about how to manage diabetes and prevent or manage complications. The purpose of this study was to test the efficacy of an individualized psychoeducational diabetes uncertainty management intervention (DM-UMI) directed at managing diabetes-related uncertainties and delivered by a nurse via telephone to OAAW.