Nurse managers must raise awareness of lateral violence with individual and organizational consequences. Nursing leadership can effect organizational change to lesson lateral violence and enhance a healthy workplace culture by replicating our intervention or components of our workshops.

These findings suggest that mindfulness practices need to be reinforced. Without continuous reinforcement, it may become a self-care practice moved to the bottom of the list of things to be done among the activities of a busy day.

The purpose of this study was to measure RNs' perceptions of teamwork skills and behaviors in their work environment during a multiphase multisite nursing organizational teamwork development initiative. Teamwork is essential for patient safety in healthcare organizations and nursing teams. Organizational development supporting effective teamwork should include a just culture, engaged leadership, and teamwork training. A cross-sectional survey study of bedside RNs was conducted in one 5-hospital healthcare system after a TeamSTEPPS teamwork training initiative. TeamSTEPPS teamwork training related to improved RN perceptions of leadership. Initiatives to align the perspectives and teamwork efforts of leaders and bedside nurses are indicated and should involve charge nurses in the design.

Nurses’ control over practice is essential to nursing care quality and fosters teamwork at the point of care delivery. This article describes a study to measure the impact of nurses’ control over their practice from the perspective of teamwork. The purpose of this study was to measure the relationship of control over practice to the five following dimensions of teamwork: team structure, leadership, situation monitoring, mutual support, and communication. The study method was a secondary analysis of 456 surveys from registered nurses working in a five-hospital system. Study results demonstrated that the global measure of teamwork correlated with control over practice and nursing experience, but not with teamwork training. All five individual dimensions of teamwork were perceived as better for those who had a high level of control over practice compared to those who did not. In the discussion section, we consider situation monitoring since this dimension demonstrated an interaction effect between teamwork training and control over practice. Nursing control over practice demonstrates a positive relationship with teamwork and should be considered in future education, policy, and research efforts. Further study is needed to understand control over practice as a potential moderator or mediator of other predecessors of effective teamwork.

N urses, as the largest aggregate of healthcare providers, are in a crucial position to enhance the quality and safety of contemporary healthcare. 1 The knowledge and expertise needed to deliver safe, high-quality care begins at the undergraduate level. Unfortunately, undergraduate nursing educational models haven't been substantially reformed for decades, and the need to redesign nursing education for quality and safety is of paramount concern to the nursing discipline. 2 The dedicated education unit (DEU) evolved as an academic-service partnership model with the potential to enhance the relevance and authenticity of undergraduate nursing clinical experiences. The DEU model involves a restructuring of the partnerships among hospital leaders, direct care nurses, nursing faculty, and nursing students. In the nursing units utilized for this study, college and university nursing faculty are integrated and physically available for oversight, and direct care nurses provide direct supervision and direction of student learning. Each direct care nurse accepts a patient assignment in partnership with two nursing students. Direct care nurses role model and support contemporary nursing practice for the students; faculty role model and support theoretical integration and evidence. The organizational change involved in implementing the DEU, including changing the role of the direct care nurse, requires careful management planning and implementation. 3 Temporary drops in patient satisfaction with the onset of the DEU may occur as direct care nurses expand their roles and duties.Current evidence supports that the DEU experience is beneficial to nursing students, nursing faculty, and nurse preceptors. 4-15 However, little evidence and documentation exist to guide nurse managers and hospital nurse leaders regarding the relationship between the implementation of nursing DEU units and patient satisfaction over time.In this healthcare environment of rising costs, sustainability of the DEU model will be achieved only if additional outcomes can support a financial return on investment and a positive impact on the quality of the patient-care experience. MethodFour nursing DEU units and four matched comparison units were selected from two affiliated, urban tertiary care hospitals in the Northeastern United States (two DEU and two comparison units in each hospital). Comparison units are referred to as "traditional" by welcoming nursing students and faculty but don't involve direct care nurses in educating the students. The traditional nursing units were chosen by a committee of master'sprepared nursing educators employed within the hospitals for the similarities in nurses' ages, patient acuity, and admitting diagnosis.Using the nursing care unit as the level of analysis, nurse sensitive patient satisfaction scores were obtained from the second quarter of 2008 to present. Scores included overall satisfaction,