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OBJECTIVE The study objective was to investigate a charge nurse pilot training program as an effective, evidence-based training modality to improve leadership style and resiliency. BACKGROUND Leadership is inherent and necessary in the charge nurse role. Little published research about charge nurse leadership training programs exists. METHODS A pre-post design, with intervention and comparison groups, was conducted at an integrated healthcare system. A random sample of charge nurses was selected to pilot a standardized charge nurse leadership training program including in-person learning to foster leadership skills and nurture resiliency. RESULTS The sample included 19 control participants and 22 intervention participants. Significant improvement was noted in transformational, transactional, leadership outcomes, and resiliency from preintervention to postintervention for the all subjects. Of the 22 intervention participants, the training elicited higher satisfaction with leadership behavior, followed by effectiveness and their ability to motivate. Charge nurses who attended training had higher resiliency scores pre-post intervention. CONCLUSION The charge nurse pilot training was an effective program that led to improved leadership style and resiliency.

A longitudinal, repeated-measures design with intervention and comparison groups was used to evaluate the effect of a training curriculum based on TeamSTEPPS with video vignettes focusing on fall prevention. Questionnaires, behavioral observations, and fall data were collected over 9 months from both groups located at separate hospitals. The intervention group questionnaire scores improved on all measures except teamwork perception, while observations revealed an improvement in communication compared with the control group. Furthermore, a 60% fall reduction rate was reported in the intervention group. Team training may be a promising intervention to reduce falls.

These qualitative findings provide insight into the NLRN's transition from student to professional and suggest ways institutions might enhance orientation. Further study is warranted.

Teaching HF self-management skills to patients is challenging and it is important to identify nurses' gaps in knowledge of self-management principles. The psychometrically sound Likert scored version of the survey potentially may be used to identify nurses' knowledge gaps and inform staff development in-services.

It is feasible for a community hospital to create and implement a dedicated ICU mobility team. Early mobilization of ICU patients contributed to fewer delirium days and improved patient outcomes, sedation levels, and functional status.

Hospitals use sitters as an alternative to reduce patient falls. The purpose of the study was to evaluate the effectiveness of a sitter reduction program by examining the differences between sitter use and falls in an acute care hospital. Findings indicate that a significant decrease in sitter use and falls remained constant. Reducing sitter use is possible without significantly increasing fall rates.

Aims and objectives To explore and understand medical‐surgical nurses' perceived self‐confidence and leadership abilities as first responders in recognising and responding to clinical deterioration prior to the arrival of an emergency response team. Background Patients are admitted to hospitals with multiple, complex health issues who are more likely to experience clinical deterioration. The majority of clinical deterioration events occur on medical‐surgical units, and medical‐surgical nurses are frequently the first healthcare professionals to identify signs and symptoms of clinical deterioration and initiate life‐saving interventions. Design A prospective, cross‐sectional, descriptive quantitative design using a survey method was used. Methods Nurses were recruited from an integrated healthcare system located in the south‐east United States. Nurses completed a demographic, a self‐confidence and a leadership ability questionnaire. Results One hundred and forty‐eight nurses participated in the study. Nurses felt moderately self‐confident in recognising, assessing and intervening during clinical deterioration events. In addition, nurses felt moderately comfortable performing leadership skills prior to the arrival of an emergency response team. A significant, positive relationship was found between perceived self‐confidence and leadership abilities. Age and certification status were significant predictors of nurses' leadership ability. Conclusion Although nurses felt moderately self‐confident and comfortable with executing leadership abilities, improvement is needed to ensure nurses are competent in recognising patients' deterioration cues and making sound decisions in taking appropriate, timely actions to rescue patients. Further strategies need to be developed to increase nurses' self‐confidence and execution of leadership abilities in handling deterioration events for positive patient outcomes. Relevance to clinical practice Educational provisions should focus on various clinical deterioration events to build nurses' self‐confidence and leadership abilities in handling clinical deterioration. Nurses should obtain national certification to increase their knowledge and clinical reasoning skills.