The Role of the Nurse Leader in Advancing the Quadruple Aim

Bowles, John; Adams, Jeffrey M.; Batcheller, Joyce; Zimmermann, Deb; Pappas, Sharon

doi:10.1016/j.mnl.2018.05.011

Cited by 16 publications

(12 citation statements)

References 11 publications

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“…Nursing is a major workforce in health care. Nurses' job performance is significantly correlated with their work engagement and patient safety and care quality (Bowles, Adams, Batcheller, Zimmermann, & Pappas, 2018;Olds, Aiken, Cimiotti, & Lake, 2017;Wei, Sewell, Woody, & Rose, 2018). Nurse leaders' leadership ability is positively associated with nurses' work performance and nurse resilience building (Kester & Wei, 2018).…”

Section: Introductionmentioning

confidence: 99%

Nurse leaders’ strategies to foster nurse resilience

Roberts²,

et al. 2019

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Aim To identify nurse leaders’ strategies to cultivate nurse resilience. Background High nursing turnover rates and nursing shortages are prominent phenomena in health care. Finding ways to promote nurse resilience and reduce nurse burnout is imperative for nursing leaders. Methods This is a qualitative descriptive study that occurred from November 2017 to June 2018. This study explored strategies to foster nurse resilience from nurse leaders who in this study were defined as charge nurses, nurse managers and nurse executives of a tertiary hospital in the United States. A purposive sampling method was used to have recruited 20 nurse leaders. Results Seven strategies are identified to cultivate nurse resilience: facilitating social connections, promoting positivity, capitalizing on nurses’ strengths, nurturing nurses’ growth, encouraging nurses’ self‐care, fostering mindfulness practice and conveying altruism. Conclusions Fostering nurse resilience is an ongoing effort. Nurse leaders are instrumental in building a resilient nursing workforce. The strategies identified to foster nurse resilience will not only impact the nursing staff but also improve patient outcomes. Implications for Nursing Management The strategies presented are simple and can be easily implemented in any settings. Nurse leaders have an obligation to model and enable evidence‐based strategies to promote nurses’ resilience.

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Section: Introductionmentioning

confidence: 99%

Nurse leaders’ strategies to foster nurse resilience

Roberts²,

et al. 2019

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“…33,34 Our identified data applications align with the areas of innovation, influence, and advocacy, which are defined as nurse leader core competencies in working toward the Triple Aim of improving care experience, improving population health, and reducing per-capita healthcare costs. 35 All participant organizational levels depicted intraorganizational collaboration. Yet, participants only discussed their accountability to superiors and assisting subordinates, which implies that people either remain unaware of helpful resources or those resources lack salience when discussing data and staffing.…”

Section: Discussionmentioning

confidence: 99%

Nurse Leader Perceptions of Data in the Veterans Health Administration

Wong

SoRelle

Yang

et al. 2023

CIN: Computers, Informatics, Nursing

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Healthcare systems and nursing leaders aim to make evidence-based nurse staffing decisions. Understanding how nurses use and perceive available data to support safe staffing can strengthen learning healthcare systems and support evidence-based practice, particularly given emerging data availability and specific nursing challenges in data usability. However, current literature offers sparse insight into the nature of data use and challenges in the inpatient nurse staffing management context. We aimed to investigate how nurse leaders experience using data to guide their inpatient staffing management decisions in the Veterans Health Administration, the largest integrated healthcare system in the United States. We conducted semistructured interviews with 27 Veterans Health Administration nurse leaders across five management levels, using a constant comparative approach for analysis. Participants primarily reported using data for quality improvement, organizational learning, and organizational monitoring and support. Challenges included data fragmentation, unavailability and unsuitability to user need, lack of knowledge about available data, and untimely reporting. Our findings suggest that prioritizing end-user experience and needs is necessary to better govern evidence-based data tools for improving nursing care. Continuous nurse leader involvement in data governance is integral to ensuring high-quality data for end-user nurses to guide their decisions impacting patient care.

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“…The workforce of the future needs to attract and retain registered nurses who choose to practice in diverse settings, including community settings to sustain the nation's health. Expanding primary care into communities will enable our healthcare delivery systems to achieve the Quadruple Aim of improving patient experiences (quality and satisfaction), improving the health of populations, decreasing per capita costs of health care, and improving care team well-being (Bowles et al, 2018). It is time for nursing education to refocus and move beyond some long-held beliefs such as: primary care content is not important because it is not on the national licensing exam for registered nurses; students only value those skills required in acute care settings; and faculty preceptors only have limited community-based experiences.…”

Section: Four Spheres Of Carementioning

confidence: 99%

Evaluation and Advanced Nursing Practice: The Mandate for Evaluation

Hickey¹

2021

Evaluation of Quality in Health Care for DNPs

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A focused attention on, and when possible, engagement with a patient to determine a person's particular needs and the use of clinical judgment to meet those needs (Grace, 2018).Care outcomes: Harris (1991) defined outcomes as the end points of care, substantial changes in the health condition of a patient, and changes in patient behavior caused by medical interventions. Given these definitions, outcomes related to clinical practice are any change that resulted from health care.Caring relationship: Caring constitutes the essence of what it is to be human, having a profound effect on well-being and recovery, being at ease, and being healed. When hospitality is received, patients feel a connection, they begin to trust, and their healing begins. Clinical immersion:A brief, structured, intense nursing practicum where the entire focus is in a particular clinical setting without the distraction of other academic classes (Tratnack, et al., 2011). Clinical judgment:The skill of recognizing cues regarding a clinical situation, generating and weighing hypotheses, taking action, and evaluating outcomes for the purpose of arriving at a satisfactory clinical outcome. Clinical judgment is the observed outcome of two unobserved underlying mental processes, critical thinking and decision making (NCSBN, 2018).Clinical reasoning: Thought processes that allow healthcare providers to arrive at a conclusion. Cognitive flexibility: A critical executive function involving the ability to adapt behaviors in response to changes in the environment. Cognitive flexibility generally refers to the ability to adapt flexibly to a constantly changing environment.Complex systems: Systems whose behavior is intrinsically difficult to model due to the dependencies, competitions, relationships, or other types of interactions between their parts or between a given system and its environment. Complex systems have distinct properties that arise from these relationships, such as nonlinearity, emergence, spontaneous order, adaptation, and feedback loops, among others. Competence:The array of abilities (knowledge, skills, and attitudes) across multiple domains or aspects of performance in a certain context. Competence is multi-dimensional and dynamic (Frank, Snell, Cate, et al., 2010).Competency: An observable ability of a health professional, integrating multiple components such as knowledge, skills, values, and attitudes. Since competencies are observable, they can be measured and assessed to ensure their acquisition (Frank, Snell, Cate, et al., 2010).Competency framework: An organized and structured representation of a set of interrelated and purposeful competencies (Englander et al., 2013(Englander et al., , p. 1089). Competency list:The delineation of the specific competencies within a competency framework (Englander, et al., 2013(Englander, et al., , p.1089). Concepts:A concept is an organizing idea or mental construct represented by common attributes. Rodgers (1989, p. 332) describes concepts as "an abstraction that is expressed in some form."

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The Role of the Nurse Leader in Advancing the Quadruple Aim

Cited by 16 publications

References 11 publications

Nurse leaders’ strategies to foster nurse resilience

Nurse leaders’ strategies to foster nurse resilience

Nurse Leader Perceptions of Data in the Veterans Health Administration

Evaluation and Advanced Nursing Practice: The Mandate for Evaluation

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