ABSTRACT
BACKGROUND: Family support and patient outcomes are linked to nurses' attitudes toward families' importance in patient care. OBJECTIVES: The purpose of this study was to characterize inpatient oncology nurses' attitudes toward families' importance in nursing care and determine characteristics related to these attitudes. METHODS: A descriptive, cross-sectional design was used with a single set of measurements from inpatient oncology nurses at a comprehensive cancer center in the southeastern United States. Nurse characteristics were summarized using frequency and percentages. Time variables were summarized using median and interquartile range. There were five primary outcomes. FINDINGS: Nurses considered the role of the family important, but level varied by FINC-NA item. Characteristics related to family importance overall included hospital unit and general approach to care.
Subject(s)
Nursing Care , Attitude of Health Personnel , Cross-Sectional Studies , Humans , Inpatients , Surveys and QuestionnairesABSTRACT
Advanced practice nurses (APNs) are integral to cost-effective delivery of health care in large health care organizations. Development of the leadership position of director of advanced practice nurses in a large teaching institution provides leadership to APNs in various settings, contributes to staff satisfaction, facilitates increased professional growth, and provides improved quality and fiscal outcomes. Job satisfaction, productivity, accountability, and communication may be enhanced through implementation of the role of director of advanced practice nursing and a committee structure of APNs, as was found in this academic health system.
Subject(s)
Advanced Practice Nursing/organization & administration , Nurse Administrators , Nurse's Role , Efficiency, Organizational , Humans , Insurance, Health, Reimbursement , Multi-Institutional Systems , Ohio , Program DevelopmentABSTRACT
Nurse administrators focus on factors that influence nurses' levels of satisfaction to reduce turnover and improve retention. One important determinant of nurses' satisfaction is the opportunity for professional development. On the basis of feedback from the nurses, a professional development program, Career Advancement for Registered Nurse Excellence, was instituted. The authors describe one approach to create opportunities to improve professional nurse development and the necessity for ongoing assessment of its impact on nurses' job satisfaction.
Subject(s)
Attitude of Health Personnel , Career Mobility , Education, Nursing, Continuing/organization & administration , Job Satisfaction , Nursing Staff, Hospital/education , Staff Development/organization & administration , Adult , Certification/organization & administration , Clinical Competence , Evidence-Based Medicine/education , Evidence-Based Medicine/organization & administration , Female , Focus Groups , Humans , Male , Middle Aged , Nurse Administrators/education , Nurse Administrators/organization & administration , Nurse's Role , Nursing Research/education , Nursing Research/organization & administration , Nursing Staff, Hospital/organization & administration , Nursing Staff, Hospital/psychology , Ohio , Preceptorship/organization & administration , Program Development , Program EvaluationABSTRACT
The aging and impending retirement of the nursing work force will worsen the nursing shortage. Because nurses retire for a variety of reasons, retaining older nurses or delaying their retirement requires a multifactorial method. The authors describe one medical center's multifaceted approach and subsequent strategies to create a work environment conducive to retaining the mature, experienced nurse.
