Bridging nursing practice and education through a strategic global partnership.

To forge strong relationships among nurse scholars from the University of Pennsylvania School of Nursing, Philadelphia, PA (USA); University of Botswana School of Nursing, Gaborone, Botswana; the Hospital of the University of Pennsylvania, Philadelphia; Princess Marina Hospital (PMH), Gaborone; and the Ministry of Health of Botswana, a strategic global partnership was created to bridge nursing practice and education. This partnership focused on changing practice at PMH through the translation of new knowledge and evidence-based practice. Guided by the National Institutes of Health team science field guide, the conceptual implementation of this highly successful practice change initiative is described in detail, highlighting our strategies, challenges and continued collaboration for nurses to be leaders in improving health in Botswana.

Combating compassion fatigue: an exemplar of an approach to nursing renewal.

Compassion fatigue is a phenomenon commonly experienced by nurses. The cumulative emotional burden of caring for critically ill patients and their families, coupled with the increasing complexity of the health care practice environment, significantly drives the experience of compassion fatigue. Compassion fatigue can negatively impact nurses' physical and emotional well-being. If left unaddressed, compassion fatigue can lead to burnout among nurses. Burnout has been correlated to increased patient mortality, increased infection rates, and decreased patient satisfaction. In addition, it causes nurses to leave the nursing profession. Opportunities for nursing renewal, coupled with a leadership culture that values renewal practices, could combat the negative effects of compassion fatigue. A Center for Nursing Renewal was created at the Hospital of the University of Pennsylvania in Philadelphia, Pennsylvania, to provide a variety of renewal opportunities for nurses. This center is supported by a nursing culture that recognizes the ill effects of compassion fatigue and promotes wellness and renewal practices among nurses.

Service and scholarship: an evolutionary examination of nursing administration.

This article characterizes the evolution and impact of nursing administration scholarship on administrative practice over the past several decades. Through a critical examination of the literature, this article (1) uncovers how the evolution of nursing scholarship has influenced administrative practice over time; (2) articulates a current conceptualization of nursing administration by describing the responsibilities, necessary expertise, and challenges that characterize the work of nurse administrators (NAs); and (3) reflects on these findings to raise questions about how to further cultivate synergistic relationships between nursing science and administrative practice in the future. This synthesis of the literature revealed that partnerships between service and scholarship have been at the heart of advancing administrative education and practice for many years. While the major responsibilities of NAs have not changed significantly over the past several decades, the concepts and measures NAs employ have evolved. Nursing scholarship has refined terminology and developed measures that have changed the ways in which NAs approach their responsibilities and conceptualize their practice. These developments have furthered nurse scholars' efforts to conduct research pertinent to administrative practice. Still, there are many issues left to be explored, and the opportunities for advancing the science in this domain of nursing practice are vast.

Nurse executive practice: creating a new vision for leadership.

Creating the future for practice calls for a new view of leadership and the evidence to support it. Gathering practice and research stakeholder to clarify the frame for research and the future of practice is critical to building a preferred future. Focusing on gathering leaders and providing a frame for their dialogue and interaction around executive practice for the future is important to creating the appropriate skills and role characteristics to lead the profession into it.

Transformation of a nursing culture through actualization of a nursing professional practice model.

Leading and effecting meaningful change in a nursing division culture, such as the type required to achieve Magnet designation, entails senior nurse executives to be well-acquainted not only with the facts and figures of their business but also with the nuances, myths, and cultures that either enable or block a change from occurring. Expert nurse leaders embrace the story being told by data on dashboards and the quality outcomes achieved and look beyond those points of information out to the edges of their division. These nurse executives also seek to understand the pivotal, perhaps seemingly inconsequential things (notions, beliefs, cultural beliefs, and stories) that will block or tip a culture to change and achieve success. At the Hospital of the University of Pennsylvania (HUP), a Magnet-designated organization, the road to Magnet was not straightforward. Instead, the path was a winding, learning journey. Through authentic leadership and the conception and actualization of a professional practice model, the HUP Nursing Excellence in Professional Practice (HUP NEPP) model, Magnet designation was achieved and a nursing culture was transformed.

Collaboration to partnerships.

Partnerships are at the center of the Hospital of the University of Pennsylvania Nursing Excellence Professional Practice (HUP-NEPP) model. Through the use of collaboration, skilled communication, and respectful workplace, partnerships can be formed, leading ultimately to world-class patient care. At HUP, interdisciplinary partnerships are evidenced by the clinical nurses through shared governance. This article describes the components necessary to form successful partnerships.