ABSTRACT
Change initiatives (strategic plans) often fail, not because the idea was wrong, but because the change process failed to consider the human side of change. Achieving desired change outcomes requires an accentuation of transition management efforts or a focus on people. This article proposes 12 steps to managing transition and preparing "change-ready" employees and highlights strategies for both staff and managers to consider in the process.
Subject(s)
Adaptation, Psychological , Attitude of Health Personnel , Nursing Staff, Hospital/organization & administration , Nursing Staff, Hospital/psychology , Nursing, Supervisory/organization & administration , Personnel Management/methods , Communication , Humans , Interprofessional Relations , Nursing Staff, Hospital/education , Organizational Culture , Organizational InnovationABSTRACT
This article describes a systems approach for effectively implementing a delivery model of care using unlicensed support personnel, unlicensed workers trained in assistive tasks of clinical care under the direct supervision of the RN. The approaches described derive from practice, research, and consultant experiences. Successful implementation requires an ongoing, multisystems approach to the development of a change plan, development of roles, development of staff, and development of rituals of practice that promote successful differentiated practice and team functioning.
Subject(s)
Job Description , Models, Nursing , Nursing Assistants/organization & administration , Nursing, Supervisory/organization & administration , Clinical Competence , Employee Performance Appraisal , Humans , Nursing Assistants/education , Nursing Assistants/psychology , Patient Care TeamSubject(s)
Job Description , Orthopedic Nursing/methods , Specialization , Delphi Technique , Humans , Nursing Evaluation ResearchABSTRACT
Faculty can play an integral role in both facilitating success for diverse student groups and promoting diversity through experiential approaches. A willingness to evaluate your own teaching style for cultural biases is the first step. Once this is done, decide on the culture-general skills as well as the culture-specific skills that are essential for students within your area of specialization. With those outcomes in mind, you can design experiences to develop in students the appreciation of diversity, the skills to interact in a diverse world, and an awareness of the many issues of diversity that exist in our homes, communities, workplace, and society.
Subject(s)
Cultural Diversity , Curriculum , Education, Nursing, Graduate/organization & administration , Models, Educational , Nurse Administrators/education , Students, Nursing/psychology , Humans , Personality InventoryABSTRACT
This article describes the results of a NAON-funded descriptive design research project developed to gather data on how clinical nursing assistants are being used in the practice setting by examining the role responsibilities, extent of delegation, training effectiveness, and evaluation measures designed by agencies to evaluate the effectiveness of this model of care. Fifty-three hospitals from 31 states participated in the investigation, with 53 nurses managers, 620 staff nurses, and 305 nursing assistants responding to questionnaires. Overall results indicated that models of care using unlicensed assistive personnel are not working. Primary impediments were identified as lack of role clarity, ineffective educational preparation of nursing assistants, ineffective educational preparation of staff nurses, lack of an adequate infrastructure to support the model, and lack of evaluation systems.
Subject(s)
Models, Nursing , Nursing Assistants/organization & administration , Orthopedic Nursing/organization & administration , Humans , Job Description , Nursing Assistants/education , Nursing Evaluation Research , Orthopedic Nursing/education , WorkloadABSTRACT
This article describes the results of a NAON-funded descriptive design research project developed to gather data on how clinical nursing assistants are being used in the practice setting by examining the role responsibilities, extent of delegation, training effectiveness, and evaluation measures designed by agencies to evaluate the effectiveness of this model of care. Fifty-three hospitals from 31 states participated in the investigation, with 53 nurses managers, 620 staff nurses, and 305 nursing assistants responding to questionnaires. The most common role description of clinical nursing assistants was in providing supportive care; however, there was a clear trend toward using clinical assistants to provide care requiring higher levels of observation and technical skill. Deficiencies in the infrastructure to support this model were identified as limited education and training of both assistants and staff nurses, inadequate mechanisms to deal with role confusion and delegation deficits, lack of evaluation systems, and lack of ongoing procedures to assure competency.
Subject(s)
Job Description , Models, Nursing , Nursing Assistants , Humans , Nursing Assistants/education , Nursing Assistants/supply & distribution , Nursing Evaluation Research , Nursing, Supervisory , Orthopedic Nursing/education , Orthopedic Nursing/methods , Surveys and Questionnaires , WorkforceABSTRACT
Research has been an integral component of the mission of the National Association of Orthopaedic Nurses. Operationalization of this component of the mission has included a national research committee, funding of research grants, offering of educational sessions that highlight research methodology as well as research findings, and the formalization of a research editor position within Orthopaedic Nursing. The National Center for Nursing Research has recognized that the individual specialty nursing organizations have a role to play in determining priorities for that specialty. Consequently, NAON has been queried as to its research emphasis. This article presents the study conducted by NAON's Research Committee to determine research priorities within orthopaedic nursing.
Subject(s)
Health Priorities , Nursing Research , Orthopedic Nursing , Delphi Technique , Humans , Research Support as TopicABSTRACT
The NAON Standards Task Force has revised Orthopaedic Nursing: Process and Outcome Criteria for Selected Nursing Diagnoses published jointly by the American Nurses' Association (ANA) and NAON in 1986. The new document is entitled Orthopaedic Nursing Practice Guidelines. It contains guidelines for the care of orthopaedic patients with 11 selected nursing diagnoses and is an important decision-making tool for orthopaedic nurses. This article contains excerpts from the new guidelines with suggestions for its use.
Subject(s)
Orthopedic Nursing/standards , Humans , Nursing Diagnosis/standards , Organizational Policy , Societies, NursingSubject(s)
Nursing Assistants/supply & distribution , Nursing Staff, Hospital/supply & distribution , Humans , Job Description , Nursing Assistants/statistics & numerical data , Nursing Staff, Hospital/statistics & numerical data , Orthopedic Nursing , Orthopedics , Societies, Nursing , United States , WorkforceABSTRACT
Nontechnologic interventions of relaxation, distraction, therapeutic touch, and spirituality can relieve chronic low back pain. Awareness of nontechnologic strategies by nurses is needed to facilitate patient-centered intervention.
Subject(s)
Back Pain/nursing , Chronic Disease , Complementary Therapies , Education, Nursing, Continuing , Humans , Methods , Orthopedic Nursing , United StatesABSTRACT
In its deliberations on the shortage of nurses, the Executive Board of NAON charged the Orthopaedic Nursing journal with bringing information to our readers concerning innovations in nursing care which have resulted partly in response to the current nursing crisis. This article presents an innovative care model implemented on an orthopaedic unit at Robert Wood Johnson University Hospital in New Brunswick, New Jersey. It describes not only the developed system but also the process that was used in implementing the design.