A Home for Nurse Leaders: The Evolution to the American Organization for Nursing Leadership No abstract available

The Value of Magnet® Recognition for Specialty Hospitals Now in its 29th year, the American Nurses Credentialing Center's Magnet Recognition Program® stands as the premier international acknowledgment of nursing excellence in healthcare organizations around the world. The program's applicability in general hospitals, community hospitals, and academic medical centers is established, but what about specialty hospitals? In this month's Magnet Perspectives, nursing leaders from 3 specialty sectors, rehabilitation hospitals, cancer hospitals, and children's hospitals, discuss the ways in which the Magnet framework enriches the practice environment and promotes outstanding nurse and patient outcomes. Insights are shared about how the Magnet® journey provides the foundation to address current challenges in healthcare, including nurse staffing shortages, burnout, unit effectiveness, safety and quality imperatives, patient experience, and more.

Another Look at Differentiating Nursing Practice Designing and improving efficient, effective staffing models remain a top priority for chief nurse executives (CNEs). However, market forces are pushing the need for staffing model innovation. Both innovative and widely debated in professional and academic circles, differentiated nursing practice has yet to be widely adopted. CNEs are challenged to revisit new realities and confront organizational, professional, and culture barriers that are impeding this staffing model innovation.

A Model of Academic and Service Partnership Focused on the Clinical Nurse Specialist Advancing healthcare transformation includes recommendations for transforming healthcare through enhanced partnerships between academia and health centers. This article describes an innovative approach to building a partnership through the joint appointment of a full-time faculty member in a contracted clinical nurse specialist position in a community hospital. Readers will learn how a successful partnership was achieved and met the needs of the university, hospital, and clinical nurse specialist.

An Integrative Literature Review of Psychiatric Rapid Response Teams and Their Implementation for De-escalating Behavioral Crises in Nonpsychiatric Hospital Settings OBJECTIVE To synthesize articles exploring the implementation of psychiatric rapid response teams (RRTs) for behavioral crises in hospital settings. BACKGROUND Psychiatric/behavioral crises in nonpsychiatric hospital settings can lead to restraint use, staff injuries, and poor patient outcomes. Psychiatric RRTs may provide a solution, but they are a new, understudied intervention, and their implementation varies across institutions. METHODS A systematic, integrative literature review of nursing and biomedical literature yielded 7 articles about psychiatric RRTs. Data were extracted on RRT structure, processes, outcomes, and implementation. RESULTS Psychiatric RRTs were structured as a nurse-led, interdisciplinary intervention. When implemented using evidence-based models, they reduced security calls, restraint use, and staff injuries while moderately improving staff knowledge and self-efficacy. RRTs that included education, debriefing, and role modeling appeared to increase staff behavioral management skills and eventually reduced the need for RRTs. CONCLUSIONS Psychiatric RRTs have demonstrated promise in quality improvement projects for reducing adverse outcomes related to behavioral health in hospitals.

Leveraging Technology to Sustain Extraordinary Care: A Qualitative Analysis of Meaningful Nurse Recognition OBJECTIVE Meaningful recognition of nurses submitted by patients and families using interactive patient care (IPC) technology was analyzed using artificial intelligence (AI) to identify the themes and behaviors associated with extraordinary nursing. BACKGROUND Meaningful recognition positively impacts nursing and organizational outcomes. The use of AI techniques such as natural language processing and machine learning to identify and describe behaviors impacting patient experiences is an emerging science. METHODS Nurse recognition comments were collected from a convenience sample of 3 organizations via an IPC inpatient platform and analyzed using the AI techniques of natural language processing, machine learning, sentiment analytics, and corollary dictionaries based on rules of linguistics. RESULTS The top theme of nursing recognition comments was courtesy and respect with the behaviors of empathy/compassion, helpfulness, kindness, attentiveness, and emotional comfort. The theme of skills/knowledge was the 2nd most common, with the behaviors of being professional, knowledgeable, keeping track, competence, dedication, and being thorough. CONCLUSIONS AI techniques for qualitative analysis of comments collected through IPC reveal nurse themes and behaviors most meaningful to patients and their family members. Nurses can advance the science of AI and guide its evolution so that nurse caring behaviors associated with establishing human connections that positively influence patient and family experience are accurately represented.

Evaluating the Use of High-Reliability Principles to Increase Error Event Reporting: A Retrospective Review OBJECTIVE Assess the relationship between educating caregivers about high-reliability principles and reporting of potential adverse safety events. BACKGROUND Persuading caregivers to report potential safety events is challenging. Learning high-reliability principles may help caregivers identify and report potential safety problems. METHODS Event reports submitted by caregivers 6 months before and after high-reliability training were examined for event types, event significance, and shift when events occurred. χ2 Tests assessed relationships between variables. RESULTS The number and type of caregiver event reports before and after training were not significantly different; however, clinical process error reports significantly decreased (χ2 = 9.251, P = .003). There was a significant difference in reports submitted by day and night shifts (χ2 = 5.942, P = .02). CONCLUSIONS Trends suggest staff report actual, rather than potential, events regardless of training. Further research is needed to determine what motivates caregivers to report safety concerns.

System- and Unit-Level Care Quality Outcome Improvements After Integrating Clinical Nurse Leaders Into Frontline Care Delivery OBJECTIVE This study determined whether 1 health system's frontline nursing model redesign to integrate clinical nurse leaders (CNLs) improved care quality and outcome score consistency. METHODS Interrupted time-series design was used to measure patient satisfaction with 7 metrics before and after formally integrating CNLs into a Michigan healthcare system. Analysis generated estimates of quality outcome: a) change point; b) level change; and c) variance, pre-post implementation. RESULTS The lowest-performing unit showed significant increases in quality scores, but there were no significant increases at the hospital level. Quality metric consistency increased significantly for every indicator at the hospital and unit level. CONCLUSIONS To our knowledge, this is the 1st study quantifying quality outcome consistency before and after nursing care delivery redesign with CNLs. The significant improvement suggests the CNL care model is associated with production of stable clinical microsystem practices that help to reduce clinical variability, thus improving care quality.

Informatics Competencies for Nurse Leaders: A Scoping Review OBJECTIVE To consolidate informatics competencies for nurse leaders. BACKGROUND Nurses in leadership positions with financial and human resource responsibilities have the capacity to shape how technologies are selected, implemented, and used. Many nurse leaders are not equipped with the essential informatics competencies to do so effectively. There have been efforts to identify a set of standard informatics competencies that should be core to every nurse leader's suite of capabilities; nonetheless, these efforts have yet to be disseminated widely. METHODS A scoping review was conducted by: 1) identifying the research questions; 2) identifying relevant studies; 3) selecting studies; 4) extracting collected data; and 5) reporting the results. RESULTS Fifteen articles were found, and 11 competency themes related to informatics knowledge, informatics skills, and others were identified. CONCLUSION Findings of this review can be used to support nursing leaders in their identification of gaps in their informatics knowledge and skill.

Nurse Manager Succession Planning: Evaluating a Pilot Program's Effect on Self-perception of Readiness OBJECTIVE Perceived readiness to transition to nurse manager roles and demonstrated leadership behaviors were evaluated among participants in a nurse manager succession planning pilot cohort. BACKGROUND Equipping nurses within an organization with the leadership competencies to transition to the next role is essential as we face an impending nurse and nurse leader shortage. METHODS Quasi-experimental and correlational design methods were used to measure changes in readiness of nurses to enter nurse manager roles over a 90-day pilot. RESULTS Participants' perceived readiness to transition to nurse manager roles and demonstrated leadership behaviors increased between days 1 and 90 of the program. Statistically significant increases were attributed to their participation in the nurse manager succession planning pilot cohort. CONCLUSIONS This study contributes to the literature regarding nurse manager succession planning. Further research should be conducted so that succession planning for nurse managers becomes not only achievable but also expected.