Spartan Daily March 6, 2012

Volume 138, Issue 21https://scholarworks.sjsu.edu/spartandaily/1020/thumbnail.jp

The lived experience of novice senior nurse leaders during organizational role transitions

The qualitative interpretive phenomenological study investigates the lived experiences of novice senior nurse leaders, who have transitioned to new organizational roles within a single healthcare organization in the Southeast United States. Senior nurse leaders have complex responsibilities but may not have training adequate to lead masterfully at new organizational levels. This phenomenon is poorly understood. Senior nurse leaders who do not develop the appropriate interpersonal skills and systems thinking may experience a sense of role insufficiency. Yet, strong leadership among senior nurses is vital to the successful performance of healthcare organizations, given the current landscape of change and the rapidity with which change occurs. Given the above, one central research question is posed in this study: What are the lived experiences of novice senior nurse leaders who have transitioned into new roles as they professionally develop at a new organizational level? Based on a relativist ontology and a constructivist worldview, this study posits that novice senior nurse leaders create individual constructions of their lived experiences. Heidegger’s phenomenology, as a research tradition, offers a way to interpret the meaning of novice senior nurse leader’s role transition as it is experienced, grounded in the tenets of transitions theory (TT). Novice senior nurse leaders were purposively selected based on their familiarity with the two hospitals of one healthcare organization. Semi-structured interviews were conducted until data saturation was reached, and data was transcribed verbatim and analyzed with methods of hermeneutic analytics that encompassed intensive discourse, shared inquiry, and thematic analysis

A Compelling Case for Evidence-Based Practice Mentor Development Programs: An Integrative Review

Background: In 2008, The Institute of Medicine (IOM) set a goal that by 2020, 90% of healthcare decisions would originate from the best evidence available. This goal remains intangible for many organizations. Despite reporting quality and safety as a top organizational priority, a survey of 276 Chief Nurse Executives (CNEs) found that only roughly 50% of the CNEs said that EBP was practiced in their hospitals only “somewhat” or “not at all” (Melnyk, Gallagher‐Ford, Thomas, Troseth, Wyngarden, Kzalacha, 2016). Many organizations struggle to systematically integrate EBP into practice (Melnyk et al., 2018; Warren et al., 2016a). The Advancing Research and Clinical Practice Through Close Collaboration (ARCC) Model presents a framework to promote the systematic integration of EBP using EBP mentors (Melnyk, 2017). Aim: To evaluate the research findings related to EBP mentor development programs, to identify effective practices, and to assess the outcomes associated with EBP mentor programs. Methods: A comprehensive review of the literature was conducted to retrieve studies from CINHAL, PubMed, and Scopus, using keywords and subject headers related to EBP mentorship and quality and safety outcomes. Studies were appraised and reviewed to compare mentor program composition and examine clinician, organizational, and patient outcomes. Findings: Fifteen studies met inclusion criteria: one randomized control trial (RCT), one literature review, eleven descriptive studies, and two case reviews. Most programs included didactic content, an EBP project with coaching, and resources to support learning. The studies found that these programs led to improvements in clinicians’ EBP beliefs, practices, and abilities, and the organization’s readiness for EBP, and improving patient safety. Implications to Practice: There is solid justification for healthcare organizations to invest in an EBP mentor development progra

Bringing Anglo-governmentality into public management scholarship : the case of evidence-based medicine in UK health care

The field of public administration and management exhibits a limited number of favored themes and theories, including influential New Public Management and Network Governance accounts of contemporary government. Can additional social science–based perspectives enrich its theoretical base, in particular, analyzing a long-term shift to indirect governance evident in the field? We suggest that a variant of Foucauldian analysis is helpful, namely “Anglo-governmentality.” Having reviewed the literatures, we apply this Anglo-governmentality perspective to two case studies of “post hierarchical” UK health care settings: first, the National Institute for Health and Clinical Excellence (NICE), responsible for producing evidence-based guidelines nationally, and the second, a local network tasked with enacting such guidelines into practice. Compared with the Network Governance narrative, the Anglo-governmentality perspective distinctively highlights (a) a power–knowledge nexus giving strong technical advice; (b) pervasive grey sciences, which produce such evidence-based guidelines; (c) the “subjectification” of local governing agents, herein analyzed using Foucauldian concepts of the “technology of the self” and “pastoral power”; and (d) the continuing indirect steering role of the advanced neoliberal health care State. We add to Anglo-governmentality literature by highlighting hybrid “grey sciences,” which include clinical elements and energetic self-directed clinical–managerial hybrids as local governing agents. These findings suggest that the State and segments of the medical profession form a loose ensemble and that professionals retain scope for colonizing these new arenas. We finally suggest that Anglo-governmentality theory warrants further exploration within knowledge-based public organizations

Achieving Healthequity: A Role For Nurse Leaders On Nonprofit Boards

Diverse board leadership plays a key role in effective local and community nonprofit organizations. Nurses with core governance competencies are uniquely positioned to serve on boards of the nonprofit organizations in the communities that they already live and work in, especially but not exclusively when those organizations focus on improving health care outcomes and advancing health promotion. While the nurse of the future (IOM, 2010) is called on to lead, nurses often do not perceive themselves as being successful in governance roles (Sundean et al., 2019). This paper describes a pilot project with the Connecticut Nurses Association (SpringBoard to Board Service) that supplemented an asynchronous online governance competencies curriculum (Best on Board) with in-person experiential learning vignettes; the pilot included an intensive, customize board match process which relied on extensive knowledge of and partnership with local and regional philanthropies and their nonprofit organization collaborators. Participant experience and readiness for board service during and after pilot was measured using the Sundean Healthcare Index for Preparedness in Board Competency (SHIP-BC); relationships among nurse leaders and community organizations facilitated successful board match. Keywords: Nurses on boards, governance, nursing education, board matc

Human computer interaction for international development: past present and future

Recent years have seen a burgeoning interest in research into the use of information and communication technologies (ICTs) in the context of developing regions, particularly into how such ICTs might be appropriately designed to meet the unique user and infrastructural requirements that we encounter in these cross-cultural environments. This emerging field, known to some as HCI4D, is the product of a diverse set of origins. As such, it can often be difficult to navigate prior work, and/or to piece together a broad picture of what the field looks like as a whole. In this paper, we aim to contextualize HCI4D—to give it some historical background, to review its existing literature spanning a number of research traditions, to discuss some of its key issues arising from the work done so far, and to suggest some major research objectives for the future