Voices of chief nursing executives informing a doctor of nursing practice program

The purpose of this article is to describe the business case framework used to guide doctor of nursing practice (DNP) program enhancements and to discuss methods used to gain chief nurse executives' (CNEs) perspectives for desired curricular and experiential content for doctor of nursing practice nurses in health care system executive roles. Principal results of CNE interview responses were closely aligned to the knowledge, skills and/or attitudes identified by the national leadership organizations. Major conclusions of this article are that curriculum change should include increased emphasis on leadership, implementation science, and translation of evidence into practice methods. Business, information and technology management, policy, and health care law content would also need to be re-balanced to facilitate DNP graduates' health care system level practice

A Business Case Framework for Planning Clinical Nurse Specialist-led Interventions

Purpose: The purpose of this article is to describe a business case framework that can guide clinical nurse specialists (CNS) in clinical intervention development. Background: Increased emphasis on cost-effective interventions in healthcare requires skills in analyzing the need to make the business case, especially for resource-intensive interventions. This framework assists the CNS to anticipate resource use and then consider if the intervention makes good business sense. Business Case Framework: We describe a business case framework that can assist the CNS to fully explore the problem and determine if developing an intervention is a good investment. We describe several analyses that facilitate making the business case to include the following: problem identification and alignment with strategic priorities, needs assessment, stakeholder analysis, market analysis, intervention implementation planning, financial analysis, and outcome evaluation. The findings from these analyses can be used to develop a formal proposal to present to hospital leaders in a position to make decisions. By aligning intervention planning with organizational priorities and engaging patients in the process, interventions will be more likely to be implemented in practice and produce robust outcomes. Conclusion: The business case framework can be used to justify to organization decision makers the need to invest resources in new interventions that will make a difference for quality outcomes as well as the financial bottom line. This framework can be used to plan interventions that align with organizational strategic priorities, plan for associated costs and benefits, and outcome evaluation. Implications for CNS Practice: Clinical nurse specialists are well positioned to lead clinical intervention projects that will improve the quality of patient care and be cost-effective. To do so requires skill development in making the business case

Professional Development of Nurse Leaders

The purpose of this presentation is to describe curriculum innovation using a strengths-based perspective to develop graduate nurse leader talents and emotional intelligence. Health care reform and the resultant complexity require Registered Nurse (RN) leaders to demonstrate transformational skills (Institute of Medicine [IOM], 2011; Trossman, 2010). Challenges in the health care environment include current and future technologic requirements, escalated pay for performance prerequisites, and retention and recruitment of the nursing workforce (Doody & Doody, 2012). Operating in principal leadership roles, leadership students need professional leadership skills and flexibility in order to facilitate nursing care delivery change in morphing health care organizations. Competencies and expectations that leadership students need to meet future health care challenges include being able to identify personal talents, developing emotional intelligence (EI), and expanding transformational leadership skills. Identifying personal talents and EI is foundational to developing transformational leaders (O’Neill, 2013). Supported in the literature, EI and transformational leadership are essential to enhancing organizational productivity (Weberg, 2010). Preparing graduate leadership students (hereafter referred to as leadership students) to guide nursing transformation is critical to the future of health care and to the 3.6 million nurses in the United States delivering care (ANA, 2016). To provide a foundation for nursing leadership transformational skill development, the Nurse Manager Leadership Partnership’s Learning Domain Framework’s (NMLP) was adopted. The three spheres of the NMLP are: the science: managing the business; the art: leading the people; and the internal leader: creating the internal leader (Lee, Peck, Rutherford, & Shannon, 2008). Specifically related to the nursing leadership course content were: relationship management, influencing behaviors (the internal leader), personal and professional accountability, career planning, and personal journey disciplines (the art sphere) (Lee, Peck, Rutherford, & Shannon, 2008). Faculty developed learning activities allowed students to customize and integrate their abilities into nurse leaders’ personal work roles. Since StrengthsFinder and EI assessments provide participants with their baseline strengths and EI, the results of both assessments provide additional information and opportunities for leadership students’ developmental changes (Rath, 2007; Bradberry & Greaves, 2009). Threading self-assessment content into leadership assignments can assist leadership students’ integration of learning into their clinical leadership practice. All leadership students described learning in relation to their strengths and EI and the importance of these talents to the nursing leadership role

The Future of Nursing: Implications for Transforming the Nursing Workforce

Session presented on Thursday, September 20, 2012: The session will emphasize aspects of the IOM recommendations regarding transformation in nursing practice to lead change and advance healthcare. The presenter will focus on strategies and techniques that are currently being utilized to transform nursing practice

Sporting embodiment: sports studies and the (continuing) promise of phenomenology

Whilst in recent years sports studies have addressed the calls ‘to bring the body back in’ to theorisations of sport and physical activity, the ‘promise of phenomenology’ remains largely under-realised with regard to sporting embodiment. Relatively few accounts are grounded in the ‘flesh’ of the lived sporting body, and phenomenology offers a powerful framework for such analysis. A wide-ranging, multi-stranded, and interpretatively contested perspective, phenomenology in general has been taken up and utilised in very different ways within different disciplinary fields. The purpose of this article is to consider some selected phenomenological threads, key qualities of the phenomenological method, and the potential for existentialist phenomenology in particular to contribute fresh perspectives to the sociological study of embodiment in sport and exercise. It offers one way to convey the ‘essences’, corporeal immediacy and textured sensuosity of the lived sporting body. The use of Interpretative Phenomenological Analysis (IPA) is also critically addressed. Key words: phenomenology; existentialist phenomenology; interpretative phenomenological analysis (IPA); sporting embodiment; the lived-body; Merleau-Pont

Special session: Transforming nursing education through leadership development of novice faculty: The Nurse Faculty Leadership Academy

Session presented on Wednesday, September 24, 2014: The Nurse Faculty Leadership Academy (NFLA) is an intense international leadership development experience designed to facilitate personal leadership development, promote nurse faculty retention and satisfaction, foster academic career success, and cultivate high performing, supportive work environments in academe. Scholars in the NFLA are selected through a competitive process and work throughout the twenty two month experience within a triad that includes a leadership mentor and faculty advisor. The academy curriculum is built upon the foundation of three domains: individual leadership development, advancing nursing education through leadership of team projects, and the Scholars expanded scope of influence within their sponsoring academic institutions, the community, and the profession

Bullying in nursing: Implementing solutions for practice

As the issue of incivility, lateral and horizontal violence, and bullying continue in nursing, strategies are needed to address and eliminate hostile work environments. Educational activities not only raise awareness of these issues, but often provide skills, training, and knowledge of how to reduce the frequency and impact of incivility

Feminist phenomenology and the woman in the running body

Modern phenomenology, with its roots in Husserlian philosophy, has been taken up and utilised in a myriad of ways within different disciplines, but until recently has remained relatively under-used within sports studies. A corpus of sociological-phenomenological work is now beginning to develop in this domain, alongside a longer standing literature in feminist phenomenology. These specific social-phenomenological forms explore the situatedness of lived-body experience within a particular social structure. After providing a brief overview of key strands of phenomenology, this article considers some of the ways in which sociological, and particularly feminist phenomenology, might be used to analyse female sporting embodiment. For illustrative purposes, data from an autophenomenographic project on female distance running are also included, in order briefly to demonstrate the application of phenomenology within sociology, as both theoretical framework and methodological approach

SPEAKING ABSENCE: CONSIDERING THE VOICE IN AUSCHWITZ

Despite the proliferation of Holocaust literature and survivor testimonials, philosophy has largely ignored the problems that Auschwitz raises for the possibility of philosophic understanding in a post-Holocaust world. As such it has been suggested that Auschwitz marks not only the limits of reason but also of human understanding. However, even as post-Holocaust thinkers recognize this limit, they gloss over it, employing philosophical tools in their attempts at reconciling the concentrationary universe with the world of reason. In this paper I examine their attempts and then, using their writings, I suggest that any attempt at a philosophical understanding of Auschwitz will have to proceed negatively. That is, post-Holocaust philosophy must attend to the absences of meaning that are themselves the only meaning disclosed by survivor accounts, and the trope of the mute voice in Holocaust literature provides one such means of doing so

Leading faculty to develop rapid curricular enhancements using the LEAN process

Session presented on Saturday, September 27, 2014: The knowledge, skills and attitudes demanded of todays nurses are rapidly evolving, due in large part to the sweeping changes in our healthcare system brought on by the passage of the 2010 Patient Protection and Affordable Care Act. Preparing graduates for practice in these complex environments challenges faculty at all levels of nursing education, but particularly at the DNP system leadership level as schools simultaneously face faculty shortages nationwide. The resulting increased pressure on faculty workloads has the potential to compromise the curricular enhancements needed to stay on pace with the skill sets required in todays clinical settings. The LEAN process, originating from the engineering industry, represents an approach focused upon enhancing customer value, while simultaneously speeding needed improvements. Using LEAN is one way to more rapidly gain faculty input and consensus around needed curricular redesign. In this session, faculty members describe how they used the LEAN process to efficiently and effectively enhance their DNP curriculum. Faculty satisfaction, benefits as well as lessons learned will be explained