RSSAuthor Archive for Kenneth Michek

Kenneth Michek is the Associate Editor for nurse management at HCPro.

FREE Webinar: Fostering Nurse Engagement

Join Adirondack Health’s Chief Nursing Officer, Linda McClarigan, MSHA, BSN, RN, NE-BC, as she explains how the shared governance model has greatly benefited their work environment, in addition to lessons learned, best practices, and innovative projects that can help foster nurse engagement.nurse image

Participants of this webcast will discover:

  • Best practices for assessing your current work environment
  • Methods to encourage C-suite participation in nursing engagement programs

Innovative projects focused on sustaining productivity and a positive work environment.

Save your seat now!

Florence Nightingale, the original Nurse Leader

Nurses’ Week celebrates nurse contributions around the world, but it is also in celebration of Florence Nightingale’s birthday. Below is an excerpt from Nursing Professional Development: A Practical Guide for Evidence-Based Education about Nightingale’s influence on the nursing profession.

Florence Nightingale was an innovator truly far ahead of her time. Born in 1820 to a wealthy British family, she was raised in a privileged atmosphere and received a more thorough education than was typically given to girls of that era. However, Nightingale’s determination to pursue nursing as a career was, in the eyes of her family, an appalling idea (Carroll, 1992).

In the mid-19th century, women who called themselves nurses were usually uneducated and, for the most part, looking for an easy way to earn some money that often included stealing from those who were their patients. Nightingale obtained what minimal education was available at that time and, in 1853, assumed her first role as a nurse in London as the superintendent of the Institution for the Care of Sick Gentlewomen. Within a year of assuming this position, she was approached by the British Secretary of War to take command of a group of women who were going to Scutari in Turkey to care for sick and wounded soldiers serving in the Crimean War (Carroll, 1992).

As a result of her interventions, the morbidity and mortality rate of the soldiers in her care improved. She was a brilliant statistician who gathered and analyzed data to conduct what is arguably the first significant nursing research. Nightingale used her findings to teach the nurses under her supervision how to provide better care for patients and how to measure success based on patient outcomes. After returning home to England after the war, Nightingale used what she had learned through her research to establish hospital-based training schools for nurses. These schools had both education and moral standards that helped to enhance the reputation of nursing as well as those women who fulfilled the role of nurse…

Throughout her life, Nightingale continued to observe, gather data, and analyze findings to improve the education and training of nurses. Her innovations were implemented throughout the British Empire and, in conjunction with the work of nurse leaders in America, in the United States. Basic standards of rest, cleanliness, nutrition, and environmental comfort implemented first in wartime and then in civilian healthcare settings, remain the foundation of healthcare to this day.

Happy Nurses Week!

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American Nurses Association express dissapointment with American Health Care Act

Yesterday, the House of Representatives narrowly passed the American Health Care Act, which is aimed to undo much of the bulk of the legislation of the Affordable Care Act. The American Nurses Association expressed disappointment with its passage. releasing the following statement:

The American Nurses Association (ANA) strongly opposed the American Health Care Act (AHCA) and is deeply disappointed with the passage of this legislation by the United States House of Representatives. 

ANA, which represents the interests of more than 3.6 million registered nurses, has expressed serious concerns throughout negotiations about the critical impact the AHCA would have on the 24 million people who stand to lose insurance coverage if the bill becomes law.

“Over the past several weeks, nurses from across the country expressed their strong disapproval of this bill which would negatively impact the health of the nation,” said ANA President Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN. “Today, Congress not only ignored the voice of the nation’s most honest and ethical profession and largest group of health care professionals, it also ignored the almost 15 million people in the United States with pre-existing conditions who will now have no protection from insurer discrimination.”

As it is currently written, the AHCA would cut Medicaid funding by $880 billion over 10 years, dramatically increase premiums on seniors, restrict millions of women from access to health care, weaken the sustainability of Medicare, and repeal income-based subsidies that have made it possible for millions of families to buy health insurance. In addition, states would have the option to waive essential health benefit protections that prevent insurance companies from charging individuals with pre-existing conditions significantly more for coverage. Even worse, insurers could decline coverage for substance abuse treatment, maternity care, and preventive services. Late efforts to stabilize the bill’s risk pools for more than 15 million people with pre-existing conditions were wholly inadequate and will leave the nation’s sickest vulnerable.

As this legislation moves to the United States Senate, ANA urges the Senate to allow for opportunities for thoughtful, public feedback in the face of reforms that would have such a far-reaching and personal impact across the nation.

ANA asks the Senate to oppose AHCA in its current form, and stands ready to work with Senators to protect and improve health care access, quality and affordability for all.

Nurse takes on the role of Surgeon General

Rear Adm. Sylvia Trent-Adams, a registered nurse, becomes one of the first nurses to serve as Attorney General.

Surgeon General Vivek H. Murthy was replaced on Friday by his deputy, Rear Adm. Sylvia Trent-Adams. Serving on an interim basis, Admiral Trent-Adams becomes the second nurse to have served in this position, and the first non-physician to take the job.

Admiral Trent-Adams worked as a nurse officer in the Army, and served as a research nurse at the University of Maryland, where she received her PhD. In 1992, she joined the Commissioned Corps of the Public Health Service, where she served in the HIV/AIDS bureau of the Health Resources and Services Administration before joining the surgeon general’s office.

Surgeons general have limited staff and direct influence, but they often use their position to call attention to important public health priorities. Dr. Murthy, Adm. Trent-Adams predecessor, used his platform to speak out against gun violence, labeling it as a threat to public health. It is unclear why Murthy was relieved of duty; the Department of Health and Human Services said that the Trump administration asked him to step down after “assisting in a smooth transition,” but Dr. Murthy’s wife, Alice Chen, said that her husband was fired after he refused to resign.

Massachusetts’ Nurses supports bill to protect healthcare workers

Workplace violence continues to be an issue in hospitals across the country; the Massachusetts Nurses Association (MNA) recently found that 86% of Massachusetts nurses have experienced some form of violence while at work, in the last two years. Because of this, the MNA is supporting a state bill aimed at reducing workplace violence. H.1007, the Workplace Violence Prevention Bill, would require that healthcare employers perform annual safety risk assessment and develop programs to minimize the danger of workplace violence. It would also allow employees assaulted on the job to take seven paid days off per year to address legal issues.

The representative filing the bill is Denise Garlick, a former nurse that was attacked by a patient in the 1980s. She led a contingent of lawmakers who testified in support of the bill last week. “We want to say that violence in not acceptable in any workplace, but the truth is it’s prevalent in the healthcare environment for a variety of reasons. The healthcare environment is so complicated now,” Garlick said. “There are thousands and thousands of healthcare workers in the commonwealth of Massachusetts who enter workplaces where they are not safe.”

Massachusetts isn’t the only state considering such a bill; California has a similar bill in the pipeline, and Delaware passed a bill last summer that made assaulting a nurse a Class D felony.

Hearings started last week, we will keep you up to date as the process unfolds.

 

AAPA Preceptor Conference

AAPA city

2017 Preceptor Conference

April 27-28, 2017 | Miami, Florida

Pre-conference: April 26, 2017

The 2017 Preceptor Conference features two days of education and training taught by the industry’s leading preceptor experts. During the event, attendees will learn actionable strategies for building preceptor programs in their healthcare facility and learning how to advance preceptor specialty practice among their experienced preceptors. Arrive a day early and participate in a preceptor training program designed specifically for faculty and clinical instructors.

The 2017 Preceptor Conference is designed for preceptors, nurses, nurse leaders, advanced practice providers, educators, professional and staff development specialists, and students. Network with leaders and preceptors to explore meaningful recognition and specialty certification through nationally accepted standards of practice and performance inherent in preceptor specialty practice. Learn how to positively meet the many complexities and challenges preceptors encounter within academia, clinical settings, and the workplace.

Topics:

  • Advancement of Preceptor Specialists
  • Scope and standards of preceptor specialty practice
  • Preceptor Specialist portfolio building
  • Review preceptor-based scenarios and discussions with simulation educators in the Preceptor Simulation Lab

Who should attend?

  • Nurses
  • Preceptors
  • Certified Preceptor Specialists
  • Advanced Practice Providers
  • Nurse Leaders
  • Educators
  • Professional and Staff Development Specialists
  • Nursing and Healthcare Students

For more information, visit www.preceptoracademy.com.

HCPro Spring Sale!

We’re celebrating spring with a #spring sale! Add to your nursing library and save 35% off your book purchase through the end of March.

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Consider how personal bias affects peer review

Human nature contributes to bias by allowing us to use psychological “shortcuts” to reduce complexity and ambiguity in the world. We all wish that life were simpler, and our brains try to accommodate this wish by finding shortcuts to decisions by relying on past patterns of thinking. This enables us to provide a rational response within the context of a simpler and less-threatening world. The two main types of bias related to human nature are personal bias and group bias.

Personal bias has two aspects: emotion and thought. These biases come from our view of the world that is created by the sum of our individual experiences: where we grew up, our parents’ values, how our friends act, and how we were trained. Although we might make conscious efforts to overcome personal bias, we all retain some degree of it as part of our individuality.

Personal bias is more likely to affect peer review when individuals are not accountable for their decisions. This is not because these are bad people—they are simply good people in a flawed system. The case studies in this book provide several examples of peer review structures and procedures that, prior to redesign, increased the likelihood of personal bias, such as having a department chair conduct the entire case review process from case screening to decision. To reduce personal bias in peer review, consider requiring reviewers to provide a written rationale for their findings (even on care-appropriate cases), having a committee make the final decision on all cases, and implementing clear conflict of interest practices.

Group bias occurs when a group of individuals has a shared set of beliefs or experiences that result in a relatively predictable way of thinking or responding. This concept of “groupthink” results in the group tending to accept information that meets its common paradigm and reject, or at least not consider, information that doesn’t fit within it.

Lack of diversity in a group can create this bias. Therefore, to avoid group bias, structure the group to ensure that other views are included. There are two types of group bias that tend to affect peer review: professional bias (e.g., physicians think differently than nurses) and specialty bias (e.g., surgeons think differently than internists). One of the main reasons that medical staffs implement some form of multi-specialty peer review committees is that such committees reduce the likelihood of groupthink by bringing all perspectives to the table.

Source: Peer Review Benchmarking

Blogging can be an innovative tool for nursing educational sharing

With the time-crunch worse than ever, it can be difficult to find the time to keep up with the latest in your facility, let alone the wider world of nursing. Early research conducted by Critical Care Nurse (CCN) suggests that blogs can be an effective means of communicating the latest hospital policies and best practices.

The cardiac intensive care unit at Brigham and Women’s hospital found that while many of their nurses attended professional educational opportunities, the staff had difficulty sharing information with the entire nurse staff. The staff simply did not have the time for peer-to-peer sharing of educational information. To facilitate educational sharing, the nursing practice council at the facility set up a simple private blog where staff could share what they’ve learned from various educational opportunities, such as professional conferences and panels.

After fifteen months, the hospital conducted a survey to measure the effectiveness of this approach. They found that 86% of their nurses thought the blog was an effective way to share professional education, 81% felt the blog kept them up-to-date on evidence-based practices, and 59% thought the blog led to changes in their practices. While the results are anecdotal and early, the authors of the study suggest that more rigorous research is required.

Does your facility use blogging tools or social media for education and professional development?