April 2017 - Volume 47 - Issue 4

  • Karen S. Hill, DNP, RN, NEA-BC, FACHE, FAAN
  • 0002-0443
  • 1539-0721
  • 11 issues / year
  • 1.140
Dear Nurse Leaders,

As I read the March 2017 edition of JONA, the importance of presence, work environment and culture are represented in many of the articles. The challenges we deal with as nurse leaders require new solutions and a deeper look at the contributing factors. An example of this is the article "Hardwiring Bedside Shift Report". The evidence is clear that the handoff of care between providers is optimal when patients and clinical nurses are sharing information and jointly assessing present condition. Dr. Sandra Scheidenhelm and Dr. Orin Reitz present a study exploring the effect of a project to hardwire bedside report using a change management strategy. Consistently integrating evidence-based practices into clinical care at the bedside continues to be a challenge and one we must address and move beyond in the future.

Another long-term discussion is the evolving role and effectiveness of the clinical nurse specialist. I have been a proponent of clinical nurse specialist practice during my career and in fact, focused in this area in my Masters program many years ago. In the March edition, authors present the restructuring of an approach to evidence adoption and practice at a comprehensive cancer center where clinical nurse specialists are integrated into the evidence-based practice/performance improvement framework. The outcome resulted in minimizing barriers to adoption of evidence-based practices, enhancement of initiatives and sustainment of new practices.

Helping nurse managers deal with role stress is an ongoing concern. Although not a new issue, the evolving expectations of "managing in the middle" require us to continue to explore effective interventions and models for support. A qualitative inquiry was conducted to see to increase one organization's understanding of the nurse managers perceptions of their role stressors, coping strategies and self-health related outcomes as a result of role stress. From this work, coping strategies identified by this sample appear to be inadequate and the effect on health is signficant. Again, another ongoing challenge for nurse executives.

Melora Ferren, MSN, RN-BC, the Social Media Coordinator for JONA is posting a topic each week from the journal on Twitter. The Twitter address for JONA is #JONANurseLeader.  

Thanks for the emails I receive exploring my interest in a topic for possible submission. You can reach me at jonaeditor@gmail.com. Please refer to the Guidelines for Authors located at www.jonajournal.com for guidance about manuscript development and citation information.








Please see our new JONA collection on Patient Safety in the Collections tab above. http://journals.lww.com/jonajournal/Pages/collections.aspx?Collection=Topical

Magnet® Culture and Leadership: Research and Empirical Outcomes Developed in partnership with the American Nurses Credentialing Center Magnet Recognition Program®
Published October 2016




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