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Think About It
A forum for discussion of the latest news and ideas in nursing management and healthcare.
Monday, November 24, 2014
Should hospitals focus more on imitation than innovation? According to an article in Harvard Business Review, the answer is, yes. Innovation is everywhere, but imitation, copying what really works at other organizations, is lacking.
 
From the article, “We know what you’re thinking: health care is too complex, too specialized, too local to pursue such a systematic emphasis on imitation. To that, we say providers are not as different from each other as they think. In fact, we draw great comfort from seeing how similar health care providers everywhere really are. All providers face the same timeless challenge of relieving our patients’ suffering, and we all get great satisfaction when we make a dent in their problems, with efficiency and reliability.”
 
So, what are your thoughts? Would you rather have a Chief Innovation Officer or a Chief Imitation Officer?
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Thursday, November 20, 2014
In August 2014, Johns Hopkins School of Nursing and Johns Hopkins Berman Institute of Bioethics sponsored a summit meeting on Nursing Ethics for the 21st Century. Fifty nurse leaders “set for themselves an ambitious agenda that could culminate in changing the nation’s health care culture to more strongly support basic ethical values and principles and more effectively enables nurses’ ethical practice.”
 
The leaders focused on the four intersections of nursing practice and ethics:
  • clinical practice
  • education
  • research
  • public policy.
     
    The leaders have created a blueprint that will help create “progress in how nurses are prepared through education, how they are supported in clinical practice and by policy, and what we know about their work through research.” The plan for this coming year is to put this blueprint into action. Read the executive summary to see the Summit participants’ ideas, plans for transforming healthcare, and an overall summary of the meeting. Then, tell us your thoughts in the comments section below.
     
    Also, check out the article we published, “Decision making through an ethics lens.”
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    Monday, November 17, 2014
    Another doctor being treated for Ebola in the United States has passed away. Dr. Martin Salia died today while being treated in an Omaha hospital. Despite having the signs and symptoms of the virus, he initially tested negative on November 6th. Then, a week ago, he tested positive.
     
    According to the healthcare professionals treating Dr. Salia, he arrived in Omaha with kidney and respiratory failure, which are advanced symptoms of Ebola. His treatment included “kidney dialysis and ventilation as well as a blood plasma transfusion from a patient recovered from Ebola and an experimental drug, ZMapp.”
     
    Ebola treatment is most effective when the virus is detected early, unfortunately, in the case of Dr. Salia, the virus was too advanced for the current available treatments.
     
    For up-to-date information on Ebola see our website, which pulls the updates from the CDC.
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    Friday, November 14, 2014
    Healthcare professionals who work directly with patients wash their hands less often as the day progresses. According to a study by the American Psychological Association the reason for this is because of mental fatigue: “the demands of the job deplete the mental reserves they need to follow rules.” The study found that hand hygiene adherence rates decreased by 8.7% during a 12-hour shift.
     
    Researchers noted that, “‘Just as the repeated exercise of muscles leads to physical fatigue, repeated use of executive resources (cognitive resources that allow people to control their behaviors, desires and emotions) produces a decline in an individual’s self-regulatory capacity.’” The study authors suggest that longer breaks during a shift may be one way to help improve proper hand hygiene.
     
    What has your organization done to improve hand hygiene adherence rates?
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    Monday, November 10, 2014
    Since May, CBS3 has been investigating violence against nurses in hospitals and they’ve noted an unfortunate trend. According to investigators, “a growing number of nurses are being abused inside hospitals locally [in Pennsylvania] and around the country.” Currently, nurses in Pennsylvania are pushing for legislation that will protect them against violent patients and visitors by forcing their workplaces to create strong workplace violence protection programs.
     
    Is violence a problem in your organization? How have you helped to prevent it? If you’re looking for ways to create, update, or improve your programs, check out these articles we’ve published on workplace violence and prevention.
  • About the Author

    Nursing Management
    “Think About It” is an extension of Nursing Management. Here, you can read and discuss professional information geared toward helping nurses excel as leaders. This blog tackles important topics without the worry of print publication deadlines!

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