Culture, communication, and clinical skills essential for ERAS success
Strategies that can achieve the aims of excellence in clinical care, fewer complications, and reduced costs are sorely needed, and the comprehensive implementation of an Enhanced Recovery After Surgery (ERAS) program can help achieve these aims in the surgical population. ERAS pathways have been found to reduce morbidity, hospital stay,…
Taming bullies requires courage, commitment, and consistent effort
Bullying and incivility have long been pervasive in healthcare, particularly in nursing. Additional stressors related to COVID-19 have worsened things in many facilities. “When there’s a crisis, we see the best in people and the worst,” says Renee Thompson, DNP, RN, CSP. “On social media, we’re seeing a lot of…
Implementing safety huddles to improve patient outcomes
The fast-paced environment in an ambulatory surgery center (ASC) requires meticulous handoffs, and daily huddles—brief (10 to 20 minute) stand-up meetings—can raise awareness of any potential safety issues. That has been the experience at UnityPoint Health in Des Moines, Iowa, and some of what we learned might help others improve…
Strong culture sustains healthcare staff in 'good and bad' times
Traditional patient care challenges have risen to a whole new level in the wake of COVID-19. Healthcare providers have assumed new roles and performed tasks they never imagined doing. With conditions and expectations changing daily if not hourly, one thing that hasn’t changed is the need to provide safe patient…
OR business leaders anticipate growth and opportunities in 2020
Planning for volume growth and adopting best business practices for the perioperative environment were overarching themes at the 2020 OR Business Management Conference (ORBMC) in late January. Leading healthcare industry clinicians and experts offered fresh insights into competing in the burgeoning outpatient surgery market and persuading stakeholders to switch to…
Improved work environments linked to lower nurse burnout, higher patient satisfaction
Editor's Note This study from Linda Aiken, PhD, and colleagues at the University of Pennsylvania, Philadelphia, found that high levels of nurse burnout are associated with lower patient satisfaction. In this analysis of nurse burnout and patient satisfaction in 463 hospitals in four states, 50% of the hospitals where burnout…
What’s driving Millennial, Gen Z nurses
Editor's Note A new HCA Healthcare survey finds that in the past 4 years Millennials and Gen Z nurses have gone from being the minority to now being the majority in the employee population, and their professional priorities and expectations differ from past generations, according to a February 11 report…
Find your purpose, not passion
Editor's Note Though many self-help books advise people to find their passion, this is terrible advice, says LaRae Quy in the January 15 issue of SmartBrief/Leadership. Passion is a “hedonistic approach to life,” that is popular right now, she says. People think they need to be passionate about their jobs…
Editorial
Projections for healthcare industry trends in 2020 started to proliferate near the end of 2019 as attention turned to the new year. Reflecting on the Institute of Medicine’s (IOM) landmark 1999 report, “To Err Is Human: Building a Safer Health System,” some healthcare leaders said the report has raised awareness…
Impact of shared governance on workplace empowerment over time
Editor's Note In this analysis of measurements (ie, staff’s caring, workplace engagement, and work empowerment) assessed before and after implementation of an interprofessional shared governance model, only work empowerment scores of staff working in relationship-based care professional practice models were sustainable and increased progressively and significantly over time. Work engagement…
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