Editor's Note In this study, working overtime negatively influenced nurse-nurse and nurse-physician collaboration. Survey data from 24,013 nurses in 957 units from 168 hospitals in the National Database of Nursing Quality Indicators showed that one third of nurses work beyond their scheduled shifts. One hour of overtime was associated with…
Mixed signals about the direction of healthcare reform, payment models, and policy decisions have characterized much of the past year. Given the number of highprofile personnel changes in the Trump Administration, the lack of continuity isn’t surprising. In recent days, however, the Centers for Medicare & Medicaid Services (CMS) has…
Just as nursing schools don’t include the operating room in their curriculums, they also don’t include any instruction on the postanesthesia care unit (PACU). And like the OR, the PACU is having trouble recruiting new nurses. In September 2015, Houston Methodist Hospital began a PACU residency program to train new…
Disengagement costs organizations money through lost productivity, not to mention the risk of errors that a disengaged workforce brings. Yet in August 2017, Gallup reported that only 32% of people are engaged at work. Much of disengagement can be traced to what Cy Wakeman, president and founder of Reality-Based Leadership,…
An organization’s culture is shaped by the collective attitudes and behaviors of the people who work there, and if no one is willing to make personal changes, no program of the month is likely to have a lasting impact. To change their attitudes and behaviors, people must be made aware…
The Best in OR Business Award will be presented to Karlene Power, MSN, BSN, RN, at the 2018 OR Business Management Conference in San Antonio on February 1. Power already has been recognized for her outstanding work at Banner Health in Phoenix, where she is system executive director, perioperative service…
Editor's Note A structured nursing leadership development program that included a Web-based modular approach combined with engaged nursing executive mentorship significantly increased the competence of developing nurse leaders, in this study. The program involved nurses in a large academic health system in the southeastern US in the following roles: Clinical…
Editor's Note New York is the first state to require new nurses to obtain a bachelor’s degree or higher in nursing within 10 years of initial licensure, the January 2 HealthLeaders Media reports. The legislation takes effect immediately; however, the degree requirement does not start for 30 months. The new…
Session evaluations from the 2017 OR Manager Conference attendees gave uniformly high marks to the keynote speakers. A common theme in many of their presentations was workplace attitudes. They discussed challenges such as converting the disengaged to the highly engaged employee, and fostering a sense of ownership. A workshop on…
Just culture has become a bit of a buzzword, so it’s worth revisiting what the term truly means and how it can be implemented and sustained. Although it’s a powerful tool for improving patient safety, just culture is effective only when leaders set expectations for processes and behavior, and address…