In 2003, Hamilton Health Sciences embarked on an initiative to improve and standardize nursing schedules and scheduling practices. The scheduling project was one of several initiatives undertaken by a corporate-wide Nursing Resource Group established to enhance the work environment and patient care and to ensure appropriate utilization of nursing resources across the organization's five hospita...

Under a proposal from the Centers for Medicare and Medicaid Services, hospitals would no longer be reimbursed for 30-day re-admissions or emergency department (ED) visits. Increasing RN staffing to reduce post-discharge utilization is one possible solution, but one that is not financially attractive to hospitals. This study demonstrates the impact of fluctuating staffing levels on ED visits wit...

The goal of this phenomenological study was to explore what within the lived experiences of exemplary oncology nurses facilitates the avoidance of compassion fatigue. A purposive sample of seven oncology nurses (RNs) who were identified by their colleagues as exemplary caregivers was recruited. Data were collected through semi-structured conversations that were subsequently transcribed. Transcr...

INTRODUCTION As a result of Hurricane Katrina on August 29, 2005, ED nurses were faced with chaos during and after the storm. The purpose of this pilot study was to determine if emergency nurses have experienced signs and symptoms of post-traumatic stress disorder (PTSD) as a result of working in an emergency department of the New Orleans metropolitan area during and immediately after Hurricane...

BACKGROUND Policy makers, health care organizations, and health professionals are calling for the expansion of the nurse practitioner (NP) workforce in primary care to ensure access to high-quality, cost-effective care. However, to date, little is known about NP practice environments in primary care settings and how they may affect the expansion of this workforce and their practice. PURPOSES ...

Objective: The shortage of academic nurse leaders (ANLs) is imminent and creates a crisis for the nursing profession. Academic administrators influence workforce’s preparation. When programs educators fail to address urgent shortage, this can result in short- long-term impacts purpose qualitative study was explore experiences novice mid-level ANLs who transitioned from administrators.Methods: A...

Background: In 2011, a nuclear accident severely affected many hospitals in Fukushima. Many nurses faced adilemma of whether to evacuate voluntarily or keep working. This study examined the voluntary evacuation andreturning and then suggested how nurse administrators can prepare for such situations.Methods: The was conducted from July through September 2018. Eight hundred who had beenworking pr...

AANA Journal  December 2012  Vol. 80, No. 6 471 T he accreditation program for nurse anesthesia was initiated in 1952 by the American Association of Nurse Anesthetists (AANA). The accreditation function was transferred to the Council on Accreditation of Nurse Anesthesia Educational Programs/Schools in 1975 in response to a major revision of the US Office of Education criteria. Since 1975, the...

Objectives The overall purpose of this study was to evaluate the validity and reliability of the Caring Assessment Tool-Administration survey. Three specific aims were to (1) evaluate construct validity of the Caring Assessment Tool-Administration survey by testing the hypothesized eight-factor structure of staff nurses' perceptions of nurse manager caring behaviors, (2) estimate the internal c...

INTRODUCTION To provide high-quality nursing care, a reliable and feasible competency assessment tool is critical. Although several questionnaire-based competency assessment tools have been reported, a tool specific for obstetric nurses in rooming-in wards is lacking. Therefore, the purpose of this research is to develop a competency assessment tool for obstetric rooming-in ward nurses. METHO...