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Industry Insider is a consolidated source of new and emerging conversations relevant to nursing professionals. Check out trends and topics from a variety of news sources and media.
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According a study by the American Organization of Nurse Executives, 81% of surveyed nurse leaders were either very satisfied or somewhat satisfied with their jobs, reports FierceHealthcare. Most respondents felt their organizations treat nursing in a way that is equal to other, non-nursing departments. They also expressed high satisfaction in regards to relationships with co-workers and finding joy and meaning in their work.
The U.S. Department of Veterans Affairs (VA), which employs more than 4,800 nurse practitioners at its VA facilities, has proposed amending its medical regulations to “permit full practice authority of all VA advanced practice registered nurses (APRNs) when they are acting within the scope of their VA employment.” According to a Forbes report, the move mirrors efforts in a number of states to improve access to primary care.
In a show of professional solidarity, emergency room staff at Arrowhead Regional Medical Center sent messages of support to staff at Orlando Regional Medical Center who are caring for victims of the Pulse nightclub shooting, according to the Huffington Post. Arrowhead Regional was in a similar position in December when it cared for victims of the shooting in San Bernardino, California.
Retaining nurses is one of the biggest challenges facing Cleveland Clinic's Executive Chief Nursing Officer Kelly Hancock, RN. In an interview with Becker's Hospital Review, Hancock describes efforts by the organization to support the personal wellness of nursing staff, a key to burnout prevention. They include yoga classes, reiki sessions, and stress and weight management seminars to help build resiliency. She also points to nurse participation in governance councils as another avenue to nurse retention.
In a policy statement issued last month, the American Academy of Pediatrics called for a nurse in every school, saying school nursing is one of the “most effective ways to keep children healthy.” Nurses help manage chronic diseases, assist with obesity prevention, and participate in emergency preparedness and behavioral assessment, in addition to basic health services. According to a Kaiser Health News report, California falls significantly short.
Finance site WalletHub released its ranking of best and worst states for nurses based on 15 metrics, including number of nursing job openings per capita, highest and lowest salaries, and number of nurses per capita, among others. The five highest ranking states are Washington, Colorado, Minnesota, Wisconsin, and Texas.
Since 1999, 25 states have joined a multistate agreement known as the Nurse Licensure Compact, allowing nurses to practice across state lines. An additional six states have joined a newer version of the compact that requires fingerprint-based state and federal criminal background checks, reports Becker’s Hospital Review. Proponents say these compacts support the growing use of telemedicine and improve access to patient care.
In a second blog post for Huffington Post, author and nurse practitioner Billy Rosa continues his effort to overcome the outdated perception of nurses and illuminate their role in both health care delivery and society as a whole. Rosa describes the art and a science of nursing, reaching back to the guiding principles of Florence Nightingale and moving ahead to today’s multidimensional health care professional.
The American Association of Directors of Nursing Services (AADNS) has been formed as a sister organization to the American Association of Nurse Assessment Coordination (AANAC), reports McKnight's Long-Term Care News. A post-acute care nursing organization, AADNS will represent and leverage the voice of Directors of Nursing Services on such issues as 24-hour RN coverage in long-term care facilities, and observation status and reimbursement-related topics.
Lisa Esposito, a patient advice reporter with U.S. News & World Report, shares strategies on how nurses, doctors, and other health care professionals can avoid and overcome compassion fatigue. These include a supportive work environment that offers counseling, practicing mindfulness, and focusing on self-care.
FierceHealthFinance reports that the health care sector is one of the biggest drivers of new jobs in the U.S. economy, based on a CareerBuilder U.S. Job Forecast. The forecast claims that 44% of health care companies with 50 employees or more are expected to add permanent jobs during the second quarter of 2016.
A dramatic rise in the number of babies born with neonatal abstinence syndrome has nurses and physicians trying a new approach at one Connecticut hospital that combines caring for the infant and the addicted mother. According to an NPR report, the change in caregiver attitudes and the NICU team’s approach is based on research that suggests addicted infants do best during the weaning process when they can be held for hours at a time, preferably by their mothers, in quiet, private rooms.
Researchers find that patient outcomes improve and cost efficiencies are achieved when nurse leaders have clear authority over decision-making and receive adequate access to resources, according to a multisite analysis of nurse leaders' influence in the hospital environment reported on by Hospitals & Health Networks.
A blog post from Harvard Business Review points to the success achieved by Essentia Health, in Duluth, Minnesota, when it used small, full-time clinical teams of nurse practitioners and nurses to care for patients discharged from the hospital with congestive heart failure. According to the post, Essentia achieved healthier patients, fewer hospitalizations, and fewer emergency room visits. This is an approach that could serve many other patient populations well, especially as health care providers adjust to payment reforms.
Author and nurse practitioner Billy Rosa, in a blog post for Huffington Post, writes about the roles and responsibilities of nurses in promoting health and well-being for the public at large. He refers to nurses as advocates, care coordinators, coaches, and leaders. Rosa goes on to aptly describe nurses as “the checks and balances of health care.”
Jonathan Baker, a job analyst for the U.S. Department of Labor, says hospital-based health care jobs are set to expand in the next few years, including nursing, according to a Chicago Tribune article. Citing hospital construction and expansion, he believes that medical-surgical nurses will continue to be one of the largest growing subsets in the nursing profession.
FierceHealthcare reports on the growing demand for registered nurses, and the career opportunities available both in and outside hospital settings. In particular, the article points to population health initiatives, technology, and leadership roles that are expected to drive career advancement and opportunities within the profession.
Illustrating the diversity of careers available to nurses and the ability to specialize, Patricia McDonough, a clinical transplant coordinator at Montefiore Health System in the Bronx, shares her experience counseling organ donors in an interview with The New York Times. An RN for 38 years, McDonough today works exclusively with live kidney and liver donors, helping to assess their suitability to donate, educate them, and coordinate the process.
Texas Health Resources CNIO Mary Beth Mitchell, RN, shared with Health Data Management how chief nursing informatics officers can advance their organization’s IT mission with nurses. At Texas Health, Mitchell formed the Nursing Informatics Council, which meets monthly to work on IT-related issues. The group of 30 or so also include representatives of specialty areas such as respiratory therapy and pharmacy. Together they test new technology and ultimately become advocates.
Role-playing, modeling behavior, and active communication are among the strategies recommended to successfully teach younger nurses to be the next wave of nurse leaders, reports Becker's Infection Control & Clinical Quality. Press Ganey CNO Christy Dempsey points out that empathy is a cognitive attribute that is becoming a lost art. She believes teaching nurse leaders empathy “builds trust and allows them to lead with compassion but also based on data.”
A report in The Atlantic warns that the long-standing U.S. nursing shortage is “on the cusp of becoming a crisis.” It cites an aging population, the rising incidence of chronic disease, an aging nursing workforce, and the limited capacity of nursing schools as contributors. While employment of nurses is expected to increase much faster than average of all occupations, the Bureau of Labor Statistics projects that by 2022 there will be more than one million job openings for nurses. The article goes on to offer ways to address the shortfall.
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