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      Nurses transforming systems of care : The bicentennial of Florence Nightingale's legacy

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      , MS, RN, NEA-BC
      Nursing Management
      Springhouse Corporation

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          Abstract

          Lessons from Florence Nightingale are just as relevant today as they were more than 150 years ago. Learn how nurse leaders can follow her lead and embrace the importance of nurturing highly motivated nurses who are critical thinkers.

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          Most cited references7

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          Engaging and developing front-line clinical nurses to drive care excellence: Evaluating the Chief Nurse Excellence in Care Junior Fellowship initiative

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            Operational Failures Detected by Frontline Acute Care Nurses.

            Frontline nurses encounter operational failures (OFs), or breakdowns in system processes, that hinder care, erode quality, and threaten patient safety. Previous research has relied on external observers to identify OFs; nurses have been passive participants in the identification of system failures that impede their ability to deliver safe and effective care. To better understand frontline nurses' direct experiences with OFs in hospitals, we conducted a multi-site study within a national research network to describe the rate and categories of OFs detected by nurses as they provided direct patient care. Data were collected by 774 nurses working in 67 adult and pediatric medical-surgical units in 23 hospitals. Nurses systematically recorded data about OFs encountered during 10 work shifts over a 20-day period. In total, nurses reported 27,298 OFs over 4,497 shifts, a rate of 6.07 OFs per shift. The highest rate of failures occurred in the category of Equipment/Supplies, and the lowest rate occurred in the category of Physical Unit/Layout. No differences in OF rate were detected based on hospital size, teaching status, or unit type. Given the scale of this study, we conclude that OFs are frequent and varied across system processes, and that organizations may readily obtain crucial information about OFs from frontline nurses. Nurses' detection of OFs could provide organizations with rich, real-time information about system operations to improve organizational reliability. © 2017 Wiley Periodicals, Inc.
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              Engaging Front-Line Nurses To Improve The Outcomes Of Patient Care, 2006-13

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                Author and article information

                Journal
                Nurs Manage
                Nurs Manage
                NUMA
                Nursing Management
                Springhouse Corporation
                0744-6314
                1538-8670
                May 2020
                10 April 2020
                : 51
                : 5
                : 32-37
                Affiliations
                Cheryl Reinking is the CNO at El Camino Hospital in Mountain View, Calif., and a DNP student at the University of San Francisco.
                Article
                00007
                10.1097/01.NUMA.0000659408.49349.59
                7188037
                32287054
                34369d53-9a8b-48f5-a1c2-e27ec26d3cc9
                Wolters Kluwer Health, Inc. All rights reserved.

                Copyright © 2020 The Author. Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

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                Feature: NURSES WEEK SPECIAL
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