Includes bibliographical references.

Millennial Nurses connecting with patients -- Good for nurses, good for patients -- Expressing gratitude -- What's love got to do with it? -- Clinician cognitive overload and its implications for nurse leaders -- Mental health preparedness -- Strategic planning in an age of uncertainty -- Turning tables: when a life coach needs a life coach.

[Article Title : Millennial Nurses Connecting With Patients / Heather Caramanzana, p. 25-29]

Abstract : Millennial nurses are the largest cohort in the profession reporting burnout and compassion fatigue. The purpose of this phenomenological study was to explore and identify what connecting with patients means to millennial nurses. Eight themes emerged in the analysis of the data collected: The Void: Into the Darkness; Unconnected: Unable to Find the Light; Uncomfortable: Patients as Strangers; Art of Caring: Not a Priority; Becoming: Real RN; Fulfillment: Receiving through Giving; Enlightenment: Turning on the Light; and Guidance: Educational Needs. The themes shed light on the phenomenon of how millennial nurses connect with patients.

https://doi.org/10.1016/j.mnl.2019.09.019

[Article Title : Good for Nurses, Good for Patients:: Creating a Healthy Work Environment in a Pediatric Acute Care Setting / Danielle Altares Sarik, Renee Thompson, Jennifer Cordo, Ivette Nieves Roldan, Jackie L. Gonzalez, p. 30-34]

Abstract : Disruptive behaviors are widespread in nursing, and have significant potential to negatively impact patient and nurse outcomes. Nursing leaders at Nicklaus Children’s Hospital, a Magnet®-recognized, free-standing pediatric hospital received feedback from their nursing staff regarding an increase in bullying and incivility. To address negative behaviors and create a foundation for professionalism, a strategic plan was developed to assess and improve issues in the nursing work environment. By employing a structured approach to addressing disruptive behavior in the pediatric acute care setting, the organization has been able to achieve meaningful improvements in self-reports of nurse experience, satisfaction, and patient experience.

https://doi.org/10.1016/j.mnl.2019.11.005

[Article Title : Expressing Gratitude: Findings From Patients and Families Who Nominate Nurses for The DAISY Award / Cynthia D. Sweeney, Susan M. Grant, Cindy Lefton, and Melissa Foreman-Lovell, p. 35-39]

Abstract : Little is written about what expressing gratitude means to patients and families who recognize their nurse through meaningful recognition. To better understand perceptions of gratitude, a convenience sample of 12 randomly selected patients/family members who nominated their nurse for The DAISY Award were interviewed about their experience with meaningful recognition. A content analysis of the data revealed 3 behavioral themes: experiencing extraordinary care, synergy of the human connection, and gratitude that transcends the moment. These themes provide insight regarding how expressions of gratitude through meaningful recognition may enhance and benefit the patient experience.

https://doi.org/10.1016/j.mnl.2019.09.016

[Article Title : What’s Love Got to Do With It? / Linda Hofler and Julie Kennedy Oehlert, p. 40-43]

Abstract : Health care is acutely aware that issues such as disengagement, burnout, and turnover are curbing the ability to deliver results in safety, quality, and patient experience. The purpose of this article is to showcase 1 health system’s relational strategy to meet these challenges based on the Quadruple Aim and founded on cultural transformation theory, which is focused on relationships and designed through the lens of love.

https://doi.org/10.1016/j.mnl.2019.11.006

[Article Title : Clinician Cognitive Overload and Its Implications for Nurse Leaders / Rhonda Collins, p. 44-47]

Abstract : Nurse leaders have a responsibility to recognize signs of cognitive overload among nurses and take active measures to reduce cognitive burden and its consequences. Every day, nurses make mistakes because they are overwhelmed with high volumes of complex information received during a single shift by multiple people, devices, and clinical systems. Reducing cognitive load will help create a more satisfying work environment for care teams and foster well-being and retention. Heath care leaders need to offload nurses’ need to retrieve, retain, and record information, and make it easier to do their job more efficiently and effectively. Standardizing communication on a single platform and simplifying clinical workflows will go a long way to mitigating interruptions, reducing cognitive load, and improving quality of care and patient safety.

https://doi.org/10.1016/j.mnl.2019.11.007

[Article Title : Mental Health Preparedness: A Nurse Leader’s Role / Brandon “Kit” Bredimus, p. 48-53]

Abstract : The rate of mental health crisis presentations in non-behavioral health facilities is on the rise. Nurse leaders are challenged to identify ways to improve nursing staff confidence in identifying and caring for mental health patients. Through implementing a mental health training program, 1 facility showed a statistically significant improvement (P < .001) in overall nurse confidence in caring for mental health patients within the emergency department (ED) and non-ED clinical settings. The success of the implementation of this program can be replicated and highlights the need for nurse leaders to provide mental health training for all staff to improve outcomes and safety.

https://doi.org/10.1016/j.mnl.2019.11.00

[Article Title : Strategic Planning in an Age of Uncertainty: Creating Clarity in Uncertain Times / Marla J. Weston, p. 54-58]

Abstract : In today’s rapidly evolving health care environment, continuing business as usual or tinkering with existing approaches will leave an organization underprepared for the emerging challenges of the future. A systematic and thoughtful strategic planning process can ensure that the organization understands the confluence of emerging trends, envisions a positive future, determines a direction for success, and executes a course of action to attain the desired outcomes. Yet all too often, strategic planning processes fail to deliver value to the organization. This article offers evidence-based guidance on how to conduct strategic planning including understanding the future, determining the direction, and executing the plan.

https://doi.org/10.1016/j.mnl.2019.11.009

[Article Title : Turning Tables: When a Life Coach Needs a Life Coach / Kim Richards, p. 59-62]

Abstract : This article examines the value of a professional life coach, specifically during very personal turmoil. Significant life challenges can affect a person’s ability to function in his/her professional role. A life coach is different from a therapist, because a life coach focuses on moving forward while navigating transitions, choices, and growth. Similar to a nurse needing the care of another nurse, my significant personal circumstances as a life coach required the help and ongoing support of another life coach. My experience on the client side of the professional dynamic gave me a deeper and more appreciative perspective of the value and benefits of the role.

https://doi.org/10.1016/j.mnl.2019.11.010

[Article Title : Improving Air Medical Transport Training: A Nurse Leader Perspective / Celeste M. Alfes, p. 63-66]

Abstract : Adapting to the air medical transport environment is challenging and complex for crewmembers, with many variables extending beyond medical management of the critically ill patient. The need for all air medical transport professionals to maintain a solid commitment to safety remains paramount. Not only are individual crewmembers responsible for maintaining safe delivery of care, but organizational leadership is responsible for establishing and promoting a culture of safety. Although the air medical transport community varies on their need to establish such guidelines, nurse leaders should work to support the development of best practice guidelines for standardized training at their facilities to ensure the safety of their air medical crews and the patients they serve.

https://doi.org/10.1016/j.mnl.2019.11.011

[Article Title : Living Your Values / Joe Tye, p. 67-72]

Abstract : One of the greatest dangers to the reputation, even the survival, of any organization is for there to be a gap between the values posted on the lobby wall and the attitudes and behaviors that are actually reflected in workplace culture. This article discusses why an authentic and meaningful statement of values is essential for being considered a highly reliable organization that is also recognized as being a great place to work. It then shares 10 practical strategies for more effectively defining and promoting the core values of your organization.

https://doi.org/10.1016/j.mnl.2019.11.012

[Article Title : Think Different: Reimagining Clinical Practice and Professional Development by Collaborating With the Apple Higher Education Team / Kathleen Bradley and Margie Godin, p. 73-77]

Abstract : The Think Different campaign was a nurse-driven approach to use technology as the driver of practice around education, staff and patient safety, and education costs. The journey to innovate included collaborating with the Apple higher education team to utilize mobile technology and to approach education methodologies in a tech-savvy workforce and environment. A competency first approach, using technology, provided the platform for rapid just-in-time learning capabilities, efficiencies, cost savings, and a cultural shift to peer accountability. Think Different is achievable for all settings and organization types.

https://doi.org/10.1016/j.mnl.2019.11.013

[Article Title : Selecting Leaders for Behavioral Health Programs / Donna Linette, p. 78-81]

Abstract : Behavioral health needs are prevalent whereas the vacancy rate for nurses and frontline managers continues to grow. Current issues (substance abuse, disparities, care for children, and older adults) are by focusing interviews on the following key topics: advocacy, recovery, community, trauma, legal issues, education, safety, and leadership.

https://doi.org/10.1016/j.mnl.2019.06.007

[Article Title : Recognizing, Managing, and Leading Through Manufactured Chaos / Angela S. Prestia, p. 82-84]

Abstract : Chaos manufacturers thrive in complex environments such as health care. The disruption their behaviors cause can derail important nurse lead initiatives critical to the successful operations of the organization. Early recognition of the characteristics and behaviors of these individuals is discussed. Ideas are offered on managing and minimizing the negative impact that this chaos causes.

https://doi.org/10.1016/j.mnl.2019.07.013

[Article Title : A Measles Outbreak Requires Both Critical Thinking and Team Work / Maureen Kroning, p. 85-87]

Abstract : Working as a nursing supervisor in a health care facility can be extremely challenging, especially on nights, weekends, and holidays. A recent patient admission describes the challenges that occurred one Sunday morning working as a nursing supervisor and the essential need for both critical thinking and team work to prevent an infection outbreak.

https://doi.org/10.1016/j.mnl.2019.03.01