Dear Twitpic Community - thank you for all the wonderful photos you have taken over the years. We have now placed Twitpic in an archived state Sep 25, · Dissertation Abstracts International Section A: Humanities and Social Sciences. ;Vol. 79, Issue 1–A(E). 6. Costa J. Recognize hard work: recognition is an important tool for leaders Oct 10, · Language in India blogger.com is an international online monthly research journal, and is indexed in four major international databases: EBSCOHost, ProQuest (Linguistics and Language Behavior Abstracts), MLA International Bibliography and Gale Research. The journal is included in the Cabell’s Directory, USA
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Try out PMC Labs and tell us what you think. Learn More. Staff engagement improves outcomes for an organization, dissertation abstracts international vol. Such initiatives can promote culture, structural empowerment, and professional growth, ultimately leading to clinical excellence. Leader visibility, 2-way communication, and promotion of recognition called the VCR Visibility, dissertation abstracts international vol, Communication, Recognition strategy can lead to robust staff engagement.
Application of the VCR strategy improved participation of nursing staff in the shared governance activities of a mid-sized Magnet®-recognized health care organization.
VCR has become a focused strategy to improve staff involvement, resulting in meaningful and sustainable engagement. Staff engagement is a challenge for health care dissertation abstracts international vol. It is the goal of all nurse leaders to have a highly engaged team that initiates innovative strategies to create a healthy work environment.
Such an environment can lead to a satisfied workforce, which in turn leads to exemplary outcomes in patient care and customer satisfaction. Staff engagement can be defined as improved trust, communication, and satisfaction. A highly engaged workforce in a health care institution is more likely to provide personalized patient-centered care. A nursing leader can engage their teams by using dissertation abstracts international vol behavioral and leadership styles that will be received favorably by staff.
The RN survey revealed many low scores indicating the seriousness of the problem in staff engagement in the organization.
The chief nursing officer CNO and clinical excellence program manger who is the designated Magnet program director MPD convened a special task force, which included senior nursing leaders, Magnet champions, and the Magnet steering committee to develop a strategy to promote staff engagement and improve RN satisfaction.
Dissertation abstracts international vol newly formed special task force was committed to finding the root cause of the lack of staff engagement. The task force initiated periodic clinical excellence rounding to assess the problem, the perception, and the needs of nurses. Rounding revealed that constant changes in the way nursing is practiced, including frequent changes in the electronic health record and new organizational initiatives, were time-consuming to learn and difficult to keep up with.
A communication problem, especially information overload, was mentioned by many nurses due to not knowing how to prioritize their patient care activities and time commitment to read all the information via e-mails and intranet announcements.
Lack of recognition was another major issue that nurses perceived as a cause of lack of motivation regarding participation in unit and hospital activities.
There was also the surprising revelation that many did not recognize their senior nurse leaders in their service line and the organization. These findings were discussed and shared by senior nurse leaders.
The final problems that needed to be addressed urgently were condensed into 3 major issues: lack of visibility of leaders, the efficacy of dissertation abstracts international vol, and lack of rewards and recognition.
Once the problems were identified, a discussion emerged to address these and develop a solution that would work for the organization and would be acceptable to both leaders as well as nursing staff. The nursing department practiced nursing care that focuses on the patient and family-centered care encompassing the organizational values of respect, integrity, compassion, and excellence.
These values are supported by professional development, shared decision-making, teamwork, and the quality care model. Based on this exemplary professional practice model, the CNO identified gaps in connection to leadership dissertation abstracts international vol nursing staff.
Practicing transformational leadership and shared decision-making, this issue was discussed in many dissertation abstracts international vol including SGC, Magnet steering committee, and the Magnet champions committee—all consisting of leaders and nursing staff as members.
Based on the recommendations proposed, the Magnet steering committee identified the need to work strategically on the 3 major issues. A plan was constructed to work in the direction of having a conscious effort to increase leader visibility, promote 2-way communication, and encourage more rewards and recognition at all levels. The planned strategy was called the visibility, communication, and recognition VCR strategy.
Leaders brainstormed ideas and sought influential best practices recommended by the CED and other hospitals in the system. Eventually, many remarkable steps were taken to implement the VCR strategy. A nurse leader must be willing to learn and grow with time. Lifelong learning is critical for leaders in order to be change agents, collaborators, innovators, and mentors. Consequently, a leader must be present and dissertation abstracts international vol. In other words, the CNO and other senior leaders needed to be more present among nursing staff.
Rounding by the CNO, dissertation abstracts international vol, senior nurse leaders, and clinical managers was made a priority to connect with nursing staff. Executive leaders implemented a no-fly zone, which resulted in no scheduled meetings between a. and a. This time block was left open so leaders dissertation abstracts international vol schedule department rounds in their area. Senior nursing leaders who were in the administration wing of the facility moved their offices to clinical areas to be near their department and team.
The organization implemented the new SGC structure, designed and promoted by the system CED, with the intention of meaningful and outcome-based council meetings. According to the new structure, the CNO became the mentor and attended the major council meetings that were led by nursing staff. The CNO also performed periodic rounding and attended events that included nursing staff. All these were implemented to highlight the presence and support of nurse leaders in all aspects of the care continuum throughout the nursing department.
Research states that staff engagement affects organizational performance, recruitment, retention, customer service, satisfaction rates, and profitability of an organization. Several studies show effective organizational communication practices improve staff engagement. Organizational communication satisfaction has the most significant relationship with employee engagement, dissertation abstracts international vol, and innovative ways using information communication technologies ICTs to communicate between leaders and staff can be efficient and are inexpensive but can also lead to information overload and miscommunication.
With all this in consideration, the included communication strategy gives importance to meaningful, 2-way communication. Major initiatives and information from the organization were to be sent only by the president if it was meant for the entire hospital staff, dissertation abstracts international vol, and by the CNO if it was meant for the entire nursing department.
A restriction was placed on who can share the important information to all nurses to avoid e-mail overload. Two-way communication was established between leadership and nursing staff. The SBAR situation, background, assessment, and recommendation format was encouraged to state clear, concise, and productive communication using the chain of command. The UBC and SGC also established goals based on their unit needs and council responsibilities to stay on track and yield outcome-based actions. This helped members work as a team and focus on achieving goals instead of becoming overwhelmed with many issues.
Working with specific goals yielded achievable results, and members appreciated their participation in important and meaningful work that promoted clinical excellence for patients, staff, and the organization as dissertation abstracts international vol whole.
Recognition is an important tool for leaders as it is about acknowledging someone, highlighting excellence with accolades and rewards. Rewards do not have to be expensive yet have major impact on staff engagement. When assessment revealed a lack of recognition as a perceived problem, nurse leaders reached out to nursing staff and communicated this issue with them in the SGC and Magnet champions committee meetings, dissertation abstracts international vol.
In an interview, Dr. Along with regular existing internal and external awards, a new award was started by the senior leaders: Magnet Nurse of the Quarter. These award winners, dissertation abstracts international vol, along with other achievements such as promotions, publications, career ladder recognition, and certification achievement, etc.
Senior nurse leaders organized appreciation rounds with gifts and snacks for all shifts and service lines dissertation abstracts international vol special days such as Thanksgiving, Christmas, and so on. The CNO sent personal notes and cards during certification day and personal shout out e-mails to the nurses who were recognized for their outstanding work by patients and their families.
The CNO regularly used a collaborative approach to engage nurse leaders and clinical nurses in shared decision-making and teamwork within the nursing department. As the leaders became more visible, communication was meaningful and focused, recognition and rewards were given importance, a grassroots level of appreciation and engagement were noted.
SGC meetings were attended regularly by leaders and nursing staff. The units that were lagging with their UBC structure and function gained momentum. More clinical nurses started applying for Nurse Career Advancement Program NCAP and Evidence-Based Practice EBP fellowship programs, dissertation abstracts international vol. There was an increased interest in pursuing specialty certification. The award nominations and winners for internal and external awards increased significantly.
From 0 to 5 awards a year for nurses, the organization saw 20 to 25 awards given a year. The organization boasted proudly the most award winners in the system for prestigious external awards such as the DFW Dallas-Fort Worth Great Nurses and D-Magazine Nurse Excellence awards in the region. The VCR strategy is an ongoing tactic dissertation abstracts international vol the organization that has resulted in increased nurse engagement and satisfaction seen through informal evaluations and appreciation messages received by senior leaders.
The fact that even through the COVID crisis, the staff is still involved in meetings and recognition events through digital and virtual media, which are both great displays of staff engagement. A formal evaluation of this effort is awaited at the end of the year's external RN satisfaction survey.
The inclusion of nursing staff in major organizational initiatives can promote a positive and healthy culture at work. Dissertation abstracts international vol empowerment, professional growth, transformational leadership, and teamwork lead to professional development and ultimately, dissertation abstracts international vol, clinical excellence.
It is important to recognize that both leaders and nursing staff play key roles in the organizational initiatives collectively. Leadership visibility, 2-way communication, and promotion of recognition through the VCR strategy have proved to be effective in this organization. It is recommended that this practice-based evidence be explored further to develop into EBP by conducting a more organized study in the future. VCR has become a focused strategy to improve staff involvement, resulting in meaningful and sustainable engagement for this organization.
The organization is progressing in its clinical excellence journey and is moving forward to obtain its fourth designation for Magnet recognition. Viji George, dissertation abstracts international vol, MA, BSN, RN, RNC-NIC, is clinical excellence program manager and Magnet program director at Texas Health Presbyterian Hospital Plano in Plano, Texas.
She can be reached at VijiGeorge texashealth. Laura Dissertation abstracts international vol, MHA, BSN, RN, CPN, is chief nursing officer at Texas Health Presbyterian Hospital Plano in Plano, Texas. Note: The authors acknowledge Judith Walsh, dissertation abstracts international vol, PhD, RN, nurse scientist, and J, dissertation abstracts international vol.
Sheree Henson, PhD, RN, NPD-BC, NEA-BC, system director, Nursing Professional Practice, Research, and Magnet at Texas Health for content review and editing. National Center for Biotechnology InformationU. National Library of Medicine Rockville PikeBethesda MDUSA.
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HeartMath Institute Research Library We invite you to browse the HeartMath Institute’s extensive collection of research studies, articles and other materials. Laypersons and clinicians will discover the pure science and focus on dynamics of heart intelligence that make HMI a world leader in researching emotions, energetics, performance and intuition. Research Publications Basic Research Oct 10, · Language in India blogger.com is an international online monthly research journal, and is indexed in four major international databases: EBSCOHost, ProQuest (Linguistics and Language Behavior Abstracts), MLA International Bibliography and Gale Research. The journal is included in the Cabell’s Directory, USA Proquest umi dissertation abstracts proposal Pay for dissertation. Write nursing research paper, writing effective essays judy brown. Arsis thesis note grouping, 6 culture ekphrasis essay european icon iconotexts intermediality text vol: master thesis topics finance investments. Top movie review editor websites for masters
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