Search

BackgroundDuring the COVID-19 pandemic, federal and state governments removed the scope of practice restrictions on nurse practitioners (NPs), allowing them to deliver care to patients without restrictions.PurposeTo support policy makers' efforts to grant full practice authority to NPs beyond the COVID-19 pandemic, this manuscript summarizes the existing evidence on the benefits of permanently removing state-level scope of practice barriers and outline recommendations for policy, practice, and research.MethodsWe have conducted a thorough review of the existing literature.FindingsNP full scope of practice improves access and quality of care and leads to better patient outcomes. It also has the potential to reduce health care cost.DiscussionThe changes to support full practice authority enacted to address COVID-19 are temporary. NP full practice authority could be part of a longer-term plan to address healthcare inequities and deficiencies rather than merely a crisis measure.

Increasing volumes of patients, violence against healthcare providers, and budgetary constraints are making it progressively difficult for emergency departments (EDs) to retain emergency nursing personnel and to provide patients with safe and effective emergency care. Influencing job satisfaction of ED nurses can increase staff retention and patient safety, but existing literature lacks research on how to get job satisfaction interventions implemented into practice. This thesis provides a practical synthesis of workplace factors affecting job satisfaction of ED nurses, and identifies the practical barriers nursing leaders face when implementing job satisfaction interventions. Results provide evidence of levels of job satisfaction measurement and job satisfaction interventions in the ED, recognize gaps in our knowledge, and identify which stakeholders need to take action in order to make real changes in ED environments to benefit patients, nurses, leaders, and the healthcare system as a whole., 2020-06

Increasing volumes of patients, violence against healthcare providers, and budgetary constraints are making it progressively difficult for emergency departments (EDs) to retain emergency nursing personnel and to provide patients with safe and effective emergency care. Influencing job satisfaction of ED nurses can increase staff retention and patient safety, but existing literature lacks research on how to get job satisfaction interventions implemented into practice. This thesis provides a practical synthesis of workplace factors affecting job satisfaction of ED nurses, and identifies the practical barriers nursing leaders face when implementing job satisfaction interventions. Results provide evidence of levels of job satisfaction measurement and job satisfaction interventions in the ED, recognize gaps in our knowledge, and identify which stakeholders need to take action in order to make real changes in ED environments to benefit patients, nurses, leaders, and the healthcare system as a whole., 2020-06

Increasing volumes of patients, violence against healthcare providers, and budgetary constraints are making it progressively difficult for emergency departments (EDs) to retain emergency nursing personnel and to provide patients with safe and effective emergency care. Influencing job satisfaction of ED nurses can increase staff retention and patient safety, but existing literature lacks research on how to get job satisfaction interventions implemented into practice. This thesis provides a practical synthesis of workplace factors affecting job satisfaction of ED nurses, and identifies the practical barriers nursing leaders face when implementing job satisfaction interventions. Results provide evidence of levels of job satisfaction measurement and job satisfaction interventions in the ED, recognize gaps in our knowledge, and identify which stakeholders need to take action in order to make real changes in ED environments to benefit patients, nurses, leaders, and the healthcare system as a whole., 2020-06, 2019-10-15T16:56:48Z

The recent decades of rapid change in the health care systems make nursing practice both rewarding and challenging. On one hand, advancements in science and technology make it possible to provide better care to patients, on the other hand rapid restructuring, significant budget cuts, and increasing job demands create complex working environments for hospital nursing staff which increases their risk of negative outcomes such as nurse burnout. Nurse burnout is an important phenomenon to investigate particularly in times of severe nurse shortage because it has been significantly linked to nurses' intention to leave jobs and to the quality of patient care. This study utilized a comprehensive approach to explore nurse burnout in eight countries. First, the study addressed burnout measurement issues in cross-national research and demonstrated that the Maslach Burnout Inventory (MBI) is a valid research tool to measure burnout cross-nationally. MBI has a three-factor structure and most its items loaded on the same factors across countries. Second, the study measured burnout in countries and demonstrated the organizational characteristics leading to nurse burnout. The levels of burnout vary in countries indicating high burnout among nurses in Japan and the United States and lower burnout in Germany, Russia, and Armenia. Despite the variable levels of burnout across all countries, nurse staffing and resource adequacy, support from nurse managers, and collegial relations in the work setting were significant predictors of burnout. Finally, the study investigated the consequences of burnout on patient care and nurse outcomes. The study found that controlling for nurse and job characteristics, burnout, particularly the emotional exhaustion dimension, significantly increases the risk of poor quality of care, job dissatisfaction, and nurses' intention to leave their jobs. Conclusions are drawn that controlled for country specific differences there are similar predictors and conseq