HealthLeaders Media NursingLeaders - February 16, 2010 | Nurse Leaders' Role in Promoting Autonomy and Accountability View as a Webpage | Subscribe for Free
Nurse Leaders' Role in Promoting Autonomy and Accountability
Rebecca Hendren, Editor
Nursing issues have been in the news in the last week and not all of the stories have been good. A thread runs through these stories: the lack of autonomy in nursing. [Read More]
February 16, 2010
Editor's Picks

When the nurse is a bully
"Why are nurses so mean to each other?" asks Theresa Brown, RN, a frequent contributor to the New York Times' "Well" blog. Last week, she wrote an insightful piece about encountering bullying behavior as a new nurse and why nurses eat their young. She thinks it's time the profession discussed the issue more openly, saying "A majority of nurses do not bully on the job, and that majority needs to set a new tone. We have to come out of the corner, stop allowing our co-workers to tear at one another's flesh and instead speak up." [Read More]
Nursing Associations Applaud Verdict in Texas Whistleblower Case
In last week's column, I wrote about Anne Mitchell, the Texas RN facing a possible jail term for referring a physician she considered unsafe to the Texas Medical Board. A few days later, I was delighted when Mitchell was acquitted of all charges. "If anything was to be gained from the absurdity of this criminal trial, it is the reaffirmation that a nurse's duty to advocate for the health and safety of patients supersedes all else," said the Texas Nurses Association. [Read More]
Five Healthcare Leaders Weigh-In on Rising Charity Care
Nearly 80% of hospital financial leaders surveyed in the HealthLeaders Media Industry Survey 2010 expect uncompensated care numbers to worsen in the next year. It's hardly a bad case of pessimism on their part. With no signs that healthcare reform legislation will pass anytime soon, what are financial leaders to do when they see their costs rise while their revenues decline? Moreover, how do you strive to improve your patient-centered care and customer services when you have fewer resources to use? In part one of this two-part series, Senior Finance Editor Karen Minich-Pourshadi asks CEOs how they and their teams are addressing uncompensated care at their facility. [Read More]
Layoffs an Effective Strategy for Economic Crisis, But Beware the Downstream Costs
The last two years of deep recession have forced many executives in the healthcare sector to take drastic steps to curb costs. Even though healthcare is one of the few sectors in the overall economy to see job growth, hospitals have not been immune to layoffs and other staff reductions. While the job cuts may have an immediate effect on cost containment, other downstream costs should be considered. [Read More]
NurseLeaders Forum

Length of Stay: The Management Headache That Will Not Go Away
The current financial crisis notwithstanding, operating margins have continued to shrink and raising capital has become a daunting task. This increasing financial pressure comes at a time when EMR and other technology investments are needed to stay viable as a quality healthcare provider. Unless you have a lot of empty beds, improving patient throughput is key to successfully managing this pressure, say contributors William F. Ott, Jr., and Michael N. Abrams. [Read More]
Business Rx

RapidView Provides Real-Time Snapshots of the Facility; Improves Patient Access
A small room just off the admissions area at Tufts Medical Center in Boston contains what many in the facility describe as the nerve center of the hospital. It looks like the bridge of the Starship Enterprise. Multiple plasma screen monitors blink with yellow, green, and blue squares. To the outside observer, the screens look like a bunch of flashing lights, but these screens are actually a snapshot of the entire facility. They are a part of Tufts' RapidView system, which helps improve access to resources for every aspect of the facility, from housekeeping to employees to physicians. [Read More]
Nursing Headlines

Doctor-patient divide on mammograms
New York Times - February 16, 2010

Lack of Paid Sick Days Let H1N1 Spread, Group Says
Janice Simmons, for HealthLeaders Media - February 16, 2009

Joint Commission Postpones Field Review of Revised Medication Reconciliation
Matt Phillion, for HealthLeaders Media - February 15, 2010

Language and Cultural Barriers Hurting Patient Care, Say Physicians
Joe Cantlupe, for HealthLeaders Media - February 15, 2010
Audio Conferences/Webcasts

March 11, 2010: Nursing-Sensitive Quality Indicators: Engage Nurses in Quality Improvement and Improve Patient Outcomes
February 25, 2010: Simulation Training in Nursing: Promote Clinical Education and Teamwork on Any Budget
February 23, 2010: ED Overhaul: Reduce costs, improve quality, and increase satisfaction
On Demand: Transform Bad Behavior into a Culture of Patient Safety: Tools for a Compliant Code of Nursing Conduct
On Demand: Shared Governance: Effective Strategies to Enhance Your Decision-Making Model
On Demand: Excellence in Leadership: Practical, Proven Solutions for Today's Nurse Leaders
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