Transforming nursing through knowledge

Professional Accountability Governance

Governance - reflects an ultimate accountability for strategic decision making affecting the entire organization.
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    In April 2011, the Federal Government published draft regulations regarding the implementation of Section 3022 of the Affordable Care Act, which contains provisions relating to Medicare payments to providers of services and suppliers participating in accountable care organizations. It is important for the nurse executive to understand these proposed regulations and how they may impact the provision of nursing care should the organization for which the nurse executive works decide to become or join an accountable care organization.
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    This knowledge synthesis has been compiled on behalf of the planning committee for a Think Tank entitled “Toward a National Report Card for Nursing.” The objectives of the Think Tank are to create a shared vision and critical path for a national report card on nursing, to generate support for the work, and to outline the steps to achieve the national report card.
     
    The report card for nursing is envisioned as a selected minimum set of data on input, process and output indicators that can be collected nationally (initially using pilot sites) and benchmarked. In the future, such report card data will be used to formulate relationships between the levels of indicators, and will consequently reveal the contribution of nursing care to nursing sensitive outcomes and influence policy direction for nursing. 
     
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    Our “Blueprint for Nursing Leadership” emerged from dialogue with our nurse leaders on the daily challenges that managers encounter with competing and compelling priorities in the increasingly complex health care environment. Recognizing this as a transformational opportunity the reorganized nurse executive council members were invited to a leadership retreat to further explore this topic. From this dialogue, 3 key components, distributed responsibility, nonstop skill development, and accountability became the framework on which the “Blueprint for Nursing Leadership” was crated. The blueprint is to empower, engage, and sustain a culture of accountability.

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    To develop and evaluate a toolkit for Registered Nurse/Registered Practical Nurse (RN/RPN) staff mix decision-making based on the College of Nurses of Ontario’s practice standard for utilization of RNs and RPNs.
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    In this era of patient safety, quality indicators associated with the nursing profession have evolved from nursing-sensitive to adverse-event sensitive. This paper aims to compare and contrast available quality indicator tools associated with nurse staffing outcomes.
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    Good leadership is important for the success of any organization.  In a healthcare organization, good leadership is more than just important - it is absolutely critical to the organization’s success. Why is it so critical - but also challenging - in healthcare organizations? Who are the “leaders” in healthcare organizations? What is “good leadership” in healthcare organizations? And what is the “success” that healthcare organizations seek? These are the questions that Joint Commission accreditation standards on leadership attempt to answer and are the focus of this white paper, which serves as a guide to the standards.