Improving clinical nurse work environments is a major challenge faced by nurse executives today. To meet this challenge, nurse leaders must implement the "right" structures and best leadership practices so that clinical nurses can engage in the work processes and relationships that are empirically linked to quality patient outcomes. What are these "right" structures and best leadership practice...

AIMS This paper describes the perceptions of nurse managers about their dual role in nursing units as cost centres. BACKGROUND The tertiary hospital in the Limpopo province is the first institution to appoint nurse managers with a dual role in cost centres. The development of a conceptual framework for a context-specific programme for Cost Centre Managers is the first of its nature in South A...

Few would question that frontline nurse managers are critical to the success of any organization. They are the key interface with patients, nursing staff, medical staff, other clinical and ancillary staff, and administration. This makes the role one of the most difficult and one of the most important in any healthcare setting. Despite the importance of the role, many new managers receive little...

EDITORIAL ADVISORY BOARD Jane Brookes Ward manager (paediatric medical), Nottingham Children’s Hospital, Nottingham Geraldine Cunningham Associate director of culture change, Barts Health NHS, London Paul Edwards Head of practice development, Bupa UK Care Services, Leeds Naomi Elliott Director of international initiatives, school of nursing and midwifery, Trinity College Dublin Paul Labourne As...

The preceptor model of clinical education uses nurses to fulfill the role of 'teacher' in a one-on-one relationship with students. The current nursing shortage, however, places increased demands on nurses and threatens their continuation in this role. The purpose of this qualitative descriptive study was to gain a better understanding of the nurse preceptor's experience. Five themes evolved dur...

OBJECTIVE To explore nurse and facility and programme manager perceptions of nurse initiated and managed antiretroviral therapy (NIMART) implementation in Gauteng, South Africa. DESIGN In this qualitative study, in-depth interviews and focus group discussions were conducted to gain insight into participants' experiences of NIMART implementation. SETTING Participants came from urban, peri-ur...

UNLABELLED BACKGROUND INFORMATION AND SIGNIFICANCE: Critical thinking (CT) skills and the inclination to engage in critical thinking are essential for nurse managers to function as transformational leaders capable of influencing staff to align with organizational goals. In an extensive literature review, numerous studies were found examining the concept of CT in students and no studies were fou...

L ike many oncologists, Don Dizon, M.D., doesn’t like to candy-coat bad news. “I try to be realistic about what we can accomplish with treatment,” said Dizon, who specializes in treating gynecological cancers at Women and Infants Hospital of Rhode Island. But it’s in what he tells his patients afterward that Dizon may stray from the norm. Dizon also discusses with his patients the cost of drugs...

Background: Better healthcare outcomes in health services are obtainable from frequently observing ongoing healthcare activities, gathering data, and assessing outcomes. Objectives: This study aimed to establish the basic principles of nursing care standards and practices in wards, develop a nursing audit tool for periodically monitoring and controlling o...