122 - Solving Challenges of Practice Direct-Care Nurses Bring FLOWERS® to the Bedside - Sprayberry
Objectives
Solving Challenges of Practice
Direct-Care Nurses
Bring FLOWERS® to the Bedside
Lynn Dykema Sprayberry, PhD, RN
AMSN Annual Convention
25 September 2015
Describe the
impact of
national
healthcare
policies on
professional
direct-care
nursing practice.
Define seven (7)
concepts
essential for
achieving
excellence in
professional
direct-care
nursing practice,
education, and
research.
The
Challenge
The
Solution
The Challenge
Better Care
Healthy People NATIONAL
& Communities QUALITY
STRATEGY
Affordable Care
NATIONAL
QUALITY FORUM
“Take your place around the table”
Accountability
Measures
•Patient safety
•Care coordination
HHS Secretary
•Patient/family engagement
Sylvia Burwell
•Clinical processes and effectiveness
Hospital Reimbursement
Balancing Quality Programs
EHR
Incentive
Accountable
Care
Organizations
Hospital
Readmissions
Reduction
Population
Health
Joint
Commission
Hospital Inpatient
Quality Reporting
(Hospital Compare)
Over 600
O
endorsed
measures!
Importance
Scientific
ssnkh
Accountability
Usability
Feasibility
Surveillance
Measures
•Efficient use of healthcare resources
Value-Based
Purchasing
The
Action
Harmonization
•Population health
Hospital-Acquired
Conditions
Quality
Improvement
Measures
Bring
FLOWERS®
to the bedside
of each patient
in need of
professional
nursing care.
ICD-10
Quality Burden Phenomenon
Role Ambiguity
Role Conflict
Role Overload
The
Solution?
Academy of Medical-Surgical Nurses (AMSN) 24th Annual Convention (2015) These materials were specially prepared for
instructional use by AMSN and remain the property of AMSN and/or individual presenters. No portion of these materials, in whole
or part, may be used in any fashion, or reproduced by any means, without the written permission of AMSN and/or individual presenters.
122 - Solving Challenges of Practice Direct-Care Nurses Bring FLOWERS® to the Bedside - Sprayberry
FLOWERS
®
Fundamentals of Care
Leadership at the Bedside
Ownership of Outcomes
Wisdom
Ethics
Relational Competence
Skilled Caring
Fundamentals
of Care
Daily self-care
activities
universally
essential
for human life
(Kitson et al., 2010)
Leadership at the Bedside
Ownership of Outcomes
Mine
Purposeful application of knowledge and expertise
by direct-care nurses to ensure patients achieve
best possible outcomes (Sprayberry, 2014)
Wisdom
cultivated by
knowledge
and years of
experience…
Professional discernment to understand and manage
uncertainty, determine correctness of action, and
acknowledge limits of what is known (Sprayberry, 2014)
Psychological Ownership:
Individuals or groups believe a target of ownership
(physical or non physical) is theirs (Pierce et al, 2010)
Ethics
PCT
Our moral compass
Image used with permission of Scan Am Co.
Academy of Medical-Surgical Nurses (AMSN) 24th Annual Convention (2015) These materials were specially prepared for
instructional use by AMSN and remain the property of AMSN and/or individual presenters. No portion of these materials, in whole
or part, may be used in any fashion, or reproduced by any means, without the written permission of AMSN and/or individual presenters.
122 - Solving Challenges of Practice Direct-Care Nurses Bring FLOWERS® to the Bedside - Sprayberry
Relational
Competence
…sets the culture and behaviors
of an organization
Qualities of an individual that facilitate
acquisition, development, and maintenance of
mutually satisfying relationships (Carpenter, 1993)
Skilled Caring
Image used with permission from the Harrington Healthcare System
The Action
Imagine
bringing…
Meticulous execution of psychomotor skills with coincident
attention to the individuality and dignity of patient and family
(Sprayberry, 2014)
FLOWERS
FLOWERS®
®
to your boardroom
to your executives
Academy of Medical-Surgical Nurses (AMSN) 24th Annual Convention (2015) These materials were specially prepared for
instructional use by AMSN and remain the property of AMSN and/or individual presenters. No portion of these materials, in whole
or part, may be used in any fashion, or reproduced by any means, without the written permission of AMSN and/or individual presenters.
122 - Solving Challenges of Practice Direct-Care Nurses Bring FLOWERS® to the Bedside - Sprayberry
FLOWERS
®
to your
nurse manager
FLOWERS
®
to your staff meetings
FLOWERS
®
to your classroom
FLOWERS®
to your
nursing
research
FLOWERS
®
to the bedside
Lives
Flourish!
…of each patient in need of
Professional Nursing Care
Academy of Medical-Surgical Nurses (AMSN) 24th Annual Convention (2015) These materials were specially prepared for
instructional use by AMSN and remain the property of AMSN and/or individual presenters. No portion of these materials, in whole
or part, may be used in any fashion, or reproduced by any means, without the written permission of AMSN and/or individual presenters.
122 - Solving Challenges of Practice Direct-Care Nurses Bring FLOWERS® to the Bedside - Sprayberry
Contact Information
Lynn Dykema Sprayberry, PhD, RN
Links to Hospital Statistics
American Hospital Association. Fast Facts on U.S. Hospitals – 2013
Survey
ACHE: Top Issues Confronting Hospitals in 2014
[email protected]
http://www.flowersatthebedside.com
http://www.facebook.com/flowersatthebedside
Image Source
Unless otherwise noted, all images
were purchased from:
Links to Nursing Workforce Statistics
HRSA 2013 Report - U.S. Nursing Workforce
AMN Healthcare, Inc. 2013 Survey of Registered Nurses
http://www.123rf.com
Links to National Quality Strategy (NQS) Information
Links to U.S. Department of Health
and Human Services (HHS) Information
National Quality Strategy
National Quality Strategy Fact Sheet 2014
HHS Organizational Chart
National Quality Strategy - Using Levers to Improve Health and Health
Care
HHS 2014-2018 Strategic Plan
National Quality Strategy - 2014 Annual Report to Congress
HHS 2016 Budget-in-Brief
Links to National Quality Forum
National Quality Forum – Home
HHS Leadership
HHS Operating Divisions
National Quality Forum - Quality Measures
Office of the Secretary Staff Divisions
Links to Hospital Quality Programs
Hospital Readmissions Reduction Program
Value-Based Purchasing
CMS Hospital Readmissions Reduction Program
American Hospital Association Rethinking Hospital ‐
Readmission Reduction Program
Understanding Hospital Readmissions Reduction
Program - Stratis Health
Centers for Medicare and Medicaid Services
(CMS) Hospital Value-Based Purchasing
Understanding the Value-Based Purchasing
Program - Stratis Health
Electronic Health Records
Incentive Program
Hospital-Acquired Conditions Program
CMS Hospital-Acquired Conditions (HAC)
Reduction Program
Understanding the HAC Reduction Program Stratis Health
H
Hospital Inpatient Quality Reporting
CMS EHR Incentive Programs
Accountable Care Organizations
CMS Innovation Center (Accountable Care
Organizations)
Hospital Compare
Academy of Medical-Surgical Nurses (AMSN) 24th Annual Convention (2015) These materials were specially prepared for
instructional use by AMSN and remain the property of AMSN and/or individual presenters. No portion of these materials, in whole
or part, may be used in any fashion, or reproduced by any means, without the written permission of AMSN and/or individual presenters.
122 - Solving Challenges of Practice Direct-Care Nurses Bring FLOWERS® to the Bedside - Sprayberry
Handout #1: FLOWERS® Self‐Assessment FLOWERS® Self­Assessment Scale: 1= Lowest 5 = Highest Fundamentals of Care 1 2 3 4 5 Leadership at the Bedside 1 2 3 4 5 Outcomes of Care 1 2 3 4 5 Wisdom 1 2 3 4 5 Ethics 1 2 3 4 5 Relational Competence 1 2 3 4 5 Skilled Caring 1 2 3 4 5 TOTAL SCORE: Score Comments _________ _________ _________ _________ _________ _________ _________ __________÷ 7 = ______________ FLOWERS® SCORE Academy of Medical-Surgical Nurses (AMSN) 24th Annual Convention (2015) These materials were specially prepared for
instructional use by AMSN and remain the property of AMSN and/or individual presenters. No portion of these materials, in whole
or part, may be used in any fashion, or reproduced by any means, without the written permission of AMSN and/or individual presenters.
122 - Solving Challenges of Practice Direct-Care Nurses Bring FLOWERS® to the Bedside - Sprayberry
Handout #2: FLOWERS® Reference and Suggested Reading List Lynn D. Sprayberry, PhD, RN Reference and Suggested Reading List Listed by Content Categories HEALTHCARE PROVIDERS Hospital Executives and Healthcare Reform American College of Healthcare Executives (2015). Survey: Healthcare finance, reform, top issues confronting hospitals in 2014. Retrieved fromhttp://www.ache.org/pubs/research/ceoissues.cfm Alexander, J.A., Hearld, L.R., Jiang, H.J., & Fraser, I. (2007). Increasing the relevance of research to health care managers: Hospital CEO imperatives for improving quality and lowering costs. Health Care Management Review, 32(2), 150‐159. Nurses’ Role Stress: Role Ambiguity, Conflict, & Overload Chang, E., & Hancock, K. (2003). Role stress and role ambiguity in new nursing graduates in Australia. Nursing and Health Sciences, 5, 155‐163. Dasgupta, P. (2012). Effect of role ambiguity, conflict, and overload in private hospitals’ nurses’ burnout and mediation through self‐efficacy. Journal of Health Management, 14(4), 513‐534. Kahn, R.L., Wolfe, D.M., Quinn, R.P., Snoek, J.D., & Rosenthal, R.A. (1964). Organizational stress: Studies in role conflict and ambiguity. New York:John Wiley. Omansky, G.L. (2010). Staff nurses’ experiences as preceptors and mentors: An integrative review. Journal of Nursing Management, 18, 697‐703. Sprayberry, L. (2014). Transformation of America’s health care system: Implications for professional direct‐care nurses. MEDSURG Nursing, 23(1), 61‐66. Impact of Hospital Care Environment on Nurses and Patient Outcomes Aiken, L., & Patrician P. (2000). Measuring organizational traits of hospitals: The Revised Nursing Work Index. Nursing Research, 49(3), 146‐153. Academy of Medical-Surgical Nurses (AMSN) 24th Annual Convention (2015) These materials were specially prepared for
instructional use by AMSN and remain the property of AMSN and/or individual presenters. No portion of these materials, in whole
or part, may be used in any fashion, or reproduced by any means, without the written permission of AMSN and/or individual presenters.
122 - Solving Challenges of Practice Direct-Care Nurses Bring FLOWERS® to the Bedside - Sprayberry
Handout #2: FLOWERS® Reference and Suggested Reading List Lynn D. Sprayberry, PhD, RN Aiken, L.H., Clarke, S.P., Sloane, D.M., Sochalski, J.A., Busse, R., Clarke, H.,… Shamian, J. (2001). Nurses’ reports on hospital care in five countries. Health Affairs, 20(3), 43‐53. Aiken, L.H., Clarke, S.P., & Sloane, D.M. (2002). Hospital staffing, organization, and quality of care: Cross national findings. Nursing Outlook, 50(5), 187‐194. Aiken, L.H., Clarke, S.P., Sloane, D.M, Lake, E.T., & Cheney, T. (2008). Effects of hospital care environment on patient mortality and nurse outcomes. Journal of Nursing Administration, 38(5), 223‐229. Choi, S., Cheung, K., & Pang, S. (2013). Attributes of nursing work environment as predictors of registered nurses’ job satisfaction and intention to leave. Journal of Nursing Management, 21, 429‐439. Disch, J., & Sinioris, M. (2012). The quality burden. The Nursing Clinics of North America, 47(3), 395‐405. Purdy, N., Laschinger, H., Finegan, J., Kerr, M., & Olivera, F. (2010). Effects of work environments on nurse and patient outcomes. Journal of Nursing Management, 18, 901‐913. Unruh, L, & Zhang, N.J. (2014). The hospital work environment and job satisfaction of newly licensed Registered Nurses. Nursing Economic$, 32(6), 296‐305, 311. Nursing Turnover and Retention Surveys Nursing Solutions, Inc. (NSI) (2015). 2015 National healthcare retention and RN staffing report. Retrieved from http://www.nsinursingsolutions.com/Files/assets/library/retention‐
institute/NationalHealthcareRNRetentionReport2015.pdf AMN Healthcare, Inc. (2013). 2013 Survey of Registered Nurses: Generation gap grows as healthcare transforms. Retrieved from http://www.amnhealthcare.com/uploadedFiles/MainSite/Content/Healthcare_Ind
ustry_Insights/Industry_Research/2013_RNSurvey.pdf 2
Academy of Medical-Surgical Nurses (AMSN) 24th Annual Convention (2015) These materials were specially prepared for
instructional use by AMSN and remain the property of AMSN and/or individual presenters. No portion of these materials, in whole
or part, may be used in any fashion, or reproduced by any means, without the written permission of AMSN and/or individual presenters.
122 - Solving Challenges of Practice Direct-Care Nurses Bring FLOWERS® to the Bedside - Sprayberry
Handout #2: FLOWERS® Reference and Suggested Reading List Lynn D. Sprayberry, PhD, RN HOSPITAL QUALITY PROGRAMS National Quality Strategy U.S. Department of Health and Human Services (2014). National Quality Strategy: Achieving better health and heath care for all Americans.Annual Progress Report to Congress. Retrieved from http://www.ahrq.gov/workingforquality/reports/annual‐
reports/nqs2014annlrpt.htm U.S. Department of Health and Human Services (2014). National Quality Strategy fact sheet. Retrieved from http://www.ahrq.gov/workingforquality/nqs/nqsfactsheet.pdf U.S. Department of Health and Human Services (2014). National Quality Health Strategy: Using levers to achieve improved health and heath care. Retrieved from http://www.ahrq.gov/workingforquality/reports/nqsleverfactsheet.pdf U.S. Department of Health and Human Services (2015). Working for quality.Retrieved from http://www.ahrq.gov/workingforquality/ Department of Health and Human Services Budget, Leadership, Operating Divisions, Staff, and Strategic Plan Department of Health and Human Services. (2015). Budget in brief. Retrieved from http://www.hhs.gov/about/budget/budget‐in‐brief/index.html Department of Health and Human Services. (2015). HHS leadership. Retrieved from http://www.hhs.gov/about/leadership/index.html Department of Health and Human Services. (2015), Operating divisions. Retrieved from http://www.hhs.gov/about/agencies/operating‐divisions/index.html Department of Health and Human Services. (2015). Office of the secretary: Staff divisions Retrieved from http://www.hhs.gov/about/agencies/staff‐
divisions/index.html 3
Academy of Medical-Surgical Nurses (AMSN) 24th Annual Convention (2015) These materials were specially prepared for
instructional use by AMSN and remain the property of AMSN and/or individual presenters. No portion of these materials, in whole
or part, may be used in any fashion, or reproduced by any means, without the written permission of AMSN and/or individual presenters.
122 - Solving Challenges of Practice Direct-Care Nurses Bring FLOWERS® to the Bedside - Sprayberry
Handout #2: FLOWERS® Reference and Suggested Reading List Lynn D. Sprayberry, PhD, RN Department of Health and Human Services (2015). Strategic plan. Retrieved from http://www.hhs.gov/about/strategic‐plan/index.html National Quality Forum (NQF) Jayawardhana, J., Welton, J.M., & Lindrooth, R. (2011). Adoption of National Quality Forum Safe Practices by Magnet® hospitals. Journal of Nursing Administration, 41(9), 350‐356. National Quality Forum (2015). About us. Retrieved from http://www.qualityforum.org/story/About_Us.aspx National Quality Forum (2015). Measures, reports, and tools. Retrieved from http://www.qualityforum.org/Measures_Reports_Tools.aspx National Quality Forum (2010). Safe Practices for Better Health Care – 2010 Update. Retrieved from https://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Be
tter_Healthcare_–_2010_Update.aspx Quraishi, J., &Jordan, L. (2014). Quality and performance measurement: National efforts to improve quality of care through measurement development. American Association of Nurse Anesthetists (AANA) Journal, 82(3), 84‐187. Centers for Medicare and Medicaid (CMS) Electronic Health Records (EHR) Incentive Programs Centers for Medicare and Medicaid (CMS)(2015).Official Web Site for the CMS
Electronic Health Records (EHR) Incentive Programs. Retrieved from http://www.cms.gov/Regulations‐and‐
Guidance/Legislation/EHRIncentivePrograms/index.html?redirect=/EHRInc
entivePrograms/ 4
Academy of Medical-Surgical Nurses (AMSN) 24th Annual Convention (2015) These materials were specially prepared for
instructional use by AMSN and remain the property of AMSN and/or individual presenters. No portion of these materials, in whole
or part, may be used in any fashion, or reproduced by any means, without the written permission of AMSN and/or individual presenters.
122 - Solving Challenges of Practice Direct-Care Nurses Bring FLOWERS® to the Bedside - Sprayberry
Handout #2: FLOWERS® Reference and Suggested Reading List Lynn D. Sprayberry, PhD, RN Centers for Medicare and Medicaid (CMS) Value­Based Purchasing Programs Centers for Medicare and Medicaid (CMS) Services (2015). Hospital Value­Based Purchasing. Retrieved from http://www.cms.gov/Medicare/Quality‐Initiatives‐Patient‐Assessment‐
Instruments/hospital‐value‐based‐
purchasing/index.html?redirect=/Hospital‐Value‐Based‐Purchasing/ Kaiser Health News (January 15, 2015). Medicare quality bonuses and penalties year 3.Retrieved from http://cdn.kaiserhealthnews.org/attachments/MedicareQualitypenaltiesand
bonusesYear3.pdf Kaiser Health New (2015, January 22). Hospitals Medicare quality bonuses get wiped out by penalties. Retrieved from http://www.npr.org/sections/health‐
shots/2015/01/22/378853630/hospitals‐medicare‐quality‐bonuses‐get‐
wiped‐out‐by‐penalties Stratis Health (2015). Understanding Value­Based Purchasing. Retrieved from http://www.stratishealth.org/documents/FY2017‐VBP‐fact‐sheet.pdf Centers for Medicare and Medicaid (CMS) Hospital Readmissions Reduction Program American Hospital Association (2015). Rethinking the Hospital Readmission Reduction Program. Retrieved from http://www.aha.org/research/reports/tw/15mar‐tw‐readmissions.pdf Centers for Medicare and Medicaid (CMS) Hospital Readmissions Reduction Program (2015). Retrieved from http://www.cms.gov/Medicare/medicare‐fee‐for‐service‐
payment/acuteinpatientPPS/readmissions‐reduction‐program.html Rau, J. (2014, October 2). Medicare fines 2,610 hospitals in third round of readmission penalties. Kaiser Health News. Retrieved from http://khn.org/news/medicare‐readmissions‐penalties‐2015/ Stratis Health (2014). Understanding the Hospital Readmissions Reduction Program. Retrieved from http://www.stratishealth.org/documents/Readmissions_Reduction_Fact_Sh
eet.pdf 5
Academy of Medical-Surgical Nurses (AMSN) 24th Annual Convention (2015) These materials were specially prepared for
instructional use by AMSN and remain the property of AMSN and/or individual presenters. No portion of these materials, in whole
or part, may be used in any fashion, or reproduced by any means, without the written permission of AMSN and/or individual presenters.
122 - Solving Challenges of Practice Direct-Care Nurses Bring FLOWERS® to the Bedside - Sprayberry
Handout #2: FLOWERS® Reference and Suggested Reading List Lynn D. Sprayberry, PhD, RN Centers for Medicare and Medicaid Services (CMS) Innovation Center Centers for Medicare and Medicaid Services (CMS)(2015). Accountable Care Organizations (ACOs): General Information. Retrieved from http://innovation.cms.gov/initiatives/aco/ Centers for Medicare and Medicaid Services (2015). Accountable Care Organizations (ACO). Retrieved from https://www.cms.gov/Medicare/Medicare‐Fee‐for‐Service‐
Payment/ACO/index.html?redirect=/aco Centers for Medicare and Medicaid Services (2014). Summary of final rule provisions for Accountable Care Organizations (ACOs) under the Medicare Shared Savings Program. Retrieved from https://www.cms.gov/Medicare/Medicare‐Fee‐
for‐Service‐
Payment/sharedsavingsprogram/Downloads/ACO_Summary_Factsheet_ICN
907404.pdf Centers for Medicare and Medicaid Services (CMS) Hospital­Acquired Conditions (HAC) Reduction Program Centers for Medicare and Medicaid (CMS) (2015). Hospital­Acquired Condition (HAC) Reduction Program. Retrieved fromhttp://www.cms.gov/Medicare/Medicare‐Fee‐for‐Service‐
Payment/AcuteInpatientPPS/HAC‐Reduction‐Program.html Ellison, A., & Gooch, K. (2014, December 19). Medicare cuts payments to 721 hospitals for HACs: 15 things to know. Retrieved fromhttp://www.beckershospitalreview.com/finance/medicare‐cuts‐
payments‐to‐721‐hospitals‐for‐hacs‐15‐things‐to‐know.html Stratis Health (2015). Understanding the Hospital­Acquired Conditions (HAC) Reduction Program. Retrieved from http://www.stratishealth.org/documents/HAC_fact_sheet.pdf 6
Academy of Medical-Surgical Nurses (AMSN) 24th Annual Convention (2015) These materials were specially prepared for
instructional use by AMSN and remain the property of AMSN and/or individual presenters. No portion of these materials, in whole
or part, may be used in any fashion, or reproduced by any means, without the written permission of AMSN and/or individual presenters.
122 - Solving Challenges of Practice Direct-Care Nurses Bring FLOWERS® to the Bedside - Sprayberry
Handout #2: FLOWERS® Reference and Suggested Reading List Lynn D. Sprayberry, PhD, RN FLOWERS® Sprayberry, L. (2014). A response to the transformation of America’s health care: Direct‐care nurses bring FLOWERS® to the bedside. MEDSURG Nursing, 23(2). 123‐130. Fundamentals of Care Hall, L. (1969). The Loeb Center for Nursing and Rehabilitation, Montefiore Hospital and Medical Center, Bronx, New York. International Journal of Nursing Studies, 6, 81‐97. Kalisch, B. (2006). Missed nursing care: A qualitative study. Journal of Nursing Care Quality, 21(4), 306‐313. Kitson, A., Conroy, T., Wengstrom, Y., Profetto‐McGrath, J., & Robertson‐Malt, S. (2010). Defining the fundamentals of care. International Journal of Nursing Practice, 16, 423‐434. Kitson, A., Dow, C., Calabrese, J., Locock, L., & Athlin A. (2013). Stroke survivors’ experiences of the fundamentals of care: A qualitative analysis. International Journal of Nursing Studies. 50(3), 392‐403. Kitson, A., Robertson‐Malt, S., & Conroy, T. (2013). Identifying the fundamentals of care within Cochrane Systemic Reviews: The role of the Cochrane Nursing Care Field Fundamentals of Care Node. International Journal of NursingPractice, 19, 109‐115. McGucklin, M., Shubin, A., & Hujcs, M. (2008). Interventional patient hygiene model: Infection control and nursing share responsibility for patient safety. American Journal of Infection Control, 36(1), 59‐62. Paull, J., Hanson, P., Hasenau, S., & Dunn, D. (2013). An examination of nurse caring and hospital acquired pressure ulcers. International Journal of Human Caring, 17(4), 32‐42. Pearson, A. (2010). Attention to the fundamentals of nursing care. Nurse Researcher, 17(3), 92‐94. 7
Academy of Medical-Surgical Nurses (AMSN) 24th Annual Convention (2015) These materials were specially prepared for
instructional use by AMSN and remain the property of AMSN and/or individual presenters. No portion of these materials, in whole
or part, may be used in any fashion, or reproduced by any means, without the written permission of AMSN and/or individual presenters.
122 - Solving Challenges of Practice Direct-Care Nurses Bring FLOWERS® to the Bedside - Sprayberry
Handout #2: FLOWERS® Reference and Suggested Reading List Lynn D. Sprayberry, PhD, RN Roch, G., Dubois, C., & Clarke, S.P. (2014). Organizational climate and hospital nurses’caring practices: A mixed‐methods study. Research in Nursing & Health, 37, 229‐240. Schubert, M, Clarke, S, Aiken, L, &de Geest, S. (2012). Associations between rationing of nursing care and inpatient mortality in Swiss hospitals. International Journal For Quality In Health Care, 24(3),230‐238. Schubert, M. (2008). Rationing of nursing care: Associations with patient safety and quality of hospital care. Unpublished Dissertation, Institute of Nursing Science, University of Basel, Basil Switzerland. Vaillot, M. (1962). Commitment to nursing: A philosophical investigation. Philadelphia: J.P. Lippincott. Vollman, K. (2009). Back to the fundamentals: Why now, why us! Australian Critical Care,22, 152‐154. Leadership at the Bedside Chávez, E.,& Yoder, L. (2015). Staff nurse clinical leadership: A concept analysis. Nursing Forum, 50(2), 90‐100. Cook, M.J. (2001). The renaissance of clinical leadership. International Nursing Review, 48(1), 38‐46. Gelinas, L. (2014). Connecting leadership at the bedside to improvement. American Nurse Today, 9(11), 6. Grossman, S. (2007). Assisting critical care nurses in acquiring leadership skills: Development of a leadership and management competency checklist. Dimensions of Critical Care Nursing, 26(2), 57‐65. Lett, M. (2002). The concept of clinical leadership. Contemporary Nurse, 12(1), 16‐
21. Patrick, A., Laschinger, H., Wong, C., & Finegan, J. (2011). Developing and testing a new measure of staff nurse clinical leadership: The Clinical Leadership Survey. Journal of Nursing Management, 19(4), 449‐460. 8
Academy of Medical-Surgical Nurses (AMSN) 24th Annual Convention (2015) These materials were specially prepared for
instructional use by AMSN and remain the property of AMSN and/or individual presenters. No portion of these materials, in whole
or part, may be used in any fashion, or reproduced by any means, without the written permission of AMSN and/or individual presenters.
122 - Solving Challenges of Practice Direct-Care Nurses Bring FLOWERS® to the Bedside - Sprayberry
Handout #2: FLOWERS® Reference and Suggested Reading List Lynn D. Sprayberry, PhD, RN Ownership of Outcomes Kaur, D., Sambasivan, M,& Kumar, N, (2013). Effects of spiritual intelligence, emotional intelligence, psychological ownership, and burnout on caring behavior of nurses: A cross‐sectional study. Journal of Clinical Nursing, 22,3192‐3202. Brown, G., Pierce, J. L., & Crossley, C. (2014). Toward an understanding of ownership feelings. Journal of Organizational Behavior, 35, 318‐338. Md‐Sidin, S., Sambasivan, M., & Muniandy, N. (2010). Impact of psychological ownership on the performance of business school lecturers. Journal of Education for Business, 85, 50‐56. Pierce, J.L., Kostova, T., & Dirks, K. (2003). The state of psychological ownership: Integrating and extending a century of research. Review of General Psychology, 7(1), 84‐107. Pierce, J.L., & Jussila, I. (2010). Collective psychological ownership within the work and organizational context: Construct introduction and elaboration. Journal of Organizational Behavior, 31, 810‐834. Wisdom Benner, P. (2000). The wisdom of our practice: Thoughts on the art and intangibility of caring practice. American Journal of Nursing (AJN), 100(10). 99‐105. Cathcart, E., & Greenspan, M. (2013). The role of practical wisdom in nurse manager practice: Why experience matters. Journal of Nursing Management, 21, 964‐
970. Clauson, M., Wejr, P., Frost, L., McRae, C., & Straight, H. (2011). Legacy mentors: Translating the wisdom of our senior nurses. Nurse Education in Practice, 11(2),153‐158. Haggerty, L., & Grace, P. (2008). Clinical wisdom: The essential foundation of “good” nursing care. Journal of Professional Nursing, 24(4), 235‐240. Kaiser, R. (2015). The wisdom paper: Introducing the first of a new type of article in an occasional series. Counseling Psychology Journal: Practice and Research, 67(1), 1‐2. 9
Academy of Medical-Surgical Nurses (AMSN) 24th Annual Convention (2015) These materials were specially prepared for
instructional use by AMSN and remain the property of AMSN and/or individual presenters. No portion of these materials, in whole
or part, may be used in any fashion, or reproduced by any means, without the written permission of AMSN and/or individual presenters.
122 - Solving Challenges of Practice Direct-Care Nurses Bring FLOWERS® to the Bedside - Sprayberry
Handout #2: FLOWERS® Reference and Suggested Reading List Lynn D. Sprayberry, PhD, RN McKie, A. Baguley, F. Guthrie, C., Jackson, C., Kirkpatrick, P., Laing, A. …Wimpenny, P. (2012). Exploring clinical wisdom in nursing education. Nursing Ethics, 19(2), 252‐267. Rycroft‐Malone, J. (2008). Evidence‐informed practice: From individual to context. Journal of Nursing Management, 16, 404‐408. Uhrenfeldt, L., & Hall, E. (2007). Clinical wisdom among proficient nurses. Nursing Ethics, 14(3), 387‐398. Ethics Holland, S. (2012). Furthering the skeptical case against virtue ethics in nursing ethics. Nursing Philosophy, 13, 266‐275. Mitchell, D. (2014). Philosophy at the bedside: Phenomenology, complexity, and virtue in the care of patients. Journal of Evaluation in Clinical Practice, 20, 970‐974. Newman, R.A., (2015). Virtue ethics and nursing: On what grounds? Nursing Philosophy, 16, 40‐50. Putman, D. (2012). A reply to ‘skepticism about the virtue ethics approach to nursing ethics’ by Stephen Holland: The relevance of virtue in nursing ethics. Nursing Philosophy, 13, 142‐145. Russell, M.J., (2014). Teaching civility to undergraduate nursing students using a virtue ethics‐based curriculum. Journal of Nursing Education, 53(6), 313‐319. Sellman, D. (2011). What makes a good nurse: Why virtues are important for nurses.London, U.K.: Jessica Kingsley. Relational Competence L’Abate, L., Cusinato, M., Maino, E., Colesso, W., & Scilletta, C. (2010).Relational competence. New York: Springer. Carpenter, B.N. (1993). Relational Competence. In D. Perlman & W.H. Jones (Eds.),Advances in personal relationships (Vol. 4, pp. 1‐28). New York, NY: Jessica Kingsley. 10
Academy of Medical-Surgical Nurses (AMSN) 24th Annual Convention (2015) These materials were specially prepared for
instructional use by AMSN and remain the property of AMSN and/or individual presenters. No portion of these materials, in whole
or part, may be used in any fashion, or reproduced by any means, without the written permission of AMSN and/or individual presenters.
122 - Solving Challenges of Practice Direct-Care Nurses Bring FLOWERS® to the Bedside - Sprayberry
Handout #2: FLOWERS® Reference and Suggested Reading List Lynn D. Sprayberry, PhD, RN Carter, L., & Gray, D. (2007). Relational competence, internal market orientation, and employee performance. Marketing Review, 7(4), 385‐400. Clickner, D.,& Shirey, M. (2013). Professional comportment: The missing element in nursing practice. Nursing Forum, 48(2), 106‐113. Hansen, B., Rørtveit, K., Leiknes, I., Morken, I., Testad, I., Joa, I., & Severinsson E. (2012) Patient experiences of uncertainty: A synthesis to guide nursing practice and research. Journal of Nursing Management, 20, 266‐277. King‐Jones, M. (2011). Horizontal violence and the socialization of new nurses. Creative Nursing, 17(2), 80‐86. Sargeant, J., MacLeod, T., & Murray, A. (2011). An inter‐professional approach to teaching communication skills. Journal of Continuing Education, 31(4), 265‐
267. Timmins, F. (2011). Managers’ duty to maintain good workplace communication skills. Nursing Management, 18(3), 30‐34. Woolley, J., Perkins, R., Laird, P., Palmer, J., Schitter, M., Tarter, K.,…& Woolsey, M. (2012). Relationship‐based care: Implementing a caring healing environment. Medsurg Nursing, 21(3), 179‐182, 183. Skilled Caring Cossette, S., Pepin, J., Côté, J., &deCourval, F. (2008). The multidimensionality of caring: A confirmatory factor analysis of the Caring Nurse‐Patient Interaction Short Scale. Journal of Advanced Nursing, 61(6), 699‐710. Houghton, C., Casey, D., Shaw, D., & Murphy, K. (2012). Students’ experiences of implementing clinical skills in the real world of practice. Journal of Clinical Nursing, 22, 1961‐1969. Noh, C., Arthur, D., & Sohng, K. (2002). Relationship between technological influences and caring attributes of Korean nurses. International Journal of Nursing Practice, 8(5), 247‐256. Ranheim, A., Kärner, A., & Berterö, C. (2012). Caring theory and practice‐entering a simultaneous concept analysis. Nursing Forum, 47(2), 78‐90. 11
Academy of Medical-Surgical Nurses (AMSN) 24th Annual Convention (2015) These materials were specially prepared for
instructional use by AMSN and remain the property of AMSN and/or individual presenters. No portion of these materials, in whole
or part, may be used in any fashion, or reproduced by any means, without the written permission of AMSN and/or individual presenters.
122 - Solving Challenges of Practice Direct-Care Nurses Bring FLOWERS® to the Bedside - Sprayberry
Handout #2: FLOWERS® Reference and Suggested Reading List Lynn D. Sprayberry, PhD, RN Watson, J., & Foster, R. (2003). The attending nurse caring model: Integrating theory, evidence, and advanced caring‐healing therapeutics for transforming professional practice. Journal of Clinical Nursing, 12, 360‐365. 12
Academy of Medical-Surgical Nurses (AMSN) 24th Annual Convention (2015) These materials were specially prepared for
instructional use by AMSN and remain the property of AMSN and/or individual presenters. No portion of these materials, in whole
or part, may be used in any fashion, or reproduced by any means, without the written permission of AMSN and/or individual presenters.