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Using construction as their metaphor, authors Joe Tye and Bob Dent make a compelling case that a healthcare organization’s invisible architecture—a foundation of core values, a superstructure of organizational culture, and the interior finish of workplace attitude—is no less important than its visible architecture. Further, they assert that culture will not change unless people change, and people will not change unless they are inspired to do so and given the right tools. The fully updated second edition of Building a Culture of Ownership in Healthcare takes readers on a journey from accountability to ownership—providing a proven model, strategies, and practical solutions to help improve organizational culture in the healthcare setting. Learn how investing in your organization and your people can enable a significant, successful change in productivity; employee engagement; nurse satisfaction, recruitment, and retention; quality of care; patient satisfaction; and financial outcomes.
“The ‘Invisible Architecture’ is built on knowing, and acting on, what research tells us creates a great employee experience. Thank you, Joe and Bob, for writing a book whose time has come—and for your efforts to make healthcare better and better.” -Quint Studer, MSE Co-author, The Human Margin: Building the Foundations of Trust "A must read and a great resource for every leader in today's transforming work environment." -Tim Porter-O'Grady, DM, EdD, APRN, FAAN, FACCWS Senior Partner, Health Systems, TPOG Associates Clinical Professor, Emory University, SON Registered Mediator In the aftermath of the pandemic, preexisting challenges in healthcare organizations have intensified. Stress, burnout, staffing shortages, and even the erosion of trust in organizational leadership are pressing issues that need solutions. Using construction as their metaphor, authors Joe Tye and Bob Dent make a compelling case that a healthcare organization’s Invisible Architecture—a foundation of core values, a superstructure of organizational culture, and the interior finish of workplace attitude—is no less important than its visible architecture. In this third edition of Building a Culture of Ownership in Healthcare, readers will learn how investing in their organization and their people can enable a significant, successful change in productivity; employee engagement; nurse satisfaction, recruitment, and retention; quality of care; patient satisfaction; and positive financial outcomes. TABLE OF CONTENTS Chapter 1: Invisible Architecture Chapter 2: From Accountability to Ownership Chapter 3: The Foundation of Core Values Chapter 4: The Superstructure of Organizational Culture Chapter 5: The Interior Finish of Workplace Attitude Chapter 6: Blueprinting a Culture of Ownership Chapter 7: Three Essential Elements of a Culture of Ownership Chapter 8: Personal Values and Organizational Values Chapter 9: The Four Dimensions of Transformational Leadership Chapter 10: Anatomy of a Change Movement: What the Movement to Ban Public Smoking Has to Teach Healthcare Leaders About Culture Change Afterword Epilogue
In the stormy seas of today's world economy, organizations need all hands on deck In the stormy seas of today's world economy, organizations need people to own their work, not just rent a spot on the organization chart. All Hands on Deck is a fun-to-read story that is both a business strategy book about creating competitive advantage through corporate culture, and a personal development book that will inspire readers to be more committed and engaged with their work and their organizations. Drawing upon the wisdom of some of the greatest and most beloved business leaders of the 20th century, this essential guide: Creates a virtual roadmap for building a culture of ownership where so workers are inspired to think and act like partners in the enterprise, and not just hired hands Shares practical and proven strategies for earning employee buy-in and commitment to the values, vision, and purpose of the organization Features the real-world wisdom of some of the most successful and beloved business leaders of the 20th century, including Walt Disney, Ray Kroc, Mary Kay Ash, Bill Hewlett, and Dave Packard A stirring resource for today's business environment, All Hands on Deck shares the tools you need to create an organization that competes and succeeds in today's turbulent world, and the inspiration that your people need to put those tools to work.
As a newly minted PhD or DNP, you’ve completed your dissertation or scholarly project. Congratulations! Wondering whether or how to publish? Confused about the publication process? Feeling overwhelmed? You are not alone. A Nurse’s Step-By-Step Guide to Publishing a Dissertation or DNP Project is a concise guide to preparing and polishing your work for publication. In a straightforward, conversational tone, author Karen Roush offers encouragement as well as information on everything from honing essential writing skills to choosing a publisher to submitting your manuscript—and all the steps in between. This book will help you navigate the world of scholarly publishing with less frustration— and more confidence—on the way to disseminating your research and knowledge.
The quest for cost savings in hospitals and health systems too often prompts leaders to rush to make major cuts in the largest budget line item: staffing and labor costs. Evidence shows, though, that cutting labor expenses, especially in nursing, negatively impacts both quality of care and overall profitability. Faced with cutting costs while continuing to provide extraordinary patient care, nurses at Children’s Hospital of Philadelphia (CHOP) decided to pave a different path. In the process, they created a new model of bedside-driven fiscal responsibility. Nursing-Led Savings shows organizational leaders at all levels how to develop and implement a robust, sustainable plan that eliminates waste and streamlines processes in everyday clinical work. This strategy involves: · Educating frontline staff on the importance of financial stewardship · Using a structured improvement approach to execute cost savings at the bedside · Engaging Nursing Shared Governance councils in implementation and oversight · Prioritizing non-labor expense reduction
“This book has the potential to transform not only organizations but also the lives of all they employ and serve.” –Margaret (Peg) Wichrowski, MSN, RN Staff Nurse, Molecular Imaging and Nuclear Medicine Long Island Jewish Medical Center (LIJMC), Northwell Health “Dr. Cynthia Clark has taken incivility, a complex and critical subject, and provided an incredibly informative and useful blend of how it affects people, particularly healthcare professionals… [T]his book reflects a synthesis of years of study integrated with real experience to help those in healthcare organizations elevate the care environment with civility and kindness.” –David Fryburg, MD President, Envision Kindness “What a scholarly, literary masterpiece on individual and organizational civility… Dr. Clark’s conceptual model of a ‘Culture of Belonging’ is brought to life by her comprehensive coverage of evidence-based practices and practical tools to apply, create, and sustain healthy work environments. A must-read for healthcare and academic leaders!” –Remy Tolentino, MSN, RN, NEA-BC System Vice President, Nursing Workforce & Leadership Development Baylor Scott & White Health Nursing Institute/Center for Nursing Leadership Powerful change can happen when healthcare professionals stand together and amplify the dialogue of civility. Incivility and other workplace aggressions have a significant impact on the lives of healthcare professionals, faculty, and students, as well as the patients and families in their care. Incivility in academic and practice environments can provoke uncertainty and self-doubt, weaken self-confidence, and cause detrimental and lasting effects on individuals, teams, and organizations. These behaviors can fracture relationships and result in life-threatening mistakes, preventable complications, harm, or even the death of a patient. In Core Competencies of Civility in Nursing & Healthcare, Cynthia Clark—a nurse-leader dedicated to organizational change and an unwavering advocate for civility and dignity for all—provides an abundance of practical solutions to create and sustain communities of civility, diversity, inclusion, and respect in academic and healthcare environments. Using a wealth of evidence-based interventions, hands-on tools, and scholarly resources, this book expands current thinking on the topic of civility to create and support healthy, productive work and learning environments for the benefit of all. TABLE OF CONTENTS Chapter 1: What Is Civility, and Why Does It Matter? Chapter 2: The Detrimental Impact of Workplace Aggression Chapter 3: The Power and Imperative of Self-Awareness Chapter 4: Practicing the Fundamentals of Civility Chapter 5: Honing Communication Skills and Conflict Competence Chapter 6: The Power of Leadership, Visioning, and Finding Our WHY Chapter 7: Optimizing Self-Care and Professional Well-Being Chapter 8: Leadership Support and Raising Awareness for Organizational Change Chapter 9: Galvanizing a High-Performing Civility Team Chapter 10: Develop, Implement, and Evaluate a Data-Driven Action Plan Chapter 11: Securing Civility Into the Organizational Culture Through Policy Development Chapter 12: Celebrating Civility: A Powerful Engine to Uplift and Transform the Profession
This unique and engaging open access title provides a compelling and ground-breaking account of the patient safety movement in the United States, told from the perspective of one of its most prominent leaders, and arguably the movement’s founder, Lucian L. Leape, MD. Covering the growth of the field from the late 1980s to 2015, Dr. Leape details the developments, actors, organizations, research, and policy-making activities that marked the evolution and major advances of patient safety in this time span. In addition, and perhaps most importantly, this book not only comprehensively details how and why human and systems errors too often occur in the process of providing health care, it also promotes an in-depth understanding of the principles and practices of patient safety, including how they were influenced by today’s modern safety sciences and systems theory and design. Indeed, the book emphasizes how the growing awareness of systems-design thinking and the self-education and commitment to improving patient safety, by not only Dr. Leape but a wide range of other clinicians and health executives from both the private and public sectors, all converged to drive forward the patient safety movement in the US. Making Healthcare Safe is divided into four parts: I. In the Beginning describes the research and theory that defined patient safety and the early initiatives to enhance it. II. Institutional Responses tells the stories of the efforts of the major organizations that began to apply the new concepts and make patient safety a reality. Most of these stories have not been previously told, so this account becomes their histories as well. III. Getting to Work provides in-depth analyses of four key issues that cut across disciplinary lines impacting patient safety which required special attention. IV. Creating a Culture of Safety looks to the future, marshalling the best thinking about what it will take to achieve the safe care we all deserve. Captivatingly written with an “insider’s” tone and a major contribution to the clinical literature, this title will be of immense value to health care professionals, to students in a range of academic disciplines, to medical trainees, to health administrators, to policymakers and even to lay readers with an interest in patient safety and in the critical quest to create safe care.
Praise for the First Edition: “Where was this book when I was a new nurse just learning the ropes of labor and delivery? This is a true gem of a book—a must for any new grad going into labor and delivery. I recommend this book for every labor and delivery floor." -Cindy Curtis, RNC, IBCLC, CCE Former Director, The Family Birth Center Culpeper Regional Hospital Lignum, VA "The best one-stop reference book for the experienced and novice Labor and Delivery RN....Finally an excellent Labor and Delivery book by RN's -- for RN's." -Garla DeWall, RNC Presbyterian Hospital in the Family Birthing Center Albuquerque, New Mexico The clinically oriented guide to nursing care during childbirth is distinguished by its strong focus on evidence-based practice as well as its engaging style and user-friendly format. It reviews the nursing process from admission to delivery focusing on proper surveillance and care, comprehensive data acquisition, interpretation, and teamwork. The second edition continues to help labor and delivery nurses make wise decisions in the delivery room, optimizing both maternal and fetal outcomes. It clearly explains the stages and phases of labor, delivery, and pain assessment and management—all supported by proven research. This text provides authoritative guidance on intervention options, creating patient-centered care plans, and improving communication with other members of the obstetrics team. New to the Second Edition: Proper analysis of the partograph to facilitate appropriate patient interventions Updated information about clinical pelvimetry New information on psyche, including the religious, spiritual, and cultural dimensions of care Setting priorities in triage and care related to postpartum hemorrhage Identification of “myths” related to childbirth Individualized patient care related to fetal distress and nonreassuring fetal status Oxytocin infusion and its relationship to permanent Erb’s palsy and autism Updated information on technology, including connectivity between smart IV pumps and the EMR How to distinguish functional from mechanical dystocia and intervene to enhance fetal and maternal safety Key Features: Applies to nursing care of childbearing clients world-wide Focuses on evidence-based practices Written in engaging, easy-to-understand style for new nurses, seasoned practitioners, and nurses seeking certification Enhances effective decision-making to optimize patient care and outcomes Replete with informative references, relevant graphics, and review questions Incorporates research to clearly explain concepts and best practices Provides orientation fundamentals, checklists, and log charts
This textbook combines whole person and social justice perspectives to educate students on the role of communication in promoting inclusive and person-centered healthcare practices. This book explores health inequities experienced by disadvantaged and marginalized populations and outlines the actions students can take to address these challenges. The book demonstrates how physical, mental, and emotional health is connected to equitable understandings of individual, community, and environmental health. It considers how social, interpersonal, and systemic factors such as personal relationships, language, literacy, religion, technology, and the environment affect health equity. To present strategies and invite action to support the goals of the whole person, social justice activist approach, the book provides contemporary examples, interviews with communication scholars, and case studies that examine local communities and the everyday contexts of health meaning making. This textbook serves as a core or supplemental text for graduate and upper-level undergraduate courses in health communication. Online resources include PowerPoint slides and an instructor manual containing sample syllabi, assignments, and test questions. They are available online at www.routledge.com/9781032081038.