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Going far beyond previous empirical work, John Kotter and James Heskett provide the first comprehensive critical analysis of how the "culture" of a corporation powerfully influences its economic performance, for better or for worse. Through painstaking research at such firms as Hewlett-Packard, Xerox, ICI, Nissan, and First Chicago, as well as a quantitative study of the relationship between culture and performance in more than 200 companies, the authors describe how shared values and unwritten rules can profoundly enhance economic success or, conversely, lead to failure to adapt to changing markets and environments. With penetrating insight, Kotter and Heskett trace the roots of both healthy and unhealthy cultures, demonstrating how easily the latter emerge, especially in firms which have experienced much past success. Challenging the widely held belief that "strong" corporate cultures create excellent business performance, Kotter and Heskett show that while many shared values and institutionalized practices can promote good performances in some instances, those cultures can also be characterized by arrogance, inward focus, and bureaucracy -- features that undermine an organization's ability to adapt to change. They also show that even "contextually or strategically appropriate" cultures -- ones that fit a firm's strategy and business context -- will not promote excellent performance over long periods of time unless they facilitate the adoption of strategies and practices that continuously respond to changing markets and new competitive environments. Fundamental to the process of reversing unhealthy cultures and making them more adaptive, the authors assert, is effective leadership. At the heart of this groundbreaking book, Kotter and Heskett describe how executives in ten corporations established new visions, aligned and motivated their managers to provide leadership to serve their customers, employees, and stockholders, and thus created more externally focused and responsive cultures.
Empowering, engaging, and retaining qualified nurses are critical healthcare priorities. Why? Nurse retention is directly correlated to healthcare outcomes, and nurse turnover has a negative, multidimensional effect on healthcare organizations. Turnover affects job satisfaction among clinical nurses, which leads to burnout, making it harder for them to provide safe patient care and achieve overall organizational initiatives. Further, the high costs associated with nurse turnover can have a huge impact on a hospital’s or health system’s profit margin. Improving Nurse Retention & Healthcare Outcomes will help clinical nurses understand how to elevate their practice as frontline care providers and give executives a new, strategic approach to nurse retention. Authors Judy Thomas and Mellisa Renter outline the IMPACT Program they created to stimulate empowerment and professional growth. In addition to explaining the program, how it works, and what it has achieved, this book provides an implementation path to make an immediate impact on nurse empowerment, engagement, and retention.
CE credit available through the No Dakota Nurses Association "Smoothly written and effectively blending hard facts and personal observations, the book is peppered with inspiring success stories about "what works" in terms of improving morale and the quality of nursing practice." Sean Clarke, RN, PhD, CRNP University of Pennsylvania School of Nursing "[Fabre's] not afraid to tackle the tough issues .Implementing Smart Nursing concepts will result in energy enhancing experiences for your nurses and better care for your patients." --Susan Keane Baker, MHA Author, Managing Patient Expectations Too many health care organizations are using short-term fixes to patient health care delivery problems. Patients, however, require long-term solutions that treat the whole person, not just their particular ailment. What the profession needs is Smart Nursing. Smart Nursing provides practical guidance on patient care that every nurse, manager, and health care facility can use to restore patient safety, generate revenue, reduce nurse turnover, and stimulate realistic health care solutions. In this new edition, Fabre presents the recently updated Smart Nursing model. This practical model uses seven basic elements to deliver improved results, improved patient care, and increased employee job satisfaction. These simple yet critical building blocks- caring, respect, simplicity, flexibility, integrity, communication, and professional culture-allow nurses to create a positive work environment, and provide holistic care to patients. Special Features: Provides practical, cost-effective solutions to business and management problems, such as strategies for improved staffing and retention Includes guidance on leadership and mentoring, building high-performance teams, and accelerating professional development Presents strategies and recommendations for developing strong relationships with staff for increased communication and efficiency
This 25th anniversary edition of the Annual Review of Nursing Research is focused on nursing science in vulnerable populations. Identified as a priority in the nursing discipline, vulnerable populations are discussed in terms of the development of nursing science, diverse approaches in building the state of the science research, integrating biologic methods in the research, and research in reducing health disparities. Topics include: Measurement issues Prevention of infectious diseases among vulnerable populations Genomics and proteomics methodologies for research Promoting culturally appropriate interventions Community-academic research partnerships with vulnerable populations Vulnerable populations in Thailand: women living with HIV/AIDS As in all volumes of the Annual Reviews, leading nurse researchers provide students, other researchers, and clinicians with the foundations for evidence-based practice and further research.
"Nurse retention is a key focus for healthcare organizations-particularly the retention of clinical nurses, who provide direct patient care. The costs associated with nurse turnover can have a huge impact on a hospital's profit margin. Additionally, nurse turnover affects job satisfaction among clinical nurses, which leads to burnout, making it even harder to provide safe care to patients and to achieve overall organizational initiatives. Bottom line: Nurse turnover has a multidimensional effect on an organization's ability to thrive. Considering the various reasons clinical nurses leave the direct patient care role, authors Judy Thomas and Melissa Renter created the IMPACT Program to stimulate empowerment and professional growth, which lead to increased job satisfaction-ultimately improving retention and helping nurses thrive in their roles"--
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
The Future of the Nursing Workforce in the United States: Data, Trends and Implications provides a timely, comprehensive, and integrated body of data supported by rich discussion of the forces shaping the nursing workforce in the US. Using plain, jargon free language, the book identifies and describes the key changes in the current nursing workforce and provide insights about what is likely to develop in the future. The Future of the Nursing Workforce offers an in-depth discussion of specific policy options to help employers, educators, and policymakers design and implement actions aimed at strengthening the current and future RN workforce. The only book of its kind, this renowned author team presents extensive data, exhibits and tables on the nurse labor market, how the composition of the workforce is evolving, changes occurring in the work environment where nurses practice their profession, and on the publics opinion of the nursing profession.
Retaining Valued Employees briefly summarizes the current research in the area of employee turnover, and provides practical guidelines to implement proven strategies for reducing unwanted turnover.