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Journal articles on the topic 'Agency nurse'

Author: Grafiati

Published: 4 December 2023

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1

Adams, Carolyn E., and David L. Cook. "The Impact of a Diabetes Nurse Educator on Nurses' Knowledge of Diabetes and Nursing Interventions in a Home Care Setting." Diabetes Educator 20, no. 1 (February 1994): 49–53. http://dx.doi.org/10.1177/014572179402000110.

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The purpose of this study was to compare nurses' knowledge of diabetes and nursing interventions in a home health care agency (HHCA) that employed a diabetes nurse educator (DNE) and an agency that did not employ a DNE. Nurse knowledge of diabetes mellitus was measured using the Ditibetes: Basic Knowledge Test (DBKT). Nursing care interventions for patients with diabetes were measured using a researcher-developed tool, the Nursing Care Intervention Tool (NCIT). The data analysis showed that the nurses in the agency with the diabetes nurse educator were significantly more knowledgeable about diabetes. The data also showed that the nurses in the HHCA with a diabetes nurse educator provided a significantly higher standard of patient care than the nurses in the agency without a diabetes nurse educator.

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2

Sumner, Sally M., Pamela A. Grau, and Barry H. Frank. "Agency Nurse vs. IRS." AJN, American Journal of Nursing 90, no. 3 (March 1990): 28C. http://dx.doi.org/10.1097/00000446-199003000-00014.

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3

Day, Jill. "Thoughts by Agency Jane." British Journal of Anaesthetic and Recovery Nursing 1, no. 1 (February 2000): 22–23. http://dx.doi.org/10.1017/s1742645600000139.

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Jane Bovey has long been a member of BARNA, and has recently left her job in the private sector as an anaesthetics and recovery nurse to work with an agency. Jane decided to write a column in the journal to express concerns felt by many nurses working in anaesthetics and recovery. Jane also wanted to promote debate on some contentious issues, and welcomes replies to her column. If you have a reply, send to email: theeditor.bjarn@k-2.org.uk or BJARN, 6 Bromyard Avenue, Walmley, Sutton Coldfield, B76 IRQ. The views expressed in this column are entirely of the author, and do not necessarily reflect those held by the British Anaesthetic & Recovery Nurses Association.

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4

Hudson, Simon. "Succeed as an agency nurse." Nursing Standard 30, no. 6 (October 7, 2015): 65. http://dx.doi.org/10.7748/ns.30.6.65.s52.

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5

Jones, D. "I am that agency nurse." Accident and Emergency Nursing 6, no. 1 (January 1998): 51–52. http://dx.doi.org/10.1016/s0965-2302(98)90061-3.

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6

Novak, Karen E. "Agency Nurse Assessment for Competency." Journal for Nurses in Staff Development (JNSD) 21, no. 4 (July 2005): 158–59. http://dx.doi.org/10.1097/00124645-200507000-00006.

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7

Bovey, J. "Thoughts by Agency Jane August 2000." British Journal of Anaesthetic and Recovery Nursing 1, no. 4 (November 2000): 4–6. http://dx.doi.org/10.1017/s1742645600000322.

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Jane Bovey has long been a member of BARNA, and has recently left her job in the private sector as a recovery nurse to work with an agency. Jane decided to write a column in the journal to express concerns felt by many nurses working in anaesthetics and recovery. Jane also wanted to promote debate on some contentious issues, and welcomes replies to her column. If you have a reply, send an email: theeditor.bjarn@k-2.org.uk or BJARN, 6 Bromyard Avenue, Walmley, Sutton Coldfield, B76 IRQ. The views expressed in this column are entirely of the author, and do not necessarily reflect those held by the British Anaesthetic & Recovery Nurses Association.

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8

Cipelletti, Luisa. "Agency Nursing in Australia." Journal of Perioperative Practice 19, no. 8 (August 2009): 241. http://dx.doi.org/10.1177/175045890901900801.

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9

Oldknow, Helen, Warren Gillibrand, and Andrew Clifton. "An exploration of why qualified mental health nurse prescribers do not prescribe." Journal of Prescribing Practice 2, no. 7 (July 2, 2020): 404–12. http://dx.doi.org/10.12968/jprp.2020.2.7.404.

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This article is an exploratory study of perceptions in mental health nurses who are qualified to prescribe yet choose not to do so. In-depth semi-structured face-to-face interviews, field notes and analysis of documents were used to investigate the perceptions of the non–prescribing nurse prescriber. A mapping exercise was conducted to identify potential participants. Interview data analysis was based on the principles of descriptive phenomenology and the research was theoretically framed within concepts of power, structure/agency and culture. This study has contributed to understanding the views of non-prescribing mental health nurse prescribers on why they do not use their prescribing qualification. The findings from this study suggest that there are complex, interlocking factors: power and knowledge; culture; and structure and agency, which may enable or prevent mental health nurse prescribers from independently prescribing.

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Nickel, Jennie T., Grace M. Thomas, Martha A. Eastman, Janet D. Holton, and Rosanne H. Skuly. "Public Health Nurse Salaries: Associations with Nurse, Agency, and Community Characteristics." Public Health Nursing 7, no. 3 (September 1990): 181–89. http://dx.doi.org/10.1111/j.1525-1446.1990.tb00632.x.

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11

McElreath, B. Jean. "Speaking out: Why I'm an Agency Nurse." American Journal of Nursing 89, no. 5 (May 1989): 678. http://dx.doi.org/10.2307/3470764.

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12

Martell, Rael, and Bill Doult. "Fear ‘cost cutting’ in agency nurse skills." Nursing Standard 7, no. 32 (April 28, 1993): 10. http://dx.doi.org/10.7748/ns.7.32.10.s15.

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13

Millington, Fiona. "Never apologise for being an agency nurse." Nursing Standard 35, no. 12 (December 2, 2020): 23–24. http://dx.doi.org/10.7748/ns.35.12.23.s12.

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14

Wilmot, Stephen. "Ethics, agency and empowerment in nurse education." Nurse Education Today 13, no. 3 (June 1993): 189–95. http://dx.doi.org/10.1016/0260-6917(93)90101-7.

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15

Sahay, Ashlyn, Eileen Willis, Debra Kerr, and Bodil Rasmussen. "Nurse leader agency: Creating an environment conducive to support for graduate nurses." Journal of Nursing Management 30, no. 3 (March 2, 2022): 643–50. http://dx.doi.org/10.1111/jonm.13561.

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16

O'Keefe-McCarthy, Sheila. "Technologically-Mediated Nursing Care: the Impact on Moral Agency." Nursing Ethics 16, no. 6 (November 2009): 786–96. http://dx.doi.org/10.1177/0969733009343249.

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Technology is pervasive and overwhelming in the intensive care setting. It has the power to inform and direct the nursing care of critically ill patients. Technology changes the moral and social dynamics within nurse—patient encounters. Nurses use technology as the main reference point to interpret and evaluate clinical patient outcomes. This shapes nurses’ understanding and the kind of care provided. Technology inserts itself between patients and nurses, thus distancing nurses from patients. This situates nurses into positions of power, granting them epistemic authority, which constrains them as moral agents. Technology serves to categorize and marginalize patients’ illness experience. In this article, moral agency is examined within the technologically-mediated context of the intensive care unit. Uncritical use of technology has a negative impact on patient care and nurses’ view of patients, thus limiting moral agency. Through examination of technology as it frames cardiac patients, it is demonstrated how technology changes the way nurses understand and conceptualize moral agency. This article offers a new perspective on the ethical discussion of technology and its impact on nurses’ moral agency. Employing reflective analysis using the technique of embodied reflection may help to ensure that patients remain at the centre of nurses’ moral practice. Embodied reflection invites nurses critically to examine how technology has reshaped conceptualization, understanding, and the underlying motivation governing nurses’ moral agency.

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Nur Qamariyah and Nursyamsiyah Nursyamsiyah. "ANALISIS FAKTOR KUALITAS PELAYANAN TERHADAP KEPUASAN KERJA PERAWAT DI RUMAH SAKIT UMUM WISATA UIT." Jurnal Ilmiah Kedokteran dan Kesehatan 1, no. 3 (September 22, 2022): 198–218. http://dx.doi.org/10.55606/klinik.v1i3.2330.

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The hospital is a health service agency that focuses on the quality of services provided. Satisfaction is one indicator of the quality of care that nurses provide and become the capital to get patient satisfaction, and maintain loyalty in using services. This study aims to analyze nurses 'perceptions of the quality of care for nurse job satisfaction at Polewali Mandar Regional General Hospital. It is used as an analytic observational study with a cross sectional study design. The populationsare 117 nurses in Polewali Mandar Hospital, with 53 samples. Data are analyzed by univariate, bivariate with the chisquareanalysistest, and multivariate with logistic regression analysis test.The results showed that there was an effect of direct evidence on nurses' perceptions about service quality on nurse job satisfaction with a value of p = 0,038 (p<0.05). There were an influence of reliability on nurses' perceptions about service quality on nurse job satisfaction with a value of p = 0.019 (p<0.05). There were an effect of responsiveness to nurses' perceptions of service quality about nurse job satisfaction with a value of p = 0.018 (p<0.05). There were a guarantee effect on nurses' perceptions of service quality on nurse job satisfaction with a value of p = 0.039 (p<0.05). There were an influence of empathy on nurses' perceptions about service quality on nurse job satisfaction with a value of p = 0.036 (p <0.05). The most influential variable on nurse job satisfaction weretangible with a value of p = 0,024 (p<0,025).The conclusions of this study are direct evidence,reliability, responsiveness, assurance, and empathy affect to nurse job satisfaction. It is recommended that hospital management must give attention and improve nurse job satisfaction because it is one indicator of the quality of health services.

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18

Harrison, Sarah. "Agency was fooled into taking on bogus nurse." Nursing Standard 17, no. 50 (August 27, 2003): 6. http://dx.doi.org/10.7748/ns.17.50.6.s10.

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19

Mariott, Jerri. "A nurse owned and managed home health agency." Home Care Provider 1, no. 6 (November 1996): 299–302. http://dx.doi.org/10.1016/s1084-628x(96)90190-2.

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20

McConnell, Edwina A., Jan Fletcher, and Jutta H. Nissen. "Medical Device Education among Australian Registered Nurses: A Comparison of Agency and Hospital Nurses." International Journal of Technology Assessment in Health Care 11, no. 3 (1995): 585–94. http://dx.doi.org/10.1017/s0266462300008746.

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AbstractA cross-sectional survey was used to compare the medical device education of 142 agency- and 443 hospital-employed Australian registered nurses. The two groups differed significantly on descriptive characteristics and on what they had learned about medical devices. Potential negative aspects of device use were nurse stress and patient harm, with a significantly larger proportion of hospital nurses indicating their use of any medical device had made them feel stress. Fear of harming the patient and being unsure of how to use the device caused stress in the majority of nurses. The incidence of patient harm was approximately 10% for each group.

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21

Borders, Joshua. "Implementation of a hospice pain-education programme." International Journal of Palliative Nursing 26, no. 5 (June 2, 2020): 214–20. http://dx.doi.org/10.12968/ijpn.2020.26.5.214.

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Background: No studies have explored the pain resource nurse curriculum in the hospice setting. This curriculum offers a structured method to teach pain management to nurses. Aims: The purpose of this study was to examine the effect of implementing a modified pain resource nurse curriculum on nursing knowledge in a community hospice agency. Methods: A modified and condensed version of the pain resources nurse curriculum was presented to community hospice nurses during two educational sessions. A pre-test–post-test assessment was conducted using a modified version of the Nursing Knowledge and Attitudes Survey Regarding Pain tool to assess knowledge growth from the educational sessions. Findings: For educational session 1, average correct responses rose slightly from the pre-test to the post-test. However, this increase was not found to be statistically significant. For educational session 2, average correct responses rose an average of 2.6 points. This increase was found to be statistically significant. Conclusions: Based on this pre-experimental study, there is evidence that the pain resources nurse curriculum can provide an instructional framework for teaching hospice nurses. However, further study is needed, including a more rigorous design.

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22

Liu, Pi-Ju, and Jessica Hernandez Chilatra. "Nurses Working in and With Adult Protective Services: Agency Characteristics and Job Responsibilities." Innovation in Aging 4, Supplement_1 (December 1, 2020): 695–96. http://dx.doi.org/10.1093/geroni/igaa057.2437.

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Abstract The majority of Adult Protective Services (APS) workforce is staffed by social workers, though some agencies have recognized the need to address clients’ medical needs such as wounds, injuries, nutrition issues, hydration issues, premature death and more. Using survey data from the National Adult Protective Services Association (NAPSA), we analyzed 99 nurses’ responses on their role in working in/with APS to help abused, neglect, and exploited adults. Out of the 99 nurses, 65 were direct employees of APS, and 61 did not report directly to a nurse supervisor. Forty-nine nurses carry a caseload like social workers, and 27 carry a caseload in conjunction with social workers. The most common services nurses provide are home visits, evaluations of clients and their medications, and client education. Qualitative data revealed the benefits of having nurses on staff, including assessing medical needs, preventing medical emergencies, providing holistic care, and navigating the healthcare system. Part of a symposium sponsored by Abuse, Neglect and Exploitation of Elderly People Interest Group.

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23

Reed, Frances M., Les Fitzgerald, and Melanie R. Bish. "Rural District Nursing Experiences of Successful Advocacy for Person-Centered End-of-Life Choice." Journal of Holistic Nursing 35, no. 2 (May 5, 2016): 151–64. http://dx.doi.org/10.1177/0898010116646643.

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Choices in care during the end stages of life are limited by the lack of resources and access for rural people. Nursing advocacy based on the holistic understanding of people and their rural communities may increase the opportunity for choice and improve the quality of care for people living and dying at home. Pragmatism and nurse agency theory were used for a practical exploration of how district nurses successfully advocate for rural Australian end-of-life goals to begin the development of a practice model. In two stages of data collection, rural district nurse informants ( N = 7) were given the opportunity to reflect on successful advocacy and to write about their experiences before undertaking further in-depth exploration in interviews. They defined successful advocacy as “caring” that empowers people in the “big and small” personal goals important for quality of life. The concepts described that enable successful advocacy were organized into a network with three main themes of “willing” investment in holistic person-centered care, “knowing” people and resources, and feeling “supported.” The thematic network description provides deep insight into the emotional skill and moral agency involved in successful end-of-life nurse advocacy and can be used as a sound basis for modeling and testing in future research.

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24

Wilson, Janet S., and Sharon Brown. "Nurse-owned Agency Offers Management Training for Nursing Students." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 4, no. 6 (November 1986): 23–35. http://dx.doi.org/10.1097/00004045-198611000-00006.

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25

Nirwan, Nirwan, and Said Devi Elvin. "FAKTOR DETERMINAN HANDOVER DALAM KESELAMATAN PASIEN." JOURNAL KEPERAWATAN 2, no. 2 (September 1, 2023): 137–46. http://dx.doi.org/10.58774/jourkep.v2i2.41.

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Currently patient safety continues to be a major concern for nurses. One of the activities that can have an impact on patient safety is handovers carried out by nurses. Data shows that medical and treatment errors can threaten patient safety, 70% of them because of non-optimal handover activities by nurses. However, there are several organizational factors that influence the success of handover activities by nurses. This research is a quantitative study with a correlational design. The population was all nurses in the inpatient room of the Hospital in Banda Aceh, with a total of 175 nurses. The instrument for measuring organizational factors was adopted from the Hospital Survey on Patient Safety from the U.S. Agency for Healthcare Research and Quality (AHRQ), Department of Health and Human Services. Then, the instrument developed by Arianti was used for measuring nurse handover. Data were analyzed by using Chi-Square test and binary logistic regression with stepwise method. The results showed that of the 3 organizational factor variables in patient safety, 2 variables namely enabling factor (P-value: 0.000) and enacting factor (P-value: 0.002) were significant predictors of nurse handover in the inpatient ward. Furthermore, the data analysis indicated enabling factor is the most dominant predictor of nurse handover, with an odds ratio (OR) of 116.999. Meanwhile, the elaborating factor did not significantly affect the handover of nurses in the inpatient ward. Organizational factors that influence the success of the handover of the nurse in the inpatient unit are enabling and enacting factors.

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Spetz, Joanne, Alon Bergman, Hummy Song, Amber Rose, and Guy David. "Understanding Nursing Turnover: The Case of Home Health Care." Innovation in Aging 4, Supplement_1 (December 1, 2020): 35. http://dx.doi.org/10.1093/geroni/igaa057.114.

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Abstract Only a few studies of nursing turnover have examined post-acute home health care. This study examines factors that are associated with home health licensed nurse turnover using linked employee-level and patient-level data from one of the five largest home health companies in the US. The data include variables from human resources and payroll systems, visit logs, discharge records, physical and mental health assessments, care plans, and patient encounters and is organized at the employee-day level. We measured turnover using human resources data, including measures of voluntary and involuntary job separation, and from exit interviews that allow classification of whether turnover was associated with agency-related factors (e.g., pay, schedule, supervisor, coworkers) versus personal factors (e.g., family needs, relocation). In bivariate and multivariate analyses, explanatory variables included nurse demographics, patient population characteristics, and the degree to which nurses can delegate tasks to home care aides. We found a downward trend in turnover for licensed nurses between 2016 and 2019. Attrition in the first year was 34% for full-time nurses and 45% for part-time nurses, most of it occurring in the first 180 days of employment. The rate of voluntary turnover was nearly four times as great as involuntary turnover. We found that agency factors accounted for 26% of monthly turnover on average, while personal factors accounted for 74%. In states in which licensed nurses could delegate more tasks to home care aides, turnover rates were slightly higher than in states with little delegation.

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27

Murphy, Denise C. "Designing a Respirator Fit Testing Program." AAOHN Journal 40, no. 11 (November 1992): 545–49. http://dx.doi.org/10.1177/216507999204001106.

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The requirements for adequate respiratory protection for the employees of this agency vary. Therefore, accurate, updated job descriptions are a critical piece of information. Although the agency has made an effort to establish a respiratory protection program, a number of limitations exist when compared to the program components defined in ANSI, NIOSH, and OSHA guidance documents. In response to a request from the agency, the nurse consultant evaluated the existing respiratory protection program and made specific recommendations for improvement. At this time, the agency has signed a formal agreement with the Division of Federal Occupational Health to request continued assistance with “overhauling” their program. Top management has begun assigning responsibilities for the program to specific individuals, and a centralized database is being set up. The agency has implemented two new DFOH developed forms to improve the testing process, and the nurse consultant has revised the educational/training session to more adequately meet the needs of the work force. The Agency and DFOH are collaborating on reassessment of employees to correctly assign them to appropriate respiratory risk categories. This will, in turn, affect the medical monitoring needs as well as the educational needs of each individual.

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28

Layton, Shannon S., Randy Moore, and Rebecca S. (Suzie) Miltner. "Curriculum Mapping Post-Baccalaureate Registered Nurse Residency Curriculum to Accrediting Agency Standards." Journal for Nurses in Professional Development 39, no. 4 (July 2023): 230–33. http://dx.doi.org/10.1097/nnd.0000000000000999.

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This article examines the process of mapping a post-baccalaureate registered nurse residency curriculum with Commission on Collegiate Nursing Education standards for nurse residencies. Curriculum mapping revealed gaps and redundancies in the curriculum as well as documented compliance with accreditation standards. Curriculum mapping is instrumental to developing, evaluating, and refining curricular elements. Mapping curriculum with accreditation standards simultaneously fulfills accreditation requirements and can increase confidence in readiness within organizations undergoing accreditation site visits.

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29

Willard, Jeanne. "When releasing a temp nurse, give the agency good feedback." Nursing Management (Springhouse) 31, no. 2 (February 2000): 19. http://dx.doi.org/10.1097/00006247-200002000-00018.

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30

McConnel, Edwina A., and Jan Fletcher. "Agency registered nurse use of medical equipment: an Australian perspective." International Journal of Nursing Studies 32, no. 2 (April 1995): 149–61. http://dx.doi.org/10.1016/0020-7489(94)00037-k.

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31

Manias, Elizabeth, Robyn Aitken, Anita Peerson, Judith Parker, and Kitty Wong. "Agency nursing work in acute care settings: perceptions of hospital nursing managers and agency nurse providers." Journal of Clinical Nursing 12, no. 4 (July 2003): 457–66. http://dx.doi.org/10.1046/j.1365-2702.2003.00745.x.

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32

Milliken, Aimee, and Pamela Grace. "Nurse ethical awareness: Understanding the nature of everyday practice." Nursing Ethics 24, no. 5 (December 10, 2015): 517–24. http://dx.doi.org/10.1177/0969733015615172.

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Much attention has been paid to the role of the nurse in recognizing and addressing ethical dilemmas. There has been less emphasis, however, on the issue of whether or not nurses understand the ethical nature of everyday practice. Awareness of the inherently ethical nature of practice is a component of nurse ethical sensitivity, which has been identified as a component of ethical decision-making. Ethical sensitivity is generally accepted as a necessary precursor to moral agency, in that recognition of the ethical content of practice is necessary before consistent action on behalf of patient interests can take place. This awareness is also compulsory in ensuring patient good by recognizing the unique interests and wishes of individuals, in line with an ethic of care. Scholarly and research literature are used to argue that bolstering ethical awareness and ensuring that nurses understand the ethical nature of the role are an obligation of the profession. Based on this line of reasoning, recommendations for education and practice, along with directions for future research, are suggested.

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33

Dhillon, Hardip Kaur, Gurmeet Kaur, Jasminder Kaur, and Anuar Zaini Md Zain. "Vital Bridge Transforming Postgraduate Nurse Education And Employability To Employment." International Journal for Innovation Education and Research 3, no. 2 (February 28, 2015): 17–24. http://dx.doi.org/10.31686/ijier.vol3.iss2.309.

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Today’s universities are constantly looking for a competitive edge in delivering a postgraduate nurse curriculum with a positive outcome of future employability and employment. In this respect, Monash University Malaysia is no different since market differentiation is important for the survival of Private Institutions of Higher Learning in Malaysia. Currently, some Malaysian public and private universities do offer specific postgraduate courses in advanced clinical skills nurse practice which have been accredited by Malaysia Qualifications Agency and recognized by both Ministry of Higher Education as well as Ministry of Health. In addition to that, the Nurses Board Malaysia, also consider the postgraduate courses that are currently offered to be too generic with very little application of theory to practice in the clinical healthcare settings. In view of the gap that exists in the present postgraduate courses, this paper would critically examine the preliminary market information gathered on the requirements of higher educational needs of nurses in Malaysia. The future development of an appropriate higher education course, “the vital bridge”, is in the planning stage. It is expected to be both vigor and relevant to today’s Malaysian nurses’ employability and employment.

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34

Clark, Kim, and Shelley Beatty. "Making Hospital Governance Healthier for Nurses." Asia Pacific Journal of Health Management 11, no. 2 (July 1, 2016): 27–32. http://dx.doi.org/10.24083/apjhm.v11i2.183.

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The current research examined front line nurse expectations of non-metropolitan public hospital governance. In doing so, it explored the relevance of two dominant, competing Agency and Stewardship governance theories to these organisations. Two studies were conducted with the first establishing an inventory of notional nurse preferences for governance and the second testing these with a random sample of front-line non-metropolitan hospital nurses across one Australian State, with the aim of identifying valid and reliable measures. The study data suggest nurses working in nonmetropolitan public hospitals expect governance practices to reflect: respect for and engagement with clinical perspectives; utilisation of evidence-based planning; and effective engagement withlocal communities. Scales with good consistency and criterion and construct validity measuring these three components were identified. The study provides evidence that nurses expect and value a style of hospital governance that is consistent with Stewardship Theory. The results also suggest that governance is an important enough issue for nurses that it significantly affects their turnover intentions. This has important implications for healthcare leaders concerned about the sustainability of public hospitals. Abbreviations: NPM – New Public Management; PCA – Principal Components Analysis.

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35

Brown, Valerie. "The Nurse Co-Ordinator's Role." British Journal of Anaesthetic and Recovery Nursing 1, no. 4 (November 2000): 21–22. http://dx.doi.org/10.1017/s1742645600000371.

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The recent years of poor pay, increasing workload and lack of a proper career structure have led to many staff feeling undervalued and demoralised. More are turning to agency work as a way of 'topping up' wages or even working for agencies as the sole employer to achieve flexibility in working patterns. Balfor Recruitment Group deals with staff with a variety of skills, finding anything from an occasional shift to full time work. I know that this includes some of you. However, I doubt you know much about my side of the work so I have been asked to tell you about it. I look forward to hearing whether you find it interesting and whether you learnt anything new!

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36

McKenna, Erin, Kristina Clement, Elizabeth Thompson, Kathy Haas, William Weber, Michelle Wallace, Cindy Stauffer, et al. "Using a Nursing Productivity Committee to Achieve Cost Savings and Improve Staffing Levels and Staff Satisfaction." Critical Care Nurse 31, no. 6 (December 1, 2011): 55–65. http://dx.doi.org/10.4037/ccn2011826.

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Challenged by rising costs, higher registered nurse vacancy rates and declining staff morale, a Nursing Productivity Committee was formed to analyze productive and nonproductive hours and seek improvements in our staffing models and scheduling processes. The changes implemented led to lower nurse to patient ratios, better control of labor costs, elimination of agency staff, greater staff satisfaction, and introduction of new technologies. Nurse managers, nursing supervisors, and frontline staff are now more knowledgeable and empowered to use creative solutions to manage their budgets and schedules in these times of fluctuating census and varying vacancy rates.

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37

Waters, Felicity. "Wales faces workforce rethink as agency nurse bill leaps to £21m." Nursing Standard 20, no. 32 (April 19, 2006): 10. http://dx.doi.org/10.7748/ns.20.32.10.s11.

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38

Castle, Nicholas G., John Engberg, and Aiju Men. "Nurse Aide Agency Staffing and Quality of Care in Nursing Homes." Medical Care Research and Review 65, no. 2 (November 28, 2007): 232–52. http://dx.doi.org/10.1177/1077558707312494.

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39

Brent, Nancy J. "Home Healthcare Fraud: Implications for the Home Healthcare Agency and Nurse." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 15, no. 1 (January 1997): 38–40. http://dx.doi.org/10.1097/00004045-199701000-00005.

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40

Keogh, Kat. "Drive to meet safe staffing levels sees agency nurse spending soar." Nursing Standard 28, no. 15 (December 11, 2013): 7. http://dx.doi.org/10.7748/ns2013.12.28.15.7.s2.

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41

Birmingham, Catherine, Thea Mortel, Judith Needham, and Sharon Latimer. "The experiences of the agency registered nurse: An integrative literature review." Journal of Nursing Management 27, no. 8 (October 11, 2019): 1580–87. http://dx.doi.org/10.1111/jonm.12850.

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42

Fimprong, Vivian, and Emma Anastasi. "Africa calling." Dental Nursing 16, no. 5 (May 2, 2020): 244–45. http://dx.doi.org/10.12968/denn.2020.16.5.244.

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Dowding, Dawn, Margaret V. McDonald, and Jingjing Shang. "Implications of a US study on infection prevention and control in community settings in the UK." British Journal of Community Nursing 25, no. 12 (December 2, 2020): 578–83. http://dx.doi.org/10.12968/bjcn.2020.25.12.578.

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Healthcare-associated infections are a significant reason for readmission to hospital post-discharge to the community. In this paper, the authors describe some of the key findings from a programme of work conducted in a home care agency (community care organisation) in the US. A survey was conducted to explore home care nurses' knowledge, attitudes and beliefs around infection control (n=415); 400 nurse-patient visits were observed, and 50 nurses were interviewed about their infection control practices. Nurses reported high compliance with infection control practices. However, the overall average adherence rate to observed hand hygiene practices was 45.6%. Interview data provided valuable insights into specific challenges faced by nurses in a home care setting. This study provides insights that can be used to enhance infection control practice in community care in the UK.

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Jane, Agency. "Thoughts." British Journal of Anaesthetic and Recovery Nursing 2, no. 1 (February 2001): 4. http://dx.doi.org/10.1017/s1742645600000449.

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Jane Bovey has long been a member of BARNA, and has recently left her job in the private sector as a recovery nurse to work with an agency. Jane decided to write a column in the journal to express concerns felt by many nurses working in anaesthetics and recovery. Jane also wanted to promote debate on some contentious issues, and welcomes replies to her column. If you have a reply, send to E Mail: theeditor.bjarn@k-2.org.uk or BJARN, 6 Bromyard Avenue, Walmley, Sutton Coldfield, B76 IRQ. The views expressed in this column are entirely of the author, and do not necessarily reflect those held by the British Anaesthetic & Recovery Nurses Association.

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Waterhouse, Judith Anna. "Adverse childhood experiences, safeguarding and the role of the school nurse in promoting resilience and wellbeing." British Journal of Child Health 3, no. 1 (February 2, 2022): 29–37. http://dx.doi.org/10.12968/chhe.2022.3.1.29.

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Background: School nurses are key professionals in helping to safeguard, support and improve outcomes for children and young people. Aim: The aim of this article is to explore the subject of adverse childhood experiences (ACEs) in relation to safeguarding and the vital role the school nurse can play in supporting the building of resilience in children and young people (CYP) and their families. Methods: A critical review of the literature was undertaken, considering the role of the school nurse within the safeguarding arena, adverse childhood experiences, collaborative and multi-agency work. The legal, policy and professional frameworks underpinning safeguarding and public health practice are also critically examined. Findings: There is ample evidence demonstrating the potential effects of ACEs on the health and wellbeing of children and young people. There is also research proposing that ACEs should not be viewed in isolation and are not necessarily in themselves deterministic of negative outcomes. School nurses have an important role in early interventions with families to promote resilience and help keep children safe. Conclusion: The implication of this article is that with sound knowledge and understanding regarding ACEs, the school nurse can play a vital role as part of the wider team in building the resilience of the community, provide therapeutic interventions and early intervention, and thereby help to safeguard, support, and improve outcomes for CYP and their families.

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Pecanac, Kristen E., and Margaret L. Schwarze. "Conflict in the intensive care unit: Nursing advocacy and surgical agency." Nursing Ethics 25, no. 1 (March 31, 2016): 69–79. http://dx.doi.org/10.1177/0969733016638144.

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Background: Nurses and surgeons may experience intra-team conflict during decision making about the use of postoperative life-sustaining treatment in the intensive care unit due to their perceptions of professional roles and responsibilities. Nurses have a sense of advocacy—a responsibility to support the patient’s best interest; surgeons have a sense of agency—a responsibility to keep the patient alive. Objectives: The objectives were to (1) describe the discourse surrounding the responsibilities of nurses and surgeons, as “advocates” and “agents,” and (2) apply these findings to determine how differences in role responsibilities could foster conflict during decision making about postoperative life-sustaining treatment in the intensive care unit. Research design: Articles, books, and professional documents were explored to obtain descriptions of nurses’ and surgeons’ responsibilities to their patients. Using discourse analysis, responsibilities were grouped into themes and then compared for potential for conflict. Ethical considerations: No data were collected from human participants and ethical review was not required. The texts were analyzed by a surgeon and a nurse to minimize profession-centric biases. Findings: Four themes in nursing discourse were identified: responsibility to support patient autonomy regarding treatment decisions, responsibility to protect the patient from the physician, responsibility to act as an intermediary between the physician and the patient, and the responsibility to support the well-being of the patient. Three themes in surgery discourse were identified personal responsibility for the patient’s outcome, commitment to patient survival, and the responsibility to prevent harm to the patient from surgery. Discussion: These responsibilities may contribute to conflict because each profession is working toward different goals and each believes they know what is best for the patient. It is not clear from the existing literature that either profession understands each other’s responsibilities. Conclusion: Interventions that improve understanding of each profession’s responsibilities may be helpful to reduce intra-team conflict in the intensive care unit.

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Virtanen, Aija. "Insights into the agency, positioning and development of professional Finnish language skills of international nursing students." Apples - Journal of Applied Language Studies 10, no. 2 (September 6, 2016): 63–81. http://dx.doi.org/10.17011/apples/urn.201610254443.

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This article focuses on international students studying in an English-mediated nursing degree program in Finland. From sociocognitive and ecological perspectives, this study examines the development of the students’ professional Finnish language skills and agency during their practical training. In addition, this article explores how students are positioned as capable workers. To shed light on the students’ professional language skills, agency, and positionings, interviews with vocational teachers, head nurses, and two international nursing students are examined using narrative analysis. The findings suggest that due to their lack of Finnish language skills, international students are positioned differently than their local peers. Hence, they are given fewer responsibilities and fewer opportunities to perform work tasks independently. Although international students are expected to know the language needed before they start work as a nurse, neither the educational institution nor workplaces are willing to take responsibility for language skills training. Therefore, language learning seems to be students’ own responsibility. Consequently, international students may be set in unequal positions regarding their access to the labor market in Finland. Nonetheless, during their practical training, the students are positioned as active agents and scaffolded in many ways so that they can potentially exercise their agency and promote their professional language skills more independently. In this study, it was found that positionings are interconnected with the development of agency and professional Finnish language skills.

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Abdellah, Faye G. "Agency for health care policy and research—A challenge for nurse researchers." Journal of Professional Nursing 6, no. 6 (November 1990): 325. http://dx.doi.org/10.1016/s8755-7223(05)80123-1.

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Priday, Sarah. "Appreciation and orientation go a long way if you’re an agency nurse." Nursing Standard 32, no. 13 (November 22, 2017): 65. http://dx.doi.org/10.7748/ns.32.13.65.s37.

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Simpson, Kate, and Richard Simpson. "What do we know about our agency nurse population? A scoping review." Nursing Forum 54, no. 4 (July 10, 2019): 492–98. http://dx.doi.org/10.1111/nuf.12361.

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