The Experts below are selected from a list of 7485 Experts worldwide ranked by ideXlab platform
Masanori Kashiwagi - One of the best experts on this subject based on the ideXlab platform.
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efforts to reduce the length of stay in a low intensity icu changes in the icu brought about by collaboration between certified Nurse specialists as Head Nurses and intensivists
PLOS ONE, 2020Co-Authors: Tomohide Fukuda, Hironori Sakurai, Masanori KashiwagiAbstract:Certified Nurse Specialists (CNS) are advanced practice Nurses that often play a role in management. This study aims to investigate whether cooperation between CNSs in the position of Intensive Care Unit (ICU) Head Nurse and intensivists change the length of stay for ICU patients. A single centered retrospective cohort study design was followed. A multivariable regression analysis was performed to determine whether there is a difference in patients' length of ICU stay for two years before and after CNS as ICU Head Nurse and an intensivist started collaborating. The patients' diagnosis, age, gender, scheduled/emergency admission, surgical history, length of ICU stay, usage of ventilator, and details of ICU treatment were collected from the institution's electronic medical records. During the study period (April 2015 to March 2019), 3,135 patients were admitted to ICU, with 1,471 in the before collaboration group and 1,664 in the after-collaboration group. Collaboration between the CNS as Head Nurse and intensivists was significantly associated with shorter length of ICU stay (coefficient -0.03 [95% CI, -0.05-0.01], p < 0.001, t-statistic -3.29). Our main finding illustrates that in low-intensity ICUs, collaboration between CNSs as Head Nurses and intensivists may reduce patients' length of ICU stay.
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impact of having a certified Nurse specialist in critical care nursing as Head Nurse on icu patient outcomes
PLOS ONE, 2020Co-Authors: Tomohide Fukuda, Hironori Sakurai, Masanori KashiwagiAbstract:Objectives This study evaluated the impact of the presence of a certified Nurse specialist in critical care (CNS) as ICU Head Nurse in an open ICU on clinical outcomes. Methods The presence of a CNS as ICU Head Nurse was implemented in practice in April 2017. To evaluate the impact on patient outcomes before and after the implementation, patients were divided into two groups: before (April 2014 to March 2017; 1988 patients) and after (April 2017 to March 2019; 1664 patients). Patients’ demographic data were collected from the ICU database. Results Multivariable logistic regression analysis revealed that the presence of a CNS as ICU Head Nurse was associated with lower ICU mortality (odds ratio (OR): 0.52, 95% CI: 0.36–0.73, p < .001) and fewer patients receiving mechanical ventilation in the ICU (OR: 0.20, 95% CI: 0.15–0.26, p < .001). Conclusion CNSs are defined as one type of advanced practice Nurses. Having a CNS as a Head Nurse in the ICU may have helped improve patient outcomes by leveraging these practical skills in nursing management.
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Impact of having a certified Nurse specialist in critical care nursing as Head Nurse on ICU patient outcomes.
'Public Library of Science (PLoS)', 2020Co-Authors: Tomohide Fukuda, Hironori Sakurai, Masanori KashiwagiAbstract:ObjectivesThis study evaluated the impact of the presence of a certified Nurse specialist in critical care (CNS) as ICU Head Nurse in an open ICU on clinical outcomes.MethodsThe presence of a CNS as ICU Head Nurse was implemented in practice in April 2017. To evaluate the impact on patient outcomes before and after the implementation, patients were divided into two groups: before (April 2014 to March 2017; 1988 patients) and after (April 2017 to March 2019; 1664 patients). Patients' demographic data were collected from the ICU database.ResultsMultivariable logistic regression analysis revealed that the presence of a CNS as ICU Head Nurse was associated with lower ICU mortality (odds ratio (OR): 0.52, 95% CI: 0.36-0.73, p ConclusionCNSs are defined as one type of advanced practice Nurses. Having a CNS as a Head Nurse in the ICU may have helped improve patient outcomes by leveraging these practical skills in nursing management
Tomohide Fukuda - One of the best experts on this subject based on the ideXlab platform.
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efforts to reduce the length of stay in a low intensity icu changes in the icu brought about by collaboration between certified Nurse specialists as Head Nurses and intensivists
PLOS ONE, 2020Co-Authors: Tomohide Fukuda, Hironori Sakurai, Masanori KashiwagiAbstract:Certified Nurse Specialists (CNS) are advanced practice Nurses that often play a role in management. This study aims to investigate whether cooperation between CNSs in the position of Intensive Care Unit (ICU) Head Nurse and intensivists change the length of stay for ICU patients. A single centered retrospective cohort study design was followed. A multivariable regression analysis was performed to determine whether there is a difference in patients' length of ICU stay for two years before and after CNS as ICU Head Nurse and an intensivist started collaborating. The patients' diagnosis, age, gender, scheduled/emergency admission, surgical history, length of ICU stay, usage of ventilator, and details of ICU treatment were collected from the institution's electronic medical records. During the study period (April 2015 to March 2019), 3,135 patients were admitted to ICU, with 1,471 in the before collaboration group and 1,664 in the after-collaboration group. Collaboration between the CNS as Head Nurse and intensivists was significantly associated with shorter length of ICU stay (coefficient -0.03 [95% CI, -0.05-0.01], p < 0.001, t-statistic -3.29). Our main finding illustrates that in low-intensity ICUs, collaboration between CNSs as Head Nurses and intensivists may reduce patients' length of ICU stay.
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impact of having a certified Nurse specialist in critical care nursing as Head Nurse on icu patient outcomes
PLOS ONE, 2020Co-Authors: Tomohide Fukuda, Hironori Sakurai, Masanori KashiwagiAbstract:Objectives This study evaluated the impact of the presence of a certified Nurse specialist in critical care (CNS) as ICU Head Nurse in an open ICU on clinical outcomes. Methods The presence of a CNS as ICU Head Nurse was implemented in practice in April 2017. To evaluate the impact on patient outcomes before and after the implementation, patients were divided into two groups: before (April 2014 to March 2017; 1988 patients) and after (April 2017 to March 2019; 1664 patients). Patients’ demographic data were collected from the ICU database. Results Multivariable logistic regression analysis revealed that the presence of a CNS as ICU Head Nurse was associated with lower ICU mortality (odds ratio (OR): 0.52, 95% CI: 0.36–0.73, p < .001) and fewer patients receiving mechanical ventilation in the ICU (OR: 0.20, 95% CI: 0.15–0.26, p < .001). Conclusion CNSs are defined as one type of advanced practice Nurses. Having a CNS as a Head Nurse in the ICU may have helped improve patient outcomes by leveraging these practical skills in nursing management.
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Impact of having a certified Nurse specialist in critical care nursing as Head Nurse on ICU patient outcomes.
'Public Library of Science (PLoS)', 2020Co-Authors: Tomohide Fukuda, Hironori Sakurai, Masanori KashiwagiAbstract:ObjectivesThis study evaluated the impact of the presence of a certified Nurse specialist in critical care (CNS) as ICU Head Nurse in an open ICU on clinical outcomes.MethodsThe presence of a CNS as ICU Head Nurse was implemented in practice in April 2017. To evaluate the impact on patient outcomes before and after the implementation, patients were divided into two groups: before (April 2014 to March 2017; 1988 patients) and after (April 2017 to March 2019; 1664 patients). Patients' demographic data were collected from the ICU database.ResultsMultivariable logistic regression analysis revealed that the presence of a CNS as ICU Head Nurse was associated with lower ICU mortality (odds ratio (OR): 0.52, 95% CI: 0.36-0.73, p ConclusionCNSs are defined as one type of advanced practice Nurses. Having a CNS as a Head Nurse in the ICU may have helped improve patient outcomes by leveraging these practical skills in nursing management
Hironori Sakurai - One of the best experts on this subject based on the ideXlab platform.
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efforts to reduce the length of stay in a low intensity icu changes in the icu brought about by collaboration between certified Nurse specialists as Head Nurses and intensivists
PLOS ONE, 2020Co-Authors: Tomohide Fukuda, Hironori Sakurai, Masanori KashiwagiAbstract:Certified Nurse Specialists (CNS) are advanced practice Nurses that often play a role in management. This study aims to investigate whether cooperation between CNSs in the position of Intensive Care Unit (ICU) Head Nurse and intensivists change the length of stay for ICU patients. A single centered retrospective cohort study design was followed. A multivariable regression analysis was performed to determine whether there is a difference in patients' length of ICU stay for two years before and after CNS as ICU Head Nurse and an intensivist started collaborating. The patients' diagnosis, age, gender, scheduled/emergency admission, surgical history, length of ICU stay, usage of ventilator, and details of ICU treatment were collected from the institution's electronic medical records. During the study period (April 2015 to March 2019), 3,135 patients were admitted to ICU, with 1,471 in the before collaboration group and 1,664 in the after-collaboration group. Collaboration between the CNS as Head Nurse and intensivists was significantly associated with shorter length of ICU stay (coefficient -0.03 [95% CI, -0.05-0.01], p < 0.001, t-statistic -3.29). Our main finding illustrates that in low-intensity ICUs, collaboration between CNSs as Head Nurses and intensivists may reduce patients' length of ICU stay.
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impact of having a certified Nurse specialist in critical care nursing as Head Nurse on icu patient outcomes
PLOS ONE, 2020Co-Authors: Tomohide Fukuda, Hironori Sakurai, Masanori KashiwagiAbstract:Objectives This study evaluated the impact of the presence of a certified Nurse specialist in critical care (CNS) as ICU Head Nurse in an open ICU on clinical outcomes. Methods The presence of a CNS as ICU Head Nurse was implemented in practice in April 2017. To evaluate the impact on patient outcomes before and after the implementation, patients were divided into two groups: before (April 2014 to March 2017; 1988 patients) and after (April 2017 to March 2019; 1664 patients). Patients’ demographic data were collected from the ICU database. Results Multivariable logistic regression analysis revealed that the presence of a CNS as ICU Head Nurse was associated with lower ICU mortality (odds ratio (OR): 0.52, 95% CI: 0.36–0.73, p < .001) and fewer patients receiving mechanical ventilation in the ICU (OR: 0.20, 95% CI: 0.15–0.26, p < .001). Conclusion CNSs are defined as one type of advanced practice Nurses. Having a CNS as a Head Nurse in the ICU may have helped improve patient outcomes by leveraging these practical skills in nursing management.
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Impact of having a certified Nurse specialist in critical care nursing as Head Nurse on ICU patient outcomes.
'Public Library of Science (PLoS)', 2020Co-Authors: Tomohide Fukuda, Hironori Sakurai, Masanori KashiwagiAbstract:ObjectivesThis study evaluated the impact of the presence of a certified Nurse specialist in critical care (CNS) as ICU Head Nurse in an open ICU on clinical outcomes.MethodsThe presence of a CNS as ICU Head Nurse was implemented in practice in April 2017. To evaluate the impact on patient outcomes before and after the implementation, patients were divided into two groups: before (April 2014 to March 2017; 1988 patients) and after (April 2017 to March 2019; 1664 patients). Patients' demographic data were collected from the ICU database.ResultsMultivariable logistic regression analysis revealed that the presence of a CNS as ICU Head Nurse was associated with lower ICU mortality (odds ratio (OR): 0.52, 95% CI: 0.36-0.73, p ConclusionCNSs are defined as one type of advanced practice Nurses. Having a CNS as a Head Nurse in the ICU may have helped improve patient outcomes by leveraging these practical skills in nursing management
Rr Tutik Sri Hariyati - One of the best experts on this subject based on the ideXlab platform.
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the relationship between the roles and management function of the Head Nurse and handover implementation
Enfermería Clínica, 2021Co-Authors: Deny Gunawan, Rr Tutik Sri Hariyati, Efy Afifah, Tuti AfrianiAbstract:The objective of this study is to identify the relationships between the roles and management functions of the Head Nurse and handover practices. A cross-sectional method is applied using a simple random sampling technique, arriving at sample of 266 Nurses. The research instruments were demographic data (A), Head Nurse role and management function (B), and handover (C) questionnaires; validity and reliability tests were carried out. The questionnaires were valid and reliable. Data analysis was carried out in bivariate and multiple linear regression. Results indicated relationships among the roles (p=0.0001) and management function of the Head Nurse (p=0.0001) and handover practices. The factor that most influenced handover was the organizing function of the Head Nurse (beta value=1.301). The more effective the role and management function of the Head Nurse, the more effectively handover will be implemented.
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the factor of affecting Head Nurse s delegation a cross sectional study
Enfermería Clínica, 2021Co-Authors: Aris Teguh Hidayat, Rr Tutik Sri Hariyati, Tuti NurainiAbstract:Nursing delegation is one component that can improve the quality of nursing services. This study was to identify the factors associated with delegating the Head Nurse, as perceived by implementing Nurses at the Military Hospital in Jakarta. This cross-sectional study with 227 Nurses who were selected using the purposive sampling technique. The data was analyzed using the Pearson correlation test, ANOVA, and T-tests to determine the relationship between variables influencing the Head Nurse delegation and linear regression tests to assess the variables related most. Factors related to Nurses' perceptions of Head Nurse delegation were age (p=0.045), education level (p=0.002), management function (p=0.020), planning function (p=0.043), workforce function (p=0.002), control function (p=0.019), leadership style (p=0.02) and communication (p=0.030). Education level emerged as the most dominant variable. This result was to provide a reference for developing standard operating procedures regarding nursing delegation based on related factors.
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Head Nurse strategy for increasing Nurse retention a factor analysis
Enfermería Clínica, 2019Co-Authors: Nurdiana Nurdiana, Rr Tutik Sri Hariyati, Dewi GayatriAbstract:Abstract Objective The purpose of this study was to identify factors that may influence strategies for increasing Nurse retention. Method This research is descriptive research using a cross-sectional approach. The study used a total sampling of a Head Nurse who works in a general hospital in Jakarta. The instrument used was a modification of the Nurse's retention strategy instrument developed by Al-Zayyer (2003). Results The results showed that there is a significant relationship between retention strategy and organizational structure, leadership support, planning function, staffing function, and controlling function (p = 0.002–0.044, α Conclusions Nurse retention strategies employed by the Head Nurse need strong support from hospital management to achieve success in improving Nurse retention international databases.
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improving documentation of patient progress note through role empowerment of Head Nurse by orlando theory approach
Enfermería Clínica, 2019Co-Authors: Dwi Nopriyanto, Rr Tutik Sri Hariyati, Titin UngsianikAbstract:Abstract Objective This study aimed to identify the effect of role empowerment of Head Nurse by Orlando theory approach on the implementation of progress note documentation. Method This study used pilot study approach in which the research process started from developing module of role empowerment of Head Nurse, implementing of role empowerment of Head Nurse on in patient ward and then followed by evaluating Head Nurse competencies through the use of observation sheet and patient progress note. Pre-experiment design with one group pretest–posttest without control was used to evaluate the effectiveness of the intervention, and 115 progress notes were selected through cluster sampling technique which then analyzed by Wilcoxon, Spearman and Kruskal–Wallis test. Results There was a significant quality improvement of the implementation of progress note recording following the intervention of Head Nurses’ role empowerment by Orlando theory approach (p = 0.0001; α = 0.025). Conclusions Nurse Staff competencies in documenting progress note were improved significantly through the role empowerment of Head Nurse by Orlando theory approach. Development of policy, supervision, evaluation, and monitoring by Nurse manager are necessary, as well as organizing a workshop on the application of Head Nurse's role as manager and implementation of progress note documentation.
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the relationship among role management function of Head Nurse and handover implementation perceived by Nurses
The 4th International Conference for Global Health (ICGH), 2019Co-Authors: Deny Gunawan, Rr Tutik Sri Hariyati, Efy Afifah, Tuti AfrianiAbstract:Introduction: Handover is a method of providing relevant information, delegating the authority and responsibility of clinical care to patients on Nurse team at each shift change, if not according to standards, allows errors and threatens patient safety. Objective: Identify relationships among role, management functions of Head Nurse and handover . Method: Design of this study used cross sectional, simple random sampling technique with 266 Nurses sample. The research instrument were demographic data (A), Head Nurse role and management function (B) and handover (C) questionnaire and validity and reliability tests were carried out. Data analysis was carried out in bivariate and multiple linear regression Results: There were relationship among role (p = 0,0001), management function of Head Nurse (p = 0,0001), and handover. Factors that most influence of handover is organizing function of Head Nurse (Beta Value=1.301), which is an increase of 1 point organizing function of Head Nurse, will increase 1,301 times the handover. Conclusion: Better Head Nurse role and management function implementation, better handover. Keywords: Handover, Head Nurse, management function, Nurse, organizing function, role.
Chen Jie - One of the best experts on this subject based on the ideXlab platform.
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the application of Head Nurse management evaluation in high quality nursing service
Journal of Nursing Administration, 2012Co-Authors: Chen JieAbstract:Objective To explore the effects of Head Nurse management evaluation applied in high quality nursing service.Methods The reasonable assessment rules for the Head Nurses work were developed according to performance assessment scheme of high quality of nursing.A total of 128 Head Nurses from 5 hospitals in Xi'an were randomly selected and comprehensively evaluated through the eveluation method of combination of periodic and random from 8 aspects.Results After implementation of Nurse management,the quality of nursing was improved significantly eveluation method of combination of periodic and random(P0.01).The satisfaction of hospitalized patients to nursing work and the satisfaction of medical staff to Head Nurse job were improved significantly(P0.01).Conclusion The application of Head Nurse management evaluation in high quality nursing service can enhance the Head-Nurse's comprehensive management ability,strengthen the hospital competitiveness of organizational assessment,and improve the quality of nursing.
