Noreen Bernard - Academia.edu (original) (raw)
Papers by Noreen Bernard
Nurse Leader, Apr 1, 2018
Nursing administration quarterly, Mar 29, 2024
JONA: The Journal of Nursing Administration
Nursing Administration Quarterly, 2022
Responding to and navigating the COVID-19 pandemic were demanding and all-consuming for executive... more Responding to and navigating the COVID-19 pandemic were demanding and all-consuming for executive nurse leaders. Long-term pandemic challenges will continue and therefore it is important for nurse leaders to develop their reflective practice to increase role competency, gain wisdom, and advance the profession. The complex postpandemic world requires nurse leaders to show up differently, stop ineffective practices, continue best practices, and implement new ideas to improve performance and outcomes. This article offers a framework for leadership reflection, through role negotiation technique, to identify lessons from the lived nurse executive experience of the COVID-19 pandemic. Specific focus is placed on communication, teamwork, professional governance, posttraumatic growth, gratitude, diversity/equity/inclusion, and social determinants of health. These concepts, along with specific tactics, will help leaders set priorities, aid nursing leadership practice, identify meaningful goals and desired outcomes, and effectively lead to advance the nursing profession postpandemic.
Nurse Leader, 2021
Rising chief nursing officer (CNO) turnover remains a topic of professional discussion. Leader st... more Rising chief nursing officer (CNO) turnover remains a topic of professional discussion. Leader stability ensures nursing excellence in a frenetic, complex, highly networked, portable, and technological era. When nurse executives vacate their role, the turnover disrupts the practice environment, threatening clinical and cultural performance. A paucity of evidence exists on the components of CNO turnover. Findings from a national research study reported resilience and job satisfaction may work synergistically to reduce anticipated turnover, providing insight on CNO role tenure.
The Journal of Continuing Education in Nursing, 2021
Background: Workplace incivility is a common problem in nursing, and novice nurses are particular... more Background: Workplace incivility is a common problem in nursing, and novice nurses are particularly vulnerable to incivility. Method: Cognitive rehearsal training to defend against incivility was presented to resident nurses. Results: Three months after the educational intervention, 55% of nurses reported that they had witnessed incivility in the past month and 45% reported that they had responded to the incivility when it occurred. Conclusion: Most of the nurses expressed that the training improved their ability to manage incivility. Responses to open-ended comments revealed that incivility adversely affects the workplace and that leaders also may benefit from education on incivility and cognitive rehearsal. [ J Contin Educ Nurs . 2021;52(5):232–239.]
Journal of Nursing Care Quality, 2020
Supplemental Digital Content is Available in the Text. Background: Evidence suggests that a lack ... more Supplemental Digital Content is Available in the Text. Background: Evidence suggests that a lack of sleep among patients during hospitalization can impact their health and well-being. Local Problem: On inpatient units, patients experience lack of sleep due to noise and multiple interruptions at night. Methods: A pilot intervention to support the initiative, “Don't wake the patient for routine care unless the patient's condition or care specifically requires it,” was implemented on 3 units in 3 hospitals. All the 3 units had experienced patient concerns about lack of sleep at night. Interventions: Nurses implemented the project using a purposeful strategy of sleep masks, earplugs, noise detectors, and bundling care. Results: Positive experiences of those patients who participated in the sleep intervention. Conclusions: There was multidisciplinary support to promote a better patient experience of nighttime sleep. The experiences across the 3 hospital units were positive for providers, patients, and patients' families.
JONA: The Journal of Nursing Administration, 2020
Nursing Administration Quarterly, 2018
Consumerism and globalism are driving the demand for new business and education models. Nurse exe... more Consumerism and globalism are driving the demand for new business and education models. Nurse executives in all work environments are facing the need to innovate and implement new service models in a nimble and rapid manner. This article highlights the current and future state of nursing education and clinical practice integration through the lens of an academic-practice partnership, by demonstrating the benefit of a unified approach to nurse residencies. Through adaption and creation of a shared culture, education and service can work effectively together in the development of a pipeline for future nurses in a wide array of nursing roles. As partners, they can demonstrate the nursing profession's ability to meet the health needs of consumers at a local, national, and global level. Agile evolution of the traditional nurse residency model is an imperative for professional nursing practice.
JONA: The Journal of Nursing Administration, 2019
The 2018 International Nursing Administration Research Conference, Grassroots to Global, was held... more The 2018 International Nursing Administration Research Conference, Grassroots to Global, was held in Atlanta, Georgia, with attendees from 38 US states, Canada, and China. Presenters discussed the need for nurse leaders to be prepared to partner with those inside and outside of healthcare to create innovative, interprofessional care delivery models; advocate for advancements in technology to address healthcare access shortages; and lead new areas of research that can drive policy change to support nurse leaders in long-term care and the essential role of the nurse manager in creating optimal practice environments for quality outcomes. This article will report on these important insights.
Nurse Leader
Abstract This article describes the innovative nurse retentionist role that a large academic medi... more Abstract This article describes the innovative nurse retentionist role that a large academic medical health system in the southeastern United States implemented to improve nurse retention. The program leveraged 5 key strategies to drive results. Example outcomes during the first 2 years include a 27% increase in clinical ladder participation, a 43% clinical ladder advancement, and an 187% increase in ambulatory nurse recognition. Internal promotions increased 31%. Participation in nursing career development increased 294%. Extern program increased 420%, and 77 nurse residents were retained that initially considered resignation. Nurse turnover dropped to 11.8% with the retention of 254 nurses.
Nurse Leader, Apr 1, 2018
Nursing administration quarterly, Mar 29, 2024
JONA: The Journal of Nursing Administration
Nursing Administration Quarterly, 2022
Responding to and navigating the COVID-19 pandemic were demanding and all-consuming for executive... more Responding to and navigating the COVID-19 pandemic were demanding and all-consuming for executive nurse leaders. Long-term pandemic challenges will continue and therefore it is important for nurse leaders to develop their reflective practice to increase role competency, gain wisdom, and advance the profession. The complex postpandemic world requires nurse leaders to show up differently, stop ineffective practices, continue best practices, and implement new ideas to improve performance and outcomes. This article offers a framework for leadership reflection, through role negotiation technique, to identify lessons from the lived nurse executive experience of the COVID-19 pandemic. Specific focus is placed on communication, teamwork, professional governance, posttraumatic growth, gratitude, diversity/equity/inclusion, and social determinants of health. These concepts, along with specific tactics, will help leaders set priorities, aid nursing leadership practice, identify meaningful goals and desired outcomes, and effectively lead to advance the nursing profession postpandemic.
Nurse Leader, 2021
Rising chief nursing officer (CNO) turnover remains a topic of professional discussion. Leader st... more Rising chief nursing officer (CNO) turnover remains a topic of professional discussion. Leader stability ensures nursing excellence in a frenetic, complex, highly networked, portable, and technological era. When nurse executives vacate their role, the turnover disrupts the practice environment, threatening clinical and cultural performance. A paucity of evidence exists on the components of CNO turnover. Findings from a national research study reported resilience and job satisfaction may work synergistically to reduce anticipated turnover, providing insight on CNO role tenure.
The Journal of Continuing Education in Nursing, 2021
Background: Workplace incivility is a common problem in nursing, and novice nurses are particular... more Background: Workplace incivility is a common problem in nursing, and novice nurses are particularly vulnerable to incivility. Method: Cognitive rehearsal training to defend against incivility was presented to resident nurses. Results: Three months after the educational intervention, 55% of nurses reported that they had witnessed incivility in the past month and 45% reported that they had responded to the incivility when it occurred. Conclusion: Most of the nurses expressed that the training improved their ability to manage incivility. Responses to open-ended comments revealed that incivility adversely affects the workplace and that leaders also may benefit from education on incivility and cognitive rehearsal. [ J Contin Educ Nurs . 2021;52(5):232–239.]
Journal of Nursing Care Quality, 2020
Supplemental Digital Content is Available in the Text. Background: Evidence suggests that a lack ... more Supplemental Digital Content is Available in the Text. Background: Evidence suggests that a lack of sleep among patients during hospitalization can impact their health and well-being. Local Problem: On inpatient units, patients experience lack of sleep due to noise and multiple interruptions at night. Methods: A pilot intervention to support the initiative, “Don't wake the patient for routine care unless the patient's condition or care specifically requires it,” was implemented on 3 units in 3 hospitals. All the 3 units had experienced patient concerns about lack of sleep at night. Interventions: Nurses implemented the project using a purposeful strategy of sleep masks, earplugs, noise detectors, and bundling care. Results: Positive experiences of those patients who participated in the sleep intervention. Conclusions: There was multidisciplinary support to promote a better patient experience of nighttime sleep. The experiences across the 3 hospital units were positive for providers, patients, and patients' families.
JONA: The Journal of Nursing Administration, 2020
Nursing Administration Quarterly, 2018
Consumerism and globalism are driving the demand for new business and education models. Nurse exe... more Consumerism and globalism are driving the demand for new business and education models. Nurse executives in all work environments are facing the need to innovate and implement new service models in a nimble and rapid manner. This article highlights the current and future state of nursing education and clinical practice integration through the lens of an academic-practice partnership, by demonstrating the benefit of a unified approach to nurse residencies. Through adaption and creation of a shared culture, education and service can work effectively together in the development of a pipeline for future nurses in a wide array of nursing roles. As partners, they can demonstrate the nursing profession's ability to meet the health needs of consumers at a local, national, and global level. Agile evolution of the traditional nurse residency model is an imperative for professional nursing practice.
JONA: The Journal of Nursing Administration, 2019
The 2018 International Nursing Administration Research Conference, Grassroots to Global, was held... more The 2018 International Nursing Administration Research Conference, Grassroots to Global, was held in Atlanta, Georgia, with attendees from 38 US states, Canada, and China. Presenters discussed the need for nurse leaders to be prepared to partner with those inside and outside of healthcare to create innovative, interprofessional care delivery models; advocate for advancements in technology to address healthcare access shortages; and lead new areas of research that can drive policy change to support nurse leaders in long-term care and the essential role of the nurse manager in creating optimal practice environments for quality outcomes. This article will report on these important insights.
Nurse Leader
Abstract This article describes the innovative nurse retentionist role that a large academic medi... more Abstract This article describes the innovative nurse retentionist role that a large academic medical health system in the southeastern United States implemented to improve nurse retention. The program leveraged 5 key strategies to drive results. Example outcomes during the first 2 years include a 27% increase in clinical ladder participation, a 43% clinical ladder advancement, and an 187% increase in ambulatory nurse recognition. Internal promotions increased 31%. Participation in nursing career development increased 294%. Extern program increased 420%, and 77 nurse residents were retained that initially considered resignation. Nurse turnover dropped to 11.8% with the retention of 254 nurses.