Nursing leadership and influence in practice domains at a Veterans Affairs Health Care System.

Autor: York JA; Ralph H. Johnson VAHCS, Charleston, SC; College of Nursing, Medical University of South Carolina, Charleston, SC; Even Health, Baltimore, Maryland. Electronic address: grossmja@musc.edu., Valvano M; Ralph H. Johnson VAHCS, Charleston, SC; Lyons VAHCS, Lyons, NJ., Hughes F; Ralph H. Johnson VAHCS, Charleston, SC; College of Nursing, Medical University of South Carolina, Charleston, SC., Sternke LM; Ralph H. Johnson VAHCS, Charleston, SC; College of Nursing, Medical University of South Carolina, Charleston, SC., Lauerer JA; College of Nursing, Medical University of South Carolina, Charleston, SC., Baker JA; Robley Rex VAHCS, Louisville, KY., Edlund B; College of Nursing, Medical University of South Carolina, Charleston, SC; College of Nursing, Auburn University at Montgomery, Montgomery, AL., Reich K; Ralph H. Johnson VAHCS, Charleston, SC., Pope C; Ralph H. Johnson VAHCS, Charleston, SC; College of Nursing, Medical University of South Carolina, Charleston, SC; College of Medicine, Department of Pediatrics, Medical University of South Carolina, Charleston, SC.
Jazyk: angličtina
Zdroj: Nursing outlook [Nurs Outlook] 2023 May-Jun; Vol. 71 (3), pp. 101937. Date of Electronic Publication: 2023 Mar 23.
DOI: 10.1016/j.outlook.2023.101937
Abstrakt: Background: Studies in Veteran populations have examined disparities in health service use, care quality, outcomes and increased demands for behavioral health.
Purpose: The purpose is to describe the development of nursing leadership roles that influenced practice improvements and demonstrated outcomes related to health disparities in a Veterans Affairs (VA) population over a 12-year period.
Methods: The Sundean and colleagues' concept analysis of nurse leadership influence was applied to frame the initiative process and impacts.
Discussion: Antecedents and processes that facilitated leadership development included mentorship, disparities expertise, partnerships, consultation, scholarship, dissemination, advocacy, education, and strong coauthor collaboration. Improvements and outcomes included access to services, improved health indicators, tools, workforce, funding, innovations, and nurse investigator studies, consistent with VA priorities and policy related to disparities and equity. Limitations and barriers were addressed.
Conclusion: This initiative models' strategies to increase nurse leadership in health equity and care transformation in health systems and community practices.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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