Building Moral Resiliency Through the Nurse Education and Support Team Initiative.
Background: Findings from 3 nurse-led research studies conducted in a large pediatric institution resulted in a call to action to support intensive and progressive care nurses experiencing moral and ethical challenges. Objective: To evaluate the feasibility of and satisfaction with implementation of...
| Publicado en: | American Journal of Critical Care Vol. 30; no. 2; pp. 95 - 103 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Association of Critical-Care Nurses
Mar2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=148901039&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 148901039 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10623264 44L jtl: American Journal of Critical Care issn: 10623264 maglogo: N pubinfo: dt: Mar2021 vid: 30 iid: 2 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 148901039 148901039 148901039 10.4037/ajcc2021534 148901039 ppf: 95 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Building Moral Resiliency Through the Nurse Education and Support Team Initiative. aug: au: DeGrazia, Michele Porter, Courtney Sheehan, Anne Whitamore, Stephanie White, Deborah Nuttall, Penny Winter Blanchard, Tyler Davis, Norah Steadman, Jennifer Hickey, Patricia affil: Michele DeGrazia is director of nursing research in the neonatal intensive care unit, Boston Children's Hospital, Boston, Massachusetts, and an assistant professor in the Department of Pediatrics, Harvard Medical School, Boston. sug: subj: Morals Hardiness Education, Nursing Support, Psychosocial Teamwork Mentorship Professional Role Program Evaluation Program Implementation Personal Satisfaction Human Multidisciplinary Care Team Intensive Care Units Peer Group Referral and Consultation Descriptive Statistics Interpersonal Relations ab: Background: Findings from 3 nurse-led research studies conducted in a large pediatric institution resulted in a call to action to support intensive and progressive care nurses experiencing moral and ethical challenges. Objective: To evaluate the feasibility of and satisfaction with implementation of a Nurse Education and Support Team (NEST) coach role. Methods: An interdisciplinary work group identified solutions for just-in-time support, including a new NEST coach role. This role was implemented in January 2017 to provide peer-to-peer support for nurses. The NEST coaches provide coverage 5 days per week in 4 intensive care units and 1 progressive care unit. Feasibility of the role was evaluated by assessing the number, type, length, and outcome of NEST coach consultations. Staff satisfaction was evaluated 6 months and 1.5 years after implementation. Results: A total of 6262 NEST coach consultations occurred across the units from January 2017 through November 2019. At both evaluation periods, more than 85% of respondents indicated that they were satisfied with their interactions with the NEST coach and nearly 80% indicated that they would seek consultation again. Conclusions: Pediatric intensive and progressive care nurses experience many challenges in their practice environments. The innovative NEST coach role enabled access to just-in-time support and guidance through morally and ethically challenging situations. As evidenced by the number of consultations and the positive staff response, intensive and progressive care nurses have embraced and integrated the NEST coach role into their culture and practice. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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