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

被引:0
|
作者
York, Janet A. [1 ,2 ,3 ,8 ]
Valvano, Mary [1 ,4 ]
Hughes, Frederica [1 ,2 ]
Sternke, Lisa Marie [1 ,2 ]
Lauerer, Joy A. [2 ]
Baker, Jamie Anne [5 ]
Edlund, Barbara [2 ,6 ]
Reich, Kristina [1 ]
Pope, Charlene [1 ,2 ,7 ]
机构
[1] Ralph H Johnson VAHCS, Charleston, SC USA
[2] Med Univ South Carolina, Coll Nursing, Charleston, SC USA
[3] Even Hlth, Baltimore, MD USA
[4] Lyons VAHCS, Lyons, NJ USA
[5] Robley Rex VAHCS, Louisville, KY USA
[6] Auburn Univ, Coll Nursing, Montgomery, AL USA
[7] Med Univ South Carolina, Coll Med, Dept Pediat, Charleston, SC USA
[8] Med Univ South Carolina, Coll Nursing, 215 Promenade Vista St,4096, Charleston, SC 29412 USA
关键词
Veterans; Disparities; Leadership; Nursing; Veteran Health Administration; Health System; MILITARY VETERANS; DISPARITIES; IMPLEMENTATION; PREVENTION; RECOVERY; WOMEN; INTERVENTIONS; EXPERIENCES; SERVICES; THERAPY;
D O I
10.1016/j.outlook.2023.101937
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
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 influ-ence was applied to frame the initiative process and impacts.Discussion: Antecedents and processes that facilitated leadership development included mentorship, disparities expertise, partnerships, consultation, scholar-ship, dissemination, advocacy, education, and strong coauthor collaboration. Improvements and outcomes included access to services, improved health indi-cators, tools, workforce, funding, innovations, and nurse investigator studies, consistent with VA priorities and policy related to disparities and equity. Limita-tions 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.
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收藏
页数:13
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