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PubMed2006

Succession planning: multilevel organizational strategies for the new workforce.

Succession planning for staff and managers starts with a clear vision and strategic plan. It includes hiring, developing, and coaching all employees to meet new competencies. The implementation of succession planning requires commitment, vigilance, and engagement by all members of the nursing department. Partnerships with human resources and the education department are key for success. The author shares one medical center's experience with succession planning and ongoing strategies for success.

Career Mobility↗
PubMed2006

The impact of culture change on nurse retention.

Given the nursing shortage, retaining qualified nurses is of primary importance to nurse executives. In this article, the authors discuss problems they experienced in retaining newly hired nurses on 3 surgical nursing units and describe how efforts to change the culture of the units resulted in dramatic improvements in nurse satisfaction and the retention of new hires.

Adult↗
PubMedDate not supplied

A student nurse intervenes to foster grandfather/grandchild bonding.

This article describes the important role played by a student nurse in assisting a new grandparent bond with his granddaughter. This grandfather had been a noncustodial parent to his daughter, and as such, was anxious about his new role. The increasing numbers of noncustodial parents becoming grandparents presents a new problem facing nurses in helping a family meet their new members. The opportunity for grandparent/grandchild bonding may be enhanced by nurses who are sensitive to the less-than-perfect relationship that might exist between a noncustodial parent and the adult child. These grandparents may need encouragement to find their place in the life of the new child.

Adaptation, Psychological↗
PubMedDate not supplied

Somebody's grandma and grandpa. Children's responses to contacts with elders.

PURPOSE: This article describes the planning, implementation, and evaluation of a program that introduced children into a nursing home. METHOD: A qualitative descriptive design was employed to measure the responses of children to the program. The sample consisted of 61 children, including preschoolers and adolescents. Data were collected from children who participated in the activities (n = 33), and from children who had not participated (n = 28). Content analysis was used to analyze the data. RESULTS: There were no differences in perceptions of preschoolers who participated or did not participate in the nursing home visitation program. In contrast, adolescents who had not participated in the activities with elders described physical infirmities and negative experiences with elders, and talked about smells and boredom. However, adolescent participants in the program demonstrated positive perceptions and descriptions of elders. A favorite activity for all ages was hearing the residents' stories and memories. Adolescent participants reported that their experiences and activities in the program had altered their opinions and beliefs, and they expressed the intent to include elders in their lives in the future. CLINICAL IMPLICATIONS: Because adolescent children exposed to these visits expressed positive perceptions of elders it is prudent to plan larger scale studies with these populations, and also to evaluate the effects of the visits on nursing home residents.

Adolescent↗
PubMedDate not supplied

Grandmother caregivers and caregiver burden.

PURPOSE: To describe the experience of grandmothers who are parenting their grandchildren, and determine the amount of caregiver burden felt by the grandmothers. STUDY DESIGN AND METHODS: This descriptive correlational study had a sample of 104 grandmothers, reporting on 249 custodial grandchildren. Grandmothers completed the Caregiver Reactions Assessment to determine perceived physical health, family support, financial status, and caregiver burden. RESULTS: Overall, grandmothers perceived the health of their grandchildren as excellent. Of the grandchildren who had been born prematurely (30%), the primary health problems were hyperactivity and asthma. Parental drug use was reported as the reason for child placement with the grandmother in 80% of the cases. The range of time grandchildren had been living with the grandmother was 6 months to 15 years. Low ratings of grandchild physical health correlated with low ratings of grandmother physical health, which correlated strongly with low levels of self-esteem, a strong perception of poor family support, and poor financial status, all of which represent measures of caregiver burden. CLINICAL IMPLICATIONS: This study demonstrated that the well being of the grandmother and grandchild are both linked to good physical health. Thus, indicators of poor health for both grandchild and grandmother must be identified early. Grandmothers in this study were surprised at how much had changed in every aspect of child health since they had raised their own children. Nurses working with grandmothers who have custody of grandchildren should understand the dynamics of the relationship, the possibility of caregiver burden, provide anticipatory guidance about the changes in child care and child healthcare in the 21st century, and help link grandmothers who have little support to community programs.

Adolescent↗
PubMedDate not supplied

Development and testing of the caregiver reciprocity scale.

The purpose of this study was to develop and validate the dimensions of caregiver reciprocity. Social exchange and equity theory served as a conceptual framework for examining recprocal intergenerational exchanges of assistance and support. In the first phase of the study, 12 caregivers of elderly parents, including in-laws, were interviewed to provide narrative data from which items were developed. Content validity was judged by two separate panels of experts. The revised CRS was tested with 303 adult children for reliability and validity, including internal consistency, test-retest reliability, exploratory factor analysis, and convergent and discriminant validity testing using structural equation modeling. Support for construct validity was demonstrated for four factors: Warmth and Regard, Intrinsic Rewards of Giving, Love and Affection, and Balance within Family Caregiving.

Aged↗
PubMedDate not supplied

Psychometric properties of the Grandparent Perceptions of Family Scale (GPFS).

BACKGROUND: For the majority of grandparents, rarely are their perceptions of family assessed, acknowledged, or viewed in the context of potential effect on individual and family health. OBJECTIVE: To develop and test an instrument to measure grandparent perceptions of family. METHOD: An inductively derived semantic differential instrument comprising 112 items, 8 stimuli, and 27 adjective pairs within 2 domains and framed by the Becoming a Grandparent theoretical model was content validated by an expert panel, revised, and evaluated on a convenience sample of 306 community-dwelling grandparents, aged 41-92 years (M = 64, SD = 9.8), 72% female, 93% U.S. born, 62% college educated, 55% economically comfortable, and 71% living with a spouse or partner. Assessment procedures included internal consistency reliability, item and scale correlation coefficients, and principal components factor analysis with varimax rotation to evaluate construct validity, structure, and magnitude of the scale. RESULTS: The final scale consists of 25 items using 3 stimuli (grandparent's view of grandchild, mother of grandchild, father of grandchild) measuring a single domain (overall view of family). The Grandparent Perceptions of Family Scale (GPFS) includes 5 factors for a total explained variance of 60%. Coefficient alpha for the total scale is .90. DISCUSSION: The GPFS should be helpful to clinicians and researchers in their assessment of grandparents within multigenerational families and in planning appropriate interventions to address the roles and relationships of grandparents within families. Further GPFS evaluation is suggested with grandparents of diverse racial or ethnic identification; social economic position; education; and family definition, roles, composition, and structure.

Adult↗
PubMedDate not supplied

Growing our future nursing leaders.

The need for strong nursing leadership to meet the future challenges of the healthcare delivery system is widely acknowledged, yet many of today's nursing leaders express concern about a lack of interest in leadership among their younger nurses. This article reports on a qualitative research study that involved focus groups with 48 younger nurses under the age of 40 who were not currently in formal leadership positions. Using a ConCensus process, participants were asked questions to identify and prioritize the factors that influence their decisions to accept or reject nursing leadership positions. In this study, participants did see a potential in the nursing leadership role to make a difference for both patients and staff. Adequate compensation for the role and true decision-making power were factors of concern for younger nurses. Feedback from current leaders about nursing leadership positions is not positive. Strategies that current nursing leaders will need to consider to encourage interest in nursing leadership will be discussed.

Adult↗
PubMedDate not supplied

Generational diversity: teaching and learning approaches.

Nursing students represent multiple generations--Baby Boomers, Generation X, and now the Millennials. Each generation has its own set of values, ideas, ethics, beliefs, and learning styles. The authors describe the context, characteristics, and learning styles of each generation and provide suggestions for enhanced teaching and learning across multiple generations. Using generational diversity as a teaching tool in the classroom is also discussed.

Age Factors↗
PubMedDate not supplied

Educating a new generation: teaching baby boomer faculty about millennial students.

This review examines the impact of generational influences on the faculty-student relationship. Specifically, the baby boomer faculty-millennial learner dyad is explored, as these two generations are most representative of the faculty-student demographic. Teaching and learning preferences are emphasized, and implications and recommendations for nursing faculty are presented.

Adult↗