Ruth Anderson

..In general, the authors found a stronger association with job satisfaction and actual turnover than with intent to turnover...

..This article describes a Tool for Evaluating Research Implementation Challenges (TECH), developed using a complexity science framework to assist research teams in assessing and managing these challenges...

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..Project teamwork is a change strategy increasingly used by hospitals that facilitates sensemaking by providing a formal mechanism for team members to share ideas, construct the meaning of events, and take next actions...

..Despite numerous clinical and regulatory efforts, problems of poor quality of care in nursing homes continue, suggesting a need for effective management practices...

..Using complexity theory, we tested the effect of administrative climate, communication patterns, and the interaction between the two on turnover, controlling for facility context...

..When managers emphasized the punitive aspects of regulation we observed a decrease in mindful practices in all facilities...

..The patterns of communication between care providers in nursing facilities have an important impact on their ability to provide quality, innovative care...

..We believe that this model will help guide research in this area and enable clinicians to identify systemic failures and develop targeted interventions to prevent their occurrence...

..Interventions which improve staff connectedness may improve resident outcomes...

..Findings suggest that staff development nurses who aim to improve UAP reporting without simultaneously targeting licensed nursing staff behaviors may worsen nursing staff relationships...

..To identify barriers to and facilitators of the diffusion of clinical practice guidelines (CPGs) and clinical protocols in nursing homes (NHs)...

..Complexity theory guides a discussion of how curriculum design and research-based practices can be implemented to enhance both student and facility outcomes...

..They offer complexity theory, partnered with case study method, as a place to begin the daunting task of studying a system as an integrated whole...

..Benefits from research participation are often indirect; this study's results suggest that exit interview-consultation can provide direct and immediate benefits to organizations and individuals...

..Study results highlight a critical need for registered nurses (RNs) to be involved in frontline care...

..As predicted from complexity theory, MDs and RNs had greater levels of participation and influence over final decision choices in converted hospitals than in nonconverted hospitals...

..This study revealed that MDS coordinators are an important new source of capacity for the nursing home industry to improve quality of care...

..Future studies of comprehensive prenatal case management should focus on cross-level questions...

..Methods will include network analysis, observation, interviews, and analysis of documents and records. Insights gained will provide knowledge for a new generation of interventions to improve NH care. ..