... Wanda Montalvo is the Clinical Director of NYS Health Diabetes Campaign, NY State Health Foundation, New York, NY. ... Sepulveda, Tait, Zimmerman, and Edington (2010) have shown that web-based, voluntary intervention program giving... more
... Wanda Montalvo is the Clinical Director of NYS Health Diabetes Campaign, NY State Health Foundation, New York, NY. ... Sepulveda, Tait, Zimmerman, and Edington (2010) have shown that web-based, voluntary intervention program giving parents incentives to promote healthy ...
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Healthcare's economic challenges, corporate mergers, and technological innovations marked the last decade of the 20th century. Both consumers and providers of maternity care faced dramatic changes in reimbursement, which threatened... more
Healthcare's economic challenges, corporate mergers, and technological innovations marked the last decade of the 20th century. Both consumers and providers of maternity care faced dramatic changes in reimbursement, which threatened the quality and scope of care provided to childbearing women, children, and families. For nurses in some institutions, this meant decreases in the number of RNs caring for patients and challenges to meet patients' needs with the focus on a black bottom line, fiscal profitability rather than on the patient. New York's Mount Sinai Hospital adopted a philosophy of patient-focused care. This article describes the 5-year journey to redesign a traditional, provider-focused obstetric and pediatric program, into a new patient-focused, family-centered maternal-child healthcare center. The process, opportunities, challenges, and outcomes of this ongoing work demonstrate that a scholarly, data-driven, patient-focused process can result in improved qualit...
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ABSTRACT An abstract is unavailable. This article is available as HTML full text and PDF.
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This study examines the relationship between perceptions of structural empowerment and anticipated turnover among critical care nurses. The literature revealed that work environments that provide access to information, resources, support... more
This study examines the relationship between perceptions of structural empowerment and anticipated turnover among critical care nurses. The literature revealed that work environments that provide access to information, resources, support and opportunity create an environment of more satisfied employees, ultimately reducing turnover. A sample of 257 nurses completed a background data questionnaire, the Conditions of Work Effectiveness Questionnaire-II (CWEQ-II) and the Anticipated Turnover Scale (ATS). Nurses in five critical care units perceive themselves to be moderately empowered. Structural empowerment was inversely related to anticipated turnover; those who were more empowered had a lower anticipated turnover score. Nurses who perceive themselves as empowered have higher levels of organizational commitment. Organizations that support and recognize these characteristics may experience improved retention rates. This study is the first to demonstrate a relationship between structural empowerment and anticipated turnover among critical care nurses. Research has demonstrated that workplace behaviours and attitudes are determined by social structures within the workplace. Nurses are responsible for a large portion of health care provided in this country. A serious nursing shortage is expected in the future and will exert pressure on both the supply and the demand of nurses.
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Although there has been previous research linking perceptions of empowerment to specialty certification among critical care nurses, no research in this area has been conducted among nationally certified perinatal nurses. A comparative... more
Although there has been previous research linking perceptions of empowerment to specialty certification among critical care nurses, no research in this area has been conducted among nationally certified perinatal nurses. A comparative quantitative survey design was used. Participants included 80 perinatal registered nurses from one community hospital in New York. Registered nurses who were nationally certified in a perinatal specialty had higher total empowerment scores and higher scores on five of the six subscales. This study supports the results of previous studies focused on differences in empowerment among nationally certified nurses and nurses without national certification. Because much of the preparation for certification is done within continuing education, nurse leaders must be cognizant of the value of certification and must develop and implement programs to support certification in the workplace.
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The purpose of the study was to examine the effect of a holistic program, the Collaborative Care Model (CCM) Program, and the development of a self-care plan on health-promoting behaviors in hospital nurses.
Research Interests: Program Evaluation, Nursing, Health Promotion, Health Behavior, Self Care, and 17 moreStress Management, Treatment Outcome, Holistic Nursing, Holistic Health, Humans, Female, Young Adult, Registered Nurse, Interpersonal Relations, Middle Aged, Questionnaires, Repeated Measures, Adult, New England, Analysis of Variance, Holistic, and Control Group
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... Comment by Judy Beal. ... Neonatal Back Transport: Perspectives From Parents on Medicaid-Insured Infants and Providers. Hanrahan, K., Gates, M., Attar, MA, Lang, SW, Frohna, A., & Clark, SJ (2007). Neonatal... more
... Comment by Judy Beal. ... Neonatal Back Transport: Perspectives From Parents on Medicaid-Insured Infants and Providers. Hanrahan, K., Gates, M., Attar, MA, Lang, SW, Frohna, A., & Clark, SJ (2007). Neonatal Network, 26, 301-313. ...
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Shared decision-making has become a hot topic in healthcare. This article describes a step-by-=step, 'how to,' approach to implementation of an interprofessional shared governance and relationship-based care model at a 300 bed tertiary... more
Shared decision-making has become a hot topic in healthcare. This article describes a step-by-=step, 'how to,' approach to implementation of an interprofessional shared governance and relationship-based care model at a 300 bed tertiary academic medical centre in a large metropolitan area in the US and outlines the lessons learned. The project, undtaken in 'waves,' encompassed inpatient and ambulatory services and has been sustained for over eight years.
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Globalization has been the hallmark of the 21st century. This article focuses on developing the Transcultural Nursing Leadership Institute (TCNLI) in China. This project built a leadership program in Wenzhou, China, empowering and... more
Globalization has been the hallmark of the 21st century. This article focuses on developing the Transcultural Nursing Leadership Institute (TCNLI) in China. This project built a leadership program in Wenzhou, China, empowering and supporting nurses to solve problems in their own practices with evidence-based approaches and local resources using the Dreyfus International Health Foundation's method Problem Solving for Better Health (PSBH).The partnership began when I was a Visiting Professor in Wenzhou, China and established collegial relationships with the Dean of the School of Nursing and the Chief Nursing Officers of the affiliated hospitals. In contrast to previous visiting scholars who went to China to lecture on health issues, I sought to develop a sustainable program and make a lasting contribution to the nursing practice in Wenzhou. The PSBH model was the method for what became the TCNLI. The TCNLI has taught over 200 nursing leaders to develop and implement major projects...
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The purpose of this article is to explore the concept of perinatal grief and evidence-based healing interventions for it. The loss of a pregnancy or death of an infant causes profound grief, yet society has long minimized or ignored this... more
The purpose of this article is to explore the concept of perinatal grief and evidence-based healing interventions for it. The loss of a pregnancy or death of an infant causes profound grief, yet society has long minimized or ignored this grief, which is among the most painful of bereavement experiences. Throughout the last century, research on grief and the special needs of bereaved parents has changed the context of professional intervention from protective to supportive. The central focus of bereavement interventions is to assist families in healing by helping them make meaning of their losses. The use of symbols, spirituality, and rituals has been shown to help bring meaning. Research has shown that memories are key to healing, and that gender, age, and relationships bring different grief expressions and experiences. While children's understanding of loss and grief differs with developmental age, they should also be given the opportunity to participate in grief rituals and pr...
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To describe and interpret the culture of an online perinatal loss group. This qualitative study used ethnography, the study of culture. Methods included participant-observation, review of 447 e-mails, and participants' feedback about... more
To describe and interpret the culture of an online perinatal loss group. This qualitative study used ethnography, the study of culture. Methods included participant-observation, review of 447 e-mails, and participants' feedback about the findings. The setting was online in a perinatal loss listserv consisting of mothers and one grandmother who had experienced a perinatal loss through miscarriage, stillbirth, or neonatal death. In this changing group, there were between 82 to 87 participants from North America, Europe, Asia, and Australia. The essence of the culture was Shared Metamorphosis. The Internet connected grieving women who otherwise would likely not have met. Participants shared virtual identities, created a community, and brought meaning to their perpetual losses. Their grief was a process of remembrance and memories, and they used symbols to represent the deceased babies; angels were a commonly discussed symbol. For bereaved mothers "life would never be the same,...
Research Interests: Australia, Social Support, Self Help Groups, Humans, Child, and 11 moreEurope, Female, Asia, Male, Mothers, Grief, North America, Newborn Infant, Parents, Self Concept, and Internet
For most of history, the care of women, particularly childbearing women, has been delivered by healers and health care providers who were women. This article is an overview of the historical, social, political, economic, and philosophic... more
For most of history, the care of women, particularly childbearing women, has been delivered by healers and health care providers who were women. This article is an overview of the historical, social, political, economic, and philosophic forces that shaped the role of women, especially midwives, who care for childbearing families. As healers and health care providers, midwives (and later, nurse-midwives) have based their practice on the natural process of pregnancy and birth. Their holistic view dominated childbirth until the 18th century, when the existence of midwives began to be challenged by institutions. In the United States, the marriage of midwifery with nursing in the 1920s, followed by the consumer childbirth revolution of the 1960s, gave new strength to the profession of nurse-midwifery. Later, health economics provided additional support for nurse-midwifery practice, with demonstrated reduced costs and improved quality. At the cusp of the 21st century, internal and externa...
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... The author wishes to thank colleagues Lillian Diaz, MBA, RN, Monica Latayan, DNP, RN, Peter Walker, MD, Evangeline Garzon, Michael Brodman, MD, Mark Chassin, MD, Ian Holzman, MD, and ... 3 B O'Garr, Abusive docs drive nurses out,... more
... The author wishes to thank colleagues Lillian Diaz, MBA, RN, Monica Latayan, DNP, RN, Peter Walker, MD, Evangeline Garzon, Michael Brodman, MD, Mark Chassin, MD, Ian Holzman, MD, and ... 3 B O'Garr, Abusive docs drive nurses out, Hosp Health Netw 78 (4) (2004), p. 10. ...
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When she was 10 years old, Valerie was brought to New York City from Africa for treatment of a tumor in her neck. Valerie presented to the emergency room with a fever, vomiting, anorexia, difficulty swallowing, and weakness. Her inability... more
When she was 10 years old, Valerie was brought to New York City from Africa for treatment of a tumor in her neck. Valerie presented to the emergency room with a fever, vomiting, anorexia, difficulty swallowing, and weakness. Her inability to eat caused her to lose weight, and she appeared cachectic at 60 pounds. She was admitted to the pediatric intensive care unit, and after numerous tests, the tumor was diagnosed as rhabdosarcoma, a malignant tumor of the soft tissue in her neck and jaw. Radiation and chemotherapy were started ...