The Nephrology Nurse Manager

Paper Summary:

This paper is a literature review to investigate how the leadership of the manager nurse affects the clinical outcomes of dialysis patients especially as relating to medications given during dialysis and in monitoring lab values. The paper points out that the research indicates that staffing and resource adequacy is a problem in the dialysis units throughout the United States. The paper concludes that the leadership role of the nephrology nursing manager is vital in preventing the turnover of nurses in these units especially because the nurse's mental, physical and emotional state and effectiveness quite clearly impact the outcomes of their dialysis patients.

Table of Contents:
Introduction
Environmental Analysis of the Dialysis Unit
Organizational Characteristics That Promote Nursing Practice
Additional Findings
Summary and Conclusion

From the Paper:

"For the nephrology nurse who has the capacity to deal with the "bigger picture" this means overseeing sometimes multiple dialysis centers many hundreds of patients. Steib (2008) For others it may mean overseeing only one dialysis unit. Steib (2008) relates that patients who are involved in dialysis sometimes must go in three and four hours at a time and multiple days per week making treatment feel like a job to them."

Sample of Sources Used:

• Aiken, L.H., & Patrician, P. (2000). Measuring organizational traits of hospitals: The Revised Nursing Work Index. Nursing Research, 49, 146-153.
• Aiken, L.H., & Sloane, D.M. (1997). Effects of organization innovation in AIDS care on burnout among urban hospital nurses. Work Occupation, 42, 453-477.
• Aiken, L.H., Clarke, S.P., Sloane, D.M., Sochalski, J., & Silber, J.H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction [Electronic version]. JAMA, 288, 1987-1993.
• Aiken, L.H., Clarke, S.P., Sloane, D.M., Sochalski, J.A., Busse, R.A., Clarke, H., Giovanetti, P., Hunt, J., Rafferty, A.M., & Shamian, J. (2001). Nurses' reports on hospital care in five countries [Electronic version]. Health Affairs, 20, 43-53.
• Aiken, L.H., Havens, D., & Sloane, D. (2000). The magnet nursing services recognition program: A comparison of two groups of magnet hospitals. American Journal of Nursing 100, 26-36.

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