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Healthcare organizations across the globe apply the Magnet® Model framework to achieve excellence in nursing practice, thriving work environments, and improved patient, nursing, and organizational outcomes. The International Council of Nurses' (ICN) Charter for Change (2023) commissioned actionable measures for change to advance the nursing profession into the future. This article explores the synergies between the Magnet Recognition Program® and the ICN Charter for Change, aiming to demonstrate that integrating the principles of both models can provide a roadmap for healthcare organizations to enhance nursing professional development, foster a culture of innovation and evidence-based practice, and ultimately improve healthcare outcomes for patients and communities globally.
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Consejo Internacional de Enfermeras , Humanos , Innovación Organizacional , Cultura OrganizacionalRESUMEN
ABSTRACT: The mission and vision of the Magnet Recognition Program® is to continually elevate patient care and transform healthcare globally through an environment where nurses and the interprofessional team flourish. Diversity, equity, and inclusion (DEI) affect healthcare workers and patients. The Commission on Magnet Recognition further integrated structures and processes involving DEI into the 2023 Magnet® Application Manual to emphasize the importance of organizations' enculturation of these initiatives as a part of the mission and vision. This Magnet Perspectives column reviews the organizational overview items and sources of evidence addressing DEI in the 2023 Magnet Application Manual and offers resources for nursing leadership.
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Liderazgo , Cultura Organizacional , HumanosRESUMEN
The college environment increases risk of weight gain in young adults with overweight/obesity. Behavioural weight loss interventions are proven effective, however, young adults' adherence to such programs is poor. The purpose of the study was to determine weight loss treatment preferences of 2- and 4-year college students for the development of population-specific interventions. Students with a BMI ≥25, between 18 and 24 years of age, and enrolled in one of four institutions were recruited. A questionnaire was developed to assess students' preferences and was administered via Qualtrics. BMI was calculated from objectively assessed height and weight measurements. Descriptive analyses, chi-square, Fisher's Exact Test, Mann-Whitney U test and Cramer's V were performed. Participants (n = 133, age = 20.2 ± 1.8) predominately identified as female (70%), non-Hispanic (68%) and Black/African American (32%) or White (32%). Fifty-five percent met criteria for obesity. Most students preferred session length of ≤1 hour (78%), for meetings to be held on a weekday (70%) and for both a peer and a professional to co-facilitate meetings (61%). Preferences for health outcomes and physical activity monitoring, type of physical activity, frequency of dietary monitoring, physical activity tracking method and interest in financial incentives to promote core treatment components differed between institutions. Heterogeneity in program preferences by college environment should be considered when designing weight loss interventions.
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Terapia Conductista/métodos , Obesidad/terapia , Sobrepeso/terapia , Prioridad del Paciente , Estudiantes/psicología , Programas de Reducción de Peso/métodos , Adolescente , Dieta , Ejercicio Físico , Femenino , Humanos , Masculino , Encuestas y Cuestionarios , Universidades , Pérdida de Peso , Adulto JovenRESUMEN
BACKGROUND: The nursing profession needs solid evidence of the important contributions that continuing education (CE) makes to nursing practice change. We analyzed nurses' intent to change practice, actual practice change, and examples of practice change after completing CE courses of differing types, topics, and geographic locations. METHOD: A retrospective, mixed-methods study design was used to assess quantitative and qualitative survey data gathered upon completion and within 1 year following completion of 16 different CE courses. RESULTS: A large majority of nurses reported positive intent to change practice (88.6%) and actual practice change (89.1%) following participation in the CE courses. Qualitative analysis revealed four themes related to types of practice change, including Becoming Certified, Improved Leadership, Enhanced Role Performance, and Educating or Mentoring Others. CONCLUSION: CE can positively influence nursing practice change and lead to broader organizational improvements. [J Contin Educ Nurs. 2019;50(8):375-380.].
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Competencia Clínica , Educación Continua en Enfermería , Rol de la Enfermera , Personal de Enfermería/educación , Humanos , Intención , Liderazgo , Tutoría , Modelos Educacionales , Modelos de Enfermería , Estudios Retrospectivos , Encuestas y CuestionariosRESUMEN
Activated by AMP-dependent and -independent mechanisms, AMP-activated protein kinase (AMPK) plays a central role in the regulation of cellular bioenergetics and cellular survival. AMPK regulates a diverse set of signaling networks that converge to epigenetically mediate transcriptional events. Reversible histone and DNA modifications, such as acetylation and methylation, result in structural chromatin alterations that influence transcriptional machinery access to genomic regulatory elements. The orchestration of these epigenetic events differentiates physiological from pathophysiological phenotypes. AMPK phosphorylation of histones, DNA methyltransferases and histone post-translational modifiers establish AMPK as a key player in epigenetic regulation. This review focuses on the role of AMPK as a mediator of cellular survival through its regulation of chromatin remodeling and the implications this has for health and disease.