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Introduction: Nurse well‐being is at the forefront of nursing leadership's focus, particularly with the impact of the ongoing COVID‐19 pandemic. Nurse managers, as authentic leaders, should understand their role in supporting the spectrum of nurse well‐being. At the negative end of well‐being, leaders must address staff burnout as it increases nurse turnover, shortage of nurses, and poor patient outcomes. Purpose: The specific aim for this quality improvement (QI) project was to implement a program that could guide a nurse manager of a single inpatient unit on how to improve well‐being in their nursing staff as measured by: (a) improved well‐being scores to a composite score of 3.5 or greater as indicated by follow‐up Culture Pulse surveys distributed in 2021; and (b) reduced absenteeism among nursing staff by 18%. Results: Five surveys identical to the organization's work culture survey, that measures well‐being, were sent to staff each month starting in January 2021 and ending in May 2021. The average composite score from all five surveys was 2.8, indicating an overall improvement. Absenteeism was reduced during implementation by 39%. Discussion: This QI project guides nurse managers in the evidence‐based interventions that can promote well‐being in their staff. [ABSTRACT FROM AUTHOR]

Background: Many hospitals have implemented early rapid response teams to improve detection of patients at risk for decline. However, formal evaluation of these programs is rare. Objective: To evaluate the Early Nurse Intervention Team program at a large community hospital in the southeastern United States. Methods: A retrospective evaluation was performed of unplanned intensive care unit transfers, hospital length of stay, length of stay index, ventilator days, and mortality in 2 patient groups: those with and those without an Early Nurse Intervention Team nurse present. Results: There was a marked decline in unplanned intensive care unit transfers as the Early Nurse Intervention Team nurse staffing increased. There were no significant interaction or main effects for length of stay, length of stay index, ventilator days, or mortality between the 2 groups. Conclusions: This study showed a positive impact of implementation of an Early Nurse Intervention Team program, with significant savings given the cost of unplanned intensive care unit transfers. [ABSTRACT FROM AUTHOR]

Compliance with safety features on smart pumps with drug libraries is a challenge for health care systems. Noncompliance and workarounds heighten the risk for adverse drug events and subsequent costs of patient care. This quality improvement project describes a pump champion innovation implemented over a 6-month period. There was a significant increase in nurses' compliance to drug library software in smart pumps and a decrease in severe harms averted. [ABSTRACT FROM AUTHOR]