The subject of nurse retention and turnover came up during a recent conversation I was having with the HR director of a regional hospital system here in Florida. We were discussing the Florida Center for Nursing report that identified the median turnover rate for RNs was 20% in 2007. The HR director responded that prior to the recession they were running in the low to mid twenties, but it had dropped to just below twenty percent in the past two years. As he said this, a look of trepidation came upon his face, as if he was waiting for the other shoe to drop. The director added, "I hate to think what's about to happen once hospitals begin hiring again. The nursing shortage didn't go away simply because the economy faded." Curious, I asked him to confirm if the American Hospital Association estimate that it costs an average of $64,000 to replace a single RN was realistic at his institution. "Easily, and that doesn't account for the increased stress an open position places on the remainder of the staff." A little short math reveals that a hospital with 200 nurses experiencing a 20% annual turnover rate is very likely expending $2.5 million a year in hard dollar costs associated with this phenomenon. Extrapolated across the nation, this endemic turnover challenge may, in fact, be costing American hospitals more than $10 billion annually. This doesn't take into account the additional costs associated with patient length of stay, the risk for adverse events, cost at discharge, and patient perceived quality of care, all of which are negatively effected by nursing staff shortages and exacerbated by nursing staff turnover. A quick search of the peer reviewed, published research on the subject reveals many of the underlying causes of endemic turnover in hospital nursing are rooted in the "soft skills" of nursing, leadership, and organizational culture. Digging a bit deeper into the literature identifies some innovative, evidence based suggestions and approaches to lowering costs and improving patient care as it relates to this front line challenge. More than two dozen studies document the positive role emotional intelligence and the cultivation of emotional resiliency can deliver in nursing and clinical leadership. Fortunately, these are learned skills and competencies that can be developed over one's lifetime. The research clearly reveals that emotional intelligence in nursing: Has a positive impact on nursing team cohesiveness and patient/client outcomes. Minimizes the negative stress consequences of nursing. Reduces nurse burnout. Contributes to performance, career longevity, and job retention. Leads to more positive attitudes, greater adaptability, improved relationships, and increased orientation towards positive values. Enables the expression of empathy through healthy, professional boundaries. Nurses capable of a self reflective process become aware of their own emotions. When nurses recognize their own feelings they are more likely to manage them and communicate in appropriate ways. The nursing profession exemplifies positive intention, a spirit of service, and compassionate behavior. The daily interaction of nurses with their patients has a distinct impact on patient satisfaction, especially the emotional needs of patients and their families. Yet constantly evolving technologies, severe economic constraints, and the chronic nursing shortage combine to challenge the ability of nurses to focus on patient care. The very people that are in the position to have the most positive impact on critical patient perceptions also bear the brunt of many of today's challenges. The fact is, healthcare is entering a phase of unprecedented change, experiencing pressures from many sides simultaneously. Like so many industries today, healthcare must adapt to a rapidly shifting economics, demographics, and expectations. Investments in technology will undoubtably help contain costs and improve efficiencies, but technology can only go so far. Of all industries and endeavors, healthcare is simply the most human. Investing in the human aspects of care, in developing emotional intelligence, adaptability, engagement, and techniques in self care should be a key consideration as administrators seek innovative ways to successfully lead their institutions through this period of uncertainty and change. Terry Murray is a professional coach and business executive with twenty five years of progressive experience in strategic development, executive leadership, and the development of highly profitable business teams. His executive leadership with Fortune 1000 and start up companies has directly contributed more than $1 billion in market capitalization growth throughout his career. Linda and Terry co created the "Warriors in Transition" program for veterans returning from service in Iraq and Afghanistan and their family members. The program imparts emotional fitness skills, cultivates self awareness, and addresses residual combat stress, supporting successful reintegration to life, post deployment. He is in the process of finishing his first book, "The Law of Traction A Practical Approach to Engaging the Mind ,Heart, Spirit for Transformational Performance". Slam Dunk 6s ,Air Jordan 3 Fire Red 2013 Air Jordan Spizike Space Blue Air Jordan 10 Charlotte Bobcats Infrared 23 6s Air Jordan 3 Infrared 23 Air Jordan 6 Infrared 2014 Air Jordan 12 Gamma Blue Air Jordan 3 Wolf Grey Air Jordan 13 Grey Toe 2014 jump to contentmy subreddits limit my search to /r/everymanshouldknowuse the following search parameters to narrow your results:see the search faq for details. You know that thing your dad was supposed to teach you but never did? This is where you may learn a ton of interesting things, that will help you every day. If you have some knowledge your dad or father figure taught you, throw it up here. More info about submission content Posts with something every man should know should begin with EMSK: Posts with a request for something that you need to know to be a man should begin with EMSKR:I learned how to shine boots in the military. That being said, scuffs need to be treated differently depending on what type of shoe you dealing with. If you using a suede or rough type of shoe, your best bet is to use a brush and leather cleaner. Beyond that, i can really say. If you wearing a brown polished shoe, follow the below black shoe polishing instructions, only use kiwi brown followed by kiwi clear. For black shoes, you need the a polish applicator (sometimes foam, but the better ones are the same as the bristlebrush only round and with a handle), a soft bristled brush ( most likely horsehair, sometimes badger), a soft cotton rag (an old t shirt will do in most cases), a lighter, water, and a can of kiwi polish (i prefer to use standard black, then follow it up with black parade gloss) First, apply a rough coat of polish to the shoe. To do this, first open the can by twisting the little silver tab on the side of the polish. The first time i polished boots, i spent too long trying to pry the can open with my fingers, not realizing that the tab rotates to lever off the lid. After you removed the lid, check to ensure that your polish hasn dried out. If it dry, it will have cracks and look like it peeling away from the side of the can. Shoe polish should have a waxy texture and easily stick to (stain) your finger if you run it gently along the surface. Take your applicator and run it along the polish, circling the outside. This isn necessary, but the center of the polish is always the first to wear through, so this will keep it even. Use the applicator and coat the shoe with a thin layer of polish. It should be in fairly uniform streaks across the surface. Try not to leave clumps, as they will get knocked off in the next step, and will likely stain whatever surface they land upon. Slam Dunk 6s,If you could you invite someone immensely wise, loving, and powerful into your home? What about inviting a super pure expression of God, like St. Francis, Archangel Michael, Krishna, or Kwan Yin? Any request from the heart can bring results, but many of us don know this secret: We can issue a really big invitation. Instead of asking for just a short visit, or help with just one particular project, why not invite a Divine Being to take up residence in your aura permanently? This article shows you how. To use this sacred technique, I do recommend that you start by reading through the following steps, tweak them to your satisfaction, and then go ahead and do them. You take that much time if this were a new recipe for potato salad, right? 1. Prepare yourself. Take a shower. Brush your teeth. Put on your yoga clothes. Do whatever you would normally do before going to God house terribly different from asking God to come into yours. 2. Create a sacred space, whatever that would mean to you. Perhaps you light a candle or burn incense. Maybe you stand in front of a favorite sacred picture or statue or symbol. Hold your favorite crystal. Put flowers upon an altar or do a puja. Actually, creating this space could be as simple as closing your eyes, saying God, then noticing how you feel in your body. 3. Enter into your sacred space. If you have a favorite prayer, like the Father, start with that. If you have a favorite way to meditate, go there. 4. Now come the steps of invitation, bringing a Divine Being into your aura. Remove your shoes, which will help to ground your energy. Sit comfortably, with your head not supported. (Use that Lazyboy recliner afterwards.) Or kneel in prayer position, or sit in a lotus or half lotus, whatever position is your favorite for a sacred ceremony. 5. Close your eyes and breathe deeply but comfortably for several minutes. Notice how you feel, just being you. Please don expect to have a particular experience that is supernatural, mystical or strange in any way. Being you has a certain familiarity least it had better! And if you not used to being alone with yourself when the lights are off, as it were, now your chance. The experience of being YOU is the basis for consciously recognizing any spiritual experience. Forget any to or expectations, including that popular favorite, not allowed to think. Return to normal breathing. Think the name of God and know that, instantly, you be connected. Explain in words or pictures that you are doing a ceremony now to bring a Divine Being into your aura, and that you gladly receive this it is appropriate. 7. Take another deep breath and notice how you feel. Here is where you receive a response from God. Your way of noticing how it feels to be you could involve any combination of physical sensations, emotions, sounds, visual experiences, hearing words, noticing fragrances, daydreams or cartoons, or other thoughts. Any of this matters. In fact, all of it matters. Basically, if you feel good, count this as a go ahead and continue with Step 8. If you don feel good, you have received a or a now. Ask God to give you whatever blessing is appropriate instead. Then, when you ready, open your eyes. Consider that you received a spiritual upgrade, even if it wasn what you originally expected. That co creation for you! 8. Choose a Divine Being whom you like. You can possibly choose wrong. Inside your own self, eyes still closed, have a conversation with the Divine Being. This may seem like a dialogue or a monologue. Either way is fine. Know that, as soon as you name this Being, you can become connected regardless of whether or not this connection comes complete with a flashy, vivid experience. Spiritual life is not like TV, with its lurid special effects. There good reason why so many religions describe a still, small voice within. 9. Tell the Divine Being that you are interested in having Him or Her become part of your aura. Have any additional conversation you wish, including any questions that come to mind (or heart). After asking each question, take a deep breath and then sit, being you. Be alert to whatever you experience next because that when your answer will come. 10. Welcome that Divine Being into your aura. Say You and know that you are connected. When you ready, open your eyes. What will it mean to have a Divine Being in your aura? Any techniques you already use to pray, meditate or co create with God will work better than ever. I co created this article with a Divine Being. Need I tell you which one? No. Sacred experience is different from public performance. Yes, I have neighbors who are so vocal about their inner teacher, they wear tee shirts like, is my homeboy. you find a different approach as near as the New Testament, where it says that Jesus taught, you pray, do not be like the hypocrites! They love to stand up and pray in the houses of worship and on the street corners, so that everyone will see them. I assure you, they have already been paid in full. But when you pray, go to your room, close the door, and pray to your Father, who is unseen. And your Father, who sees what you do in private, will reward you. advice, from Matthew 6.5 6, is good spiritual hygiene for anyone, regardless of religion. Whichever Divine Being helps you spiritually is nobody else business. Enjoy this sacred love relationship. Two company, you know.
The Best Site To Buy Slam Dunk 6s,Air Jordan 9 Cool Grey 2012 Trending on Related Blogs While You Weren Looking, Dell Made Android Tablets Interesting Again4.1k people reading on Gizmodo5 Million Online Passwords Leaked, Check Yours Now [Updated]2.2k people reading on LifehackerThis Is What a Watch Expert Thinks of the Apple Watch1.8k people reading on Gizmodo The Wall Street Journal has gotten its hands on some emails that were sent between Nike officials and the Florida State athletic department, and they demonstrate just how truly insane Nike is about protecting its brand. Right after a game against Miami in November, cameras caught Florida State head coach Jimbo Fisher embracing his 9 year old son on the field. It was a nice moment, but not for the soulless corporate creatures at Nike, who couldn't help but notice that young Fisher was sporting an Under Armour sweatshirt. Hours after the game, Nike's assistant director for football sports marketing, Mark Dupes, sent an email to FSU's athletic department decrying the child's disregard for brand synergy. From the Journal: "Hey got a text from the USA Director of Sports Marketing last night telling me of how good things look w FSU and our players and sideline staff, exposure for the Brand was exceptional. Then 5 min later I rec a new messageSaid ABC cameras were on Jimbo and his Son ad end of the gameHis son was Wearing Under Armour FSU sweatshirt! Ouch. Can we please ask Jimbo to eliminate that from the son's wardrobe in the future! Let me know if I can help w anything. Thx guys. MD" Slam Dunk 6s The matter was adjourned as Sessions Judge U B Hejib was on leave.The 47 year old actor has contended that the magistrate had erred in invoking the charge of 'culpable homicide not amounting to murder' (Section 304 part II of IPC) in the hit and run case. The offence under this section attracts ten year jail and is triable by a sessions court.Earlier, Khan was tried by a magistrate for lesser charge of causing death by negligence (Section 304A of IPC), that provides for a maximum punishment of two years in jail.After examining 17 witnesses, the magistrate had come to the conclusion that culpable homicide charge could be made out against the actor and transferred the case to the sessions court for retrial.Khan has pleaded that the magistrate's order was "erroneous, bad in law and contrary to evidence on record."The magistrate had failed to appreciate that he (Khan) had neither the intention (to kill people) nor the knowledge that his rash and negligent driving would kill a person and cause injury to four others, he said.One person was killed and four others injured when the Land Cruiser allegedly driven by Khan crushed a group of people sleeping on the pavement outside a bakery in suburban Bandra in the wee hours on September 28, 2002.About usAdvertise with usTerms of Use and Grievance Redressal PolicyPrivacy policyFeedbackLiving and entertainmentHot on the Web.
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