Mary A. Dolansky

International Nurse Leaders' Journeys of Engagement, Belonging, and Growth in Professional Nursing Organizations: A Qualitative Study

Jihane Frangieh, Edmund J. Walsh, Kay Kennedy, Kimberley Crawford et autres

INTRODUCTION: Professional nursing organizations play a central role in connecting nurse leaders across borders, advancing leadership science, and addressing shared challenges, including workforce sustainability, burnout, and policy influence. Little is known about how specialized professional nursing organizations with a primarily national membership …

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Reducing cognitive load in polypharmacy: A prototype clinical decision support system

Insiya Fatma, Mary A. Dolansky, Evelyn G. Duffy, Colin K. Drummond

Polypharmacy, defined as the concurrent use of five or more medications, presents a significant health risk for older adults, particularly when managing complex “as-needed” (PRN) regimens. While healthcare providers establish treatment plans, the operational complexity of managing daily regimens often exceeds the …

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A Multicomponent Wellness Program to Promote Self-Leadership and Wellness

Lindsay H. Morris, Mary A. Dolansky, Madaline A. Witort, Katie Nabors et autres

This paper discusses an innovative, multicomponent wellness program designed to strengthen self-leadership and well-being among health professionals and faculty. The Marian K. Shaughnessy Nurse Leadership Academy at Case Western Reserve University spearheaded a series of sequential wellness initiatives, including BeWell: Flourishing in …

Direct Care Provider Innovation to Improve the Implementation of Age-Friendly 4Ms Care in a Retail Health Clinic Setting

Anna E. Bender, Heba M. Aldossary, Sutthinee Thorngthip, Grace Q. Armstrong et autres

PURPOSE: The Age-Friendly Health Systems (AFHS) is a national initiative that ensures evidence-based care for older adults. To facilitate implementation, direct care providers created a questionnaire for older adults to complete before a clinic visit. The current mixed methods study evaluated the …

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Higher Proportions of Baccalaureate-Prepared Nurses in Veterans Affairs Medical Centers Associated With Lower Surgical Mortality

Sheila Cox Sullivan, Patricia A. Patrician, Ann Kutney-Lee, Mary A. Dolansky et autres

BACKGROUND: Multiple studies have linked higher levels of BSN-prepared nurses to lower odds of postsurgical mortality and failure-to-rescue (FTR; ie, death following the development of a postsurgical complication). OBJECTIVE: The purpose of this national evaluation was 2-fold: (1) to assess the proportion …

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Age-Friendly Care: What Matters Most to Older Adults in Ambulatory Care Clinics

Sherry A. Greenberg, Nicholas K. Schiltz, Grace Morgan Armstrong, Anne M. Pohnert et autres

Abstract Considering patient preferences by asking ‘What Matters’ most, key to the Age-Friendly Health Systems 4Ms framework, fosters patient-centered care and improves health outcomes. MinuteClinic, comprised of approximately 1,100 convenient care clinics across 35 states and DC, implemented the 4Ms framework in …

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Age Friendly, but Not for Me? Resolving Cognitive Dissonance to Improve Continuity of Care

Joshua A. Gerlick, Betty J Napoleon, Grace Morgan Armstrong, Nicholas K. Schiltz et autres

Abstract A persistent challenge in geriatric healthcare is ensuring that older adults effectively transition from Age-Friendly Health Systems (AFHS) care provided at retail clinics to ongoing follow-up with their primary care providers (PCPs). We conducted three focus groups (N = 20, ages …

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The Pace of Change: Evaluating the Implementation of Age-Friendly Health Systems in Convenient Care Clinics

Grace Morgan Armstrong, Sarah L. Ball, Nicholas K. Schiltz, Brant Oliver et autres

Abstract The Age-Friendly Health Systems 4Ms framework (What Matters, Mobility, Medication, Mentation) was implemented in CVS MinuteClinic convenient care clinics nationwide in May 2020. Since then, a vast collection of strategies have been used to enhance provider delivery of the 4Ms. These …

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Evaluating Cognitive Screening Tools for Older Adults in Ambulatory Care Settings

Shannon Foran, Grace Morgan Armstrong, Sherry A. Greenberg, Nicholas K. Schiltz et autres

Abstract Implementation of the Age-Friendly Health Systems 4Ms framework ensures that assessing and acting on What Matters, Medication, Mentation, and Mobility is included for all patients aged 65 and older. In ambulatory settings, patients in this age group are often assessed annually …

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Psychological Interventions to Enhance Well-Being in Adults With Cardiovascular Disease: A Systematic Review of Randomized Trials

Heba M. Aldossary, Mary A. Dolansky, Ronald L. Hickman

BACKGROUND: Individuals with cardiovascular disease (CVD) often exhibit diminished emotional well-being. Although considerable research has concentrated on mitigating negative emotions like depression and anxiety, there has been comparatively less emphasis on fostering positive psychological states, such as happiness, life satisfaction, and positive …

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Joy in Work: Leading Change

Mary A. Dolansky, T. Wingate Todd, Anne M. Pohnert

Joy in Work emerges when nurses are empowered to lead meaningful change. The Institute for Healthcare Improvement's (IHI) Joy in Work Framework guides organizations to empower nurses to make small, team-led changes to restore engagement, reduce burnout, and improve quality. We used …

Association of Statistical Methodology and Design in Preclinical Animal Studies With Successful Translation Into Clinical Phase 2 Trials

Olivia Hogue, Megan Zelinsky, Claire Sonneborn, Thwisha Anantasagar et autres

BACKGROUND AND OBJECTIVES: Preclinical-to-clinical translational failure is common in neurologic research. Reasons for translational failure are complex and multifaceted, but it is increasingly recognized that translational decision making may be influenced by preclinical work that is overly optimistic, due to a lack …

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