title: Applying the Model of the Interrelationship of Leadership Environments and Outcomes for Nurse Executives: a community hospital's exemplar in developing staff nurse engagement through documentation improvement initiatives.
abstract: The Model of the Interrelationship of Leadership, Environments & Outcomes for Nurse Executives (MILE ONE) was developed on the basis of existing literature related to identifying strategies for simultaneous improvement of leadership, professional practice/work environments (PPWE), and outcomes. Through existing evidence, the MILE ONE identifies the continuous and dependent interrelationship of 3 distinct concept areas: (1) nurse executives influence PPWE, (2) PPWE influence patient and organizational outcomes, and (3) patient and organizational outcomes influence nurse executives. This article highlights the application of the MILE ONE framework to a community district hospital's clinical documentation performance improvement projects. Results suggest that the MILE ONE is a valid and useful framework yielding both anticipated and unexpected enhancements to leaders, environments, and outcomes.
authors.affiliation: The Yvonne L. Munn Center for Nursing Research at Massachusetts General Hospital, Boston, and The Bogart Group, Inc, Monterey, California, USA. jeff.adams@bogartgroup.com
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Adams
authors.forename: Debra
authors.initials: D
authors.lastname: Denham
authors.forename: Irene Ramirez
authors.initials: IR
authors.lastname: Neumeister
mesh_terms: D002140:California; D004059:Diffusion of Innovation; D004282:Documentation / Q000592:standards*; D006272:Health Facility Environment / Q000458:organization & administration; D006764:Hospitals, Community; D006767:Hospitals, District; D006801:Humans; D007400:Interprofessional Relations; D007857:Leadership; D016347:Medical Records Systems, Computerized / Q000458:organization & administration; D016294:Models, Nursing; D009718:Nurse Administrators / Q000458:organization & administration / Q000523:psychology; D024802:Nurse's Role / Q000523:psychology; D015403:Nursing Evaluation Research; D009737:Nursing Records / Q000592:standards; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000523:psychology; D015279:Organizational Culture; D017063:Outcome Assessment, Health Care; D011361:Professional Competence; D017749:Total Quality Management / Q000458:organization & administration*