Merriam-Webster Online Dictionary1 defines engagement as an arrangement to meet or be present. It goes on to identify a period of employment and a pledge and then emotional involvement or commitment. This last meaning is what has evolved in the general literature related to the concept of engagement. The emotional commitment of people to each other whether in families or the workplace can enhance the work either unit does.
The profession of nursing has always been concerned with recruitment and retention. Having sufficient numbers of staff is, and always has been, a critical issue. Yet, even if the numbers are sufficient, if staff aren't committed to the organizational mission and values, the positions may be filled but the innovations and passion aren't evident. The shift to a productivity focus is the perfect time for the concept of engagement to emerge.
Through numerous strategies, many of which have been documented in Nursing Administration Quarterly (NAQ), the work of healthcare organizations has moved from the minimalist view to a maximizing view. "How much better can we do" is an example of a question that is discussed about quality just as often as it is about the finances of an organization.
This issue of NAQ began with the idea that many organizations are taking innovative approaches to promote engagement and to embed the work of nursing in a delivery setting so that nurses are highly productive and innovative in producing safe, quality care. This issue includes the first half of an On-The-Scene at the Hospital of the University of Pennsylvania Medical Center. The second installment will appear in a subsequent issue. This series provides examples of administrative directions to saturate an organization with knowledge and skills that will develop and sustain an engaged organization.
Tying people together through a common mission and vision is a key contribution that nurse leaders provide. This issue of NAQ will provide some models, some history, and some tools to keep you engaged in engaging your staff in the important work we do.
Patricia S. Yoder-Wise, EdD, RN, NEA-BC, ANEF, FAAN
Professor, Texas Tech University Health Sciences Center, Lubbock, Texas; President, The Wise Group, Glasgow
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