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  • Book
    Leslie Neal-Boylan, Steven Rotkoff.
    Summary: Large, successful organizations only transform after failure. If everything is going well, there is a tendency not to challenge methods. It is only once things have gone radically wrong that a successful organization starts to reexamine their methods and culture. This book is about organizational leadership, but provides a unique spin to promoting innovation, inclusion and transparency among employees. It examines co-author Steven Rotkoff experiences as a retired US Army Colonel and Red Team strategies used by the military and the corporate world to make better decisions and improve organizational culture and applies them to nursing in both clinical and academic settings. Centering cases derived from US-based academic and clinical settings, the book discusses how and why some strategies do and others don't work and examines how these military and corporate strategies apply effectively to nursing settings. Turning a lot of the available literature on its head, this book offers new models and methods to foster better conversations, particularly between managers and staff. Nursing has changed in both academic and clinical settings. Just as military and corporate organizations have had to change their organizational behavior and leadership styles and methods to meet the needs of today's employees and consumers, the nursing profession must change to meet the needs of faculty, an inter-professional health care environment and our increasingly inclusive and diverse environments.

    Contents:
    Part One: Why Red Team?
    1. Nursing Leadership in a Segmented Discipline
    2. Why Red Teaming is a Better Way
    3. The Red Team Toolbox: Improving the conversation and changing the frame of reference
    4. The Red Team Tool Box: Understanding the Problem and Envisioning the Future
    5. Applying Red Team Tools
    Part Two: Cases
    6. Budget Cuts at Green University
    7. Horizontal Violence in Pink Hospital
    8. Strategic Planning at Yellow Institute
    9. Who's in Charge at Orange School of Nursing?
    10. Conflict between the front and back office staff at Purple Clinic
    11. Hierarchy at Blue University School of Nursing
    12. What to Build at Turquoise University School of Nursing
    13. Merging Brown Visiting Nurse Association with Gray Health System
    Part Three: Conclusion
    14. Conclusion.
    Digital Access Springer 2021
  • Article
    Schneeberger EE.
    Fed Proc. 1978 Sep;37(11):2471-8.
    The structural basis for the permeability of the alveolar-capillary membrane to water-soluble solutes rests in part on the structure and function of its intercellular junctions and the pinocytotic vesicles within its cells. Intercellular junctions between endothelial cells of the pulmonary capillary bed differ both in permeability to enzyme tracers and in their structure. As determined by freeze fracture, the junctions in the arteriolar, capillary, and venular portion of the capillary network vary in complexity, and in the number of rows of particles constituting the junction. Because there are few particles associated with the junctions in the venular end of the capillary bed, these are considered to be the most permeable of the three types of vascular junctions. Epithelial junctions, in contrast, are impermeable to all enzyme tracers studied, and they are composed of a continuous, complex network of junctional fibrils. While intercellular junctions form seals of varying 'tightness,' pinocytotic vesicles provide a means for the transport of water-soluble macromolecules across the alveolar-capillary membrane.
    Digital Access Access Options