Elena O. Siegel, PhD, RN, earned a $300,000 grant in February to develop guidelines for nurse leaders in nursing homes. The guidelines, focused on providing a resource for quality and safety, will help directors of nursing find and interpret regulations, assess and enhance their practice and further their professional development. considers herself a systems thinker.
The grant was awarded by the National Council of State Boards of Nursing’s Center for Regulatory Excellence Grant Program.
Prior to transitioning into nursing, Siegel worked as a certified public accountant and controller for 15 years. Her background brought a patterned way of thinking with her that led to years of research focused on organizational and workforce capacity to improve long-term care.
Siegel, assistant professor at the Betty Irene Moore School of Nursing at UC Davis, identified a need for processes among nurse leaders in nursing homes.
“I started focusing my research on how the top management team in a nursing home can establish infrastructure, systems and resources to support the work that nurses do,” Siegel said.
“This is a tool to help them find the regulations specific to what they’re doing, understand them and understand as a leader what their role is in supporting those regulations,” Siegel said. “They can then develop their own action plans.”
The two-year project will be conducted with co-investigators Debra Bakerjian, PhD, APRN, FAAN, FAANP, senior director for nurse practitioner, physician assistant clinical education and practice, and associate adjunct professor at UC Davis; and Suzanne Sikma, PhD, RN, professor, school of nursing and health studies at University of Washington Bothell.
“Between the two of them, they bring a wealth of expertise in nursing home management, delegation, policy and quality,” Siegel said. Once developed, the guidelines will be distributed to a random national sample of nurse leaders in nursing homes for testing. Siegel hopes the guidelines will reduce the learning curve for directors of nursing by helping them understand their roles as leaders and managers.
Siegel has received generous support for past research from the Robert Wood Johnson Foundation — she was a 2011 nurse faculty scholar — and the John A. Hartford Foundation Building Academic Geriatric Nursing Capacity Program and Atlantic Philanthropies, which awarded her the Claire M. Fagin Fellowship for postdoctoral research.
According to the NCSBN website, the Center for Regulatory Excellence Grant Program “funds innovative projects that can have measurable impact on nursing regulation and can create meaningful change.” Siegel’s project, “Director of Nursing Guidelines for Delegation in Nursing Homes: Guideline Development and Pilot Testing,” met the criteria.
“Proper delegation is so integral to safe patient care,” Maryann Alexander, PhD, RN, FAAN, NCSBN chief officer of nursing regulation, said. “This is a topic that is very much discussed throughout the nursing community.”
[accordion title=”Professor’s research relates to guideline development” load=”hide”]Elena O. Siegel, PhD, RN, assistant professor at the Betty Irene Moore School of Nursing at UC Davis. has conducted the following research projects related to the guidelines she’s developing for nurse leaders in nursing homes:
– “A Descriptive Study of Licensed Nurse-Nursing Assistant Communication: Managing Care of Older Adults in a Long-Term Care Setting” – 2003
– “An Ethnographic Approach to Understanding Supervision of Nursing Assistants in Nursing Homes” – 2004-2006
– “Nursing Home Administrators: Education, Training, and Experiences that Support Role Performance” – 2007-2009
– “Exploring the Management & Administrative Roles of the Director of Nursing Position in Nursing Homes” – 2009
– “Leadership Support for Quality Improvement in Nursing Homes” – 2011 to 2014 [/accordion]