Nursing management最新文献

Strategic leadership in patient safety through AI-enabled fall prevention technology. 通过人工智能跌倒预防技术，在患者安全方面发挥战略领导作用。

Nursing management Pub Date : 2026-10-12 DOI: 10.1097/nmg.0000000000000423

Monique Bouvier, Caroline Deaterly, Nathan Collins, Rita Richardson, Bradley Weaver, W Jason Atkins

{"title":"Strategic leadership in patient safety through AI-enabled fall prevention technology.","authors":"Monique Bouvier, Caroline Deaterly, Nathan Collins, Rita Richardson, Bradley Weaver, W Jason Atkins","doi":"10.1097/nmg.0000000000000423","DOIUrl":"https://doi.org/10.1097/nmg.0000000000000423","url":null,"abstract":"Background: Inpatient falls present significant clinical and financial challenges, yet traditional prevention strategies, like bed alarms, often fail due to a multitude of reasons, such as alarm fatigue and high operational costs.Purpose: Evaluate the implementation of an AI-enabled light detection and ranging (LiDAR) sensor platform designed to mitigate inpatient falls.Methods: This quality improvement project was conducted at Emory Healthcare (EHC) utilizing the CFIR 2.0 to help guide the implementation process of deploying the LiDAR sensor platform in a pilot unit with spread to several hospitals across the system. Local and system nursing leadership, along with the system's digital team, developed the initiative, deployed the technology, and refined the process. Process and outcome metrics were collected and monitored.Results: Implementation of the LiDAR sensor platform on the pilot unit with strong local nursing leadership demonstrated a reduction in total falls and falls with injury. The implementation process that was developed with the pilot unit was utilized to implement the technology at five other hospitals across the system with their local nursing leadership.Conclusions: Integrating the LiDAR sensor platform offered a scalable, nurse-centric solution that improved patient safety outcomes for EHC. Nurse leaders are essential when implementing innovative technology and/or process changes at hospitals to drive financial stewardship and optimize the nursing workforce.","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Profiles in safety: The Hospital From Home Program. 安全概况：家庭医院项目。

Nursing management Pub Date : 2026-10-12 DOI: 10.1097/nmg.0000000000000422

Ramonita Jiménez, Trusha Bavalia, Phillip Torcivia, Tanya Chevroni-Knapp, Ahmad Singer, Lina Ortega, Claudia Douglas

{"title":"Profiles in safety: The Hospital From Home Program.","authors":"Ramonita Jiménez, Trusha Bavalia, Phillip Torcivia, Tanya Chevroni-Knapp, Ahmad Singer, Lina Ortega, Claudia Douglas","doi":"10.1097/nmg.0000000000000422","DOIUrl":"https://doi.org/10.1097/nmg.0000000000000422","url":null,"abstract":"Abstract: Although today's health care system has achieved unprecedented advances, geriatric adults remain vulnerable to iatrogenic complications associated with traditional hospitalization, including acute cognitive delirium, rapid functional decline, medical errors, and health care-associated infections. To improve patient safety, an organization initiated an acute hospital-at-home pilot program from June 2023 through February 2024. Building on the removal of prepandemic regulatory and reimbursement barriers, the pilot was formally expanded and rebranded as the Hospital From Home (HfH) Program. An evaluation of 673 patients over 25 months showed an improved safety profile, with zero serious safety events and a 7.47% 30-day unplanned readmission rate. The program achieved a 100% discharge-to-home rate while successfully managing a slightly above-average to moderately complex Case Mix Index of 1.45. Furthermore, standardized patient experience measures demonstrated higher scores across key nursing leadership domains, including nurse-to-patient communication, interdisciplinary care coordination, and overall patient satisfaction.","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Back in action: Reducing risky bends to protect nursing staff. 回归行动：减少危险弯曲以保护护理人员。

Nursing management Pub Date : 2026-10-07 DOI: 10.1097/nmg.0000000000000415

Stephanie Elston, Amanda Skidmore, Melissa Bryan, Cristina Winchester, Max V Wohlauer, Jeffrey J Glasheen

{"title":"Back in action: Reducing risky bends to protect nursing staff.","authors":"Stephanie Elston, Amanda Skidmore, Melissa Bryan, Cristina Winchester, Max V Wohlauer, Jeffrey J Glasheen","doi":"10.1097/nmg.0000000000000415","DOIUrl":"https://doi.org/10.1097/nmg.0000000000000415","url":null,"abstract":"Background: Direct care nursing staff perform a significant amount of risky bends contributing to high rates of moderate-to-severe back pain. Few practical, lasting interventions to address this issue have been reported.Purpose: To identify workflow-related sources of risky bending and implement practical interventions to reduce ergonomic hazards among direct care nursing staff.Methods: An ergonomic motion study using the Colorado Nurses Ergonomic Study tool identified medication retrieval and bedside care activities as major sources of risky bends. Interventions included relocating high-use medications within automated dispensing cabinets to ergonomically safer locations and implementing a Raise-the-Bed Awareness Campaign promoting bed-height adjustment during patient care. Medication-use data and staff surveys were used to evaluate outcomes.Results: Dispensing cabinet optimization eliminated an estimated 236,000 risky bends annually across three surgical units. More than 1 year after implementation, 85% of surveyed staff reported awareness of the Raise-the-Bed Campaign, 72% reported raising beds more frequently, and 84% reported raising beds at least half the time during care activities. Combined interventions reduced an estimated 743,000 risky bends annually.Conclusions: Combined structural modifications and targeted behavioral interventions can effectively reduce high-risk physical demands that contribute to back pain among direct care nursing staff. These low-cost, sustainable strategies may help improve occupational health and support workforce retention.","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Safety 2026: Are we safer yet? 安全2026：我们更安全了吗？

Nursing management Pub Date : 2026-10-07 DOI: 10.1097/nmg.0000000000000418

引用次数: 0

Cultivating cultures of safety: The Pathway to Excellence® approach to workforce and patient protection. 培养安全文化：通往卓越之路®保护员工和患者的方法。

Nursing management Pub Date : 2026-10-07 DOI: 10.1097/nmg.0000000000000420

Valerie Morrison, Paulette Sepe, William Carson, Maricon Dans

引用次数: 0

From safety data to safer practice. 从安全数据到更安全的实践。

Nursing management Pub Date : 2026-10-07 DOI: 10.1097/nmg.0000000000000419

Gen Guanci

引用次数: 0

A transformational shift toward a just culture. 向公正文化的转型。

Nursing management Pub Date : 2026-10-07 DOI: 10.1097/nmg.0000000000000416

Abigail Hebb, Michelle McGonigal, Lauren Williams, Jenna Li

引用次数: 0

Nurse-led, multidisciplinary strategies to reduce central line-associated bloodstream infections: Parenteral nutrition stewardship and central venous access device maintenance. 护士主导的多学科策略，以减少中央静脉相关的血流感染：肠外营养管理和中心静脉通路装置维护。

Nursing management Pub Date : 2026-10-07 DOI: 10.1097/nmg.0000000000000414

Gina M Antolino-Resnick, Ashton Loehr, Allison Lace, James McGonigle, Lynette Scaraglino, Jamie Figueredo, Bernice Emmanuelli, Linda A Kirschenbaum, Nayla Zaid Idriss

{"title":"Nurse-led, multidisciplinary strategies to reduce central line-associated bloodstream infections: Parenteral nutrition stewardship and central venous access device maintenance.","authors":"Gina M Antolino-Resnick, Ashton Loehr, Allison Lace, James McGonigle, Lynette Scaraglino, Jamie Figueredo, Bernice Emmanuelli, Linda A Kirschenbaum, Nayla Zaid Idriss","doi":"10.1097/nmg.0000000000000414","DOIUrl":"https://doi.org/10.1097/nmg.0000000000000414","url":null,"abstract":"Background: Central line-associated bloodstream infections (CLABSIs) remain a major source of preventable patient harm and are associated with increased mortality, longer hospital stays, and higher health care costs. Reducing central venous access device (CVAD) utilization and improving line maintenance practices are key strategies for prevention.Purpose: To reduce CLABSIs through a nurse-led, multidisciplinary initiative focused on parenteral nutrition (PN) stewardship, CVAD maintenance, and shared accountability for line necessity and care.Methods: Using Plan-Do-Study-Act cycles, an interprofessional team implemented a PN clinical decision tree, standardized PN administration kit, targeted nursing education, daily multidisciplinary line rounds, and real-time escalation processes. Outcomes included CLABSI Standardized Infection Ratio (SIR), Standardized Utilization Ratio (SUR), PN-related CLABSIs, and adherence to line care practices.Results: The initiative was associated with a 46% reduction in CLABSI SIR (1.165-0.632), an 11.7% reduction in CVAD utilization (SUR 0.479-0.423; P < .001), and a decrease in PN-related CLABSIs from 45% to 12.5% of all CLABSI cases. Process-related issues identified during rounds decreased from 32.73% to 26.11%.Conclusions: A nurse-led, multidisciplinary approach combining PN stewardship, standardized CVAD care, and real-time feedback improved patient safety and reduced CLABSI risk. The model offers a sustainable, replicable strategy for infection prevention.","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

As violence erupts in hospitals, nurse managers must support de-escalation initiatives to protect staff. 随着医院暴力事件的爆发，护士管理人员必须支持降级举措，以保护工作人员。

Nursing management Pub Date : 2026-10-07 DOI: 10.1097/nmg.0000000000000421

Kim Barnhardt, Allen Foucht

引用次数: 0

Associations between the Pathway to Excellence® framework and nurse, patient, and organizational outcomes: A systematic review. 卓越之路®框架与护士、患者和组织结果之间的关系：系统回顾。

Nursing management Pub Date : 2026-09-01 DOI: 10.1097/nmg.0000000000000401

Kathryn A Connell, Nicole George, Hyunmin Yu, Matthew D McHugh

{"title":"Associations between the Pathway to Excellence® framework and nurse, patient, and organizational outcomes: A systematic review.","authors":"Kathryn A Connell, Nicole George, Hyunmin Yu, Matthew D McHugh","doi":"10.1097/nmg.0000000000000401","DOIUrl":"10.1097/nmg.0000000000000401","url":null,"abstract":"Background: Supportive nursing practice environments are consistently associated with improved nurse, patient, and organizational outcomes. The American Nurses Credentialing Center's Pathway to Excellence® (Pathway) program is designed to establish and sustain healthy work environments, yet the empirical evidence evaluating its outcomes remains fragmented.Purpose: To systematically synthesize quantitative evidence examining the association between Pathway designation or Pathway standards and nurse, patient, and organizational outcomes.Methods: A quantitative systematic review was conducted in January 2026 using PubMed, CINAHL, and Embase to identify peer-reviewed studies examining nurse, patient, or organizational outcomes associated with Pathway designation or standards. Risk of bias was independently assessed by two authors using the Joanna Briggs Institute critical appraisal checklists.Results: Eight US-based observational studies met the inclusion criteria. Across diverse health care settings, Pathway designation or stronger alignment with Pathway standards was consistently associated with more favorable nurse work environments, lower burnout and intent to leave, stronger engagement in evidence-based practice, higher patient satisfaction, and more positive organizational safety climates.Conclusion: The evidence indicates that Pathway designation and standards are positively associated with nurse, patient, and organizational outcomes. Although causal inference is limited, the consistency of findings supports Pathway as a meaningful organizational strategy for strengthening professional nursing practice environments and advancing health care quality.","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":"30-39"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0