Nursing management最新文献_第5页

Laying the foundation for lifelong practice excellence: Practice Transition Accreditation Program ® and Pathway to Excellence ®. 为终身实践卓越奠定基础：实践过渡认证计划®和卓越之路®。

Nursing management Pub Date : 2026-07-01 Epub Date: 2026-07-02 DOI: 10.1097/nmg.0000000000000385

Shirley Tumang, Melissa Bates

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Nurses' uncertainty in gender-affirming care: Implications for nursing leadership and organizational practice. 护士在性别肯定护理中的不确定性：对护理领导和组织实践的影响。

Nursing management Pub Date : 2026-07-01 Epub Date: 2026-07-02 DOI: 10.1097/nmg.0000000000000380

Kimberly Ann Vogt, Misty Britt Stone

{"title":"Nurses' uncertainty in gender-affirming care: Implications for nursing leadership and organizational practice.","authors":"Kimberly Ann Vogt, Misty Britt Stone","doi":"10.1097/nmg.0000000000000380","DOIUrl":"10.1097/nmg.0000000000000380","url":null,"abstract":"Background: Despite established standards for gender-affirming care (GAC), transgender and gender diverse (TGD) individuals continue to experience health care disparities. Nurses play a critical role in delivering affirming care, but organizational systems and leadership practices may influence care consistency.Purpose: To explore clinical nurses' perceptions and beliefs regarding the provision of GAC and to examine how organizational policies, leadership practices, and clinical systems influence nurses' ability to deliver GAC to TGD clients.Methods: A qualitative descriptive study was conducted using semistructured interviews with 22 clinical nurses from a region of the US. Data were analyzed using thematic analysis.Results: Three themes were identified: Uncertainty about Gender-Affirming Care, Fear of Offending, and Inconsistencies in Organizational Support for Gender-Affirming Care. Nurses described uncertainty related to initial interactions and care decisions, concern about unintentional harm through miscommunication, and variability in care practices across organizational contexts. Inconsistent leadership support, unclear policy enforcement, and limitations within electronic health records contributed to these challenges.Conclusions: Nursing leadership and organizational systems play a central role in shaping nurses' ability to deliver GAC. Addressing policy clarity, documentation practices, and leadership accountability may reduce uncertainty and improve equity in care for TGD populations.","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":"16-25"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279053","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

Nursing students' perceived outcomes of practice preparedness after an externship experience. 护生实习后对实习准备的感知结果。

Nursing management Pub Date : 2026-06-01 Epub Date: 2026-05-29 DOI: 10.1097/nmg.0000000000000374

Amy Hamilton, Diane Ashmann, Kelley McGuire

{"title":"Nursing students' perceived outcomes of practice preparedness after an externship experience.","authors":"Amy Hamilton, Diane Ashmann, Kelley McGuire","doi":"10.1097/nmg.0000000000000374","DOIUrl":"10.1097/nmg.0000000000000374","url":null,"abstract":"Background: Student nurse extern (SNE) programs are designed to support the transition from nursing student to novice registered nurse by providing immersive clinical experiences before graduation. These programs may help address workforce shortages by improving students' readiness for practice.Purpose: To examine the effect of participation in a student nurse externship program on nursing students' perceived readiness for professional practice.Methods: A descriptive pretest-posttest design was used. Fifteen senior-level nursing students participating in a 9-week paid externship at an urban, not-for-profit acute care hospital completed the Perceived Outcomes of Nurse Externship Survey at program entry and completion. Paired t tests were used to evaluate changes in total and subscale scores.Results: Participants demonstrated a clinically meaningful improvement in perceived readiness for practice, with a 13.9% increase in total survey scores from pretest to posttest. Both readiness for practice and workplace climate subscales showed similar improvements.Conclusions: Participation in an immersive SNE program was associated with improved perceptions of preparedness for professional nursing practice. SNE programs may serve as an effective strategy to enhance the transition to practice and strengthen the nursing workforce pipeline.","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":"20-26"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147949761","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

Managing up: A leadership partnership. 向上管理：领导伙伴关系。

Nursing management Pub Date : 2026-06-01 Epub Date: 2026-05-29 DOI: 10.1097/nmg.0000000000000373

Gen Guanci

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Understanding the landscape of nursing data. 了解护理数据的现状。

Nursing management Pub Date : 2026-06-01 Epub Date: 2026-05-29 DOI: 10.1097/nmg.0000000000000376

Angela Pascale

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2026 Richard Hader Visionary Leader Award Call for Entries. 2026年理查德·哈德尔远见领袖奖征稿。

Nursing management Pub Date : 2026-06-01 Epub Date: 2026-05-29 DOI: 10.1097/01.NUMA.0001195076.33643.54

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Nursing care management or nursing case management? A scoping review to identify models, roles, and advantages. 护理管理还是护理个案管理？确定模型、角色和优势的范围审查。

Nursing management Pub Date : 2026-06-01 Epub Date: 2026-05-29 DOI: 10.1097/nmg.0000000000000368

Piergiorgio Martella, Nicola Rossi, Elisa Schiavoni, Daniele Napolitano

{"title":"Nursing care management or nursing case management? A scoping review to identify models, roles, and advantages.","authors":"Piergiorgio Martella, Nicola Rossi, Elisa Schiavoni, Daniele Napolitano","doi":"10.1097/nmg.0000000000000368","DOIUrl":"10.1097/nmg.0000000000000368","url":null,"abstract":"Background: Care coordination is increasingly essential for addressing complex health needs across inpatient and outpatient settings. However, nursing care management and nursing case management are frequently used interchangeably, resulting in conceptual ambiguity and challenges in comparing outcomes across studies.Purpose: To map and synthesize the literature on nursing care management and nursing case management; clarify professional roles and core functions; and summarize associated clinical, organizational, and economic outcomes in adult care pathways.Methods: A scoping review was conducted following Joanna Briggs Institute methodology and PRISMA-ScR guidelines. Searches across multiple databases identified studies involving adult inpatients and outpatients receiving nursing care or case management interventions. Data from 29 included studies were charted and synthesized narratively.Results: Both roles shared key components, including assessment, care planning, education, coordination, and follow-up. Interventions were associated with improved self-management, quality of life, patient experience, and continuity of care, as well as reduced emergency department use and hospital readmissions. Evidence predominantly focused on nursing case management, with fewer studies explicitly addressing nursing care management.Conclusions: Despite demonstrated benefits, persistent variability in definitions, role delineation, outcome measures, and economic evaluation limits comparability. Greater standardization of roles, caseloads, governance, outcome indicators, and cost assessment is needed to strengthen implementation, evaluation, and scalability of nursing care and case management models.","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":"29-37"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13218574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147949752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Equitable pathways: Reimagining behavioral health care transitions applying a transition of care bundle model. 公平的途径：重新设想行为卫生保健过渡应用过渡护理束模型。

Nursing management Pub Date : 2026-06-01 Epub Date: 2026-05-29 DOI: 10.1097/nmg.0000000000000379

引用次数: 0

Understanding the current state of nurse leader social media use. 了解护士长社交媒体使用现状。

Nursing management Pub Date : 2026-06-01 Epub Date: 2026-05-29 DOI: 10.1097/nmg.0000000000000375

Alysia Adams, Deborah Brabham, Courtnay Caufield, Crystal Lawson

{"title":"Understanding the current state of nurse leader social media use.","authors":"Alysia Adams, Deborah Brabham, Courtnay Caufield, Crystal Lawson","doi":"10.1097/nmg.0000000000000375","DOIUrl":"10.1097/nmg.0000000000000375","url":null,"abstract":"Background: Social media plays an increasing role in professional visibility, communication, and advocacy across health care; however, limited research has examined how nurse leaders use these platforms in professional contexts.Purpose: To describe current patterns of social media use among nurse leaders, including perceived benefits, barriers, and leadership-specific applications.Methods: A mixed-methods design was used, combining a national online survey distributed through professional networks, organizational listservs, and social media platforms with qualitative analysis of open-ended responses. Descriptive statistics summarized quantitative data, and thematic analysis was applied to qualitative responses.Results: A total of 257 nurse leaders participated. LinkedIn was the most frequently used platform for professional purposes, whereas other platforms were used more cautiously or passively. Participants identified networking, knowledge sharing, recruitment, and advocacy as key benefits. Major barriers included time constraints, digital literacy gaps, perceived professional risk, and restrictive organizational policies.Conclusions: Nurse leaders recognize the professional value of social media but remain constrained by individual, organizational, and structural barriers. Targeted education, clearer institutional guidance, and leadership support are needed to optimize strategic and ethical social media engagement.","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":"44-48"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147949776","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

Equitable pathways: Reimagining behavioral health care transitions applying a transition of care bundle model. 公平的途径：重新设想行为卫生保健过渡应用过渡护理束模型。

Nursing management Pub Date : 2026-06-01 Epub Date: 2026-05-29 DOI: 10.1097/nmg.0000000000000369

Jenny Bernard, Jazmin Cascante, Aimee Gabuya, Victor Carrillo

{"title":"Equitable pathways: Reimagining behavioral health care transitions applying a transition of care bundle model.","authors":"Jenny Bernard, Jazmin Cascante, Aimee Gabuya, Victor Carrillo","doi":"10.1097/nmg.0000000000000369","DOIUrl":"10.1097/nmg.0000000000000369","url":null,"abstract":"Background: Transitions from inpatient to outpatient care pose significant risks for individuals with behavioral health conditions (BHC), contributing to fragmented care and preventable hospital readmissions. Comprehensive transition of care (TOC) interventions that address both clinical and social needs may improve outcomes in this vulnerable population.Purpose: To evaluate the effectiveness of the First Thirty (FT) program, a nurse-led TOC bundle, in reducing hospital readmissions among patients with BHC and/or substance use disorder (SUD).Methods: This retrospective chart review included adults aged 18 to 64 years with Medicaid or no insurance enrolled in the FT program across 10 hospitals from 2022 to 2023. The FT program applied a TOC bundle comprising care coordination, medication support, discharge phone calls, transportation assistance, and wellness resources. Hospitalizations during the 30 days before and after program enrollment were compared, with analyses conducted separately for 2022 and 2023 cohorts.Results: Among 3079 patients, readmission rates declined significantly after FT enrollment in both cohorts. In 2022, readmissions decreased from 12.7% pre-enrollment to 6.9% post-enrollment, and in 2023 from 8.2% to 3.3% (both P < .0001), despite differences in baseline cohort characteristics.Conclusions: The FT TOC model was associated with substantial reductions in 30-day readmission, suggesting that structured, nurse-led care coordination can improve transitions and outcomes for patients with BHC and SUD.","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":"11-18"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13218575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147949683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0