Nursing managementPub Date : 2026-05-01Epub Date: 2026-04-28DOI: 10.1097/nmg.0000000000000365
Lucy Leclerc, Kay Kennedy, Susan Campis
{"title":"Be an Edgewalker in an AI world.","authors":"Lucy Leclerc, Kay Kennedy, Susan Campis","doi":"10.1097/nmg.0000000000000365","DOIUrl":"10.1097/nmg.0000000000000365","url":null,"abstract":"","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":"11-12"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783528","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}
Nursing managementPub Date : 2026-05-01Epub Date: 2026-04-28DOI: 10.1097/nmg.0000000000000364
Lori Armstrong, Pamela Hunt, Michelle Doran, Carolyn Swinton
{"title":"Reconnecting with our values to find our purpose: An essential skill for nurse leaders.","authors":"Lori Armstrong, Pamela Hunt, Michelle Doran, Carolyn Swinton","doi":"10.1097/nmg.0000000000000364","DOIUrl":"10.1097/nmg.0000000000000364","url":null,"abstract":"<p><strong>Abstract: </strong>Nurse managers face expanding responsibilities, workforce strain, and eroding trust in health care environments, underscoring the need for effective, sustainable leadership. Values-driven leadership provides a critical foundation for nurse leader development by aligning personal and organizational values, translating them into observable behaviors, and embedding them into daily practice. Drawing on interdisciplinary leadership research and a real-world academic medical center case study, the authors demonstrate how values-driven approaches strengthen engagement, trust, well-being, and performance. Anchoring leadership development in values offers nurse leaders a durable compass for navigating change and improving outcomes for staff, organizations, and patients.</p>","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":"25-31"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783688","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}
Nursing managementPub Date : 2026-05-01Epub Date: 2026-04-28DOI: 10.1097/nmg.0000000000000353
Mary L Johansen, Michael Schaier, Michelle L Cohen, Emily R Eckhardt
{"title":"Cultural competence and conflict prevention: The role of nursing leadership in today's diverse workforce.","authors":"Mary L Johansen, Michael Schaier, Michelle L Cohen, Emily R Eckhardt","doi":"10.1097/nmg.0000000000000353","DOIUrl":"10.1097/nmg.0000000000000353","url":null,"abstract":"<p><strong>Abstract: </strong>Nurse leaders play a pivotal role in addressing cultural conflict within today's increasingly diverse workforce. As health care organizations navigate varied cultural backgrounds, beliefs, and communication styles, proactive leadership and organizational commitment are essential to fostering a respectful and collaborative environment. Culturally competent leadership not only mitigates conflict but also enhances psychological safety, supports staff well-being, and contributes to improved retention. This article examines the influence of cultural differences on workplace dynamics and highlights leadership strategies that promote inclusion, strengthen team cohesion, and reinforce a positive organizational culture that ultimately improves both patient care and employee satisfaction.</p>","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":"40-45"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783537","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}
Nursing managementPub Date : 2026-05-01Epub Date: 2026-04-28DOI: 10.1097/nmg.0000000000000363
Mark Becknell, Dawn Gordon, Dawn Nelson, Stephanie Rivery, April Robb, Sarah Heim, Jen Prochnow
{"title":"From passion to pressure: Unveiling nurse leader burnout.","authors":"Mark Becknell, Dawn Gordon, Dawn Nelson, Stephanie Rivery, April Robb, Sarah Heim, Jen Prochnow","doi":"10.1097/nmg.0000000000000363","DOIUrl":"10.1097/nmg.0000000000000363","url":null,"abstract":"<p><strong>Background: </strong>Nurse leader burnout has intensified due to increasing operational demands, workforce shortages, and prolonged stressors amplified by the COVID-19 pandemic. Understanding contributors to burnout and protective factors is essential to sustaining leadership capacity and workforce stability.</p><p><strong>Purpose: </strong>This article examines the prevalence, drivers, and outcomes of burnout among nurse leaders and explores changes in well-being, job satisfaction, and work-related stress over time.</p><p><strong>Methods: </strong>A repeated cross-sectional survey was administered to members of the Minnesota Organization of Leaders in Nursing in 2020, 2022, and 2024. The survey incorporated items from the Mini Z burnout tool and the Maslach Burnout Inventory, along with demographic and open-ended questions. Descriptive and comparative analyses were used to evaluate trends.</p><p><strong>Results: </strong>Across 295 responses, nurse leaders reported improvements in job satisfaction, autonomy, and perceived time adequacy. Emotional exhaustion and depersonalization decreased over time; however, reports of workplace stress increased. Work-life balance and meaningful work consistently emerged as key factors for thriving.</p><p><strong>Conclusion: </strong>Although indicators of burnout have improved, persistent and rising stress highlights the need for sustained organizational and individual interventions. Ongoing investment in support, autonomy, and well-being strategies is critical to nurse leader resilience and retention.</p>","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":"47-52"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783546","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}
Nursing managementPub Date : 2026-05-01Epub Date: 2026-04-28DOI: 10.1097/nmg.0000000000000358
Alison Partridge, Tanya Lott, Emily Johnson
{"title":"Empowering decisions: The impact of transitioning from a shared to a professional governance structure.","authors":"Alison Partridge, Tanya Lott, Emily Johnson","doi":"10.1097/nmg.0000000000000358","DOIUrl":"10.1097/nmg.0000000000000358","url":null,"abstract":"<p><strong>Background: </strong>Shared governance has long supported nurse participation in decision-making, but traditional models often limit full authority and accountability among clinical nurses. Professional governance extends these principles, granting nurses greater ownership over practice decisions. A four-hospital community health system transitioned from shared to professional governance to strengthen consistency, engagement, and decision-making.</p><p><strong>Purpose: </strong>This study evaluated whether transitioning to a professional governance structure improved clinical nurses' perceptions of professional obligation, collateral relationships, and decision-making compared with the previous shared governance structure.</p><p><strong>Methods: </strong>A pre-post design using the Verran Professional Governance Scale (VPGS) measured changes across three domains. Surveys were administered before (n = 280) and after (n = 511) implementation across four hospitals. Mood's median test assessed statistical significance.</p><p><strong>Results: </strong>System-level VPGS mean scores improved across all domains except at one facility. The greatest gains occurred in decision-making. Collateral relationships showed statistically significant improvement ( P = .049), and decision-making approached significance ( P = .051). Decreased variation in responses indicated greater agreement postintervention. One facility with previously strong engagement showed minimal change.</p><p><strong>Conclusions: </strong>Transitioning to professional governance improved nurses' perceptions of professional obligation, collateral relationships, and decision-making. Systemwide, facility-specific, and unit-based council restructuring significantly enhanced engagement, with notable improvement in decision-making and collaborative relationships.</p>","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":"13-19"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783534","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}
Nursing managementPub Date : 2026-03-01Epub Date: 2026-02-27DOI: 10.1097/nmg.0000000000000357
{"title":"Reducing care variation: The role of nursing leaders in driving consistency and quality.","authors":"","doi":"10.1097/nmg.0000000000000357","DOIUrl":"https://doi.org/10.1097/nmg.0000000000000357","url":null,"abstract":"","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":"57 3","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311029","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}
Nursing managementPub Date : 2026-03-01Epub Date: 2026-02-27DOI: 10.1097/nmg.0000000000000351
Kelley Gonzalvo, Olivia Walch, Richard R Reich, Tina M Mason
{"title":"Nurse leader well-being: Optimizing sleep with a randomized pilot study of a digital sleep intervention.","authors":"Kelley Gonzalvo, Olivia Walch, Richard R Reich, Tina M Mason","doi":"10.1097/nmg.0000000000000351","DOIUrl":"10.1097/nmg.0000000000000351","url":null,"abstract":"<p><strong>Background: </strong>Nurse leaders experience high levels of stress, fatigue, and burnout, often worsened by poor sleep quality and circadian disruption. Digital tools that support sleep optimization may help strengthen well-being and resilience in this population.</p><p><strong>Purpose: </strong>This randomized, waitlist-controlled pilot study evaluated the feasibility and acceptability of a digital circadian-based sleep intervention and explored its impact on sleep quality, insomnia severity, and resilience among nurse leaders.</p><p><strong>Methods: </strong>Forty nurse leaders were randomized to a 4-week digital sleep intervention or waitlist control. Participants completed validated measures, including the PROMIS Sleep Disturbance 8b, Insomnia Severity Index, and Brief Resilience Scale, at baseline and 4 weeks. Engagement, satisfaction, and qualitative feedback were also collected.</p><p><strong>Results: </strong>Completion was high (97.5%). The intervention group demonstrated significantly greater improvements in sleep disturbance (d = 1.44; P < .001) and insomnia severity (d = 1.55; P < .001) than controls. Resilience scores improved modestly in the intervention group but weren't statistically significant (d = 0.4; P = .15). Participants reported favorable satisfaction (mean = 3.51/5) and found the app easy to use.</p><p><strong>Conclusions: </strong>This pilot study supports the feasibility, acceptability, and preliminary effectiveness of a digital circadian-based intervention to improve sleep among nurse leaders. Although effects on resilience weren't significant, trends suggest potential benefit and warrant further study in larger, longer-term trials.</p>","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":"57 3","pages":"37-45"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311014","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}
Nursing managementPub Date : 2026-03-01Epub Date: 2026-02-27DOI: 10.1097/nmg.0000000000000350
Gen Guanci
{"title":"Balancing life and leadership: Artificial intelligence as a partner for nurse leaders.","authors":"Gen Guanci","doi":"10.1097/nmg.0000000000000350","DOIUrl":"https://doi.org/10.1097/nmg.0000000000000350","url":null,"abstract":"","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":"57 3","pages":"46-53"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147310916","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}