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Moral integrity amid financial strain. 财政紧张中的道德诚信。
Nursing management Pub Date : 2026-02-01 Epub Date: 2026-02-03 DOI: 10.1097/nmg.0000000000000337
Tim Porter-O'Grady
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引用次数: 0
Staffing and leadership as drivers of nurse retention: A work environment analysis. 人员配备和领导作为护士保留的驱动因素：工作环境分析。
Nursing management Pub Date : 2026-02-01 Epub Date: 2026-02-03 DOI: 10.1097/nmg.0000000000000343
Lyn Stankiewicz Losty, Angela Pascale, Nora E Warshawsky
{"title":"Staffing and leadership as drivers of nurse retention: A work environment analysis.","authors":"Lyn Stankiewicz Losty, Angela Pascale, Nora E Warshawsky","doi":"10.1097/nmg.0000000000000343","DOIUrl":"10.1097/nmg.0000000000000343","url":null,"abstract":"<p><strong>Background: </strong>Nurse work environment (NWE) is a well-established predictor of nurse and patient outcomes. However, limited research has examined the individual contributions of NWE domains to nurse outcomes.</p><p><strong>Purpose: </strong>This study aimed to identify which subscales of the Practice Environment Scale (PES) most strongly influence nurse outcomes: retention, job enjoyment, respect and recognition, and missed nursing care.</p><p><strong>Methods: </strong>A cross-sectional analysis was conducted using 2024 National Database of Nursing Quality Indicators® RN Survey data from 1789 inpatient units across 221 hospitals. NWE was measured using PES subscales, and nurse outcomes were assessed via standardized instruments. Structural equation modeling evaluated direct effects of PES domains on outcomes.</p><p><strong>Results: </strong>All PES subscales were significantly associated with nurse outcomes ( P < .05). Staffing and resource adequacy had the strongest effects on retention (β = 0.44), job enjoyment (β = 0.61), and reduced missed care (β = -0.87). Nurse manager leadership and support also significantly predicted retention and respect and recognition. Nurse participation in hospital affairs primarily influenced respect and recognition, whereas nurse-physician interaction showed weaker associations.</p><p><strong>Conclusions: </strong>Adequate staffing and strong nurse manager leadership are critical to nurse retention and satisfaction. Targeted improvements in these domains may enhance workforce stability and care quality.</p>","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":"19-26"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12854367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146067395","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
From frustration to function: Standardizing tools and education in nursing governance. 从挫折到功能：护理管理的标准化工具和教育。
Nursing management Pub Date : 2026-02-01 Epub Date: 2026-02-03 DOI: 10.1097/nmg.0000000000000340
Kendra A Bruce, Tanya Cohn
{"title":"From frustration to function: Standardizing tools and education in nursing governance.","authors":"Kendra A Bruce, Tanya Cohn","doi":"10.1097/nmg.0000000000000340","DOIUrl":"10.1097/nmg.0000000000000340","url":null,"abstract":"<p><strong>Background: </strong>Nursing professional governance (NPG) promotes shared decision-making and is a Magnet® expectation, yet inconsistent tools and fragmented education can decrease council effectiveness.</p><p><strong>Purpose: </strong>The purpose of this project was to standardize tools and education to improve role clarity, engagement, and council health across a large academic medical center.</p><p><strong>Methods: </strong>This quality improvement project used iterative Plan-Do-Study-Act cycles from June 2023-July 2024. Interventions included redesigned council charters and agendas, slides created for enhanced communication, a centralized SharePoint site, a formal NPG orientation, an electronic feedback form, and a governance-specific email inbox. Council health was measured using the Hess Council Health Survey (CHS) at baseline and two post-intervention time points.</p><p><strong>Results: </strong>Baseline CHS results identified gaps in education, role expectations, time-dedication strategies, and pathways for non-member input. Postintervention improvements were observed in: agreement that new members received formal education (40.9% to 57.3%), availability of strategies to dedicate time (50% to 76.1%), clarity of expectations (63.6% to 83.3%), and opportunities for non-member input (46.3% to 61.1%). Although some gains declined at later follow-up, most remained above baseline.</p><p><strong>Conclusions: </strong>Standardizing governance tools and providing structured education improved engagement and role clarity; ongoing reinforcement is needed to sustain gains.</p>","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":"45-52"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146041687","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
Take a stand against workplace violence. 反对职场暴力。
Nursing management Pub Date : 2026-02-01 Epub Date: 2026-02-03 DOI: 10.1097/nmg.0000000000000342
Lindsay L Cariveau, Nisha B Paul, Alaina M Tellson
{"title":"Take a stand against workplace violence.","authors":"Lindsay L Cariveau, Nisha B Paul, Alaina M Tellson","doi":"10.1097/nmg.0000000000000342","DOIUrl":"10.1097/nmg.0000000000000342","url":null,"abstract":"<p><strong>Background: </strong>Workplace violence (WPV) in healthcare settings is a growing concern, with rates significantly higher than in other industries. WPV negatively impacts staff well-being, job satisfaction, and patient care quality.</p><p><strong>Purpose: </strong>This initiative aimed to reduce WPV incidents and improve staff safety and reporting practices at a large Level 1 trauma center in North Texas.</p><p><strong>Methods: </strong>Using the Plan-Do-Check-Act (PDCA) framework, an interprofessional team implemented a comprehensive WPV prevention program. Strategies included staff education, standardized reporting, use of the Brøset Violence Checklist (BVC), personal duress alarms, signage, and development of an escalation pathway. Data were tracked via a dashboard and shared governance committees.</p><p><strong>Results: </strong>Reported WPV events increased from 128 in Q3 2022 to 215 in Q4 2023, reflecting improved awareness and reporting. Public safety involvement rose from 77 to 108 events. Employee engagement scores improved, RN vacancy rates decreased from 17.59% to 8.54%, and staff reported feeling empowered to escalate concerns.</p><p><strong>Conclusions: </strong>A structured, multidisciplinary approach to WPV prevention enhanced staff safety, reporting, and engagement. Ongoing efforts include advanced de-escalation training, behavioral emergency response teams, and system-level enhancements.</p>","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":"28-34"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146041634","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
A nuanced leadership strategy. 微妙的领导策略。
Nursing management Pub Date : 2026-02-01 Epub Date: 2026-02-03 DOI: 10.1097/nmg.0000000000000335
Peter James Stoffan, Kerri Hensler
{"title":"A nuanced leadership strategy.","authors":"Peter James Stoffan, Kerri Hensler","doi":"10.1097/nmg.0000000000000335","DOIUrl":"10.1097/nmg.0000000000000335","url":null,"abstract":"","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":"53-54"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146041668","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
Leading with love. 用爱来领导。
Nursing management Pub Date : 2026-02-01 Epub Date: 2026-02-03 DOI: 10.1097/nmg.0000000000000336
{"title":"Leading with love.","authors":"","doi":"10.1097/nmg.0000000000000336","DOIUrl":"10.1097/nmg.0000000000000336","url":null,"abstract":"","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146041654","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
Revolutionizing pediatric nursing care: Leadership, change management, and virtual nursing transformation. 革新儿科护理：领导力、变革管理和虚拟护理转型。
Nursing management Pub Date : 2026-02-01 Epub Date: 2026-02-03 DOI: 10.1097/nmg.0000000000000344
{"title":"Revolutionizing pediatric nursing care: Leadership, change management, and virtual nursing transformation.","authors":"","doi":"10.1097/nmg.0000000000000344","DOIUrl":"https://doi.org/10.1097/nmg.0000000000000344","url":null,"abstract":"","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":"57 2","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114605","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
Revolutionizing pediatric nursing care: Leadership, change management, and virtual nursing transformation. 革新儿科护理：领导力、变革管理和虚拟护理转型。
Nursing management Pub Date : 2026-02-01 Epub Date: 2026-02-03 DOI: 10.1097/nmg.0000000000000334
Elizabeth-Anne King, Kate Donovan
{"title":"Revolutionizing pediatric nursing care: Leadership, change management, and virtual nursing transformation.","authors":"Elizabeth-Anne King, Kate Donovan","doi":"10.1097/nmg.0000000000000334","DOIUrl":"10.1097/nmg.0000000000000334","url":null,"abstract":"<p><strong>Background: </strong>Pediatric inpatient nursing faces increasing workforce strain, care complexity, and change saturation. Although virtual nursing has emerged as a care model redesign to support direct care teams and enhance patient and family experiences, the existing literature primarily reflects adult or outpatient settings. Evidence describing implementation, role integration, and change management approaches specific to pediatric inpatient virtual nursing remains limited.</p><p><strong>Purpose: </strong>To describe the nurse-led implementation of a pediatric inpatient virtual nursing model and identify practical change management strategies to support successful integration.</p><p><strong>Methods: </strong>A descriptive case study examined the phased implementation of an inpatient virtual nursing program at a freestanding academic children's hospital. Leadership strategies, staff engagement approaches, workflow integration efforts, and frontline feedback were analyzed using Plan-Do-Study-Act cycles.</p><p><strong>Results: </strong>Initial implementation was challenged by change saturation, role ambiguity, and limited frontline ownership. Reframing virtual nursing as a team-based care model, applying Kotter's change framework, and engaging interdisciplinary staff with codesign, improved acceptance, clarified role boundaries, and reduced resistance.</p><p><strong>Conclusions: </strong>Successful pediatric inpatient virtual nursing integration requires intentional change management, nurse-led leadership, and phased implementation. Centering people before platforms and engaging frontline teams are essential for sustainable care model redesign.</p>","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":"10-18"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146041600","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
2025 Pathway Nurse of the Year Award® winners. 2025年年度护士奖得主。
Nursing management Pub Date : 2026-02-01 Epub Date: 2026-02-03 DOI: 10.1097/nmg.0000000000000338
Maggie McCright
{"title":"2025 Pathway Nurse of the Year Award® winners.","authors":"Maggie McCright","doi":"10.1097/nmg.0000000000000338","DOIUrl":"https://doi.org/10.1097/nmg.0000000000000338","url":null,"abstract":"","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":"57 2","pages":"6-8"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114515","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
2025 Visionary Leader Ellie Jun. 2025远见领袖Ellie Jun。
Nursing management Pub Date : 2026-02-01 Epub Date: 2026-02-03 DOI: 10.1097/nmg.0000000000000341
Lisa Legaspi
{"title":"2025 Visionary Leader Ellie Jun.","authors":"Lisa Legaspi","doi":"10.1097/nmg.0000000000000341","DOIUrl":"https://doi.org/10.1097/nmg.0000000000000341","url":null,"abstract":"<p><p>The following article is the winning 2025 Richard Hader Visionary Leader Award entry submitted to Nursing Management in recognition of Ellie Jun, DNP, RN, CCRN, Director of Nursing at NewYork-Presbyterian Hospital in New York, NY.</p>","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":"57 2","pages":"41-43"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114559","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
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