Nursing Administration Quarterly最新文献

Virtual Connected Care: A Distinctive Care Delivery Model. 虚拟互联医疗：一种独特的医疗服务模式。

Nursing Administration Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1097/NAQ.0000000000000703

Gay Landstrom, Murielle Beene

{"title":"Virtual Connected Care: A Distinctive Care Delivery Model.","authors":"Gay Landstrom, Murielle Beene","doi":"10.1097/NAQ.0000000000000703","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000703","url":null,"abstract":"A rapidly emerging topic in nursing and health care literature is virtual nursing. New hospital care delivery models are being developed largely in response to the shortage of registered nurses willing to work in the inpatient setting and proposed as the way to ensure safety in staffing in that context. One national health care system successfully presented a case for the implementation of an innovative model that would team a bedside nurse, a dedicated care partner and leverage technology to deliver adult acute care on inpatient units. The model was developed, prototyped and tested, with outcomes providing the impetus for a system decision to scale and sustain the model across all acute care hospitals. An innovative implementation team, guided by a focused change methodology and grounded in the core values of the organization, was established to implement the model across an initial 2500 beds. Principles of Human Caring Science and Relational Coordination were both cornerstones of the model and enablers of the change process. This paper will address details of the model, change tactics, implementation, learnings through scaling across an enterprise, and the implications for research.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 4","pages":"288-294"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972646","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

Technology's Impact on Nurse Manager Practices. 技术对护士管理实践的影响。

Nursing Administration Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1097/NAQ.0000000000000705

Tamera Sutton

{"title":"Technology's Impact on Nurse Manager Practices.","authors":"Tamera Sutton","doi":"10.1097/NAQ.0000000000000705","DOIUrl":"10.1097/NAQ.0000000000000705","url":null,"abstract":"In today's fast-paced health care environment, nurse managers face increasing complexity in their roles due to shifting care models, regulatory demands, and rising patient acuity. Technology is reshaping how nurse managers lead, requiring advanced digital competencies to navigate tools such as artificial intelligence, automation, predictive analytics, electronic health record interoperability, and virtual care. To lead digital transformation successfully, nurse managers must develop strategic leadership, informatics, and digital and data literacy skills. Empowering them with the right tools, training, and support is essential for ensuring high-quality, efficient, and future-ready care delivery. The leadership of nurse managers in the adoption of technology within the health care sector is significantly affected by their digital competencies. Many leaders recognize the importance of digital competencies for successful transformation, fostering confidence in the process. Key nurse manager competencies that empower this transformation include strategic leadership, health informatics, cybersecurity, data privacy, data literacy, and analytics. These insights highlight the necessity of providing nurse managers with the essential tools and knowledge to succeed in leading digital transformation.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":" ","pages":"248-258"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718800","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

Registered Nurse-Led Visits in Ambulatory Specialty Care Clinic: Implementation Process Review. 专科门诊注册护士带队访视：实施过程回顾。

Nursing Administration Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1097/NAQ.0000000000000707

Chrystal L Lewis, Teresa Bell-Stephens, Joli Vavao, Charlene Grace A Platon, Gary K Steinberg

{"title":"Registered Nurse-Led Visits in Ambulatory Specialty Care Clinic: Implementation Process Review.","authors":"Chrystal L Lewis, Teresa Bell-Stephens, Joli Vavao, Charlene Grace A Platon, Gary K Steinberg","doi":"10.1097/NAQ.0000000000000707","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000707","url":null,"abstract":"Registered Nurse (RN)-led visits are increasingly utilized in ambulatory care. However, little information is available about implementation and sustainability for RN-led visits. Patients experienced difficulties accessing care in an ambulatory neurosurgery specialty care clinic. This article presents the implementation process and sustained success of RN-led visits over more than a 25-year time span in this neurosurgery specialty ambulatory care clinic. The number of operating room (OR) cases by a single neurosurgeon was increased by an average of 95 cases per year over a 5-year implementation time frame, growing from an average of 211 cases per year (2000-2004) to 306 (2005-2009), and sustained at this average with 309 cases in the 2020-2024 period. The sustained increased OR caseload over a 20-year time-period suggests RN-led visits can be an effective strategy to promote the entire ambulatory care team working at the top of their scope of practice. Further research is needed on economic impacts of RN-led visits, patient access wait times, and team satisfaction.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 4","pages":"304-312"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972559","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

The Nurse Leader's Role in Guiding Practice Change: Leveraging Shared Decision-Making to Transform Care. 护士领导在指导实践变革中的作用：利用共同决策来改变护理。

Nursing Administration Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1097/NAQ.0000000000000692

Ruth Kitzmiller, Sara Sullens, Amber Orton

引用次数: 0

Elevating Nursing Practice Through Emerging Models of Care. 通过新兴的护理模式提升护理实践。

Nursing Administration Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1097/NAQ.0000000000000713

K T Waxman

引用次数: 0

Integrating the Safer Together National Action Plan to Improve Nurse-Led Models Focused on Patient Safety. 整合“一起安全”国家行动计划，改善以患者安全为重点的护士主导模式。

Nursing Administration Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1097/NAQ.0000000000000711

Patricia Lavin, Mary A Dolansky, Teri Chenot, Gwen Sherwood

{"title":"Integrating the Safer Together National Action Plan to Improve Nurse-Led Models Focused on Patient Safety.","authors":"Patricia Lavin, Mary A Dolansky, Teri Chenot, Gwen Sherwood","doi":"10.1097/NAQ.0000000000000711","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000711","url":null,"abstract":"Patient safety remains an elusive goal for health care systems despite 2 decades of reports, strategies, tools, and revamped health professions education. These actions alone have lowered many targeted areas of preventable harm, particularly hospital-acquired conditions, yet evidence indicates better outcomes depend on \"total system\" approaches that embed patient safety in the core of care delivery. The first national patient safety plan, Safer Together: A National Action Plan to Advance Patient Safety from the Institute for Health Care Improvement, presents 4 recommendations to achieve total system safety. For decades, the Quality and Safety Education for Nurses (QSEN) competencies and the American Nurses Credentialing Center Magnet Recognition Program guided nursing care to ensure safe and high-quality care to pursue nursing excellence. By intertwining with Safer Together, the 3 re-envision a nursing practice model ensuring safe quality patient care. This paper describes integrating the 4 pillars defined by Safer Together into a nursing model with the Magnet Framework fueled by a nursing workforce grounded in the QSEN competencies. Nurses are in frontline positions for leading a total systems safety approach but need guidance for integrating these recommendations into effective professional practice models that define values, structures, and processes for delivering safe quality care.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 4","pages":"259-269"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972502","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

Implementing Virtual Nursing on a MedSurg Telemetry Unit in a Community Hospital. 在社区医院医疗外科遥测单元中实施虚拟护理。

Nursing Administration Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1097/NAQ.0000000000000718

Devika Kandhai, Iskra Gillis, Crystal Crosell

{"title":"Implementing Virtual Nursing on a MedSurg Telemetry Unit in a Community Hospital.","authors":"Devika Kandhai, Iskra Gillis, Crystal Crosell","doi":"10.1097/NAQ.0000000000000718","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000718","url":null,"abstract":"The COVID pandemic was undeniably one of the most challenging times for health care with more than 100 000 nurses leaving the profession due to burnout and pandemic-related stress. Unfortunately, the nursing shortage is predicted to worsen, with the number of new nurses entering the workforce not measuring up to the rate of decline. To decrease some of the burden and burnout of the bedside nurses, an alternative nursing resource was implemented. Virtual nursing is an emerging strategy utilized to support safe and effective staffing in acute care amid the continued nursing workforce challenges. Virtual nursing is a team approach that leverages advanced technology such as smart screens (tablets with speakers installed on a cart), previously used for Telehealth, to support specific aspects of care. The Virtual Nurse functions from a remote location in real time, working in tandem with the bedside care team. A 3-month virtual nurse pilot at a community hospital improved communication with nurses, discharge information, and communication about medication, according to a Press Ganey survey. Anecdotally, patients reported feeling more valued and heard by the care team.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 4","pages":"313-318"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972522","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

Leveraging Technology to Mitigate Workplace Violence. 利用技术减少职场暴力。

Nursing Administration Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1097/NAQ.0000000000000716

Anthony A Thomas, Simmy King, Paul Quigley, Reginald E Bannerman, Theresa Ryan Schultz

{"title":"Leveraging Technology to Mitigate Workplace Violence.","authors":"Anthony A Thomas, Simmy King, Paul Quigley, Reginald E Bannerman, Theresa Ryan Schultz","doi":"10.1097/NAQ.0000000000000716","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000716","url":null,"abstract":"Introduction: Nurses working in psychiatry, the Emergency Department, and pediatrics report the highest rate of assaults per 100 full-time equivalents (FTEs). In pediatrics, several unique factors contribute to workplace violence (WPV), including mistrust from the caregiver towards the health care clinician, complex or complicated medical circumstances, difficulty or delay in diagnosis, or the patient's behavioral and/or mental health.Initiative: To address WPV, we implemented electronic aggression screening, weapons detection screening, and a personal duress system at a free-standing, academic pediatric hospital.Outcomes: Aggression screening data show that the majority (>80%) of patients screened for low to medium-risk aggression. Weapons detection screening has resulted in a 62.82% decrease in weapons detected. The personal duress system improved security response times by 51%.Discussion: Technological solutions can mitigate the risk of WPV, improve staff perception of safety culture, and lead to positive staffing changes.Conclusion: These outcomes demonstrate the effectiveness of technological solutions to enhance workplace safety. However, these solutions are not a complete answer to WPV. The need for regulation and legislation protecting health care workers from WPV is urgent and pressing. Without such protection, health care workers will continue to be at risk of harm.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 4","pages":"278-287"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972477","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

The Digital Future of Nursing: Implications for Practice. 护理的数字化未来：对实践的影响。

Nursing Administration Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1097/NAQ.0000000000000694

Natasha Phillips, Jeanette Ives Erickson, Heather O'Sullivan, Stephanie Ahmed

{"title":"The Digital Future of Nursing: Implications for Practice.","authors":"Natasha Phillips, Jeanette Ives Erickson, Heather O'Sullivan, Stephanie Ahmed","doi":"10.1097/NAQ.0000000000000694","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000694","url":null,"abstract":"Commissioned by Health Education England, the country's organization for education and workforce development, the Phillips Ives Review on the Digital Future of Nursing highlighted the requisite priorities of person-centered care in digital health innovations and the required changes in nursing education to ensure competent practice in the digital age. Findings from this unpublished review, shared in the Health Service Journal and Nursing Times, bring attention to emerging care models such as virtual nursing and the critical importance of embedding person-centered nursing into the design and implementation of technology. Additionally, the importance of equipping nurses with skills in genomics, artificial intelligence, and data science was essential to delivering the benefits of these advancements. The review, along with other key policy initiatives including the International Council of Nursing (ICN) Position Statement on Digital Transformation illustrates increasing awareness amongst nurse leaders globally that these issues must be addressed. This article builds on the Phillips Ives Review, emphasizes new nurse-led innovations in various healthcare organizations, and examines key themes highlighted in these policy papers, namely person-centered care and the rise of virtual care. It further discusses implications for nurse education and clinical practice and examines how policies are emerging from professional nursing organizations including the American Nurses Association, the American Organization for Nursing Leadership, in addition to the ICN.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 4","pages":"319-325"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972628","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

Guest Editorial. 客人编辑。

Nursing Administration Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1097/NAQ.0000000000000714

Nora E Warshawsky, Mary O'Connor

引用次数: 0