Nursing Administration Quarterly最新文献

A Transnational AI Nursing Care Module. 跨国AI护理模块。

Nursing Administration Quarterly Pub Date : 2026-09-01 DOI: 10.1097/CIN.0000000000001381

Janet H Davis, Sudath Warnakulasuriya, Thanuja Ariyasinghe Asurakkody, Kisokanth Gnanaselvam

引用次数: 0

Leaders and Managers: The Synergy to Revolutionize Front-Line Leadership. 领导者和管理者：变革一线领导的协同作用。

Nursing Administration Quarterly Pub Date : 2026-07-01 DOI: 10.1097/NAQ.0000000000000765

K T Waxman

引用次数: 0

Revolutionizing Front Line Nursing Leadership. 革新前线护理领导。

Nursing Administration Quarterly Pub Date : 2026-07-01 DOI: 10.1097/NAQ.0000000000000767

Karen N Drenkard, Patricia S Yoder-Wise

引用次数: 0

The Use of Technology to Support the Nurse and Nurse Leader: The Impact of Virtual Nursing on Organizational Goals and Outcomes. 使用技术支持护士和护士领导：虚拟护理对组织目标和结果的影响。

Nursing Administration Quarterly Pub Date : 2026-07-01 DOI: 10.1097/NAQ.0000000000000763

Jennifer Ghidini, Ena Williams, Andy Quito, Mary Christoffersen, Jessica Giza, Laurie Gattinella, Courtney Vose

{"title":"The Use of Technology to Support the Nurse and Nurse Leader: The Impact of Virtual Nursing on Organizational Goals and Outcomes.","authors":"Jennifer Ghidini, Ena Williams, Andy Quito, Mary Christoffersen, Jessica Giza, Laurie Gattinella, Courtney Vose","doi":"10.1097/NAQ.0000000000000763","DOIUrl":"10.1097/NAQ.0000000000000763","url":null,"abstract":"Virtual nursing (VN) addresses workforce shortages and improves patient safety through technology-enabled care. Limited evidence exists on the impact of virtual nurses on organizational outcomes and collaboration between leadership and frontline staff. Yale New Haven Health System piloted VN on 2 units (68 beds) in 1 hospital and expanded to 30 units (800 beds) across 3 hospitals, with future units planned. The nurse leader and bedside nurses co-designed workflows, clarified roles, and integrated a virtual nurse using existing infrastructure. VN supported 78% of discharges and over 50% of admissions, reduced discharge order-to-departure time by 30 minutes, increased 11 am discharge rates by nearly 4%, and reduced incidental overtime occurrences and costs by 10%. Patient satisfaction improved, and staff resilience was bolstered through workload redistribution. VN enhances care delivery, promotes workforce sustainability, and improves patient experience. Leadership engagement and frontline collaboration are vital for scaling and success.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"50 3","pages":"140-146"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057136","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

Strengthening Nurse Manager Leadership Through Technology-Driven Solutions. 通过技术驱动的解决方案加强护士管理者的领导。

Nursing Administration Quarterly Pub Date : 2026-07-01 DOI: 10.1097/NAQ.0000000000000759

Susan Grant

{"title":"Strengthening Nurse Manager Leadership Through Technology-Driven Solutions.","authors":"Susan Grant","doi":"10.1097/NAQ.0000000000000759","DOIUrl":"10.1097/NAQ.0000000000000759","url":null,"abstract":"Nurse managers play a pivotal role in health care, serving as their units' chief operational and cultural leader. They are responsible for creating work environments that ensure safe, high-quality care, enable positive patient experiences, and grow engaged, high-performing teams while balancing financial constraints. To succeed in this multifaceted job, nurse managers must dedicate significant time to building relationships, fostering collaboration, managing risk, and spearheading improvement. This is becoming increasingly difficult as the span of control for nurse managers widens. In the current context, the need for efficiency is paramount, yet too often a nurse manager's ability to lead is hampered by administrative burdens and manual processes. Without new approaches, the demands of the role will soon outpace a nurse manager's capacity to effectively meet them. Technology offers a path forward, helping nurse managers reclaim time and focus to sustain excellence at scale. This article explores how technology can alleviate administrative pressures, examining the value of automated tools and how they can integrate naturally into workflow. Using staff scheduling solutions as an example, the article highlights how artificial intelligence and predictive analytics can reduce repetitive work, allowing nurse managers to redirect their energy toward clinical quality, patient experience, and employee engagement.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"50 3","pages":"152-155"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148056975","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 2025 ANA Code of Ethics: Guiding Ethical Nursing Practice in an Evolving Healthcare Landscape. 2025年ANA道德准则：在不断发展的医疗保健环境中指导道德护理实践。

Nursing Administration Quarterly Pub Date : 2026-07-01 DOI: 10.1097/NAQ.0000000000000764

Andrew D Harding, Patricia J Bartzak

引用次数: 0

Just Culture and Accountability in Nursing Leadership: Closing the Experience Gap, Rebuilding Morale, and Hardwiring Reliability. 护理领导中的公正文化和责任：弥合经验差距，重建士气，并加强可靠性。

Nursing Administration Quarterly Pub Date : 2026-07-01 DOI: 10.1097/NAQ.0000000000000761

Patricia Pidge Lohr, Callie Craig, Tammy Schroder

{"title":"Just Culture and Accountability in Nursing Leadership: Closing the Experience Gap, Rebuilding Morale, and Hardwiring Reliability.","authors":"Patricia Pidge Lohr, Callie Craig, Tammy Schroder","doi":"10.1097/NAQ.0000000000000761","DOIUrl":"10.1097/NAQ.0000000000000761","url":null,"abstract":"Leadership transitions in nursing have left many first-time nurse leaders underprepared for the most challenging aspects of their role: holding courageous conversations, maintaining accountability, and sustaining civility under stress. These trends were further accelerated by the disruptions of the pandemic. This gap, combined with heightened workplace violence, burnout, and workforce instability, has threatened the culture of safety across health care. Post-COVID-19, restoring trust and resilience requires intentionally integrating Just Culture, the Highly Reliable Experience training, and nursing professional governance. Just Culture offers a fair and structured approach to accountability, distinguishing between human error, at-risk behavior, and recklessness, while promoting psychological safety and reporting. Highly Reliable Experience embeds error-prevention behaviors, leader standard work, and team communication practices, aligning safety and patient experience. Shared governance empowers frontline nurses to lead improvement, standardize processes, and own outcomes. Together, these frameworks address the leadership development gap, strengthen civility as a safety imperative, and re-engage nurses in shaping reliable care environments. Evidence shows that organizations implementing these strategies see reductions in serious safety events, improvements in patient experience, and stronger workforce engagement. As turnover stabilizes but remains above prepandemic levels, equipping nurse leaders with the skills and structures to deliver accountability with compassion is both urgent and essential to sustaining safety, quality, and trust.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"50 3","pages":"156-162"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057282","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 Frontline Leadership Through Caring Science: Five Years of the Assistant Nurse Manager Community of Practice. 通过关怀科学革新前线领导：助理护士管理实践社区的五年。

Nursing Administration Quarterly Pub Date : 2026-07-01 DOI: 10.1097/NAQ.0000000000000762

Edoardo Morlet, Daniel Gracia, Lori Seymore, Ella Vallejo, Paulette Anest, Rayne Soriano

{"title":"Revolutionizing Frontline Leadership Through Caring Science: Five Years of the Assistant Nurse Manager Community of Practice.","authors":"Edoardo Morlet, Daniel Gracia, Lori Seymore, Ella Vallejo, Paulette Anest, Rayne Soriano","doi":"10.1097/NAQ.0000000000000762","DOIUrl":"10.1097/NAQ.0000000000000762","url":null,"abstract":"Frontline nurse leaders are pivotal in advancing safety, quality, and engagement, yet many transition into leadership roles with limited preparation and structured support. To address this gap, Kaiser Permanente Northern California established the Assistant Nurse Manager (ANM) Community of Practice (CoP) in 2019, a Caring Science-based leadership development model uniting more than 800 ANMs across 21 medical centers. Guided by Jean Watson's Theory of Human Caring, the CoP integrates leadership formation, wellness practices, and professional development through monthly sessions featuring centering rituals, reflective dialogue, and mentorship. Over 5 years, the ANM CoP has evolved into a regionwide movement that strengthens relational leadership, psychological safety, and collective resilience. Leadership micropractices such as HeartMath for self-regulation, equine-assisted leadership for relational awareness, and mindfulness for presence translate Caring Science from theory into practice. Evaluation demonstrates a 26% improvement in first-year retention (23.5%-17.3%) and a 50% reduction in turnover within 2 years. Qualitative findings highlight increased moral resilience, belonging, and trust. Now entering its sixth year, the ANM CoP represents a replicable model for cultivating psychologically safe, caring, and high-performing leadership cultures that bridge evidence and empathy, advancing both organizational outcomes and human flourishing.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"50 3","pages":"163-168"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057272","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

Leadership at the Point of Care: Developing Charge Nurses for Complex Healthcare Environments. 护理点的领导：为复杂的医疗保健环境培养主管护士。

Nursing Administration Quarterly Pub Date : 2026-07-01 DOI: 10.1097/NAQ.0000000000000760

Necole Oscar, Robbie Best

{"title":"Leadership at the Point of Care: Developing Charge Nurses for Complex Healthcare Environments.","authors":"Necole Oscar, Robbie Best","doi":"10.1097/NAQ.0000000000000760","DOIUrl":"10.1097/NAQ.0000000000000760","url":null,"abstract":"Charge nurses serve as essential frontline leaders within increasingly complex healthcare systems; however, many transition into these positions without formal leadership preparation. To address this gap, a large academic hospital implemented a 6-month Clinical Charge Nurse Leadership Development Program grounded in the American Organization for Nursing Leadership (AONL) Nurse Leader Competencies. The program aimed to strengthen leadership readiness among new or aspiring charge nurses through self-assessment, case-based learning, scenario practice, mentorship, and structured role-specific tools. Core content included emotional intelligence, conflict and change management, professional practice models, human resources concepts, and basic financial principles. Participants reported increased confidence, improved communication and conflict resolution skills, and enhanced understanding of operational responsibilities. Several nurses assumed additional leadership responsibilities after completion of the program. This article describes the program's development, structure, and outcomes and offers a replicable model for organizations seeking to prepare frontline leaders. Integrating competency-based training before assuming charge responsibilities supports nurse retention, team effectiveness, and operational efficiency. Structured, role-specific training guided by national standards can strengthen nursing leadership capacity at the point of care.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"50 3","pages":"147-151"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057275","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

Virtual Reality in Health Information and Patient Outcomes: A Literature Review. 健康信息中的虚拟现实与患者预后：文献综述。

Nursing Administration Quarterly Pub Date : 2026-06-01 DOI: 10.1097/CIN.0000000000001391

Sheri Howard, Meghan Taylor, Sohye Lee, Annapoorna Mary

{"title":"Virtual Reality in Health Information and Patient Outcomes: A Literature Review.","authors":"Sheri Howard, Meghan Taylor, Sohye Lee, Annapoorna Mary","doi":"10.1097/CIN.0000000000001391","DOIUrl":"10.1097/CIN.0000000000001391","url":null,"abstract":"Background: The objective of this paper was to systematically evaluate and explore what is currently known about the use of virtual reality (VR) as a patient education instrument to convey medical information and how conveying this health information using VR ultimately influences patient outcomes.Methods: In this literature review, relevant studies were identified. Study characteristics (eg, setting, study design, sample characteristics, VR methods, and outcomes), and findings were extracted revealing diverse applications of VR in patient education, demonstrating efficacy in areas such as preventive care, discharge education, symptom management, and preoperative preparation. Our findings revealed several potential areas for implementation.Results: The results of the review reveal that VR has positive effects on patient education including improvement in knowledge, self-efficacy, psychological outcomes, and physiological outcomes. These findings provide guidance for improving patient education using VR.Conclusion: The effectiveness of patient education utilizing VR is critical to optimal health outcomes, and VR can augment this process. Health information given to patients by their provider has profound implications regarding adherence and compliance with their prescribed treatment plan.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145726490","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