Nursing Administration Quarterly最新文献_第2页

Nurse-Led Virtual Anticoagulation Program Improves Quality and Reduces Cost. 护士主导的虚拟抗凝程序提高了质量并降低了成本。

Nursing Administration Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1097/NAQ.0000000000000712

Kristin Negley, Gina Foster, Angela Mattson, Carlee O'Connor, Jeffrey Timm

引用次数: 0

Utilizing a Nursing Assistant Training Program to Impact RN Turnover. 利用护理助理培训计划影响注册护士的流动率。

Nursing Administration Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1097/NAQ.0000000000000719

Melinda A Constantine, Nicolette Fiore-Lopez

引用次数: 0

Disruptive Innovation: Scale and Spread of the 4Ms Framework to the Convenient Care Setting to Promote Quality Care for Older Adults. 颠覆性创新：4Ms框架在便利护理环境中的规模与传播：促进老年人优质护理。

Nursing Administration Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1097/NAQ.0000000000000702

Sherry A Greenberg, Christina Southey, Anne M Pohnert, Mary A Dolansky

{"title":"Disruptive Innovation: Scale and Spread of the 4Ms Framework to the Convenient Care Setting to Promote Quality Care for Older Adults.","authors":"Sherry A Greenberg, Christina Southey, Anne M Pohnert, Mary A Dolansky","doi":"10.1097/NAQ.0000000000000702","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000702","url":null,"abstract":"This article addresses nursing leader-led innovative care disruption with implementation strategies to scale and spread the Age-Friendly Health Systems (AFHS) movement from acute and ambulatory settings into convenient care. Quality improvement and implementation science methods guided the translation of age-friendly 4Ms care, an evidence-based approach to safe, high-quality care for older adults: What Matters, Medication, Mentation, Mobility. Primary drivers included suggested standardization of workflow and creating a culture change about care of older adults in convenient care. Results included an increase in 4Ms care from 261 visits in Q4 of 2020 to 13,657 visits in Q4 2022, a 52-fold increase. This led to increased patient awareness of age-friendly care, identification of patients at risk for depression, dementia, inappropriate medications, and mobility issues, and integration of \"What Matters\" to the older adult in the plan. This article highlights the importance of age-friendly 4Ms care delivery in urgent care settings with innovative care disruption strategies to spread age-friendly care. Home care and community agencies can also adopt a scale up and spread approach to integrate the 4Ms into practice, reliably implement the 4Ms to improve safety and experience outcomes, become recognized as AFHS, and ensure translation of evidence-informed care into practice.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 4","pages":"E13-E21"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972460","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

Financial Resilience: A Guide to Rebuild Staffing Systems. 财务弹性：重建人员配置系统指南。

Nursing Administration Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1097/NAQ.0000000000000708

Meredith A Gould, Nina Boshart

引用次数: 0

Executive Coaching as a Strategic Tool for Health Care Leadership. 高管培训作为医疗保健领导的战略工具。

Nursing Administration Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1097/NAQ.0000000000000715

Laurie L Smith

引用次数: 0

Nurses' Perspectives on AI in Clinical Practice: Implications for Training and Workforce Development. 护士对临床实践中人工智能的看法：对培训和劳动力发展的影响。

Nursing Administration Quarterly Pub Date : 2025-09-18 DOI: 10.1097/NAQ.0000000000000710

Monica Lansdowne, Jessica Sperling, Kay S Lytle, Deborah Allen, Thomas Merrill, Michael P Cary

{"title":"Nurses' Perspectives on AI in Clinical Practice: Implications for Training and Workforce Development.","authors":"Monica Lansdowne, Jessica Sperling, Kay S Lytle, Deborah Allen, Thomas Merrill, Michael P Cary","doi":"10.1097/NAQ.0000000000000710","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000710","url":null,"abstract":"This study explored nurses' perspectives on the adoption and utilization of artificial intelligence (AI) in clinical practice within a large university-affiliated health system in the southeastern United States. Through a survey enriched by open-ended questions, we captured the unique concerns and suggestions of nursing professionals regarding the deployment of AI technologies in a range of clinical settings. The majority of nurses have limited exposure to and experience with generative and predictive AI tools. In addition, they have concerns about the availability of related training opportunities, AI process integration, and ethical implications of AI implementation. There are critical workforce development needs and substantial opportunities for enhanced training to incorporate both ethical considerations and technical skills. This research illuminates the perspective and experience of nurses using AI. Specifically, it provides insights into the nursing workforce's readiness to adopt and utilize AI in clinical practice. This research also informs the integration of AI-focused curriculum and professional development for nurses. Specifically, more structured training is needed for nurses to use AI responsibly. Nurse administrators should be aware of the hesitations and concerns of this large population, as nurses are ultimately the front-line end users.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092606","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

Affective Responses, Coping, and Mental Health Outcomes: An Exploratory Needs Assessment. 情感反应、应对和心理健康结果：一项探索性需求评估。

Nursing Administration Quarterly Pub Date : 2025-08-04 DOI: 10.1097/NAQ.0000000000000699

Marjorie Jenkins, Jennifer D Deaton, Megan Whitbeck, Kimberly Koechert, Hannah Mack

{"title":"Affective Responses, Coping, and Mental Health Outcomes: An Exploratory Needs Assessment.","authors":"Marjorie Jenkins, Jennifer D Deaton, Megan Whitbeck, Kimberly Koechert, Hannah Mack","doi":"10.1097/NAQ.0000000000000699","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000699","url":null,"abstract":"Health care workers (HCWs) have shouldered the burdens during the COVID pandemic (eg, working longer hours with less community support) resulting in significant burnout, stress, anxiety, depression, direct trauma (eg, fear for own safety) and indirect trauma exposure (eg, working with trauma patients). As such, it is necessary to strengthen resilience and reduce the likelihood of burnout. This evaluation used utilization focused evaluation to understand the extent staff experience affective responses, mental health outcomes, and frequency of coping skills at this stage of the ongoing pandemic. Professional Quality of Life Scale-Health (ProQoL), Outcomes Questionnaire-30.2, and Brief COPE Scale to evaluate professional quality of life, moral distress, coping skills and mental health outcomes. Units' staff members (n = 30), comprised of nurses (80%) and nurse technicians (20%), with 1 to 25 years' experience, participated in the needs assessment (approximately 30.9% of units). Study findings revealed 59% would participate in external individual counseling services, 32% internal individual counseling, and 32% monthly support group. Moreover, 93% feel their work makes a difference and 71% report they are rarely unhappy at work. However, 96% say work sometimes exhausts them. One third of participants significantly struggle with mental health concerns reporting stress of 59% as moderate range and 32% severe range. Furthermore, 50% indicated various coping measures and 61% reported having someone to talk to about their struggles. Therapeutic services offered to nurses and medical professionals may improve staff psychological wellness, increase compassion satisfaction, and reduce burnout. Needs assessment yielded a need for coping strategies which are unique to intensive care and developed, led, and facilitated by staff, nurse champions, or small teams, with the goal to reduce \"taking home\" feelings of anxiety and for staff to \"leave work at work.\"","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838054","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

Leaders Role in Meaningful Recognition: Lifting Up Nursing Teams. 领导者在有意义的认可中的作用：提升护理团队。

Nursing Administration Quarterly Pub Date : 2025-08-04 DOI: 10.1097/NAQ.0000000000000704

Annie George

{"title":"Leaders Role in Meaningful Recognition: Lifting Up Nursing Teams.","authors":"Annie George","doi":"10.1097/NAQ.0000000000000704","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000704","url":null,"abstract":"This article examines how a large public health system in New York City leveraged transformational leadership and systems thinking to drive nursing excellence and meaningful recognition. The health system successfully transformed its nursing culture by developing operational plans, establishing specialized committees such as the Positive Practice Committee, and aligning with national accreditation standards like American Nurses Credentialing Center (ANCC) Pathway to Excellence®, the American Association of Critical Care Nurses Beacon, the Emergency Nurses Association Lantern, and Association of periOperative Registered Nurses (AORN) Excellence in Surgical Safety. Detailed planning, role delineation, and targeted leadership recruitment were critical in addressing organizational gaps and achieving multiple excellence designations across acute and post-acute facilities. This case study emphasizes the critical importance of systems thinking and transformational leadership in fostering a resilient and high-performing health care environment. By integrating these leadership principles, health care organizations can cultivate a culture of appreciation and continuous development, motivating nursing staff to excel in their roles. The initiative provides a replicable model that empowers nurses, not only by offering opportunities for growth but also through the recognition of their contributions, which drives both personal and organizational success in delivering outstanding patient care.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838056","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

Do Nurse Leaders Influence the Perception of Incivility? 护士领导会影响人们对不礼貌的看法吗？

Nursing Administration Quarterly Pub Date : 2025-08-04 DOI: 10.1097/NAQ.0000000000000691

Karen R Fowler, Gloria M Loera, Arlene Castanon-Ortiz

{"title":"Do Nurse Leaders Influence the Perception of Incivility?","authors":"Karen R Fowler, Gloria M Loera, Arlene Castanon-Ortiz","doi":"10.1097/NAQ.0000000000000691","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000691","url":null,"abstract":"Workplace incivility can cause nurses to feel undervalued, which affects team dynamics and employee retention. While workplace incivility in nursing has been previously studied, the unique impact of COVID-19 on the nursing profession and current state of workplace incivility must be investigated. The objective of this study was to explore the incidence of incivility in the nursing workforce post-COVID-19 and to investigate the impact of leadership styles on the frequency of incivility. This study used a convergent mixed-method design. The Multifactor Leadership Questionnaire and Workplace Incivility Survey were administered to acute care nurses during hospital civility training. Transformational leadership was the most prevalent leadership style. Over 37% of surveyed nurses considered civility a moderate-to-severe problem in the workplace. Incivility was negatively correlated with transformational leadership and positive leadership outcomes. Strategies must be implemented to help facilitate a more civil workplace. Close monitoring of nurse leadership characteristics enables organizations to support and offer education/training to nurse leaders, thereby influencing the incidence of incivility.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838055","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

Transformative Leadership in Acute Care: The Evolving Role of Nurse Leaders in Evaluating Innovative Models of Care. 急症护理的变革领导：护士领导在评估护理创新模式中的演变作用。

Nursing Administration Quarterly Pub Date : 2025-08-04 DOI: 10.1097/NAQ.0000000000000698

Nicole George, Tashiana Jackson

{"title":"Transformative Leadership in Acute Care: The Evolving Role of Nurse Leaders in Evaluating Innovative Models of Care.","authors":"Nicole George, Tashiana Jackson","doi":"10.1097/NAQ.0000000000000698","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000698","url":null,"abstract":"As the healthcare landscape rapidly evolves, nurse leaders play a critical role in driving clinical practice transformation and fostering innovation. The increasing complexities of patient acuity, regulatory requirements, and workforce challenges necessitate leadership strategies that extend beyond traditional management to encompass systems thinking, advocacy, and organizational influence. This article examines the expanding role of nurse leaders in implementing and evaluating innovative models of care, such as virtual nursing and hospital-at-home programs. These models leverage technology and interdisciplinary collaboration to enhance care delivery and optimize operational efficiencies. Successful integration of these innovations requires strategic planning, resource allocation, and comprehensive evaluation frameworks that assess both quantitative and qualitative outcomes. Nurse leaders employ real-time analytics, performance dashboards, and shared governance structures to measure the impact of these models on patient outcomes, nurse engagement, and workflow efficiencies. Furthermore, engaging frontline nurses in continuous feedback loops ensures a well-rounded evaluation process that informs ongoing refinement. As the nursing profession adapts to emerging challenges and technological advancements, nurse leaders remain central to sustaining innovation. By fostering a culture of continuous improvement, they ensure that evolving care models align with patient needs, support workforce sustainability, and drive excellence in healthcare delivery.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838057","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