{"title":"From the Editor.","authors":"K T Waxman","doi":"10.1097/NAQ.0000000000000701","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000701","url":null,"abstract":"","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 3","pages":"151-152"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235411","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}
{"title":"CAUTI - Cost Reduction Technique.","authors":"Andrew D Harding, Marie O'Brien","doi":"10.1097/NAQ.0000000000000700","DOIUrl":"10.1097/NAQ.0000000000000700","url":null,"abstract":"<p><p>Evidence based practice (EBP) is the best approach we can use in nursing to adopt the current best evidence in patient care practices. Performance improvement can be enhanced by using EBP to develop interventions to solve systemic clinical problems. This case example demonstrates that the use of EBP to reduce healthcare associated infections is effective.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 3","pages":"242-244"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235410","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}
{"title":"Establishing RN Residency Coordinator Standard Work and Coordinator to Resident Ratios.","authors":"Randy McClain, Carrie Davis","doi":"10.1097/NAQ.0000000000000672","DOIUrl":"10.1097/NAQ.0000000000000672","url":null,"abstract":"<p><p>Nurse Residency Programs, designed to facilitate the challenging transition from the academic pre-licensure state to professional registered nurse, have gained importance over the past 20 years, with evidence suggesting that successful programs help newly licensed nurses develop the knowledge, skills, and attitudes necessary to build confidence and provide optimal patient care. While there is evidence to support the financial investment of such programs, there is little evidence to guide health care systems in securing the human resources necessary to develop and sustain successful programs. This article describes how one multisite health system created RN Residency Coordinator Standard Work to define their residency leader role, establish a recommended residency leader-to-resident ratio, and advocate for additional full-time equivalent positions to fully support their year-long accredited nurse residency practice transition program.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":" ","pages":"174-183"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181969","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}
{"title":"Closing the Academic-Practice Gap: Leading Efforts Through the International Consortium for Outcomes of Nursing Education (ICONEd).","authors":"Mary Ann Jessee, Garrett K Chan","doi":"10.1097/NAQ.0000000000000683","DOIUrl":"10.1097/NAQ.0000000000000683","url":null,"abstract":"<p><p>As academic educators, nurses in clinical organizations, and regulatory agencies, we know that our newly licensed nurses are many times unprepared for the reality of nursing practice. This phenomenon is known by a few names-the academic-practice gap or the theory-practice gap. 5,6 An international community of concerned nurses from academia, accreditation, regulation, practice, and industry decided to take action to focus on the academic-practice gap in nursing to improve practice readiness to meet the challenges of practice, decrease cognitive and affective burdens as they enter the profession, and empower nursing students and newly licensed nurses in their clinical practice of nursing. Hence, the International Consortium for Outcomes in Nursing Education (ICONEd) was established in January 2022. The purpose of this article is to describe the creation, vision, mission, and strategic plan to advance the work to narrow the academic-practice gap.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":" ","pages":"184-190"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182118","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}
{"title":"Nurse Practitioner Role Transition Within an Advanced Practice Fellowship: Educational and Clinical Recommendations.","authors":"Karen Hande, Heather Jackson","doi":"10.1097/NAQ.0000000000000687","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000687","url":null,"abstract":"<p><p>The high demand for specialty nurse practitioners (NPs) in the United States requires successful transition to their advanced practice roles and workplaces. Greater attention to the transitional period for advanced practice nurses has urged health care organizations and employers to implement fellowship training programs for NPs. NP fellowships continue to gain popularity among novice NPs to ensure optimal transition into their new role. The grounded theory, Navigating the Pathway to Advanced Practice, explains the process NPs undergo to transition into a clinician role through the structure of a fellowship. Generation of this theory discovered best practices in support of NPs during role transition within fellowships. This article provides nurse leaders with meaningful and evidence-based recommendations to facilitate NP role transition in educational and clinical environments.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 3","pages":"155-165"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235439","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}
Garrett K Chan, Patricia Benner, Edward M Burns, Regina Orozco, Mary Bowman, Eric Lee G Escobedo-Wu, Ella Vallejo
{"title":"Establishing the \"North Star\" for Clinical Education to Accelerate Practice Readiness: Implications for Leaders, Faculty, Educators, Nursing Professional Development Practitioners, and Preceptors.","authors":"Garrett K Chan, Patricia Benner, Edward M Burns, Regina Orozco, Mary Bowman, Eric Lee G Escobedo-Wu, Ella Vallejo","doi":"10.1097/NAQ.0000000000000684","DOIUrl":"10.1097/NAQ.0000000000000684","url":null,"abstract":"<p><p>Ambiguity and confusion persist around the goal and purpose of clinical experiences in nursing education. As a result of this ambiguity and confusion, the potential exists to waste valuable clinical time, to create ineffective learning objectives, to focus on the tasks of nursing rather than the competencies required for nursing practice, and to perpetuate a mismatch of in-person clinical experiences with simulation decreasing the ability to achieve clinical practice readiness. Nurse leaders across academia, regulation and accreditation agencies, and practice settings must establish consensus about the purpose and goals of clinical education in order to align learning outcomes and expectations of clinical practice readiness. This article synthesizes Dr Patricia Benner's vast body of writings to create a universal \"North Star\" to align and guide all nurse educators and clinical education on appropriate learning outcomes, andragogies, and expectations for nursing students and new graduates to support clinical practice readiness and the formation of nurses' skilled know-how, notions of good practice, clinical reasoning and more that are required for excellent nursing practice. Leaders in academia, regulation, accreditation, and practice should adopt the goals delineated in this \"North Star\" as being the end-points of practice formation, create learning experiences to support practice formation from novice to expert, and create meaningful evaluation strategies that go beyond traditional psychometric testing. When academia, regulation, accreditation, and practice all adopt these goals of clinical education, we contend that there will be congruence and more seamless transitions across the academic-regulation-accreditation-practice spectrum.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":" ","pages":"206-225"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050437","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}
Vicki L Buchda, Dawna L Cato, Karen Ofafa, Julie A DeLoia
{"title":"Addressing the Unique Challenges of a Statewide Nurse Transition to Practice Program.","authors":"Vicki L Buchda, Dawna L Cato, Karen Ofafa, Julie A DeLoia","doi":"10.1097/NAQ.0000000000000678","DOIUrl":"10.1097/NAQ.0000000000000678","url":null,"abstract":"<p><p>The post-pandemic healthcare landscape significantly impacted the professional nursing workforce by exacerbating existing challenges, including the academic-practice gap of new nurse graduates. Transition to practice (TTP) programs have been proven effective in supporting newly licensed registered nurses as they move into practice. A well-designed TTP program empowers new nurses to become resilient and competent, enhancing patient care and contributing to a healthier work environment. While these programs have been instituted throughout the country, most are in acute care settings, primarily in urban areas. The authors present a model for creating a transition to practice program designed to address the unique challenges faced in rural areas. The step-by-step process the Arizona Hospital and Healthcare Association (AzHHA) used to set up a statewide transition to practice program geared towards small and rural facilities and those serving the underserved is presented. The critical partnership with OpusVi, who was contracted for a customized curriculum to address the unique needs of hospitals, such as critical access and behavioral health is outlined. Finally, concrete actions that can be taken and a roadmap for program assessment are offered.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 2","pages":"130-138"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606569","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}
{"title":"From Investor Owned to Not for Profit (EBITDA to EBIDA).","authors":"Arthur Dominguez","doi":"10.1097/NAQ.0000000000000682","DOIUrl":"10.1097/NAQ.0000000000000682","url":null,"abstract":"<p><p>Four stjpg CNOs can use to educate teams, to support organization(s), by ensuring financial strength, structures, and processes so we can continue to sustain, increase services, and provide access to care for those in need.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 2","pages":"145-149"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606578","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}
Martha L Grubaugh, Ellen Seymour, Desirea Ulibarri, Tosha Kieffer, Janessa Gallo
{"title":"Implementing New Models of Care: Leadership Reflections and Recommendations.","authors":"Martha L Grubaugh, Ellen Seymour, Desirea Ulibarri, Tosha Kieffer, Janessa Gallo","doi":"10.1097/NAQ.0000000000000676","DOIUrl":"10.1097/NAQ.0000000000000676","url":null,"abstract":"<p><p>Nursing leaders are considering new models of patient care delivery to combat the continuing workforce challenges and an increase in patient acuity. The nurse manager is essential in the successful implementation of a new care model; however, little is known about their experience leading their team through such a significant change. A large health system in the mountain west successfully implemented a new team-based patient care model, called Partners in Care, on 11 medical-surgical units. The model's intention was to build effective teams and improve workforce outcomes through registered nurses (RNs) and unlicensed assistive personnel (UAP) functioning as partners in care delivery. The goal of the model was to ensure RNs were surrounded with the necessary support to empower top-of-scope practice. As a part of the project, 3 of the first nurse managers that implemented the new care model completed a question-guided reflection exercise of their journey. Through their reflections important aspects of resources, professional governance, communication, monitoring/adjusting/sustaining, celebration, and leadership support were highlighted. Recommendations for those beginning their journey include consideration of nurse manager workload and competencies, taking a phased approach, and including important partnerships.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 2","pages":"67-78"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606597","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}