{"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}
{"title":"The Impact of Emotional Intelligence Among a Multigenerational Workforce: EQ Appraisal in a Multigenerational Workforce.","authors":"DeMonica L Junious, Ramona Cain","doi":"10.1097/NAQ.0000000000000670","DOIUrl":"10.1097/NAQ.0000000000000670","url":null,"abstract":"<p><p>Emotionally intelligent leaders make conscious efforts to evaluate employee satisfaction, retention, engagement, conflict resolution, quality patient care, and overall facility performance. Variances among generations like communication styles, technology preferences, promotability attitudes, and work ethic can affect day-to-day team behaviors. Highlighting the importance of daily interactions, the purpose and aim of this project are to determine whether the implementation of emotional intelligence (EQ) training will improve communication in a multigenerational workforce. EQ Appraisal training was implemented for a multigenerational staff in a long-term care setting to form a cohesive working team. Project results showed a 15% decrease in staff turnover and increased Patient Satisfaction from 2 to 4 stars over a 3-month period. Facilities committed to incorporating EQ Appraisal Programs as the foundation of a multigenerational work team will promote a safe and more manageable workplace. Nurse leaders of all setting types and structures willing to do so can empower nurses globally. Practice implications include a heightened awareness within multigenerational teams and an improved ability to recognize social cues. Increased job satisfaction, lower staff turnover, an enhanced skillset in conflict resolution, and a mutual employee-employer relationship, inclusive of patient engagement and trust, can only coincide.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 2","pages":"123-129"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606537","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}
Emily Calabro, Rodica Pop, Linda Alderson, Jennifer Graham, Tammy George, Chad Gabelein, Brian Mackey, June Altaras, Heather Coleman
{"title":"A Non-Inferiority Mixed-Methods Pilot Study Examining the Impact of a Novel Nursing Care Delivery Model on Quality Hospital Metrics, Nurse Sensitive Indicators, Healthcare Professional Perspectives, and Nursing Workload.","authors":"Emily Calabro, Rodica Pop, Linda Alderson, Jennifer Graham, Tammy George, Chad Gabelein, Brian Mackey, June Altaras, Heather Coleman","doi":"10.1097/NAQ.0000000000000674","DOIUrl":"10.1097/NAQ.0000000000000674","url":null,"abstract":"<p><p>A global nursing shortage necessitates innovative care models to mitigate burnout, turnover, and supply-demand mismatches. This mixed-methods pilot study assessed the impact of a technology-integrated nursing care model on workload and patient outcomes in a surgical-orthopedic unit. Following IRB approval and training, the integrated care model was piloted for 6 months. The model included integration of virtual nurses, LPNs, and delivery robots. Workload perception, quality and safety, and nurse satisfaction were monitored using a time-series design. Data analysis employed correlated t-tests, comparison of means over time, and statistical process control charts (Shewhart charts). The integrated care model yielded mixed results. Hospital Acquired Conditions remained stable, while average length of stay and falls decreased. The robots have made 615 deliveries and saved staff 377 640 stjpg and 415.8 hours. After an initial low utilization, virtual nurses completed 82% admissions and discharges by the end of the pilot. However, RNs reported increased workload, staffing concerns, and teamwork challenges. This integrated care model shows promise, but further research is needed to fully assess its impact. The findings underscore the importance of continued exploration and refinement of novel approaches to address the challenges facing the nursing profession.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 2","pages":"94-103"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606565","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}