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Nursing Administration Quarterly最新文献

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Leveraging State Legislation to Impact Workforce Shortages. 利用州立法来解决劳动力短缺问题。
Nursing Administration Quarterly Pub Date : 2025-04-01 Epub Date: 2025-03-11 DOI: 10.1097/NAQ.0000000000000662
Dawna L Cato, Vicki Buchda
{"title":"Leveraging State Legislation to Impact Workforce Shortages.","authors":"Dawna L Cato, Vicki Buchda","doi":"10.1097/NAQ.0000000000000662","DOIUrl":"10.1097/NAQ.0000000000000662","url":null,"abstract":"<p><p>The purpose of this publication is to inform others who can learn and benefit from the process used to leverage state legislation to address the nursing workforce shortage in the state of Arizona. As we emerged from a global pandemic, the nurse leaders in the state of Arizona leveraged relationships and legislation to advance policy. The authors discuss how multisectoral collaboration and organizational alignment secured significant funding to support the Arizona Nurse Education Investment Program.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 2","pages":"115-122"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606600","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
Navigating the Evolution of a Diversity, Equity, and Inclusion (DEI) Nursing Practice Leader. 导航多样性，公平和包容（DEI）护理实践领导者的演变。
Nursing Administration Quarterly Pub Date : 2025-04-01 Epub Date: 2025-03-11 DOI: 10.1097/NAQ.0000000000000679
Yvette Conyers, Sheniece Martin Stancil-El
{"title":"Navigating the Evolution of a Diversity, Equity, and Inclusion (DEI) Nursing Practice Leader.","authors":"Yvette Conyers, Sheniece Martin Stancil-El","doi":"10.1097/NAQ.0000000000000679","DOIUrl":"10.1097/NAQ.0000000000000679","url":null,"abstract":"<p><p>The creation and sustainability of a Diversity, Equity, and Inclusion (DEI) Director of Nursing Practice is crucial in the pursuit of health equity and in creating inclusive environments that foster racially and ethnically diverse nursing workforce and ensuring culturally competent patient care. As institutions seek to achieve health equity, we have seen an increase in the rise of DEI practitioners in academic settings, although that has not been the same among DEI practitioners in nursing practice. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Report (NAM, 2021) emphasizes the importance of recognizing diversity and calls for a new generation of nurse leaders who can champion this cause. To address the impetus for greater diversity, DEI practitioners must adopt a broader and more collaborative approach beyond mere diversity metrics. While problem-solving remains a significant aspect of the DEI practitioner role, it encompasses much more. Strategic leadership is essential in institutional strategic planning, diversity programming, education and awareness, new nurse graduate support, and developing community partnerships.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 2","pages":"142-144"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606604","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
An Academic-Practice Partnership to Support Transition to Practice. 支持向实践过渡的学术-实践伙伴关系。
Nursing Administration Quarterly Pub Date : 2025-04-01 Epub Date: 2025-03-11 DOI: 10.1097/NAQ.0000000000000681
Carrie McDermott, Apryl S Lewis
{"title":"An Academic-Practice Partnership to Support Transition to Practice.","authors":"Carrie McDermott, Apryl S Lewis","doi":"10.1097/NAQ.0000000000000681","DOIUrl":"10.1097/NAQ.0000000000000681","url":null,"abstract":"<p><p>Repercussions from the COVID pandemic and a depleted nursing workforce demand more robust support to assure successful new graduate nurse transitions. Clinical learning in the real-world patient care setting is widely regarded as the essential element for preparation to practice. An academic-practice partnership established an apprenticeship program offering student nurse's greater exposure to real-world clinical experience to evaluate the value of a student nurse apprenticeship on new graduate nurse readiness for practice. Students complete 180 apprenticeship hours over 3 semesters. Satisfaction with the apprenticeship program was expressed by 100% of leaders/mentors and 93% of students. Most students also expressed an interest in a wider variety of clinical settings. This apprenticeship program is a demonstration of academic and practice partners leveraging their combined resources to invest in nursing student preparation to accelerate readiness to practice. An apprenticeship program offered in partnership with academia and practice can support the nursing workforce and may decrease the time required to prepare novice nurses for independent practice.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 2","pages":"87-93"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606572","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
Understanding Provider's Experiences With Telehealth at an Urban Pediatric Health Care System. 了解城市儿童医疗保健系统中远程医疗服务提供者的经验。
Nursing Administration Quarterly Pub Date : 2025-04-01 Epub Date: 2025-03-11 DOI: 10.1097/NAQ.0000000000000680
Debra Lajoie, Jean Anne Connor, Terry Saia, Susan F Saleeb, Sarah DeFerranti, Kathy Morgan-Gorman, Alexandra Cole, Zachary DiPasquale, Patricia A Hickey
{"title":"Understanding Provider's Experiences With Telehealth at an Urban Pediatric Health Care System.","authors":"Debra Lajoie, Jean Anne Connor, Terry Saia, Susan F Saleeb, Sarah DeFerranti, Kathy Morgan-Gorman, Alexandra Cole, Zachary DiPasquale, Patricia A Hickey","doi":"10.1097/NAQ.0000000000000680","DOIUrl":"10.1097/NAQ.0000000000000680","url":null,"abstract":"<p><p>The purpose of this three-part, mixed-methods study is to mitigate patient risk by understanding and describing the current and future state of pediatric telehealth (TH) care delivery. As the COVID-19 pandemic emerged, an unprepared clinical workforce mobilized to quickly transition patients to TH to mitigate the risk of infection and maintain access to care. Optimizing digital health care delivery requires an understanding of the current models of care, the identification of best practices, and opportunities for improvement to mitigate patient/family, provider, and institutional risk. Aim 1 used descriptive, qualitative inquiry to understand and explore the experience of cardiology providers utilizing TH through structured interviews. From the 6 providers interviews conducted, 6 themes emerged: the experience of TH Care Delivery, Conflicting Expectations of Parents/Patients vs. Providers, Regulatory, Ethical, and Legal Concerns, Knowledge Gaps, Data Burden, and Moral Distress. Hearing providers' voices and experiences can guide the integration of TH and digital technologies into health care. These findings describe the need to develop evidence describing the significance and inter-relatedness of TH and the concepts of psychological safety, the healthy work environment, and thriving.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 2","pages":"104-114"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606649","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 Nursing: Organizational and Professional Crossroads for the Immediate and Beyond. 虚拟护理：面向当下和未来的组织和专业十字路口。
Nursing Administration Quarterly Pub Date : 2025-04-01 Epub Date: 2025-03-11 DOI: 10.1097/NAQ.0000000000000671
Carol Boston-Fleischhauer
{"title":"Virtual Nursing: Organizational and Professional Crossroads for the Immediate and Beyond.","authors":"Carol Boston-Fleischhauer","doi":"10.1097/NAQ.0000000000000671","DOIUrl":"10.1097/NAQ.0000000000000671","url":null,"abstract":"<p><p>Virtual nursing has swept the country as an acute care model solution amidst unresolved clinical workforce shortages, shrinking margins, increased acuity, and capacity pressures. Nurse leaders and professional associations cite the value of virtual nursing; however, model adoption appears lower than projected need and perceived impact. Virtual nurse models vary and the prevalence of model pilots versus full scale implementation should be noted, along with opinions regarding short term versus permanent utility. Questions surrounding virtual nurse roles, standards of practice, competencies, certification, and regulation are escalating and warrant careful discussion. Decisions are needed to move beyond the organizational and professional crossroads we face with virtual nursing.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 2","pages":"79-86"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606650","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 : 2025-04-01 Epub Date: 2025-03-11 DOI: 10.1097/NAQ.0000000000000677
{"title":"Guest Editorial.","authors":"","doi":"10.1097/NAQ.0000000000000677","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000677","url":null,"abstract":"","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 2","pages":"57-58"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606593","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 Post-Pandemic Nursing Workforce (Part II): Driving Value in Hospital Operations Through a Flexible Workforce Model. 大流行后的护理人员队伍（第二部分）：通过灵活的劳动力模式推动医院运营的价值。
Nursing Administration Quarterly Pub Date : 2025-04-01 Epub Date: 2025-03-11 DOI: 10.1097/NAQ.0000000000000675
Betty Jo Rocchio, Jill D Seys, Barbara J Vancil, Denise L Williams, Nida Al-Ramahi
{"title":"The Post-Pandemic Nursing Workforce (Part II): Driving Value in Hospital Operations Through a Flexible Workforce Model.","authors":"Betty Jo Rocchio, Jill D Seys, Barbara J Vancil, Denise L Williams, Nida Al-Ramahi","doi":"10.1097/NAQ.0000000000000675","DOIUrl":"10.1097/NAQ.0000000000000675","url":null,"abstract":"<p><p>In the post-pandemic era, nursing workforce constraints continue to foster concerns for the future of health care among nurse leaders worldwide. Causal factors attributing to disparity between workforce supply and demand are well documented in literature while operational outcomes from comprehensive solutions are scarce. Nurse leaders seeking to meet the operational demands of a constrained workforce must embrace innovative care delivery models aimed to meet the generational needs of the workforce. Operational outcomes measured in fiscal year 2023, defined as July 1, 2022-June 30, 2023, include: a total savings of 30 million dollars in premium labor spend, an increase in the organization's fill rate to 86%, a 62% reduction in agency spend, 8% reduction in turnover, including a 9% reduction in first-year turnover, a 4% reduction in vacancy rate, and 20% less time spent on staffing and scheduling tasks.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 2","pages":"59-66"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606648","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
Enhancing Clinical Practice Through Simulation. 通过模拟加强临床实践。
Nursing Administration Quarterly Pub Date : 2025-01-01 Epub Date: 2024-12-03 DOI: 10.1097/NAQ.0000000000000663
Karen A Grimley
{"title":"Enhancing Clinical Practice Through Simulation.","authors":"Karen A Grimley","doi":"10.1097/NAQ.0000000000000663","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000663","url":null,"abstract":"<p><p>Nurse leaders are obligated to ensure that nurses are prepared to engage in the provision of safe high-quality nursing care by creating a learning environment where their clinical knowledge and critical reasoning can be safely developed and refined. Simulated educational experiences can accelerate learning and provide nurse's the ability to confidently and competently deliver clinical care in a highly efficient manner.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 1","pages":"51-52"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773099","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 Significance of Simulation: Organization and Educational Outcomes. 模拟的意义：组织与教育成果。
Nursing Administration Quarterly Pub Date : 2025-01-01 Epub Date: 2024-12-03 DOI: 10.1097/NAQ.0000000000000669
Amy Nichols
{"title":"The Significance of Simulation: Organization and Educational Outcomes.","authors":"Amy Nichols","doi":"10.1097/NAQ.0000000000000669","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000669","url":null,"abstract":"","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 1","pages":"3-4"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773106","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
Tabletop Simulation as an Innovative Tool for Clinical Workflow Testing. 桌面模拟作为临床工作流程测试的创新工具。
Nursing Administration Quarterly Pub Date : 2025-01-01 Epub Date: 2024-12-03 DOI: 10.1097/NAQ.0000000000000664
Heather Bissmeyer, Cara Gallegos, Shelly Randazzo, Chrissy Scheffler, Lyn Sullivan Lee, Lindsey Powell
{"title":"Tabletop Simulation as an Innovative Tool for Clinical Workflow Testing.","authors":"Heather Bissmeyer, Cara Gallegos, Shelly Randazzo, Chrissy Scheffler, Lyn Sullivan Lee, Lindsey Powell","doi":"10.1097/NAQ.0000000000000664","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000664","url":null,"abstract":"<p><p>Tabletop simulation can be used to support and test system processes for clinical workflows. This paper will describe an innovative approach to testing change in clinical workflows for direct admissions to the operating room and interventional radiology departments in a 700-bed urban hospital in the Pacific Northwest and will highlight the specific benefits to nurse leaders. The simulation exercise involved key stakeholders and subject matter experts from various departments and aimed to evaluate the process workflow, provoke discussion on gaps, uncover improvement opportunities, and formulate recommendations. The simulation experience was broadly acknowledged by those involved as novel, engaging, suitable for complex process changes in health care settings and promoting valuable collaboration.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 1","pages":"E1-E7"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773103","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
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