Nursing Administration Quarterly最新文献_第5页

Transformation and Excellence in an RN-to-BSN Program: A Ten-Year Journey. rn - bsn项目的转型与卓越：十年历程。

Nursing Administration Quarterly Pub Date : 2026-04-01 Epub Date: 2026-03-17 DOI: 10.1097/NAQ.0000000000000748

Richard MacIntyre, Mark D Beck

{"title":"Transformation and Excellence in an RN-to-BSN Program: A Ten-Year Journey.","authors":"Richard MacIntyre, Mark D Beck","doi":"10.1097/NAQ.0000000000000748","DOIUrl":"10.1097/NAQ.0000000000000748","url":null,"abstract":"An academic practice partnership was formed to develop a new RN-to-BSN program with a Unitary Caring Science (UCS) framework. The target population consisted of registered nurses in a large integrated health system in northern California who had not enrolled in one of the numerous RN-to-BSN options available. The nurses worked in a strong union environment with high salaries and low turnover. The primary return on investment sought by the practice partner was transformational cultural change. A mindfulness-based stress reduction course, offered in the first term, served as an experiential introduction to UCS. The faculty prioritized the affective learning domain to nurture phronesis and chose a cohort model to develop communitas. New ontological competencies were developed through a value-added proposition with four pillars to help nurses discover their vision, find their voice, tell their stories, and own their practice. Students gave examples of how the program changed their personal and professional lives. Practice leaders reported transformative behaviors in graduates and transformative changes in the culture. The academic-practice partnership achieved the goals of both organizations.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"50 2S Suppl 2","pages":"S15-S19"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12994911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effect of Mobile Application-based Education on DASH Diet Compliance, Quality of Life, Mindfulness, and Stress in Individuals With Hypertension. 基于移动应用程序的教育对高血压患者DASH饮食依从性、生活质量、正念和压力的影响

Nursing Administration Quarterly Pub Date : 2026-04-01 DOI: 10.1097/CIN.0000000000001384

Gulcan Meshur, Serap Unsar, Hanefi Yekta Gurlertop, Cem Taskin

{"title":"The Effect of Mobile Application-based Education on DASH Diet Compliance, Quality of Life, Mindfulness, and Stress in Individuals With Hypertension.","authors":"Gulcan Meshur, Serap Unsar, Hanefi Yekta Gurlertop, Cem Taskin","doi":"10.1097/CIN.0000000000001384","DOIUrl":"10.1097/CIN.0000000000001384","url":null,"abstract":"The objective of this study was to examine how mobile learning affected individuals with hypertension's adherence to the DASH diet, healthy lifestyle behaviors, body mass index, quality of life, mindfulness, and stress levels. A total of 134 individuals with hypertension participated in this randomized controlled study (68 in the experimental group and 66 in the control group). \"Health-Promoting Lifestyle Profile (HPLP) II,\" \"EQ-5D Questionnaire,\" \"Mindful Attention Awareness Scale (MAAS),\" and \"Perceived Stress Scale (PSS)\" were employed to gather information. Participants in the experimental group received comprehensive education through a mobile application developed for hypertension management. This education, which included videos, audio recordings, and meditation content, was provided over a 3-month period. It was found that after mobile learning, the healthy lifestyle behaviors of individuals with hypertension improved, their quality of life and mindfulness levels increased, and their stress levels and body mass index decreased ( P < .05). This study found that the use of mobile application-based education to improve the lifestyle changes of patients is an effective tool in hypertension management. We recommended that mobile health applications used in the management of hypertension should be widely used by nurses in training and counselling processes, and future research should be conducted to observe the long-term effects of this technology.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":" ","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145726423","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

Incentivizing Excellence: Strategies for Enhancing Nurse Engagement Through Leadership. 激励卓越：通过领导提高护士参与度的策略。

Nursing Administration Quarterly Pub Date : 2026-04-01 Epub Date: 2026-03-17 DOI: 10.1097/NAQ.0000000000000723

Marlene Porter, Tara Lyngaas

引用次数: 0

The Kaiser Permanente Scholars Academy: A Model for Sustainable Workforce Development and Community Health. 凯撒永久学者学院：可持续劳动力发展和社区健康的模式。

Nursing Administration Quarterly Pub Date : 2026-04-01 Epub Date: 2026-03-17 DOI: 10.1097/NAQ.0000000000000749

Trevor Murray, Nikki West

引用次数: 0

Scaling Excellence: How Kaiser Permanente's Nurse Scholars Academy Transformed Nursing Workforce Strategy. 扩展卓越：凯萨医疗机构护士学者学院如何改变护理人力战略。

Nursing Administration Quarterly Pub Date : 2026-04-01 Epub Date: 2026-03-17 DOI: 10.1097/NAQ.0000000000000744

Ryan M Fuller, Meghan Kielty-Swinford

{"title":"Scaling Excellence: How Kaiser Permanente's Nurse Scholars Academy Transformed Nursing Workforce Strategy.","authors":"Ryan M Fuller, Meghan Kielty-Swinford","doi":"10.1097/NAQ.0000000000000744","DOIUrl":"10.1097/NAQ.0000000000000744","url":null,"abstract":"Strategic investment in nursing workforce development is both a financial and organizational imperative. In 2014, Kaiser Permanente Northern California launched the Nurse Scholars Academy (NSA) with an initial $30 million investment in response to the Institute of Medicine's Future of Nursing report. Over the past decade, NSA has served as a replicable model for health care organizations by aligning academic-practice partnerships with long-term workforce strategy. Degree completion among NSA Scholars consistently outperforms national benchmarks, with retention rates exceeding the 75% to 80% national average (Figure 1). Retention across degree pathways remains high during academic progression (Figure 2) and is sustained after program completion, with graduates demonstrating long-term commitment to Kaiser Permanente (Figures 3 and 4). These outcomes directly contribute to reduced turnover, with the organization reporting registered nurse (RN) turnover rates 15 percentage points below national medians, equating to an estimated $4.3 million in annual labor cost avoidance. Beyond financial returns, NSA's outcomes illustrate broader organizational value: reduced burnout, increased confidence and capability, strengthened leadership pipelines, and enhanced professional advancement opportunities. Using the Abdi ROI scale, NSA's impact extends into non-monetary domains such as cultural transformation, reputation, and community trust. Together, these outcomes affirm that investments in nursing development yield sustainable financial benefits, advance workforce resilience, and reinforce Kaiser Permanente's role as a national leader in nursing excellence.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"50 2S Suppl 2","pages":"S57-S60"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12994904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From Legacy to Leadership: Ten Years of Transforming Health Care With Caring Science. 从传统到领导：用关怀科学改变医疗保健的十年。

Nursing Administration Quarterly Pub Date : 2026-04-01 Epub Date: 2026-03-17 DOI: 10.1097/NAQ.0000000000000746

Erica Anderson, Rayne Soriano, Jim D'Alfonso, Denise Laws, Sharon Hampton

{"title":"From Legacy to Leadership: Ten Years of Transforming Health Care With Caring Science.","authors":"Erica Anderson, Rayne Soriano, Jim D'Alfonso, Denise Laws, Sharon Hampton","doi":"10.1097/NAQ.0000000000000746","DOIUrl":"10.1097/NAQ.0000000000000746","url":null,"abstract":"Over the past 15 years, a large health care organization has embraced Caring Science as a unifying framework. Nearly 200 Caritas Coaches have been trained, and more than 1100 nurses have advanced their academic degrees through Caring Science-aligned programs. The integration of Dr Jean Watson's Theory of Human Caring has helped shift the culture toward one grounded in love, compassion, and healing-from the bedside to the boardroom. This manuscript describes the organization's strategic investment in developing Caritas Coaches, embedding Caring Science into onboarding, leadership development, and unit-level practices. Amid the COVID-19 pandemic, Caring Science emerged as a powerful anchor for resilience, purpose, and staff retention. Exemplars illustrate how executive leaders operationalized Caritas Principles to transform care delivery, create psychologically safe environments, and foster belonging. The results demonstrate that when organizations prioritize care for the caregiver, measurable improvements in staff satisfaction, patient experience, and clinical quality follow. Caring Science offers a replicable model for health systems seeking to restore humanity in health care.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"50 2S Suppl 2","pages":"S41-S46"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12994891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Text Network Analysis of Nurse Managers' Feedback Journals: Unveiling the Core Elements of New Nurses' Professional Development. 护士管理者反馈期刊的文本网络分析：揭示新护士专业发展的核心要素。

Nursing Administration Quarterly Pub Date : 2026-03-01 DOI: 10.1097/CIN.0000000000001373

Naru Kang, Shinhye Ahn, Hye Won Jeong

{"title":"A Text Network Analysis of Nurse Managers' Feedback Journals: Unveiling the Core Elements of New Nurses' Professional Development.","authors":"Naru Kang, Shinhye Ahn, Hye Won Jeong","doi":"10.1097/CIN.0000000000001373","DOIUrl":"10.1097/CIN.0000000000001373","url":null,"abstract":"This study employed text network analysis to examine nurse managers' feedback journals for new nurses, highlighting the critical need for structured support during their transition period. A total of 429 feedback journals were documented by 32 nurse managers for 239 new nurses between September 2019 and March 2021 in South Korea, aiming to identify the challenges faced by new nurses and explore keyword relationships and thematic patterns. The analysis process included 4 stages: data preprocessing, keyword extraction, network and centrality analysis, and subtheme analysis. Using NetMiner 4.5.0, the analysis identified several central keywords in the feedback journals, with \"performance\" showing the highest centrality values (degree centrality = 0.448, closeness centrality = 0.580, betweenness centrality = 0.117), followed by \"experience\" and \"explanation.\" Through community detection analysis using the eigenvector method, 3 distinct subthemes emerged from the network structure: \"clinical practice fundamentals,\" \"learning and development process,\" and \"support and educational system.\" The findings of this study provide empirical evidence for developing structured feedback programs and enhancing nurse managers' interviewing competencies. The findings provide empirical evidence regarding linguistic patterns and thematic structures in nurse managers' feedback, suggesting systematic documentation protocols and utilization of these insights to inform structured feedback initiatives, thereby supporting new nurses' development.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145709634","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

Development of an Interactive R Shiny Application for Dynamic Health Disparities Research. 动态健康差异研究交互式R Shiny应用程序的开发。

Nursing Administration Quarterly Pub Date : 2026-03-01 DOI: 10.1097/CIN.0000000000001397

Soyoung Choi, Yinan Chen, JooYoung Seo

{"title":"Development of an Interactive R Shiny Application for Dynamic Health Disparities Research.","authors":"Soyoung Choi, Yinan Chen, JooYoung Seo","doi":"10.1097/CIN.0000000000001397","DOIUrl":"10.1097/CIN.0000000000001397","url":null,"abstract":"Although the significance of big data and data science in predicting health outcomes and identifying causal factors is widely recognized, their application in health disparities research remains limited. Understanding health disparities in the visually impaired population requires examining their health behavior patterns and health literacy levels, which can longitudinally impact their health and well-being. In prior research, one of the authors of the study conducted an online survey with 2718 participants using 5 validated self-reported questionnaires, such as Health Promoting Lifestyle Profile II, Health Literacy Questionnaire, eHealth Literacy Questionnaire, General Self-Efficacy, and Center for Epidemiological Studies Depression. Analysis of the online survey data demonstrated that individuals with blindness exhibited significantly higher levels of health-promoting behaviors, health literacy, and eHealth literacy compared to those with moderate and severe low vision. In this study, the research team developed an R Shiny web application as a follow-up to the online survey to disseminate its findings reproducibly and interactively. The R Shiny web application is expected to facilitate reproducible as well as interactive data analysis and sharing more efficiently than traditional methods, such as appendices or Supplementary Materials, Supplemental Digital Content 2, http://links.lww.com/CIN/A463 in academic journals. Extending the research cycle with open datasets and reproducible data analysis can deepen our understanding of health disparities and foster greater collaboration among researchers with similar interests.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145715945","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

Constructing the Nursing Value Model Using Readily Available Datasets: Putting the Puzzle Pieces Together. 利用现成的数据集构建护理价值模型：将拼图拼凑在一起。

Nursing Administration Quarterly Pub Date : 2026-03-01 DOI: 10.1097/CIN.0000000000001399

Seo Yoon Lee, Chang Gi Park, Andrew D Boyd, Lauretta T Quinn, Sheryl L Stogis, Anthony Davila, Eileen G Collins

{"title":"Constructing the Nursing Value Model Using Readily Available Datasets: Putting the Puzzle Pieces Together.","authors":"Seo Yoon Lee, Chang Gi Park, Andrew D Boyd, Lauretta T Quinn, Sheryl L Stogis, Anthony Davila, Eileen G Collins","doi":"10.1097/CIN.0000000000001399","DOIUrl":"10.1097/CIN.0000000000001399","url":null,"abstract":"The Nursing Value Model (NVM) is a data framework model developed to measure the value of nursing care at the patient level. The NVM was constructed by multiple datasets extracted and assembled from various sources, such as the hospital electronic health records (EHR) and administrative data. Yet, very few studies have examined this model. As such, this study aimed to introduce how to construct NVM using available health care data, and discuss the feasibility of doing so by describing the insights and pitfalls during the development of the dataset. Data from 5 sources were used to build the dataset used to explore the NVM to estimate patient-level nursing cost estimation. Five aspects of data acquisition and synthesis are described: (a) each dataset acquisition, (b) the data wrangling process, (c) dataset construction, (d) data integrability, and (e) the strengths and weaknesses of each dataset. Six datasets from four different data sources were collected and merged, constructing the final dataset used for the NVM. Unique codes for nurses and patients were not always uniform, making the data complex and difficult to merge. To compute nursing value for the future, data systems need to be designed to collect, organize, and synthesize data easily.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145715978","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

Social Isolation, Social Media Use, Quality of Health Care, and Trust in Health Care System: Findings From a National Health Information Survey. 社会隔离、社交媒体使用、医疗保健质量和对医疗保健系统的信任：来自全国健康信息调查的结果。

Nursing Administration Quarterly Pub Date : 2026-03-01 DOI: 10.1097/CIN.0000000000001370

Madhur Thakur, Michelle A Mathiason, Chanhee Kim, David Pieczkiewicz, Robin Austin, Sripriya Rajamani

引用次数: 0