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From the Editor. 来自编辑。
Nursing Administration Quarterly Pub Date : 2025-04-01 Epub Date: 2025-03-11 DOI: 10.1097/NAQ.0000000000000673
{"title":"From the Editor.","authors":"","doi":"10.1097/NAQ.0000000000000673","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000673","url":null,"abstract":"","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 2","pages":"55-56"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606583","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
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. 一项非劣效性混合方法试点研究，探讨一种新型护理服务模式对医院质量指标、护士敏感指标、医疗保健专业观点和护理工作量的影响。
Nursing Administration Quarterly Pub Date : 2025-04-01 Epub Date: 2025-03-11 DOI: 10.1097/NAQ.0000000000000674
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}
引用次数: 0
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
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