Nursing Administration Quarterly最新文献_第8页

Technology's Impact on Nurse Manager Practices. 技术对护士管理实践的影响。

Nursing Administration Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1097/NAQ.0000000000000705

Tamera Sutton

{"title":"Technology's Impact on Nurse Manager Practices.","authors":"Tamera Sutton","doi":"10.1097/NAQ.0000000000000705","DOIUrl":"10.1097/NAQ.0000000000000705","url":null,"abstract":"In today's fast-paced health care environment, nurse managers face increasing complexity in their roles due to shifting care models, regulatory demands, and rising patient acuity. Technology is reshaping how nurse managers lead, requiring advanced digital competencies to navigate tools such as artificial intelligence, automation, predictive analytics, electronic health record interoperability, and virtual care. To lead digital transformation successfully, nurse managers must develop strategic leadership, informatics, and digital and data literacy skills. Empowering them with the right tools, training, and support is essential for ensuring high-quality, efficient, and future-ready care delivery. The leadership of nurse managers in the adoption of technology within the health care sector is significantly affected by their digital competencies. Many leaders recognize the importance of digital competencies for successful transformation, fostering confidence in the process. Key nurse manager competencies that empower this transformation include strategic leadership, health informatics, cybersecurity, data privacy, data literacy, and analytics. These insights highlight the necessity of providing nurse managers with the essential tools and knowledge to succeed in leading digital transformation.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":" ","pages":"248-258"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12533767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718800","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

Registered Nurse-Led Visits in Ambulatory Specialty Care Clinic: Implementation Process Review. 专科门诊注册护士带队访视：实施过程回顾。

Nursing Administration Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1097/NAQ.0000000000000707

Chrystal L Lewis, Teresa Bell-Stephens, Joli Vavao, Charlene Grace A Platon, Gary K Steinberg

{"title":"Registered Nurse-Led Visits in Ambulatory Specialty Care Clinic: Implementation Process Review.","authors":"Chrystal L Lewis, Teresa Bell-Stephens, Joli Vavao, Charlene Grace A Platon, Gary K Steinberg","doi":"10.1097/NAQ.0000000000000707","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000707","url":null,"abstract":"Registered Nurse (RN)-led visits are increasingly utilized in ambulatory care. However, little information is available about implementation and sustainability for RN-led visits. Patients experienced difficulties accessing care in an ambulatory neurosurgery specialty care clinic. This article presents the implementation process and sustained success of RN-led visits over more than a 25-year time span in this neurosurgery specialty ambulatory care clinic. The number of operating room (OR) cases by a single neurosurgeon was increased by an average of 95 cases per year over a 5-year implementation time frame, growing from an average of 211 cases per year (2000-2004) to 306 (2005-2009), and sustained at this average with 309 cases in the 2020-2024 period. The sustained increased OR caseload over a 20-year time-period suggests RN-led visits can be an effective strategy to promote the entire ambulatory care team working at the top of their scope of practice. Further research is needed on economic impacts of RN-led visits, patient access wait times, and team satisfaction.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 4","pages":"304-312"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972559","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 Nurse Leader's Role in Guiding Practice Change: Leveraging Shared Decision-Making to Transform Care. 护士领导在指导实践变革中的作用：利用共同决策来改变护理。

Nursing Administration Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1097/NAQ.0000000000000692

Ruth Kitzmiller, Sara Sullens, Amber Orton

引用次数: 0

2025 New England Nursing Informatics Consortium (NENIC) Member Highlights. 2025年新英格兰护理信息学联盟（NENIC）成员亮点。

Nursing Administration Quarterly Pub Date : 2025-10-01 DOI: 10.1097/CIN.0000000000001392

Julie Murphy, Karen Bavuso, Denise Goldsmith, Rita D Zielstorff

引用次数: 0

Elevating Nursing Practice Through Emerging Models of Care. 通过新兴的护理模式提升护理实践。

Nursing Administration Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1097/NAQ.0000000000000713

K T Waxman

引用次数: 0

Integrating the Safer Together National Action Plan to Improve Nurse-Led Models Focused on Patient Safety. 整合“一起安全”国家行动计划，改善以患者安全为重点的护士主导模式。

Nursing Administration Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1097/NAQ.0000000000000711

Patricia Lavin, Mary A Dolansky, Teri Chenot, Gwen Sherwood

{"title":"Integrating the Safer Together National Action Plan to Improve Nurse-Led Models Focused on Patient Safety.","authors":"Patricia Lavin, Mary A Dolansky, Teri Chenot, Gwen Sherwood","doi":"10.1097/NAQ.0000000000000711","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000711","url":null,"abstract":"Patient safety remains an elusive goal for health care systems despite 2 decades of reports, strategies, tools, and revamped health professions education. These actions alone have lowered many targeted areas of preventable harm, particularly hospital-acquired conditions, yet evidence indicates better outcomes depend on \"total system\" approaches that embed patient safety in the core of care delivery. The first national patient safety plan, Safer Together: A National Action Plan to Advance Patient Safety from the Institute for Health Care Improvement, presents 4 recommendations to achieve total system safety. For decades, the Quality and Safety Education for Nurses (QSEN) competencies and the American Nurses Credentialing Center Magnet Recognition Program guided nursing care to ensure safe and high-quality care to pursue nursing excellence. By intertwining with Safer Together, the 3 re-envision a nursing practice model ensuring safe quality patient care. This paper describes integrating the 4 pillars defined by Safer Together into a nursing model with the Magnet Framework fueled by a nursing workforce grounded in the QSEN competencies. Nurses are in frontline positions for leading a total systems safety approach but need guidance for integrating these recommendations into effective professional practice models that define values, structures, and processes for delivering safe quality care.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 4","pages":"259-269"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972502","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

Implementing Virtual Nursing on a MedSurg Telemetry Unit in a Community Hospital. 在社区医院医疗外科遥测单元中实施虚拟护理。

Nursing Administration Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1097/NAQ.0000000000000718

Devika Kandhai, Iskra Gillis, Crystal Crosell

{"title":"Implementing Virtual Nursing on a MedSurg Telemetry Unit in a Community Hospital.","authors":"Devika Kandhai, Iskra Gillis, Crystal Crosell","doi":"10.1097/NAQ.0000000000000718","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000718","url":null,"abstract":"The COVID pandemic was undeniably one of the most challenging times for health care with more than 100 000 nurses leaving the profession due to burnout and pandemic-related stress. Unfortunately, the nursing shortage is predicted to worsen, with the number of new nurses entering the workforce not measuring up to the rate of decline. To decrease some of the burden and burnout of the bedside nurses, an alternative nursing resource was implemented. Virtual nursing is an emerging strategy utilized to support safe and effective staffing in acute care amid the continued nursing workforce challenges. Virtual nursing is a team approach that leverages advanced technology such as smart screens (tablets with speakers installed on a cart), previously used for Telehealth, to support specific aspects of care. The Virtual Nurse functions from a remote location in real time, working in tandem with the bedside care team. A 3-month virtual nurse pilot at a community hospital improved communication with nurses, discharge information, and communication about medication, according to a Press Ganey survey. Anecdotally, patients reported feeling more valued and heard by the care team.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 4","pages":"313-318"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972522","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

Toward Solving the Menopause Data Gap: An Evidence-Based Standardized Mapping Study Using the Omaha System. 解决更年期数据差距：基于奥马哈系统的标准化制图研究。

Nursing Administration Quarterly Pub Date : 2025-10-01 DOI: 10.1097/CIN.0000000000001425

引用次数: 0

Psychometric Evaluation of Cognitive Load and Unintended Consequences of Electronic Health Records in US Emergency Nurses. 美国急诊护士电子健康记录认知负荷和意外后果的心理测量评估

Nursing Administration Quarterly Pub Date : 2025-10-01 DOI: 10.1097/CIN.0000000000001365

Carolyn S Harmon, Swann Arp Adams, Jean E Davis, Sara B Donevant, Sheila M Gephart

{"title":"Psychometric Evaluation of Cognitive Load and Unintended Consequences of Electronic Health Records in US Emergency Nurses.","authors":"Carolyn S Harmon, Swann Arp Adams, Jean E Davis, Sara B Donevant, Sheila M Gephart","doi":"10.1097/CIN.0000000000001365","DOIUrl":"10.1097/CIN.0000000000001365","url":null,"abstract":"This study utilized a longitudinal quantitative design to investigate the psychometric measurements of the Carrington-Gephart Unintended Consequences of Electronic Health Record Questionnaire and the National Aeronautics and Space Administration Task Load Index instruments in emergency department nurses within the United States. This is the first study to our knowledge to examine these survey instruments' internal consistency reliability, test-retest reliability, and construct validity measurements in the emergency nursing population. The Carrington-Gephart Unintended Consequences of Electronic Health Record Questionnaire tool indicated good test-retest stability reliability and excellent internal consistency reliability. The National Aeronautics and Space Administration Task Load Index survey had moderate reliability for both the internal consistency reliability and the test-retest stability reliability. The findings related to the psychometric measurement of internal consistency reliability and test-retest stability reliability supported the use of the National Aeronautics and Space Administration Task Load Index and the Carrington-Gephart Unintended Consequences of Electronic Health Record Questionnaire in additional healthcare research studies of emergency department nurses. Further research related to nurses' cognitive load and unintended consequences of the electronic health record topics are recommended for knowledge acquisition to fill the profound literature gaps. Thus, this publication supports the use of measurement tools to conduct these studies.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"43 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145348198","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 Technology to Mitigate Workplace Violence. 利用技术减少职场暴力。

Nursing Administration Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1097/NAQ.0000000000000716

Anthony A Thomas, Simmy King, Paul Quigley, Reginald E Bannerman, Theresa Ryan Schultz

{"title":"Leveraging Technology to Mitigate Workplace Violence.","authors":"Anthony A Thomas, Simmy King, Paul Quigley, Reginald E Bannerman, Theresa Ryan Schultz","doi":"10.1097/NAQ.0000000000000716","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000716","url":null,"abstract":"Introduction: Nurses working in psychiatry, the Emergency Department, and pediatrics report the highest rate of assaults per 100 full-time equivalents (FTEs). In pediatrics, several unique factors contribute to workplace violence (WPV), including mistrust from the caregiver towards the health care clinician, complex or complicated medical circumstances, difficulty or delay in diagnosis, or the patient's behavioral and/or mental health.Initiative: To address WPV, we implemented electronic aggression screening, weapons detection screening, and a personal duress system at a free-standing, academic pediatric hospital.Outcomes: Aggression screening data show that the majority (>80%) of patients screened for low to medium-risk aggression. Weapons detection screening has resulted in a 62.82% decrease in weapons detected. The personal duress system improved security response times by 51%.Discussion: Technological solutions can mitigate the risk of WPV, improve staff perception of safety culture, and lead to positive staffing changes.Conclusion: These outcomes demonstrate the effectiveness of technological solutions to enhance workplace safety. However, these solutions are not a complete answer to WPV. The need for regulation and legislation protecting health care workers from WPV is urgent and pressing. Without such protection, health care workers will continue to be at risk of harm.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 4","pages":"278-287"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972477","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