Natasha Phillips, Jeanette Ives Erickson, Heather O'Sullivan, Stephanie Ahmed
{"title":"The Digital Future of Nursing: Implications for Practice.","authors":"Natasha Phillips, Jeanette Ives Erickson, Heather O'Sullivan, Stephanie Ahmed","doi":"10.1097/NAQ.0000000000000694","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000694","url":null,"abstract":"<p><p>Commissioned by Health Education England, the country's organization for education and workforce development, the Phillips Ives Review on the Digital Future of Nursing highlighted the requisite priorities of person-centered care in digital health innovations and the required changes in nursing education to ensure competent practice in the digital age. Findings from this unpublished review, shared in the Health Service Journal and Nursing Times, bring attention to emerging care models such as virtual nursing and the critical importance of embedding person-centered nursing into the design and implementation of technology. Additionally, the importance of equipping nurses with skills in genomics, artificial intelligence, and data science was essential to delivering the benefits of these advancements. The review, along with other key policy initiatives including the International Council of Nursing (ICN) Position Statement on Digital Transformation illustrates increasing awareness amongst nurse leaders globally that these issues must be addressed. This article builds on the Phillips Ives Review, emphasizes new nurse-led innovations in various healthcare organizations, and examines key themes highlighted in these policy papers, namely person-centered care and the rise of virtual care. It further discusses implications for nurse education and clinical practice and examines how policies are emerging from professional nursing organizations including the American Nurses Association, the American Organization for Nursing Leadership, in addition to the ICN.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 4","pages":"319-325"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972628","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}
Wolfgang Aschauer, Florian Nemetz, Christopher Etter, Simon Krutter, Juergen Osterbrink, Patrick Kutschar
{"title":"Antecedents of Technological Readiness Among Nurses: Explaining Attitudes Toward a Virtual Care Assistant in Healthcare Based on an Online Survey.","authors":"Wolfgang Aschauer, Florian Nemetz, Christopher Etter, Simon Krutter, Juergen Osterbrink, Patrick Kutschar","doi":"10.1097/CIN.0000000000001320","DOIUrl":"10.1097/CIN.0000000000001320","url":null,"abstract":"<p><p>Due to demographic changes, the need for healthcare among older persons is expected to increase. Modern technologies, such as digital health applications and telecare solutions embedded into the care practice, offer potential solutions. Evidence on healthcare professionals' acceptance of digital technologies and their technological readiness is rather scarce. This study assesses the factors on technological readiness regarding a prototypical virtual healthcare assistant among nurses in Austria and Germany through an online survey (n = 289). Utilizing the extended Unified Theory of Technology Use and Acceptance model and structural equation modeling, the study shows that socioeconomic attributes influence views on technology beyond factors of technology acceptance. Technological affinity, skepticism, and views toward digitalization in healthcare are mainly relevant to explain certain attitudes toward virtual healthcare assistant solutions. The findings highlight the necessity to expand existing theoretical frameworks with social factors to better understand technological readiness in healthcare.</p>","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":"145348177","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":"Guest Editorial.","authors":"Nora E Warshawsky, Mary O'Connor","doi":"10.1097/NAQ.0000000000000714","DOIUrl":"10.1097/NAQ.0000000000000714","url":null,"abstract":"","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 4","pages":"245-246"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972514","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-Led Virtual Anticoagulation Program Improves Quality and Reduces Cost.","authors":"Kristin Negley, Gina Foster, Angela Mattson, Carlee O'Connor, Jeffrey Timm","doi":"10.1097/NAQ.0000000000000712","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000712","url":null,"abstract":"<p><p>Registered nurses possess specialized knowledge and skills applicable to the ambulatory setting, including complex medication management. This enables clinicians and pharmacists to see patients who need their expert skill set; fully optimizing the role of each member of the team, including scope. This article details a nurse-led anticoagulation program demonstrating successful patient outcomes and cost-effectiveness. The program's success is attributed to the measurement of nurse-sensitive indicators along with a supportive organizational culture, efficient workflows incorporating team-based care, and expert registered nursing staff supported by a strong leadership team. This innovative model of care demonstrates the need for legislative reform to recognize nurses as able to independently bill for services within the scope of their licensure no matter the setting of the care provided (eg, telephone, face-to-face, video).</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 4","pages":"295-303"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972643","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}
Sherry A Greenberg, Christina Southey, Anne M Pohnert, Mary A Dolansky
{"title":"Disruptive Innovation: Scale and Spread of the 4Ms Framework to the Convenient Care Setting to Promote Quality Care for Older Adults.","authors":"Sherry A Greenberg, Christina Southey, Anne M Pohnert, Mary A Dolansky","doi":"10.1097/NAQ.0000000000000702","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000702","url":null,"abstract":"<p><p>This article addresses nursing leader-led innovative care disruption with implementation strategies to scale and spread the Age-Friendly Health Systems (AFHS) movement from acute and ambulatory settings into convenient care. Quality improvement and implementation science methods guided the translation of age-friendly 4Ms care, an evidence-based approach to safe, high-quality care for older adults: What Matters, Medication, Mentation, Mobility. Primary drivers included suggested standardization of workflow and creating a culture change about care of older adults in convenient care. Results included an increase in 4Ms care from 261 visits in Q4 of 2020 to 13,657 visits in Q4 2022, a 52-fold increase. This led to increased patient awareness of age-friendly care, identification of patients at risk for depression, dementia, inappropriate medications, and mobility issues, and integration of \"What Matters\" to the older adult in the plan. This article highlights the importance of age-friendly 4Ms care delivery in urgent care settings with innovative care disruption strategies to spread age-friendly care. Home care and community agencies can also adopt a scale up and spread approach to integrate the 4Ms into practice, reliably implement the 4Ms to improve safety and experience outcomes, become recognized as AFHS, and ensure translation of evidence-informed care into practice.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 4","pages":"E13-E21"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972460","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":"Utilizing a Nursing Assistant Training Program to Impact RN Turnover.","authors":"Melinda A Constantine, Nicolette Fiore-Lopez","doi":"10.1097/NAQ.0000000000000719","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000719","url":null,"abstract":"<p><p>Nursing assistants (NAs) are essential health care team members; however, recruiting and retaining experienced individuals can sometimes be challenging. To address this issue, a Nursing Assistant Training Program was developed to provide on-the-job education and training for individuals with no health care background who wish to start a career in this field. The program includes didactic classroom education, mock simulated training and observation, and hands-on training in a patient care environment within an acute care hospital. This program aims to enhance NAs' recruitment, retention, and success rates by offering a comprehensive program tailored to meet various learner needs. It also aims to determine if incorporating this program will directly impact registered nurses' turnover and vacancy rates.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 4","pages":"E8-E12"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972556","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":"Financial Resilience: A Guide to Rebuild Staffing Systems.","authors":"Meredith A Gould, Nina Boshart","doi":"10.1097/NAQ.0000000000000708","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000708","url":null,"abstract":"<p><p>Mounting financial pressures continue to challenge health care institutions. Nurse executives with responsibility for efficient nursing resources must ensure the integrity of their staffing systems. Are your systems accurate? Are they connected with each other and the budget? Do all nurse managers have a strong grasp of the staffing systems? This article provides a guide for you to connect and improve staffing processes and tools. In this way, nurse executives ensure operational excellence and financial resilience.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 4","pages":"330-334"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972526","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":"Executive Coaching as a Strategic Tool for Health Care Leadership.","authors":"Laurie L Smith","doi":"10.1097/NAQ.0000000000000715","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000715","url":null,"abstract":"<p><p>Healthcare leadership requires adaptability, emotional intelligence, and the ability to lead through complex organizational challenges. Executive and team coaching have emerged as strategic tools that build these capacities by enhancing self-awareness, leadership effectiveness, and team performance. This column examines the role of coaching in healthcare leadership development through three evidence-based lenses: coaching outcomes, supporting neuroscience, and the impact on frontline nurse leaders. Drawing from recent peer-reviewed studies, it explores how coaching supports neuroplasticity, strengthens emotional regulation, and contributes to cultural transformation within healthcare systems. The findings emphasize that coaching is not a remedial tactic, but a critical investment in leadership excellence and organizational resilience. As healthcare systems continue to morph, integrating coaching into leadership development strategies offers a scalable, sustainable approach to cultivating adaptive and reflective leaders prepared to navigate complexity with confidence.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 4","pages":"326-329"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972518","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":"Leaders Role in Meaningful Recognition: Lifting Up Nursing Teams.","authors":"Annie George","doi":"10.1097/NAQ.0000000000000704","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000704","url":null,"abstract":"<p><p>This article examines how a large public health system in New York City leveraged transformational leadership and systems thinking to drive nursing excellence and meaningful recognition. The health system successfully transformed its nursing culture by developing operational plans, establishing specialized committees such as the Positive Practice Committee, and aligning with national accreditation standards like American Nurses Credentialing Center (ANCC) Pathway to Excellence®, the American Association of Critical Care Nurses Beacon, the Emergency Nurses Association Lantern, and Association of periOperative Registered Nurses (AORN) Excellence in Surgical Safety. Detailed planning, role delineation, and targeted leadership recruitment were critical in addressing organizational gaps and achieving multiple excellence designations across acute and post-acute facilities. This case study emphasizes the critical importance of systems thinking and transformational leadership in fostering a resilient and high-performing health care environment. By integrating these leadership principles, health care organizations can cultivate a culture of appreciation and continuous development, motivating nursing staff to excel in their roles. The initiative provides a replicable model that empowers nurses, not only by offering opportunities for growth but also through the recognition of their contributions, which drives both personal and organizational success in delivering outstanding patient care.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838056","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":"Transformative Leadership in Acute Care: The Evolving Role of Nurse Leaders in Evaluating Innovative Models of Care.","authors":"Nicole George, Tashiana Jackson","doi":"10.1097/NAQ.0000000000000698","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000698","url":null,"abstract":"<p><p>As the healthcare landscape rapidly evolves, nurse leaders play a critical role in driving clinical practice transformation and fostering innovation. The increasing complexities of patient acuity, regulatory requirements, and workforce challenges necessitate leadership strategies that extend beyond traditional management to encompass systems thinking, advocacy, and organizational influence. This article examines the expanding role of nurse leaders in implementing and evaluating innovative models of care, such as virtual nursing and hospital-at-home programs. These models leverage technology and interdisciplinary collaboration to enhance care delivery and optimize operational efficiencies. Successful integration of these innovations requires strategic planning, resource allocation, and comprehensive evaluation frameworks that assess both quantitative and qualitative outcomes. Nurse leaders employ real-time analytics, performance dashboards, and shared governance structures to measure the impact of these models on patient outcomes, nurse engagement, and workflow efficiencies. Furthermore, engaging frontline nurses in continuous feedback loops ensures a well-rounded evaluation process that informs ongoing refinement. As the nursing profession adapts to emerging challenges and technological advancements, nurse leaders remain central to sustaining innovation. By fostering a culture of continuous improvement, they ensure that evolving care models align with patient needs, support workforce sustainability, and drive excellence in healthcare delivery.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838057","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}