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Inspiring a culture of ownership through mutual accountability: A health care system's approach to connecting bedside expertise with boardroom strategy. 通过相互问责激发所有权文化：医疗保健系统将床边专业知识与董事会战略联系起来的方法。
Nursing Pub Date : 2026-09-01 Epub Date: 2026-08-24 DOI: 10.1097/NSG.0000000000000454
Torry Robinson, Stuart Downs
{"title":"Inspiring a culture of ownership through mutual accountability: A health care system's approach to connecting bedside expertise with boardroom strategy.","authors":"Torry Robinson, Stuart Downs","doi":"10.1097/NSG.0000000000000454","DOIUrl":"https://doi.org/10.1097/NSG.0000000000000454","url":null,"abstract":"<p><strong>Abstract: </strong>A health care system's approach to integrating the American Association of Critical-Care Nurses Healthy Work Environment (HWE) standards across organizational levels demonstrates a replicable pathway for aligning bedside expertise with boardroom strategy, an essential linkage in organizational strategic planning. Partnership between the nurse executive team and direct care nurses is critical to achieving nursing excellence. The HWE framework can be operationalized into the nursing strategic plan through nursing professional governance structures and performance improvement initiatives, promoting scalability and transferability across multiple service lines and departments. This strengthens the relationship between clinical staff and executive leadership, driving transparency and mutual accountability for resource allocation and outcomes. This article describes one health care system's 3-year journey in embedding the HWE framework throughout the deployment of the nursing strategy. Following operationalization of HWE as a component of the nursing strategic framework, the health care system achieved sustained improvement across all domains of the Healthy Work Environment Assessment Tool (HWEAT), bolstering an organizational commitment to continuously improve and measure practice-environment health. This transparent, high-visibility approach emphasizes accountability from the Chief Nurse Executive to frontline nurses, underpinning a shared commitment that aligns clinical practice with organizational strategy. Organizations that embed HWE into their nursing strategic plan empower nurses at every level to shape and share ownership of the practice environment.</p>","PeriodicalId":35641,"journal":{"name":"Nursing","volume":"56 9","pages":"40-46"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809169","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
Your story, your brand: A career core competency for nurses. 你的故事，你的品牌：护士职业的核心竞争力。
Nursing Pub Date : 2026-09-01 Epub Date: 2026-08-24 DOI: 10.1097/NSG.0000000000000450
Fred Neis
{"title":"Your story, your brand: A career core competency for nurses.","authors":"Fred Neis","doi":"10.1097/NSG.0000000000000450","DOIUrl":"https://doi.org/10.1097/NSG.0000000000000450","url":null,"abstract":"<p><strong>Abstract: </strong>Intentional management of one's professional story, or narrative discipline, is now a core competency and responsibility for nurses at all career stages. Workforce mobility, interdisciplinary collaboration, broadening career opportunities, and the expansion of digital platforms have elevated the importance of how nurses are perceived by colleagues, organizations, and the public. Increasingly, a nurse's professional story and digital footprint influence professional opportunities, career advancement, and even employment decisions.Many companies invest heavily in brand management to build trust and emotional connection with the people they serve. Importantly, narrative discipline also contributes directly to healthy work environments by reinforcing trust, role clarity, respect, and psychological safety. Drawing from leadership practice, emerging research on nurses' social media use, healthy work environment principles, and guidance from national nurse leadership organizations, this article outlines how nurses can align personal, professional, and enterprise identities; use language deliberately; and engage with discipline and integrity. Practical strategies are provided to help nurses move from passive narrative formation to intentional storytelling that supports career development, workforce engagement, organizational trust, and the sustainability of the nursing profession.</p>","PeriodicalId":35641,"journal":{"name":"Nursing","volume":"56 9","pages":"10-14"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809205","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
Workplace Safety Champions: Strengthening safety culture through nurse engagement. 工作场所安全冠军：通过护士的参与加强安全文化。
Nursing Pub Date : 2026-09-01 Epub Date: 2026-08-24 DOI: 10.1097/NSG.0000000000000448
Catherine Capp, Mel Brouillette, Nicole Burnett, Nancy Havill, Ashley Amorello Kellish
{"title":"Workplace Safety Champions: Strengthening safety culture through nurse engagement.","authors":"Catherine Capp, Mel Brouillette, Nicole Burnett, Nancy Havill, Ashley Amorello Kellish","doi":"10.1097/NSG.0000000000000448","DOIUrl":"https://doi.org/10.1097/NSG.0000000000000448","url":null,"abstract":"<p><strong>Purpose: </strong>Workplace violence is a growing concern in health care, disproportionately affecting frontline nurses and nursing assistants. Despite high prevalence, underreporting remains a barrier to effective prevention and response. This Workplace Safety Champion program aimed to increase reporting of violent incidents and strengthen a culture of safety.</p><p><strong>Method: </strong>A multidisciplinary task force developed an evidence based Workplace Safety Champion course that emphasizes de-escalation strategies, reporting processes, and staff support. Champions were appointed across inpatient and emergency units and integrated into a hospital-wide Workplace Safety Champion Council. Program evaluation used course completion data and posttraining surveys.</p><p><strong>Results: </strong>The goal to train at least one champion in 90% of inpatient and emergency units was exceeded, with 98% of units represented (N = 93 champions). More than 85% of learners reported intent to change their response to workplace violence, and 90% endorsed improved knowledge of resources and de-escalation strategies.</p><p><strong>Conclusion: </strong>The Workplace Safety Champion program successfully improved staff awareness, reporting, and engagement in workplace violence prevention. Embedding champions across units can serve as a sustainable strategy to strengthen safety culture and support frontline health care workers.</p>","PeriodicalId":35641,"journal":{"name":"Nursing","volume":"56 9","pages":"57-63"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809217","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
Nursing work environment as a determinant of health care outcomes: A scoping review. 护理工作环境作为卫生保健结果的决定因素：范围审查。
Nursing Pub Date : 2026-09-01 Epub Date: 2026-08-24 DOI: 10.1097/NSG.0000000000000462
{"title":"Nursing work environment as a determinant of health care outcomes: A scoping review.","authors":"","doi":"10.1097/NSG.0000000000000462","DOIUrl":"https://doi.org/10.1097/NSG.0000000000000462","url":null,"abstract":"","PeriodicalId":35641,"journal":{"name":"Nursing","volume":"56 9","pages":"28-29"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809246","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
Associations between the Pathway to Excellence® framework and nurse, patient, and organizational outcomes: A systematic review. 卓越之路®框架与护士、患者和组织结果之间的关系：系统回顾。
Nursing Pub Date : 2026-09-01 Epub Date: 2026-08-24 DOI: 10.1097/NSG.0000000000000460
Kathryn A Connell, Nicole George, Hyunmin Yu, Matthew D McHugh
{"title":"Associations between the Pathway to Excellence® framework and nurse, patient, and organizational outcomes: A systematic review.","authors":"Kathryn A Connell, Nicole George, Hyunmin Yu, Matthew D McHugh","doi":"10.1097/NSG.0000000000000460","DOIUrl":"https://doi.org/10.1097/NSG.0000000000000460","url":null,"abstract":"<p><strong>Background: </strong>Supportive nursing practice environments are consistently associated with improved nurse, patient, and organizational outcomes. The American Nurses Credentialing Center's Pathway to Excellence® (Pathway) program is designed to establish and sustain healthy work environments, yet the empirical evidence evaluating its outcomes remains fragmented.</p><p><strong>Purpose: </strong>To systematically synthesize quantitative evidence examining the association between Pathway designation or Pathway standards and nurse, patient, and organizational outcomes.</p><p><strong>Methods: </strong>A quantitative systematic review was conducted in January 2026 using PubMed, CINAHL, and Embase to identify peer-reviewed studies examining nurse, patient, or organizational outcomes associated with Pathway designation or standards. Risk of bias was independently assessed by two authors using the Joanna Briggs Institute critical appraisal checklists.</p><p><strong>Results: </strong>Eight US-based observational studies met the inclusion criteria. Across diverse health care settings, Pathway designation or stronger alignment with Pathway standards was consistently associated with more favorable nurse work environments, lower burnout and intent to leave, stronger engagement in evidence-based practice, higher patient satisfaction, and more positive organizational safety climates.</p><p><strong>Conclusion: </strong>The evidence indicates that Pathway designation and standards are positively associated with nurse, patient, and organizational outcomes. Although causal inference is limited, the consistency of findings supports Pathway as a meaningful organizational strategy for strengthening professional nursing practice environments and advancing health care quality.</p>","PeriodicalId":35641,"journal":{"name":"Nursing","volume":"56 9","pages":"30-38"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809141","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
Joining forces: The power of partnership. 合作：伙伴关系的力量。
Nursing Pub Date : 2026-09-01 Epub Date: 2026-08-24 DOI: 10.1097/NSG.0000000000000458
Linda Laskowski-Jones
{"title":"Joining forces: The power of partnership.","authors":"Linda Laskowski-Jones","doi":"10.1097/NSG.0000000000000458","DOIUrl":"https://doi.org/10.1097/NSG.0000000000000458","url":null,"abstract":"","PeriodicalId":35641,"journal":{"name":"Nursing","volume":"56 9","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809116","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
Communication crossroads: Exploring generational dynamics in nursing from the bedside to the boardroom. 沟通的十字路口：探索护理从床边到会议室的代际动态。
Nursing Pub Date : 2026-09-01 Epub Date: 2026-08-24 DOI: 10.1097/NSG.0000000000000452
Kerri Hensler, Barbara Alba, Nicole George
{"title":"Communication crossroads: Exploring generational dynamics in nursing from the bedside to the boardroom.","authors":"Kerri Hensler, Barbara Alba, Nicole George","doi":"10.1097/NSG.0000000000000452","DOIUrl":"https://doi.org/10.1097/NSG.0000000000000452","url":null,"abstract":"<p><strong>Abstract: </strong>Nurses have up to four times more patient contact than physicians, positioning them as central drivers of communication in health care. Effective communication directly influences patient outcomes, teamwork, staff engagement, and the overall care experience. Today's nurses operate within a highly diverse environment that includes four generations in the workforce and up to eight generations of patients, each with distinct values, expectations, and communication preferences. This article examines how generational differences shape communication across three key relational domains: peer-to-peer, nurse-to-patient, and nurse-to-leader interactions, and offers insights to strengthen collaboration, engagement, and quality of care.</p>","PeriodicalId":35641,"journal":{"name":"Nursing","volume":"56 9","pages":"47-55"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809166","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
Your story, your brand: A career core competency for nurses. 你的故事，你的品牌：护士职业的核心竞争力。
Nursing Pub Date : 2026-09-01 Epub Date: 2026-08-24 DOI: 10.1097/NSG.0000000000000461
{"title":"Your story, your brand: A career core competency for nurses.","authors":"","doi":"10.1097/NSG.0000000000000461","DOIUrl":"https://doi.org/10.1097/NSG.0000000000000461","url":null,"abstract":"","PeriodicalId":35641,"journal":{"name":"Nursing","volume":"56 9","pages":"14-15"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809249","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
Workforce engagement: Embracing positive practice environments. 员工参与：拥抱积极的实践环境。
Nursing Pub Date : 2026-09-01 Epub Date: 2026-08-24 DOI: 10.1097/NSG.0000000000000465
Rosanne Raso
{"title":"Workforce engagement: Embracing positive practice environments.","authors":"Rosanne Raso","doi":"10.1097/NSG.0000000000000465","DOIUrl":"https://doi.org/10.1097/NSG.0000000000000465","url":null,"abstract":"","PeriodicalId":35641,"journal":{"name":"Nursing","volume":"56 9","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809212","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
Magnesium almost administered instead of heparin. 镁几乎可以代替肝素。
Nursing Pub Date : 2026-09-01 Epub Date: 2026-08-24 DOI: 10.1097/NSG.0000000000000453
Jana O'Hara, Shannon Bertagnoli
{"title":"Magnesium almost administered instead of heparin.","authors":"Jana O'Hara, Shannon Bertagnoli","doi":"10.1097/NSG.0000000000000453","DOIUrl":"https://doi.org/10.1097/NSG.0000000000000453","url":null,"abstract":"","PeriodicalId":35641,"journal":{"name":"Nursing","volume":"56 9","pages":"56"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809150","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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