Nurse LeaderPub Date : 2026-02-01Epub Date: 2025-11-04DOI: 10.1016/j.mnl.2025.102575
Carolyn J. Newton MSN, RN, NE-BC, Suzanne L. Harris MS, BA, BSN, RN, NE-BC, Chelsey Davidson BS, CPHQ
{"title":"Shared Decision-Making","authors":"Carolyn J. Newton MSN, RN, NE-BC, Suzanne L. Harris MS, BA, BSN, RN, NE-BC, Chelsey Davidson BS, CPHQ","doi":"10.1016/j.mnl.2025.102575","DOIUrl":"10.1016/j.mnl.2025.102575","url":null,"abstract":"<div><div>Shared decision-making improved workplace safety, survival to discharge after deterioration, reduced ventilator days, hospital-acquired pressure injuries stage 2 and above, and critical care length of stay in this community-based hospital. The hospital’s 2 interprofessional shared decision-making models for physicians, nurses, and allied health professionals provided structural support for nurses to lead changes from the bedside to the boardroom. Lessons learned from this work have implications for nurse leaders.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"24 1","pages":"Article 102575"},"PeriodicalIF":1.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146154321","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":"From Exercise to Excellence","authors":"Rely Alon RN, MOH, CNM, PhD, Polina Peker RN, MA, ODC, Sigal Shafran Tikva RN, MPH, MHA, PhD","doi":"10.1016/j.mnl.2025.102553","DOIUrl":"10.1016/j.mnl.2025.102553","url":null,"abstract":"<div><div>The Leadership Gym model is a sustainable, internally led leadership development model embedded at Hadassah Medical Center. It frames leadership as continuous “exercise” through 4 tracks: leadership programs, micro-learning, coaching, and change support. Managed by the Management Division, it aligns with strategy and supports over 200 participants annually. Outcomes include leadership advancement, project completion, and stronger engagement. The model fosters resilience, psychological safety, and a values-based leadership culture. This manuscript outlines its conceptual foundation, structure, implementation challenges, outcomes, and implications for sustainable, replicable leadership development in nursing.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"24 1","pages":"Article 102553"},"PeriodicalIF":1.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146154084","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}
Nurse LeaderPub Date : 2026-02-01Epub Date: 2025-11-07DOI: 10.1016/j.mnl.2025.102571
Khaliah Fisher-Grace PhD, RN, CPHQ, PCCN-K, Jennifer Lorenz DNP, MHA, MA, RN, CPXP, CNE, Peter J. Pronovost MD, PhD, FCCM
{"title":"Translating Regulation to Practice","authors":"Khaliah Fisher-Grace PhD, RN, CPHQ, PCCN-K, Jennifer Lorenz DNP, MHA, MA, RN, CPXP, CNE, Peter J. Pronovost MD, PhD, FCCM","doi":"10.1016/j.mnl.2025.102571","DOIUrl":"10.1016/j.mnl.2025.102571","url":null,"abstract":"<div><div>The Centers for Medicare & Medicaid Services has introduced new Age Friendly Hospital and Patient Safety Structural Measures to advance hospital quality, safety, and transparency. This article examines their implications through a case study at University Hospitals, a large health system in Northeast Ohio. Using structured gap analysis and a fractal governance model, the health system aligned standards, tools, and interdisciplinary teams across 15 hospitals. Nurse leaders played pivotal roles in embedding age-friendly and safety practices into clinical workflows. Findings highlight replicable strategies for nurse leaders to drive compliance, foster cultures of safety, and shape structural quality improvement.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"24 1","pages":"Article 102571"},"PeriodicalIF":1.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146154087","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":"Shared Leadership in Nursing Education","authors":"Aimee Holland DNP, WHNP-BC, FNP-C, FAANP, FAAN, Linda Moneyham PhD, RN, FAAN, Curry Bordelon DNP, MBA, CRNP, ANEF, FNAP, Katie Parris DNP, RN, CNE, Dana Mitchell DNP, RN, ACNP-BC, CHFN, CNE, Kelley Borella DNP, CRNP, WHNP-BC, FAANP, Allison Shorten PhD, RN, FACM, FANP, FAAN, Tedra Smith DNP, CPNP-PC, CNE, CHSE, Maria Shirey PhD, MBA, RN, NEA-BC, ANEF, FACHE, FNAP, FAAN","doi":"10.1016/j.mnl.2025.102625","DOIUrl":"10.1016/j.mnl.2025.102625","url":null,"abstract":"<div><div>In response to the increasing complexity of nursing education intensified by the COVID-19 pandemic, a large nursing school implemented a co-leadership model to promote shared leadership, enhance faculty collaboration, and improve student outcomes. Two faculty jointly lead programs and pathways with defined responsibilities, fostering collaboration, balancing workloads, and building leadership capacity. This approach addressed faculty burnout, supported student success, and ensured program continuity. Moving forward, research, program evaluation, and quality improvement are essential to validate and strengthen co-leadership in diverse settings, informing best practices and supporting broader adoption to meet evolving health care demands through collaborative leadership. This is a case study from an academic setting</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"24 1","pages":"Article 102625"},"PeriodicalIF":1.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146154300","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}
Nurse LeaderPub Date : 2026-02-01Epub Date: 2025-10-29DOI: 10.1016/j.mnl.2025.102566
Elizabeth A. Tran MAN, RN, Janelle A. Wozniak MSN, RN, Amrita N. Prakaashana MEd, Nicole M. Middleswart CST, CRCST, Pauline J. Abraham DNP, RN
{"title":"Cross-Cultural Mentorship","authors":"Elizabeth A. Tran MAN, RN, Janelle A. Wozniak MSN, RN, Amrita N. Prakaashana MEd, Nicole M. Middleswart CST, CRCST, Pauline J. Abraham DNP, RN","doi":"10.1016/j.mnl.2025.102566","DOIUrl":"10.1016/j.mnl.2025.102566","url":null,"abstract":"<div><div>This project implemented a Cross-Cultural Mentorship Program within a large, multisite academic medical center in the Midwest to promote leadership diversity reflective of the broader health care workforce and patient populations. Leadership roles within the organization remain predominantly occupied by White professionals, highlighting the need for targeted strategies to support racial and ethnic minoritized staff. Mentorship, a proven strategy for career advancement, served as the primary intervention. The program, specifically Cohort 1 (n = 23 mentor/mentee pairs), which ran from June 2023 to April 2024, emphasized cross-cultural mentorship, which intentionally acknowledges differences across race, ethnicity, culture, and identity. Guided by the Papadopoulos, Tilki, and Taylor model and using the Intercultural Development Inventory, the program supported leadership development for employees who identify as Black, Indigenous, and People of Color.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"24 1","pages":"Article 102566"},"PeriodicalIF":1.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146154304","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}
Nurse LeaderPub Date : 2026-02-01Epub Date: 2025-10-24DOI: 10.1016/j.mnl.2025.102558
Amal Arishi MSN, RN, Ali Hudays MSN, RN, Joyce J. Fitzpatrick PhD, MBA, RN, FAAN, FNAP
{"title":"Women in Nursing Leadership in Saudi Arabia","authors":"Amal Arishi MSN, RN, Ali Hudays MSN, RN, Joyce J. Fitzpatrick PhD, MBA, RN, FAAN, FNAP","doi":"10.1016/j.mnl.2025.102558","DOIUrl":"10.1016/j.mnl.2025.102558","url":null,"abstract":"<div><div>Despite women comprising the majority of the nursing workforce in Saudi Arabia, they remain under-represented in leadership roles. This narrative review explores the barriers and facilitators to women’s advancement in nursing leadership within the framework of Saudi Arabia’s Vision 2030. Key challenges include cultural norms, gender bias, limited recognition, and lack of leadership training. Facilitators such as national mentorship programs, leadership academies, and public image reforms offer promise. The review underscores the need for targeted nvestments in education, structured leadership pathways, and adaptation of international models to empower Saudi female nurses and support inclusive health system transformation.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"24 1","pages":"Article 102558"},"PeriodicalIF":1.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146154308","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}
Nurse LeaderPub Date : 2026-02-01Epub Date: 2025-10-14DOI: 10.1016/j.mnl.2025.102549
Janine Galeski DNP, MA, APRN, FNP-BC, ACHPN-BC
{"title":"Sailing Stormy Waters","authors":"Janine Galeski DNP, MA, APRN, FNP-BC, ACHPN-BC","doi":"10.1016/j.mnl.2025.102549","DOIUrl":"10.1016/j.mnl.2025.102549","url":null,"abstract":"<div><div>In times of uncertainty and rapid change, health care leaders face unique challenges. This article explores best practices for leadership and advocacy in healthcare across five spheres of leadership influence: personal, interpersonal, organization, community, and society. Leaders can reduce the adverse effects of uncertainty by operating within the intersection of evidence-based practice, legal compliance, and ethical decision-making. This article explores practical applications and real-world examples in all 5 spheres of leadership influence.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"24 1","pages":"Article 102549"},"PeriodicalIF":1.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146154089","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":"Camp Aruga","authors":"Mary Dioise Ramos PhD, RN, CNE, FAAN, Janette Moreno DNP, RN, NEA-BC, NPD-BC, Fe Rosario Antequino BSN, RN, Gloria Lamela Beriones PhD, RN, NEA-BC, FADLN, FAAN, Manny Ramos DNP, RN, Marlon Garzo Saria PhD, RN, NEA-BC, NPD-BC, AOCNS, FAAN, Lorraine S. Evangelista PhD, RN, FAHA, FAAN","doi":"10.1016/j.mnl.2025.102624","DOIUrl":"10.1016/j.mnl.2025.102624","url":null,"abstract":"<div><div>Camp Aruga Leadership Bootcamp, developed by the Philippine Nurses Association of America, incorporates Filipino cultural values into leadership training to boost professional identity, resilience, and retention among Filipino American nurses. This report provides an overview of Camp Aruga's conceptual design, highlighting its main elements—culturally focused mentorship, ritual-based communal activities, nature-centered wellness, and practical governance and coaching workshops—along with the facilitators and challenges faced during its implementation. Results indicate the program successfully promotes self-care as a leadership practice, encourages interchapter collaboration, and strengthens cultural identity. Key challenges included logistical hurdles, the need for postevent follow-up structures, and limited resources for thorough evaluation. The findings provide an actionable and replicable model for culturally responsive leadership development.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"24 1","pages":"Article 102624"},"PeriodicalIF":1.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146154299","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}
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