Journal of Nursing Administration最新文献

When Quality Improvement Becomes a Loophole: Building Capacity for Ethical and Scholarly Nursing Inquiry. 当质量改进成为漏洞：培养护理伦理和学术探究的能力。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2026-05-01 Epub Date: 2026-04-20 DOI: 10.1097/NNA.0000000000001723

Kimberly A Lewis, Jessica Phillips

{"title":"When Quality Improvement Becomes a Loophole: Building Capacity for Ethical and Scholarly Nursing Inquiry.","authors":"Kimberly A Lewis, Jessica Phillips","doi":"10.1097/NNA.0000000000001723","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001723","url":null,"abstract":"Objective: To describe the \"Quality Improvement (QI) loophole,\" a workaround that enables nurses to conduct research-like projects outside formal oversight, and to propose governance and capacity-building solutions that enhance rigor and ethical accountability in scholarly inquiry.Background: Nurses frequently lead QI and evidence-based practice projects but often lack institutional pathways or sufficient training to function as independent principal investigators, creating regulatory ambiguity and inconsistent rigor.Methods: This expert commentary draws upon the authors' combined leadership experience in scholarly nursing inquiry, innovation, education, and Magnet® program administration across diverse institutions and settings. The analysis integrates current policy directives, practice standards, and recent scholarship.Results: Proposed innovative models include digital research determination hubs, competency-tiered investigator credentialing, simulation, virtual reality, and nursing inquiry sandbox environments, and institutional award realignment to advance ethical integrity, rigor, and scholarly autonomy in nursing inquiry.Conclusions: Closing the QI loophole through structured governance and competency development is essential to sustain nursing's scientific credibility.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 5","pages":"256-259"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes of Professional Governance in Nursing: A Systematic Review of Measurement (2014-2024). 护理专业治理的结果：测量的系统回顾（2014-2024）。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2026-05-01 Epub Date: 2026-04-03 DOI: 10.1097/NNA.0000000000001722

Rachelle J Lancaster, Vida M Vizgirda, Cyril Amoin, Katherine Davey

{"title":"Outcomes of Professional Governance in Nursing: A Systematic Review of Measurement (2014-2024).","authors":"Rachelle J Lancaster, Vida M Vizgirda, Cyril Amoin, Katherine Davey","doi":"10.1097/NNA.0000000000001722","DOIUrl":"10.1097/NNA.0000000000001722","url":null,"abstract":"Background: Professional governance in nursing evolved from shared governance, emphasizing autonomy, accountability, improving practice environments, and patient outcomes.Objective: This systematic review examines how governance outcomes are defined, measured, and reported in nursing literature (2014-2024), focusing on nurse, patient, and organizational impact.Methods: Following PRISMA-ScR guidelines, 12 databases were searched using terms including \"professional governance\" and \"outcomes.\" Peer-reviewed research addressing outcomes was included. Of the 984 articles screened, 33 were included and analyzed.Results: Studies (n=33) included cross-sectional (n=22), quasi-experimental (n=2), randomized trials (n=2), qualitative (n=2), mixed-methods (n=2), and longitudinal (n=2). The Index of Professional Nursing Governance was the most common measure. Outcomes included nurse job satisfaction, patient safety, and council effectiveness. Most studies were low-level evidence.Conclusions: Professional governance improves outcomes, but low-level designs and outdated measures may limit evidence. Future research needs rigorous designs to better quantify the cost and impact of robust professional governance.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"246-255"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Meals That Matter: Nourishing Healthy Work Environments Through Commensality. 重要的饮食：通过共栖性滋养健康的工作环境。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2026-05-01 Epub Date: 2026-04-20 DOI: 10.1097/NNA.0000000000001729

Jill Horner, Simmy King

{"title":"Meals That Matter: Nourishing Healthy Work Environments Through Commensality.","authors":"Jill Horner, Simmy King","doi":"10.1097/NNA.0000000000001729","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001729","url":null,"abstract":"Objective: To evaluate how commensality impacts nurses' perceptions of a healthy work environment (HWE) and loneliness.Background: Nurse burnout, turnover, and loneliness are exacerbated by unhealthy work environments, contributing to workforce instability and reduced care quality. The American Association of Critical-Care Nurses' HWE framework provides evidence-based standards to improve the work environment.Methods: A pre-postinterventional study was conducted in 2 inpatient units. Nurses participated in commensality sessions designed to support collaboration and meaningful recognition. Data collection included the HWE Assessment Tool, UCLA Loneliness Scale, and selected organizational metrics for recognition.Results: Both units demonstrated improved HWE scores postintervention (SU: 3.87 to 4.18; CNU: 3.63 to 4.31 on a 6-point Likert scale). Leader recognition actions increased, though loneliness scores remained mostly unchanged.Conclusions: Commensality sessions may enhance collaboration and recognition and are associated with improving perceptions of a healthy work environment among nurses, though additional strategies may be required to address loneliness.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 5","pages":"285-291"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Power of a Pair: Integrating PhD and DNP Expertise to Improve Nursing Outcomes. 一对的力量：整合博士和DNP专业知识，提高护理效果。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2026-05-01 Epub Date: 2026-04-20 DOI: 10.1097/NNA.0000000000001719

Karen Drenkard

引用次数: 0

Effectiveness of Equine-assisted Learning on Psychosocial Well-being Among Nurses. 马辅助学习对护士心理社会健康的影响。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2026-05-01 Epub Date: 2026-04-20 DOI: 10.1097/NNA.0000000000001724

Pinky Shani, Laura Espinosa, Ankona Banerjee, Sara Ayaz Butt, Heather Hernandez

{"title":"Effectiveness of Equine-assisted Learning on Psychosocial Well-being Among Nurses.","authors":"Pinky Shani, Laura Espinosa, Ankona Banerjee, Sara Ayaz Butt, Heather Hernandez","doi":"10.1097/NNA.0000000000001724","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001724","url":null,"abstract":"Objective: Nurse burnout poses a significant risk to workforce stability. This study investigated the impact of equine-assisted learning (EAL) on secondary traumatic stress, job burnout, subjective distress, and resiliency among nurses.Background: Effective interventions for early detection and management of stress and burnout are essential for workforce stability.Methods: Using a pre-post-interventional design, this study evaluated the impact of EAL on psychosocial well-being. Outcomes were measured using self-reported questionnaires at baseline, postintervention, and 1-month follow-up. Linear mixed models were used to assess score differences over time.Results: EAL significantly reduced secondary stress by an average of 6.83 (P<0.001), job burnout by a mean drop of 6.45 (P<0.05), and subjective distress by a mean decrease of 9.02 (P<0.01) at 1-month follow-up, while resilience showed a short-term increase postintervention by 1.4 (P<0.001).Conclusions: Implementing EAL for nurses may enhance nurses' well-being and improve the quality of patient care.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 5","pages":"260-265"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cross-cultural Adaptation and Validation of the Hess Index of Professional Nursing Governance for Chinese Nurses. 中国护士职业护理治理Hess指标的跨文化适应与验证。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2026-05-01 Epub Date: 2026-04-20 DOI: 10.1097/NNA.0000000000001728

Junyao Fan, Xiaoyun Zhang, Yinfen Xiao, Caili Yang, Yanmei Liu, Kaili Hu, Yu Liu

{"title":"Cross-cultural Adaptation and Validation of the Hess Index of Professional Nursing Governance for Chinese Nurses.","authors":"Junyao Fan, Xiaoyun Zhang, Yinfen Xiao, Caili Yang, Yanmei Liu, Kaili Hu, Yu Liu","doi":"10.1097/NNA.0000000000001728","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001728","url":null,"abstract":"Objective: To culturally adapt and assess the psychometric properties of the Hess Index of Professional Nursing Governance 3.0 (IPNG) among nurses in China.Background: Shared governance is a structural professional practice model beneficial to both nurses and patients. The IPNG is a widely recognized tool for measuring professional nursing governance, but no psychometrically validated version currently exists for China.Methods: This cross-sectional study employed a rigorous 5-stage adaptation process. A convenience sample of 1,023 Chinese nurses was recruited. Exploratory factor analysis, confirmatory factor analysis, and other psychometric properties were assessed.Results: The exploratory factor analysis revealed a new 6-factor structure for the Chinese version of the IPNG (C-IPNG), which differed from the original. This new model was confirmed by confirmatory factor analysis with an acceptable fit. The C-IPNG demonstrated strong reliability, with a Cronbach α of 0.976, a scale-level CVI/Ave of 0.960, and a test-retest correlation coefficient of 0.856.Conclusions: The C-IPNG is a reliable and valid instrument for assessing professional nursing governance in the Chinese context.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 5","pages":"E17-E22"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The National Database of Nursing Quality Indicators: Delivering on a Promise. 国家护理质量指标数据库：兑现承诺。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2026-05-01 Epub Date: 2026-04-20 DOI: 10.1097/NNA.0000000000001718

Heather Nelson-Brantley, Angela Pascale, Lyn Stankiewicz Losty, Nora E Warshawsky

引用次数: 0

The Levels, Prevalence, and Related Factors of Toxic Leadership Among Nurses Outside the United States: A Systematic Review and Meta-Analysis. 美国以外护士毒性领导的水平、流行程度和相关因素：一项系统回顾和荟萃分析。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2026-05-01 Epub Date: 2026-04-03 DOI: 10.1097/NNA.0000000000001725

Liping Pan, Jingxian Shang, Kexin Xue, Chaochao Yang, Huijing Shi, Gui Yu, Yanli Zeng

{"title":"The Levels, Prevalence, and Related Factors of Toxic Leadership Among Nurses Outside the United States: A Systematic Review and Meta-Analysis.","authors":"Liping Pan, Jingxian Shang, Kexin Xue, Chaochao Yang, Huijing Shi, Gui Yu, Yanli Zeng","doi":"10.1097/NNA.0000000000001725","DOIUrl":"10.1097/NNA.0000000000001725","url":null,"abstract":"Objective: To systematically estimate the levels, prevalence, and related factors of toxic leadership among nurses outside the United States.Background: Toxic leadership contributes to nurse burnout, turnover, and reduced care quality, yet its extent and determinants remain unclear.Methods: Following PRISMA 2020 guidelines, 10 databases were searched from inception to February 2025. Eligible quantitative studies were synthesized using meta-analyses to pool mean scores, SDs, and prevalence rates.Results: Twenty-eight studies comprising 13,010 nurses in practice settings outside the United States were included. The pooled mean toxic leadership score was 2.36 (95% CI: 1.89-2.83), and the pooled prevalence of high toxic leadership was 29% (95% CI: 10%-48%).Conclusions: Nurses outside the United States experience moderate toxic leadership levels, with nearly 1/3 exposed to high levels. Both individual and organizational factors contribute to these perceptions, underscoring the need for leadership training and system-level interventions to improve nurse well-being and care quality.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"266-273"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Editorial Farewell. 编辑告别。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2026-05-01 Epub Date: 2026-04-20 DOI: 10.1097/NNA.0000000000001717

Karen S Hill

引用次数: 0

Shaping the Future of Nursing Research in Nursing Practice Settings: Opportunities for Nurse Leaders. 在护理实践环境中塑造护理研究的未来：护士领导者的机会。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2026-05-01 Epub Date: 2026-04-20 DOI: 10.1097/NNA.0000000000001703

Heidi L McNeely, Catherine Ivory

引用次数: 0