Beth Ulrich, Mary G Harper, Patsy Maloney, Joan Insalaco Warren, Dawn Whiteside, Ryan MacDonald
{"title":"National Preceptor Competency Consensus Study.","authors":"Beth Ulrich, Mary G Harper, Patsy Maloney, Joan Insalaco Warren, Dawn Whiteside, Ryan MacDonald","doi":"10.1097/NNA.0000000000001523","DOIUrl":"10.1097/NNA.0000000000001523","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to develop a consensus model of required preceptor competencies to inform preceptor selection, development, support, and assessment.</p><p><strong>Background: </strong>The preceptor role is complex and multifaceted, requiring knowledge and skills beyond the typical RN role; however, no nationally developed standards for preceptor competencies exist.</p><p><strong>Methods: </strong>A mixed-method approach (national survey of preceptors, electronic Delphi, expert panel) was used to develop consensus on required preceptor competencies.</p><p><strong>Results: </strong>This study identified and validated definitions for the preceptor role domains (role model, teacher/coach, facilitator, protector, socialization agent, leader/influencer, and evaluator), essential attributes for preceptors, core competencies spanning all role domains, and competencies in each role domain-components that together form the preceptor competency model.</p><p><strong>Conclusion: </strong>The evidence provided from this study delineates the complexity of the preceptor role and provides a consensus model of preceptor competence that can be used to select, develop, assess, evaluate, and support preceptors.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"14-21"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830611","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}
Katherine E Gregory, Viktoriya Babicheva, Elizabeth Chen, Melissa McTernan, Traci L Alberti, Ashley Waddell, Nancy Meedzan, Nora Warshawsky
{"title":"The Influence of Burnout, Resilience, and Resources to Support Clinical Practice Among Newly Licensed Nurses Intended Job Plans.","authors":"Katherine E Gregory, Viktoriya Babicheva, Elizabeth Chen, Melissa McTernan, Traci L Alberti, Ashley Waddell, Nancy Meedzan, Nora Warshawsky","doi":"10.1097/NNA.0000000000001524","DOIUrl":"10.1097/NNA.0000000000001524","url":null,"abstract":"<p><strong>Objective: </strong>Survey newly licensed nurses (NLNs) with respect to burnout, resilience, perception of the work environment, and intended short- and long-term job plans.</p><p><strong>Background: </strong>NLN retention is a significant contributing factor to the nursing shortage.</p><p><strong>Methods: </strong>A 126-item survey measuring demographics, burnout, resilience, work environment, and job plans distributed via email, using Listservs to recruit nurses licensed for 5 years or less.</p><p><strong>Results: </strong>Participants (N = 547) reported moderate burnout, specifically emotional exhaustion, and resilience. Overall scores on perception of the work environment were positive. Multiple logistic regression suggests odds of 1-year intended job flight are positively associated with emotional exhaustion (odds ratio [OR], 1.77; P < 0.001), resilience (OR, 1.07; P = 0.003) and non-White racial identity (OR, 2.99; P < 0.001) and negatively associated with staffing and resource adequacy (OR, 0.63; P = 0.038).</p><p><strong>Conclusions: </strong>Retaining NLNs requires mitigating burnout, addressing the experience of non-White NLNs in clinical practice, and improving support and resources for NLNs.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"22-31"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803242","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}
Diana J Mason, Barbara Glickstein, Robyn Begley, Beverly J Hancock, Karen Drenkard, Richard Ricciardi
{"title":"Nurses' Voices in Media: Strategies for Chief Nursing Officers.","authors":"Diana J Mason, Barbara Glickstein, Robyn Begley, Beverly J Hancock, Karen Drenkard, Richard Ricciardi","doi":"10.1097/NNA.0000000000001522","DOIUrl":"10.1097/NNA.0000000000001522","url":null,"abstract":"<p><p>Nurses comprise the largest group of health professionals yet are underrepresented in health news media, depriving the public of important perspectives on health and healthcare and undermining the public's perceptions of nurses as experts. The George Washington University School of Nursing's Center for Health Policy and Media Engagement partnered with the American Organization for Nursing Leadership to invite a small group of chief nursing officers to participate in a workshop aimed at building an organization-specific strategy for sharing nurses' expertise with the public through media engagement. Participants completed a preworkshop survey, participated in two 4-hour workshops to explore the factors that contribute to nurses' invisibility as media sources, and developed a strategic plan for ensuring that their healthcare organizations are able to recognize and share their nurses' expertise with media. This article describes the initiative, its outcomes, and the implications for nurse leaders.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"7-13"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830679","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}
Karen R Robinson, Michelle Gierach, Abigail Gramlick-Mueller, Emily Smith, Deborah Hickman, Jordyn Holland, Martha Stow, Heather Tverstol, Samantha Bartelt, Becky McDaniel, Jennifer Wiik, Anna Kay Ferguson
{"title":"Navigating Nurse Wellness in Rural America.","authors":"Karen R Robinson, Michelle Gierach, Abigail Gramlick-Mueller, Emily Smith, Deborah Hickman, Jordyn Holland, Martha Stow, Heather Tverstol, Samantha Bartelt, Becky McDaniel, Jennifer Wiik, Anna Kay Ferguson","doi":"10.1097/NNA.0000000000001525","DOIUrl":"10.1097/NNA.0000000000001525","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study's phase 1 was to determine the current wellness levels of RNs in rural America settings, including barriers to maintain and recommendations for wellness.</p><p><strong>Background: </strong>Nurses are experiencing more anxiety and burnout currently than prepandemic. A review of literature revealed a gap in describing nurses' wellness and strategies to maintain wellness in rural American healthcare settings.</p><p><strong>Methods: </strong>The Integrative Health and Wellness Assessment (IHWA) V2 2022 holistically measured participants' wellness. The survey was deployed in 2023 to 6989 clinical nurses, nurse leaders, and advanced practice nurses.</p><p><strong>Results: </strong>The IHWA V2 2022 mean was 134.72. Significant findings included age, years of experience, and role. Barriers of insufficient time, work environment, and family responsibilities were identified. Recommendations involved the work environment, stress management, and healthy boundaries with suggestions to implement in rural settings.</p><p><strong>Conclusion: </strong>Study findings can assist leaders to implement interventions that positively impact nurse wellness in rural settings. Interventions promoting wellness are essential for nurses to meet these same needs of their patients.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"32-39"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803241","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}
{"title":"The Impact of Professional Governance on Hope, Resilience, and Empowerment.","authors":"Alison Partridge, Marcey Jorgenson, Emily Johnson, Tanya Lott","doi":"10.1097/NNA.0000000000001512","DOIUrl":"10.1097/NNA.0000000000001512","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this cross-sectional descriptive study was to examine the relationship of professional governance, resilience, and empowerment among RNs in clinical practice in 1 healthcare system.</p><p><strong>Background: </strong>Given the emotional and physical demands of nursing, especially in recent years, exploring ways that hope-inducing and resilience-building models can support professional practice is vital to the current and future nursing workforce.</p><p><strong>Methods: </strong>An anonymous survey consisting of demographic questions, the Adult Hope Scale, Connor-Davidson Resilience Scale, and the Conditions for Work Effectiveness Questionnaire II was offered to 1450 RNs in a nonprofit community-based healthcare system for volunteer participation.</p><p><strong>Results: </strong>Nurses who formally participated in professional governance nursing councils reported higher hope, resilience, and work effectiveness scores compared with nurses who did not participate in professional governance.</p><p><strong>Conclusions: </strong>Based on these initial results, encouraging and creating avenues for the participation of RNs in professional governance are paramount to build a resilient, hopeful, and empowered workforce.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 12","pages":"677-682"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962543","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}
{"title":"Clinical Nurse Specialist Coaching Improves Transition Preparedness in Older Adults.","authors":"Deb L Lindell, Laura Larsen","doi":"10.1097/NNA.0000000000001514","DOIUrl":"10.1097/NNA.0000000000001514","url":null,"abstract":"<p><p>Person-centered coaching provided by clinical nurse specialists (CNSs) is an effective, acceptable, and feasible evidence-based intervention. Psychosocial distress experienced by older adults and their families during transitions of care can contribute to adverse events. CNS coaching demonstrated increased self-reported preparedness for healthcare transitions and knowledge-of-care options. CNS coaching promoted engagement and self-efficacy. Nurse administrators can incorporate this intervention in a variety of care settings to improve outcomes related to transitions of care.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 12","pages":"83-88"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962567","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}
{"title":"Visibility, Physical Work Environment, and Stress in ICU Nurses.","authors":"Yolanda Keys, Ellen Fineout-Overholt","doi":"10.1097/NNA.0000000000001511","DOIUrl":"10.1097/NNA.0000000000001511","url":null,"abstract":"<p><strong>Objective: </strong>Relationships among coworker and patient visibility, reactions to physical work environment, and work stress in ICU nurses are explored.</p><p><strong>Background: </strong>Millions of dollars are invested annually in the building or remodeling of ICUs, yet there is a gap in understanding relationships between the physical layout of nursing units and work stress.</p><p><strong>Methods: </strong>Using a cross-sectional, correlational, exploratory, predictive design, relationships among variables were studied in a diverse sample of ICU nurses.</p><p><strong>Results: </strong>Visibility had a direct effect on work stress (P < 0.01). The ViPES (Visibility, Physical Environment and Stress) model can help explain relationships among study variables. The findings from this study support the notion that high visibility is a job resource and low visibility is a job demand.</p><p><strong>Conclusions: </strong>Design features supporting a sense of connection may be especially important to less experienced ICU nurses. Elements of the built environment that allow nurses to see not only patients, but also their coworkers, may help mitigate work stress.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 12","pages":"670-676"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962549","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}
{"title":"Psychological Distress as a Mediator Between Work-Family Conflict and Nurse Managers' Professional and Organizational Turnover Intentions.","authors":"Leodoro J Labrague","doi":"10.1097/NNA.0000000000001513","DOIUrl":"10.1097/NNA.0000000000001513","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the mediating role of psychological distress in the relationship between work-family conflict and nurse managers' (NMs') professional and organizational turnover intentions.</p><p><strong>Background: </strong>Work-family conflict is prevalent among NMs. It can have a significant impact on their intent to leave their organization and the profession. However, the role of psychological distress as a potential mediator in the relationship between work-family conflict and turnover intentions has not been studied in the context of NMs.</p><p><strong>Methods: </strong>A cross-sectional design was used, and data were collected from a sample of 260 NMs using self-report questionnaires.</p><p><strong>Results: </strong>NMs experienced a moderate level of work-family conflict and psychological distress. Organizational turnover intention was moderate, whereas professional turnover intention was low. Higher levels of work-family conflict among NMs contributed to increased psychological distress, which, in effect, influenced their desire to leave the organization.</p><p><strong>Conclusion: </strong>To support NMs and mitigate turnover intentions, healthcare organizations need to prioritize the creation of a work environment that promotes work-life balance and reduces psychological distress.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 12","pages":"683-688"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962539","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}
Hannah Jang Kim, Christine Latham, Zachary Krom, Kim Failla, Lina Najib Kawar
{"title":"Practical Steps Supporting Professional Publications for Leadership and Teams.","authors":"Hannah Jang Kim, Christine Latham, Zachary Krom, Kim Failla, Lina Najib Kawar","doi":"10.1097/NNA.0000000000001509","DOIUrl":"10.1097/NNA.0000000000001509","url":null,"abstract":"<p><p>Disseminating research or evidence-based practice is not straightforward. As more clinical nurses, executive nurse leaders, nurse scientists, and faculty contribute to new knowledge, there is an increasing need to support the processes to publish and disseminate manuscripts to advance healthcare. Nurse administrators and leaders are key influencers and supporters to bolster expertise and resources to publish. This article provides nurse leaders and administrators clear, actionable steps to enable successful publication outcomes.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 12","pages":"657-663"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962582","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}