Journal of Nursing Administration最新文献

Courageous Leadership, Psychological Safety, and Innovative Work Behavior Among Staff Nurses. 护士勇敢领导、心理安全与创新工作行为。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2026-10-01 Epub Date: 2026-09-21 DOI: 10.1097/NNA.0000000000001785

Ali D Abousoliman, Hagar Mahmoud Hamed

{"title":"Courageous Leadership, Psychological Safety, and Innovative Work Behavior Among Staff Nurses.","authors":"Ali D Abousoliman, Hagar Mahmoud Hamed","doi":"10.1097/NNA.0000000000001785","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001785","url":null,"abstract":"Objective: To examine the associations among courageous leadership, innovative work behavior, and psychological safety as self-reported by staff nurses.Background: Psychological safety supports communication and performance in health care, but evidence on the combined role of leadership and innovation among staff nurses remains limited.Methods: A descriptive cross-sectional study was conducted among 257 staff nurses in Saudi hospitals using validated instruments and data analyzed using correlation and regression analysis statistical techniques.Results: Nurses reported high psychological safety and perceived leadership as courageous, with moderate innovative behavior. Innovative work behavior showed a weak but significant association with psychological safety, whereas courageous leadership was not significant. The model explained minimal variance (R²=0.017).Conclusion: Innovative work behavior was found to be weakly associated with psychological safety, whereas courageous leadership was not. The findings suggested that psychological safety might be shaped by broader organizational and contextual factors beyond leadership behavior alone.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 10","pages":"578-583"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031907","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

Quantifying Moral Distress Among Healthcare Leadership. 量化医疗保健领导者的道德困境。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2026-10-01 Epub Date: 2026-09-21 DOI: 10.1097/NNA.0000000000001791

Adam T Booth, Kathryn L Robinson, Mandi D Walker

{"title":"Quantifying Moral Distress Among Healthcare Leadership.","authors":"Adam T Booth, Kathryn L Robinson, Mandi D Walker","doi":"10.1097/NNA.0000000000001791","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001791","url":null,"abstract":"Objective: To quantitatively compare moral distress (MD) across leadership job titles, settings, demographic characteristics, work responsibilities, and its impact on intent to leave.Background: MD is broadly explored among direct care providers, but there is a dearth of research comparing MD among multiple levels of healthcare leadership.Methods: This secondary quantitative analysis presents phase one findings of a mixed-methods explanatory sequential study measuring leadership's MD in a multisite healthcare system, using the 27-item Measure of Moral Distress for Healthcare Professionals.Results: Findings revealed differences in MD among leadership by job title (P < 0.001), department (P < 0.001), and history of leaving a position (P < 0.001). The top morally distressing item across healthcare leadership included lack of resources, equipment, and bed capacity.Conclusions: MD was highest among charge nurses/clinical supervisors. Findings highlight the need for a leader-specific MD scale to quantify the unique causes of MD in leaders.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 10","pages":"542-548"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031721","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

Current Status and Influencing Factors of Time Management Among Chinese Nurses: A Cross-sectional Study. 中国护士时间管理现状及影响因素横断面研究

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2026-10-01 Epub Date: 2026-09-21 DOI: 10.1097/NNA.0000000000001810

Mingyang Tan, Rui Zhao, Yaping Wang, Ying Jiang, Qiangqiang Zou

{"title":"Current Status and Influencing Factors of Time Management Among Chinese Nurses: A Cross-sectional Study.","authors":"Mingyang Tan, Rui Zhao, Yaping Wang, Ying Jiang, Qiangqiang Zou","doi":"10.1097/NNA.0000000000001810","DOIUrl":"10.1097/NNA.0000000000001810","url":null,"abstract":"Purpose: To explore the relationship among clinical nurses' time management competence, work stress, nursing information competence, and reflective practice.Background: With the increasing care demands from patients, nurses' time management competence is directly related to nursing quality, patient outcomes and occupational health.Methods: To explore the relationship between nurses' time management competence, work stress, nursing information competence, and reflective practice through a cross-sectional survey.Results: Time management among Chinese nurses in this study demonstrated a mean of 54.24 and SD ±14.36. Work stress level, nursing information competency, and reflective practice competence were found to be positively correlated with time management of Chinese nurses.Conclusions: Optimizing workload, strengthening nursing informatics training, and improving reflective practice mechanisms can enhance nurses' time management competence and promote the advancement of nursing quality.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 10","pages":"E37-E43"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031884","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

Nurse Engagement as a Leading Indicator of Patient Experience: Implications for Magnet® Leaders. 护士敬业度作为患者体验的主要指标：对Magnet®领导者的影响。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2026-10-01 Epub Date: 2026-09-21 DOI: 10.1097/NNA.0000000000001797

Faith Rand, Pamela Spates

引用次数: 0

A Comprehensive Approach to Nursing Career Development and Advancement. 护理事业发展与进步的综合途径。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2026-10-01 Epub Date: 2026-09-21 DOI: 10.1097/NNA.0000000000001816

引用次数: 0

Preserving Wisdom During Workforce Transformation: The Exit of Seasoned Nurses and What Leaders Must Do Now. 在劳动力转型中保持智慧：经验丰富的护士的退出和领导者现在必须做什么。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2026-10-01 Epub Date: 2026-09-21 DOI: 10.1097/NNA.0000000000001788

Louise Rice

引用次数: 0

The Lasting Imprint of Nursing. 护理的持久印记。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2026-10-01 Epub Date: 2026-09-21 DOI: 10.1097/NNA.0000000000001779

Deborah T Zimmermann

引用次数: 0

Development and Implementation of a Clinical Competency Career Ladder for Advanced Practice Providers. 高级执业医师临床能力职业阶梯的发展与实施。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2026-10-01 Epub Date: 2026-09-21 DOI: 10.1097/NNA.0000000000001817

引用次数: 0

Developing Leaders From Within. 从内部培养领导者。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2026-10-01 Epub Date: 2026-09-21 DOI: 10.1097/NNA.0000000000001796

M Maureen Lal

引用次数: 0

Creating Nurse Executive Strategies to Strengthen Nurse Leader Well‑being, Growth, and Retention: An Appreciative Inquiry Study. 创建护士执行策略以加强护士领导的福利、成长和保留：一项赞赏式调查研究。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2026-10-01 Epub Date: 2026-07-16 DOI: 10.1097/NNA.0000000000001774

Jessica M Phillips, Lucy Leclerc, Kelley Anderson

{"title":"Creating Nurse Executive Strategies to Strengthen Nurse Leader Well‑being, Growth, and Retention: An Appreciative Inquiry Study.","authors":"Jessica M Phillips, Lucy Leclerc, Kelley Anderson","doi":"10.1097/NNA.0000000000001774","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001774","url":null,"abstract":"Objective: The purpose of this qualitative study using an appreciative inquiry (API) methodology was to evaluate how human-centered leadership in health care (HCL-HC) is integrated into the experiences of nurse leaders regarding well-being, professional growth, and retention.Background: Health care organizations face increasing turnover, workforce shortages, and rising patient complexity. Contemporary leadership models such as HCL‑HC may offer strategies to strengthen leader well-being, retention, and organizational outcomes.Methods: A mixed‑methods study was conducted at a large academic medical center. The qualitative component being reported on in the article involved a four‑hour API learning lab in which nurse leaders engaged in the Discover, Dream, Design, and Deliver phases of API. De‑identified narrative polling data were analyzed using constant comparative methods and HCL‑HC theoretical coding.Results: Leaders demonstrated a shift from self‑focused well-being concepts toward system‑level advocacy, resource allocation, and meaningful recognition, particularly within the Dream phase across all domains.Conclusion: Findings highlight the need for balanced, HCL-HC approaches that integrate self‑focused strategies with systemic, structural, and executive nurse leader support to strengthen well-being, growth, and retention.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 10","pages":"562-570"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031949","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