{"title":"Artificial Intelligence Forecasting Census and Supporting Early Decisions.","authors":"","doi":"10.1097/NNA.0000000000001643","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001643","url":null,"abstract":"","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 9S","pages":"S58-S70"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193703","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}
Cassandra M Godzik, Timothy J Usset, Jennifer K DiBenedetto, Shoshana H Bardach, Renee L Pepin, Heather Stiles, Heather Klein, Stephanie Griggs, J Irene Harris, Carol L Barsky, Helen A Thomason, Andrew J Smith
{"title":"Being and Sustaining Oneself as a Medical ICU Nurse: A Phenomenologic Study.","authors":"Cassandra M Godzik, Timothy J Usset, Jennifer K DiBenedetto, Shoshana H Bardach, Renee L Pepin, Heather Stiles, Heather Klein, Stephanie Griggs, J Irene Harris, Carol L Barsky, Helen A Thomason, Andrew J Smith","doi":"10.1097/NNA.0000000000001627","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001627","url":null,"abstract":"<p><strong>Objective/background: </strong>The purpose of this study was to explore medical ICU (MICU) nurses' lived experiences coping with potentially morally injurious events (PMIEs). Medical ICU nurses directly care for critically ill patients, which increases the likelihood of experiencing PMIEs.</p><p><strong>Methods: </strong>Researchers conducted interviews with MICU nurses (N = 25) using a semistructured interview guide designed to identify nurses' ethical and moral values, explore how these values informed the care of patients, and discuss PMIEs in their workplace settings.</p><p><strong>Results: </strong>Three major themes were identified for MICU nurses: 1) values; 2) lived experiences; and 3) sustaining oneself. Participants indicated that a lack of resources and insufficient support from institutional leadership both hinder the ability to provide value-aligned care.</p><p><strong>Conclusions: </strong>Delivering value-discordant care cultivates stress and frustration. Tools are needed for healthcare organizations to identify and discuss PMIEs and inform resources to mitigate the harm caused by PMIEs.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 9","pages":"549-554"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193775","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":"Nurse Leaders: Addressing Issues of the Future.","authors":"M Maureen Lal","doi":"10.1097/NNA.0000000000001616","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001616","url":null,"abstract":"<p><p>Nurse leaders are poised to respond to current challenges while simultaneously looking to the future to identify new opportunities. This year's Journal of Nursing Administration Magnet® Supplement will provide articles highlighting predicted nursing and healthcare trends over the next few years.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 9S","pages":"S1-S2"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193535","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":"Addressing the Shortage of Academic Nurse Educators: An Opportunity for Collaboration Between Academic and Healthcare Organization Leaders.","authors":"","doi":"10.1097/NNA.0000000000001642","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001642","url":null,"abstract":"","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 9S","pages":"S11-S17"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193750","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}
Nicholas A Giordano, Monique Bouvier, Mary V Davis, Janelle Gowgiel, Hannah Averill, JoAnna Hillman, Kristin Giordano, Nikki Rider, Tim Cunningham, Beth Ann Swan, Nancye R Feistritzer, Sharon H Pappas
{"title":"Approaches Implemented by Nurse Managers Linked to High-Performing Clinical Care Teams.","authors":"Nicholas A Giordano, Monique Bouvier, Mary V Davis, Janelle Gowgiel, Hannah Averill, JoAnna Hillman, Kristin Giordano, Nikki Rider, Tim Cunningham, Beth Ann Swan, Nancye R Feistritzer, Sharon H Pappas","doi":"10.1097/NNA.0000000000001624","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001624","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to discern managerial approaches linked to low nurse turnover and positive workplace well-being in a large academic health system in the Southeastern United States.</p><p><strong>Background: </strong>Nurse managers influence nurse job satisfaction and retention; however, little qualitative research elucidates managerial techniques to foster positive work environments.</p><p><strong>Methods: </strong>High-performing units were identified. Fifteen nurse managers participated in semistructured interviews to discuss their managerial style and approach to retention. Inductive codes were generated to discern themes.</p><p><strong>Results: </strong>Managers reported striving to build cultures of appreciation, be involved leaders, promote team cohesion, prioritize work-life balance, and embrace diversity, equity, and inclusivity. In addition, managers worked to build systems to transparently handle safety concerns, equitably distribute workloads, implement timely conflict resolution approaches, and motivate staff retention.</p><p><strong>Conclusions: </strong>Findings provided insight into factors contributing to a positive work environment and staff well-being. These leaders demonstrated a strong commitment to fostering healthy workplace culture.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 9","pages":"529-534"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193721","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":"In Pursuit of the Practice Ready Nurse: Insights From a National Survey.","authors":"","doi":"10.1097/NNA.0000000000001649","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001649","url":null,"abstract":"","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 9S","pages":"S18-S25"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193503","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":"Evaluating and Enhancing Nursing Caregiver Well-being Using a Systematic Approach.","authors":"","doi":"10.1097/NNA.0000000000001646","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001646","url":null,"abstract":"","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 9S","pages":"S38-S47"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193079","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":"Structural Empowerment to Achieve Clinical Research Nurse Integration Within Academic Medical Centers: A Comparative Analysis of 3 Models.","authors":"Amanda Brock, Tara Bresnahan, Catriona Grant, Doyle Bosque, Kathleen Fitch, Catherine Griffith, Sheryl Forbes, Mary Larkin","doi":"10.1097/NNA.0000000000001623","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001623","url":null,"abstract":"<p><p>Clinical research nurses (CRNs) advance evidence-based care and biomedical science. Despite their primacy within research teams, integration of this newly recognized specialty is an opportunity not fully realized. This article describes practical pathways based on structural empowerment models (SEMs) to optimize the integration of CRN expertise within the research and nursing ecosystem. The components of SEM were applied to describe, analyze, and compare the models, yielding examples that can be translated to other practice settings.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 9","pages":"523-528"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193688","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}
Pamela B DeGuzman, Angela Pascale, Sookyung Park, Kathy Baker, Nora E Warshawsky
{"title":"Impact of BSN Educational Preparation on New Graduate Nurses' Intent to Leave.","authors":"Pamela B DeGuzman, Angela Pascale, Sookyung Park, Kathy Baker, Nora E Warshawsky","doi":"10.1097/NNA.0000000000001625","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001625","url":null,"abstract":"<p><strong>Objective: </strong>The aims of this study were to estimate how intent to leave (ITL) differs between those with at least a baccalaureate preparation compared with those with less education and to determine how reasons for leaving differ between the 2 groups.</p><p><strong>Background: </strong>Many baccalaureate-prepared nurses leave bedside roles early in their careers to take advantage of enhanced career options. An understudied area of inquiry in nursing turnover research relates to retention of nurses who wish to remain in nursing while pursuing advanced nursing roles.</p><p><strong>Methods: </strong>Researchers analyzed career plans of 12 191 new graduate nurses to determine differences in ITL by level of initial nursing education.</p><p><strong>Results: </strong>A higher percentage of baccalaureate- and master's-prepared new graduate nurses reported ITL within 3 years (P < 0.001), and their reasons for leaving were more focused on career enhancement.</p><p><strong>Conclusions: </strong>Nurse executives may improve baccalaureate nurse retention by enhancing and communicating career pathways for new graduate nurses during nurse residency.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 9","pages":"535-541"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193730","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}