{"title":"Exploring Working Relationships Between Clinical Nurse Specialists and Clinical Nurse Leaders to Better Understand Opportunities for Improvement: A Phenomenological Qualitative Study.","authors":"Jackeline Iseler, Mary Luciani, Bridget Graham","doi":"10.1097/NNA.0000000000001551","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001551","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this descriptive qualitative study was to describe the experiences between clinical nurse specialists (CNS) and clinical nurse leaders (CNLs) at a Midwestern hospital.</p><p><strong>Background: </strong>Clinical nurse specialists and CNLs are both nurses with advanced degrees yet differing specialties and responsibilities. Both focus on improving nursing and patient care but face challenges such as role definition and resource constraints.</p><p><strong>Methods: </strong>A sample of 8 CNSs and 9 CNLs from a Midwestern hospital were recruited to participate in focus groups to explore their experiences working together within the same organization.</p><p><strong>Results: </strong>Six themes were identified from the interviews: 1) organizational factors; 2) role identity and function; 3) communication practices and challenges; 4) value and visibility; 5) challenges and barriers; and 6) strategies and solutions.</p><p><strong>Conclusions: </strong>It is important for administrative leadership to have a clear understanding of the scopes and unique significant contributions that the CNS and CNL each bring to healthcare.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 3","pages":"E12-E16"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460427","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":"A Transition Guide: Moving From a Decentralized to a Centralized Professional Development Department.","authors":"Heidi Gilroy, Anna De Joya","doi":"10.1097/NNA.0000000000001546","DOIUrl":"10.1097/NNA.0000000000001546","url":null,"abstract":"<p><p>To succeed in the face of recent challenges, healthcare organizations need highly trained, educated, and competent staff. Nursing professional development (NPD) practitioners and departments are a key component to achieving this goal. Little evidence exists on the most efficient and effective way to organize NPD departments in the hospital setting. This article describes 1 hospital's journey through centralization of an NPD department, which resulted in high satisfaction, cost savings, and enhanced quality outcomes.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"140-145"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416046","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}
Jane Tobias, Stephen DiDonato, Lisa Whitfield-Harris, Carol Okupniak, Gabrielle Santulli, Nimmy Das, Marie Marino
{"title":"Creation of a Novel Virtual Reality Simulation to Increase Nursing Skills in Management of Workplace Violence.","authors":"Jane Tobias, Stephen DiDonato, Lisa Whitfield-Harris, Carol Okupniak, Gabrielle Santulli, Nimmy Das, Marie Marino","doi":"10.1097/NNA.0000000000001548","DOIUrl":"10.1097/NNA.0000000000001548","url":null,"abstract":"<p><strong>Objective: </strong>This article presents the design, development, and implementation of a novel and innovative virtual reality (VR) simulation aimed at increasing nursing skills in identifying, managing, and deescalating workplace violence (WPV) incidents and mitigating the effects after critical incidents.</p><p><strong>Background: </strong>The ANA reports that 1 in 4 nurses in the United States experience workplace assault annually, highlighting the novel role of VR simulations in educating and preparing nurses to recognize, address, and minimize the impact of WPV.</p><p><strong>Methods: </strong>A multidisciplinary team designed and implemented a VR simulation based on real WPV incidents reported by nurses in an urban health system, enlisting a film and video company's expertise to bring scenarios to life, addressing a critical gap.</p><p><strong>Conclusions: </strong>This article discusses the collaborative creation of simulations using VR as a novel strategy for educating nurses on identification, management, and deescalation of incidents of WPV and mitigating the effects of WPV after critical incidents.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"152-156"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416047","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}
Deborah Schwartzkopf, Kelly Bosak, Nelda Godfrey, Heather Nelson-Brantley, Colleen Paramesh
{"title":"Creating a Standardized Approach to Program Evaluation in a Magnet Recognized Pediatric Hospital System.","authors":"Deborah Schwartzkopf, Kelly Bosak, Nelda Godfrey, Heather Nelson-Brantley, Colleen Paramesh","doi":"10.1097/NNA.0000000000001553","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001553","url":null,"abstract":"<p><p>A standardized process for systematic program evaluation adds value to an organization. Using a goal-based framework, a standardized evaluation template was designed and piloted in the ambulatory setting of a 5-time Magnet®designated, regional, quaternary pediatric hospital system. Executive level decision-makers reported the template met implementation criteria for acceptability, appropriateness, and feasibility for use within the organization. Application of the template in a pilot program yielded valuable, cost-effective, unbiased formative and summative information for decision making.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 3","pages":"177-181"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460499","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}
Cynthia Thornton Bacon, Laura Caramanica, Heather Nelson-Brantley, Angela Prestia
{"title":"Nursing Leadership: Relationships, Collaboration and Science.","authors":"Cynthia Thornton Bacon, Laura Caramanica, Heather Nelson-Brantley, Angela Prestia","doi":"10.1097/NNA.0000000000001543","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001543","url":null,"abstract":"<p><p>The Association for Leadership Science in Nursing's (ALSN's) September 2024 International Conference, sponsored by Texas Tech University Health Sciences Center, was held in Dallas, Texas. ALSN is committed to the advancement of nursing leadership science. Nurse leaders from across the United States and Canada gathered to discuss leadership as highlighted in this column.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 3","pages":"133-134"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460431","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 Role of Artificial Intelligence in Supporting the Core Mission of Nursing.","authors":"Katherine Virkstis","doi":"10.1097/NNA.0000000000001544","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001544","url":null,"abstract":"<p><p>Artificial intelligence (AI) has the potential to revolutionize nursing practice and care delivery by streamlining workflows, enhancing patient insights, and reducing cognitive burden. However, leaders must recognize that the adoption of AI introduces both promise and uncertainty. Nurse leaders must navigate the tension between driving innovation and addressing concerns about ethical implications, reliability, and the need to preserve high-quality, person-centered care. This article examines how leaders can thoughtfully integrate AI to support the core mission of nursing: to protect, promote, and optimize health for patients and communities.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 3","pages":"135-137"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460537","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":"Does Leadership Have to Have a Label?","authors":"Adam Meier","doi":"10.1097/NNA.0000000000001545","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001545","url":null,"abstract":"<p><p>Transformational leadership has been the \"gold standard\" for nursing leaders. In reflection, the author poses a question about the challenges of today's nursing workforce and healthcare environment and offers a new way to allow nurse leaders some flexibility in style.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 3","pages":"138-139"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460501","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":"Workforce Assessment of Nurse Anesthetists to Mitigate Intent to Leave and Improve Labor Participation.","authors":"Bryan A Wilbanks, Betsy Effinger","doi":"10.1097/NNA.0000000000001550","DOIUrl":"10.1097/NNA.0000000000001550","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to analyze the nurse anesthesia workforce in rural settings to identify strategies to improve retention of employees and encourage increased labor participation.</p><p><strong>Background: </strong>Nurse anesthetists are the primary anesthesia provider for many rural areas and are critical in providing patients' access to care. Anesthesia shortages have a disproportionate impact on at-risk populations and contribute heavily to rural hospital closures.</p><p><strong>Methods: </strong>This was an exploratory study using a cross-sectional design with paper-based surveys delivered via postal mail.</p><p><strong>Results: </strong>Although salary was the top response supporting retention, other effective nonmonetary approaches that included guaranteed time off, feeling valued, and fellow employee morale were identified.</p><p><strong>Conclusion: </strong>The findings of this study imply that work-life balance with flexibility in scheduling are effective tools to reduce intent to leave and recruitment of nurse anesthetists. Recruitment efforts need to focus more on female providers because they have the greatest potential to enhance labor participation. Nurse executives can use this information to collaborate with the recruitment and retention of these advanced practice providers.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 3","pages":"165-171"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11939095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Systematic Review on Nurse-Physician Collaboration and Its Relationship With Nursing Workforce Outcomes: Implications for Nursing Administration.","authors":"Leodoro J Labrague","doi":"10.1097/NNA.0000000000001549","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001549","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review appraised and synthesized the literature examining the relationship between nurse-physician collaboration and nursing workforce outcomes.</p><p><strong>Background: </strong>Nurse-physician collaboration is vital for effective healthcare delivery, with implications for nursing workforce outcomes. Knowledge of this relationship is crucial when designing strategies and interventions to enhance collaboration and improve nursing practice and outcomes.</p><p><strong>Methods: </strong>This is a systematic review of 19 articles. Two independent researchers extracted and analyzed the data from articles that met the inclusion criteria. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used to ensure transparency and rigor in the review process.</p><p><strong>Results: </strong>Content analysis identified nursing workforce outcomes of nurse-physician collaboration, which were clustered into motivation-based outcomes (eg, professional autonomy), behavior/performance-based outcomes (eg, job performance, turnover intention), and affective-based outcomes (eg, job satisfaction, moral distress).</p><p><strong>Conclusion: </strong>The findings of this review underscore the value of fostering collaborative relationships between nurses and physicians to improve nursing workforce outcomes and promote a supportive work environment.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 3","pages":"157-164"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460477","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}
Majeda A Al-Ruzzieh, Yahia M Al-Helih, Omar Ayaad, Robert G Hess
{"title":"The Influence of Emotional Intelligence on Shared Governance Councils Effectiveness Among Nurses Participating in Shared Governance Councils in an Oncology Setting.","authors":"Majeda A Al-Ruzzieh, Yahia M Al-Helih, Omar Ayaad, Robert G Hess","doi":"10.1097/NNA.0000000000001552","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001552","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the influence of emotional intelligence (EI) on shared governance councils' effectiveness among oncology nurses who participate in these councils.</p><p><strong>Background: </strong>Literature suggests that EI enhances job satisfaction, caring behavior, communication, and patient outcomes.</p><p><strong>Methods: </strong>This study used a cross-sectional design. The study took place at a large cancer hospital in Jordan. A convenience sample of 176 was used. The data were collected using self-administered questionnaires, the Wong and Law Emotional Intelligence Scale, and the Council Health Survey (CHS).</p><p><strong>Results: </strong>The findings indicated a significantly elevated degree of EI among oncology nurses, with a mean (SD) score of 5.8 (0.73) out of 7. The CHS score was 4.15 out of 5. The multiple regression analysis yielded a significant result, with an F statistic of 12.617 and degrees of freedom of 4 and 157. The P value was <0.001.</p><p><strong>Conclusion: </strong>Findings support integrating more EI initiatives into nursing education and professional development.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 3","pages":"172-176"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460433","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}