Journal of Nursing Administration最新文献_第10页

Time for a Change: From Span of Control to Span of Accountability in Nursing Leadership. 是时候改变了：从护理领导的控制范围到责任范围。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2025-11-01 Epub Date: 2025-10-09 DOI: 10.1097/NNA.0000000000001631

Karen Drenkard, Brandy Mathews

引用次数: 0

No Nurse Left Behind: Ensuring Peer Feedback Across All Roles and Levels of Practice. 不让一个护士掉队：确保所有角色和实践水平的同行反馈。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2025-11-01 Epub Date: 2025-10-09 DOI: 10.1097/NNA.0000000000001628

Tiffany Bryant, Ana Leibecke

引用次数: 0

Professional Governance and the Journey to Advanced Nursing Leadership: From Bedside to Boardroom. 专业管理和高级护理领导之旅：从床边到会议室。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2025-11-01 Epub Date: 2025-10-09 DOI: 10.1097/NNA.0000000000001640

Janet Stifter, Catherine Catrambone

{"title":"Professional Governance and the Journey to Advanced Nursing Leadership: From Bedside to Boardroom.","authors":"Janet Stifter, Catherine Catrambone","doi":"10.1097/NNA.0000000000001640","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001640","url":null,"abstract":"Objective: The aim of this study was to understand the unique role of professional governance (PG) in shaping nurse leaders focusing on the role of mentors and early leadership exposure.Background: Since 1984, Rush University Medical Center has had a PG model with a clinical nurse president in a dyad relationship with the CNO.Methods: This study used 1:1 qualitative interviews and a self-administered quantitative survey.Results: Eighty-three percent (25/30) of presidents participated. Average time as a clinical nurse to presidency was 13.06 years. Mentors, past presidents, or leaders encouraged 84% (21/25) of the candidacies. Presidents identified leadership mentors, highlighting the CNO (96%, 24/25) and past presidents (68%, 17/25). Post presidency, 52% (13/25) matriculated to leadership or specialty roles. Graduate level education increased to 72% (18/25).Conclusions: Family influences, early leadership opportunities, and critical life events impacted these presidents. A past presidents committee and transition plans are recommended to support future PG leaders.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 10","pages":"608-612"},"PeriodicalIF":1.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349659","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

A Long-Stay Unit Incorporating LPNs Into the Staffing Model: A New Innovation in Patient Flow. 将lpn纳入人员配置模式的长期住院单位：患者流程的新创新。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2025-11-01 Epub Date: 2025-10-09 DOI: 10.1097/NNA.0000000000001636

Kassandra J Goodman, Stephanie P Chambers, Kimberly A Brake, Molly M Christenson, Sara J Gnagey, Kristina J Masching, Katie M Villont, Alissa R Zimmerman, James S Newman

{"title":"A Long-Stay Unit Incorporating LPNs Into the Staffing Model: A New Innovation in Patient Flow.","authors":"Kassandra J Goodman, Stephanie P Chambers, Kimberly A Brake, Molly M Christenson, Sara J Gnagey, Kristina J Masching, Katie M Villont, Alissa R Zimmerman, James S Newman","doi":"10.1097/NNA.0000000000001636","DOIUrl":"10.1097/NNA.0000000000001636","url":null,"abstract":"Objective: The aim of this study was to describe a team-based care model that co-located patients with discharge delays to a central hospital unit.Background: Nationally, discharge delays are increasing amidst a marked shortage of nurses and increasing patient acuities, prompting hospitals to explore innovative and cost-effective care models.Methods: The authors convened a multidisciplinary team to develop a new care model for inpatients with discharge delays. The model, which leveraged the role of the LPN, was overseen by a lead RN.Results: In the unit's 1st year, 358 patients were discharged. Patients expressed satisfaction with their care, quality care was being provided, and nurses reported less burnout and more meaning in their work.Conclusion: An innovative care model capitalized on the LPN role, reducing the nursing staff required, without compromising quality of patient care or nursing satisfaction.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"590-594"},"PeriodicalIF":1.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287580","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 Leaders: Addressing Issues of the Future. 护士领导：解决未来的问题。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2025-10-01 DOI: 10.1097/NNA.0000000000001616

M Maureen Lal

引用次数: 0

Artificial Intelligence Forecasting Census and Supporting Early Decisions. 人工智能预测人口普查和支持早期决策。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2025-10-01 DOI: 10.1097/NNA.0000000000001643

引用次数: 0

Being and Sustaining Oneself as a Medical ICU Nurse: A Phenomenologic Study. ICU护士的生存与维持：现象学研究。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2025-10-01 DOI: 10.1097/NNA.0000000000001627

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":"Objective/background: 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.Methods: 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.Results: 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.Conclusions: 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.","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}

引用次数: 0

Addressing the Shortage of Academic Nurse Educators: An Opportunity for Collaboration Between Academic and Healthcare Organization Leaders. 解决学术护士教育工作者的短缺：学术和医疗保健组织领导人之间合作的机会。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2025-10-01 DOI: 10.1097/NNA.0000000000001642

引用次数: 0

In Pursuit of the Practice Ready Nurse: Insights From a National Survey. 追求实践准备护士：来自全国调查的见解。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2025-10-01 DOI: 10.1097/NNA.0000000000001649

引用次数: 0

Approaches Implemented by Nurse Managers Linked to High-Performing Clinical Care Teams. 与高绩效临床护理团队相关的护士管理人员实施的方法。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2025-10-01 DOI: 10.1097/NNA.0000000000001624

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":"Objective: 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.Background: Nurse managers influence nurse job satisfaction and retention; however, little qualitative research elucidates managerial techniques to foster positive work environments.Methods: 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.Results: 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.Conclusions: 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.","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}

引用次数: 0