Lisa Kidin, Olawunmi Obisesan, Amy Robinson, Tamara Otey, Erin Arcipowski
{"title":"Informing a More Nuanced Understanding of Nurses' Professional Values and Potential Areas for Growth.","authors":"Lisa Kidin, Olawunmi Obisesan, Amy Robinson, Tamara Otey, Erin Arcipowski","doi":"10.1097/NNA.0000000000001575","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001575","url":null,"abstract":"<p><p>Nurses' professional values directly impact patient care quality. This quantitative study used the Nursing Professional Values Scale 3 to assess values in 3 domains: caring, activism, and professionalism. The results showed variations in scores based on ethnicity and education. Although a strong emphasis on caring and professionalism was evident, the potential for growth in activism presents a compelling call to action. The implications and recommendations for fostering a skilled and ethical nursing workforce are discussed.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 5","pages":"274-280"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025166","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}
Alison Camarda, Natalie S McAndrew, Lisa Wolf, Jessica Bishop-Royse
{"title":"A Scoping Review of Workplace Bullying in Emergency and Intensive Care Settings.","authors":"Alison Camarda, Natalie S McAndrew, Lisa Wolf, Jessica Bishop-Royse","doi":"10.1097/NNA.0000000000001572","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001572","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the prevalence, contributing factors, and outcomes of workplace bullying in critical care settings, for purposes of this study defined as emergency departments and ICUs, and identify practice strategies or research interventions to mitigate workplace bullying in these practice settings.</p><p><strong>Background: </strong>Workplace bullying among nurses leads to adverse nurse and patient outcomes. Nurses working in critical care settings frequently endure stressors related to life-or-death circumstances. Although other nurses experience stressors, the frequency and intensity of these stressors differ from those experienced by nurses in other practice settings.</p><p><strong>Methods: </strong>Researchers conducted a scoping review to evaluate the depth and breadth of existing research on this topic.</p><p><strong>Results: </strong>Twenty-two studies met the inclusion criteria and were included in the review. The work environment largely influences bullying among critical-care nurses. Most studies were exploratory/descriptive. Only 2 studies tested an intervention to address bullying.</p><p><strong>Conclusions: </strong>Future research should focus on developing and testing interventions to reduce workplace bullying and mitigate its effects.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 5","pages":"252-258"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042404","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}
Laura J Ridge, Paul Norrod, Marita Titler, Barbara Medvec, Christopher Friese
{"title":"Nurses' Descriptions of Workplace Efforts to Improve Professional Well-being: An Analysis.","authors":"Laura J Ridge, Paul Norrod, Marita Titler, Barbara Medvec, Christopher Friese","doi":"10.1097/NNA.0000000000001577","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001577","url":null,"abstract":"<p><strong>Objective: </strong>To identify promising workplace strategies with the potential to improve nurse professional well-being.</p><p><strong>Background: </strong>A mental health crisis exists among nurses. This crisis contributes to high rates of intent to leave, but little is known about workplace-based approaches that can improve nurse professional well-being.</p><p><strong>Methods: </strong>Researchers inductively and deductively analyzed 1317 nurses' free-text responses to a question about their workplaces' effort to improve their professional well-being. Researchers compared responses from nurses who plan to leave their position to responses from nurses who did not.</p><p><strong>Results: </strong>The most common response from both groups was that their workplace had made no effort. Nurses who intended to leave their jobs (40.8%) reported no effort was being implemented more often than nurses who did not (24.9%). The 2nd most common intervention was increased compensation such as incentive pay.</p><p><strong>Conclusions: </strong>A lack of effort from workplaces may contribute to nurses' intent to leave and lower levels of professional well-being. Approaches that improve professional well-being include increased compensation and enhanced physical facilities.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 5","pages":"293-299"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030506","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":"Predictors of Adverse Drug Reaction Monitoring Practices Among Hospital Nurses: A Cross-Sectional Study.","authors":"Anyeong Kim, Duckhee Chae","doi":"10.1097/NNA.0000000000001574","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001574","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to identify predictors of adverse drug reaction (ADR) monitoring practices among hospital nurses.</p><p><strong>Background: </strong>ADR monitoring is crucial for patient safety but remains insufficient in healthcare institutions.</p><p><strong>Methods: </strong>A cross-sectional descriptive study was conducted with 165 RNs from 4 tertiary hospitals. Data were collected using self-report questionnaires between August 5 and September 16, 2022.</p><p><strong>Results: </strong>Regression analysis revealed significant associations between ADR monitoring practices and nurses' attitudes, workload intensity, and work units. Of the nurses, 61.2% observed ADRs in the past year, and 31.5% had received ADR education. However, only 51.5% reported all ADR cases. Major barriers to reporting included time constraints and insufficient knowledge.</p><p><strong>Conclusion: </strong>The findings highlight the need for educational programs to enhance nurses' knowledge and attitudes toward ADRs and the importance of strategies to support nursing units and reduce workload intensity to ensure safe medication administration.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 5","pages":"267-273"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006267","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":"Medical-Legal Communication Among Emergency Nurses in States With Abortion Bans: Implications for Nursing Leaders.","authors":"Lisa Adams Wolf, Lynette Arnold","doi":"10.1097/NNA.0000000000001562","DOIUrl":"10.1097/NNA.0000000000001562","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study is to describe how emergency nurses receive and share information about practice concerns related to abortion bans.</p><p><strong>Background: </strong>In the United Sates, details of abortion bans are changing and create confusion around clinical and legal implications with attendant challenges in maintaining communication.</p><p><strong>Methods: </strong>A qualitative exploratory descriptive approach was applied, using interview data from 19 emergency nurses working in states with abortion bans and 3 working in states without bans.</p><p><strong>Results: </strong>Categories of individual, interpersonal, and institutional factors were described, with 11 emerging themes. Participants reported no communication from administrations about practice implications of abortion bans, and distress over implications for both patients and their own practice.</p><p><strong>Conclusions: </strong>Nurses working in emergency departments (EDs) in states with abortion bans report anger and frustration at the scarcity of both information and guidance provided by hospital administrators and ED managers, with concern about their ability to provide safe and appropriate care. Normal channels of communication about practice changes go unused, leading to practice challenges and moral distress.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 4","pages":"E17-E23"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11939102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732700","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}
Lori Kennedy, Heather Brom, Karen B Lasater, Nancy M Albert, Barbara Holmes Gobel, Christi DeLemos, Lisa M Williams, Linda H Aiken
{"title":"Advanced Practice Registered Nurse Burnout in Magnet Hospitals: Opportunities for Organizational Intervention.","authors":"Lori Kennedy, Heather Brom, Karen B Lasater, Nancy M Albert, Barbara Holmes Gobel, Christi DeLemos, Lisa M Williams, Linda H Aiken","doi":"10.1097/NNA.0000000000001566","DOIUrl":"10.1097/NNA.0000000000001566","url":null,"abstract":"<p><strong>Objective: </strong>To determine modifiable organizational factors associated with advanced practice RN (APRN) burnout in Magnet ® -designated hospitals to guide organizational interventions to improve APRN well-being and retention.</p><p><strong>Methods: </strong>Cross-sectional study of work environments of 50 US Magnet hospitals and the associated well-being of 21 855 of their clinicians (APRNs, physician assistants, physicians [MDs], RNs).</p><p><strong>Results: </strong>Overall, 37% of APRNs experienced high burnout compared with 34% of MDs ( P < 0.05) and 49% of RNs ( P < 0.001); additionally, 32% of APRNs intended to leave their jobs. APRN burnout was significantly lower in organizations that minimized chaotic working conditions, provided APRNs more control over their workloads, involved APRNs in shared governance, improved clinician and management relations, and improved interprofessional teamwork.</p><p><strong>Conclusions: </strong>Well-being and retention of APRNs in Magnet hospitals require their greater engagement in organization processes and systems that improve work environments.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"230-236"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11939090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651798","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}
Rosanne Raso, Devin Bowers, Kevin Masick, Joyce J Fitzpatrick
{"title":"Two Relational Leadership Styles as Predictors of Healthy Work Environments.","authors":"Rosanne Raso, Devin Bowers, Kevin Masick, Joyce J Fitzpatrick","doi":"10.1097/NNA.0000000000001559","DOIUrl":"10.1097/NNA.0000000000001559","url":null,"abstract":"<p><strong>Background: </strong>Relational leadership frameworks have consistently demonstrated associations with positive staff, organizational, and patient-related outcomes. Yet, there is minimal research postpandemic in the U.S.</p><p><strong>Methods: </strong>A cross-sectional, correlational study with multivariate regression was conducted using a sample of 3145 clinical nurses and nurse leaders obtained by snowball sampling in DAISY organizations in the United States.</p><p><strong>Results: </strong>The 2 relational leadership styles predicted 50% of clinical nurses' perceptions of healthy work environments. Perceptions of leadership and healthy work environment were positive for both clinical nurses and leaders. Authentic nurse leadership and transformational leadership were highly correlated.</p><p><strong>Conclusions: </strong>There is a postpandemic positive change in perceptions of the work environment among clinical nurses and leaders, and relational leadership styles strongly influence these perceptions.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 4","pages":"192-198"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732701","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 Qualitative Exploration of Why Novice Nurses Left Their Jobs.","authors":"Dena D Shore, Susan Letvak, Lynne P Lewallen","doi":"10.1097/NNA.0000000000001560","DOIUrl":"10.1097/NNA.0000000000001560","url":null,"abstract":"<p><strong>Objective: </strong>This qualitative study sought to answer the question \"Why are novice nurses leaving their jobs?\"</p><p><strong>Background: </strong>Nearly one-third of all new RNs in the United States left their 1st jobs within a year in 2024. Research is needed to understand why nurses are leaving so interventions can be designed.</p><p><strong>Methods: </strong>Using qualitative descriptive methodology, 13 nurses from the United States who left their jobs within the 1st 2 years of practice were interviewed.</p><p><strong>Results: </strong>Two main themes emerged that were related to leaving: Starting out and hitting a wall and Trying to stick it out and couldn't. A 3rd theme, The aftereffects, described the nurses' reflection on their experience and how it impacted their current situation.</p><p><strong>Conclusions: </strong>Nurse leaders must critically examine the work environment, preceptor training, and novice nurse transition programs to provide swift interventions to staunch the exodus of novice nurses leaving their 1st jobs.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 4","pages":"199-205"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732758","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 Model for Policy Reforms to Remove Barriers in Nursing Licensure Applications.","authors":"Christopher M Wojnar","doi":"10.1097/NNA.0000000000001558","DOIUrl":"10.1097/NNA.0000000000001558","url":null,"abstract":"<p><p>Engaging nurses with lived experience in mental health, substance use, and suicide is critical for meaningful policy reform that benefits both the nursing workforce and the communities they serve. Informed by lived experiences, barriers such as invasive licensure application questions, public disclosure of protected health information (PHI) during disciplinary proceedings, and limitations in Alternative to Discipline (ATD) programs were elevated. This article outlines a grassroots advocacy approach involving voluntary disclosure from nurses with lived experience, coalition building with the Dr. Lorna Breen Heroes' Foundation, and collaboration with state licensure bodies to drive targeted reforms. These include rephrasing mental health-related licensure questions, improving ATD program support and accessibility, and ensuring PHI confidentiality. This model is replicable and offers a compassionate path to improving nurse retention and mental health support.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 4","pages":"190-191"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732757","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":"Developing an Innovative Advanced Practice Provider Flexible Workforce.","authors":"Eileen Aber, Amy Scholtz, Sue Ogle","doi":"10.1097/NNA.0000000000001564","DOIUrl":"10.1097/NNA.0000000000001564","url":null,"abstract":"<p><p>Healthcare organizations continue to experience major workforce shortages and employment turnover. Historically, nursing resource teams have demonstrated success in optimizing clinician availability and expertise across inpatient units. However, there is little information surrounding a model for advanced practice providers (APPs). This article describes the development and launch of an APP Flex Team that successfully filled staffing vacancies across a wide range of pediatric subspecialty inpatient units, reduced premium pay usage, and raised APP job satisfaction.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 4","pages":"217-221"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732763","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}