Mary G Carey, Cathy DeChance, Lillian Diaz, Andrea A Kabacinski, Catherine M Mann, Linda Millenbach, Jeanmarie Moorehead, Kathleen Sellers, Mary Zajc
{"title":"Preparation for Disasters Among Nurse Leaders in New York State: A Replication Study and Guide for Preparation.","authors":"Mary G Carey, Cathy DeChance, Lillian Diaz, Andrea A Kabacinski, Catherine M Mann, Linda Millenbach, Jeanmarie Moorehead, Kathleen Sellers, Mary Zajc","doi":"10.1097/NNA.0000000000001727","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001727","url":null,"abstract":"<p><strong>Objective: </strong>To assess the knowledge and confidence levels in emergency management and disaster preparedness among nurse leaders, and to provide recommendations for enhancing nurse leader preparedness.</p><p><strong>Background: </strong>The COVID-19 pandemic exposed significant gaps in disaster preparedness among healthcare leaders, including deficiencies in disaster training, underscoring the need for better preparation.</p><p><strong>Methods: </strong>This replication study used a prospective, cross-sectional design. Participants rated their confidence in managing disasters using the Emergency Preparedness Information Questionnaire.</p><p><strong>Results: </strong>NYONL members (n=198) demonstrated moderate confidence in disaster preparedness (mean score: 3.11). Four major needs that emerged were education specific to emergency preparedness, supply management, infection prevention, and mental health and well-being.</p><p><strong>Conclusions: </strong>There is a critical need to better equip nurse leaders for future emergency situations. Overall, this study's findings suggest that targeted disaster training and educational opportunities, especially those emphasizing leadership and well-being, are critical to better equip nurse leaders for future emergency situations.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 5","pages":"279-284"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787733","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}
Claire C Davies, Martha Monroe, Melanie Adams-Johnson, Dee Beckman, Lonnie Wright
{"title":"Mapping the Knowledge Impact of a Magnet® Designated Community Hospital: A Citation Analysis.","authors":"Claire C Davies, Martha Monroe, Melanie Adams-Johnson, Dee Beckman, Lonnie Wright","doi":"10.1097/NNA.0000000000001726","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001726","url":null,"abstract":"<p><strong>Objective: </strong>The purpose was to evaluate the research impact, scope, and dissemination originating from a 5-time Magnet® designated community hospital.</p><p><strong>Methods: </strong>A citation analysis was conducted on 74 publications from 2008 to 2025, with the top 30 (based on Google Scholar citations) selected for further review.</p><p><strong>Results: </strong>These 30 studies received 12 to 103 citations each (median = 24). Nurses led 66.7% (n=20) of studies, with 37% (n=11) including clinical nurse contributors. Most lead authors were female (76.7%, n=23). Publications appeared in journals with impact factors ranging from 0.5 to 3.73 (mean = 1.56) and were cited in 29 countries, with the highest citation counts in the United States, Canada, Australia, and Türkiye.</p><p><strong>Conclusions: </strong>This analysis affirms the hospital's role in advancing nursing knowledge through inclusive, interdisciplinary scholarship. Nurse leaders are called to champion sustained research investment, foster clinical inquiry, and strategically disseminate findings to shape practice and professional identity with the involvement of clinical nurses.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 5","pages":"274-278"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787718","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}
Mayut Delgado Galeano, Luis Alberto López Romero, Marisela Márquez Herrera, Dora Inés Parra
{"title":"Evaluating Nurse-Patient Relations as a Healthcare Quality Indicator During Hospitalization.","authors":"Mayut Delgado Galeano, Luis Alberto López Romero, Marisela Márquez Herrera, Dora Inés Parra","doi":"10.1097/NNA.0000000000001721","DOIUrl":"10.1097/NNA.0000000000001721","url":null,"abstract":"<p><strong>Objective: </strong>To determine nurses' perceptions of their competence level in the nurse-patient relationship, specifically related to the concept of Caritas Transpersonal Relationship of Watson's Theory.</p><p><strong>Background: </strong>The nurse-patient relationship is a construct considered core to nursing and foundational to caring practice. Given its significant impact on healthcare quality, it has been subject of reflection and research in nursing, as it is intrinsically connected to various healthcare quality outcome indicators.</p><p><strong>Methods: </strong>An analytical cross-sectional study, from October to December 2024, using a probabilistic sample (N=126 nurses) from a university hospital in Colombia. Perceived competence in the nurse-patient relationship was measured using the Spanish-validated scale CNPI-23 short version.</p><p><strong>Results: </strong>Nurses aged 34 to 58 reported higher competence in medication administration, equipment management, monitoring medication effects, and emergency response than younger nurses.</p><p><strong>Conclusions: </strong>Measuring the nurse-patient relationship yields valuable insights for enhancing nursing care quality and highlights the importance of empirical indicators in theory-based caring models.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"240-245"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610282","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":"Leading Change: A Systematic Review of Formative Versus Reflective Culture Scales of Innovation and Innovativeness.","authors":"M Lindell Joseph, Michele Williams","doi":"10.1097/NNA.0000000000001720","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001720","url":null,"abstract":"<p><p>The authors posit that the distinction between formative and reflective measures in healthcare research has not been adequately explored. As researchers examine how to demonstrate the value and impact of nursing, it is important to recognize that selecting the right measures is essential for substantiating nursing's economic contribution and for supporting safe, evidence-based practice changes.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 5","pages":"237-239"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787678","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":"Using ChatGPT‑4.0 to Address Nurse Scheduling Challenges in a Cardiology Clinic.","authors":"Kimberly Rusk, Rosemary Slotkus, Ozioma Abaribe, Jenny O'Rourke","doi":"10.1097/NNA.0000000000001715","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001715","url":null,"abstract":"<p><strong>Objective: </strong>Evaluate ChatGPT‑4.0 as a decision‑support tool for an outpatient cardiology nurse scheduling problem.</p><p><strong>Background: </strong>Flexible schedules (4×10) may support retention but often conflict with clinic workflows and coverage needs.</p><p><strong>Methods: </strong>A qualitative case study used constraint mapping and iterative prompt engineering with human oversight to generate and validate schedules against role, full-time equivalent status, and clinic needs.</p><p><strong>Results: </strong>A hybrid 4×10/5×8 model met daily coverage 5 Outpatient Care Center (OCC), 1 Heart Center (HC), and maintained equity, but provided no redundancy for absences; human review resolved role‑specific gaps.</p><p><strong>Conclusions: </strong>ChatGPT can accelerate option generation and quickly solve challenges for nurse managers. Safe and effective use requires clear parameters and rigorous human validation.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 4","pages":"224-227"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516407","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":"Leveraging Peer Coaching to Transform Care Delivery: The Nursing Innovation Fellowship.","authors":"Nikki Graham, Kayla Dreger, Tiffany Uhlig, Bradley Hayes, Lesley Rue, Stephanie Price","doi":"10.1097/NNA.0000000000001713","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001713","url":null,"abstract":"<p><p>Peer coaching is a collaborative, nonhierarchical approach that leverages bedside credibility to accelerate practice change. Within a large academic health system, a systemwide fellowship demonstrated improvements in clinical competence, patient outcomes, and adoption of evidence-based practices. This model offers leaders a sustainable strategy to reduce missed care, strengthen professional development, and advance organizational performance.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 4","pages":"213-218"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516458","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}
Olivia S Jung, Ilana Graetz, Denise A Moultrie, Christopher M Masi
{"title":"Innovation Contest and Employee Work Experience in Primary Care.","authors":"Olivia S Jung, Ilana Graetz, Denise A Moultrie, Christopher M Masi","doi":"10.1097/NNA.0000000000001712","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001712","url":null,"abstract":"<p><strong>Objective: </strong>This study explored how administering an innovation contest was associated with work experiences among nurses, providers, and staff in primary care.</p><p><strong>Background: </strong>Innovation contests offer structured ways for employees to share ideas and engage in organizational problem-solving. Given high burnout and turnover in US primary care, such interventions may foster a more supportive work environment.</p><p><strong>Methods: </strong>All 778 employees across a health system's primary care network were invited to submit and vote on ideas to improve recruitment, retention, and workflow. Senior leaders implemented ideas selected through voting. A follow-up survey measured feeling heard, organizational identification, job satisfaction, and burnout.</p><p><strong>Results: </strong>Employees aware of the contest reported greater organizational identification. Those who observed winning ideas being implemented reported higher levels of feeling heard, identification, and job satisfaction. Simply submitting or voting was not associated with differences.</p><p><strong>Conclusions: </strong>Acting on employee-generated ideas may improve workplace engagement and satisfaction in primary care.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 4","pages":"206-212"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516399","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":"From Chaos to Clarity: Efficiency Tools for APRN Onboarding.","authors":"April Kapu, Cindy Byrd","doi":"10.1097/NNA.0000000000001705","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001705","url":null,"abstract":"<p><p>A thoughtful, standardized onboarding program is one of the most powerful levers advanced practice leaders have to improve role transition, early productivity, and retention. This column offers a narrative blueprint for organizing and humanizing the onboarding journey, spanning preboarding, orientation, and role integration, while managing real-world complexities like credentialing, scheduling, and full-time equivalent tracking. The authors spotlight a practical, high-impact dashboard that enabled large-scale hiring and streamlined processes across a 1100-bed adult hospital with more than 440 advanced practice registered nurses and physician associates.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 4","pages":"176-177"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516446","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}
Nora E Warshawsky, Angela Pascale, Micah Johnson Duemig
{"title":"Impact of Nurse Manager Span-of-Control on Turnover and Patient Safety in Acute Care.","authors":"Nora E Warshawsky, Angela Pascale, Micah Johnson Duemig","doi":"10.1097/NNA.0000000000001709","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001709","url":null,"abstract":"<p><strong>Objective: </strong>This article describes span of control (SOC) and organizational support for nurse managers (NMs) and impact on performance outcomes.</p><p><strong>Background: </strong>NMs report excessive workloads that negatively affect personal well-being and performance outcomes. Understanding NM SOC is essential for informing strategies to enhance performance outcomes.</p><p><strong>Methods: </strong>This cross-sectional study explored the relationship between NM SOC, organizational support, and performance outcomes.</p><p><strong>Results: </strong>Data from 255 NMs, overseeing 296 units across 47 hospitals, showed nurse turnover was significantly correlated with NM to full-time equivalent (FTE) and NM-to-bed ratios. Higher fall rates were associated with higher 24-hour census and NM-to-bed ratio. No significant associations were found between SOC and hospital-acquired pressure injuries.</p><p><strong>Conclusions: </strong>Wide variations in SOC and organizational support were noted among this sample. Findings from this study suggest that smaller units with smaller teams have an advantage in creating a better nurse workforce and clinical patient outcomes. Creating manageable NM workloads may yield better nurse and patient outcomes.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 4","pages":"186-190"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516453","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":"Why Magnet Still Matters.","authors":"Staci Lyn Tosh","doi":"10.1097/NNA.0000000000001716","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001716","url":null,"abstract":"<p><p>The Magnet Recognition Program® represents a culture of nursing excellence that empowers nurses, improves patient outcomes, and sustains professional practice. From its origins during the nursing shortage of the 1980s to today's complex healthcare environment, Magnet continues to evolve, proving that when nurses are heard, care is safer, outcomes are stronger, and excellence endures.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 4","pages":"171-172"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516369","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}