{"title":"Professional Governance and the Journey to Advanced Nursing Leadership: From Bedside to Boardroom.","authors":"","doi":"10.1097/NNA.0000000000001814","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001814","url":null,"abstract":"","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 10","pages":"S6-S10"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031749","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}
Ashley M Carlucci, Jennifer Carpenter, Brian Nelson, Anthony Stachnik, Lauren Yanus
{"title":"Transforming Models of Care Through Comprehensive Hospital-Wide Virtual-Integrated Nursing Practice and Collaborative Redesign.","authors":"Ashley M Carlucci, Jennifer Carpenter, Brian Nelson, Anthony Stachnik, Lauren Yanus","doi":"10.1097/NNA.0000000000001783","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001783","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the impact of implementing a hospital-wide virtual-integrated nursing care model on teamwork, communication, operational efficiency, and clinical outcomes.</p><p><strong>Background: </strong>Organizations have implemented virtual nursing to improve workflow efficiency and patient outcomes. Yet variation in care models, inconsistent role definitions, and a limited leadership infrastructure have left organizations struggling to achieve consistent, measurable outcomes after adopting virtual care.</p><p><strong>Methods: </strong>This mixed-methods quality improvement study employed the TeamSTEPPS® survey across acute inpatient, intensive care, and emergency settings. The study also analyzed operational, quality, and workforce outcomes measures to evaluate the impact of the intervention on virtual nursing.</p><p><strong>Results: </strong>A significant improvement was observed in the supervisor/manager's behavior pre-model and post-model implementation (P=0.022). Improvement in operational outcomes included gains in patient admission documentation, discharge timeliness, and falls reduction, and staffing efficiency without the addition of full-time equivalent staff.</p><p><strong>Conclusions: </strong>Hospital-wide virtual-integrated nursing improved workflow efficiency, enhanced operational outcomes, and demonstrated a scalable model for clinical outcomes.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 10","pages":"549-554"},"PeriodicalIF":1.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031796","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}
Dan Liu, Mingyu Li, Fengying Gao, Linkai Zhao, Meiling Dai, Yanfei Sun, Guoyan Chen, Rong Li
{"title":"Self-Directed Learning Ability and Its Associated Factors Among Clinical Nurses: A Cross-Sectional Study.","authors":"Dan Liu, Mingyu Li, Fengying Gao, Linkai Zhao, Meiling Dai, Yanfei Sun, Guoyan Chen, Rong Li","doi":"10.1097/NNA.0000000000001804","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001804","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate self-directed learning ability among clinical nurses within the workplace and identify key associated individual and organizational determinants.</p><p><strong>Methods: </strong>A nationwide cross-sectional descriptive study was completed using a convenience sample of 1057 clinical nurses across 31 Chinese provinces. Data collection included demographics, self-directed learning ability, general self-efficacy, and organizational climate. Descriptive statistics, parametric tests, Pearson correlations, and multiple linear regression were used for analysis.</p><p><strong>Results: </strong>The mean self-directed learning score of clinical nurses was 3.90±0.65, with self-motivation belief scoring highest (mean 4.02±0.64) and self-evaluation lowest (mean 3.74±0.75). Career planning, job enthusiasm, general self-efficacy, and organizational climate significantly predicted self-directed learning ability, explaining 63.7% of its variance.</p><p><strong>Conclusions: </strong>Clinical nurses demonstrated a moderate ability in self-directed learning, which was associated with both individual motivation and workplace organizational conditions. These findings suggested that nurse leaders can strengthen self-directed learning by supporting clinical nurses' career development, enhancing nurses' self-efficacy and work enthusiasm, and fostering a positive organizational climate. Workplace strategies that promote self-directed learning might contribute to a more engaged, adaptive nursing workforce and support ongoing efforts to improve professional nursing practice, quality of care, patient experience, and patient safety.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992170","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}
Joyce E Johnson, Linda L Costa, Jo Ellen Carpenter
{"title":"The DNP/MBA Advantage: Strengthening Nurse Executive Readiness for Today's Healthcare Environment: Erratum.","authors":"Joyce E Johnson, Linda L Costa, Jo Ellen Carpenter","doi":"10.1097/NNA.0000000000001823","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001823","url":null,"abstract":"","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978578","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}
Ana Paula Faustino Gilio, Andrea Bernardes, Isabel Cristina Kowal Olm Cunha, Renata Gasparino, Carlos Alberto Leite Filho, Alexandre Pazetto Balsanelli
{"title":"Authentic Leadership and Nursing Practice Environments: A Structural Equation Modeling.","authors":"Ana Paula Faustino Gilio, Andrea Bernardes, Isabel Cristina Kowal Olm Cunha, Renata Gasparino, Carlos Alberto Leite Filho, Alexandre Pazetto Balsanelli","doi":"10.1097/NNA.0000000000001786","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001786","url":null,"abstract":"<p><strong>Objective: </strong>To examine how authentic leadership influences the nursing practice environment in a multihospital system.</p><p><strong>Methods: </strong>A cross-sectional assessment of 431 nurses across 7 hospitals used validated leadership and work environment measures. Data were analyzed using structural equation modeling.</p><p><strong>Results: </strong>Leadership behaviors explained up to 45.8% of nurses' perceived leadership support and were associated with participation, staffing perception, and collaboration.</p><p><strong>Conclusions: </strong>Authentic leadership is a strategic lever to improve workforce stability, engagement, and care outcomes.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671122","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 Shared to Professional Governance: Building a Unified Framework to Advance Nursing Accountability, Engagement, and Outcomes.","authors":"Rachelle J Lancaster, Sharon Quinlan, Cynthia Garza, Sandy Goldmann, Shawana Burnette, Rocio Sanchez","doi":"10.1097/NNA.0000000000001763","DOIUrl":"10.1097/NNA.0000000000001763","url":null,"abstract":"<p><p>Health systems are shifting from shared to professional governance models emphasizing accountability, engagement, and outcomes. After a multistate merger, fragmented governance structures required alignment and presented a transformational opportunity to move from shared to professional governance. Guided by the Prosci Change Management Model™, a 3-part initiative established shared principles, a Professional Governance Playbook, and the Governance Health Score™. Early adoption demonstrates engagement, resource use, and readiness for sustained, enterprise-wide measurement of governance effectiveness and accountability.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 8","pages":"433-438"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551262","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":"Practice Environment and Patient Outcomes by ANCC Designation: Insights From NDNQI.","authors":"Angela Pascale, Nicole George, Nora E Warshawsky","doi":"10.1097/NNA.0000000000001762","DOIUrl":"10.1097/NNA.0000000000001762","url":null,"abstract":"<p><strong>Objective: </strong>This study sought to examine differences in nursing-sensitive patient outcomes among Magnet® hospitals, Pathway To Excellence® (PTE) hospitals, and non-American Nurses Credentialing Center's (ANCC®) designated hospitals.</p><p><strong>Background: </strong>The ANCC Magnet Recognition Program® and PTE Program provide frameworks that foster nursing excellence, although limited research has examined the differences of nursing-sensitive patient outcomes among recognition programs.</p><p><strong>Materials and methods: </strong>A cross-sectional comparative analysis was conducted using 2023 data from the National Database of Nursing Quality Indicators® (NDNQI).</p><p><strong>Results: </strong>Magnet hospitals reported significantly lower fall rates compared with non-ANCC hospitals (P=0.01). PTE hospitals exhibited significantly lower central line-associated bloodstream infection rates than non-ANCC hospitals (P<0.04). No statistically significant differences in catheter-associated urinary tract infection rates or hospital-acquired pressure injury prevalence were observed.</p><p><strong>Conclusions: </strong>ANCC designations were inconsistently associated with better nurse-sensitive patient outcomes in this study. The absence of consistent differences across outcomes may reflect unbalanced sample distribution across designation groups in this sample.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 8","pages":"427-432"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551284","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}
Bethany I Atwood, Crystal Belew, Matthew Blake, Marissa Gracia, James Uregen, David Bradley, Gina L Eberhardt, Kenneth Romito
{"title":"Fostering the Integration of Evidence-based Practice Through Nursing Mentorship: An Integrative Literature Review.","authors":"Bethany I Atwood, Crystal Belew, Matthew Blake, Marissa Gracia, James Uregen, David Bradley, Gina L Eberhardt, Kenneth Romito","doi":"10.1097/NNA.0000000000001761","DOIUrl":"10.1097/NNA.0000000000001761","url":null,"abstract":"<p><strong>Objective: </strong>Develop an evidence-based practice (EBP) mentorship program framework.</p><p><strong>Background: </strong>Despite the widespread call for EBP adoption, EBP competency in healthcare remains low.</p><p><strong>Methods: </strong>An integrative literature review across 3 databases on EBP mentorship programs was conducted in August 2025.</p><p><strong>Results: </strong>A total of 21 English-language articles were included in the review. Five core pillars for successful EBP mentorship programs were identified: corporate considerations, mentor development, program design, education, and outcome measurement.</p><p><strong>Conclusion: </strong>Nursing administrators are uniquely positioned to bridge the gap between academia and EBP implementation through mentorship programs that drive EBP competencies, develop champions, and build a sustained culture of inquiry.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 8","pages":"421-426"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551269","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":"Implementing a Staff Safety Intervention Bundle to Reduce Patient-initiated Workplace Violence.","authors":"Donna Wellbaum, Joanne T Clavelle","doi":"10.1097/NNA.0000000000001766","DOIUrl":"10.1097/NNA.0000000000001766","url":null,"abstract":"<p><p>The implementation of a Staff Safety Intervention Bundle reduced patient-initiated violence at a large academic health system. This bundle integrated Dynamic Appraisal of Situational Aggression screening into electronic health record workflows, leveraged adaptive learning technology for scalable staff education, and implemented visual risk indicators (door magnets) for team awareness. Sustainability strategies and lessons learned provide a replicable framework for nurse executives to address workplace violence through interdisciplinary partnerships within an organizational safety infrastructure.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 8","pages":"455-461"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551192","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}