Journal of Nursing Administration最新文献_第3页

Measuring the Impact of High-Performing Nurse Managers on Nurse Outcomes Across Clinical Settings. 衡量高绩效护士管理者对临床护理结果的影响。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2025-09-30 DOI: 10.1097/NNA.0000000000001638

Nora E Warshawsky, Angela Pascale, Jeffrey N Doucette

{"title":"Measuring the Impact of High-Performing Nurse Managers on Nurse Outcomes Across Clinical Settings.","authors":"Nora E Warshawsky, Angela Pascale, Jeffrey N Doucette","doi":"10.1097/NNA.0000000000001638","DOIUrl":"10.1097/NNA.0000000000001638","url":null,"abstract":"Objective: The purpose of this article was to compare nurse outcomes between high-performing and low-performing nurse managers (NMs) across clinical settings and discuss financial savings associated with high-performing NMs.Background: When NMs are provided with an environment that allows them to perform at a high level, their impact can be measured in terms of their nursing unit outcomes. Understanding the differences achieved between high-performing and low-performing NMs may provide insights on the return on investment in redesigning the NM role.Methods: Data from the 2022 National Database of Nursing Quality Indicators annual RN survey were used to examine the relationships among variables across care settings.Results: High-performing NMs across clinical settings achieved significantly higher RN intent to stay, higher quality of care, and lower missed nursing care, compared with low-performing NMs.Conclusions: High-performing NMs achieved superior nurse outcomes with implications for the quality of nursing care and patient outcomes. Although coaching underperforming NMs is intuitive, mentoring high-performing NMs may yield greater benefit.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151728","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

What If Nurses Designed Artificial Intelligence? 如果护士设计人工智能会怎么样？

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2025-09-01 DOI: 10.1097/NNA.0000000000001606

Katherine Virkstis, Jeanette Ives Erickson

引用次数: 0

Peer Review Outcomes Supporting Professional Nursing Excellence and Readiness: A Multisite Study. 支持专业护理卓越和准备的同行评议结果：一项多地点研究。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2025-09-01 Epub Date: 2025-08-13 DOI: 10.1097/NNA.0000000000001608

Beverly Procope, Ifeoma Nnaji, Peggy Kalowes

{"title":"Peer Review Outcomes Supporting Professional Nursing Excellence and Readiness: A Multisite Study.","authors":"Beverly Procope, Ifeoma Nnaji, Peggy Kalowes","doi":"10.1097/NNA.0000000000001608","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001608","url":null,"abstract":"Objective: To explore RNs' perceptions of peer-to-peer feedback (PF), their comfort with giving/receiving PF, and its impact on autonomy/patient safety.Background: PF promotes professional governance, self-regulation, empowerment, safety, and quality. Robust empirical evidence of effective PF processes is lacking.Methods: A descriptive, correlational study with an online PF survey was used to measure RNs' perceptions of PF, and potential correlates with nursing autonomy, satisfaction, and patient safety/quality.Results: Of 983 RNs, 588 (59.8%) reported that PF was a comfortable/positive experience and was viewed as valuable for identifying care issues and fostering growth. A strong correlation to work satisfaction was found among nurses who felt autonomous and engaged in PF concerning care quality.Conclusions: Study outcomes confirm the predictive value of nurses' perceived comfort in giving/receiving PF to enhance autonomy, quality/safety, and satisfaction. Data support the need for organizational leaders to strengthen the structures and processes to support a robust peer feedback program.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 8","pages":"443-450"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977034","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 "Re-Imagining the Economic Value of Nursing" Summit: Summary and Recommendations. “重塑护理的经济价值”峰会：总结与建议。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2025-09-01 DOI: 10.1097/NNA.0000000000001611

Olga Yakusheva, Marianne Weiss, Tanya Mulvey, Anabel F Castillo, Marcela Cámpoli

引用次数: 0

Validity and Reliability of the New Innovation Culture Scale© for Use in Healthcare Settings. 新创新文化量表的效度和信度©用于医疗保健设置。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2025-09-01 Epub Date: 2025-08-13 DOI: 10.1097/NNA.0000000000001607

Bernadette Mazurek Melnyk, Susan O'Hara, Andreanna Pavan Hsieh, Nathan P Helsabeck, Karen K Giuliano, Cidalia Vital

{"title":"Validity and Reliability of the New Innovation Culture Scale© for Use in Healthcare Settings.","authors":"Bernadette Mazurek Melnyk, Susan O'Hara, Andreanna Pavan Hsieh, Nathan P Helsabeck, Karen K Giuliano, Cidalia Vital","doi":"10.1097/NNA.0000000000001607","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001607","url":null,"abstract":"Objective: To assess the psychometric properties of the new 10-item Innovation Culture Scale©.Background: American healthcare is expensive with poor health outcomes as the norm. Nurses can disrupt this paradigm through innovation; however, innovation cannot flourish without a supportive organizational culture. There is a lack of scales to measure innovation culture within healthcare settings, thus supporting improvements in quality of care.Methods: A Northeastern health system provided a convenience sample of 5658 nurses, physicians, and allied health professionals. Scale responses were obtained digitally. Item correlations, scree plot, and confirmatory factory analysis examined the scale's internal structure and assessed model fit.Results: Two hundred sixteen participants completed the scale. Item correlations were positive and significant (P < 0.001). Scree plot confirmed a single factor structure. Several indices supported an acceptable model fit (comparative fit index = 0.935, Tucker-Lewis index = 0.916, standardized root mean square residual = 0.05), although root mean square error of approximation (0.119) was poor. Cronbach's α was 0.94.Conclusion: The Innovation Culture Scale is a valid and reliable measure to assess innovation culture in healthcare settings.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 8","pages":"436-442"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977007","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 Comprehensive Approach to Nursing Career Development and Advancement. 护理事业发展与进步的综合途径。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2025-09-01 DOI: 10.1097/NNA.0000000000001614

Kathleen A Mau, Mary Johanna Krivanek

引用次数: 0

Community Resiliency Model Training in Rural Nurse Leaders: A Pretest/Posttest Pilot Intervention Study. 社区弹性模型培训在农村护士领导：测试前/测试后试点干预研究。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2025-09-01 DOI: 10.1097/NNA.0000000000001615

Asiah Ruffin, Andres Azuero, Katherine A Meese, Aoyjai P Montgomery, Maria R Shirey, Jill Stewart, Patricia A Patrician

{"title":"Community Resiliency Model Training in Rural Nurse Leaders: A Pretest/Posttest Pilot Intervention Study.","authors":"Asiah Ruffin, Andres Azuero, Katherine A Meese, Aoyjai P Montgomery, Maria R Shirey, Jill Stewart, Patricia A Patrician","doi":"10.1097/NNA.0000000000001615","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001615","url":null,"abstract":"Objective: The aim of this study was to test the feasibility of implementing a wellness intervention known as the Community Resiliency Model (CRM) training for nurse leaders. This pilot study also explores the effect of CRM on nurse leader well-being, resilience, and burnout levels in rural settings.Background: Nurse leaders report lower levels of well-being than direct care nurses, yet interventions to improve well-being remain unexplored for nurse leaders in rural settings.Methods: A pretest-posttest pilot intervention study design was used for this study, involving a 1-hour CRM training for rural nurse leaders.Results: Implementation of CRM training faced numerous feasibility challenges, including recruitment and follow-up. Slight improvements in well-being and burnout scores were observed, although resilience scores were slightly worse at follow-up.Conclusions: More robust recruitment and retention strategies are essential for successful implementation of CRM training. Despite feasibility issues, a significant proportion of participants would recommend CRM training to others, highlighting its perceived value. Future efforts should focus on not only broadening the reach of CRM training but also implementing systems to measure its long-term effects on participant outcomes and organizational performance.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 8","pages":"E32-E37"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976960","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

From Driven Clinical Nurses to Influential Nurse Leaders: A Phenomenological Study of Millennial Nurse Leaders Experiences in Acute Care Settings. 从有动力的临床护士到有影响力的护士领导：千禧一代护士领导在急症护理环境中的经验现象学研究。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2025-09-01 DOI: 10.1097/NNA.0000000000001613

Nicole George, J Michael Leger, Letitia Graves, Mini Jose, Shatoi King, Mary O'Keefe, Joy Parchment

{"title":"From Driven Clinical Nurses to Influential Nurse Leaders: A Phenomenological Study of Millennial Nurse Leaders Experiences in Acute Care Settings.","authors":"Nicole George, J Michael Leger, Letitia Graves, Mini Jose, Shatoi King, Mary O'Keefe, Joy Parchment","doi":"10.1097/NNA.0000000000001613","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001613","url":null,"abstract":"Objective: This aim of this study was to understand the lived experiences of millennial-aged nurse leaders in acute care settings.Background: As the largest generation in the nursing workforce, millennial-aged nurses are moving into nursing leadership roles as nurses of the baby boomer generation retire. The COVID-19 pandemic accelerated advancements in healthcare, but also heightened a fragile nursing profession, where nurses' resilience and nurse leaders' resilience were fully tested.Methods: Van Manen's approach to phenomenology guided the interviews of 10 participants.Results: Three key categories and their subcategories were identified: 1) professional development; 2) sense of belonging; and 3) growth as a leader.Conclusion: This study underscores millennial nurse leaders' strong leadership inclinations, identifies key challenges, and emphasizes the need for tailored professional development, mentorship, and flexible policies to support their growth and retention.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 8","pages":"479-484"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976968","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

Leveraging the Power of Special Interest Groups to Ignite Engagement and Alleviate Manager Burden. 利用特殊利益团体的力量来激发参与和减轻管理者的负担。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2025-09-01 DOI: 10.1097/NNA.0000000000001609

Julie A Dobbs, Lillian Jensen, Stephanie Zidek

引用次数: 0

Using the Hess Index of Professional Nursing Governance to Explore Nurses' Perceptions of Shared Decision-Making in a Magnet® Designated Medical Center. 使用Hess专业护理治理指数来探讨Magnet®指定医疗中心护士对共同决策的看法。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2025-09-01 DOI: 10.1097/NNA.0000000000001612

Adam T Booth, Brittany Hines, Addison Newton, April Self, Jill Beierle, Kelly Russell, Robert Hess

{"title":"Using the Hess Index of Professional Nursing Governance to Explore Nurses' Perceptions of Shared Decision-Making in a Magnet® Designated Medical Center.","authors":"Adam T Booth, Brittany Hines, Addison Newton, April Self, Jill Beierle, Kelly Russell, Robert Hess","doi":"10.1097/NNA.0000000000001612","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001612","url":null,"abstract":"Objective: The purpose of this study was to assess nurses' perceptions of shared governance using the Index of Professional Nursing Governance version 3.0 (IPNG).Background: A goal of creating shared governance awareness among frontline nurses is to empower them to assemble and create positive change in their practice.Methods: This cross-sectional, descriptive, exploratory quantitative study design measured nurses' perceptions of shared governance on a continuum ranging from traditional to shared to self-governance in an academic medical center using the 50-item IPNG.Results: Findings demonstrated a nascent shared governance structure with the lowest scoring items related to control over personnel. Active involvement in shared governance and education level impacted subscale scores (P < 0.05).Conclusions: Findings from this study supported the accreditation of the organization by the Forum for Shared Governance.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 8","pages":"472-478"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976982","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