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Exploring the Role of Virtual Nurses in Inpatient Care Teams. 探讨虚拟护士在住院护理团队中的作用。
IF 1.9 4区 医学
Journal of Nursing Administration Pub Date : 2026-04-01 Epub Date: 2026-02-23 DOI: 10.1097/NNA.0000000000001711
Jackeline Iseler, Camille Jensen, Tricia Thomas, Jessica Sender, Christina Schauer, Lisa Irwin
{"title":"Exploring the Role of Virtual Nurses in Inpatient Care Teams.","authors":"Jackeline Iseler, Camille Jensen, Tricia Thomas, Jessica Sender, Christina Schauer, Lisa Irwin","doi":"10.1097/NNA.0000000000001711","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001711","url":null,"abstract":"<p><strong>Objective: </strong>This systematic mapping review examined virtual nursing models in adult inpatient care to identify key characteristics, roles, and outcomes that can inform policy, practice, and future research.</p><p><strong>Background: </strong>Virtual nursing is increasingly used to address workforce shortages and improve care delivery, yet the evidence remains fragmented.</p><p><strong>Methods: </strong>A comprehensive search of peer-reviewed literature was conducted in PubMed, CINAHL, and Web of Science. Studies were included if they described virtual registered nurses integrated into inpatient care teams. Data were categorized by team structure, roles, experience, location, and outcomes.</p><p><strong>Results: </strong>Virtual nursing models varied in structure, staffing, and coverage. Common responsibilities included monitoring, documentation, education, and interdisciplinary collaboration. Outcomes such as turnover, satisfaction, and efficiency showed promise, though reporting was inconsistent.</p><p><strong>Conclusions: </strong>Virtual nursing is a flexible, emerging model with potential to address workforce challenges. Standardized reporting and rigorous evaluation are needed to guide implementation and policy.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 4","pages":"199-205"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516418","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
Enhancing Patient Safety at Night With the Night Resource Nurse. 利用夜间资源护士加强夜间病人安全。
IF 1.9 4区 医学
Journal of Nursing Administration Pub Date : 2026-04-01 Epub Date: 2026-03-23 DOI: 10.1097/NNA.0000000000001706
Chelsea LeBlanc Arrington, John Voight, Jennifer Rivers, Nicole Eggert, Heidi Gilroy
{"title":"Enhancing Patient Safety at Night With the Night Resource Nurse.","authors":"Chelsea LeBlanc Arrington, John Voight, Jennifer Rivers, Nicole Eggert, Heidi Gilroy","doi":"10.1097/NNA.0000000000001706","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001706","url":null,"abstract":"<p><p>Night shift nurses face unique operational challenges that affect care quality and staff well-being, including limited resources, high patient turnover, and complex cases. These factors can lead to inefficiencies and safety concerns. Implementing a night shift resource nurse improves operations by enhancing patient care, increasing shift-specific support, reducing emergencies, and boosting staff satisfaction and efficiency. This model offers a targeted solution to improve outcomes during overnight hours.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 4","pages":"178-180"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516442","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
Moral and Ethical Challenges for the Chief Nurse Executive: Stewardship at the Crossroads of System and Profession. 首席护士的道德和伦理挑战：制度和职业十字路口的管理。
IF 1.9 4区 医学
Journal of Nursing Administration Pub Date : 2026-04-01 Epub Date: 2026-03-23 DOI: 10.1097/NNA.0000000000001710
Tim Porter-O'Grady
{"title":"Moral and Ethical Challenges for the Chief Nurse Executive: Stewardship at the Crossroads of System and Profession.","authors":"Tim Porter-O'Grady","doi":"10.1097/NNA.0000000000001710","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001710","url":null,"abstract":"<p><p>Chief nurse executives (CNEs) face unprecedented moral and ethical challenges navigating tensions between professional obligations, organizational demands, and personal values. This article distinguishes morality, individual conscience, and values from ethics, formal codes and professional standards, and examines how misalignment between these domains generates moral distress. Without intervention, accumulated distress produces moral residue, triggering a crescendo effect that may culminate in moral injury and professional departure. The article addresses organizational culture evaluation, economic consequences of ethical compromise, and the critical need for explicit institutional support of the CNE. Evidence-based resources, including the Rushton Moral Resilience Scale, ANA Code of Ethics, and Beauchamp-Childress \"principlist framework\" are identified to provide practical guidance for sustaining integrity.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 4","pages":"191-198"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516413","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
Advancing Virtual Nursing Care: The Journey From Readiness to Results. 推进虚拟护理：从准备到结果的旅程。
IF 1.9 4区 医学
Journal of Nursing Administration Pub Date : 2026-04-01 Epub Date: 2026-03-23 DOI: 10.1097/NNA.0000000000001704
Tina Mammone, Kimberly D Hunter, Michelle Collins
{"title":"Advancing Virtual Nursing Care: The Journey From Readiness to Results.","authors":"Tina Mammone, Kimberly D Hunter, Michelle Collins","doi":"10.1097/NNA.0000000000001704","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001704","url":null,"abstract":"<p><p>Today's healthcare environment, marked by significant workforce shortages, financial pressures, and rising demands for operational excellence and efficiency, has prompted nurse leaders to rethink how to deliver high-quality patient care. For some, virtual nursing care has emerged as a promising solution. The American Organization for Nursing Leadership (AONL) Foundation convened nurse leaders from clinical practice, academia, and professional organizations to learn from leaders who are supporting virtual nursing care delivery models in a symposium entitled Virtual Care Nursing: From Readiness to Results. This article covers key learnings from the white paper generated by the event.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 4","pages":"173-175"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516420","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
C.L.A.R.I.T.Y. in Action; Transforming Meetings Into Strategic Leadership Tools. C.L.A.R.I.T.Y.在行动；将会议转变为战略领导工具。
IF 1.9 4区 医学
Journal of Nursing Administration Pub Date : 2026-04-01 Epub Date: 2026-03-23 DOI: 10.1097/NNA.0000000000001707
Eric Widstrom
{"title":"C.L.A.R.I.T.Y. in Action; Transforming Meetings Into Strategic Leadership Tools.","authors":"Eric Widstrom","doi":"10.1097/NNA.0000000000001707","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001707","url":null,"abstract":"<p><p>Ineffective meetings are a drain on nursing leadership by wasting time, eroding morale, and stalling progress. This article introduces the C.L.A.R.I.T.Y. framework, a model for designing and leading meetings that are purposeful, engaging, and action-oriented. The authors present a clear structure to elevate collaboration, drive accountability, and model intentional leadership, turning meetings into strategic assets rather than routine obligations.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 4","pages":"E15-E16"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516433","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
Promoting Professional Growth and Retention Through a System-Wide Interprofessional Clinical Ladder Program. 通过全系统跨专业临床阶梯计划促进专业成长和保留。
IF 1.9 4区 医学
Journal of Nursing Administration Pub Date : 2026-04-01 Epub Date: 2026-03-23 DOI: 10.1097/NNA.0000000000001708
Elizabeth Fritz, Stacey Weiler, Amber Wood, Kathryn Miller, Jodi Kenkel
{"title":"Promoting Professional Growth and Retention Through a System-Wide Interprofessional Clinical Ladder Program.","authors":"Elizabeth Fritz, Stacey Weiler, Amber Wood, Kathryn Miller, Jodi Kenkel","doi":"10.1097/NNA.0000000000001708","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001708","url":null,"abstract":"<p><p>Clinical ladder programs are commonly used in nursing to encourage professional development and employee engagement. The authors present a systemwide interprofessional clinical ladder program designed for inpatient and outpatient care settings. The program is credited with saving more than $10 million in avoidable turnover. Employee engagement surveys reported increased employee perceptions of professional development opportunities.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 4","pages":"181-185"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516396","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
Digital Stress and Burnout Among Nurse Leaders. 护士领导的数字压力和职业倦怠。
IF 1.9 4区 医学
Journal of Nursing Administration Pub Date : 2026-04-01 Epub Date: 2026-03-03 DOI: 10.1097/NNA.0000000000001714
Karen Stanzo, Melissa Foster, Theresa Brink, Sara Calderon, Rosemary Danskin, Deanna Engle, Amanda Rivera, Binita Shrestha, Hai-Duong Tran, Cody Willis
{"title":"Digital Stress and Burnout Among Nurse Leaders.","authors":"Karen Stanzo, Melissa Foster, Theresa Brink, Sara Calderon, Rosemary Danskin, Deanna Engle, Amanda Rivera, Binita Shrestha, Hai-Duong Tran, Cody Willis","doi":"10.1097/NNA.0000000000001714","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001714","url":null,"abstract":"<p><strong>Objective: </strong>To determine the prevalence of digital stress and burnout in acute-care hospital nurse leaders and to examine their relationship.</p><p><strong>Background: </strong>Nurse leaders face increasing digital demands. However, no literature explores the prevalence of digital stress or its impact on burnout.</p><p><strong>Methods: </strong>A descriptive, correlational survey study of 145 nurse leaders from a single healthcare system using demographic questions, the Digital Stressors Scale, and the Copenhagen Burnout Inventory.</p><p><strong>Results: </strong>Moderate digital stress was reported, particularly related to conflict (M = 22.92, SD = 7.71) and social environment (M = 22.78, SD = 6.22). Burnout was highest on the Work Burnout subscale (M = 309.46, SD = 110.93). Higher digital stress, especially from conflict and social demands, was associated with increased burnout across all domains of the Copenhagen Burnout Inventory.</p><p><strong>Conclusions: </strong>Digital stress significantly contributes to burnout among nurse leaders. Health systems should implement strategies to mitigate technology-related stress.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 4","pages":"219-223"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516463","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
Development and Implementation of a Clinical Competency Career Ladder for Advanced Practice Providers. 高级执业医师临床能力职业阶梯的发展与实施。
IF 1.9 4区 医学
Journal of Nursing Administration Pub Date : 2026-03-01 Epub Date: 2026-02-03 DOI: 10.1097/NNA.0000000000001695
Basia Adams, Amirul Anuar, Garry Lapidus
{"title":"Development and Implementation of a Clinical Competency Career Ladder for Advanced Practice Providers.","authors":"Basia Adams, Amirul Anuar, Garry Lapidus","doi":"10.1097/NNA.0000000000001695","DOIUrl":"10.1097/NNA.0000000000001695","url":null,"abstract":"<p><strong>Objectives: </strong>Evaluate the understanding of an Advanced Practice Provider (APP) career ladder designed to promote growth and address salary compression.</p><p><strong>Background: </strong>APPs are essential to academic medical centers. Targeted ladders may support recruitment, engagement, and retention.</p><p><strong>Methods: </strong>In 2023, a 4-level APP career ladder was launched at the Northeast Pediatric Health System for nurse practitioners and physician assistants. Pre-post surveys assessed implementation and compensation understanding. A 2-way ANOVA tested pre-postsurvey effects.</p><p><strong>Results: </strong>Most APPs agreed or strongly agreed that a career ladder clarifies clinical competencies (54% pre vs. 72% post) and provides a development pathway (69% pre vs. 77% post). Knowledge differed by practice location, with outpatient APPs reporting lower knowledge than inpatient peers ( P =0.016). Understanding of salary compensation was stable with a small, nonsignificant post increase.</p><p><strong>Conclusions: </strong>The ladder clarified competencies, supported growth, and recognized APP contributions. Nurse executives should consider implementing competency-based ladders to strengthen this workforce.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"121-126"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127343","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
Life Cycle Assessments Enhance a Health System's Environmental Stewardship Initiative. 生命周期评估增强了卫生系统的环境管理主动性。
IF 1.9 4区 医学
Journal of Nursing Administration Pub Date : 2026-03-01 Epub Date: 2026-02-16 DOI: 10.1097/NNA.0000000000001692
Nicole H Kreimer, Colleen Paramesh, Michelle S Cochran, Elizabeth C Schenk
{"title":"Life Cycle Assessments Enhance a Health System's Environmental Stewardship Initiative.","authors":"Nicole H Kreimer, Colleen Paramesh, Michelle S Cochran, Elizabeth C Schenk","doi":"10.1097/NNA.0000000000001692","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001692","url":null,"abstract":"<p><p>Healthcare is one of the world's largest polluters. Hospitals face a paradox: while healing patients, they can be simultaneously harming the environment that sustains human health. Over the past century, health metrics have shown significant improvement with life expectancy rising and infant mortality falling, yet carbon emissions, water and energy use, ocean acidification, and deforestation have increased. Left unchecked, this level of consumption and resource use could lead to increased mortality, loss of biodiversity, water shortages, and nutritional disparities. Life cycle assessments have been suggested to examine the broader environmental impact and inform healthcare product decisions. This article describes what a life cycle assessment is, how it can be used for informed product decision-making, and provides recommendations for use in healthcare.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 3","pages":"E11-E12"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221905","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
Assessing the Impact of ANCC Magnet Designation: Insights From a Chief Nursing Officer and a Magnet Program Director. 评估ANCC磁体指定的影响：来自首席护理官和磁体项目主任的见解。
IF 1.9 4区 医学
Journal of Nursing Administration Pub Date : 2026-03-01 Epub Date: 2026-02-16 DOI: 10.1097/NNA.0000000000001690
David Marshall, Jill Whade
{"title":"Assessing the Impact of ANCC Magnet Designation: Insights From a Chief Nursing Officer and a Magnet Program Director.","authors":"David Marshall, Jill Whade","doi":"10.1097/NNA.0000000000001690","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001690","url":null,"abstract":"<p><p>The American Nurses Credentialing Center (ANCC) Magnet Recognition Program® is an international designation awarded to healthcare organizations that demonstrate excellence in nursing practice and outcomes (nursing, organizational, and patient). This article is a perspectives piece that juxtaposes the viewpoints of a chief nursing officer and a Magnet program director. It synthesizes whether Magnet designation functions primarily as an organizational differentiator or a catalyst for internal improvement. The analysis is based on a narrative synthesis of peer‑reviewed studies, professional standards, and relevant industry reports published between 2020 and 2025.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 3","pages":"109-111"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221911","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
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