{"title":"Leadership Without Limits: Reframing Nursing's Influence in a Complex System-An Interview With Dr Jennifer Mensik Kennedy.","authors":"Melora D Heffron","doi":"10.1097/NNA.0000000000001767","DOIUrl":"10.1097/NNA.0000000000001767","url":null,"abstract":"<p><p>In this column, Dr Jennifer Mensik Kennedy, PhD, MBA, RN, NEA-BC, FAAN, President of the American Nurses Association, shares insights on leading within complex healthcare systems, redefining the economic and societal value of nursing, and expanding leadership beyond traditional roles. Drawing on systems thinking, policy influence, and her leadership philosophy, she challenges nurse leaders to embrace innovation, shift outdated paradigms, and step forward to shape the future of the profession.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 8","pages":"411-412"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551230","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":"Magnet Recognition Through the Lens of Clinical Nurses.","authors":"Melody Cubas","doi":"10.1097/NNA.0000000000001770","DOIUrl":"10.1097/NNA.0000000000001770","url":null,"abstract":"<p><p>The evolution of nursing practice demands more than recognition of excellence. It requires practice environments that actively cultivate clinical nurses' professional voice, autonomy, and shared leadership. Empowering nurses to lead and own their professional practice contributes to optimal outcomes for both the patients and healthcare organizations. Moving Magnet recognition from traditional models of designation to transformation grounded in clinical nurses' autonomy for professional excellence is necessary. To achieve this change, it is necessary to shift from compliance to commitment, burnout to meaningful engagement, and hierarchy to shared leadership. Such a contemporary view then demonstrates the enduring value of Magnet recognition.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 8","pages":"409-410"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551214","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":"An Exploration of What Nurses Value in Their Nursing Practice.","authors":"Lisa Zani, Jillian Robar, Nancy Phoenix Bittner","doi":"10.1097/NNA.0000000000001759","DOIUrl":"10.1097/NNA.0000000000001759","url":null,"abstract":"<p><strong>Objective: </strong>To explore what nurses value in their practice that helps to inform nurse satisfaction.</p><p><strong>Background: </strong>Nurse turnover is a growing concern, with nurses leaving the profession in unprecedented numbers. What nurses value in their practice has evolved over the past decade; understanding these shifts is important to strategize the future of nursing practice.</p><p><strong>Methods: </strong>Qualitative, descriptive study using focus groups to explore inpatient acute care nursing values.</p><p><strong>Results: </strong>Participants (n=52) identified 4 interrelated themes: relationship building with patients, colleagues and leaders; the importance of compassion, patient advocacy, and a team approach to care; barriers to care, including resource constraints, communication issues, and role strain; and perspectives on the future of nursing. Nurses remain optimistic about their ability to adapt to innovative advances, role expansion, and maintaining the human-to-human connection that is foundational to nursing practice.</p><p><strong>Conclusions: </strong>The findings offer important insights into what nurses value and are challenged by, which may guide future nursing research, strategies for leaders, organizational improvement and nurse retention.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 8","pages":"439-443"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551271","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":"Clinical Effectiveness Framework: An Operational Approach to Aligning Context, Care Coordination, and Team Effectiveness for Reliable Care.","authors":"Teresa Wood","doi":"10.1097/NNA.0000000000001781","DOIUrl":"10.1097/NNA.0000000000001781","url":null,"abstract":"<p><p>Despite substantial investment in clinical education, gaps in quality, safety, and care coordination persist, reflecting misalignment between traditional approaches and organizational needs. This perspective argues that task-based, decontextualized education constrains the development of system-level clinical capability. The Clinical Effectiveness Framework offers a unified, practice-based strategy that integrates context, care coordination, and team effectiveness. It also operationalizes these domains across hiring, policy, education, and leadership to support the reliable execution of evidence-based care and improved quality and safety outcomes.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 8","pages":"413-417"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551239","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":"The \"Tenure Paradox\" in Patient Safety Culture Among Nurse Managers: A Cross-Sectional Study.","authors":"Berra Yilmaz Kusakli, Ece Uysal Kasap","doi":"10.1097/NNA.0000000000001764","DOIUrl":"10.1097/NNA.0000000000001764","url":null,"abstract":"<p><strong>Objective: </strong>Nurse managers (NMs) play a pivotal role in shaping unit-level safety climates. The relationship between their professional experience and safety perception remains underexplored. This study assesses how NMs perceive patient safety culture and isolates the demographic and organizational predictors of these perceptions.</p><p><strong>Background: </strong>While frontline nurses' views are well-documented, NMs' perspectives, particularly regarding how tenure influences safety awareness, are often limited. Understanding this dynamic is essential for identifying organizational gaps in hospital administration.</p><p><strong>Methods: </strong>The authors employed a descriptive, cross-sectional design, including 125 NMs from a tertiary hospital complex in Istanbul, Türkiye, between September and October 2024. Data were collected using the Patient Safety Culture Scale. Multiple regression analysis was applied to determine the explanatory power of key variables, including tenure, training, and reporting habits.</p><p><strong>Results: </strong>Participants reported a moderate-to-high mean safety culture score (3.02 ± 0.52). While general perceptions were positive, the domain of \"Adverse Event and Error Reporting\" received the lowest ratings. The regression model (R2=0.37, P<0.001) indicated a significant divergence. While safety training positively influenced scores, longer tenure in the same unit was associated with lower safety perceptions.</p><p><strong>Conclusion: </strong>These findings suggest a \"tenure paradox,\" where prolonged exposure to the same clinical environment may lead to reduced sensitivity or the \"normalization of deviance\" among NMs. Healthcare organizations should prioritize leadership rotation and targeted refreshment programs rather than assuming experienced managers inherently maintain high safety vigilance.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 8","pages":"444-449"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551251","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}
Patricia Newcomb, Kimberly Hickman, Regina Urban, Kambree Baxter, Melissa C Blanchard, Amanda M Pineda
{"title":"Relationship Between Workplace Incivility and Intention to Leave Employment Among New Graduate Nurse Residents.","authors":"Patricia Newcomb, Kimberly Hickman, Regina Urban, Kambree Baxter, Melissa C Blanchard, Amanda M Pineda","doi":"10.1097/NNA.0000000000001765","DOIUrl":"10.1097/NNA.0000000000001765","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated links between incivility and intention to leave (ITL) employment among new graduate nurses (NGNs) during residency.</p><p><strong>Background: </strong>As an undesirable characteristic of workplace environments, incivility may predispose inexperienced nurses to leave employment.</p><p><strong>Methods: </strong>Surveys of NGN residents conducted 6 months after hire from 2022 through 2024 were analyzed.</p><p><strong>Results: </strong>Incivility from physicians and unit leaders significantly increased ITL scores but did not predict termination within 2 years. Long-term retention was related to having positive role models and satisfaction with work schedules.</p><p><strong>Conclusions: </strong>Fostering supportive leadership and cultivating strong role models could improve retention and reduce early career distress among NGNs.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 8","pages":"450-454"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551257","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}
Lynn D Mohr, Jan Powers, K Boss, Shauna P Schad, Katrina Fetter, Maria C Gallup, Teri Mandrak, Patricia K Tuite, Jennifer M Manning, Brandee Wornhoff, Brennan Lewis
{"title":"Growing Your Own: A Clinical Nurse Specialist Development Toolkit for Healthcare Leaders: Erratum.","authors":"Lynn D Mohr, Jan Powers, K Boss, Shauna P Schad, Katrina Fetter, Maria C Gallup, Teri Mandrak, Patricia K Tuite, Jennifer M Manning, Brandee Wornhoff, Brennan Lewis","doi":"10.1097/NNA.0000000000001758","DOIUrl":"10.1097/NNA.0000000000001758","url":null,"abstract":"","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 8","pages":"E36"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551237","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.","authors":"Joyce E Johnson, Linda L Costa, Jo Ellen Carpenter","doi":"10.1097/NNA.0000000000001768","DOIUrl":"10.1097/NNA.0000000000001768","url":null,"abstract":"<p><p>Nurse executives face expanding responsibilities that include financial management, strategic planning, and system-level decision-making, yet many lack formal preparation in business competencies. This article examines the gap between expectations for executive roles and traditional academic preparation. It also explores the potential of the dual Doctor of Nursing Practice/Master of Business Administration pathway to strengthen leadership readiness. National stakeholder data demonstrate strong support among chief executive officers, chief nursing officers, and graduate nursing faculty for integrating business education into advanced nursing programs. Although the American Organization for Nursing Leadership identifies business skills as a core competency, variability persists in their integration across curricula. The Doctor of Nursing Practice/Master of Business Administration provides an integrated approach combining clinical expertise with financial and strategic business knowledge. As healthcare systems increasingly emphasize financial performance and value, organizations and academic programs must align leadership preparation with evolving executive expectations.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 8","pages":"418-420"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551235","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}
Nancy Blake, Catherine P Canamar, Leo Vincent Flores, Blake V Gaarder, Diane Origel, Ross Leuterio, Susanna Huynh, Kelli Anderson, Amanda Cook
{"title":"Nurses' Perceived Adequacy of Staffing and Scheduling Systems.","authors":"Nancy Blake, Catherine P Canamar, Leo Vincent Flores, Blake V Gaarder, Diane Origel, Ross Leuterio, Susanna Huynh, Kelli Anderson, Amanda Cook","doi":"10.1097/NNA.0000000000001769","DOIUrl":"10.1097/NNA.0000000000001769","url":null,"abstract":"<p><strong>Objective: </strong>Evaluate the influence of a newly implemented acuity and scheduling system on nurses' perception of staffing adequacy and scheduling satisfaction.</p><p><strong>Background: </strong>Research shows an association between nurse staffing and scheduling and job satisfaction, but there is limited research on how staffing and scheduling affect this relationship.</p><p><strong>Methods: </strong>A convenience sample of nurses completed surveys measuring satisfaction with staffing and scheduling before and after implementation of a new scheduling and acuity system in the hospital setting. Comparison of pre-post survey responses was analyzed with Mann-Whitney U tests.</p><p><strong>Results: </strong>Participants (n = 1100) were primarily females (78%), registered nurses in their late 30s, with a college degree, working in the inpatient unit. There were statistically significant improvements in staff satisfaction with scheduling and staffing processes with the new system ( P < 0.05).</p><p><strong>Conclusions: </strong>Implementing an empowered scheduling system significantly enhances engagement, improves satisfaction, and can strengthen organizational capacity to sustain a stable and resilient workforce.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473848","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}
Jennifer R Majumdar, Cidalia J Vital, Margaret Barton-Burke, Jessica Goldberg, Kristen L Fessele, AnnMarie Mazzella-Ebstein
{"title":"Building Clinical Nursing Research Capacity: A Scalable Multi-Institutional Fellowship Model.","authors":"Jennifer R Majumdar, Cidalia J Vital, Margaret Barton-Burke, Jessica Goldberg, Kristen L Fessele, AnnMarie Mazzella-Ebstein","doi":"10.1097/NNA.0000000000001772","DOIUrl":"10.1097/NNA.0000000000001772","url":null,"abstract":"<p><p>The Memorial Sloan Kettering Cancer Center Nursing Research Fellowship (NRF) is a structured, mentorship-driven program designed to strengthen clinical nursing research capacity across health systems. Originally developed within a single academic medical center, the fellowship expanded to a multi-institutional model providing protected time, PhD-prepared mentorship, and a standardized curriculum without requiring development of independent research infrastructure at each site. This article describes the NRF's structure, implementation across partner institutions, and organizational value, including key facilitators, barriers, and leadership considerations. The NRF demonstrates a scalable approach for nursing leaders seeking to build sustainable research capacity, support professional development, and integrate nurse-led inquiry into clinical practice across diverse care settings.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473872","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}