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Occupational Fatigue and Cognitive Performance Among Front-Line Nurse Leaders: The Interplay of Personal and Work Factors. 一线护士长的职业疲劳与认知表现：个人因素与工作因素的相互作用。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2026-07-01 Epub Date: 2026-06-19 DOI: 10.1097/NNA.0000000000001751
Amany Farag, Carol Watson, Yelena Perkhounkova, Peter Abad, Ansam Bani Younes, Maria Hein
{"title":"Occupational Fatigue and Cognitive Performance Among Front-Line Nurse Leaders: The Interplay of Personal and Work Factors.","authors":"Amany Farag, Carol Watson, Yelena Perkhounkova, Peter Abad, Ansam Bani Younes, Maria Hein","doi":"10.1097/NNA.0000000000001751","DOIUrl":"10.1097/NNA.0000000000001751","url":null,"abstract":"<p><strong>Objective: </strong>This study examined factors associated with front-line nurse leaders (managers and assistant managers) occupational fatigue and its relationship with cognitive performance.</p><p><strong>Background: </strong>Front-line nurse leaders face substantial work demands that can contribute to occupational fatigue. This fatigue can impact their cognitive performance. However, limited research has explored those relationships.</p><p><strong>Methods: </strong>A cross-sectional descriptive correlational study was conducted in a Midwestern academic medical center and a large community hospital. Data were collected from 75 front-line leaders using self-report scales measuring fatigue and cognitive performance.</p><p><strong>Results: </strong>Participants reported high levels of acute, mental, and total fatigue, which were significantly associated with their cognitive performance. Poor sleep quality and long working hours were major contributors to fatigue. Older front-line leaders with tenure in their units reported better intershift recovery and low fatigue levels.</p><p><strong>Conclusion: </strong>The findings underscore the need for targeted interventions to mitigate fatigue and improve front-line nurse leaders' cognitive performance. Hospitals should prioritize fatigue management strategies for novice leaders.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 7","pages":"376-383"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279630","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
Dispelling the Myth of Obtaining a Baccalaureate Degree in Nursing. 打破获得护理学士学位的神话。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2026-07-01 Epub Date: 2026-06-19 DOI: 10.1097/NNA.0000000000001757
M Maureen Lal
{"title":"Dispelling the Myth of Obtaining a Baccalaureate Degree in Nursing.","authors":"M Maureen Lal","doi":"10.1097/NNA.0000000000001757","DOIUrl":"10.1097/NNA.0000000000001757","url":null,"abstract":"<p><p>The 2023 Magnet® Application Manual requirements include a source of evidence that expects organizations to describe an \"action plan for registered nurses' progress toward obtaining a baccalaureate or higher degree in nursing.\" This Perspective aims to dispel ongoing misunderstandings surrounding this requirement.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 7","pages":"347-348"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279700","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
Incorporating Succession Planning Into an Advanced Practice Workforce Strategy. 将继任计划纳入高级实践劳动力战略。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2026-07-01 Epub Date: 2026-06-19 DOI: 10.1097/NNA.0000000000001748
Breanne Fisher, Laura Finn
{"title":"Incorporating Succession Planning Into an Advanced Practice Workforce Strategy.","authors":"Breanne Fisher, Laura Finn","doi":"10.1097/NNA.0000000000001748","DOIUrl":"10.1097/NNA.0000000000001748","url":null,"abstract":"<p><p>This column describes the development and outcomes of a 6-month Emerging Leaders Program designed to prepare Advanced Practice Providers for leadership roles. Through targeted education, mentorship, and alignment with succession planning strategies, the program strengthened leadership readiness, increased internal advancement, and reinforced a pipeline of leaders within a pediatric healthcare organization.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 7","pages":"E33-E35"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279725","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
Substance Use Among Middle-Level Nurse Managers. 中级护理管理人员药物使用情况分析。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2026-07-01 Epub Date: 2026-05-22 DOI: 10.1097/NNA.0000000000001752
Yitong Wang, Karen J Foli, Zachary Hass, Nicole Adams, Seungyoon Lee
{"title":"Substance Use Among Middle-Level Nurse Managers.","authors":"Yitong Wang, Karen J Foli, Zachary Hass, Nicole Adams, Seungyoon Lee","doi":"10.1097/NNA.0000000000001752","DOIUrl":"10.1097/NNA.0000000000001752","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the prevalence of alcohol and drug use among middle-level nurse managers (MLNMs) and explored the associations between individual and workplace characteristics and substance use.</p><p><strong>Background: </strong>Substance use (SU) among nurses is a longstanding concern, yet MLNMs who carry substantial clinical and administrative responsibilities remain largely overlooked in the literature.</p><p><strong>Methods: </strong>A national sample of 234 MLNMs completed an online, cross-sectional survey. Binary logistic regression was used to explore the relationships between work-related factors and substance use.</p><p><strong>Results: </strong>13.42% of MLNMs screened positive for unhealthy alcohol use, and 75.63% reported some level of drug use. Mid-career to late-career MLNMs had higher odds of drug use. Master's-prepared MLNMs showed lower odds of both drug use and alcohol use problems, and longer registered nurse experience was linked to lower odds of drug use. By specialty, medical-surgical and pediatrics were associated with higher odds of drug use.</p><p><strong>Conclusions: </strong>These findings highlight the need for wellness-focused leadership development and structural changes to reduce work-related risks.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"384-389"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007250","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 Prescriptive Approach to Conference Attendance. 出席会议的规范方法。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2026-07-01 Epub Date: 2026-06-19 DOI: 10.1097/NNA.0000000000001747
Heather Watson
{"title":"A Prescriptive Approach to Conference Attendance.","authors":"Heather Watson","doi":"10.1097/NNA.0000000000001747","DOIUrl":"10.1097/NNA.0000000000001747","url":null,"abstract":"<p><p>Conferences are critical but often underleveraged vehicles for advancing nursing practice and leadership. Barriers, including staffing constraints, costs, and limited organizational support, dampen access and impact. This article offers a practical, structured approach that positions conference attendance as a strategic investment for both nurses and healthcare organizations. Scientific conferences serve as vital platforms for the exchange of knowledge, ideas, and advancements across disciplines. These gatherings bring together practitioners, researchers, scholars, and leaders, fostering collaboration and innovation. Through presentations, workshops, and discussions, attendees share emerging findings and methodologies, contributing to collective growth and advancement. Conferences provide opportunities for networking, enabling professionals to establish valuable connections and partnerships that may lead to future collaborations and interdisciplinary projects. Moreover, they create forums for peer review, where participants receive constructive feedback on their work, refine their approaches, and identify new directions for inquiry. Ultimately, these events shape clinical practice, operational strategies, and research priorities, thereby advancing both healthcare delivery and professional development.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 7","pages":"E31-E32"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279654","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 Psychometric Analysis of the Casey-Fink Nurse Leader Role Transition Survey©2025. Casey-Fink护士领导角色转变调查的发展与心理测量分析©2025。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2026-07-01 Epub Date: 2026-05-29 DOI: 10.1097/NNA.0000000000001756
Kathy Casey, Chia-Lin Tsai, Ryan M Fuller, Denise Rodriguez Shaw, Zehua Hei, Regina M Fink
{"title":"Development and Psychometric Analysis of the Casey-Fink Nurse Leader Role Transition Survey©2025.","authors":"Kathy Casey, Chia-Lin Tsai, Ryan M Fuller, Denise Rodriguez Shaw, Zehua Hei, Regina M Fink","doi":"10.1097/NNA.0000000000001756","DOIUrl":"10.1097/NNA.0000000000001756","url":null,"abstract":"<p><strong>Objective: </strong>To psychometrically test the newly developed Casey-Fink Nurse Leader Role Transition Survey©2025.</p><p><strong>Background: </strong>Nurses transitioning into formal nursing leadership roles experience stress and shifting responsibilities both personally and professionally. Without intentional preparation and support, these challenges can become overwhelming.</p><p><strong>Methods: </strong>In 2025, an expert panel (N=10) assessed content validity of this new scale. Psychometric properties were analyzed with responses from 477 nurse leaders with ≤24 months' experience in the role who may or may not have participated in a nurse leader onboarding program in a healthcare organization in the US Exploratory factor analysis was conducted to assess construct validity, and Cronbach alpha was calculated to evaluate internal consistency reliability.</p><p><strong>Results: </strong>The final analysis resulted in a 47-item instrument, with strong reliability and validity across 10 subscales, offering a comprehensive picture of nurse leader responsibilities.</p><p><strong>Conclusions: </strong>This valid and reliable instrument measures nurse leader role transition experiences.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"353-361"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057954","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
Establishing Research Priorities to Advance Nurse Governance Leadership Science. 建立研究重点，推进护士管理领导科学。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2026-07-01 Epub Date: 2026-05-14 DOI: 10.1097/NNA.0000000000001750
Lisa J Sundean, Kimberly A Cleveland
{"title":"Establishing Research Priorities to Advance Nurse Governance Leadership Science.","authors":"Lisa J Sundean, Kimberly A Cleveland","doi":"10.1097/NNA.0000000000001750","DOIUrl":"10.1097/NNA.0000000000001750","url":null,"abstract":"<p><strong>Objective: </strong>This project aimed to establish research priorities to advancing nurse governance leadership science.</p><p><strong>Background: </strong>Nurses are called to advance science for disciplinary activities through the development and execution of research agendas.</p><p><strong>Methods: </strong>A literature search was conducted, themes were developed and discussed with experts to establish research priorities guided by the Nine Common Themes of Good Practice Checklist for Setting Research Priorities and underpinned by the Conceptual Model for Nurses in Health Policy.</p><p><strong>Results: </strong>Five research priorities and one cross-cutting priority were developed. A research consortium was proposed to operationalize the research priorities.</p><p><strong>Conclusions: </strong>A coordinated research agenda for nurse governance leadership science systematizes research efforts, facilitates collaboration, and optimizes funding efficiency.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"369-375"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989788","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
Clinician Burnout Is Structural: Why Staffing and Work Design Matter More Than Wellness Programs. 临床医生的职业倦怠是结构性的：为什么人员配备和工作设计比健康计划更重要。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2026-07-01 Epub Date: 2026-06-19 DOI: 10.1097/NNA.0000000000001744
Lynne S Moronski
{"title":"Clinician Burnout Is Structural: Why Staffing and Work Design Matter More Than Wellness Programs.","authors":"Lynne S Moronski","doi":"10.1097/NNA.0000000000001744","DOIUrl":"10.1097/NNA.0000000000001744","url":null,"abstract":"","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 7","pages":"345-346"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279639","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
Bridging the Gap in Nursing Leadership Preparation: Aligning Educational Pathways With Functional Leadership Roles. 弥合护理领导准备的差距：调整教育途径与功能性领导角色。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2026-07-01 Epub Date: 2026-06-19 DOI: 10.1097/NNA.0000000000001745
Sandra Galura, Teresa Welch
{"title":"Bridging the Gap in Nursing Leadership Preparation: Aligning Educational Pathways With Functional Leadership Roles.","authors":"Sandra Galura, Teresa Welch","doi":"10.1097/NNA.0000000000001745","DOIUrl":"10.1097/NNA.0000000000001745","url":null,"abstract":"<p><p>In this column, leaders from ALSN discuss the issues presented by a lack of differentiation in functional nursing leadership competencies between Masters of Science in Nursing (MSN) and Doctorate of Nursing Practice (DNP) prepared graduates. An ad hoc committee of members of ALSN) was convened to conduct a comprehensive review of the existing literature and develop an initial set of nursing leadership competency and sub-competency statements that align with the AACN's Essentials 10 Domains of competency for nursing education.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 7","pages":"349-350"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279711","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
New Nurse Well-Being: Implications for Retention, Job Satisfaction, and Patient Safety. 新护士幸福感：对留任、工作满意度和患者安全的影响。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2026-07-01 Epub Date: 2026-06-19 DOI: 10.1097/NNA.0000000000001754
Cory D Church, Seungman Kim
{"title":"New Nurse Well-Being: Implications for Retention, Job Satisfaction, and Patient Safety.","authors":"Cory D Church, Seungman Kim","doi":"10.1097/NNA.0000000000001754","DOIUrl":"10.1097/NNA.0000000000001754","url":null,"abstract":"<p><strong>Objective: </strong>To examine the well-being of new nurses (NNS) and its effect on job satisfaction, turnover intent, and patient safety.</p><p><strong>Background: </strong>NNs face significant challenges during their transition to clinical practice, which can impact their mental health, job satisfaction, retention, and patient safety. Understanding well-being during this critical period can guide leaders in building workforce strategies.</p><p><strong>Methods: </strong>A national survey of NNs measured well-being, job satisfaction, turnover intent, and patient safety practices.</p><p><strong>Results: </strong>More than half (54.4%) of NNs screened at elevated risk for distress. Poorer well-being was linked to lower job satisfaction (odds ratio=0.41), increased turnover intent (odds ratio=1.29), and higher negative safety practices.</p><p><strong>Conclusions: </strong>Well-being is a leading indicator of workforce and safety outcomes. Findings provide leaders with actionable benchmarks to integrate well-being into retention and safety strategies.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 7","pages":"397-402"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279637","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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