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Elements of Effective Professional Governance: An Integrative Review. 有效专业治理的要素：综合评价。
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.0000000000001755
Emily M Crossen, Julie Murphy
{"title":"Elements of Effective Professional Governance: An Integrative Review.","authors":"Emily M Crossen, Julie Murphy","doi":"10.1097/NNA.0000000000001755","DOIUrl":"10.1097/NNA.0000000000001755","url":null,"abstract":"<p><strong>Objective: </strong>This review synthesizes literature on elements of professional governance structures that support effective nurse-led decision-making and sustained engagement.</p><p><strong>Background: </strong>Professional governance has been demonstrated to enhance nursing engagement and improve patient outcomes. However, it remains unclear which elements of governance structures are most effective in a complex post-COVID-19 healthcare environment.</p><p><strong>Methods: </strong>A systematic search and critical appraisal were conducted to identify relevant literature. Data were extracted and analyzed to identify key themes.</p><p><strong>Results: </strong>Eight articles met the inclusion criteria. Thematic analysis revealed 4 key elements influencing nurse-led decision-making and engagement: council structure, leadership engagement, clinical nurse accessibility, and education and training. Several barriers to engagement were also noted.</p><p><strong>Conclusions: </strong>Effective professional governance structures are crucial for fostering nurse-led decision-making and engagement. Future research should focus on empirical evaluations of professional governance structures and protocols to guide best practices in a rapidly changing healthcare landscape.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 7","pages":"403-408"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279661","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 Resilience and Well-Being Among Nurse Leaders: A Randomized Controlled Trial of Mindfulness and Narrative Interventions. 增强护士领导的恢复力和幸福感：正念和叙事干预的随机对照试验。
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.0000000000001749
Minjin Kim, Rebecca Owens, Sharon Tucker, Stephanie Nolan, Joshua Lambert, Louisette Abikou, Joyce J Fitzpatrick
{"title":"Enhancing Resilience and Well-Being Among Nurse Leaders: A Randomized Controlled Trial of Mindfulness and Narrative Interventions.","authors":"Minjin Kim, Rebecca Owens, Sharon Tucker, Stephanie Nolan, Joshua Lambert, Louisette Abikou, Joyce J Fitzpatrick","doi":"10.1097/NNA.0000000000001749","DOIUrl":"10.1097/NNA.0000000000001749","url":null,"abstract":"<p><strong>Objective: </strong>Evaluate the short-term effectiveness of interventions to address nurse leader resilience and well-being.</p><p><strong>Background: </strong>Nurse leaders face unique stressors in their role. Evidence-based, feasible interventions are urgently needed.</p><p><strong>Methods: </strong>The study included 157 US nurse leaders, randomly assigned to 3 intervention groups (mindfulness, narrative, combined). Well-being and resilience were measured at baseline (T0), 1 week (T1), and 2 weeks (T2).</p><p><strong>Results: </strong>Well-being scores showed significant improvement over time across all groups. Resilience scores increased from baseline to first follow-up but declined by the second follow-up.</p><p><strong>Conclusion: </strong>Low-resource interventions demonstrated short-term signals of effectiveness for improving nurse leaders' well-being over 2 weeks; resilience findings were mixed and not sustained by week 2. A longer follow-up is warranted before broad organizational adoption.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 7","pages":"362-368"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279687","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
Designing Safer Maternity Care: Leadership Lessons From an Integrated Midwifery-Hospital Model. 设计更安全的产妇护理：来自助产士-医院综合模式的领导经验教训。
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.0000000000001746
Katherine Virkstis, Ila Dayananda
{"title":"Designing Safer Maternity Care: Leadership Lessons From an Integrated Midwifery-Hospital Model.","authors":"Katherine Virkstis, Ila Dayananda","doi":"10.1097/NNA.0000000000001746","DOIUrl":"10.1097/NNA.0000000000001746","url":null,"abstract":"<p><p>Cesarean births account for roughly one-third of US deliveries, and many remain avoidable, increasing risks for mothers and infants. Hospitals are exploring care models that safely reduce unnecessary intervention. This article examines a model between Mount Sinai Health System and Oula that integrates midwifery and obstetric care within a hospital setting. The case highlights how shared protocols and interdisciplinary leadership can support lower-intervention maternity care.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 7","pages":"351-352"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279716","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
Virtual Nursing Programs in Acute Care Settings: A Scoping Review of Patient, Nurse, and System-Level Outcomes. 急性护理设置中的虚拟护理程序：对患者，护士和系统级结果的范围审查。
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.0000000000001753
Jacqueline Nikpour, Monique Bouvier, Omid Razmpour, Sharon L Leslie, Jeannie P Cimiotti
{"title":"Virtual Nursing Programs in Acute Care Settings: A Scoping Review of Patient, Nurse, and System-Level Outcomes.","authors":"Jacqueline Nikpour, Monique Bouvier, Omid Razmpour, Sharon L Leslie, Jeannie P Cimiotti","doi":"10.1097/NNA.0000000000001753","DOIUrl":"10.1097/NNA.0000000000001753","url":null,"abstract":"<p><strong>Objective: </strong>To synthesize the literature on the influence of virtual nursing (VN) on patient, nurse, and system-level outcomes in acute care.</p><p><strong>Background: </strong>Persistent nursing workforce challenges, including staff shortages and turnover, have been intensified by the COVID-19 pandemic, rising patient acuity, and increasing documentation demands. Many health systems have adopted VN programs, where remote nurses support bedside staff using audiovisual technology. Although these programs are rapidly expanding, evidence of their effectiveness remains limited.</p><p><strong>Methods: </strong>These authors conducted a scoping review following PRISMA guidelines. Eleven studies reporting patient, nurse, or system-level outcomes were included.</p><p><strong>Results: </strong>Most studies were cross-sectional pilots. Evidence was strongest for nurse and patient satisfaction, with reports of improved discharge efficiency, reduced administrative burden, and higher patient satisfaction. Findings for other outcomes, including safety indicators and financial metrics, were inconsistently reported.</p><p><strong>Conclusions: </strong>Virtual nursing shows promise for enhancing patient satisfaction and workflow efficiency, but cannot replace investments in sufficient bedside staff and resources.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 7","pages":"390-396"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279709","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
The CNO-CFO Dyad: A Strategic Driver of Organizational Performance. 首席财务官与首席财务官的二元关系：组织绩效的战略驱动因素。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2026-06-23 DOI: 10.1097/NNA.0000000000001771
Brandy Mathews, Joni L Watson, Karen Drenkard
{"title":"The CNO-CFO Dyad: A Strategic Driver of Organizational Performance.","authors":"Brandy Mathews, Joni L Watson, Karen Drenkard","doi":"10.1097/NNA.0000000000001771","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001771","url":null,"abstract":"<p><p>The American Organization for Nursing Leadership (AONL) convened a dialogue among a group of chief nursing officer (CNO)-chief financial officer (CFO) dyads, with support from the Healthcare Financial Management Association. An AONL subcommittee used the dialogue results to develop guiding principles to assist leaders in creating and strengthening CNO-CFO partnerships. This work suggests that leaders can approach the CNO-CFO relationship as strategic rather than transactional. As nurse executives strengthen leadership competencies, they can build trust, engage finance partners early, create shared measures of success, and align nursing priorities with enterprise value.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148334167","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
The Constant Observation Resource Assessment (CORA): A Preliminary Tool Evaluation. 持续观测资源评估（CORA）：一种初步的工具评估。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2026-06-01 Epub Date: 2026-05-15 DOI: 10.1097/NNA.0000000000001740
Heather Watson, Lucy Stewart, Kate Pontone, Joseph Crowley, Emily Batie, Alex Tsikerdanos
{"title":"The Constant Observation Resource Assessment (CORA): A Preliminary Tool Evaluation.","authors":"Heather Watson, Lucy Stewart, Kate Pontone, Joseph Crowley, Emily Batie, Alex Tsikerdanos","doi":"10.1097/NNA.0000000000001740","DOIUrl":"10.1097/NNA.0000000000001740","url":null,"abstract":"<p><strong>Objective: </strong>The Constant Observation Resource Assessment (CORA) was developed to guide prioritization of resources.</p><p><strong>Introduction: </strong>Constant observers, also called patient safety attendants, support safe, less restrictive care for high-risk patients. Staffing shortages highlight the need for structured, equitable constant observation (CO) allocation.</p><p><strong>Methods: </strong>In this prospective pilot on 15 adult and 4 pediatric units, researchers evaluated CORA's content validity and inter-rater reliability. Over 6 months in 2021, nurses completed pre-/postimplementation surveys on transparency, fairness, accuracy, and confidence in allocation. A subset of assessments was dual-rated within the same shift to calculate the interclass correlational coefficient (ICC) (2,1).</p><p><strong>Results: </strong>Staff ratings improved across all domains (P≤0.002; Cohen's d ≈ 0.74-1.31). Among 600 assessments, the total score ICC(2,1) was 0.717 [95% CI (0.647, 0.775)]; subscales ranged from 0.607 to 0.720. Cronbach's α was 0.888 (raw).</p><p><strong>Conclusions: </strong>CORA showed acceptable inter-rater reliability and initial validity, supporting its potential to standardize CO allocation. The CORA tool offers a standardized, evidence-based approach to allocating CO resources, addressing long-standing concerns about fairness and transparency in sitter assignments. Its implementation may improve patient safety, support clinical decision-making, and reduce burden on nursing staff in high-acuity inpatient settings. Future studies will assess predictive performance and refine decision thresholds.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 6","pages":"324-330"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965298","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
Reconceptualizing Professional Nursing Practice: Laura J. Wood on Leadership, Creation of a Connected Learning Community, and the Future of Pediatric Healthcare. 重新定义专业护理实践：劳拉·j·伍德关于领导力，建立一个连接的学习社区，以及儿科医疗保健的未来。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2026-06-01 Epub Date: 2026-05-15 DOI: 10.1097/NNA.0000000000001732
Melora D Heffron
{"title":"Reconceptualizing Professional Nursing Practice: Laura J. Wood on Leadership, Creation of a Connected Learning Community, and the Future of Pediatric Healthcare.","authors":"Melora D Heffron","doi":"10.1097/NNA.0000000000001732","DOIUrl":"10.1097/NNA.0000000000001732","url":null,"abstract":"<p><p>In this column, Laura J. Wood, DNP, RN, NEA‑BC, FAAN, Executive Vice President, Patient Care Operations, System Chief Nurse Executive, and Sporing Carpenter Chair for Nursing at Boston Children's Hospital, shares the leadership philosophies and structural decisions that have enabled innovative clinical practice and workforce stability in one of the nation's most complex pediatric health systems. As President of the American Nurses Credentialing Center (ANCC), Dr Wood brings a national perspective on professional development, certification, and the future of nursing leadership. Her insights reflect a consistent belief: stability, excellence, and well‑being are not accidental, but the result of intentional thought leadership and planning.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 6","pages":"296-297"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965261","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
AONL Nurse Leader Core Competencies Updated for Contemporary Practice. AONL护士领导核心能力更新为当代实践。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2026-06-01 Epub Date: 2026-05-15 DOI: 10.1097/NNA.0000000000001733
Marie M Prothero, Tera L Gross, Julibeth Lauren
{"title":"AONL Nurse Leader Core Competencies Updated for Contemporary Practice.","authors":"Marie M Prothero, Tera L Gross, Julibeth Lauren","doi":"10.1097/NNA.0000000000001733","DOIUrl":"10.1097/NNA.0000000000001733","url":null,"abstract":"<p><p>The American Organization for Nursing Leadership (AONL) has revised the Nurse Leader Core Competencies to reflect evolving care delivery models and workforce demands. This article outlines the rationale for the update, defines the revised competency framework, and highlights its evidence base and behaviors that support measurable leadership performance. Drawing on recent literature and national reports, it underscores the importance of evidence‑aligned, competency‑based leadership development across care settings, academia, and industry.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 6","pages":"298-299"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965020","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
The First Yes: How One Decision Sparked a Global Movement in Nursing Excellence. 第一个是：一个决定如何引发全球护理卓越运动。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2026-06-01 Epub Date: 2026-05-15 DOI: 10.1097/NNA.0000000000001734
Katherine Virkstis
{"title":"The First Yes: How One Decision Sparked a Global Movement in Nursing Excellence.","authors":"Katherine Virkstis","doi":"10.1097/NNA.0000000000001734","DOIUrl":"10.1097/NNA.0000000000001734","url":null,"abstract":"<p><p>A single leadership decision, saying yes to a new way of honoring nurses, helped catalyze a global movement in nurse recognition. In 2000, Susan Grant, Chief Nursing Officer at the University of Washington Medical Center, agreed to pilot a program that invited patients and families to define extraordinary nursing care through their own stories. That decision became the DAISY Award®. In this interview, Dr Grant reflects on the origins of DAISY and leadership lessons for today. The message is clear: some of the most enduring innovations in nursing do not begin with metrics or technology, but with courage, humility, and a commitment to purpose.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 6","pages":"300-301"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965256","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
Innovation by Design: Closing the Human-centered Design Skills Gap Among Front-line Nurses. 设计创新：弥合一线护士以人为本的设计技能差距。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2026-06-01 Epub Date: 2026-05-15 DOI: 10.1097/NNA.0000000000001742
Jeana M Holt, AkkeNeel Talsma, Murad H Taani, Ilya Avdeev, Colleen Lawlor Eckert, Qiyan Mu, Florine Ndakuya-Fitzgerald, Joann Jastrab
{"title":"Innovation by Design: Closing the Human-centered Design Skills Gap Among Front-line Nurses.","authors":"Jeana M Holt, AkkeNeel Talsma, Murad H Taani, Ilya Avdeev, Colleen Lawlor Eckert, Qiyan Mu, Florine Ndakuya-Fitzgerald, Joann Jastrab","doi":"10.1097/NNA.0000000000001742","DOIUrl":"10.1097/NNA.0000000000001742","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the impact of an 8-hour human-centered design (HCD) workshop on nurses' and other clinicians' creative self-efficacy (CSE), psychological empowerment (PE), and traits of design thinkers (TDT).</p><p><strong>Background: </strong>Despite nurses' routine problem-solving, formal training in HCD is lacking. Integrating HCD can foster intrapreneurship and innovation within healthcare systems.</p><p><strong>Methods: </strong>A mixed-methods, 1-group quasi-experimental study was conducted at a Midwestern university's Entrepreneurship Center with VA Healthcare System nurses and clinicians. Participants completed pre-workshop and post-workshop surveys measuring CSE, PE, and TDT, and qualitative reflections.</p><p><strong>Results: </strong>Among 27 participants, statistically significant improvements were observed in CSE (d=1.23), PE (d=0.43), and TDT (d=0.65). Qualitative themes highlighted collaboration, experiential learning, and a desire for continued innovation support.</p><p><strong>Conclusions: </strong>HCD workshop enhanced nurses' innovation competencies and empowered them to lead system improvements. Strategic partnerships with universities can address educational gaps and foster a culture of intrapreneurship in healthcare.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 6","pages":"E25-E30"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13182803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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