Journal of Nursing Administration最新文献_第7页

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.0000000000001731

M Maureen Lal

引用次数: 0

The Effects of Sociodemographic Factors on Nurses' Self-Care Abilities in a Publicly Funded Hospital: A Quantitative Study Using Orem's Framework. 社会人口学因素对公费医院护士自我护理能力的影响：基于Orem框架的定量研究

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.0000000000001739

Florence Ahenkorah, Marie N Fongwa, Kathleen Ruccione, Lowell Renold, Nancy Blake

{"title":"The Effects of Sociodemographic Factors on Nurses' Self-Care Abilities in a Publicly Funded Hospital: A Quantitative Study Using Orem's Framework.","authors":"Florence Ahenkorah, Marie N Fongwa, Kathleen Ruccione, Lowell Renold, Nancy Blake","doi":"10.1097/NNA.0000000000001739","DOIUrl":"10.1097/NNA.0000000000001739","url":null,"abstract":"Objective: To examine the impact of sociodemographic factors on the self-care ability of registered nurses (RNs) in a publicly funded hospital, guided by Orem's Self-Care Framework.Background: Self-care is essential for nurses' well-being and performance. Understanding sociodemographic factors affecting self-care provides a basis for targeted interventions.Methods: A cross-sectional study surveyed 279 RNs using the Exercise of Self-Care Agency (ESCA) scale and a sociodemographic questionnaire. Statistical analyses, including ANOVA and regression, identified significant predictors.Results: The study highlights significant relationships between sociodemographic variables and self-care abilities. Age (P = 0.02), ethnicity (P = 0.005), shift type (P = 0.03), work unit (P = 0.005), income (P = 0.041), financial situation (P < 0.001), and social support (P < 0.001) were critical determinants of self-care.Conclusions: Some sociodemographic factors influence self-care ability. Addressing financial stability, social support, ethnicity, and work conditions may be essential to promote nurses' well-being and ensure workforce sustainability.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 6","pages":"318-323"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965337","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

Comparison of Engagement, Turnover Intention, and Tenure of Medical-Surgical Nurses: An Exploratory Study. 内外科护士敬业度、离职倾向与任期的比较：一项探索性研究。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2026-06-01 Epub Date: 2026-05-12 DOI: 10.1097/NNA.0000000000001736

Janet LoVerde, Elizabeth Herron, Teresa Kisch

引用次数: 0

Influences on Mid-Career Nurses' Intent to Stay in Direct Care Roles. 职业中期护士继续从事直接护理工作意向的影响。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2026-06-01 Epub Date: 2026-05-11 DOI: 10.1097/NNA.0000000000001737

Emily M Crossen, Susan M Hunter Revell, Patricia Dwyer, Jennifer Viveiros

{"title":"Influences on Mid-Career Nurses' Intent to Stay in Direct Care Roles.","authors":"Emily M Crossen, Susan M Hunter Revell, Patricia Dwyer, Jennifer Viveiros","doi":"10.1097/NNA.0000000000001737","DOIUrl":"10.1097/NNA.0000000000001737","url":null,"abstract":"Objective: The aim of this study was to describe mid-career direct care nurses' intent to stay (ITS) and explore the relationship between authentic leadership, workplace belonging, opportunity, job satisfaction, and ITS.Background: Retaining mid-career nurses is essential for patient safety and combating the nursing shortage, yet existing literature predominantly focuses on novice nurses.Methods: A convenience sample of mid-career direct care nurses (N=138) from across the United States participated in an online survey. Researchers used descriptive statistics, correlations, and hierarchical regression to analyze the data.Results: Among the mid-career direct care nurses surveyed, 19.6% indicated no ITS, 37% were neutral or undecided, and 43.5% expressed ITS. Positive correlations were found between the independent variables and ITS. Opportunity and job satisfaction emerged as significant predictors.Conclusions: To enhance mid-career nurse retention, nurse leaders should adopt a multifactorial approach, prioritizing job satisfaction and professional opportunities.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 6","pages":"307-311"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965154","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

Embedding a Research Culture in Nursing: Outcomes of the Nursing Research Challenge in a Magnet® Designated University Hospital. 在护理中嵌入研究文化：Magnet®指定大学医院护理研究挑战的结果。

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.0000000000001738

Mónica Vazquez-Calatayud, Natalia Costas-Ramón, Almudena Buerba-Díaz, Carmela Arteaga-Jordá, Elena Regaira-Martínez

{"title":"Embedding a Research Culture in Nursing: Outcomes of the Nursing Research Challenge in a Magnet® Designated University Hospital.","authors":"Mónica Vazquez-Calatayud, Natalia Costas-Ramón, Almudena Buerba-Díaz, Carmela Arteaga-Jordá, Elena Regaira-Martínez","doi":"10.1097/NNA.0000000000001738","DOIUrl":"10.1097/NNA.0000000000001738","url":null,"abstract":"Aim: To explore the medium-term to long-term implementation and outcomes of the Nursing Research Challenge (NRC) in a Magnet® designated university hospital.Background: Research-driven culture advances nursing practice, yet structured, impactful initiatives in European hospitals are scarce.Methods: A longitudinal study (2023-2025) in a private Magnet® tertiary hospital applied the Joanna Briggs Institute framework and RE-AIM model. Research capacity was assessed at T0, T1, and T2 using the validated Nursing Research Questionnaire.Results: Of 515 nurses completing the Nursing Research Questionnaire (T0=116; T1=127; T2=272), significant gains occurred in knowledge (+1.48) and resource use (+0.83) (P<0.001). Research use in decision-making and scholarly activity increased; attitudes improved modestly. Satisfaction was high (4.6/5). Nurses with master's/doctoral degrees rose from 38% to 54%.Conclusions: The NRC enhanced research capacity and engagement. Success factors were baseline assessment, strategic alignment, leadership, and infrastructure. The scalable model supports global adoption of a research-oriented nursing culture.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 6","pages":"312-317"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965082","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

Honoring Legacy, Advancing Nursing Leadership. 尊重传统，推进护理领导。

IF 1.9 4区医学

Journal of Nursing Administration Pub Date : 2026-06-01 Epub Date: 2026-05-15 DOI: 10.1097/NNA.0000000000001730

Hussein M Tahan

引用次数: 0

Nursing Workforce Sustainability: An Evolutionary Concept Analysis. 护理队伍的可持续性：一个进化的概念分析。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2026-06-01 Epub Date: 2026-05-12 DOI: 10.1097/NNA.0000000000001743

Simon Paul P Navarro, Allison A Norful, Gregory L Alexander

{"title":"Nursing Workforce Sustainability: An Evolutionary Concept Analysis.","authors":"Simon Paul P Navarro, Allison A Norful, Gregory L Alexander","doi":"10.1097/NNA.0000000000001743","DOIUrl":"10.1097/NNA.0000000000001743","url":null,"abstract":"Objective: To clarify the concept of sustainability in the nursing workforce and identify its attributes, antecedents, and potential consequences.Background: While the term \"nursing workforce sustainability\" has been used to emphasize the critical implications of ensuring the efficiency of healthcare systems worldwide, a delineated understanding of the concept remains ambiguous in extant literature, causing uncertainty about its conceptual underpinnings.Methods: Rodger's evolutionary approach was applied.Results: The authors identified \"nursing workforce sustainability\" as an evolving concept with four interrelated attributes: recruitment, retention, regulation, and recognition. The antecedents included demographic, occupational, and structural issues. Consequences include policy and systemic advancements, a diverse and inclusive workforce, enhanced workforce well-being, and improved patient safety and organizational effectiveness.Conclusions: A conceptual definition and framework of nursing workforce sustainability have been developed, offering groundwork for future research and policy development in workforce planning and management.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 6","pages":"338-343"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13182802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965236","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

AARP Volunteer Nurse Leaders Take Action to Address National Healthcare Initiatives. 美国退休人员协会志愿护士领袖采取行动解决国家医疗保健倡议。

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.0000000000001735

Jean Dowling Dols, Catherine Glennon

引用次数: 0

Embedding Convergent Care Theory: Implementing a System-wide Clinical Inquiry Model to Optimize Healthcare Outcomes. 嵌入融合护理理论：实现一个系统范围的临床查询模型，以优化医疗保健结果。

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.0000000000001741

Penelope Gorsuch, Karrie Boss, Seungman Kim, Holly Wei

{"title":"Embedding Convergent Care Theory: Implementing a System-wide Clinical Inquiry Model to Optimize Healthcare Outcomes.","authors":"Penelope Gorsuch, Karrie Boss, Seungman Kim, Holly Wei","doi":"10.1097/NNA.0000000000001741","DOIUrl":"10.1097/NNA.0000000000001741","url":null,"abstract":"Objective: Describe the development and implementation of a theory-informed professional practice model (PPM) and examine associated workforce, quality, engagement, and financial outcomes.Background: Healthcare organizations face persistent challenges related to workforce turnover, disengagement, and fragmented care delivery. PPMs align nursing practice, leadership, and outcomes, but are often insufficiently operationalized.Methods: This evidence-based practice QI initiative implemented a PPM grounded in Convergent Care Theory using a structured, multiphase clinical inquiry infrastructure. Aggregated organizational data were analyzed to assess workforce, patient quality and safety, staff engagement, and conservative cost avoidance.Results: More than 2500 nurses engaged in system-wide inquiry and strategic planning. One-year RN turnover decreased from 22.14% to 10.42% (P=0.002), associated with an estimated $4.6 million in conservative cost avoidance. Catheter-associated urinary tract infection rates decreased by 48%, and Leapfrog Hospital Safety Grades improved.Conclusions: Operationalizing theory through a system-wide PPM improved workforce retention, patient outcomes, engagement, and organizational cost avoidance.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 6","pages":"331-337"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965147","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

When Quality Improvement Becomes a Loophole: Building Capacity for Ethical and Scholarly Nursing Inquiry. 当质量改进成为漏洞：培养护理伦理和学术探究的能力。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2026-05-01 Epub Date: 2026-04-20 DOI: 10.1097/NNA.0000000000001723

Kimberly A Lewis, Jessica Phillips

{"title":"When Quality Improvement Becomes a Loophole: Building Capacity for Ethical and Scholarly Nursing Inquiry.","authors":"Kimberly A Lewis, Jessica Phillips","doi":"10.1097/NNA.0000000000001723","DOIUrl":"10.1097/NNA.0000000000001723","url":null,"abstract":"Objective: To describe the \"Quality Improvement (QI) loophole,\" a workaround that enables nurses to conduct research-like projects outside formal oversight, and to propose governance and capacity-building solutions that enhance rigor and ethical accountability in scholarly inquiry.Background: Nurses frequently lead QI and evidence-based practice projects but often lack institutional pathways or sufficient training to function as independent principal investigators, creating regulatory ambiguity and inconsistent rigor.Methods: This expert commentary draws upon the authors' combined leadership experience in scholarly nursing inquiry, innovation, education, and Magnet® program administration across diverse institutions and settings. The analysis integrates current policy directives, practice standards, and recent scholarship.Results: Proposed innovative models include digital research determination hubs, competency-tiered investigator credentialing, simulation, virtual reality, and nursing inquiry sandbox environments, and institutional award realignment to advance ethical integrity, rigor, and scholarly autonomy in nursing inquiry.Conclusions: Closing the QI loophole through structured governance and competency development is essential to sustain nursing's scientific credibility.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 5","pages":"256-259"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787673","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