Pub Date : 2025-06-07DOI: 10.1016/j.mnl.2025.05.004
Vernell P. DeWitty PhD, MBA, RN, FAAN, Kimberley Ennis DNP-APRN-BC
Nurse leaders play a pivotal role in health care organizations, shaping daily operations and significantly impacting patient outcomes. However, many nurse managers will leave their positions shortly after moving into the leadership role. Developing retention strategies to mitigate operational challenges associated with turnover is essential. Many studies have highlighted new nurse leaders' common challenges and obstacles, including feelings of alienation, a lack of mentorship, and cultural exclusion. Research findings suggest that structured onboarding, mentorship, and professional development are crucial in fostering a supportive work culture where nurse leaders feel valued and supported and have a sense of belonging.
{"title":"Creating a Culture of Belonging","authors":"Vernell P. DeWitty PhD, MBA, RN, FAAN, Kimberley Ennis DNP-APRN-BC","doi":"10.1016/j.mnl.2025.05.004","DOIUrl":"10.1016/j.mnl.2025.05.004","url":null,"abstract":"<div><div>Nurse leaders play a pivotal role in health care organizations, shaping daily operations and significantly impacting patient outcomes. However, many nurse managers will leave their positions shortly after moving into the leadership role. Developing retention strategies to mitigate operational challenges associated with turnover is essential. Many studies have highlighted new nurse leaders' common challenges and obstacles, including feelings of alienation, a lack of mentorship, and cultural exclusion. Research findings suggest that structured onboarding, mentorship, and professional development are crucial in fostering a supportive work culture where nurse leaders feel valued and supported and have a sense of belonging.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"23 4","pages":"Article 102438"},"PeriodicalIF":1.3,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144634227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-06DOI: 10.1016/j.mnl.2025.05.006
Cibele C. Webb PhD, MSN Ed, RN
This article explores resilience fatigue in nurse leaders who face constant pressure to stay strong and continuously available amid ongoing stress. Recognizing this form of fatigue is essential for restoring well-being and sustaining effective leadership in today’s demanding health care settings. The article examines its causes, consequences, and practical, evidence-based strategies to prevent burnout, support well-being, and redefine resilience in nursing.
{"title":"Strong but Drained","authors":"Cibele C. Webb PhD, MSN Ed, RN","doi":"10.1016/j.mnl.2025.05.006","DOIUrl":"10.1016/j.mnl.2025.05.006","url":null,"abstract":"<div><div>This article explores resilience fatigue in nurse leaders who face constant pressure to stay strong and continuously available amid ongoing stress. Recognizing this form of fatigue is essential for restoring well-being and sustaining effective leadership in today’s demanding health care settings. The article examines its causes, consequences, and practical, evidence-based strategies to prevent burnout, support well-being, and redefine resilience in nursing.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"23 5","pages":"Article 102440"},"PeriodicalIF":1.4,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145110219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-06DOI: 10.1016/j.mnl.2025.102442
Elizabeth A. Johnson PhD, MS-CRM, RN
Many health care facilities are in a current state of renovation, rehabilitation, or new built environment projects. While nurses are the largest profession by workforce size in health care, they remain still at the fringes of influence in the design of health care delivery systems or physical environments of care. This paper presents the interprofessional education model which provides nurses skills, training, and applied exposure to collaborative health care projects and general outcomes. Translation of design thinking as interprofessional collaboration to nursing leadership and merits of participatory design will be described.
{"title":"Developing Nurse Leaders Through Interprofessional Healthcare Design and Participatory Practice","authors":"Elizabeth A. Johnson PhD, MS-CRM, RN","doi":"10.1016/j.mnl.2025.102442","DOIUrl":"10.1016/j.mnl.2025.102442","url":null,"abstract":"<div><div>Many health care facilities are in a current state of renovation, rehabilitation, or new built environment projects. While nurses are the largest profession by workforce size in health care, they remain still at the fringes of influence in the design of health care delivery systems or physical environments of care. This paper presents the interprofessional education model which provides nurses skills, training, and applied exposure to collaborative health care projects and general outcomes. Translation of design thinking as interprofessional collaboration to nursing leadership and merits of participatory design will be described.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"23 4","pages":"Article 102442"},"PeriodicalIF":1.3,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144634207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-06DOI: 10.1016/j.mnl.2025.05.002
Kathryn Fleming PhD, RN, CPHQ, FACHE, Marie Foley-Daneker DNP, RN, CCRN, NE-BC, Linda Walsh MSN, RN, CEN, NE-BC, Kathy Martin MSW, BS, RN-BC, ONC, Victoria Berner MSN, RN-BC, Pam Egnatovich DNP, RN, CEN, NE-BC
This mixed-method study evaluates the impact of Virtual Nursing (VN) technology in acute care settings, focusing on patient safety, staff efficiency, and care quality. Data sources included clinical metrics, 27 patient interviews, and focus groups with 14 staff RNs. Following implementation, findings revealed reductions in overtime and length of stay, along with improved discharge planning and patient education. Patients appreciated VN’s accessibility, though some expressed concerns about a lack of personal connection. Staff described VN as a supportive tool that improved monitoring and communication. When thoughtfully integrated, VN can streamline workflows, enhance collaboration, and complement traditional bedside nursing with high-quality, patient-centered care.
{"title":"Enhancing Patient Care Through Virtual Nursing","authors":"Kathryn Fleming PhD, RN, CPHQ, FACHE, Marie Foley-Daneker DNP, RN, CCRN, NE-BC, Linda Walsh MSN, RN, CEN, NE-BC, Kathy Martin MSW, BS, RN-BC, ONC, Victoria Berner MSN, RN-BC, Pam Egnatovich DNP, RN, CEN, NE-BC","doi":"10.1016/j.mnl.2025.05.002","DOIUrl":"10.1016/j.mnl.2025.05.002","url":null,"abstract":"<div><div>This mixed-method study evaluates the impact of Virtual Nursing (VN) technology in acute care settings<span>, focusing on patient safety<span>, staff efficiency, and care quality. Data sources included clinical metrics, 27 patient interviews, and focus groups with 14 staff RNs. Following implementation, findings revealed reductions in overtime and length of stay, along with improved discharge planning and patient education. Patients appreciated VN’s accessibility, though some expressed concerns about a lack of personal connection. Staff described VN as a supportive tool that improved monitoring and communication. When thoughtfully integrated, VN can streamline workflows, enhance collaboration, and complement traditional bedside nursing with high-quality, patient-centered care.</span></span></div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"23 5","pages":"Article 102436"},"PeriodicalIF":1.4,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145110226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-04DOI: 10.1016/j.mnl.2025.102441
Jami S. Brown DHEd, MSN, RN, CNN, FANNA
Nurses, regardless of their specific roles or titles, exemplify leadership. They demonstrate leadership capabilities across diverse practice settings, whether in formal positions such as employers, managers, team leaders, or charge nurses, or through informal engagement in their nursing practices. However, health disparities pose a significant challenge in health care and disproportionately affect marginalized populations. It is essential for nurse leaders to actively address health outcomes and work towards eradicating these disparities. Therefore, this manuscript aims to explain the significance of addressing health disparities while highlighting the influence of nursing leadership on health equity, patient outcomes, and strategies to combat these issues.
{"title":"Nursing Leadership","authors":"Jami S. Brown DHEd, MSN, RN, CNN, FANNA","doi":"10.1016/j.mnl.2025.102441","DOIUrl":"10.1016/j.mnl.2025.102441","url":null,"abstract":"<div><div>Nurses, regardless of their specific roles or titles, exemplify leadership. They demonstrate leadership capabilities across diverse practice settings, whether in formal positions such as employers, managers, team leaders, or charge nurses, or through informal engagement in their nursing practices. However, health disparities pose a significant challenge in health care and disproportionately affect marginalized populations. It is essential for nurse leaders to actively address health outcomes and work towards eradicating these disparities. Therefore, this manuscript aims to explain the significance of addressing health disparities while highlighting the influence of nursing leadership on health equity, patient outcomes, and strategies to combat these issues.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"23 4","pages":"Article 102441"},"PeriodicalIF":1.3,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144634226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-04DOI: 10.1016/j.mnl.2025.102444
Reynaldo R. Rivera DNP, RN, NEA-BC, FAAN, FAONL, Alexandra N. Shelley MS, RN, CV-BC, FNP-BC
Nursing engagement significantly impacts health care outcomes, patient safety, and nurse retention. Despite this, many health care organizations struggle with an ongoing "engagement gap," where nurses remain underengaged, contributing to turnover and decreased patient care quality. This manuscript introduces the KINDER framework—Know, Involve, Nurture, Drive, Empower, Recognize—as an evidence-based strategy designed to guide nurse leaders in enhancing long-term nurse engagement. Each domain of KINDER emphasizes critical factors for engagement, including effective leadership communication, shared decision-making, professional growth opportunities, purposeful leadership, psychological safety and equity, and meaningful recognition. Practical strategies and recent evidence supporting each element of the KINDER framework are presented to assist nurse leaders in creating resilient, engaged, and empowered nursing teams.
{"title":"Engaging the Nursing Workforce","authors":"Reynaldo R. Rivera DNP, RN, NEA-BC, FAAN, FAONL, Alexandra N. Shelley MS, RN, CV-BC, FNP-BC","doi":"10.1016/j.mnl.2025.102444","DOIUrl":"10.1016/j.mnl.2025.102444","url":null,"abstract":"<div><div>Nursing engagement significantly impacts health care outcomes, patient safety, and nurse retention. Despite this, many health care organizations struggle with an ongoing \"engagement gap,\" where nurses remain underengaged, contributing to turnover and decreased patient care quality. This manuscript introduces the KINDER framework—Know, Involve, Nurture, Drive, Empower, Recognize—as an evidence-based strategy designed to guide nurse leaders in enhancing long-term nurse engagement. Each domain of KINDER emphasizes critical factors for engagement, including effective leadership communication, shared decision-making, professional growth opportunities, purposeful leadership, psychological safety and equity, and meaningful recognition. Practical strategies and recent evidence supporting each element of the KINDER framework are presented to assist nurse leaders in creating resilient, engaged, and empowered nursing teams.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"23 4","pages":"Article 102444"},"PeriodicalIF":1.3,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144634206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-04DOI: 10.1016/j.mnl.2025.05.003
Mildred D. Fennal PhD, RN, CNS, Latara Lampkin PhD
The Sickle Cell Disease Community Education Project was designed and implemented to enhance the delivery of care to the sickle cell population. The team that cares for patients with sickle cell disease must be knowledgeable about not only the disease but also the patients, family, and all those who serve the population. The Sickle Cell Disease Community Education Project is an example of how a nurse often adopts a leadership role without a title because of gaps in health care. The project, created to increase education within the health care professionals’ community, was initiated by a nurse who identified gaps in knowledge related to the disease process, population, access to quality care, and best practices. Once established, the Sickle Cell Disease Community Education Project became a 5-year effort to address a health care need for the sickle cell population. The project enabled health care and non-health care experts to present education programs to health care providers serving patients with sickle cell disease.
{"title":"The Sickle Cell Disease Community Education Project: Leadership in Action","authors":"Mildred D. Fennal PhD, RN, CNS, Latara Lampkin PhD","doi":"10.1016/j.mnl.2025.05.003","DOIUrl":"10.1016/j.mnl.2025.05.003","url":null,"abstract":"<div><div>The Sickle Cell Disease Community Education Project was designed and implemented to enhance the delivery of care to the sickle cell population. The team that cares for patients with sickle cell disease must be knowledgeable about not only the disease but also the patients, family, and all those who serve the population. The Sickle Cell Disease Community Education Project is an example of how a nurse often adopts a leadership role without a title because of gaps in health care. The project, created to increase education within the health care professionals’ community, was initiated by a nurse who identified gaps in knowledge related to the disease process, population, access to quality care, and best practices. Once established, the Sickle Cell Disease Community Education Project became a 5-year effort to address a health care need for the sickle cell population. The project enabled health care and non-health care experts to present education programs to health care providers serving patients with sickle cell disease.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"23 4","pages":"Article 102437"},"PeriodicalIF":1.3,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144634229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-02DOI: 10.1016/j.mnl.2025.04.006
Ebony D. Caldwell EdD, CDE, CPXP
Projected increases in immigration and an aging population require an evolving health care workforce. The demographic makeup of communities will change, and health care organizations will need a workforce that mirrors the communities they serve. Building a workforce for tomorrow can begin with pipeline programs that introduce youth to career paths in health care as early as kindergarten and through 12th grade. Health care organizations are in a position to introduce early pipeline programs across the communities they serve and may find opportunities to address the social determinants of health for an entire family. One health care organization continues expanding pipeline programs in their communities.
{"title":"Large Integrated Health System Implements Pipeline Programs","authors":"Ebony D. Caldwell EdD, CDE, CPXP","doi":"10.1016/j.mnl.2025.04.006","DOIUrl":"10.1016/j.mnl.2025.04.006","url":null,"abstract":"<div><div>Projected increases in immigration and an aging population require an evolving health care workforce. The demographic makeup of communities will change, and health care organizations will need a workforce that mirrors the communities they serve. Building a workforce for tomorrow can begin with pipeline programs that introduce youth to career paths in health care as early as kindergarten and through 12th grade. Health care organizations are in a position to introduce early pipeline programs across the communities they serve and may find opportunities to address the social determinants of health for an entire family. One health care organization continues expanding pipeline programs in their communities.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"23 4","pages":"Article 102433"},"PeriodicalIF":1.3,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144634224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Evidence-based practice (EBP) is recognized as the goal for health care decision-making; however, nurse leaders sometimes lack the skills to guide staff through the EBP process. This paper describes the development and effects of a program designed to improve leaders’ ability to guide staff through the EBP process. Fifty leaders attended the program and filled out a manager EBP competency and culture survey before and after class. Results showed that a leader-focused class improves nurse leaders’ EBP competencies and organizational culture and readiness.
{"title":"The Cornerstone of EBP Culture","authors":"Marisa Gillaspie DNP, APRN, ACNS-BC, EBP-C, Cara Gallegos PhD, RN, EBP-C, Rosemary Timmerman DNP, APRN, CCNS, CCRN-CSC-CMC, FCNS","doi":"10.1016/j.mnl.2025.04.007","DOIUrl":"10.1016/j.mnl.2025.04.007","url":null,"abstract":"<div><div>Evidence-based practice (EBP) is recognized as the goal for health care decision-making; however, nurse leaders sometimes lack the skills to guide staff through the EBP process. This paper describes the development and effects of a program designed to improve leaders’ ability to guide staff through the EBP process. Fifty leaders attended the program and filled out a manager EBP competency and culture survey before and after class. Results showed that a leader-focused class improves nurse leaders’ EBP competencies and organizational culture and readiness.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"23 5","pages":"Article 102434"},"PeriodicalIF":1.4,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145110225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This manuscript explores a novel collaboration between nursing students and clinical partners through the Health Equity Influencers Program. Recognizing the gap in literature addressing implicit bias and patient safety, the school of nursing partnered with an urban acute-care hospital to develop a sustainable quality improvement (QI) initiative. The pilot examined the impact of implicit bias training on fall prevention and participants’ ability to interrupt bias. Results demonstrated reduced fall rates and increased participants’ confidence in addressing bias. Findings underscore Health Equity Influencers Programs role in bridging the gap between implicit bias recognition and actionable strategies to advance health equity and safety outcomes.
{"title":"How Forward-Thinking Leaders Advance Patient Safety","authors":"Kathleen Apollon-Ferron MSN, RN, CCRN, Lovelyamma Varghese DNP, MSN, FNP, NPD-BC, NEA-BC, Sindy Louisma MPA, Sally Carlisle DNP, MSN(Ed), RN, CNE, Rebecca O’Connor PhD, RN, Kenya Beard EdD, AGACNP-BC, ANEF, FAAN, FADLN","doi":"10.1016/j.mnl.2025.04.004","DOIUrl":"10.1016/j.mnl.2025.04.004","url":null,"abstract":"<div><div>This manuscript explores a novel collaboration between nursing students and clinical partners through the Health Equity Influencers Program. Recognizing the gap in literature addressing implicit bias and patient safety, the school of nursing partnered with an urban acute-care hospital to develop a sustainable quality improvement (QI) initiative. The pilot examined the impact of implicit bias training on fall prevention and participants’ ability to interrupt bias. Results demonstrated reduced fall rates and increased participants’ confidence in addressing bias. Findings underscore Health Equity Influencers Programs role in bridging the gap between implicit bias recognition and actionable strategies to advance health equity and safety outcomes.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"23 4","pages":"Article 102431"},"PeriodicalIF":1.3,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144634225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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