Journal of Nursing Administration最新文献

Objective: To explore RNs' perceptions of peer-to-peer feedback (PF), their comfort with giving/receiving PF, and its impact on autonomy/patient safety.

Background: PF promotes professional governance, self-regulation, empowerment, safety, and quality. Robust empirical evidence of effective PF processes is lacking.

Methods: A descriptive, correlational study with an online PF survey was used to measure RNs' perceptions of PF, and potential correlates with nursing autonomy, satisfaction, and patient safety/quality.

Results: Of 983 RNs, 588 (59.8%) reported that PF was a comfortable/positive experience and was viewed as valuable for identifying care issues and fostering growth. A strong correlation to work satisfaction was found among nurses who felt autonomous and engaged in PF concerning care quality.

Conclusions: Study outcomes confirm the predictive value of nurses' perceived comfort in giving/receiving PF to enhance autonomy, quality/safety, and satisfaction. Data support the need for organizational leaders to strengthen the structures and processes to support a robust peer feedback program.

This article discusses findings from the 2025 AONL Nursing Leadership Insight Study from the perspective of a practicing nurse executive. It highlights results, including improved emotional health among nurse leaders and shifting priorities in challenges. Actionable insights are presented in areas of workplace violence prevention, psychological safety enhancement, technology adoption, and support for nurse managers. The study's implications for nursing leadership and healthcare organizations are explored.

Objective: To examine the impact of demographic and professional factors on the well-being and resilience of nurse leaders in US acute care settings.

Background: Well-being and resilience are critical attributes for nurse leaders, directly impacting the quality of patient care and the overall performance of healthcare systems. However, research on factors influencing these traits in acute care is limited.

Methods: Data were collected from 157 nurse leaders through an online survey assessing demographics, professional characteristics, well-being, and resilience. Data were analyzed using descriptive and inferential statistics.

Results: Resilience scores varied significantly higher among Black/African American. Age positively correlated with well-being. Females reported higher well-being. Educational attainment and acuity setting were significantly associated with outcomes: associate's/diplomas with higher well-being and high acuity settings with greater resilience.

Conclusions: Demographic and professional factors significantly affect nurse leaders' well-being and resilience. Targeted interventions are needed to support nurse leaders in acute care settings.

Objective: The purpose of this program evaluation was to assess the impact that a structured nurse executive fellowship program (NEFP) had on resilience and emotional intelligence (EI).

Background: Over the recent decades, the role of the CNO has expanded requiring enhanced skills such as resilience and EI to better address increased interprofessional teamwork and collaboration.

Methods: This is a mixed-methods retrospective program evaluation of the NEFP at a large community-based healthcare system in the Midwest. Twelve nursing directors were selected to participate in the program via an application and interview process. The 2-year program consisted of didactic sessions, coaching sessions, immersion experiences, and completion of a process improvement project.

Results: Both resilience and EI were greater after the program (Mdn, 9 and 6, respectively) than before the program (Mdn, 88 and 5.88, respectively). In addition, qualitative feedback from the participants was extremely positive.

Conclusions: A structured executive development program can increase levels of resilience and EI, both of which positively impact turnover intention by reducing stress and burnout and increasing job satisfaction.

Newborns experiencing skull fractures and brain bleeds after a fall from a slumbering mother generate a clinical crisis necessitating urgent resolution. Studies spanning 15 years inferred newborn falls from a sleeping mother as preventable, although aggregate data contradict this conclusion. An analysis of the literature identifies impediments to progress and ramifications for quality improvement leaders.

Objective: The aim of this study was to describe strategies to manage bots and frauds (B/F) during online recruitment of research subjects.

Background: Bots mimic human responses in surveys using sophisticated algorithms. Fraudulent responses occur when false or misleading information is provided to gain research incentives. This research team identified substantial issues with fraudulent responses and imposters. This issue has not been well reported in the literature.

Methods: Nurse managers recruited through social media completed an online survey in a national nurse-led research study. A gift card stipend was offered to participants for survey completion. An unexpected surge in survey responses prompted researchers to halt recruitment. Multiple B/F mitigation and data validation strategies were implemented to ensure data integrity and are discussed in this article.

Results: Of the 836 surveys, only 152 (18.2%) were complete and valid.

Conclusions: When using social media for online research, incorporating preemptive mitigation strategies to combat B/F responses is essential.

Academic nurse leaders play a crucial role in nursing education but lack standardized leadership competencies. To address this, Galen College of Nursing and the Association for Leadership Science in Nursing are collaborating to develop Academic Nurse Leader Competencies. This evidence-based framework will guide leadership development, ensuring academic nurse leaders are equipped to drive innovation and excellence in nursing education.

Objective: The aim of this study was to investigate the relationship between new graduate RN (NGRN) saturation and nurse-sensitive patient outcomes and experiences.

Background: Many nurse leaders believe that the number of NGRNs should be limited to ensure high-quality care. To our knowledge, there is no previous evidence quantifying the impact of NGRNs' saturation on patient outcomes.

Methods: Researchers analyzed nurse staffing metrics and patient outcomes from 79 distinct medical-surgical units within 22 hospitals, from 2017 to 2022. Outcomes included fall rates, catheter-associated urinary tract infections, central line-associated bloodstream infections extracted from the electronic health record, and patient experience metrics collected via survey.

Results: The researchers identified no statistically significant relationships between NGRN saturation and patient outcomes or experiences.

Conclusions: These findings do not support limiting the number of NGRNs on medical-surgical units out of concern for negative impact on nurse-sensitive quality of care outcomes.

Objective: The purpose of this study was to examine: 1) patient satisfaction with perinatal bereavement and palliative care services; and 2) occurrence of expected care activities provided by nurses for women who have experienced perinatal loss.

Background: Patients undergoing perinatal loss often receive care from maternity providers not trained in perinatal bereavement, thus decreasing their satisfaction with care. The psychological effects of perinatal loss as well as recent laws that affect both patients and caregivers require attention to this area of hospital-based care.

Methods: Women who experienced a perinatal loss were asked to participate in a study by responding to an investigator-designed questionnaire to evaluate variables of interest.

Results: Responding to the survey, 98% (n = 41) of participants would recommend this hospital (study site) to women who have experienced a perinatal loss.

Conclusions: Participants expressed a high level of satisfaction with their care. Similarly, almost all participants experienced the expected care activities that were evidence-based interventions as part of the certified perinatal loss program.