International Nursing: A Study of Sleep Quality Among Nurses and Its Correlation With Cognitive Factors
The objective of this study was to evaluate sleep quality and its relationship to cognitive factors among nurses. Sleep quality among nurses is an important issue, which requires more extensive study. Its correlation with cognitive ability has not been sufficiently considered. Five hundred forty nurses (66.3% female) working in 6 hospitals were selected as the sample of the study. Results show that nurses do not experience good quality of sleep. That is, 77.4% of the sample population of nurses have a poor quality of sleep, and nurses working the night shift have more sleep problems than other nurses. The results show that...
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: Original Articles Source Type: research

Book Review
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: Book Review Source Type: research

Understanding Nurse Perception of Leader Empathy
This article described a study undertaken to gain a baseline understanding of nurses' perceptions of leader empathy from those they identify as their managers. A baseline for nurses' perception of leader empathy has been established that may be used to benchmark future interventions to assess and improve nurses' perception of their leaders' empathy in the work setting. (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: Original Articles Source Type: research

Always a Nurse: The Hospital CEO
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: Original Articles Source Type: research

Always a Nurse: The Legal Nurse Consultant
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: Original Articles Source Type: research

Always a Nurse: The Community Nurse
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: Original Articles Source Type: research

Always a Nurse: The Mayor
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: Original Articles Source Type: research

Always a Nurse: The Process Engineer
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: Original Articles Source Type: research

Always a Nurse: The Research Executive
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: Original Articles Source Type: research

Always a Nurse: The Quality Expert
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: Original Articles Source Type: research

Always a Nurse: The Nurse Attorney
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: Original Articles Source Type: research

Always a Nurse: The Nurse Educator
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: Original Articles Source Type: research

Always a Nurse: The Nurse Architect
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: Original Articles Source Type: research

Always a Nurse: The Mission Leader
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: Original Articles Source Type: research

Always a Nurse: The Supply Chain Director
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: Original Articles Source Type: research

Always a Nurse: The Clinical Design Program Manager
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: Original Articles Source Type: research

Always a Nurse: The Business Woman
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: Original Articles Source Type: research

Always a Nurse: The Advanced Practice Nurse
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: Original Articles Source Type: research

Always a Nurse: The Chief Operating Officer
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: Original Articles Source Type: research

Always a Nurse: The Behavioral Health Executive
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: Original Articles Source Type: research

Always a Nurse: A Profession for a Lifetime
This article is followed by a series of first-person accounts of jobs that may not, on first consideration, look like nursing roles. These professionals have not left nursing. They have carried their healing energy, grounding in the nursing process, as well as a desire to improve the well-being of others with them, because they are nurses. (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: Original Articles Source Type: research

Guest Editorial
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: Guest Editorial Source Type: research

From the Editor
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 3, 2019 Category: Nursing Tags: From the Editor Source Type: research

Nursing Disruption for Achieving Sustainable Development Goals by 2030
Sixteen million nurses, the largest global health care workforce, contribute to achievement of 17 United Nations Sustainable Development Goals through strategic and disruptive research, education, practice, and policy. Responsible for advancing the well-being of individuals, families, communities, and society, nurses are positioned to influence and impact health across the life span. They do this from promoting prenatal health and early childhood success to encouraging healthy aging and end-of-life transitions. They utilize both predictive analytics that prevent rehospitalization and evidence-based practices, such as rocki...
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Original Articles Source Type: research

Our Own Worst Enemies: The Nurse Bullying Epidemic—Erratum
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Erratum Source Type: research

Big Data Fuels Unstoppable Change
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Nursing Informatics Source Type: research

What Nurse Leaders Have to Say About Disruption
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: News From the Front Source Type: research

Disrupting Policy and Practice: Refugees Shaping the Future
For decades, refugee policies on local, national, regional, and international levels have set the narrative surrounding refugees' identities and roles in society. Often, these policies negatively affect refugees and can hinder any effort for successful integration (ie, employment). The focus of this article is to identity how refugees, specifically refugee nurses, are reshaping standard policy practices when it comes to integration and inclusion, as well as economic and social well-being. With an estimated 68.5 million forcibly displaced persons worldwide (25.4 million of which are refugees), it is important to shed light ...
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Original Articles Source Type: research

Compassion Fatigue and Compassion Satisfaction Among Multisite Multisystem Nurses
This study investigated the prevalence and individual-level factors associated with compassion fatigue among nurses. An upsurge in patients' complexity today may leave nurses stressed with increasing practice demands and vulnerable to compassion fatigue. If ignored, compassion fatigue may compromise nurses' health and care outcomes. A sample of 1174 nurses from 2 large Southern California health care organizations completed an online survey measuring compassion fatigue, burnout, and compassion satisfaction. Overall, participants scored moderate to average (23–41) on compassion satisfaction, burnout, and compassion sa...
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Original Articles Source Type: research

The Langston Center for Innovation in Quality and Safety: A Moderating Variable in Humanizing Disruptive Innovation
Disruptive innovations may serve both good and ill causes. This means that disruption can stimulate positive outcomes or tip people and organizations into chaos. The Langston Center for Innovation in Quality and Safety plays a moderating role by ensuring that innovations consider the upstream and downstream consequences potentiated by change initiatives characterized by a rapid implementation cycle. Drawing on change management and implementation science approaches, human factor variables are intentionally considered to generate acceptance of substantive disruptions. (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Original Articles Source Type: research

Digital Health: Join the Movement
Digital health, defined as “the cultural transformation of how disruptive technologies that provide digital and objective data accessible to both caregivers and patients leads to an equal level clinician-patient relationship with shared decision-making and the democratization of care,” will create a cultural transformation of traditional health care.1 Exponential advances in science and technology have—and continue to—transform health and medicine, as they give consumers more control over, and more responsibility for, their own health. Digital health is on the precipice of a major breakthrough to di...
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Original Articles Source Type: research

International Nursing: Use of a Commercially Available Smartphone Application to Solve Information Needs of Orthopedic Scrub Nurses
The purpose of this article is to describe the use of a commercially available smartphone application to solve information needs of scrub nurses in orthopedic surgery. A semistructured, focus group interview was conducted with orthopedic scrub nurses. These nurses had solved their information needs about orthopedic surgery by using a commercially available smartphone application. Because of smartphone technology's convenience, accessibility, mobility, ease of use, and use at no charge, it is worth considering in nursing practice, education, and research. (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Original Articles Source Type: research

Disrupt Now for Future Focus
Health care organizations are challenged by numerous and rapid changes. Although nurse leaders seldom lead the whole organization's response to these changes, most changes impact the nursing workforce. To be prepared and proactive, nurse leaders need to consider the process of disrupting what the nursing workforce does to keep current with what society expects of nursing. (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Original Articles Source Type: research

Evolution of Care and Nursing: Moving With the Patients
Health care costs are growing exponentially. They will continue to erode disposable income, especially among those most in need of health care—the poor and elderly. As the baby boomer generation ages, we will see dramatic growth in health care spending, which will influence the health care market in new ways. Increased government intervention and technological advancements will only further this shift. Factors driving the need for health care transformation include fragmentation, access problems, unsustainable costs, suboptimal outcomes, and disparities of care. Nurses now have more tools (ie, mHealth, telemedicine, ...
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Original Articles Source Type: research

Virtual Nursing: The New Reality in Quality Care
The purpose of this article is to report on an innovative new model of care and the effects this model pilot program had on patient satisfaction, staff satisfaction, physician satisfaction, patient quality metrics, and financial metrics. The Virtually Integrated Care team is a model of care that leverages technology to bring an experienced expert nurse into the patients' room virtually. The advanced technology allows the virtual nurse to direct and monitor patient care, interacting with the patient through 6 core roles: patient education, staff mentoring/education, real-time quality/patient safety surveillance, physician r...
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Original Articles Source Type: research

Disruptive Engagements With Technologies, Robotics, and Caring: Advancing the Transactive Relationship Theory of Nursing
Human caring, founded on a Japanese caring perspective and nursing theory, fosters innovative and creative ideas for an aging society. The growing reality of health care dependency on technology presents a temptation to give robots utility as partners in nursing practice. Human caring expressed in human-to-human relationships, and also between humans and nonhumans, is a futuristic model for health care, with humanoid robots as major supporters. The purpose of this article is to explore this disruptive technology, along with its functions and characteristics. Tanioka's Transactive Relationship Theory of Nursing is shared al...
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Original Articles Source Type: research

Creativity and Innovation: An Essential Competency for the Nurse Leader
Innovation keeps an organization competitive and adaptive to change. Nurse leaders are looking for new ways to innovate and transform, being challenged to influence quality, design new care delivery models, and create workplaces that empower nurses to advance new ideas that lead to innovation. Innovation involves risk as well as new ways of thinking. The workforce must feel confident that a creative approach to problem-solving is valued and supported. The nurse leader must role model use of creative approaches to problem-solving and promote a spirit of innovation among today's workforce. The nurse leader can learn to be mo...
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Original Articles Source Type: research

Simulation as a Nursing Education Disrupter
Simulation as an evidence-based pedagogy began emerging at a time when many constraints were being imposed on clinical experiences for nursing students. As research illuminated the advantages of simulation and standards were developed, educators began to recognize the limitations of the clinical setting, such as the inability to provide experiences in teamwork and delegation, and a focus on tasks. Simulations are crafted to provide an experience that matches content that is being taught in class, and debriefing techniques guide learners in a reflective process that promotes the development of clinical reasoning and judgmen...
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Original Articles Source Type: research

An Interview With Innovators
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Interview Source Type: research

Guest Editorial
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Guest Editorial Source Type: research

From the Editor
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: From the Editor Source Type: research

Book Review
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: Book Review Source Type: research

Addressing Falls Among Older Oncology Patients Through Complexity Science
This article presents an innovative approach for creating a point-of-care interdisciplinary approach to address high fall risk frequencies in ambulatory oncology clinics using complexity leadership principles. Processes for nurse executives to consider for replication of this approach for other challenging clinical situations are suggested using the emerging competence of DNP educated nurses. Adults with cancer who are older than 65 years are at a higher risk for falls than older adults without cancer. Oncology providers and nurses are not routinely screening, documenting, and preventing falls. A fall injury in an older ad...
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: Original Articles Source Type: research

Our Own Worst Enemies: The Nurse Bullying Epidemic
Nurse bullying is a systemic, pervasive problem that begins well before nursing school and continues throughout a nurse's career. A significant percentage of nurses leave their first job due to the negative behaviors of their coworkers, and bullying is likely to exacerbate the growing nurse shortage. A bullying culture contributes to a poor nurse work environment, increased risk to patients, lower Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient satisfaction scores, and greater nurse turnover, which costs the average hospital $4 million to $7 million a year. Addressing nurse bullying begins...
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: Original Articles Source Type: research

Innovation in Nursing Leadership: A Skill That Can Be Learned
Innovation and creativity are part of everyday life for the bedside nurse. Nursing clinicians continuously innovate and create to meet each patient's unique needs. However, policies, regulations, and drama can inhibit that creativity when clinicians move into management. Three nurse leaders discuss their journeys to bring innovation into their leadership practices through participation in a yearlong program, the “Executive Fellowship in Innovation Health Leadership.” The authors share insights gained after they participated in a cohort of health care leaders who took part in this yearlong fellowship. Details o...
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: Original Articles Source Type: research

International Nursing: GSD International Nursing Academy: An Italian Case of Practical Disruption Highlighting the Worth of Nursing Within Health Care Organizations
This article describes the recent experiences of Gruppo San Donato International Nursing Academy. The disruptive case shared here underlines the worth of nursing within health care organizations. The Gruppo San Donato International Nursing Academy aims to be a striking model to innovate health care delivery through the optimal utilization of the nursing workforce, uniting the areas of nursing management, nursing education, and research into a unique organizational platform. (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: Original Articles Source Type: research

Telehealth: Disrupting Time for Health Care Quantity and Quality
This article explores the history and impact telehealth has had on provider and consumer supply and demand for time, becoming a widely adopted technological health care service delivery model that has demonstrated significant benevolent contributions to the health care industry and the patients it serves. (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: Original Articles Source Type: research

Ripe for Disruption? Adopting Nurse-Led Data Science and Artificial Intelligence to Predict and Reduce Hospital-Acquired Outcomes in the Learning Health System
Nurse leaders are dually responsible for resource stewardship and the delivery of high-quality care. However, methods to identify patient risk for hospital-acquired conditions are often outdated and crude. Although hospitals and health systems have begun to use data science and artificial intelligence in physician-led projects, these innovative methods have not seen adoption in nursing. We propose the Petri dish model, a theoretical hybrid model, which combines population ecology theory and human factors theory to explain the cost/benefit dynamics influencing the slow adoption of data science for hospital-based nursing. Th...
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: Original Articles Source Type: research

Reexamining Nurse Manager Span of Control With a 21st-Century Lens
The primary aim of this literature review was to examine the quantity, quality, and consistency of evidence regarding the span of control (SOC) specific to nurse managers. A secondary aim was to meaningfully translate the evidence and offer guidance to 21st-century nurse leaders. The review results were categorized using Donabedian's (2003) Structure-Process-Outcomes model. The Structure-Process-Outcomes approach was used to review the literature and consider SOC recommendations for today's health care environment. Structures outlined the conditions for current SOC, which included material resources, human resources, and o...
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: Original Articles Source Type: research

Nurse Managers' Experiences With Electronic Health Records in Quality Monitoring
This study revealed 3 components of the nurse manager's quality-monitoring role: monitoring documentation, monitoring practice, and performing investigations. Facilitators for accessing EHR information included ease of navigation, timeliness and accessibility of reports, and usefulness of EHR tools. Participants described a range of formal and informal approaches to learning how to access information for quality monitoring in general and for the EHR specifically. The findings provide direction for further exploration of the EHR structures and processes needed to support nurse managers' information needs and quality-monitor...
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: Original Articles Source Type: research