Nursing Management

Background: Enhanced Recovery After Surgery (ERAS) pathways depend on nursing-led safety behaviours such as early mobilisation, opioid-sparing analgesia, device minimisation, and reliable discharge teaching to prevent immobility-related, opioid-related, and device-related harms. However, pre-licensure medical-surgical preparation inconsistently embeds these competencies, leaving ERAS delivery and patient-safety vulnerable to variation. Objective: To develop an evidence-informed,...

Background/Objectives: Pediatric pain management remains a significant clinical challenge, with contemporary biopsychosocial models increasingly emphasizing humanized care and non-pharmacological strategies. This study aimed to culturally adapt and evaluate the psychometric properties of the Polish version of the HUPEDCARE-Q (Humanisation of Pediatric Care in Pain Management with a Non-Pharmacological Approach) questionnaire among healthcare professionals and students. An additional objective...

CONCLUSIONS: Information platform-based nursing management is significantly associated with better performance in key indicators of VTE prevention and control and demonstrates important clinical value. Further high-quality, multicenter studies are warranted to confirm its long-term effectiveness and feasibility for broader implementation.

CONCLUSIONS: ICNP^(®) provides a useful framework for structured and comprehensive nursing care in patients with diabetes-related erectile dysfunction and multimorbidity. Case-based ICNP^(®) care planning supports holistic management, interdisciplinary collaboration, and quality improvement in chronic disease nursing.

CONCLUSIONS: This systematic review will provide the first comprehensive synthesis of frailty prediction models for people living with HIV. By identifying robust models and methodological gaps, the findings are expected to inform clinical decision-making and guide future model development and validation efforts in HIV care.

CONCLUSIONS: Delirium is a key predictor of nursing-sensitive outcomes in pediatric ICU patients. Early screening and systematic nursing management (e.g., Cornell Assessment of Pediatric Delirium [CAPD] monitoring and family-centered rehabilitation) reduce risks and improve recovery and quality of life. Nurses are essential in delirium management by conducting regular assessments, optimizing the care environment, and facilitating teamwork across disciplines. Healthcare institutions should...

CONCLUSION: The transition of internationally educated nurses into trauma care involves navigating high-stakes demands as novices, with emotional labour functioning as both a protective and developmental mechanism.

CONCLUSION: Secondary traumatic stress is widespread among emergency department nurses. Avoidant coping heightens susceptibility, whereas supportive supervision and family involvement can mitigate adverse effects.

CONCLUSIONS: These results suggest that healthcare institutions should place greater emphasis on strengthening individualized care practices by supporting nurses in planning and delivering care tailored to patients' specific needs. In addition, integrating an individualized care approach into nursing education programs and broader healthcare policies may play a key role in improving patient safety and satisfaction with nursing care.

CONCLUSION: This study identified a moderately high level of reality shock among newly graduated nurses. Key determinants associated with this shock included educational level, monthly income, number of night shifts per month, and impostor phenomenon. Nursing management should develop targeted interventions addressing these modifiable factors, particularly impostor phenomenon, which may help mitigate reality shock and facilitate successful career adaptation among newly graduated nurses.

CONCLUSION: Hospital hierarchy differences could directly positively predict the negative and positive attitudes toward the use of artificial intelligence and could also indirectly positively predict the negative attitude toward the use of artificial intelligence through mediation by artificial intelligence literacy and anxiety and negatively predict the positive attitude toward the use of artificial intelligence.

CONCLUSION: The findings underscore the critical role of both institutional structures and tailored educational supports in enabling nurse managers to effectively carry out their financial duties. Specifically, strengthening competencies requires aligning managerial authority with responsibilities, improving access to systems and resources, and promoting experiential learning, credentialing, and targeted training. These insights offer practical and policy implications for strengthening...

CONCLUSIONS: Radiation protection knowledge and safety awareness together explained 38.5% of the variance in nurses' safety behaviour. These findings highlight the need for structured and continuous in-service training on radiation protection. In addition, institutional and national policies should be strengthened to support sustainable radiation protection practices in clinical settings.

CONCLUSION: Remaining silent significantly shapes both the academic work environment and the well-being of nursing faculty members. Remaining silent undermines faculty well-being and the quality of nursing education. Promoting psychological safety and open communication is essential to support faculty voices and improve academic and clinical outcomes.

CONCLUSION: Both task-trainer simulation and peer-based, student-centered training improve nursing students' knowledge, performance, and response speed in managing BPMV. However, simulation leads to faster, immediate action and greater overall gains than peer education in this setting. It is recommended to use these useful methods to increase learning outcomes.

CONCLUSION: This study summarizes the current best evidence and demonstrates a novel AI-empowered pathway for translating evidence into a practical digital tool. The developed app prototype offers a promising foundation for standardizing nursing care in urological day surgery. Future studies are needed to determine whether the app prototype could improve protocol adherence and patient outcomes.

Oral health is an important part of overall health, but it is often overlooked in older adults, especially those in memory care and skilled nursing communities. This paper discusses oral health problems in assisted living, how they are connected to serious health conditions, and a few practical steps one can take to mitigate or even prevent these conditions. Older adults are more likely to develop oral diseases due to changes in hygiene habits, normal aging, age-related medical conditions, and...

CONCLUSION: The Philips 66 brainstorming technique appears to be a promising approach for supporting nursing students' academic engagement. Integrating such active learning strategies into nursing education may support students' institutional commitment and professional competencies.

CONCLUSION: Nurse managers' empowering behaviors are not homogeneous but exhibit distinct subgroup patterns. Comprehensive empowering behavior is a key managerial factor in enhancing nurses' work engagement. Nursing managers should strive to build an integrated empowering model that encompasses emotional support, delegation of authority, and competence development, thereby effectively stimulating nurses' work engagement and improving the quality of nursing care.

CONCLUSION: This study demonstrates that a structured and nurse-led model of care is pivotal for successfully managing highly complex HSCT patients with life-threatening co-infections. The Omaha System provided a robust and effective framework for delivering systematic and holistic care in this challenging clinical scenario.

CONCLUSIONS: Oncology nurses in Türkiye and Australia reported high clinical confidence, with Turkish nurses expressing greater confidence in spiritual care and Australian nurses reporting clearer scopes of practice. High workload was a shared challenge, while Turkish nurses identified more structural barriers related to career progression, leadership support, and staff motivation, indicating that workforce experiences reflected system-level and career-related factors rather than individual...

CONCLUSIONS: Substantial differences in stress and well-being exist between hospital and LTC nurses. Addressing workload, improving organizational support, and promoting balanced work conditions are essential for sustaining the mental health and stability of the nursing workforce. These findings provide actionable insights for nursing managers and policymakers aiming to design evidence-based interventions that enhance workforce sustainability and psychological health. Practical strategies-such...

CONCLUSION: Newly graduated nurses experienced a moderate level of reality shock. Several factors, including educational background, working hours and sleep duration were significantly associated with reality shock. In particular, resilience, organisational support and family function, were negatively correlated with reality shock.

CONCLUSIONS: A tailored, evidence-based nursing framework-grounded in pediatric physiology and centered on family engagement-is essential for optimizing DVT care in children. This review provides a practical foundation for developing standardized, high-quality nursing protocols to enhance safety, efficacy, and long-term outcomes in pediatric DVT management.

CONCLUSION: This study developed a universal definition and conceptual model for 'intertemporal decision-making in health behaviours', which aids in comprehensively interpreting individuals' health behaviours. This conceptual analysis lays the foundation for future research, education, practice and policy, which also contributes to improving healthcare practices and global health.

Nurses manage nursing care within an organization work environment, which influences professional practice, quality of care, and staffing. A supportive environment and empowerment contribute to clinical leadership skills, enhanced performance, and patient engagement, which facilitate organizational objectives. The aim of the study is to assess Jordanian nurses perceptions of the work environment, their psychological and structural empowerment, the relationship between the work environment and...

RATIONALE: Venous thrombosis and hemorrhagic complications are rare but clinically significant risks during assisted reproductive treatments. This report describes comprehensive, evidence-based nursing interventions in a patient who developed calf muscle venous thrombosis and subsequent bladder hemorrhage with clot retention following oocyte retrieval.

CONCLUSION: Cognitive impairment is prevalent among elderly patients with schizophrenia and is associated with reduced social support, lower functional independence, and diabetes. Cluster analysis suggests heterogeneity in cognitive and psychosocial profiles, supporting the potential value of stratified nursing management. Prospective studies are warranted to validate these findings.

CONCLUSIONS: Spanish nurse managers possess strong EBP knowledge but continue to encounter difficulties in applying it clinically. The study highlights four adjustable factors of EBP competency that could guide focused interventions.

CONCLUSION: This study elucidates the influence pathways and mechanisms of positive and negative career shocks on nurses' job performance, thereby contributing to the advancement of nursing management research.

Cranial titanium mesh exposure is a challenging complication after cranioplasty and may lead to infection, cerebrospinal fluid (CSF) leakage, and soft-tissue defects. The authors report a patient with recurrent cranial titanium mesh exposure and scalp ulcer who underwent removal of the implant and reconstruction using a free anterolateral thigh (ALT) flap. Nursing management focused on intensive free-flap monitoring, infection prevention, CSF leak management, nutritional optimization, and early...

CONCLUSIONS: Nurse leaders recognize the professional value of social media but remain constrained by individual, organizational, and structural barriers. Targeted education, clearer institutional guidance, and leadership support are needed to optimize strategic and ethical social media engagement.

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CONCLUSIONS: The FT TOC model was associated with substantial reductions in 30-day readmission, suggesting that structured, nurse-led care coordination can improve transitions and outcomes for patients with BHC and SUD.

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CONCLUSIONS: Participation in an immersive SNE program was associated with improved perceptions of preparedness for professional nursing practice. SNE programs may serve as an effective strategy to enhance the transition to practice and strengthen the nursing workforce pipeline.

CONCLUSIONS: Despite demonstrated benefits, persistent variability in definitions, role delineation, outcome measures, and economic evaluation limits comparability. Greater standardization of roles, caseloads, governance, outcome indicators, and cost assessment is needed to strengthen implementation, evaluation, and scalability of nursing care and case management models.

CONCLUSION: Among the seven nursing management models, risk management combined with PDCA cycle management may be the optimal management mode to reduce the number of adverse events in hospital transport and improve patient satisfaction, and the safety management model can reduce the time of hospital transport to a certain extent. This study has certain limitations due to factors such as sample size and research methodology, and further verification is needed in the future.

CONCLUSION: The study found that higher self-reported informatics competency was associated with higher perceived CDM. The results highlight to health care stakeholders and nursing management the importance of investing in targeted informatics training and integrating nursing informatics and clinical decision support tools into clinical nursing practice. Moreover, the findings encourage researchers to explore additional factors influencing CDM through longitudinal and qualitative research...

CONCLUSION: DAs are effective in improving decision knowledge and reducing decision conflict, but they do not effectively increase decision satisfaction.

CONCLUSIONS: A simple, low-cost patient checklist significantly improved adherence to an essential postprocedural imaging appointment following LAAO implantation. This easily reproducible intervention may be applied to other care pathways requiring strict follow-up adherence.

CONCLUSION: Machine learning models using electronic health data can predict inpatient falls and reveal key risk factors. The random forest quantile classifier offers a promising approach for improving fall risk prediction in imbalanced clinical datasets.

CONCLUSIONS: Gender-sensitive nursing legitimizes individual experiences shaped by gender identity and fosters structural improvements that empower patients. Gender-sensitive nursing is a measurable and actionable phenomenon that can be promoted in clinical practice through various empirical indicators.

CONCLUSION: Organizational factors accounted for the largest number of identified codes, indicating that issues related to organizational structure and management played the most prominent role in nurses' turnover. Nurse turnover in TUMS hospitals is primarily driven by excessive workload, inadequate compensation, and poor management. Addressing these root causes through systemic interventions targeting work environment, fair pay, and supportive leadership is essential to improve retention and...

OBJECTIVES: This review will map the evidence of patients' and families' engagement in the analysis of adverse events in health care, along with the methods or tools employed in that process of analysis, and the strategies employed to engage patients and their families in the analysis.

CONCLUSION/IMPLICATION FOR FUTURE PRACTICE: The findings indicate that organizational commitment in nurses is affected by factors including self-perceived management care, job embeddedness, salary satisfaction, employment form, whether they have children, monthly income, and years of service. The results of this study provide evidence that hospital nursing managers may reference in enhancing measures to strengthen the organizational commitment of nurses, which may include improving humane...

CONCLUSION: In this single case, liver transplantation was associated with clinical stabilization during the early postoperative period. Observations from this case highlight the importance of specialized paediatric nursing care in the perioperative management of rare genetic liver disorders. However, as outcomes were based on clinical observation rather than validated measurement tools, conclusions regarding broader effectiveness or generalizability remain limited.

CONCLUSION: Near-retirement nurses demonstrated a generally low intention to delay retirement. Organisational and employment-related factors were prominently associated with delayed retirement intention, underscoring the importance of work-system conditions in shaping late-career retention.

CONCLUSIONS: Gender plays a significant interactive role in the relationship between workplace conflict and nurses' subjective social status. Among female nurses, professional benefits function as a partial mediator. Accordingly, it is recommended that healthcare institutions address the concerns and needs of female nurses by enhancing their professional benefits to increase their subjective social status.

CONCLUSIONS: Positive work environments are intentionally shaped through leadership that governs culture, inclusion, and mentorship alongside operational performance.