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OBJECTIVE:The aim of this study is to determine the priorities for nursing administration research (NAR) in the United States. BACKGROUND:Previously known as the Council of Graduate Educators in Administrative Nursing, CGEAN provides an avenue for researchers and educators focused on NAR to partner, dialogue, obtain funding resources, and present their findings at a biennial International Nursing Administration Research Conference (INARC). In late 2013, with a goal of building consensus, CGEAN convened an INARC postconference to initiate the process of establishing critical NAR priorities for the future. METHODS:Data from a 3-staged Delphi study were used to identify relevant research topics and determine administrative research priorities. RESULTS:Eight final categories of NAR were determined. CONCLUSIONS:This study found economic valuing of nursing and designing effective future healthcare delivery systems to be high priorities for NAR.

Organizing health services is a challenge for managers. Moreover, patients’ absenteeism to appointments is a relevant issue. This study aims to evaluate the profile of absent users, the medical specialty, and reasons for absence from medical consultations in a reference clinic. This is a cross-sectional study conducted at a tertiary hospital in the state of São Paulo. Data was obtained from reports from the Hospital Center for Medical Informatics and electronic patient records (from January 1st to December 31st, 2018). Structured interviews were carried out (from April 2018 to February 2019) by phone with a random sample of 317 patients who were aged 18 years old or above and missed consultations in twelve medical specialties, after approval by the Research Ethics Committee. Analysis were performed using descriptive and analytical statistics, with a significance level set at 5%. In total, 69.09% of patients say they missed consultations. It is noteworthy that 18.06% of patients said they attended consultations, followed by those who claimed to be sick or hospitalized (16.98%, p-value=0.0006). Analyzing the context and reasons for absences generates knowledge for service management. We found inadequacies in scheduling and system records. Patients and health services must be co-responsible for optimizing the use of public health resources.

This is the second article in a 2-part series focusing on nurse turnover and its costs. Part 1 (December 2004) described nurse turnover costs within the context of human capital theory, and using human resource accounting methods, presented the updated Nursing Turnover Cost Calculation Methodology. Part 2 presents an application of this method in an acute care setting and the estimated costs of nurse turnover that were derived. Administrators and researchers can use these methods and cost information to build a business case for nurse retention.

Austerity measures and health-system redesign to minimise hospital expenditures risk adversely affecting patient outcomes. The RN4CAST study was designed to inform decision making about nursing, one of the largest components of hospital operating expenses. We aimed to assess whether differences in patient to nurse ratios and nurses' educational qualifications in nine of the 12 RN4CAST countries with similar patient discharge data were associated with variation in hospital mortality after common surgical procedures. For this observational study, we obtained discharge data for 422 730 patients aged 50 years or older who underwent common surgeries in 300 hospitals in nine European countries. Administrative data were coded with a standard protocol (variants of the ninth or tenth versions of the International Classification of Diseases) to estimate 30 day in-hospital mortality by use of risk adjustment measures including age, sex, admission type, 43 dummy variables suggesting surgery type, and 17 dummy variables suggesting comorbidities present at admission. Surveys of 26 516 nurses practising in study hospitals were used to measure nurse staffing and nurse education. We used generalised estimating equations to assess the effects of nursing factors on the likelihood of surgical patients dying within 30 days of admission, before and after adjusting for other hospital and patient characteristics. An increase in a nurses' workload by one patient increased the likelihood of an inpatient dying within 30 days of admission by 7% (odds ratio 1·068, 95% CI 1·031–1·106), and every 10% increase in bachelor's degree nurses was associated with a decrease in this likelihood by 7% (0·929, 0·886–0·973). These associations imply that patients in hospitals in which 60% of nurses had bachelor's degrees and nurses cared for an average of six patients would have almost 30% lower mortality than patients in hospitals in which only 30% of nurses had bachelor's degrees and nurses cared for an average of eight patients. Nurse staffing cuts to save money might adversely affect patient outcomes. An increased emphasis on bachelor's education for nurses could reduce preventable hospital deaths. European Union's Seventh Framework Programme, National Institute of Nursing Research, National Institutes of Health, the Norwegian Nurses Organisation and the Norwegian Knowledge Centre for the Health Services, Swedish Association of Health Professionals, the regional agreement on medical training and clinical research between Stockholm County Council and Karolinska Institutet, Committee for Health and Caring Sciences and Strategic Research Program in Care Sciences at Karolinska Institutet, Spanish Ministry of Science and Innovation.

Nursing leaders from across the US and Canada representing both academia and practice came together at the 2013 International Nursing Administration Research Conference. Attendees began building the foundation for a future of imaginative and futuristic research in nursing leadership and administration. With the stimulating presentations of seven international nursing leaders, participants engaged in thought-provoking conversations to begin the challenging work of developing a future agenda for this critical research effort. Each nursing leader challenged participants to become actively involved in leading change initiatives in the new healthcare system. Here, Kowalski and Cherry discuss this first step to a future agenda for nursing administration research.

The first resource to present the \"nuts and bolts\" of creating a successful nursing research program.This text provides a roadmap to develop and nurture a nursing research program in complex hospital environments.

This study mapped the global intellectual and thematic structure of nursing leadership research by integrating three often separate domains: governance, succession, and equity. It examined how these domains are connected in the literature across nursing education and practice. We conducted a bibliometric analysis of Web of Science Core Collection records (1970–2025) using a tri-lens search strategy, yielding 315 peer-reviewed articles. We reported publication and citation trends (including total citations and H-index), then performed co-citation and co-word network analyses in VOSviewer (association-strength normalization). Thematic mapping was conducted in Biblioshiny (bibliometrix, R) using Louvain clustering and Callon centrality–density to classify themes as motor, basic, niche, or emerging/declining. The dataset accrued 4,402 citations (H-index = 31), with publication growth accelerating after 2015. Co-citation analysis identified four intellectual pillars: (1) leadership capacity building, (2) equity-focused leadership, (3) transition and workforce development, and (4) policy-driven leadership preparation. Co-word analysis also produced four thematic clusters: academic leadership, simulation-based preparation, equity/racism in leadership, and staff development across education–practice–research contexts. Across both maps, governance-, succession-, and equity-related topics were adjacent but largely concentrated in separate cluster communities, with limited cross-cluster connectors. Nursing leadership research is expanding but remains structurally fragmented across governance, succession, and equity domains. The key contribution of this study is the tri-lens evidence that these domains are conceptually related yet weakly integrated in empirical knowledge structures. Findings support the need to align governance design, leadership pipeline development, and equity mechanisms in nursing education and leadership planning.

Background: This study examines the feasibility of using the nurse-patient assignment (NPA) to calculate direct nursing hours and costs for each inpatient-day. The NPA data are collected at every hospital and therefore represent a readily available information source that can establish the intensity and economic value of nursing care at US hospitals. Method: Direct nursing care hours for each patient were collected twice a day using an existing nursing intensity database at a single university hospital between January 2004 and June 2005 for a total of 11,582 patient-days. Nursing intensity was also calculated for each shift using the NPA. Mean unit and hospital nursing hours were calculated and compared with the direct nursing care hours using ordinary least squares regression. Results: For the day shift, the NPA estimate explained 77.2% (r2 = 0.772) of the variance of patient-level nursing intensity. Unit and hospital mean estimates of nursing intensity had lower r2 of 0.574 and 0.456, respectively. The night-shift NPA, unit, and hospital r2 estimates were 0.824, 0.633, and 0.579, respectively. Conclusion: The use of the NPA can provide a robust and easy method to calculate nursing intensity for individual patients using assignment data available in nearly all care settings. The NPA estimate can be used to allocate direct nursing time and costs for each patient within the hospital billing system and can also be used in pay-for-performance or for benchmarking nursing intensity within and across hospitals.

In order to be successful in the future, nursing administration must have the same rigor and quantity for its research as nurses find in the advances they have made with clinical research. Here, Yoder-Wise examines three areas for specific consideration pose by the complexity of the challenge to meet the demands for administrative research. These are educational preparation, capacity to match the need, and partnerships to enhance research efforts.

Objective: To examine the association between registered nurse (RN) staffing and patient outcomes in acute care hospitals. Study Selection: Twenty-eight studies reported adjusted odds ratios of patient outcomes in categories of RN-to-patient ratio, and met inclusion criteria. Information was abstracted using a standardized protocol. Data Synthesis: Random effects models assessed heterogeneity and pooled data from individual studies. Increased RN staffing was associated with lower hospital related mortality in intensive care units (ICUs) [odds ratios (OR), 0.91; 95% confidence interval (CI), 0.86-0.96], in surgical (OR, 0.84; 95% CI, 0.80-0.89), and in medical patients (OR, 0.94; 95% CI, 0.94-0.95) per additional full time equivalent per patient day. An increase by 1 RN per patient day was associated with a decreased odds ratio of hospital acquired pneumonia (OR, 0.70; 95% CI, 0.56-0.88), unplanned extubation (OR, 0.49; 95% CI, 0.36-0.67), respiratory failure (OR, 0.40; 95% CI, 0.27-0.59), and cardiac arrest (OR, 0.72; 95% CI, 0.62-0.84) in ICUs, with a lower risk of failure to rescue (OR, 0.84; 95% CI, 0.79-0.90) in surgical patients. Length of stay was shorter by 24% in ICUs (OR, 0.76; 95% CI, 0.62-0.94) and by 31% in surgical patients (OR, 0.69; 95% CI, 0.55-0.86). Conclusions: Studies with different design show associations between increased RN staffing and lower odds of hospital related mortality and adverse patient events. Patient and hospital characteristics, including hospitals' commitment to quality of medical care, likely contribute to the actual causal pathway.