Nursing Management in Clinical Settings

A special issue of Nursing Reports (ISSN 2039-4403).

Deadline for manuscript submissions: 31 December 2026 | Viewed by 6690

Editors


E-Mail Website
Guest Editor
School of Nursing of Ribeirão Preto, University of São Paulo, São Paulo 14040-902, SP, Brazil
Interests: nursing management; professional competence; nurse competence; nursing simulation; interprofessional competence; interdisciplinary placement

E-Mail Website
Guest Editor
School of Nursing of Ribeirão Preto, University of São Paulo, São Paulo 14040-902, SP, Brazil
Interests: nursing management; professional competence; nursing simulation; education, nursing; emotions; interdisciplinary placement; interprofessional relations

Special Issue Information

Dear Colleagues,

In recent decades, healthcare organizations have undergone significant transformations, driven by demographic changes, new technologies, and rapid advances in knowledge. These innovations improve the services provided and encourage the development of professional competencies, allowing institutions to meet current demands while ensuring that they remain at the forefront of effective healthcare solutions.

Nursing management plays a fundamental role in the development of healthcare organizations. It involves the planning, coordination, and supervision of nursing activities, with a focus on providing humane, evidence-based care aligned with institutional guidelines. Effective nursing management must ensure the implementation of practices that harmonize the organization’s objectives with the needs of the patients who depend on its services. By increasing operational efficiency, nursing management ensures that patients receive quality care.

Nurses, in managing clinical environments, are required to maintain the quality of care, ensuring patient safety and the efficiency of processes within organizations. They must also create a supportive environment and learning opportunities for their employees. In this way, a nurse acts as a leader, manager, educator, and coordinator within a multidisciplinary team. To this end, specific competences are required, such as leadership, communication, decision making, people management, and financial and material resources. In addition, socio-emotional competencies, such as emotional intelligence and teamwork, are essential for successful nursing management.

For this Special Issue, we welcome the submission of scientific articles, experience reports, and scoping and systematic reviews on nursing management practices, addressing the challenges, strategies, and innovations aimed at improving the quality of care, patient safety, leadership, staffing, use of technologies for care management, and evidence-based management practices; methodological and pedagogical approaches for training professional competencies; and validation of instruments for assessing health competencies.

Dr. Silvia Helena Henriques
Prof. Dr. Laura Leal
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-anonymized peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Nursing Reports is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • nurses
  • nursing care
  • nursing management
  • practice environment
  • professional competence
  • leadership
  • material resource management
  • financial management
  • personnel management
  • safety management

Benefits of Publishing in a Special Issue

  • Ease of navigation: Grouping papers by topic helps scholars navigate broad scope journals more efficiently.
  • Greater discoverability: Special Issues support the reach and impact of scientific research. Articles in Special Issues are more discoverable and cited more frequently.
  • Expansion of research network: Special Issues facilitate connections among authors, fostering scientific collaborations.
  • External promotion: Articles in Special Issues are often promoted through the journal's social media, increasing their visibility.
  • Reprint: MDPI Books provides the opportunity to republish successful Special Issues in book format, both online and in print.

Further information on MDPI's Special Issue policies can be found here.

Published Papers (5 papers)

Order results
Result details
Select all
Export citation of selected articles as:

Research

Jump to: Review, Other

20 pages, 4506 KB  
Article
Hospital-Level Nurse Communication and 30-Day Readmission in United States Acute Care Hospitals: A Cross-Sectional Centers for Medicare and Medicaid Services Hospital Compare Analysis
by Pham Minh Son, Huu Thuan Vo, Vu Thi Xim, Thi Kim Ngan Tran, Thi My Nhung Pham and Thi Anh Nguyen
Nurs. Rep. 2026, 16(7), 222; https://doi.org/10.3390/nursrep16070222 (registering DOI) - 27 Jun 2026
Viewed by 116
Abstract
Background: Nurse–patient communication is a nurse-associated, interprofessionally delivered care-process indicator captured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), but its hospital-level association with hospital-wide readmission after structural and case-mix adjustment remains incompletely characterized. Methods: We conducted a cross-sectional secondary [...] Read more.
Background: Nurse–patient communication is a nurse-associated, interprofessionally delivered care-process indicator captured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), but its hospital-level association with hospital-wide readmission after structural and case-mix adjustment remains incompletely characterized. Methods: We conducted a cross-sectional secondary analysis of publicly available Centers for Medicare and Medicaid Services (CMS) Hospital Compare data. The exposure was the HCAHPS nurse communication composite (April 2024–March 2025), and the outcome was the Hybrid Hospital-Wide All-Cause 30-day Readmission measure (July 2023–June 2024). The primary model adjusted for ownership and US Census region. Robustness was assessed using a six-model hierarchy, including linkage to Provider of Services and HCRIS data to account for teaching intensity, staffing density, and Disproportionate Share Hospital percentage. Additional sensitivity analyses examined survey weighting, survey-volume restriction, lagged HCAHPS scores, HCAHPS-domain specificity, CMS star-rating adjustment, non-linearity, regional interaction, health-system clustering, and alternative functional forms. Findings are interpreted as cross-sectional ecological associations, not causal or predictive effects. Results: Among 2844 acute care hospitals, each 10-percentage-point higher patient-perceived nurse communication score was associated with a 0.289 percentage-point lower 30-day readmission rate (95% CI −0.341 to −0.236; p < 0.001) in the primary model. The association was consistent across sensitivity analyses, although it was attenuated after additional adjustment for linked structural hospital characteristics. Among HCAHPS domains, discharge information showed the largest association with readmission. These findings indicate a modest but consistent hospital-level association rather than evidence of causality. Conclusions: Hospitals with higher patient-perceived nurse communication tended to have lower 30-day readmission rates, although the association was attenuated after adjustment for structural hospital characteristics. Patient-perceived nurse communication may therefore be a useful nurse-associated process indicator for readmission-related benchmarking, although it reflects interprofessional care and residual organizational confounding remains plausible. Longitudinal or interventional studies are needed to determine whether improving nurse communication can reduce readmissions. Full article
(This article belongs to the Special Issue Nursing Management in Clinical Settings)
Show Figures

Figure 1

15 pages, 694 KB  
Article
Teamwork as an Interprofessional Competency for Collaborative Hospital Practice
by Laura Andrian Leal, Ivaneia Alves Pereira Sobrinho, Luan Gagossian Savóia, José Carlos Carvalho, Fabiana Faleiros and Silvia Helena Henriques
Nurs. Rep. 2026, 16(3), 82; https://doi.org/10.3390/nursrep16030082 - 26 Feb 2026
Viewed by 1140
Abstract
Background/Objectives: This study aimed to analyze the perceptions and experiences of health professionals regarding teamwork as an interprofessional competency within the context of Intensive Care Units (ICUs) in a Brazilian public teaching hospital. Methods: This was a qualitative, exploratory study guided [...] Read more.
Background/Objectives: This study aimed to analyze the perceptions and experiences of health professionals regarding teamwork as an interprofessional competency within the context of Intensive Care Units (ICUs) in a Brazilian public teaching hospital. Methods: This was a qualitative, exploratory study guided by a constructivist–interpretative perspective. The scenario consisted of Intensive Care Units of a public teaching hospital, which is a reference for emergency care, located in Brazil. Sampling was intentional and involved 29 professionals, most of whom, 25 (86.20%), were females, including nurses, nursing technicians, physicians, physiotherapists, and others. In order to collect data, individual semi-structured face-to-face interviews were conducted in 2025, which were audio-recorded and fully transcribed. The criterion for determining the number of participants was theoretical saturation. Data analysis followed the steps of Braun and Clarke’s thematic analysis, conducted inductively, with peer validation and the use of illustrative quotations to ensure credibility. Results: Five main categories emerged: “Understanding teamwork as an interprofessional competency,” “Factors that facilitate interprofessional teamwork,” “Factors that hinder teamwork,” “Tools used in the ICU to develop interprofessional teamwork” and “Individual actions to develop interprofessional teamwork.” The analysis revealed a central tension: although professionals discursively value interprofessional teamwork, its practical implementation is constrained by organizational and hierarchical barriers. Communication was identified as a transversal axis, functioning at times as a facilitator and at other times as a barrier. Conclusions: This study demonstrates that interprofessionality in Brazilian ICUs cannot be sustained solely through individual initiatives, but requires structured institutional strategies, such as formal collaboration protocols, interprofessional education programs, and a revision of hospital organizational culture. Furthermore, although health professionals value interprofessional teamwork, their practice still faces significant barriers. These findings may support managers’ reflection on the need to implement in-service teaching and learning strategies that facilitate interprofessional teamwork, especially those in high-technology units, thus enhancing collaborative practice in health. Full article
(This article belongs to the Special Issue Nursing Management in Clinical Settings)
Show Figures

Figure 1

19 pages, 355 KB  
Article
Development and Face/Content Validation of the Care Load Scale Based on Hospitalized Patients’ Care Needs
by Alexander Casallas-Vega, Kevin Julian Aya-Roa, Judith Liliana Ortiz Mayorga, Lina Maria Vargas-Escobar, Marcia Andrea Quiñonez Mora and Genny Paola Fuentes Bermudez
Nurs. Rep. 2025, 15(11), 380; https://doi.org/10.3390/nursrep15110380 - 26 Oct 2025
Viewed by 1614
Abstract
Background/Objectives: The burden of nursing care is defined as the relation between the care needs of hospitalized individuals and the time available for nursing staff to perform direct, indirect, and educational care activities. This study aimed to design an instrument to measure the [...] Read more.
Background/Objectives: The burden of nursing care is defined as the relation between the care needs of hospitalized individuals and the time available for nursing staff to perform direct, indirect, and educational care activities. This study aimed to design an instrument to measure the burden of nursing care and to assess its face and content validity. Methods: This methodological study was conducted in three phases: (1) operationalization of the concept, (2) instrument design, and (3) face and content validity assessment. Expert panels using the nominal group technique were employed in phases one and two. In phase three, item evaluations regarding clarity, coherence, and relevance were conducted by experts. Results: Face validity was assessed by six expert researchers, while content validity was evaluated by 55 nurses with graduate-level education. The results demonstrated content validity index (CVI) values ranging from 0.89 to 0.95; Aiken’s V values between 0.84 and 0.94; and Kendall’s W concordance coefficients between 0.54 and 0.73, all statistically significant (p < 0.001). Conclusions: The Care Load Scale, designed to measure the burden of nursing care based on hospitalized patients’ needs, demonstrated strong face and content validity. The instrument shows potential for use in clinical settings to guide nursing care planning, allocate resources effectively, and inform institutional policies. The inclusion of expert judgment and rigorous validation procedures ensures the instrument’s relevance and applicability. This scale represents a significant contribution to nursing research and practice by offering a standardized tool aligned with patient-centered care principles. Full article
(This article belongs to the Special Issue Nursing Management in Clinical Settings)
Show Figures

Figure 1

Review

Jump to: Research, Other

16 pages, 584 KB  
Review
Nursing Practice Environment in the Armed Forces: Scoping Review
by Mafalda Inácio, Maria Carvalho, Ana Paulino, Patrícia Costa, Ana Rita Figueiredo, Elisabete Nunes, Paulo Cruchinho and Pedro Lucas
Nurs. Rep. 2025, 15(11), 394; https://doi.org/10.3390/nursrep15110394 - 7 Nov 2025
Cited by 1 | Viewed by 1634
Abstract
Background: The nursing practice environment is a critical determinant of healthcare quality, patient safety, and nurse well-being. Military healthcare settings present unique challenges, including rigid hierarchical structures, deployment rotations, and resource constraints, which may significantly affect the nursing practice. This scoping review mapped [...] Read more.
Background: The nursing practice environment is a critical determinant of healthcare quality, patient safety, and nurse well-being. Military healthcare settings present unique challenges, including rigid hierarchical structures, deployment rotations, and resource constraints, which may significantly affect the nursing practice. This scoping review mapped the available scientific evidence on the nursing practice environment in military healthcare institutions and identified its influencing factors. Methods: Following JBI methodology, a scoping review was conducted according to the PCC framework: nurses (Population), the nursing practice environment (Concept), and military healthcare settings (Context). Papers in English, Portuguese, or Spanish were included without date restrictions. Searches were performed in 4 databases (September 2025) and data selections were conducted independently by two reviewers. Results: Eleven studies (2010–2025), mainly from the United States, met the inclusion criteria. Thematic analysis revealed three main components influencing the nursing practice environment: structural (leadership, professional development, staffing), relational (collaboration, conflict management), and outcome-related (well-being, retention, patient safety). Favourable environments were associated with higher satisfaction, retention, and reduced burnout. Conversely, unfavorable environments, often influenced by rank hierarchy, deployment rotations, and organizational rigidity, were linked to turnover intention, moral distress, and compromised patient outcomes. Conclusions: Evidence from the included studies indicates that adaptive leadership, interprofessional collaboration, professional development and staffing adequacy are recurrent factors associated with nurses’ satisfaction, retention, and perceived quality of care. Hierarchy structures, deployments, and mobility also appear to influence the specific characteristics of military nursing practice environments. Full article
(This article belongs to the Special Issue Nursing Management in Clinical Settings)
Show Figures

Figure 1

Other

Jump to: Research, Review

20 pages, 724 KB  
Systematic Review
Missed Nursing Care Among Hospital Nurses in the Middle East: A Systematic Literature Review
by Bedoor Bader Abdullah and Fathieh Abdullah Abu-Moghli
Nurs. Rep. 2026, 16(2), 40; https://doi.org/10.3390/nursrep16020040 - 26 Jan 2026
Viewed by 1232
Abstract
Background/Objectives: Missed Nursing Care is a global concern that affects nurses’ well-being and patients’ safety. Despite global recognition of Missed Nursing Care, there is limited synthesized evidence that determines its characteristics in a Middle Eastern context. The purpose of the study is [...] Read more.
Background/Objectives: Missed Nursing Care is a global concern that affects nurses’ well-being and patients’ safety. Despite global recognition of Missed Nursing Care, there is limited synthesized evidence that determines its characteristics in a Middle Eastern context. The purpose of the study is to synthesize the existing evidence about the prevalence of Missed Nursing Care among nurses in hospitals, the types of care missed, and reasons for Missed Nursing Care in the Middle East. Methods: A systematic literature review is conducted by using a comprehensive search in CINAHL, Scopus, and ScienceDirect databases for studies published between 2020 and 2025 and utilizing the MISSCARE Survey. Results: 25 studies met the inclusion criteria. The reported prevalence of Missed Nursing Care ranged between 1.06 and 2.9 out of five, indicating a low to moderate level. Frequent missed care activities included ambulation, hygiene, mouth care, and patient teaching. Contributing factors were staffing shortages, heavy workload, resource limitations, and communication issues. Missed Nursing Care critically affected patients’ outcomes, reduced job satisfaction, and caused moral distress and a higher intent to leave the profession. Conclusions: Missed Nursing Care remains a significant, complex challenge in the Middle East. Therefore, understanding this phenomenon in the region is needed. Collaborative efforts among policymakers, administrators, and nursing leaders are essential to implement targeted interventions, supportive policies, and ongoing research to minimize Missed Nursing Care across the Middle East. Full article
(This article belongs to the Special Issue Nursing Management in Clinical Settings)
Show Figures

Figure 1

Back to TopTop