Nursing Management in Clinical Settings

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

Deadline for manuscript submissions: 15 June 2026 | Viewed by 2012

Special Issue 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

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Keywords

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

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Published Papers (2 papers)

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Research

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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 982
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)
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Review

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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
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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)
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