Journal of Nursing Regulation护理监管杂志
Journal of Nursing Regulation(英文缩写 J NURS REGUL),ISSN 2155-8256,eISSN 2155-8264,中文译名:护理监管杂志 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-11-01 至 2026-10-31，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 1.864 | Q3 |
| 2022 | 2.400 | Q2 |
| 2023 | 4.200 | Q1 |
| 2024 | 6.300 | Q1 |
| 2025 | 7.500 | Q1 |
Journal of Nursing Regulation 最新收录文献
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1. Pathways to practice: Structural determinants of internationally educated nurses' transition into the U.S. healthcare workforce.
PMID:日期:2026-08-06Nurse migration can create opportunities for career growth and financial stability; however, these nurses may face challenges related to cultural adjustment, workplace integration, and recruitment and employment practices. To describe the career pathways of internationally educated nurses (IENs) in the United States with a focus on the recruitment process and transition of newly hired nurses into the healthcare system. A cross-sectional survey design was employed to understand the demographic and professional characteristics of IENs and to assess structural factors influencing the transition to practice, including recruitment, predeparture preparations, and support received during the transition. Data showed that IENs experienced varying levels of support across recruitment, pre-arrival preparation, arrival, and onboarding. Travel and relocation assistance were commonly reported, whereas structured pre-arrival preparation, formal IEN orientation, cultural orientation, and ongoing follow-up were less consistent. These differences highlight opportunities to strengthen transition support across the pathway to practice. Interrelated structural processes, rather than individual adaptation alone, shape the integration of IENs into U.S. nursing practice. These findings highlight the important role of nursing regulation in promoting transparent recruitment, consistent preparation, and safe transition to practice. Strengthening these regulatory and organizational processes may improve workforce stability, patient care, and retention of internationally educated nurses.
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2. From compliance to risk: A paradigm for nursing and midwifery regulation in Ireland.
PMID:日期:2026-01Healthcare regulation is essential for protecting the public and maintaining professional standards, yet traditional compliance-based models are often rigid and resource intensive. Risk-based regulation (RBR) has emerged as an additional tool that can assist regulators in focusing on preventing harm rather than eliminating all risk. This article examines the application of RBR to nursing and midwifery with a focus on healthcare assistants, who deliver substantial patient care but are frequently unregulated. Using responsive regulation theory and right-touch assurance models, this article considers how intrinsic and extrinsic risks can guide proportionate oversight. Although RBR enhances efficiency, adaptability, and patient safety, challenges include data limitations, varied perceptions of risk, and political pressures. It is asserted that proportionate mechanisms, including delegation frameworks, can contribute to public safety without imposing unnecessary burdens. Thus, RBR offers regulators a flexible framework to support workforce optimization and ensure safe, high-quality care.
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3. Closing the surveillance gap: Development of a technology-integrated model for nurse anesthesia student controlled substance oversight.
PMID:日期:2025-10-10Controlled substance (CS) diversion poses serious risks to patient safety, provider well-being, and institutional compliance, particularly in anesthesia practice where potent medications are routinely handled. Nurse anesthesia students are often entrusted with CS preparation and administration under indirect supervision but are frequently excluded from automated dispensing systems. When preceptors retrieve medications on students' behalf, transactions are recorded under the preceptor's credentials, eliminating individual accountability and rendering students invisible to surveillance systems. To address this oversight gap, a newly established nurse anesthesia program partnered with a large academic health system to design a standardized, technology-enabled oversight framework. The model will provide each student with role-based, time-limited system credentials synchronized to clinical rotation schedules, ensuring that all CS transactions-dispensing, administration, and waste-are traceable to the individual performing the task. The framework's five pillars-interprofessional collaboration, standardized policy, annual diversion prevention education, analytics-based surveillance, and clear reporting pathways-align with best-practice recommendations from the American Society of Health-System Pharmacists and standards from the Drug Enforcement Administration and The Joint Commission. Although full implementation is pending, this proactive approach exemplifies a scalable, systems-based solution that strengthens diversion prevention while serving as a pedagogical imperative. Furthermore, embedding students in the same surveillance infrastructure as licensed providers prepares them for the regulatory realities of modern healthcare and sets a new standard for safety, accountability, and professional integrity in anesthesia education. This report describes the pre-implementation phase of this quality improvement initiative, highlighting the rationale, development, and expected benefits and challenges of the framework.
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4. Racial Disparities in Lipid Screening Among Patients With Coronary Artery Disease Narrowed in Primary Care Settings Supportive of Nurse Practitioners.
PMID:日期:2023-09-29Coronary artery disease (CAD) is the most prevalent heart disease in the United States, and it disproportionately affects Black compared to White patients. Regular primary care and dyslipidemia screening and management are essential for optimal CAD care. Nurse practitioners (NPs) increasingly provide primary care services, though unsupportive practice environments may constrain their ability to do so. To examine whether disparities in lipid screening between Black and White patients with CAD were associated with the NP practice environment scores. Cross-sectional survey data from NPs in primary care practices and Medicare claims were linked to evaluate outcomes among 111,911 CAD patients (94% White, 6% Black) across 456 primary care practices in four states (California, Florida, New Jersey, and Pennsylvania) in 2016. The NP-Primary Care Organizational Climate Questionnaire, which provides a score on the supportiveness of a respondent's practice, was used to evaluate the NP practice environment. Multilevel regression models that accounted for patient and practice characteristics were used to evaluate the study aim. Compared to White patients with CAD, Black patients with CAD less frequently received annual lipid screening (77.0% vs. 70.6%; < .001). In logistic regression models accounting for patient and practice characteristics, for every standard deviation increase in the practice environment score, Black patients experienced a 5% increase in odds of receiving lipid screening. Investing in the NP practice environment, including increasing NP role visibility and strengthening relationships with physicians and administrators, may narrow racial disparities in CAD management.
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5. A Preliminary Examination of Healthcare Facilities' Nurse Staffing Strategies to Address COVID-19 Surges.
PMID:日期:2023-04-05COVID-19 surge events exacerbated many healthcare facilities' pre-existing nursing shortages. To address staff shortfalls, nurse leaders adopted a variety of strategies to supplement their workforce. To identify and assess the interplay between board of nursing (BON) emergency guidance and the strategies healthcare facilities adopted to bolster their nursing workforce during peak pandemic periods. A national survey of nurse executives, as identified by the American Organization for Nursing Leadership, was conducted. Univariable and multivariable ordinal logistic regression models were used to evaluate the significance of observed trends. Half of the 391 nurse executives who completed the survey indicated that their facility needed to supplement their RN staffing during peak periods of the COVID-19 pandemic ( = 202, 51.7%). Most relied on hiring local experienced nurses ( = 111) or some combination of travel nurses ( = 61) or support workers ( = 60) to drive a median 10% increase in nurse staffing ( = 153, range 0%-100%). A large proportion of respondents also indicated their facility simply increased the work volume and hours of their current RN staff. Respondents rated retired nurses as significantly more competent relative to licensed new nurse graduates and pre-NCLEX new nurse graduates. Although the small sample limits the generalizability of these findings, preliminary evidence suggests recently retired nurses and prelicensure nursing students may provide valuable support services in the event of another public health emergency.
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7. Virtual Clinical Simulation Adoption and Use by Licensed Practical Nurse/Licensed Vocational Nurse Education Programs During the COVID-19 Pandemic.
7. 在新冠肺炎大流行期间，虚拟临床模拟被特许实践护士/特许职业护士教育计划采用和使用PMID:日期:2023-04-05In the early stages of the COVID-19 pandemic, as clinical site restrictions were implemented, education programs leading to licensed practical nurse/licensed vocational nurse (LPN/LVN) degrees increasingly relied on virtual simulation-based experiences to provide clinical training to their students. However, scant evidence exists regarding the extent of this change and the various modalities employed by LPN/LVN programs across the United States. We sought to identify the degree to which virtual clinical simulation was adopted by LPN/LVN education programs during the early stages of the COVID-19 pandemic to address clinical site restrictions. In addition, we hoped to identify the practices and activities that educators included under the broad umbrella definition of virtual clinical simulation. All active U.S. prelicensure LPN/LVN nursing education programs were contacted in September 2020. Program leaders were asked to estimate the proportion of clinical hours completed in virtual clinical simulation before the pandemic and the proportion anticipated for the fall 2020 term. Descriptive statistics were generated, with repeated measures analysis of covariance applied to evaluate the average change in virtual simulation within programs stratified by reported clinical restrictions. Representatives from 265 LPN/LVN programs in 44 U.S. jurisdictions responded to the survey. Responding programs significantly increased the proportion of clinical hours completed in virtual clinical simulation between fall 2019 ( = 10.7, = 15.3) and fall 2020 ( = 35.3, = 27.6, < .001). Furthermore, there was an interaction between clinical site restrictions and term, with a more pronounced uptick in virtual simulation usage among programs that indicated they found identifying clinical sites "very difficult" ( = 41.1, = 28.9) relative to those who found it "somewhat more difficult" ( = 23.9, = 18.8, < .001). Programs adopted a range of modalities, including simply watching videos and participating in virtual or augmented reality, online software packages, or other forms of screen-based learning. As the adoption of virtual simulation increases, clear definitions of what constitutes clinical virtual simulation must be established. Additionally, rigorous inquiry to support evidence-based regulatory guidelines is needed.
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8. Addressing Barriers to APRN Practice: Policy and Regulatory Implications During COVID-19.
PMID:日期:2023-04-05Advanced practice registered nurses (APRNs) play a pivotal role in providing healthcare, including preventive care services, to the public. However, barriers to APRN practice exist that impact the provision of vital healthcare services that APRNs are authorized to provide based on their education, training, licensure, and certification. This article provides an overview of APRN barriers to practice, including in the face of the COVID-19 pandemic, and discusses key policy and regulatory implications.
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9. Examining the Impact of the COVID-19 Pandemic on Burnout and Stress Among U.S. Nurses.
PMID:日期:2023-04-05The COVID-19 pandemic has amplified long-standing issues of burnout and stress among the U.S. nursing workforce, renewing concerns of projected staffing shortages. Understanding how these issues affect nurses' intent to leave the profession is critical to accurate workforce modeling. To identify the personal and professional characteristics of nurses experiencing heightened workplace burnout and stress. We used a subset of data from the 2022 National Nursing Workforce Survey for analysis. Binary logistic regression models and natural language processing were used to determine the significance of observed trends. Data from a total of 29,472 registered nurses (including advanced practice registered nurses) and 24,061 licensed practical nurses/licensed vocational nurses across 45 states were included in this analysis. More than half of the sample (62%) reported an increase in their workload during the COVID-19 pandemic. Similarly high proportions reported feeling emotionally drained (50.8%), used up (56.4%), fatigued (49.7%), burned out (45.1%), or at the end of their rope (29.4%) "a few times a week" or "every day." These issues were most pronounced among nurses with 10 or fewer years of experience, driving an overall 3.3% decline in the U.S. nursing workforce during the past 2 years. High workloads and unprecedented levels of burnout during the COVID-19 pandemic have stressed the U.S. nursing workforce, particularly younger, less experienced RNs. These factors have already resulted in high levels of turnover with the potential for further declines. Coupled with disruptions to prelicensure nursing education and comparable declines among nursing support staff, this report calls for significant policy interventions to foster a more resilient and safe U.S. nursing workforce moving forward.
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10. Regulating During Crisis: A Qualitative Comparative Case Study of Nursing Regulatory Responses to the COVID-19 Pandemic.
PMID:日期:2023-04-05The COVID-19 pandemic placed intense pressure on nursing regulatory bodies to ensure an adequate healthcare workforce while maintaining public safety. Our objectives were to analyze regulatory bodies' responses during the pandemic, examine how nursing regulators conceptualize the public interest during a public health crisis, and explore the influence of a public health crisis on the balancing of regulatory principles. We aimed to develop a clearer understanding of regulating during a crisis by identifying themes within regulatory responses. We conducted a qualitative comparative case study examining the pandemic responses of eight nursing regulators in three Canadian provinces and three U.S. states. Data were collected from semi-structured interviews with 19 representatives of nursing regulatory bodies and 206 publicly available documents and analyzed thematically. Five themes were constructed from the data: (1) risk-based responses to reduce regulatory burden; (2) agility and flexibility in regulatory pandemic responses; (3) working with stakeholders for a systems-based approach; (4) valuing consistency in regulatory approaches across jurisdictions; and (5) the pandemic as a catalyst for innovation. Specifically, we identified that the meaning of "public interest" in the context of high workforce demand was a key consideration for regulators. Our results demonstrate the intensity of effort involved in nursing regulatory responses and the significant contribution of nursing regulation to the healthcare system's pandemic response. Our results also indicate a shift in thinking around broader public interest issues, beyond the conduct and competence of individual nurses, to include pressing societal issues. Regulators are beginning to grapple with these longer-term issues and policy tensions.