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Journal of Nursing Administration:
doi: 10.1097/01.NNA.0000435143.01220.e6
From the Editor

Keeping You Up at Night

Section Editor(s): Hill, Karen S. DNP, RN, NEA-BC, FACHE, FAAN

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Author Information

Editor-in-Chief, The Journal of Nursing Administration (JONA); Chief Operating Officer/Chief Nursing Officer, Baptist Health Lexington, Kentucky (

The editor declares no conflicts of interest.

Like some of you, as an aging (seasoned) nurse executive in the midst of a long and gratifying career, I think I have the basics of my roles mastered and should sleep well without worry. Instead, I fi nd myself worrying about grown children, my new granddaughter, and challenges at work. I assumed that at this phase in my career, with 33 years of nursing practice behind me, I would be calm and scholarly and in a reflective stage being benevolent to rising nurse leaders. Ironically, I am busier than ever, more challenged than ever, and dealing with new issues such as working with employed physicians, developing systems for using resources wisely, helping to identify opportunities and for continuity in care, and crafting delivery systems for the future. No wonder my head is spinning at night instead of resting!

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As the leading peer-reviewed journal focused on nursing administrative practice and research for more than 30 years, The Journal of Nursing Administration (JONA) has been a source of support for me to counteract this stress. As an editor, I am working hard with expert peer reviewers to select articles highlighting projects, research initiatives, and evidence-based practice interventions that readers can learn from, replicate, and implement.

Taking the time to develop a manuscript takes a high level of commitment on the part of the authors. I have suggested to nurse authors that they tap into the expertise we have among our peers in writing and research and solicit editorial assistance while in the draft stage of manuscript development. I also frequently suggest that authors query me or other editors with ideas about future manuscripts to solicit suggestions and feedback. The Guidelines for Authors for JONA ( are a good resource for writing teams.

Articles in this special 2013 Magnet Supplement of JONA were selected to provide you with resources to structure systems to encourage evidence-based practice inquiry, guide the development and implementation of nursing-led research, and create the environments of scholarship that Magnet® designation signifi es. These well-written articles can also serve as good examples of writing and presentations styles for others contemplating future submissions and publications.

I suggest that a new approach to dealing with those “up at night issues” include objectively examining your own structures and support systems, including process improvement, practice, and personal. Many of us, including our nursing staff members and leaders, have true ownership to the way we are doing things to the point that we are not open to new evidence-based insights and input from others. Searching the literature for the evidence to identify novel approaches to issues is a time-effective way to enlighten our own leadership and decrease our stress as we meet challenges. These scholarly pursuits are integral to Magnet environments of excellence. Magnet nurses are developing projects to test new interventions to improve patient care, and Magnet organizations are creating frameworks similar to the ones described in this Supplement, to support nurse-led research. Congratulations to the writing teams and researchers who had articles selected to be honored in this way. Thanks to those of you who take the time to write and disseminate knowledge to help us, as nurse leaders, meet these challenges.

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins