{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T05:45:06Z","timestamp":1792043106389,"version":"4.4.0"},"reference-count":48,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Differences in perceptions of clinical nurses and nurse leaders have been observed and reported. Such differences can impact organizational outcomes and overall workplace environment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The objective of this study was to provide an integrative global review and synthesis of published literature comparing perceptions of clinical nurses and nurse leaders of the work environment in acute care settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Five databases were searched for quantitative, qualitative, and mixed methods studies published in English within the last 10\u2009years; publications were peer reviewed. An appraisal of articles meeting review criteria was conducted using the Johns Hopkins method. Selected studies were reviewed both independently and collaboratively by the authors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The final sample consisted of 23 publications from five countries. The sample included 16 quantitative studies, five qualitative studies, and two mixed method studies. In articles, findings identified some similarities (22%) in perspectives of clinical nurses and nurse leaders of the work environment, but more differences were reported (78%). Areas identified were classified using the American Association of Critical Care Nurses standards established for a healthy workplace environment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>A global phenomenon of differences in perceptions between clinical nurses and nurse leaders was supported by this integrative review. Such differences impact nurse satisfaction, turnover, and patient outcomes. Interventions to shrink the gap in perceptual differences between clinical nurses and nurse leaders warrant further research exploration. The value of leadership education, highlighting authentic leadership traits, is prioritized for consideration. To be effective globally, cultural practices must be taken into consideration. Importantly, objective outcomes following structured education must be reported.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/wvn.70181","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T04:52:09Z","timestamp":1792039929000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparing Clinical Nurses' and Nurse Leaders' Perceptions of a Healthy Work Environment: An Integrative Review"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0079-9102","authenticated-orcid":false,"given":"Mildred Ortu","family":"Kowalski","sequence":"first","affiliation":[{"name":"Independent Nurse Researcher  East Hanover New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3173-7190","authenticated-orcid":false,"given":"Susan Heidenwolf","family":"Weaver","sequence":"additional","affiliation":[{"name":"Hackensack Meridian Health Ann May Center for Nursing  Tinton Falls New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kari A.","family":"Mastro","sequence":"additional","affiliation":[{"name":"Penn Medicine Princeton Health  Plainsboro New Jersey USA"},{"name":"School of Nursing University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"e_1_2_14_2_1","unstructured":"Alichnie C. andB. M.Spook2017.\u201cEvidence\u2010Based Leadership Institute: A Model to Develop Nurse Leaders. [Conference Session].\u201dSIGMA Theta Tau 28th International Nursing Research Congress (INRC) Dublin Ireland.https:\/\/www.sigmarepository.org\/inrc\/2017\/presentations_2017\/132."},{"key":"e_1_2_14_3_1","unstructured":"Almaskari M.2017.\u201cOmani Staff Nurses' and Nurse Leaders' Attitudes Toward and Perceptions of Barriers and Facilitators to the Implementation of Evidence\u2010Based Practice (Publication No. 2\u201017.10277.10277864).\u201d[Doctoral dissertation Widener University. ProQuest Dissertations & Theses].https:\/\/www.proquest.com\/dissertations\u2010theses\/omani\u2010staff\u2010nurses\u2010nurse\u2010leaders\u2010attitudes\u2010toward\/docview\/1919646197\/se\u20102."},{"key":"e_1_2_14_4_1","volume-title":"AACN Standards for Establishing and Sustaining Healthy Work Environment: A Journey to Excellence","author":"American Association of Critical\u2010Care Nurses","year":"2016"},{"issue":"3","key":"e_1_2_14_5_1","doi-asserted-by":"crossref","first-page":"187","DOI":"10.4037\/ajcc2005.14.3.187","article-title":"AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence","volume":"14","author":"American Association of Critical\u2010Care Nurses (AACN)","year":"2005","journal-title":"American Journal of Critical Care"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mnl.2023.04.006"},{"key":"e_1_2_14_7_1","unstructured":"Bradley J. M. andL. W.Moore.2017.\u201cProfessional Coaching: A Successful Strategy for Supporting and Developing Nurse Managers for the Future [Conference Session].\u201dSIGMA Theta Tau International Biennial Convention Indianapolis IN United States.https:\/\/www.sigmarepository.org\/convention\/2017\/presentations_2017\/257."},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NUMA.0000546200.94337.06"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010022\u201000907\u20100"},{"key":"e_1_2_14_10_1","unstructured":"Cherian U. K.2016.\u201cImpact of Meaningful Recognition on Nurses' Work Environment in ICU: A Comparative Exploration of Nurse Leaders' and Staff Nurses' Perception.\u201dDoctoral dissertation University of North Carolina at Chapel Hill Graduate School. 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