Journal of Nursing Regulation最新文献

{"title":"Dr. Maryann Alexander: Visionary, Scholar, and Leader","authors":"Shirley A. Brekken MS, RN, FAAN, Anne Coghlan MScN, RN, Sandra Evans MA Ed, RN, Suzanne Feetham PhD, RN, FAAN","doi":"10.1016/S2155-8256(25)00029-8","DOIUrl":"10.1016/S2155-8256(25)00029-8","url":null,"abstract":"","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"15 4","pages":"Page 4"},"PeriodicalIF":4.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Moderating Factors of Turnover Rate and Turnover Intention Among Nurses Worldwide: A Meta-Analysis","authors":"Dluha Mafula MSN, RN,&nbsp;Hidayat Arifin MSN, RN,&nbsp;Ruey Chen PhD, RN,&nbsp;Chien-Mei Sung PhD, RN,&nbsp;Chiu-Kuei Lee PhD, RN,&nbsp;Kai-Jo Chiang PhD, RN,&nbsp;Kondwani Joseph Banda PhD, RNM,&nbsp;Kuei-Ru Chou PhD, RN","doi":"10.1016/S2155-8256(25)00031-6","DOIUrl":"10.1016/S2155-8256(25)00031-6","url":null,"abstract":"<div><div><strong>Background:</strong> High turnover and turnover intention rates among nurses exacerbate nursing shortages, reduce care quality, and negatively impact patient outcomes. Existing evidence on these effects needs to be updated to align with current trends, regulations, and policies to enhance organizational capacity and nurses’ well-being.</div><div><strong>Purpose:</strong> To estimate the turnover rate and prevalence of turnover intention among nurses worldwide and to evaluate moderating factors.</div><div><strong>Methods:</strong> A meta-analysis was conducted using six databases: CINAHL, Embase, ProQuest, PubMed, Scopus, and Web of Science. Studies published up to January 2024 were eligible for inclusion. Pooled prevalence was analyzed using a generalized linear mixed model and random effects model. Subgroup analysis was performed to explore variations, and heterogeneity was assessed using <em>I</em> 2 and Cochran’s Q statistics. Publication bias was assessed using Egger’s test.</div><div><strong>Results:</strong> Seventy-five studies involving 3,354,829 nurses were included in this meta-analysis. The pooled turnover rate was 15.2% (95% CI: 12.4%–18.4%), and the pooled prevalence of turnover intention was 38.4% (95% CI: 31.0%–46.4%). The turnover rate of night shift nurses (22.8%) was nearly double that of day shift nurses (14.7%). Night-shift nurses (61.7%) were three times more likely to consider leaving than day-shift nurses (18.7%). Full-time nurses had a higher turnover rate (76.7%) than part-time nurses (20.4%). Among medical-surgical nurses, 57.7% left, while 59.7% planned to leave.</div><div><strong>Conclusions:</strong> One in seven nurses leave their positions, and two in five intend to leave. Authorities should implement regulations, improve workplace conditions, and provide support systems and career opportunities to reduce turnover.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"15 4","pages":"Pages 20-36"},"PeriodicalIF":4.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Farewell—But First, Thank You","authors":"Maryann Alexander PhD, RN, FAAN (Editor-in-Chief)","doi":"10.1016/S2155-8256(25)00028-6","DOIUrl":"10.1016/S2155-8256(25)00028-6","url":null,"abstract":"","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"15 4","pages":"Page 3"},"PeriodicalIF":4.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Review of Regulatory Body Nurse Practitioner Disciplinary Action Cases in Canada","authors":"Ai-Leng Foong-Reichert BSc, PharmD, PhD,&nbsp;Kelly A. Grindrod BSc Pharm, PharmD, MSc,&nbsp;Sherilyn K.D. Houle BSP, PhD","doi":"10.1016/S2155-8256(25)00032-8","DOIUrl":"10.1016/S2155-8256(25)00032-8","url":null,"abstract":"<div><div><strong>Background:</strong> Nurse practitioners (NPs) are the fastest growing type of nursing professional in Canada, yet little research exists on NP disciplinary outcomes.</div><div><strong>Purpose:</strong> To characterize the outcomes of disciplinary action for NPs in Canada by determining the reasons for disciplinary action, penalties issued, and any associations between disciplinary action and demographic characteristics.</div><div><strong>Methods:</strong> Publicly available regulatory body disciplinary action cases concerning NPs from January 2010 to December 2020 were included. Cases were sought from all 10 provinces and three territories in Canada. If cases could not be accessed online, the nurse regulatory board was contacted via email. The reasons for discipline, penalties applied, and demographic factors were coded independently by two researchers.</div><div><strong>Results:</strong> Information regarding cases was obtained from six provinces and one territory. A total of 10 cases were included from Manitoba, Ontario, and Newfoundland and Labrador, while British Columbia, Nova Scotia, Prince Edward Island, and Yukon had zero cases during the study period. Cases from Quebec were excluded because we were unable to determine the type of nursing professional being disciplined. Also, case records could not be obtained for the full study period from the remaining jurisdictions (Alberta, Saskatchewan, New Brunswick, Quebec, Northwest Territories, and Nunavut) and were thus excluded. The rate of disciplinary action was low (0.27 cases per 1,000 NPs per year). Professional misconduct was the most common reason for discipline (<em>n</em> = 8), followed by clinical incompetence (<em>n</em> = 7) and dishonest business practices (<em>n</em> = 2). The median number of years licensed as an NP before discipline was 8.5.</div><div><strong>Conclusion:</strong> To our knowledge, this is the first study to analyze disciplinary outcomes for NPs in Canada. Characterization of disciplinary outcomes is important to develop strategies and educational initiatives to prevent future discipline and support return to practice for those who have been disciplined.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"15 4","pages":"Pages 37-42"},"PeriodicalIF":4.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing Practice Considerations for Medicare’s Reimbursement Model of Rural Emergency Hospitals","authors":"Karen L. Weis PhD, RN C-OB, FAAN,&nbsp;Deena Woodall PhD, RN,&nbsp;Teale Ryan PhD, MS, RN,&nbsp;Lisa Larson PhD, RN","doi":"10.1016/S2155-8256(25)00033-X","DOIUrl":"10.1016/S2155-8256(25)00033-X","url":null,"abstract":"<div><div><strong>Background:</strong> The Consolidated Appropriations Act of 2021 (Public Law 116-260) established a Rural Emergency Hospital (REH) designation under the Medicare program. Guidance includes provider staffing requirements, but the nurse staffing recommendations conflict with state boards of nursing scope of practice requirements.</div><div><strong>Purpose:</strong> To gain a perspective regarding the nurse staffing needed to provide 24/7 emergent care and patient observation for the REH reimbursement model.</div><div><strong>Methods:</strong> A mixed methods design of ethnography and cross-sectional descriptive data were collected through unstructured field observations, face-to-face interviews, and focus groups to evaluate descriptive data on nurse education, skill mix, and competencies.</div><div><strong>Results:</strong> Data were collected from nursing personnel and leadership (<em>N</em> = 45) at four critical access hospitals (CAHs) in Kansas. The nursing workforce sample was predominantly registered nurses (87.8%) with associate degrees in nursing (51.3%). Findings reflect the need for a highly skilled, flexible staff with strong critical thinking skills and the ability to function within their full scope of practice.</div><div><strong>Conclusions:</strong> The REH reimbursement model and associated policies do not address appropriate nurse staffing within the required scope of nursing practice and services. Initial assessment and patient transports are key factors in the REH designation, both of which require the support of registered nurses. The nurse staffing recommended for REHs does not adequately meet the needs of the service model.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"15 4","pages":"Pages 43-50"},"PeriodicalIF":4.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advanced Practice Registered Nurse Involvement in Pregnancy Episodes: U.S. Trends From 2008–2014","authors":"Moiz Bhai PhD,&nbsp;Mary Motolenich MS,&nbsp;David T. Mitchell PhD,&nbsp;Danny R. Hughes PhD","doi":"10.1016/S2155-8256(25)00034-1","DOIUrl":"10.1016/S2155-8256(25)00034-1","url":null,"abstract":"<div><div><strong>Background:</strong> In the United States, states are increasingly adopting scope of practice reform to allow full practice authority (FPA) for advanced practice registered nurses (APRNs), such as nurse practitioners (NPs) and certified nurse midwives (CNMs). Little is known about the extent and trends of APRN participation in the care of patients during pregnancy episodes (i.e., the period from a woman’s last menstrual period to birth and resolution of all pregnancy-related outcomes) and whether their involvement changes with FPA.</div><div><strong>Purpose:</strong> To examine the participation of APRNs in office-based prenatal care between states that allow APRN FPA and those that do not.</div><div><strong>Methods:</strong> Using a retrospective commercial insurance claims database, we identified continuously enrolled females undergoing a pregnancy test and constructed comprehensive care information of each pregnancy episode. We then identified the proportion of episodes in which at least one prenatal office-based evaluation and management visit was performed by an APRN (i.e., involvement) and the share of these visits within a pregnancy episode performed by APRNs (i.e., intensity of involvement) for each year from 2008 to 2014 and compared intertemporal and geospatial trends. Statistical tests of differences in means and proportions were used to examine differences in APRN involvement and intensity between states that allow APRN FPA and those that do not.</div><div><strong>Results:</strong> Between 2008 and 2014, NP involvement increased 304% and CNM involvement increased 134%. Involvement increased in both FPA (NPs: 267%, CNMs: 106%) and non-FPA (NPs: 307%, CNMs: 156%) states over the sample period. Involvement was higher in FPA states (<em>p</em> &lt; 0.001) for NPs and CNMs in all years. Intensity exhibited little variation across the sample.</div><div><strong>Conclusion:</strong> APRN involvement in care during pregnancy episodes has increased over time, although considerable variation exists between states.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"15 4","pages":"Pages 51-59"},"PeriodicalIF":4.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The 2025 NCSBN Environmental Scan: Going Beyond","authors":"National Council of State Boards of Nursing","doi":"10.1016/S2155-8256(25)00038-9","DOIUrl":"10.1016/S2155-8256(25)00038-9","url":null,"abstract":"","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"15 4","pages":"Pages S1-S48"},"PeriodicalIF":4.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Review of Grey Literature on Standards, Guidelines, Policies, and Regulations Regarding the Use of Robots in Nursing Practice","authors":"Aminat Adeyemo MSc, BNSc,&nbsp;Alice Coffey PhD, MEd, BA,&nbsp;Liz Kingston FFNMRCSI, PhD, MSc, BSc, PG Dip Ed","doi":"10.1016/S2155-8256(25)00030-4","DOIUrl":"10.1016/S2155-8256(25)00030-4","url":null,"abstract":"<div><div><strong>Background:</strong> The integration of emerging technologies such as robotics into nursing practice marks a pivotal shift in healthcare that aims to enhance service delivery and improve patient care efficiency. Robots that are capable of supporting nurses in delivering care represent a synergy of advancements in artificial intelligence, machine learning, and engineering. However, this development necessitates an evaluation of the existing literature, including grey literature, to fully understand its implications.</div><div><strong>Purpose:</strong> To assess and synthesize available international literature on standards, guidelines, policies, or regulations on the use of robotics in nursing practice.</div><div><strong>Methods:</strong> The Grey Literature Search Strategy Logic Model was adopted to conduct the literature review. Twenty-seven databases and identified sites were thoroughly searched for relevant grey literature, and the resulting literature was screened using predetermined inclusion and exclusion criteria. All included literature was critically appraised using Tyndall’s standardized appraisal checklist.</div><div><strong>Results:</strong> No guidelines, standards, or policies were found that related specifically to the use of robots in nursing practice. However, five documents that pertained to artificial intelligence were deemed eligible for inclusion in the review; these five documents were published between 2014 and 2021. The synthesized documents emphasized the need for policies, guidelines, and regulations to guide robot use in healthcare settings to ensure user trust and the healthcare systems’ safety and efficacy.</div><div><strong>Conclusions:</strong> The rapid adoption of robotics in nursing presents legal and ethical challenges that should be addressed through new and existing regulatory bodies and by adapting existing regulations. There is a need for nurses to contribute to shaping these guidelines, ensuring that advancements in robotics enhance rather than compromise the quality of patient care. The nursing profession must also engage in this discourse to ensure that the integration of robotics aligns with the core tenets of nursing care.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"15 4","pages":"Pages 5-19"},"PeriodicalIF":4.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Path to Passage: Massachusetts’ Journey to Joining the Nurse Licensure Compact","authors":"Nicole Livanos","doi":"10.1016/S2155-8256(25)00035-3","DOIUrl":"10.1016/S2155-8256(25)00035-3","url":null,"abstract":"","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"15 4","pages":"Pages 60-63"},"PeriodicalIF":4.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can Multistate Licensure Compacts Help Address Military Retention Issues?","authors":"Tom Harrington BA (Associate, State Affairs)","doi":"10.1016/S2155-8256(24)00075-9","DOIUrl":"10.1016/S2155-8256(24)00075-9","url":null,"abstract":"","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"15 3","pages":"Pages 54-56"},"PeriodicalIF":4.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}