Journal of Nursing Regulation最新文献

{"title":"AI-enabled fraud detection, prevention, and perpetration in nursing credential evaluation: A scoping study","authors":"Lauren Herckis PhD ,&nbsp;Emily Tse MPhil","doi":"10.1016/j.jnr.2025.08.008","DOIUrl":"10.1016/j.jnr.2025.08.008","url":null,"abstract":"<div><h3>Background</h3><div>Credential fraud among healthcare professionals is a global, significant, and ever-evolving challenge. Technological innovations, such as digital imaging and generative artificial intelligence (AI) that make it easier to fabricate documents, have changed the credential evaluation and verification landscape. A global health worker shortage compounds the critical need to maintain integrity, reliability, and rigor in credential verification of healthcare professionals.</div></div><div><h3>Purpose</h3><div>To identify evidence-based best practices for combatting nursing credential fraud in the context of AI.</div></div><div><h3>Methods</h3><div>This research effort entailed a scoping review following Arskey and O'Malley's methodological framework to identify scholarly research related to AI and nursing credential fraud. After the scoping review, an environmental scan of grey literature and professional guidance was performed. Integrated analysis of the findings was used to develop themes and recommendations to guide future work.</div></div><div><h3>Results</h3><div>Four articles, all published between 2020 and 2025, were subjected to full-text review. Of these four articles, none directly addressed AI in perpetrating or combatting nursing credential fraud. The environmental scan revealed practices documented by professional associations and regulatory bodies as well as emerging trends. Five areas of future research are recommended based on these findings: (1) translate existing research, (2) collaborate in cross-functional teams; (3) engage in experimental software development; (4) generate evidence-based guidance; and (5) participate in ongoing evaluation processes.</div></div><div><h3>Conclusions</h3><div>This study found emerging practices but no empirical research or evidence-based guidance on the use of AI in combatting or perpetuating nursing credential fraud. Literature addressing employment fraud, AI and nursing regulation, and AI in credential evaluation reveal that nursing credential fraud leveraging AI tools requires urgent attention from regulators, credential evaluators, employers, and researchers.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 3","pages":"Pages 183-194"},"PeriodicalIF":6.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145271124","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":"Communicating nursing practice AI issues and problems with an informational memo","authors":"Janet H. Davis MSN, MBA, PhD, RN, CNE","doi":"10.1016/j.jnr.2025.08.002","DOIUrl":"10.1016/j.jnr.2025.08.002","url":null,"abstract":"","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 3","pages":"Pages 238-241"},"PeriodicalIF":6.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145271105","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 experience of prelicensure nursing students in developing & delivering a telehealth multicultural patient education session","authors":"Jessica L. Kamerer EdD, MSN, RNC-NIC ,&nbsp;Mary Elizabeth (Betsy) Guimond WHNP, BC, PhD","doi":"10.1016/j.jnr.2025.08.010","DOIUrl":"10.1016/j.jnr.2025.08.010","url":null,"abstract":"<div><h3>Background</h3><div>Telehealth usage has increased drastically worldwide since the COVID-19 pandemic. In addition, nurses are working in an increasingly globalized society. Today's healthcare industry requires nurses to use technology routinely in their daily scope of work. Also, nurses must provide patient care that demonstrates cultural humility and competency. This paper presents an example of a qualitative research study in which prelicensure nursing students delivered multicultural patient education sessions, discussing how this experience influenced the development of nursing skills among student participants, including technology use, cultural competency, and cultural humility.</div></div><div><h3>Purpose</h3><div>The purpose of this qualitative study was to identify themes related to the development of nursing skills for cultural competence and cultural humility in undergraduate prelicensure nursing students after participating in virtual patient education sessions.</div></div><div><h3>Methods</h3><div>A qualitative research study design was used to examine the experience of undergraduate prelicensure nursing students who delivered prenatal and antepartum patient education to mothers in Uganda via remote synchronous live learning sessions for themes related to cultural humility and competence through the use of semi-structured interviews.</div></div><div><h3>Results</h3><div>Through analysis, five themes were identified related to participants’ development of cultural competence and cultural humility.</div></div><div><h3>Conclusion</h3><div>Participants were able to articulate both an appreciation for participation in a real-world project and astute observations regarding aspects of cultural competence and humility skills gained from the project.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 3","pages":"Pages 249-254"},"PeriodicalIF":6.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145271103","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":"Navigating APRN regulation in the era of virtual healthcare","authors":"Kelli Garber DNP, APRN, PPCNP-BC, FAANP, FAAN ,&nbsp;Mahrokh M. Kobeissi DNP, APRN, FNP-C, CPAHA ,&nbsp;Tina Gustin DNP, APRN, CNS, FAAN","doi":"10.1016/j.jnr.2025.08.006","DOIUrl":"10.1016/j.jnr.2025.08.006","url":null,"abstract":"<div><h3>Background</h3><div>As telehealth becomes an increasingly integral component of healthcare delivery, advanced practice registered nurses (APRNs) must navigate a complex regulatory landscape to ensure compliance and uphold the standard of care.</div></div><div><h3>Purpose</h3><div>The purpose of this article is to review key regulatory considerations for APRNs providing telehealth care, including licensure requirements, prescribing guidance, privacy and security requirements under HIPAA, and the responsibilities associated with maintaining the standard of care when providing virtual care.</div></div><div><h3>Methods</h3><div>A comprehensive review of APRN telehealth regulatory compliance was completed to provide detailed guidance. <em>Results:</em> APRN regulatory considerations are reviewed, and the APRN’s role in mitigating risks, preserving quality of care, and ensuring patient safety is highlighted. To support regulatory oversight, the Telehealth Standard of Care Evaluation Matrix, a novel tool designed to guide consistent evaluation of APRN telehealth practice, is presented.</div></div><div><h3>Conclusion</h3><div>This resource will aid both providers and regulators in ensuring that telehealth encounters meet the same rigorous standards as in-person care.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 3","pages":"Pages 165-170"},"PeriodicalIF":6.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145271110","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 and midwifery regulator misconduct hearings in the United Kingdom involving social media: Content analysis and proposed interventions for prevention","authors":"Gemma Ryan-Blackwell DHSci; MSc; PGCertHE; BSc (Hons); DipHE ,&nbsp;Felicity Astin PhD","doi":"10.1016/j.jnr.2025.08.007","DOIUrl":"10.1016/j.jnr.2025.08.007","url":null,"abstract":"<div><h3>Background</h3><div>Social media is used widely across the international nursing community for professional purposes. Although the need for such social media use is important, reports of serious misconduct by nurses on social media platforms persist.</div></div><div><h3>Purpose</h3><div>To examine the context and circumstances of misconduct hearings by the United Kingdom's (UK) professional regulator of nurses and midwives involving social media and to explain the factors that lead to this misconduct.</div></div><div><h3>Methods</h3><div>This study used a sequential, multiple method content analysis of publicly available UK Nursing and Midwifery Council hearing documents.</div></div><div><h3>Results</h3><div>Ninety-nine hearing documents were included. Findings revealed two overarching categories of misconduct involving social media: Category A, illegal activity and sexual misconduct, and Category B, unprofessional and unethical behavior. There are several contributory factors that lead to misconduct involving social media platforms, including people's traits (“bad apples”), organizations' cultures (“bad barrels”), and the wider social context and influences (“the larder”).</div></div><div><h3>Conclusion</h3><div>Having identified contributory factors, this study recommends organizational/regulatory interventions that can help prevent misconduct. Key stakeholders such as employers and education providers may wish to consider interventions that may prevent such cases, such as implementing values-based recruitment or creating an organizational culture that encourages the recognition and raising of concerns.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 3","pages":"Pages 195-206"},"PeriodicalIF":6.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145271210","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 rise of virtual care in nursing practice: A global bibliometric review","authors":"Alex S. Borromeo MN, RN ,&nbsp;Allan M. Manaloto PhD, RN, LPT ,&nbsp;Rhealeen V. Vicedo MAN, RN ,&nbsp;Ronilo Antonio PhD, LPT ,&nbsp;Jonathan D. Cura PhD, RN ,&nbsp;Walton Wider PhD","doi":"10.1016/j.jnr.2025.08.013","DOIUrl":"10.1016/j.jnr.2025.08.013","url":null,"abstract":"<div><h3>Background</h3><div>Virtual care technologies such as telehealth, eHealth, remote monitoring, and telenursing are now integral to healthcare. Nurses are key to their delivery, yet research regarding these modalities remains fragmented, with limited theoretical grounding and attention to structural factors. Focused synthesis is needed to highlight the role of nursing and guide education, policy, and practice.</div></div><div><h3>Purpose</h3><div>This study aimed to map the global landscape of virtual care in nursing by identifying trends, intellectual foundations, and emerging directions through comprehensive bibliometric analysis. It addresses the lack of an integrative synthesis that critically evaluates how virtual care is conceptualized, studied, and applied within the nursing profession.</div></div><div><h3>Methods</h3><div>A bibliometric research design was adopted that integrated co-citation and co-word analysis techniques. In total, 7,669 peer-reviewed articles were retrieved from the Scopus database. The VOSviewer software was used to conduct co-citation analysis to identify influential publications and intellectual clusters, and co-word analysis was used to explore thematic structures and emerging discourses.</div></div><div><h3>Results</h3><div>Co-citation analysis revealed four dominant domains: (1) theoretical and methodological foundations; (2) telehealth applications and eHealth readiness; (3) clinical outcomes and patient-centered interventions; and (4) policy and workforce development. The co-word analysis included themes in health service delivery, digital literacy, interprofessional collaboration, and psychosocial dimensions of elder care. The findings point to underexplored areas such as equity, nurse workload, and sociotechnical integration.</div></div><div><h3>Conclusions</h3><div>This dual-lens analysis offers a novel synthesis of virtual nursing care. This study advances the systems-level understanding of virtual care by revealing areas of robust insights as well as neglected areas of study. The findings support evidence-based strategies for nursing education, workforce development, and the equitable implementation of digital health.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 3","pages":"Pages 141-149"},"PeriodicalIF":6.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145271108","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":"Closing the surveillance gap: Development of a technology-integrated model for nurse anesthesia student controlled substance oversight","authors":"Jennifer R. Majumdar PhD, CRNA ,&nbsp;Jennifer G. Carroll DNP, CRNA, CENP, CPHQ, FACHE ,&nbsp;Keith B. Denison DNP, CRNA ,&nbsp;Hallie J.D. Evans DNP, CRNA, APRN, CNE, FAANA","doi":"10.1016/j.jnr.2025.08.016","DOIUrl":"10.1016/j.jnr.2025.08.016","url":null,"abstract":"<div><div>Controlled 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.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 3","pages":"Pages 223-227"},"PeriodicalIF":6.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145271212","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":"How many hours do nurses who re-enter the workforce need to “practise” to maintain safe “practice”?","authors":"Emma Eaton ,&nbsp;Amanda Henderson","doi":"10.1016/j.jnr.2025.06.007","DOIUrl":"10.1016/j.jnr.2025.06.007","url":null,"abstract":"<div><h3>Background</h3><div>The regulation of nursing is needed to assure the public that registered nurses are competent and capable. When nurses do not practice for extended periods, their capacity to provide safe contemporary care gradually lessens. There is little evidence about how best to ensure that nurses who re-enter the workforce will provide safe and competent care.</div></div><div><h3>Purpose</h3><div>To ascertain the number of hours nurses in a supervised practice arrangement within a clinical environment take to demonstrate competence in maintaining requisite standards of practice following an extended period away from the profession.</div></div><div><h3>Methods</h3><div>A quantitative evaluation design determined nurses’ workplace performance during a supervised return-to-practice program. Twenty nurses with supervised practice requirements placed in acute clinical areas over a 5-year period (2019–2024) were monitored. The number of supervised hours of practice were recorded until the nurse met the requisite standards for practice. Competence was determined by a user-friendly validated measure of workplace performance based on Nursing and Midwifery Board of Australia standards for practice.</div></div><div><h3>Results</h3><div>The number of hours that nurses needed to undergo supervised practice to demonstrate the requisite standard of workplace performance after a break contrasted markedly depending on whether nurses had substantial experience in a specialty prior to their break. Nurses (<em>n</em> = 10) with more than 5 years’ experience in a specialty demonstrated requisite standards for practice after 120–216 h of supervised practice, whereas nurses (<em>n</em> = 10) who had different trajectories (i.e., without substantial experience) prior to their return to work needed 450 h of supervised practice before they were deemed suitable for unconditional registration.</div></div><div><h3>Conclusion</h3><div>Supervised practice needs may vary based on a nurse's previous experience. Understanding different needs of cohorts returning to the profession can assist healthcare leaders in planning for safe supervised practice for nurses returning after prolonged periods.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 2","pages":"Pages 82-91"},"PeriodicalIF":4.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144656116","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":"“Protect the public—that's first. The second [goal] is getting the nurse to recovery”: Interviews with alternative-to-discipline program administrators","authors":"Emily Naiser ,&nbsp;Ashley Myers ,&nbsp;Christina Orzabal ,&nbsp;Georges Naufal ,&nbsp;Cindy Weston ,&nbsp;Nancy Fahrenwald ,&nbsp;Jane N. Bolin","doi":"10.1016/j.jnr.2025.06.002","DOIUrl":"10.1016/j.jnr.2025.06.002","url":null,"abstract":"<div><h3>Background</h3><div>Substance use disorder (SUD) among nurses presents significant challenges for both healthcare professionals and patient safety. Rough estimates suggest that 10 % of nurses, or more than half a million nursing professionals, experience SUD in the United States. Alternative-to-discipline (ATD) programs offer a nonpunitive approach to rehabilitation for nurses while ensuring public safety.</div></div><div><h3>Purpose</h3><div>This study examines the effectiveness and functioning of ATD programs through the perspectives of state-level program administrators.</div></div><div><h3>Methods</h3><div>Semi-structured qualitative interviews were conducted with ATD program administrators in the United States. Using a thematic analysis approach, common successes and challenges related to ATD programs were identified.</div></div><div><h3>Results</h3><div>Administrators from eight ATD programs participated in the interviews, and one submitted written responses to the interview questions. Findings revealed that functionally, ATD programs vary in the supports and restrictions given to nurses and that these decisions are primarily based on public safety. The ATD program administrators utilized the resources available to them but wished they could serve more nurses, minimize the costs to nurses, and provide additional support. While ATD programs facilitate recovery and professional reintegration, barriers such as stigma and resource limitations persist.</div></div><div><h3>Conclusions</h3><div>This study highlights the need for standardized program guidelines and enhanced support structures to optimize outcomes. These insights contribute to a broader understanding of SUD intervention strategies in nursing, inform policy improvements, and identify future research directions.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 2","pages":"Pages 111-117"},"PeriodicalIF":4.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655599","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":"Postlicensure nurse competence in the United States: A concept clarification","authors":"J. Lea Brown,&nbsp;Yang Yu,&nbsp;Ying Xue","doi":"10.1016/j.jnr.2025.06.008","DOIUrl":"10.1016/j.jnr.2025.06.008","url":null,"abstract":"<div><h3>Background</h3><div>Postlicensure nurse competence is a critical factor in healthcare quality and safety, yet a research gap exists in the U.S.-specific context.</div></div><div><h3>Purpose</h3><div>This study aimed to clarify the concept of postlicensure nurse competence in clinical settings in the United States, establish an operational definition, and develop a conceptual model.</div></div><div><h3>Methods</h3><div>The Norris method of concept clarification was used. Data were compiled from literature and health/nursing professional organization websites. Inclusion criteria were full-text articles written in English that were conducted exclusively in the United States, were focused on postlicensure registered nurses, and contained either a theoretical or operational definition of nurse competence.</div></div><div><h3>Results</h3><div>Data were collected from 44 published articles and information from eight professional organization websites. The analysis revealed that postlicensure nurse competence consisted of five domains: knowledge, technical skills, judgment and decision-making, communication, and professionalism. The conceptual model illustrated that the operational definition of nurse competence is shaped by and relative to three tiers of constantly evolving practice standards at the employer, state board of nursing, and professional organization levels; is acquired and sustained through initial and ongoing education and experience; and impacts various health and healthcare outcomes.</div></div><div><h3>Conclusion</h3><div>The operational definition provides an improved understanding of what constitutes nurse competence for postlicensure nurses in the United States. The conceptual model further highlights the context, antecedents, and consequences of nurse competence and their relationships. This study provides a framework for the operationalization and assessment of postlicensure nurse competence and helps advance consistency in regulation of postlicensure nurse competence in the United States.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 2","pages":"Pages 118-126"},"PeriodicalIF":4.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655602","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}