Journal of Nursing Regulation最新文献

{"title":"Nursing Is at a Crossroads","authors":"Maryann Alexander PhD, RN, FAAN (Editor-in-Chief)","doi":"10.1016/S2155-8256(23)00026-1","DOIUrl":"10.1016/S2155-8256(23)00026-1","url":null,"abstract":"","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"13 4","pages":"Pages 3-4"},"PeriodicalIF":2.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41741238","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 International Nurse Regulator Collaborative Mobility Project: Transjurisdictional Mobility—Is It Possible?","authors":"Alison Roots BSN, MHS M, PhD, RN","doi":"10.1016/S2155-8256(23)00034-0","DOIUrl":"10.1016/S2155-8256(23)00034-0","url":null,"abstract":"<div><h3>Background</h3><p>The current global environment has led to increased mobility of nurses—and increasing pressure from governments to recruit more nurses into their workforces.</p></div><div><h3>Purpose</h3><p>To explore whether transjurisdictional mobility was possible, members of the International Nurse Regulator Collaborative (INRC) participated in research to investigate the possibility of recognizing existing licensure or registration and thereby reducing barriers and allowing for more streamlined mobility between INRC jurisdictions.</p></div><div><h3>Methods</h3><p>Using a mixed methods, multi-phased, multiple-case study design, regulatory processes and practices were investigated in each jurisdiction; findings were then compared across eight participating jurisdictions. Three research phases moved from a high-level jurisdictional overview, through expected standards underpinning nursing practice, to specific operational processes and outcomes. Issues and challenges in licensing/registering transjurisdictional INRC applicants were identified.</p></div><div><h3>Results</h3><p>A high level of consistency was found in the expectations, standards, and operational processes across jurisdictions. Challenges existed in relation to requirements for and assessments of educational qualifications despite entry to practice competencies and educational program approval requirements being largely the same. Jurisdictional regulators worked under different legislative frameworks, which may potentially create different challenges and timelines for moving toward transjurisdictional mobility. Balancing mobility with the core regulatory responsibility of maintaining public safety will be a key challenge.</p></div><div><h3>Conclusion</h3><p>Transjurisdictional mobility could potentially exist between jurisdictions with common regulatory principles, processes, and standards. Applicants moving between these jurisdictions present low risk. Streamlining processes could reduce regulatory workload while maintaining safety to the public.</p></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"13 4","pages":"Pages 21-32"},"PeriodicalIF":2.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43341480","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":"Contributing to Evidence-Based Regulatory Decisions: A Comparison of Traditional Clinical Experience, Mannequin-Based Simulation, and Screen-Based Virtual Simulation","authors":"Katie Haerling PhD, RN, CHSE,&nbsp;Zaher Kmail PhD,&nbsp;Alexander Buckingham BSN, RN","doi":"10.1016/S2155-8256(23)00029-7","DOIUrl":"10.1016/S2155-8256(23)00029-7","url":null,"abstract":"<div><h3>Background</h3><p>Boards of nursing need empirical evidence to guide the regulation of simulation in nursing education and to make decisions about how simulation should count toward required clinical hours.</p></div><div><h3>Purpose</h3><p>The purposes of this study were to (a) compare cognitive learning and patient care performance outcomes between prelicensure nursing students who participated in 4 hours of traditional clinical experience, 2 hours of mannequin-based simulation, or 2 hours of screen-based virtual simulation and (b) examine students’ self-perceptions about the efficacy of each experiential learning activity.</p></div><div><h3>Methods</h3><p>Participants were randomly assigned to one of three groups: 4 hours of traditional clinical experience, 2 hours of mannequin-based simulation, or 2 hours of screen-based virtual simulation. After completing their first experiential learning activity and posttest assessments, participants completed the two experiential learning activities they were not originally assigned as well as a survey regarding their self-perceptions about the effectiveness of each activity. Learning and patient care performance scores were compared between groups.</p></div><div><h3>Results</h3><p>There was no significant difference in cognitive learning outcomes between groups. On the measure of patient care performance, students who were randomized to the mannequin-based simulation group performed as well as or significantly better than students who were randomized to the other two groups. Overall, students reported that screen-based virtual simulation was the least effective of the three experiential learning activities in meeting their learning needs.</p></div><div><h3>Conclusion</h3><p>Additional research is needed to make the most effective and efficient use of our resources for experiential learning in nursing education.</p></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"13 4","pages":"Pages 33-43"},"PeriodicalIF":2.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48274569","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":"Keeping Healthcare Workers Safe Through Policy Initiatives","authors":"Nicole Livanos JD, MPP","doi":"10.1016/S2155-8256(23)00033-9","DOIUrl":"10.1016/S2155-8256(23)00033-9","url":null,"abstract":"","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"13 4","pages":"Pages 81-83"},"PeriodicalIF":2.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9872494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9188807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Advisory Board","authors":"","doi":"10.1016/S2155-8256(23)00005-4","DOIUrl":"https://doi.org/10.1016/S2155-8256(23)00005-4","url":null,"abstract":"","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"13 4","pages":"Page C2"},"PeriodicalIF":2.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49875151","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 NCSBN 2023 Environmental Scan: Nursing at a Crossroads—An Opportunity for Action","authors":"National Council of State Boards of Nursing","doi":"10.1016/S2155-8256(23)00006-6","DOIUrl":"10.1016/S2155-8256(23)00006-6","url":null,"abstract":"","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"13 4","pages":"Pages S1-S48"},"PeriodicalIF":2.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48441265","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 State of Advanced Practice Registered Nursing in Alabama","authors":"Wanda Hayes DNP, RN,&nbsp;Natalie R. Baker DNP, CRNP, GS-C, CNE, FAANP, FAAN,&nbsp;Peggy Benson MSN, RN, MS HA NE-BC,&nbsp;Louise C. O’Keefe PhD, CRNP, CNE, FAANP, FAAO HN","doi":"10.1016/S2155-8256(23)00030-3","DOIUrl":"10.1016/S2155-8256(23)00030-3","url":null,"abstract":"<div><p><span>Scope of practice<span> for advanced practice registered nurses<span> (APRNs) varies according to U.S. jurisdiction licensure requirements. Nineteen U.S. jurisdictions currently allow independent practice in all four APRN roles: certified nurse midwife (CNM), certified nurse practitioner (CNP), certified </span></span></span>registered nurse<span> anesthetist (CRNA), and clinical nurse specialist (CNS). Twenty-six U.S. jurisdictions allow full practice authority for CNPs. APRNs practicing in the remaining U.S. jurisdictions have varying practice restrictions, which are dictated by their state licensure laws. Alabama’s scope and standards of practice restrict all APRN roles. During the initial months of the COVID-19 pandemic, Alabama was one of many U.S. jurisdictions that implemented emergency waivers, thereby expanding the scope of APRN practice and granting increased autonomy to APRNs while caring for more complex patients. Once the pandemic threat lessened, many U.S. jurisdictions, including Alabama, returned to pre-pandemic restrictive scope of practice regulations. Through empirical evidence, we conducted a review of APRN practice before, during, and after the pandemic. The literature included anecdotal reports of safe delivery of healthcare provided by APRNs working under the emergency waivers. The literature revealed that APRNs are prepared to practice to the full extent of their scope of practice and provide high-quality healthcare services to improve access to care. Alabama and other U.S. jurisdictions where APRN practice is restricted should advocate for legislative changes supporting APRN full practice authority commensurate with their educational training and certification.</span></p></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"13 4","pages":"Pages 44-53"},"PeriodicalIF":2.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46046456","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":"Psychosocial Factors Associated With Alcohol Use Among Nurses: An Integrative Review","authors":"Maile Mercer MSN, RN, CCRN,&nbsp;Amy Witkoski Stimpfel PhD, RN,&nbsp;Victoria Vaughan Dickson PhD, CRNP, FAHA, FHFSA, FAAN","doi":"10.1016/S2155-8256(23)00032-7","DOIUrl":"10.1016/S2155-8256(23)00032-7","url":null,"abstract":"<div><h3>Background</h3><p>Understanding alcohol use among nurses may inform interventions related to the coping mechanisms nurses use for workplace stress and trauma. Alcohol use can be caused by a variety of factors and has serious implications on a nurse’s personal health and professional practice. Understanding psychosocial factors<span> and preventive measures may assist in the development of interventions to improve coping mechanisms and reduce the incidence of alcohol misuse.</span></p></div><div><h3>Purpose</h3><p>To review the psychosocial factors and preventive measures associated with alcohol use among nurses.</p></div><div><h3>Methods</h3><p><span>For this integrative review, systematic searches were conducted in </span>CINAHL, PubMed, PsychNet, and ProQuest Central. Included studies were peer-reviewed and addressed alcohol use among nurses in the United States. Articles were appraised using methods-specific tools indicated by the Whittemore and Knafl framework. Data were extracted and themes identified using constant comparison.</p></div><div><h3>Results</h3><p>Of 6,214 nonduplicate articles screened, 78 were selected for full-text review and 13 were included after application of inclusion criteria. Synthesis resulted in four themes: (1) occupational stress and trauma, (2) workplace characteristics, (3) mental health implications, and (4) protective factors. The data show that workplace stress and trauma contribute to alcohol use among nurses. Night shifts, rotating shifts, and shift length are factors related to alcohol use, as are mental health problems such as anxiety, depression, trauma, and suicide. Protective factors that reduce alcohol use among nurses include faith, resilience, and perceived organizational support.</p></div><div><h3>Conclusion</h3><p>Alcohol use among nurses presents challenges for the nursing profession and regulatory bodies with specific and interrelated phenomena related to the role and identity of nurses. A better understanding of these factors through research will facilitate a healthier nursing workforce that is better prepared to take on the rewards and challenges of a nursing career.</p></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"13 4","pages":"Pages 5-20"},"PeriodicalIF":2.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44407564","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 Students’ Knowledge, Skills, and Attitudes Regarding Medicinal Cannabis Care","authors":"Rachel A. Parmelee MSN, RN, CNE, AHN-BC,&nbsp;Carey S. Clark PhD, RN, AHN-BC, FAAN","doi":"10.1016/S2155-8256(22)00082-5","DOIUrl":"10.1016/S2155-8256(22)00082-5","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;Across the United States, cannabis regulation is rapidly changing. In 2018, the National Council of State Boards of Nursing (NCSBN) released medical marijuana guidelines and called for all nursing students to be educated in six essential principles of knowledge in cannabis care. However, little is known about nursing students’ current knowledge regarding the care of patients using medicinal cannabis.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;p&gt;To create a baseline body of evidence around nursing students’ knowledge based on NCSBN’s medical marijuana guidelines and nursing students’ skills and attitudes related to their future roles in providing care to patients who use cannabis medicinally.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;A mixed-method approach through a 16-item survey was used to provide two distinct categories of evidence. Quantitative data collected from 1,346 nursing students across the United States were analyzed using frequency, simple descriptive statistics, and Spearman’s rank correlation to identify variances among states based on sample size and geographic location. A qualitative thematic analysis method described common themes found in the open-ended qualitative portion.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;More than 90% of respondents believed cannabis has therapeutic benefits (&lt;em&gt;N&lt;/em&gt; = 1,346, &lt;em&gt;M&lt;/em&gt; = 1.61, &lt;em&gt;SD&lt;/em&gt; = .69), with responses of strongly agree (&lt;em&gt;n&lt;/em&gt; = 658; 48.9%), agree (&lt;em&gt;n&lt;/em&gt; = 588; 43.7%), neither agree nor disagree (&lt;em&gt;n&lt;/em&gt; = 78; 5.8%), disagree (&lt;em&gt;n&lt;/em&gt; = 16; 1.2%), and strongly disagree (&lt;em&gt;n&lt;/em&gt;&lt;span&gt; = 6; 0.4%). However, 74% of respondents disagreed that their nursing school taught medical cannabis (&lt;/span&gt;&lt;em&gt;N&lt;/em&gt; = 1,346, &lt;em&gt;M&lt;/em&gt; = 4.05, &lt;em&gt;SD&lt;/em&gt; = .97), with responses of strongly agree (&lt;em&gt;n&lt;/em&gt; = 23; 1.7%), agree (&lt;em&gt;n&lt;/em&gt; = 63; 4.7%), neither agree nor disagree (&lt;em&gt;n&lt;/em&gt; = 266; 19.8%), disagree (&lt;em&gt;n&lt;/em&gt; = 461; 34.2%), and strongly disagree (&lt;em&gt;n&lt;/em&gt; = 533; 39.6%). Results were similar in all locations regardless of legality. Qualitative themes emerged indicating students’ desire for cannabis science to be included in the nursing curriculum (&lt;em&gt;n&lt;/em&gt; = 525), and those who cared for patients using medical cannabis had positive experiences (&lt;em&gt;n&lt;/em&gt; = 277). Most participants reported “media/news” (&lt;em&gt;n&lt;/em&gt; = 829), “research articles” (&lt;em&gt;n&lt;/em&gt; = 604), and “patients” (&lt;em&gt;n&lt;/em&gt; = 383) as their primary sources of medical cannabis education.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;p&gt;Although the nursing students who participated in this study believed cannabis has therapeutic value, few of the students are receiving education from their nursing programs based on NCSBN’s six essential principles of knowledge in the care of patients using cannabis, regardless of students’ location or type of enrolled nursing program. Nursing programs should establish cannabis science and cannabis care within their curricula to meet the patient population’s growing need","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"13 3","pages":"Pages 13-23"},"PeriodicalIF":2.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44066280","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":"Work Organization Factors Associated With Nurses’ Stress, Sleep, and Performance: A Pre-pandemic Analysis","authors":"Amy Witkoski Stimpfel PhD, RN,&nbsp;Lloyd Goldsamt PhD,&nbsp;Eva Liang MA,&nbsp;Deena K. Costa PhD, RN, FAAN","doi":"10.1016/S2155-8256(22)00085-0","DOIUrl":"10.1016/S2155-8256(22)00085-0","url":null,"abstract":"<div><h3>Background</h3><p>The COVID-19 pandemic put extreme stress on an already strained healthcare workforce. Suboptimal work organization, exacerbated by the pandemic, is associated with poor worker, patient, and organizational outcomes. However, there are limited qualitative studies exploring how the interconnections of work organization factors related to shift work, sleep, and work stress influence registered nurses and their work performance in the United States.</p></div><div><h3>Purpose</h3><p>We sought to understand how nurses perceive work organization factors that impact their performance. Knowledge in this area could direct efforts to implement policies and design tailored interventions to support nurses in the post-pandemic period.</p></div><div><h3>Methods</h3><p>We used a qualitative descriptive design with the <em>Work, Stress, and Health</em> framework as an overarching guide to understand the interconnectedness of work organization factors, work stress, and outcomes. Participants were randomly assigned to one of two anonymous, asynchronous virtual focus groups (i.e., threaded discussion boards) in 2019. Registered nurses (<em>N</em> = 23) working across the United States were recruited and engaged until data saturation was achieved. Directed content analysis was used to analyze the data.</p></div><div><h3>Results</h3><p>Findings aligned with the <em>Work, Stress, and Health</em> framework and revealed three themes: (1) “Our Voice Should Matter” (nurses’ desire to have their voices heard in staffing policies); (2) “Tired But Wired” (the harmful cycle of work stress, rumination, and poor sleep); and (3) “We’re Only Human” (nurses’ physical, emotional, and mental exhaustion linked to critical performance impairments).</p></div><div><h3>Conclusion</h3><p>These findings underscore that high work stress and poor sleep were present before the pandemic and impacted nurses’ perceptions of their performance. As leaders look forward to recovery and work redesign efforts, these findings can guide decision-making and resource allocation for optimal nurse, patient, and organization outcomes.</p></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"13 3","pages":"Pages 4-12"},"PeriodicalIF":2.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9581500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40571374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}