Nursing Research最新文献

{"title":"Limited English Proficient Patient and Nurses Experiences with Language Access Services.","authors":"Julie McCulloh Nair, Alex Waad, Brenda Hollingsworth","doi":"10.1097/NNR.0000000000000822","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000822","url":null,"abstract":"<p><strong>Background: </strong>Persons with limited English proficiency may receive inequitable care due to the absence of language services. Despite health equity initiatives, knowledge gaps exist regarding how and when language access needs are identified, acted upon, and which methods are being used.</p><p><strong>Objective: </strong>The purpose of this study was to explore limited English proficient and deaf obstetrical patient and nurses' experiences with language services to improve delivery of culturally competent care.</p><p><strong>Methods: </strong>This mixed-methods study occurred in two phases. In phase 1, demographic and language service data were collected via surveys that were deployed to obstetric patients with limited English proficiency. In phase 2, nurses' experiences with interpretive services were explored via three focus groups to identify facilitators and barriers to care. Quantitative data were analyzed using descriptive analysis methods, while qualitative data were analyzed using grounded theory methods.</p><p><strong>Results: </strong>Fifty participants receiving obstetric services who had limited English proficiency participated in phase I. Language services were positively rated with a noted preference for in-person interpreters. Participants identified unique barriers, but felt comfortable discussing concerns, stating nurses listened to them, treated them with courtesy, kindness, and respect. In phase II, 16 nurse participants identified two major themes: evidence of barriers to accessibility, convenience, and consistency of language access services; and increased need for cultural and linguistic competence.</p><p><strong>Discussion: </strong>Findings indicate in-person interpreters are most effective and capture cultural nuances often missed when using a phone/iPad during patient encounters. Language service delivery at various points of care requires further consideration to ensure consistent use during patient encounters. Future research should explore digital health language interventions, while nurses' suggestions to decrease language service barriers should be used to develop policies and programs designed to better meet linguistic needs.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755535","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":"Self-Care, Perceived Social Support, and Health-Related Quality of Life in Persons With Heart Failure.","authors":"Ashmita Thapa, JungHee Kang, Misook Lee Chung, Jia-Rong Wu, Martha J Biddle, Geunyeong Cha, Debra K Moser","doi":"10.1097/NNR.0000000000000820","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000820","url":null,"abstract":"<p><strong>Abstract: </strong>Background: Depressive symptoms, anxiety, and inadequate social support are predictors of health-related quality of life (HRQoL) in persons with heart failure, but the prediction of HRQoL is multifaceted, and mechanisms underlying association are unknown. Self-care maintenance may moderate associations among these predictors, which is essential to better heart failure outcomes.Objectives: To determine whether self-care maintenance moderates the direct and indirect effects of social support on HRQoL through psychological status (i.e., depressive symptoms and anxiety) in persons with heart failure.Methods: We conducted a secondary analysis using cross-sectional data collected from 167 participants. Participants completed Patient Health Questionnaire-9, Brief Symptom Inventory, Multidimensional Scale of Perceived Social Support, Self-Care of Heart Failure Index version 6.2, and Minnesota Living with Heart Failure Questionnaire for depressive symptoms, anxiety, social support, self-care maintenance, and HRQoL, respectively. PROCESS macro was used for the analysis.Results: Self-care maintenance did not moderate the direct effect of social support on HRQoL. However, self-care maintenance moderated the indirect effect of social support on HRQoL through depressive symptoms and anxiety. The beneficial effect of social support on depressive symptoms and anxiety varied with self-care maintenance, suggesting a dose-response moderation effect.Discussion: Findings suggest that an increment in social support reduces depressive symptoms and anxiety, which further improves HRQoL. This relationship was more profound when the self-care maintenance was at a higher level. Our study emphasizes the need to focus on improving HRQoL by promoting positive social support that can decrease depressive symptoms and anxiety in persons with heart failure-particularly in those with low or moderate levels of self-care maintenance.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701969","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":"Hospital Performance, Nursing Resources, and Health Inequities During the COVID-19 Pandemic.","authors":"Ann Kutney-Lee, Daniela Golinelli, Shelli L Feder, Kelvin Eyram Amenyedor, Karen B Lasater, Matthew D McHugh, J Margo Brooks Carthon","doi":"10.1097/NNR.0000000000000821","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000821","url":null,"abstract":"<p><strong>Background: </strong>Few researchers have examined the organizational features of high-performing and low-performing hospitals for COVID-19 mortality during the pandemic, and how differences in hospital performance contributed to mortality disparities among socially vulnerable patients hospitalized with COVID-19.</p><p><strong>Objectives: </strong>Our objectives were to: (a) identify high- and low-performing hospitals on COVID-19 inpatient mortality and describe their distinguishing organizational characteristics, including nursing resources, and (b) assess whether patients admitted to high-performing hospitals differed by social vulnerability level.</p><p><strong>Methods: </strong>This analysis used linked nurse survey, hospital, and claims data for 73,792 hospitalized older adults diagnosed with COVID-19 across 96 New York and Illinois hospitals between January 1, 2020, and December 31, 2020. A robust benchmarking approach was used to identify high- and low-performing hospitals on 30-day inpatient mortality. We computed the cumulative proportion of admissions for patients in the highest and lowest Social Vulnerability index quartiles to the hospitals ranked by performance.</p><p><strong>Results: </strong>The average mortality rate in the high-performing hospitals was 16.2% compared to 31.5% in the low-performing hospitals. Compared to low-performing hospitals, high-performing hospitals had more favorable nurse work environments and lower patient-to-nurse ratios. About half the patients in the lowest social vulnerability quartile (least vulnerable) were admitted to hospitals in the top-performing tertile of hospitals compared to 38% of patients in the highest social vulnerability quartile (most vulnerable).</p><p><strong>Discussion: </strong>Nursing resources were a central feature of a high-performing hospital for COVID-19 mortality during the early stages of the pandemic. Patients diagnosed with COVID-19 who were admitted from the most socially vulnerable communities were less likely to be admitted to high-performing hospitals. Increasing nursing resources-particularly in hospitals that serve socially vulnerable communities-could be a key strategy for preparing for future public health emergencies and addressing health disparities.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701965","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":"Hair Sampling for Physiological Stress Among Early Childhood Educators.","authors":"Randi A Bates, Walaa R Almallah, Bailey E Martin, Tharaa I Ananzeh, Christopher W Collen, Jaclyn M Dynia","doi":"10.1097/NNR.0000000000000815","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000815","url":null,"abstract":"<p><strong>Background: </strong>Despite expanding investigations of chronic physiological stress as measured by hair cortisol concentration among adults, there is little research examining chronic physiological stress among early childhood educators. Despite the \"calling\" of the career, these educators are at a unique increased risk for chronic stress due to earning stagnant, unlivable wages as compared to their K-12 educator colleagues and often being primary care providers to children and families experiencing intergenerational trauma. Because physiological stress may be linked to chronic disease later in life and may present differently than psychological stress, it is important to understand the feasibility of measuring chronic physiological stress, as commonly measured with hair cortisol, in this essential and unique population.</p><p><strong>Objectives: </strong>The aim of the study was to examine the feasibility of collecting hair to measure cortisol concentration as an estimate of chronic physiological stress among early childhood educators by understanding variations in their participation.</p><p><strong>Methods: </strong>Analyses of hair sampling participation of center-based educators by sociodemographic characteristics occurred across two pilot studies: one longitudinal (n = 67) conducted during the COVID-19 pandemic (2021) and one cross-sectional (n = 31) occurring post-pandemic (2024). Educators were asked to provide hair samples for cortisol analysis to measure physiological stress and complete surveys on reasons for non-participation and their sociodemographic characteristics, including age, race, ethnicity, gender, and highest level of education.</p><p><strong>Results: </strong>Educators' sociodemographic characteristics generally reflected nationally representative samples. Across the studies, 75.3% of educators participated in initial hair sampling. Collectively, the most common reason for non-participation was related to hairstyle or hair characteristics. Educators who were Black/African American or had less than a bachelor's degree in education were least likely to participate in hair sampling.</p><p><strong>Discussion: </strong>Collecting hair for cortisol as a measure of physiological stress among early childhood educators is feasible. However, researchers may want to consider alternative measures of chronic physiological stress to promote equitable research practices among educators who are Black/African American or who have lower than a bachelor's degree in education. Given the importance of chronic physiological stress for health, avenues for future research are discussed.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634852","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":"Scoping Review of Gamification in Rehabilitation Care of Adults With Chronic Illnesses.","authors":"Hualong Ma, Qinyang Wu, Ke Hu, Jiahui Liu, Yuexin Huang, Xiaoge Liu, Qiaohong Yang","doi":"10.1097/NNR.0000000000000816","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000816","url":null,"abstract":"<p><strong>Background: </strong>Gamification uses game-based mechanics, aesthetics, and game thinking to engage people, motivate action, promote learning, and solve problems. However, gaps remain in understanding and implementing gamification in rehabilitation care, necessitating further exploration and clarification of the best evidence for application of gamification.</p><p><strong>Objective: </strong>To conduct a scoping review of the use of gamification in rehabilitation care for adults with chronic illnesses, summarizing the scope, forms, elements, guiding theories, effectiveness, and ease of use of gamification.</p><p><strong>Methods: </strong>Eight databases in English or Chinese were searched from January 1, 2011, to May 20, 2024, following the standard scoping review framework.</p><p><strong>Results: </strong>A total of 24 papers were included. Gamification was applied in the rehabilitation of endocrine, skeletal, circulatory, neurological, and cerebrovascular diseases, primarily using virtual reality and three-dimensional forms. Eight gamification elements were most commonly utilized. Positive outcomes included enhanced rehabilitation knowledge, improved attitudes, better physical function, and increased self-care ability. Most patients found gamified rehabilitation care engaging and easy to use.</p><p><strong>Discussion: </strong>The application of gamification in adult chronic disease rehabilitation care shows great promise. However, the lack of theory-driven or longitudinal data in some studies highlights the need for more randomized controlled and longitudinal research to explore the effectiveness of gamified intervention.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634867","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":"Worse Nursing-Sensitive Indicators in Black-serving Hospitals.","authors":"Eileen T Lake, Celsea C Tibbitt, John F Rizzo, Christin Iroegbu, Jessica G Smith, Douglas Staiger, Jeannette A Rogowski","doi":"10.1097/NNR.0000000000000819","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000819","url":null,"abstract":"<p><strong>Background: </strong>In hospitals that serve disproportionately patients of black race, here termed Black-serving hospitals, nurse staffing is worse, mortality rates are higher, and nursing-sensitive indicators may be worse than in other hospitals, but this evidence has not been compiled.</p><p><strong>Objective: </strong>The study objective was to examine whether nursing-sensitive indicators, which measure changes in patient health status directly affected by nursing care, differ in hospitals where Black patients predominantly access their care, as compared to other hospitals.</p><p><strong>Methods: </strong>To fulfill the objective, a cross-sectional design using publicly available 2019 to 2022 Hospital Compare and 2019 Medicare Provider Analysis and Review (MEDPAR) and Case Mix Index file databases was used. Four nursing-sensitive indicators were evaluated: pressure ulcer, postoperative sepsis, perioperative pulmonary embolus/deep vein thrombosis, and death rate among surgical inpatients with serious treatable complications ('failure to rescue') in hospitals classified into high, medium, and low Black-serving hospitals according to the percent patients of Black race in the MEDPAR data. Mean outcome differences across Black-serving hospital categories were assessed through analyses of variance and regression models, which controlled for hospital Case Mix Index.</p><p><strong>Results: </strong>The 3,101 hospitals were predominantly urban non-teaching hospitals in metropolitan areas. Although 12% of hospitals had Magnet designation, Black-serving hospitals were disproportionately Magnet (14%). The outcome rates were 0.59 for pressure ulcers, 3.38 for perioperative pulmonary embolus/deep vein thrombosis, 143.58 for failure to rescue, and 4.12 for sepsis. Rates were significantly higher for pressure ulcers, perioperative pulmonary embolus/deep vein thrombosis, and sepsis in high Black-serving hospitals. The mean failure to rescue rate was similar across low-to-high Black-serving hospitals and did not show significant differences. These results were unchanged in models adjusting for CMI.</p><p><strong>Discussion: </strong>The evidence suggests that several nursing-sensitive indicators are worse in high Black-serving hospitals. Research linking nursing-sensitive indicators to nursing resources such as staffing is needed to explicate the mechanism underlying these findings. Poorer nursing-sensitive indicators in combination with poorer nurse staffing in high Black-serving hospitals presents a priority for policy and management intervention.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634871","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":"Concurrent Validity of a Physical Activity Vital Sign Used in an Adult Preventive Cardiology Clinic.","authors":"Margaret McCarthy, Jason Fletcher, Gail Melkus, Allison Vorderstrasse, Mireille Chehade, Stuart Katz","doi":"10.1097/NNR.0000000000000818","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000818","url":null,"abstract":"<p><strong>Background: </strong>In clinical settings, counseling patients on physical activity starts by assessing patients' current physical activity levels. Self-report measures of PA are generally easy to administer; however, they may be too long to be convenient and are known to correlate poorly with objective measures of physical activity.</p><p><strong>Objective: </strong>To assess the concurrent validity of a self-report three-question physical activity vital sign with objective Fitbit step counts and the distance walked during a 6-min walk test.</p><p><strong>Methods: </strong>This pilot study tested a best practice advisory embedded in the Epic electronic health record, which was designed to prompt providers in a preventive cardiology clinic to counsel patients reporting low levels of physical activity . Patients were invited to participate in the remote patient monitoring phase to assess the change in their physical activity by wearing a Fitbit for 12 weeks and completing a 6-min walk test at baseline and 12 weeks. This analysis used the cross-sectional data collected in this phase. Pearson correlations were conducted between self-reported physical activity, Fitbit step counts, and the distance walked during the 6-min walk-a measure associated with current physical activity levels. Kappa coefficients were calculated to assess agreement between the self-reported physical activity and step counts.</p><p><strong>Results: </strong>Participants who enrolled in the Fitbit monitoring were approximately 50% female, with the majority identified as White non-Hispanic adults. Their most common cardiovascular risk factor was hypertension. The self-reported physical activity vital signs were significantly associated with step counts at baseline and 12 weeks but were not associated with the distance during the 6-min walk test. However, the distance walked was significantly associated with step counts at baseline and 12 weeks. The Kappa results demonstrate a poor level of agreement between two categories (meeting or not meeting current physical activity guidelines) of self-report physical activity vitals and the objective Fitbit step counts.</p><p><strong>Discussion: </strong>There were moderate correlations between the self-reported physical activity vital signs and the Fitbit step counts, but there was lack of agreement when they were categorized. Further validation of this physical activity vital sign is warranted.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634850","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":"Trajectory of Infant Problematic Feeding Symptoms: Study Protocol.","authors":"Suzanne M Thoyre, Jinhee Park, Jamie Crandell, Hayley Estrem, Kathleen Knafl, John Wimmer","doi":"10.1097/NNR.0000000000000772","DOIUrl":"10.1097/NNR.0000000000000772","url":null,"abstract":"<p><strong>Background: </strong>Infants with developmental risk factors are more likely to have feeding problems and develop chronic feeding disorders. Early detection and understanding of the progression of problematic feeding and its relationship with a child's biological functioning and the family feeding environment will enhance effective symptom management and development of interventions to prevent pediatric feeding disorders.</p><p><strong>Objectives: </strong>The New Through Two (NewThru2) feeding study protocol is described. Study aims are to (a) characterize symptoms of problematic feeding and trajectories of symptoms from predischarge from neonatal intensive care through 24 months of age, (b) determine the relationship of child biological function at discharge with symptom characteristics and trajectories, (c) describe the child's feeding environment and its relationship to symptoms from discharge through 24 months, and (d) determine the relationship between problematic feeding symptoms and growth and developmental outcomes.</p><p><strong>Methods: </strong>NewThru2 is a prospective, longitudinal, mixed-method study following over 200 infants who received care in a neonatal intensive care unit and were identified as at risk for compromised development. The study follows enrolled infants through 24 months of age. Symptoms of problematic feeding are measured predischarge by clinical observation and medical record review and postdischarge by parent report. Biological function is measured by medical history and cardiorespiratory and autonomic nervous system function during feeding prior to discharge. Child feeding environment is measured by strategies parents use to manage feeding, the effect of feeding on the parent and family, and the use of feeding services. A subset of parents is interviewed to achieve a contextual understanding of the family feeding environment. Child outcome measures include parent-reported feeding skills and clinician-reported growth and neurodevelopment.</p><p><strong>Discussion: </strong>The results of this study will improve understanding of pediatric feeding disorders during a time of development sensitive to adequate nutrition and with infants at risk for developmental delays or impairments.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"150-154"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005624","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":"No Evidence That Higher Daytime Melatonin Levels Correlate With Poor Nighttime Sleep Efficiency in Older Adults Living With Dementia.","authors":"David J Kennaway","doi":"10.1097/NNR.0000000000000776","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000776","url":null,"abstract":"","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":"74 2","pages":"E15"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574444","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":"National Academies Recommendations for Transformative Change in Women's Health Research at the National Institutes of Health.","authors":"Veronica Barcelona","doi":"10.1097/NNR.0000000000000803","DOIUrl":"10.1097/NNR.0000000000000803","url":null,"abstract":"<p><strong>Background: </strong>Due to significant gaps in knowledge around women's health, Congress commissioned the National Academies of Sciences, Engineering, and Medicine (National Academies) to conduct a consensus study on funding allocation, workforce needs, and priority research areas for the National Institutes of Health (NIH).</p><p><strong>Objectives: </strong>This manuscript summarizes the key points of the new National Academies report on women's health research for NIH, presents the relevance and importance for nursing research, and briefly discusses the need for increased representation of nurse scientists on National Academies panels.</p><p><strong>Methods: </strong>Beginning in the Fall of 2023, a multidisciplinary panel of 17 experts was convened by National Academies to address gaps in women's health research at NIH. The committee was tasked to identify research priorities for NIH-funded research with a focus on conditions that are female specific, are more common in women, or affect women differently. In addition, the committee was asked to make recommendations on NIH training and education to strengthen the women's health research workforce; changes to NIH structural, systems, and review processes; and allocation of funding to more equitably reflect the burden of disease among women.</p><p><strong>Results: </strong>The committee found that, from 2013 to 2023, only 8.8% of NIH research dollars focused on women's health research and that basic knowledge about women's physiological, hormonal fluctuations, and chromosomal differences is lacking. Data are also needed to better understand diseases that are female specific, are more common in women, or affect women differently. The committee made eight recommendations for transformative change at NIH related to women's health research.</p><p><strong>Discussion: </strong>Overall, the report describes the need for transformative change at NIH to advance the science on women's health research and improve outcomes. This includes a comprehensive approach and recommendations that would double the NIH's investment in women's health research, enhance accountability, and provide rigorous oversight, prioritization, and integration of women's health research across NIH.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"87-90"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830670","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}