Nursing Research最新文献

{"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":"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":"Area Deprivation and Patient Complexity Predict Low-Value Healthcare Utilization in Persons With Heart Failure.","authors":"Kathryn M Ledwin, Sabrina Casucci, Suzanne S Sullivan, Sharon Hewner","doi":"10.1097/NNR.0000000000000794","DOIUrl":"10.1097/NNR.0000000000000794","url":null,"abstract":"<p><strong>Background: </strong>Heart failure (HF) is a debilitating condition affecting over 6.7 million adults in the United States. Social risks and complexity, or personal, social, and clinical aspects of persons' experiences, have been found to influence healthcare utilization and hospitalizations in persons with HF. Low-value utilization, or irregular outpatient visits with frequent emergency room use, or hospitalization is common among persons with complex conditions and social risk and requires further investigation in the HF population.</p><p><strong>Objectives: </strong>The purpose of this research was to assess the influence of complexity and social risk on low-value utilization in persons with HF using machine learning approaches.</p><p><strong>Methods: </strong>Supervised machine learning, tree-based predictive modeling was conducted on an existing data set of adults with HF in the eight-county region of Western New York for the year 2022. Decision tree and random forest models were validated using a 70/30 training/testing data set and k -fold cross-validation. The models were compared for accuracy and interpretability using the area under the curve, Matthews correlation coefficient, sensitivity, specificity, precision, and negative predictive value.</p><p><strong>Results: </strong>Area deprivation index, a proxy for social risk, number of chronic conditions, age, and substance use disorders were predictors of low-value utilization in both the decision tree and random forest models. The decision tree model performed moderately, whereas the random forest model performed excellently and added hardship as an additional important variable.</p><p><strong>Discussion: </strong>This is the first known study to look at the outcome of low-value utilization, targeting individuals who are underutilizing outpatient services. The random forest model performed better than the decision tree; however, features were similar in both models, with area deprivation index as the key variable in predicting low-value utilization. The decision tree was able to produce specific cutoff points, making it more interpretable and useful for clinical application. Both models can be used to create clinical tools for identifying and targeting individuals for intervention and follow-up.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"136-143"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774214","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}

{"title":"Experiences and Health Outcomes of Emerging Adults With Type 1 Diabetes: A Mixed-Methods Study.","authors":"Amani Al Bayrakdar, Houry Puzantian, Samar Noureddine, Huda Abu-Saad Huijer, Mona Nasrallah, Kevin L Joiner, Pamela Martyn-Nemeth, Hala Tfayli","doi":"10.1097/NNR.0000000000000781","DOIUrl":"10.1097/NNR.0000000000000781","url":null,"abstract":"<p><strong>Background: </strong>Emerging adults with type 1 diabetes are at risk of poorer diabetes-related health outcomes than other age groups. Several factors affecting the health and experiences of the emerging adults are culture and healthcare specific.</p><p><strong>Objectives: </strong>The aim of this study was to explore the experience of emerging adults living with type 1 diabetes in Lebanon, describe their diabetes self-care and diabetes-related health outcomes (HbA1c and diabetes distress), and identify the predictors of these outcomes.</p><p><strong>Methods: </strong>A convergent mixed-methods design was used with 90 participants aged 18-29 years. Sociodemographic, clinical data, and measures of diabetes distress, social support, and self-care were collected. Fifteen emerging adults participated in individual semistructured interviews. Multiple linear regression was used to determine predictors of diabetes outcomes. Thematic analysis was used to analyze qualitative data. Data integration was used to present the mixed-methods findings.</p><p><strong>Results: </strong>The study sample had a mean HbA1c of 7.7% ( SD = 1.36), and 81.1% reported moderate to severe diabetes distress levels. The participants had good levels of diabetes self-care and high levels of social support. HbA1c was predicted by insulin treatment type, age at diagnosis, and diabetes self-care; while diabetes distress was predicted by diabetes knowledge, blood glucose monitoring approach, and diabetes self-care. \"Living with type 1 diabetes during emerging adulthood: the complex balance of a chemical reaction\" was the overarching theme of the qualitative data, with three underlying themes: \"Breaking of bonds: changes and taking ownership of their diabetes,\" \"The reactants: factors affecting the diabetes experience,\" and \"Aiming for equilibrium.\" The integrated mixed-methods results revealed one divergence between the qualitative and quantitative findings related to the complexity of the effect of received social support.</p><p><strong>Discussion: </strong>The suboptimal health of the emerging adults despite good self-care highlights the importance of addressing cultural and healthcare-specific factors such as diabetes knowledge and public awareness, social support, and availability of technology to improve diabetes health. Findings of this study can guide future research, practice, and policy development.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"98-107"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331087","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":"Preparing PhD Students for Tenure-Track Faculty Positions.","authors":"Mary K Killela, Harry Adynski, Gillian Adynski, Elizabeth Allen Myer, Cassandra Dictus, Leah Morgan, Hayden Hmiel, Jessica Williams","doi":"10.1097/NNR.0000000000000791","DOIUrl":"10.1097/NNR.0000000000000791","url":null,"abstract":"<p><strong>Background: </strong>With an increasing number of nursing faculty approaching retirement, it is critical to prepare PhD students to take on tenure-track faculty roles. There are a multitude of competing time demands for nursing faculty, and one way that PhD students can prepare for faculty roles is leading team-based science with their peers during their predoctoral program.</p><p><strong>Objectives: </strong>The aim of this study was to describe the process of PhD students leading an independent research project, in addition to their dissertation work, which aimed to incorporate the tripartite mission-scholarship, teaching, and service.</p><p><strong>Methods: </strong>This paper outlines the components of the PhD-student-led project as well as provides recommendations for leadership and schools of nursing as well as sponsors interested in funding this type of work.</p><p><strong>Results: </strong>Students were able to conduct independent research using diverse research approaches, practice mentoring skills, and provide service and helpful information about the nursing workforce to their academic clinical partner. A key component of this relationship building was incorporating a clinical fellowship during the PhD program for students that directly aided the transition from BSN to PhD programs.</p><p><strong>Discussion: </strong>PhD students learned valuable lessons about time management and collaborating in a team setting with peers. We recommend schools of nursing seek funding opportunities for PhD students to conduct independent team science, encourage academic partnerships with affiliated medical centers and public health settings, and facilitate peer mentorship across cohorts.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"E11-E14"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631596","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}