Policy, Politics, and Nursing Practice最新文献

Intermediate Care, Clinical and Economic Outcomes. Systematic Review. 中期护理、临床和经济结果。系统的回顾。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-21 DOI: 10.1177/15271544251342586

Milena G Guarinoni, Pietro Xausa, Paolo C Motta

{"title":"Intermediate Care, Clinical and Economic Outcomes. Systematic Review.","authors":"Milena G Guarinoni, Pietro Xausa, Paolo C Motta","doi":"10.1177/15271544251342586","DOIUrl":"https://doi.org/10.1177/15271544251342586","url":null,"abstract":"IntroductionIntermediate care is a healthcare model designed to bridge the gap between hospital care and home, focusing on the efficient treatment and rehabilitation of patients after hospitalization. Its primary goals include facilitating early discharge, promoting patient independence, and preventing hospital readmissions. While previous studies have shown promise regarding the effectiveness of intermediate care, they often report mixed results, underscoring the necessity for further investigation. This review aims to evaluate the efficacy of bed-based intermediate care services in enhancing patient outcomes during the post-hospital discharge process.MethodsA systematic search was conducted across major scientific databases to identify relevant literature. The inclusion criteria focused on primary experimental studies that reported outcomes related to mortality, post-discharge care settings, functional status, length of hospitalization, rates of hospital readmission, and both physical and psychological well-being, as well as cost-effectiveness.ResultsA total of six articles met the inclusion criteria. The findings generally suggest a favorable impact of intermediate care facilities on patient outcomes. However, it is important to note that the data exhibited low statistical significance. The evidence indicates that intermediate care facilities are at least as effective as traditional hospital care, which carries a significantly higher financial burden.ConclusionsAlthough the statistical significance of the results is limited, the trends indicate that intermediate care facilities may serve as suitable and economically viable alternatives for post-hospital care. Further research with larger sample sizes and more robust methodologies is necessary to confirm these findings and fully understand the role of intermediate care in enhancing patient outcomes.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"15271544251342586"},"PeriodicalIF":2.1,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Canadian Nurses' Psychological Health Assessment and Its Determinants During the Uncertain Context of the Early COVID-19 Pandemic: A Cross-Sectional Study. 在COVID-19大流行早期不确定背景下加拿大护士心理健康评估及其决定因素：一项横断面研究

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-15 DOI: 10.1177/15271544251338813

Nabiha Benyamina Douma, Émilie Gosselin, Mélanie Marceau, Didier Mailhot-Bisson, Stéphane Lavoie, Josiane Provost, Isabelle Ledoux

{"title":"Canadian Nurses' Psychological Health Assessment and Its Determinants During the Uncertain Context of the Early COVID-19 Pandemic: A Cross-Sectional Study.","authors":"Nabiha Benyamina Douma, Émilie Gosselin, Mélanie Marceau, Didier Mailhot-Bisson, Stéphane Lavoie, Josiane Provost, Isabelle Ledoux","doi":"10.1177/15271544251338813","DOIUrl":"https://doi.org/10.1177/15271544251338813","url":null,"abstract":"Quebec's (Canada) nurses experienced a major reorganization of care during the first wave of the COVID-19 pandemic. This study aimed at investigating nurses' psychological health and its determinants during this highly uncertain time, with a particular focus on posttraumatic stress disorder (PTSD), anxiety, and depression. In 2020, a web-based cross-sectional survey was completed by a large sample of Quebec nurses (n = 1,773). High prevalence of PTSD (14.3%), anxiety (39.4%), and depression (46.7%) was observed. Overcommitment at work was associated with higher prevalence of PTSD, anxiety, and depression. More years since licensure, feeling safe with protective measures and increased social support were associated with lower prevalence of PTSD, anxiety, and/or depression. Our study identified modifiable personal and workplace factors that could be targeted by healthcare organizations and policymakers to promote nurses' well-being and enhance the resilience of healthcare systems to resist future global health crises or pandemics. Future research is needed to better understand the potential long-term consequences of the COVID-19 pandemic on nurses' psychological health.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"15271544251338813"},"PeriodicalIF":2.1,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Authors Respond. 作者回应。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-14 DOI: 10.1177/15271544251341119

Felix Ram

引用次数: 0

Beyond "Brain Drain" Versus "Brain Circulation": Networked Governance and the Agentic Internationally Qualified Nurses in Transnational Nursing. 超越“人才流失”与“人才循环”：网络化治理与跨国护理中的国际合格护士代理。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-14 DOI: 10.1177/15271544251339675

Animesh Ghimire

引用次数: 0

Exploring the Motivations, Challenges, and Integration of Internationally Educated Healthcare Workers in the UK: A Scoping Review. 探索在英国接受国际教育的医护人员的动机、挑战和融入：范围审查》。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-01 Epub Date: 2024-11-20 DOI: 10.1177/15271544241289605

David Omiyi, Elaine Wilkinson, Beverly Snaith

{"title":"Exploring the Motivations, Challenges, and Integration of Internationally Educated Healthcare Workers in the UK: A Scoping Review.","authors":"David Omiyi, Elaine Wilkinson, Beverly Snaith","doi":"10.1177/15271544241289605","DOIUrl":"10.1177/15271544241289605","url":null,"abstract":"BackgroundHealthcare worker migration, influenced by push and pull factors, is accentuated by active recruitment strategies of developed nations. This scoping review explores experiences of internationally educated nurses, midwives, and healthcare professionals in the UK since 2010, acknowledging the historical context of UK recruitment policy and the implementation of codes of practice by the World Health Organisation and the UK government.MethodsUsing the Population, Concept, and Context framework, systematic literature searches were conducted in various databases, including CINAHL, Science Direct, Scopus, PubMed/Medline, and Google Scholar. Covidence software facilitated screening, with data systematically extracted and analyzed.ResultsThe scoping review included 24 papers focusing on nurses (n = 19), midwives (n = 1), and various allied health professions (n = 4), spanning from 2010 to 2023. Findings revealed diverse challenges and facilitators, from professional recognition and career opportunities to discrimination, language barriers, and socioeconomic factors influencing integration and retention.ConclusionThe review highlights the multifaceted experiences of internationally educated healthcare professionals (IEHPs) in the UK workforce. Despite their significant contributions, IEHPs face challenges such as unrecognized skills, third-party recruitment issues, and cultural adjustment difficulties. Addressing registration processes, recruitment practices, and cultural competence training is crucial to creating an inclusive environment that maximizes IEHPs' contributions and ensures their professional growth and well-being, ultimately benefiting the healthcare sector.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"117-135"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nursing Brain Drain, How Do We Retain Our Internationally Qualified Nurses: A Close Examination of Push and Pull Factors. 护理人才流失，我们如何留住我们的国际合格护士：推动和拉动因素的密切检查。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-01 Epub Date: 2025-02-20 DOI: 10.1177/15271544251314338

Felix Simon Francis Ram, Elissa Mary McDonald, Angelina Kuttan, Indu Sudarsan

{"title":"Nursing Brain Drain, How Do We Retain Our Internationally Qualified Nurses: A Close Examination of Push and Pull Factors.","authors":"Felix Simon Francis Ram, Elissa Mary McDonald, Angelina Kuttan, Indu Sudarsan","doi":"10.1177/15271544251314338","DOIUrl":"10.1177/15271544251314338","url":null,"abstract":"Recruitment of internationally qualified nurses (IQN) may be an effective way to address acute nursing shortages in New Zealand (NZ). However, the difficulty in retaining IQNs long-term requires serious consideration. We employed a survey design to identify factors that influence IQNs to leave NZ. 1,782 IQNs who graduated from a Competency Assessment Programme over 11 years (2012 to 2023) were invited to participate in the online survey. Participants reported a wide range of factors to migrate including unsupportive workplace culture, lack of professional development opportunities, financial motivators, personal, and social factors including better quality of life. Nearly 50% of IQNs either had left or were planning on leaving NZ soon after obtaining their registration, with an average length of stay for all IQNs of just over 30 months, with nearly 100% of all IQNs leaving NZ within that time. This is the first study that provides policymakers with valuable insights of IQNs recruitment and retention including IQN reasons for migration. There is a need for policymakers and employers to urgently prioritize the development of local nurses instead of depending on IQNs who are difficult to retain long term. Furthermore, as current data indicates a surplus of IQNs in NZ it is crucial for potential IQNs to carefully consider the current oversupply before undertaking the costly, lengthy, and complex process of obtaining registration. Policymakers, employers, educators, and regulators need to work together to develop a robust nursing workforce plan to address the current surplus and include accurate forecasting of future workforce needs.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"136-143"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Utilizing Federal Data Sources to Support Nursing Workforce Analysis. 利用联邦数据源支持护理人员队伍分析。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-01 Epub Date: 2024-10-22 DOI: 10.1177/15271544241286078

Byunggu Kang, Theekshana Fernando, Jinman Pang, Peter Shirey, David P Armstrong

引用次数: 0

Let Your Voice Be Heard. 让别人听到你的声音。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-01 Epub Date: 2025-03-25 DOI: 10.1177/15271544251324274

引用次数: 0

Development and Implementation of a Policy Hackathon to Address Nursing Staffing Issues. 制定和实施解决护理人员配备问题的政策黑客马拉松。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-01 Epub Date: 2025-02-24 DOI: 10.1177/15271544251317196

Sara Arter, Britt Cole, Shelby Logsdon, Kaneesha Ogle, Anna Ressler, Elizabeth Zwilling

{"title":"Development and Implementation of a Policy Hackathon to Address Nursing Staffing Issues.","authors":"Sara Arter, Britt Cole, Shelby Logsdon, Kaneesha Ogle, Anna Ressler, Elizabeth Zwilling","doi":"10.1177/15271544251317196","DOIUrl":"10.1177/15271544251317196","url":null,"abstract":"The global nursing workforce shortage poses significant challenges to healthcare delivery, necessitating new policy solutions. This article details a pioneering, nurse-led policy hackathon organized by the American Nurses Association-Ohio Public Policy Committee and Miami University to address the nursing workforce shortage. Held over 3 days, the event brought together 120 participants, including nurses, students, legislators, and healthcare leaders, to develop actionable policy solutions across four critical tracks: acute care, chronic care, public health, and nursing education. Teams utilized a structured framework to generate policy briefs and pitches, focusing on creative and collaborative approaches to root causes of the workforce shortage. Winning proposals included optimizing clinical documentation processes, addressing faculty shortages through state-level initiatives, expanding aging-in-place programs, and enhancing public health nursing recruitment and retention. The hackathon demonstrated the potential of collaborative innovation in crafting data-driven policies that align with healthcare needs. Outcomes from the event have already influenced policy discussions, highlighting the value of nurse-led initiatives in shaping healthcare policy and improving workforce sustainability.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"110-116"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Courageous Journey of a Foreign-Born Intensive Care Unit Nurse in Finland: A Narrative Case Study. 一位外国出生的芬兰重症监护室护士的勇敢之旅：一个叙事案例研究。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-01 Epub Date: 2025-01-29 DOI: 10.1177/15271544241309312

Floro Cubelo

{"title":"A Courageous Journey of a Foreign-Born Intensive Care Unit Nurse in Finland: A Narrative Case Study.","authors":"Floro Cubelo","doi":"10.1177/15271544241309312","DOIUrl":"10.1177/15271544241309312","url":null,"abstract":"Finland is facing a severe shortage of nurses. While uncommon, the deportation of a foreign-born nurse could exacerbate this already critical situation. However, research on the deportation experiences of migrants, particularly healthcare workers such as nurses, remains scarce. This study aimed to provide a descriptive analysis of a deportation case involving a foreign-born intensive care nurse in Finland and examined the implications of this case for nursing education, the healthcare workforce, and government policies. Using a narrative case study approach, publicly available data from various sources, including mainstream and social media platforms, were analyzed. The nurse in this narrative left the country following disappointment with government officials, despite winning the deportation case. The findings of the study also revealed that the deportation decision faced by the foreign-born intensive care nurse has significant implications for nursing education, healthcare management, and government policies, indicating the need for necessary reforms. Intergovernmental collaboration is crucial to expedite the just and equitable processing of residence permits for highly skilled migrant health workers, promoting more effective government policies.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"144-150"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0