Policy, Politics, and Nursing Practice最新文献_第2页

Lower Burnout Among Hospital Nurses in California Attributed to Better Nurse Staffing Ratios. 加州医院护士较低的职业倦怠归因于更好的护士人员比例。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-03-23 DOI: 10.1177/15271544251317506

K Jane Muir, Kathy Sliwinski, Colleen A Pogue, Daniela Golinelli, Angelo Petto, Karen B Lasater, Matthew D McHugh

{"title":"Lower Burnout Among Hospital Nurses in California Attributed to Better Nurse Staffing Ratios.","authors":"K Jane Muir, Kathy Sliwinski, Colleen A Pogue, Daniela Golinelli, Angelo Petto, Karen B Lasater, Matthew D McHugh","doi":"10.1177/15271544251317506","DOIUrl":"https://doi.org/10.1177/15271544251317506","url":null,"abstract":"Hospital nurses report that improving patient-to-nurse staffing ratios is a priority intervention to improve their well-being. In 2004, California became the first state to implement a hospital-wide policy mandating safe staffing ratios. This cross-sectional study determined whether nurses in California hospitals exposed to a staffing policy (\"California advantage\") experienced lower nurse burnout compared to those in hospitals not exposed, and whether part of the differences in burnout can be attributed to better hospital staffing. Nurse job outcomes (burnout [primary], job dissatisfaction, and intent to leave [secondary]), and nurse staffing variables were derived from the RN4CAST-US 2016 survey of 14,518 registered nurses in California, Florida, New Jersey, and Pennsylvania in 463 hospitals. Nurses in California had lower burnout, job dissatisfaction, and intentions to leave their employer, as compared to nurses in other states (p < .001). Mean patient-to-nurse staffing ratios were lower in California compared to non-California hospitals (3.8 vs. 4.7, p < .001). In bivariate logistic regression models, the California advantage was associated with lower odds of all nurse job outcomes (e.g., burnout OR = 0.81; 95% CI [0.74, 0.89]; p < .001). The California advantage, while smaller, remained statistically significant with the addition of nurse staffing in the model. Every patient added to a nurse's workload was associated with higher odds of nurse burnout (aOR = 1.12; 95% CI [1.06, 1.19]; p < .001), job dissatisfaction, and intent to leave. Better hospital nurse staffing partially mediated the California advantage on all job outcomes. California nurses experience better job outcomes, attributed in part to safer staffing due to a policy.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"15271544251317506"},"PeriodicalIF":2.1,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694470","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

Beyond Borders: A Longitudinal Study of Nepali Nurses' Dreams, Realities, and the Pursuit of a Global Career. 超越国界：尼泊尔护士的梦想，现实和追求全球职业的纵向研究。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-03-13 DOI: 10.1177/15271544251322493

Animesh Ghimire, Yunjing Qiu

{"title":"Beyond Borders: A Longitudinal Study of Nepali Nurses' Dreams, Realities, and the Pursuit of a Global Career.","authors":"Animesh Ghimire, Yunjing Qiu","doi":"10.1177/15271544251322493","DOIUrl":"https://doi.org/10.1177/15271544251322493","url":null,"abstract":"The global migration of nurses, particularly from developing nations like Nepal, is a complex tapestry woven with threads of ambition, sacrifice, and resilience. This longitudinal qualitative study followed the journeys of 17 Nepali nursing graduates, some who embarked on international careers and others who chose to remain in their homeland. Their narratives challenge simplistic notions of \"brain drain,\" revealing a dynamic interplay of evolving motivations, unexpected opportunities, and the bittersweet realities of pursuing dreams abroad. The study uncovers a stark contrast between the idealized vision of working in \"modern, first-world hospitals\" and the lived experiences of migrant nurses, highlighting the emotional toll of cultural adjustment and the often-unmet expectations related to financial gains and professional advancement. Yet, amidst these challenges, nurses demonstrated remarkable adaptability, leveraging language acquisition, mentorship, and community building as strategies for integration and resilience. The study also sheds light on the unexpected paths to fulfillment found by those who remained in Nepal, challenging the prevailing narrative that migration is the sole route to success. These findings underscore the urgent need for comprehensive policies and support systems that address both the structural factors driving migration and the individual needs of nurses, fostering a more equitable and sustainable global healthcare workforce.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"15271544251322493"},"PeriodicalIF":2.1,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626800","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

Through the Eyes of Black Nurses: The Impact of the Nurse Training Act of 1964. 通过黑人护士的眼睛：1964 年护士培训法案》的影响。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-02-01 Epub Date: 2025-01-03 DOI: 10.1177/15271544241296825

Hafeeza Anchrum

{"title":"Through the Eyes of Black Nurses: The Impact of the Nurse Training Act of 1964.","authors":"Hafeeza Anchrum","doi":"10.1177/15271544241296825","DOIUrl":"10.1177/15271544241296825","url":null,"abstract":"The Nurse Training Act (NTA) was passed by the United States Congress in 1964 in response to growing national concerns about a shortage of nurses. The legislation provided substantial funding for nursing education to increase the supply of nurses and improve the quality of nursing services. However, contemporary investigations into the causes of the shortage focused on the professional lives and experiences of white women, who were the main target of nurse recruitment and retention efforts. This research shifts the focus to Black women nurses, examining both the causes of the shortage and the impact of the NTA on the nursing workforce from their perspective. It argues that a key achievement of the NTA-alongside the Civil Rights Act of 1964-was the dismantling of legalized racial segregation in professional nursing schools, a major barrier to the development of the Black professional nursing class. Yet, this federal intervention was not simply bestowed; it was the result of decades of sustained advocacy by Black nurses from the 1890s to the 1960s to secure equal educational opportunity and federal support for their civil liberties. Viewing this landmark legislation through the eyes of Black nurses underscores the federal government's pivotal role in both promoting and obstructing racial and healthcare equality. As the nation faces yet another nursing shortage, coupled with the eradication of affirmative action and diversity, equity, and inclusion initiatives, this perspective is especially timely and important for informing current and future issues pertaining to health equity.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"56-64"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11731403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923927","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

The Role of Communities in Nurse-Led Clinics, 1965-2000: Lessons From History. 1965-2000年社区在护士领导的诊所中的作用：历史的教训。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-02-01 Epub Date: 2024-10-30 DOI: 10.1177/15271544241289416

Dominique Tobbell

{"title":"The Role of Communities in Nurse-Led Clinics, 1965-2000: Lessons From History.","authors":"Dominique Tobbell","doi":"10.1177/15271544241289416","DOIUrl":"10.1177/15271544241289416","url":null,"abstract":"Since the 1960s, nurses have worked to improve access to health care services among underserved communities through the establishment of community-based nurse-led clinics (NLCs). Evidence demonstrates NLCs' effectiveness in delivering high quality and cost-effective primary care services to underserved communities. However, few studies have analyzed the role and meaning of community within NLCs. This article uses historical research to analyze and evaluate the roles played by communities in three community-based NLCs established between the 1960s and 1990s. This research shows that how nurses entered the communities they intended to provide care, the degree to which they collaborated with community members to conceptualize, operationalize, and maintain NLCs, and how they balanced community needs with academic imperatives are critical to understanding and addressing the difficulties NLCs have encountered delivering sustained, community-centered care. This research also addresses the impact on communities when NLCs fail, making clear the need for policy interventions that address the financial and political factors undermining NLCs' sustainability, particularly limitations on nurse practitioners' practice authority and credentialing as Medicaid providers, and reduced reimbursement rates for nurse practitioners. Ultimately, it argues that NLCs' engagement with underserved communities should be historically informed and integrate community expertise, robust community engagement, and community-centered definitions of quality care.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"6-15"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548904","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

The "Right Kinds of Nurses": Centering LPNs in the Nursing Labor Force. 合适的护士"：以护理劳动力中的 LPN 为中心。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-02-01 Epub Date: 2024-11-08 DOI: 10.1177/15271544241278626

Barbra Mann Wall, William A Cessato, Victoria Tucker

{"title":"The \"Right Kinds of Nurses\": Centering LPNs in the Nursing Labor Force.","authors":"Barbra Mann Wall, William A Cessato, Victoria Tucker","doi":"10.1177/15271544241278626","DOIUrl":"10.1177/15271544241278626","url":null,"abstract":"The nursing profession is currently grappling with an ongoing nursing shortage illuminated during the COVID-19 pandemic. While this burgeoning health and environmental crisis exacerbated this workforce issue, it did not create it. This study seeks to expand the idea of \"who is a nurse\" by arguing for the use of Licensed Practical Nurses (LPNs) as safe, credentialed persons in the nursing workforce. Archival research using primary and secondary sources highlights the history of the LPN movement. Historical case studies of LPN schools show how LPNs enhanced not only the quantity but also the quality of nursing practice. Case studies also reveal successful collaborations between nurses, communities, and hospitals to enhance the nursing workforce and community well-being. Aspects of this study were either approved by or deemed not human subjects research by institutional review boards. The increased emphasis on the registered nurse in the mid-20th century led to the marginalization of LPNs. Yet, history has revealed that collaborations that enhance diversity in the workforce and improve health-care access for patients, without compromising quality of care, can be formed by engaging LPNs. LPNs must be respected as consistent contributors to the country's health-care workforce. As the AACN commits to diversifying nursing, it is significant that LPNs have added to a more diverse, inclusive nursing labor force. For LPNs who wish to advance their nursing education, pathway programs must be supported-thus increasing diversity in the professional and advanced practice workforce.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"24-39"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607384","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

Racism and Redlining in the History of Psychiatric Policy and Practice in Atlanta: Implications for Nursing. 亚特兰大精神病学政策和实践历史中的种族主义和赤贫现象：对护理工作的启示。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-02-01 Epub Date: 2024-11-04 DOI: 10.1177/15271544241290707

Avi Wofsy, Kylie M Smith

{"title":"Racism and Redlining in the History of Psychiatric Policy and Practice in Atlanta: Implications for Nursing.","authors":"Avi Wofsy, Kylie M Smith","doi":"10.1177/15271544241290707","DOIUrl":"10.1177/15271544241290707","url":null,"abstract":"Recently, the Georgia state House of Representatives passed House Bill 1013, also called The Mental Health Parity Act. The bill sought to address access to and insurance coverage for mental health services, first identified in a report in 2020. The budget for mental health services was reduced by $8 m in 2020, despite an all-time high demand due to the beginning of the Covid-19 pandemic. There is an increasing inability to secure mental health care in the state. Georgia is ranked 37th in the country for access to quality mental health care (Reinert, Fritze, and Nguyen, 2022) and half the counties in the state have no psychiatrist; the projected mental health workforce will be able to meet only 12% of consumer demand by 2025. Problems with mental health care in Georgia have a long history which intersects with the history of racism, geographical segregation, and policing. HB1013 does not consider any of this history in its recommendations, which barely include nursing. At the same time, policy and practice in Georgia continues to entangle nurses and other professionals with a carceral and punitive system which not only threatens the safety of patients, but also nurses themselves. Nurses need to understand this history if they hope to develop policy that will intervene in the mental health care crisis.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"16-23"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570168","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

The Sentosa Nurses: Historical Context for Policies to Protect Internationally-Educated Nurses from Human Trafficking. 圣淘沙护士》：保护受过国际教育的护士免遭人口贩运政策的历史背景。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-02-01 Epub Date: 2024-10-30 DOI: 10.1177/15271544241286457

Andre A Rosario

{"title":"The Sentosa Nurses: Historical Context for Policies to Protect Internationally-Educated Nurses from Human Trafficking.","authors":"Andre A Rosario","doi":"10.1177/15271544241286457","DOIUrl":"10.1177/15271544241286457","url":null,"abstract":"This article presents a historical analysis of the Sentosa nurses, a group of nurses recruited from the Philippines in 2005 and 2006 to work in a health-care facility on Long Island, New York. The international nurse recruitment company that hired them underpaid them, assigned them to work in unsafe conditions with low nurse-to-patient ratios, and breached other parts of their contracts with the nurses. When the nurses decided to resign and break from their contracts early, the recruitment company retaliated, initiating civil, administrative, and criminal charges against the nurses. The Sentosa nurses' story reflects that by the end of the first decade of the 2000s, the international nurse recruitment industry grew not only in size, but also in power, leaving internationally-educated nurses vulnerable to exploitation. More recent reports from 2019 of the labor trafficking of internationally-educated nurses are not new. Instead, a historical perspective reveals an ongoing pattern of deceptive practices and informs recommendations for stricter policies that ban recruiters from using liquidated damages provisions or breach-of-contract fees to trap nurses in exploitative work environments.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"47-55"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548905","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

Using Anti-Blackness and Historical Inquiry to Ground Nursing and Research Practice in Black Populations. 用反黑人和历史调查来研究黑人群体的护理和研究实践。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-02-01 Epub Date: 2025-01-02 DOI: 10.1177/15271544241304722

Octavia Vogel, Meredith Salzinger, Gaea Daniel, Kylie Smith

{"title":"Using Anti-Blackness and Historical Inquiry to Ground Nursing and Research Practice in Black Populations.","authors":"Octavia Vogel, Meredith Salzinger, Gaea Daniel, Kylie Smith","doi":"10.1177/15271544241304722","DOIUrl":"10.1177/15271544241304722","url":null,"abstract":"Since the \"Black Lives Matter\" reckoning of 2020, professional health organizations have made public statements and apologized for not recognizing the role of racism in the creation of health disparities. For the American Nurses Association, this has taken the form of the National Commission to Address Racism in Nursing. One result of that work has been the Report on the History of Racism in Nursing, which details the constant maligning of the competence of Black nurses and their systematic exclusion from institutions within the profession. In this article, we want to take these ideas further and argue that the issue for nursing is not so much a generic kind of racism that a professional reorganization can address, but rather a deep and abiding \"anti-blackness\" that is intrinsic to the heart and soul of medical and health knowledge itself. Anti-blackness as an idea comes from a collection of theoretical interventions developed by Black philosophers, literary theorists, sociologists, and historians who continue to grapple with the question posed by W.E.B. DuBois: \"How does it feel to be a problem?\" Anti-blackness is the \"relegation of Black people to inhumanity and non-being\" and \"is a global phenomenon that takes on distinct forms of expression in each sociocultural context.\" Given the call to understand the role of historical, social, political, environmental, and economic factors via the social determinants of health, a more expansive approach is needed to articulate the Black lived experience. Anti-blackness is one tool available to nurses interested in a deeper level of analysis.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"40-46"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923886","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

The Impact of Israel's 1995 National Health Insurance Law and Health Reforms on Nursing: A Historical Overview. 以色列1995年国家健康保险法和医疗改革对护理的影响：历史概述。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-02-01 Epub Date: 2024-12-10 DOI: 10.1177/15271544241292632

Dorit Weiss

引用次数: 0

The Construction of British Columbia's Palliative Care Benefits Policy and Implications for Nursing Practice. 不列颠哥伦比亚省姑息治疗福利政策的构建及其对护理实践的启示。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-02-01 Epub Date: 2024-12-09 DOI: 10.1177/15271544241298656

Carly Elliott, Helen Brown, Lydia Wytenbroek, Farinaz Naz Havaei

{"title":"The Construction of British Columbia's Palliative Care Benefits Policy and Implications for Nursing Practice.","authors":"Carly Elliott, Helen Brown, Lydia Wytenbroek, Farinaz Naz Havaei","doi":"10.1177/15271544241298656","DOIUrl":"10.1177/15271544241298656","url":null,"abstract":"Nurses have a critical role to play in creating, implementing, critiquing, and advancing health policy within diverse contexts to ensure people living with life-limiting illness receive equitable and ethical access to palliative care services and programs. This article describes a critical analysis of the British Columbia's Palliative Care Benefits (BCPCB). The BCPCB is a provincial government program in British Columbia (B.C.), Canada, that provides eligible residents with palliative care services at home. Utilizing Fairclough's Dialectical-Relational Critical Discourse Analysis, the study investigates the process by which BCPCB determines B.C. residents' eligibility and access to resources proportionate to their need, function, illness burden, and urgency. This article reviews the construction of palliative care in Canada and how current biomedical perspectives construct palliative care policy and services in B.C. The findings indicate that the BCPCB program produces vague, discriminatory, and ableist prognostication practices through the implementation of its eligibility policy. This article also suggests that palliative care nurses are optimally positioned for policy influence: to critique, disrupt, and transform the BCPCB Program and palliative care practices.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"74-84"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11731397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796486","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