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

Nurses are Leaving Hospitals: The Example of Greece. 护士正在离开医院：希腊的例子。

IF 2.6

Policy, Politics, and Nursing Practice Pub Date : 2025-10-17 DOI: 10.1177/15271544251381241

Antonios Christodoulakis, Konstantinos Giakoumidakis, Ioanna Tsiligianni

引用次数: 0

Regulating AI in Nursing and Healthcare: Ensuring Safety, Equity, and Accessibility in the Era of Federal Innovation Policy. 规范护理和医疗保健中的人工智能：在联邦创新政策时代确保安全、公平和可及性。

IF 2.6

Policy, Politics, and Nursing Practice Pub Date : 2025-10-01 DOI: 10.1177/15271544251381228

Y Tony Yang, Richard Ricciardi

{"title":"Regulating AI in Nursing and Healthcare: Ensuring Safety, Equity, and Accessibility in the Era of Federal Innovation Policy.","authors":"Y Tony Yang, Richard Ricciardi","doi":"10.1177/15271544251381228","DOIUrl":"https://doi.org/10.1177/15271544251381228","url":null,"abstract":"The rapid integration of artificial intelligence in healthcare, accelerated by the Trump administration's 2025 AI Action Plan and private sector innovations from companies like Nvidia and Hippocratic AI, poses urgent challenges for nursing and health policy. This policy analysis examines the intersection of federal AI initiatives, emerging healthcare technologies, and nursing workforce implications through document analysis of regulatory frameworks, the federal AI Action Plan's 90+ initiatives, and insights from the American Academy of Nursing's November 2024 policy dialogue on AI transformation. The analysis reveals that while AI demonstrates measurable improvements in discrete clinical tasks-including 16% better medication assessment accuracy and 43% greater precision in identifying drug interactions at $9 per hour compared to nurses' median $41.38 hourly wage-current federal policy lacks critical healthcare-specific safeguards. The AI Action Plan's emphasis on rapid deployment and deregulation fails to address safety-net infrastructure needs, implementation pathways for vulnerable populations, or mechanisms ensuring health equity. Evidence from the Academy dialogue indicates that AI's \"technosocial reality\" fundamentally alters care delivery while potentially exacerbating disparities in underserved communities, as demonstrated by algorithmic bias in systems like Optum's care allocation algorithm. The findings suggest that achieving equitable AI integration requires comprehensive regulatory frameworks coordinating FDA, CMS, OCR, and HRSA oversight; community-centered governance approaches redistributing decision-making power to affected populations; and nursing leadership in AI development to preserve patient-centered care values. Without proactive nursing engagement in AI governance, healthcare risks adopting technologies that prioritize efficiency over the holistic, compassionate care fundamental to nursing practice.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"15271544251381228"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208442","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

Bridging National and International Midwifery Regulations: A Thematic Analysis of Italian Key Documents, Desk Review, and Normative Mapping. 衔接国家和国际助产法规：意大利关键文件，案头审查和规范映射的专题分析。

IF 2.6

Policy, Politics, and Nursing Practice Pub Date : 2025-09-29 DOI: 10.1177/15271544251374915

Martina Barbieri, Andrea Moro, Gianluca Catania, Franco A Carnevale, Giuseppe Aleo, Milko Zanini, Loredana Sasso, Annamaria Bagnasco

{"title":"Bridging National and International Midwifery Regulations: A Thematic Analysis of Italian Key Documents, Desk Review, and Normative Mapping.","authors":"Martina Barbieri, Andrea Moro, Gianluca Catania, Franco A Carnevale, Giuseppe Aleo, Milko Zanini, Loredana Sasso, Annamaria Bagnasco","doi":"10.1177/15271544251374915","DOIUrl":"https://doi.org/10.1177/15271544251374915","url":null,"abstract":"This study investigates the Italian regulatory landscape shaping the delivery of midwifery care and the midwifery profession. The primary objective was to identify and map relevant national and regional regulatory documents. A secondary aim was to compare three core national documents-the Code of Ethics, the Professional Profile, and the Educational Curricula-with the Professional Framework for Midwifery developed by the International Confederation of Midwives (2021). The study is a qualitative, two-phase exploratory design combining deductive thematic analysis and structured policy document review. In Phase I, a deductive thematic analysis was conducted using the ICM framework to assess the thematic alignment between international and national midwifery standards. Phase II involved a structured desk review identifying 141 regulatory documents, which were analyzed and mapped based on scope, origin, and relevance to midwifery care. Phase I findings revealed both thematic convergence and significant gaps, particularly regarding competencies, professional autonomy, midwifery-led care, and the role of professional associations. Phase II results highlighted a fragmented and inconsistent regulatory framework across regions, with a lack of specificity in policies supporting midwifery-led models, especially in sexual and reproductive health. Additionally, linguistic ambiguity in how \"midwifery\" is framed in Italian legal texts limits the profession's visibility and distinctiveness. This study outlines current regulatory complexities and discrepancies, providing a foundation for future policy development that better integrates midwifery within Italy's healthcare system in alignment with international recommendations.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"15271544251374915"},"PeriodicalIF":2.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193958","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

Advocating for Professional Advocates in Nursing and Midwifery. 倡导护理和助产专业倡导者。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-08-01 Epub Date: 2025-04-24 DOI: 10.1177/15271544251331052

Hilary Engward, Sally Goldspink, Nieky van Veggel, Naim Abdulmohdi, Andrea Tuckwell, Marie Alexander

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 : 2025-08-01 Epub 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":"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":"163-176"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12214285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626800","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

Will Medicaid Cuts Crush Nurse Entrepreneurs and Innovation? 削减医疗补助会打击护士企业家和创新吗？

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-08-01 Epub Date: 2025-07-02 DOI: 10.1177/15271544251348074

Lorraine Bock, Betty Rambur

引用次数: 0

Authors Respond. 作者回应。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-08-01 Epub 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 : 2025-08-01 Epub Date: 2025-05-14 DOI: 10.1177/15271544251339675

Animesh Ghimire

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 : 2025-08-01 Epub 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":"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":"195-207"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12214292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081998","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

A Cross-Sectional Analysis of Reporting NCLEX Pass Rates by Nursing Program in the United States. 美国护理项目报告NCLEX通过率的横断面分析。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-08-01 Epub Date: 2025-04-03 DOI: 10.1177/15271544251326944

Elizabeth R Eisenhauer

{"title":"A Cross-Sectional Analysis of Reporting NCLEX Pass Rates by Nursing Program in the United States.","authors":"Elizabeth R Eisenhauer","doi":"10.1177/15271544251326944","DOIUrl":"10.1177/15271544251326944","url":null,"abstract":"While many metrics may be used to assess the quality of U.S. prelicensure nursing programs, one commonly accepted metric is the student pass rate on the National Council Licensure Exam (NCLEX). NCLEX pass rates are increasingly being used in research projects, and it is critical to have consistent and complete data for such projects. These data are also important to the public for informed decision-making. In the age of open science and data sharing, there is no reason that these data should not be readily available and consistently reported to the public. The aim of this study was to determine how many, and which, state boards of nursing (BONs) publicly report NCLEX pass rates by nursing program. A descriptive, cross-sectional study design was used to examine each state BON website for NCELX pass rate data by program. Initial results indicated that 47 states and the District of Columbia reported NCLEX pass rate data by nursing program through their BON website. At the outset of this study, Alaska, Michigan, and Vermont did not report NCELX pass rate data by program. Michigan posted four years (2021-2024) of NCLEX pass rates by nursing program in February 2025. Amounts and types of data reported were reported inconsistently across states. NCLEX pass rate data by program should be transparently and consistently reported, in a standardized format by all states to facilitate nursing research, equitably inform the public, and increase trust.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"188-194"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781959","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