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

Analysis of Ohio Nurses' Voting Behaviors 2020-2023. 俄亥俄州护士 2020-2023 年投票行为分析。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-01 Epub Date: 2024-11-11 DOI: 10.1177/15271544241298259

Ruth E Ludwick, Margarete L Zalon, Rebecca M Patton, Kristin R Baughman

{"title":"Analysis of Ohio Nurses' Voting Behaviors 2020-2023.","authors":"Ruth E Ludwick, Margarete L Zalon, Rebecca M Patton, Kristin R Baughman","doi":"10.1177/15271544241298259","DOIUrl":"10.1177/15271544241298259","url":null,"abstract":"This study provides baseline data for voting patterns and the political affiliation of licensed nurses (licensed practical nurses [LPNs], registered nurses [RNs], and advanced practice registered nurses [APRNs]) in Ohio for the November 2020, 2022, and 2023 general elections. Using two public databases (licensed nurses and registered voters), the findings for 73.7% of all licensed nurses registered to vote are reported, including 18,894 APRNs, 30,731 LPNs, and 137,353 RNs. Compared to the Ohio population eligible to vote, one in 32 persons of the voting-eligible population is a licensed nurse, and one in 51 registered voters in Ohio is an RN. The data show that 11% of the nurses never voted in any of the three general elections, and 47.7% voted in all three. LPNs had the lowest voting (34%) record, while about 48% of RNs and 52% of APRNs voted in all three. Like Ohio's public, nurses' party affiliation (Democrat, Republican, unaffiliated) varied, and most were unaffiliated with any party. Party affiliation was significantly associated with nurse licensure type (e.g., LPNs are less likely to be unaffiliated). Controlling for age and party affiliation, APRNs were more likely than LPNs to vote, and RNs were more likely than LPNs to vote in each election. Unaffiliated voters were less likely than Democrats to vote in all three elections. Across all elections, older voters were more likely to vote. These baseline findings on nurses' actual voting behavior provide the impetus for engaging nurses individually and collectively in voting and policies that increase voter participation of nurses and the public.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"89-96"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631929","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 : 2025-04-24 DOI: 10.1177/15271544251331052

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

引用次数: 0

Differences in Digital Health Use of Rural-Urban Medicare Beneficiaries. 城乡医保受益人数字健康使用的差异。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-04-23 DOI: 10.1177/15271544251335917

Shannon R Power, Hyesu Yeo

{"title":"Differences in Digital Health Use of Rural-Urban Medicare Beneficiaries.","authors":"Shannon R Power, Hyesu Yeo","doi":"10.1177/15271544251335917","DOIUrl":"https://doi.org/10.1177/15271544251335917","url":null,"abstract":"Digital health inequities appear to exist between rural-urban older adults, a problem exacerbated by the COVID-19 pandemic. This study investigated the differences in digital health use (DHU) between rural-urban Medicare beneficiaries using the 2021 National Health and Aging Trends Study. Led by the Senior Technology Acceptance Model, separate multiple linear regression models examined the relationship between DHU, social determinants, and technology readiness by residence. The results showed that Black urban older adults were more likely to engage in DHU than their White counterparts, and men across both samples were more likely to partake in DHU than women. Tablet access best predicted rural DHU, whereas computer access best predicted urban DHU. Online grocery shopping was the most significant technology experience for rural residents, whereas online banking led for urban residents. Nurses and other health professionals can introduce digital health applications in clinic or at bedside to build older adults' technology experience. To improve digital health equity, the policies and implementation of digital interventions should consider locality, device ownership, and user interface familiarity of Medicare beneficiaries.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"15271544251335917"},"PeriodicalIF":2.1,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008242","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 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 : 2025-04-03 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":"https://doi.org/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":"15271544251326944"},"PeriodicalIF":2.1,"publicationDate":"2025-04-03","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

Analyzing the Brain Drain of Nigerian Nurses to the United Kingdom: A Narrative Review of Challenges and Efforts to Address the Phenomenon. 分析尼日利亚护士人才外流到英国：挑战和解决这一现象的努力的叙述回顾。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-03-28 DOI: 10.1177/15271544251325483

Gabriel Samuel, Jonah Japhet Haruna

{"title":"Analyzing the Brain Drain of Nigerian Nurses to the United Kingdom: A Narrative Review of Challenges and Efforts to Address the Phenomenon.","authors":"Gabriel Samuel, Jonah Japhet Haruna","doi":"10.1177/15271544251325483","DOIUrl":"https://doi.org/10.1177/15271544251325483","url":null,"abstract":"The migration of skilled professionals from low- and middle-income countries to developed nations, commonly called the \"brain drain,\" has emerged as a significant political, social, and economic issue in the healthcare sector, particularly among nurses. This paper aims to analyze the emigration of Nigerian nurses to the United Kingdom, the immediate challenges, and the efforts to address the issue. A narrative review approach was employed, which involved the identification of relevant literature utilizing search terms with various Boolean combinations derived from multiple electronic databases, organizational websites, and major news outlets. The results revealed that in the last 3 years (2022-2024), about 42,000 nurses have left Nigeria, with a large number moving to the United Kingdom, accounting for the largest portion of the NHS nursing workforce from sub-Saharan Africa in Great Britain. This accelerated emigration rate from Nigeria has been influenced by occupational dissatisfaction, sociopolitical instability, and inadequate social welfare provisions. This unbalanced emigration has caused a severe shortage of nurses in Nigeria, weakening the nation's healthcare system. As a result, there is an increased workload, lower quality of care, and ultimately, a negative impact on the morbidity and mortality rate. Therefore, it is recommended that the country reconsider its approach to manpower management by integrating technology and implementing policies to prolong nurses' retention and retirement age. Additionally, there is a need for research in nursing to assess the impact and effectiveness of existing policies and to develop strategies for controlling the emigration of nurses.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"15271544251325483"},"PeriodicalIF":2.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732915","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

Oral Health Education, Knowledge, and Practice Patterns of Nurses Caring for Cancer Patients: A Scoping Review. 护理癌症病人的护士口腔健康教育、知识和实践模式：一项范围综述。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-03-25 DOI: 10.1177/15271544251322765

Rachael M Dvorski, Megan V Hynes, Elise D Paisley, Shauna M Hachey

{"title":"Oral Health Education, Knowledge, and Practice Patterns of Nurses Caring for Cancer Patients: A Scoping Review.","authors":"Rachael M Dvorski, Megan V Hynes, Elise D Paisley, Shauna M Hachey","doi":"10.1177/15271544251322765","DOIUrl":"https://doi.org/10.1177/15271544251322765","url":null,"abstract":"Background: Global cancer diagnoses are increasing, and treatment often results in oral health concerns. To improve patient outcomes and quality of life, nurses play a critical role in managing the oral sequelae of treatment. Aims: This scoping review explores nurses' oral health education, knowledge, and practices when caring for persons living with cancer. Methods: A systematic search of PubMed, DOSS, EMBASE, CINAHL, and Google Scholar identified 10 relevant studies. Results: Inconsistencies in oral care education, knowledge and practice were found among nurses caring for cancer patients. However, nurses with advanced education appear to be more knowledgeable and more likely to prioritize oral care for cancer patients. Collaboration with oral health professionals help to integrate oral health into nursing practice. Conclusions: Oral health practices in cancer care are critical, especially for individuals facing disparities in accessing a dental home. System, institutional, and provider-level supports are needed to enhance oral health in cancer care.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"15271544251322765"},"PeriodicalIF":2.1,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702223","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

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