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Career Pathway Strategies That Reduce Barriers for Nontraditional Nursing Students. 减少非传统护理专业学生就业障碍的就业途径战略。
IF 0.7
Creative Nursing Pub Date : 2024-02-01 Epub Date: 2024-02-04 DOI: 10.1177/10784535241229461
Mona Lee, Kim Cook
{"title":"Career Pathway Strategies That Reduce Barriers for Nontraditional Nursing Students.","authors":"Mona Lee, Kim Cook","doi":"10.1177/10784535241229461","DOIUrl":"10.1177/10784535241229461","url":null,"abstract":"<p><p>Everyone recognizes the current nursing scarcity, but not everyone recognizes the need for a diverse nursing workforce to adequately serve patients whose social determinants of health include racism, racial bias, and reduced access to care. This article explores how building innovative partnerships between health-care providers and nursing institutions to advance the incumbent workforce can increase capacity and reduce staff burnout. Such partnerships can drive a culture of employee engagement through the development of career pathways while reducing barriers for nontraditional nursing students in advancing their credentials. This article reports on a strategy to address the nursing shortage and to increase the diversity of the nursing workforce through a licensed vocational nurse-to-registered nurse partnership between a school of nursing and a Federally Qualified Health Center.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"51-57"},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681934","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
It's Time! The Path for Nursing Reimbursement Reform. 是时候了！护理报销改革之路。
IF 0.7
Creative Nursing Pub Date : 2024-02-01 Epub Date: 2024-02-13 DOI: 10.1177/10784535241228546
Katie Boston-Leary, Olga Yakusheva
{"title":"It's Time! The Path for Nursing Reimbursement Reform.","authors":"Katie Boston-Leary, Olga Yakusheva","doi":"10.1177/10784535241228546","DOIUrl":"10.1177/10784535241228546","url":null,"abstract":"<p><p>Since the COVID-19 pandemic, nurses and nurse leaders are increasingly vocal about chronic understaffing and the impact the staffing crisis continues to have on nurses' well-being and patient outcomes. The American Nurses Association's Nurse Staffing Task Force addressed the importance of staffing standards as a critically needed step toward improving patient and population health outcomes. Against the backdrop of ongoing nursing shortages, hospital leaders have been hesitant to embrace staffing ratios, expressing concerns about their ability to hire and retain sufficient nursing staff, as operational revenue margins remain thin and nursing labor is costly. This article explicates structural issues within the current nursing reimbursement model that harms hospitals' business case for investments in nurse staffing and work environments. We argue that nurses must advocate for nursing reimbursement reform to increase the nursing workforce and improve nurse staffing and work environments. Such reform is necessary to support sustained hospital investments, financial philosophies, and approaches to meaningfully address and improve nurse staffing.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"37-40"},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139731021","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
Dialectical Pluralism for Nursing Knowledge Development. 护理知识发展的辩证多元化。
IF 0.7
Creative Nursing Pub Date : 2024-02-01 Epub Date: 2023-11-19 DOI: 10.1177/10784535231213843
Shahzad Inayat, Graham McCaffrey
{"title":"Dialectical Pluralism for Nursing Knowledge Development.","authors":"Shahzad Inayat, Graham McCaffrey","doi":"10.1177/10784535231213843","DOIUrl":"10.1177/10784535231213843","url":null,"abstract":"<p><p>The purpose of this paper is to explore the potential of dialectical pluralism (DP) for nursing knowledge development. Nursing scholars have discussed ways of developing nursing knowledge, exploring the fit and relevance of various worldviews for knowledge development and examining the dynamic and perpetual processes of knowledge development. Scholars have argued that knowledge development occurs under a certain worldview to which the researcher adheres. Many nurses employ various worldviews, which can give rise to ontological and epistemological conflicts. DP can help nurses appreciate the diversity of worldviews and recognize the importance of implicit worldviews to generate more practical nursing knowledge. DP as a philosophical approach can enable nurses to communicate between diverse worldviews, become tolerant of conflicting differences, and develop an array of nursing knowledge.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"12-20"},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048762","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
Life on the Margins 边缘生活
IF 0.7
Creative Nursing Pub Date : 2023-12-07 DOI: 10.1177/10784535231217612
Marty Lewis-Hunstiger
{"title":"Life on the Margins","authors":"Marty Lewis-Hunstiger","doi":"10.1177/10784535231217612","DOIUrl":"https://doi.org/10.1177/10784535231217612","url":null,"abstract":"This editorial reviews the events of Creative Nursing's 2023 publication year, importantly our transition to Sage Publishing, and the expanded opportunities this new relationship provides in 2024 and beyond. The 11 articles in this theme issue about marginalization are summarized and connected.","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":"53 12","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138593710","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
Centering Health Equity Through the Social Determinants of Health, Interprofessional Education, and Sustainable Partnerships With Historically Black Colleges and Universities: Envisioning Upstream and Downstream Impacts 通过健康的社会决定因素、跨专业教育以及与历史悠久的黑人学院和大学的可持续合作，以健康公平为中心：设想上游和下游的影响
IF 0.7
Creative Nursing Pub Date : 2023-12-07 DOI: 10.1177/10784535231212477
Catherine Holton, Sri Banerjee, Phyllis Morgan, Nina M McCune, Amber Cook, Jeani Thomas, Alyssa Vesey
{"title":"Centering Health Equity Through the Social Determinants of Health, Interprofessional Education, and Sustainable Partnerships With Historically Black Colleges and Universities: Envisioning Upstream and Downstream Impacts","authors":"Catherine Holton, Sri Banerjee, Phyllis Morgan, Nina M McCune, Amber Cook, Jeani Thomas, Alyssa Vesey","doi":"10.1177/10784535231212477","DOIUrl":"https://doi.org/10.1177/10784535231212477","url":null,"abstract":"The social determinants of health (SDOH) framework identifies barriers to health care, education, financial stability, and other conditions that exist across socially determined parameters, often to the detriment of Communities of Color. Postsecondary healthcare students must be aware of these disparities. In order to address upstream and downstream healthcare equity, the SDOH framework must be leveraged as a cross-disciplinary curricular innovation to support interprofessional education. Historically Black Colleges and Universities have unrealized potential to develop extraordinary healthcare leaders; partnerships integrating SDOH can be a powerful force to advance health equity in the United States.","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":"4 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138590306","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
Creating a Pathway to Health-Care Professions for Historically Marginalized Students. 为历史上处于边缘地位的学生创造一条进入医疗保健专业的途径。
IF 0.7
Creative Nursing Pub Date : 2023-11-01 Epub Date: 2023-11-05 DOI: 10.1177/10784535231212474
Kellie Bryant, Allison Lee
{"title":"Creating a Pathway to Health-Care Professions for Historically Marginalized Students.","authors":"Kellie Bryant, Allison Lee","doi":"10.1177/10784535231212474","DOIUrl":"10.1177/10784535231212474","url":null,"abstract":"<p><p>Developing a diverse talent pool starting at the high-school level, while students are making future education and career decisions, should be a national priority, given the need to build a diverse health-care workforce. This article describes a 6-week immersive simulation-based summer program to introduce 20 junior high-school students (13-15 years old) to the range of health professions. Because precollege students typically receive limited exposure to clinical settings, high-fidelity simulation is an excellent surrogate for providing realistic experiences in health care. Students heard lectures on health careers, earned basic life support certification, learned to perform basic vital signs measurement, practiced the management of acute asthma, and received an introduction to the daily activities in the life of a nurse and an anesthesiologist. They researched, developed, and presented public service announcement videos about a health-care issue affecting their community. Participants reported being excited about health careers. Future programs will focus on longitudinal support and mentoring, essential for mitigating the higher rates of attrition from health professions among minoritized individuals.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"389-394"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488887","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 Lived Experience of African American Persons with Cystic Fibrosis. 非裔美国人囊性纤维化的生活经验。
IF 0.7
Creative Nursing Pub Date : 2023-11-01 Epub Date: 2023-11-21 DOI: 10.1177/10784535231216461
Sigrid Ladores, Brittany M Woods, Leslie N Pitts, Deyana Belay, Lauren Washington, Leigh Ann Bray
{"title":"The Lived Experience of African American Persons with Cystic Fibrosis.","authors":"Sigrid Ladores, Brittany M Woods, Leslie N Pitts, Deyana Belay, Lauren Washington, Leigh Ann Bray","doi":"10.1177/10784535231216461","DOIUrl":"10.1177/10784535231216461","url":null,"abstract":"<p><p><b>Background:</b> Cystic fibrosis (CF) is a rare genetic disease affecting approximately 30,000 people in the United States (US). African American persons with CF are even rarer, comprising approximately 5% of this population. <b>Purpose:</b> The purpose of this study was to explore the lived experiences of African American persons with CF to identify potential disparities in health care. <b>Methods:</b> Descriptive phenomenology was used to explore lived experiences of African American persons with CF over age 18 recruited from CF Foundation-accredited Centers in the US, CF-specific social media, and via snowball sampling. Study data was obtained through telephone interviews that were audio-recorded, transcribed verbatim, and analyzed using Colaizzi's method of thematic analysis. <b>Results:</b> Six men and six women (ages 23-45) completed the study. Interviews revealed three themes: (1) Accepting a Diagnosis of CF; (2) Desiring a Normal Life while Living with an Invisible Disease; and 3) A Slippery Slope of Subtle Racism. Each theme had 2-3 subthemes. <b>Conclusions:</b> It is critical to explore the unique challenges faced by African American persons with CF in order to develop interventions that improve their daily lives and create better futures. <b>Implications for Practice:</b> Findings highlight the unique challenges faced by underrepresented groups with CF and the need to address health inequities to improve care delivery.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"374-382"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138292404","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
Overcoming Marginalization by Creating a Sense of Belonging. 通过创造归属感来克服边缘化。
IF 0.7
Creative Nursing Pub Date : 2023-11-01 Epub Date: 2023-11-30 DOI: 10.1177/10784535231216464
Brigit M Carter, Danica Fulbright Sumpter, Wanda Thruston
{"title":"Overcoming Marginalization by Creating a Sense of Belonging.","authors":"Brigit M Carter, Danica Fulbright Sumpter, Wanda Thruston","doi":"10.1177/10784535231216464","DOIUrl":"10.1177/10784535231216464","url":null,"abstract":"<p><p>Marginalization encompasses structural, interpersonal, and intergroup dynamics that perpetuate inequality and exclusion. This manuscript advocates that the solution to marginalization lies in fostering a sense of belonging. Belonging is a fundamental human need, critical for mental well-being, academic success, and personal growth. It significantly impacts engagement, retention, and overall development, especially in health professional education settings like nursing schools. When individuals feel they belong, they are more likely to seek support, engage actively in learning, and perform better academically. However, achieving a sense of belonging is not straightforward, and many challenges at both individual and institutional levels hinder its realization. Individual challenges include resistance to change, implicit biases, and lack of awareness of the disparities caused by marginalization. Institutional challenges include insufficient commitment, inadequate resource allocation, and lack of representation from marginalized groups. In the United States, recent legislation obstructing initiatives toward diversity, equity, and inclusion poses additional obstacles. To overcome these challenges and promote belonging, this manuscript offers strategies that highlight the importance of aligning institutional values with policies and practices, recognizing and rewarding inclusive efforts, and actively seeking diverse perspectives.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"320-327"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464286","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 Sum of Us: What Racism Costs Everyone and How We Can Prosper Together, by Heather McGhee. 《我们的总和:种族主义让每个人付出的代价以及我们如何共同繁荣》，希瑟·麦吉著。
IF 0.7
Creative Nursing Pub Date : 2023-11-01 Epub Date: 2023-11-21 DOI: 10.1177/10784535231212472
Lacrecia Mebans Bell
{"title":"The Sum of Us: What Racism Costs Everyone and How We Can Prosper Together, by Heather McGhee.","authors":"Lacrecia Mebans Bell","doi":"10.1177/10784535231212472","DOIUrl":"10.1177/10784535231212472","url":null,"abstract":"<p><p>In her book, <i>The Sum of Us: What Racism Costs Everyone and How We Can Prosper Together</i>, historian Heather McGhee tallies the cost of racism and identifies a zero-sum thinking for everyone who engages in the us-versus-them ideology. Chronicling racial hierarchy dating back to colonial America, McGhee uncovers the impact of racism in almost every societal sector including politics, the economy, education, housing, criminal justice, and climate change. McGhee challenges the fallacy that racial equity is only for people of color, demonstrating that political, socioeconomic, and financial equity for Black and Brown people is equity for all people.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"395-397"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138292405","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 Simulation to Address Structural Racism in the Health-Care System. 利用模拟解决结构性种族主义在医疗保健系统。
IF 0.7
Creative Nursing Pub Date : 2023-11-01 Epub Date: 2023-11-29 DOI: 10.1177/10784535231216462
Susan L Huehn
{"title":"Utilizing Simulation to Address Structural Racism in the Health-Care System.","authors":"Susan L Huehn","doi":"10.1177/10784535231216462","DOIUrl":"10.1177/10784535231216462","url":null,"abstract":"<p><p><b>Aim:</b> To fill the gap in research that historically has been limited by focusing on the health problems experienced by people of color. <b>Method:</b> A simulation exercise was developed for senior pre-licensure nursing students in their senior year of a pre-licensure nursing program at a Midwest liberal arts college to intervene when a health-care provider in the hospital acted in an oppressive manner toward a client. <b>Results:</b> Qualitative findings suggest the value of addressing structural racism during a simulated learning experience to facilitate an understanding of the extent of racism inherent in the health-care system and biases that can be perpetuated by health-care providers. <b>Conclusions and Implication for Practice:</b> This simulation on the topic of implicit bias and racism in the health-care system provided an opportunity to open and deepen important conversations about equity, belonging, and justice. Additional work is needed in training professional nurses to lead meaningful change in dealing with the current inequities in our health-care system.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"354-359"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464287","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
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