Nursing Outlook最新文献

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Untrustworthiness, ineffective communication, and discrimination: The real issues behind lower utilization of labor epidural analgesia by Black Americans 不信任、沟通无效、歧视:美国黑人分娩硬膜外镇痛使用率低背后的真实问题
IF 4.1 2区 医学
Nursing Outlook Pub Date : 2025-07-02 DOI: 10.1016/j.outlook.2025.102467
Hideyo Tsumura PhD, DNP, RN, CRNA , Kathryn I. Pollak PhD , Sarahn Wheeler MD, MHSCR , Sharron L. Docherty PhD, PNP, FAAN
{"title":"Untrustworthiness, ineffective communication, and discrimination: The real issues behind lower utilization of labor epidural analgesia by Black Americans","authors":"Hideyo Tsumura PhD, DNP, RN, CRNA ,&nbsp;Kathryn I. Pollak PhD ,&nbsp;Sarahn Wheeler MD, MHSCR ,&nbsp;Sharron L. Docherty PhD, PNP, FAAN","doi":"10.1016/j.outlook.2025.102467","DOIUrl":"10.1016/j.outlook.2025.102467","url":null,"abstract":"<div><h3>Background</h3><div>Non-Hispanic Black pregnant individuals utilize up to 50% less labor epidural analgesia compared to non-Hispanic White individuals.</div></div><div><h3>Purpose</h3><div>This Outlook and Perspectives aims to evaluate the factors contributing to racial differences in the utilization of labor epidural analgesia.</div></div><div><h3>Methods</h3><div>Literature on scientific evidence regarding racial disparities in maternal outcomes and labor pain management was reviewed and summarized.</div></div><div><h3>Findings</h3><div>We identified that trust issues with healthcare and providers, ineffective patient-provider communication, and perceived mistreatment and discrimination contribute to these disparities in labor pain management.</div></div><div><h3>Discussion</h3><div>Further research is needed to develop strategies to enhance birthing experiences for Black individuals, including improving patient-provider communication and providing accurate, culturally sensitive patient education on labor pain management.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102467"},"PeriodicalIF":4.1,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144523403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Toward equitable documentation: Evaluating ChatGPT’s role in identifying and rephrasing stigmatizing language in electronic health records 迈向公平的文件:评估ChatGPT在识别和改写电子健康记录中的污名化语言方面的作用
IF 4.1 2区 医学
Nursing Outlook Pub Date : 2025-07-01 DOI: 10.1016/j.outlook.2025.102472
Zhihong Zhang PhD, RN , Jihye Kim Scroggins PhD, RN , Sarah Harkins BSN, RN , Ismael Ibrahim Hulchafo MD, MS , Hans Moen PhD , Michele Tadiello MS , Veronica Barcelona PhD, RN , Maxim Topaz PhD, RN
{"title":"Toward equitable documentation: Evaluating ChatGPT’s role in identifying and rephrasing stigmatizing language in electronic health records","authors":"Zhihong Zhang PhD, RN ,&nbsp;Jihye Kim Scroggins PhD, RN ,&nbsp;Sarah Harkins BSN, RN ,&nbsp;Ismael Ibrahim Hulchafo MD, MS ,&nbsp;Hans Moen PhD ,&nbsp;Michele Tadiello MS ,&nbsp;Veronica Barcelona PhD, RN ,&nbsp;Maxim Topaz PhD, RN","doi":"10.1016/j.outlook.2025.102472","DOIUrl":"10.1016/j.outlook.2025.102472","url":null,"abstract":"<div><div>Stigmatizing language in electronic health records (EHRs) harms clinician and patient relationships, reinforcing health disparities. To assess ChatGPT’s ability to reduce stigmatizing language in clinical notes. We analyzed 140 clinical notes and 150 stigmatizing examples from 2 urban hospitals. ChatGPT-4 identified and rephrased stigmatizing language. Identification performance was evaluated using precision, recall, and F1 score, with human expert annotations as the gold standard. Rephrasing quality was rated by experts on a three-point Likert scale for de-stigmatization, faithfulness, conciseness, and clarity. ChatGPT showed poor overall identification (micro-F1 = 0.51) but moderate-to-high performance across individual stigmatizing language categories (micro-F1 = 0.69–0.91). Rephrasing scored 2.7 for de-stigmatization, 2.8 for faithfulness, and 3.0 for conciseness and clarity. Prompt design significantly affected ChatGPT’s performance. While ChatGPT has limitations in automatic identification, it can be used to support real-time identification and rephrasing stigmatizing language in EHRs with appropriate prompt design and human oversight.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102472"},"PeriodicalIF":4.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring ChatGPT’s role in women's health self-education: A descriptive study comparing responses with public health guidance 探讨ChatGPT在妇女健康自我教育中的作用:一项比较回应与公共健康指导的描述性研究
IF 4.1 2区 医学
Nursing Outlook Pub Date : 2025-07-01 DOI: 10.1016/j.outlook.2025.102468
Rasheeta D. Chandler PhD, RN, FNP-BC , Sheena Warner MS, CRNA, APN , Dominique Guillaume PhD, MSN, AAHIVE , Jessica Wells PhD, RN, WHNP-BC
{"title":"Exploring ChatGPT’s role in women's health self-education: A descriptive study comparing responses with public health guidance","authors":"Rasheeta D. Chandler PhD, RN, FNP-BC ,&nbsp;Sheena Warner MS, CRNA, APN ,&nbsp;Dominique Guillaume PhD, MSN, AAHIVE ,&nbsp;Jessica Wells PhD, RN, WHNP-BC","doi":"10.1016/j.outlook.2025.102468","DOIUrl":"10.1016/j.outlook.2025.102468","url":null,"abstract":"<div><h3>Background</h3><div>Artificial intelligence and large language models like ChatGPT are increasingly used for health self-education. However, concerns regarding content accuracy remain, particularly in women's health.</div></div><div><h3>Purpose</h3><div>This study explores ChatGPT’s potential role in supporting women's health self-education by comparing its generated responses to public health guidance.</div></div><div><h3>Methods</h3><div>A descriptive study was conducted by inputting user-generated prompts based on key women's health concerns into ChatGPT (GPT-3.5). Responses were compared with Centers for Disease Control and Prevention (CDC) recommendations to assess content alignment.</div></div><div><h3>Findings</h3><div>ChatGPT provided timely, accessible, and generally accurate information when compared towith CDC resources. The quality of responses varied with the prompt style, with conversational prompts yielding more detailed and personalized answers.</div></div><div><h3>Discussion</h3><div>ChatGPT demonstrates potential as a supplementary tool for patient self-education in women’s health. Future innovations, such as provider-derived prompt-engineered resource guides, could further enhance the reliability and accessibility of AI-supported health information.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102468"},"PeriodicalIF":4.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144535528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Role of nurses in the management of noncommunicable diseases in Middle Eastern countries: A scoping review 护士在中东国家非传染性疾病管理中的作用:范围审查
IF 4.1 2区 医学
Nursing Outlook Pub Date : 2025-07-01 DOI: 10.1016/j.outlook.2025.102479
Joy Hanoun RN, MPH, PhD(c) , Pascale Beloni RN, PhD , Jean Toniolo RN, MPH, PhD
{"title":"Role of nurses in the management of noncommunicable diseases in Middle Eastern countries: A scoping review","authors":"Joy Hanoun RN, MPH, PhD(c) ,&nbsp;Pascale Beloni RN, PhD ,&nbsp;Jean Toniolo RN, MPH, PhD","doi":"10.1016/j.outlook.2025.102479","DOIUrl":"10.1016/j.outlook.2025.102479","url":null,"abstract":"<div><h3>Background</h3><div>Chronic diseases affect over 20 million people in the Middle East, posing major public health challenges. Task shifting—particularly nurse-led care—is a promising strategy to address care gaps; however, yet its scope and effectiveness in this region remain poorly documented.</div></div><div><h3>Purpose</h3><div>This scoping review aimed to describe nurses’ roles in chronic disease management across the Middle East, assess their knowledge levels, and identify existing challenges.</div></div><div><h3>Methods</h3><div>Following Cochrane guidelines, we searched six databases (January–February 2024), screened studies in duplicate, and conducted a descriptive analysis. Study quality was appraised using the Downs and Black checklist (quantitative) and the CASP checklist (qualitative).</div></div><div><h3>Discussion</h3><div>Sixty-seven studies were included. Nurses were involved in various domains such as palliative care, diabetes management, patient education, and pandemic response. Key barriers included limited training, emotional burden, and cultural taboos.</div></div><div><h3>Conclusion</h3><div>Nurses play a critical yet under-recognized role. Strengthening education, policy support, and advanced roles is vital to improving chronic disease care in the region.</div></div><div><h3>Reporting Method</h3><div>PRISMA.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102479"},"PeriodicalIF":4.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144535224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The practice ready Doctor of Nursing Practice-prepared nurse: A call to action 准备实习的护理医生-准备实习的护士:行动的号召
IF 4.1 2区 医学
Nursing Outlook Pub Date : 2025-06-28 DOI: 10.1016/j.outlook.2025.102469
Julee Briscoe Waldrop DNP, FAANP, FAAN , Jayne Jennings Dunlap DNP, FNP-C, EBP-C , Anne Derouin DNP, CPNP-PC, FAANP
{"title":"The practice ready Doctor of Nursing Practice-prepared nurse: A call to action","authors":"Julee Briscoe Waldrop DNP, FAANP, FAAN ,&nbsp;Jayne Jennings Dunlap DNP, FNP-C, EBP-C ,&nbsp;Anne Derouin DNP, CPNP-PC, FAANP","doi":"10.1016/j.outlook.2025.102469","DOIUrl":"10.1016/j.outlook.2025.102469","url":null,"abstract":"<div><h3>Background</h3><div>More than two decades after the inception of the Doctor of Nursing Practice (DNP) degree, confusion persists about the competencies that DNP-prepared nurses bring to practice. Despite growth in programs nationwide, DNP projects often lack methodological rigor, resulting in variable outcomes and unclear stakeholder value.</div></div><div><h3>Purpose</h3><div>To ensure consistency, programs must adopt a competency-based approach that prepares nurses to lead evidence-based practice/quality improvement, program evaluation, and policy analysis initiatives.</div></div><div><h3>Methods</h3><div>The Mountain Model provides a clear framework aligned with national standards to differentiate DNP-prepared practice from that of MSN- and PhD-prepared nurses.</div></div><div><h3>Discussion</h3><div>Faculty must be equipped to mentor students in high-impact projects and reevaluate curricula to support skill development relevant to practice. Without bold curricular and faculty development reforms, the DNP graduate’s value will remain questioned.</div></div><div><h3>Conclusion</h3><div>Nursing programs must prioritize clarity, accountability, and competency in preparing nurse leaders to transform healthcare.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102469"},"PeriodicalIF":4.1,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PhD enrollments and graduation trends: 2013 to 2023 博士入学和毕业趋势:2013至2023年
IF 4.1 2区 医学
Nursing Outlook Pub Date : 2025-06-27 DOI: 10.1016/j.outlook.2025.102471
George A. Zangaro PhD, RN, FAAN, Nicholas Havey PhD
{"title":"PhD enrollments and graduation trends: 2013 to 2023","authors":"George A. Zangaro PhD, RN, FAAN,&nbsp;Nicholas Havey PhD","doi":"10.1016/j.outlook.2025.102471","DOIUrl":"10.1016/j.outlook.2025.102471","url":null,"abstract":"<div><h3>Background</h3><div>The declining number of nurse scientists is concerning.</div></div><div><h3>Purpose</h3><div>The purpose of this paper is to provide enrollment and graduation trends in PhD education, examine the geographical distribution of PhD programs, and identify predictors of enrollment declines.</div></div><div><h3>Methods</h3><div>Enrollment and graduation data were obtained from the 2013 to 2023 AACN Annual Survey of Baccalaureate and Graduate Programs in Nursing. The survey collects demographic information and enrollment and graduation rates for PhD programs.</div></div><div><h3>Discussion</h3><div>Over the last 10 years, the nurse scientist workforce enrollments have declined while graduations have remained steady. Nursing leaders in practice and academia are encouraged to work together to implement creative recommendations that will increase the number of research-focused graduations and develop strategies to retain nurse scientists.</div></div><div><h3>Conclusion</h3><div>There is a critical need to identify strategies to increase the number of future nurse scientists who will generate new knowledge to advance the profession of nursing and improve the health of all Americans.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102471"},"PeriodicalIF":4.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Charting the path forward: Nursing perspectives on documentation and change 绘制前进之路:关于文件和变化的护理观点
IF 4.1 2区 医学
Nursing Outlook Pub Date : 2025-06-27 DOI: 10.1016/j.outlook.2025.102463
Lisa G. Johnson MSN, RN, Tamara G.R. Macieira PhD, RN, Olatunde O. Madandola MPH, RN, Karen J.B. Priola MSCIS, Gail M. Keenan PhD, RN, FAAN
{"title":"Charting the path forward: Nursing perspectives on documentation and change","authors":"Lisa G. Johnson MSN, RN,&nbsp;Tamara G.R. Macieira PhD, RN,&nbsp;Olatunde O. Madandola MPH, RN,&nbsp;Karen J.B. Priola MSCIS,&nbsp;Gail M. Keenan PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102463","DOIUrl":"10.1016/j.outlook.2025.102463","url":null,"abstract":"<div><h3>Background</h3><div>Legislation and research have not sufficiently considered the unique electronic health record (EHR) documentation burdens faced by nurses.</div></div><div><h3>Purpose</h3><div>Explore documentation burden by identifying the EHR changes hospital-based nurses find most critical, serving as a foundational step in enhancing EHR usability and functionality for nurses.</div></div><div><h3>Methods</h3><div>An electronic survey, developed and pre-tested, was emailed and texted to 38,000 randomly selected registered nurses (RNs) across five U.S. states (June–July 2024); 146 inpatient respondents provided demographics mirroring national RN statistics and open-ended feedback.</div></div><div><h3>Discussion</h3><div>Four themes emerged from open-ended responses to this rapid, cost-effective survey. The most frequently cited priority was improving human-computer interaction, particularly user interface features (56%) and reducing redundant documentation (17%). These insights can support nurse-centered design and AI-enhanced strategies to streamline documentation.</div></div><div><h3>Conclusion</h3><div>Nurses’ recommendations provide a foundation for developing EHR systems that reduce excessive documentation burden while improving quality, accuracy, and effectiveness of nursing care.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102463"},"PeriodicalIF":4.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The cost of conformity: Challenging outdated appearance standards in nursing 遵从的代价:挑战护理中过时的外观标准
IF 4.1 2区 医学
Nursing Outlook Pub Date : 2025-06-27 DOI: 10.1016/j.outlook.2025.102460
Trae Stewart PhD, MPH, MSN, MN, MS, PMHNP-BC
{"title":"The cost of conformity: Challenging outdated appearance standards in nursing","authors":"Trae Stewart PhD, MPH, MSN, MN, MS, PMHNP-BC","doi":"10.1016/j.outlook.2025.102460","DOIUrl":"10.1016/j.outlook.2025.102460","url":null,"abstract":"<div><div>This editorial critically examines the esthetic regulations imposed on nurses within health care institutions, highlighting how policies governing tattoos, piercings, and hairstyles serve as mechanisms of control rooted in historical and cultural biases. Drawing upon critical theory, feminist philosophy, and labor studies, the discussion reveals how such regulations perpetuate a culture of respectability that undermines authenticity, morale, and equity among nursing professionals. The piece advocates for a redefinition of professionalism that prioritizes ethical presence, inclusivity, and justice over visual conformity, emphasizing the need to recognize and value the diverse identities of nurses as integral to effective and compassionate care.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102460"},"PeriodicalIF":4.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The role of AI in transforming psychiatric-mental health care: Enhancing the role of psychiatric-mental health nurse practitioners 人工智能在精神-心理卫生保健中的作用:加强精神-心理卫生护士从业人员的作用
IF 4.1 2区 医学
Nursing Outlook Pub Date : 2025-06-26 DOI: 10.1016/j.outlook.2025.102461
Gryan Garcia PhD, PsyD, FNP-BC, PMHNP-BC
{"title":"The role of AI in transforming psychiatric-mental health care: Enhancing the role of psychiatric-mental health nurse practitioners","authors":"Gryan Garcia PhD, PsyD, FNP-BC, PMHNP-BC","doi":"10.1016/j.outlook.2025.102461","DOIUrl":"10.1016/j.outlook.2025.102461","url":null,"abstract":"<div><div>The integration of artificial intelligence (AI) into psychiatric-mental health care presents transformative opportunities for psychiatric-mental health nurse practitioners (PMHNPs). AI enhances diagnostic accuracy, personalizes treatment plans, and improves patient outcomes by analyzing large datasets and identifying patterns beyond traditional methods. This paper explores AI's role in psychiatric care, focusing on its potential to enhance diagnostics, telepsychiatry, and personalized psychopharmacology. AI tools also enable real-time monitoring of patient symptoms through wearable devices and mobile applications, allowing for timely interventions. However, the integration of AI requires shifts in PMHNP education, emphasizing data literacy, machine learning, and ethical decision-making. While AI offers significant benefits, challenges such as data privacy, algorithmic bias, and maintaining the therapeutic relationship must be addressed. As AI becomes increasingly integrated into mental health care, PMHNPs will play a crucial role in ensuring its ethical and effective use in patient-centered care.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102461"},"PeriodicalIF":4.1,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New graduate nurse competencies—Part I: Perceptions of academic faculty and acute care hospital practice leaders in the State of Maryland 新毕业护士能力-第一部分:马里兰州学术教师和急症护理医院实践领导者的看法
IF 4.1 2区 医学
Nursing Outlook Pub Date : 2025-06-26 DOI: 10.1016/j.outlook.2025.102474
Hussein M. Tahan PhD, RN, FAAN, FCM , Joan I. Warren PhD, RN, FAAN , Nelda Godfrey PhD, RN, FAAN , Jennifer Stephenson Zipp DNP, RN , Ryan D. McDonald PhD
{"title":"New graduate nurse competencies—Part I: Perceptions of academic faculty and acute care hospital practice leaders in the State of Maryland","authors":"Hussein M. Tahan PhD, RN, FAAN, FCM ,&nbsp;Joan I. Warren PhD, RN, FAAN ,&nbsp;Nelda Godfrey PhD, RN, FAAN ,&nbsp;Jennifer Stephenson Zipp DNP, RN ,&nbsp;Ryan D. McDonald PhD","doi":"10.1016/j.outlook.2025.102474","DOIUrl":"10.1016/j.outlook.2025.102474","url":null,"abstract":"<div><h3>Background</h3><div>Understanding practice readiness of newly graduated nurses (NGNs) is of great importance for both nursing academic faculty and hospital-based practice leaders. Gaining clarity of the realistic core competencies practice leaders can expect of NGNs upon starting their professional practice facilitates ongoing growth and development of these NGNs.</div></div><div><h3>Purpose</h3><div>The purpose of this study was to understand the perceptions of nursing academic faculty and practice leaders of NGNs’ readiness for practice and competency at the start of their professional nursing practice. The researchers intended to identify the core competencies of NGNs upon completion of their prelicensure nursing program regardless of type.</div></div><div><h3>Methods</h3><div>A statewide nursing practice–academic and mixed-method research study, employing a survey of 109 items and virtual focus groups, and using a purposive sample of nursing academic faculty and hospital-based practice leaders.</div></div><div><h3>Discussion</h3><div>The study identified a set of 7 core competencies using an 85% agreement threshold and an additional 11 core competencies using a 75% threshold by both nursing academic faculty and hospital-based practice leaders as realistic expectations of NGNs at the time of starting their professional practice roles.</div></div><div><h3>Conclusion</h3><div>Nursing academic faculty and hospital-based practice leaders had different perceptions of NGNs’ readiness for practice and competency. This study confirmed the continued academic-practice gap and provided a clearer direction forward to address this gap. It also supported the phenomenon of competency-based education to occur as a continuum that starts with nursing students and continues into new-to-practice nurses (NGNs) and ultimately competent professional nurses.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102474"},"PeriodicalIF":4.1,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","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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