Nursing Outlook最新文献

Structural, systemic, and political barriers to quality health care during the childbearing continuum: An American Academy of Nursing consensus paper 结构性、系统性和政治障碍在生育连续期间的高质量卫生保健：美国护理学会共识文件。

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-10-17 DOI: 10.1016/j.outlook.2025.102557

Denise G. Link PhD, WHNP-BC, FAAN , Joan R. Bloch PhD, WHNP, FAAN , Maureen B. Fagan DNP, FNP-BC, FAAN , Lisa Kane Low PhD, CNM, FAAN , Kathie Records PhD, RN, FAAN , Kathleeen Rice Simpson PhD, RNC, FAAN , Ellen L. Tilden PhD, CNM, FAAN , Kimberly K. Trout PhD, CNM, FAAN

{"title":"Structural, systemic, and political barriers to quality health care during the childbearing continuum: An American Academy of Nursing consensus paper","authors":"Denise G. Link PhD, WHNP-BC, FAAN , Joan R. Bloch PhD, WHNP, FAAN , Maureen B. Fagan DNP, FNP-BC, FAAN , Lisa Kane Low PhD, CNM, FAAN , Kathie Records PhD, RN, FAAN , Kathleeen Rice Simpson PhD, RNC, FAAN , Ellen L. Tilden PhD, CNM, FAAN , Kimberly K. Trout PhD, CNM, FAAN","doi":"10.1016/j.outlook.2025.102557","DOIUrl":"10.1016/j.outlook.2025.102557","url":null,"abstract":"<div><div>The United States has persistent and growing rates of severe maternal morbidity and maternal mortality. Yet, the majority of pregnancy-related complications and deaths are preventable. Social, cultural, political, and system barriers, structural racism, and the uneven distributions of points of access to care all contribute to the disparities in maternal outcomes. Populations that experience disproportionately poor maternal health outcomes due to unequal access to perinatal care include racial and ethnic groups, sexual and gender minorities, people with disabilities, and persons who are incarcerated. Using a health equity perspective, the interacting factors that lead to avoidable pregnancy-related illness and death are discussed. Recommendations to improve access, care, and outcomes for childbearing persons are presented.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102557"},"PeriodicalIF":3.7,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318866","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

Staying or straying? Early-career nurses’ decisions to remain in clinical practice: A phenomenological study 留下来还是流浪？早期职业护士留在临床实践的决定：一项现象学研究。

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-10-15 DOI: 10.1016/j.outlook.2025.102559

Sayed Ibrahim Ali PhD , Mostafa Shaban PhD

{"title":"Staying or straying? Early-career nurses’ decisions to remain in clinical practice: A phenomenological study","authors":"Sayed Ibrahim Ali PhD , Mostafa Shaban PhD","doi":"10.1016/j.outlook.2025.102559","DOIUrl":"10.1016/j.outlook.2025.102559","url":null,"abstract":"<div><h3>Background</h3><div>Early-career nurses are vital to healthcare systems but experience high attrition within the first five years of practice. Limited qualitative research has explored the lived experiences shaping their decisions to remain in or leave bedside roles.</div></div><div><h3>Purpose</h3><div>This study explored how early-career nurses interpret and navigate their decisions to stay in or consider leaving clinical practice.</div></div><div><h3>Methods</h3><div>A descriptive phenomenological design was employed. Semi-structured interviews with 21 nurses (<5 years’ experience) from a Saudi university hospital were analyzed using Colaizzi’s method. Trustworthiness was ensured through member checking and triangulation.</div></div><div><h3>Discussion</h3><div>Four themes emerged: wrestling with reality, seeking belonging and recognition, balancing passion and exhaustion, and staying through meaning or straying through neglect. Emotional and relational factors outweighed financial motivations.</div></div><div><h3>Conclusion</h3><div>Retention strategies should emphasize mentorship, recognition, and supportive career pathways to sustain early-career nurses and strengthen workforce stability.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102559"},"PeriodicalIF":3.7,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304344","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

Historical and contemporary perspectives on nursing workforce satisfaction 护理人员满意度的历史和当代观点。

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-10-14 DOI: 10.1016/j.outlook.2025.102558

Paige S. Randall PhD, MS, RN, CNE , Jennie C. De Gagne PhD, DNP, RN, NPD-BC, CNE, ANEF, FAAN

{"title":"Historical and contemporary perspectives on nursing workforce satisfaction","authors":"Paige S. Randall PhD, MS, RN, CNE , Jennie C. De Gagne PhD, DNP, RN, NPD-BC, CNE, ANEF, FAAN","doi":"10.1016/j.outlook.2025.102558","DOIUrl":"10.1016/j.outlook.2025.102558","url":null,"abstract":"<div><div>In 1928, the Committee on the Grading of Nursing Schools published “Nurses, Patients, and Pocketbooks,” which surveyed nurses and revealed widespread dissatisfaction with working conditions, pay, and hours, despite a strong commitment to patient care. Nearly 100 years later, the 2024 National Nursing Workforce Survey by the National Council of State Boards of Nursing echoes similar concerns on a much larger scale. The COVID-19 pandemic further intensified these issues, accelerating retirements and increasing the demand for complex care. These pressures have continued to erode job satisfaction and exacerbate the ongoing nursing shortage. Nurse dissatisfaction is not a new phenomenon but a persistent, systemic issue with serious implications for workforce retention and patient care quality. By tracing the historical continuity of these challenges, the urgent need for structural reforms in nursing leadership, policy, and practice are highlighted. The aim of this work is to explore how nursing satisfaction has evolved over the past century, describe persistent challenges, and offer implications for nursing leadership and policy.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102558"},"PeriodicalIF":3.7,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304292","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

Transforming nursing through inclusive leadership: Looking back and moving forward 通过包容性领导变革护理：回顾与前进。

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-10-14 DOI: 10.1016/j.outlook.2025.102556

Robert J. Lucero PhD, MPH, RN, FAAN, FACMI, Jacqueline Margo Brooks Carthon PhD, RN, FAAN, Dalmacio Dennis Flores PhD, ACRN, FAAN

引用次数: 0

Living and leading between worlds: Voices of Lebanese nurse leaders navigating diaspora, conflict, and care 在世界之间生活和领导：黎巴嫩护士领袖在侨民、冲突和护理中的声音。

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-10-07 DOI: 10.1016/j.outlook.2025.102552

Suha Ballout PhD, RN, FAAN , Samira Hamadeh PhD, MSN, MP, GC-RESIM, CCRN

{"title":"Living and leading between worlds: Voices of Lebanese nurse leaders navigating diaspora, conflict, and care","authors":"Suha Ballout PhD, RN, FAAN , Samira Hamadeh PhD, MSN, MP, GC-RESIM, CCRN","doi":"10.1016/j.outlook.2025.102552","DOIUrl":"10.1016/j.outlook.2025.102552","url":null,"abstract":"<div><div>Diasporic nurse leaders often navigate emotional and institutional complexities that remain invisible in dominant leadership models. The purpose of this paper is to explore how two nurse leaders in diaspora enact leadership amid trauma, displacement, and institutional erasure. This qualitative study employed a braided narrative methodology, drawing on intersectionality, transnational feminist theory, narrative inquiry, and trauma-informed leadership. Two first-person narratives were analyzed thematically through collaborative reflexive synthesis. Five interwoven themes emerged: diasporic double consciousness, ethical witnessing, guilt and gratitude, institutional invisibility, and embodied empathy. These themes reflect how diasporic leaders transform geopolitical grief into justice-driven leadership. Rather than neutrality or detachment, leadership is framed as trauma-informed, relational, and ethically rooted in cultural memory and moral proximity. This study advances decolonial nursing theory by centering Arab feminist thought, emotional labor, and transnational care, offering a framework for equity-centered and culturally attuned leadership.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102552"},"PeriodicalIF":3.7,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253661","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 costs and benefits for citizen trainers of sharing their personal experience of community wide trauma with undergraduate nursing students: A qualitative study of survivors of the Northern Irish Troubles 公民培训师与本科护理学生分享他们的个人社区创伤经验的成本和收益：对北爱尔兰问题幸存者的定性研究

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-10-03 DOI: 10.1016/j.outlook.2025.102553

Shannon Porter, Olinda Santin, Johanna McMullan

{"title":"The costs and benefits for citizen trainers of sharing their personal experience of community wide trauma with undergraduate nursing students: A qualitative study of survivors of the Northern Irish Troubles","authors":"Shannon Porter, Olinda Santin, Johanna McMullan","doi":"10.1016/j.outlook.2025.102553","DOIUrl":"10.1016/j.outlook.2025.102553","url":null,"abstract":"<div><h3>Background</h3><div>Nursing education and practice increasingly incorporate emerging understandings of the importance of considering the impacts of trauma on experiences of health and health care and of preparing clinicians to deliver trauma-informed care. The “Troubles” in Northern Ireland has left a legacy of trauma survivors, and nurses in Northern Ireland can expect to care for people with Troubles related trauma. Citizen Trainers (CT), from the WAVE trauma centre, have taken part in educational workshops to share their personal experience with Trauma.</div></div><div><h3>Purpose</h3><div>To investigate why individuals participate as CTs, what their experience is during the education process and the impact of their participation on them as individuals.</div></div><div><h3>Methods</h3><div>Thematic analysis was used to extract themes from the transcripts of the recordings for the focus group <em>n</em> = 15 and the individual interviews <em>n</em> = 2.</div></div><div><h3>Findings</h3><div>CTs described their participation in educational workshops as having impacts on nurse education, but also as having psychological impact on the CT; they highlighted the importance of emotional support for the CT.</div></div><div><h3>Discussion</h3><div>CTs found significant value in taking part as educators discussing their experience of trauma related to the “Troubles” in Northern Ireland. However, despite the benefits the sharing sometimes produced emotional distress.</div></div><div><h3>Conclusion</h3><div>Incorporating similar experiences into nursing prelicensure and inservice education to increase clinician capacity for trauma should consider both potential benefits and discomfort for citizen survivor-participants.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102553"},"PeriodicalIF":3.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145220105","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

Letter to the editor: Naming the Matilda effect in nursing 给编辑的信：命名护理中的玛蒂尔达效应

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-10-03 DOI: 10.1016/j.outlook.2025.102554

Lisa Kelly MSN, RN, PhD Student

引用次数: 0

The Linguistic Reframing Theory for Nurse Value Recognition: A conceptual framework centered on the narrative value model to reframe nursing’s role in economics and policy 护士价值认知的语言重构理论：一个以叙事价值模型为中心的概念框架，以重构护理在经济和政策中的角色

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-09-27 DOI: 10.1016/j.outlook.2025.102551

Emilie A. Maxie

{"title":"The Linguistic Reframing Theory for Nurse Value Recognition: A conceptual framework centered on the narrative value model to reframe nursing’s role in economics and policy","authors":"Emilie A. Maxie","doi":"10.1016/j.outlook.2025.102551","DOIUrl":"10.1016/j.outlook.2025.102551","url":null,"abstract":"<div><h3>Background</h3><div>Nurses are central to patient outcomes yet are often framed as costs rather than contributors, a linguistic misalignment that constrains investment and limits strategic influence.</div></div><div><h3>Purpose</h3><div>The Linguistic Reframing Theory for Nurse Value Recognition introduces a conceptual model illustrating how language shapes perceptions of nursing within economic and policy contexts.</div></div><div><h3>Methods</h3><div>Grounding in communication theory, health economics, and nursing science, the model integrates six interrelated constructs and is operationalized through the narrative value framework (NVF), a strategy for embedding value-based language into documentation, leadership, education, and advocacy.</div></div><div><h3>Discussion</h3><div>Although early in development, the theory offers testable propositions and a research agenda for examining language as a lever for structural change.</div></div><div><h3>Conclusion</h3><div>In the value-based era, reframing nursing as a value-generating contributor is essential to strengthening the profession’s visibility, credibility, and investment.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102551"},"PeriodicalIF":3.7,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157877","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

Medicare's integration imperative: A policy analysis of care coordination barriers for older adults with co-occurring mental health and substance use disorders 医疗保险的整合势在必行：对同时发生精神健康和物质使用障碍的老年人护理协调障碍的政策分析

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-09-25 DOI: 10.1016/j.outlook.2025.102550

Evans F. Kyei PhD, MSN, RN , Mercy N. Mumba PhD, RN, FAAN

{"title":"Medicare's integration imperative: A policy analysis of care coordination barriers for older adults with co-occurring mental health and substance use disorders","authors":"Evans F. Kyei PhD, MSN, RN , Mercy N. Mumba PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102550","DOIUrl":"10.1016/j.outlook.2025.102550","url":null,"abstract":"<div><h3>Background</h3><div>Medicare serves 65 million Americans aged 65+, with 3.7% having co-occurring mental health and substance use disorders. Despite evidence supporting integrated care, fragmented Medicare policies result in higher readmissions and lower treatment completion rates for this vulnerable population.</div></div><div><h3>Purpose</h3><div>To analyze Medicare policies using the Integration Continuum Framework and identify nursing practice and policy implications for older adults with dual diagnoses.</div></div><div><h3>Methods</h3><div>Systematic review of Medicare policy documents (2010–2023) analyzed through the Integration Continuum Framework across clinical, financial, and administrative dimensions.</div></div><div><h3>Discussion</h3><div>Medicare policies predominantly reflect minimal integration (Levels 1–2). Only 17.3% of beneficiaries with co-occurring disorders receive coordinated care, requiring visits to 3.7 providers across 2.8 facilities compared to 1.9 providers at 1.6 facilities for single diagnoses. The Collaborative Care Model achieves Level 3 integration but excludes substance use disorders, limiting comprehensive care.</div></div><div><h3>Conclusion</h3><div>Medicare's fragmented approach creates significant coordination challenges. Nurses are uniquely positioned to bridge these gaps through screening protocols, care navigation, and leadership initiatives. Policy reforms including expanding the Collaborative Care Model to include substance use disorders, eliminating same-day billing restrictions, and streamlining documentation represent pathways toward comprehensive Level 4–5 integration, ultimately improving outcomes for older adults with dual diagnoses.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102550"},"PeriodicalIF":3.7,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157787","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

Social determinants of health and healthcare utilization among prescription opioid users: A cross-sectional propensity scoring analysis 处方阿片类药物使用者健康和医疗保健利用的社会决定因素：横断面倾向评分分析

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-09-22 DOI: 10.1016/j.outlook.2025.102543

Katherine M. Cahir BSN, RN, CCRN , Thistle I. Elias DrPH, MPA , Paul W. Scott PhD , Heeyoung Lee PhD, PMHNP-BC, FAAN

{"title":"Social determinants of health and healthcare utilization among prescription opioid users: A cross-sectional propensity scoring analysis","authors":"Katherine M. Cahir BSN, RN, CCRN , Thistle I. Elias DrPH, MPA , Paul W. Scott PhD , Heeyoung Lee PhD, PMHNP-BC, FAAN","doi":"10.1016/j.outlook.2025.102543","DOIUrl":"10.1016/j.outlook.2025.102543","url":null,"abstract":"<div><h3>Background</h3><div>The opioid crisis continues to pose a significant public health challenge, with the use of prescription opioids contributing to healthcare burdens and disparities.</div></div><div><h3>Purpose</h3><div>Guided by the National Institute on Minority Health and Health Disparities (NIMHD) Research Framework, this study examined the differences in social determinants of health (SDoH) and healthcare utilization between people who use prescription opioids (PPOU) and those who do not.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional analysis of data from the 2021 Medical Expenditure Panel Survey (<em>n</em> = 1,716) and applied propensity score matching to adjust for sociodemographic and clinical factors.</div></div><div><h3>Discussion</h3><div>Factors such as housing instability, life dissatisfaction, stress, and transportation barriers were associated with higher healthcare utilization, highlighting the complex impact of SDoH.</div></div><div><h3>Conclusion</h3><div>PPOU face disproportionate challenges related to SDoH and experience greater healthcare utilization. Nurse-led, integrated care models may enhance continuity of care, reduce fragmentation, and help address disparities among PPOU.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102543"},"PeriodicalIF":3.7,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109118","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