Nursing Outlook最新文献

Assessing social determinants of health competencies among nurses

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-02-18 DOI: 10.1016/j.outlook.2025.102380

Roxana C. Chicas , Christiana Reene , Autherine Abiri , Shankar Bhat , Rebekah Chance-Revels , Jill Hamilton , JoAnna Hillman , Jasmine Irish , Lalita Kaligotla , Quyen Phan , Nikki Rider , Carrie McDermott

{"title":"Assessing social determinants of health competencies among nurses","authors":"Roxana C. Chicas , Christiana Reene , Autherine Abiri , Shankar Bhat , Rebekah Chance-Revels , Jill Hamilton , JoAnna Hillman , Jasmine Irish , Lalita Kaligotla , Quyen Phan , Nikki Rider , Carrie McDermott","doi":"10.1016/j.outlook.2025.102380","DOIUrl":"10.1016/j.outlook.2025.102380","url":null,"abstract":"<div><h3>Background</h3><div>Multiple national nursing organizations have advocated for improving health professionals' understanding of social determinants of health (SDOH) to enhance healthcare access, quality, and outcomes.</div></div><div><h3>Purpose</h3><div>This project developed a self-assessment questionnaire to evaluate nursing professionals' self-perceptions of competencies in addressing SDOH, as few tools exist to measure this.</div></div><div><h3>Methods</h3><div>A total of 690 nurses completed the 23-item questionnaire.</div></div><div><h3>Findings</h3><div>In total, 690 nurses answered the SDOH self-assessment questionnaire. Cronbach’s Alpha was 0.99. Nurses reported the highest competencies in health literacy, access to primary care, and nutritious foods. The lowest competencies were in addressing immigration status, climate change, and civic participation.</div></div><div><h3>Discussion</h3><div>The questionnaire demonstrated high internal consistency and reliability, with variation observed across different SDOH topics. Targeted education is needed to improve knowledge in addressing the more challenging SDOH factors.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 2","pages":"Article 102380"},"PeriodicalIF":4.1,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143427854","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

Introducing the special collection on decolonizing nursing academia to enhance the success of students and faculty identifying as Black, Indigenous and people of color to create a pathway toward equitable health outcomes for underserved communities

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-02-13 DOI: 10.1016/j.outlook.2025.102381

Lucy Mkandawire-Valhmu PhD, RN, FAAN , Miriam Bender PhD, RN, FAAN , Jennifer Woo PhD, RN, CNM/WHNP, FACNM , Peggy Chinn PhD, RN, DSc (Hon), FAAN

{"title":"Introducing the special collection on decolonizing nursing academia to enhance the success of students and faculty identifying as Black, Indigenous and people of color to create a pathway toward equitable health outcomes for underserved communities","authors":"Lucy Mkandawire-Valhmu PhD, RN, FAAN , Miriam Bender PhD, RN, FAAN , Jennifer Woo PhD, RN, CNM/WHNP, FACNM , Peggy Chinn PhD, RN, DSc (Hon), FAAN","doi":"10.1016/j.outlook.2025.102381","DOIUrl":"10.1016/j.outlook.2025.102381","url":null,"abstract":"<div><div>The nursing profession is considered one of the most trusted professions, yet it is not exempt from systemic racism that leads to exclusionary practices and ultimately impacts health outcomes for non-White communities. Like most Western institutions, academic nursing is informed by and centered in Whiteness, which values individualism, independence and competition and marginalizes the collectivistic and collaborative nature of most cultures of the Global South. This has important implications for the success of students and faculty who identify as Black, Indigenous and people of color. A destructive cycle is created when faculty are unable to succeed in academic environments, leaving students without role models and mentors with whom they can identify, and potentially results in a nursing workforce that does not reflect the communities we serve. Ultimately lack of representation in the nursing workforce erodes the trust of patients and families and endangers health outcomes for marginalized groups. As we endeavor to address health disparities for communities experiencing the greatest marginalization, we need to address the very foundations of the academic experiences for nurses by decolonizing the academic nursing space to ensure the success of all students and faculty. To that end, this special collection brings together 15 innovative and visionary articles that stimulate our imaginations to think beyond accepted norms in the academic sector to address disparities in nursing education and inequities in health outcomes.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 2","pages":"Article 102381"},"PeriodicalIF":4.1,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143396061","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

Response to Smith and Mayo (2024): Why context and language matter when discussing race and racism

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-02-13 DOI: 10.1016/j.outlook.2025.102378

Marcus D. Henderson MSN, RN , Roberta Waite EdD, RN, PMHCNS, ANEF, FADLN, FAAN , Maya N. Clark-Cutaia PhD, RN, ACNP-BC

引用次数: 0

Leadership Mentoring in Nursing Research influencing leadership development, career development, and research productivity of PhD prepared nurses: A pretest–posttest study

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-02-12 DOI: 10.1016/j.outlook.2025.102359

Thóra B. Hafsteinsdóttir RN, PhD , Elke Huntink RN, PhD , Lisette Schoonhoven RN, PhD

{"title":"Leadership Mentoring in Nursing Research influencing leadership development, career development, and research productivity of PhD prepared nurses: A pretest–posttest study","authors":"Thóra B. Hafsteinsdóttir RN, PhD , Elke Huntink RN, PhD , Lisette Schoonhoven RN, PhD","doi":"10.1016/j.outlook.2025.102359","DOIUrl":"10.1016/j.outlook.2025.102359","url":null,"abstract":"<div><h3>Background</h3><div>The Leadership Mentoring in Nursing Research (LMNR) program supports PhD-prepared nurses in their leadership development, aiming to increase the cadre of nurse scientists and strengthen nursing research in the Netherlands.</div></div><div><h3>Purpose</h3><div>To evaluate changes in leadership practices, career development, and research productivity of PhD-prepared nurses after participation in the LMNR 2.0 program.</div></div><div><h3>Methods</h3><div>A pretest–posttest online survey was conducted using the 30-item Leadership Practices Inventory (LPI) 360° to assess leadership. Mentoring, research productivity (articles, grant funding, and scientific presentations) was measured with the Tschannen-benchmark.</div></div><div><h3>Discussion</h3><div>The fellows showed improved leadership development in all leadership practices of the LPI. They advanced into higher positions and showed increased research productivity.</div></div><div><h3>Conclusion</h3><div>Programs like LMNR are important measures to support PhD-prepared nurses in their leadership development enabling them to become successful, sustainable scientists and the future leaders in healthcare and therefore improving patients outcomes worldwide.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 2","pages":"Article 102359"},"PeriodicalIF":4.1,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health equity and e-cigarette use among young adults in rural areas: A social determinants of health framework

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-02-12 DOI: 10.1016/j.outlook.2025.102357

Jovan Gwon , Vipavee Thongpriwan , Devon Noonan

{"title":"Health equity and e-cigarette use among young adults in rural areas: A social determinants of health framework","authors":"Jovan Gwon , Vipavee Thongpriwan , Devon Noonan","doi":"10.1016/j.outlook.2025.102357","DOIUrl":"10.1016/j.outlook.2025.102357","url":null,"abstract":"<div><div>Young adults (YAs) aged 18 to 24 in rural areas are increasingly using Electronic Nicotine Delivery Systems (ENDS), commonly known as e-cigarettes, in the United States. Rural communities already face significant health disparities due to higher tobacco use, contributing to worse health outcomes, including increased mortality from heart disease, cancer, and respiratory diseases. Using the adapted World Health Organization’s Social Determinants of Health framework, this paper examines how structural and intermediary determinants shape ENDS use among rural YAs. Special attention is given to how policy and societal contexts, sociocultural norms, and rurality influence rural ENDS use. The paper also highlights intermediary factors like the availability of cessation resources and the role of psychosocial stressors in ENDS use behaviors. Nurses can play a vital role in addressing ENDS-related health inequities by providing culturally congruent and environmentally relevant care and advocating for intersectoral policies that promote health equity. This framework informs targeted public health interventions and nursing efforts to reduce the health disparities associated with ENDS use in rural communities.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 2","pages":"Article 102357"},"PeriodicalIF":4.1,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387414","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

Fractured FRAX: Nurses’ role in reckoning with racism in international osteoporosis fracture risk calculations

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-02-11 DOI: 10.1016/j.outlook.2025.102353

Melanie Agnes Mariano MSN, RN, FNP-BC , Cecília Tomori PhD, MA

{"title":"Fractured FRAX: Nurses’ role in reckoning with racism in international osteoporosis fracture risk calculations","authors":"Melanie Agnes Mariano MSN, RN, FNP-BC , Cecília Tomori PhD, MA","doi":"10.1016/j.outlook.2025.102353","DOIUrl":"10.1016/j.outlook.2025.102353","url":null,"abstract":"<div><h3>Aim</h3><div>This paper will examine racism’s role in calculating fracture risk via the use of race- and ethnicity-based calculations and offer guidance for nurses to mitigate the risk of further exacerbating race-based inequities in fracture care.</div></div><div><h3>Background</h3><div>Using race adjustments in fracture risk calculation, such as in the FRAX, reflects the history of systemic racism in nursing and medicine, particularly in screening for and treating osteoporosis. Osteoporosis-related fractures, which result in increased costs, disability, and death, are a public health problem.</div></div><div><h3>Sources of Evidence</h3><div>The critique examines genetic and sociohistorical evidence to illuminate the fallacy that race has biological underpinnings and outline the implications of using race in fracture risk assessment.</div></div><div><h3>Discussion</h3><div>Race-based risk calculation, including assessing fracture risk, is one of the mechanisms by which the medical and healthcare sectors perpetuate systemic racism.</div></div><div><h3>Implications for Nursing Practice and Policy</h3><div>Nurses are called to action to address the contributing role of race-based algorithms, such as the FRAX, to unequal treatment. Nurses should advocate for the removal of race in these clinical decision-making tools and case studies. Additionally, nurses should advocate for their replacement with better tools that do not use race but rather measures of structural racism to calculate risk. Policy guidance should be issued so that race, a sociohistorical tool of categorization to preserve power structures, should no longer be used as an approximation of other more relevant and precise risk factors for fractures or other diseases.</div></div><div><h3>Conclusion</h3><div>Nurses are critical in cultivating and implementing antiracist approaches to remediate health inequities in screening and treatment of osteoporosis and other preventable diseases.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 2","pages":"Article 102353"},"PeriodicalIF":4.1,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143378936","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 roles of nurses in preventing and managing excess weight among adults: A systematic scoping review

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-02-11 DOI: 10.1016/j.outlook.2025.102377

Adika Sen , Ka Ying Annie Ho , Wei Kian Frederick Goh , Han Shi Jocelyn Chew

{"title":"The roles of nurses in preventing and managing excess weight among adults: A systematic scoping review","authors":"Adika Sen , Ka Ying Annie Ho , Wei Kian Frederick Goh , Han Shi Jocelyn Chew","doi":"10.1016/j.outlook.2025.102377","DOIUrl":"10.1016/j.outlook.2025.102377","url":null,"abstract":"<div><h3>Background</h3><div>Nurses are well-positioned to tackle obesity but literature on their roles remains unclear.</div></div><div><h3>Purpose</h3><div>To present an overview of nurses’ roles in preventing and managing excess weight among adults.</div></div><div><h3>Methods</h3><div>Following the Arksey and O’Malley methodology, 11 databases were searched from inception to September 2023. Eligibility screening showed good inter-rater reliability (κ=0.84). Articles were appraised using the Mixed Methods Appraisal Tool and relevant data were charted.</div></div><div><h3>Discussion</h3><div>In total, 86 studies were included with 41.9% published in America and 3.5% and 26.7% of the studies addressing overweight and obesity management, respectively. Nurses acted as health advocates (100%), offered psychological support (54.7%), fostered collaboration and networks (48.8%), and facilitated interventions (9.3%) addressing intrapersonal, organizational, and community-level factors of the socioecological model.</div></div><div><h3>Conclusion</h3><div>Further investigations into nurses’ roles in the exclusive management of overweight and obesity are warranted. Focus on their contributions at the interpersonal and policy levels is also necessary.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 2","pages":"Article 102377"},"PeriodicalIF":4.1,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143378937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reimagining policy visibility: Bibliometric analysis of core nursing journals

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-02-05 DOI: 10.1016/j.outlook.2025.102360

Ruth Ludwick PhD, RN-BC, APRN-CNS, FAAN , Margarete L. Zalon PhD, RN, ACNS-BC, FAAN , Rebecca M. Patton DNP, RN, CNOR, FAAN , Micaela McSpadden MSN-Ed, RN, CNE, CNOR-PEDS , Anita J. Slack MA, MLIS, AHIP , Kristin Baughman PhD

{"title":"Reimagining policy visibility: Bibliometric analysis of core nursing journals","authors":"Ruth Ludwick PhD, RN-BC, APRN-CNS, FAAN , Margarete L. Zalon PhD, RN, ACNS-BC, FAAN , Rebecca M. Patton DNP, RN, CNOR, FAAN , Micaela McSpadden MSN-Ed, RN, CNE, CNOR-PEDS , Anita J. Slack MA, MLIS, AHIP , Kristin Baughman PhD","doi":"10.1016/j.outlook.2025.102360","DOIUrl":"10.1016/j.outlook.2025.102360","url":null,"abstract":"<div><h3>Background</h3><div>Providing nurses with knowledge about policy enhances their involvement in policymaking. Policy inclusion in editorial guidelines has yet to be examined.</div></div><div><h3>Purpose</h3><div>Describe how peer-reviewed nurse journals' editorial information communicates policy expectations to readers and authors and then to describe policy in articles published in those journals.</div></div><div><h3>Methods</h3><div>Using a list of nursing journals indexed in CINAHL, we analyzed each journal's author guidelines and key attributes. Journals that addressed policy guidelines were examined for articles that denoted policy as the subject focus, and the research team descriptively analyzed those articles.</div></div><div><h3>Findings</h3><div>Only half the journals included policy as a focus (aim, scope, or description), author guidelines, or column. Within this subset of journals, only 267 articles published in 2022 out of 4,085 (5.6%) had policy as a subject focus.</div></div><div><h3>Discussion</h3><div>Consistently and regularly addressing policy in nursing journals may facilitate nurse authors’ dissemination and reader awareness about policy.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 2","pages":"Article 102360"},"PeriodicalIF":4.1,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143326268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unlocking the potential of primary healthcare nurse practitioners globally: A concept analysis of their added value

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-01-31 DOI: 10.1016/j.outlook.2025.102358

Isabelle Savard MSc, MPH, PhD(c) , Gina Sophia Costanzo BscN, eMBA , Colette Henderson MSc, BSc (Hons) NP, DHSCI (c) , Deborah C. Gray MSc, DNP, FNP-C , Melanie Rogers RN, MSc NP, PhD , Kelley Kilpatrick PhD

{"title":"Unlocking the potential of primary healthcare nurse practitioners globally: A concept analysis of their added value","authors":"Isabelle Savard MSc, MPH, PhD(c) , Gina Sophia Costanzo BscN, eMBA , Colette Henderson MSc, BSc (Hons) NP, DHSCI (c) , Deborah C. Gray MSc, DNP, FNP-C , Melanie Rogers RN, MSc NP, PhD , Kelley Kilpatrick PhD","doi":"10.1016/j.outlook.2025.102358","DOIUrl":"10.1016/j.outlook.2025.102358","url":null,"abstract":"<div><h3>Background</h3><div>Primary healthcare nurse practitioners (PHCNPs) are expanding globally to meet rising healthcare demands. Despite positive outcomes, their added value remains underexplored.</div></div><div><h3>Purpose</h3><div>To clarify and refine the added value PHCNPs bring.</div></div><div><h3>Methods</h3><div>Building on a previous concept analysis of the added value of nurse practitioners, we analyzed 37 systematic reviews focusing on PHCNPs’ roles across various settings, using Rodgers' evolutionary approach.</div></div><div><h3>Findings</h3><div>Attributes include PHCNPs’ skills and competencies, activities, positive outcomes, and professional autonomy. Antecedents involve PHCNP characteristics and structural and institutional factors, while consequences highlight improved patient outcomes, satisfaction, professional dynamics, and system efficiency.</div></div><div><h3>Discussion</h3><div>Understanding PHCNPs' added value is crucial for policy development, role implementation, and healthcare optimization. Clear regulatory frameworks and supportive policies are needed to maximize their impact.</div></div><div><h3>Conclusion</h3><div>This analysis provides and updates the conceptual definition of PHCNPs' added value, offering insights for policy, education, and research to support their critical role in healthcare.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 2","pages":"Article 102358"},"PeriodicalIF":4.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","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 brief response to McLemore et al. regarding “Abortion is Healthcare: In What Sense?”

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-01-31 DOI: 10.1016/j.outlook.2025.102355

Grant R. Martsolf PhD, MPH, RN, FAAN , Christopher Tollefsen PhD , Farr Curlin MD

引用次数: 0