Nursing Outlook最新文献_第10页

Leveraging biosocial methods to examine and address structural determinants of health and promote health equity 利用生物社会方法研究和解决健康的结构性决定因素，促进健康公平。

IF 4.3 2区医学

Nursing Outlook Pub Date : 2024-05-28 DOI: 10.1016/j.outlook.2024.102195

Veronica Barcelona PhD, MSN, RN , Eileen M. Condon PhD, APRN , Sara F. Jacoby PhD, MPH, MSN

{"title":"Leveraging biosocial methods to examine and address structural determinants of health and promote health equity","authors":"Veronica Barcelona PhD, MSN, RN , Eileen M. Condon PhD, APRN , Sara F. Jacoby PhD, MPH, MSN","doi":"10.1016/j.outlook.2024.102195","DOIUrl":"10.1016/j.outlook.2024.102195","url":null,"abstract":"<div><h3>Background</h3><p>Biosocial approaches in nursing research have largely focused on the ways that social determinants of health influence individual-level outcomes, including symptom management, family and social support, and educational interventions.</p></div><div><h3>Purpose</h3><p>Theoretical, methodological, and practical strategies are needed to expand current biosocial methods for nursing science and focus on upstream, structural determinants of health and the policies that underlie health inequities.</p></div><div><h3>Methods</h3><p>This paper summarizes presentations given at the 2023 Council for the Advancement of Nursing Science Advanced Methods Conference, <em>Biosocial Methods to Advance Health Equity</em>, in a panel titled “Individual, community, systems and policy related to biosocial methods.”</p></div><div><h3>Discussion</h3><p>Nurses are uniquely positioned to examine upstream, structural determinants of health by leveraging expertise in biosocial methods, collaborating with interdisciplinary researchers and community members, and advocating for policy change. By conducting theory-grounded biosocial research, nurse researchers can significantly advance scientific knowledge and promote health equity for individuals and communities.</p></div><div><h3>Conclusion</h3><p>Nurse scientists are conducting research using biosocial methods and provide recommendations for expansion of this approach in the field.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 4","pages":"Article 102195"},"PeriodicalIF":4.3,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141176829","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

Nurses’ moral distress and leadership communication in hospitals serving Black patients during COVID-19 在 COVID-19 期间，为黑人患者提供服务的医院中护士的道德困扰与领导沟通。

IF 4.3 2区医学

Nursing Outlook Pub Date : 2024-05-28 DOI: 10.1016/j.outlook.2024.102189

Eileen T. Lake PhD, RN, FAAN , Jessica G. Smith PhD, RN , Jeannette A. Rogowski PhD , Emily Cramer PhD , Vaneh Hovsepian PhD, RN , Hal Chen MS , Nehemiah Weldeab MPH , Connie Ulrich PhD, RN, FAAN

{"title":"Nurses’ moral distress and leadership communication in hospitals serving Black patients during COVID-19","authors":"Eileen T. Lake PhD, RN, FAAN , Jessica G. Smith PhD, RN , Jeannette A. Rogowski PhD , Emily Cramer PhD , Vaneh Hovsepian PhD, RN , Hal Chen MS , Nehemiah Weldeab MPH , Connie Ulrich PhD, RN, FAAN","doi":"10.1016/j.outlook.2024.102189","DOIUrl":"10.1016/j.outlook.2024.102189","url":null,"abstract":"<div><h3>Background</h3><p>Poorer leadership communication during COVID-19 may have contributed to the moral distress of nurses in hospitals where Black patients predominantly access their care (BSH).</p></div><div><h3>Purpose</h3><p>To compare nurse moral distress and leadership communication during the COVID-19 pandemic in hospitals that serve disproportionately many or few patients of Black race.</p></div><div><h3>Methods</h3><p>In a national hospital sample (<em>n</em> = 90), nurse survey data were collected (March 2021). Nurse moral distress was analyzed in linear regression models. The key covariates were BSH category (Medicare Black patient percentage) and leadership communication.</p></div><div><h3>Discussion</h3><p>Nurses in high-BSH had significantly greater moral distress and more difficulty accessing personal protective equipment than nurses in low-BSH. The percentage of nurses in high-BSHs with high moral distress was double that of nurses in low-BSHs. Poorer leadership communication in BSHs accounted for the nurses’ greater moral distress.</p></div><div><h3>Conclusion</h3><p>Policies should improve leadership communication, mitigate distress, and support nurses in under-resourced settings.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 4","pages":"Article 102189"},"PeriodicalIF":4.3,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141176763","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

Diverse perspectives on unit-level nurse staffing ratios in medical–surgical units: A Delphi policy analysis 关于内外科病房护士配置比例的不同观点：德尔菲政策分析。

IF 4.3 2区医学

Nursing Outlook Pub Date : 2024-05-28 DOI: 10.1016/j.outlook.2024.102184

Sarah A. Delgado DNP, RN, ACNP , Nancy T. Blake PhD, RN, FAAN , Theresa Brown DNP, ACNP-BC, FAANP , Lauren Clark PhD, RN, FAAN , Jack Needleman PhD, FAAN , Linda Cassidy PhD, RN, CCRN

{"title":"Diverse perspectives on unit-level nurse staffing ratios in medical–surgical units: A Delphi policy analysis","authors":"Sarah A. Delgado DNP, RN, ACNP , Nancy T. Blake PhD, RN, FAAN , Theresa Brown DNP, ACNP-BC, FAANP , Lauren Clark PhD, RN, FAAN , Jack Needleman PhD, FAAN , Linda Cassidy PhD, RN, CCRN","doi":"10.1016/j.outlook.2024.102184","DOIUrl":"10.1016/j.outlook.2024.102184","url":null,"abstract":"<div><h3>Background</h3><p>Appropriate staffing is essential to acute care delivery. Staffing ratio policy generates controversy.</p></div><div><h3>Purpose</h3><p>This study examines perspectives on unit-level nurse-to-patient ratio policy in adult medical–surgical units.</p></div><div><h3>Method</h3><p>Delphi methodology uses an invited diverse panel to analyze a policy’s effects. Panelists completed iterative surveys about the impact they expect from unit-level ratio policy.</p></div><div><h3>Findings</h3><p>Panelists demonstrated moderate agreement that the proposed policy could increase staffing levels, decrease patient length of stay, and reduce nurse attrition. Other potential outcomes included reducing staffing in units above the minimum and increasing short-term costs. Panelists agreed that the policy could increase patient safety and nurse satisfaction and did not agree about the effect on long-term cost and innovation. Panelists also anticipated a mostly positive effect on patients and nurses.</p></div><div><h3>Discussion</h3><p>Policies that set unit-level nurse-to-patient ratios offer a potential strategy to improve medical–surgical staffing. Policy design should consider the range of expected outcomes.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 4","pages":"Article 102184"},"PeriodicalIF":4.3,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141176820","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

Racial and ethnic diversity in academic nursing leadership: A cross-sectional analysis 护理学术领导中的种族和民族多样性：横截面分析

IF 4.3 2区医学

Nursing Outlook Pub Date : 2024-05-25 DOI: 10.1016/j.outlook.2024.102182

Jasmine L. Travers PhD, MHS, RN , William E. Rosa PhD, MBE, FAAN , Aasha Raval MPH , Tiffany M. Montgomery PhD, RNC-OB, C-EFM , Rebecca Deng MPH , Juan Gatica MPH , Shoshana V. Aronowitz PhD, MSN, MSHP

{"title":"Racial and ethnic diversity in academic nursing leadership: A cross-sectional analysis","authors":"Jasmine L. Travers PhD, MHS, RN , William E. Rosa PhD, MBE, FAAN , Aasha Raval MPH , Tiffany M. Montgomery PhD, RNC-OB, C-EFM , Rebecca Deng MPH , Juan Gatica MPH , Shoshana V. Aronowitz PhD, MSN, MSHP","doi":"10.1016/j.outlook.2024.102182","DOIUrl":"https://doi.org/10.1016/j.outlook.2024.102182","url":null,"abstract":"<div><h3>Background/Purpose</h3><p>To characterize the representation of racial and ethnic minoritized faculty in leadership positions at the top 50 National Institutes of Health-ranked academic nursing institutions.</p></div><div><h3>Methods</h3><p>We conducted a cross-sectional observational study to characterize the racial/ethnic composition of academic leaders, including those in diversity, equity, and inclusion (DEI) positions from September 2020 to December 2020.</p></div><div><h3>Discussion</h3><p>Among the 409 leaders, the sample was predominantly composed of females (86.6%), White leaders (80.9%), affiliated with public institutions (75.1%), and in the southern region (42.1%). Exactly 13.6% were from minoritized groups. Minoritized leaders were less likely to hold dean and higher executive positions than their nonminoritized counterparts (<em>p</em> < .002). DEI leadership positions were mostly concentrated in lower executive positions (e.g., director) and primarily consisted of minoritized leaders (>60%).</p></div><div><h3>Conclusion</h3><p>Underrepresentation of racial and ethnic minoritized individuals in academic nursing leadership persists, necessitating structural interventions within nursing academia to promote inclusivity. Achieving this goal requires a concerted investment in diversifying academic nursing leadership and ensuring positions that minoritized leaders are in, hold weight.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 4","pages":"Article 102182"},"PeriodicalIF":4.3,"publicationDate":"2024-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141095273","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

Juggling multiple roles: Navigating challenges and uncertainties in nursing practice, education, and research during wartime in Israel 兼顾多重角色：在以色列战时护理实践、教育和研究中应对挑战和不确定性

IF 4.3 2区医学

Nursing Outlook Pub Date : 2024-05-25 DOI: 10.1016/j.outlook.2024.102176

Nikole Bekman, Amy Solnica

引用次数: 0

Nurse practitioners’ degrees and associations with time use, functional autonomy, and job outcomes 执业护士的学位及其与时间利用、职能自主和工作成果的关系

IF 4.3 2区医学

Nursing Outlook Pub Date : 2024-05-24 DOI: 10.1016/j.outlook.2024.102193

Alex Hoyt PhD, RN , Jason Lucey DNP, FNP-BC , Susan Kelly-Weeder PhD, FNP-BC, FAANP, FAAN , Monica O'Reilly-Jacob PhD, APRN, FNP-BC, FAAN

{"title":"Nurse practitioners’ degrees and associations with time use, functional autonomy, and job outcomes","authors":"Alex Hoyt PhD, RN , Jason Lucey DNP, FNP-BC , Susan Kelly-Weeder PhD, FNP-BC, FAANP, FAAN , Monica O'Reilly-Jacob PhD, APRN, FNP-BC, FAAN","doi":"10.1016/j.outlook.2024.102193","DOIUrl":"https://doi.org/10.1016/j.outlook.2024.102193","url":null,"abstract":"<div><h3>Background</h3><p>Doctorate of Nursing Practice preparation is recommended for entry to nurse practitioner (NP) practice but there are few comparative studies, and their designs conflate educational pathways.</p></div><div><h3>Purpose</h3><p>To investigate time use, functional autonomy, and job outcomes among NPs without a doctorate, NPs whose initial NP preparation and doctorate were separated by 2 or more years, and NPs whose NP preparation and doctorate were concurrent.</p></div><div><h3>Method</h3><p>We selected all NPs from the 2018 National Sample Survey of Registered Nurses, except those whose doctorates focused on research. We controlled for confounding and applied sample weights to produce nationally representative results.</p></div><div><h3>Discussion</h3><p>NPs' educational pathways are associated with distinct practice roles and, moving forward, policy should be informed by evidence that accounts for their differences.</p></div><div><h3>Conclusion</h3><p>Concurrent NPs had higher levels of functional autonomy compared with NPs without a doctorate, but patterns of time use were essentially the same. Separate doctoral education was associated with teaching and administration.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 4","pages":"Article 102193"},"PeriodicalIF":4.3,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141091026","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

Decolonizing nursing knowledge: Challenging Eurocentrism centering Global South voices 护理知识非殖民化：挑战以全球南方声音为中心的欧洲中心论

IF 4.3 2区医学

Nursing Outlook Pub Date : 2024-05-24 DOI: 10.1016/j.outlook.2024.102197

Daniel Felipe Martín Suárez-Baquero PhD, MSN, RN

{"title":"Decolonizing nursing knowledge: Challenging Eurocentrism centering Global South voices","authors":"Daniel Felipe Martín Suárez-Baquero PhD, MSN, RN","doi":"10.1016/j.outlook.2024.102197","DOIUrl":"https://doi.org/10.1016/j.outlook.2024.102197","url":null,"abstract":"<div><h3>Background</h3><p>Exploring decolonization in nursing knowledge, particularly through Latin American nursologists, is crucial. Initially focused on underrecognized thought schools in Latin America and the concept of “Cuidado” versus Eurocentric paradigms, this paper extends the discussion on decolonization as potentially colonizing.</p></div><div><h3>Purpose</h3><p>This paper examines the decolonization discourse in nursing reinforcing colonization, arguing that the nursing metaparadigm remains Eurocentric, neglecting Global South contributions.</p></div><div><h3>Methods</h3><p>The article critically discusses emerging theoretical ideas and situational theories from Latin America relevant to decolonizing nursing knowledge, providing analysis and proposing decolonization paths in nursing.</p></div><div><h3>Discussion</h3><p>The paper calls for genuine decolonization, urging Global North scholars to engage with indigenous, marginalized, and non-Western perspectives. It stresses the importance of acknowledging historical injustices, fostering cultural sensitivity, and revising nursing curricula for inclusivity and equity.</p></div><div><h3>Conclusion</h3><p>Ultimately, the paper advocates for a transformative approach to nursing knowledge that challenges colonial legacies, promoting a more inclusive and equitable field.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 4","pages":"Article 102197"},"PeriodicalIF":4.3,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141095274","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 crucial importance of accurate enumeration to bringing public health nurses out from behind the “Other” category 准确统计对公共卫生护士摆脱 "其他 "类别的束缚至关重要

IF 4.3 2区医学

Nursing Outlook Pub Date : 2024-05-23 DOI: 10.1016/j.outlook.2024.102186

Lisa A. Campbell , Joan Kub , Susan K. Lee , Ruth McDermott-Levy

引用次数: 0

The Social Ecology of Burnout: A framework for research on nurse practitioner burnout 职业倦怠的社会生态学：执业护士职业倦怠研究框架

IF 4.3 2区医学

Nursing Outlook Pub Date : 2024-05-23 DOI: 10.1016/j.outlook.2024.102188

Rosalind de Lisser MS, APRN , Jana Lauderdale PhD, RN , Mary S. Dietrich PhD , Rangaraj Ramanujam PhD , Deonni P. Stolldorf PhD, RN

{"title":"The Social Ecology of Burnout: A framework for research on nurse practitioner burnout","authors":"Rosalind de Lisser MS, APRN , Jana Lauderdale PhD, RN , Mary S. Dietrich PhD , Rangaraj Ramanujam PhD , Deonni P. Stolldorf PhD, RN","doi":"10.1016/j.outlook.2024.102188","DOIUrl":"https://doi.org/10.1016/j.outlook.2024.102188","url":null,"abstract":"<div><h3>Background</h3><p>The U.S. health system is burdened by rising costs, workforce shortages, and unremitting burnout. Well-being interventions have emerged in response, yet data suggest that the work environment is the problem. Nurse practitioner (NP) burnout is associated with structural and relational factors in the work environment, practice autonomy, and hierarchical leadership.</p></div><div><h3>Purpose</h3><p>We explore the unique social, cultural, and political environment in which NPs work through the lens of social ecology and present the Social Ecology of Burnout (SEB) framework.</p></div><div><h3>Methods</h3><p>We review current burnout frameworks in the context of the NP practice environment and discuss the SEB, specifically exploring psychological safety and its influence on burnout.</p></div><div><h3>Findings</h3><p>Psychological safety, work environment, and policy are presented within the SEB and solutions which empower NPs are considered.</p></div><div><h3>Discussion</h3><p>Our framework can serve as a guide for future nursing research, practice, and policy.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 4","pages":"Article 102188"},"PeriodicalIF":4.3,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0029655424000812/pdfft?md5=e19917eda5d364e9e58beb37ddeb8fec&pid=1-s2.0-S0029655424000812-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141084678","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

Burnout, job satisfaction, and turnover intention among primary care nurse practitioners with their own patient panels 拥有自己病人小组的初级保健执业护士的职业倦怠、工作满意度和离职意向

IF 4.3 2区医学

Nursing Outlook Pub Date : 2024-05-23 DOI: 10.1016/j.outlook.2024.102190

Do Kyung Kim MPH RN , Paul Scott PhD , Lusine Poghosyan PhD, MPH, FAAN , Grant R. Martsolf PhD, MPH, FAAN

{"title":"Burnout, job satisfaction, and turnover intention among primary care nurse practitioners with their own patient panels","authors":"Do Kyung Kim MPH RN , Paul Scott PhD , Lusine Poghosyan PhD, MPH, FAAN , Grant R. Martsolf PhD, MPH, FAAN","doi":"10.1016/j.outlook.2024.102190","DOIUrl":"https://doi.org/10.1016/j.outlook.2024.102190","url":null,"abstract":"<div><h3>Background</h3><p>Nurse practitioners (NPs) can enhance NP care and improve access to care by autonomously managing their patient panels. Yet, its impact on workforce outcomes such as burnout, job satisfaction, and turnover intention remains unexplored.</p></div><div><h3>Purpose</h3><p>To estimate the impact of NP panel management on workforce outcomes.</p></div><div><h3>Methods</h3><p>Structural equation modeling was conducted using survey data from 1,244 primary care NPs. NP panel management was categorized into co-managing patients with other providers, both co-managing and autonomously managing, and fully autonomous management.</p></div><div><h3>Discussion</h3><p>Fully autonomous management led to more burnout than co-managing (B = 0.089, bias-corrected 95% bootstrap confidence interval [0.028, 0.151]). Work hours partially (27%) mediated this relationship. This findings indicate that greater autonomy in panel management among NPs may lead to increased burnout, partially due to longer work hours.</p></div><div><h3>Conclusion</h3><p>Interventions to reduce work hours could help NPs deliver quality care without burnout.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 4","pages":"Article 102190"},"PeriodicalIF":4.3,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141084679","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