Nursing Outlook最新文献_第10页

Trends in general acute care hospital nurse staffing from 2017 to 2022 2017年至2022年普通急症护理医院护士人员配置趋势

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-05-21 DOI: 10.1016/j.outlook.2025.102439

Erin P. Fraher PhD, MPP , Connor Sullivan PhD , Shweta Pathak PhD , Colleen Tapen MBA

{"title":"Trends in general acute care hospital nurse staffing from 2017 to 2022","authors":"Erin P. Fraher PhD, MPP , Connor Sullivan PhD , Shweta Pathak PhD , Colleen Tapen MBA","doi":"10.1016/j.outlook.2025.102439","DOIUrl":"10.1016/j.outlook.2025.102439","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic disrupted historical trends in the nursing workforce in the United States.</div></div><div><h3>Purpose</h3><div>This study investigated trends in the utilization of registered nurses (RNs), licensed practical nurses (LPNs), and nursing assistive personnel in short-term general hospitals from 2017 to 2022.</div></div><div><h3>Methods</h3><div>We used hierarchical linear modeling to investigate the effect of time, hospital characteristics, and geographic characteristics on RN staffing intensity between 2017 and 2022.</div></div><div><h3>Discussion</h3><div>Relative to 2017, RN adjusted staffing intensity increased by 0.12 RNs per 1,000 patient days in 2020, (<em>p</em> < .01), but then decreased by 0.11 RNs in 2021 (<em>p</em> < .01), and further decreased by 0.27 RNs per 1,000 patient days in 2022 (<em>p</em> < .01). RN staffing intensity varied significantly by state (<em>p</em> < .05) and LPN full-time equivalents increased by 7% between 2021 and 2022.</div></div><div><h3>Conclusion</h3><div>Our findings suggest that average RN staffing intensity in hospitals decreased in 2021 and 2022, and these effects differed between states.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102439"},"PeriodicalIF":4.1,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144108167","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

Support for Doctor of Nursing Practice faculty scholarship: A systematic scoping review 支持护理实践博士教师奖学金：一个系统的范围审查

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-05-20 DOI: 10.1016/j.outlook.2025.102436

Jayne Jennings Dunlap DNP, APRN, FNP-C, CNE, EBP-C , Julee Waldrop DNP, FNP-C, PNP-C, EBP-C, NC-BC, FAANP, FAAN , Nadine Bonds-Bishop MLIS , Paula Clutter PhD, RN, CNL, CNE, CENP, CMSRN , Sandra Cesario PhD, RNC-OB, FAWHONN, FAAN

{"title":"Support for Doctor of Nursing Practice faculty scholarship: A systematic scoping review","authors":"Jayne Jennings Dunlap DNP, APRN, FNP-C, CNE, EBP-C , Julee Waldrop DNP, FNP-C, PNP-C, EBP-C, NC-BC, FAANP, FAAN , Nadine Bonds-Bishop MLIS , Paula Clutter PhD, RN, CNL, CNE, CENP, CMSRN , Sandra Cesario PhD, RNC-OB, FAWHONN, FAAN","doi":"10.1016/j.outlook.2025.102436","DOIUrl":"10.1016/j.outlook.2025.102436","url":null,"abstract":"<div><h3>Background</h3><div>Rapid enrollment in Doctor of Nursing Practice (DNP) programs has resulted in an urgent need for increased access to resources that promote scholarship and professional development of DNP-prepared faculty who are entering academia to teach nurses at all levels.</div></div><div><h3>Purpose</h3><div>To provide an overview of the current state of support and opportunities to enhance scholarship among DNP-prepared nurse faculty.</div></div><div><h3>Methods</h3><div>A systematic scoping review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) Guidelines. Five databases were searched for reports that presented evidence to promote professional success, advancement in rank, and development of DNP-prepared faculty.</div></div><div><h3>Discussion</h3><div>Findings suggest an urgent need for structured support for DNP-prepared faculty engagement in scholarship, including formal mentoring, focused faculty development, and administrative and financial support.</div></div><div><h3>Conclusion</h3><div>There is limited evidence to support DNP-prepared faculty scholarship. Increased efforts are needed, and their dissemination could positively impact leadership, policy, and practice in the profession.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102436"},"PeriodicalIF":4.1,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144108165","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

Understanding nurses’ perspectives on strikes: A qualitative case study in Southern California 了解护士对罢工的看法：南加州的定性案例研究

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-05-20 DOI: 10.1016/j.outlook.2025.102438

Tiffany R. Grant

{"title":"Understanding nurses’ perspectives on strikes: A qualitative case study in Southern California","authors":"Tiffany R. Grant","doi":"10.1016/j.outlook.2025.102438","DOIUrl":"10.1016/j.outlook.2025.102438","url":null,"abstract":"<div><h3>Background</h3><div>Nursing work stoppages disrupt patient care and heighten nurse burnout, driven by critical psychosocial and job-related factors.</div></div><div><h3>Purpose</h3><div>This study examines the factors contributing to nursing work stoppages in Southern California, using Social Movement Theory (SMT) and the Job Characteristics Model (JCM) to explore nurse dissatisfaction and collective action.</div></div><div><h3>Methods</h3><div>This qualitative study employed semi-structured interviews with 15 nurses and a focus group. A thematic analysis identified key themes related to emotional, structural, and professional factors. Data were coded and analyzed iteratively to ensure reliability.</div></div><div><h3>Discussion</h3><div>Findings reveal that emotional strain, limited autonomy, insufficient leadership support, and chronic understaffing drive dissatisfaction and strikes. Nurses emphasized the need for better administrative support and improved staffing policies.</div></div><div><h3>Conclusions</h3><div>Addressing emotional strain, enhancing administrative support, and refining staffing policies are essential to reducing work stoppages and improving patient care.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102438"},"PeriodicalIF":4.1,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144108166","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

Fear of lacking access to mobile devices (“nomophobia”): A preliminary study of prevalence, predictors, and relationship to perceived stress in nursing students 对缺乏移动设备的恐惧（“无手机恐惧症”）：护理专业学生中患病率、预测因素和感知压力关系的初步研究

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-05-17 DOI: 10.1016/j.outlook.2025.102434

Sultan Ayaz-Alkaya PhD , Neslihan Köse-Kabakcıoğlu MSN , Handan Terzi PhD

{"title":"Fear of lacking access to mobile devices (“nomophobia”): A preliminary study of prevalence, predictors, and relationship to perceived stress in nursing students","authors":"Sultan Ayaz-Alkaya PhD , Neslihan Köse-Kabakcıoğlu MSN , Handan Terzi PhD","doi":"10.1016/j.outlook.2025.102434","DOIUrl":"10.1016/j.outlook.2025.102434","url":null,"abstract":"<div><h3>Background</h3><div>Nomophobia, the fear of losing smartphone access, appears to be increasing among nursing students globally. Early findings suggest that it leads to stress and anxiety and impacts student learning and academic performance.</div></div><div><h3>Purpose</h3><div>To assess nomophobia and perceived stress levels and the predictive factors in nursing students.</div></div><div><h3>Methods</h3><div>Cross-sectional surveys of 1030 nursing students at a university in Türkiye. The data were collected via paper questionnaires that included validated Turkish versions of the Nomophobia Questionnaire and the Perceived Stress Scale for Nursing Students.</div></div><div><h3>Discussion</h3><div>Among the 808 students who responded, 48% had moderate and 24.5% had severe nomophobia. Sex, income, academic success, daily smartphone use duration, social media use, listening to music, and perceived stress were significant predictors of nomophobia. Year within the nursing program, income, watching videos, surfing the internet, and nomophobia were significant predictors of perceived stress.</div></div><div><h3>Conclusion</h3><div>Understanding nomophobia and its relationship to perceived stress is potentially critical to a healthy nurse workforce.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102434"},"PeriodicalIF":4.1,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144072702","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

Institutional forces that influence the precepting of midwifery students 影响助产学学生观念的制度力量

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-05-17 DOI: 10.1016/j.outlook.2025.102435

Amy Alspaugh CNM, PhD , Julie Blumenfeld CNM, DNP , Laura D. Lindberg PhD

{"title":"Institutional forces that influence the precepting of midwifery students","authors":"Amy Alspaugh CNM, PhD , Julie Blumenfeld CNM, DNP , Laura D. Lindberg PhD","doi":"10.1016/j.outlook.2025.102435","DOIUrl":"10.1016/j.outlook.2025.102435","url":null,"abstract":"<div><h3>Background</h3><div>The lack of clinical preceptors, who play a key role in educating future healthcare providers, is often cited as a limitation to growing the midwifery and nursing workforce.</div></div><div><h3>Purpose</h3><div>To explore midwives’ perspectives on barriers to precepting midwifery students in order to support growing the preceptor workforce.</div></div><div><h3>Methods</h3><div>In-depth qualitative interviews were conducted with 18 midwives from across New Jersey. Analysis was guided by the tenets of thematic analysis and the Socioecological Model.</div></div><div><h3>Discussion</h3><div>Three overarching institutions were responsible for many of the barriers midwives experienced to precepting students and practicing to the full extent of their training: the state, the hospital, and the university. Recommendations from participants about improvements to support precepting included actionable items for each institution.</div></div><div><h3>Conclusion</h3><div>State governments, hospital systems, and academic institutions are vital to efforts to expand the pool of midwifery clinical preceptors needed to grow and diversify the perinatal healthcare workforce, including midwives, in the United States.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102435"},"PeriodicalIF":4.1,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144072567","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

Nursing Science in a Time of Change 变革时代的护理科学

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-05-01 DOI: 10.1016/j.outlook.2025.102449

Charleen McNeill PhD, RN , Ansley Grimes Stanfill PhD, RN, FAAN

引用次数: 0

Protecting our nursing and healthcare workers with comprehensive strategies for preventing violence and promoting safety: An American Academy of Nursing consensus paper 用预防暴力和促进安全的综合战略保护我们的护理和保健工作者：美国护理学会共识文件

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-05-01 DOI: 10.1016/j.outlook.2025.102425

JoEllen Schimmels PhD, DNP, PMHNP-BC, CNE, FAAN , Joanne Iennaco PhD, APRN, PMHNP-BC, FAAN , Kathleen R. Delaney PhD, APRN, PMH-NP, FAAN , Emily Hauenstein PhD, LCP, RN, MSN, FAAN , Daryl Sharp PhD, RN, FAAN , Kathleen Brewer-Smyth PhD, FAAN , Karan Kverno PhD, FAAN , Michelle Patch PhD, MSN, APRN-CNS, ACNS-BC, AFN-C, DF-AFN, FAAN , Sandra Cadena PhD, RN, FAAN , Susan Blaakman PhD, RN, PMHNP-BC, FNAP, FAAN , Robin Arends DNP, CNP, FNP-BC, PMHNP-BC, CNE, FAAN, FAANP , Linda Beeber PhD, PMHCNS-BC, FAAN

{"title":"Protecting our nursing and healthcare workers with comprehensive strategies for preventing violence and promoting safety: An American Academy of Nursing consensus paper","authors":"JoEllen Schimmels PhD, DNP, PMHNP-BC, CNE, FAAN , Joanne Iennaco PhD, APRN, PMHNP-BC, FAAN , Kathleen R. Delaney PhD, APRN, PMH-NP, FAAN , Emily Hauenstein PhD, LCP, RN, MSN, FAAN , Daryl Sharp PhD, RN, FAAN , Kathleen Brewer-Smyth PhD, FAAN , Karan Kverno PhD, FAAN , Michelle Patch PhD, MSN, APRN-CNS, ACNS-BC, AFN-C, DF-AFN, FAAN , Sandra Cadena PhD, RN, FAAN , Susan Blaakman PhD, RN, PMHNP-BC, FNAP, FAAN , Robin Arends DNP, CNP, FNP-BC, PMHNP-BC, CNE, FAAN, FAANP , Linda Beeber PhD, PMHCNS-BC, FAAN","doi":"10.1016/j.outlook.2025.102425","DOIUrl":"10.1016/j.outlook.2025.102425","url":null,"abstract":"<div><div>Concerns about workplace safety have contributed to a variety of negative personal and organizational outcomes in health care. In this consensus paper, we explore the current legislative and regulatory environment affecting workplace safety in organizations employing nurses and providing patient care, bringing nurses' voices to policy that directly affects their well-being. Incorporating feedback gathered during the 2023 American Academy of Nursing (Academy) Policy Dialogue on workplace violence prevention, we summarize the scope of the problem, provide clarification on the position of the Academy, highlight effective practice exemplars, and recommend policy changes. This work is aimed at mitigating the risk and occurrence of violence in the healthcare workplace, ensuring the protection of both the nursing and healthcare workforce and the public through policy recommendations.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 3","pages":"Article 102425"},"PeriodicalIF":4.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143913038","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

Information for Readers 读者资讯

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-05-01 DOI: 10.1016/S0029-6554(25)00107-1

引用次数: 0

Comparing the influence of social risk factors on machine learning model performance across racial and ethnic groups in home healthcare 比较社会风险因素对家庭医疗中不同种族和民族的机器学习模型性能的影响

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-05-01 DOI: 10.1016/j.outlook.2025.102431

Mollie Hobensack PhD, RN , Anahita Davoudi PhD , Jiyoun Song PhD, APRN , Kenrick Cato PhD, RN , Kathryn H. Bowles PhD, RN , Maxim Topaz PhD, RN

引用次数: 0

Development of a policy equity impact assessment tool 制定政策公平影响评估工具

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-05-01 DOI: 10.1016/j.outlook.2025.102426

Karen Reifenstein PhD, RN , Joanne Noone PhD, RN, FAAN, CNE, ANEF , Rana Najjar PhD, RN, CPNP , Katherine L. Criswell MSN, RN , Doria K. Thiele PhD, CNM, IBCLC

{"title":"Development of a policy equity impact assessment tool","authors":"Karen Reifenstein PhD, RN , Joanne Noone PhD, RN, FAAN, CNE, ANEF , Rana Najjar PhD, RN, CPNP , Katherine L. Criswell MSN, RN , Doria K. Thiele PhD, CNM, IBCLC","doi":"10.1016/j.outlook.2025.102426","DOIUrl":"10.1016/j.outlook.2025.102426","url":null,"abstract":"<div><h3>Background</h3><div>Efforts to eradicate historically rooted inequities in nursing education require examining policies and decisions through an equity lens. Policy equity impact assessment tools (EIAT) are designed to analyze impact of policies and decisions to create more equitable outcomes.</div></div><div><h3>Purpose</h3><div>The purpose of this article is to describe the development and implementation of a policy EIAT in a school of nursing that aligns with trauma-informed educational practices.</div></div><div><h3>Methods</h3><div>Literature and existing policy equity impact assessments used in educational, social justice organizational, and governmental settings were reviewed to develop a tool to aid decision-making and policymaking and revision.</div></div><div><h3>Findings</h3><div>The tool developed considers who benefits and is burdened by a policy, unintended consequences, community member involvement, and how to mitigate trauma and harm.</div></div><div><h3>Discussion</h3><div>This tool can be adapted to other nursing education programs and practice settings.</div></div><div><h3>Conclusion</h3><div>A policy EIAT has the potential to create more equitable policies and to dismantle structural racism in nursing education.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 3","pages":"Article 102426"},"PeriodicalIF":4.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898997","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