Nursing Outlook最新文献

{"title":"Investing in nurses, investing in nations: The untapped economic dividend","authors":"Mona Gamal Mohamed PhD","doi":"10.1016/j.outlook.2025.102470","DOIUrl":"10.1016/j.outlook.2025.102470","url":null,"abstract":"","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102470"},"PeriodicalIF":4.1,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491083","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}

{"title":"The role of bridging social capital among women after childbirth: A moderation analysis","authors":"Anabel Lifszyc Friedlander PhD ,&nbsp;Batya Madjar MPA, MPH, RN ,&nbsp;Riki Shemer MA, MPH, RN ,&nbsp;Sivia Barnoy PhD, RN ,&nbsp;Anat Amit Aharon PhD, MHA, RN","doi":"10.1016/j.outlook.2025.102476","DOIUrl":"10.1016/j.outlook.2025.102476","url":null,"abstract":"<div><h3>Background</h3><div>Maternal parenting self-efficacy significantly impacts maternal and child health outcomes. Nevertheless, the factors influencing it are not well-understood.</div></div><div><h3>Purpose</h3><div>To examine factors associated with maternal self-efficacy, including attendance at the mother–child health clinic (MCHC), bridging social capital, state anxiety, and breastfeeding attitudes.</div></div><div><h3>Methods</h3><div>A cross-sectional study using a structured self-report questionnaire was conducted among 451 mothers of children under 3.5 months attending MCHCs. Linear regression explained variance in maternal self-efficacy. A moderation analysis examined the role of bridging social capital in the association between state anxiety and maternal parenting self-efficacy. STROBE guidelines were followed.</div></div><div><h3>Discussion</h3><div>Bridging social capital, state anxiety, and breastfeeding attitudes significantly explained maternal parenting self-efficacy (32.4% variance). Bridging social capital moderated the association between state anxiety and maternal self-efficacy.</div></div><div><h3>Conclusion</h3><div>MCHC services operated by public health nurses are vital community resources supporting maternal self-efficacy and positively influencing mothers’ health outcomes at the population level.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102476"},"PeriodicalIF":4.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144471786","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}

{"title":"New graduate nurse competencies—Part II: Thematic analysis of the perceptions of academic faculty and acute care hospital practice leaders at the time of new graduate nurse hire and upon completing a 12-month nurse residency program","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","doi":"10.1016/j.outlook.2025.102475","DOIUrl":"10.1016/j.outlook.2025.102475","url":null,"abstract":"<div><h3>Background</h3><div>The various educational pathways to obtain an entry-level nursing degree facilitate a diverse workforce. However, they also create confusion among practice leaders about the competency-level expectations of newly graduated nurses (NGNs). Establishing a clear understanding of the essential core competencies hospital practice leaders can expect of all NGNs, regardless of the type of nursing prelicensure degree program, upon starting their professional practice, and at the end of a 12-month nurse residency program (NRP) will contribute to their ongoing growth and development. This is the second of a two-part article describing the practice readiness controversy and the competencies of NGNs at 12 months of professional practice.</div></div><div><h3>Purpose</h3><div>This statewide study aimed to understand the perceptions of nursing academic faculty and hospital-based practice leaders of NGNs’ core competencies at the start of their professional nursing practice and after completing a 12-month NRP.</div></div><div><h3>Methods</h3><div>A multiphase mixed-methods (survey and focus groups) research study was completed using a purposive sample of nursing academic faculty from all accredited prelicensure nursing programs and practice leaders from all acute care hospitals in the state of Maryland. Participants' responses to a survey were analyzed to compare competency expectations between the differing groups (Part One). The qualitative research aspect of this study employed a virtual focus group methodology and followed a semistructured interview guide to gain deeper insights into the reasons for the participants’ responses.</div></div><div><h3>Discussion</h3><div>The qualitative findings identified six themes that explained the existing NGNs’ competency expectations upon starting their professional practice roles based on the diverse perceptions of nursing academic faculty and hospital-based practice leaders. Participants also identified 24 competencies NGNs may develop by the end of their 12-month NRP.</div></div><div><h3>Conclusion</h3><div>Although nursing academic faculty and hospital-based practice leaders had different perceptions of NGNs’ competencies, this study provided a path forward to stop questioning the practice readiness gap and instead focus on what each of the faculty and leaders can do to support the continued growth of NGNs. The findings supported the phenomenon that competency-based education occurs as a continuum where faculty develop NGNs’ competencies, while students and practice leaders continue to grow NGNs’ competencies as professional nurses during the 12-month NRP.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102475"},"PeriodicalIF":4.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144471787","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}

{"title":"N.U.R.S.E.S. embracing artificial intelligence: A guide to artificial intelligence literacy for the nursing profession","authors":"Stephanie H. Hoelscher DNP, RN, NI-BC, AIMP, CPHIMS, CHISP, FHIMSS ,&nbsp;Ashley Pugh MSHI, RN, CPHIMS","doi":"10.1016/j.outlook.2025.102466","DOIUrl":"10.1016/j.outlook.2025.102466","url":null,"abstract":"<div><div>Artificial intelligence (AI) is reshaping health care, making AI literacy vital for nursing professionals. The <em>N</em>avigate AI basics, <em>U</em>tilize AI strategically, <em>R</em>ecognize AI pitfalls, <em>S</em>kills support, <em>E</em>thics in action, and <em>S</em>hape the future framework provides a structured approach to AI integration into nursing. Nurses need to understand AI’s fundamentals and its impact on clinical practice and patient care, both in the classroom and at the bedside. Nurses can use AI effectively and responsibly by recognizing benefits, such as enhanced decision-making, and challenges, like biased data. Ethical considerations should guide AI usage in health care, with a commitment to frequent skill development. Nurses play a pivotal role in shaping the future by ensuring AI is applied to benefit their organizations and, more importantly, healthcare workers and patients. This AI literacy guide is designed to empower nurses to navigate and help build the future of health care and AI with confidence and competence.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102466"},"PeriodicalIF":4.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144366396","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}

{"title":"A comparative analysis of relationships among demographics, political affiliation and ideology, climate change, and health perceptions","authors":"Janice Hawkins PhD, CNS, FAAN,&nbsp;Beth Tremblay PhD, RN,&nbsp;Robert J. Hawkins PhD, MPH, FAAN,&nbsp;Jessica Parrott DNP, CPNP-PC, CNE","doi":"10.1016/j.outlook.2025.102462","DOIUrl":"10.1016/j.outlook.2025.102462","url":null,"abstract":"<div><h3>Background</h3><div>The impact of climate change on health is an increasing concern, with risks unevenly distributed.</div></div><div><h3>Purpose</h3><div>To analyze existing data to describe and compare relationships among demographics, political affiliation and ideology, climate change, and health perceptions.</div></div><div><h3>Methods</h3><div>A cross-sectional comparative analysis of secondary data.</div></div><div><h3>Results</h3><div>There are significant differences in levels of concern ofabout the impact of climate change on health based on race, gender, and political ideology. Those who identified as female or Black reported being more concerned than their White and male counterparts. The level of concern for the impact of climate change on health was higher among participants who identified as liberal than those who identified as conservative.</div></div><div><h3>Discussion</h3><div>Differences in level of concern may indicate that some populations are impacted disproportionately as well as a lack of accurate information on the known connections between climate and health.</div></div><div><h3>Conclusion</h3><div>The health impacts of climate change are a concern for many. Therefore, we recommend nurses and other health professionals actively engage in community education and climate-related policy development to address the concerns of individuals.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102462"},"PeriodicalIF":4.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144471785","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}

{"title":"For fellow healthcare workers in the trenches","authors":"Jay Desai MD","doi":"10.1016/j.outlook.2025.102465","DOIUrl":"10.1016/j.outlook.2025.102465","url":null,"abstract":"","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102465"},"PeriodicalIF":4.1,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144307374","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}

{"title":"Factors of registered nurse vacancies in the United States","authors":"Nicholas Yell ,&nbsp;Elizabeth Crouch ,&nbsp;Nabil Natafgi ,&nbsp;Kelli Kenison ,&nbsp;Michael D. Wirth","doi":"10.1016/j.outlook.2025.102448","DOIUrl":"10.1016/j.outlook.2025.102448","url":null,"abstract":"<div><h3>Background</h3><div>Nursing shortages have been an issue in the United States since the 1930s.</div></div><div><h3>Purpose</h3><div>The purpose of this study was to use the percentage of registered nurse (RN) vacancies to identify associations with RN shortages, at the hospital- and county-level.</div></div><div><h3>Methods</h3><div>This cross-sectional study uses the 2019 American Hospital Association annual survey and the Social Determinants of Health 2019 database. The dependent variable was the percentage of vacant RN positions at the hospital. Independent variables included hospital demographics, county demographics, RN workload factors, and RN support factors. A multiple linear regression model and a logistic regression model were used to determine associations of the percentage of RN vacancies and the odds of having 10% or more RN vacancies, respectively.</div></div><div><h3>Discussion</h3><div>RN workload appeared to have the greatest association with RN vacancies.</div></div><div><h3>Conclusion</h3><div>Future research should focus on investigating ways to decrease RN workloads, decrease burnout in mental health hospitals, and determining further differences in the associations of RN vacancies and RN turnover.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102448"},"PeriodicalIF":4.1,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144279517","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}

{"title":"Psychological distress of nurse managers in acute care: A scoping review","authors":"Amy E. Trueblood MS, RN, NEA-BC,&nbsp;Amy Vogelsmeier PhD, RN, FAAN,&nbsp;Susan D. Scott PhD, RN, FAAN,&nbsp;Marilyn Rantz PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102447","DOIUrl":"10.1016/j.outlook.2025.102447","url":null,"abstract":"<div><h3>Background</h3><div>The psychological distress experienced by nurse managers (NMs) following emotionally challenging clinical events has been studied less than that of direct care nurses.</div></div><div><h3>Purpose</h3><div>The purpose of this scoping review of the literature was to understand evidence related to the psychological distress experienced by NMs, contributors to these distress responses, and the impact of psychological distress on NMs personally and professionally.</div></div><div><h3>Methods</h3><div>A scoping review of the literature was completed following the protocol and checklist for scoping reviews. Twenty-two studies were included in the final sample.</div></div><div><h3>Discussion</h3><div>Psychological distress responses were found to include second victim phenomenon, burnout, moral distress, secondary traumatic stress, post-traumatic stress disorder, anxiety, depression, and work-related stress. Contributors to psychological distress among NMs included inadequate support, value incongruence, resource scarcity, and workplace violence. Physical and emotional well-being, along with intent to leave, were noted as impacts of psychological distress in NMs.</div></div><div><h3>Conclusion</h3><div>Nurse managers experience psychological distress and need support in addressing work environment and organizational challenges. In addition to focus on direct care nurses, further study of the experiences of nurse managers related to psychological distress and how best to support them is needed.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102447"},"PeriodicalIF":4.1,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144222778","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}

{"title":"Artificial intelligence 101: Building literacy with the AI-ABCs framework","authors":"Mahrokh M. Kobeissi DNP, APRN, FNP-C ,&nbsp;Diane M. Santa Maria DrPH, ACRN, PHNA-BC, FAAN ,&nbsp;Jung In Park PhD, RN, FAMIA","doi":"10.1016/j.outlook.2025.102445","DOIUrl":"10.1016/j.outlook.2025.102445","url":null,"abstract":"<div><div>The rapid advancements of artificial intelligence (AI) in healthcare have triggered a significant literacy gap among nursing professionals, raising concerns about implementation, ethical use, and impact on practice. This article introduces the AI-ABCs framework as a structured approach to building foundational AI literacy among nurse leaders, educators, and healthcare professionals. The framework was developed through a comprehensive literature synthesis and expert consultation in nursing informatics to identify essential components of AI literacy for healthcare professionals. The AI-ABCs framework provides an accessible entry point for AI literacy through three components: A—AI-Basics, B—Benefits and Challenges of AI, and C—Core Components and Terminologies in AI. The AI-ABCs framework offers nurse leaders and educators a structured approach to developing foundational AI literacy necessary for guiding policy development, curriculum integration, and ethical implementation in healthcare and educational settings, aligning with recommendations from key professional organizations.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102445"},"PeriodicalIF":4.1,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144170712","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}

{"title":"Barriers and facilitators to reporting workplace violence among healthcare workers: A mixed-methods systematic review","authors":"Dan Xu MSN ,&nbsp;Jing Zhou MB ,&nbsp;Minli Yang MB ,&nbsp;Liu Yang MB ,&nbsp;Qi Li MB ,&nbsp;Yanli Zeng PhD","doi":"10.1016/j.outlook.2025.102443","DOIUrl":"10.1016/j.outlook.2025.102443","url":null,"abstract":"<div><h3>Background</h3><div>Workplace violence (WPV) threatens healthcare workers and patient safety, yet underreporting remains prevalent.</div></div><div><h3>Purpose</h3><div>To identify barriers and facilitators of WPV reporting among healthcare workers, with implications for management, leadership, and policy.</div></div><div><h3>Methods</h3><div>We searched 10 databases for studies from inception to September 1, 2024, with an update on November 30, 2024. Two reviewers assessed quality using Joanna Briggs Institute tools. A convergent integrated synthesis was conducted.</div></div><div><h3>Discussion</h3><div>Fifty-eight studies from 30 countries were included (16 qualitative, 37 quantitative, 5 mixed-methods). Barriers to reporting fell into three themes: (a) Organizational Challenges, (b) Cultural and Social Barriers, and (c) Personal and Emotional Barriers. Facilitators included (a) Supportive Organizational Environment, (b) Legal and Policy Supports, (c) Education and Awareness, and (d) Personal Motivations.</div></div><div><h3>Conclusions</h3><div>Promoting WPV reporting requires multilevel strategies, including leadership accountability, simplified systems, and legislative action. The findings support a global agenda to improve safety culture and organizational learning in healthcare.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102443"},"PeriodicalIF":4.1,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144170713","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}