Nursing Outlook最新文献_第2页

Pandemic prevention competencies of long-term care institution workers: A retrospective national survey in Taiwan 台湾长期照护机构工作人员流行病预防能力之回溯性调查

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-04-24 DOI: 10.1016/j.outlook.2025.102399

Po-Jen Kung RN, PhD(c), MSN , Ching-Min Chen RN, DNS, FAAN, FFNMRCSI , Katherine A. Ornstein PhD, MPH , Yi-Yuan Cheng RN, MSN

{"title":"Pandemic prevention competencies of long-term care institution workers: A retrospective national survey in Taiwan","authors":"Po-Jen Kung RN, PhD(c), MSN , Ching-Min Chen RN, DNS, FAAN, FFNMRCSI , Katherine A. Ornstein PhD, MPH , Yi-Yuan Cheng RN, MSN","doi":"10.1016/j.outlook.2025.102399","DOIUrl":"10.1016/j.outlook.2025.102399","url":null,"abstract":"<div><h3>Background</h3><div>Long-term care institutions are especially vulnerable in pandemics. Despite Taiwan’s proximity to COVID-19′s epicenter, the country demonstrated effective pandemic management.</div></div><div><h3>Purpose</h3><div>This study assessed pandemic prevention competencies of Taiwan’s long-term care workers, identifying key influencing factors.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted, with assessments on competencies via the Emerging Infectious Disease Prevention Competencies Scale.</div></div><div><h3>Discussion</h3><div>A total of 433 valid responses were obtained. Competencies were rated strong (mean 65.2/81), with predictors including sense of purpose, perceived supervisor support, alignment with institutional culture, job satisfaction, and regular pandemic prevention drills. Findings underscore the role of a supportive environment in fostering pandemic competencies and highlight the importance of strengthening problem-solving capacities to enhance preparedness.</div></div><div><h3>Conclusion</h3><div>Investing in workforce preparedness, leadership engagement, and institutional culture-building is essential for strengthening long-term care resilience to future pandemics worldwide.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 3","pages":"Article 102399"},"PeriodicalIF":4.1,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870691","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

Stress, psychological well-being, social support, practice environment, resilience, job satisfaction, and acculturation among Filipino internationally qualified nurses: A structural equation model 菲律宾国际合格护士的压力、心理健康、社会支持、执业环境、弹性、工作满意度和文化适应：一个结构方程模型

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-04-23 DOI: 10.1016/j.outlook.2025.102424

Daniel Joseph E. Berdida PhD, RN, RM , Rizal Angelo N. Grande EdD, RN , Mohammed Hamdan Alshammari PhD, RN , Violeta Lopez RN, PhD, FACN

{"title":"Stress, psychological well-being, social support, practice environment, resilience, job satisfaction, and acculturation among Filipino internationally qualified nurses: A structural equation model","authors":"Daniel Joseph E. Berdida PhD, RN, RM , Rizal Angelo N. Grande EdD, RN , Mohammed Hamdan Alshammari PhD, RN , Violeta Lopez RN, PhD, FACN","doi":"10.1016/j.outlook.2025.102424","DOIUrl":"10.1016/j.outlook.2025.102424","url":null,"abstract":"<div><h3>Background</h3><div>During the post-COVID-19 pandemic, during which migration of internationally qualified nurses (IQNs) continued, there was evidence of increased burnout, turnover, staffing shortage, and diminished quality of life in the global nursing workforce.</div></div><div><h3>Purpose</h3><div>To test a model of interrelationships of stress, psychological well-being (PWB), social support, practice environment, resilience, job satisfaction, and acculturation among Filipino IQNs.</div></div><div><h3>Methods</h3><div>Cross-sectional and correlational design study participated by Filipino IQNs (<em>n</em>  <!-->578) from 13 countries. Seven self-report scales were used to collect data between June and December 2023. Structural equation modeling was employed for data analysis.</div></div><div><h3>Discussion</h3><div>Stress, PWB, practice environment, resilience, and job satisfaction positively influenced acculturation. Social support and resilience were positively associated with job satisfaction. Practice environment mediated between stress and acculturation, while job satisfaction mediated the effects of social support and resilience to acculturation.</div></div><div><h3>Conclusion</h3><div>A positive practice environment and job satisfaction are protective factors that could mitigate stress while strengthening social support, resilience, and acculturation experience.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 3","pages":"Article 102424"},"PeriodicalIF":4.1,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864094","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

Newly-licensed registered nurses work environment and workforce trends: Analysis of the 2022 National Sample Survey of Registered Nurses 新证注册护士工作环境与劳动力趋势：2022年全国注册护士抽样调查分析

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-04-21 DOI: 10.1016/j.outlook.2025.102405

Cory D. Church PhD, RN, NPD-BC , Martha Grubaugh PhD, RN, NE-BC, FAONL , Seungman Kim PhD

{"title":"Newly-licensed registered nurses work environment and workforce trends: Analysis of the 2022 National Sample Survey of Registered Nurses","authors":"Cory D. Church PhD, RN, NPD-BC , Martha Grubaugh PhD, RN, NE-BC, FAONL , Seungman Kim PhD","doi":"10.1016/j.outlook.2025.102405","DOIUrl":"10.1016/j.outlook.2025.102405","url":null,"abstract":"<div><h3>Background</h3><div>The Coronavirus disease of 2019 (COVID-19) pandemic has intensified turnover challenges among newly-licensed registered nurses (NLRNs), posing financial and sustainability issues for healthcare systems.</div></div><div><h3>Purpose</h3><div>This study examines NLRN workforce trends, characteristics, and turnover factors using data from the 2022 National Sample Survey of Registered Nurses (NSSRN), comparing findings with 2018 data to observe post-pandemic shifts.</div></div><div><h3>Methods</h3><div>A secondary analysis was performed on a weighted subset of NLRNs from the 2022 and 2018 NSSRN data. Demographic, educational, and employment variables were analyzed using descriptive statistics and confidence intervals, and turnover predictors were assessed through logistic regression models.</div></div><div><h3>Discussion</h3><div>NLRN turnover intent remains high, driven by burnout, suggesting a need for broader systemic strategies to improve work environments and nurse retention.</div></div><div><h3>Conclusion</h3><div>Addressing NLRN turnover requires systemic strategies focused on mitigating burnout and addressing work environment issues through robust transition to practice programs, supporting workforce stability in a post-pandemic context.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 3","pages":"Article 102405"},"PeriodicalIF":4.1,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143854684","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

Breaking the code: Using the Precision Health Model to guide research and clinical care 破解密码：使用精准健康模型指导研究和临床护理

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-04-21 DOI: 10.1016/j.outlook.2025.102396

Marilyn J. Hammer PhD, RN, FAAN , Yvette P. Conley PhD, FAAN , Wendy A. Henderson PhD, CRNP, FAAN , Nada Lukkahatai PhD, RN, FAAN , Christine Miaskowski RN, PhD, FAAN , Angela Starkweather PhD, ACNP-BC, FAAN , Susan W. Wesmiller PhD, RN, FAAN

{"title":"Breaking the code: Using the Precision Health Model to guide research and clinical care","authors":"Marilyn J. Hammer PhD, RN, FAAN , Yvette P. Conley PhD, FAAN , Wendy A. Henderson PhD, CRNP, FAAN , Nada Lukkahatai PhD, RN, FAAN , Christine Miaskowski RN, PhD, FAAN , Angela Starkweather PhD, ACNP-BC, FAAN , Susan W. Wesmiller PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102396","DOIUrl":"10.1016/j.outlook.2025.102396","url":null,"abstract":"<div><h3>Background</h3><div>Precision health is a person-centered approach to health and well-being that is operationalized through evaluating omics-level profiles and their associations with the exposome. A precision health approach addresses the challenge that “one size does not fit all” in the management of an individual’s health.</div></div><div><h3>Purpose</h3><div>The purpose of this white paper is to introduce a Precision Health Model and its application in research and clinical care.</div></div><div><h3>Methods</h3><div>An expert panel reviewed and synthesized the extant literature related to precision health, the current state of omics’ science, and common exposome factors that influence the health/illness continuum. A case study provides the framework for the application of the Precision Health Model.</div></div><div><h3>Discussion</h3><div>Precision health and key domains are defined and serve as the platform for the development of the Precision Health Model.</div></div><div><h3>Conclusion</h3><div>Application of the Precision Health Model will provide inclusive, equitable, person-centered research and clinical care.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 3","pages":"Article 102396"},"PeriodicalIF":4.1,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143854683","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 the cost of enrollment: A comprehensive review of baccalaureate and graduate nursing program websites 了解入学费用：对护理学士学位和研究生课程网站的全面审查

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-04-19 DOI: 10.1016/j.outlook.2025.102403

Nicholas Havey PhD , Jenny Keyt MA , Carrie Byrne MEng , George A. Zangaro PhD, RN, FAAN

{"title":"Understanding the cost of enrollment: A comprehensive review of baccalaureate and graduate nursing program websites","authors":"Nicholas Havey PhD , Jenny Keyt MA , Carrie Byrne MEng , George A. Zangaro PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102403","DOIUrl":"10.1016/j.outlook.2025.102403","url":null,"abstract":"<div><h3>Background</h3><div>Nursing school websites are often prospective students’ first source of information regarding program expectations, tuition, and cost of attendance.</div></div><div><h3>Purpose</h3><div>Given evidence of the growing complexity of nursing programs and changes to institutional tuition policies and cost-setting practices, this study examined the breadth and depth of baccalaureate and graduate nursing program-specific cost information on institutions’ public-facing websites.</div></div><div><h3>Methods</h3><div>Through content analysis of website and attachment data from 1,069 colleges and universities representing 1,579 baccalaureate and 1,485 graduate nursing programs, we sought to characterize patterns in the nature and quality of tuition information on nursing programs’ websites to better understand the user experience related to nursing program choice and enrollment.</div></div><div><h3>Discussion</h3><div>Across the 3,064 programs analyzed, we found that cost information was present for 94.5% of all programs, was comprehensive for 20.2% of all programs, and was up to date for 92.2% of all institutions. Our findings point to intense variation in informational quality across institutions and programs, ranging from language inconsistency, visual coherence, and navigational ease, each challenge stemming from information fragmentation, discontinuity, or absence across pages.</div></div><div><h3>Conclusion</h3><div>Implications for research and improved institutional practice are discussed.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 3","pages":"Article 102403"},"PeriodicalIF":4.1,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848138","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

An application of Nightingale’s environmental theory in telenursing 南丁格尔环境理论在远程护理中的应用

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-04-19 DOI: 10.1016/j.outlook.2025.102422

Dayeon Heo MSN , Karen Foli PhD, ANEF, FAAN , Zachary Hass PhD

{"title":"An application of Nightingale’s environmental theory in telenursing","authors":"Dayeon Heo MSN , Karen Foli PhD, ANEF, FAAN , Zachary Hass PhD","doi":"10.1016/j.outlook.2025.102422","DOIUrl":"10.1016/j.outlook.2025.102422","url":null,"abstract":"<div><h3>Background</h3><div>Nightingale emphasized in her theory that care environments have a significant effect on health outcomes. Telenursing, a remote delivery of nursing practice, occurs in diverse individual environments; however, there is a lack of discussion on these environments using Nightingale’s theory compared with traditional clinical settings.</div></div><div><h3>Purpose</h3><div>The objective in this paper is to conduct a theory analysis of Nightingale’s environmental theory and explore how to apply the bedside nursing theory to remote healthcare delivery: telenursing.</div></div><div><h3>Methods</h3><div>Walker and Avant’s strategies for theory analysis were utilized.</div></div><div><h3>Discussion</h3><div>Nightingale’s theory was evaluated as a scientifically grounded framework, with its concepts remaining unchanged when applying the theory to telenursing. Considering the differences between telenursing and in-person care, self-care management and digital health technologies play a crucial role in applying the theory in telenursing.</div></div><div><h3>Conclusion</h3><div>Nightingale’s environmental theory is useful in telenursing, where self-care management and digital health technologies can facilitate patients' care environments management.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 3","pages":"Article 102422"},"PeriodicalIF":4.1,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848173","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

An evolving virtual nursing model: Enhancing care delivery through advanced workflow integration 不断发展的虚拟护理模式：通过先进的工作流程集成增强护理服务

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-04-18 DOI: 10.1016/j.outlook.2025.102421

Amy E. Roberson MS, APRN, AGCNS-BC , Holly R. Martinez DNP, MSN, RN , Samantha A. Holligan MBA, RN , Marny Carlson MS, RN, RN-BC

{"title":"An evolving virtual nursing model: Enhancing care delivery through advanced workflow integration","authors":"Amy E. Roberson MS, APRN, AGCNS-BC , Holly R. Martinez DNP, MSN, RN , Samantha A. Holligan MBA, RN , Marny Carlson MS, RN, RN-BC","doi":"10.1016/j.outlook.2025.102421","DOIUrl":"10.1016/j.outlook.2025.102421","url":null,"abstract":"<div><h3>Background</h3><div>Virtual nursing has emerged as an approach to support bedside nurses and enhance patient care. Initially focused on mentorship, the model has evolved to address changing clinical demands.</div></div><div><h3>Purpose</h3><div>To examine the development and implementation of an advanced virtual nursing model, with improved scalability, that aimed to enhance care efficiency by reallocating bedside nursing tasks.</div></div><div><h3>Methods</h3><div>The model was updated to consistently shift tasks from the bedside nurse to the virtual nurse, use a different staffing model and reporting structure, expand technology integration, and transform electronic health record functionality to automate and standardize workflows.</div></div><div><h3>Discussion</h3><div>The advanced model increased admission and discharge completion rates by reducing administrative burdens for bedside nurses and improving resource allocation. Feedback showed varying levels of acceptance among patients and nurses.</div></div><div><h3>Conclusion</h3><div>The advanced model effectively enhanced care delivery. Future efforts should focus on expanding virtual nursing, investing in technology, and applying change management strategies.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 3","pages":"Article 102421"},"PeriodicalIF":4.1,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844397","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 and allied health students’ transgender and gender-diverse knowledge and attitudes, gender sensitivity, gender role ideology towards patients, and health professions: Structural equation model 护理及相关卫生专业学生跨性别及性别多元知识态度、性别敏感性、性别角色意识与卫生职业：结构方程模型

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-04-18 DOI: 10.1016/j.outlook.2025.102404

Sheryl H. Ramirez PhD, RN , Daniel Joseph E. Berdida PhD, RN, RM

{"title":"Nursing and allied health students’ transgender and gender-diverse knowledge and attitudes, gender sensitivity, gender role ideology towards patients, and health professions: Structural equation model","authors":"Sheryl H. Ramirez PhD, RN , Daniel Joseph E. Berdida PhD, RN, RM","doi":"10.1016/j.outlook.2025.102404","DOIUrl":"10.1016/j.outlook.2025.102404","url":null,"abstract":"<div><h3>Background</h3><div>Nursing and allied health students' transgender and gender-diverse (TDG) perspectives are essential to creating relevant educational programs and a more inclusive healthcare system for all genders.</div></div><div><h3>Purpose</h3><div>To investigate the associations of TGD knowledge and attitudes, gender sensitivity, gender role ideology towards patients, and gender role ideology towards health professions.</div></div><div><h3>Methods</h3><div>Cross-sectional, correlational design study participated by nursing and allied health students (<em>n</em>  <!-->610). Descriptive and inferential statistics were used to analyze the data.</div></div><div><h3>Discussion</h3><div>TGD knowledge and attitudes were positively associated with gender sensitivity, gender role ideology towards patients, and health professions. Gender sensitivity mediated the indirect effects of TGD knowledge and attitudes on gender role ideology towards patients and health professions.</div></div><div><h3>Conclusion</h3><div>This study underscores the critical role of nursing and allied health students, their institutions, and instructors in fostering a positive knowledge, attitudes, sensitivity, and ideology towards people who are TGD to sustain gender equity.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 3","pages":"Article 102404"},"PeriodicalIF":4.1,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844399","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

Emergency department visits among children with asthma: Racial/ethnic disparities before and during the COVID-19 pandemic 哮喘儿童的急诊就诊：COVID-19大流行之前和期间的种族/民族差异

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-04-18 DOI: 10.1016/j.outlook.2025.102394

Sangita Pudasainee-Kapri PhD, DNP, FNP-BC , Yupeng Li PhD , Kul Prasad Kapri PhD , Mei Rosemary Fu PhD, RN, FAAN , Dawn Wiest PhD , Prakash Kandel MS, ABD , Mohammed Jawaad Hussain MD

{"title":"Emergency department visits among children with asthma: Racial/ethnic disparities before and during the COVID-19 pandemic","authors":"Sangita Pudasainee-Kapri PhD, DNP, FNP-BC , Yupeng Li PhD , Kul Prasad Kapri PhD , Mei Rosemary Fu PhD, RN, FAAN , Dawn Wiest PhD , Prakash Kandel MS, ABD , Mohammed Jawaad Hussain MD","doi":"10.1016/j.outlook.2025.102394","DOIUrl":"10.1016/j.outlook.2025.102394","url":null,"abstract":"<div><h3>Background</h3><div>Emergency department (ED) visits for asthma among school-aged children create substantial healthcare burdens.</div></div><div><h3>Purpose</h3><div>This study aimed to examine the longitudinal trends in asthma ED visits, focusing on the effects of sociodemographic factors (i.e., age, sex, and race/ethnicity) and pandemic influence among school-aged children before, during, and after the pandemic.</div></div><div><h3>Methods</h3><div>We used a large, longitudinal, multisite data of 6,312 school-aged children from 2017 to 2022. Negative binomial regression was used for data analysis.</div></div><div><h3>Discussion</h3><div>Stable patterns with higher ED visit rates in Hispanic and Black children were observed prior to the pandemic. During the pandemic, sharp declines in ED visits were observed across all groups, with Black and Hispanic children sustaining higher rates compared with White children.</div></div><div><h3>Conclusion</h3><div>Higher rates of ED visits continued for Black and Hispanic children. Future interventions should focus on improving the effects of racial disparities and incorporating effective strategies for asthma management.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 3","pages":"Article 102394"},"PeriodicalIF":4.1,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848139","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

Top-of-license practice for registered nurses: A scoping review 注册护士的执业许可：范围审查

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-04-17 DOI: 10.1016/j.outlook.2025.102397

Jeanne Hlebichuk PhD, RN, NE-BC , Rachelle J. Lancaster PhD, RN , Vida Vizgirda PhD, JD, RN , Sharon Quinlan DNP, MBA, RN, NEA-BC

{"title":"Top-of-license practice for registered nurses: A scoping review","authors":"Jeanne Hlebichuk PhD, RN, NE-BC , Rachelle J. Lancaster PhD, RN , Vida Vizgirda PhD, JD, RN , Sharon Quinlan DNP, MBA, RN, NEA-BC","doi":"10.1016/j.outlook.2025.102397","DOIUrl":"10.1016/j.outlook.2025.102397","url":null,"abstract":"<div><h3>Background</h3><div>Registered nurses are vital to healthcare delivery, yet often perform non-nursing tasks, contributing to inefficiencies, dissatisfaction, and turnover. The concept “top-of-license” (TOL) nursing practice, introduced in 2013, remains inconsistently defined and applied.</div></div><div><h3>Purpose</h3><div>To explore how TOL nursing practice is defined and applied in existing literature.</div></div><div><h3>Methods</h3><div>A scoping review was conducted using Arksey and O’Malley’s framework and PRISMA-ScR guidelines. Searches of 15 databases and gray literature (no start date—May 4, 2024) yielded 1,377 articles. Following screening, 45 articles met inclusion criteria.</div></div><div><h3>Findings</h3><div>Definitions and applications of TOL varied. Three themes emerged: (a) work—workforce efficiency, (b) benefits to patients—improving patient care and clinical outcomes, and (c) benefits to nurses—nurse perceptions of clinical practice. Limited articles measured TOL outcomes. Definitions and applications of TOL varied, thus differentiation from scope of practice and a definition are provided.</div></div><div><h3>Discussion</h3><div>Standardizing the definition of TOL is essential to advance research, policy, and improve care quality and outcomes.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 3","pages":"Article 102397"},"PeriodicalIF":4.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839057","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