Nursing OutlookPub Date : 2025-09-18DOI: 10.1016/j.outlook.2025.102546
Rachel (Rae) Walker PhD, RN , Jess Dillard-Wright PhD, CNM, RN, FAAN , Ravi Karkar PhD , Joohyun Chung PhD, RN , Jason Molony AM , Cory Ellen Gatrall PhD, MFA, RN
{"title":"Health Tech for the People (HT4P): A transdisciplinary research initiative focused on artificial intelligence tech ethics and design for health justice","authors":"Rachel (Rae) Walker PhD, RN , Jess Dillard-Wright PhD, CNM, RN, FAAN , Ravi Karkar PhD , Joohyun Chung PhD, RN , Jason Molony AM , Cory Ellen Gatrall PhD, MFA, RN","doi":"10.1016/j.outlook.2025.102546","DOIUrl":"10.1016/j.outlook.2025.102546","url":null,"abstract":"<div><h3>Background</h3><div>Technologies animated by artificial intelligence (AI) and machine learning proliferate in nursing’s work and health care. Rapidly evolving AI technologies demand ethics and research infrastructure responsive to this dynamic landscape.</div></div><div><h3>Purpose</h3><div>We founded Health Tech for the People (HT4P) to develop a critical technology ethics for more accountable, human-centered design of AI technologies.</div></div><div><h3>Methods</h3><div>Our HT4P framework, grounded in data feminism and design justice principles, guided projects across two priority areas: reproductive health and aging technologies.</div></div><div><h3>Discussion</h3><div>Outcomes of HT4P’s first year included an ethics fellowship, five transdisciplinary symposia/workshops, community partnerships and a community-directed technology ethics seminar, and multiple projects-in-progress.</div></div><div><h3>Conclusion</h3><div>Nurses have an opportunity to cultivate a radical imagination for more just and careful tech futures. This requires us to develop ethics of technology that puts values in practice by redistributing power, acknowledging the invisible and undervalued labor and resources, and repairing long-standing injustices.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102546"},"PeriodicalIF":3.7,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092895","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}
Nursing OutlookPub Date : 2025-09-15DOI: 10.1016/j.outlook.2025.102540
Yan Gao MNS , Hongmin Ye BS , Miao Huang PhD , Dongxue Li MSN , Xue Bai MSN , Xiuni Gan BS
{"title":"Relationships among perfectionism, workaholism and job stress in a sample of nurses: A cross-sectional questionnaire survey","authors":"Yan Gao MNS , Hongmin Ye BS , Miao Huang PhD , Dongxue Li MSN , Xue Bai MSN , Xiuni Gan BS","doi":"10.1016/j.outlook.2025.102540","DOIUrl":"10.1016/j.outlook.2025.102540","url":null,"abstract":"<div><h3>Background</h3><div>Although more people are now aware of the impact of personality traits on job stress, the understanding of the mechanisms that may explain the correlation between personality traits and job stress among nurses is limited.</div></div><div><h3>Purpose</h3><div>The aim was to explore the potential underlying mechanisms that link nurse perfectionism to job stress.</div></div><div><h3>Methods</h3><div>This study employed a cross-sectional design to survey 3,596 registered nurses from healthcare institutions across 59 cities in 16 provinces of China, encompassing North, East, South, Central, Northeast, Southwest, and Northwest regions. Data were collected on demographic characteristics, perfectionism (categorized as adaptive perfectionism and maladaptive perfectionism), workaholism, and job stress levels.</div></div><div><h3>Discussion</h3><div>Among nurses, adaptive perfectionism, maladaptive perfectionism, and workaholism all demonstrated significant positive effects on job stress. Furthermore, workaholism partially mediated the relationships between both adaptive perfectionism and maladaptive perfectionism and job stress, while a partial suppression effect was observed within the adaptive perfectionism pathways.</div></div><div><h3>Conclusion</h3><div>The results of this study revealed that perfectionist personality traits and workaholism influence the level of occupational stress among nurses. Therefore, managers of healthcare services should seriously consider these results to improve the mental health of nurses.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102540"},"PeriodicalIF":3.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145060006","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}
Nursing OutlookPub Date : 2025-09-15DOI: 10.1016/j.outlook.2025.102547
Martina Barbieri MSN, RM , Gianluca Catania PhD, MSN, RN , Mark Hayter PhD, RN, MMed Sci, FRCN, FAAN , Giuseppe ALEO PhD, MA , Milko Zanini PhD, MSN, RN , Loredana Sasso MEdSc, MSN, RN , Annamaria Bagnasco PhD, MEdSc, RN
{"title":"Desk review as a methodological approach for identifying policies and gray literature: A case study","authors":"Martina Barbieri MSN, RM , Gianluca Catania PhD, MSN, RN , Mark Hayter PhD, RN, MMed Sci, FRCN, FAAN , Giuseppe ALEO PhD, MA , Milko Zanini PhD, MSN, RN , Loredana Sasso MEdSc, MSN, RN , Annamaria Bagnasco PhD, MEdSc, RN","doi":"10.1016/j.outlook.2025.102547","DOIUrl":"10.1016/j.outlook.2025.102547","url":null,"abstract":"<div><h3>Background</h3><div>Desk reviews are widely used in health policy research, yet standardized procedures are lacking. This becomes particularly problematic when working with regulatory and professional documents that are not indexed in academic databases, making access and analysis fragmented.</div></div><div><h3>Purpose</h3><div>The paper aims to propose a structured approach to conducting a desk review.</div></div><div><h3>Methods</h3><div>A case study is presented.</div></div><div><h3>Discussion</h3><div>Drawing on a three-step method—comprising an initial broad search, a targeted exploration of institutional sources, and an iterative selection and refinement process—the study offers a replicable framework to ensure rigor, transparency, and adaptability. The approach is illustrated through its application to the regulatory landscape of midwifery care in Italy, using the International Confederation of Midwives' Professional Framework as a reference for thematic analysis.</div></div><div><h3>Conclusion</h3><div>By outlining the methodology in detail, the paper contributes to strengthening desk review practices in health policy research and offers practical guidance for researchers working with gray literature and fragmented policy sources.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102547"},"PeriodicalIF":3.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145060007","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}
Nursing OutlookPub Date : 2025-09-13DOI: 10.1016/j.outlook.2025.102548
Hyunmin Yu PhD, RN, AGACNP-BC , Linda H. Aiken PhD, RN, FAAN , Lori J. Grischott MSN, RN, NEA-BC , Carolyn L. Davidson PhD, RN, NEA-BC , Kathleen Vnenchak DNP, RN, CNML , Christine Pearl MSN, RN , Dale Beatty DNP, RN, FAAN , Daniela Golinelli PhD , Karen B. Lasater PhD, RN, FAAN , for the US Clinician Wellbeing Study Consortium
{"title":"Differences in hospital staff nurses’ and nurse leaders’ assessments of the work environment and patient safety are associated with staff nurse burnout","authors":"Hyunmin Yu PhD, RN, AGACNP-BC , Linda H. Aiken PhD, RN, FAAN , Lori J. Grischott MSN, RN, NEA-BC , Carolyn L. Davidson PhD, RN, NEA-BC , Kathleen Vnenchak DNP, RN, CNML , Christine Pearl MSN, RN , Dale Beatty DNP, RN, FAAN , Daniela Golinelli PhD , Karen B. Lasater PhD, RN, FAAN , for the US Clinician Wellbeing Study Consortium","doi":"10.1016/j.outlook.2025.102548","DOIUrl":"10.1016/j.outlook.2025.102548","url":null,"abstract":"<div><h3>Background</h3><div>Nurse burnout remains a significant concern, with modifiable factors playing a crucial role in its mitigation or exacerbation.</div></div><div><h3>Purpose</h3><div>We examined the association between nurse burnout and assessment gaps in work environment and patient safety culture between nurse leaders and staff nurses, and whether these associations varied by Magnet status.</div></div><div><h3>Methods</h3><div>Data from the U.S. Clinician Wellbeing Study and RN4CAST-NY/IL Study (13,381 staff nurses, 1,722 nurse leaders) in 2021 were analyzed using multiple linear regression.</div></div><div><h3>Discussion</h3><div>Nurse leaders rated work environments and patient safety culture more favorably than staff nurses. A one-point gap in work environments was linked to a 13% increase in burnout (b = 12.99, <em>p</em> = .001). A one-point gap in patient safety culture was associated with a 2% increase (b = 1.75, <em>p</em> = .015). Associations were weaker in Magnet hospitals (b = −4.63, <em>p</em> = .007).</div></div><div><h3>Conclusion</h3><div>Addressing assessment gaps between leaders and staff nurses is vital for reducing burnout.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102548"},"PeriodicalIF":3.7,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046157","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}
Nursing OutlookPub Date : 2025-09-11DOI: 10.1016/j.outlook.2025.102544
Tingting Zhou RN, MSc , Mengyao Xing MSc , Yue Hu MSc , Jun Liang MS , Qi Ren MS , Yeqin Yang MD, PhD , Lei Ye RN, MS
{"title":"The application of large language models in qualitative nursing research: A scoping review","authors":"Tingting Zhou RN, MSc , Mengyao Xing MSc , Yue Hu MSc , Jun Liang MS , Qi Ren MS , Yeqin Yang MD, PhD , Lei Ye RN, MS","doi":"10.1016/j.outlook.2025.102544","DOIUrl":"10.1016/j.outlook.2025.102544","url":null,"abstract":"<div><h3>Background</h3><div>Large language models (LLMs) provide significant potential benefits for nursing practice and research. Advanced natural language processing capabilities can effectively analyze text in qualitative studies. However, systematic exploration of their application contexts and efficacy in nursing remains limited.</div></div><div><h3>Purpose</h3><div>This review aimed to conduct a scoping review of LLMs’ application in qualitative nursing research, exploring current scenarios, effects, assessment methods, and challenges to provide a reference for future development.</div></div><div><h3>Methods</h3><div>Relevant literature was sourced from 11 databases up to April 2025 and used Joanna Briggs Scoping Review Methodology and PRISMA-ScR reporting standards. The search terms for this review included “nurs*,” “large language model*,” “qualitative study*,” and “qualitative analys*.”</div></div><div><h3>Findings</h3><div>We included 11 studies after reviewing 2,478 articles. The application scenarios of LLMs in qualitative nursing research included topic generation, role-playing, and interview question generation. LLM outputs demonstrated moderate-to-high similarity to human outputs in theme generation and superior text analysis efficiency but performed poorly in applying theoretical frameworks, generating interview questions, and developing codebooks.</div></div><div><h3>Discussion</h3><div>This review systematically outlined LLMs applications and limitations in qualitative nursing research. Although LLM has great potential, its application is still in its infancy.</div></div><div><h3>Conclusion</h3><div>Future research needs to address issues such as analysis depth, simulation accuracy, technical limitations, and evaluation tools.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102544"},"PeriodicalIF":3.7,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046156","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}
Nursing OutlookPub Date : 2025-09-10DOI: 10.1016/j.outlook.2025.102541
Cynthia M. LaFond PhD, RN, FAAN , Susan Solmos PhD, RN, CWCN , Ana Cristina Perez Moreno MD, PhD , Collin Miller MS, MSW , Poching DeLaurentis PhD , Vallire Hooper PhD, RN, FAAN , Mary Sitterding PhD, RN, FAAN , Maureen Chadwick PhD, RN, NE-BC
{"title":"Association of skin tone and pressure injury severity in an international prevalence survey sample","authors":"Cynthia M. LaFond PhD, RN, FAAN , Susan Solmos PhD, RN, CWCN , Ana Cristina Perez Moreno MD, PhD , Collin Miller MS, MSW , Poching DeLaurentis PhD , Vallire Hooper PhD, RN, FAAN , Mary Sitterding PhD, RN, FAAN , Maureen Chadwick PhD, RN, NE-BC","doi":"10.1016/j.outlook.2025.102541","DOIUrl":"10.1016/j.outlook.2025.102541","url":null,"abstract":"<div><h3>Background</h3><div>Decades of research show that individuals who are Black experience higher-stage pressure injuries (PIs) than other racial/ethnic groups. Investigators primarily attribute differences to difficulty visualizing early injury in dark skin tones. Yet, few have actually measured skin tone.</div></div><div><h3>Purpose</h3><div>This novel study examined the relationship between Monk Skin Tone Scale assessments and PI stage using an international PI prevalence database.</div></div><div><h3>Methods</h3><div>Multinomial logistic regression models for hospital-acquired and community-acquired PI stage were employed, controlling for common covariates.</div></div><div><h3>Discussion</h3><div>Medium–DST (Monk 06–10) were associated with a two- to fourfold relative risk of developing a stage 2 or stage 3+ PI versus stage 1.</div></div><div><h3>Conclusion</h3><div>Recent literature combined with study results indicates a widespread skin tone-research gap. Comprehensive efforts are needed. Leaders must set research priorities, shape policy, and model standards in education and practice that promote representation across the spectrum of human skin tones.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102541"},"PeriodicalIF":3.7,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145026711","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}
Nursing OutlookPub Date : 2025-09-09DOI: 10.1016/j.outlook.2025.102545
Becky Good DNP, FNP-BC, CNE, Kristen F. Kirby DNP, FNP-BC, CNE, Karen J. Foli PhD, ANEF, FAAN
{"title":"Entrenched toxic culture in academic nursing: A concept analysis","authors":"Becky Good DNP, FNP-BC, CNE, Kristen F. Kirby DNP, FNP-BC, CNE, Karen J. Foli PhD, ANEF, FAAN","doi":"10.1016/j.outlook.2025.102545","DOIUrl":"10.1016/j.outlook.2025.102545","url":null,"abstract":"<div><h3>Background</h3><div>Entrenched toxic cultures (ETCs) are pervasive in academic nursing, yet they are underexplored and have not been previously defined. The concept differs from unhealthy workplaces in that a profoundly destructive and deeply malignant problem exists that is highly recalcitrant to change and consumes the organization from within.</div></div><div><h3>Purpose</h3><div>Defining this concept is crucial for creating a safe workplace and addressing the toxic behaviors that undermine the well-being of faculty.</div></div><div><h3>Methods</h3><div>We aim to define this concept using Walker and Avant’s eight-step method of concept analysis.</div></div><div><h3>Discussion</h3><div>ETCs have five defining attributes characterizing maltreatment as (a) high intensity, (b) chronically repeated, (c) attributed to power imbalances, (d) normalized, and (e) resistant to change. The antecedents and consequences are multifactorial occurring at various levels of the academic hierarchy.</div></div><div><h3>Conclusion</h3><div>By analyzing ETCs, we can better understand the impact on academic nursing and propose tools and strategies to address it.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102545"},"PeriodicalIF":3.7,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145019876","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":"Anchoring PhD and Doctor of Nursing Practice programs through integration of real-world data and pragmatic research","authors":"Eun-Shim Nahm PhD, RN, FAAN, FGSA , Amy Yarnell MLS , Kristin Seidl PhD, RN , Gyasi Moscou-Jackson PhD, MHS, RN , Lynn Chen PhD , Jiwon Park MSN, RN , Shannon Idzik DNP, ANP-BC, FAANP, FAAN","doi":"10.1016/j.outlook.2025.102542","DOIUrl":"10.1016/j.outlook.2025.102542","url":null,"abstract":"<div><h3>Background</h3><div>Recently, there has been strong focus on applying pragmatic research (PR) methods and real-world data (RWD) in healthcare. These approaches allow researchers to test interventions in real-world settings. This field underscores the complementary roles of nursing PhD and DNP programs. The RWD-PR field can serve as a unifying anchor for both programs and may also reignite nurses’ interest in the PhD pathway.</div></div><div><h3>Purpose</h3><div>To present strategies for the development and implementation of the RWD-PR courses, along with findings from evaluations and lessons learned.</div></div><div><h3>Methods</h3><div>In a planning grant project, our interdisciplinary team developed and pilot-implemented an RWD-PR certificate program using a phased, co-design approach. Once developed, the courses were piloted virtually with PhD and DNP students.</div></div><div><h3>Discussion</h3><div>Findings suggested significant potential for drawing on complementary strengths of both PhD and DNP programs in applying PR and RWD analytics.</div></div><div><h3>Conclusion</h3><div>This project contributes to the body of knowledge in doctoral nursing education and provides a scalable, adaptable framework for PhD-DNP partnerships that can advance nursing science and practice.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102542"},"PeriodicalIF":3.7,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145019875","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}
Nursing OutlookPub Date : 2025-09-04DOI: 10.1016/j.outlook.2025.102538
Cynthia S. Jacelon PhD, RN, FAAN , Laura Dzurec PhD, PMHCNS-BC, FAAN , Jacqueline Fawcett RN, PhD, FAAN , Wyona M. Freysteinson PhD, RN, FAAN
{"title":"Analysis of congruence between nursing metaparadigm concepts and American Academy Nursing policy 2010 to 2024","authors":"Cynthia S. Jacelon PhD, RN, FAAN , Laura Dzurec PhD, PMHCNS-BC, FAAN , Jacqueline Fawcett RN, PhD, FAAN , Wyona M. Freysteinson PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102538","DOIUrl":"10.1016/j.outlook.2025.102538","url":null,"abstract":"<div><h3>Background</h3><div>Nursology (aka nursing) is the study and practice of discipline specific knowledge. The most abstract component of nursology is its metaparadigm, which is foundational to all other nursology knowledge.</div></div><div><h3>Purpose</h3><div>The purpose of this literature review was to identify the extent to which the metaparadigm concepts are evident in American Academy of Nursing approved journal and website articles about health policy published between 2010 and 2024.</div></div><div><h3>Methods</h3><div>A systematic review of 109 journal articles.</div></div><div><h3>Findings</h3><div>The metaparadigm concepts evident in the 109 articles were, in descending order of frequency, nursing (41%), health (26%), environment (19%) and person (14%).</div></div><div><h3>Discussion</h3><div>As explicit nursing knowledge is articulated in health policies via the metaparadigm concepts, nursology’s national presence as a discipline will be strengthened.</div></div><div><h3>Conclusion</h3><div>It is reccommended that future health policy analyses concentrate on how other components of nursology knowledge, incuding conceptual and theoretical frameworks, guide development and implementation of policies.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102538"},"PeriodicalIF":3.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144988428","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}
Nursing OutlookPub Date : 2025-09-01DOI: 10.1016/j.outlook.2025.102539
Kathryn Jane Muir PhD, MSHP, RN , Sung Kook Aidan Moon BA (expected) , Anish K. Agarwal MD, MPH
{"title":"Emergency department workplace violence: Clinician-endorsed strategies informing prevention mandates","authors":"Kathryn Jane Muir PhD, MSHP, RN , Sung Kook Aidan Moon BA (expected) , Anish K. Agarwal MD, MPH","doi":"10.1016/j.outlook.2025.102539","DOIUrl":"10.1016/j.outlook.2025.102539","url":null,"abstract":"<div><h3>Background</h3><div>State legislation such as the Pennsylvania Healthcare Worker Violence Prevention Act would mandate hospital reporting of workplace violence (WPV) incidents and require committees that advance safety measures.</div></div><div><h3>Purpose</h3><div>Since it is unknown what interventions should be prioritized by hospital committees if such legislation were passed, we described strategies that hinder or facilitate the prevention and de-escalation of WPV.</div></div><div><h3>Methods</h3><div>Qualitative, descriptive study using individual and focus group interviews with emergency department (ED) nurses and physicians (<em>n</em> = 23) at a level I trauma center ED in Pennsylvania between August 2023 and February 2024.</div></div><div><h3>Discussion</h3><div>Five clinician-informed themes were identified: a) clinical protocols, b) clinician conflict in addressing WPV, c) social vulnerability in emergency care, d) resources and throughput, and e) the presence and responsibility of security.</div></div><div><h3>Conclusion</h3><div>Priority interventions included WPV clinical protocols; holding hospital administrators accountable to support clinician decision-making during WPV events, safe nurse staffing levels, and cross-disciplinary training of security personnel.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102539"},"PeriodicalIF":3.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144932186","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}
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