Nursing OutlookPub Date : 2024-11-30DOI: 10.1016/j.outlook.2024.102338
Chenglong Liang , Chen Zhou , Jingye Pan
{"title":"Bridging AI and intensive care unit nursing: Widening the scope and addressing barriers","authors":"Chenglong Liang , Chen Zhou , Jingye Pan","doi":"10.1016/j.outlook.2024.102338","DOIUrl":"10.1016/j.outlook.2024.102338","url":null,"abstract":"","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102338"},"PeriodicalIF":4.1,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746578","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 : 2024-11-28DOI: 10.1016/j.outlook.2024.102318
Kathryn Jane Muir PhD, MSHP, RN, FNP-BC , Kathy Sliwinski PhD, MBE, RN , Karen B. Lasater PhD, RN
{"title":"Reducing disparities in emergency department outcomes for individuals with limited English proficiency: The nurse work environment","authors":"Kathryn Jane Muir PhD, MSHP, RN, FNP-BC , Kathy Sliwinski PhD, MBE, RN , Karen B. Lasater PhD, RN","doi":"10.1016/j.outlook.2024.102318","DOIUrl":"10.1016/j.outlook.2024.102318","url":null,"abstract":"<div><h3>Background</h3><div>Patients with limited English proficiency (LEP) experience worse emergency department (ED) outcomes.</div></div><div><h3>Purpose</h3><div>To evaluate the association between nurses’ work environments and ED outcomes among individuals with and without LEP.</div></div><div><h3>Methods</h3><div>Cross-sectional study of 1,358,802 patients seen in 64 New Jersey hospital EDs. Nurse work environment was measured by the Practice Environment Scale of the Nursing Work Index. Outcomes included 72-hr ED revisits, and departures against medical advice (AMA).</div></div><div><h3>Discussion</h3><div>Individuals with LEP experienced higher odds of a 72-hr ED revisit (aOR 1.12, 95% CI 1.04–1.21, <em>p</em> < .001) and lower odds of AMA departure (aOR 0.67, 95% CI, 0.61–0.74, <em>p</em> < .001). An interaction was found between LEP status and the nurse work environment: individuals with LEP experienced lower odds of a 72-hr ED revisit in better vs. poor nurse work environments, compared those without LEP.</div></div><div><h3>Conclusion</h3><div>Disparities in LEP outcomes might be ameliorated by targeted improvements to nurses’ work environments.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102318"},"PeriodicalIF":4.1,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746579","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 : 2024-11-28DOI: 10.1016/j.outlook.2024.102315
Timian M Godfrey, Danika Bowen, Ann Joyce, Cheryl L Lacasse, Jessica Rainbow, Ken Wofford
{"title":"Response to Dr. Sung and Dr. Wei's letter to the editor.","authors":"Timian M Godfrey, Danika Bowen, Ann Joyce, Cheryl L Lacasse, Jessica Rainbow, Ken Wofford","doi":"10.1016/j.outlook.2024.102315","DOIUrl":"https://doi.org/10.1016/j.outlook.2024.102315","url":null,"abstract":"","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":" ","pages":"102315"},"PeriodicalIF":4.1,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755782","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 : 2024-11-23DOI: 10.1016/j.outlook.2024.102317
Haeok Lee , Esther Bauleni , Veronica Maluwa , SangAh Lee , Jasintha T. Mtengezo , Madalitso Kamvaunamwali , Yohannie Mlombe
{"title":"Health behavior and social crisis in the era of COVID-19 in Malawi: A decolonizing approach to a qualitative study","authors":"Haeok Lee , Esther Bauleni , Veronica Maluwa , SangAh Lee , Jasintha T. Mtengezo , Madalitso Kamvaunamwali , Yohannie Mlombe","doi":"10.1016/j.outlook.2024.102317","DOIUrl":"10.1016/j.outlook.2024.102317","url":null,"abstract":"<div><h3>Background</h3><div>The rapid spread and severity of COVID-19 brought major health challenges and dealt a heavy blow to key health services and daily life in Africa, including Malawi.</div></div><div><h3>Purpose</h3><div>To explore and examine the impact of the COVID-19 pandemic on cervical cancer (CC) prevention behavior in Malawi through a decolonized lens.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study informed by a decolonized perspective was conducted during the COVID-19 pandemic. A purposive sampling was taken from 17 key informant interviews, including, seven Malawian women living with HIV infection (WLWHIV).</div></div><div><h3>Results</h3><div>Themes explored were that COVID-19 was indiscriminate towards not only health deterioration but also a social crisis and health was no longer an individual problem but a public and global issue across borders.</div></div><div><h3>Conclusion</h3><div>To uproot global health inequities, templates revolved around Western ways of knowing over national and global health need to be reexamined and methods reinvented to be relevant to local ways of knowing.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102317"},"PeriodicalIF":4.1,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704792","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}
Nursing OutlookPub Date : 2024-11-20DOI: 10.1016/j.outlook.2024.102314
Maryjoan D. Ladden PhD, RN, FAAN , Heather J. Kelley MA, PC , Angela Barron McBride PhD, RN, FAAN , Julie Fairman PhD, RN, FAAN , Susan Hassmiller PhD, RN, FAAN
{"title":"Preparing the next generation of nurse leaders in education, science, and practice: Lessons from four Robert Wood Johnson Foundation programs","authors":"Maryjoan D. Ladden PhD, RN, FAAN , Heather J. Kelley MA, PC , Angela Barron McBride PhD, RN, FAAN , Julie Fairman PhD, RN, FAAN , Susan Hassmiller PhD, RN, FAAN","doi":"10.1016/j.outlook.2024.102314","DOIUrl":"10.1016/j.outlook.2024.102314","url":null,"abstract":"<div><h3>Background</h3><div>Recent articles have described the challenges in developing nurse leaders to advance nursing science, improve health, healthcare, and health equity, and build the next generation of nurses. Over the past 25 years, the Robert Wood Johnson Foundation (RWJF) has implemented many programs to develop nurse leaders to address these challenges.</div></div><div><h3>Purpose</h3><div>This article shares lessons learned from four RWJF programs and how the authors recommend those lessons can be applied today.</div></div><div><h3>Methods</h3><div>The Robert Wood Johnson Foundation (RWJF) has supported nursing leadership development for over fifty years. Discussion of four RWJF nursing programs including the Executive Nurse Fellows (1998–2017); the New Jersey Nursing Initiative (2009–2016); the Nurse Faculty Scholars (2007–2017) and the Future of Nursing Scholars (2013–2023) is used to highlight strategies and lessons learned.</div></div><div><h3>Findings</h3><div>Key lessons for developing the next generation of nurse leaders and strengthening the nurse leader pipeline include the importance of continuing leadership development over the course of one’s career; accelerating the nursing PhD to faculty pipeline; strong intentional mentoring; and building supportive communities to ensure long term impact.</div></div><div><h3>Discussion</h3><div>While these program examples had purposeful philanthropic funding, the lessons can also be implemented by building partnerships with federal agencies, philanthropy, and universities.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102314"},"PeriodicalIF":4.1,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689683","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}
Nursing OutlookPub Date : 2024-11-19DOI: 10.1016/j.outlook.2024.102313
Lisa Muirhead DNP, APRN, ANP-BC, FAANP, FAAN, Benjamin G. Harris MS, Laura P. Kimble PhD, RN, FNP-C, FAHA, FAAN, Nicholas A. Giordano PhD, RN, FAAN, Linda A. McCauley PhD, RN, FAAN, FAAOHN, FRCN
{"title":"Using an organizational framework to drive change in nursing education: An action plan for nurse leaders","authors":"Lisa Muirhead DNP, APRN, ANP-BC, FAANP, FAAN, Benjamin G. Harris MS, Laura P. Kimble PhD, RN, FNP-C, FAHA, FAAN, Nicholas A. Giordano PhD, RN, FAAN, Linda A. McCauley PhD, RN, FAAN, FAAOHN, FRCN","doi":"10.1016/j.outlook.2024.102313","DOIUrl":"10.1016/j.outlook.2024.102313","url":null,"abstract":"<div><h3>Background</h3><div>Organizational change within nursing schools that supports growth of students, faculty, and staff from underrepresented groups occurs through purposeful strategies and commitments to building capacity for the spectra and richness of diverse perspectives.</div></div><div><h3>Purpose</h3><div>To evaluate framework-guided initiatives, our organization implemented to advance diversity, equity, and inclusion to achieve inclusive excellence in nursing education and leadership.</div></div><div><h3>Methods</h3><div>Framework-guided initiatives include a standardized diversity education model, hiring bias mitigation strategies, equitable spending, partnerships for student and faculty recruitment, and restructuring committees to include diverse perspectives. Metrics were ascertained over 3<!--> <!-->years following framework implementation.</div></div><div><h3>Discussion</h3><div>The findings indicate the framework provides an intentional, actionable, and scalable approach for leaders driving change toward inclusivity that can be measured to promote accountability.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102313"},"PeriodicalIF":4.1,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683791","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 : 2024-11-19DOI: 10.1016/j.outlook.2024.102312
Gordon L. Gillespie PhD, DNP, FAAN, Holly A. Meyer PhD, RN, Tamilyn Bakas PhD, RN, FAAN, Carolyn R. Smith PhD, RN, FAAOHN
{"title":"A content analysis defining research-focused faculty research success","authors":"Gordon L. Gillespie PhD, DNP, FAAN, Holly A. Meyer PhD, RN, Tamilyn Bakas PhD, RN, FAAN, Carolyn R. Smith PhD, RN, FAAOHN","doi":"10.1016/j.outlook.2024.102312","DOIUrl":"10.1016/j.outlook.2024.102312","url":null,"abstract":"<div><h3>Background</h3><div>Research-focused faculty face barriers to research engagement and success. Definitions of research success vary among organizations, research teams, and individuals. An institution must identify barriers before implementing mitigation strategies.</div></div><div><h3>Purpose</h3><div>To define research success, identify current barriers, and strategies to mitigate those barriers to increase research-focused faculty’s research success.</div></div><div><h3>Methods</h3><div>A qualitative research design incorporating focus groups and aspects of a modified Delphi approach was implemented at a research retreat with 22 attendees. Data were analyzed by content analysis.</div></div><div><h3>Findings</h3><div>Measures of research success included dissemination, planning/organization, time, wellness, collaboration, mentoring, funding, impact and translation, and recognition. Top barriers were competing demands, time, team disputes, interpersonal relations, workload, resources, expectation differences, and funding success. Attendees identified these barriers as the focus for mitigation strategies.</div></div><div><h3>Discussion</h3><div>Opportunities for collegial discussion, peer feedback, and dedicated meetings to discuss research ideas can help research-focused faculty increase their research success and productivity.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102312"},"PeriodicalIF":4.1,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683789","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 : 2024-11-13DOI: 10.1016/j.outlook.2024.102316
Ernest Grant PhD, RN, FAAN , Michael P. Cary Jr. PhD , Michael Jones PhD , Derrick Glymph PhD , Bimbola F. Akintade PhD, MBA, ACNP-BC, NEA-BC, FAANP, FAAN
{"title":"State of Black men in nursing: An oral history of the challenges and the benefits of five Black male nurse leaders","authors":"Ernest Grant PhD, RN, FAAN , Michael P. Cary Jr. PhD , Michael Jones PhD , Derrick Glymph PhD , Bimbola F. Akintade PhD, MBA, ACNP-BC, NEA-BC, FAANP, FAAN","doi":"10.1016/j.outlook.2024.102316","DOIUrl":"10.1016/j.outlook.2024.102316","url":null,"abstract":"<div><div>The underrepresentation of Black men in nursing continues to pose a significant challenge to diversity and equity in healthcare leadership. While systemic barriers, such as implicit bias, limited access to advanced education, and lack of mentorship, have been well-documented, there is little literature that highlights the specific journeys of Black male nurse leaders and the strategies that facilitated their success. This oral history presents the narratives of five Black male nurse leaders who overcame obstacles and rose to influential positions within nursing. Through their personal accounts, this paper offers insights into the intersection of race, gender, and professional advancement in nursing. These stories emphasize the importance of mentorship, community support, and resilience in navigating both overt and subtle forms of discrimination. By reflecting on their unique experiences, the paper aims to contribute to the ongoing discourse on diversity in nursing leadership and provide inspiration to future generations of minority nurses.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102316"},"PeriodicalIF":4.1,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632644","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":"An evaluation of a student-led nursing leadership symposium","authors":"Danilo Bernal DNP, APRN, PHN, NP-C, FNP-BC, Jacqueline Sherman PhD, RN, PHN","doi":"10.1016/j.outlook.2024.102311","DOIUrl":"10.1016/j.outlook.2024.102311","url":null,"abstract":"<div><div>This paper evaluates an innovative student-led nursing leadership symposium at a Southern California university, specifically designed to bridge educational and practical leadership gaps in nursing with a focus on students from underrepresented groups. Integrating Quality and Safety Education for Nurses (QSEN) competencies, the symposium encouraged active participation, self-reflection, and teamwork. It featured interactive panel discussions with nurse leaders and collaborative learning opportunities aimed at developing leadership knowledge, skills, and action. Participant feedback underscored significant personal and professional growth, particularly in communication, delegation, and collaboration skills. This initiative contributes significantly to the discourse on diversifying nursing leadership and provides a replicable model for leadership development in nursing education programs, emphasizing the symposium's pivotal role in enhancing inclusivity and equipping future nurse leaders from diverse backgrounds.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102311"},"PeriodicalIF":4.1,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605141","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 : 2024-11-07DOI: 10.1016/j.outlook.2024.102308
Elizabeth Kreuze PhD, RN, ATC , Elizabeth I. Merwin PhD, RN, FAAN , Janet York PhD, PMHCS-BC, FAAN
{"title":"Moving toward standardized surveillance of “nurse” suicide mortality","authors":"Elizabeth Kreuze PhD, RN, ATC , Elizabeth I. Merwin PhD, RN, FAAN , Janet York PhD, PMHCS-BC, FAAN","doi":"10.1016/j.outlook.2024.102308","DOIUrl":"10.1016/j.outlook.2024.102308","url":null,"abstract":"<div><h3>Background</h3><div>The National Academies, National Action Alliance for Suicide Prevention (NAASP), and National Strategy for Suicide Prevention disseminated recommendations for improving the quality, scope, usefulness, timeliness, and accessibility of mortality data and are working to advance research in this area. Further, the NAASP issued recommendations for developing standard definitions, use of common data elements, and processes for connecting data elements with similar measures. The NAASP additionally reinforced the importance of linking data sources.</div></div><div><h3>Purpose</h3><div>Examine surveillance of nurse suicide in the United States.</div></div><div><h3>Methods</h3><div>The literature was searched to identify studies that examined suicide among nurses using national data.</div></div><div><h3>Discussion</h3><div>Across studies that examined nurse suicide using national data, there was variability in methods, nursing definitions and age criteria, and limited data on sex differences, race and ethnicity, and state details. There was also variability with respect to denominators used in suicide rate calculations. Cross-study comparison and synthesis is sometimes challenging given this variability.</div></div><div><h3>Conclusion</h3><div>To examine additional associations between risk/protective factors and nurse suicide, to monitor nurse suicide incidence and trends, and to evaluate the efficacy of interventions aimed at reducing nurse suicide, it is important to move toward a standard evaluative approach that considers both mortality data and research initiatives. Standardization and data linking recommendations from the NAASP are particularly relevant to studies that examine nurse suicide. Taken together, leadership and advocacy are needed in these areas, both within the nursing profession and more broadly across the United States.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102308"},"PeriodicalIF":4.1,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605595","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}