Nursing OutlookPub Date : 2025-08-29DOI: 10.1016/j.outlook.2025.102537
Eun Hye Hong PhD, MPH, RN , Gwang Suk Kim PhD, RN , Eunhee Cho PhD, GNP, RN, FAAN , Sohee Park PhD , Jung Suk Lee PhD , Kyung Hee Lee PhD, MPH, GNP, RN
{"title":"Long-term care facility admissions according to type and duration of home- and community-based services among beneficiaries with dementia in Korea","authors":"Eun Hye Hong PhD, MPH, RN , Gwang Suk Kim PhD, RN , Eunhee Cho PhD, GNP, RN, FAAN , Sohee Park PhD , Jung Suk Lee PhD , Kyung Hee Lee PhD, MPH, GNP, RN","doi":"10.1016/j.outlook.2025.102537","DOIUrl":"10.1016/j.outlook.2025.102537","url":null,"abstract":"<div><h3>Background</h3><div>Dementia significantly increases long-term care (LTC) facility admission. However, the impact of home- and community-based services (HCBS) type and duration on facility admissions remains unclear.</div></div><div><h3>Purpose</h3><div>We examined LTC facility admissions according to type (home, day, and combined care) and duration (<6 vs. ≥6 months) of HCBS among beneficiaries with dementia.</div></div><div><h3>Methods</h3><div>This retrospective cohort study used the National Health Insurance and LTC Insurance datasets (2017–2019), including 14,011 beneficiaries with dementia. Multiple logistic regression and Cox proportional hazards regression analyses were performed.</div></div><div><h3>Discussion</h3><div>Day care or combined care users were more likely to be admitted than home care users. Conversely, sustained HCBS utilization (≥6 months) reduced admission risk compared with shorter utilization (<6 months).</div></div><div><h3>Conclusion</h3><div>Promoting individualized home care services and encouraging sustained HCBS utilization may delay institutionalization, enhance outcomes, support nurse-led strategies in designing and implementing individualized home care, and contribute to healthcare system sustainability.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102537"},"PeriodicalIF":3.7,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144913033","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 : 2025-08-22DOI: 10.1016/j.outlook.2025.102535
Merav Ben Natan PhD, MBA, RN , Yael Ashoulin RN, BA , Hadar Maoz RN, BA
{"title":"Patients’ perceptions of male nursing students in Israel: The interplay of stereotypes, satisfaction, and willingness to receive care","authors":"Merav Ben Natan PhD, MBA, RN , Yael Ashoulin RN, BA , Hadar Maoz RN, BA","doi":"10.1016/j.outlook.2025.102535","DOIUrl":"10.1016/j.outlook.2025.102535","url":null,"abstract":"<div><h3>Background</h3><div>Male nursing students continue to face persistent gender-based stereotypes. These perceptions may influence patients' willingness to receive care, especially in culturally diverse contexts such as Israel.</div></div><div><h3>Purpose</h3><div>To examine the relationships between gender-based stereotypes, patient satisfaction with care, and willingness to receive care from male nursing students.</div></div><div><h3>Methods</h3><div>Between January and April 2025, 200 adults hospitalized in a regional Israeli hospital completed a cross-sectional survey.</div></div><div><h3>Discussion</h3><div>Patients reported moderate-to-high willingness to receive care from male nursing students. Satisfaction with care was positively associated with willingness, whereas stronger endorsement of gender stereotypes was negatively associated.</div></div><div><h3>Conclusion</h3><div>High-quality care can mitigate gender-based biases. Addressing stereotypes and enhancing patient satisfaction may improve clinical training environments and support the integration of male nursing students across diverse health care settings.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102535"},"PeriodicalIF":3.7,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144886977","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 public health nurse is a distinct occupation: Contrasting skills, competencies, and job tasks between public health nurses and registered nurses","authors":"Heather Krasna PhD, MS, EdM , Isabella Patino MPH , Jocelyn Leung MPH , Sarika Karra MPH","doi":"10.1016/j.outlook.2025.102534","DOIUrl":"10.1016/j.outlook.2025.102534","url":null,"abstract":"<div><h3>Background</h3><div>Public health nurses are a distinct occupation and specialty with a 140-year history, and are recognized as a core component of the public health workforce in local, state, tribal and territorial health departments. However, the US Department of Labor does not categorize them as a distinct occupation.</div></div><div><h3>Purpose</h3><div>Our goal was to differentiate job duties, skills, or competencies between public health nurses and other registered nurses.</div></div><div><h3>Methods</h3><div>We conducted a literature review, analyzed data from a large-scale data set of job postings for public health nurses and registered nurses, and conducted a statistical analysis of responses to the National Sample Survey of Registered Nurses (NSSRN) and Public Health Workforce Interests and Needs Survey (PH WINS).</div></div><div><h3>Discussion</h3><div>PHNs have significantly different job tasks and skills/competency requirements compared to other registered nurses. With a clearer categorization of PHNs, we can improve the public health workforce and fill crucial workforce gaps.</div></div><div><h3>Conclusion</h3><div>PHNs provide a distinctive and unique set of services to their communities, and they should be recognized as a specific occupation.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102534"},"PeriodicalIF":3.7,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144863314","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":"Advancing AI initiatives in nursing academics: Case studies and insights from thought leaders","authors":"Paulina Sockolow , Martin Michalowski , Laura-Maria Peltonen , Lisiane Pruinelli , Maxim Topaz","doi":"10.1016/j.outlook.2025.102527","DOIUrl":"10.1016/j.outlook.2025.102527","url":null,"abstract":"<div><div>Artificial Intelligence (AI) is transforming the landscape of health care and nursing research and education. As key stakeholders in this transformation, nursing faculty are crucial in driving strategic and operational AI initiatives to develop appropriate competence within the workforce to ensure the safe application of these technologies in nursing and care. To discuss the ways nursing faculty can be actively involved in AI initiatives, a panel was convened at the Third International Workshop on Artificial Intelligence in Nursing (AINurse24). The panel delved into faculty involvement in AI initiatives, including research collaborations, curriculum development, ethical considerations, and institutional policymaking. Panelists describe initiatives in their school/college. The summary presents five common themes, as informed by the workshop discussions: (a) nurses will benefit from initiating AI implementation in their school/college, (b) resource commitment to AI initiatives, (c) education to support AI competencies and workforce upskilling, (d) research, and (e) ethics.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102527"},"PeriodicalIF":3.7,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144865902","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 : 2025-08-19DOI: 10.1016/j.outlook.2025.102532
Danilo V Rogayan, John Carlo A Abaniel
{"title":"Mobile technology, nomophobia, and student well-being: Policy considerations for nursing education.","authors":"Danilo V Rogayan, John Carlo A Abaniel","doi":"10.1016/j.outlook.2025.102532","DOIUrl":"https://doi.org/10.1016/j.outlook.2025.102532","url":null,"abstract":"","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":" ","pages":"102532"},"PeriodicalIF":3.7,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978990","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 : 2025-08-19DOI: 10.1016/j.outlook.2025.102523
Kathryn Ann Lee PhD, RN , Monica O’Reilly-Jacob PhD, APRN, FNP-BC, FAAN , Thuy Nguyen PhD, MPA , Deanna Marriott PhD , Deena Kelly Costa PhD, RN, FAAN , Marianne Weiss DNSc, RN , Olga Yakusheva PhD, FAAN(h)
{"title":"Medicare Part B reimbursement and service volume differences between ambulatory nurse practitioners and physicians","authors":"Kathryn Ann Lee PhD, RN , Monica O’Reilly-Jacob PhD, APRN, FNP-BC, FAAN , Thuy Nguyen PhD, MPA , Deanna Marriott PhD , Deena Kelly Costa PhD, RN, FAAN , Marianne Weiss DNSc, RN , Olga Yakusheva PhD, FAAN(h)","doi":"10.1016/j.outlook.2025.102523","DOIUrl":"10.1016/j.outlook.2025.102523","url":null,"abstract":"<div><h3>Background</h3><div>Nurse practitioners (NPs) increasingly deliver ambulatory care, yet state scope of practice (SoP) laws influence how their services are billed and utilized within Medicare.</div></div><div><h3>Purpose</h3><div>To compare Medicare reimbursement and service volume for ambulatory NPs and physicians by state SoP regulations.</div></div><div><h3>Methods</h3><div>We analyzed 100% of 2021 Medicare Part B claims, attributing claims to individual providers. Adjusted regression models estimated cost and service differentials by provider type and state SoP status.</div></div><div><h3>Findings</h3><div>NPs in full SoP states had higher Medicare cost and more services per beneficiary than those in restricted states. Among physicians, cost and service volume did not differ by SoP.</div></div><div><h3>Discussion</h3><div>Expanded practice authority for NPs increases access without reducing physician service delivery or reimbursement.</div></div><div><h3>Conclusions</h3><div>State SoP regulations shape ambulatory care delivery. Greater NP autonomy may improve system sustainability by increasing access to NP reimbursed services without shifting current physician reimbursement from Medicare.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102523"},"PeriodicalIF":3.7,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144863313","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 : 2025-08-18DOI: 10.1016/j.outlook.2025.102533
Allison A. Norful PhD, RN, FAAN , K. Jane Muir PhD, MSHP, RN , Emily Cramer PhD , Hyun Jin Jung PharmD , Jacqueline Nikpour PhD, RN
{"title":"Financial models used to embed registered nurses in primary health care settings in the United States: A scoping review","authors":"Allison A. Norful PhD, RN, FAAN , K. Jane Muir PhD, MSHP, RN , Emily Cramer PhD , Hyun Jin Jung PharmD , Jacqueline Nikpour PhD, RN","doi":"10.1016/j.outlook.2025.102533","DOIUrl":"10.1016/j.outlook.2025.102533","url":null,"abstract":"<div><h3>Background</h3><div>Registered nurses (RNs) are increasingly recognized as key contributors to team-based primary care. However, funding limitations and restrictive reimbursement policies hinder their integration.</div></div><div><h3>Purpose</h3><div>This scoping review aimed to identify and categorize funding models used to support RN roles in U.S. primary care and evaluate associated cost and clinical outcomes.</div></div><div><h3>Methods</h3><div>Guided by PRISMA-ScR, we searched PubMed, CINAHL, and Ovid Medline for publications in the past 15 years. After screening, 23 studies were included and synthesized.</div></div><div><h3>Discussion</h3><div>Funding models varied and included direct nurse billing, salaried positions, and value-based team payments. Several studies reported reduced emergency department visits, hospitalizations, or Medicare spending due to RN-led care. Others noted limited cost recovery, high infrastructure needs, and billing challenges.</div></div><div><h3>Conclusion</h3><div>Embedding RNs into primary care requires policy changes to expand reimbursement, practice investments in RN training and role optimization, and further research using standardized metrics to assess cost-effectiveness and integration impact.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102533"},"PeriodicalIF":3.7,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144861053","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 : 2025-08-18DOI: 10.1016/j.outlook.2025.102530
Susan Kent , Annastacia Jordan , Patricia Ingram-Martin , Deveree Stewart , Mele Inu Filise
{"title":"Unheard voices: The critical role of nurses and midwives in climate resilience and disaster preparedness in Small Island Developing States","authors":"Susan Kent , Annastacia Jordan , Patricia Ingram-Martin , Deveree Stewart , Mele Inu Filise","doi":"10.1016/j.outlook.2025.102530","DOIUrl":"10.1016/j.outlook.2025.102530","url":null,"abstract":"<div><div>Island nations such as Barbados, Jamaica, and Tonga face rising threats from climate change, including hurricanes, flooding, and sea-level rise. Nurses and midwives are crucial frontline responders, leading disaster preparedness, emergency care, and community recovery. This paper highlights their leadership, resilience, and innovation in addressing the health impacts of climate-related disasters. Drawing on real-world examples, it shows how these professionals bridge clinical care with public health strategies, ensuring vulnerable populations receive timely, culturally appropriate interventions. Through education, emergency planning, and clinical support, they foster resilience and recovery. The experiences from these islands emphasize the urgent need to strengthen nursing and midwifery leadership within climate adaptation efforts. Recognizing and investing in their role is vital to building sustainable, climate-resilient health systems in Small Island Developing States (SIDS). The paper calls for increased policy support, funding, and capacity-building to empower nurses and midwives as essential agents of change.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102530"},"PeriodicalIF":3.7,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144861052","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 : 2025-08-15DOI: 10.1016/j.outlook.2025.102519
Cheristi Cognetta-Rieke DNP, MBOE, RN , Betty Jo Rocchio DNP, RN, CRNA , Jill D. Seys DNP, MBA, RN , Tracy L. Breece MSN, RN, NI-BC, CPHIMS , Cheryl L. Denison BSN, RN, NI-BC , Emily Barey MSN
{"title":"Embracing innovation and GenAI in nursing: Early lessons from the field","authors":"Cheristi Cognetta-Rieke DNP, MBOE, RN , Betty Jo Rocchio DNP, RN, CRNA , Jill D. Seys DNP, MBA, RN , Tracy L. Breece MSN, RN, NI-BC, CPHIMS , Cheryl L. Denison BSN, RN, NI-BC , Emily Barey MSN","doi":"10.1016/j.outlook.2025.102519","DOIUrl":"10.1016/j.outlook.2025.102519","url":null,"abstract":"<div><div>Innovation and the integration of Artificial Intelligence (AI) are essential in addressing the evolving challenges in healthcare, enhancing patient care, and supporting nursing practice. This article explores the opportunities associated with Generative Artificial Intelligence (GenAI) in nursing, considerations for how to leverage it to augment the work of nursing, and strategies to accelerate its adoption. By engaging in interprofessional collaboration, leveraging technology, and fostering a culture of continuous improvement, nurses can lead transformative changes in healthcare delivery. The article also highlights case studies from Mercy and Mayo Clinic, demonstrating the practical implications and successful implementation of AI in nursing practice. These examples emphasize the importance of strategic planning, ethical considerations, and active involvement of frontline nurses in the design and adoption of AI technologies.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102519"},"PeriodicalIF":3.7,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144842449","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}