{"title":"Unlocking ChatGPT’s potential and challenges in intensive care nursing education and practice: A systematic review with narrative synthesis","authors":"Aycan Kucukkaya RN, BSN , Emine Arikan BSN, MSc, PhD , Polat Goktas BSc, MSc, PhD","doi":"10.1016/j.outlook.2024.102287","DOIUrl":"10.1016/j.outlook.2024.102287","url":null,"abstract":"<div><h3>Background</h3><div>The advancement of artificial intelligence (AI) in healthcare and nursing promises to enhance clinical outcomes and education. This review emphasizes integrating AI chatbots, specifically ChatGPT, into Intensive Care Units (ICU) to transform nursing education and practices, while addressing associated risks and ethical challenges.</div></div><div><h3>Purpose</h3><div>To evaluate ChatGPT’s utility in ICU nursing education and practices, assessing its effectiveness and develop strategic recommendations for its future incorporation into critical care.</div></div><div><h3>Methods</h3><div>This review employs systematic literature with narrative synthesis, adhering to PRISMA guidelines.</div></div><div><h3>Discussion</h3><div>Five of 1,091 identified studies were eligible. These studies illustrate AI-driven applications’ potential in clinical decision-making and educational efforts, emphasizing the need for improved AI accuracy, robust guidelines, and measures to address data privacy concerns to ensure reliable integration.</div></div><div><h3>Conclusion</h3><div>ChatGPT presents promising benefits for ICU applications but requires careful management. Ongoing research and adherence to ethical standards are essential to optimize its use in critical care.</div></div><div><h3>Tweetable abstract</h3><div>Explore how #ChatGPT revolutionizes ICU nursing & education, blending AI capabilities with ethical, human-centered care. #ICM #AIinHealthcare</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":""},"PeriodicalIF":4.1,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142442198","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 : 2024-10-16DOI: 10.1016/j.outlook.2024.102292
Andrew M. Dierkes PhD , Kristin H. Gigli PhD, APRN, CPNP-AC , Branden Dutchess BA , Grant Martsolf PhD, MPH
{"title":"Nursing unions: A scoping review of outcomes for employees, patients, and administrators","authors":"Andrew M. Dierkes PhD , Kristin H. Gigli PhD, APRN, CPNP-AC , Branden Dutchess BA , Grant Martsolf PhD, MPH","doi":"10.1016/j.outlook.2024.102292","DOIUrl":"10.1016/j.outlook.2024.102292","url":null,"abstract":"<div><h3>Background</h3><div>Nursing labor organization is consequential to many stakeholders, but collective evidence for outcomes associated with nurse unionization is lacking.</div></div><div><h3>Purpose</h3><div>To synthesize evidence of associations between nursing unions and nurse, patient, and system outcomes.</div></div><div><h3>Methods</h3><div>A scoping review.</div></div><div><h3>Findings</h3><div>Twenty-four articles spanning nearly 50<!--> <!-->years were abstracted. Most studies (<em>n</em> = 16; 67%) included nurse outcomes, usually remuneration (<em>n</em> = 10; 42%). Patient and system outcomes were less common (for each: <em>n</em> = 7; 29%). Union wage premiums were modest. Evidence for other nurse outcomes (e.g., job satisfaction, retention) was limited and mixed. Unionization was associated with improvements in many but not all patient outcomes studied, and with operational differences, including decreased staffing and labor substitution.</div></div><div><h3>Discussion</h3><div>Collective bargaining outcomes may help administrators understand nurses’ needs and concerns and thereby improve nurse recruitment and retention. For example, modest wage effects may signal nonwage priorities among nurses, which are understudied and worthy subjects of future research.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102292"},"PeriodicalIF":4.1,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142442200","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 : 2024-10-16DOI: 10.1016/j.outlook.2024.102302
Chien Huei Sung , Lien-Chung Wei
{"title":"Exploring the potential of meaningful recognition programs in mitigating nursing faculty burnout: A call for further research","authors":"Chien Huei Sung , Lien-Chung Wei","doi":"10.1016/j.outlook.2024.102302","DOIUrl":"10.1016/j.outlook.2024.102302","url":null,"abstract":"<div><div>This letter to the editor responds to Godfrey et al.'s study on meaningful recognition (MR) programs in nursing colleges. While the study did not demonstrate significant changes in faculty burnout metrics, it revealed stable levels of compassion satisfaction during the COVID-19 pandemic. This stability, coupled with alarmingly high burnout rates reported in other studies, suggests that MR programs may have a protective effect worth investigating further. The letter proposes future research directions, including longer-term studies and qualitative methods, to better understand the nuanced impact of MR programs on nursing faculty well-being and retention.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102302"},"PeriodicalIF":4.1,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142442197","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 : 2024-10-16DOI: 10.1016/j.outlook.2024.102297
J. Margo Brooks Carthon PhD, APRN, FAAN , Jacqueline Nikpour PhD, RN , Gary Rettberg MPP , Charlotte Thomas-Hawkins PhD, RN, FAAN , Marcus D. Henderson MSN, RN , David Agor DNP, PMHNP, HIVPCP , Antonia Villarruel PhD, RN, FAAN
{"title":"Addressing burnout among nurses of color: Key priorities and calls for action","authors":"J. Margo Brooks Carthon PhD, APRN, FAAN , Jacqueline Nikpour PhD, RN , Gary Rettberg MPP , Charlotte Thomas-Hawkins PhD, RN, FAAN , Marcus D. Henderson MSN, RN , David Agor DNP, PMHNP, HIVPCP , Antonia Villarruel PhD, RN, FAAN","doi":"10.1016/j.outlook.2024.102297","DOIUrl":"10.1016/j.outlook.2024.102297","url":null,"abstract":"<div><div>Nursing burnout remains a public health crisis. However, few stakeholders have considered the disproportionate toll of burnout among nurses of color, including nurses identifying as Black, Hispanic/Latino, or Native American. We convened a one-day conference, titled Solutions to Health Inequities and Nurses’ Emotional Exhaustion (SHINE), to begin identifying contributing factors and solutions to burnout amongst nurses of color. SHINE included plenaries, small group discussions, and breakout sessions with nearly 40 expert stakeholders from around the country. We employed a deliberative dialogue (DD) methodology to identify key takeaways and implications for research, practice, and policy. High-priority solutions included: improving the work environment and nurse staffing, reducing stigma against nurses seeking mental healthcare, addressing workplace racism as a root cause of nurse burnout, and increasing support for nurses experiencing racism at work. Key priorities identified through SHINE offer a roadmap for nurse leaders to address burnout through an equity-centered lens.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102297"},"PeriodicalIF":4.1,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142442202","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":"Fostering leadership development and growth of nurse leaders: Experiences from Midwest Nursing Research Society Leadership Academy","authors":"Qiuhua Shen PhD, APRN, RN , Sharon Tucker PhD, RN, PMHCNS-BC, NC-BC, EBP-C, FNAP, FAAN","doi":"10.1016/j.outlook.2024.102293","DOIUrl":"10.1016/j.outlook.2024.102293","url":null,"abstract":"<div><div>Leadership development and growth of nurse leaders is critically important for the thriving of the nursing profession. Formal leadership training programs are helpful in building leadership knowledge and skills. The Midwest Nursing Research Society (MNRS) launched the Leadership Academy (LA), a new initiative to foster leadership development and intentionally create a steady pool of members prepared to step into MNRS leadership positions. The purpose of this article was to describe the experiences of a mentor and mentee dyad through the MNRS LA and discuss their perspectives on fostering leadership development and growth. The success of a leadership development program has a far-reaching impact on novice and potential future leaders. A tailored leadership mentoring relationship helps increase one’s self-confidence in being a leader and provides individualized leadership development opportunities. Engagement of both the mentee and mentor in the leadership mentoring relationship is a key to ensure an optimized leadership mentoring experience.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102293"},"PeriodicalIF":4.1,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142419505","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 : 2024-10-10DOI: 10.1016/j.outlook.2024.102273
Kim Kuebler DNP, ANP-BC, FAAN , Todd Monroe PhD, RN, FAAN , Richard Ricciardi PhD, CRNP, FAAN , Cheryl Westlake PhD, ACNS-BC, FAAN , Matthew Sorenson PhD, ANP-C, FAAN , Jane Pederson MD, MS , Michael Neft PhD, CRNA, FAAN , Sandra A. Mitchell PhD, CRNP, FAAN , Kathryn Daniel PhD, AGNP, FAAN , Susan De Santo-Madeya PhD, APRN-CNS, FAAN , Susan Renda DNP, ANP-BC, FAAN , Elizabeth Henneman PhD, RN, FAAN , Eduardo Bruera MD
{"title":"Integration of palliative care in the management of multiple chronic conditions: An expert consensus paper with policy implications","authors":"Kim Kuebler DNP, ANP-BC, FAAN , Todd Monroe PhD, RN, FAAN , Richard Ricciardi PhD, CRNP, FAAN , Cheryl Westlake PhD, ACNS-BC, FAAN , Matthew Sorenson PhD, ANP-C, FAAN , Jane Pederson MD, MS , Michael Neft PhD, CRNA, FAAN , Sandra A. Mitchell PhD, CRNP, FAAN , Kathryn Daniel PhD, AGNP, FAAN , Susan De Santo-Madeya PhD, APRN-CNS, FAAN , Susan Renda DNP, ANP-BC, FAAN , Elizabeth Henneman PhD, RN, FAAN , Eduardo Bruera MD","doi":"10.1016/j.outlook.2024.102273","DOIUrl":"10.1016/j.outlook.2024.102273","url":null,"abstract":"<div><h3>Background</h3><div>This paper was jointly developed from members of the American Academy of Nursing Expert Panels on Palliative and End of Life Care, Primary Care, Aging, Acute and Critical Care, and two expert physicians.</div></div><div><h3>Purpose</h3><div>The overarching goal is to promote the integration of palliative care as symptom management into the primary care setting to transform care for patients living with multiple chronic conditions.</div></div><div><h3>Methods</h3><div>Embracing the recommendations made by the World Health Organization, the U.S. Department of Health and Human Services, and the National Academies of Science Engineering and Medicine to initiate palliative care or symptom management at the onset of nonreversible or serious chronic conditions.</div></div><div><h3>Discussion</h3><div>Earlier palliative interventions reduce disease exacerbation, prevent hospitalization, maintain physical functioning, and support health-related quality of life.</div></div><div><h3>Conclusion</h3><div>This is a needed paradigm shift as the nation’s aging population escalates, Americans are living longer, and the healthcare costs for the nation are unprecedented.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102273"},"PeriodicalIF":4.1,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402014","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 association between nurse practitioner race and ethnicity and intent to leave in primary care practices","authors":"Amelia E. Schlak PhD, RN , Jianfang Liu PhD , Justinna Dixon BSN, RN , Lusine Poghosyan PhD, RN, FAAN , Corina Lelutiu-Weinberger PhD, MPhil, BA , Kenrick Cato PhD, RN, FAAN","doi":"10.1016/j.outlook.2024.102289","DOIUrl":"10.1016/j.outlook.2024.102289","url":null,"abstract":"<div><h3>Background</h3><div>Retaining nurse practitioners (NPs) from diverse racial and ethnic groups is critical to achieving health equity as NPs disproportionately care for minoritized populations. Yet, little is known about intent to leave (ITL) among these NPs.</div></div><div><h3>Purpose</h3><div>To examine whether NP race and ethnicity were associated with ITL and if this relationship was affected by the work environment.</div></div><div><h3>Methods</h3><div>Survey data from 1,232 NPs across six states were used. NPs completed measures of their ITL, work environment quality, and demographics. Regression models were used to determine if NP race and ethnicity resulted in differential reports of ITL.</div></div><div><h3>Findings</h3><div>Minoritized NPs had significantly higher cumulative odds of ITL compared with White NPs.</div></div><div><h3>Discussion</h3><div>Minoritized NPs had higher ITL, and the work environment did not demonstrate a protective effect against ITL. Future research should identify work environment features that may help retain a diverse NP workforce.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102289"},"PeriodicalIF":4.1,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401916","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 : 2024-10-10DOI: 10.1016/j.outlook.2024.102296
Elizabeth Johnston Taylor PhD , Holly E.R. Morrell PhD , Hazel M. Ada PhD, RN , Carrie Dupée DNP, RN, PCNS-BC , Michael Jordan MSN, MBA, RN , Patti Radovich PhD, RN, FCCM , Kendal C. Boyd PhD
{"title":"Do nurse spiritual responses to trauma explain nurse outcomes? A correlational observational study","authors":"Elizabeth Johnston Taylor PhD , Holly E.R. Morrell PhD , Hazel M. Ada PhD, RN , Carrie Dupée DNP, RN, PCNS-BC , Michael Jordan MSN, MBA, RN , Patti Radovich PhD, RN, FCCM , Kendal C. Boyd PhD","doi":"10.1016/j.outlook.2024.102296","DOIUrl":"10.1016/j.outlook.2024.102296","url":null,"abstract":"<div><h3>Background</h3><div>Various facets of spirituality are associated with well-being. Given the current urgency to promote nurse well-being, nurse spirituality merits exploration.</div></div><div><h3>Purpose</h3><div>To investigate how spiritual distress and growth (i.e., spiritual/religious struggle, moral injury, and post-traumatic growth) contributed to nurse outcomes (i.e., burnout, job satisfaction, and intent to leave).</div></div><div><h3>Methods</h3><div>Registered nurse (RNs) providing direct patient care in three Southern California hospitals completed an online survey that included psychometrically robust measures. Hierarchical multiple regression analyses were used to test spiritual variables as predictors of nurse outcomes after accounting for demographic and work-related factors.</div></div><div><h3>Findings</h3><div>In this sample of 531 demographically diverse RNs, spiritual struggle contributed to burnout and turnover intention; post-traumatic growth and employer respect for nurse well-being contributed to all three nurse outcomes.</div></div><div><h3>Discussion</h3><div>Spiritual distress and growth are understudied but potentially important influences on job outcomes for nurses. The results here suggest that continued development of interventions to address spiritual health is worth investment.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102296"},"PeriodicalIF":4.1,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407184","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 : 2024-10-10DOI: 10.1016/j.outlook.2024.102290
Kai-Lin You MSN, RN , Youjia Wang BSN, RN , Yuchen Zhang BSN, RN , Catherine M. Bender PhD, RN, FAAN , Laura A. Fennimore DNP, NEA-BC, FAAN , Margaret Q. Rosenzweig PhD, CRNP-C, AOCNP , Andrew Dierkes PhD, RN , Martha Ann Terry PhD , Ketki Raina PhD, OTR/L, FAOTA , Teresa Hagan Thomas PhD, RN
{"title":"Nurses’ returning to work after cancer: A focus group study","authors":"Kai-Lin You MSN, RN , Youjia Wang BSN, RN , Yuchen Zhang BSN, RN , Catherine M. Bender PhD, RN, FAAN , Laura A. Fennimore DNP, NEA-BC, FAAN , Margaret Q. Rosenzweig PhD, CRNP-C, AOCNP , Andrew Dierkes PhD, RN , Martha Ann Terry PhD , Ketki Raina PhD, OTR/L, FAOTA , Teresa Hagan Thomas PhD, RN","doi":"10.1016/j.outlook.2024.102290","DOIUrl":"10.1016/j.outlook.2024.102290","url":null,"abstract":"<div><h3>Background</h3><div>Nurses diagnosed with cancer face unique challenges when returning to work, yet there is limited understanding of their transition.</div></div><div><h3>Purpose</h3><div>To explore nurses’ return-to-work experiences post cancer diagnosis and clarify related facilitators and challenges.</div></div><div><h3>Methods</h3><div>This focus group study employed a content analysis with constant comparative approach and member checking. This study recruited nurses treated for any type of cancer who had experience returning to clinical positions.</div></div><div><h3>Findings</h3><div>Five focus groups with 17 female nurses (mean age<!--> <!-->=<!--> <!-->51.8) were performed; 47.1% had breast cancer. Four main themes were identified: (a) motivation, incentives, and the need to return to work; (b) setbacks hindering the return; (c) navigating new work dynamics; and (d) evolving professional role during the return to work.</div></div><div><h3>Discussion</h3><div>This study illustrates personal and professional growth and struggles that attend returning to work as a nurse with cancer. This insight informs strategies to support continuing these nurses’ careers.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102290"},"PeriodicalIF":4.1,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402015","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 : 2024-10-09DOI: 10.1016/j.outlook.2024.102294
Jacqueline Johnston MN, RN, Lisa McKenna PhD, RN, RM, Gulzar Malik PhD, RN, Sonia Reisenhofer PhD, RN
{"title":"Transforming personally and professionally through global cultural experience: A grounded theory study","authors":"Jacqueline Johnston MN, RN, Lisa McKenna PhD, RN, RM, Gulzar Malik PhD, RN, Sonia Reisenhofer PhD, RN","doi":"10.1016/j.outlook.2024.102294","DOIUrl":"10.1016/j.outlook.2024.102294","url":null,"abstract":"<div><h3>Background</h3><div>Participation in international educational programs during nurses’ and midwives’ preregistration education provides an opportunity to experience healthcare in different cultures. Short-term outcomes of participation have been reported; however, little has been published regarding long-term outcomes and theoretical processes for nurses and midwives who participate in such programs.</div></div><div><h3>Purpose</h3><div>To provide in-depth understandings through a theoretical model of long-term outcomes and impacts for nurses and midwives who participate in international educational programs during their preregistration education.</div></div><div><h3>Methods</h3><div>Constructivist grounded theory methodology was employed in this study. Thirteen general nurses, two mental health nurses, three midwives, and four dual-qualified nurse/midwives from eight different countries were interviewed.</div></div><div><h3>Conclusion</h3><div>The substantive theory, “<em>Transforming personally and professionally through global cultural experience</em>,” presents an explanation of processes and long-term impacts for those who participated in international programs during their preregistration education.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102294"},"PeriodicalIF":4.1,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395342","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}