Nursing OutlookPub Date : 2025-01-01DOI: 10.1016/j.outlook.2024.102304
Heather M. Bradford PhD, CNM, FACNM , Judith A. Berg PhD, WHNP-BC, FAAN , Mary A. Nies PhD, FAAN, FAAHB , Versie Johnson-Mallard PhD, FAANP, FAAN , Barbara B. Cochrane PhD, RN, FAAN , Constance Visovsky EdD, RN, FAAN , Karen S. Moore PhD, FAANP, FAAN , Ivy M. Alexander PhD, FAANP, FAAN
{"title":"Resettlement needs of refugee women in the United States: An American Academy of Nursing consensus paper","authors":"Heather M. Bradford PhD, CNM, FACNM , Judith A. Berg PhD, WHNP-BC, FAAN , Mary A. Nies PhD, FAAN, FAAHB , Versie Johnson-Mallard PhD, FAANP, FAAN , Barbara B. Cochrane PhD, RN, FAAN , Constance Visovsky EdD, RN, FAAN , Karen S. Moore PhD, FAANP, FAAN , Ivy M. Alexander PhD, FAANP, FAAN","doi":"10.1016/j.outlook.2024.102304","DOIUrl":"10.1016/j.outlook.2024.102304","url":null,"abstract":"<div><div>When people must flee their homes due to persecution or conflict, they embark on a journey from loss toward safety that is a global concern and the resettlement country’s responsibility. Refugees experience stressors as they secure basic needs such as adequate nutrition, healthcare, transportation, housing, education, and income-generating activities. For refugee women, these stressors are further exacerbated by gender-related roles and experiences. Addressing the unique healthcare needs of refugee women is vital to their well-being as they resettle into life in the United States. Access to care that is provided with cultural humility and fosters trust is critical. Policies are needed that expand health literacy programs and interpreting services, grow, diversify, and train the physical healthcare workforce, grow and diversify the mental healthcare workforce, expand Medicaid coverage in all 50 states, develop and fund peer-to-peer education programs for refugee women, finance access to care and programmatic services, and expand federal funding toward refugee health research.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102304"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605224","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 : 2025-01-01DOI: 10.1016/j.outlook.2024.102341
Joan L.F. Shaver PhD, RN, FAAN , Nancy Fugate Woods BSN, MN, PhD, FAAN , Diane Von Ah PhD, RN, FAAN , Ivy M. Alexander PhD, APRN, ANP-BC, FAANP, FAAN
{"title":"Persistent post COVID-19: Implications for women’s health research and policy from members of the Women’s Health Expert Panel of the American Academy of Nursing","authors":"Joan L.F. Shaver PhD, RN, FAAN , Nancy Fugate Woods BSN, MN, PhD, FAAN , Diane Von Ah PhD, RN, FAAN , Ivy M. Alexander PhD, APRN, ANP-BC, FAANP, FAAN","doi":"10.1016/j.outlook.2024.102341","DOIUrl":"10.1016/j.outlook.2024.102341","url":null,"abstract":"<div><h3>Background</h3><div>Despite that globally the percent of women and men who tested positive for COVID-19 appears equal and that men with COVID-19 were 60% more likely than women to be severely ill and to die from complications (Rozenberg et al., 2020), studies of sex differences show that women compared with men are more likely to manifest persistent post-COVID-19 syndrome (PPCS).</div></div><div><h3>Purpose</h3><div>In this paper, we address some of the extant evidence for impact of the PPCS on women’s health and well-being to underpin our suggestions for research and policy considerations.</div></div><div><h3>Methods</h3><div>We assessed key papers in the extant literature to formulate views on needed health-related research and policies.</div></div><div><h3>Discussion</h3><div>We discuss how key PPCS manifestations vary by sex, resemble sequelae uncovered for other chronically fatiguing or serious postinfectious trauma conditions, influence women’s reproductive health (e.g., menstrual cycle, fertility, pregnancy, and menopause transition), impair women’s social function and economic productivity, and challenge what is required for influential treatment and prevention.</div></div><div><h3>Conclusion</h3><div>To inform effective diagnosis, management and prevention of the significantly prevalent and debilitating PPCS, high on research and policy agendas should be uncovering multidimensional evidence of the impact on women, especially on their overall and reproductive health, well-being, social function and economic productivity.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102341"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781815","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 : 2025-01-01DOI: 10.1016/j.outlook.2024.102333
Ernest J. Grant PhD, RN, FAAN , Michael P. Cary Jr PhD, RN , Derrick C. Glymph PhD, DNAP , Bimbola F. Akintade PhD, MBA, MHA, RN , Michael L. Jones PhD, MBA/HCM, RN
{"title":"Role out of Network of Black Male Nursing Leaders Mentorship Program","authors":"Ernest J. Grant PhD, RN, FAAN , Michael P. Cary Jr PhD, RN , Derrick C. Glymph PhD, DNAP , Bimbola F. Akintade PhD, MBA, MHA, RN , Michael L. Jones PhD, MBA/HCM, RN","doi":"10.1016/j.outlook.2024.102333","DOIUrl":"10.1016/j.outlook.2024.102333","url":null,"abstract":"<div><div>Despite nursing being the largest segment in all of the healthcare workforce, with over five million practicing registered nurses in the United States, Black males remain significantly underrepresented, comprising merely about 0.67% to 1% of the nursing workforce. This underrepresentation extends into leadership positions, where the number of Black male leaders in nursing is described as unquantifiable. In response to this disparity, five doctorally prepared Black male nurse leaders established the Network of Black Male Nurse Leaders (NBMNL). This paper discusses the establishment of the NBMNL, provides an update on the number of Black male nurse leaders, and explores the interest among Black male nurses in receiving mentorship to support their leadership development. The paper underscores the importance of mentoring and supporting Black male nurses to increase their representation in the field as well as improve the health outcomes of the communities they serve, thereby advancing health equity.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102333"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796372","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 : 2025-01-01DOI: 10.1016/j.outlook.2024.102307
Grant R. Martsolf PhD, MPH, RN, FAAN , Christopher Tollefsen PhD , Farr Curlin MD
{"title":"Abortion is healthcare: In what sense?","authors":"Grant R. Martsolf PhD, MPH, RN, FAAN , Christopher Tollefsen PhD , Farr Curlin MD","doi":"10.1016/j.outlook.2024.102307","DOIUrl":"10.1016/j.outlook.2024.102307","url":null,"abstract":"<div><div>In the wake of Dobbs vs. Jackson Women's Health Organization, many nursing organizations asserted that “abortion is healthcare” and access to it must be protected. Such a phrase makes clear claims about the meanings of “health” and “care.” How one defines these terms gives decisive direction to how a nurse must practice regarding not just elective abortion but also myriad interventions that divide bioethicists, including gender affirmative care, cosmetic surgery, and euthanasia. We consider the issue of elective abortion to illustrate the nature of disputes about the scope and limits of professional nursing. We describe two competing intuitions about the nature of healthcare namely that healthcare is either for (a) health, objectively defined or (b) well-being, patient defined. We discuss how these intuitions lead to different understandings of the intelligibility of the phrase “abortion is healthcare” and the implications for ethical discourse within professional nursing.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102307"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605089","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 : 2025-01-01DOI: 10.1016/j.outlook.2024.102344
Carol M. Baldwin PhD, RN, FAAN , Sharon J. Tucker PhD, APRN, FAAN , Christopher C. Imes PhD, RN , Luxana Reynaga-Ornelas PhD, RN , Alison M. Trinkoff ScD, RN, FAAN , Sharon M. Weinstein MS, RN, FAAN , Jacqueline Dunbar-Jacob PhD, RN, FAAN
{"title":"American Academy of Nursing Policy Recommendations to Reduce and Prevent Negative Health Outcomes and Health Care Costs Among Night Shift Nurses: An AAN Manuscript","authors":"Carol M. Baldwin PhD, RN, FAAN , Sharon J. Tucker PhD, APRN, FAAN , Christopher C. Imes PhD, RN , Luxana Reynaga-Ornelas PhD, RN , Alison M. Trinkoff ScD, RN, FAAN , Sharon M. Weinstein MS, RN, FAAN , Jacqueline Dunbar-Jacob PhD, RN, FAAN","doi":"10.1016/j.outlook.2024.102344","DOIUrl":"10.1016/j.outlook.2024.102344","url":null,"abstract":"<div><div>A growing body of evidence demonstrates occupational night shift hazards. Decades of research point to health risks for nurses contributing to chronic diseases, including diabetes, cardiovascular disease, cognitive/mental health, and cancers—all associated with earlier mortality. Patient safety, recruitment and retention of quality nursing workforce, and related costs are important concerns associated with night shift work. Post COVID-19, nurses have advocated and lobbied for many changes in their work environments, yet little emphasis has been placed on addressing night shift health and patient safety hazards, and concomitant personal, insurer, organizational, and federal costs. Nurses are also recipients of health care, and their work-related risks must be prioritized. Innovative solutions targeting individuals, work environments, novel schedules, virtual nursing, and artificial intelligence have been examined and must continue to be studied and implemented. Policy and legislation must be among the strategies for nurses, no different than other night shift workers (e.g., flight crews).</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102344"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900552","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 : 2025-01-01DOI: 10.1016/j.outlook.2024.102345
Meghan Eagen-Torkko PhD, CNM, FACNM , Molly Altman PhD, CNM, MPH , Julie Chor MD, MPH , Linda S. Franck PhD, RN, FAAN , Mara Greenberg MD , Louise P. King MD, JD , Ellen Solis DNP, CNM, FACNM , Daniel Suárez-Baquero PhD, MSN, BSN , Alicia Swartz PhD, MSN, PNP , Monica R. McLemore PhD, MPH, RN
{"title":"Why abortion is healthcare","authors":"Meghan Eagen-Torkko PhD, CNM, FACNM , Molly Altman PhD, CNM, MPH , Julie Chor MD, MPH , Linda S. Franck PhD, RN, FAAN , Mara Greenberg MD , Louise P. King MD, JD , Ellen Solis DNP, CNM, FACNM , Daniel Suárez-Baquero PhD, MSN, BSN , Alicia Swartz PhD, MSN, PNP , Monica R. McLemore PhD, MPH, RN","doi":"10.1016/j.outlook.2024.102345","DOIUrl":"10.1016/j.outlook.2024.102345","url":null,"abstract":"<div><div>This invited commentary provides an in-depth critique and analysis of “Abortion is healthcare: In what sense?” (Martsolf, Tollefsen, and Curlin). We reject the claims put forth in their piece on three distinct grounds. First, the language used throughout the manuscript is imprecise and ableist. Next, the false and simplistic dichotomy of pregnancy as a state of health, while positioning abortion as exclusively harmful and risky is scientifically inaccurate. Finally, the authors fail to grapple with nursing as either technical or moral; and never address it as a profession with a social contract. We end our analysis with suggestions to continue this conversation and to engage readers in participation.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102345"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873545","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 : 2025-01-01DOI: 10.1016/j.outlook.2024.102319
Jacqueline Dunbar-Jacob PhD, RN, FAAN, Jeffrey M. Rohay PhD, MSIS
{"title":"State health and the level of practice authority for nurse practitioners","authors":"Jacqueline Dunbar-Jacob PhD, RN, FAAN, Jeffrey M. Rohay PhD, MSIS","doi":"10.1016/j.outlook.2024.102319","DOIUrl":"10.1016/j.outlook.2024.102319","url":null,"abstract":"<div><h3>Background</h3><div>Studies show positive outcomes for nurse practitioner care compared with physicians, in a variety of clinical settings. Of unique interest is the relationship of nurse practitioner level of practice authority (NP-LPA) and population health.</div></div><div><h3>Purpose</h3><div>Does state population health differ by NP-LPA?</div></div><div><h3>Methods</h3><div>United Foundation Annual Reports (2019 and 2021) provided data on state health rankings. The American Association of Nurse Practitioners website (2021) provided data on NP-LPA. Analyses used Fisher’s exact test to compare the top 25 v. the bottom 25 ranked states.</div></div><div><h3>Results</h3><div>Full NP-LPA states ranked higher than reduced or restricted on overall state health, health outcomes, clinical care, quality of care, access to care, number of primary care providers per 100,000 population, and childhood immunizations.</div></div><div><h3>Discussion</h3><div>States with legislated full NP-LPA showed better population health. The data suggest full NP-LPA could address shortages in primary care while achieving greater population health.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102319"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781830","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}
{"title":"Policy priorities to improve access to advanced practice nursing care for mental health and substance use problems: An American Academy of Nursing manuscript","authors":"Matthew Tierney ANP, PMHNP, FAAN , JoEllen Schimmels PhD, DNP, PMHNP-BC, CNE, FAAN , Kathleen Delaney PhD, APRN, PMH-NP, FAAN , Mercy Mumba PhD, RN, FAAN , Derrick Glymph PhD, DNAP, CRNA, CHSE, CNE, COL, USAR, FAANA, FAAN , Cynthia Handrup DNP, APRN, PMHCNS-BC, FAAN , Bethany Phoenix PhD, RN, FAAN","doi":"10.1016/j.outlook.2024.102342","DOIUrl":"10.1016/j.outlook.2024.102342","url":null,"abstract":"<div><div>Nearly 50% of the U.S. population struggles with a mental health or substance use disorder in their lifetime, yet a substantial number are unable to receive treatment or are undertreated due to significant shortages and disparities in the mental health workforce. These shortages and disparities contribute to health inequities that leave already-vulnerable populations at increased risk for detrimental consequences. Access to mental health and substance use treatment could be improved by better utilizing the Advanced Practice nursing workforce providing care in mental health and substance use treatment, and by better defining Advanced Practice nursing roles, including those with specialty certifications in mental health and substance-related care. This paper makes policy recommendations to better define, grow, and more fully utilize the Advanced Practice nursing workforce providing mental health and substance-related services.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102342"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820319","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}