Nursing OutlookPub Date : 2024-11-01DOI: 10.1016/j.outlook.2024.102310
Frankie B. Hale PhD, RN, Lorrie Wong PhD, RN, FAAN, James Callahan MEd, Holly B. Fontenot PhD, RN/NP, FAAN
{"title":"New graduate nurses’ perspectives on well-being and transitioning into the workforce","authors":"Frankie B. Hale PhD, RN, Lorrie Wong PhD, RN, FAAN, James Callahan MEd, Holly B. Fontenot PhD, RN/NP, FAAN","doi":"10.1016/j.outlook.2024.102310","DOIUrl":"10.1016/j.outlook.2024.102310","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic profoundly impacted nurses’ well-being and the transition of new nurses into the workplace. The National Academy of Medicine and American Nurses Foundation has announced the need to prioritize well-being research.</div></div><div><h3>Purpose</h3><div>To explore new nurses’ perspectives related to factors that influenced their well-being and transition to practice.</div></div><div><h3>Methods</h3><div>New graduate nurses (1–2<!--> <!-->years post graduation) in Hawaii were invited to participate in a qualitative study, September 2023.</div></div><div><h3>Discussion</h3><div>Participants (<em>N</em> = 25) were predominantly female (84%), Asian (80%), and had 1<!--> <!-->year of experience (76%). Participants described the effect of the pandemic on their well-being, individual factors they needed to develop, external factors that were barriers or facilitators, and considerations for future interventions to support well-being and transition to practice.</div></div><div><h3>Conclusion</h3><div>The findings highlighted components of interventions needed in the academic and professional setting to support new nurses' successful and sustained transition to the workplace.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102310"},"PeriodicalIF":4.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592253","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 : 2024-10-25DOI: 10.1016/j.outlook.2024.102306
Carolina Tannenbaum-Baruchi PhD
{"title":"Enhancing nursing students' communication skills with deaf patients: Workshop impact on nursing education programs","authors":"Carolina Tannenbaum-Baruchi PhD","doi":"10.1016/j.outlook.2024.102306","DOIUrl":"10.1016/j.outlook.2024.102306","url":null,"abstract":"<div><h3>Background</h3><div>Nursing students require education on effective communication with patients to fulfill their roles as future healthcare providers. Ensuring inclusive patient care requires addressing this educational gap.</div></div><div><h3>Purpose</h3><div>This study assesses the impact of workshops on nursing students' communication strategies with Deaf and hard-of-hearing patients.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted among nursing students before and after participating in workshops conducted by Deaf instructors from the non-profit association Maagalei Shema. Data was collected from January 2023 to March 2024 and analyzed using SPSS software.</div></div><div><h3>Findings</h3><div>Results indicate that the workshops significantly improved participants' communication strategies, with 82.48% reporting enhanced abilities post-workshop. The use of communication tools, including professional interpreters, increased following the workshops.</div></div><div><h3>Discussion</h3><div>Workshops offer an effective approach to enhancing healthcare workers' communication with Deaf and hard-of-hearing patients. These findings underscore the importance of incorporating experiential learning opportunities into nursing education to optimize patient interactions and improve healthcare outcomes.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102306"},"PeriodicalIF":4.1,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513136","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 : 2024-10-25DOI: 10.1016/j.outlook.2024.102301
Floro Cubelo MPH, BSN, RN, CGNC, FFNMRCSI
{"title":"The challenges of diversity in nursing faculty recruitment: the case of Finland","authors":"Floro Cubelo MPH, BSN, RN, CGNC, FFNMRCSI","doi":"10.1016/j.outlook.2024.102301","DOIUrl":"10.1016/j.outlook.2024.102301","url":null,"abstract":"<div><h3>Background</h3><div>Diversity considerations in hiring faculty in higher education have garnered significant attention globally in recent years. However, analyses of faculty recruitment dynamics outside the United States, particularly in schools and colleges of nursing, have been limited.</div></div><div><h3>Purpose</h3><div>This paper explores how concepts related to racism apply to recruitment in nursing education, focusing on the specific context of Finland.</div></div><div><h3>Methods</h3><div>Discourse Approach.</div></div><div><h3>Discussion</h3><div>Despite the increased admission of foreign students to English-language nursing programs, potential biases against the recruitment of nurse educators from foreign backgrounds could exist in Finland. Local data, anecdotes, and an analysis of the broader literature suggest that robust diversity, equity, and inclusion (DEI) policies and guidelines are necessary to enhance the experiences of both instructors and students. Additionally, training and support mechanisms may be needed to enable nursing faculty members from foreign backgrounds to thrive and fully participate in shared governance within academic institutions.</div></div><div><h3>Conclusion</h3><div>By examining the challenges and proposing strategies for increasing diversity in Finnish nursing education, this paper aims to contribute to the broader discourse on diversity in nursing as a profession.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102301"},"PeriodicalIF":4.1,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513138","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 : 2024-10-23DOI: 10.1016/j.outlook.2024.102305
Kristi K. Westphaln PhD, RN, CPNP-PC , Lauren Clark PhD, RN, FAAN , Cherisse Watts MSN, RN, PHN , Julia Blackwell MSW , Carrie J. Smith ACSW, DSW , Antonia Osuna-Garcia MLIS , Alex Williams MSW , Nancy R. Mudrick PhD, MSW
{"title":"Parents with disabilities, mandated reporting, and nursing: A scoping review","authors":"Kristi K. Westphaln PhD, RN, CPNP-PC , Lauren Clark PhD, RN, FAAN , Cherisse Watts MSN, RN, PHN , Julia Blackwell MSW , Carrie J. Smith ACSW, DSW , Antonia Osuna-Garcia MLIS , Alex Williams MSW , Nancy R. Mudrick PhD, MSW","doi":"10.1016/j.outlook.2024.102305","DOIUrl":"10.1016/j.outlook.2024.102305","url":null,"abstract":"<div><h3>Background</h3><div>Many nurses report feeling underprepared and insecure about the mandated reporting of concern for child maltreatment, which is further compounded by parental disability.</div></div><div><h3>Purpose</h3><div>This scoping review examined the body of literature on nurse mandated reporting responsibility within the context of parental disability.</div></div><div><h3>Methods</h3><div>A scoping review was conducted as informed by the Arksey and O’Malley Framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews.</div></div><div><h3>Discussion</h3><div>Initial database search identified 2,669 records, which then underwent title and abstract screening (<em>n</em> = 2458), assessment for full text review (<em>n</em> = 53), and full review (<em>n</em> = 28). Analysis of 106 quantitative and 22 qualitative variables revealed sparse evidence and guidance to help nurses navigate mandated reporting of child abuse in families with parental disability.</div></div><div><h3>Conclusion</h3><div>Findings identified opportunities to inform research, policy, and practice to better meet the needs of nurse mandated reporters and families with parental disability.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102305"},"PeriodicalIF":4.1,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513137","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 : 2024-10-17DOI: 10.1016/j.outlook.2024.102288
Halley Ruppel PhD, RN , Maura Dougherty PhD, CRNA , Mahima Kodavati , Karen B. Lasater PhD, RN, FAAN
{"title":"The association between alarm burden and nurse burnout in U.S. hospitals","authors":"Halley Ruppel PhD, RN , Maura Dougherty PhD, CRNA , Mahima Kodavati , Karen B. Lasater PhD, RN, FAAN","doi":"10.1016/j.outlook.2024.102288","DOIUrl":"10.1016/j.outlook.2024.102288","url":null,"abstract":"<div><h3>Background</h3><div>Alarms pervade the hospital environment, often increasing nurses’ workload. Hospital nurses are experiencing burnout at unprecedented rates.</div></div><div><h3>Puropse</h3><div>This study examined the association between nurses’ experience of alarms and burnout.</div></div><div><h3>Methods</h3><div>Survey data from U.S. nurses (n = 2,131) were analyzed.</div></div><div><h3>Findings</h3><div>Nurses who frequently/occasionally experienced overwhelm from alarms had 2.47 (95% CI [1.93, 3.16]) greater odds of high burnout than those who rarely/never experienced alarm overwhelm; those who frequently/occasionally had to delay alarm response had 2.13 [1.67, 2.70] greater odds of high burnout than those who rarely/never did; and those who frequently/occasionally encountered situations where no one responded to an urgent alarm had 2.5 [2.07, 3.03] greater odds of high burnout than those who rarely/never encountered such situations. The associations remained largely unchanged after adjusting for hospital characteristics, nurse practice environment, and nurse staffing.</div></div><div><h3>Conclusion</h3><div>Although this study was cross-sectional, the potential impact of alarms on nurses’ well-being is an important consideration as technology advances.</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":"142442199","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 : 2024-10-17DOI: 10.1016/j.outlook.2024.102298
Lynne M. Woehrle PhD , Katherine J. Schmidt MSP, BSN, RN
{"title":"Nursing in a culture of peace","authors":"Lynne M. Woehrle PhD , Katherine J. Schmidt MSP, BSN, RN","doi":"10.1016/j.outlook.2024.102298","DOIUrl":"10.1016/j.outlook.2024.102298","url":null,"abstract":"<div><h3>Background</h3><div>The knowledge and practice in the field of peacebuilding is congruent with nursing and offers important dimensions and insight that can strengthen the work of nurses in building healthy communities and individuals.</div></div><div><h3>Purpose</h3><div>This article summarizes key literature and discussions with faculty in each field to outline impactful opportunities for interprofessional collaboration around peace and health.</div></div><div><h3>Methods</h3><div>An iterative process of reviewing theory and practice in each field produces a structured comparison of major commonalities and differences.</div></div><div><h3>Discussion</h3><div>Collaboration between nurses and peacebuilding practitioners provides a unique opportunity to address the wicked problems of direct and indirect (structural) violence. Shared interests in a holistic systems lens approach to violence prevention and conflict transformation provide for professional synergies.</div></div><div><h3>Conclusion</h3><div>An exemplary case for collaboration between nurses and peacebuilding practitioners is found in the work of understanding and addressing direct and indirect violence locally and globally.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102298"},"PeriodicalIF":4.1,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142446014","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 : 2024-10-17DOI: 10.1016/j.outlook.2024.102295
Jason W. Smith RN, BSN, MATh , Ann Mayo RN, DNSc, FAAN
{"title":"Structural racism: A concept analysis","authors":"Jason W. Smith RN, BSN, MATh , Ann Mayo RN, DNSc, FAAN","doi":"10.1016/j.outlook.2024.102295","DOIUrl":"10.1016/j.outlook.2024.102295","url":null,"abstract":"<div><h3>Background</h3><div>Despite the broad agreement that structural racism is problematic, there remains significant confusion as to what structural racism means and how to research it.</div></div><div><h3>Purpose</h3><div>Perform a comprehensive concept analysis of structural racism and propose an operational definition.</div></div><div><h3>Methods</h3><div>Walker and Avant’s eight-step, iterative method was used for conducting the concept analysis.</div></div><div><h3>Discussion</h3><div>Structural racism has five defining attributes: oppressive racial ideologies, dynamic state, inverse-related influence, temporality, and a false sense of “racial equity.” Structural racism has six antecedents: explicit racial bias, implicit racial bias, racial discrimination, institutional racism, cultural racism, and systemic racism. There are three consequences of structural racism: group categorization, unequal treatment, and racial inequities.</div></div><div><h3>Conclusion</h3><div>To combat and defeat the historical and ongoing impact of structural racism, conceptual clarity must be established. Only then can an operational definition be proposed and instruments developed that correspond with the nature of structural racism.</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":"142442201","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":"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}