Nursing Outlook最新文献_第4页

Decolonizing nursing education: Beyond Indigenous perspectives through a global and intersectional lens 非殖民化护理教育：通过全球和交叉镜头超越土著观点

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-08-13 DOI: 10.1016/j.outlook.2025.102526

Suha Ballout PhD, RN, FAAN , Cassandra Mombrun MSN, RN, CPNP-PC, Phd student , Nadia Raymond PhD, MSN/MHA, RN , Ina N. Tolentino BSN student

{"title":"Decolonizing nursing education: Beyond Indigenous perspectives through a global and intersectional lens","authors":"Suha Ballout PhD, RN, FAAN , Cassandra Mombrun MSN, RN, CPNP-PC, Phd student , Nadia Raymond PhD, MSN/MHA, RN , Ina N. Tolentino BSN student","doi":"10.1016/j.outlook.2025.102526","DOIUrl":"10.1016/j.outlook.2025.102526","url":null,"abstract":"<div><div>Nursing education is historically rooted in Eurocentric paradigms that marginalize Indigenous, racialized, and Global South knowledge systems. Calls for decolonization are expanding beyond settler-colonial contexts. This paper aims to advance the discourse on decolonizing nursing education by proposing a global, intersectional, and justice-oriented framework that moves beyond Indigenous inclusion to critically examine colonial legacies across geographies, knowledge systems, and institutional structures. The central message is that decolonization must be structural, not symbolic, transforming nursing curricula, pedagogy, and institutional practices by centering epistemologies from the Global South, racialized communities, and diasporic knowledge systems. This paper addresses a critical gap in nursing education literature by proposing a theoretical framework that interrogates colonial legacies beyond settler-colonial contexts. It positions decolonization as a transnational, intersectional, and structural imperative, grounded in epistemologies from the Global South, diasporic communities, and racialized populations. Using a conceptual and theoretical analysis, the paper synthesizes literature from critical race theory, intersectionality, Indigenous scholarship, and Global South perspectives. Case examples and tables illustrate praxis. Decolonization must address structural racism, White institutional norms, hidden curricula, and symbolic inclusion. Transformative strategies include critical health literacy, faculty development, community partnerships, and transnational collaboration. Decolonizing nursing requires shifting power in knowledge production, embedding justice in curricula and policy, and fostering relational accountability. Nursing must be reimagined as a political and ethical space of healing and liberation.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102526"},"PeriodicalIF":3.7,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144827123","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}

引用次数: 0

Navigating artificial intelligence in nursing: An ethical exploration of benefits, risks, and educational shifts 在护理中导航人工智能：利益、风险和教育转变的伦理探索

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-08-13 DOI: 10.1016/j.outlook.2025.102520

Lorri Birkholz DNP, RN, NE-BC , Michael Martin MBE, BSN, NPD-BC , Brenda Barnum MA (Bioethics), RNC-NIC, HEC-C , Linda Breslin DPS (Bioethics), BSN, RN , Shika Kalevor MBE, BSN, RN

{"title":"Navigating artificial intelligence in nursing: An ethical exploration of benefits, risks, and educational shifts","authors":"Lorri Birkholz DNP, RN, NE-BC , Michael Martin MBE, BSN, NPD-BC , Brenda Barnum MA (Bioethics), RNC-NIC, HEC-C , Linda Breslin DPS (Bioethics), BSN, RN , Shika Kalevor MBE, BSN, RN","doi":"10.1016/j.outlook.2025.102520","DOIUrl":"10.1016/j.outlook.2025.102520","url":null,"abstract":"<div><div>A significant challenge of generative artificial intelligence (AI) is the gap between technological advancements and policies to guide their ethical use. The integration of AI in all aspects of nursing is poised to revolutionize the delivery of nursing care to patients. As such, nursing practice and educational programs will be required to adapt to these advancing technologies while maintaining the core tenets and ethical values inherent in the profession. Schools, colleges, and universities will be called upon to act to safeguard the value of education and the sanctity of the nursing profession Ultimately, it will be the responsibility of nurses to make sure technological advances, including AI, do not compromise learning or the human interactions and relationships that are essential to providing patient-centered care. The purpose of this article is to explore the ethical implications for the nursing profession of these advances as currently known and understood.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102520"},"PeriodicalIF":3.7,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144830821","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}

引用次数: 0

Accelerated leadership: Novice registered nurses assuming senior roles with limited preparation and experience 加速领导：新手注册护士在准备和经验有限的情况下担任高级职位

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-08-13 DOI: 10.1016/j.outlook.2025.102531

Kateryna Metersky PhD, RN , Romy Fisher BScN, RN

{"title":"Accelerated leadership: Novice registered nurses assuming senior roles with limited preparation and experience","authors":"Kateryna Metersky PhD, RN , Romy Fisher BScN, RN","doi":"10.1016/j.outlook.2025.102531","DOIUrl":"10.1016/j.outlook.2025.102531","url":null,"abstract":"<div><h3>Background</h3><div>The nationwide loss of experienced registered nurses (RNs) has resulted in novice RNs, with only 1–2 years of practice experience, being placed in senior leadership roles earlier than expected. These rapid advancements occur in a context where many novice RNs lack the training and formal support typically required for effective leadership.</div></div><div><h3>Purpose</h3><div>This paper examines the challenges novice RNs face when assuming early leadership responsibilities and explores strategies to better prepare and support them in these roles.</div></div><div><h3>Methods</h3><div>A review of the literature was conducted to identify common barriers, support gaps, and effective interventions for novice RNs transitioning into leadership positions.</div></div><div><h3>Discussion</h3><div>Findings indicate that novice RNs often feel unprepared for leadership due to unclear role expectations, limited orientation programs, and insufficient mentorship. These factors contribute to stress, burnout, and reduced RN retention. Evidence suggests that early integration of leadership training into undergraduate nursing education, structured orientation programs, and formal mentorship systems can improve preparedness and confidence.</div></div><div><h3>Conclusion</h3><div>Addressing the leadership readiness gap among novice RNs requires sustained investment in leadership development within both nursing education and healthcare policy. Equipping the next generation of RNs with the necessary skills and support is essential to ensuring effective leadership, high-quality patient care, and a resilient nursing workforce.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102531"},"PeriodicalIF":3.7,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144830820","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}

引用次数: 0

An evaluation of funded National Institutes of Health grants in nursing science and artificial intelligence 美国国立卫生研究院在护理科学和人工智能方面的资助评估

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-08-12 DOI: 10.1016/j.outlook.2025.102529

Dillon J. Dzikowicz PhD, RN, PCCN , Mehmed Aktas , Jinjiao Wang PhD, RN , Caitlin Dreisbach PhD, RN

{"title":"An evaluation of funded National Institutes of Health grants in nursing science and artificial intelligence","authors":"Dillon J. Dzikowicz PhD, RN, PCCN , Mehmed Aktas , Jinjiao Wang PhD, RN , Caitlin Dreisbach PhD, RN","doi":"10.1016/j.outlook.2025.102529","DOIUrl":"10.1016/j.outlook.2025.102529","url":null,"abstract":"<div><h3>Background</h3><div>The integration of artificial intelligence (AI) in nursing research holds significant potential. However, AI's development and deployment remains a crucial area of research.</div></div><div><h3>Purpose</h3><div>This study aims to evaluate the type (e.g., R01, R21, and K08), topic, and cost of National Institutes of Health (NIH)-funded grants focusing on AI in nursing science from 2013 to 2023.</div></div><div><h3>Methods</h3><div>Using the RePORTER database, we identified NIH-funded grants with keywords related to nursing and AI from 2013 to 2023. We used topic modeling on the project abstracts to uncover key themes.</div></div><div><h3>Discussion</h3><div>We identified 370 NIH-funded AI and nursing-related grants, a 1,160% increase over time. Most NINR-funded projects were training-focused. Key themes included cognitive decline, inpatient predictive analytics, and chronic disease self-management.</div></div><div><h3>Conclusion</h3><div>While AI-related funding is growing, nurse-led projects remain limited, highlighting the need for expanded nursing leadership in AI research. Strategic efforts are essential to support nurse scientists in shaping the future of AI-integrated nursing science.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102529"},"PeriodicalIF":3.7,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144826567","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}

引用次数: 0

Advancing the calculation of nurse turnover costs: A methodological approach using the RETAIN Framework 推进护士离职成本的计算：使用RETAIN框架的方法学方法

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-08-11 DOI: 10.1016/j.outlook.2025.102517

Omid Razmpour BSN, RN , Sharon Pappas PhD, RN, FAAN , Donald K.K. Lee PhD , Shehzad Mian PhD , Monique Bouvier PhD, ARNP, PNP-BC , Jeannie P. Cimiotti PhD, RN, FAAN

{"title":"Advancing the calculation of nurse turnover costs: A methodological approach using the RETAIN Framework","authors":"Omid Razmpour BSN, RN , Sharon Pappas PhD, RN, FAAN , Donald K.K. Lee PhD , Shehzad Mian PhD , Monique Bouvier PhD, ARNP, PNP-BC , Jeannie P. Cimiotti PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102517","DOIUrl":"10.1016/j.outlook.2025.102517","url":null,"abstract":"<div><h3>Background</h3><div>Nurse turnover has reached a crossroads, driving up labor costs and threatening organizational stability. Persistent vacancies and reliance on contract labor continue to strain healthcare systems. This paper introduces the RETAIN Framework, a structured methodology designed to quantify the costs of nurse turnover and guide evidence-based workforce investments.</div></div><div><h3>Methods</h3><div>The RETAIN Framework employs a four-phase methodology. First, the nurse turnover continuum was process-mapped to identify every turnover touch point and associated costs. Second, a cost accounting structure was developed to categorize both direct and indirect costs. Third, staffing back-fill strategies were analyzed to assess and evaluate financial trade-offs. Finally, all variables were integrated into a dynamic modeling dashboard that enables scenario testing using modifiable inputs. This approach supports workforce advocacy through data-driven financial analysis.</div></div><div><h3>Conclusion</h3><div>The RETAIN Framework provides a robust methodology for quantifying the cost of nurse turnover. In part two, the framework will be applied to a multihospital population to identify granular cost data and identify actionable outcomes.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102517"},"PeriodicalIF":3.7,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144826599","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}

引用次数: 0

Developing the model of "Slow Care": Rethinking time and quality in nursing practice. 发展“慢护理”模式：对护理实践时间与质量的再思考。

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-08-09 DOI: 10.1016/j.outlook.2025.102528

Dobrina Raffaella, Cassone Andrea, Ferrari Giada, Tempesta Marco

引用次数: 0

READY+ Framework for a holistic approach to practice readiness for novice nurses. READY+为新手护士准备实践的整体方法框架。

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-08-09 DOI: 10.1016/j.outlook.2025.102525

Suha Ballout, Nada Wakim, Jennifer Curran, Gaurdia Banister

{"title":"READY+ Framework for a holistic approach to practice readiness for novice nurses.","authors":"Suha Ballout, Nada Wakim, Jennifer Curran, Gaurdia Banister","doi":"10.1016/j.outlook.2025.102525","DOIUrl":"https://doi.org/10.1016/j.outlook.2025.102525","url":null,"abstract":"<p><strong>Background: </strong>New graduate nurses in the US face persistent challenges in transitioning to clinical practice, including deficits in emotional resilience, leadership, and culturally responsive care, despite improvements in clinical education.</p><p><strong>Purpose: </strong>This paper introduces the READY+ Framework, a comprehensive model designed to promote holistic practice readiness for novice nurses by integrating clinical, emotional, ethical, and equity-based competencies.</p><p><strong>Methods: </strong>READY+ was developed through an integrative literature review and is grounded in established theoretical foundations such as professional identity formation, critical race theory, and systems leadership. It aligns with the AACN Essentials (2021), ANA Standards (2021), and the Future of Nursing 2020-2030 report.</p><p><strong>Discussion: </strong>The READY+ Framework consists of six domains-Resilience, Empathy, Adaptability, Diversity and Inclusion, Yielding (Reflective Practice), and Systems Leadership-addressing identified gaps in nursing education and workforce development.</p><p><strong>Conclusion: </strong>The framework offers a scalable strategy to support equity-driven, practice-ready nurses. Pilot testing will inform its refinement and real-world implementation.</p>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"102525"},"PeriodicalIF":3.7,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818323","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}

引用次数: 0

Telehealth use among registered nurses: A national sample survey analysis. 注册护士远程医疗的使用：一项全国抽样调查分析。

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-08-08 DOI: 10.1016/j.outlook.2025.102522

Jessica Castner, Aditi U Joshi, Ryan J Shaw, Taryn Amberson, Breanna Hetland, Gyasi Moscou-Jackson

{"title":"Telehealth use among registered nurses: A national sample survey analysis.","authors":"Jessica Castner, Aditi U Joshi, Ryan J Shaw, Taryn Amberson, Breanna Hetland, Gyasi Moscou-Jackson","doi":"10.1016/j.outlook.2025.102522","DOIUrl":"10.1016/j.outlook.2025.102522","url":null,"abstract":"<p><strong>Background: </strong>Telenursing utilization fluctuated during the COVID-19 pandemic response and recovery.</p><p><strong>Purpose: </strong>To determine United States nationally representative estimates in telenursing and ascertain disparities by practice rurality, patient population, and nurse racial identity.</p><p><strong>Methods: </strong>Applied epidemiological analysis of the 2022 National Sample Survey of Registered Nurses (RNs) with weighting for national representativeness.</p><p><strong>Findings: </strong>Weighted estimates represented 2,789,399 RNs. Limited telenursing use (22%) for inpatient and outpatient care was reported; the forms most frequently used were live videoconferencing (67%), audio calls (66%), and text or live chat (31%). Disparities by practice rurality and patient population were observed, but none by nurse racial identity.</p><p><strong>Discussion: </strong>Limited adoption of telenursing practice for inpatient and outpatient care was reported, despite pandemic conditions. Proactive policy development is needed to advance equal access to health services through telenursing use in rural areas, older adult practices, and pediatric nursing.</p>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"102522"},"PeriodicalIF":3.7,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12359730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812679","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}

引用次数: 0

Careers of PhD-prepared nurses: A global survey. 博士护士的职业生涯：一项全球调查。

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-08-07 DOI: 10.1016/j.outlook.2025.102521

Lisa van Dongen, Thóra B Hafsteinsdóttir, Helena Leino-Kilpi, Riitta Suhonen

{"title":"Careers of PhD-prepared nurses: A global survey.","authors":"Lisa van Dongen, Thóra B Hafsteinsdóttir, Helena Leino-Kilpi, Riitta Suhonen","doi":"10.1016/j.outlook.2025.102521","DOIUrl":"https://doi.org/10.1016/j.outlook.2025.102521","url":null,"abstract":"<p><strong>Background: </strong>PhD-prepared nurses uniquely contribute to nursing by conducting research required to address challenges in healthcare and nursing. However, there is limited understanding on the careers of PhD-prepared nurses.</p><p><strong>Purpose: </strong>To describe careers, factors related to careers, and recommendations for the careers of PhD-prepared nurses.</p><p><strong>Methods: </strong>A global cross-sectional study was conducted using a convenience sample of individuals with a Doctor of Philosophy degree in nursing science. A self-developed survey instrument was used.</p><p><strong>Findings: </strong>Of the 1,308 PhD-prepared nurses, most worked in research and teaching positions. Most reported positions for PhD-prepared nurses being available within their organizations. Mentoring and development of career pathways, including clinical-academic positions, were recommended.</p><p><strong>Discussion: </strong>PhD-prepared nurses pursue a variety of careers after the doctorate. Development of career pathways with positions with time for research, opportunities for professional development, and mentoring can support careers. Future research is suggested to support knowledge development in the field.</p>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"102521"},"PeriodicalIF":3.7,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805304","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}

引用次数: 0

Task augmentation, automation, and hybridization in nursing: A conceptual framework for artificial intelligence-integrated care delivery. 护理中的任务增强、自动化和杂交：人工智能集成护理交付的概念框架。

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-08-07 DOI: 10.1016/j.outlook.2025.102524

Joshua J Barrett, Cheryl B Jones

{"title":"Task augmentation, automation, and hybridization in nursing: A conceptual framework for artificial intelligence-integrated care delivery.","authors":"Joshua J Barrett, Cheryl B Jones","doi":"10.1016/j.outlook.2025.102524","DOIUrl":"https://doi.org/10.1016/j.outlook.2025.102524","url":null,"abstract":"<p><strong>Background: </strong>The integration of artificial intelligence (AI) in healthcare is rapidly reshaping nursing roles, functions, and tasks. However, there is no established framework to guide understanding of how AI interacts with nursing practice.</p><p><strong>Purpose: </strong>To propose a conceptual framework, grounded in sociotechnical systems theory and task-technology fit, that illustrates the potential of AI to augment, automate, and hybridize nursing work.</p><p><strong>Methods: </strong>An exploratory review of literature across nursing, organizational theory, information systems, and management was conducted to identify patterns related to task characteristics, human-technology interaction, and organizational context.</p><p><strong>Findings: </strong>The framework links AI interaction types (augmentation, automation, and hybridization) with task categories (manual, cognitive, and routine) and organizational factors. It demonstrates that routine tasks are more amenable to automation, while complex tasks are better suited to augmentation or hybridization, depending on how governance structures shape AI adoption.</p><p><strong>Conclusion: </strong>This framework offers nurse leaders, educators, and clinicians a structured approach to anticipate AI's impact on nursing practice, align workflows, support ethical implementation, and inform curricula that prepare nurses for evolving AI-clinical care dynamics.</p>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"102524"},"PeriodicalIF":3.7,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805305","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}

引用次数: 0