Nursing OutlookPub Date : 2025-07-18DOI: 10.1016/j.outlook.2025.102496
J. Craig Phillips LLM, PhD, RN, ACRN, FCAN, FAAN , Judith B. Cornelius PhD, MS, RN, ANEF, FAAN , Paula M. Neira JD, MSN, RN, CEN, FAAN , Liam Hein PhD, RN, FAAN , Dallas Ducar MSN, APRN, FAAN , Carol Dawson Rose PhD, RN, FAAN , William E. Rosa PhD, MBE, APRN, FAANP, FPCN, FAAN , Suha Ballout PhD, RN , Daniel A. Nagel PhD , Eugenia Isabel Flores Millender PhD, RN, PMH-APRN, FAAN , Michael W. Neft PhD, DNP, MHA, RN, CRNA, FNAP, FAANA, FAAN , Rita A. Jablonski PhD, CRNP, FAAN, FGSA , Teri A. Murray PhD, PHNA-BC, RN, ANEF, FAAN , Deborah C. Stamps EdD, MBA, MS, RN, GNP, NE-BC, CDE, FAAN , Edie Brous MS, MPH, JD, RN, FAAN , David M. Keepnews PhD, JD, RN, FAAN
{"title":"Advancing human rights, health equity, and equitable health policy with LGBTQ+ people: An American Academy of Nursing consensus paper","authors":"J. Craig Phillips LLM, PhD, RN, ACRN, FCAN, FAAN , Judith B. Cornelius PhD, MS, RN, ANEF, FAAN , Paula M. Neira JD, MSN, RN, CEN, FAAN , Liam Hein PhD, RN, FAAN , Dallas Ducar MSN, APRN, FAAN , Carol Dawson Rose PhD, RN, FAAN , William E. Rosa PhD, MBE, APRN, FAANP, FPCN, FAAN , Suha Ballout PhD, RN , Daniel A. Nagel PhD , Eugenia Isabel Flores Millender PhD, RN, PMH-APRN, FAAN , Michael W. Neft PhD, DNP, MHA, RN, CRNA, FNAP, FAANA, FAAN , Rita A. Jablonski PhD, CRNP, FAAN, FGSA , Teri A. Murray PhD, PHNA-BC, RN, ANEF, FAAN , Deborah C. Stamps EdD, MBA, MS, RN, GNP, NE-BC, CDE, FAAN , Edie Brous MS, MPH, JD, RN, FAAN , David M. Keepnews PhD, JD, RN, FAAN","doi":"10.1016/j.outlook.2025.102496","DOIUrl":"10.1016/j.outlook.2025.102496","url":null,"abstract":"<div><div>Health disparities among LGBTQ+ people arise from sociocultural contexts of gender oppression. Complex historical, legal, and policy landscapes perpetuate inequities through discriminatory legislation and policies. Intersections of ideology, theology, and politics converge to shape anti-LGBTQ+ initiatives that have detrimental impacts on human rights and health outcomes. This consensus statement recommends promoting inclusive laws and policies, expanding antidiscrimination protections, and amplifying awareness within nursing and other healthcare practitioner communities, particularly in the United States. By advocating for a human rights-based approach and leveraging international frameworks, such as the International Bill of Human Rights and Yogyakarta Principles, we seek to empower nurses and policy stakeholders to address systemic barriers and advance health equity, equitable health policy, and human rights with LGBTQ+ people globally. These recommendations affirm the Academy’s position, align seamlessly with its stance against oppressive laws and policies, and reinforce its mission to influence policy for improved health and equity.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102496"},"PeriodicalIF":4.1,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144663497","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 : 2025-07-17DOI: 10.1016/j.outlook.2025.102489
Rosemary Kennedy PhD, RN, FAAN , Gregory L. Alexander PhD, RN, FAAN , Nancy Beale PhD, NI-BC, FAMIA , Heather Carter-Templeton PhD, RN, FAAN , Jan M. Nick PhD, ANEF, FAAN , Safiye Sahin PhD, RN , Rachel Alexander MLIS , Tami H. Wyatt PhD, RN, FAAN
{"title":"Scoping review: Emerging technologies in home-based care delivery models","authors":"Rosemary Kennedy PhD, RN, FAAN , Gregory L. Alexander PhD, RN, FAAN , Nancy Beale PhD, NI-BC, FAMIA , Heather Carter-Templeton PhD, RN, FAAN , Jan M. Nick PhD, ANEF, FAAN , Safiye Sahin PhD, RN , Rachel Alexander MLIS , Tami H. Wyatt PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102489","DOIUrl":"10.1016/j.outlook.2025.102489","url":null,"abstract":"<div><h3>Background</h3><div>Technological innovation, coupled with the shift toward home-based care models, presents opportunities to improve outcomes.</div></div><div><h3>Purpose</h3><div>The scoping review synthesizes research on emerging home-based care models and associated technologies, highlighting research, policy, and practice priorities.</div></div><div><h3>Methods</h3><div>The team employed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews, along with the Joanna Briggs Institute methodology, and supplemented these with the Arksey and O’Malley methodological framework.</div></div><div><h3>Discussion</h3><div>Of 3,154 screened studies, 105 were included in the review. Studies used a mix of technologies and care delivery models. The most common technologies included wearable devices (31%), followed by mobile apps (28%), and remote patient monitoring (26%). The most common care models were person-centered self-care (56%) and the continuum-of-care model (50%).</div></div><div><h3>Conclusion</h3><div>This scoping review highlights the essential role of nursing in every aspect of emerging technologies within home-based care models, including policy, research, and practice.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102489"},"PeriodicalIF":4.1,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144654675","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 : 2025-07-16DOI: 10.1016/j.outlook.2025.102491
Kelley M. Anderson PhD, RN, FNP , Dominique Tobbell PhD , William A. Cessato DLS , Ashley Graham-Perel EdD, RN, NPD-BC, MEDSURG-BC, CNE, FAAN , Edilma L. Yearwood PhD, RN, PMHCNS-BC, FAAN
{"title":"Nursing disciplinary knowledge: Honoring the past and envisioning a future of PhD nursing education to advance health equity","authors":"Kelley M. Anderson PhD, RN, FNP , Dominique Tobbell PhD , William A. Cessato DLS , Ashley Graham-Perel EdD, RN, NPD-BC, MEDSURG-BC, CNE, FAAN , Edilma L. Yearwood PhD, RN, PMHCNS-BC, FAAN","doi":"10.1016/j.outlook.2025.102491","DOIUrl":"10.1016/j.outlook.2025.102491","url":null,"abstract":"<div><h3>Background</h3><div>Health equity is an essential focus of nursing education, research, and practice to mitigate continuing health disparities (National Academies of Sciences, Engineering, and Medicine, 2021; NINR, 2023). PhD in Nursing programs educate thousands of students annually (AACN, 2025) and collectively have the power to shape the nursing research agenda to answer this urgent call.</div></div><div><h3>Purpose</h3><div>Discuss the historical context of PhD nursing education that informs contemporary challenges of the discipline and guides us in developing the academic foundation of future nurse leaders and scientists to advance health equity.</div></div><div><h3>Methods</h3><div>Historical analysis of the development of nursing science and how racism and discrimination has perpetuated health disparities provides the context for PhD recommendations.</div></div><div><h3>Discussion</h3><div>Health equity-focused PhD programs must embrace diverse expertise and voices in knowledge creation, center history and health equity in curricula, interrogate research design for inherent racism and cultural bias, respectfully engage communities, and advocate for support.</div></div><div><h3>Conclusion</h3><div>Developing and modifying PhD programs to advance health equity science, including understanding the history of nursing and health disparities, is critical to achieve optimal health and health care and direct needed nursing research now and into the future.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102491"},"PeriodicalIF":4.1,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144634361","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 : 2025-07-16DOI: 10.1016/j.outlook.2025.102495
Ryan J. Shaw PhD, RN, FAAN , Boyuan Chen PhD
{"title":"Physical artificial intelligence in nursing: Robotics","authors":"Ryan J. Shaw PhD, RN, FAAN , Boyuan Chen PhD","doi":"10.1016/j.outlook.2025.102495","DOIUrl":"10.1016/j.outlook.2025.102495","url":null,"abstract":"<div><h3>Background</h3><div>Robotics, driven by advancements in physical artificial intelligence (AI), offers potential solutions–yet many challenges– to creating innovative care models to meet the needs of the future.</div></div><div><h3>Purpose</h3><div>To present an overview of robotics across various industries and explain how physical AI is aiding the development and integration of robots into skilled nursing. We discuss the opportunities and challenges of incorporating robots into nursing and offer recommendations for nurses on designing equitable, human-centered care models that include robotics.</div></div><div><h3>Methods</h3><div>This paper discusses robotics across industries, with a focus on healthcare and nursing. It examines technological capabilities, nursing education needs, and ethical, regulatory, and workforce implications.</div></div><div><h3>Discussion</h3><div>Robots are increasingly used for logistics, cleaning, and limited direct care tasks. Advancement in physical AI will enable robots to perceive, reason, and act in dynamic environments, supporting human-robot teaming and patient care. Challenges include technical limitations, ethical concerns, disparities in access, and regulatory gaps. Nursing education must evolve to prepare professionals for collaborative practice with robotic systems.</div></div><div><h3>Conclusion</h3><div>Robotics must be designed to augment care delivery, such as through virtual care models and remote operation. Nurses must lead in designing, implementing, and regulating robotic technologies to ensure they enhance patient outcomes and promote health equity.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102495"},"PeriodicalIF":4.1,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144654678","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 : 2025-07-16DOI: 10.1016/j.outlook.2025.102490
Kechi Iheduru-Anderson EdD, DNP, RN, CNE, CWCN
{"title":"A dangerous lexicon: Academic complicity in silencing social justice—The institutional policing of language and the threat to academic freedom","authors":"Kechi Iheduru-Anderson EdD, DNP, RN, CNE, CWCN","doi":"10.1016/j.outlook.2025.102490","DOIUrl":"10.1016/j.outlook.2025.102490","url":null,"abstract":"<div><div>As political pressures mount on public education, many universities have become complicit—intentionally or not—in suppressing justice-oriented discourse, even as some institutions attempt to resist these constraints. This paper analyzes an internal memo from a U.S. institution advising scholars to avoid terms like <em>equity</em>, <em>transgender</em>, <em>anti-racism</em>, and <em>climate crisis</em> in grant proposals. Though framed as pragmatic, such guidance functions as censorship by proxy, encouraging scholars to self-censor to remain fundable. Drawing on recent scholarship, the paper connects language policing to broader systems of academic erasure, racial capitalism, and epistemic exclusion. It argues that linguistic sanitization disproportionately harms scholars from marginalized communities and disciplines engaged in justice-based research—including academic nursing. By framing inclusive inquiry as ideologically risky, institutions reinforce political conformity under the guise of neutrality. The consequences extend beyond funding, shaping who is heard, what knowledge is legitimized, and how equity is pursued. The paper calls on educational leaders to reject silence and defend the right to name and challenge injustice.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102490"},"PeriodicalIF":4.1,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144634369","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 : 2025-07-14DOI: 10.1016/j.outlook.2025.102483
Regina G. Russell PhD, MA, MEd , Jules White PhD , Allen Karns BS , Karely Rodriguez MCS , Pamela R. Jeffries PhD, RN, FAAN , Patricia Sengstack DNP, NI-BC, FAAN
{"title":"Toward amplifying the good in nursing education: A quality improvement study on implementing artificial intelligence-based assistants in a learning system","authors":"Regina G. Russell PhD, MA, MEd , Jules White PhD , Allen Karns BS , Karely Rodriguez MCS , Pamela R. Jeffries PhD, RN, FAAN , Patricia Sengstack DNP, NI-BC, FAAN","doi":"10.1016/j.outlook.2025.102483","DOIUrl":"10.1016/j.outlook.2025.102483","url":null,"abstract":"<div><div>Effective integration of artificial intelligence-based tools into nursing care and science will depend on aligned integration in nursing education. Our quality improvement study documents the process and short-term outcomes of introducing a generative AI-based tool into a nursing education system. Nursing school faculty and staff at one private, southeastern university (n = 364) piloted an internally constrained chatbot system for 2 months in 2024. Data were captured to evaluate the (a) costs of implementation, (b) use cases in nursing education, and (c) projected system impact. Costs were lower than $2 per month, per user. There were 148 diverse case reports from 35 unique users. On a separate survey, 35 respondents rated technology acceptability as 5.2/7.0. Projected impact is high (6.3/7.0), but not entirely positive (5.9/7.0). Benefits and challenges were identified. Nursing will need to invest expert time and community resources to evolve education systems along with these evolving technologies.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102483"},"PeriodicalIF":4.1,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144623839","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 : 2025-07-12DOI: 10.1016/j.outlook.2025.102492
Helen Dinh BSN, RN
{"title":"The impact of federal research priorities: From a Ph.D. candidate’s perspective","authors":"Helen Dinh BSN, RN","doi":"10.1016/j.outlook.2025.102492","DOIUrl":"10.1016/j.outlook.2025.102492","url":null,"abstract":"","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102492"},"PeriodicalIF":4.1,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144604317","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":"Education, empowerment, and elevating nursing voices: Nursing informatics leaders’ perspectives on the path forward with artificial intelligence in nursing","authors":"Meghan Reading Turchioe PhD, MPH, RN , Christianna Pepingco MPH , Charlene Ronquillo PhD, RN , Stephen A. Ferrara DNP, RN, FNP-BC, FAAN , Max Topaz PhD, RN, FACMI, FIAHSI, FAAN , Robin Austin PhD, DNP, DC, RN, NI_BC, FAMIA , Kay Lytle DNP, RN, NI-BC, NEA-BC, CPHIMS, ACHIP, FAMIA, FHIMSS","doi":"10.1016/j.outlook.2025.102484","DOIUrl":"10.1016/j.outlook.2025.102484","url":null,"abstract":"<div><h3>Background</h3><div>As artificial intelligence (AI) is rapidly transforming healthcare, there is a critical need to understand how AI can be thoughtfully integrated into nursing practice to support clinicians, reduce burden, and enhance patient care.</div></div><div><h3>Purpose</h3><div>We aimed to understand nursing informatics leaders’ perspectives on AI's current and future state in nursing.</div></div><div><h3>Methods</h3><div>We conducted a qualitative study with 20 national experts in nursing informatics. The Non-Adoption, Abandonment, Scale-up, Spread, Sustainability (NASSS) framework guided data collection and analysis using directed content analysis.</div></div><div><h3>Findings</h3><div>Participants highlighted the unclear value of AI to nurses and of nurses to technology vendors and AI developers. They identified nursing-specific (burnout, education, and attitudes) and organization-specific (leadership and culture) factors that influence AI’s integration in nursing. They highlighted how education, establishing ideal nurse–AI partnerships, and leveraging AI, may alleviate burnout.</div></div><div><h3>Discussion</h3><div><em>Education</em>, <em>empowerment</em>, and <em>elevating nursing voices</em> (“three e’s”) can guide the nursing profession to thrive in the era of AI.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102484"},"PeriodicalIF":4.1,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144604284","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 : 2025-07-12DOI: 10.1016/j.outlook.2025.102478
Whitney Thurman PhD, RN , Clarisse Nsengi MSN, RN , Simen Alexander Steindal PhD, RN , Sophie Albrecht MSN, RN , Sophie N. Gaber PhD, OT , Elisabeth Mattsson PhD, CNM, RN , Camilla Olausson PhD, RN , Kathleen Van Royen PhD , Kari L. Mariussen MSN , Anna Klarare PhD, RN
{"title":"Simulation-based learning in nursing education to counter stigma and discrimination: A scoping review","authors":"Whitney Thurman PhD, RN , Clarisse Nsengi MSN, RN , Simen Alexander Steindal PhD, RN , Sophie Albrecht MSN, RN , Sophie N. Gaber PhD, OT , Elisabeth Mattsson PhD, CNM, RN , Camilla Olausson PhD, RN , Kathleen Van Royen PhD , Kari L. Mariussen MSN , Anna Klarare PhD, RN","doi":"10.1016/j.outlook.2025.102478","DOIUrl":"10.1016/j.outlook.2025.102478","url":null,"abstract":"<div><h3>Background</h3><div>Nurses are often the first point of contact in healthcare settings. They are the healthcare professionals with whom patients have the most contact indicating the importance of ensuring that nurses are educated and equipped to provide nonstigmatizing healthcare to all patients.</div></div><div><h3>Purpose</h3><div>To map what is known about the use of simulation-based learning (SBL) in nursing education to minimize stigmatizing and discriminatory behaviors.</div></div><div><h3>Methods</h3><div>Scoping review methodology.</div></div><div><h3>Discussion</h3><div>SBL is frequently used in nursing education to address stigmatizing and discriminatory behaviors with a variety of historically marginalized populations. The use of SBL to for this purpose is relatively new and is increasing. This emergent interest underscores the importance of clearly identifying which simulation modalities for which populations are effective.</div></div><div><h3>Conclusion</h3><div>The results of this review indicate that SBL shows promise in increased awareness, confidence and widening perspectives in nursing students. Further investigation is needed to identify how SBL translates to individuals’ clinical practice and warrants further exploration, like longitudinal evaluations and experimental design.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102478"},"PeriodicalIF":4.1,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144604297","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 : 2025-07-07DOI: 10.1016/j.outlook.2025.102459
Minnette Markus-Rodden PhD, RN, CPNP-AC , Catherine Grano PhD, RNC-OB, CSN-NJ , Jacob Hanna BS, MS2 , Katherine Soriano PhD, RN, NE-BC , Haiqun Lin MD, PhD
{"title":"The relationship of social determinants of health and school nurse presence on chronic absenteeism","authors":"Minnette Markus-Rodden PhD, RN, CPNP-AC , Catherine Grano PhD, RNC-OB, CSN-NJ , Jacob Hanna BS, MS2 , Katherine Soriano PhD, RN, NE-BC , Haiqun Lin MD, PhD","doi":"10.1016/j.outlook.2025.102459","DOIUrl":"10.1016/j.outlook.2025.102459","url":null,"abstract":"<div><h3>Background</h3><div>Chronic school absenteeism (CA) in the United States affects approximately 6.5 million children annually. There are lifelong negative consequences of CA, ultimately leading to nearly a decade loss of life expectancy for individuals who do not graduate from high school.</div></div><div><h3>Purpose</h3><div>To assess the relationship between social determinants of health and school nurse (SN) presence on CA among public school children in New Jersey.</div></div><div><h3>Methods</h3><div>A retrospective study using publicly available state data during the 2016 to 2017, 2017 to 2018, and 2018 to 2019 school years.</div></div><div><h3>Findings</h3><div>Results demonstrated multiple statistically significant relationships. Most importantly, the relationship between SN presence and chronic absenteeism rates disproportionately affected Black students, economically disadvantaged students, and students in foster care.</div></div><div><h3>Discussion</h3><div>Given the significant long-term impact of chronic absenteeism, the significant role of the SN should be considered. Our study demonstrated highly significant effects of SN presence on chronic absenteeism.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102459"},"PeriodicalIF":4.1,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144571481","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}