Nursing Outlook最新文献

{"title":"Emergency department visits among children with asthma: Racial/ethnic disparities before and during the COVID-19 pandemic","authors":"Sangita Pudasainee-Kapri PhD, DNP, FNP-BC ,&nbsp;Yupeng Li PhD ,&nbsp;Kul Prasad Kapri PhD ,&nbsp;Mei Rosemary Fu PhD, RN, FAAN ,&nbsp;Dawn Wiest PhD ,&nbsp;Prakash Kandel MS, ABD ,&nbsp;Mohammed Jawaad Hussain MD","doi":"10.1016/j.outlook.2025.102394","DOIUrl":"10.1016/j.outlook.2025.102394","url":null,"abstract":"<div><h3>Background</h3><div>Emergency department (ED) visits for asthma among school-aged children create substantial healthcare burdens.</div></div><div><h3>Purpose</h3><div>This study aimed to examine the longitudinal trends in asthma ED visits, focusing on the effects of sociodemographic factors (i.e., age, sex, and race/ethnicity) and pandemic influence among school-aged children before, during, and after the pandemic.</div></div><div><h3>Methods</h3><div>We used a large, longitudinal, multisite data of 6,312 school-aged children from 2017 to 2022. Negative binomial regression was used for data analysis.</div></div><div><h3>Discussion</h3><div>Stable patterns with higher ED visit rates in Hispanic and Black children were observed prior to the pandemic. During the pandemic, sharp declines in ED visits were observed across all groups, with Black and Hispanic children sustaining higher rates compared with White children.</div></div><div><h3>Conclusion</h3><div>Higher rates of ED visits continued for Black and Hispanic children. Future interventions should focus on improving the effects of racial disparities and incorporating effective strategies for asthma management.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 3","pages":"Article 102394"},"PeriodicalIF":4.1,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848139","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":"Top-of-license practice for registered nurses: A scoping review","authors":"Jeanne Hlebichuk PhD, RN, NE-BC ,&nbsp;Rachelle J. Lancaster PhD, RN ,&nbsp;Vida Vizgirda PhD, JD, RN ,&nbsp;Sharon Quinlan DNP, MBA, RN, NEA-BC","doi":"10.1016/j.outlook.2025.102397","DOIUrl":"10.1016/j.outlook.2025.102397","url":null,"abstract":"<div><h3>Background</h3><div>Registered nurses are vital to healthcare delivery, yet often perform non-nursing tasks, contributing to inefficiencies, dissatisfaction, and turnover. The concept “top-of-license” (TOL) nursing practice, introduced in 2013, remains inconsistently defined and applied.</div></div><div><h3>Purpose</h3><div>To explore how TOL nursing practice is defined and applied in existing literature.</div></div><div><h3>Methods</h3><div>A scoping review was conducted using Arksey and O’Malley’s framework and PRISMA-ScR guidelines. Searches of 15 databases and gray literature (no start date—May 4, 2024) yielded 1,377 articles. Following screening, 45 articles met inclusion criteria.</div></div><div><h3>Findings</h3><div>Definitions and applications of TOL varied. Three themes emerged: (a) work—workforce efficiency, (b) benefits to patients—improving patient care and clinical outcomes, and (c) benefits to nurses—nurse perceptions of clinical practice. Limited articles measured TOL outcomes. Definitions and applications of TOL varied, thus differentiation from scope of practice and a definition are provided.</div></div><div><h3>Discussion</h3><div>Standardizing the definition of TOL is essential to advance research, policy, and improve care quality and outcomes.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 3","pages":"Article 102397"},"PeriodicalIF":4.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839057","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 effects of bullying on nurses’ turnover intentions, patient care, and somatic health complaints: Examining the importance of staffing adequacy and stress mindsets","authors":"Samantha Paustian-Underdahl PhD ,&nbsp;Yingge Li PhD ,&nbsp;James Whyte IV ND, PhD, FNAP, FAAN ,&nbsp;D.C. De La Haye MBA","doi":"10.1016/j.outlook.2025.102398","DOIUrl":"10.1016/j.outlook.2025.102398","url":null,"abstract":"<div><h3>Background</h3><div>Bullying in nursing is a pervasive and persistent problem that contributes to elevated stress levels and a range of negative employee outcomes, including poor job attitudes and deteriorating well-being. Prior research has largely focused on the harmful consequences of bullying, with limited attention to the factors that may buffer these effects. Addressing this gap is critical for identifying pathways to support nurses and improve healthcare environments.</div></div><div><h3>Purpose</h3><div>This study examines how organizational and individual resources can mitigate the adverse outcomes of workplace bullying among nurses. Specifically, it investigates whether staffing adequacy (an organizational resource) and stress mindset (an individual resource) moderate the indirect effects of bullying on turnover intentions, perceived patient care quality, and health complaints, via stress.</div></div><div><h3>Methods</h3><div>A two-wave survey was conducted with 422 nurses employed in various healthcare settings across the United States. The study employed a moderated mediation model to test the relationships among workplace bullying, stress, and outcome variables, while examining the moderating roles of staffing adequacy and stress mindset. Stress mindset refers to an individual’s belief that stress can either be enhancing or debilitating.</div></div><div><h3>Discussion</h3><div>Findings reveal that bullying indirectly increases turnover intentions, diminishes perceived quality of patient care, and elevates health complaints by increasing stress. Importantly, both adequate staffing and a stress-is-enhancing mindset can buffer nurses against these negative effects. However, the protective effects of a stress-is-enhancing mindset are only evident when staffing is perceived to be moderately to highly adequate. When staffing is low, a positive stress mindset alone is insufficient to offset the consequences of bullying.</div></div><div><h3>Conclusion</h3><div>This study highlights the importance of both organizational and psychological resources in reducing the harmful effects of workplace bullying in nursing. Bullying exerts its influence through stress, but this pathway is moderated by both staffing adequacy and stress mindset. To safeguard nurse well-being and performance, healthcare organizations should prioritize adequate staffing levels and support interventions aimed at cultivating more adaptive stress mindsets among nursing staff.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 3","pages":"Article 102398"},"PeriodicalIF":4.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844398","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":"Growth and diversification of the perinatal nursing workforce: An American Academy of Nursing consensus paper","authors":"Heather M. Bradford PhD, CNM, FACNM ,&nbsp;Patricia K. Bradley PhD, RN, FAAN ,&nbsp;Melissa Gomes PhD, PMHNP-BC, FAAN ,&nbsp;Kathleen Rice Simpson PhD, RNC, FAAN ,&nbsp;Ellen L. Tilden PhD, CNM, FACNM, FAAN ,&nbsp;Audrey Lyndon PhD, RNC, FAAN ,&nbsp;Cara Krulewitch PhD, CNM, FAAN ,&nbsp;Ivy M. Alexander PhD, FAANP, FAAN ,&nbsp;Lori L. Trego PhD, CNM, FAAN","doi":"10.1016/j.outlook.2025.102393","DOIUrl":"10.1016/j.outlook.2025.102393","url":null,"abstract":"<div><div>Perinatal care in the United States is in crisis. U.S. childbearing women are dying at higher rates than in comparable economically developed countries, despite the fact that four of every five perinatal deaths are preventable. The crisis disproportionately affects Black and American Indian and Alaska Native women, who are dying at two to three times the rate of their White counterparts. These disparities have been linked to systemic and structural racism and lack of access to care. A perinatal care workforce that reflects and meets the needs of a racially and ethnically diverse U.S. population is warranted to increase the likelihood of equitable care and decrease perinatal disparities. Using a health equity lens, this paper provides policy recommendations for a system-wide approach to growing and diversifying the perinatal nursing workforce as part of the solution to decrease disparities in perinatal outcomes.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 3","pages":"Article 102393"},"PeriodicalIF":4.1,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143834760","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":"Leader perspectives on the “experience-complexity gap”: Recommendations to fortify the nursing workforce","authors":"Aditi D. Rao PhD, RN ,&nbsp;Evan P. Anderson MSN, RN ,&nbsp;Beth A. Smith MSN, RN, NEA-BC ,&nbsp;Matthew McHugh PhD, RN, FAAN ,&nbsp;Regina S. Cunningham PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102400","DOIUrl":"10.1016/j.outlook.2025.102400","url":null,"abstract":"<div><h3>Background</h3><div>Reported workforce shifts, characterized as the “experience-complexity gap,” threaten nurses’ ability to deliver safe, high-quality care. Addressing this threat requires a robust understanding of the current state, which leaders in practice settings are well-positioned to elucidate.</div></div><div><h3>Purpose</h3><div>Describe practice leaders’ perceptions of (a) new-to-practice nurses’ (NTPNs) ability to practice competently, (b) the current composition of nursing teams, and (c) the impact of team composition on quality and safety, experienced nurses, and leaders.</div></div><div><h3>Methods</h3><div>A web-based survey was administered to practice leaders across the country. Responses were analyzed using descriptive statistics and conventional content analysis.</div></div><div><h3>Discussion</h3><div>Approximately 45% of respondents believe NTPNs practice competently. Specific skills gaps, measures to support NTPNs, the strain placed on experienced nurses to maintain the standard of care, generational conflict, and perceived risks to quality and safety are described.</div></div><div><h3>Conclusion</h3><div>These findings should inform academic and practice leaders’ partnered efforts to implement competency-based education.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 3","pages":"Article 102400"},"PeriodicalIF":4.1,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825405","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":"Tapping into the familiarity and immediacy of nursing practice","authors":"Aaron Lesser DNP, APRN, FNP-BC,&nbsp;Lynz P. Schweiger DNP, PMHNP,&nbsp;Lisa M. Taylor DNP, MSN, FNP-BC,&nbsp;Timothy Joseph Sowicz PhD, APRN-CNP","doi":"10.1016/j.outlook.2025.102392","DOIUrl":"10.1016/j.outlook.2025.102392","url":null,"abstract":"","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 3","pages":"Article 102392"},"PeriodicalIF":4.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143790836","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":"Workplace violence as a crisis: Using O’Rourke’s theory as a framework to foster role clarity and professional role commitment","authors":"Leah Korkis MSN, RN, AGCNS ,&nbsp;Theresa Murphy BSN, MSCHA, RN ,&nbsp;Maria W. O’Rourke PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102391","DOIUrl":"10.1016/j.outlook.2025.102391","url":null,"abstract":"<div><h3>Background</h3><div>Workplace violence (WPV) against nurses, particularly by patients and visitors, poses a significant challenge to the profession and patient care. Nurses are introduced to the ethical principle of Do No Harm early in their education, yet this obligation becomes complex when their own safety is at risk.</div></div><div><h3>Purpose</h3><div>This paper examines nurses' experiences with WPV and its impact on professional role commitment and quality care. It offers a theory-driven, evidence-based framework to guide nurse executives and educators in addressing WPV.</div></div><div><h3>Methods</h3><div>Drawing from sociology, psychology, and WPV research, this paper employs O’Rourke’s middle-range theory to identify interventions that address the environment of care, healthcare workers, and nurses.</div></div><div><h3>Discussion</h3><div>WPV not only threatens nurses’ physical safety but also disrupts the alignment between professional role expectations and obligations, straining their professional role identity and commitment. Effective strategies and supportive interventions, particularly from nurse leaders, are critical.</div></div><div><h3>Conclusion</h3><div>Addressing WPV through theory-driven, evidence-based strategies is essential to ensuring nurse safety, strengthening professional role identity, and sustaining a committed nursing workforce.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 3","pages":"Article 102391"},"PeriodicalIF":4.1,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786049","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":"Why abortion is healthcare: Response to: “Abortion is healthcare: In what sense?” Martsolf G, Tollefsen C, Curlin F","authors":"Louise P. King MD, JD ,&nbsp;Meghan Eagen-Torkko PhD, CNM, FACNM ,&nbsp;Linda S. Franck PhD, RN, FAAN ,&nbsp;Ellen Solis DNP, CNM, FACNM ,&nbsp;Daniel Suárez-Baquero PhD, MSN, BSN ,&nbsp;Monica R. McLemore PhD, MPH, RN","doi":"10.1016/j.outlook.2025.102389","DOIUrl":"10.1016/j.outlook.2025.102389","url":null,"abstract":"","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 3","pages":"Article 102389"},"PeriodicalIF":4.1,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680665","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":"A response to Henderson et al.’s commentary on Smith and Mayo (2024)","authors":"Jason W. Smith RN, BSN, MATh,&nbsp;Ann Mayo RN, DNSc, FAAN","doi":"10.1016/j.outlook.2025.102387","DOIUrl":"10.1016/j.outlook.2025.102387","url":null,"abstract":"","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 3","pages":"Article 102387"},"PeriodicalIF":4.1,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680667","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":"Expansion of the scope of nursing practice in community-based primary care: Addressing China’s aging population and noncommunicable diseases with prescribing authority","authors":"Qingwei Wang Ph.D. ,&nbsp;Jiakang Zhu BS ,&nbsp;Bei Wu Ph.D., FGSA, FAAN (Hon)","doi":"10.1016/j.outlook.2025.102390","DOIUrl":"10.1016/j.outlook.2025.102390","url":null,"abstract":"<div><div>This commentary addresses the urgent need to reform China’s primary care system in response to its rapidly aging population and the increasing prevalence of noncommunicable diseases (NCDs). It advocates for a nurse-led primary care model within community healthcare centers, emphasizing the expansion of nursing roles. The analysis reviews nurse prescribing trials in Anhui, Sichuan, and Shenzhen, discussing their successes and limitations. Introducing the concept of community-based specialized nurses (CBSNs), it draws insights from South Africa's nurse-led practices in NCDs management practices. The goal is to modernize nursing role by advocating for expanded prescribing authority, enhanced regulation, and specialized qualifications. This commentary also explores how CBSNs can effectively operate within community settings nationwide to address the growing threat of NCDs among China’s aging population. The proposed nurse-led model offers a transformative solution to China’s healthcare system and sets a global precedent for addressing similar challenges in other nations.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 3","pages":"Article 102390"},"PeriodicalIF":4.1,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680668","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}