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Commentary on “Racial and ethnic diversity in academic nursing leadership: A cross-sectional analysis” by Travers and colleagues (2024) 关于 "护理学术领导中的种族和民族多样性:Travers 及其同事撰写的 "横断面分析"(2024 年)
IF 4.1 2区 医学
Nursing Outlook Pub Date : 2024-08-27 DOI: 10.1016/j.outlook.2024.102270
Rosa M. Gonzalez-Guarda PhD, MPH, RN, FAAN
{"title":"Commentary on “Racial and ethnic diversity in academic nursing leadership: A cross-sectional analysis” by Travers and colleagues (2024)","authors":"Rosa M. Gonzalez-Guarda PhD, MPH, RN, FAAN","doi":"10.1016/j.outlook.2024.102270","DOIUrl":"10.1016/j.outlook.2024.102270","url":null,"abstract":"<div><p>The purpose of this commentary is to highlight key points made by Travers and colleagues (2024) in their study entitled, “Racial and ethnic diversity in academic nursing leadership: A cross-sectional analysis” and provide additional recommendations for future research and policy related to diversity in academic nursing leadership. While there is a significant underrepresentation of racial and ethnic minoritized populations in academic leadership in nursing, the level of underrepresentation and contributors to underrepresentation are not the same across racial and ethnic minoritized populations. As we design strategies to promote diversity in academic nursing it is important to benchmark efforts to ensure representation from groups who experience the most significant health inequities, create tailored strategies that consider the unique historical and contemporary barriers to leadership in academic nursing across and within minoritized groups, and build upon evidence-based strategies, especially the important role that minority serving institutions have played.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102270"},"PeriodicalIF":4.1,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142088137","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
A systematic review of genomic education for nurses and nursing students: Are they sufficient in the era of precision health? 针对护士和护理专业学生的基因组教育系统回顾:精准健康时代的基因组教育是否足够?
IF 4.1 2区 医学
Nursing Outlook Pub Date : 2024-08-21 DOI: 10.1016/j.outlook.2024.102266
Laura McLaughlin PhD, RN , Suzanne M. Mahon DNS, RN, AOCN, AGN-BC, FAAN , Usa Khemthong MSN, RN
{"title":"A systematic review of genomic education for nurses and nursing students: Are they sufficient in the era of precision health?","authors":"Laura McLaughlin PhD, RN ,&nbsp;Suzanne M. Mahon DNS, RN, AOCN, AGN-BC, FAAN ,&nbsp;Usa Khemthong MSN, RN","doi":"10.1016/j.outlook.2024.102266","DOIUrl":"10.1016/j.outlook.2024.102266","url":null,"abstract":"<div><h3>Background</h3><p>Integration of genomic content into nursing curricula and continuing education is limited.</p></div><div><h3>Purpose</h3><p>This systematic review aimed to identify educational strategies to deliver genomics content.</p></div><div><h3>Methods</h3><p>CINAHL Plus, ERIC, Ovid MEDLINE, and Scopus electronic databases were searched from January 1, 2003 through July 6, 2023. The three domains of learning: cognitive, affective, and psychomotor were used to categorize educational outcomes. A narrative approach was used to synthesize the data using Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines.</p></div><div><h3>Discussion</h3><p>Ten studies met inclusion criteria. Quality assessment for bias was conducted independently; study quality ranged from fair to poor. No study used a complete psychometrically tested instrument to measure genomic cognitive or affective knowledge; none measured the psychomotor domain.</p></div><div><h3>Conclusions</h3><p>Effective strategies to deliver genomic education are a priority. Development of reliable and valid instruments for the assessment of educational interventions, including the psychomotor skills needed for practice.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 5","pages":"Article 102266"},"PeriodicalIF":4.1,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142011761","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
The power of Hispanic nurses in advancing health equity: The career of Henrietta Villaescusa 西班牙裔护士在促进健康公平方面的力量:Henrietta Villaescusa 的职业生涯
IF 4.1 2区 医学
Nursing Outlook Pub Date : 2024-08-21 DOI: 10.1016/j.outlook.2024.102262
Antonia M. Villarruel PhD, RN, FAAN, Julie A. Fairman PhD, RN, FAAN
{"title":"The power of Hispanic nurses in advancing health equity: The career of Henrietta Villaescusa","authors":"Antonia M. Villarruel PhD, RN, FAAN,&nbsp;Julie A. Fairman PhD, RN, FAAN","doi":"10.1016/j.outlook.2024.102262","DOIUrl":"10.1016/j.outlook.2024.102262","url":null,"abstract":"<div><p>There is increased national attention to the impact nurses can and should have in advancing health equity. Nurses of color have made important contributions in nursing and other sectors to this end, but their efforts remain invisible. To amplify the contribution of Latino nurses in advancing health equity, we use oral histories and supplemental records to examine the career of Henrietta Villaescusa, RN, FAAN to illuminate her impact across government, health, and nursing sectors in advocating for the health of Latino communities. She was skilled in community activism, political savvy, and developing and leading intersectoral networks to address and identify Hispanic health issues and strategies to address them. Her career serves as an exemplar to the importance of including and supporting diverse nurses in leading health equity efforts.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 5","pages":"Article 102262"},"PeriodicalIF":4.1,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142011760","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
Introducing the “Nursing Education Integrating Social Change for Health Equity (NISCHE)” framework for nursing education 介绍 "护理教育整合社会变革促进健康公平(NISCHE)"护理教育框架
IF 4.1 2区 医学
Nursing Outlook Pub Date : 2024-08-20 DOI: 10.1016/j.outlook.2024.102263
Sandra Davis PhD, DPM, ACNP-BC, FAANP , Megan Jester PhD, RN, AHN-BC , Claire McKinley Yoder PhD, RN , Sara Kaylor EdD, RN, CNE , Jannyse Tapp DNP, FNP-BC , Deborah Finn-Romero DNP, RN, PHN, PACT , Phyllis D. Morgan PhD, FNP-BC, CNE, FAANP , Melissa Hinds MSN, RN , Aimee Ferraro PhD, MPH
{"title":"Introducing the “Nursing Education Integrating Social Change for Health Equity (NISCHE)” framework for nursing education","authors":"Sandra Davis PhD, DPM, ACNP-BC, FAANP ,&nbsp;Megan Jester PhD, RN, AHN-BC ,&nbsp;Claire McKinley Yoder PhD, RN ,&nbsp;Sara Kaylor EdD, RN, CNE ,&nbsp;Jannyse Tapp DNP, FNP-BC ,&nbsp;Deborah Finn-Romero DNP, RN, PHN, PACT ,&nbsp;Phyllis D. Morgan PhD, FNP-BC, CNE, FAANP ,&nbsp;Melissa Hinds MSN, RN ,&nbsp;Aimee Ferraro PhD, MPH","doi":"10.1016/j.outlook.2024.102263","DOIUrl":"10.1016/j.outlook.2024.102263","url":null,"abstract":"<div><h3>Background</h3><p>A need exists for a unified curriculum framework for nurse educators, recognizing racism as a central driver of health inequities.</p></div><div><h3>Purpose</h3><p>This paper provides nurse educators with a unifying curriculum framework that centers racism as a root cause of health inequity shaping SSDH.</p></div><div><h3>Methods</h3><p>A critical examination of the social and structural determinants of health (SSDH) and Yob’s (2018) Framework for a Curriculum in Social Change was conducted, to develop a curriculum framework tailored to the intersection of SSDH and social change within nursing education.</p></div><div><h3>Discussion</h3><p>The “Nursing Education Integrating Social Change for Health Equity (NISCHE)” framework was developed as a comprehensive curriculum framework for SSDH and social change specifically tailored for nursing education. Practical examples of curricular activities across various settings are offered, thus illustrating implementation and potential impact.</p></div><div><h3>Conclusion</h3><p>By centering racism in the curriculum framework and emphasizing its role in perpetuating health inequities, this paper advances a crucial agenda in nursing education.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 5","pages":"Article 102263"},"PeriodicalIF":4.1,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142011759","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
Labor trafficking of migrant registered nurses 贩运移民注册护士。
IF 4.1 2区 医学
Nursing Outlook Pub Date : 2024-08-07 DOI: 10.1016/j.outlook.2024.102226
Patricia M. Speck DNSc, FNP-BC, AFN-C, FAANP, FAAN , Rosario V. Sanchez PhD, MSN, AFN-C , Aoyjai P. Montgomery PhD, BSN , Stacey A. Mitchell DNP, RN, AFN-C, FAAN , Rachell A. Ekroos PhD, FNP-BC, AFN-BC, FAAN , Lori A. Loan PhD, RN, FAAN , Sigrid Ladores PhD, PNP, FAAN , Jeri A. Milstead PhD, RN, NEA-BC, FAAN
{"title":"Labor trafficking of migrant registered nurses","authors":"Patricia M. Speck DNSc, FNP-BC, AFN-C, FAANP, FAAN ,&nbsp;Rosario V. Sanchez PhD, MSN, AFN-C ,&nbsp;Aoyjai P. Montgomery PhD, BSN ,&nbsp;Stacey A. Mitchell DNP, RN, AFN-C, FAAN ,&nbsp;Rachell A. Ekroos PhD, FNP-BC, AFN-BC, FAAN ,&nbsp;Lori A. Loan PhD, RN, FAAN ,&nbsp;Sigrid Ladores PhD, PNP, FAAN ,&nbsp;Jeri A. Milstead PhD, RN, NEA-BC, FAAN","doi":"10.1016/j.outlook.2024.102226","DOIUrl":"10.1016/j.outlook.2024.102226","url":null,"abstract":"<div><h3>Background</h3><p>Labor trafficking of registered nurses (RNs) in the USA impedes justice by denying inalienable human rights and equal economic opportunities. Nursing shortages in developed countries, poverty, social upheaval, and government actions influence migration, as do other factors related to determinants of health. Migrant RNs are visa workers, displaced, refugees, immigrants, or asylum seekers. Labor traffickers target vulnerable migrant RNs seeking employment outside their home country. Unlike ethical recruiters, traffickers lure migrant RNs into indentured contracts in work environments that result in health-threatening conditions, long shifts, and exorbitant fines that threaten families with financial retribution.</p></div><div><h3>Purpose</h3><p>The purpose of the paper is to raise awareness.</p></div><div><h3>Methods</h3><p>Authors explain the background of influences and nuances in migrant RN labor trafficking.</p></div><div><h3>Discussion</h3><p>Identifying labor traffickers’ deceitful, coercive, fraudulent, and illegal methods, assist organizational approaches for establishing <em>Total Worker Health</em>, trauma-informed care, coordinated community response, and <em>No Door</em> Closed actions when wanting to mitigate or eradicate labor trafficking of migrant RNs.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 5","pages":"Article 102226"},"PeriodicalIF":4.1,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908341","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
Nurses You Should Know: The power of online microlearning to decolonize nursing’s history 你应该知道的护士在线微型学习的力量,使护理历史非殖民化。
IF 4.1 2区 医学
Nursing Outlook Pub Date : 2024-08-07 DOI: 10.1016/j.outlook.2024.102227
Joanna Seltzer Uribe EdD, MSN, RN , Ravenne Aponte BA, BSN , Jessica Brown DNP, RN, AGPCNP-BC , Danielle McCamey DNP, ACNP-BC, FCCP
{"title":"Nurses You Should Know: The power of online microlearning to decolonize nursing’s history","authors":"Joanna Seltzer Uribe EdD, MSN, RN ,&nbsp;Ravenne Aponte BA, BSN ,&nbsp;Jessica Brown DNP, RN, AGPCNP-BC ,&nbsp;Danielle McCamey DNP, ACNP-BC, FCCP","doi":"10.1016/j.outlook.2024.102227","DOIUrl":"10.1016/j.outlook.2024.102227","url":null,"abstract":"<div><p>Black, Hispanic, Indigenous, Native American, Asian, and Pacific Islander nurses have played a critical role in shaping professional nursing and health care. Despite their contributions, the narrative of nursing's origin has predominantly revolved around the legacy of a single white British nurse, Florence Nightingale. This paper presents the development of the Nurses You Should Know (NYSK) project, which sought to decolonize the narrative surrounding nursing's history and highlight the contributions and experiences of past and present-day nurses of color.</p><p>The NYSK project utilized an Equity-Centered Community Design process, incorporating microlearning strategies, storytelling, and history to develop a digital library of over 100 stories of nurses of color that capture nursing’s rich and complex history. Utilized as a resource within nursing curricula, the NYSK project stands as a testament to the power of history in promoting a more inclusive and equitable future for nursing, offering valuable insights for educators, researchers, and practitioners.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 5","pages":"Article 102227"},"PeriodicalIF":4.1,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903533","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
When a baby is born, so is a parent: Understanding the effects of preterm birth on Black parents through the lens of the NIMHD framework 婴儿降生,父母也随之降生:通过 NIMHD 框架了解早产对黑人父母的影响。
IF 4.1 2区 医学
Nursing Outlook Pub Date : 2024-08-07 DOI: 10.1016/j.outlook.2024.102246
Karen F. Warren PhD, RN , Robin B. Dail PhD, RN, FAAN , Robin M. Dawson PhD, CPNP-PC, FAAN , Nansi S. Boghossian PhD, MPH , Tisha M. Felder PhD, MSW
{"title":"When a baby is born, so is a parent: Understanding the effects of preterm birth on Black parents through the lens of the NIMHD framework","authors":"Karen F. Warren PhD, RN ,&nbsp;Robin B. Dail PhD, RN, FAAN ,&nbsp;Robin M. Dawson PhD, CPNP-PC, FAAN ,&nbsp;Nansi S. Boghossian PhD, MPH ,&nbsp;Tisha M. Felder PhD, MSW","doi":"10.1016/j.outlook.2024.102246","DOIUrl":"10.1016/j.outlook.2024.102246","url":null,"abstract":"<div><h3>Background</h3><p>The rate of preterm birth (PTB) is high in the United States and Black infants remain disproportionately affected, with the disparity between Black and White infant deaths greater today than it was under antebellum slavery.</p></div><div><h3>Purpose</h3><p>The National Institute on Minority Health and Disparities Research Framework reflects a unique set of determinants relevant to the understanding and promotion of minority health.</p></div><div><h3>Methods</h3><p>We have applied this framework to better understand the effects of PTB on Black parents and the distribution of the social determinants of health, including structural determinants and root causes of inequities.</p></div><div><h3>Discussion</h3><p>This adaptation shows the intersection in maternal and infant health that shapes individuals’ experiences, drives disparities and impacts perinatal outcomes in critical periods over the lifecourse.</p></div><div><h3>Conclusion</h3><p>In our efforts to achieve health equity, it is imperative that we study the underlying mechanisms and recognize that policies, institutional structures, and social factors are drivers of racism.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 5","pages":"Article 102246"},"PeriodicalIF":4.1,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908342","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 antiracism framework for educating nursing professionals 教育护理专业人员的反种族主义框架。
IF 4.1 2区 医学
Nursing Outlook Pub Date : 2024-08-03 DOI: 10.1016/j.outlook.2024.102242
Sandra Davis PhD, DPM, ACNP-BC, FAANP , Judith Martin-Holland PhD, MPA, RN, FNP, FAAN , Mekbib L. Gemeda MA , Dennis A. Mitchell DDS, MPH
{"title":"An antiracism framework for educating nursing professionals","authors":"Sandra Davis PhD, DPM, ACNP-BC, FAANP ,&nbsp;Judith Martin-Holland PhD, MPA, RN, FNP, FAAN ,&nbsp;Mekbib L. Gemeda MA ,&nbsp;Dennis A. Mitchell DDS, MPH","doi":"10.1016/j.outlook.2024.102242","DOIUrl":"10.1016/j.outlook.2024.102242","url":null,"abstract":"<div><h3>Background</h3><p>A conceptual, methodological, and theoretical framework is needed in Nursing Education to center racism, in the curriculum, as a root cause of health inequity.</p></div><div><h3>Purpose</h3><p>To provide Nursing and health professions’ educators with a comprehensive unifying framework to fundamentally conceptualize and deliver a curriculum which positions racism’s impact as a root cause of health inequities.</p></div><div><h3>Methods</h3><p>Critical race theory is the underpinning for a historical analysis of racism and a critique of scientific racism, whiteness, and white supremacy ideologies that perpetuate harmful and lethal outcomes for racialized individuals and communities.</p></div><div><h3>Results</h3><p>This framework conceptualizes learning, unlearning, relearning, and reflective practice as the fundamental process needed to transformative nursing education and advance health equity.</p></div><div><h3>Discussion</h3><p>Methodological application is given for 1) unlearning harmful white supremacy ideology 2) learning that racism as it is embedded in every sector of American life and racial inequities are inherent in the health care system 3) relearning the importance of counternarratives and building structural competency and 4) engaging in reflective practice to challenge deficit paradigms assigned to racialized people and their communities.</p></div><div><h3>Conclusion</h3><p>The Antiracism Framework provides foundational principles, guiding steps, and rationale for curricula that acknowledges the critical role of racism as a barrier to achieving health equity.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 5","pages":"Article 102242"},"PeriodicalIF":4.1,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890971","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
Harm reduction nursing and the path toward developing best practice: Lessons from caring for people with xylazine-associated wounds in Philadelphia, PA 减低伤害护理与发展最佳实践之路:从护理宾夕法尼亚州费城的异丙嗪相关伤口患者中汲取的经验。
IF 4.1 2区 医学
Nursing Outlook Pub Date : 2024-07-27 DOI: 10.1016/j.outlook.2024.102248
Catherine Tomson, Rachel Neuschatz, Daniel Teixeira da Silva
{"title":"Harm reduction nursing and the path toward developing best practice: Lessons from caring for people with xylazine-associated wounds in Philadelphia, PA","authors":"Catherine Tomson,&nbsp;Rachel Neuschatz,&nbsp;Daniel Teixeira da Silva","doi":"10.1016/j.outlook.2024.102248","DOIUrl":"10.1016/j.outlook.2024.102248","url":null,"abstract":"<div><p>Xylazine-associated wounds are a distinct, novel clinical entity characterized by co-occurrence with substance use, progressive necrosis of skin, muscle, tendon, and bone, and slow healing. In Philadelphia, the specter of limb loss, stigma, and shame has hung over hospital-based care for xylazine-associated wounds among people who use drugs (PWUD) and kept many people away from engaging in care. Continued engagement in harm reduction wound care nursing, however, offers an opportunity for PWUD to address their wounds and their fears with members of the medical world. In the absence of established best practices, harm reduction’s model of risk-reductive care offers a way forward for patients and practitioners alike. Here, “harm reduction” describes an ethic of practical, trauma-informed, patient-centered care. It is this integration of harm reduction into medicine and public health that effectively promotes the safety, survival, and recovery of PWUD across all spectrums of drug use habits and housing stability.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 5","pages":"Article 102248"},"PeriodicalIF":4.1,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789863","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
Continued restrictions on nurse practitioners: A qualitative study of the early implementation of full practice authority in Massachusetts 对执业护士的持续限制:对马萨诸塞州全面执业权早期实施情况的定性研究。
IF 4.1 2区 医学
Nursing Outlook Pub Date : 2024-07-26 DOI: 10.1016/j.outlook.2024.102249
Monica O’Reilly-Jacob PhD, APRN, FAAN , Rosebud Mayanja-Sserebe MPH, RN , Jana Zwilling PhD, APRN, FNP-C
{"title":"Continued restrictions on nurse practitioners: A qualitative study of the early implementation of full practice authority in Massachusetts","authors":"Monica O’Reilly-Jacob PhD, APRN, FAAN ,&nbsp;Rosebud Mayanja-Sserebe MPH, RN ,&nbsp;Jana Zwilling PhD, APRN, FNP-C","doi":"10.1016/j.outlook.2024.102249","DOIUrl":"10.1016/j.outlook.2024.102249","url":null,"abstract":"<div><h3>Background</h3><p>In January 2021, the Commonwealth of Massachusetts granted nurse practitioners (NPs) full practice authority (FPA). Little is known about how care delivery changed after FPA legislation.</p></div><div><h3>Purpose</h3><p>To understand the NP perception of early implementation of FPA in Massachusetts.</p></div><div><h3>Methods</h3><p>Qualitative descriptive design using inductive thematic analysis of open-ended responses to a web-based survey of NPs in Massachusetts from October to December 2021.</p></div><div><h3>Findings</h3><p>Survey response rate was 50.3% (<em>N</em> = 144). Inductive thematic analysis of open-ended responses identified four themes, including: (a) internal and external barriers obstructed FPA implementation, (b) employer communication about scope-of-practice changes was minimal, (c) NPs led initiatives to implement FPA, and (d) some efforts effectively implemented FPA.</p></div><div><h3>Discussion</h3><p>Almost 1 year after FPA was passed, external policies persisted that financially incentivized employers to not change NP scope-of-practice. Concerted efforts are needed to ensure that federal and payer policies, such as incident-to billing, are aligned with state law to encourage the implementation of FPA.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 5","pages":"Article 102249"},"PeriodicalIF":4.1,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789862","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
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