Nursing Outlook最新文献_第7页

University of Massachusetts Amherst's nursing PhD program Equity-centered community design of a new curriculum to transform the discipline, achieve health justice, and sustain planetary health 马萨诸塞大学阿姆赫斯特分校的护理博士课程以公平为中心的社区设计了一个新的课程，以改变学科，实现健康正义，并维持地球健康

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-07-07 DOI: 10.1016/j.outlook.2025.102473

Rachel Walker PhD, RN, FAAN Rae , Emefa Awo Adawudu MSN, RN , Carrie-Ellen Briere PhD, RN, CLC , Joohyun Chung PhD, MStat, RN , Jess Dillard-Wright PhD, CNM, RN, FAAN , Favorite Iradukunda PhD, RN, FAAN , Raeann Leblanc PhD, DNP, AGPCNP, CHPN, FNAP , Tegemea Mwalingo PhD, RN , Hyeyoung Park PhD, RN , Sara Riddington MSW, BS, BA

{"title":"University of Massachusetts Amherst's nursing PhD program Equity-centered community design of a new curriculum to transform the discipline, achieve health justice, and sustain planetary health","authors":"Rachel Walker PhD, RN, FAAN Rae , Emefa Awo Adawudu MSN, RN , Carrie-Ellen Briere PhD, RN, CLC , Joohyun Chung PhD, MStat, RN , Jess Dillard-Wright PhD, CNM, RN, FAAN , Favorite Iradukunda PhD, RN, FAAN , Raeann Leblanc PhD, DNP, AGPCNP, CHPN, FNAP , Tegemea Mwalingo PhD, RN , Hyeyoung Park PhD, RN , Sara Riddington MSW, BS, BA","doi":"10.1016/j.outlook.2025.102473","DOIUrl":"10.1016/j.outlook.2025.102473","url":null,"abstract":"<div><h3>Background</h3><div>What constitutes innovative high-quality curricula for research-focused doctoral study in nursing must evolve with the ever-changing landscape of health care, science, and societal challenges.</div></div><div><h3>Purpose</h3><div>Guided by health justice, commitments to accessible and anti-racist praxis, and creation of more sustainable and inclusive futures, we sought to re-imagine and co-create a transformative nursing doctorate in philosophy (PhD) curriculum.</div></div><div><h3>Methods</h3><div>Equity-centered community design (ECCD) guided our process.</div></div><div><h3>Discussion</h3><div>Our redesigned nursing PhD curriculum consists of three interconnected tracks: philosophy and theory to inform visionary anti-racist/anti-colonial leadership; accountable research design; and methods for critical reasoning and analysis of power and how it operates to shape nursing’s epistemics, research, and innovation.</div></div><div><h3>Conclusion</h3><div>Leadership for nursing PhD curriculum design remains an elite space dominated by a relatively homogenous group of nursing scholars. Our approach challenged that norm in order to redistribute power over design decisions for a nursing PhD program designed to create new futures for nursing and health justice.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102473"},"PeriodicalIF":4.1,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570433","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

Factors influencing nurses' turnover: An umbrella review 影响护士离职的因素：概括性回顾

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-07-07 DOI: 10.1016/j.outlook.2025.102464

Shih-Yu Chang , Eri Yanuar Akhmad Budi Sunaryo , Kristamuliana Kristamuliana , Huan-Fang Lee , Ching-Min Chen

{"title":"Factors influencing nurses' turnover: An umbrella review","authors":"Shih-Yu Chang , Eri Yanuar Akhmad Budi Sunaryo , Kristamuliana Kristamuliana , Huan-Fang Lee , Ching-Min Chen","doi":"10.1016/j.outlook.2025.102464","DOIUrl":"10.1016/j.outlook.2025.102464","url":null,"abstract":"<div><h3>Background</h3><div>The global nursing shortage threatens health care systems. While many systematic reviews have examined factors influencing nurse turnover, the results have exhibited inconsistent findings.</div></div><div><h3>Purpose</h3><div>This umbrella review holistically synthesizes systematic reviews to identify factors impacting nurse retention and supporting evidence-based practices.</div></div><div><h3>Methods</h3><div>This umbrella review was conducted in accordance with Joanna Briggs Institute guidelines. Systematic reviews on factors influencing nurse retention were included, with no restrictions on language or publication year, and were retrieved from six databases up to May 2024.</div></div><div><h3>Discussion</h3><div>A total of six systematic reviews with 104 studies were analyzed. The major factors were organizational (58.9%), individual (33%), and cultural (7.8%). The most mentioned themes included personal factors, job characteristics, the significance of work, attitudes toward the organization, leadership, and teamwork.</div></div><div><h3>Conclusion</h3><div>The related factors of nurse turnover are complicated, with organizational elements being the primary contributors. Managers can identify these organizational factors while also considering individual-level influences.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102464"},"PeriodicalIF":4.1,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570434","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

Communication for public advocacy and connection in nursing science: Why? How? and Who? 护理科学中公众倡导与联系的沟通：为什么？如何?和谁?

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-07-04 DOI: 10.1016/j.outlook.2025.102477

Krista Longtin PhD

引用次数: 0

Untrustworthiness, ineffective communication, and discrimination: The real issues behind lower utilization of labor epidural analgesia by Black Americans 不信任、沟通无效、歧视：美国黑人分娩硬膜外镇痛使用率低背后的真实问题

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-07-02 DOI: 10.1016/j.outlook.2025.102467

Hideyo Tsumura PhD, DNP, RN, CRNA , Kathryn I. Pollak PhD , Sarahn Wheeler MD, MHSCR , Sharron L. Docherty PhD, PNP, FAAN

{"title":"Untrustworthiness, ineffective communication, and discrimination: The real issues behind lower utilization of labor epidural analgesia by Black Americans","authors":"Hideyo Tsumura PhD, DNP, RN, CRNA , Kathryn I. Pollak PhD , Sarahn Wheeler MD, MHSCR , Sharron L. Docherty PhD, PNP, FAAN","doi":"10.1016/j.outlook.2025.102467","DOIUrl":"10.1016/j.outlook.2025.102467","url":null,"abstract":"<div><h3>Background</h3><div>Non-Hispanic Black pregnant individuals utilize up to 50% less labor epidural analgesia compared to non-Hispanic White individuals.</div></div><div><h3>Purpose</h3><div>This Outlook and Perspectives aims to evaluate the factors contributing to racial differences in the utilization of labor epidural analgesia.</div></div><div><h3>Methods</h3><div>Literature on scientific evidence regarding racial disparities in maternal outcomes and labor pain management was reviewed and summarized.</div></div><div><h3>Findings</h3><div>We identified that trust issues with healthcare and providers, ineffective patient-provider communication, and perceived mistreatment and discrimination contribute to these disparities in labor pain management.</div></div><div><h3>Discussion</h3><div>Further research is needed to develop strategies to enhance birthing experiences for Black individuals, including improving patient-provider communication and providing accurate, culturally sensitive patient education on labor pain management.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102467"},"PeriodicalIF":4.1,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144523403","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

Information for Readers 读者资讯

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-07-01 DOI: 10.1016/S0029-6554(25)00159-9

引用次数: 0

2025: A Year to Celebrate Nursing Science 2025年：庆祝护理科学的一年

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-07-01 DOI: 10.1016/j.outlook.2025.102501

Victoria Vaughan Dickson PhD, RN, FAHA, FHFSA, FAAN

引用次数: 0

Toward equitable documentation: Evaluating ChatGPT’s role in identifying and rephrasing stigmatizing language in electronic health records 迈向公平的文件：评估ChatGPT在识别和改写电子健康记录中的污名化语言方面的作用

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-07-01 DOI: 10.1016/j.outlook.2025.102472

Zhihong Zhang PhD, RN , Jihye Kim Scroggins PhD, RN , Sarah Harkins BSN, RN , Ismael Ibrahim Hulchafo MD, MS , Hans Moen PhD , Michele Tadiello MS , Veronica Barcelona PhD, RN , Maxim Topaz PhD, RN

{"title":"Toward equitable documentation: Evaluating ChatGPT’s role in identifying and rephrasing stigmatizing language in electronic health records","authors":"Zhihong Zhang PhD, RN , Jihye Kim Scroggins PhD, RN , Sarah Harkins BSN, RN , Ismael Ibrahim Hulchafo MD, MS , Hans Moen PhD , Michele Tadiello MS , Veronica Barcelona PhD, RN , Maxim Topaz PhD, RN","doi":"10.1016/j.outlook.2025.102472","DOIUrl":"10.1016/j.outlook.2025.102472","url":null,"abstract":"<div><div>Stigmatizing language in electronic health records (EHRs) harms clinician and patient relationships, reinforcing health disparities. To assess ChatGPT’s ability to reduce stigmatizing language in clinical notes. We analyzed 140 clinical notes and 150 stigmatizing examples from 2 urban hospitals. ChatGPT-4 identified and rephrased stigmatizing language. Identification performance was evaluated using precision, recall, and F1 score, with human expert annotations as the gold standard. Rephrasing quality was rated by experts on a three-point Likert scale for de-stigmatization, faithfulness, conciseness, and clarity. ChatGPT showed poor overall identification (micro-F1 = 0.51) but moderate-to-high performance across individual stigmatizing language categories (micro-F1 = 0.69–0.91). Rephrasing scored 2.7 for de-stigmatization, 2.8 for faithfulness, and 3.0 for conciseness and clarity. Prompt design significantly affected ChatGPT’s performance. While ChatGPT has limitations in automatic identification, it can be used to support real-time identification and rephrasing stigmatizing language in EHRs with appropriate prompt design and human oversight.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102472"},"PeriodicalIF":4.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514170","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

Exploring ChatGPT’s role in women's health self-education: A descriptive study comparing responses with public health guidance 探讨ChatGPT在妇女健康自我教育中的作用：一项比较回应与公共健康指导的描述性研究

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-07-01 DOI: 10.1016/j.outlook.2025.102468

Rasheeta D. Chandler PhD, RN, FNP-BC , Sheena Warner MS, CRNA, APN , Dominique Guillaume PhD, MSN, AAHIVE , Jessica Wells PhD, RN, WHNP-BC

{"title":"Exploring ChatGPT’s role in women's health self-education: A descriptive study comparing responses with public health guidance","authors":"Rasheeta D. Chandler PhD, RN, FNP-BC , Sheena Warner MS, CRNA, APN , Dominique Guillaume PhD, MSN, AAHIVE , Jessica Wells PhD, RN, WHNP-BC","doi":"10.1016/j.outlook.2025.102468","DOIUrl":"10.1016/j.outlook.2025.102468","url":null,"abstract":"<div><h3>Background</h3><div>Artificial intelligence and large language models like ChatGPT are increasingly used for health self-education. However, concerns regarding content accuracy remain, particularly in women's health.</div></div><div><h3>Purpose</h3><div>This study explores ChatGPT’s potential role in supporting women's health self-education by comparing its generated responses to public health guidance.</div></div><div><h3>Methods</h3><div>A descriptive study was conducted by inputting user-generated prompts based on key women's health concerns into ChatGPT (GPT-3.5). Responses were compared with Centers for Disease Control and Prevention (CDC) recommendations to assess content alignment.</div></div><div><h3>Findings</h3><div>ChatGPT provided timely, accessible, and generally accurate information when compared towith CDC resources. The quality of responses varied with the prompt style, with conversational prompts yielding more detailed and personalized answers.</div></div><div><h3>Discussion</h3><div>ChatGPT demonstrates potential as a supplementary tool for patient self-education in women’s health. Future innovations, such as provider-derived prompt-engineered resource guides, could further enhance the reliability and accessibility of AI-supported health information.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102468"},"PeriodicalIF":4.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144535528","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

Role of nurses in the management of noncommunicable diseases in Middle Eastern countries: A scoping review 护士在中东国家非传染性疾病管理中的作用：范围审查

IF 4.1 2区医学

Nursing Outlook Pub Date : 2025-07-01 DOI: 10.1016/j.outlook.2025.102479

Joy Hanoun RN, MPH, PhD(c) , Pascale Beloni RN, PhD , Jean Toniolo RN, MPH, PhD

{"title":"Role of nurses in the management of noncommunicable diseases in Middle Eastern countries: A scoping review","authors":"Joy Hanoun RN, MPH, PhD(c) , Pascale Beloni RN, PhD , Jean Toniolo RN, MPH, PhD","doi":"10.1016/j.outlook.2025.102479","DOIUrl":"10.1016/j.outlook.2025.102479","url":null,"abstract":"<div><h3>Background</h3><div>Chronic diseases affect over 20 million people in the Middle East, posing major public health challenges. Task shifting—particularly nurse-led care—is a promising strategy to address care gaps; however, yet its scope and effectiveness in this region remain poorly documented.</div></div><div><h3>Purpose</h3><div>This scoping review aimed to describe nurses’ roles in chronic disease management across the Middle East, assess their knowledge levels, and identify existing challenges.</div></div><div><h3>Methods</h3><div>Following Cochrane guidelines, we searched six databases (January–February 2024), screened studies in duplicate, and conducted a descriptive analysis. Study quality was appraised using the Downs and Black checklist (quantitative) and the CASP checklist (qualitative).</div></div><div><h3>Discussion</h3><div>Sixty-seven studies were included. Nurses were involved in various domains such as palliative care, diabetes management, patient education, and pandemic response. Key barriers included limited training, emotional burden, and cultural taboos.</div></div><div><h3>Conclusion</h3><div>Nurses play a critical yet under-recognized role. Strengthening education, policy support, and advanced roles is vital to improving chronic disease care in the region.</div></div><div><h3>Reporting Method</h3><div>PRISMA.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102479"},"PeriodicalIF":4.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144535224","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

Just One Fact: The Continued Quest to Sustain Nursing Science 只有一个事实：护理科学的持续追求

IF 3.7 2区医学

Nursing Outlook Pub Date : 2025-07-01 DOI: 10.1016/j.outlook.2025.102500

Linda D. Scott PhD, RN, NEA-BC, FADLN, FNAP, FAAN

引用次数: 0