Nursing Outlook最新文献

{"title":"Global context: On writing about health and health care systems issues for international audiences","authors":"Sean Clarke","doi":"10.1016/j.outlook.2025.102499","DOIUrl":"10.1016/j.outlook.2025.102499","url":null,"abstract":"","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102499"},"PeriodicalIF":3.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144750139","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 practice ready Doctor of Nursing Practice-prepared nurse: A call to action","authors":"Julee Briscoe Waldrop DNP, FAANP, FAAN ,&nbsp;Jayne Jennings Dunlap DNP, FNP-C, EBP-C ,&nbsp;Anne Derouin DNP, CPNP-PC, FAANP","doi":"10.1016/j.outlook.2025.102469","DOIUrl":"10.1016/j.outlook.2025.102469","url":null,"abstract":"<div><h3>Background</h3><div>More than two decades after the inception of the Doctor of Nursing Practice (DNP) degree, confusion persists about the competencies that DNP-prepared nurses bring to practice. Despite growth in programs nationwide, DNP projects often lack methodological rigor, resulting in variable outcomes and unclear stakeholder value.</div></div><div><h3>Purpose</h3><div>To ensure consistency, programs must adopt a competency-based approach that prepares nurses to lead evidence-based practice/quality improvement, program evaluation, and policy analysis initiatives.</div></div><div><h3>Methods</h3><div>The Mountain Model provides a clear framework aligned with national standards to differentiate DNP-prepared practice from that of MSN- and PhD-prepared nurses.</div></div><div><h3>Discussion</h3><div>Faculty must be equipped to mentor students in high-impact projects and reevaluate curricula to support skill development relevant to practice. Without bold curricular and faculty development reforms, the DNP graduate’s value will remain questioned.</div></div><div><h3>Conclusion</h3><div>Nursing programs must prioritize clarity, accountability, and competency in preparing nurse leaders to transform healthcare.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102469"},"PeriodicalIF":4.1,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501243","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":"PhD enrollments and graduation trends: 2013 to 2023","authors":"George A. Zangaro PhD, RN, FAAN,&nbsp;Nicholas Havey PhD","doi":"10.1016/j.outlook.2025.102471","DOIUrl":"10.1016/j.outlook.2025.102471","url":null,"abstract":"<div><h3>Background</h3><div>The declining number of nurse scientists is concerning.</div></div><div><h3>Purpose</h3><div>The purpose of this paper is to provide enrollment and graduation trends in PhD education, examine the geographical distribution of PhD programs, and identify predictors of enrollment declines.</div></div><div><h3>Methods</h3><div>Enrollment and graduation data were obtained from the 2013 to 2023 AACN Annual Survey of Baccalaureate and Graduate Programs in Nursing. The survey collects demographic information and enrollment and graduation rates for PhD programs.</div></div><div><h3>Discussion</h3><div>Over the last 10 years, the nurse scientist workforce enrollments have declined while graduations have remained steady. Nursing leaders in practice and academia are encouraged to work together to implement creative recommendations that will increase the number of research-focused graduations and develop strategies to retain nurse scientists.</div></div><div><h3>Conclusion</h3><div>There is a critical need to identify strategies to increase the number of future nurse scientists who will generate new knowledge to advance the profession of nursing and improve the health of all Americans.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102471"},"PeriodicalIF":4.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491086","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":"Charting the path forward: Nursing perspectives on documentation and change","authors":"Lisa G. Johnson MSN, RN,&nbsp;Tamara G.R. Macieira PhD, RN,&nbsp;Olatunde O. Madandola MPH, RN,&nbsp;Karen J.B. Priola MSCIS,&nbsp;Gail M. Keenan PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102463","DOIUrl":"10.1016/j.outlook.2025.102463","url":null,"abstract":"<div><h3>Background</h3><div>Legislation and research have not sufficiently considered the unique electronic health record (EHR) documentation burdens faced by nurses.</div></div><div><h3>Purpose</h3><div>Explore documentation burden by identifying the EHR changes hospital-based nurses find most critical, serving as a foundational step in enhancing EHR usability and functionality for nurses.</div></div><div><h3>Methods</h3><div>An electronic survey, developed and pre-tested, was emailed and texted to 38,000 randomly selected registered nurses (RNs) across five U.S. states (June–July 2024); 146 inpatient respondents provided demographics mirroring national RN statistics and open-ended feedback.</div></div><div><h3>Discussion</h3><div>Four themes emerged from open-ended responses to this rapid, cost-effective survey. The most frequently cited priority was improving human-computer interaction, particularly user interface features (56%) and reducing redundant documentation (17%). These insights can support nurse-centered design and AI-enhanced strategies to streamline documentation.</div></div><div><h3>Conclusion</h3><div>Nurses’ recommendations provide a foundation for developing EHR systems that reduce excessive documentation burden while improving quality, accuracy, and effectiveness of nursing care.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102463"},"PeriodicalIF":4.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491084","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 cost of conformity: Challenging outdated appearance standards in nursing","authors":"Trae Stewart PhD, MPH, MSN, MN, MS, PMHNP-BC","doi":"10.1016/j.outlook.2025.102460","DOIUrl":"10.1016/j.outlook.2025.102460","url":null,"abstract":"<div><div>This editorial critically examines the esthetic regulations imposed on nurses within health care institutions, highlighting how policies governing tattoos, piercings, and hairstyles serve as mechanisms of control rooted in historical and cultural biases. Drawing upon critical theory, feminist philosophy, and labor studies, the discussion reveals how such regulations perpetuate a culture of respectability that undermines authenticity, morale, and equity among nursing professionals. The piece advocates for a redefinition of professionalism that prioritizes ethical presence, inclusivity, and justice over visual conformity, emphasizing the need to recognize and value the diverse identities of nurses as integral to effective and compassionate care.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102460"},"PeriodicalIF":4.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501339","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 role of AI in transforming psychiatric-mental health care: Enhancing the role of psychiatric-mental health nurse practitioners","authors":"Gryan Garcia PhD, PsyD, FNP-BC, PMHNP-BC","doi":"10.1016/j.outlook.2025.102461","DOIUrl":"10.1016/j.outlook.2025.102461","url":null,"abstract":"<div><div>The integration of artificial intelligence (AI) into psychiatric-mental health care presents transformative opportunities for psychiatric-mental health nurse practitioners (PMHNPs). AI enhances diagnostic accuracy, personalizes treatment plans, and improves patient outcomes by analyzing large datasets and identifying patterns beyond traditional methods. This paper explores AI's role in psychiatric care, focusing on its potential to enhance diagnostics, telepsychiatry, and personalized psychopharmacology. AI tools also enable real-time monitoring of patient symptoms through wearable devices and mobile applications, allowing for timely interventions. However, the integration of AI requires shifts in PMHNP education, emphasizing data literacy, machine learning, and ethical decision-making. While AI offers significant benefits, challenges such as data privacy, algorithmic bias, and maintaining the therapeutic relationship must be addressed. As AI becomes increasingly integrated into mental health care, PMHNPs will play a crucial role in ensuring its ethical and effective use in patient-centered care.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102461"},"PeriodicalIF":4.1,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491087","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":"New graduate nurse competencies—Part I: Perceptions of academic faculty and acute care hospital practice leaders in the State of Maryland","authors":"Hussein M. Tahan PhD, RN, FAAN, FCM ,&nbsp;Joan I. Warren PhD, RN, FAAN ,&nbsp;Nelda Godfrey PhD, RN, FAAN ,&nbsp;Jennifer Stephenson Zipp DNP, RN ,&nbsp;Ryan D. McDonald PhD","doi":"10.1016/j.outlook.2025.102474","DOIUrl":"10.1016/j.outlook.2025.102474","url":null,"abstract":"<div><h3>Background</h3><div>Understanding practice readiness of newly graduated nurses (NGNs) is of great importance for both nursing academic faculty and hospital-based practice leaders. Gaining clarity of the realistic core competencies practice leaders can expect of NGNs upon starting their professional practice facilitates ongoing growth and development of these NGNs.</div></div><div><h3>Purpose</h3><div>The purpose of this study was to understand the perceptions of nursing academic faculty and practice leaders of NGNs’ readiness for practice and competency at the start of their professional nursing practice. The researchers intended to identify the core competencies of NGNs upon completion of their prelicensure nursing program regardless of type.</div></div><div><h3>Methods</h3><div>A statewide nursing practice–academic and mixed-method research study, employing a survey of 109 items and virtual focus groups, and using a purposive sample of nursing academic faculty and hospital-based practice leaders.</div></div><div><h3>Discussion</h3><div>The study identified a set of 7 core competencies using an 85% agreement threshold and an additional 11 core competencies using a 75% threshold by both nursing academic faculty and hospital-based practice leaders as realistic expectations of NGNs at the time of starting their professional practice roles.</div></div><div><h3>Conclusion</h3><div>Nursing academic faculty and hospital-based practice leaders had different perceptions of NGNs’ readiness for practice and competency. This study confirmed the continued academic-practice gap and provided a clearer direction forward to address this gap. It also supported the phenomenon of competency-based education to occur as a continuum that starts with nursing students and continues into new-to-practice nurses (NGNs) and ultimately competent professional nurses.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102474"},"PeriodicalIF":4.1,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491085","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":"Investing in nurses, investing in nations: The untapped economic dividend","authors":"Mona Gamal Mohamed PhD","doi":"10.1016/j.outlook.2025.102470","DOIUrl":"10.1016/j.outlook.2025.102470","url":null,"abstract":"","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102470"},"PeriodicalIF":4.1,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491083","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 role of bridging social capital among women after childbirth: A moderation analysis","authors":"Anabel Lifszyc Friedlander PhD ,&nbsp;Batya Madjar MPA, MPH, RN ,&nbsp;Riki Shemer MA, MPH, RN ,&nbsp;Sivia Barnoy PhD, RN ,&nbsp;Anat Amit Aharon PhD, MHA, RN","doi":"10.1016/j.outlook.2025.102476","DOIUrl":"10.1016/j.outlook.2025.102476","url":null,"abstract":"<div><h3>Background</h3><div>Maternal parenting self-efficacy significantly impacts maternal and child health outcomes. Nevertheless, the factors influencing it are not well-understood.</div></div><div><h3>Purpose</h3><div>To examine factors associated with maternal self-efficacy, including attendance at the mother–child health clinic (MCHC), bridging social capital, state anxiety, and breastfeeding attitudes.</div></div><div><h3>Methods</h3><div>A cross-sectional study using a structured self-report questionnaire was conducted among 451 mothers of children under 3.5 months attending MCHCs. Linear regression explained variance in maternal self-efficacy. A moderation analysis examined the role of bridging social capital in the association between state anxiety and maternal parenting self-efficacy. STROBE guidelines were followed.</div></div><div><h3>Discussion</h3><div>Bridging social capital, state anxiety, and breastfeeding attitudes significantly explained maternal parenting self-efficacy (32.4% variance). Bridging social capital moderated the association between state anxiety and maternal self-efficacy.</div></div><div><h3>Conclusion</h3><div>MCHC services operated by public health nurses are vital community resources supporting maternal self-efficacy and positively influencing mothers’ health outcomes at the population level.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102476"},"PeriodicalIF":4.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144471786","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":"New graduate nurse competencies—Part II: Thematic analysis of the perceptions of academic faculty and acute care hospital practice leaders at the time of new graduate nurse hire and upon completing a 12-month nurse residency program","authors":"Hussein M. Tahan PhD, RN, FAAN, FCM ,&nbsp;Joan I. Warren PhD, RN, FAAN ,&nbsp;Nelda Godfrey PhD, RN, FAAN ,&nbsp;Jennifer Stephenson Zipp DNP, RN","doi":"10.1016/j.outlook.2025.102475","DOIUrl":"10.1016/j.outlook.2025.102475","url":null,"abstract":"<div><h3>Background</h3><div>The various educational pathways to obtain an entry-level nursing degree facilitate a diverse workforce. However, they also create confusion among practice leaders about the competency-level expectations of newly graduated nurses (NGNs). Establishing a clear understanding of the essential core competencies hospital practice leaders can expect of all NGNs, regardless of the type of nursing prelicensure degree program, upon starting their professional practice, and at the end of a 12-month nurse residency program (NRP) will contribute to their ongoing growth and development. This is the second of a two-part article describing the practice readiness controversy and the competencies of NGNs at 12 months of professional practice.</div></div><div><h3>Purpose</h3><div>This statewide study aimed to understand the perceptions of nursing academic faculty and hospital-based practice leaders of NGNs’ core competencies at the start of their professional nursing practice and after completing a 12-month NRP.</div></div><div><h3>Methods</h3><div>A multiphase mixed-methods (survey and focus groups) research study was completed using a purposive sample of nursing academic faculty from all accredited prelicensure nursing programs and practice leaders from all acute care hospitals in the state of Maryland. Participants' responses to a survey were analyzed to compare competency expectations between the differing groups (Part One). The qualitative research aspect of this study employed a virtual focus group methodology and followed a semistructured interview guide to gain deeper insights into the reasons for the participants’ responses.</div></div><div><h3>Discussion</h3><div>The qualitative findings identified six themes that explained the existing NGNs’ competency expectations upon starting their professional practice roles based on the diverse perceptions of nursing academic faculty and hospital-based practice leaders. Participants also identified 24 competencies NGNs may develop by the end of their 12-month NRP.</div></div><div><h3>Conclusion</h3><div>Although nursing academic faculty and hospital-based practice leaders had different perceptions of NGNs’ competencies, this study provided a path forward to stop questioning the practice readiness gap and instead focus on what each of the faculty and leaders can do to support the continued growth of NGNs. The findings supported the phenomenon that competency-based education occurs as a continuum where faculty develop NGNs’ competencies, while students and practice leaders continue to grow NGNs’ competencies as professional nurses during the 12-month NRP.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102475"},"PeriodicalIF":4.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144471787","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}