{"title":"N.U.R.S.E.S. embracing artificial intelligence: A guide to artificial intelligence literacy for the nursing profession","authors":"Stephanie H. Hoelscher DNP, RN, NI-BC, AIMP, CPHIMS, CHISP, FHIMSS , Ashley Pugh MSHI, RN, CPHIMS","doi":"10.1016/j.outlook.2025.102466","DOIUrl":"10.1016/j.outlook.2025.102466","url":null,"abstract":"<div><div>Artificial intelligence (AI) is reshaping health care, making AI literacy vital for nursing professionals. The <em>N</em>avigate AI basics, <em>U</em>tilize AI strategically, <em>R</em>ecognize AI pitfalls, <em>S</em>kills support, <em>E</em>thics in action, and <em>S</em>hape the future framework provides a structured approach to AI integration into nursing. Nurses need to understand AI’s fundamentals and its impact on clinical practice and patient care, both in the classroom and at the bedside. Nurses can use AI effectively and responsibly by recognizing benefits, such as enhanced decision-making, and challenges, like biased data. Ethical considerations should guide AI usage in health care, with a commitment to frequent skill development. Nurses play a pivotal role in shaping the future by ensuring AI is applied to benefit their organizations and, more importantly, healthcare workers and patients. This AI literacy guide is designed to empower nurses to navigate and help build the future of health care and AI with confidence and competence.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102466"},"PeriodicalIF":4.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144366396","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 : 2025-06-24DOI: 10.1016/j.outlook.2025.102462
Janice Hawkins PhD, CNS, FAAN, Beth Tremblay PhD, RN, Robert J. Hawkins PhD, MPH, FAAN, Jessica Parrott DNP, CPNP-PC, CNE
{"title":"A comparative analysis of relationships among demographics, political affiliation and ideology, climate change, and health perceptions","authors":"Janice Hawkins PhD, CNS, FAAN, Beth Tremblay PhD, RN, Robert J. Hawkins PhD, MPH, FAAN, Jessica Parrott DNP, CPNP-PC, CNE","doi":"10.1016/j.outlook.2025.102462","DOIUrl":"10.1016/j.outlook.2025.102462","url":null,"abstract":"<div><h3>Background</h3><div>The impact of climate change on health is an increasing concern, with risks unevenly distributed.</div></div><div><h3>Purpose</h3><div>To analyze existing data to describe and compare relationships among demographics, political affiliation and ideology, climate change, and health perceptions.</div></div><div><h3>Methods</h3><div>A cross-sectional comparative analysis of secondary data.</div></div><div><h3>Results</h3><div>There are significant differences in levels of concern ofabout the impact of climate change on health based on race, gender, and political ideology. Those who identified as female or Black reported being more concerned than their White and male counterparts. The level of concern for the impact of climate change on health was higher among participants who identified as liberal than those who identified as conservative.</div></div><div><h3>Discussion</h3><div>Differences in level of concern may indicate that some populations are impacted disproportionately as well as a lack of accurate information on the known connections between climate and health.</div></div><div><h3>Conclusion</h3><div>The health impacts of climate change are a concern for many. Therefore, we recommend nurses and other health professionals actively engage in community education and climate-related policy development to address the concerns of individuals.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102462"},"PeriodicalIF":4.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144471785","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 : 2025-06-14DOI: 10.1016/j.outlook.2025.102448
Nicholas Yell , Elizabeth Crouch , Nabil Natafgi , Kelli Kenison , Michael D. Wirth
{"title":"Factors of registered nurse vacancies in the United States","authors":"Nicholas Yell , Elizabeth Crouch , Nabil Natafgi , Kelli Kenison , Michael D. Wirth","doi":"10.1016/j.outlook.2025.102448","DOIUrl":"10.1016/j.outlook.2025.102448","url":null,"abstract":"<div><h3>Background</h3><div>Nursing shortages have been an issue in the United States since the 1930s.</div></div><div><h3>Purpose</h3><div>The purpose of this study was to use the percentage of registered nurse (RN) vacancies to identify associations with RN shortages, at the hospital- and county-level.</div></div><div><h3>Methods</h3><div>This cross-sectional study uses the 2019 American Hospital Association annual survey and the Social Determinants of Health 2019 database. The dependent variable was the percentage of vacant RN positions at the hospital. Independent variables included hospital demographics, county demographics, RN workload factors, and RN support factors. A multiple linear regression model and a logistic regression model were used to determine associations of the percentage of RN vacancies and the odds of having 10% or more RN vacancies, respectively.</div></div><div><h3>Discussion</h3><div>RN workload appeared to have the greatest association with RN vacancies.</div></div><div><h3>Conclusion</h3><div>Future research should focus on investigating ways to decrease RN workloads, decrease burnout in mental health hospitals, and determining further differences in the associations of RN vacancies and RN turnover.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102448"},"PeriodicalIF":4.1,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144279517","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 : 2025-06-05DOI: 10.1016/j.outlook.2025.102447
Amy E. Trueblood MS, RN, NEA-BC, Amy Vogelsmeier PhD, RN, FAAN, Susan D. Scott PhD, RN, FAAN, Marilyn Rantz PhD, RN, FAAN
{"title":"Psychological distress of nurse managers in acute care: A scoping review","authors":"Amy E. Trueblood MS, RN, NEA-BC, Amy Vogelsmeier PhD, RN, FAAN, Susan D. Scott PhD, RN, FAAN, Marilyn Rantz PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102447","DOIUrl":"10.1016/j.outlook.2025.102447","url":null,"abstract":"<div><h3>Background</h3><div>The psychological distress experienced by nurse managers (NMs) following emotionally challenging clinical events has been studied less than that of direct care nurses.</div></div><div><h3>Purpose</h3><div>The purpose of this scoping review of the literature was to understand evidence related to the psychological distress experienced by NMs, contributors to these distress responses, and the impact of psychological distress on NMs personally and professionally.</div></div><div><h3>Methods</h3><div>A scoping review of the literature was completed following the protocol and checklist for scoping reviews. Twenty-two studies were included in the final sample.</div></div><div><h3>Discussion</h3><div>Psychological distress responses were found to include second victim phenomenon, burnout, moral distress, secondary traumatic stress, post-traumatic stress disorder, anxiety, depression, and work-related stress. Contributors to psychological distress among NMs included inadequate support, value incongruence, resource scarcity, and workplace violence. Physical and emotional well-being, along with intent to leave, were noted as impacts of psychological distress in NMs.</div></div><div><h3>Conclusion</h3><div>Nurse managers experience psychological distress and need support in addressing work environment and organizational challenges. In addition to focus on direct care nurses, further study of the experiences of nurse managers related to psychological distress and how best to support them is needed.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102447"},"PeriodicalIF":4.1,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144222778","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 : 2025-05-29DOI: 10.1016/j.outlook.2025.102445
Mahrokh M. Kobeissi DNP, APRN, FNP-C , Diane M. Santa Maria DrPH, ACRN, PHNA-BC, FAAN , Jung In Park PhD, RN, FAMIA
{"title":"Artificial intelligence 101: Building literacy with the AI-ABCs framework","authors":"Mahrokh M. Kobeissi DNP, APRN, FNP-C , Diane M. Santa Maria DrPH, ACRN, PHNA-BC, FAAN , Jung In Park PhD, RN, FAMIA","doi":"10.1016/j.outlook.2025.102445","DOIUrl":"10.1016/j.outlook.2025.102445","url":null,"abstract":"<div><div>The rapid advancements of artificial intelligence (AI) in healthcare have triggered a significant literacy gap among nursing professionals, raising concerns about implementation, ethical use, and impact on practice. This article introduces the AI-ABCs framework as a structured approach to building foundational AI literacy among nurse leaders, educators, and healthcare professionals. The framework was developed through a comprehensive literature synthesis and expert consultation in nursing informatics to identify essential components of AI literacy for healthcare professionals. The AI-ABCs framework provides an accessible entry point for AI literacy through three components: A—AI-Basics, B—Benefits and Challenges of AI, and C—Core Components and Terminologies in AI. The AI-ABCs framework offers nurse leaders and educators a structured approach to developing foundational AI literacy necessary for guiding policy development, curriculum integration, and ethical implementation in healthcare and educational settings, aligning with recommendations from key professional organizations.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102445"},"PeriodicalIF":4.1,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144170712","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 : 2025-05-29DOI: 10.1016/j.outlook.2025.102443
Dan Xu MSN , Jing Zhou MB , Minli Yang MB , Liu Yang MB , Qi Li MB , Yanli Zeng PhD
{"title":"Barriers and facilitators to reporting workplace violence among healthcare workers: A mixed-methods systematic review","authors":"Dan Xu MSN , Jing Zhou MB , Minli Yang MB , Liu Yang MB , Qi Li MB , Yanli Zeng PhD","doi":"10.1016/j.outlook.2025.102443","DOIUrl":"10.1016/j.outlook.2025.102443","url":null,"abstract":"<div><h3>Background</h3><div>Workplace violence (WPV) threatens healthcare workers and patient safety, yet underreporting remains prevalent.</div></div><div><h3>Purpose</h3><div>To identify barriers and facilitators of WPV reporting among healthcare workers, with implications for management, leadership, and policy.</div></div><div><h3>Methods</h3><div>We searched 10 databases for studies from inception to September 1, 2024, with an update on November 30, 2024. Two reviewers assessed quality using Joanna Briggs Institute tools. A convergent integrated synthesis was conducted.</div></div><div><h3>Discussion</h3><div>Fifty-eight studies from 30 countries were included (16 qualitative, 37 quantitative, 5 mixed-methods). Barriers to reporting fell into three themes: (a) Organizational Challenges, (b) Cultural and Social Barriers, and (c) Personal and Emotional Barriers. Facilitators included (a) Supportive Organizational Environment, (b) Legal and Policy Supports, (c) Education and Awareness, and (d) Personal Motivations.</div></div><div><h3>Conclusions</h3><div>Promoting WPV reporting requires multilevel strategies, including leadership accountability, simplified systems, and legislative action. The findings support a global agenda to improve safety culture and organizational learning in healthcare.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102443"},"PeriodicalIF":4.1,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144170713","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 : 2025-05-28DOI: 10.1016/j.outlook.2025.102442
Eunju Ahn , Hyunyoung Lee , Anna Lee
{"title":"Telehealth nursing for community-dwelling older adults with age-related neurological disorders: A scoping review","authors":"Eunju Ahn , Hyunyoung Lee , Anna Lee","doi":"10.1016/j.outlook.2025.102442","DOIUrl":"10.1016/j.outlook.2025.102442","url":null,"abstract":"<div><h3>Background</h3><div>Although telehealth facilitates nurse-led, home-based care for older adults with age-related neurological disorders, evidence on such interventions remains limited.</div></div><div><h3>Purpose</h3><div>This study examined trends in telehealth interventions for home-based older adults with age-related neurological disorders, focusing on nurses’ roles in their delivery.</div></div><div><h3>Methods</h3><div>A scoping review searched CINAHL, EMBASE, PubMed, and Scopus (through October 2024) for studies involving adults aged ≥65 with dementia, stroke, or Parkinson’s disease and nurse-led telehealth interventions.</div></div><div><h3>Discussion</h3><div>Findings highlight the potential psychosocial, physical, and socioeconomic benefits of telehealth for older adults with neurological disorders and nurses’ key roles, supporting broader integration of nursing leadership into education, practice, and policy.</div></div><div><h3>Conclusion</h3><div>While promising, evidence on telehealth nursing remains limited. Further research is needed to clarify its effectiveness and optimize its use for older adults.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102442"},"PeriodicalIF":4.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144154642","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":"Clarifying the education and roles of Doctor of Nursing Practice and Doctor of Philosophy prepared nurses: Bridging the divide","authors":"Julee Briscoe Waldrop DNP, FAANP, FAAN , Rosalie Mainous PhD, FAANP, FAAN","doi":"10.1016/j.outlook.2025.102444","DOIUrl":"10.1016/j.outlook.2025.102444","url":null,"abstract":"","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102444"},"PeriodicalIF":4.1,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144137890","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 : 2025-05-23DOI: 10.1016/j.outlook.2025.102437
Zainab Toteh Osakwe PhD, RN, MSN, NP , Daniel David PhD , Forgive Avorgbedor PhD, RN , Ana Stefancic PhD , Donna-Marie Palakiko PhD, RN, APRN , Paule V. Joseph PhD, MBA, CRNP, FAAN , Rose Calixte PhD, PStat® , Sherita House PhD, RN, CCRN , J. Margo Brooks Carthon PhD, RN, FAAN
{"title":"Opportunities to improve mentorship of underrepresented minority nurse faculty on the tenure track: A Delphi study","authors":"Zainab Toteh Osakwe PhD, RN, MSN, NP , Daniel David PhD , Forgive Avorgbedor PhD, RN , Ana Stefancic PhD , Donna-Marie Palakiko PhD, RN, APRN , Paule V. Joseph PhD, MBA, CRNP, FAAN , Rose Calixte PhD, PStat® , Sherita House PhD, RN, CCRN , J. Margo Brooks Carthon PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102437","DOIUrl":"10.1016/j.outlook.2025.102437","url":null,"abstract":"<div><h3>Background</h3><div>Mentorship is essential for supporting doctorally prepared nurses transitioning into academic roles and for addressing the escalating nurse faculty shortage.</div></div><div><h3>Purpose</h3><div>The objective of this study was to gain consensus on barriers, facilitators, and metrics of successful mentorship of doctorally prepared underrepresented minority (URM) nurse faculty.</div></div><div><h3>Methods</h3><div>A Delphi panel of doctorally prepared URM nurse faculty in the United States was convened. In Round 1, respondents answered open-ended questions identifying barriers, facilitators, and success metrics. In Round 2, participants rated their agreement using a 5-point scale. Round 3 included a focus group discussion.</div></div><div><h3>Discussion</h3><div>The Round 1 survey was distributed to 107 URM nurse faculty, with 35 responses (32.7% response rate). Twenty-three of those participants completed Round 2 (65.7% retention). Top-ranked metrics included progress on milestones aligned with individual development plans and quality of mentor–mentee engagement.</div></div><div><h3>Conclusion</h3><div>This study underscores the importance of relational factors in effective mentorship.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 4","pages":"Article 102437"},"PeriodicalIF":4.1,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116641","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}