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Black Nurse Scholars' Experiences in an Interdisciplinary Postdoctoral Fellowship 黑人护士学者在跨学科博士后研究中的经历
Pub Date : 2022-01-31 DOI: 10.3912/ojin.vol27no01man04
Tiffany M. Montgomery, Kortney James, Lisa N. Mansfield, M. Gaitors, Jade Burns, Jasmine L. Travers, Esther Laury, Cherie Conley, Keitra Thompson, Dominique Bulgin, Kia Skrine Jeffers
Postdoctoral fellowship programs play an essential role in developing future leaders in nursing by providing opportunities for interprofessional education, training, and collaboration. Nurse leaders must carefully consider the climate and design of such programs, paying particular attention to the ability to support the career journeys of more doctorally-prepared nurses from diverse backgrounds. This article describes a self-study that considered the unique, yet collective, lived experiences of 11 Black, doctorally-prepared, nurses who completed (or are completing) the same interdisciplinary postdoctoral fellowship. We describe the study methods, results, discussion, and limitations. Five themes across three phases of the nurse scholars’ educational journeys describe lived experiences in spaces not traditionally designed to support minoritized women, including insight into the limits and benefits of these programs specific to Black nurse scholars. Finally, we suggest implications for nursing to inform interdisciplinary postdoctoral fellowship programs to strengthen Black nurse scholars as emerging leaders with interprofessional collaboration skills to improve healthcare services provided to diverse patient populations.
博士后奖学金项目通过提供跨专业教育、培训和合作的机会,在培养护理领域未来的领导者方面发挥着至关重要的作用。护士领导必须仔细考虑这些项目的氛围和设计,特别注意支持来自不同背景的更多博士准备护士的职业生涯的能力。本文描述了一项自我研究,该研究考虑了11名黑人护士的独特而又集体的生活经历,这些护士已完成(或正在完成)相同的跨学科博士后研究。我们描述了研究方法、结果、讨论和局限性。护士学者教育旅程的三个阶段的五个主题描述了在传统上不支持少数族裔女性的空间中的生活经历,包括洞察这些项目对黑人护士学者的限制和好处。最后,我们提出了护理的启示,为跨学科博士后奖学金计划提供信息,以加强黑人护士学者作为具有跨专业合作技能的新兴领导者,以改善为不同患者群体提供的医疗保健服务。
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引用次数: 1
The Rise of Diversity, Equity, and Inclusion (DEI) Practitioners in Academic Nursing 多元化,公平和包容(DEI)从业者在学术护理的兴起
Pub Date : 2022-01-31 DOI: 10.3912/ojin.vol27no01man03
S. Fields, Mitchell Wharton, Kupiri Ackerman-Barger, Lisa S. Lewis, Kenya Beard
The importance of a racially and ethnically diverse nursing workforce has been staunchly avowed across federal, national, and institutional levels. The rise of diversity, equity, and inclusion (DEI) practitioners in academic nursing has become more important as institutions seek the goal of achieving health equity. The scope of the DEI practitioner role in academic nursing varies. Concerns include role confusion and DEI practitioner titles. In this article, we offer recommendations for establishing a DEI practitioner position, including best practices for scope, titling, authority, time allocation, salary/compensation and resources/staffing. We conclude with further recommendations for how to successfully establish these positions for long term impact in nursing.
在联邦、国家和机构层面,一支种族和民族多样化的护理队伍的重要性已经得到了坚定的承认。随着机构寻求实现健康公平的目标,学术护理从业者的多样性,公平性和包容性(DEI)的兴起变得更加重要。DEI从业者在学术护理中的作用范围各不相同。问题包括角色混淆和DEI从业者头衔。在本文中,我们提供了建立DEI从业者职位的建议,包括范围、头衔、权限、时间分配、工资/补偿和资源/人员配置方面的最佳实践。我们总结了进一步的建议,如何成功地建立这些职位的长期影响护理。
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引用次数: 1
Overview and Summary: Racism and Nursing: Diverse Perspectives 概述与总结:种族主义与护理:不同的观点
Pub Date : 2022-01-31 DOI: 10.3912/ojin.vol27no01manos
Joane T. Moceri
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引用次数: 0
ANA Postion Statement: Therapeutic Use of Marijuana and Related Cannabinoids ANA立场声明:大麻和相关大麻素的治疗用途
Pub Date : 2022-01-20 DOI: 10.3912/ojin.vol27no01poscol01
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引用次数: 1
Legislative: Justice for All: The Next Big Breakthrough in Cancer Care 立法:人人享有正义:癌症治疗的下一个重大突破
Pub Date : 2021-12-17 DOI: 10.3912/ojin.vol27no01legcol01
A. Starkweather, Bevin Cohen, T. Gray, J. Phillips, L. Linder, K. Yeager, Mary Cooley, N. Zanville
Along with a broken and neglected public health system that lacks required federal funding to make real progress toward health equity, it is no surprise that the health status of the U.S. remains suboptimal while the costs of cancer care and survivorship continue to grow (Berwick. 2020). Cutting edge innovations with lifesaving potential unquestionably deserve investment;but if our goal is to save lives, the emphasis placed on these advances is outsized relative to the lifesaving reality of existing prevention, screening, and treatment modalities that many Americans still struggle to access due to social inequities in wealth, power and resource allocation. Tamryn F. Gray, PhD, RN, MPH Email: tamrvn qrav@dfci.harvard.edu Tamryn F. Gray is an Instructor in Medicine at Harvard Medical School within the Department of Psychosocial Oncology and Palliative Care at Dana-Farber Cancer Institute and the Department of Medicine at Brigham Women's Hospital. The result is an unregulated system between drug manufacturers who set their own list price for each drug, and pharmacy benefit managers (PBMs) and insurers that negotiate a net price for people with insurance or Medicare while reaping the reward of their negotiation.
随着一个破碎和被忽视的公共卫生系统缺乏所需的联邦资金来实现健康公平,美国的健康状况仍然不理想,而癌症治疗和生存的成本继续增长,这并不奇怪(Berwick, 2020)。具有挽救生命潜力的尖端创新无疑值得投资;但如果我们的目标是拯救生命,那么与现有的预防、筛查和治疗模式相比,对这些进步的重视程度过高了。由于财富、权力和资源分配的社会不平等,许多美国人仍然难以获得这些预防、筛查和治疗模式。Tamryn F. Gray,博士,注册护士,公共卫生硕士电子邮件:tamrvn qrav@dfci.harvard.edu Tamryn F. Gray是哈佛医学院丹娜-法伯癌症研究所心理社会肿瘤学和姑息治疗系和布里格姆妇女医院医学系的医学讲师。其结果是,药品制造商为每种药物设定自己的定价,而药品福利管理机构(PBMs)和保险公司为有保险或医疗保险的人谈判净价格,同时从谈判中获得回报,两者之间的制度不受监管。
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引用次数: 0
In Service to Others: APRNs as Serving Leaders During the COVID-19 Pandemic 为他人服务:APRNs在COVID-19大流行期间作为服务领导者
Pub Date : 2021-12-17 DOI: 10.3912/ojin.vol27no01ppt54
A. Benson, Jessica Peters, Colleen Kennedy, Michelle Patch
The impact of the SARS-CoV-2 virus on delivery of hospital care during the ongoing COVID-19 pandemic has required effective nursing leadership of large teams of Advanced Practice Registered Nurses (APRNs). At a large academic medical center in the mid-Atlantic United States, nurse leaders combined knowledge of the psychological phases of disaster and principles of the Serving Leadership framework to mobilize and lead APRN teams to deliver high-quality care to all patients and provide a safe working environment for healthcare teams. In this article, we discuss exemplars that demonstrate the flexibility and strengths of APRNs in all roles who addressed rapidly evolving needs such as resource allocation and education. The conclusion highlights the value and relevance of APRN skillsets to clinical practice and the opportunity to further capitalize on these strengths during the continuing journey through this COVID-19 pandemic and beyond.
在持续的COVID-19大流行期间,SARS-CoV-2病毒对医院护理的影响需要大型高级执业注册护士(aprn)团队的有效护理领导。在美国大西洋中部的一个大型学术医疗中心,护士领导将灾难心理阶段的知识与服务领导框架的原则结合起来,动员和领导APRN团队为所有患者提供高质量的护理,并为医疗团队提供安全的工作环境。在本文中,我们讨论了一些例子,这些例子展示了aprn在所有角色中处理快速发展的需求(如资源分配和教育)的灵活性和优势。结论强调了APRN技能与临床实践的价值和相关性,以及在2019冠状病毒病大流行期间及以后的持续旅程中进一步利用这些优势的机会。
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引用次数: 1
Understanding Nurses’ Experiences and Contributions to Governing Boards 了解护士的经验和对管理委员会的贡献
Pub Date : 2021-10-28 DOI: 10.3912/ojin.vol27no01ppt32
Yvonne M Smith, Kimberly A. Cleveland, Carolyn Kleman
The nursing profession has long valued and emphasized the importance of leadership from the bedside to all levels of organizations. Involvement at the board level allows nurses to create institutional processes to improve the delivery of services, set policies, and establish benchmarks to address pressing issues. No research exists to identify which skills nurses find most helpful in executing board responsibilities and what experiences lead to the attainment of these skills. The purpose of this study was to develop a repository of clear and relevant items that could be used to establish an instrument that measures nurses’ professional experiences and board member responsibilities. This article describes our study methods, and results, including five emerging themes that describe nurses’ perception of board activities and their board participation. These themes encompassed the intertwining of experiences and skills, foundational experiences that support credibility, transferable skills, use of policy processes, and the importance of networking. Discussion of our findings, limitations, and implications for practice can inform professional development activities to support nurses as they pursue board service, and the development of an instrument to evaluate the impact of their experiences, effectiveness, and perceived contributions when serving on boards.
长期以来,护理专业一直重视并强调从床边到各级组织的领导的重要性。董事会层面的参与使护士能够创建制度流程,以改善服务的提供,制定政策,并建立解决紧迫问题的基准。目前还没有研究确定护士在执行董事会职责时发现哪些技能最有帮助,以及哪些经验有助于获得这些技能。本研究的目的是开发一个清晰和相关的项目库,可以用来建立一个工具,衡量护士的专业经验和董事会成员的责任。本文描述了我们的研究方法和结果,包括五个新兴主题,描述了护士对董事会活动的看法和他们对董事会的参与。这些主题包括经验和技能的相互交织、支持可信度的基础经验、可转让技能、政策程序的使用以及网络的重要性。对我们的研究结果、局限性和实践意义的讨论可以为专业发展活动提供信息,以支持护士追求董事会服务,并开发一种工具来评估他们在董事会服务时的经验、有效性和感知贡献的影响。
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引用次数: 0
The Promise and Perils of Health Internet of Things (HIoT) 医疗物联网(HIoT)的前景与风险
Pub Date : 2021-09-30 DOI: 10.3912/ojin.vol26no03man01
Nancy Robert
The Internet of Things (IoT) refers to a physical world where smart devices or things and computers interconnect through wired or wireless networks to share and process information without human intervention. Health Internet of Things (HIoT) refers to a device that collects health related data from an individual. The explosive growth in HIoT to augment the delivery of healthcare is driving changes in clinical practice and patient-centered care, requiring new skills for providers. In this article I provide an overview of HIoT, factors fueling wearable market growth, and HIoT technology and usability challenges. Next, I present collaboration as a key to success in design and implementation of HIoT initiatives, identifying collaboration models useful to healthcare and consumer/patient teams. The discussion includes the technology adoption model (TAM) and associated adoption considerations. Finally, I identify implications for the nursing profession and provide HIoT recommendations for next steps that include engaging healthcare providers in the design and testing of HIoT products.
物联网(IoT)是指智能设备或物与计算机通过有线或无线网络相互连接,在没有人为干预的情况下共享和处理信息的物理世界。健康物联网(HIoT)是指从个人收集健康相关数据的设备。HIoT的爆炸式增长推动了临床实践和以患者为中心的护理的变化,要求提供者具备新的技能。在本文中,我将概述HIoT,推动可穿戴市场增长的因素,以及HIoT技术和可用性挑战。接下来,我将介绍协作是HIoT计划设计和实施成功的关键,并确定对医疗保健和消费者/患者团队有用的协作模型。讨论包括技术采用模型(TAM)和相关的采用注意事项。最后,我确定了对护理专业的影响,并为下一步提供了HIoT建议,包括让医疗保健提供者参与HIoT产品的设计和测试。
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引用次数: 0
Calling Nursing Informatics Leaders: Opportunities for Personal and Professional Growth 呼唤护理信息学领导者:个人和专业成长的机会
Pub Date : 2021-09-30 DOI: 10.3912/ojin.vol26no03man06
Uba Backonja, Patricia J. Mook, Laura Heermann Langford
New and emerging technologies in healthcare incorporate big data and artificial intelligence analytics change every day. With the continued integration of technology into healthcare, we need more Nursing Informatics (NI) leaders. To identify actionable steps emerging NI leaders can take to mature, we conducted a website scan of eight professional organizations and two interviews with nurse leaders who have experience in those organizations. This article discusses nursing informatics and nursing leadership, and we describe our study methods and findings. Based on our study results, we provide specific recommendations for emerging NI leaders, such as obtaining training or education, seeking mentorship, building a network, cultivating confidence, and being active in professional organizations. Engaging in self-reflection and self-assessment can assist new and emerging NI leaders to prioritize actions they can take to mature in this nursing specialty.
医疗保健领域的新兴技术包括大数据和人工智能分析,这些技术每天都在变化。随着技术与医疗保健的不断整合,我们需要更多的护理信息学(NI)领导者。为了确定新晋护士领导可以采取的可行步骤,我们对8个专业组织进行了网站扫描,并对在这些组织中有经验的护士领导进行了两次采访。本文讨论了护理信息学和护理领导,并描述了我们的研究方法和发现。根据我们的研究结果,我们为新兴的NI领导者提供了具体的建议,例如获得培训或教育,寻求指导,建立网络,培养信心,以及积极参与专业组织。参与自我反思和自我评估可以帮助新的和新兴的NI领导者优先考虑他们可以采取的行动,以成熟护理专业。
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引用次数: 1
Big Data in Nursing: A Bibliometric Analysis 护理中的大数据:文献计量分析
Pub Date : 2021-09-30 DOI: 10.3912/ojin.vol26no03man02
Heather D. Carter-Templeton, L. Nicoll, J. Wrigley, T. Wyatt
Big data will have a growing role in nursing scholarship requiring parallel growth in data competencies and literacies to benefit nursing practice, education, and policy. This article offers background information about big data and bibliometric analysis, and describes a study that analyzed published research focused on big data in nursing to evaluate trends and understand the current evidence on this topic. Scopus was used as the primary database to retrieve published articles. The study results and subsequent citation analysis of 64 articles from 2014 to 2020 determined the types and extent of literature on big data in nursing, which authors and journals publish big data research, and the origins of the studies that were reviewed. The majority of the articles included offered descriptive or review type scholarly contributions with a clinical practice focus and/or application. Our discussion suggests future directions for research, content about nurse involvement in big data important for nursing curricula, implications for policy action based on evidence, and our assessment of the state of the science. This analysis demonstrated strong interest in big data approaches in nursing literature but little application of these approaches was identified in the represented articles.
大数据将在护理学术中发挥越来越大的作用,这需要数据能力和素养的并行增长,以使护理实践、教育和政策受益。本文提供了关于大数据和文献计量分析的背景信息,并描述了一项研究,该研究分析了关于护理大数据的已发表研究,以评估趋势并了解该主题的当前证据。Scopus被用作检索已发表文章的主数据库。研究结果和随后对2014年至2020年的64篇文章的引用分析确定了护理大数据文献的类型和范围,哪些作者和期刊发表了大数据研究,以及被审查研究的来源。纳入的大多数文章提供描述性或综述型学术贡献,以临床实践为重点和/或应用。我们的讨论建议了未来的研究方向、护士参与大数据的内容对护理课程的重要性、基于证据的政策行动的影响,以及我们对科学状况的评估。该分析显示了对护理文献中大数据方法的强烈兴趣,但在代表性文章中很少发现这些方法的应用。
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引用次数: 1
期刊
OJIN: The Online Journal of Issues in Nursing
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