Journal of Nursing Regulation最新文献

{"title":"Can Multistate Licensure Compacts Help Address Military Retention Issues?","authors":"Tom Harrington BA (Associate, State Affairs)","doi":"10.1016/S2155-8256(24)00075-9","DOIUrl":"10.1016/S2155-8256(24)00075-9","url":null,"abstract":"","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"15 3","pages":"Pages 54-56"},"PeriodicalIF":4.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"JNR Guide for Authors","authors":"Marilea Polk Fried (Acquisitions Editor)","doi":"10.1016/S2155-8256(24)00076-0","DOIUrl":"10.1016/S2155-8256(24)00076-0","url":null,"abstract":"","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"15 3","pages":"Pages 57-59"},"PeriodicalIF":4.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Banner Year for JNR","authors":"Ellen Lanser Mayr MA (Managing Editor)","doi":"10.1016/S2155-8256(24)00069-3","DOIUrl":"10.1016/S2155-8256(24)00069-3","url":null,"abstract":"","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"15 3","pages":"Pages 3-4"},"PeriodicalIF":4.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Screen-Based Simulation in Family Nurse Practitioner Education","authors":"Angela M. McNelis PhD, RN, CNE, ANEF, FAAN (Professor and Assistant Dean),&nbsp;Kristina T. Dreifuerst PhD, RN, CNE, ANEF, FAAN (Professor and Director of the PhD Program),&nbsp;Carol Braungart DNP, RN (Director),&nbsp;Sarah L. Beebe PhD, APRN, CNM, WHNPr, CHSE (Graduate Medical Education Simulation Lab Program Manager),&nbsp;Majeda M. El-Banna PhD, RN, CNE, ANEF (Dean),&nbsp;Mary S. Dietrich PhD, MS (Professor)","doi":"10.1016/S2155-8256(24)00071-1","DOIUrl":"10.1016/S2155-8256(24)00071-1","url":null,"abstract":"<div><h3>Background</h3><div>Innovations in nursing education are crucial for developing new learning approaches to ensure quality preparation and an adequate number of nurse practitioners (NPs). This necessity prompts exploration and implementation of alternative clinical educational approaches, such as screen-based simulation (SBS), to address challenges posed by limited clinical sites and preceptors.</div></div><div><h3>Purpose</h3><div>The study aim was to compare the effectiveness of SBS with that of traditional precepted clinical experiences in students’ attainment of mastery of knowledge in the domains of assessment, diagnosis, treatment, and evaluation across the pediatric, adolescent, adult, and geriatric populations.</div></div><div><h3>Methods</h3><div>A quasi-experimental, pretest/posttest design was employed. Family NP (FNP) students from two nursing schools participated, with 95 in the experimental (SBS) group and 65 in the control (traditional) group. Participants entered the study after completing their required clinical hours for certification. Over 5 weeks, the experimental group completed 70 hours of additional SBS and the control group completed 70 hours of additional traditional clinical experiences. All participants completed a demographic survey. Mastery of knowledge was measured using the Diagnostic Readiness Test (DRT), which was collected before (pretest) and after (posttest) the 5-week intervention period.</div></div><div><h3>Results</h3><div>No statistically significant differences were found between groups in DRT domain or population scores from pre- to posttest, except in the adolescent population, for which the control group had higher scores. There was no significant difference in the likelihood of attaining proficiency in domains or populations between the experimental and control groups at posttest.</div></div><div><h3>Conclusion</h3><div>SBS proved to be an effective teaching and learning approach and should be considered a viable substitute for traditional precepted clinical experiences, particularly in situations where students have limited access to quality clinical sites, preceptors, or certain populations.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"15 3","pages":"Pages 16-22"},"PeriodicalIF":4.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Middle-Range Theory of Nurses in Recovery From Substance Use","authors":"Karen J. Foli PhD, RN, ANEF, FAAN (Professor Emerita),&nbsp;Yitong Wang MS, RN (Doctoral Student),&nbsp;Nicole Adams PhD, RN, CEN (Associate Research Professor),&nbsp;Jeffrey Coto DNP, MS-CNS, RN, NPD-BC, CCRN, CPCO (Chief Compliance and Strategic Officer)","doi":"10.1016/S2155-8256(24)00073-5","DOIUrl":"10.1016/S2155-8256(24)00073-5","url":null,"abstract":"<div><h3>Background</h3><div>Nurses’ substance use (SU) threatens the well-being of nurses as well as patient safety and may precipitate disciplinary actions by state boards of nursing (BONs). Given nurses’ maladaptive behaviors triggered by SU, an in-depth understanding of nurses’ personal, professional, and regulatory experiences is needed.</div></div><div><h3>Purpose</h3><div>The purpose of the present study was to conduct a grounded theory study of nurses who are in recovery from substance use disorder within the regulatory context. Using a constructivist approach, the overall research question was as follows: What are the lived experiences of nurses who become dependent on substances and interface with the regulatory world of nursing practice?</div></div><div><h3>Methods</h3><div>Interviews with 41 nurses from across the United States were recorded via Zoom and archived in a password-protected repository. In pre-interview surveys, nurses responded to demographic items, license status, items related to SU and monitoring programs, and questionnaires to measure resilience, posttraumatic growth, and organizational support.</div></div><div><h3>Results</h3><div>Four global themes emerged: (1) Board of Nursing: “The Great and Powerful Oz”; (2) The Tangible and Intangible Costs of Monitoring; (3) Finding Their Way/What Is Needed; and (4) Trauma, Shame, and Stigma: “Never Thought It Would Happen to Me.” Additionally, a model is proposed with eight semi-linear steps that range from “Confrontation and Contact With Employer/State BON” to “Making Sense of It All/Giving Back.”</div></div><div><h3>Conclusion</h3><div>The middle-range theory of nurses in SU recovery outlines conceptual relationships that can be empirically tested. Recommendations describe compassionate, informed interventions for nurses, healthcare organizations and regulatory bodies to enhance both nurse well-being and patient safety.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"15 3","pages":"Pages 33-46"},"PeriodicalIF":4.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Factors Influencing Nurses’ Intershift Recovery and Its Effects on Progression From Acute Fatigue to Chronic Fatigue","authors":"Amany Farag PhD, RN (Associate Professor),&nbsp;Linda Scott PhD, RN, FAAN (Professor and Dean),&nbsp;Yelena Perkhounkova PhD (Statistician),&nbsp;Peter James Abad MSc, RN (doctoral student),&nbsp;Maria Hein MSW (Data Manager)","doi":"10.1016/S2155-8256(24)00072-3","DOIUrl":"10.1016/S2155-8256(24)00072-3","url":null,"abstract":"<div><h3>Background</h3><div>Occupational fatigue is a pressing concern among shift workers, notably nurses, leading to substantial costs related to lost productivity and sick leave. Intershift recovery (IR) is pivotal in preventing acute fatigue (AF) from evolving into chronic fatigue (CF). However, few studies have been conducted to evaluate factors associated with IR and examine its mediating role between AF and CF.</div></div><div><h3>Purpose</h3><div>To evaluate factors associated with nurses’ IR and IR’s mediating effect between AF and CF.</div></div><div><h3>Methods</h3><div>Findings reported in this article are part of a larger mixed-methods study. Data for the parent study were collected from 1,137 registered nurses (a 56.1% response rate) working in eight midwestern hospitals’ inpatient and critical care units. The study variables were measured using previously validated self-reported surveys. Multiple regression analysis was used to assess correlates of IR, and a path analysis was used to evaluate the mediating effect of IR.</div></div><div><h3>Results</h3><div>Daytime sleepiness and three work environment variables (staffing and resource adequacy, nurse-physician relationship, and leadership support) were the strongest predictors of IR. Adequate IR mitigated AF from progressing to CF.</div></div><div><h3>Conclusion</h3><div>The findings support the mediating role of IR in the progression of AC to CF. Modifiable personal and work environment variables are essential to enhance IR. Thus, hospital leadership should intervene by addressing the modifiable variables to develop appropriate policies to enhance their staff’s IR.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"15 3","pages":"Pages 23-32"},"PeriodicalIF":4.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Continuous Journey: Addressing Indigenous-Specific Racism as a Nursing and Midwifery Regulator","authors":"Louise Aerts MBA (Chief Officer),&nbsp;Joe Gallagher Kwunuhmen BA, Honorary LLD (Chief Executive Officer),&nbsp;Cynthia Johansen MSc, MAL (Chief Executive Officer and Registrar),&nbsp;Sabrina Luke MPH, PhD (Director)","doi":"10.1016/S2155-8256(24)00074-7","DOIUrl":"10.1016/S2155-8256(24)00074-7","url":null,"abstract":"<div><div>In June 2020, media outlets in British Columbia (B.C.), Canada, unearthed complaints about overtly racist behavior by healthcare professionals, including nurses, in some B.C. hospital emergency departments. B.C.’s Minister of Health commissioned an independent review to investigate the allegations. Although the review did not confirm the specific allegations, it did find evidence of insidious and systemic Indigenous-specific racism in the B.C. healthcare system. This case study outlines the steps that the B.C. College of Nurses and Midwives is undertaking to eliminate Indigenous-specific racism within the college itself, among its registrants, and in the broader B.C. healthcare system. It may help guide regulatory colleges undertaking anti-racist approaches in the regulation of health professionals.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"15 3","pages":"Pages 47-53"},"PeriodicalIF":4.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses’ Perceptions of the Professional and Personal Impacts of Cannabis Use","authors":"Melanie Arnold BSN, RN (PhD student),&nbsp;Shawn Gallagher PhD, PMHNP-BC, PMHCNS-BC, FNP-BC (Assistant Clinical Professor),&nbsp;Kristina Medvescek MPH (Data Scientist),&nbsp;Jessica G. Rainbow PhD, RN, CNE (Associate Professor and Director of Clinical Research Partnerships)","doi":"10.1016/S2155-8256(24)00070-X","DOIUrl":"10.1016/S2155-8256(24)00070-X","url":null,"abstract":"<div><h3>Background</h3><div>Many Americans, including nurses, use cannabis for relief from pain, stress, and anxiety. The evolving landscape of medical and recreational cannabis use has required a review of federal regulations and employment policies concerning nurse cannabis use, particularly in relation to patient care.</div></div><div><h3>Purpose</h3><div>This qualitative study, as part of a larger mixed-methods research project, explores nurses’ experiences using cannabis and the impact of cannabis use on their professional and personal lives.</div></div><div><h3>Methods</h3><div>This study used a qualitative descriptive design to examine nurses’ lived experiences using cannabis. Participants were recruited through a nationwide survey and, through open-ended questions and face-to-face interviews, described their attitudes toward and beliefs about cannabis use.</div></div><div><h3>Results</h3><div>Analysis of the 938 free responses and 13 interviews revealed four key themes: the perception that cannabis is a safer alternative to other substances, the need for distinction between impairment and responsible use, the role of cannabis in symptom management (e.g., sleep and mental health conditions), and the enduring taboo surrounding cannabis use among nurses.</div></div><div><h3>Conclusion</h3><div>The findings highlight the need for updated guidelines and policies that consider nurses’ nuanced experiences with cannabis. This research emphasizes the need to address the stigma associated with cannabis use and to provide support for nurses to manage stress and mental health issues safely and effectively. By understanding nurses’ perceptions of the impact of cannabis on their professional practice and personal well-being, this study aims to inform the development of regulations that balance patient safety with the well-being of healthcare providers.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"15 3","pages":"Pages 5-15"},"PeriodicalIF":4.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Farewell and Thanks to NCSBN CEO David Benton","authors":"Maryann Alexander PhD, RN, FAAN (Editor-in-Chief)","doi":"10.1016/S2155-8256(23)00107-2","DOIUrl":"https://doi.org/10.1016/S2155-8256(23)00107-2","url":null,"abstract":"","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"14 3","pages":"Page 3"},"PeriodicalIF":2.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49868575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Step Toward Equity: Evidence-Based Policy for Access to Medications for Healthcare Workers With Opioid Use Disorder","authors":"Matthew Salzman MD,&nbsp;Rebecca H. Bryan DNP, AGPCNP, APN,&nbsp;Joshua M. Sharfstein MD","doi":"10.1016/S2155-8256(23)00109-6","DOIUrl":"https://doi.org/10.1016/S2155-8256(23)00109-6","url":null,"abstract":"<div><p>Health equity is achieved by addressing social determinants of health<span>, which include a healthy workplace. Since the early stages of the COVID-19 pandemic, healthcare workers have endured unprecedented stress, and many have left the healthcare field. Their departure has led many organizations to examine the underlying causes of this exodus and to create and promote a positive workplace environment in which healthcare workers can provide optimal care for their patients, even under stress. One opportunity for improving health and health equity for healthcare workers is supporting those struggling with substance use disorders. In recent years, special programs have been developed to support healthcare workers’ recovery from such disorders and return to work. In the present article, we identify an opportunity to improve care and support for healthcare workers with opioid use disorder—namely, providing healthcare workers with appropriate access to evidence-based medications. As argued in the present article, full support for such treatment will not only save the lives of many healthcare workers but also destigmatize the use of such medications for patients, thus improving health and health equity across the country.</span></p></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"14 3","pages":"Pages 14-19"},"PeriodicalIF":2.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49868572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}