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State of Black men in nursing: An oral history of the challenges and the benefits of five Black male nurse leaders 黑人男性在护理领域的地位:五位黑人男性护士领袖的挑战与收益口述史。
IF 4.1 2区 医学 Q1 NURSING Pub Date : 2024-11-13 DOI: 10.1016/j.outlook.2024.102316
Ernest Grant PhD, RN, FAAN , Michael P. Cary Jr. PhD , Michael Jones PhD , Derrick Glymph PhD , Bimbola F. Akintade PhD, MBA, ACNP-BC, NEA-BC, FAANP, FAAN
The underrepresentation of Black men in nursing continues to pose a significant challenge to diversity and equity in healthcare leadership. While systemic barriers, such as implicit bias, limited access to advanced education, and lack of mentorship, have been well-documented, there is little literature that highlights the specific journeys of Black male nurse leaders and the strategies that facilitated their success. This oral history presents the narratives of five Black male nurse leaders who overcame obstacles and rose to influential positions within nursing. Through their personal accounts, this paper offers insights into the intersection of race, gender, and professional advancement in nursing. These stories emphasize the importance of mentorship, community support, and resilience in navigating both overt and subtle forms of discrimination. By reflecting on their unique experiences, the paper aims to contribute to the ongoing discourse on diversity in nursing leadership and provide inspiration to future generations of minority nurses.
黑人男性在护理领域的代表性不足,继续对医疗保健领导层的多样性和公平性构成重大挑战。虽然隐性偏见、接受高等教育的机会有限以及缺乏导师等系统性障碍已被详细记录,但很少有文献强调黑人男性护士领导者的具体历程以及促进其成功的策略。本口述历史介绍了五位黑人男性护士领导者的叙述,他们克服了重重障碍,在护理行业中晋升到了有影响力的职位。通过他们的个人叙述,本文对护理行业中种族、性别和专业晋升的交叉问题提出了见解。这些故事强调了良师益友、社区支持和坚韧不拔的精神对于克服公开和隐蔽形式歧视的重要性。通过反思她们的独特经历,本文旨在为当前有关护理领导力多元化的讨论做出贡献,并为未来的少数族裔护士提供激励。
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引用次数: 0
An evaluation of a student-led nursing leadership symposium 对学生主导的护理领导力研讨会的评估。
IF 4.1 2区 医学 Q1 NURSING Pub Date : 2024-11-07 DOI: 10.1016/j.outlook.2024.102311
Danilo Bernal DNP, APRN, PHN, NP-C, FNP-BC, Jacqueline Sherman PhD, RN, PHN
This paper evaluates an innovative student-led nursing leadership symposium at a Southern California university, specifically designed to bridge educational and practical leadership gaps in nursing with a focus on students from underrepresented groups. Integrating Quality and Safety Education for Nurses (QSEN) competencies, the symposium encouraged active participation, self-reflection, and teamwork. It featured interactive panel discussions with nurse leaders and collaborative learning opportunities aimed at developing leadership knowledge, skills, and action. Participant feedback underscored significant personal and professional growth, particularly in communication, delegation, and collaboration skills. This initiative contributes significantly to the discourse on diversifying nursing leadership and provides a replicable model for leadership development in nursing education programs, emphasizing the symposium's pivotal role in enhancing inclusivity and equipping future nurse leaders from diverse backgrounds.
本文评估了南加州一所大学举办的由学生主导的创新型护理领导力座谈会,该座谈会旨在弥合护理教育和实践领导力方面的差距,重点关注来自代表性不足群体的学生。研讨会结合了护士质量与安全教育(QSEN)能力,鼓励学生积极参与、自我反思和团队合作。研讨会的特色是与护士领导进行互动式小组讨论,并提供合作学习机会,旨在发展领导知识、技能和行动。与会者的反馈强调了个人和专业能力的显著提高,尤其是在沟通、授权和协作技能方面。这一举措极大地推动了护理领导力多元化的讨论,并为护理教育项目中的领导力发展提供了一个可复制的模式,强调了研讨会在增强包容性和培养来自不同背景的未来护士领导者方面的关键作用。
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引用次数: 0
Moving toward standardized surveillance of “nurse” suicide mortality 逐步实现对 "护士 "自杀死亡率的标准化监控。
IF 4.1 2区 医学 Q1 NURSING Pub Date : 2024-11-07 DOI: 10.1016/j.outlook.2024.102308
Elizabeth Kreuze PhD, RN, ATC , Elizabeth I. Merwin PhD, RN, FAAN , Janet York PhD, PMHCS-BC, FAAN

Background

The National Academies, National Action Alliance for Suicide Prevention (NAASP), and National Strategy for Suicide Prevention disseminated recommendations for improving the quality, scope, usefulness, timeliness, and accessibility of mortality data and are working to advance research in this area. Further, the NAASP issued recommendations for developing standard definitions, use of common data elements, and processes for connecting data elements with similar measures. The NAASP additionally reinforced the importance of linking data sources.

Purpose

Examine surveillance of nurse suicide in the United States.

Methods

The literature was searched to identify studies that examined suicide among nurses using national data.

Discussion

Across studies that examined nurse suicide using national data, there was variability in methods, nursing definitions and age criteria, and limited data on sex differences, race and ethnicity, and state details. There was also variability with respect to denominators used in suicide rate calculations. Cross-study comparison and synthesis is sometimes challenging given this variability.

Conclusion

To examine additional associations between risk/protective factors and nurse suicide, to monitor nurse suicide incidence and trends, and to evaluate the efficacy of interventions aimed at reducing nurse suicide, it is important to move toward a standard evaluative approach that considers both mortality data and research initiatives. Standardization and data linking recommendations from the NAASP are particularly relevant to studies that examine nurse suicide. Taken together, leadership and advocacy are needed in these areas, both within the nursing profession and more broadly across the United States.
背景:国家科学院、国家预防自杀行动联盟(NAASP)和国家预防自杀战略发布了关于提高死亡率数据的质量、范围、实用性、及时性和可获取性的建议,并正在努力推进该领域的研究。此外,NAASP 还就制定标准定义、使用通用数据元素以及将数据元素与类似措施联系起来的程序提出了建议。此外,NAASP 还强调了连接数据源的重要性。目的:研究美国护士自杀的监测情况:方法:对文献进行检索,以确定利用全国数据对护士自杀进行调查的研究:讨论:在利用全国数据对护士自杀进行调查的各项研究中,方法、护理定义和年龄标准存在差异,有关性别差异、种族和民族以及各州详细情况的数据有限。计算自杀率时使用的分母也存在差异。由于存在这些差异,进行跨研究比较和综合有时具有挑战性:为了研究风险/保护因素与护士自杀之间的其他关联,监测护士自杀的发生率和趋势,以及评估旨在减少护士自杀的干预措施的效果,重要的是要采用一种标准的评估方法,同时考虑死亡率数据和研究措施。NAASP 提出的标准化和数据链接建议与研究护士自杀问题尤其相关。总之,无论是在护理行业内部,还是在更广泛的美国范围内,这些领域都需要领导和倡导。
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引用次数: 0
Resettlement needs of refugee women in the United States: An American Academy of Nursing consensus paper. 美国难民妇女的重新安置需求:美国护理学会共识文件。
IF 4.1 2区 医学 Q1 NURSING Pub Date : 2024-11-06 DOI: 10.1016/j.outlook.2024.102304
Heather M Bradford, Judith A Berg, Mary A Nies, Versie Johnson-Mallard, Barbara B Cochrane, Constance Visovsky, Karen S Moore, Ivy M Alexander

When people must flee their homes due to persecution or conflict, they embark on a journey from loss toward safety that is a global concern and the resettlement country's responsibility. Refugees experience stressors as they secure basic needs such as adequate nutrition, healthcare, transportation, housing, education, and income-generating activities. For refugee women, these stressors are further exacerbated by gender-related roles and experiences. Addressing the unique healthcare needs of refugee women is vital to their well-being as they resettle into life in the United States. Access to care that is provided with cultural humility and fosters trust is critical. Policies are needed that expand health literacy programs and interpreting services, grow, diversify, and train the physical healthcare workforce, grow and diversify the mental healthcare workforce, expand Medicaid coverage in all 50 states, develop and fund peer-to-peer education programs for refugee women, finance access to care and programmatic services, and expand federal funding toward refugee health research.

当人们因迫害或冲突而必须逃离家园时,他们就踏上了从失落到安全的旅程,这是全球关注的问题,也是重新安置国的责任。难民在满足基本需求(如充足的营养、医疗保健、交通、住房、教育和创收活动)的过程中会遇到各种压力。对于难民妇女来说,与性别相关的角色和经历进一步加剧了这些压力。满足难民妇女独特的医疗保健需求对于她们在美国重新安居乐业至关重要。获得以文化谦逊和促进信任的方式提供的医疗服务至关重要。需要制定政策,扩大健康扫盲计划和口译服务,壮大和培训身体保健人员队伍,壮大心理保健人员队伍并使其多样化,在所有50个州扩大医疗补助计划的覆盖范围,为难民妇女制定和资助同伴教育计划,为获得护理和计划服务提供资金,并扩大联邦对难民健康研究的资助。
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引用次数: 0
How Artificial Intelligence is altering the nursing workforce 人工智能如何改变护理人员队伍
IF 4.1 2区 医学 Q1 NURSING Pub Date : 2024-11-06 DOI: 10.1016/j.outlook.2024.102300
Olga Yakusheva PhD, FAAN , Monique J. Bouvier PhD, APRN, CPNP , Chelsea O.P. Hagopian DNP, APRN, AGACNP-BC
This paper focuses on the implications of Artificial Intelligence (AI) for the nursing workforce, examining both the opportunities presented by AI in relieving nurses of routine tasks and enabling better patient care, and the potential challenges it poses. The discussion highlights the freeing of nurses' time from administrative duties, allowing for more patient interaction and professional development, while also acknowledging concerns about job displacement. Ethically integrating AI into patient care and the need for nurses' proactive engagement with AI—including involvement in its development and integration in nursing education—are emphasized. Finally, the paper asserts the necessity for nurses to become active participants in AI's evolution within health care to ensure the enhancement of patient care and the advancement of nursing roles.
本文重点讨论了人工智能(AI)对护理人员的影响,既探讨了人工智能在减轻护士日常工作负担、更好地护理病人方面带来的机遇,也探讨了人工智能可能带来的挑战。讨论强调了将护士的时间从行政职责中解放出来,使其有更多的时间与患者互动和进行专业发展,同时也承认了对工作岗位转移的担忧。论文强调了将人工智能融入患者护理的道德规范,以及护士主动参与人工智能的必要性,包括参与人工智能的开发和融入护理教育。最后,本文认为护士有必要成为人工智能在医疗保健领域发展的积极参与者,以确保加强患者护理和提升护理角色。
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引用次数: 0
Abortion is healthcare: In what sense? 堕胎是一种保健:在什么意义上?
IF 4.1 2区 医学 Q1 NURSING Pub Date : 2024-11-06 DOI: 10.1016/j.outlook.2024.102307
Grant R Martsolf, Christopher Tollefsen, Farr Curlin

In the wake of Dobbs vs. Jackson Women's Health Organization, many nursing organizations asserted that "abortion is health care" and access to it must be protected. Such a phrase makes clear claims about the meanings of "health" and "care." How one defines these terms gives decisive direction to how a nurse must practice regarding not just elective abortion but also myriad interventions that divide bioethicists, including gender affirmative care, cosmetic surgery, and euthanasia. We consider the issue of elective abortion to illustrate the nature of disputes about the scope and limits of professional nursing. We describe two competing intuitions about the nature of health care namely that health care is either for (a) health, objectively defined or (b) well-being, patient defined. We discuss how these intuitions lead to different understandings of the intelligibility of the phrase "abortion is health care" and the implications for ethical discourse within professional nursing.

在 "多布斯诉杰克逊妇女健康组织案 "之后,许多护理组织声称 "堕胎是保健",必须保护获得堕胎的机会。这句话对 "健康 "和 "护理 "的含义做出了明确的表述。如何定义这些术语对护士如何开展工作具有决定性的指导意义,这些工作不仅涉及选择性堕胎,还包括性别平权护理、整容手术和安乐死等众多令生命伦理学者产生分歧的干预措施。我们以选择性人工流产问题为例,说明了有关专业护理范围和界限的争议的性质。我们描述了关于医疗保健性质的两种相互冲突的直觉,即医疗保健要么是为了(a) 客观定义的健康,要么是为了(b) 病人定义的福祉。我们讨论了这些直觉如何导致对 "堕胎是医疗保健 "这一短语的不同理解,以及对专业护理伦理话语的影响。
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引用次数: 0
Letter to editor, Sean Clarke. 致编辑的信,肖恩-克拉克。
IF 4.1 2区 医学 Q1 NURSING Pub Date : 2024-11-05 DOI: 10.1016/j.outlook.2024.102309
Carl A Kirton
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引用次数: 0
New graduate nurses' perspectives on well-being and transitioning into the workforce. 新毕业护士对幸福感和工作过渡的看法。
IF 4.1 2区 医学 Q1 NURSING Pub Date : 2024-11-05 DOI: 10.1016/j.outlook.2024.102310
Frankie B Hale, Lorrie Wong, James Callahan, Holly B Fontenot

Background: The COVID-19 pandemic profoundly impacted nurses' well-being and the transition of new nurses into the workplace. The National Academy of Medicine and American Nurses Foundation has announced the need to prioritize well-being research.

Purpose: To explore new nurses' perspectives related to factors that influenced their well-being and transition to practice.

Methods: New graduate nurses (1-2years post graduation) in Hawaii were invited to participate in a qualitative study, September 2023.

Discussion: Participants (N = 25) were predominantly female (84%), Asian (80%), and had 1year of experience (76%). Participants described the effect of the pandemic on their well-being, individual factors they needed to develop, external factors that were barriers or facilitators, and considerations for future interventions to support well-being and transition to practice.

Conclusion: The findings highlighted components of interventions needed in the academic and professional setting to support new nurses' successful and sustained transition to the workplace.

背景:COVID-19 大流行严重影响了护士的幸福感和新护士向职场的过渡。美国国家医学科学院和美国护士基金会已宣布有必要优先开展幸福感研究。目的:探讨新护士对影响其幸福感和向执业过渡的因素的看法:方法:邀请夏威夷的新毕业护士(毕业后 1-2 年)参加 2023 年 9 月的一项定性研究:参与者(N = 25)主要为女性(84%)、亚裔(80%)和有 1 年工作经验者(76%)。参与者描述了大流行病对他们福祉的影响、他们需要发展的个人因素、成为障碍或促进因素的外部因素,以及未来支持福祉和向执业过渡的干预措施的考虑因素:研究结果强调了在学术和专业环境中支持新护士成功、持续地过渡到工作场所所需的干预措施的组成部分。
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引用次数: 0
Recruit, integrate, and retain: Internationally educated nurses mobility to the Nordic region: A two-round policy Delphi study 招聘、融入和留住:受过国际教育的护士向北欧地区的流动:两轮德尔菲政策研究
IF 4.1 2区 医学 Q1 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.outlook.2024.102299
Floro Cubelo MPH, RN, CGNC, FFNMRCSI , Hannele Turunen PhD, RN , Krista Jokiniemi PhD, RN

Background

The global shortage of nurses has increased the migration of internationally educated nurses (IENs) to the Nordic region, necessitating policies for their migration and workplace integration.

Purpose

This study aimed to identify expert opinions on migration and integration policies for IENs to inform future policy development.

Methods

A two-round policy Delphi study was conducted. The first round used qualitative content analysis to identify policy statements, and the second round used a quantitative descriptive approach to validate them.

Findings

Response rates exceeded 75% in both rounds. Experts identified 36 statements across six themes. High consensus policies included employer contract compliance (96.9%), credential approval (96.9%), language proficiency initiatives (96.9%), diversity, equality, inclusion and belonging (DEIB) training (87.5%), and bilateral agreements (87.5%).

Conclusion

The study emphasizes the importance of credential recognition for IENs before migration and their ongoing professional development, highlighting the need for DEIB training for leaders.
背景全球护士短缺加剧了受过国际教育的护士(IENs)向北欧地区的迁移,因此有必要制定有关其迁移和融入工作场所的政策。第一轮采用定性内容分析法确定政策声明,第二轮采用定量描述法验证政策声明。专家们确定了涉及六个主题的 36 项声明。共识度较高的政策包括雇主合同合规性(96.9%)、资格认证(96.9%)、语言能力倡议(96.9%)、多样性、平等、包容和归属感(DEIB)培训(87.5%)以及双边协议(87.5%)。
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引用次数: 0
Prevalence of nursing theory citations in non-nursing publications 护理理论在非护理类出版物中的引用率。
IF 4.1 2区 医学 Q1 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.outlook.2024.102303
Jane K. Dickinson , Jennifer A. Wentzel , Janet Schwenk , Lexi A. Ayala

Background

It is not currently known how often nursing theory is cited in non-nursing publications. Purpose: The purpose of this study was to document citations of five nursing theories in non-nursing publications, including author discipline, type of publication, and publication discipline.

Methods

Over 75 non-nursing disciplines cited nursing theories and were consolidated for reporting purposes.

Discussion

Leininger, Pender, Parse, and Orem were most often cited in research articles, and Watson was cited more frequently in books.

Conclusion

Nurse scholars can use these findings to improve interprofessional education and practice and further develop and disseminate nursing knowledge.
背景:目的:本研究旨在记录五种护理理论在非护理出版物中的引用情况,包括作者学科、出版物类型和出版学科:超过 75 个非护理学科引用了护理理论,并为报告目的进行了合并:讨论:Leininger、Pender、Parse 和 Orem 最常在研究文章中被引用,而 Watson 则更常在书籍中被引用:护士学者可以利用这些发现改进跨专业教育和实践,进一步发展和传播护理知识。
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引用次数: 0
期刊
Nursing Outlook
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