Nursing Outlook最新文献_第2页

Enhancing nursing students' communication skills with deaf patients: Workshop impact on nursing education programs 提高护理专业学生与耳聋患者的沟通技巧：讲习班对护理教育计划的影响。

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook

Pub Date : 2024-10-25 DOI: 10.1016/j.outlook.2024.102306

Carolina Tannenbaum-Baruchi PhD

Background

Nursing students require education on effective communication with patients to fulfill their roles as future healthcare providers. Ensuring inclusive patient care requires addressing this educational gap.

Purpose

This study assesses the impact of workshops on nursing students' communication strategies with Deaf and hard-of-hearing patients.

Methods

A cross-sectional survey was conducted among nursing students before and after participating in workshops conducted by Deaf instructors from the non-profit association Maagalei Shema. Data was collected from January 2023 to March 2024 and analyzed using SPSS software.

Findings

Results indicate that the workshops significantly improved participants' communication strategies, with 82.48% reporting enhanced abilities post-workshop. The use of communication tools, including professional interpreters, increased following the workshops.

Discussion

Workshops offer an effective approach to enhancing healthcare workers' communication with Deaf and hard-of-hearing patients. These findings underscore the importance of incorporating experiential learning opportunities into nursing education to optimize patient interactions and improve healthcare outcomes.

背景：护理专业学生需要接受与患者有效沟通的教育，以履行他们作为未来医疗服务提供者的职责。目的：本研究评估了研讨会对护理专业学生与聋人和重听病人沟通策略的影响：方法：在护理专业学生参加由非营利性协会 Maagalei Shema 的聋人讲师举办的研讨会前后，对他们进行了横向调查。数据收集时间为 2023 年 1 月至 2024 年 3 月，使用 SPSS 软件进行分析：结果表明，工作坊极大地改善了参与者的沟通策略，82.48%的参与者在工作坊后表示能力得到了提高。研修班结束后，包括专业口译员在内的交流工具的使用率有所提高：讨论：工作坊是加强医护人员与聋人和重听患者沟通的有效方法。这些发现强调了将体验式学习机会纳入护理教育的重要性，以优化与患者的互动并改善医疗效果。

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引用次数: 0

The challenges of diversity in nursing faculty recruitment: the case of Finland 护理人员招聘中的多样性挑战：芬兰案例。

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook

Pub Date : 2024-10-25 DOI: 10.1016/j.outlook.2024.102301

Floro Cubelo MPH, BSN, RN, CGNC, FFNMRCSI

Background

Diversity considerations in hiring faculty in higher education have garnered significant attention globally in recent years. However, analyses of faculty recruitment dynamics outside the United States, particularly in schools and colleges of nursing, have been limited.

Purpose

This paper explores how concepts related to racism apply to recruitment in nursing education, focusing on the specific context of Finland.

Methods

Discourse Approach.

Discussion

Despite the increased admission of foreign students to English-language nursing programs, potential biases against the recruitment of nurse educators from foreign backgrounds could exist in Finland. Local data, anecdotes, and an analysis of the broader literature suggest that robust diversity, equity, and inclusion (DEI) policies and guidelines are necessary to enhance the experiences of both instructors and students. Additionally, training and support mechanisms may be needed to enable nursing faculty members from foreign backgrounds to thrive and fully participate in shared governance within academic institutions.

Conclusion

By examining the challenges and proposing strategies for increasing diversity in Finnish nursing education, this paper aims to contribute to the broader discourse on diversity in nursing as a profession.

背景：近年来，高等教育机构在招聘教师时对多样性的考虑在全球范围内引起了广泛关注。目的：本文以芬兰的具体情况为重点，探讨与种族主义相关的概念如何应用于护理教育的招聘工作：讨论：讨论：尽管英语护理专业招收的外国学生越来越多，但芬兰在招聘外国背景的护士教育者时仍可能存在偏见。本地数据、轶事以及对更广泛文献的分析表明，有必要制定强有力的多样性、公平性和包容性（DEI）政策和指导方针，以提高教师和学生的经验。此外，可能还需要培训和支持机制，以使来自外国背景的护理教员能够茁壮成长并充分参与学术机构的共同管理：通过研究芬兰护理教育所面临的挑战并提出提高多样性的策略，本文旨在为更广泛地讨论护理专业的多样性问题做出贡献。

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引用次数: 0

Parents with disabilities, mandated reporting, and nursing: A scoping review 残疾父母、强制报告和护理：范围综述。

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook

Pub Date : 2024-10-23 DOI: 10.1016/j.outlook.2024.102305

Kristi K. Westphaln PhD, RN, CPNP-PC , Lauren Clark PhD, RN, FAAN , Cherisse Watts MSN, RN, PHN , Julia Blackwell MSW , Carrie J. Smith ACSW, DSW , Antonia Osuna-Garcia MLIS , Alex Williams MSW , Nancy R. Mudrick PhD, MSW

Background

Many nurses report feeling underprepared and insecure about the mandated reporting of concern for child maltreatment, which is further compounded by parental disability.

Purpose

This scoping review examined the body of literature on nurse mandated reporting responsibility within the context of parental disability.

Methods

A scoping review was conducted as informed by the Arksey and O’Malley Framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews.

Discussion

Initial database search identified 2,669 records, which then underwent title and abstract screening (n = 2458), assessment for full text review (n = 53), and full review (n = 28). Analysis of 106 quantitative and 22 qualitative variables revealed sparse evidence and guidance to help nurses navigate mandated reporting of child abuse in families with parental disability.

Conclusion

Findings identified opportunities to inform research, policy, and practice to better meet the needs of nurse mandated reporters and families with parental disability.

背景：目的：本范围综述研究了父母残疾背景下护士强制报告责任的文献：方法：根据Arksey和O'Malley框架以及《系统综述和Meta分析首选报告项目》扩展版进行了范围界定综述：最初的数据库搜索确定了 2,669 条记录，然后对这些记录进行了标题和摘要筛选（n = 2458）、全文审阅评估（n = 53）和全文审阅（n = 28）。对 106 个定量变量和 22 个定性变量的分析表明，帮助护士了解父母残疾家庭虐待儿童强制报告情况的证据和指南很少：研究结果确定了为研究、政策和实践提供信息的机会，以更好地满足护士强制报告者和父母残疾家庭的需求。

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引用次数: 0

The association between alarm burden and nurse burnout in U.S. hospitals 美国医院中警报负担与护士职业倦怠之间的关系

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook

Pub Date : 2024-10-17 DOI: 10.1016/j.outlook.2024.102288

Halley Ruppel PhD, RN , Maura Dougherty PhD, CRNA , Mahima Kodavati , Karen B. Lasater PhD, RN, FAAN

Background

Alarms pervade the hospital environment, often increasing nurses’ workload. Hospital nurses are experiencing burnout at unprecedented rates.

Puropse

This study examined the association between nurses’ experience of alarms and burnout.

Methods

Survey data from U.S. nurses (n = 2,131) were analyzed.

Findings

Nurses who frequently/occasionally experienced overwhelm from alarms had 2.47 (95% CI [1.93, 3.16]) greater odds of high burnout than those who rarely/never experienced alarm overwhelm; those who frequently/occasionally had to delay alarm response had 2.13 [1.67, 2.70] greater odds of high burnout than those who rarely/never did; and those who frequently/occasionally encountered situations where no one responded to an urgent alarm had 2.5 [2.07, 3.03] greater odds of high burnout than those who rarely/never encountered such situations. The associations remained largely unchanged after adjusting for hospital characteristics, nurse practice environment, and nurse staffing.

Conclusion

Although this study was cross-sectional, the potential impact of alarms on nurses’ well-being is an important consideration as technology advances.

背景警报充斥着医院环境，经常增加护士的工作量。本研究探讨了护士经历警报与职业倦怠之间的关系。方法分析了来自美国护士（n = 2,131）的调查数据。结果经常/偶尔经历警报淹没的护士比很少/从未经历警报淹没的护士有 2.47 (95% CI [1.93, 3. 16])高的职业倦怠几率；经常/偶尔不得不延迟警报响应的护士比很少/从未经历警报淹没的护士有更高的职业倦怠几率。经常/偶尔受到警报干扰的护士比很少/从未受到警报干扰的护士产生高度职业倦怠的几率要高出 2.47 (95% CI [1.93, 3.16])；经常/偶尔不得不延迟响应警报的护士比很少/从未延迟响应警报的护士产生高度职业倦怠的几率要高出 2.13 [1.67, 2.70]；经常/偶尔遇到无人响应紧急警报的情况的护士比很少/从未遇到此类情况的护士产生高度职业倦怠的几率要高出 2.5 [2.07, 3.03]。结论虽然这项研究是横断面研究，但随着技术的发展，警报对护士健康的潜在影响是一个重要的考虑因素。

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引用次数: 0

Nursing in a culture of peace 和平文化中的护理工作

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook

Pub Date : 2024-10-17 DOI: 10.1016/j.outlook.2024.102298

Lynne M. Woehrle PhD , Katherine J. Schmidt MSP, BSN, RN

Background

The knowledge and practice in the field of peacebuilding is congruent with nursing and offers important dimensions and insight that can strengthen the work of nurses in building healthy communities and individuals.

Purpose

This article summarizes key literature and discussions with faculty in each field to outline impactful opportunities for interprofessional collaboration around peace and health.

Methods

An iterative process of reviewing theory and practice in each field produces a structured comparison of major commonalities and differences.

Discussion

Collaboration between nurses and peacebuilding practitioners provides a unique opportunity to address the wicked problems of direct and indirect (structural) violence. Shared interests in a holistic systems lens approach to violence prevention and conflict transformation provide for professional synergies.

Conclusion

An exemplary case for collaboration between nurses and peacebuilding practitioners is found in the work of understanding and addressing direct and indirect violence locally and globally.

背景建设和平领域的知识和实践与护理领域的知识和实践是一致的，并提供了重要的维度和见解，可以加强护士在建设健康社区和个人方面的工作。目的本文总结了关键文献以及与各领域教师的讨论，概述了围绕和平与健康开展跨专业合作的有影响力的机会。讨论护士与和平建设实践者之间的合作为解决直接和间接（结构性）暴力的邪恶问题提供了一个独特的机会。护士与建设和平工作者之间的合作为解决直接和间接（结构性）暴力的棘手问题提供了一个独特的机会。在从整体系统角度预防暴力和转化冲突的方法方面，双方有着共同的兴趣，这为专业协同增效提供了条件。

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引用次数: 0

Structural racism: A concept analysis 结构性种族主义：概念分析

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook

Pub Date : 2024-10-17 DOI: 10.1016/j.outlook.2024.102295

Jason W. Smith RN, BSN, MATh , Ann Mayo RN, DNSc, FAAN

Background

Despite the broad agreement that structural racism is problematic, there remains significant confusion as to what structural racism means and how to research it.

Purpose

Perform a comprehensive concept analysis of structural racism and propose an operational definition.

Methods

Walker and Avant’s eight-step, iterative method was used for conducting the concept analysis.

Discussion

Structural racism has five defining attributes: oppressive racial ideologies, dynamic state, inverse-related influence, temporality, and a false sense of “racial equity.” Structural racism has six antecedents: explicit racial bias, implicit racial bias, racial discrimination, institutional racism, cultural racism, and systemic racism. There are three consequences of structural racism: group categorization, unequal treatment, and racial inequities.

Conclusion

To combat and defeat the historical and ongoing impact of structural racism, conceptual clarity must be established. Only then can an operational definition be proposed and instruments developed that correspond with the nature of structural racism.

背景尽管人们普遍认为结构性种族主义是个问题，但对于结构性种族主义的含义以及如何对其进行研究，仍然存在很大的困惑。目的对结构性种族主义进行全面的概念分析，并提出一个可操作的定义。结构性种族主义有六个前因：显性种族偏见、隐性种族偏见、种族歧视、制度性种族主义、文化种族主义和系统性种族主义。结构性种族主义有三个后果：群体分类、不平等待遇和种族不平等。结论要打击和消除结构性种族主义的历史和持续影响，就必须明确其概念。只有这样，才能提出可操作的定义，并开发出符合结构性种族主义性质的工具。

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引用次数: 0

Unlocking ChatGPT’s potential and challenges in intensive care nursing education and practice: A systematic review with narrative synthesis 发掘 ChatGPT 在重症监护护理教育和实践中的潜力与挑战：系统回顾与叙事综述

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook

Pub Date : 2024-10-17 DOI: 10.1016/j.outlook.2024.102287

Aycan Kucukkaya RN, BSN , Emine Arikan BSN, MSc, PhD , Polat Goktas BSc, MSc, PhD

Background

The advancement of artificial intelligence (AI) in healthcare and nursing promises to enhance clinical outcomes and education. This review emphasizes integrating AI chatbots, specifically ChatGPT, into Intensive Care Units (ICU) to transform nursing education and practices, while addressing associated risks and ethical challenges.

Purpose

To evaluate ChatGPT’s utility in ICU nursing education and practices, assessing its effectiveness and develop strategic recommendations for its future incorporation into critical care.

Methods

This review employs systematic literature with narrative synthesis, adhering to PRISMA guidelines.

Discussion

Five of 1,091 identified studies were eligible. These studies illustrate AI-driven applications’ potential in clinical decision-making and educational efforts, emphasizing the need for improved AI accuracy, robust guidelines, and measures to address data privacy concerns to ensure reliable integration.

Conclusion

ChatGPT presents promising benefits for ICU applications but requires careful management. Ongoing research and adherence to ethical standards are essential to optimize its use in critical care.

Tweetable abstract

Explore how #ChatGPT revolutionizes ICU nursing & education, blending AI capabilities with ethical, human-centered care. #ICM #AIinHealthcare

背景人工智能（AI）在医疗和护理领域的发展有望提高临床效果和教育水平。本综述强调将人工智能聊天机器人（特别是 ChatGPT）融入重症监护病房（ICU），以改变护理教育和实践，同时应对相关风险和伦理挑战。目的评估 ChatGPT 在 ICU 护理教育和实践中的实用性，评估其有效性，并为其未来融入重症护理制定战略建议。这些研究说明了人工智能驱动的应用在临床决策和教育工作中的潜力，同时强调需要提高人工智能的准确性、制定强有力的指导方针以及采取措施解决数据隐私问题，以确保可靠的整合。Tweetable摘要探索#ChatGPT如何彻底改变ICU护理&教育，将人工智能能力与道德、以人为本的护理相结合。#ICM #AI在医疗保健中的应用

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引用次数: 0

Nursing unions: A scoping review of outcomes for employees, patients, and administrators 护理工会：对员工、患者和管理者成果的范围审查

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook

Pub Date : 2024-10-16 DOI: 10.1016/j.outlook.2024.102292

Andrew M. Dierkes PhD , Kristin H. Gigli PhD, APRN, CPNP-AC , Branden Dutchess BA , Grant Martsolf PhD, MPH

Background

Nursing labor organization is consequential to many stakeholders, but collective evidence for outcomes associated with nurse unionization is lacking.

Purpose

To synthesize evidence of associations between nursing unions and nurse, patient, and system outcomes.

Methods

A scoping review.

Findings

Twenty-four articles spanning nearly 50 years were abstracted. Most studies (n = 16; 67%) included nurse outcomes, usually remuneration (n = 10; 42%). Patient and system outcomes were less common (for each: n = 7; 29%). Union wage premiums were modest. Evidence for other nurse outcomes (e.g., job satisfaction, retention) was limited and mixed. Unionization was associated with improvements in many but not all patient outcomes studied, and with operational differences, including decreased staffing and labor substitution.

Discussion

Collective bargaining outcomes may help administrators understand nurses’ needs and concerns and thereby improve nurse recruitment and retention. For example, modest wage effects may signal nonwage priorities among nurses, which are understudied and worthy subjects of future research.

背景护理劳工组织对许多利益相关者都具有重要意义，但缺乏与护士工会相关的集体成果证据。目的综合护理工会与护士、患者和系统成果之间的关联证据。大多数研究（n = 16；67%）包括护士的成果，通常是薪酬（n = 10；42%）。患者和系统结果的研究较少（各为 7 篇；29%）。工会的工资溢价并不高。有关其他护士成果（如工作满意度、留用率）的证据有限，且好坏参半。讨论集体谈判的结果可能有助于管理者了解护士的需求和关注点，从而改善护士招聘和留用。例如，适度的工资效应可能预示着护士的非工资优先事项，而这一问题尚未得到充分研究，值得在未来开展研究。

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引用次数: 0

Exploring the potential of meaningful recognition programs in mitigating nursing faculty burnout: A call for further research 探索有意义的表彰计划在减轻护理教师职业倦怠方面的潜力：呼吁开展进一步研究

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook

Pub Date : 2024-10-16 DOI: 10.1016/j.outlook.2024.102302

Chien Huei Sung , Lien-Chung Wei

This letter to the editor responds to Godfrey et al.'s study on meaningful recognition (MR) programs in nursing colleges. While the study did not demonstrate significant changes in faculty burnout metrics, it revealed stable levels of compassion satisfaction during the COVID-19 pandemic. This stability, coupled with alarmingly high burnout rates reported in other studies, suggests that MR programs may have a protective effect worth investigating further. The letter proposes future research directions, including longer-term studies and qualitative methods, to better understand the nuanced impact of MR programs on nursing faculty well-being and retention.

这封致编辑的信是对 Godfrey 等人关于护理学院有意义表彰 (MR) 计划研究的回应。虽然该研究并未显示出教师职业倦怠指标的显著变化，但却揭示了在 COVID-19 大流行期间同情满意度的稳定水平。这种稳定性，再加上其他研究报告中令人震惊的高职业倦怠率，表明 MR 计划可能具有保护作用，值得进一步研究。这封信提出了未来的研究方向，包括更长期的研究和定性方法，以更好地了解 MR 项目对护理教师福祉和留任的细微影响。

引用次数: 0

Addressing burnout among nurses of color: Key priorities and calls for action 解决有色人种护士的职业倦怠问题：关键优先事项和行动呼吁

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook

Pub Date : 2024-10-16 DOI: 10.1016/j.outlook.2024.102297

J. Margo Brooks Carthon PhD, APRN, FAAN , Jacqueline Nikpour PhD, RN , Gary Rettberg MPP , Charlotte Thomas-Hawkins PhD, RN, FAAN , Marcus D. Henderson MSN, RN , David Agor DNP, PMHNP, HIVPCP , Antonia Villarruel PhD, RN, FAAN

Nursing burnout remains a public health crisis. However, few stakeholders have considered the disproportionate toll of burnout among nurses of color, including nurses identifying as Black, Hispanic/Latino, or Native American. We convened a one-day conference, titled Solutions to Health Inequities and Nurses’ Emotional Exhaustion (SHINE), to begin identifying contributing factors and solutions to burnout amongst nurses of color. SHINE included plenaries, small group discussions, and breakout sessions with nearly 40 expert stakeholders from around the country. We employed a deliberative dialogue (DD) methodology to identify key takeaways and implications for research, practice, and policy. High-priority solutions included: improving the work environment and nurse staffing, reducing stigma against nurses seeking mental healthcare, addressing workplace racism as a root cause of nurse burnout, and increasing support for nurses experiencing racism at work. Key priorities identified through SHINE offer a roadmap for nurse leaders to address burnout through an equity-centered lens.

护理倦怠仍是一个公共卫生危机。然而，很少有利益相关者考虑过有色人种护士（包括自称为黑人、西班牙裔/拉丁美洲人或美国原住民的护士）中不成比例的护理倦怠问题。我们召开了为期一天的会议，名为 "健康不平等和护士情感枯竭的解决方案"（SHINE），旨在着手确定有色人种护士职业倦怠的诱因和解决方案。SHINE 包括全体会议、小组讨论和分组会议，来自全国各地的近 40 名专家利益相关者参加了会议。我们采用了协商对话（DD）的方法来确定研究、实践和政策的主要收获和影响。高度优先的解决方案包括：改善工作环境和护士配置、减少对寻求心理保健的护士的羞辱、解决作为护士职业倦怠根本原因的工作场所种族主义问题，以及为在工作中遭遇种族主义的护士提供更多支持。通过 SHINE 确定的关键优先事项为护士领导者提供了通过以公平为中心的视角解决职业倦怠问题的路线图。

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引用次数: 0