Background: Psychiatric mental health nurse practitioners (PMHNPs) are the fastest-growing behavioral health providers, yet changes in their characteristics are underexamined.
Purpose: To describe the evolution of the PMHNP workforce, including dual certification with primary care.
Methods: Descriptive statistics and trend analyses using seven waves of the American Association of Nurse Practitioners national workforce survey (2016-2024), plus an analysis of certification sequencing.
Discussion: The share of nurse practitioners with a psychiatric certification increased over the study period, as did the proportion of PMHNPs with dual certification in primary care. PMHNPs became more diverse and increasingly earned doctoral degrees in nursing practice.
Conclusion: PMHNPs can increasingly help to meet population health needs for behavioral health care as shortages of psychiatrists and psychologists worsen. Policy makers should ensure they are easy for patients to access by supporting measures that support telehealth and rural and independent practice.
背景：精神科心理健康执业护士（PMHNPs）是增长最快的行为健康提供者，但其特征的变化尚未得到充分研究。目的：描述PMHNP劳动力的演变，包括初级保健的双重认证。方法：采用美国护士执业协会（American Association of nurses Practitioners） 2016-2024年全国劳动力调查的七波数据进行描述性统计和趋势分析，并进行认证排序分析。讨论：在研究期间，具有精神病学认证的执业护士的比例有所增加，具有初级保健双重认证的PMHNPs的比例也有所增加。PMHNPs变得更加多样化，越来越多的人在护理实践中获得博士学位。结论：随着精神科医生和心理医生短缺的加剧，PMHNPs可以越来越多地帮助满足人口对行为卫生保健的需求。决策者应通过支持支持远程保健和农村独立实践的措施，确保患者容易获得这些服务。
{"title":"Psychiatric mental health nurse practitioners in transition: A descriptive analysis of workforce trends and dual preparation in primary care, 2016-2024.","authors":"Mitchell Dylan Sellers, Chantel DePaepe, Katharine Bradley","doi":"10.1016/j.outlook.2026.102680","DOIUrl":"https://doi.org/10.1016/j.outlook.2026.102680","url":null,"abstract":"<p><strong>Background: </strong>Psychiatric mental health nurse practitioners (PMHNPs) are the fastest-growing behavioral health providers, yet changes in their characteristics are underexamined.</p><p><strong>Purpose: </strong>To describe the evolution of the PMHNP workforce, including dual certification with primary care.</p><p><strong>Methods: </strong>Descriptive statistics and trend analyses using seven waves of the American Association of Nurse Practitioners national workforce survey (2016-2024), plus an analysis of certification sequencing.</p><p><strong>Discussion: </strong>The share of nurse practitioners with a psychiatric certification increased over the study period, as did the proportion of PMHNPs with dual certification in primary care. PMHNPs became more diverse and increasingly earned doctoral degrees in nursing practice.</p><p><strong>Conclusion: </strong>PMHNPs can increasingly help to meet population health needs for behavioral health care as shortages of psychiatrists and psychologists worsen. Policy makers should ensure they are easy for patients to access by supporting measures that support telehealth and rural and independent practice.</p>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 2","pages":"102680"},"PeriodicalIF":3.7,"publicationDate":"2026-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101124","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}
Pub Date : 2026-01-23DOI: 10.1016/j.outlook.2025.102650
Na Wei MD , Yuqing Wang MD , Guanglin Liu MD , Youjuan Zhang PhD , Li Li MD , Xiaoyan Lv MD , Patricia M. Davidson PhD , Yingjuan Cao PhD
Background
The global nursing shortage is a pervasive and urgent issue. Nurse turnover exacerbates this problem, leading to increased operational costs and a decline in the quality of care.
Purpose
To examine the mediating effects of sickness presenteeism and job burnout on the relationship between perceived stress and turnover intention among nurses.
Methods
The bootstrap method was applied to cross-sectional data from the Chinese Nurses' Health Cohort Study (TARGET), which included 41,270 nurses.
Discussion
The serial multiple mediation model of sickness presenteeism and job burnout in the relationship between perceived stress and turnover intention was found to be statistically significant.
Conclusion
The findings will inform strategies for hospital policymakers and managers to avoid brain drain by alleviating sickness presenteeism and job burnout among nurses.
{"title":"Perceived stress, sickness presenteeism, job burnout, and turnover intention among nurses: A cross-sectional survey","authors":"Na Wei MD , Yuqing Wang MD , Guanglin Liu MD , Youjuan Zhang PhD , Li Li MD , Xiaoyan Lv MD , Patricia M. Davidson PhD , Yingjuan Cao PhD","doi":"10.1016/j.outlook.2025.102650","DOIUrl":"10.1016/j.outlook.2025.102650","url":null,"abstract":"<div><h3>Background</h3><div>The global nursing shortage is a pervasive and urgent issue. Nurse turnover exacerbates this problem, leading to increased operational costs and a decline in the quality of care.</div></div><div><h3>Purpose</h3><div>To examine the mediating effects of sickness presenteeism and job burnout on the relationship between perceived stress and turnover intention among nurses.</div></div><div><h3>Methods</h3><div>The bootstrap method was applied to cross-sectional data from the Chinese Nurses' Health Cohort Study (TARGET), which included 41,270 nurses.</div></div><div><h3>Discussion</h3><div>The serial multiple mediation model of sickness presenteeism and job burnout in the relationship between perceived stress and turnover intention was found to be statistically significant.</div></div><div><h3>Conclusion</h3><div>The findings will inform strategies for hospital policymakers and managers to avoid brain drain by alleviating sickness presenteeism and job burnout among nurses.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 2","pages":"Article 102650"},"PeriodicalIF":3.7,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038432","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}
Pub Date : 2026-01-14DOI: 10.1016/j.outlook.2025.102677
Dalmacio Dennis Flores , Jessica Webster , Alexandra Casison , Anjelique Agudo , Seul Ki Choi , Keosha Bond , Gigi McGaughey
Parental support is associated with improved health of transgender, nonbinary and gender expansive (TNGE) youth. However, parents struggle to find support in navigating gender-affirming care with their child. Nursing plays an indispensable role in these dyads’ wellbeing. This study aims to identify barriers and intervention preferences for enhancing knowledge and group-level support for parents of TNGE adolescents. Guided by the Information-Motivation-Behavioral Skills Model, we conducted four virtual focus groups with parents (n=19) of TNGE youth. Content analysis was conducted to identify themes around parent needs. Predominantly white mothers from the PA-NJ-NY area participated. Lack of TNGE-relevant knowledge from typically trusted sources and limited resources were identified as primary informational barriers. Suggested intervention components to increase motivation/behavioral skills included education programs, support groups, and expanding resources. Findings highlight gaps in supportive systems available to parents of TNGE youth. Future research could include incorporating these intervention components.
{"title":"Supporting parents of transgender, nonbinary, and gender-expansive youth: Considerations for health intervention development","authors":"Dalmacio Dennis Flores , Jessica Webster , Alexandra Casison , Anjelique Agudo , Seul Ki Choi , Keosha Bond , Gigi McGaughey","doi":"10.1016/j.outlook.2025.102677","DOIUrl":"10.1016/j.outlook.2025.102677","url":null,"abstract":"<div><div>Parental support is associated with improved health of transgender, nonbinary and gender expansive (TNGE) youth. However, parents struggle to find support in navigating gender-affirming care with their child. Nursing plays an indispensable role in these dyads’ wellbeing. This study aims to identify barriers and intervention preferences for enhancing knowledge and group-level support for parents of TNGE adolescents. Guided by the Information-Motivation-Behavioral Skills Model, we conducted four virtual focus groups with parents (n=19) of TNGE youth. Content analysis was conducted to identify themes around parent needs. Predominantly white mothers from the PA-NJ-NY area participated. Lack of TNGE-relevant knowledge from typically trusted sources and limited resources were identified as primary informational barriers. Suggested intervention components to increase motivation/behavioral skills included education programs, support groups, and expanding resources. Findings highlight gaps in supportive systems available to parents of TNGE youth. Future research could include incorporating these intervention components.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 2","pages":"Article 102677"},"PeriodicalIF":3.7,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145979050","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}
Pub Date : 2026-01-14DOI: 10.1016/j.outlook.2025.102676
Jason E. Farley PhD, MPH, ANP-BC , Kelly Lowensen MSN, RN, ACRN , Nezar Salim PhD(c), MSN, RN , Rita F. D’Aoust PhD, RN, ACNP-BC
Background
Enrollment in nursing Doctor of Philosophy (PhD) programs in the United States declined by 4.1% between 2021 and 2022, with an 8.4% drop among private institutions, while Doctor of Nursing Practice (DNP) enrollment increased 10.5%. Contributing factors include time to degree, financial burdens, and lack of integrated clinical-research training pathways.
Purpose
This initiative aimed to develop and evaluate a dual-degree DNP/PhD clinician-scientist program that accelerates degree completion, reduces educational debt, and prepares nurses with aligned clinical and research expertise.
Methods
A competency-based curriculum was developed by integrating the DNP and PhD programs at the Johns Hopkins University School of Nursing. Curriculum mapping, epistemological alignment, and faculty collaboration guided program design and implementation.
Discussion
From 2017 to 2024, 27 of 60 dual-degree applicants were admitted (5.3% acceptance rate of 514 total PhD applicants), with 10 graduates to date. Of these, 60% entered research or hybrid academically based post-doctoral roles, while 40% assumed clinical positions within academic medical centers.
Conclusions
The DNP/PhD nurse clinician-scientist program offers a scalable, innovative model to cultivate clinician-scientists and address the national shortage of PhD prepared nursing faculty.
{"title":"A DNP/PhD dual-degree program to develop nurse clinician-scientists: An evaluation of curricular design and implementation","authors":"Jason E. Farley PhD, MPH, ANP-BC , Kelly Lowensen MSN, RN, ACRN , Nezar Salim PhD(c), MSN, RN , Rita F. D’Aoust PhD, RN, ACNP-BC","doi":"10.1016/j.outlook.2025.102676","DOIUrl":"10.1016/j.outlook.2025.102676","url":null,"abstract":"<div><h3>Background</h3><div>Enrollment in nursing Doctor of Philosophy (PhD) programs in the United States declined by 4.1% between 2021 and 2022, with an 8.4% drop among private institutions, while Doctor of Nursing Practice (DNP) enrollment increased 10.5%. Contributing factors include time to degree, financial burdens, and lack of integrated clinical-research training pathways.</div></div><div><h3>Purpose</h3><div>This initiative aimed to develop and evaluate a dual-degree DNP/PhD clinician-scientist program that accelerates degree completion, reduces educational debt, and prepares nurses with aligned clinical and research expertise.</div></div><div><h3>Methods</h3><div>A competency-based curriculum was developed by integrating the DNP and PhD programs at the Johns Hopkins University School of Nursing. Curriculum mapping, epistemological alignment, and faculty collaboration guided program design and implementation.</div></div><div><h3>Discussion</h3><div>From 2017 to 2024, 27 of 60 dual-degree applicants were admitted (5.3% acceptance rate of 514 total PhD applicants), with 10 graduates to date. Of these, 60% entered research or hybrid academically based post-doctoral roles, while 40% assumed clinical positions within academic medical centers.</div></div><div><h3>Conclusions</h3><div>The DNP/PhD nurse clinician-scientist program offers a scalable, innovative model to cultivate clinician-scientists and address the national shortage of PhD prepared nursing faculty.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 2","pages":"Article 102676"},"PeriodicalIF":3.7,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145979672","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}
Pub Date : 2026-01-12DOI: 10.1016/j.outlook.2025.102675
Evans F. Kyei PhD, MSN, RN , Mercy N. Mumba PhD, RN, FAAN
Background
Homelessness affects over 650,000 Americans annually, with 25% to 30% experiencing co-occurring mental health and substance use disorders. Despite evidence supporting Housing First approaches, implementation remains inconsistent across states, leading to fragmented care delivery and persistent housing instability for vulnerable populations.
Purpose
To analyze Housing First implementation across four U.S. states and identify nursing practice and policy implications using the Minnesota Public Health Intervention Wheel framework.
Methods
Comparative case study analysis of Housing First policies across California, Utah, Oregon, and Minnesota (2014–2025) using integrated Multiple Streams Framework and Health Policy Triangle approaches. Analysis examined policy adoption dynamics, implementation structures, and nursing contributions through case management, outreach, consultation, and systems-level advocacy.
Results
Four generalizable implementation pathways emerged: High-Mandate/Variable Practice (California), Transitional/Evolving (Utah), Emergent-Practice/Collaborative (Oregon), and Mature/Sustainable (Minnesota). Governance capacity and cross-sector coordination proved more critical than legislative mandate strength. States with integrated Medicaid financing and stable interagency coordination demonstrated superior outcomes, with nursing coordination improving medication adherence (45%–50% to 70%–85%), reducing psychiatric readmissions (25%–40%), and decreasing emergency department utilization.
Conclusion
Nursing leadership significantly enhances Housing First implementation effectiveness. Medicaid-funded care coordination, operationalized through public health nursing interventions, demonstrates pathways toward comprehensive care improving housing stability and health outcomes for vulnerable populations.
{"title":"Nursing leadership in Housing First implementation: A comparative analysis of care coordination approaches across four U.S. states","authors":"Evans F. Kyei PhD, MSN, RN , Mercy N. Mumba PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102675","DOIUrl":"10.1016/j.outlook.2025.102675","url":null,"abstract":"<div><h3>Background</h3><div>Homelessness affects over 650,000 Americans annually, with 25% to 30% experiencing co-occurring mental health and substance use disorders. Despite evidence supporting Housing First approaches, implementation remains inconsistent across states, leading to fragmented care delivery and persistent housing instability for vulnerable populations.</div></div><div><h3>Purpose</h3><div>To analyze Housing First implementation across four U.S. states and identify nursing practice and policy implications using the Minnesota Public Health Intervention Wheel framework.</div></div><div><h3>Methods</h3><div>Comparative case study analysis of Housing First policies across California, Utah, Oregon, and Minnesota (2014–2025) using integrated Multiple Streams Framework and Health Policy Triangle approaches. Analysis examined policy adoption dynamics, implementation structures, and nursing contributions through case management, outreach, consultation, and systems-level advocacy.</div></div><div><h3>Results</h3><div>Four generalizable implementation pathways emerged: High-Mandate/Variable Practice (California), Transitional/Evolving (Utah), Emergent-Practice/Collaborative (Oregon), and Mature/Sustainable (Minnesota). Governance capacity and cross-sector coordination proved more critical than legislative mandate strength. States with integrated Medicaid financing and stable interagency coordination demonstrated superior outcomes, with nursing coordination improving medication adherence (45%–50% to 70%–85%), reducing psychiatric readmissions (25%–40%), and decreasing emergency department utilization.</div></div><div><h3>Conclusion</h3><div>Nursing leadership significantly enhances Housing First implementation effectiveness. Medicaid-funded care coordination, operationalized through public health nursing interventions, demonstrates pathways toward comprehensive care improving housing stability and health outcomes for vulnerable populations.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 2","pages":"Article 102675"},"PeriodicalIF":3.7,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967917","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}
The global need for public health advanced practice nurses (APNs) has motivated countries to devise appropriate APN models.
Purpose
To further the creation of the public health APN, this study elicits public health nurses’ (PHNs) perspectives on APN roles and models, comparing results by PHNs’ levels of motivation and job satisfaction.
Methods
Using a cross-sectional, mixed-methods design, an online announcement recruited PHNs (n = 142) across the nation. Cluster analysis, using levels of job satisfaction and motivation reported from questionnaires, enabled categorization of PHNs into three groups.
Discussion
Since public health differs from other types of nursing practice, obtaining PHNs’ insights, particularly those from job-satisfied and motivated PHNs, is instrumental for the creation of the country’s first public health APN. Conclusion: PHNs' input needs to inform public health APN models, since internationationally, most public health APN models assist with the physician shortage rather than target health promotion and disease prevention.
{"title":"Working public health nurses envision the country's first public health advanced practice nurse, a cross-sectional, mixed-methods study","authors":"Cheryl Zlotnick RN, MS (APN), DrPH , Raifa Jabareen RN, PhD , Batya Madjar RN, MPH , Ilana Gens RN, MPH , Sara Shachaf RN, PhD","doi":"10.1016/j.outlook.2025.102674","DOIUrl":"10.1016/j.outlook.2025.102674","url":null,"abstract":"<div><h3>Background</h3><div>The global need for public health advanced practice nurses (APNs) has motivated countries to devise appropriate APN models.</div></div><div><h3>Purpose</h3><div>To further the creation of the public health APN, this study elicits public health nurses’ (PHNs) perspectives on APN roles and models, comparing results by PHNs’ levels of motivation and job satisfaction.</div></div><div><h3>Methods</h3><div>Using a cross-sectional, mixed-methods design, an online announcement recruited PHNs (<em>n</em> = 142) across the nation. Cluster analysis, using levels of job satisfaction and motivation reported from questionnaires, enabled categorization of PHNs into three groups.</div></div><div><h3>Discussion</h3><div>Since public health differs from other types of nursing practice, obtaining PHNs’ insights, particularly those from job-satisfied and motivated PHNs, is instrumental for the creation of the country’s first public health APN. Conclusion: PHNs' input needs to inform public health APN models, since internationationally, most public health APN models assist with the physician shortage rather than target health promotion and disease prevention.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 2","pages":"Article 102674"},"PeriodicalIF":3.7,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953538","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}
Doctor of Nursing Practice (DNP) enrollment has grown substantially over the past decade. However, there is limited evidence on whether DNP preparation for nurse practitioners (NPs), compared to Master of Science in Nursing (MSN) preparation, leads to improved patient outcomes.
Purpose
To examine differences in emergency department (ED) use and hospitalization among persons living with dementia receiving care from DNP- and MSN-prepared NPs in primary care practices.
Methods
The sample included 603 NPs (509 MSN-prepared, 94 DNP-prepared) and 17,229 patients. Multilevel generalized linear regressions assessed associations between NP educational preparation and odds of ED use and hospitalization.
Findings
Patients receiving care directly from DNP-prepared vs. MSN-prepared NPs did not have lower odds of ED use and hospitalization, but patients receiving care at practices employing DNP-prepared NPs had lower odds of ED use.
Discussion
DNP-prepared NPs in primary care may reduce ED use at the practice level. Further research among other populations is needed.
Conclusion
The DNP may have a positive impact on primary care practices through an educational emphasis on skills such as leadership and quality improvement.
{"title":"Educational preparation of primary care nurse practitioners and outcomes for patients with dementia","authors":"Joshua Porat-Dahlerbruch PhD, RN , Madison Horton PhD, RN , Kyle Featherston PhD , Kathleen Flandrick DrPH , Jocelyn Boyd , Lusine Poghosyan PhD, RN, FAAN , Grant Martsolf PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102673","DOIUrl":"10.1016/j.outlook.2025.102673","url":null,"abstract":"<div><h3>Background</h3><div>Doctor of Nursing Practice (DNP) enrollment has grown substantially over the past decade. However, there is limited evidence on whether DNP preparation for nurse practitioners (NPs), compared to Master of Science in Nursing (MSN) preparation, leads to improved patient outcomes.</div></div><div><h3>Purpose</h3><div>To examine differences in emergency department (ED) use and hospitalization among persons living with dementia receiving care from DNP- and MSN-prepared NPs in primary care practices.</div></div><div><h3>Methods</h3><div>The sample included 603 NPs (509 MSN-prepared, 94 DNP-prepared) and 17,229 patients. Multilevel generalized linear regressions assessed associations between NP educational preparation and odds of ED use and hospitalization.</div></div><div><h3>Findings</h3><div>Patients receiving care directly from DNP-prepared vs. MSN-prepared NPs did not have lower odds of ED use and hospitalization, but patients receiving care at practices employing DNP-prepared NPs had lower odds of ED use.</div></div><div><h3>Discussion</h3><div>DNP-prepared NPs in primary care may reduce ED use at the practice level. Further research among other populations is needed.</div></div><div><h3>Conclusion</h3><div>The DNP may have a positive impact on primary care practices through an educational emphasis on skills such as leadership and quality improvement.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 2","pages":"Article 102673"},"PeriodicalIF":3.7,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145891214","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}
Pub Date : 2026-01-03DOI: 10.1016/j.outlook.2025.102661
Elizabeth (Betsy) S. Hopkins MLS , Brandon Patterson MSI, MA , Anne R. Diekema MLS, PhD , Nena Schvaneveldt MSLIS
Background
Evaluation of information is central to successful evidence-based practice, especially today when nurses are exposed to many information sources.
Purpose
Here, we report on the processes and dispositions nurses display when evaluating information, along with additional observations relevant to evidence-based practice.
Methods
Our data comes from the qualitative portion of a mixed-methods study. We conducted 18 semi-structured interviews with nurses from a variety of specialties.
Discussion
The processes nurses used included fact-checking, examining criteria, looking for cited references, and group decision-making. Nurses demonstrated dispositions of trusting or distrusting source provenance, organizations, and credentials or role.
Conclusion
While nurses are showing some positive evaluation behaviors, other findings are quite concerning. In particular, blindly trusting or mistrusting sources and relying only on existing knowledge to assess the information could lead nurses to incorrect evaluation judgments and prevent new research findings from being integrated into practice.
{"title":"“Let’s see if that’s true”: Nurses’ processes and dispositions in evaluating evidence for practice","authors":"Elizabeth (Betsy) S. Hopkins MLS , Brandon Patterson MSI, MA , Anne R. Diekema MLS, PhD , Nena Schvaneveldt MSLIS","doi":"10.1016/j.outlook.2025.102661","DOIUrl":"10.1016/j.outlook.2025.102661","url":null,"abstract":"<div><h3>Background</h3><div>Evaluation of information is central to successful evidence-based practice, especially today when nurses are exposed to many information sources.</div></div><div><h3>Purpose</h3><div>Here, we report on the processes and dispositions nurses display when evaluating information, along with additional observations relevant to evidence-based practice.</div></div><div><h3>Methods</h3><div>Our data comes from the qualitative portion of a mixed-methods study. We conducted 18 semi-structured interviews with nurses from a variety of specialties.</div></div><div><h3>Discussion</h3><div>The processes nurses used included fact-checking, examining criteria, looking for cited references, and group decision-making. Nurses demonstrated dispositions of trusting or distrusting source provenance, organizations, and credentials or role.</div></div><div><h3>Conclusion</h3><div>While nurses are showing some positive evaluation behaviors, other findings are quite concerning. In particular, blindly trusting or mistrusting sources and relying only on existing knowledge to assess the information could lead nurses to incorrect evaluation judgments and prevent new research findings from being integrated into practice.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 2","pages":"Article 102661"},"PeriodicalIF":3.7,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145891213","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}
3D printing in healthcare offers new possibilities for advancing clinical practice, education, and patient-centered care. In nursing, its adoption is increasing, with notable implications for training and service delivery.
Purpose
This study aimed to examine publication trends, research characteristics, and thematic patterns related to 3D printing technologies in nursing.
Methods
A bibliometric and qualitative content analysis was conducted on 21 publications indexed in the Web of Science database. Biblioshiny and VOSviewer were used to analyze publication trends, countries, keywords, and collaboration patterns, while thematic coding was applied to identify core themes and subthemes.
Discussion
The findings demonstrate that 3D printing contributes to nursing by enhancing learning efficiency, supporting skill development, improving workflow organization, strengthening communication, and promoting care quality and patient comfort in both educational and clinical contexts.
Conclusion
This review highlights the growing and multifaceted role of 3D printing in nursing and offers evidence-based insights to inform future research, education, and clinical practice.
医疗保健领域的3d打印为推进临床实践、教育和以患者为中心的护理提供了新的可能性。在护理方面，它的采用正在增加，对培训和服务提供具有显著影响。目的本研究旨在探讨3D打印技术在护理中的相关出版趋势、研究特点和专题模式。方法对Web of Science数据库收录的21篇文献进行文献计量学和定性内容分析。使用Biblioshiny和VOSviewer分析出版趋势、国家、关键词和合作模式，使用主题编码识别核心主题和副主题。研究结果表明，在教育和临床环境中，3D打印通过提高学习效率、支持技能发展、改善工作流程组织、加强沟通、提高护理质量和患者舒适度，对护理做出了贡献。本综述强调了3D打印在护理中日益增长的多方面作用，并为未来的研究、教育和临床实践提供了基于证据的见解。
{"title":"3D printing technologies in nursing research: A bibliometric and content analysis","authors":"Merve Gozde Sezgin RN, PhD , Hicran Bektas RN, PhD","doi":"10.1016/j.outlook.2025.102670","DOIUrl":"10.1016/j.outlook.2025.102670","url":null,"abstract":"<div><h3>Background</h3><div>3D printing in healthcare offers new possibilities for advancing clinical practice, education, and patient-centered care. In nursing, its adoption is increasing, with notable implications for training and service delivery.</div></div><div><h3>Purpose</h3><div>This study aimed to examine publication trends, research characteristics, and thematic patterns related to 3D printing technologies in nursing.</div></div><div><h3>Methods</h3><div>A bibliometric and qualitative content analysis was conducted on 21 publications indexed in the Web of Science database. Biblioshiny and VOSviewer were used to analyze publication trends, countries, keywords, and collaboration patterns, while thematic coding was applied to identify core themes and subthemes.</div></div><div><h3>Discussion</h3><div>The findings demonstrate that 3D printing contributes to nursing by enhancing learning efficiency, supporting skill development, improving workflow organization, strengthening communication, and promoting care quality and patient comfort in both educational and clinical contexts.</div></div><div><h3>Conclusion</h3><div>This review highlights the growing and multifaceted role of 3D printing in nursing and offers evidence-based insights to inform future research, education, and clinical practice.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 1","pages":"Article 102670"},"PeriodicalIF":3.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145883413","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}
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