Pub Date : 2026-01-01DOI: 10.1016/j.outlook.2025.102658
Amy Barton , Janet R. Katz , Carolina Huerta , Cathy D. Meade , Karen Moore , Connie Nguyen-Truong , Mary Nies , Diane Lauver
Immigrant women (IW) are faced with health literacy (HL) demands, including locating and understanding suitable health information and navigating health care systems. Both personal and organizational HL are crucial to facilitate IW’s health care access, quality of care received, and health outcomes. Key factors influencing IW’s HL include socio-environmental resources and the customization of health information by health care organizations. We identify selected health issues of IW, share definitions and dimensions of HL, present a useful model for understanding drivers and consequences of HL, and offer evidence-based nursing approaches to promote HL. Implementing these approaches will align nurses’ practice with the American Academy of Nursing policy priorities for 2025 to 2026, specifically to increase accessibility to all forms of health care and improve the health and well-being of communities.
{"title":"Enhancing health literacy among immigrant women","authors":"Amy Barton , Janet R. Katz , Carolina Huerta , Cathy D. Meade , Karen Moore , Connie Nguyen-Truong , Mary Nies , Diane Lauver","doi":"10.1016/j.outlook.2025.102658","DOIUrl":"10.1016/j.outlook.2025.102658","url":null,"abstract":"<div><div>Immigrant women (IW) are faced with health literacy (HL) demands, including locating and understanding suitable health information and navigating health care systems. Both personal and organizational HL are crucial to facilitate IW’s health care access, quality of care received, and health outcomes. Key factors influencing IW’s HL include socio-environmental resources and the customization of health information by health care organizations. We identify selected health issues of IW, share definitions and dimensions of HL, present a useful model for understanding drivers and consequences of HL, and offer evidence-based nursing approaches to promote HL. Implementing these approaches will align nurses’ practice with the American Academy of Nursing policy priorities for 2025 to 2026, specifically to increase accessibility to all forms of health care and improve the health and well-being of communities.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 1","pages":"Article 102658"},"PeriodicalIF":3.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866639","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 : 2026-01-01DOI: 10.1016/j.outlook.2025.102628
Susan M-I. Maloney MPhil, BSN, RN , Tyler Gaedecke PhD, RN , Celine R. Esguerra BA , Jean-Marie Bruzzese PhD , Kasey B. Jackman PhD, RN, PMHNP-BC
Compared to cisgender adolescents, transgender and gender-diverse (TGD) adolescents experience significant health disparities, including higher levels of suicidality, depression, and substance use. In this scoping review, we aim to synthesize the evidence and identify gaps in the literature regarding associations between policies and TGD adolescents’ health outcomes in the United States. Following Joanna Briggs Institute guidelines, we searched six databases (APA PsycINFO, CINAHL, Education Research Complete, ERIC, PubMed, and Web of Science) with no date restrictions. Eight studies met inclusion criteria. Our reporting adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. All included studies examined state-level policies. Associations were found between state-level policies and depression and suicidality among TGD youth. Overall, more inclusive state-level policies toward TGD youth were associated with better health outcomes among TGD youth. Other policy levels remain largely unexplored in relation to TGD adolescent health outcomes.
与顺性青少年相比，跨性别和性别多样化（TGD）青少年经历着显著的健康差异，包括更高水平的自杀、抑郁和药物使用。在这篇范围综述中，我们的目标是综合证据，并找出文献中关于政策与美国TGD青少年健康结果之间关系的空白。按照乔安娜布里格斯研究所的指导方针，我们搜索了六个数据库（APA PsycINFO， CINAHL, Education Research Complete， ERIC， PubMed和Web of Science），没有日期限制。8项研究符合纳入标准。我们的报告遵循系统评价的首选报告项目和范围评价的元分析扩展。所有纳入的研究都考察了州一级的政策。国家层面的政策与TGD青少年的抑郁和自杀行为之间存在关联。总体而言，对TGD青年更具包容性的州级政策与TGD青年更好的健康结果相关。与TGD青少年健康结果有关的其他政策水平在很大程度上仍未得到探索。
{"title":"A scoping review of policy and health outcomes for transgender and gender-diverse adolescents in the United States","authors":"Susan M-I. Maloney MPhil, BSN, RN , Tyler Gaedecke PhD, RN , Celine R. Esguerra BA , Jean-Marie Bruzzese PhD , Kasey B. Jackman PhD, RN, PMHNP-BC","doi":"10.1016/j.outlook.2025.102628","DOIUrl":"10.1016/j.outlook.2025.102628","url":null,"abstract":"<div><div>Compared to cisgender adolescents, transgender and gender-diverse (TGD) adolescents experience significant health disparities, including higher levels of suicidality, depression, and substance use. In this scoping review, we aim to synthesize the evidence and identify gaps in the literature regarding associations between policies and TGD adolescents’ health outcomes in the United States. Following Joanna Briggs Institute guidelines, we searched six databases (APA PsycINFO, CINAHL, Education Research Complete, ERIC, PubMed, and Web of Science) with no date restrictions. Eight studies met inclusion criteria. Our reporting adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. All included studies examined state-level policies. Associations were found between state-level policies and depression and suicidality among TGD youth. Overall, more inclusive state-level policies toward TGD youth were associated with better health outcomes among TGD youth. Other policy levels remain largely unexplored in relation to TGD adolescent health outcomes.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 1","pages":"Article 102628"},"PeriodicalIF":3.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145879503","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 : 2026-01-01DOI: 10.1016/j.outlook.2025.102668
Richard Ricciardi PhD, FAAN, FAANP, FRCSI
{"title":"The essential role of nurse clinician-scientists in an artificial intelligence-driven era of healthcare delivery","authors":"Richard Ricciardi PhD, FAAN, FAANP, FRCSI","doi":"10.1016/j.outlook.2025.102668","DOIUrl":"10.1016/j.outlook.2025.102668","url":null,"abstract":"","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 1","pages":"Article 102668"},"PeriodicalIF":3.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145880557","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 : 2026-01-01DOI: 10.1016/j.outlook.2025.102669
Justin L. Miller PhD, DNP, AGCNS-BC , Gordon F. West PhD , Judy A. Orina MBA, CCRP , Jennifer H. Miley BS , Megan Lucciola DNP, ARNP, AGCNS-BC , Pauline A. Swiger PhD, RN , Peng Li PhD , Patricia A. Patrician PhD, RN, FAAN
Background
The Military Health System’s (MHS) electronic health record (EHR) and a national nursing database (NND) have the potential to drive quality at the unit and hospital levels.
Purpose
To assess the feasibility of using the MHS EHR to collect and submit nursing sensitive indicator (NSI) data to an NND.
Methods
This descriptive study was conducted at two military hospitals over 12 months. Twenty-eight NSIs were collected and submitted to an NND. Logged hours represented total time investment of participation.
Discussion
Seven data collection methods were identified. Automated data extraction of NSIs was most expedient but limited due to EHR documentation variability. Manual data extraction was most time-consuming, but most prevalent at both unit and hospital levels.
Conclusion
Standardizing documentation workflows in the EHR could improve interoperability and foster efficient data extraction. Participation in an NND promotes standardization of metrics, allowing facilities to benchmark data and drive nursing quality improvement.
{"title":"The feasibility of collecting nursing data from the electronic health record for a national nursing database: A pilot study","authors":"Justin L. Miller PhD, DNP, AGCNS-BC , Gordon F. West PhD , Judy A. Orina MBA, CCRP , Jennifer H. Miley BS , Megan Lucciola DNP, ARNP, AGCNS-BC , Pauline A. Swiger PhD, RN , Peng Li PhD , Patricia A. Patrician PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102669","DOIUrl":"10.1016/j.outlook.2025.102669","url":null,"abstract":"<div><h3>Background</h3><div>The Military Health System’s (MHS) electronic health record (EHR) and a national nursing database (NND) have the potential to drive quality at the unit and hospital levels.</div></div><div><h3>Purpose</h3><div>To assess the feasibility of using the MHS EHR to collect and submit nursing sensitive indicator (NSI) data to an NND.</div></div><div><h3>Methods</h3><div>This descriptive study was conducted at two military hospitals over 12 months. Twenty-eight NSIs were collected and submitted to an NND. Logged hours represented total time investment of participation.</div></div><div><h3>Discussion</h3><div>Seven data collection methods were identified. Automated data extraction of NSIs was most expedient but limited due to EHR documentation variability. Manual data extraction was most time-consuming, but most prevalent at both unit and hospital levels.</div></div><div><h3>Conclusion</h3><div>Standardizing documentation workflows in the EHR could improve interoperability and foster efficient data extraction. Participation in an NND promotes standardization of metrics, allowing facilities to benchmark data and drive nursing quality improvement.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 1","pages":"Article 102669"},"PeriodicalIF":3.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145879610","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 : 2026-01-01DOI: 10.1016/j.outlook.2025.102671
Merav Ben Natan RN, PhD, MBA , Yelena Hazanov RN, MA
Background
Sexual harassment is a pervasive occupational hazard in healthcare, yet the experiences of male nurses remain insufficiently examined.
Purpose
To systematically review and meta-analyze the prevalence, forms, perpetrators, consequences, and reporting behaviors of sexual harassment towards male nurses.
Methods
A systematic review and meta-analysis were conducted following PRISMA 2020. Five databases were searched for studies published between 2015 and 2025. Ten studies met inclusion criteria.
Discussion
The pooled prevalence of sexual harassment was 30.7%. Verbal harassment was most common and was primarily perpetrated by patients and their relatives. Reported consequences included anxiety, depression, loss of confidence, and disengagement from work. Reporting remained low (14.9%), with stigma, perceived futility, and gendered disbelief identified as major barriers.
Conclusion
These findings highlight the need for gender-sensitive workplace policies, confidential and accessible reporting systems, and staff training that addresses subtle and normalized behaviors.
{"title":"Sexual harassment against male nurses: A systematic review and meta-analysis of prevalence, perpetrators, consequences, and reporting behaviors","authors":"Merav Ben Natan RN, PhD, MBA , Yelena Hazanov RN, MA","doi":"10.1016/j.outlook.2025.102671","DOIUrl":"10.1016/j.outlook.2025.102671","url":null,"abstract":"<div><h3>Background</h3><div>Sexual harassment is a pervasive occupational hazard in healthcare, yet the experiences of male nurses remain insufficiently examined.</div></div><div><h3>Purpose</h3><div>To systematically review and meta-analyze the prevalence, forms, perpetrators, consequences, and reporting behaviors of sexual harassment towards male nurses.</div></div><div><h3>Methods</h3><div>A systematic review and meta-analysis were conducted following PRISMA 2020. Five databases were searched for studies published between 2015 and 2025. Ten studies met inclusion criteria.</div></div><div><h3>Discussion</h3><div>The pooled prevalence of sexual harassment was 30.7%. Verbal harassment was most common and was primarily perpetrated by patients and their relatives. Reported consequences included anxiety, depression, loss of confidence, and disengagement from work. Reporting remained low (14.9%), with stigma, perceived futility, and gendered disbelief identified as major barriers.</div></div><div><h3>Conclusion</h3><div>These findings highlight the need for gender-sensitive workplace policies, confidential and accessible reporting systems, and staff training that addresses subtle and normalized behaviors.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 1","pages":"Article 102671"},"PeriodicalIF":3.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145883307","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 : 2026-01-01DOI: 10.1016/j.outlook.2025.102667
Matthew S. Farmer PhD, RN , Drew Herbert MSN, MA, NP, RN , Christa Torrisi PhD, RN, NP-C , Arthur Zacharjasz MSN, RN, FNP-BC , Gerard Castaneda MSN, RN , Takara Schomberg MSN, RN, CNE, CHSE , Michelle Dardis MSN, MBA, RN , Nicole Montgomery MISLT, AHIP , Mary E. Melvin MISLT, AHIP
Background
Shifting external factors, including public health emergencies and changes in funding, can prompt nurse scientists to modify study protocols, adopting internet-required methods for recruitment or data collection. Reliance on these methods could exclude populations, with significant implications for nursing, its science, practice, and policy. The onset of the COVID-19 pandemic provides a temporal dividing point to assess the impact on these methodological decisions.
Purpose
This methodological review aimed to (a) quantify the prevalence of internet-required methods in nursing research before and after March 2020, and (b) evaluate their impact on participant inclusivity among digitally disconnected populations.
Methods
We analyzed the participant recruitment and data collection methods of a random sample of 232 peer-reviewed nursing studies published in 2021. We assessed whether the methods required internet access or not, then calculated the proportional difference between studies before and after March 2020.
Discussion
Studies requiring internet access increased from 18.0% pre pandemic to 52.5% post pandemic onset. Internet-required methods also increased for nurses (54.4%), the general population (18.9%), and students (36.3%).
Conclusion
The percentage of internet-required studies in nursing research increased significantly after March 2020. In a shifting research environment, nurse scientists and leaders must proactively address the impact of methodological changes on participant inclusion, ensuring that bridging the digital divide remains a focus of policy and practice.
{"title":"Digital equity in nursing research: A methodological review of nursing studies requiring internet connection","authors":"Matthew S. Farmer PhD, RN , Drew Herbert MSN, MA, NP, RN , Christa Torrisi PhD, RN, NP-C , Arthur Zacharjasz MSN, RN, FNP-BC , Gerard Castaneda MSN, RN , Takara Schomberg MSN, RN, CNE, CHSE , Michelle Dardis MSN, MBA, RN , Nicole Montgomery MISLT, AHIP , Mary E. Melvin MISLT, AHIP","doi":"10.1016/j.outlook.2025.102667","DOIUrl":"10.1016/j.outlook.2025.102667","url":null,"abstract":"<div><h3>Background</h3><div>Shifting external factors, including public health emergencies and changes in funding, can prompt nurse scientists to modify study protocols, adopting internet-required methods for recruitment or data collection. Reliance on these methods could exclude populations, with significant implications for nursing, its science, practice, and policy. The onset of the COVID-19 pandemic provides a temporal dividing point to assess the impact on these methodological decisions.</div></div><div><h3>Purpose</h3><div>This methodological review aimed to (a) quantify the prevalence of internet-required methods in nursing research before and after March 2020, and (b) evaluate their impact on participant inclusivity among digitally disconnected populations.</div></div><div><h3>Methods</h3><div>We analyzed the participant recruitment and data collection methods of a random sample of 232 peer-reviewed nursing studies published in 2021. We assessed whether the methods required internet access or not, then calculated the proportional difference between studies before and after March 2020.</div></div><div><h3>Discussion</h3><div>Studies requiring internet access increased from 18.0% pre pandemic to 52.5% post pandemic onset. Internet-required methods also increased for nurses (54.4%), the general population (18.9%), and students (36.3%).</div></div><div><h3>Conclusion</h3><div>The percentage of internet-required studies in nursing research increased significantly after March 2020. In a shifting research environment, nurse scientists and leaders must proactively address the impact of methodological changes on participant inclusion, ensuring that bridging the digital divide remains a focus of policy and practice.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 1","pages":"Article 102667"},"PeriodicalIF":3.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145883412","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 : 2025-12-27DOI: 10.1016/j.outlook.2025.102626
Mamie Williams PhD, MPH, APRN, FADLN , Mavis N. Schorn PhD, CNM, FAAN
Background
Healthcare leaders must remain committed to advancing workforce representation, equitable care delivery, and inclusive institutional practices despite political challenges. Nurses play a vital role in ensuring fair and responsive care, which is central to health equity efforts. This paper examines the historical context of inclusive healthcare initiatives, the impact of executive orders restricting equity-related policies, and the importance of sustaining programs that promote fairness and representation.
Purpose
Restrictions on equity-related terminology risk perpetuating health disparities and undermining inclusive care. Healthcare institutions must uphold their ethical and professional responsibilities to both their workforce and the communities they serve by continuing to measure progress in workforce diversity, equitable access, and culturally responsive care.
Methods
This paper uses a narrative policy analysis approach to examine the evolution of equity-related initiatives in healthcare and the implications of recent policy restrictions.
Discussion
Institutions should establish clear metrics for representation, fairness, and inclusion, and advocate for evidence-informed practices. Persistent disparities among racial and ethnic minority groups underscore the urgency of targeted interventions. Recommended strategies include legal and policy adaptations, as well as recruitment, training, and education initiatives that strengthen a representative nursing workforce.
Conclusion
This paper offers evidence-based guidance to help healthcare leaders foster a just, equitable, and welcoming environment for all.
{"title":"Nurse workforce strategies to advance equitable healthcare during evolving federal mandates","authors":"Mamie Williams PhD, MPH, APRN, FADLN , Mavis N. Schorn PhD, CNM, FAAN","doi":"10.1016/j.outlook.2025.102626","DOIUrl":"10.1016/j.outlook.2025.102626","url":null,"abstract":"<div><h3>Background</h3><div>Healthcare leaders must remain committed to advancing workforce representation, equitable care delivery, and inclusive institutional practices despite political challenges. Nurses play a vital role in ensuring fair and responsive care, which is central to health equity efforts. This paper examines the historical context of inclusive healthcare initiatives, the impact of executive orders restricting equity-related policies, and the importance of sustaining programs that promote fairness and representation.</div></div><div><h3>Purpose</h3><div>Restrictions on equity-related terminology risk perpetuating health disparities and undermining inclusive care. Healthcare institutions must uphold their ethical and professional responsibilities to both their workforce and the communities they serve by continuing to measure progress in workforce diversity, equitable access, and culturally responsive care.</div></div><div><h3>Methods</h3><div>This paper uses a narrative policy analysis approach to examine the evolution of equity-related initiatives in healthcare and the implications of recent policy restrictions.</div></div><div><h3>Discussion</h3><div>Institutions should establish clear metrics for representation, fairness, and inclusion, and advocate for evidence-informed practices. Persistent disparities among racial and ethnic minority groups underscore the urgency of targeted interventions. Recommended strategies include legal and policy adaptations, as well as recruitment, training, and education initiatives that strengthen a representative nursing workforce.</div></div><div><h3>Conclusion</h3><div>This paper offers evidence-based guidance to help healthcare leaders foster a just, equitable, and welcoming environment for all.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 1","pages":"Article 102626"},"PeriodicalIF":3.7,"publicationDate":"2025-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145839584","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 : 2025-12-25DOI: 10.1016/j.outlook.2025.102624
Julia A. Snethen PhD, RN, FAAN , Cindy Smith Greenberg DNSc, RN, PNP-PC, FAAN , Karen J. Foli PhD, RN, ANEF, FAAN , Erin Greenberg MSN, MA, RN, TNCC , Pamela J. Burke PhD, RN, FNP, PNP, FSAHM, FAAN , Brigit VanGraafeiland DNP, CPNP-PC, CNE, FAAN, FAANP
Background
Transgender, Nonbinary, and Gender-Expansive (TNGE) youth report experiencing greater violence, unstable housing, and mental health issues, including suicidality, depression, and anxiety compared with cisgender youth. The American Nurses Association (ANA) is not alone in its long-time advocacy for the elimination of health disparities among marginalized populations. Nurses play an important role in providing respectful, person-centered care that honors a youth’s individuality and unique needs.
Purpose
The purpose of this paper is a call to action for nurses to provide nonjudgmental and compassionate care and respect the decisions of TNGE youth, consistent with professional mandates.
Methods
This paper provides an evidence-based overview of the current health care needs and social–emotional vulnerabilities that many TNGE youth and their families have been experiencing. This paper includes recommendations for nursing interventions and highlights implications for education, research, and advocacy for health policy.
Discussion
Healthcare organizations, including the ANA, American Academy of Nurses, American Association of Pediatrics, International Council of Nurses, and many other groups, have long been advocating for the elimination of health disparities among marginalized populations. Nurses need to be aware of the diverse perspectives and misinformation surrounding gender identity that may generate stigma, create barriers to compassionate and unbiased health care.
Conclusion
To promote optimal health for TNGE youth, nurses should provide a safe, gender-affirming environment that respects the rights of TNGE youth and supports open discussions around the youth’s gender identity and associated stress.
{"title":"Caring for youth who are transgender, nonbinary, and gender expansive: Why nursing care and support matters","authors":"Julia A. Snethen PhD, RN, FAAN , Cindy Smith Greenberg DNSc, RN, PNP-PC, FAAN , Karen J. Foli PhD, RN, ANEF, FAAN , Erin Greenberg MSN, MA, RN, TNCC , Pamela J. Burke PhD, RN, FNP, PNP, FSAHM, FAAN , Brigit VanGraafeiland DNP, CPNP-PC, CNE, FAAN, FAANP","doi":"10.1016/j.outlook.2025.102624","DOIUrl":"10.1016/j.outlook.2025.102624","url":null,"abstract":"<div><h3>Background</h3><div>Transgender, Nonbinary, and Gender-Expansive (TNGE) youth report experiencing greater violence, unstable housing, and mental health issues, including suicidality, depression, and anxiety compared with cisgender youth. The American Nurses Association (ANA) is not alone in its long-time advocacy for the elimination of health disparities among marginalized populations. Nurses play an important role in providing respectful, person-centered care that honors a youth’s individuality and unique needs.</div></div><div><h3>Purpose</h3><div>The purpose of this paper is a call to action for nurses to provide nonjudgmental and compassionate care and respect the decisions of TNGE youth, consistent with professional mandates.</div></div><div><h3>Methods</h3><div>This paper provides an evidence-based overview of the current health care needs and social–emotional vulnerabilities that many TNGE youth and their families have been experiencing. This paper includes recommendations for nursing interventions and highlights implications for education, research, and advocacy for health policy.</div></div><div><h3>Discussion</h3><div>Healthcare organizations, including the ANA, American Academy of Nurses, American Association of Pediatrics, International Council of Nurses, and many other groups, have long been advocating for the elimination of health disparities among marginalized populations. Nurses need to be aware of the diverse perspectives and misinformation surrounding gender identity that may generate stigma, create barriers to compassionate and unbiased health care.</div></div><div><h3>Conclusion</h3><div>To promote optimal health for TNGE youth, nurses should provide a safe, gender-affirming environment that respects the rights of TNGE youth and supports open discussions around the youth’s gender identity and associated stress.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 1","pages":"Article 102624"},"PeriodicalIF":3.7,"publicationDate":"2025-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145839641","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 relationship between breastfeeding extent and duration with short- and long-term women’s health is a national concern.
Purpose
Our team of women’s health and breastfeeding experts provides recommendations and reviews the relationship between breastfeeding extent and duration with short- and long-term health in women.
Methods
We provide policy-based recommendations at multiple level focused on promoting breastfeeding in all postpartum women to ultimately achieve better women’s health.
Discussion
The short-term relationships of lactation to women’s health are generally well known. The long-term relationships, while somewhat controversial, may be an important influence in several health conditions, including cancers, heart disease, metabolic disease and hypertension.
Conclusion
The significance of effects or lactational history on women’s health deserves attention and actions to promote breastfeeding. While the infant benefits are undisputed, both short- and long-term effects of not breastfeeding on women’s health could be a cause for high morbidity and mortality and health care costs.
{"title":"Breastfeeding history is associated with women’s health: Evidence and implications for practice and policy","authors":"Elizabeth Reifsnider PhD, WHNP-BC, FAAN , Becky Spencer PhD, APRN, FAAN , Rebecca R. Hill PhD, DNP, FAAN , Laurie M. Connors PhD, DNP, FAAN , Diane Spatz PhD, RN-BC, FAAN , Adeola Louis-Jacques MD , Maureen Groer RN, PhD, FAAN","doi":"10.1016/j.outlook.2025.102656","DOIUrl":"10.1016/j.outlook.2025.102656","url":null,"abstract":"<div><h3>Background</h3><div>The relationship between breastfeeding extent and duration with short- and long-term women’s health is a national concern.</div></div><div><h3>Purpose</h3><div>Our team of women’s health and breastfeeding experts provides recommendations and reviews the relationship between breastfeeding extent and duration with short- and long-term health in women.</div></div><div><h3>Methods</h3><div>We provide policy-based recommendations at multiple level focused on promoting breastfeeding in all postpartum women to ultimately achieve better women’s health.</div></div><div><h3>Discussion</h3><div>The short-term relationships of lactation to women’s health are generally well known. The long-term relationships, while somewhat controversial, may be an important influence in several health conditions, including cancers, heart disease, metabolic disease and hypertension.</div></div><div><h3>Conclusion</h3><div>The significance of effects or lactational history on women’s health deserves attention and actions to promote breastfeeding. While the infant benefits are undisputed, both short- and long-term effects of not breastfeeding on women’s health could be a cause for high morbidity and mortality and health care costs.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 1","pages":"Article 102656"},"PeriodicalIF":3.7,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821720","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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