Pub Date : 2025-01-25DOI: 10.1016/j.outlook.2025.102356
Yin Li PhD , Linda H. Aiken PhD, FAAN, FRCN , Edmund R. Becker PhD , Omid Razmpour BSN, RN , Patti Landerfelt DNP, MS, APRN , Yu Jin Kang BSN, MPH, PhD , Jeannie P. Cimiotti PhD, RN, FAAN
Background
Sepsis is a common cause of hospitalization among Medicare beneficiaries, often leading to prolonged hospital stays and high costs.
Purpose
To estimate the impact of registered nurse (RN) staffing and skill mix on hospital lengths of stay and associated costs for Medicare beneficiaries with sepsis.
Methods
A retrospective, cross-sectional analysis was conducted using 2018 data from 2,107 acute care hospitals, including 653,496 patients with sepsis.
Findings
A one-unit increase in RN hours per patient day and a 1% increase in RN skill mix reduced hospital stays by 2% and 1%, respectively. Enhancing staffing to nine RN hours per patient day and an 80% RN skill mix could save 63,580 inpatient days annually, reducing costs by $152.9 million. Further increases to 11 RN hours and an 85% skill mix could save $331.9 million.
Discussion
Better RN staffing and skill mix can improve patient outcomes and yield significant cost savings.
{"title":"The effect of registered nurse staffing and skill mix on length of stay and hospital costs","authors":"Yin Li PhD , Linda H. Aiken PhD, FAAN, FRCN , Edmund R. Becker PhD , Omid Razmpour BSN, RN , Patti Landerfelt DNP, MS, APRN , Yu Jin Kang BSN, MPH, PhD , Jeannie P. Cimiotti PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102356","DOIUrl":"10.1016/j.outlook.2025.102356","url":null,"abstract":"<div><h3>Background</h3><div>Sepsis is a common cause of hospitalization among Medicare beneficiaries, often leading to prolonged hospital stays and high costs.</div></div><div><h3>Purpose</h3><div>To estimate the impact of registered nurse (RN) staffing and skill mix on hospital lengths of stay and associated costs for Medicare beneficiaries with sepsis.</div></div><div><h3>Methods</h3><div>A retrospective, cross-sectional analysis was conducted using 2018 data from 2,107 acute care hospitals, including 653,496 patients with sepsis.</div></div><div><h3>Findings</h3><div>A one-unit increase in RN hours per patient day and a 1% increase in RN skill mix reduced hospital stays by 2% and 1%, respectively. Enhancing staffing to nine RN hours per patient day and an 80% RN skill mix could save 63,580 inpatient days annually, reducing costs by $152.9 million. Further increases to 11 RN hours and an 85% skill mix could save $331.9 million.</div></div><div><h3>Discussion</h3><div>Better RN staffing and skill mix can improve patient outcomes and yield significant cost savings.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 2","pages":"Article 102356"},"PeriodicalIF":4.1,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043390","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}
Racism in nursing is a significant issue affecting patient safety, nurse well-being, and job performance.
Purpose
Explore racial microaggression experiences of registered nurses working in a children’s hospital.
Methods
An exploratory, qualitative research design with in-depth interviews was used to collect data.
Discussion
Three categories containing 12 themes resulted. Nurses experienced (1) Biased first impressions, (2) “Firing” the nurse, (3) Questioning experience or credentials, (4) Where do I belong? and (5) All jokes have a grain of truth. Nurses responded through (6) Not being silent, (7) Intentional nonconfrontation, and (8) Showing or seeking support. Nurses used strategies of (9) Empowering, (10) Bracketing, (11) Communicating thoughtfully to build trust, and (12) Doing more to be perceived the same.
Conclusion
Most nurses in the study experienced and committed racial microaggressions; therefore, must be equipped with tools to recognize and respond to them. Moreover, microaggressions negatively impact building a diverse nursing workforce.
{"title":"Racial microaggressions in nursing: “We have a long way to go”","authors":"Heather Walsh PhD, RN, PCNS-BC, CHSE-A , Laurie A. Theeke PhD, FNP-BC, GCNS-BC, FAAN, FNAP , Richard Ricciardi PhD, CRNP, FAANP, FAAN , Kupiri Ackerman-Barger PhD, RN, CNE, ANEF, FAAN , Adriane J. Inouye MSN, RN, CPN , Catherine Wilson Cox PhD, RN, CEN, CNE, FAAN, ANEF , Angela M. McNelis PhD, RN, FAAN, ANEF, CNE","doi":"10.1016/j.outlook.2024.102347","DOIUrl":"10.1016/j.outlook.2024.102347","url":null,"abstract":"<div><h3>Background</h3><div>Racism in nursing is a significant issue affecting patient safety, nurse well-being, and job performance.</div></div><div><h3>Purpose</h3><div>Explore racial microaggression experiences of registered nurses working in a children’s hospital.</div></div><div><h3>Methods</h3><div>An exploratory, qualitative research design with in-depth interviews was used to collect data.</div></div><div><h3>Discussion</h3><div>Three categories containing 12 themes resulted. Nurses experienced (1) Biased first impressions, (2) “Firing” the nurse, (3) Questioning experience or credentials, (4) Where do I belong? and (5) All jokes have a grain of truth. Nurses responded through (6) Not being silent, (7) Intentional nonconfrontation, and (8) Showing or seeking support. Nurses used strategies of (9) Empowering, (10) Bracketing, (11) Communicating thoughtfully to build trust, and (12) Doing more to be perceived the same.</div></div><div><h3>Conclusion</h3><div>Most nurses in the study experienced and committed racial microaggressions; therefore, must be equipped with tools to recognize and respond to them. Moreover, microaggressions negatively impact building a diverse nursing workforce.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 2","pages":"Article 102347"},"PeriodicalIF":4.1,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048508","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 : 2025-01-24DOI: 10.1016/j.outlook.2025.102350
April J. Ancheta PhD, MSHP, RN , Catherine C. McDonald PhD, RN, FAAN , Dalmacio Dennis Flores PhD, ACRN, FAAN , Kaja Darien BA , Nadia L. Dowshen MD, MSHP
Background
School nurses (SNs) can play important roles in the health of sexual and gender minority (SGM) youth, yet little is known about their knowledge and attitudes toward this population.
Purpose
To understand SNs' knowledge and attitudes in caring for SGM youth across the United States.
Methods
We designed and disseminated the School Nurses and LGBTQ Youth online survey in May 2023 to U.S. SNs. Eight items addressed knowledge of SGM youth health needs and disparities; 11 addressed attitudes toward SGM youth.
Discussion
Overall, 1,189 SNs completed the survey (response rate 59.5%). Regression models revealed that liberal political affiliation and more past-year professional development were most strongly associated with higher knowledge and attitudes scores.
Conclusion
This national sample of SNs reported moderate levels of knowledge and positive attitudes toward caring for SGM youth. The findings have important implications for developing SN-tailored interventions to improve care and health outcomes for SGM students.
{"title":"Knowledge and attitudes of school nurses in caring for sexual and gender minority youth: A national survey","authors":"April J. Ancheta PhD, MSHP, RN , Catherine C. McDonald PhD, RN, FAAN , Dalmacio Dennis Flores PhD, ACRN, FAAN , Kaja Darien BA , Nadia L. Dowshen MD, MSHP","doi":"10.1016/j.outlook.2025.102350","DOIUrl":"10.1016/j.outlook.2025.102350","url":null,"abstract":"<div><h3>Background</h3><div>School nurses (SNs) can play important roles in the health of sexual and gender minority (SGM) youth, yet little is known about their knowledge and attitudes toward this population.</div></div><div><h3>Purpose</h3><div>To understand SNs' knowledge and attitudes in caring for SGM youth across the United States.</div></div><div><h3>Methods</h3><div>We designed and disseminated the School Nurses and LGBTQ Youth online survey in May 2023 to U.S. SNs. Eight items addressed knowledge of SGM youth health needs and disparities; 11 addressed attitudes toward SGM youth.</div></div><div><h3>Discussion</h3><div>Overall, 1,189 SNs completed the survey (response rate 59.5%). Regression models revealed that liberal political affiliation and more past-year professional development were most strongly associated with higher knowledge and attitudes scores.</div></div><div><h3>Conclusion</h3><div>This national sample of SNs reported moderate levels of knowledge and positive attitudes toward caring for SGM youth. The findings have important implications for developing SN-tailored interventions to improve care and health outcomes for SGM students.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 2","pages":"Article 102350"},"PeriodicalIF":4.1,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043388","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}
Nurse practitioner (NP) programs have a long history of producing safe and competent NPs; however, bold, transformative leadership is needed to set a minimum standard for quality NP education to support a 21st-century healthcare system. This paper is a call to action for leaders in NP education to transition NP education to the DNP degree utilizing the 2022 National Task Force Standards for Quality NP Education and a competency-based approach as defined in the 2021 AACN Essentials. There is now an opportunity to redesign healthcare systems with quality and equity as a primary consideration and DNP-prepared NPs are positioned to lead this redesign. The 2022 NTF Standards include several critical changes in clinical hours, oversight of clinical sites, and preparation of NP students to enter clinical sites. By emphasizing competency attainment within NP programs, the 2021 AACN Essentials ensure that NP graduates are practice-ready.
{"title":"Harmonizing excellence: Crafting the nexus of competencies, standards, and degree demands in nurse practitioner education","authors":"Lorna Finnegan PhD, FNP, FAAN , Susan Kelly-Weeder PhD, FNP-BC, FAAN , Bimbola F. Akintade PhD, ACNP-BC, FAAN , J. Dwayne Hooks PhD, FAANP, FAAN , Shannon Reedy Idzik DNP, ANP-BC, FAAN , Marcy Ainslie EdD, APRN, FNP-BC","doi":"10.1016/j.outlook.2025.102348","DOIUrl":"10.1016/j.outlook.2025.102348","url":null,"abstract":"<div><div>Nurse practitioner (NP) programs have a long history of producing safe and competent NPs; however, bold, transformative leadership is needed to set a minimum standard for quality NP education to support a 21st-century healthcare system. This paper is a call to action for leaders in NP education to transition NP education to the DNP degree utilizing the 2022 <em>National Task Force Standards for Quality NP Education</em> and a competency-based approach as defined in the 2021 AACN <em>Essentials</em>. There is now an opportunity to redesign healthcare systems with quality and equity as a primary consideration and DNP-prepared NPs are positioned to lead this redesign. The 2022 NTF Standards include several critical changes in clinical hours, oversight of clinical sites, and preparation of NP students to enter clinical sites. By emphasizing competency attainment within NP programs, the 2021 AACN <em>Essentials</em> ensure that NP graduates are practice-ready.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 2","pages":"Article 102348"},"PeriodicalIF":4.1,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029983","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 : 2025-01-01DOI: 10.1016/j.outlook.2024.102340
Victor Kpandemoi Abu
Background
Nursing education programs do not often prepare students for social justice responsibilities in their practice.
Purpose
To explore ways of promoting social justice nursing practice.
Methods
Constructivist grounded theory research design guided the purposive sampling of nursing students (n = 11) and nurse educators (n = 11), at a Nursing University, to participate in interviews and focus groups, and for coding data analysis.
Discussion
Research participants suggested the need for a toolkit to promote social justice nursing practice. A toolkit of Awareness for Social Justice Action proposed in this study has the potential to promote social justice nursing practices, informed by critical thinking, critical pedagogy, and servant leadership.
Conclusion
This study demonstrates the necessity of pursuing learning, teaching, and leadership for actualizing ever-present, albeit equivocal nursing interest in social justice.
{"title":"“We need a toolkit”: A response to nursing students and educators’ viewpoints on promoting social justice nursing practice","authors":"Victor Kpandemoi Abu","doi":"10.1016/j.outlook.2024.102340","DOIUrl":"10.1016/j.outlook.2024.102340","url":null,"abstract":"<div><h3>Background</h3><div>Nursing education programs do not often prepare students for social justice responsibilities in their practice.</div></div><div><h3>Purpose</h3><div>To explore ways of promoting social justice nursing practice.</div></div><div><h3>Methods</h3><div>Constructivist grounded theory research design guided the purposive sampling of nursing students (<em>n</em> = 11) and nurse educators (<em>n</em> = 11), at a Nursing University, to participate in interviews and focus groups, and for coding data analysis.</div></div><div><h3>Discussion</h3><div>Research participants suggested the need for a toolkit to promote social justice nursing practice. A toolkit of Awareness for Social Justice Action proposed in this study has the potential to promote social justice nursing practices, informed by critical thinking, critical pedagogy, and servant leadership.</div></div><div><h3>Conclusion</h3><div>This study demonstrates the necessity of pursuing learning, teaching, and leadership for actualizing ever-present, albeit equivocal nursing interest in social justice.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102340"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.outlook.2024.102304
Heather M. Bradford PhD, CNM, FACNM , Judith A. Berg PhD, WHNP-BC, FAAN , Mary A. Nies PhD, FAAN, FAAHB , Versie Johnson-Mallard PhD, FAANP, FAAN , Barbara B. Cochrane PhD, RN, FAAN , Constance Visovsky EdD, RN, FAAN , Karen S. Moore PhD, FAANP, FAAN , Ivy M. Alexander PhD, FAANP, FAAN
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.
{"title":"Resettlement needs of refugee women in the United States: An American Academy of Nursing consensus paper","authors":"Heather M. Bradford PhD, CNM, FACNM , Judith A. Berg PhD, WHNP-BC, FAAN , Mary A. Nies PhD, FAAN, FAAHB , Versie Johnson-Mallard PhD, FAANP, FAAN , Barbara B. Cochrane PhD, RN, FAAN , Constance Visovsky EdD, RN, FAAN , Karen S. Moore PhD, FAANP, FAAN , Ivy M. Alexander PhD, FAANP, FAAN","doi":"10.1016/j.outlook.2024.102304","DOIUrl":"10.1016/j.outlook.2024.102304","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102304"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605224","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 : 2025-01-01DOI: 10.1016/j.outlook.2024.102341
Joan L.F. Shaver PhD, RN, FAAN , Nancy Fugate Woods BSN, MN, PhD, FAAN , Diane Von Ah PhD, RN, FAAN , Ivy M. Alexander PhD, APRN, ANP-BC, FAANP, FAAN
Background
Despite that globally the percent of women and men who tested positive for COVID-19 appears equal and that men with COVID-19 were 60% more likely than women to be severely ill and to die from complications (Rozenberg et al., 2020), studies of sex differences show that women compared with men are more likely to manifest persistent post-COVID-19 syndrome (PPCS).
Purpose
In this paper, we address some of the extant evidence for impact of the PPCS on women’s health and well-being to underpin our suggestions for research and policy considerations.
Methods
We assessed key papers in the extant literature to formulate views on needed health-related research and policies.
Discussion
We discuss how key PPCS manifestations vary by sex, resemble sequelae uncovered for other chronically fatiguing or serious postinfectious trauma conditions, influence women’s reproductive health (e.g., menstrual cycle, fertility, pregnancy, and menopause transition), impair women’s social function and economic productivity, and challenge what is required for influential treatment and prevention.
Conclusion
To inform effective diagnosis, management and prevention of the significantly prevalent and debilitating PPCS, high on research and policy agendas should be uncovering multidimensional evidence of the impact on women, especially on their overall and reproductive health, well-being, social function and economic productivity.
背景：尽管在全球范围内，COVID-19检测呈阳性的女性和男性的百分比似乎相等，并且患有COVID-19的男性患重病和死于并发症的可能性比女性高60% (Rozenberg et al., 2020)，但性别差异研究表明，与男性相比，女性更有可能表现出持续的COVID-19后综合征（PPCS）。目的：在本文中，我们讨论了PPCS对妇女健康和福祉影响的一些现有证据，以支持我们对研究和政策考虑的建议。方法：我们对现有文献中的关键论文进行评估，以形成对所需的健康相关研究和政策的看法。讨论：我们讨论了PPCS的主要表现如何因性别而异，类似于其他慢性疲劳或严重感染后创伤的后遗症，影响妇女的生殖健康（如月经周期、生育能力、怀孕和更年期过渡），损害妇女的社会功能和经济生产力，以及对有影响力的治疗和预防所需要的挑战。结论：为了有效地诊断、管理和预防非常普遍和使人衰弱的PPCS，研究和政策议程的重点应该是揭示对妇女的影响，特别是对其整体和生殖健康、福祉、社会功能和经济生产力的影响的多维证据。
{"title":"Persistent post COVID-19: Implications for women’s health research and policy from members of the Women’s Health Expert Panel of the American Academy of Nursing","authors":"Joan L.F. Shaver PhD, RN, FAAN , Nancy Fugate Woods BSN, MN, PhD, FAAN , Diane Von Ah PhD, RN, FAAN , Ivy M. Alexander PhD, APRN, ANP-BC, FAANP, FAAN","doi":"10.1016/j.outlook.2024.102341","DOIUrl":"10.1016/j.outlook.2024.102341","url":null,"abstract":"<div><h3>Background</h3><div>Despite that globally the percent of women and men who tested positive for COVID-19 appears equal and that men with COVID-19 were 60% more likely than women to be severely ill and to die from complications (Rozenberg et al., 2020), studies of sex differences show that women compared with men are more likely to manifest persistent post-COVID-19 syndrome (PPCS).</div></div><div><h3>Purpose</h3><div>In this paper, we address some of the extant evidence for impact of the PPCS on women’s health and well-being to underpin our suggestions for research and policy considerations.</div></div><div><h3>Methods</h3><div>We assessed key papers in the extant literature to formulate views on needed health-related research and policies.</div></div><div><h3>Discussion</h3><div>We discuss how key PPCS manifestations vary by sex, resemble sequelae uncovered for other chronically fatiguing or serious postinfectious trauma conditions, influence women’s reproductive health (e.g., menstrual cycle, fertility, pregnancy, and menopause transition), impair women’s social function and economic productivity, and challenge what is required for influential treatment and prevention.</div></div><div><h3>Conclusion</h3><div>To inform effective diagnosis, management and prevention of the significantly prevalent and debilitating PPCS, high on research and policy agendas should be uncovering multidimensional evidence of the impact on women, especially on their overall and reproductive health, well-being, social function and economic productivity.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102341"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781815","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 : 2025-01-01DOI: 10.1016/j.outlook.2024.102333
Ernest J. Grant PhD, RN, FAAN , Michael P. Cary Jr PhD, RN , Derrick C. Glymph PhD, DNAP , Bimbola F. Akintade PhD, MBA, MHA, RN , Michael L. Jones PhD, MBA/HCM, RN
Despite nursing being the largest segment in all of the healthcare workforce, with over five million practicing registered nurses in the United States, Black males remain significantly underrepresented, comprising merely about 0.67% to 1% of the nursing workforce. This underrepresentation extends into leadership positions, where the number of Black male leaders in nursing is described as unquantifiable. In response to this disparity, five doctorally prepared Black male nurse leaders established the Network of Black Male Nurse Leaders (NBMNL). This paper discusses the establishment of the NBMNL, provides an update on the number of Black male nurse leaders, and explores the interest among Black male nurses in receiving mentorship to support their leadership development. The paper underscores the importance of mentoring and supporting Black male nurses to increase their representation in the field as well as improve the health outcomes of the communities they serve, thereby advancing health equity.
{"title":"Role out of Network of Black Male Nursing Leaders Mentorship Program","authors":"Ernest J. Grant PhD, RN, FAAN , Michael P. Cary Jr PhD, RN , Derrick C. Glymph PhD, DNAP , Bimbola F. Akintade PhD, MBA, MHA, RN , Michael L. Jones PhD, MBA/HCM, RN","doi":"10.1016/j.outlook.2024.102333","DOIUrl":"10.1016/j.outlook.2024.102333","url":null,"abstract":"<div><div>Despite nursing being the largest segment in all of the healthcare workforce, with over five million practicing registered nurses in the United States, Black males remain significantly underrepresented, comprising merely about 0.67% to 1% of the nursing workforce. This underrepresentation extends into leadership positions, where the number of Black male leaders in nursing is described as unquantifiable. In response to this disparity, five doctorally prepared Black male nurse leaders established the Network of Black Male Nurse Leaders (NBMNL). This paper discusses the establishment of the NBMNL, provides an update on the number of Black male nurse leaders, and explores the interest among Black male nurses in receiving mentorship to support their leadership development. The paper underscores the importance of mentoring and supporting Black male nurses to increase their representation in the field as well as improve the health outcomes of the communities they serve, thereby advancing health equity.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102333"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796372","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 : 2025-01-01DOI: 10.1016/j.outlook.2024.102307
Grant R. Martsolf PhD, MPH, RN, FAAN , Christopher Tollefsen PhD , Farr Curlin MD
In the wake of Dobbs vs. Jackson Women's Health Organization, many nursing organizations asserted that “abortion is healthcare” 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 healthcare namely that healthcare 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 healthcare” and the implications for ethical discourse within professional nursing.
{"title":"Abortion is healthcare: In what sense?","authors":"Grant R. Martsolf PhD, MPH, RN, FAAN , Christopher Tollefsen PhD , Farr Curlin MD","doi":"10.1016/j.outlook.2024.102307","DOIUrl":"10.1016/j.outlook.2024.102307","url":null,"abstract":"<div><div>In the wake of Dobbs vs. Jackson Women's Health Organization, many nursing organizations asserted that “abortion is healthcare” 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 healthcare namely that healthcare 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 healthcare” and the implications for ethical discourse within professional nursing.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 1","pages":"Article 102307"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605089","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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