Nursing Outlook最新文献

英文中文

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 持续后COVID-19：美国护理学会妇女健康专家小组成员对妇女健康研究和政策的影响。

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook

Pub Date : 2025-01-01 DOI: 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。

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引用次数: 0

Information for Readers

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook

Pub Date : 2025-01-01 DOI: 10.1016/S0029-6554(25)00023-5

引用次数: 0

Role out of Network of Black Male Nursing Leaders Mentorship Program 黑人男性护理领袖网络导师计划的作用。

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook

Pub Date : 2025-01-01 DOI: 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.

尽管护理是所有医疗保健劳动力中最大的一部分，在美国有超过500万的执业注册护士，但黑人男性的代表性仍然明显不足，仅占护理劳动力的0.67%至1%。这种代表性不足延伸到领导职位，在护理领域，黑人男性领导者的数量被描述为无法量化。为了应对这种差异，五名有博士学位的黑人男性护士领袖建立了黑人男性护士领袖网络（NBMNL）。本文讨论了NBMNL的建立，提供了黑人男护士领导数量的更新，并探讨了黑人男护士对接受指导以支持其领导力发展的兴趣。本文强调了指导和支持黑人男护士的重要性，以增加他们在该领域的代表性，并改善他们所服务社区的健康结果，从而促进卫生公平。

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引用次数: 0

Abortion is healthcare: In what sense? 堕胎是一种保健：在什么意义上？

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook

Pub Date : 2025-01-01 DOI: 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.

在 "多布斯诉杰克逊妇女健康组织案 "之后，许多护理组织声称 "堕胎是保健"，必须保护获得堕胎的机会。这句话对 "健康 "和 "护理 "的含义做出了明确的表述。如何定义这些术语对护士如何开展工作具有决定性的指导意义，这些工作不仅涉及选择性堕胎，还包括性别平权护理、整容手术和安乐死等众多令生命伦理学者产生分歧的干预措施。我们以选择性人工流产问题为例，说明了有关专业护理范围和界限的争议的性质。我们描述了关于医疗保健性质的两种相互冲突的直觉，即医疗保健要么是为了(a) 客观定义的健康，要么是为了(b) 病人定义的福祉。我们讨论了这些直觉如何导致对 "堕胎是医疗保健 "这一短语的不同理解，以及对专业护理伦理话语的影响。

引用次数: 0

Nursing leaders sleepwalking into the antimicrobial resistance pandemic 护理领导梦游进入抗微生物药物耐药性大流行。

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook

Pub Date : 2025-01-01 DOI: 10.1016/j.outlook.2024.102320

Mary Lou Manning PhD, CRNP, CIC, FAPIC, FSHEA, FAAN

引用次数: 0

American Academy of Nursing Policy Recommendations to Reduce and Prevent Negative Health Outcomes and Health Care Costs Among Night Shift Nurses: An AAN Manuscript 建议减少和预防夜班护士的负面健康结果和医疗保健费用：一份AAN共识文件。

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook

Pub Date : 2025-01-01 DOI: 10.1016/j.outlook.2024.102344

Carol M. Baldwin PhD, RN, FAAN , Sharon J. Tucker PhD, APRN, FAAN , Christopher C. Imes PhD, RN , Luxana Reynaga-Ornelas PhD, RN , Alison M. Trinkoff ScD, RN, FAAN , Sharon M. Weinstein MS, RN, FAAN , Jacqueline Dunbar-Jacob PhD, RN, FAAN

A growing body of evidence demonstrates occupational night shift hazards. Decades of research point to health risks for nurses contributing to chronic diseases, including diabetes, cardiovascular disease, cognitive/mental health, and cancers—all associated with earlier mortality. Patient safety, recruitment and retention of quality nursing workforce, and related costs are important concerns associated with night shift work. Post COVID-19, nurses have advocated and lobbied for many changes in their work environments, yet little emphasis has been placed on addressing night shift health and patient safety hazards, and concomitant personal, insurer, organizational, and federal costs. Nurses are also recipients of health care, and their work-related risks must be prioritized. Innovative solutions targeting individuals, work environments, novel schedules, virtual nursing, and artificial intelligence have been examined and must continue to be studied and implemented. Policy and legislation must be among the strategies for nurses, no different than other night shift workers (e.g., flight crews).

越来越多的证据证明了夜班的职业危害。几十年的研究指出，护士的健康风险会导致慢性疾病，包括糖尿病、心血管疾病、认知/心理健康和癌症，这些疾病都与早期死亡有关。患者安全、招聘和留住优质护理人员以及相关成本是夜班工作的重要关注点。新冠肺炎疫情后，护士们一直在倡导和游说改变工作环境，但很少有人重视解决夜班健康和患者安全隐患，以及随之而来的个人、保险公司、组织和联邦成本。护士也是医疗保健的接受者，必须优先考虑与工作相关的风险。针对个人、工作环境、新时间表、虚拟护理和人工智能的创新解决方案已经被研究过，必须继续研究和实施。政策和立法必须成为护士的策略之一，与其他夜班工作者（如机组人员）没有什么不同。

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引用次数: 0

Why abortion is healthcare 为什么堕胎是医疗保健。

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook

Pub Date : 2025-01-01 DOI: 10.1016/j.outlook.2024.102345

Meghan Eagen-Torkko PhD, CNM, FACNM , Molly Altman PhD, CNM, MPH , Julie Chor MD, MPH , Linda S. Franck PhD, RN, FAAN , Mara Greenberg MD , Louise P. King MD, JD , Ellen Solis DNP, CNM, FACNM , Daniel Suárez-Baquero PhD, MSN, BSN , Alicia Swartz PhD, MSN, PNP , Monica R. McLemore PhD, MPH, RN

This invited commentary provides an in-depth critique and analysis of “Abortion is healthcare: In what sense?” (Martsolf, Tollefsen, and Curlin). We reject the claims put forth in their piece on three distinct grounds. First, the language used throughout the manuscript is imprecise and ableist. Next, the false and simplistic dichotomy of pregnancy as a state of health, while positioning abortion as exclusively harmful and risky is scientifically inaccurate. Finally, the authors fail to grapple with nursing as either technical or moral; and never address it as a profession with a social contract. We end our analysis with suggestions to continue this conversation and to engage readers in participation.

这篇特邀评论对“堕胎是医疗保健：在什么意义上？”（马索尔夫、托勒森和柯林）。我们反对他们在文章中提出的主张，理由有三点。首先，整个手稿中使用的语言不精确，而且很蹩脚。其次，将怀孕视为一种健康状态的错误和简单的二分法，而将堕胎定位为完全有害和危险的，这在科学上是不准确的。最后，作者没有从技术或道德的角度来解决护理问题；永远不要把它当作一种有社会契约的职业。在分析的最后，我们提出了一些建议，让我们继续对话，让读者参与进来。

引用次数: 0

State health and the level of practice authority for nurse practitioners 国家卫生和执业护士的执业权威水平。

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook

Pub Date : 2025-01-01 DOI: 10.1016/j.outlook.2024.102319

Jacqueline Dunbar-Jacob PhD, RN, FAAN, Jeffrey M. Rohay PhD, MSIS

Background

Studies show positive outcomes for nurse practitioner care compared with physicians, in a variety of clinical settings. Of unique interest is the relationship of nurse practitioner level of practice authority (NP-LPA) and population health.

Purpose

Does state population health differ by NP-LPA?

Methods

United Foundation Annual Reports (2019 and 2021) provided data on state health rankings. The American Association of Nurse Practitioners website (2021) provided data on NP-LPA. Analyses used Fisher’s exact test to compare the top 25 v. the bottom 25 ranked states.

Results

Full NP-LPA states ranked higher than reduced or restricted on overall state health, health outcomes, clinical care, quality of care, access to care, number of primary care providers per 100,000 population, and childhood immunizations.

Discussion

States with legislated full NP-LPA showed better population health. The data suggest full NP-LPA could address shortages in primary care while achieving greater population health.

背景：研究表明，在各种临床环境中，与内科医生相比，执业护士的护理效果更好。独特的兴趣是执业护士水平的执业权威（NP-LPA）和人口健康的关系。目的：不同NP-LPA的州人口健康状况不同吗？方法：联合基金会年度报告（2019年和2021年）提供了各州健康排名的数据。美国执业护士协会网站（2021年）提供了NP-LPA的数据。分析使用Fisher的精确测试来比较排名前25位和排名后25位的州。结果：在整体健康状况、健康结果、临床护理、护理质量、获得护理的机会、每10万人中初级保健提供者的数量和儿童免疫接种方面，完全NP-LPA州的排名高于减少或限制的州。讨论：通过立法全面实施NP-LPA的国家显示出更好的人口健康状况。数据表明，全面的NP-LPA可以解决初级保健短缺问题，同时实现更大的人口健康。

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引用次数: 0

Policy priorities to improve access to advanced practice nursing care for mental health and substance use problems: An American Academy of Nursing manuscript 改善精神健康和物质使用问题高级护理实践的优先政策：美国护理学会手稿。

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook

Pub Date : 2025-01-01 DOI: 10.1016/j.outlook.2024.102342

Matthew Tierney ANP, PMHNP, FAAN , JoEllen Schimmels PhD, DNP, PMHNP-BC, CNE, FAAN , Kathleen Delaney PhD, APRN, PMH-NP, FAAN , Mercy Mumba PhD, RN, FAAN , Derrick Glymph PhD, DNAP, CRNA, CHSE, CNE, COL, USAR, FAANA, FAAN , Cynthia Handrup DNP, APRN, PMHCNS-BC, FAAN , Bethany Phoenix PhD, RN, FAAN

Nearly 50% of the U.S. population struggles with a mental health or substance use disorder in their lifetime, yet a substantial number are unable to receive treatment or are undertreated due to significant shortages and disparities in the mental health workforce. These shortages and disparities contribute to health inequities that leave already-vulnerable populations at increased risk for detrimental consequences. Access to mental health and substance use treatment could be improved by better utilizing the Advanced Practice nursing workforce providing care in mental health and substance use treatment, and by better defining Advanced Practice nursing roles, including those with specialty certifications in mental health and substance-related care. This paper makes policy recommendations to better define, grow, and more fully utilize the Advanced Practice nursing workforce providing mental health and substance-related services.

近50%的美国人一生中都在与精神健康或物质使用障碍作斗争，但由于精神卫生工作人员的严重短缺和差异，有相当一部分人无法接受治疗或治疗不足。这些短缺和差距加剧了卫生不公平，使本已脆弱的人群面临更大的有害后果风险。通过更好地利用提供精神健康和物质使用治疗护理的高级实践护理人员，以及通过更好地定义高级实践护理角色，包括具有精神健康和物质相关护理专业证书的护士，可以改善获得精神健康和物质使用治疗的机会。本文提出了政策建议，以更好地定义，发展和更充分地利用高级实践护理队伍提供心理健康和物质相关服务。

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Multiple approaches to advance health equity in nursing science: Recruitment, data, and dissemination 促进护理科学卫生公平的多种途径：招聘、数据和传播。

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook

Pub Date : 2025-01-01 DOI: 10.1016/j.outlook.2024.102343

Bei Wu PhD, FAAN (Hon), FGSA , Zheng Zhu PhD, RN

Ensuring equitable care and health outcomes for all populations is essential in nursing science. However, achieving health equity in nursing science necessitates a multifaceted approach to address the complex factors influencing health disparities. This paper presented the keynote address delivered at the Advanced Methods Conference hosted by the Council for Advancement of Nursing Science in 2023. We identified critical gaps in health equity within nursing science, emphasizing the need for innovative recruitment strategies, comprehensive data analysis, and targeted dissemination efforts. This paper underscores the importance of equity in artificial intelligence research, highlighting issues such as biases in machine learning models and the underrepresentation of minoritized groups. Bridging the current gaps in health equity research within nursing science requires a systematic and forward-thinking approach.

确保为所有人群提供公平的护理和健康结果对护理科学至关重要。然而，在护理科学中实现健康公平需要采取多方面的方法来解决影响健康差异的复杂因素。本文是在 2023 年护理科学促进委员会主办的高级方法会议上发表的主题演讲。我们指出了护理科学在健康公平方面的关键差距，强调需要创新的招聘策略、全面的数据分析和有针对性的传播工作。本文强调了公平在人工智能研究中的重要性，着重指出了机器学习模型中的偏见和少数群体代表性不足等问题。要弥补目前护理科学领域在健康公平研究方面存在的差距，需要采取系统性和前瞻性的方法。

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