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Student-led Doctor of Nursing Practice projects in the clinical environment: Viewpoint from hospital-based nurse scientists and leaders 临床环境中学生主导的护理实践博士项目：医院护士科学家和领导者的观点。
IF 4.1 2区 医学 Q1 NURSING
Nursing Outlook
Pub Date : 2024-07-10 DOI: 10.1016/j.outlook.2024.102239
Clifton P. Thornton PhD, MSN, RN, CPNP-PC , Catherine Haut DNP, CPNP-AC/PC, FAANP, FAAN , Maria Yefimova PhD, RN , Margaret A. Gettis DNP, CPNP-PC, EBP-C , Christina Calamaro PhD, PPCNP-BC, FNP-BC, FAANP, FAAN , Julie S. Ginsberg DNP, RN, CPNP-PC, AE-C, NEA-BC , Margaret A. McCabe PhD, RN, CRN-BC, FAAN

Background

Exponential increases in Doctor of Nursing Practice (DNP) program enrollment have come with a rapid rise in the number of capstone projects conducted in clinical environments. However, misaligned priorities between students, faculty, and clinician leaders have created significant challenges.

Purpose

Identify opportunities to strengthen collaboration between academic and clinical stakeholders to better support DNP projects and education.

Methods

Experienced hospital-based nurse leaders engaged in scholarly discourse supplemented by policy and research in DNP education.

Findings

Facilitating a DNP project requires significant investment of time, resources, and funds from the healthcare institution. Discord has arisen due to unclear responsibilities or decision-making ability for clinical stakeholders, ethical dilemmas for students who are also employees of the clinical site, and mismatched priorities between clinical need and student/academic project desires. Clinical leaders have raised significant concerns about DNP project proposals that are research-focused, diverge from healthcare institution goals, and lack a sustainability plan.

Discussion

Fortification of academic-practice partnerships and clarification of roles in the DNP student project are necessary to ensure that the project is of educational value to the student, a demonstration of learning for faculty, and of sustained clinical value to the healthcare system.

背景：随着护理实践博士（DNP）课程注册人数的指数级增长，在临床环境中开展的顶点项目数量也迅速增加。目的：确定加强学术和临床利益相关者之间合作的机会，以更好地支持 DNP 项目和教育：方法：经验丰富的医院护士领导参与学术讨论，并辅以 DNP 教育政策和研究：促进DNP项目需要医疗机构投入大量的时间、资源和资金。由于临床利益相关者的责任或决策能力不明确，同时也是临床机构员工的学生面临道德困境，以及临床需求与学生/学术项目愿望之间的优先级不匹配，因此出现了不和谐。临床带头人对以研究为重点、偏离医疗机构目标、缺乏可持续发展计划的 DNP 项目提案表示严重关切：讨论：有必要加强学术与实践的合作关系，明确 DNP 学生项目中的角色，以确保该项目对学生具有教育价值，对教师具有学习示范作用，对医疗保健系统具有持续的临床价值。
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引用次数: 0
Burnout and psychological distress among Hispanic nurses across Illinois and New York hospitals: Implications for structural and person-centered solutions 伊利诺伊州和纽约州医院西班牙裔护士的职业倦怠和心理困扰：结构性和以人为本的解决方案的意义。
IF 4.1 2区 医学 Q1 NURSING
Nursing Outlook
Pub Date : 2024-07-10 DOI: 10.1016/j.outlook.2024.102234
J. Margo Brooks Carthon PhD, RN, FAAN , Heather Brom PhD, RN , Alexandra Maye MSN, RN , Christin Iroegbu PhD, RN , Jennifer Gil MSN, RN , John Rizzo MSN, CRNP, FNP-BC , Kelvin Amenyedor MPH, MD , Wanda Montalvo PhD, RN, FAAN , Antonia M. Villarruel PhD, RN, FAAN

Background

Despite high levels of burnout and psychological distress among nurses, few studies have evaluated these outcomes among Hispanic nurses.

Purpose

To evaluate the differences in job-related and psychological well-being outcomes for Hispanic and non-Hispanic White nurses and the association of nurse work environments.

Methods

Cross-sectional analysis of the 2021 RN4CAST-New York-Illinois nurse survey. Multilevel logistic regression models examined the association between nurse ethnicity and job-related outcomes and psychological well-being.

Discussion

Our sample included 798 (10.7%) Hispanic and 6,642 (89.3%) non-Hispanic White nurses in 249 hospitals. In unadjusted models, Hispanic ethnicity was associated with higher odds of burnout (odds ratio (OR) 1.21, 95% confidence interval (CI): 1.03–1.42), which diminished when considering the work environment (OR 1.16, 95% CI: 1.01–1.35) and nurse characteristics (i.e., age) (OR 1.01, 95% CI: 0.83–1.21).

Conclusion

Equity-driven solutions to support the well-being of Hispanic nurses should consider a focus on the needs of young Hispanic nurses and include increased support in work environments.

背景：目的：评估西班牙裔和非西班牙裔白人护士在工作相关和心理健康结果方面的差异以及与护士工作环境的关联：方法：对 2021 年 RN4CAST-纽约-伊利诺伊州护士调查进行横断面分析。多层次逻辑回归模型检验了护士种族与工作相关结果和心理健康之间的关联：我们的样本包括 249 家医院的 798 名（10.7%）西班牙裔护士和 6642 名（89.3%）非西班牙裔白人护士。在未经调整的模型中，西班牙裔与较高的职业倦怠几率相关（几率比（OR）1.21，95% 置信区间（CI）：1.03-1.42），当考虑到工作环境（OR 1.16，95% CI：1.01-1.35）和护士特征（即年龄）（OR 1.01，95% CI：0.83-1.21）时，该几率比（OR）降低：以公平为导向的支持拉美裔护士福祉的解决方案应考虑关注年轻拉美裔护士的需求，并包括增加工作环境中的支持。
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引用次数: 0
Theory of health promotion for sexual and gender minority populations with cancer 促进性与性别少数群体癌症患者健康的理论。
IF 4.1 2区 医学 Q1 NURSING
Nursing Outlook
Pub Date : 2024-07-09 DOI: 10.1016/j.outlook.2024.102237
Oscar Y. Franco-Rocha BSN, RN

Background

Structural factors (e.g., cisheteronormativity) promote minority stressors, which generate healthcare disparities among sexual and gender minority (SGM) populations (also known as lesbian, gay, bisexual, transgender, queer, intersexual, asexual, and other sexual and gender-expansive persons--LGBTQIA+) with cancer. The individual’s biological, behavioral, social, and psychological response to minority stressors will vary throughout their life course. However, there is a lack of empirical and theoretical guidance for conceptualizing health outcomes among SGM subgroups.

Purpose

To propose a nursing theory for the health promotion of SGM populations with cancer.

Methods

Walker and Avant’s strategies for theoretical derivation were followed.

Results

I present the definition, theoretical assumptions, concepts, propositions, and implications for practice, education, research, and policy of the derived theory.

Discussion and Conclusion

The theory provides a nursing framework to understand and address the multilevel impact of minority stress on the health of SGM individuals throughout their cancer care continuum.

背景：结构性因素（如顺异性恋）助长了少数群体的压力，从而在性与性别少数群体（SGM）（又称女同性恋、男同性恋、双性恋、变性者、同性恋者、双性者、无性恋者及其他性与性别扩张者--LGBTQIA+）癌症患者中造成了医疗保健差异。在人的一生中，个人对少数群体压力的生理、行为、社会和心理反应会有所不同。目的：提出一套护理理论，用于促进罹患癌症的 SGM 群体的健康：方法：遵循 Walker 和 Avant 的理论推导策略：结果：我介绍了衍生理论的定义、理论假设、概念、命题以及对实践、教育、研究和政策的影响：讨论和结论：该理论提供了一个护理框架，用于理解和解决少数群体压力在整个癌症护理过程中对 SGM 患者健康的多层面影响。
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引用次数: 0
Letter to the editor regarding: Joseph, ML., Godsey, JA., & Hayes,T et al., (2023). A framework for transforming the professional identity and brand image of All Nurses as Leaders, Nursing Outlook, 71 (6), 102051 致编辑的信：Joseph, ML., Godsey, JA., & Hayes,T et al., (2023)。转变所有护士作为领导者的专业身份和品牌形象的框架》，《护理展望》，71 (6)，102051。
IF 4.1 2区 医学 Q1 NURSING
Nursing Outlook
Pub Date : 2024-07-01 DOI: 10.1016/j.outlook.2024.102173
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引用次数: 0
Information for Readers 读者信息
IF 4.1 2区 医学 Q1 NURSING
Nursing Outlook
Pub Date : 2024-07-01 DOI: 10.1016/S0029-6554(24)00150-7
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引用次数: 0
2024 State of the Science: Key Highlights on Envisioning the Future 2024 年科学现状：展望未来的主要亮点
IF 4.1 2区 医学 Q1 NURSING
Nursing Outlook
Pub Date : 2024-07-01 DOI: 10.1016/j.outlook.2024.102245
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引用次数: 0
American Academy of Nursing Statement: Access to Sexual and Reproductive Health Care 美国护理学会声明：获得性健康和生殖健康护理的机会
IF 4.1 2区 医学 Q1 NURSING
Nursing Outlook
Pub Date : 2024-07-01 DOI: 10.1016/j.outlook.2024.102250
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引用次数: 0
What educational standards are acceptable to maintain without AI technology? 如果没有人工智能技术，维持什么样的教育标准是可以接受的？
IF 4.1 2区 医学 Q1 NURSING
Nursing Outlook
Pub Date : 2024-07-01 DOI: 10.1016/j.outlook.2024.102243
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引用次数: 0
Change is Seen Through the Lens We Decide to Carry 通过我们决定携带的镜头看变化
IF 4.1 2区 医学 Q1 NURSING
Nursing Outlook
Pub Date : 2024-07-01 DOI: 10.1016/j.outlook.2024.102244
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引用次数: 0
American Academy of Nursing Statement: Reducing Maternal Mortality and Morbidity and Advancing Maternal Health Equity 美国护理学会声明：降低孕产妇死亡率和发病率，促进孕产妇健康平等
IF 4.1 2区 医学 Q1 NURSING
Nursing Outlook
Pub Date : 2024-07-01 DOI: 10.1016/j.outlook.2024.102251
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引用次数: 0
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