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Transforming care: A gender-affirming care simulation study 转变护理:性别肯定护理模拟研究
IF 3.7 2区 医学 Q1 NURSING Pub Date : 2025-12-06 DOI: 10.1016/j.outlook.2025.102621
Edward D. Petrie PhD, RN, Joel G. Anderson PhD, CHTP, FGSA

Background

Transgender (TG) individuals experience persistent health disparities related to stigma, bias, and limited provider preparation. Few nursing programs use simulation that centers TG voices to address these gaps.

Purpose

To examine the relationship of TG standardized patient (TG-SP) simulation on prelicensure nursing students’ attitudes and beliefs using the Transgender Attitudes and Beliefs Scale (TABS) and to explore student perceptions through qualitative debriefing.

Methods

A concurrent triangulation mixed-methods design was used. Thirteen nursing students participated in a TG-SP simulation. Pre- and post-simulation TABS surveys assessed attitudinal changes across three subscales. Focused debriefings and field notes were thematically analyzed.

Discussion

Statistically significant improvements were observed on selected TABS items. Qualitative analysis revealed four themes: increased comfort and confidence, the impact of authentic representation, enhanced empathy through lived experience, and commitment to inclusive practice.

Conclusion

Community advisory board involvement and TG-SP ensured authenticity and cultural congruence, strengthening student learning.
背景:变性人(TG)经历与污名、偏见和有限的提供者准备相关的持续健康差异。很少有护理项目使用集中TG声音的模拟来解决这些差距。目的采用跨性别态度与信念量表(TABS)考察TG标准化患者(TG- sp)模拟与执业前护生态度和信念的关系,并通过定性询问探讨学生的看法。方法采用并行三角剖分混合方法设计。13名护生参与了TG-SP模拟。模拟前和模拟后tab调查评估了三个子尺度上的态度变化。专题分析了重点汇报和实地记录。在选定的标签项上观察到统计学上显著的改进。定性分析揭示了四个主题:增加舒适和自信,真实再现的影响,通过生活经历增强同理心,以及对包容性实践的承诺。结论社区咨询委员会的参与和TG-SP确保了真实性和文化一致性,加强了学生的学习。
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引用次数: 0
A strategic vision for global health: Innovative nursing education, leadership, and research 全球健康的战略愿景:创新护理教育、领导和研究
IF 3.7 2区 医学 Q1 NURSING Pub Date : 2025-12-04 DOI: 10.1016/j.outlook.2025.102617
Jeanne-Marie R. Stacciarini RN, PhD, FAAN , Megan J. Eagle PhD, MPH, FNP-BC , Gurpreet K. Rana MLIS , Christopher Anthony Jensen MPA, PhD , Rushika Patel PhD, Med , Beste Erel Windes EdD, MBA , Michelle L. Munro-Kramer PhD, FNP-BC, FAAN

Background

Engaging in global education, research, and leadership equips nursing students to serve diverse populations effectively.

Purpose

This article outlines the vision for the University of Michigan School of Nursing’s Office of Global Affairs (OGA). It focuses on the development of key partnerships and programs related to education, leadership, and research. Strategic recommendations are provided for enhancing global engagement and capacity-building in nursing schools.

Methods

Guided by this vision, the theoretical overview highlights examples of educational, leadership, and research initiatives established by the OGA. It also discusses the factors influencing their development, assisting readers in understanding the scope of work in global contexts.

Discussion

The article emphasizes core programs, such as the Global Minor for undergraduates and Global Competencies for graduates, leadership events, and research initiatives.

Conclusion

Guidance is presented for creating sustainable partnerships and strategies to strengthen the global impact of nursing schools.
参与全球教育,研究和领导能力使护理专业的学生能够有效地为不同的人群服务。本文概述了密歇根大学护理学院全球事务办公室(OGA)的愿景。它侧重于发展与教育、领导力和研究相关的关键伙伴关系和项目。为加强护理学校的全球参与和能力建设提供了战略建议。方法在这一愿景的指导下,理论概述突出了OGA建立的教育,领导和研究计划的例子。它还讨论了影响其发展的因素,帮助读者了解在全球背景下的工作范围。文章强调核心课程,如本科生的全球辅修和毕业生的全球能力,领导活动和研究计划。结论为建立可持续的伙伴关系和战略以加强护理学校的全球影响力提供了指导。
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引用次数: 0
Acceptability and perceived usefulness of the MyPEEPS mobile app for young transgender men MyPEEPS移动应用程序对年轻跨性别男性的可接受性和感知有用性。
IF 3.7 2区 医学 Q1 NURSING Pub Date : 2025-12-03 DOI: 10.1016/j.outlook.2025.102612
Robert Garofalo , Trinity Casimir , Nicholas Martinez , Shivani Kaw , Maeve Brin , Lisa M. Kuhns , Asa Radix , Patrick Janulis , Rebecca Schnall
Young transgender men (YTM) remain underserved by HIV prevention efforts. It is estimated that 3% of transgender men have an HIV diagnosis despite a rate of only 0.4% among the U.S. population, and young people account for more than half of new HIV diagnoses. We conducted in-depth interviews with a sample of participants who used MyPEEPS YTM to assess acceptability and perceived usefulness of the app. Qualitative analysis of the interviews was guided by the Unified Theory of Acceptance and Use of Technology and allowed us to identify app benefits including HIV prevention reinforcement and facilitation of conversations surrounding sexual health. Thematic findings highlight that MyPEEPS YTM functioned as a relational and affirming resource in settings where culturally competent care is often unavailable. For nursing, these insights provide actionable strategies to enhance clinical practice, enrich educational preparation, and advocate for policies that support equitable access to digital health interventions.
年轻跨性别男子(YTM)仍然得不到艾滋病毒预防工作的充分服务。据估计,3%的跨性别男性被诊断出患有艾滋病毒,而在美国人口中这一比例仅为0.4%,而年轻人占新诊断出的艾滋病毒的一半以上。我们对使用MyPEEPS YTM的参与者样本进行了深入访谈,以评估应用程序的可接受性和感知有用性。访谈的定性分析是在技术接受和使用统一理论的指导下进行的,使我们能够确定应用程序的好处,包括加强艾滋病毒预防和促进围绕性健康的对话。专题调查结果强调,MyPEEPS YTM在通常无法获得文化上合格的护理的环境中发挥了关系和肯定资源的作用。对于护理,这些见解提供了可操作的战略,以加强临床实践,丰富教育准备,并倡导支持公平获得数字卫生干预措施的政策。
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引用次数: 0
Examining the impact of individual and work-related factors on the overall health of registered nurses in Wisconsin 检查个人和工作相关因素对威斯康星州注册护士整体健康的影响。
IF 3.7 2区 医学 Q1 NURSING Pub Date : 2025-12-03 DOI: 10.1016/j.outlook.2025.102619
Kristin Merss PhD, RN , Megan Zuelsdorff PhD , Maria del Pilar Casal PhD , Kelly Krainak DNP, APRN, PMHNP-BC , Joshua Ernst DNP, RN , Susan J. Zahner DrPH, RN, FNAP, FAAN

Background

Nurses routinely experience demanding work environments that can negatively affect their mental and physical health. Despite growing concern about the nursing workforce’s well-being, the relationships among many sociodemographic- and work-related factors on registered nurses’ (RN) health and well-being are not well-studied.

Purpose

We sought to understand the contributions of individual sociodemographic characteristics and organizational factors on self-perceived health of RNs.

Methods

Using data from the Wisconsin Registered Nurse Survey, a nested modeling approach, and multinomial logit regression, we identified predictors of reported change in perceived overall health due to the pandemic.

Discussion

Younger age, female gender, hospital employment, providing direct patient care, and working more hours predicted worse self-perceived health.

Conclusion

RNs’ self-perceived health was negatively impacted by the COVID-19 pandemic. While this analysis investigates time surrounding the COVID-19 pandemic, findings offer broader insights for emergency preparedness planning that could mitigate negative health outcomes among nurses.
背景:护士经常经历苛刻的工作环境,这会对他们的身心健康产生负面影响。尽管人们越来越关注护理人员的福祉,但许多社会人口统计学和工作相关因素与注册护士(RN)健康和福祉的关系并没有得到很好的研究。目的:了解个体社会人口学特征和组织因素对注册护士自我感知健康的影响。方法:使用来自威斯康星州注册护士调查的数据,采用嵌套建模方法和多项logistic回归,我们确定了由于大流行而报告的感知整体健康变化的预测因子。讨论:年龄较小、女性、在医院工作、提供直接病人护理和工作时间较长预示着较差的自我健康状况。结论:新冠肺炎疫情对注册护士自我感知健康产生负面影响。虽然本分析调查了COVID-19大流行前后的时间,但研究结果为应急准备计划提供了更广泛的见解,可以减轻护士的负面健康后果。
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引用次数: 0
Second-generation Agent Orange: Phenomenology of the health experiences of Vietnam veteran progeny 第二代橙剂:越战老兵后代健康经历的现象学。
IF 3.7 2区 医学 Q1 NURSING Pub Date : 2025-12-02 DOI: 10.1016/j.outlook.2025.102618
Sharon Atienza PhD, MPH, AGPCNP-BC , Lisa R. Roberts DrPH, MSN, FAAN , Jan Nick PhD, RN, FAAN , Mona Pearl Treyball PhD, RN, FAAN

Background

Offspring of Vietnam veterans assert adverse health outcomes related to their fathers’ exposure to Agent Orange, but limited research exists on their postnatal health and lived experiences.

Purpose

The purpose of this study was to explore the lived experiences of Vietnam veteran descendants and the impact of Agent Orange on their health.

Methods

This qualitative study used an interpretive phenomenological design. Participants were selected via criterion-based sampling. Data were collected through semi-structured interviews and organized using NVivo 15.

Discussion

Three themes were identified: attitudes toward Agent Orange (anger, frustration, and loss); chronic health conditions and their impacts; and transgenerational concerns about inheritability and future health.

Conclusion

Findings underscore the need for epigenetic research into potential paternal transmission mechanisms. Nurses can promote research-informed policies that emphasize the health of veterans and military families while integrating educational strategies to address their unique needs.
背景:越南退伍军人的后代声称其父亲暴露于橙剂的不良健康结果,但对其产后健康和生活经历的研究有限。目的:本研究旨在探讨越战老兵后代的生活经历及橙剂对其健康的影响。方法:本定性研究采用解释现象学设计。参与者通过基于标准的抽样选择。数据通过半结构化访谈收集,并使用NVivo 15进行整理。讨论:确定了三个主题:对橙剂的态度(愤怒、沮丧和失落);慢性健康状况及其影响;以及对遗传和未来健康的跨代关注。结论:研究结果强调了对潜在的父系遗传机制进行表观遗传学研究的必要性。护士可以促进以研究为依据的政策,强调退伍军人和军人家庭的健康,同时结合教育策略来解决他们的独特需求。
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引用次数: 0
Reframing value in nursing education 重塑护理教育的价值。
IF 3.7 2区 医学 Q1 NURSING Pub Date : 2025-12-01 DOI: 10.1016/j.outlook.2025.102614
Patrick Lavoie RN, PhD , Élisabeth Quesnel RN, BSc , Maude Crétaz RN, MSc

Background

Although central to educational decision-making, value in nursing education is rarely defined. As programs evolve through curricular reform, competency-based design, simulation, artificial intelligence, and digital learning, what makes these efforts genuinely valuable remains unclear.

Purpose

This paper introduces the REFLECT Framework, a reflective conceptual model for guiding value-based decisions in nursing education.

Methods

Using an integrative analysis of literature from healthcare, education, and implementation science, value is conceptualized as a multidimensional construct encompassing seven dimensions: purpose alignment, evidence-informed pedagogy, pedagogical expertise, learner-centeredness, resource stewardship, equity, and contextual fit and sustainability.

Discussion

These dimensions support reflection on whether educational initiatives are effective, ethical, equitable, feasible, and aligned with nursing’s professional and societal purposes. The framework can be applied at micro (course), meso (program), and macro (system) levels to guide deliberation about what matters, for whom, and under what conditions.

Conclusion

The REFLECT Framework offers a structured, context-sensitive approach for advancing a deliberate and sustainable approach to shaping nursing education.
背景:虽然护理教育是教育决策的核心,但其价值却很少被定义。随着课程改革、基于能力的设计、模拟、人工智能和数字学习的发展,这些努力真正有价值的原因尚不清楚。目的:本文介绍了REFLECT框架,这是一个指导护理教育中基于价值的决策的反思概念模型。方法:通过对来自医疗保健、教育和实施科学的文献进行综合分析,价值被概念化为一个多维结构,包括七个维度:目的一致性、循证教学法、教学专业知识、以学习者为中心、资源管理、公平、情境契合和可持续性。讨论:这些维度支持反思教育举措是否有效、道德、公平、可行,并与护理的专业和社会目的相一致。该框架可以应用于微观(课程)、中观(程序)和宏观(系统)层面,以指导人们思考什么是重要的,对谁重要,在什么条件下重要。结论:REFLECT框架提供了一种结构化的、对环境敏感的方法,以推进一种深思熟虑的、可持续的方法来塑造护理教育。
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引用次数: 0
Revisiting student evaluations: Feedback for quality improvement in academic nursing while addressing educator wellbeing 重新审视学生评价:在解决教育工作者福祉的同时,对学术护理质量改进的反馈。
IF 3.7 2区 医学 Q1 NURSING Pub Date : 2025-12-01 DOI: 10.1016/j.outlook.2025.102615
Kathryn Kieran MSN, PMHNP-BC, Brenna Morse PhD, FNP-BC, FAAN, Kathryn E. Hall DNP, ANP-BC, NE-BC

Background

The challenges in nursing education programs provoke strong reactions that often have limited outlets. In their current form, anonymous Student Evaluations of Teaching (SET) may emphasize customer satisfaction over teaching effectiveness, encourage non-constructive comments, and lead to faculty anxiety and distress, ultimately hampering teaching careers, especially for faculty from historically minoritized groups.

Purpose

To outline a method for extracting useful narrative comments and managing the emotional realities of SET, offer a course of action and stimulate dialogue about SET in nursing education.

Methods

Eight semesters of SET in one mental health nursing course were qualitatively coded to develop a method to distill feedback in a less volatile manner.

Discussion

Revisiting presentation of SET comments may reduce emotion and bias and increase usefulness for faculty and administrators.

Conclusion

While we await clear alternatives to SET, there are ways to render the feedback accurately while inflicting less harm.
背景:护理教育项目的挑战引发了强烈的反应,而这些反应往往有有限的出路。在目前的形式下,匿名学生教学评估(SET)可能会强调客户满意度而不是教学效果,鼓励非建设性的评论,并导致教师焦虑和痛苦,最终阻碍教学事业,特别是对历史上少数群体的教师。目的:概述一种提取有用的叙事评论和管理SET的情感现实的方法,提供一个行动方案,并激发护理教育中关于SET的对话。方法:对一门心理健康护理课程中8学期的SET进行定性编码,以开发一种以较少波动的方式提取反馈的方法。讨论:重新审视SET评论的呈现可以减少情绪和偏见,并增加对教师和管理人员的有用性。结论:在我们等待明确的SET替代方案的同时,有一些方法可以准确地呈现反馈,同时减少伤害。
{"title":"Revisiting student evaluations: Feedback for quality improvement in academic nursing while addressing educator wellbeing","authors":"Kathryn Kieran MSN, PMHNP-BC,&nbsp;Brenna Morse PhD, FNP-BC, FAAN,&nbsp;Kathryn E. Hall DNP, ANP-BC, NE-BC","doi":"10.1016/j.outlook.2025.102615","DOIUrl":"10.1016/j.outlook.2025.102615","url":null,"abstract":"<div><h3>Background</h3><div>The challenges in nursing education programs provoke strong reactions that often have limited outlets. In their current form, anonymous Student Evaluations of Teaching (SET) may emphasize customer satisfaction over teaching effectiveness, encourage non-constructive comments, and lead to faculty anxiety and distress, ultimately hampering teaching careers, especially for faculty from historically minoritized groups.</div></div><div><h3>Purpose</h3><div>To outline a method for extracting useful narrative comments and managing the emotional realities of SET, offer a course of action and stimulate dialogue about SET in nursing education.</div></div><div><h3>Methods</h3><div>Eight semesters of SET in one mental health nursing course were qualitatively coded to develop a method to distill feedback in a less volatile manner.</div></div><div><h3>Discussion</h3><div>Revisiting presentation of SET comments may reduce emotion and bias and increase usefulness for faculty and administrators.</div></div><div><h3>Conclusion</h3><div>While we await clear alternatives to SET, there are ways to render the feedback accurately while inflicting less harm.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 1","pages":"Article 102615"},"PeriodicalIF":3.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662753","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}
引用次数: 0
Improving care for incarcerated pregnant women: Policy implications for advancing maternal and child health 改善对被监禁孕妇的护理:促进孕产妇和儿童健康的政策影响。
IF 3.7 2区 医学 Q1 NURSING Pub Date : 2025-12-01 DOI: 10.1016/j.outlook.2025.102608
Brenda Baker PhD, RN, FAAN

Background

Incarcerated pregnant women in the United States face significant barriers to evidence-based, comprehensive prenatal and postpartum care. These systemic challenges contribute to adverse maternal outcomes and exacerbation of health disparities.

Purpose

Understanding current practices within correctional facilities is crucial to inform policy and improve care and outcomes for this vulnerable population.

Methods

A policy focused analysis of recent data, federal reports, legislation, and professional guidelines for care was conducted to synthesize trends and best practices for the care of incarcerated pregnant and postpartum women.

Findings

This review identifies inconsistencies in the provision of perinatal care, pregnancy enhanced services, trauma-informed care, data collection, and missing policies and legislation across correctional facilities.

Discussion

The paper outlines actionable policy recommendations to standardize perinatal care in correctional settings. The findings are relevant to policymakers, public health leaders, and correctional health administrators seeking to reduce maternal morbidity and promote health equity.

Conclusion

Addressing gaps in care delivery, data reporting, and trauma-informed approaches, stakeholders can create equitable, evidence-based frameworks that support maternal health during incarceration. Implementing policy changes has the potential to ensure that all women regardless of custody status receive the comprehensive perinatal care they deserve.
背景:在美国,被监禁的孕妇在获得基于证据的全面产前和产后护理方面面临着重大障碍。这些系统性挑战导致产妇结局不利,并加剧了健康差距。目的:了解目前惩教设施内的做法对于制定政策和改善对这一弱势群体的护理和结果至关重要。方法:对近期数据、联邦报告、立法和专业护理指南进行政策重点分析,以综合监禁孕妇和产后妇女护理的趋势和最佳做法。研究结果:本综述确定了在提供围产期护理、妊娠强化服务、创伤知情护理、数据收集以及缺乏政策和立法方面的不一致。讨论:本文概述了可操作的政策建议,以规范矫正设置围产期护理。研究结果对寻求降低孕产妇发病率和促进卫生公平的政策制定者、公共卫生领导人和惩教卫生管理人员具有重要意义。结论:为了解决护理提供、数据报告和创伤知情方法方面的差距,利益攸关方可以创建公平的、以证据为基础的框架,支持监禁期间的孕产妇保健。实施政策改革有可能确保所有妇女,无论其监护状况如何,都能得到应有的全面围产期护理。
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引用次数: 0
Suicidal ideation, suicide planning, and suicide attempt among nurses 护士的自杀意念、自杀计划和自杀企图。
IF 3.7 2区 医学 Q1 NURSING Pub Date : 2025-11-29 DOI: 10.1016/j.outlook.2025.102616
Elizabeth Kreuze PhD, RN, ATC

Background

Global evidence suggests nurses experience disproportionate risk for suicide.

Purpose

Examine the current state of the science regarding suicidal ideation, suicide planning, and suicide attempt(s) among nurses globally.

Methods

A comprehensive and systematic search of the literature was conducted between November 2024 and January 2025. Electronic medical databases CINAHL Complete, PsycINFO, and PubMed were systematically searched using defined MeSH terms and forward and backward searching. In total, 98 articles that examined suicidal ideation, suicide planning, and/or suicide attempt(s) among nurses globally were included.

Discussion

Prevalence of historic suicidal ideation among nurse suicide decedents ranged from 36.6% to 38.3%. Prevalence of lifetime suicidal ideation among living nurses ranged from 7% to 44.5%. Prevalence of lifetime suicide planning among living nurses was 3% and 17%. Prevalence of historic suicide attempt(s) among nurse suicide decedents ranged from 27.3% to 76%. Prevalence of lifetime suicide attempt(s) among living nurses ranged from 3.2% to 13.5%. A variety of factors were negatively and positively associated with suicidal ideation, suicide planning, and suicide attempt(s) among nurses (e.g., mental and/or physical health concerns, burnout, workplace bullying and/or violence).

Conclusion

Accelerating research is important in building and expanding the evidence base. Moving toward standardized surveillance is also important, as consistent approaches may permit more meaningful within-country and cross-national comparisons, while also permitting examination of patterns and trends. However, because evidence suggested nurses may experience greater prevalence of suicidal ideation, suicide planning, and suicide attempt when compared to the general population, it is important to engage both private and public sectors in implementing proactive screening and early intervention. Taken together, sustained surveillance is important in informing research, screening, intervention strategies, and population-level impact.
背景:全球证据表明,护士面临着不成比例的自杀风险。目的:研究全球护士自杀意念、自杀计划和自杀企图的科学现状。方法:对2024年11月~ 2025年1月的相关文献进行全面、系统的检索。使用已定义的MeSH术语进行正向和向后搜索,系统地检索电子医学数据库CINAHL Complete、PsycINFO和PubMed。总共纳入了98篇研究全球护士自杀意念、自杀计划和/或自杀企图的文章。讨论:护士自杀死者中有历史自杀意念的患病率从36.6%到38.3%不等。在世护士的终生自杀意念患病率为7% ~ 44.5%。在世护士的终生自杀计划患病率分别为3%和17%。护士自杀死者中有自杀企图的患病率从27.3%到76%不等。在世护士的终生自杀企图患病率从3.2%到13.5%不等。多种因素与护士的自杀意念、自杀计划和自杀企图呈负相关和正相关(例如,精神和/或身体健康问题、倦怠、工作场所欺凌和/或暴力)。结论:加快研究对建立和扩大证据基础具有重要意义。走向标准化监测也很重要,因为一致的方法可能允许更有意义的国内和跨国比较,同时也允许审查模式和趋势。然而,由于有证据表明,与一般人群相比,护士的自杀意念、自杀计划和自杀企图可能更普遍,因此,让私营和公共部门共同参与实施主动筛查和早期干预是很重要的。总而言之,持续监测对于为研究、筛查、干预战略和人口层面的影响提供信息非常重要。
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引用次数: 0
Response to the letter to the editor, virtual reality in nursing curricula: Moving toward evidence-informed and sustainable integration. 回复给编辑的信,护理课程中的虚拟现实:朝着循证和可持续整合的方向发展。
IF 3.7 2区 医学 Q1 NURSING Pub Date : 2025-11-26 DOI: 10.1016/j.outlook.2025.102611
Jason R Thrift, Kimberly Hill, Jennifer Bagwell, Lucia Gonzales, Kimberly Stewart, Raven Anderson, Andrea O'dell, Olivia Boice, Ben Card
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引用次数: 0
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Nursing Outlook
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