Pub Date : 2025-12-09DOI: 10.1016/j.outlook.2025.102613
Trisha Saul PhD, RN , Cara Gallegos PhD, RN , Robyn Husa PhD, Troy Larkin PhD, RN, Cynthia Salisbury MSN, RN, Andria Moore MN, RN, Julie Levine BS, Ann Vita BS, Amy Parrish BS, Jim Scanlan PhD, Syl Trepanier DNP, RN, Kara Bensley PhD MSc , Canada Parrish PhD, MSPH
Background
The Co-Caring Nursing Model, incorporating virtual registered nurses (vRNs) into team-based nursing, aims to address challenges due to nursing shortages, increasing patient acuity, and professional burnout.
Purpose
To evaluate the early impact of the Co-Caring Nursing Model on patient experience, safety (as measured by rates of catheter-associated urinary tract infections and central line-associated bloodstream infections), cost of care, and employee experience.
Methods
This study used a difference in difference approach, analyzing electronic medical records from August 2023 to August 2024. Employee experience with the model and burnout in the workplace were assessed via a survey administered 6 months post implementation.
Discussion
Length of stay increased modestly for intervention units; no significant changes in readmissions, patient experience, or safety metrics were observed. Employee feedback revealed varied experiences: vRNs favored the model, while bedside registered nurses (bRNs) reported more challenges.
Conclusion
The model does not adversely affect patient safety or costs but presents challenges in bRN workload and adaptation. Effective change management is crucial for successful implementation.
{"title":"Early implementation study of a co-caring and virtual nursing model","authors":"Trisha Saul PhD, RN , Cara Gallegos PhD, RN , Robyn Husa PhD, Troy Larkin PhD, RN, Cynthia Salisbury MSN, RN, Andria Moore MN, RN, Julie Levine BS, Ann Vita BS, Amy Parrish BS, Jim Scanlan PhD, Syl Trepanier DNP, RN, Kara Bensley PhD MSc , Canada Parrish PhD, MSPH","doi":"10.1016/j.outlook.2025.102613","DOIUrl":"10.1016/j.outlook.2025.102613","url":null,"abstract":"<div><h3>Background</h3><div>The Co-Caring Nursing Model, incorporating virtual registered nurses (vRNs) into team-based nursing, aims to address challenges due to nursing shortages, increasing patient acuity, and professional burnout.</div></div><div><h3>Purpose</h3><div>To evaluate the early impact of the Co-Caring Nursing Model on patient experience, safety (as measured by rates of catheter-associated urinary tract infections and central line-associated bloodstream infections), cost of care, and employee experience.</div></div><div><h3>Methods</h3><div>This study used a difference in difference approach, analyzing electronic medical records from August 2023 to August 2024. Employee experience with the model and burnout in the workplace were assessed via a survey administered 6 months post implementation.</div></div><div><h3>Discussion</h3><div>Length of stay increased modestly for intervention units; no significant changes in readmissions, patient experience, or safety metrics were observed. Employee feedback revealed varied experiences: vRNs favored the model, while bedside registered nurses (bRNs) reported more challenges.</div></div><div><h3>Conclusion</h3><div>The model does not adversely affect patient safety or costs but presents challenges in bRN workload and adaptation. Effective change management is crucial for successful implementation.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 1","pages":"Article 102613"},"PeriodicalIF":3.7,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145726833","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 : 2025-12-06DOI: 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.
{"title":"Transforming care: A gender-affirming care simulation study","authors":"Edward D. Petrie PhD, RN, Joel G. Anderson PhD, CHTP, FGSA","doi":"10.1016/j.outlook.2025.102621","DOIUrl":"10.1016/j.outlook.2025.102621","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Purpose</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Discussion</h3><div>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.</div></div><div><h3>Conclusion</h3><div>Community advisory board involvement and TG-SP ensured authenticity and cultural congruence, strengthening student learning.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 1","pages":"Article 102621"},"PeriodicalIF":3.7,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684533","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 : 2025-12-04DOI: 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.
{"title":"A strategic vision for global health: Innovative nursing education, leadership, and research","authors":"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","doi":"10.1016/j.outlook.2025.102617","DOIUrl":"10.1016/j.outlook.2025.102617","url":null,"abstract":"<div><h3>Background</h3><div>Engaging in global education, research, and leadership equips nursing students to serve diverse populations effectively.</div></div><div><h3>Purpose</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Discussion</h3><div>The article emphasizes core programs, such as the Global Minor for undergraduates and Global Competencies for graduates, leadership events, and research initiatives.</div></div><div><h3>Conclusion</h3><div>Guidance is presented for creating sustainable partnerships and strategies to strengthen the global impact of nursing schools.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 1","pages":"Article 102617"},"PeriodicalIF":3.7,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684532","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 : 2025-12-03DOI: 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.
{"title":"Acceptability and perceived usefulness of the MyPEEPS mobile app for young transgender men","authors":"Robert Garofalo , Trinity Casimir , Nicholas Martinez , Shivani Kaw , Maeve Brin , Lisa M. Kuhns , Asa Radix , Patrick Janulis , Rebecca Schnall","doi":"10.1016/j.outlook.2025.102612","DOIUrl":"10.1016/j.outlook.2025.102612","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 1","pages":"Article 102612"},"PeriodicalIF":3.7,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670862","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 : 2025-12-03DOI: 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.
{"title":"Examining the impact of individual and work-related factors on the overall health of registered nurses in Wisconsin","authors":"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","doi":"10.1016/j.outlook.2025.102619","DOIUrl":"10.1016/j.outlook.2025.102619","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Purpose</h3><div>We sought to understand the contributions of individual sociodemographic characteristics and organizational factors on self-perceived health of RNs.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Discussion</h3><div>Younger age, female gender, hospital employment, providing direct patient care, and working more hours predicted worse self-perceived health.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 1","pages":"Article 102619"},"PeriodicalIF":3.7,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145679283","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 : 2025-12-02DOI: 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.
{"title":"Second-generation Agent Orange: Phenomenology of the health experiences of Vietnam veteran progeny","authors":"Sharon Atienza PhD, MPH, AGPCNP-BC , Lisa R. Roberts DrPH, MSN, FAAN , Jan Nick PhD, RN, FAAN , Mona Pearl Treyball PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102618","DOIUrl":"10.1016/j.outlook.2025.102618","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Purpose</h3><div>The purpose of this study was to explore the lived experiences of Vietnam veteran descendants and the impact of Agent Orange on their health.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Discussion</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 1","pages":"Article 102618"},"PeriodicalIF":3.7,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662722","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}
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.
{"title":"Reframing value in nursing education","authors":"Patrick Lavoie RN, PhD , Élisabeth Quesnel RN, BSc , Maude Crétaz RN, MSc","doi":"10.1016/j.outlook.2025.102614","DOIUrl":"10.1016/j.outlook.2025.102614","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Purpose</h3><div>This paper introduces the REFLECT Framework, a reflective conceptual model for guiding value-based decisions in nursing education.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Discussion</h3><div>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.</div></div><div><h3>Conclusion</h3><div>The REFLECT Framework offers a structured, context-sensitive approach for advancing a deliberate and sustainable approach to shaping nursing education.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 1","pages":"Article 102614"},"PeriodicalIF":3.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662772","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 : 2025-12-01DOI: 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.
{"title":"Revisiting student evaluations: Feedback for quality improvement in academic nursing while addressing educator wellbeing","authors":"Kathryn Kieran MSN, PMHNP-BC, Brenna Morse PhD, FNP-BC, FAAN, 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}
Pub Date : 2025-12-01DOI: 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.
{"title":"Improving care for incarcerated pregnant women: Policy implications for advancing maternal and child health","authors":"Brenda Baker PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102608","DOIUrl":"10.1016/j.outlook.2025.102608","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Purpose</h3><div>Understanding current practices within correctional facilities is crucial to inform policy and improve care and outcomes for this vulnerable population.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Findings</h3><div>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.</div></div><div><h3>Discussion</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 1","pages":"Article 102608"},"PeriodicalIF":3.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662730","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 : 2025-11-29DOI: 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.
{"title":"Suicidal ideation, suicide planning, and suicide attempt among nurses","authors":"Elizabeth Kreuze PhD, RN, ATC","doi":"10.1016/j.outlook.2025.102616","DOIUrl":"10.1016/j.outlook.2025.102616","url":null,"abstract":"<div><h3>Background</h3><div>Global evidence suggests nurses experience disproportionate risk for suicide.</div></div><div><h3>Purpose</h3><div>Examine the current state of the science regarding suicidal ideation, suicide planning, and suicide attempt(s) among nurses globally.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Discussion</h3><div>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).</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 1","pages":"Article 102616"},"PeriodicalIF":3.7,"publicationDate":"2025-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145650208","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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