Pub Date : 2024-05-25DOI: 10.1016/j.outlook.2024.102176
Nikole Bekman, Amy Solnica
{"title":"Juggling multiple roles: Navigating challenges and uncertainties in nursing practice, education, and research during wartime in Israel","authors":"Nikole Bekman, Amy Solnica","doi":"10.1016/j.outlook.2024.102176","DOIUrl":"https://doi.org/10.1016/j.outlook.2024.102176","url":null,"abstract":"","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141094944","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 : 2024-05-24DOI: 10.1016/j.outlook.2024.102193
Alex Hoyt PhD, RN , Jason Lucey DNP, FNP-BC , Susan Kelly-Weeder PhD, FNP-BC, FAANP, FAAN , Monica O'Reilly-Jacob PhD, APRN, FNP-BC, FAAN
Background
Doctorate of Nursing Practice preparation is recommended for entry to nurse practitioner (NP) practice but there are few comparative studies, and their designs conflate educational pathways.
Purpose
To investigate time use, functional autonomy, and job outcomes among NPs without a doctorate, NPs whose initial NP preparation and doctorate were separated by 2 or more years, and NPs whose NP preparation and doctorate were concurrent.
Method
We selected all NPs from the 2018 National Sample Survey of Registered Nurses, except those whose doctorates focused on research. We controlled for confounding and applied sample weights to produce nationally representative results.
Discussion
NPs' educational pathways are associated with distinct practice roles and, moving forward, policy should be informed by evidence that accounts for their differences.
Conclusion
Concurrent NPs had higher levels of functional autonomy compared with NPs without a doctorate, but patterns of time use were essentially the same. Separate doctoral education was associated with teaching and administration.
背景护理实践博士准备被推荐用于执业护士(NP),但比较研究很少,而且其设计混淆了教育途径.Purpose To investigate time use, functional autonomy, and job outcomes among NPs without a doctorate, NPs whose initial NP preparation and doctorate were apart by 2 or more years, and NPs whose NP preparation and doctorate were concurrent.MethodWe selected all NPs from the 2018 National Sample Survey of Registered Nurses, except those whose doctorates focused on research.我们对混杂因素进行了控制,并应用样本加权得出了具有全国代表性的结果。讨论护士的教育途径与不同的实践角色相关联,因此,在制定政策时应参考能说明其差异的证据。结论与未获得博士学位的护士相比,同时获得博士学位的护士具有更高水平的职能自主权,但时间使用模式基本相同。单独的博士教育与教学和管理有关。
{"title":"Nurse practitioners’ degrees and associations with time use, functional autonomy, and job outcomes","authors":"Alex Hoyt PhD, RN , Jason Lucey DNP, FNP-BC , Susan Kelly-Weeder PhD, FNP-BC, FAANP, FAAN , Monica O'Reilly-Jacob PhD, APRN, FNP-BC, FAAN","doi":"10.1016/j.outlook.2024.102193","DOIUrl":"https://doi.org/10.1016/j.outlook.2024.102193","url":null,"abstract":"<div><h3>Background</h3><p>Doctorate of Nursing Practice preparation is recommended for entry to nurse practitioner (NP) practice but there are few comparative studies, and their designs conflate educational pathways.</p></div><div><h3>Purpose</h3><p>To investigate time use, functional autonomy, and job outcomes among NPs without a doctorate, NPs whose initial NP preparation and doctorate were separated by 2 or more years, and NPs whose NP preparation and doctorate were concurrent.</p></div><div><h3>Method</h3><p>We selected all NPs from the 2018 National Sample Survey of Registered Nurses, except those whose doctorates focused on research. We controlled for confounding and applied sample weights to produce nationally representative results.</p></div><div><h3>Discussion</h3><p>NPs' educational pathways are associated with distinct practice roles and, moving forward, policy should be informed by evidence that accounts for their differences.</p></div><div><h3>Conclusion</h3><p>Concurrent NPs had higher levels of functional autonomy compared with NPs without a doctorate, but patterns of time use were essentially the same. Separate doctoral education was associated with teaching and administration.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141091026","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 : 2024-05-24DOI: 10.1016/j.outlook.2024.102197
Daniel Felipe Martín Suárez-Baquero PhD, MSN, RN
Background
Exploring decolonization in nursing knowledge, particularly through Latin American nursologists, is crucial. Initially focused on underrecognized thought schools in Latin America and the concept of “Cuidado” versus Eurocentric paradigms, this paper extends the discussion on decolonization as potentially colonizing.
Purpose
This paper examines the decolonization discourse in nursing reinforcing colonization, arguing that the nursing metaparadigm remains Eurocentric, neglecting Global South contributions.
Methods
The article critically discusses emerging theoretical ideas and situational theories from Latin America relevant to decolonizing nursing knowledge, providing analysis and proposing decolonization paths in nursing.
Discussion
The paper calls for genuine decolonization, urging Global North scholars to engage with indigenous, marginalized, and non-Western perspectives. It stresses the importance of acknowledging historical injustices, fostering cultural sensitivity, and revising nursing curricula for inclusivity and equity.
Conclusion
Ultimately, the paper advocates for a transformative approach to nursing knowledge that challenges colonial legacies, promoting a more inclusive and equitable field.
{"title":"Decolonizing nursing knowledge: Challenging Eurocentrism centering Global South voices","authors":"Daniel Felipe Martín Suárez-Baquero PhD, MSN, RN","doi":"10.1016/j.outlook.2024.102197","DOIUrl":"https://doi.org/10.1016/j.outlook.2024.102197","url":null,"abstract":"<div><h3>Background</h3><p>Exploring decolonization in nursing knowledge, particularly through Latin American nursologists, is crucial. Initially focused on underrecognized thought schools in Latin America and the concept of “Cuidado” versus Eurocentric paradigms, this paper extends the discussion on decolonization as potentially colonizing.</p></div><div><h3>Purpose</h3><p>This paper examines the decolonization discourse in nursing reinforcing colonization, arguing that the nursing metaparadigm remains Eurocentric, neglecting Global South contributions.</p></div><div><h3>Methods</h3><p>The article critically discusses emerging theoretical ideas and situational theories from Latin America relevant to decolonizing nursing knowledge, providing analysis and proposing decolonization paths in nursing.</p></div><div><h3>Discussion</h3><p>The paper calls for genuine decolonization, urging Global North scholars to engage with indigenous, marginalized, and non-Western perspectives. It stresses the importance of acknowledging historical injustices, fostering cultural sensitivity, and revising nursing curricula for inclusivity and equity.</p></div><div><h3>Conclusion</h3><p>Ultimately, the paper advocates for a transformative approach to nursing knowledge that challenges colonial legacies, promoting a more inclusive and equitable field.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141095274","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 : 2024-05-23DOI: 10.1016/j.outlook.2024.102186
Lisa A. Campbell , Joan Kub , Susan K. Lee , Ruth McDermott-Levy
{"title":"The crucial importance of accurate enumeration to bringing public health nurses out from behind the “Other” category","authors":"Lisa A. Campbell , Joan Kub , Susan K. Lee , Ruth McDermott-Levy","doi":"10.1016/j.outlook.2024.102186","DOIUrl":"https://doi.org/10.1016/j.outlook.2024.102186","url":null,"abstract":"","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141091027","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 : 2024-05-23DOI: 10.1016/j.outlook.2024.102188
Rosalind de Lisser MS, APRN , Jana Lauderdale PhD, RN , Mary S. Dietrich PhD , Rangaraj Ramanujam PhD , Deonni P. Stolldorf PhD, RN
Background
The U.S. health system is burdened by rising costs, workforce shortages, and unremitting burnout. Well-being interventions have emerged in response, yet data suggest that the work environment is the problem. Nurse practitioner (NP) burnout is associated with structural and relational factors in the work environment, practice autonomy, and hierarchical leadership.
Purpose
We explore the unique social, cultural, and political environment in which NPs work through the lens of social ecology and present the Social Ecology of Burnout (SEB) framework.
Methods
We review current burnout frameworks in the context of the NP practice environment and discuss the SEB, specifically exploring psychological safety and its influence on burnout.
Findings
Psychological safety, work environment, and policy are presented within the SEB and solutions which empower NPs are considered.
Discussion
Our framework can serve as a guide for future nursing research, practice, and policy.
{"title":"The Social Ecology of Burnout: A framework for research on nurse practitioner burnout","authors":"Rosalind de Lisser MS, APRN , Jana Lauderdale PhD, RN , Mary S. Dietrich PhD , Rangaraj Ramanujam PhD , Deonni P. Stolldorf PhD, RN","doi":"10.1016/j.outlook.2024.102188","DOIUrl":"https://doi.org/10.1016/j.outlook.2024.102188","url":null,"abstract":"<div><h3>Background</h3><p>The U.S. health system is burdened by rising costs, workforce shortages, and unremitting burnout. Well-being interventions have emerged in response, yet data suggest that the work environment is the problem. Nurse practitioner (NP) burnout is associated with structural and relational factors in the work environment, practice autonomy, and hierarchical leadership.</p></div><div><h3>Purpose</h3><p>We explore the unique social, cultural, and political environment in which NPs work through the lens of social ecology and present the Social Ecology of Burnout (SEB) framework.</p></div><div><h3>Methods</h3><p>We review current burnout frameworks in the context of the NP practice environment and discuss the SEB, specifically exploring psychological safety and its influence on burnout.</p></div><div><h3>Findings</h3><p>Psychological safety, work environment, and policy are presented within the SEB and solutions which empower NPs are considered.</p></div><div><h3>Discussion</h3><p>Our framework can serve as a guide for future nursing research, practice, and policy.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0029655424000812/pdfft?md5=e19917eda5d364e9e58beb37ddeb8fec&pid=1-s2.0-S0029655424000812-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141084678","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 : 2024-05-23DOI: 10.1016/j.outlook.2024.102190
Do Kyung Kim MPH RN , Paul Scott PhD , Lusine Poghosyan PhD, MPH, FAAN , Grant R. Martsolf PhD, MPH, FAAN
Background
Nurse practitioners (NPs) can enhance NP care and improve access to care by autonomously managing their patient panels. Yet, its impact on workforce outcomes such as burnout, job satisfaction, and turnover intention remains unexplored.
Purpose
To estimate the impact of NP panel management on workforce outcomes.
Methods
Structural equation modeling was conducted using survey data from 1,244 primary care NPs. NP panel management was categorized into co-managing patients with other providers, both co-managing and autonomously managing, and fully autonomous management.
Discussion
Fully autonomous management led to more burnout than co-managing (B = 0.089, bias-corrected 95% bootstrap confidence interval [0.028, 0.151]). Work hours partially (27%) mediated this relationship. This findings indicate that greater autonomy in panel management among NPs may lead to increased burnout, partially due to longer work hours.
Conclusion
Interventions to reduce work hours could help NPs deliver quality care without burnout.
{"title":"Burnout, job satisfaction, and turnover intention among primary care nurse practitioners with their own patient panels","authors":"Do Kyung Kim MPH RN , Paul Scott PhD , Lusine Poghosyan PhD, MPH, FAAN , Grant R. Martsolf PhD, MPH, FAAN","doi":"10.1016/j.outlook.2024.102190","DOIUrl":"https://doi.org/10.1016/j.outlook.2024.102190","url":null,"abstract":"<div><h3>Background</h3><p>Nurse practitioners (NPs) can enhance NP care and improve access to care by autonomously managing their patient panels. Yet, its impact on workforce outcomes such as burnout, job satisfaction, and turnover intention remains unexplored.</p></div><div><h3>Purpose</h3><p>To estimate the impact of NP panel management on workforce outcomes.</p></div><div><h3>Methods</h3><p>Structural equation modeling was conducted using survey data from 1,244 primary care NPs. NP panel management was categorized into co-managing patients with other providers, both co-managing and autonomously managing, and fully autonomous management.</p></div><div><h3>Discussion</h3><p>Fully autonomous management led to more burnout than co-managing (B = 0.089, bias-corrected 95% bootstrap confidence interval [0.028, 0.151]). Work hours partially (27%) mediated this relationship. This findings indicate that greater autonomy in panel management among NPs may lead to increased burnout, partially due to longer work hours.</p></div><div><h3>Conclusion</h3><p>Interventions to reduce work hours could help NPs deliver quality care without burnout.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141084679","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 : 2024-05-23DOI: 10.1016/j.outlook.2024.102194
Elizabeth A. Kostas-Polston PhD, FAANP, FAAN , Margaret Bevans PhD, RN, FAAN , Tamra L. Shea PhD, RN, CNE , Kelly McGlothen-Bell PhD, RN, FAWHONN , Mary A. Nies PhD, FAAN, FAAHB , Ivy M. Alexander PhD, FAANP, FAAN , Versie Johnson-Mallard PhD, FAANP, FAAN , Janine Austin Clayton MD, FARVO
The National Institute of Health (NIH) policy, Consideration of Sex as a Biological Variable (SABV) in NIH-funded Research (2015), focuses on the expectation that researchers account for the influence of SABV in vertebrate animal and human studies and provide a strong justification for single-sex investigations. When SABV is considered in the research design, data analyses, and reporting, the rigor and reproducibility of the research are elevated and inform best practices and precision health for all people. Additional recommendations include the appropriate use of terminology, integration into curricula, intersection with social determinants of health, and application of sex and gender equity guidelines when disseminating research. This paper is a “call to action” for nurse researchers to lean into and apply this policy’s principles and our recommendations, from the bench to the bedside, to advance the equity and health of all people.
{"title":"Ensuring accountability for consideration of sex as a biological variable in research","authors":"Elizabeth A. Kostas-Polston PhD, FAANP, FAAN , Margaret Bevans PhD, RN, FAAN , Tamra L. Shea PhD, RN, CNE , Kelly McGlothen-Bell PhD, RN, FAWHONN , Mary A. Nies PhD, FAAN, FAAHB , Ivy M. Alexander PhD, FAANP, FAAN , Versie Johnson-Mallard PhD, FAANP, FAAN , Janine Austin Clayton MD, FARVO","doi":"10.1016/j.outlook.2024.102194","DOIUrl":"https://doi.org/10.1016/j.outlook.2024.102194","url":null,"abstract":"<div><p>The National Institute of Health (NIH) policy, <em>Consideration of Sex as a Biological Variable (SABV) in NIH-funded Research</em> (2015), focuses on the expectation that researchers account for the influence of SABV in vertebrate animal and human studies and provide a strong justification for single-sex investigations. When SABV is considered in the research design, data analyses, and reporting, the rigor and reproducibility of the research are elevated and inform best practices and precision health for all people. Additional recommendations include the appropriate use of terminology, integration into curricula, intersection with social determinants of health, and application of sex and gender equity guidelines when disseminating research. This paper is a “call to action” for nurse researchers to lean into and apply this policy’s principles and our recommendations, from the bench to the bedside, to advance the equity and health of all people.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141084712","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 : 2024-05-22DOI: 10.1016/j.outlook.2024.102191
Celia Johnson BA , Megan K. Ingraham MPH , Stephen R. Stafford BA , Vincent Guilamo-Ramos PhD, MPH, ANP-BC
Background
Medicaid payment reforms and delivery model innovations are needed to fully transform U.S. healthcare structuring and provision.
Purpose
To synthesize nurse-led models of care and their implications for improving health care access, quality, and reducing costs for Medicaid recipients.
Methods
A critical review of the literature regarding nurse-led models and implications for addressing social determinants of health (SDOH), adopting population health approaches, managing complex care, and integrating behavioral and physical health care within Medicaid.
Discussion
Three interrelated findings emerged (a) investing in dynamic nurse-led models is important for mitigating SDOH and adopting value-based care, (b) regulations preventing nurses from practicing at the fullest extent of their training and licensure limit clinical impact and value, and (c) directed payments can establish value-based expectations for Medicaid managed care.
Conclusion
Adoption of a nurse-led model of care has the potential to advance the goals of reducing inequity and promoting whole-person health within Medicaid and nationally.
{"title":"Adopting a nurse-led model of care to advance whole-person health and health equity within Medicaid","authors":"Celia Johnson BA , Megan K. Ingraham MPH , Stephen R. Stafford BA , Vincent Guilamo-Ramos PhD, MPH, ANP-BC","doi":"10.1016/j.outlook.2024.102191","DOIUrl":"https://doi.org/10.1016/j.outlook.2024.102191","url":null,"abstract":"<div><h3>Background</h3><p>Medicaid payment reforms and delivery model innovations are needed to fully transform U.S. healthcare structuring and provision.</p></div><div><h3>Purpose</h3><p>To synthesize nurse-led models of care and their implications for improving health care access, quality, and reducing costs for Medicaid recipients.</p></div><div><h3>Methods</h3><p>A critical review of the literature regarding nurse-led models and implications for addressing social determinants of health (SDOH), adopting population health approaches, managing complex care, and integrating behavioral and physical health care within Medicaid.</p></div><div><h3>Discussion</h3><p>Three interrelated findings emerged (a) investing in dynamic nurse-led models is important for mitigating SDOH and adopting value-based care, (b) regulations preventing nurses from practicing at the fullest extent of their training and licensure limit clinical impact and value, and (c) directed payments can establish value-based expectations for Medicaid managed care.</p></div><div><h3>Conclusion</h3><p>Adoption of a nurse-led model of care has the potential to advance the goals of reducing inequity and promoting whole-person health within Medicaid and nationally.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0029655424000848/pdfft?md5=8b4a76973b422f4bffa53d44bd431bd5&pid=1-s2.0-S0029655424000848-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141084680","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 : 2024-05-22DOI: 10.1016/j.outlook.2024.102185
Shayne S.-H. Lin MA , Graham J. McDougall PhD , Rohan N. Peramsetty BA , Ian M. McDonough PhD
Background
Fear tactics were used in the pandemic of Coronavirus Disease 2019.
Purpose
We tested how messaging style, fear vs. hope, and differences in age and political affiliation related to intentions to engage in preventive behaviors during Coronavirus Disease 2019.
Methods
Participants (N = 606) aged 18 to 94 were randomly assigned to receive health messages that emphasized the dangers of the virus (fear messages) or the ability of health behaviors to mitigate the impact of the virus (hope messages). The primary outcome was health behavior intentions.
Discussion
Hope messaging rather than fear messaging promoted health behavior intentions with no moderation by age or political affiliation. Older and Democratic-identified adults had higher health behavior intentions. Health behaviors were mediated by death anxiety and perceived credibility of the messages.
Conclusion
Tailored hope messaging may improve health behaviors by increasing the credibility of messages.
{"title":"Hope messages influence health behavior intentions more than fear messages: An experimental study during COVID-19","authors":"Shayne S.-H. Lin MA , Graham J. McDougall PhD , Rohan N. Peramsetty BA , Ian M. McDonough PhD","doi":"10.1016/j.outlook.2024.102185","DOIUrl":"https://doi.org/10.1016/j.outlook.2024.102185","url":null,"abstract":"<div><h3>Background</h3><p>Fear tactics were used in the pandemic of Coronavirus Disease 2019.</p></div><div><h3>Purpose</h3><p>We tested how messaging style, fear vs. hope, and differences in age and political affiliation related to intentions to engage in preventive behaviors during Coronavirus Disease 2019.</p></div><div><h3>Methods</h3><p>Participants (<em>N</em> = 606) aged 18 to 94 were randomly assigned to receive health messages that emphasized the dangers of the virus (fear messages) or the ability of health behaviors to mitigate the impact of the virus (hope messages). The primary outcome was health behavior intentions.</p></div><div><h3>Discussion</h3><p>Hope messaging rather than fear messaging promoted health behavior intentions with no moderation by age or political affiliation. Older and Democratic-identified adults had higher health behavior intentions. Health behaviors were mediated by death anxiety and perceived credibility of the messages.</p></div><div><h3>Conclusion</h3><p>Tailored hope messaging may improve health behaviors by increasing the credibility of messages.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141084677","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 : 2024-05-22DOI: 10.1016/j.outlook.2024.102192
Brenda Elliott PhD, CNE, ANEF , Katie A. Chargualaf PhD, CNE, FAAN , Barbara Patterson PhD, ANEF, FAAN
Background
The potential positive impact military nurse officers (MNOs) make on the nursing profession, as well as lessons learned, often is unknown beyond inner military circles.
Purpose
Describe the experiences of MNOs in the advancement of the profession of nursing and nursing education, and how military service influenced nurse leaders’ impact on civilian practice.
Method
A descriptive–interpretive qualitative study using semistructured interviews of MNOs (N = 21).
Findings
Analysis revealed three themes: Deliberately developing personal leadership capacity, Building bench strength through team investment, and Balancing people and systems to achieve the mission.
Discussion
Leader development in the military afforded participants the necessary skills to advance the profession of nursing and nursing education in multiple ways that span individual, group/team, and organizational impact. Transferability and application of these skills to civilian settings may enhance leader development in nurses without military service.
{"title":"Influencing leadership in nursing education and practice: A qualitative study of military nurse officers","authors":"Brenda Elliott PhD, CNE, ANEF , Katie A. Chargualaf PhD, CNE, FAAN , Barbara Patterson PhD, ANEF, FAAN","doi":"10.1016/j.outlook.2024.102192","DOIUrl":"https://doi.org/10.1016/j.outlook.2024.102192","url":null,"abstract":"<div><h3>Background</h3><p>The potential positive impact military nurse officers (MNOs) make on the nursing profession, as well as lessons learned, often is unknown beyond inner military circles.</p></div><div><h3>Purpose</h3><p>Describe the experiences of MNOs in the advancement of the profession of nursing and nursing education, and how military service influenced nurse leaders’ impact on civilian practice.</p></div><div><h3>Method</h3><p>A descriptive–interpretive qualitative study using semistructured interviews of MNOs (<em>N</em> = 21).</p></div><div><h3>Findings</h3><p>Analysis revealed three themes: <em>Deliberately developing personal leadership capacity</em>, <em>Building bench strength through team investment</em>, and <em>Balancing people and systems to achieve the mission.</em></p></div><div><h3>Discussion</h3><p>Leader development in the military afforded participants the necessary skills to advance the profession of nursing and nursing education in multiple ways that span individual, group/team, and organizational impact. Transferability and application of these skills to civilian settings may enhance leader development in nurses without military service.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141084681","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}