Pub Date : 2025-11-15DOI: 10.1016/j.outlook.2025.102578
Jennifer G. Nooney PhD , Nina Kreiger MPH , Natalie Teixeira Bailey MPH , Brandon Hesgrove PhD , Karen Donelan ScD, EdM, FAAN(h) , Stephanie B. Ziomek MA , Helen Liu MS , Kelly Daley PhD , Jessica Kirchner MA , Hayden O. Kepley PhD
Background
The Health Resources and Services Administration’s Nurse Corps program offers loan repayment and scholarships in exchange for service commitments in underserved areas and schools of nursing.
Purpose
This study describes the extent and predictors of nurse retention in these areas after program participants’ service commitments are complete.
Methods
Survey data from current participants and program alumni (N = 4,890) were merged with administrative data for the analysis.
Discussion
About 80.8% of all alumni respondents were retained at the time of the survey; even 6 years after their commitments ended, 76.0% remained in underserved areas or schools of nursing. Satisfaction with the Nurse Corps service site and burnout were key predictors of retention.
Conclusion
The Nurse Corps program has been successful in meeting its goal of increasing access to nursing care in underserved areas. Interventions are discussed to increase satisfaction and reduce burnout to maximize retention of nurses in underserved areas.
{"title":"Nurse Corps participant retention in rural areas, medically underserved communities, and schools of nursing","authors":"Jennifer G. Nooney PhD , Nina Kreiger MPH , Natalie Teixeira Bailey MPH , Brandon Hesgrove PhD , Karen Donelan ScD, EdM, FAAN(h) , Stephanie B. Ziomek MA , Helen Liu MS , Kelly Daley PhD , Jessica Kirchner MA , Hayden O. Kepley PhD","doi":"10.1016/j.outlook.2025.102578","DOIUrl":"10.1016/j.outlook.2025.102578","url":null,"abstract":"<div><h3>Background</h3><div>The Health Resources and Services Administration’s Nurse Corps program offers loan repayment and scholarships in exchange for service commitments in underserved areas and schools of nursing.</div></div><div><h3>Purpose</h3><div>This study describes the extent and predictors of nurse retention in these areas after program participants’ service commitments are complete.</div></div><div><h3>Methods</h3><div>Survey data from current participants and program alumni (<em>N</em> = 4,890) were merged with administrative data for the analysis.</div></div><div><h3>Discussion</h3><div>About 80.8% of all alumni respondents were retained at the time of the survey; even 6 years after their commitments ended, 76.0% remained in underserved areas or schools of nursing. Satisfaction with the Nurse Corps service site and burnout were key predictors of retention.</div></div><div><h3>Conclusion</h3><div>The Nurse Corps program has been successful in meeting its goal of increasing access to nursing care in underserved areas. Interventions are discussed to increase satisfaction and reduce burnout to maximize retention of nurses in underserved areas.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 1","pages":"Article 102578"},"PeriodicalIF":3.7,"publicationDate":"2025-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520988","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 : 2025-11-13DOI: 10.1016/j.outlook.2025.102592
Avery M. Anderson PhD, PMHNP-BC, APRN , Amanda Bogart MD , Heather Smyth PhD , Roque Anthony F. Velasco MS, APRN, AGPCNP-BC , Sarah Eskew BA , Christina J. Sun PhD, MS
Healthcare transition (HCT) is critical for adolescents and young adults (AYAs) with special healthcare needs, including those receiving gender-affirming care. Transgender and gender diverse (TGD) youth are vastly overlooked in HCT research and likely face unique HCT challenges due to stigma, limited access to care, and shifting legal landscapes. This study examined associations between demographic, psychosocial factors, and HCT readiness among TGD AYAs engaged in gender-affirming care. A cross-sectional survey (N=67) at a pediatric gender clinic assessed demographics, depression, anxiety, emotional support, and HCT readiness using validated tools. Age significantly predicted readiness across four of five domains. Transgender females reported lower readiness in tracking health issues. Anxiety, depression, and emotional support were not significant predictors. Findings underscore the importance of standardized, age- and genderappropriate HCT processes in gender-affirming care. Nurses are uniquely positioned to lead structured, individualized HCT procedures to ensure continuity of gender-affirming care.
{"title":"Examining psychosocial factors and health care transition readiness in gender-affirming care","authors":"Avery M. Anderson PhD, PMHNP-BC, APRN , Amanda Bogart MD , Heather Smyth PhD , Roque Anthony F. Velasco MS, APRN, AGPCNP-BC , Sarah Eskew BA , Christina J. Sun PhD, MS","doi":"10.1016/j.outlook.2025.102592","DOIUrl":"10.1016/j.outlook.2025.102592","url":null,"abstract":"<div><div>Healthcare transition (HCT) is critical for adolescents and young adults (AYAs) with special healthcare needs, including those receiving gender-affirming care. Transgender and gender diverse (TGD) youth are vastly overlooked in HCT research and likely face unique HCT challenges due to stigma, limited access to care, and shifting legal landscapes. This study examined associations between demographic, psychosocial factors, and HCT readiness among TGD AYAs engaged in gender-affirming care. A cross-sectional survey (N=67) at a pediatric gender clinic assessed demographics, depression, anxiety, emotional support, and HCT readiness using validated tools. Age significantly predicted readiness across four of five domains. Transgender females reported lower readiness in tracking health issues. Anxiety, depression, and emotional support were not significant predictors. Findings underscore the importance of standardized, age- and genderappropriate HCT processes in gender-affirming care. Nurses are uniquely positioned to lead structured, individualized HCT procedures to ensure continuity of gender-affirming care.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"74 1","pages":"Article 102592"},"PeriodicalIF":3.7,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145500008","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 : 2025-11-01DOI: 10.1016/j.outlook.2025.102581
João Cruz Neto, Andrezza Rayana Da Costa Alves Delmiro, Lorena Pinheiro Barbosa, Priscila de Souza Aquino, Viviane Martins da Silva, Marcos Venícios de Oliveira Lopes
Background
Studies have increasingly focused on the transition of care in heart disease. Self-management behaviors during these transitions are essential for ensuring effective care, reducing hospitalizations, and improving quality of life.
Purpose
Identify self-management behaviors in patients with cardiac diseases during care transitions.
Methods
A scoping review was conducted following the JBI methodology and guided by the PRISMA-ScR. Searches were performed in six databases (MEDLINE, Web of Science, CINAHL, Scopus, Embase, and LILACS) between January and February 2025. Inclusion criteria comprised studies addressing health self-management behaviors in patients of any age group with cardiac disease during a care transition process. Data synthesis followed Whittemore & Knafl’s approach, and findings were analyzed using Meleis’ Transitions Theory and presented in tables and diagrams.
Findings
Seventeen studies met the inclusion criteria, predominantly from the United States and with cross-sectional designs. Fourteen positive behaviors (e.g., medication adherence, risk recognition, communication with providers, and lifestyle adjustments) and 21 negative behaviors (e.g., treatment interruption, lack of understanding of the medication regimen, limited follow-up, and addictive behaviors) were identified. These behaviors were mapped to the outcomes of restoration, maintenance, protection, and promotion as defined by the Transitions Theory.
Discussion
The review underscores the centrality of medication management and education in the care transition for cardiac patients. Self-management behaviors are influenced by personal, social, and systemic factors, highlighting the need for structured nursing interventions, such as patient education, follow-up, and coordination across care settings, to strengthen continuity of care and prevent readmissions. It was noted that the topic of care transition is still underexplored in the literature, which limits the generalization of the data to all contexts of transition in cardiac disease.
Reporting Method
PRISMA.
背景：研究越来越关注心脏病护理的转变。这些过渡期间的自我管理行为对于确保有效护理、减少住院和提高生活质量至关重要。目的：了解心脏病患者在护理过渡期的自我管理行为。方法：在PRISMA-ScR的指导下，按照JBI方法学进行范围审查。检索于2025年1月至2月在六个数据库（MEDLINE、Web of Science、CINAHL、Scopus、Embase和LILACS）中进行。纳入标准包括在护理过渡过程中处理任何年龄组心脏病患者健康自我管理行为的研究。数据合成遵循Whittemore & Knafl的方法，并使用Meleis的过渡理论分析结果，并以表格和图表的形式呈现。结果：17项研究符合纳入标准，主要来自美国，采用横断面设计。14种积极行为（如服药依从性、风险认知、与提供者沟通和生活方式调整）和21种消极行为（如治疗中断、缺乏对药物治疗方案的理解、有限的随访和成瘾行为）被确定。这些行为映射到由过渡理论定义的恢复、维护、保护和促进的结果。讨论：该综述强调了药物管理和教育在心脏病患者护理转变中的中心地位。自我管理行为受到个人、社会和系统因素的影响，强调需要有组织的护理干预措施，如患者教育、随访和跨护理环境的协调，以加强护理的连续性和防止再入院。值得注意的是，在文献中，护理转变的主题仍未得到充分探讨，这限制了将数据推广到心脏病转移的所有背景。报告方式：PRISMA。
{"title":"Self-management behaviors for the care transition of cardiac patients: A scoping review","authors":"João Cruz Neto, Andrezza Rayana Da Costa Alves Delmiro, Lorena Pinheiro Barbosa, Priscila de Souza Aquino, Viviane Martins da Silva, Marcos Venícios de Oliveira Lopes","doi":"10.1016/j.outlook.2025.102581","DOIUrl":"10.1016/j.outlook.2025.102581","url":null,"abstract":"<div><h3>Background</h3><div>Studies have increasingly focused on the transition of care in heart disease. Self-management behaviors during these transitions are essential for ensuring effective care, reducing hospitalizations, and improving quality of life.</div></div><div><h3>Purpose</h3><div>Identify self-management behaviors in patients with cardiac diseases during care transitions.</div></div><div><h3>Methods</h3><div>A scoping review was conducted following the JBI methodology and guided by the PRISMA-ScR. Searches were performed in six databases (MEDLINE, Web of Science, CINAHL, Scopus, Embase, and LILACS) between January and February 2025. Inclusion criteria comprised studies addressing health self-management behaviors in patients of any age group with cardiac disease during a care transition process. Data synthesis followed Whittemore & Knafl’s approach, and findings were analyzed using Meleis’ Transitions Theory and presented in tables and diagrams.</div></div><div><h3>Findings</h3><div>Seventeen studies met the inclusion criteria, predominantly from the United States and with cross-sectional designs. Fourteen positive behaviors (e.g., medication adherence, risk recognition, communication with providers, and lifestyle adjustments) and 21 negative behaviors (e.g., treatment interruption, lack of understanding of the medication regimen, limited follow-up, and addictive behaviors) were identified. These behaviors were mapped to the outcomes of restoration, maintenance, protection, and promotion as defined by the Transitions Theory.</div></div><div><h3>Discussion</h3><div>The review underscores the centrality of medication management and education in the care transition for cardiac patients. Self-management behaviors are influenced by personal, social, and systemic factors, highlighting the need for structured nursing interventions, such as patient education, follow-up, and coordination across care settings, to strengthen continuity of care and prevent readmissions. It was noted that the topic of care transition is still underexplored in the literature, which limits the generalization of the data to all contexts of transition in cardiac disease.</div></div><div><h3>Reporting Method</h3><div>PRISMA.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102581"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145454112","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}
Global nursing research investments aim to improve health outcomes, yet the funding-quality relationship remains poorly understood.
Purpose
To analyze international nursing research trends (2017-2022) across the 29 most productive countries, examining correlations between declared funding and publication quantity and quality.
Methods
AI-enhanced scientometric analysis employed a Python algorithm matching extracted journals for each country's publication to corresponding quartiles (Q1-Q4), using Scimago's 2022 Scopus update. Two quality metrics -the ratio of total citations to total publications (TC/TP) and the proportion of Q1 publications to total publications (Q1/TP)- were correlated. Local Outlier Factor technique enabled outlier detection.
Findings
Nursing research demonstrated quadratic growth. The two quality metrics strongly correlated (r = 0.916, p< 0.001). The number of publications declaring funding correlated highly with publication quantity (r = 0.955, p < 0.001), but not with quality (r = -0.077, p = 0.686). The USA led in publication volume, while the UK, and several European nations led in quality. Notable growth occurred in Indonesia, Saudi Arabia, China, Iran, South Korea, and Turkey.
Discussion
Findings suggest that while funding drives publication quantity, quality enhancement requires comprehensive investment strategies, including indirect expenses for institutional research infrastructure and capacity building.
全球护理研究投资旨在改善健康结果，但对资金与质量的关系仍知之甚少。目的分析国际护理研究趋势（2017-2022年）在29个生产力最高的国家，检查申报资金与出版物数量和质量之间的相关性。方法采用Python算法，使用Scimago的2022年Scopus更新，将每个国家的出版物提取的期刊与相应的四分位数（Q1-Q4）进行匹配。两个质量指标——总引用数与总发表数之比（TC/TP）和Q1发表数与总发表数之比（Q1/TP）——是相关的。局部离群因子技术实现了离群检测。护理研究显示出二次增长。这两个质量指标有很强的相关性（r = 0.916, p<； 0.001）。宣布资助的出版物数量与发表数量高度相关（r = 0.955, p <； 0.001），但与质量不相关（r = -0.077, p = 0.686）。美国在出版物数量上领先，而英国和几个欧洲国家在质量上领先。印度尼西亚、沙特阿拉伯、中国、伊朗、韩国和土耳其的增长显著。讨论结果表明，虽然资助推动了发表数量，但提高质量需要全面的投资策略，包括机构研究基础设施和能力建设的间接支出。
{"title":"A cross-country comparison of nursing research outputs in relation to funding: An artificial intelligence-enhanced multivariate analysis","authors":"Elena Sblendorio PhD, RN , Marco Tomietto PhD, MSN, RN , Vincenzo Dentamaro PhD , Alessio Lo Cascio PhD, RN , Guglielmo Imbriaco , Michela Piredda PhD, MSc, RN , Giancarlo Cicolini PhD, MSN, RN","doi":"10.1016/j.outlook.2025.102583","DOIUrl":"10.1016/j.outlook.2025.102583","url":null,"abstract":"<div><h3>Background</h3><div>Global nursing research investments aim to improve health outcomes, yet the funding-quality relationship remains poorly understood.</div></div><div><h3>Purpose</h3><div>To analyze international nursing research trends (2017-2022) across the 29 most productive countries, examining correlations between declared funding and publication quantity and quality.</div></div><div><h3>Methods</h3><div>AI-enhanced scientometric analysis employed a Python algorithm matching extracted journals for each country's publication to corresponding quartiles (Q1-Q4), using Scimago's 2022 Scopus update. Two quality metrics -the ratio of total citations to total publications (TC/TP) and the proportion of Q1 publications to total publications (Q1/TP)- were correlated. Local Outlier Factor technique enabled outlier detection.</div></div><div><h3>Findings</h3><div>Nursing research demonstrated quadratic growth. The two quality metrics strongly correlated (r = 0.916, p< 0.001). The number of publications declaring funding correlated highly with publication quantity (r = 0.955, p < 0.001), but not with quality (r = -0.077, p = 0.686). The USA led in publication volume, while the UK, and several European nations led in quality. Notable growth occurred in Indonesia, Saudi Arabia, China, Iran, South Korea, and Turkey.</div></div><div><h3>Discussion</h3><div>Findings suggest that while funding drives publication quantity, quality enhancement requires comprehensive investment strategies, including indirect expenses for institutional research infrastructure and capacity building.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102583"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145465995","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}
Nearly 10% of registered nurses (RNs) work in long-term care (LTC). Previous research has reported that RNs working in LTC receive lower pay than those in hospitals.
Purpose
This study examined demographic and human capital characteristics associated with RN employment in LTC and wages.
Methods
National survey data were analyzed using descriptive and regression analyses.
Discussion
RNs working in LTC are older, more often educated outside the United States, and more likely to live in rural areas than other RNs. LTC-employed RNs earn 9.5% less than non-LTC RNs. There were no racial, ethnic, or sex differences in the probability of employment in LTC or in the wages earned by LTC or non-LTC nurses.
Conclusion
Our results point to the importance of addressing low wages for RNs who work in LTC settings. LTC employers should also seek to improve other work environment attributes to make LTC employment more attractive to RNs.
{"title":"Predictors of registered nurse employment and earnings in long-term care","authors":"Joanne Spetz PhD, FAAN , Timothy Bates MPP , Laura Wagner PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102586","DOIUrl":"10.1016/j.outlook.2025.102586","url":null,"abstract":"<div><h3>Background</h3><div>Nearly 10% of registered nurses (RNs) work in long-term care (LTC). Previous research has reported that RNs working in LTC receive lower pay than those in hospitals.</div></div><div><h3>Purpose</h3><div>This study examined demographic and human capital characteristics associated with RN employment in LTC and wages.</div></div><div><h3>Methods</h3><div>National survey data were analyzed using descriptive and regression analyses.</div></div><div><h3>Discussion</h3><div>RNs working in LTC are older, more often educated outside the United States, and more likely to live in rural areas than other RNs. LTC-employed RNs earn 9.5% less than non-LTC RNs. There were no racial, ethnic, or sex differences in the probability of employment in LTC or in the wages earned by LTC or non-LTC nurses.</div></div><div><h3>Conclusion</h3><div>Our results point to the importance of addressing low wages for RNs who work in LTC settings. LTC employers should also seek to improve other work environment attributes to make LTC employment more attractive to RNs.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102586"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145497379","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 : 2025-11-01DOI: 10.1016/j.outlook.2025.102549
Catherine L. Gilliss PhD, FAAN , Paula Milone-Nuzzo PhD, RN, FHHC, FAAN
Background
Nursing leadership is often viewed as the exclusive responsibility assigned to formal leadership roles. Our work suggests that important changes are being led by nurses, regardless of their assigned roles.
Purpose
By presenting a framework of leadership, we illustrate how nurses lead meaningful change.
Methods
Case studies from nurses in leadership roles from around the globe provided affirming examples of the relevance of the Strategic Leadership Framework. Case studies were analyzed to identify key concepts for leading change beyond traditional settings.
Discussion
The key leadership activities of understanding culture and context, effective communication and collaboration provide the foundation for the Strategic Leadership Framework.
Conclusions
These cases provide beginning confirmatory evidence of the relevance of the framework and illustrate the ways in which nurses without formal leadership titles lead outside of the organizational settings. Specifically, the framework points to the importance of considering context, leveraging collaboration and communication, and using strategic leadership interventions to bring about meaningful change.
{"title":"Rethinking global nursing leadership: The Strategic Leadership Framework","authors":"Catherine L. Gilliss PhD, FAAN , Paula Milone-Nuzzo PhD, RN, FHHC, FAAN","doi":"10.1016/j.outlook.2025.102549","DOIUrl":"10.1016/j.outlook.2025.102549","url":null,"abstract":"<div><h3>Background</h3><div>Nursing leadership is often viewed as the exclusive responsibility assigned to formal leadership roles. Our work suggests that important changes are being led by nurses, regardless of their assigned roles.</div></div><div><h3>Purpose</h3><div>By presenting a framework of leadership, we illustrate how nurses lead meaningful change.</div></div><div><h3>Methods</h3><div>Case studies from nurses in leadership roles from around the globe provided affirming examples of the relevance of the Strategic Leadership Framework. Case studies were analyzed to identify key concepts for leading change beyond traditional settings.</div></div><div><h3>Discussion</h3><div>The key leadership activities of understanding culture and context, effective communication and collaboration provide the foundation for the Strategic Leadership Framework.</div></div><div><h3>Conclusions</h3><div>These cases provide beginning confirmatory evidence of the relevance of the framework and illustrate the ways in which nurses without formal leadership titles lead outside of the organizational settings. Specifically, the framework points to the importance of considering context, leveraging collaboration and communication, and using strategic leadership interventions to bring about meaningful change.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102549"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410771","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}
Advanced nursing practice is expanding across the European Union. Although the International Council of Nurses provides a unified definition, implementation varies widely among member states.
Purpose
To assess advanced practice in the EU and identify similarities and differences in regulation and practice.
Methods
This scoping review followed Joanna Briggs Institute and PRISMA guidelines.
Findings
Of 2,205 studies screened, 184 met eligibility criteria. Advanced nursing practice shows consistent patterns in education, competencies, and practice models but remains fragmented in title recognition, regulation, and specialty development. In some countries, formal structures are still absent.
Discussion
The European Union faces shared public health challenges, particularly long-term care needs. Advanced nursing practice has proven effective in several countries, and European-level recognition could foster broader integration. This review highlights commonalities and national variations, offering comparative insights to guide international policies that strengthen the legitimacy and visibility of advanced practice nurses.
{"title":"Advanced practice nursing in the European Union: A scoping review","authors":"Morin Galfout Sara APN , Schwingrouber Jocelyn RN, PhD , Colson Sébastien RN, PhD","doi":"10.1016/j.outlook.2025.102588","DOIUrl":"10.1016/j.outlook.2025.102588","url":null,"abstract":"<div><h3>Background</h3><div>Advanced nursing practice is expanding across the European Union. Although the International Council of Nurses provides a unified definition, implementation varies widely among member states<strong>.</strong></div></div><div><h3>Purpose</h3><div>To assess advanced practice in the EU and identify similarities and differences in regulation and practice.</div></div><div><h3>Methods</h3><div>This scoping review followed Joanna Briggs Institute and PRISMA guidelines.</div></div><div><h3>Findings</h3><div>Of 2,205 studies screened, 184 met eligibility criteria. Advanced nursing practice shows consistent patterns in education, competencies, and practice models but remains fragmented in title recognition, regulation, and specialty development. In some countries, formal structures are still absent.</div></div><div><h3>Discussion</h3><div>The European Union faces shared public health challenges, particularly long-term care needs. Advanced nursing practice has proven effective in several countries, and European-level recognition could foster broader integration. This review highlights commonalities and national variations, offering comparative insights to guide international policies that strengthen the legitimacy and visibility of advanced practice nurses.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102588"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520032","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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