Pub Date : 2024-10-16DOI: 10.1016/j.outlook.2024.102297
J. Margo Brooks Carthon PhD, APRN, FAAN , Jacqueline Nikpour PhD, RN , Gary Rettberg MPP , Charlotte Thomas-Hawkins PhD, RN, FAAN , Marcus D. Henderson MSN, RN , David Agor DNP, PMHNP, HIVPCP , Antonia Villarruel PhD, RN, FAAN
Nursing burnout remains a public health crisis. However, few stakeholders have considered the disproportionate toll of burnout among nurses of color, including nurses identifying as Black, Hispanic/Latino, or Native American. We convened a one-day conference, titled Solutions to Health Inequities and Nurses’ Emotional Exhaustion (SHINE), to begin identifying contributing factors and solutions to burnout amongst nurses of color. SHINE included plenaries, small group discussions, and breakout sessions with nearly 40 expert stakeholders from around the country. We employed a deliberative dialogue (DD) methodology to identify key takeaways and implications for research, practice, and policy. High-priority solutions included: improving the work environment and nurse staffing, reducing stigma against nurses seeking mental healthcare, addressing workplace racism as a root cause of nurse burnout, and increasing support for nurses experiencing racism at work. Key priorities identified through SHINE offer a roadmap for nurse leaders to address burnout through an equity-centered lens.
{"title":"Addressing burnout among nurses of color: Key priorities and calls for action","authors":"J. Margo Brooks Carthon PhD, APRN, FAAN , Jacqueline Nikpour PhD, RN , Gary Rettberg MPP , Charlotte Thomas-Hawkins PhD, RN, FAAN , Marcus D. Henderson MSN, RN , David Agor DNP, PMHNP, HIVPCP , Antonia Villarruel PhD, RN, FAAN","doi":"10.1016/j.outlook.2024.102297","DOIUrl":"10.1016/j.outlook.2024.102297","url":null,"abstract":"<div><div>Nursing burnout remains a public health crisis. However, few stakeholders have considered the disproportionate toll of burnout among nurses of color, including nurses identifying as Black, Hispanic/Latino, or Native American. We convened a one-day conference, titled Solutions to Health Inequities and Nurses’ Emotional Exhaustion (SHINE), to begin identifying contributing factors and solutions to burnout amongst nurses of color. SHINE included plenaries, small group discussions, and breakout sessions with nearly 40 expert stakeholders from around the country. We employed a deliberative dialogue (DD) methodology to identify key takeaways and implications for research, practice, and policy. High-priority solutions included: improving the work environment and nurse staffing, reducing stigma against nurses seeking mental healthcare, addressing workplace racism as a root cause of nurse burnout, and increasing support for nurses experiencing racism at work. Key priorities identified through SHINE offer a roadmap for nurse leaders to address burnout through an equity-centered lens.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102297"},"PeriodicalIF":4.1,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142442202","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}
Leadership development and growth of nurse leaders is critically important for the thriving of the nursing profession. Formal leadership training programs are helpful in building leadership knowledge and skills. The Midwest Nursing Research Society (MNRS) launched the Leadership Academy (LA), a new initiative to foster leadership development and intentionally create a steady pool of members prepared to step into MNRS leadership positions. The purpose of this article was to describe the experiences of a mentor and mentee dyad through the MNRS LA and discuss their perspectives on fostering leadership development and growth. The success of a leadership development program has a far-reaching impact on novice and potential future leaders. A tailored leadership mentoring relationship helps increase one’s self-confidence in being a leader and provides individualized leadership development opportunities. Engagement of both the mentee and mentor in the leadership mentoring relationship is a key to ensure an optimized leadership mentoring experience.
护士长的领导力培养和成长对护理行业的蓬勃发展至关重要。正规的领导力培训计划有助于培养领导力知识和技能。美国中西部护理研究学会（MNRS）推出了领导力学院（LA），这是一项促进领导力发展的新举措，旨在培养一批稳定的成员，为担任 MNRS 领导职务做好准备。本文旨在描述一位导师和一位被导师通过 MNRS LA 所获得的经验，并讨论他们对促进领导力发展和成长的看法。领导力发展计划的成功对新手和潜在的未来领导者有着深远的影响。量身定制的领导力指导关系有助于增强领导者的自信心，并提供个性化的领导力发展机会。被指导者和指导者都参与到领导力指导关系中，是确保优化领导力指导体验的关键。
{"title":"Fostering leadership development and growth of nurse leaders: Experiences from Midwest Nursing Research Society Leadership Academy","authors":"Qiuhua Shen PhD, APRN, RN , Sharon Tucker PhD, RN, PMHCNS-BC, NC-BC, EBP-C, FNAP, FAAN","doi":"10.1016/j.outlook.2024.102293","DOIUrl":"10.1016/j.outlook.2024.102293","url":null,"abstract":"<div><div>Leadership development and growth of nurse leaders is critically important for the thriving of the nursing profession. Formal leadership training programs are helpful in building leadership knowledge and skills. The Midwest Nursing Research Society (MNRS) launched the Leadership Academy (LA), a new initiative to foster leadership development and intentionally create a steady pool of members prepared to step into MNRS leadership positions. The purpose of this article was to describe the experiences of a mentor and mentee dyad through the MNRS LA and discuss their perspectives on fostering leadership development and growth. The success of a leadership development program has a far-reaching impact on novice and potential future leaders. A tailored leadership mentoring relationship helps increase one’s self-confidence in being a leader and provides individualized leadership development opportunities. Engagement of both the mentee and mentor in the leadership mentoring relationship is a key to ensure an optimized leadership mentoring experience.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102293"},"PeriodicalIF":4.1,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142419505","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 : 2024-10-10DOI: 10.1016/j.outlook.2024.102273
Kim Kuebler DNP, ANP-BC, FAAN , Todd Monroe PhD, RN, FAAN , Richard Ricciardi PhD, CRNP, FAAN , Cheryl Westlake PhD, ACNS-BC, FAAN , Matthew Sorenson PhD, ANP-C, FAAN , Jane Pederson MD, MS , Michael Neft PhD, CRNA, FAAN , Sandra A. Mitchell PhD, CRNP, FAAN , Kathryn Daniel PhD, AGNP, FAAN , Susan De Santo-Madeya PhD, APRN-CNS, FAAN , Susan Renda DNP, ANP-BC, FAAN , Elizabeth Henneman PhD, RN, FAAN , Eduardo Bruera MD
Background
This paper was jointly developed from members of the American Academy of Nursing Expert Panels on Palliative and End of Life Care, Primary Care, Aging, Acute and Critical Care, and two expert physicians.
Purpose
The overarching goal is to promote the integration of palliative care as symptom management into the primary care setting to transform care for patients living with multiple chronic conditions.
Methods
Embracing the recommendations made by the World Health Organization, the U.S. Department of Health and Human Services, and the National Academies of Science Engineering and Medicine to initiate palliative care or symptom management at the onset of nonreversible or serious chronic conditions.
Discussion
Earlier palliative interventions reduce disease exacerbation, prevent hospitalization, maintain physical functioning, and support health-related quality of life.
Conclusion
This is a needed paradigm shift as the nation’s aging population escalates, Americans are living longer, and the healthcare costs for the nation are unprecedented.
{"title":"Integration of palliative care in the management of multiple chronic conditions: An expert consensus paper with policy implications","authors":"Kim Kuebler DNP, ANP-BC, FAAN , Todd Monroe PhD, RN, FAAN , Richard Ricciardi PhD, CRNP, FAAN , Cheryl Westlake PhD, ACNS-BC, FAAN , Matthew Sorenson PhD, ANP-C, FAAN , Jane Pederson MD, MS , Michael Neft PhD, CRNA, FAAN , Sandra A. Mitchell PhD, CRNP, FAAN , Kathryn Daniel PhD, AGNP, FAAN , Susan De Santo-Madeya PhD, APRN-CNS, FAAN , Susan Renda DNP, ANP-BC, FAAN , Elizabeth Henneman PhD, RN, FAAN , Eduardo Bruera MD","doi":"10.1016/j.outlook.2024.102273","DOIUrl":"10.1016/j.outlook.2024.102273","url":null,"abstract":"<div><h3>Background</h3><div>This paper was jointly developed from members of the American Academy of Nursing Expert Panels on Palliative and End of Life Care, Primary Care, Aging, Acute and Critical Care, and two expert physicians.</div></div><div><h3>Purpose</h3><div>The overarching goal is to promote the integration of palliative care as symptom management into the primary care setting to transform care for patients living with multiple chronic conditions.</div></div><div><h3>Methods</h3><div>Embracing the recommendations made by the World Health Organization, the U.S. Department of Health and Human Services, and the National Academies of Science Engineering and Medicine to initiate palliative care or symptom management at the onset of nonreversible or serious chronic conditions.</div></div><div><h3>Discussion</h3><div>Earlier palliative interventions reduce disease exacerbation, prevent hospitalization, maintain physical functioning, and support health-related quality of life.</div></div><div><h3>Conclusion</h3><div>This is a needed paradigm shift as the nation’s aging population escalates, Americans are living longer, and the healthcare costs for the nation are unprecedented.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102273"},"PeriodicalIF":4.1,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402014","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}
Retaining nurse practitioners (NPs) from diverse racial and ethnic groups is critical to achieving health equity as NPs disproportionately care for minoritized populations. Yet, little is known about intent to leave (ITL) among these NPs.
Purpose
To examine whether NP race and ethnicity were associated with ITL and if this relationship was affected by the work environment.
Methods
Survey data from 1,232 NPs across six states were used. NPs completed measures of their ITL, work environment quality, and demographics. Regression models were used to determine if NP race and ethnicity resulted in differential reports of ITL.
Findings
Minoritized NPs had significantly higher cumulative odds of ITL compared with White NPs.
Discussion
Minoritized NPs had higher ITL, and the work environment did not demonstrate a protective effect against ITL. Future research should identify work environment features that may help retain a diverse NP workforce.
{"title":"The association between nurse practitioner race and ethnicity and intent to leave in primary care practices","authors":"Amelia E. Schlak PhD, RN , Jianfang Liu PhD , Justinna Dixon BSN, RN , Lusine Poghosyan PhD, RN, FAAN , Corina Lelutiu-Weinberger PhD, MPhil, BA , Kenrick Cato PhD, RN, FAAN","doi":"10.1016/j.outlook.2024.102289","DOIUrl":"10.1016/j.outlook.2024.102289","url":null,"abstract":"<div><h3>Background</h3><div>Retaining nurse practitioners (NPs) from diverse racial and ethnic groups is critical to achieving health equity as NPs disproportionately care for minoritized populations. Yet, little is known about intent to leave (ITL) among these NPs.</div></div><div><h3>Purpose</h3><div>To examine whether NP race and ethnicity were associated with ITL and if this relationship was affected by the work environment.</div></div><div><h3>Methods</h3><div>Survey data from 1,232 NPs across six states were used. NPs completed measures of their ITL, work environment quality, and demographics. Regression models were used to determine if NP race and ethnicity resulted in differential reports of ITL.</div></div><div><h3>Findings</h3><div>Minoritized NPs had significantly higher cumulative odds of ITL compared with White NPs.</div></div><div><h3>Discussion</h3><div>Minoritized NPs had higher ITL, and the work environment did not demonstrate a protective effect against ITL. Future research should identify work environment features that may help retain a diverse NP workforce.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102289"},"PeriodicalIF":4.1,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401916","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 : 2024-10-10DOI: 10.1016/j.outlook.2024.102296
Elizabeth Johnston Taylor PhD , Holly E.R. Morrell PhD , Hazel M. Ada PhD, RN , Carrie Dupée DNP, RN, PCNS-BC , Michael Jordan MSN, MBA, RN , Patti Radovich PhD, RN, FCCM , Kendal C. Boyd PhD
Background
Various facets of spirituality are associated with well-being. Given the current urgency to promote nurse well-being, nurse spirituality merits exploration.
Purpose
To investigate how spiritual distress and growth (i.e., spiritual/religious struggle, moral injury, and post-traumatic growth) contributed to nurse outcomes (i.e., burnout, job satisfaction, and intent to leave).
Methods
Registered nurse (RNs) providing direct patient care in three Southern California hospitals completed an online survey that included psychometrically robust measures. Hierarchical multiple regression analyses were used to test spiritual variables as predictors of nurse outcomes after accounting for demographic and work-related factors.
Findings
In this sample of 531 demographically diverse RNs, spiritual struggle contributed to burnout and turnover intention; post-traumatic growth and employer respect for nurse well-being contributed to all three nurse outcomes.
Discussion
Spiritual distress and growth are understudied but potentially important influences on job outcomes for nurses. The results here suggest that continued development of interventions to address spiritual health is worth investment.
{"title":"Do nurse spiritual responses to trauma explain nurse outcomes? A correlational observational study","authors":"Elizabeth Johnston Taylor PhD , Holly E.R. Morrell PhD , Hazel M. Ada PhD, RN , Carrie Dupée DNP, RN, PCNS-BC , Michael Jordan MSN, MBA, RN , Patti Radovich PhD, RN, FCCM , Kendal C. Boyd PhD","doi":"10.1016/j.outlook.2024.102296","DOIUrl":"10.1016/j.outlook.2024.102296","url":null,"abstract":"<div><h3>Background</h3><div>Various facets of spirituality are associated with well-being. Given the current urgency to promote nurse well-being, nurse spirituality merits exploration.</div></div><div><h3>Purpose</h3><div>To investigate how spiritual distress and growth (i.e., spiritual/religious struggle, moral injury, and post-traumatic growth) contributed to nurse outcomes (i.e., burnout, job satisfaction, and intent to leave).</div></div><div><h3>Methods</h3><div>Registered nurse (RNs) providing direct patient care in three Southern California hospitals completed an online survey that included psychometrically robust measures. Hierarchical multiple regression analyses were used to test spiritual variables as predictors of nurse outcomes after accounting for demographic and work-related factors.</div></div><div><h3>Findings</h3><div>In this sample of 531 demographically diverse RNs, spiritual struggle contributed to burnout and turnover intention; post-traumatic growth and employer respect for nurse well-being contributed to all three nurse outcomes.</div></div><div><h3>Discussion</h3><div>Spiritual distress and growth are understudied but potentially important influences on job outcomes for nurses. The results here suggest that continued development of interventions to address spiritual health is worth investment.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102296"},"PeriodicalIF":4.1,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407184","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 : 2024-10-10DOI: 10.1016/j.outlook.2024.102290
Kai-Lin You MSN, RN , Youjia Wang BSN, RN , Yuchen Zhang BSN, RN , Catherine M. Bender PhD, RN, FAAN , Laura A. Fennimore DNP, NEA-BC, FAAN , Margaret Q. Rosenzweig PhD, CRNP-C, AOCNP , Andrew Dierkes PhD, RN , Martha Ann Terry PhD , Ketki Raina PhD, OTR/L, FAOTA , Teresa Hagan Thomas PhD, RN
Background
Nurses diagnosed with cancer face unique challenges when returning to work, yet there is limited understanding of their transition.
Purpose
To explore nurses’ return-to-work experiences post cancer diagnosis and clarify related facilitators and challenges.
Methods
This focus group study employed a content analysis with constant comparative approach and member checking. This study recruited nurses treated for any type of cancer who had experience returning to clinical positions.
Findings
Five focus groups with 17 female nurses (mean age = 51.8) were performed; 47.1% had breast cancer. Four main themes were identified: (a) motivation, incentives, and the need to return to work; (b) setbacks hindering the return; (c) navigating new work dynamics; and (d) evolving professional role during the return to work.
Discussion
This study illustrates personal and professional growth and struggles that attend returning to work as a nurse with cancer. This insight informs strategies to support continuing these nurses’ careers.
{"title":"Nurses’ returning to work after cancer: A focus group study","authors":"Kai-Lin You MSN, RN , Youjia Wang BSN, RN , Yuchen Zhang BSN, RN , Catherine M. Bender PhD, RN, FAAN , Laura A. Fennimore DNP, NEA-BC, FAAN , Margaret Q. Rosenzweig PhD, CRNP-C, AOCNP , Andrew Dierkes PhD, RN , Martha Ann Terry PhD , Ketki Raina PhD, OTR/L, FAOTA , Teresa Hagan Thomas PhD, RN","doi":"10.1016/j.outlook.2024.102290","DOIUrl":"10.1016/j.outlook.2024.102290","url":null,"abstract":"<div><h3>Background</h3><div>Nurses diagnosed with cancer face unique challenges when returning to work, yet there is limited understanding of their transition.</div></div><div><h3>Purpose</h3><div>To explore nurses’ return-to-work experiences post cancer diagnosis and clarify related facilitators and challenges.</div></div><div><h3>Methods</h3><div>This focus group study employed a content analysis with constant comparative approach and member checking. This study recruited nurses treated for any type of cancer who had experience returning to clinical positions.</div></div><div><h3>Findings</h3><div>Five focus groups with 17 female nurses (mean age<!--> <!-->=<!--> <!-->51.8) were performed; 47.1% had breast cancer. Four main themes were identified: (a) motivation, incentives, and the need to return to work; (b) setbacks hindering the return; (c) navigating new work dynamics; and (d) evolving professional role during the return to work.</div></div><div><h3>Discussion</h3><div>This study illustrates personal and professional growth and struggles that attend returning to work as a nurse with cancer. This insight informs strategies to support continuing these nurses’ careers.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102290"},"PeriodicalIF":4.1,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402015","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 : 2024-10-09DOI: 10.1016/j.outlook.2024.102294
Jacqueline Johnston MN, RN, Lisa McKenna PhD, RN, RM, Gulzar Malik PhD, RN, Sonia Reisenhofer PhD, RN
Background
Participation in international educational programs during nurses’ and midwives’ preregistration education provides an opportunity to experience healthcare in different cultures. Short-term outcomes of participation have been reported; however, little has been published regarding long-term outcomes and theoretical processes for nurses and midwives who participate in such programs.
Purpose
To provide in-depth understandings through a theoretical model of long-term outcomes and impacts for nurses and midwives who participate in international educational programs during their preregistration education.
Methods
Constructivist grounded theory methodology was employed in this study. Thirteen general nurses, two mental health nurses, three midwives, and four dual-qualified nurse/midwives from eight different countries were interviewed.
Conclusion
The substantive theory, “Transforming personally and professionally through global cultural experience,” presents an explanation of processes and long-term impacts for those who participated in international programs during their preregistration education.
{"title":"Transforming personally and professionally through global cultural experience: A grounded theory study","authors":"Jacqueline Johnston MN, RN, Lisa McKenna PhD, RN, RM, Gulzar Malik PhD, RN, Sonia Reisenhofer PhD, RN","doi":"10.1016/j.outlook.2024.102294","DOIUrl":"10.1016/j.outlook.2024.102294","url":null,"abstract":"<div><h3>Background</h3><div>Participation in international educational programs during nurses’ and midwives’ preregistration education provides an opportunity to experience healthcare in different cultures. Short-term outcomes of participation have been reported; however, little has been published regarding long-term outcomes and theoretical processes for nurses and midwives who participate in such programs.</div></div><div><h3>Purpose</h3><div>To provide in-depth understandings through a theoretical model of long-term outcomes and impacts for nurses and midwives who participate in international educational programs during their preregistration education.</div></div><div><h3>Methods</h3><div>Constructivist grounded theory methodology was employed in this study. Thirteen general nurses, two mental health nurses, three midwives, and four dual-qualified nurse/midwives from eight different countries were interviewed.</div></div><div><h3>Conclusion</h3><div>The substantive theory, “<em>Transforming personally and professionally through global cultural experience</em>,” presents an explanation of processes and long-term impacts for those who participated in international programs during their preregistration education.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102294"},"PeriodicalIF":4.1,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395342","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 : 2024-10-09DOI: 10.1016/j.outlook.2024.102291
Kechi Iheduru-Anderson DNP, RN, CNE, CWCN , Roberta Waite EdD, PMHCNS, ANEF, FAAN , Teri A. Murray PhD, PHNA-BC, RN, ANEF, FAAN
The invisibility/hypervisibility paradox is Black women's complex and often contradictory experiences in the workplace. In nursing academia, Black women find themselves simultaneously experiencing invisibility and hypervisibility. This paper delves into how the paradox shows up in academic nursing. The paper's objectives are threefold: (a) to dissect the dynamics of whiteness, gender, and class within nursing education perpetuating the invisibility/hypervisibility paradox; (b) to elucidate the concept of intersectionality and the matrix of domination informing this paradox; and (c) propose strategies for Black nursing faculty to resist oppression, mitigate the paradox, and thrive in academic settings. We used high-profile cases to connect the paradox to nursing education.
{"title":"Invisibility/Hypervisibility paradox for Black women navigating the nursing academic environment","authors":"Kechi Iheduru-Anderson DNP, RN, CNE, CWCN , Roberta Waite EdD, PMHCNS, ANEF, FAAN , Teri A. Murray PhD, PHNA-BC, RN, ANEF, FAAN","doi":"10.1016/j.outlook.2024.102291","DOIUrl":"10.1016/j.outlook.2024.102291","url":null,"abstract":"<div><div>The invisibility/hypervisibility paradox is Black women's complex and often contradictory experiences in the workplace. In nursing academia, Black women find themselves simultaneously experiencing invisibility and hypervisibility. This paper delves into how the paradox shows up in academic nursing. The paper's objectives are threefold: (a) to dissect the dynamics of whiteness, gender, and class within nursing education perpetuating the invisibility/hypervisibility paradox; (b) to elucidate the concept of intersectionality and the matrix of domination informing this paradox; and (c) propose strategies for Black nursing faculty to resist oppression, mitigate the paradox, and thrive in academic settings. We used high-profile cases to connect the paradox to nursing education.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102291"},"PeriodicalIF":4.1,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395341","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 : 2024-10-01DOI: 10.1016/j.outlook.2024.102272
Vincent Guilamo-Ramos PhD, MPH, RN, FAAN , Marco Thimm-Kaiser MPH , Adam Benzekri MS, MPH , Marissa D. Abram PhD, RN , Michael P. Cary Jr., PhD, RN, FAAN
Background
The National Academies of Sciences, Engineering, and Medicine’s Ending Unequal Treatment report emphasizes immediate actions to eliminate health inequities (i.e., solutions-oriented health inequity research), versus incrementally advancing health equity. Nurse scientists are uniquely positioned to lead national efforts to eliminate health inequities.
Purpose
To outline nursing science’s contributions to solutions-oriented health inequity research, highlight opportunities and challenges for nursing leadership, and key competencies for which workforce support infrastructure is needed.
Methods
We draw on the landmark 2024 Ending Unequal Treatment report, supplemented by a review of the literature on scientific nursing-specific workforce challenges.
Discussion
We identify strategies for sustaining and advancing nursing science’s leadership in solutions-oriented health inequity research, including objectives, competencies, and programmatic elements needed to support current and future nurse investigators.
Conclusion
Bolstering the nursing scientific workforce in solutions-oriented health inequity research will elevate the role of nursing science in eliminating health inequities and improving population health.
{"title":"A roadmap for the nursing scientific workforce to eliminate health and healthcare inequities","authors":"Vincent Guilamo-Ramos PhD, MPH, RN, FAAN , Marco Thimm-Kaiser MPH , Adam Benzekri MS, MPH , Marissa D. Abram PhD, RN , Michael P. Cary Jr., PhD, RN, FAAN","doi":"10.1016/j.outlook.2024.102272","DOIUrl":"10.1016/j.outlook.2024.102272","url":null,"abstract":"<div><h3>Background</h3><div>The National Academies of Sciences, Engineering, and Medicine’s <em>Ending Unequal Treatment</em> report emphasizes immediate actions to eliminate health inequities (i.e., solutions-oriented health inequity research), versus incrementally advancing health equity. Nurse scientists are uniquely positioned to lead national efforts to eliminate health inequities.</div></div><div><h3>Purpose</h3><div>To outline nursing science’s contributions to solutions-oriented health inequity research, highlight opportunities and challenges for nursing leadership, and key competencies for which workforce support infrastructure is needed.</div></div><div><h3>Methods</h3><div>We draw on the landmark 2024 <em>Ending Unequal Treatment</em> report, supplemented by a review of the literature on scientific nursing-specific workforce challenges.</div></div><div><h3>Discussion</h3><div>We identify strategies for sustaining and advancing nursing science’s leadership in solutions-oriented health inequity research, including objectives, competencies, and programmatic elements needed to support current and future nurse investigators.</div></div><div><h3>Conclusion</h3><div>Bolstering the nursing scientific workforce in solutions-oriented health inequity research will elevate the role of nursing science in eliminating health inequities and improving population health.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102272"},"PeriodicalIF":4.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367436","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 : 2024-09-20DOI: 10.1016/j.outlook.2024.102264
Nicole A. Thomas PhD, RN , Anne L. Ersig PhD, RN , Bram Wispelwey MD, MPH , Brenda Owen RN , Lisa C. Bratzke PhD, RN, FAHA
Background
Social and health inequities and inequalities are rising all over the world (Chinn & Falk-Rafael, 2018; McGibbon et al., 2014; Smtih, 2012). Nursing students should therefore be educated to understand the multifaceted factors creating health inequities and the degree to which non-biological elements can be embodied and become biological (e.g., environmental stress leading to changes in health.).
Purpose
We suggest pathways to decolonize nursing curricula and pedagogy through decentering the colonial knowledge structures and practices that harm Indigenous health and wellbeing.
Methods
This discursive analysis utilizes decolonial theory and postcolonial feminism.
Discussion
Colonization, broadly speaking, characterizes the Eurocentric project to “civilize” the rest of the world utilizing various forms of violence (McGibbon et. al., 2014). The persistent and ongoing reproduction and recurrence of colonialism, enacting cycles of disenfranchisement and oppression, creates significant inequities in physical, mental, and emotional health and well-being for historically marginalized groups of people (Smith, 2012).
Conclusion
The need for innovative undergraduate nursing curricula reform is apparent. The lack of nursing courses highlighting the effects of colonization, environmental justice, upstream structural and social determinants of health, globalization, and state violence must be addressed. Because gaps in nursing curricula and outdated teaching practices may support persistent inequities, scholars and students have advocated for decolonization of nursing curricula (Chinn & Falk-Rafael, 2018; McGibbon et al., 2014; Smtih, 2012).
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