Pub Date : 2025-11-01DOI: 10.1016/j.outlook.2025.102582
Robert Atkins PhD, RN, FAAN , Kristen M. Brown DNP, CPNP-AC, FAAN , Shawna S. Mudd DNP, MBA, CPNP-AC, FAAN , Kimia Ghobadi PhD , Deborah J. Baker DNP, RN, FAAN , Sarah Szanton PhD, RN, FAAN
Background
Nurses represent the largest share of the U.S. health-care workforce and are central to improving population health. Transforming nursing education into a responsive, adaptive, competency-based system is essential to prepare a diverse, practice-ready workforce.
Purpose
This concept paper presents a vision for integrating artificial intelligence (AI), competency-based education (CBE), and simulation to personalize learning, enhance skill acquisition, and foster cultural respect in nursing education.
Methods
We propose shifting from rigid, time-bound curricula to flexible, competency-driven pathways that allow learners to progress at their own pace. Hypothetical student and faculty scenarios illustrate how these innovations can accommodate diverse life circumstances and learning styles.
Discussion
This approach expands access for underrepresented groups—including adult learners and those with caregiving responsibilities—while cultivating a workforce equipped to deliver community-oriented care and address social determinants of health such as housing, education, and nutrition.
Conclusions
By embracing AI, CBE, and simulation, nursing education can be reimagined to build a diverse, inclusive, and practice-ready workforce positioned to advance health equity and improve population health outcomes across the United States.
{"title":"Reimagining nursing education: Leveraging competency-based education, artificial intelligence, and simulation for a diverse and practice-ready workforce","authors":"Robert Atkins PhD, RN, FAAN , Kristen M. Brown DNP, CPNP-AC, FAAN , Shawna S. Mudd DNP, MBA, CPNP-AC, FAAN , Kimia Ghobadi PhD , Deborah J. Baker DNP, RN, FAAN , Sarah Szanton PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102582","DOIUrl":"10.1016/j.outlook.2025.102582","url":null,"abstract":"<div><h3>Background</h3><div>Nurses represent the largest share of the U.S. health-care workforce and are central to improving population health. Transforming nursing education into a responsive, adaptive, competency-based system is essential to prepare a diverse, practice-ready workforce.</div></div><div><h3>Purpose</h3><div>This concept paper presents a vision for integrating artificial intelligence (AI), competency-based education (CBE), and simulation to personalize learning, enhance skill acquisition, and foster cultural respect in nursing education.</div></div><div><h3>Methods</h3><div>We propose shifting from rigid, time-bound curricula to flexible, competency-driven pathways that allow learners to progress at their own pace. Hypothetical student and faculty scenarios illustrate how these innovations can accommodate diverse life circumstances and learning styles.</div></div><div><h3>Discussion</h3><div>This approach expands access for underrepresented groups—including adult learners and those with caregiving responsibilities—while cultivating a workforce equipped to deliver community-oriented care and address social determinants of health such as housing, education, and nutrition.</div></div><div><h3>Conclusions</h3><div>By embracing AI, CBE, and simulation, nursing education can be reimagined to build a diverse, inclusive, and practice-ready workforce positioned to advance health equity and improve population health outcomes across the United States.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102582"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145465997","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.2025.102574
Junhua Zhang PhD, RN , Brianna Lin BScN, RN , Yilei Yang BS, MS , Hyun Jin Jung PharmD, MS , Simon Paul P. Navarro MA, BSN, RN , Allison A. Norful PhD, RN, FAAN
Background
International migration of nurses is a common strategy to address workforce shortages in the United States.
Purpose
To compare workforce retention factors between U.S.-trained nurses and internationally educated nurses (IENs) working in the United States.
Methods
A secondary analysis of the 2018 and 2022 National Sample Survey of Registered Nurses (NSSRN) was conducted. Weighted descriptive statistics, linear regression, and stepwise analyses (unadjusted and adjusted) were applied.
Discussion
U.S.-trained and IENs differed significantly in demographics, professional characteristics, and predictors of turnover. Burnout consistently emerged as a significant driver of turnover for both groups. IENs more often cited factors related to professional autonomy, patient population, and personal caregiving responsibilities, whereas U.S.-trained nurses more frequently identified inadequate staffing, poor management, and stressful work environments.
Conclusion
Retention strategies should address distinct organizational and personal factors influencing turnover in different nurse subgroups to strengthen workforce stability.
{"title":"Variations in job turnover factors among internationally educated and U.S.-trained nurses: Insights from the 2018 and 2022 National Sample Survey of Registered Nurses","authors":"Junhua Zhang PhD, RN , Brianna Lin BScN, RN , Yilei Yang BS, MS , Hyun Jin Jung PharmD, MS , Simon Paul P. Navarro MA, BSN, RN , Allison A. Norful PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102574","DOIUrl":"10.1016/j.outlook.2025.102574","url":null,"abstract":"<div><h3>Background</h3><div>International migration of nurses is a common strategy to address workforce shortages in the United States.</div></div><div><h3>Purpose</h3><div>To compare workforce retention factors between U.S.-trained nurses and internationally educated nurses (IENs) working in the United States.</div></div><div><h3>Methods</h3><div>A secondary analysis of the 2018 and 2022 National Sample Survey of Registered Nurses (NSSRN) was conducted. Weighted descriptive statistics, linear regression, and stepwise analyses (unadjusted and adjusted) were applied.</div></div><div><h3>Discussion</h3><div>U.S.-trained and IENs differed significantly in demographics, professional characteristics, and predictors of turnover. Burnout consistently emerged as a significant driver of turnover for both groups. IENs more often cited factors related to professional autonomy, patient population, and personal caregiving responsibilities, whereas U.S.-trained nurses more frequently identified inadequate staffing, poor management, and stressful work environments.</div></div><div><h3>Conclusion</h3><div>Retention strategies should address distinct organizational and personal factors influencing turnover in different nurse subgroups to strengthen workforce stability.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102574"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145395338","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.2025.102579
Victor G. Petreca PhD, DNP , Joanne T. Barros PhD , Ann W. Burgess DNSc
Background
Healthcare organizations increasingly implement active shooter drills for emergency preparedness, yet research rarely examines how poorly coordinated drills may cause workplace trauma.
Purpose
This study examined healthcare staff experiences following an inappropriately conducted active shooter drill at a healthcare facility providing inpatient behavioral health care for children and adolescents.
Methods
A qualitative descriptive design analyzed deidentified statements from 88 healthcare workers collected 8 months post incident. Inductive thematic analysis identified patterns across experiences.
Discussion
Five themes emerged: organizational chaos and communication breakdown, immediate physical and emotional responses, pressure to resume normal duties, development of trauma symptoms, and long-term professional disruption. Many participants reported clinically significant symptoms, career instability, and loss of institutional trust.
Conclusion
Poorly coordinated preparedness drills without trauma-informed planning can cause lasting harm to staff well-being, patient care, and organizational trust. Healthcare systems must integrate trauma-informed principles into emergency preparedness to protect psychological safety.
{"title":"When active shooter drills become the threat: Organizational trauma and nursing implications","authors":"Victor G. Petreca PhD, DNP , Joanne T. Barros PhD , Ann W. Burgess DNSc","doi":"10.1016/j.outlook.2025.102579","DOIUrl":"10.1016/j.outlook.2025.102579","url":null,"abstract":"<div><h3>Background</h3><div>Healthcare organizations increasingly implement active shooter drills for emergency preparedness, yet research rarely examines how poorly coordinated drills may cause workplace trauma.</div></div><div><h3>Purpose</h3><div>This study examined healthcare staff experiences following an inappropriately conducted active shooter drill at a healthcare facility providing inpatient behavioral health care for children and adolescents.</div></div><div><h3>Methods</h3><div>A qualitative descriptive design analyzed deidentified statements from 88 healthcare workers collected 8 months post incident. Inductive thematic analysis identified patterns across experiences.</div></div><div><h3>Discussion</h3><div>Five themes emerged: organizational chaos and communication breakdown, immediate physical and emotional responses, pressure to resume normal duties, development of trauma symptoms, and long-term professional disruption. Many participants reported clinically significant symptoms, career instability, and loss of institutional trust.</div></div><div><h3>Conclusion</h3><div>Poorly coordinated preparedness drills without trauma-informed planning can cause lasting harm to staff well-being, patient care, and organizational trust. Healthcare systems must integrate trauma-informed principles into emergency preparedness to protect psychological safety.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102579"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145416055","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.2025.102576
Roque Anthony F. Velasco MS, APRN, AGPCNP-BC , Kimberly June Skeete , Anne Blakeley MS , Mita Beach LBBP , Ethan C. Cicero PhD, RN, FAAN , Christina J. Sun PhD, MS
Transgender, nonbinary, and gender expansive (TNGE) communities continue to call for research partnerships that center their voices and lived experiences. However, extant literature provides limited accounts of strategies researchers could employ when engaging TNGE people. Using a case study and informed by the Community-Based Collaborative Action Research (CBCAR) framework, we describe lessons learned and challenges we overcame when forming, operating, and maintaining of a community collaborative group (CCG). Lessons learned highlight the importance of building relationships grounded in trust, shared decision-making, and equalized power dynamics to foster inclusive and active engagement in all phases of research. Challenges include navigating logistical barriers. Findings demonstrate that the CBCARframework supports culturally informed and community-engaged research with TNGE communities. Establishing a CCG enhances mutual learning, promotes equitable relationships, and strengthens research relevance, trust, and impact through community-centered engagement.
{"title":"Fostering equitable research partnerships with transgender, nonbinary, and gender-expansive communities: Lessons learned and challenges navigated","authors":"Roque Anthony F. Velasco MS, APRN, AGPCNP-BC , Kimberly June Skeete , Anne Blakeley MS , Mita Beach LBBP , Ethan C. Cicero PhD, RN, FAAN , Christina J. Sun PhD, MS","doi":"10.1016/j.outlook.2025.102576","DOIUrl":"10.1016/j.outlook.2025.102576","url":null,"abstract":"<div><div>Transgender, nonbinary, and gender expansive (TNGE) communities continue to call for research partnerships that center their voices and lived experiences. However, extant literature provides limited accounts of strategies researchers could employ when engaging TNGE people. Using a case study and informed by the Community-Based Collaborative Action Research (CBCAR) framework, we describe lessons learned and challenges we overcame when forming, operating, and maintaining of a community collaborative group (CCG). Lessons learned highlight the importance of building relationships grounded in trust, shared decision-making, and equalized power dynamics to foster inclusive and active engagement in all phases of research. Challenges include navigating logistical barriers. Findings demonstrate that the CBCARframework supports culturally informed and community-engaged research with TNGE communities. Establishing a CCG enhances mutual learning, promotes equitable relationships, and strengthens research relevance, trust, and impact through community-centered engagement.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102576"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145402763","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.2025.102593
Jerome Visperas Cleofas PhD, RN , Luis Emmanuel A. Abesamis MHSS
Transgender and gender-diverse (TGD) individuals face significant barriers to gender-affirming health care, leading to disproportionate poor health outcomes. These challenges are rooted in intersecting ideological structures of domination, manifesting as “transgender health dilemmas”: the forced choice between trans-specific health needs and other necessities, and subsequent disengagement from formal health care due to discriminatory and unaffordable systems. This discussion paper introduces and leverages these dilemmas through Moser's practical and strategic gender needs framework to articulate comprehensive nursing actions, advancing practical interventions for immediate support and strategic actions for systemic change in policy, education, and practice. This framework offers a practical framework for nurses to uphold dignity, alleviate suffering, and foster health justice, underscoring nursing's crucial role in achieving equitable health outcomes for TGD populations worldwide.
{"title":"Attending to transgender health dilemmas: Practical and strategic nursing actions toward gender justice for health","authors":"Jerome Visperas Cleofas PhD, RN , Luis Emmanuel A. Abesamis MHSS","doi":"10.1016/j.outlook.2025.102593","DOIUrl":"10.1016/j.outlook.2025.102593","url":null,"abstract":"<div><div>Transgender and gender-diverse (TGD) individuals face significant barriers to gender-affirming health care, leading to disproportionate poor health outcomes. These challenges are rooted in intersecting ideological structures of domination, manifesting as “transgender health dilemmas”: the forced choice between trans-specific health needs and other necessities, and subsequent disengagement from formal health care due to discriminatory and unaffordable systems. This discussion paper introduces and leverages these dilemmas through Moser's practical and strategic gender needs framework to articulate comprehensive nursing actions, advancing practical interventions for immediate support and strategic actions for systemic change in policy, education, and practice. This framework offers a practical framework for nurses to uphold dignity, alleviate suffering, and foster health justice, underscoring nursing's crucial role in achieving equitable health outcomes for TGD populations worldwide.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102593"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514532","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.2025.102622
Marie Ann Marino EdD, RN, FAAN
{"title":"Nursing Science at the Frontier of Artificial Intelligence","authors":"Marie Ann Marino EdD, RN, FAAN","doi":"10.1016/j.outlook.2025.102622","DOIUrl":"10.1016/j.outlook.2025.102622","url":null,"abstract":"","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102622"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145680870","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}
Most older adults want to remain in their homes and independent for as long as possible. The field of gerontechnology emerged to advance aging-in-place possibilities in response to a globally increasing population of persons aged 65 and over. Yet, significant challenges to technology adoption remain. Gerontology nurse scientists and practitioners are well-positioned to address these challenges. However, they remain underrepresented in the field. No formal organization exists where international nurses leading technological innovations can collaborate and share knowledge – keeping up with the pace of innovation. We introduce the new Global Gerontechnology Center for Nursing Science, and share the mission, vision, values, and action plan. We invite nurse scientists and practitioners leading innovative gerontechnology research, and their interdisciplinary partners, to collaborate to advance possibilities for optimal aging in a digital world globally.
{"title":"A Global Gerontechnology Center for Nursing Science for improving aging-in-place technologies","authors":"Roschelle L. Fritz PhD, RN, FAAN , Gordana Dermody PhD, RN, CNL , Harue Masaki PhD, RN, PHN , Chieko Greiner PhD, RN, PHN , Confidence Alorse Atakro PhD, RN , Masi Mohammadi PhD , Catherine Van Son PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102590","DOIUrl":"10.1016/j.outlook.2025.102590","url":null,"abstract":"<div><div>Most older adults want to remain in their homes and independent for as long as possible. The field of gerontechnology emerged to advance aging-in-place possibilities in response to a globally increasing population of persons aged 65 and over. Yet, significant challenges to technology adoption remain. Gerontology nurse scientists and practitioners are well-positioned to address these challenges. However, they remain underrepresented in the field. No formal organization exists where international nurses leading technological innovations can collaborate and share knowledge – keeping up with the pace of innovation. We introduce the new Global Gerontechnology Center for Nursing Science, and share the mission, vision, values, and action plan. We invite nurse scientists and practitioners leading innovative gerontechnology research, and their interdisciplinary partners, to collaborate to advance possibilities for optimal aging in a digital world globally.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102590"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145465999","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}
Loneliness in older adults is a growing public health concern linked to poorer physical and mental health. Social capital, defined as connections, relationships, and community resources, can shield these effects and improve community resilience.
Purpose
This paper presents the American Academy of Nursing’s position on addressing loneliness and highlights nurse-led strategies to strengthen social connections.
Methods
A review of current research, best practices, and policy initiatives informed expert consensus on effective interventions.
Discussion
Communities with stronger social capital experience, better health, safety, and civic engagement. Nurses can lead interventions such as community programs, peer support, and technology-assisted social engagement that are evidence-based, patient-centered, and culturally sensitive.
Conclusion
Enhancing social capital through nurse-led initiatives reduces loneliness, promotes health, and strengthens societal cohesion, demonstrating the critical role of nursing leadership in addressing this urgent public health issue.
{"title":"Improving engagement for enhancing social capital in the older adult: An American Academy of Nursing consensus paper","authors":"Marian Newton PhD, RN, PMHNP-BC, ANEF, FAAN , Susan V. Brammer PhD, RN, CNE, FAAN , Yu-Ping Chang PhD, RN, FGSA, FAAN, FIAAN , Debra Hain PhD, APRN, AGPCNP-BC, PMHNP-BC, FAAN, FAANP , Warren Herbert DNP, RN, CAE, FAAN , Karan Kverno PhD, PMHNP-BC, PMHCNS-BC, FAANP, FAAN , Mercy Mumba PhD, RN, FAAN , JoEllen Schimmels PhD, DNP, PMHNP-BC, CNE, FAAN","doi":"10.1016/j.outlook.2025.102555","DOIUrl":"10.1016/j.outlook.2025.102555","url":null,"abstract":"<div><h3>Background</h3><div>Loneliness in older adults is a growing public health concern linked to poorer physical and mental health. Social capital, defined as connections, relationships, and community resources, can shield these effects and improve community resilience.</div></div><div><h3>Purpose</h3><div>This paper presents the American Academy of Nursing’s position on addressing loneliness and highlights nurse-led strategies to strengthen social connections.</div></div><div><h3>Methods</h3><div>A review of current research, best practices, and policy initiatives informed expert consensus on effective interventions.</div></div><div><h3>Discussion</h3><div>Communities with stronger social capital experience, better health, safety, and civic engagement. Nurses can lead interventions such as community programs, peer support, and technology-assisted social engagement that are evidence-based, patient-centered, and culturally sensitive.</div></div><div><h3>Conclusion</h3><div>Enhancing social capital through nurse-led initiatives reduces loneliness, promotes health, and strengthens societal cohesion, demonstrating the critical role of nursing leadership in addressing this urgent public health issue.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102555"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145402744","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.2025.102594
Lauren Catlett PhD, RN, CNL , Crystal Chu PhD, RN , Jennifer Goldman BA , Ames Simmons JD , John T. Stranix MD , Randy Jones PhD, RN, FAAN , Kimberly D. Acquaviva PhD, MSW, FNAP
With increasing barriers to conducting transgender health research in the US, recruiting transgender, nonbinary, and gender-expansive (TNGE) people for research studies has grown in complexity and criticality. The purpose of this study was to explore methods used to recruit TNGE adults in qualitative research studies and to identify participant motivations for joining these studies. Researchers used a qualitative descriptive approach to conduct a secondary analysis of qualitative data from two distinct nurse-led studies related to transgender health. Using data from interviews with 59 TNGE participants, a framework for effective recruitment activities was generated, and three themes describing participant motivations for enrolling were developed: (1) benefit to self and others, (2) advocacy for self and others, and (3) support for research and education. Analysis of recruitment methods and outcomes in these qualitative studies may aid researchers in conducting transgender health research in a challenging sociopolitical climate.
{"title":"Engaging transgender and gender-expansive adults in qualitative research studies","authors":"Lauren Catlett PhD, RN, CNL , Crystal Chu PhD, RN , Jennifer Goldman BA , Ames Simmons JD , John T. Stranix MD , Randy Jones PhD, RN, FAAN , Kimberly D. Acquaviva PhD, MSW, FNAP","doi":"10.1016/j.outlook.2025.102594","DOIUrl":"10.1016/j.outlook.2025.102594","url":null,"abstract":"<div><div>With increasing barriers to conducting transgender health research in the US, recruiting transgender, nonbinary, and gender-expansive (TNGE) people for research studies has grown in complexity and criticality. The purpose of this study was to explore methods used to recruit TNGE adults in qualitative research studies and to identify participant motivations for joining these studies. Researchers used a qualitative descriptive approach to conduct a secondary analysis of qualitative data from two distinct nurse-led studies related to transgender health. Using data from interviews with 59 TNGE participants, a framework for effective recruitment activities was generated, and three themes describing participant motivations for enrolling were developed: (1) benefit to self and others, (2) advocacy for self and others, and (3) support for research and education. Analysis of recruitment methods and outcomes in these qualitative studies may aid researchers in conducting transgender health research in a challenging sociopolitical climate.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102594"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514463","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}