Pub Date : 2024-09-13DOI: 10.1016/j.outlook.2024.102269
Fhumulani M. Mulaudzi M Cur, D Littet Phil , Rodwell Gundo MSc, PhD
Background
The Ubuntu philosophy which emanates from the African saying, muthu ndi muthu nga vhathu, a person is a person because of other persons, resonates with nursing ethics.
Purpose
To describe the views of nurses and healthcare users on the development of the Ubuntu community model in nursing.
Methods
A Participatory Action Research approach was used. The participants were professional nurses and healthcare users in three selected provinces in South Africa. Data were gathered through focus group discussions. Thematic analysis was used to analyze the data.
Findings
The following themes were identified: the value of a person/human being; human beings are part of nature; values in nursing; principles of Ubuntu in health; and Ubuntu caring actions.
Discussion
By upholding foundational values and principles of Ubuntu, healthcare professionals, particularly nurses, should aim to foster dialogue, empower patients, promote their emancipation, engage with them, and enable the people under their care.
Conclusion
Ubuntu serves as a lens through which nursing can engage with South African populations to design and implement best care for population-specific care outcomes. Understanding the principles and values of Ubuntu can assist nursing students and practicing nurses in developing a moral consciousness that embodies the spirit of Ubuntu, thereby enhancing their ability to address health disparities and improve health outcomes.
背景 "乌班图 "哲学源自非洲的一句谚语:"muthu ndi muthu nga vhathu",即一个人之所以是一个人,是因为有其他人,这与护理伦理产生了共鸣。参与者为南非三个选定省份的专业护士和医疗保健用户。通过焦点小组讨论收集数据。研究结果确定了以下主题:人/人类的价值;人类是自然的一部分;护理工作中的价值观;乌班图健康原则;乌班图关爱行动。讨论通过坚持 "乌班图 "的基本价值观和原则,医疗保健专业人员,尤其是护士,应致力于促进对话、增强患者能力、促进患者解放、与患者接触,并使其所护理的人群能够获得能力。了解 "乌班图 "的原则和价值观可以帮助护理专业学生和执业护士培养体现 "乌班图 "精神的道德意识,从而提高他们应对健康差异和改善健康结果的能力。
{"title":"The views of nurses and healthcare users on the development of Ubuntu community model in nursing in selected provinces in South Africa: A participatory action research","authors":"Fhumulani M. Mulaudzi M Cur, D Littet Phil , Rodwell Gundo MSc, PhD","doi":"10.1016/j.outlook.2024.102269","DOIUrl":"10.1016/j.outlook.2024.102269","url":null,"abstract":"<div><h3>Background</h3><p>The Ubuntu philosophy which emanates from the African saying, <em>muthu ndi muthu nga vhathu</em>, a person is a person because of other persons, resonates with nursing ethics.</p></div><div><h3>Purpose</h3><p>To describe the views of nurses and healthcare users on the development of the Ubuntu community model in nursing.</p></div><div><h3>Methods</h3><p>A Participatory Action Research approach was used. The participants were professional nurses and healthcare users in three selected provinces in South Africa. Data were gathered through focus group discussions. Thematic analysis was used to analyze the data.</p></div><div><h3>Findings</h3><p>The following themes were identified: the value of a person/human being; human beings are part of nature; values in nursing; principles of Ubuntu in health; and Ubuntu caring actions.</p></div><div><h3>Discussion</h3><p>By upholding foundational values and principles of Ubuntu, healthcare professionals, particularly nurses, should aim to foster dialogue, empower patients, promote their emancipation, engage with them, and enable the people under their care.</p></div><div><h3>Conclusion</h3><p>Ubuntu serves as a lens through which nursing can engage with South African populations to design and implement best care for population-specific care outcomes. Understanding the principles and values of Ubuntu can assist nursing students and practicing nurses in developing a moral consciousness that embodies the spirit of Ubuntu, thereby enhancing their ability to address health disparities and improve health outcomes.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102269"},"PeriodicalIF":4.1,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142229259","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 : 2024-09-12DOI: 10.1016/j.outlook.2024.102271
Martha A.Q. Curley PhD, RN, FAAN , Margarete L. Zalon PhD, RN, FAAN , Maureen A. Seckel MSN, RN, FAAN , Anne W. Alexandrov PhD, RN, FAAN , Lauren R. Sorce PhD, RN, FAAN , Laura Beth Kalvas PhD, RN , Vallire D. Hooper PhD, RN, FAAN , Michele C. Balas PhD, RN, FAAN , Kathleen M. Vollman MSN, RN, FAAN , Devin S. Carr DNP, RN, ACNS-BC , Vicki S. Good DNP, RN, CENP , Christine L. Latham DNSc, RN, FAAN , Jane M. Carrington PhD, RN, FAAN , Sonya R. Hardin PhD, RN, FAAN , Jan Odom-Forren PhD, RN, FAAN
Herein, we propose a blueprint for action to completely measure and recognize the care provided by acute and critical care nurses to be incorporated into policy that shapes and supports practice. We address the nature of nurses’ work by identifying nine practice domains, hospital practice environment assumptions, and expected outcomes. Nurses’ work, as a cross-system process, needs to be included in hospital-based core measures to fully reflect nurses’ impact on patient care. We call for a balanced measurement portfolio focused on patient/family-, unit-, and systems-level outcomes. We focus on what nurses do and what patients and their families can expect rather than only on the elimination of select adverse events. We provide a way forward to allow measure development and implementation with incentives for their use. This approach to making nurses’ contributions and impact on outcomes visible will enhance acute and critical care nursing practice and benefit patients and their families.
{"title":"Call to action: Blueprint for change in acute and critical care nursing","authors":"Martha A.Q. Curley PhD, RN, FAAN , Margarete L. Zalon PhD, RN, FAAN , Maureen A. Seckel MSN, RN, FAAN , Anne W. Alexandrov PhD, RN, FAAN , Lauren R. Sorce PhD, RN, FAAN , Laura Beth Kalvas PhD, RN , Vallire D. Hooper PhD, RN, FAAN , Michele C. Balas PhD, RN, FAAN , Kathleen M. Vollman MSN, RN, FAAN , Devin S. Carr DNP, RN, ACNS-BC , Vicki S. Good DNP, RN, CENP , Christine L. Latham DNSc, RN, FAAN , Jane M. Carrington PhD, RN, FAAN , Sonya R. Hardin PhD, RN, FAAN , Jan Odom-Forren PhD, RN, FAAN","doi":"10.1016/j.outlook.2024.102271","DOIUrl":"10.1016/j.outlook.2024.102271","url":null,"abstract":"<div><p>Herein, we propose a blueprint for action to completely measure and recognize the care provided by acute and critical care nurses to be incorporated into policy that shapes and supports practice. We address the nature of nurses’ work by identifying nine practice domains, hospital practice environment assumptions, and expected outcomes. Nurses’ work, as a cross-system process, needs to be included in hospital-based core measures to fully reflect nurses’ impact on patient care. We call for a balanced measurement portfolio focused on patient/family-, unit-, and systems-level outcomes. We focus on what nurses do and what patients and their families can expect rather than only on the elimination of select adverse events. We provide a way forward to allow measure development and implementation with incentives for their use. This approach to making nurses’ contributions and impact on outcomes visible will enhance acute and critical care nursing practice and benefit patients and their families.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102271"},"PeriodicalIF":4.1,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0029655424001647/pdfft?md5=18c729208bd54a6f85227d800126650a&pid=1-s2.0-S0029655424001647-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142173777","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 : 2024-09-01DOI: 10.1016/j.outlook.2024.102277
Linda D. Scott PhD, RN, NEA-BC, FADLN, FNAP, FAAN
{"title":"The Value of Every Vote","authors":"Linda D. Scott PhD, RN, NEA-BC, FADLN, FNAP, FAAN","doi":"10.1016/j.outlook.2024.102277","DOIUrl":"10.1016/j.outlook.2024.102277","url":null,"abstract":"","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 5","pages":"Article 102277"},"PeriodicalIF":4.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142444577","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 : 2024-09-01DOI: 10.1016/j.outlook.2024.102240
Carole R. Myers PhD, RN, FAAN , Elizabeth Lund MSN, RN , Mavis N. Schorn PhD, CNM, FAAN , Ruth Kleinpell PhD, APRN-BC, FAAN
Background
The quest for full practice authority (FPA) for Tennessee Advanced Practice Registered Nurses (APRNs) began with promise in the late 1960s. However, progress has stalled in the ensuing time, and prospects for advancing FPA do not look promising.
Purpose
The purpose of this article is to chronicle the pursuit of FPA in Tennessee, offer reflections on what has transpired to date, and suggest a path forward.
Methods
Various data from various sources were used to chronicle the history of FPA in Tennessee, make the case for its need, and identify better approaches for success.
Discussion
As one of a dwindling number of states without FPA, access to primary care health services and the economic vitality of Tennessee communities are of concern.
Conclusion
The path forward for achieving FPA in Tennessee necessitates changes in approach and players. Specific recommendations are offered.
{"title":"Chronicling the pursuit for full practice authority in Tennessee: Recommendations for a path forward","authors":"Carole R. Myers PhD, RN, FAAN , Elizabeth Lund MSN, RN , Mavis N. Schorn PhD, CNM, FAAN , Ruth Kleinpell PhD, APRN-BC, FAAN","doi":"10.1016/j.outlook.2024.102240","DOIUrl":"10.1016/j.outlook.2024.102240","url":null,"abstract":"<div><h3>Background</h3><p>The quest for full practice authority (FPA) for Tennessee Advanced Practice Registered Nurses (APRNs) began with promise in the late 1960s. However, progress has stalled in the ensuing time, and prospects for advancing FPA do not look promising.</p></div><div><h3>Purpose</h3><p>The purpose of this article is to chronicle the pursuit of FPA in Tennessee, offer reflections on what has transpired to date, and suggest a path forward.</p></div><div><h3>Methods</h3><p>Various data from various sources were used to chronicle the history of FPA in Tennessee, make the case for its need, and identify better approaches for success.</p></div><div><h3>Discussion</h3><p>As one of a dwindling number of states without FPA, access to primary care health services and the economic vitality of Tennessee communities are of concern.</p></div><div><h3>Conclusion</h3><p>The path forward for achieving FPA in Tennessee necessitates changes in approach and players. Specific recommendations are offered.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 5","pages":"Article 102240"},"PeriodicalIF":4.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142098066","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 : 2024-09-01DOI: 10.1016/j.outlook.2024.102274
Sean Clarke
{"title":"Nurses as Advocates for Science and Role Models for Measured Skepticism","authors":"Sean Clarke","doi":"10.1016/j.outlook.2024.102274","DOIUrl":"10.1016/j.outlook.2024.102274","url":null,"abstract":"","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 5","pages":"Article 102274"},"PeriodicalIF":4.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142444576","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 : 2024-08-29DOI: 10.1016/j.outlook.2024.102268
Timian M. Godfrey DNP, FNP-BC, FAAN , Danika Bowen EdD, MBA, MS , Ann Joyce PhD , Cheryl L. Lacasse PhD, RN, AOCNS , Jessica Rainbow PhD, RN, CNE , Ken Wofford PhD, CRNA, CHSE
Background
The nursing faculty shortage in the United States presents a challenge to maintaining a robust healthcare workforce. Meaningful recognition (MR) is an evidence-based practice that improved nurse burnout (BO) in the clinical setting. There is limited literature on its impact on nurse faculty.
Purpose
Three colleges of nursing implemented The DAISY Diseases Attacking the Immune SYstem Award for Extraordinary Nursing Faculty as an MR program to improve compassion satisfaction (CS) and BO among nursing faculty.
Methods
This project employed a pre- and post-survey design to assess changes in faculty CS, BO, and secondary traumatic stress using the ProQOL Professional Quality of Life version 5.
Discussion
The results suggest that while the implementation of MR programs did not significantly alter these metrics, the faculty maintained stable levels of CS despite the stressful COVID-19 pandemic.
Conclusion
Additional research is needed to explore the potential for MR to mitigate faculty BO.
{"title":"Evaluation of meaningful recognition programs in three colleges of nursing","authors":"Timian M. Godfrey DNP, FNP-BC, FAAN , Danika Bowen EdD, MBA, MS , Ann Joyce PhD , Cheryl L. Lacasse PhD, RN, AOCNS , Jessica Rainbow PhD, RN, CNE , Ken Wofford PhD, CRNA, CHSE","doi":"10.1016/j.outlook.2024.102268","DOIUrl":"10.1016/j.outlook.2024.102268","url":null,"abstract":"<div><h3>Background</h3><p>The nursing faculty shortage in the United States presents a challenge to maintaining a robust healthcare workforce. Meaningful recognition (MR) is an evidence-based practice that improved nurse burnout (BO) in the clinical setting. There is limited literature on its impact on nurse faculty.</p></div><div><h3>Purpose</h3><p>Three colleges of nursing implemented The DAISY Diseases Attacking the Immune SYstem Award for Extraordinary Nursing Faculty as an MR program to improve compassion satisfaction (CS) and BO among nursing faculty.</p></div><div><h3>Methods</h3><p>This project employed a pre- and post-survey design to assess changes in faculty CS, BO, and secondary traumatic stress using the ProQOL Professional Quality of Life version 5.</p></div><div><h3>Discussion</h3><p>The results suggest that while the implementation of MR programs did not significantly alter these metrics, the faculty maintained stable levels of CS despite the stressful COVID-19 pandemic.</p></div><div><h3>Conclusion</h3><p>Additional research is needed to explore the potential for MR to mitigate faculty BO.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102268"},"PeriodicalIF":4.1,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142096115","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 : 2024-08-28DOI: 10.1016/j.outlook.2024.102265
Christopher R. Friese PhD, RN, AOCN , Barbara R. Medvec DNP, RN, NEA-BC , Deanna J. Marriott PhD , Lara Khadr MPH , Marissa Gurka Wade PhD , Melissa Riba MPH , Marita G. Titler PhD, RN, FAAN
Background
Workplace violence significantly affects registered nurses, contributing to burnout and intention to leave.
Methods
The Michigan Nurses Study conducted surveys in 2022 and 2023, examining the prevalence of verbal, physical, and sexual violence, and coworker bullying. Personal and workplace factors associated with reporting any violent event were examined using multivariable logistic regression.
Results
There was a decline in overall workplace violence from 50.2% to 43.4%, despite a rise in sexual harassment from 9.9% to 11.8%. Over half of the events were patient-sourced. Underreporting remained a problem. Factors associated with increased likelihood of reporting any violent event included younger age, employment in acute care and long-term care settings, unfavorable practice environments, less confidence in management, inadequate support for workplace stress, and understaffing on the past shift.
Conclusion
Despite a decrease in reported violent events, incidents remain common. Improvements in working conditions, management of understaffing, and support systems are crucial to mitigate workplace violence against nurses.
{"title":"Nurse-reported workplace violent events: Results from a repeated statewide survey","authors":"Christopher R. Friese PhD, RN, AOCN , Barbara R. Medvec DNP, RN, NEA-BC , Deanna J. Marriott PhD , Lara Khadr MPH , Marissa Gurka Wade PhD , Melissa Riba MPH , Marita G. Titler PhD, RN, FAAN","doi":"10.1016/j.outlook.2024.102265","DOIUrl":"10.1016/j.outlook.2024.102265","url":null,"abstract":"<div><h3>Background</h3><p>Workplace violence significantly affects registered nurses, contributing to burnout and intention to leave.</p></div><div><h3>Methods</h3><p>The Michigan Nurses Study conducted surveys in 2022 and 2023, examining the prevalence of verbal, physical, and sexual violence, and coworker bullying. Personal and workplace factors associated with reporting any violent event were examined using multivariable logistic regression.</p></div><div><h3>Results</h3><p>There was a decline in overall workplace violence from 50.2% to 43.4%, despite a rise in sexual harassment from 9.9% to 11.8%. Over half of the events were patient-sourced. Underreporting remained a problem. Factors associated with increased likelihood of reporting any violent event included younger age, employment in acute care and long-term care settings, unfavorable practice environments, less confidence in management, inadequate support for workplace stress, and understaffing on the past shift.</p></div><div><h3>Conclusion</h3><p>Despite a decrease in reported violent events, incidents remain common. Improvements in working conditions, management of understaffing, and support systems are crucial to mitigate workplace violence against nurses.</p></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 5","pages":"Article 102265"},"PeriodicalIF":4.1,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142089167","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}