Nursing Outlook RSS feed: Current Issue. Nursing Outlook , a bi-monthly journal, provides innovative ideas for nursing leaders through peer-reviewed articles and timely reports. Each issue examines current issues and trends in nursing practice, education and research, offering progressive solutions to the challenges facing the profession. Nursing Outlook is the official journal of the American Academy of Nursing and supports it mission to serve the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge. The journal is included in MEDLINE, CINAHL and the Journal Citation Reports published by Thomson Reuters. http://www.nursingoutlook.org/?rss=yesElsevier Inc.en © 2012 Published by Elsevier Inc. All rights reserved. Nursing Outlook0029-6554603May 2012 © 2012 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.nursingoutlook.org/article/PIIS0029655412000474/abstract?rss=yesInformation for Authors10.1016/S0029-6554(12)00047-4Nursing Outlook 60, 3 (2012)2012-05-01Nursing Outlook2012-05-01603S0029-6554(11)X0009-Xe1e1http://www.nursingoutlook.org/article/PIIS0029655412000772/abstract?rss=yesRecommendation 5 in the Institute of Medicine's report on the Future of Nursing states “Double the number of nurses with a doctorate by 2020. Schools of nursing, with support from private and public funders, academic administrators and university trustees, and accrediting bodies, should double the number of nurses with a doctorate by 2020 to add to the cadre of nurse faculty and researchers, with attention to increasing diversity.” This is a very important recommendation, and one that may have more influence over the future of the profession than some of the others. The doubling is a quantitative goal and one that, given the number of new PhD and DNP programs now and in the near future, appears achievable. From a qualitative perspective, this goal provides the discipline with much to think about, dialog about, and plan for. It is far more important to ask why and for what purpose are we doubling, what graduates are really prepared to do, and what innovative approaches academe must take to ensure the most effective use of talented doctorally prepared nurses. If the intent is to bring young, highly educated doctorally prepared nurses to the academy, we have much work to do—and just doubling the numbers won't get us there.Doubling the number of doctorally prepared nursesMarion E. Broome10.1016/j.outlook.2012.04.001Nursing Outlook 60, 3 (2012)2012-05-01Nursing Outlook2012-05-01603S0029-6554(11)X0009-XFrom the Editor111113.e1http://www.nursingoutlook.org/article/PIIS0029655412000425/abstract?rss=yesIf you want to go fast, go alone – If you want to go far, go together.–Author Unknown Given that the mission of the Academy is to serve the public and nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge, how are we doing this? What tactics is the Academy using to achieve its goals and influence health and health care? Most Fellows are familiar with the annual meeting, but so much more is happening. This message is intended to update the Fellows on some of the initiatives and activities that the Academy is undertaking to make a difference.Shaping policy through Academy actionJoanne Disch10.1016/j.outlook.2012.03.003Nursing Outlook 60, 3 (2012)2012-05-01Nursing Outlook2012-05-01603S0029-6554(11)X0009-XPresident's Message114115http://www.nursingoutlook.org/article/PIIS0029655411000972/abstract?rss=yesAbstract: Despite the relatively long history of nursing education, the development of graduate nursing education in the People’s Republic of China is slow compared to western countries. Yet, rapid social changes call for higher quality nursing care. Consequently, the Chinese government has acknowledged the need to upgrade nursing education in China. The first master of nursing program was established in 1992. Since then graduate programs have grown dramatically in the past 17 years and this growth has had a vital impact on nursing development. However, a number of issues have been raised concerning the focus of graduate programs. This article presents a comprehensive description on the current status, problems, and strategies used in graduate nursing education in mainland China.Graduate nursing education in ChinaHaiou Zou, Zheng Li, David Arthur10.1016/j.outlook.2011.04.001Nursing Outlook 60, 3 (2012)2011-06-20Nursing Outlook2011-06-20603S0029-6554(11)X0009-XEducation116120.e1http://www.nursingoutlook.org/article/PIIS0029655411002144/abstract?rss=yesAbstract: Academic incivility remains a problem on college campuses. Nursing research has refocused from student impropriety to aberrant faculty behaviors. Our original study using the Nursing Education Environment Survey showed that 133 of 152 student participants experienced uncivil treatment. Latent, inductive content analysis was undertaken to analyze narratives about their “worst experience” of negative faculty behavior. Four categories were identified: “In front of someone,” “Talked to others about me,” “Made me feel stupid,” and “I felt belittled.” Incivility had a profound effect on students and is problematic because it increases already significant academic pressure; it interferes with learning and safe clinical performance; it is contrary to caring, a central nursing concept; and it decreases program satisfaction and retention. Few nursing schools have civility policies for faculty behavior. Formal procedures that promote professional interaction should be crafted and implemented. Equally important is creating ways for nursing students to document incivility without fear of retaliation.Student narratives of faculty incivilitySue Lasiter, Lisa Marchiondo, Kathleen Marchiondo10.1016/j.outlook.2011.06.001Nursing Outlook 60, 3 (2012)2011-08-16Nursing Outlook2011-08-16603S0029-6554(11)X0009-XEducation121126.e1http://www.nursingoutlook.org/article/PIIS0029655411002892/abstract?rss=yesAbstract: Despite wide disparities of political support, material resources, and systems of initial education, there exists an increasing global recognition that the level of nursing education has a close relationship with access to and quality of care. Still, individual nations also maintain alternative ways of educating nurses that are rooted in strong traditions. This paper explores the systems in China and Egypt. These countries have important differences. Education in China, for example, has been more heavily influenced by models from the United States, whereas Egypt has looked to those from Britain and France. Most striking, however, is what they now share. Both countries’ systems of nursing education are now clearly located in an increasingly global world of health, and health care that recognizes that a more educated nursing workforce remains the critical component of any initiative to better meet health care needs.The education of nurses in China and EgyptChenjuan Ma, Howieda Fouly, Jing Li, Patricia D’Antonio10.1016/j.outlook.2011.08.002Nursing Outlook 60, 3 (2012)2011-10-14Nursing Outlook2011-10-14603S0029-6554(11)X0009-XEducation127133.e1http://www.nursingoutlook.org/article/PIIS0029655411002910/abstract?rss=yesAbstract: Background: Foreclosure rates have risen rapidly since 2005, reaching historically high levels. The purpose of this study was to examine the health implications of the current housing crisis.Methods: We conducted a cross-sectional online consumer panel survey including residents of California, Arizona, Nevada, and Florida (n = 798) to determine the feasibility of contacting distressed homeowners via the Internet and to assess mental and physical health among respondents across the spectrum from those having no housing strain to those in loan default or home foreclosure.Results: Homeowners in default or foreclosure exhibited poorer mental health and more physical symptoms than renters, homeowners with moderate strain, and homeowners with no strainöfollowing a gradient that was consistent across multiple health indicators.Conclusions: Internet panel sampling was an efficient method of contacting distressed homeowners. Record-high foreclosure rates may have broad implications for nursing and public health. Homeowners in default or foreclosure represent an identifiable high-risk group that may benefit from coordinated, affordable health and social services.Housing strain, mortgage foreclosure, and healthCarolyn C. Cannuscio, Dawn E. Alley, José A. Pagán, Beth Soldo, Sarah Krasny, Michelle Shardell, David A. Asch, Terri H. Lipman10.1016/j.outlook.2011.08.004Nursing Outlook 60, 3 (2012)2011-10-14Nursing Outlook2011-10-14603S0029-6554(11)X0009-XPolicy134142.e1http://www.nursingoutlook.org/article/PIIS0029655411003071/abstract?rss=yesAbstract: Objective: Research coordinators have significant responsibilities in clinical trials that often require them to find unique ways to manage their jobs, thus reshaping their professional identities. The purpose of this study was to identify how research coordinators manage role and ethical conflicts within clinical research trials.Methods: A qualitative study combining observation and 63 semistructured interviews at 25 research organizations was used.Results: Altruism is a recurring theme in how research coordinators define and view their work.Conclusion: Altruism is adopted by research coordinators to: (1) Teach patient-subjects the appropriate reasons to participate in clinical research, (2) minimize the conflict between research and care, and (3) contest the undervaluation of coordinating. Altruism is a strategy used to handle the various conflicts they experience in a difficult job, and it has become part of the professional identity of clinical research coordinators.Altruism in clinical research: Coordinators’ orientation to their professional rolesJill A. Fisher, Corey A. Kalbaugh10.1016/j.outlook.2011.10.002Nursing Outlook 60, 3 (2012)2011-11-15Nursing Outlook2011-11-15603S0029-6554(11)X0009-XResearch143148.e1http://www.nursingoutlook.org/article/PIIS0029655411003514/abstract?rss=yesAbstract: Translational clinical research has emerged as an important priority for the national research enterprise, with a clearly stated mandate to more quickly deliver prevention strategies, treatments and cures based on scientific innovations to the public. Within this national effort, a lack of consensus persists concerning the need for clinical nurses with expertise and specialized training in study implementation and the delivery of care to research participants. This paper reviews efforts to define and document the role of practicing nurses in implementing studies and coordinating clinical research in a variety of clinical settings, and differentiates this clinical role from the role of nurses as scientists and principal investigators. We propose an agenda for building evidence that having nurses provide and coordinate study treatments and procedures can potentially improve research efficiency, participant safety, and the quality of research data. We also provide recommendations for the development of the emerging specialty of clinical research nursing.Clinical research nursing: A critical resource in the national research enterpriseClare E. Hastings, Cheryl A. Fisher, Margaret A. McCabe, The National Clinical Research Nursing Consortium10.1016/j.outlook.2011.10.003Nursing Outlook 60, 3 (2012)2011-12-15Nursing Outlook2011-12-15603S0029-6554(11)X0009-XResearch149156.e3http://www.nursingoutlook.org/article/PIIS0029655411002181/abstract?rss=yesAbstract: Although evidence supports safe patient handling practices, nurses are not always involved in the process of evaluating and selecting lifting equipment. This study used a descriptive design to: (1) assess staff’s perceived barriers and attitudes toward safe patient handling, (2) identify staff needs for equipment and education concerning safe patient handling, and (3) involve staff in the equipment selection process before implementing a safe patient handling program. Overall, staff on all units indicated that they wanted more equipment and education. Major barriers identified by staff were lack of: a “no lift” policy, adequate lifting equipment, and adequate space on patient care units. Staff had the opportunity to participate in a vendor fair and select equipment for trial. An appraisal was conducted with 2 vendors for trialing and evaluating the equipment. Nursing staff had the ability to participate in research and change practice for safe patient handling.Empowering staff nurses to use research to change practice for safe patient handlingCandice Krill, Beth A. Staffileno, Claudette Raven10.1016/j.outlook.2011.06.005Nursing Outlook 60, 3 (2012)2011-08-29Nursing Outlook2011-08-29603S0029-6554(11)X0009-XPractice157162.e1http://www.nursingoutlook.org/article/PIIS0029655412000401/abstract?rss=yesCare of and access to health care for women across the age span has always been at the forefront of nursing’s advocacy through education, practice, and research. One well-recognized method to improve the health status of women and children lies in managing unintended pregnancies; however, evidence shows that little progress has been made on this front. Threatening to roll back what little progress has been made, as well as the potential to achieve better management of unintended pregnancies, contemporary health policy fails to consistently ensure access to high-quality reproductive health care for all women in the United States. Further, research has not been focused sufficiently on identifying key factors that hinder reducing unintended pregnancies. Therefore, the Women’s Health Expert Panel of the American Academy of Nursing urgently calls nurses individually, and the nursing profession as a whole, to support:Women’s health in jeopardy: Failure to curb unintended pregnancies: A statement from the AAN Women’s Health Expert PanelJudith A. Berg, Ellen Olshansky, Joan Shaver, Diana Taylor, Nancy Fugate Woods10.1016/j.outlook.2012.03.001Nursing Outlook 60, 3 (2012)2012-05-01Nursing Outlook2012-05-01603S0029-6554(11)X0009-XAmerican Academy of Nursing on Policy163164.e1http://www.nursingoutlook.org/article/PIIS0029655412000437/abstract?rss=yesThe American Academy of Nursing (AAN) is an organization dedicated to serving the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge.The Fellow selection review processSusan A. Albrecht, Margaret L. McClure, Kelsey A. Buchanan, Faye A. Gary10.1016/j.outlook.2012.03.004Nursing Outlook 60, 3 (2012)2012-05-01Nursing Outlook2012-05-01603S0029-6554(11)X0009-XAmerican Academy of Nursing on Policy165166.e1http://www.nursingoutlook.org/article/PIIS0029655412000462/abstract?rss=yesTable of Contents10.1016/S0029-6554(12)00046-2Nursing Outlook 60, 3 (2012)2012-05-01Nursing Outlook2012-05-01603S0029-6554(11)X0009-XFrontmatterA1A2http://www.nursingoutlook.org/article/PIIS0029655412000486/abstract?rss=yesInformations for Readers10.1016/S0029-6554(12)00048-6Nursing Outlook 60, 3 (2012)2012-05-01Nursing Outlook2012-05-01603S0029-6554(11)X0009-XFrontmatterA4A4