An examination of retracted articles in nursing literature.

INTRODUCTION: The output of scholarly publications in scientific literature has increased exponentially in recent years. This increase in literature has been accompanied by an increase in retractions. Although some of these may be attributed to publishing errors, many are the result of unsavory research practices. The purposes of this study were to identify the number of retracted articles in nursing and reasons for the retractions, analyze the retraction notices, and determine the length of time for an article in nursing to be retracted. DESIGN: This was an exploratory study. METHODS: A search of PubMed/MEDLINE, the Cumulative Index to Nursing and Allied Health Literature, and Retraction Watch databases was conducted to identify retracted articles in nursing and their retraction notices. RESULTS: Between 1997 and 2022, 123 articles published in the nursing literature were retracted. Ten different reasons for retraction were used to categorize these articles with one-third of the retractions (n = 37, 30.1%) not specifying a reason. Sixty-eight percent (n = 77) were retracted because of an actual or a potential ethical concern: duplicate publication, data issues, plagiarism, authorship issues, and copyright. CONCLUSION: Nurses rely on nursing-specific scholarly literature as evidence for clinical decisions. The findings demonstrated that retractions are increasing within published nursing literature. In addition, it was evident that retraction notices do not prevent previously published work from being cited. This study addressed a gap in knowledge about article retractions specific to nursing.

Attitudes and beliefs of nurses who choose to not vaccinate for COVID 19 in West Virginia: A qualitative study.

PURPOSE: The purpose of this study was to describe beliefs and attitudes that underpin vaccine confidence and hesitancy in nurses who chose not to vaccinate for COVID-19. The research question that guided this work was: What are the beliefs and attitudes of nurses who chose to not vaccinate for COVID-19? METHODS: This study followed a focus group methodology to collect qualitative data from focused discussions to gather insights into the beliefs and attitudes of participants. Two focus groups consisting of 3 to 5 participants were conducted virtually. RESULTS: Using open coding, six themes were generated. Based on descriptors provided by participants, two themes were focused on beliefs, and four were related to attitudes about the vaccine. Findings suggest that participants' beliefs and attitudes were strengthened during this time in the pandemic. This event further divided nurses included in this study from their peers who chose to vaccinate and their employers who mandated inoculation. CONCLUSIONS: Understanding the perceptions of this sample has given insight into the thoughts and feelings of nurses who chose not to vaccinate against COVID-19. This is a perspective that is often absent from scientific literature. Knowledge gained from this study may assist in supporting strategies such as open communication, conflict resolution, and collaboration in an effort to mitigate the divide within the nursing workforce, which may ultimately contribute to nursing retention in clinical settings.

Associations between weather-related data and influenza reports: A pilot study and related policy implications.

AIM: The purpose of this retrospective, correlational pilot study was to explore the relationship between historical weekly weather data including temperature, dew point, humidity, barometric pressure, visibility, and cloud cover compared to weekly influenza-like illness reports over a four year period. BACKGROUND: Climate and weather-related conditions may affect the viral activity and transmission of influenza, although this relationship has not been widely studied in nursing. Some research suggests that there are causal links between cold temperatures, low indoor humidity, minimal sun exposure, and influenza outbreaks. Additionally, rapid weather variability in a warming climate can increase influenza epidemic risk. METHODS: Data from a local public health district were extracted and used to correlate with weekly weather averages for the area. RESULTS: Findings showed that current influenza reports are significantly associated with temperature and visibility, both lagged two weeks. CONCLUSIONS: Though more research is needed, nurses must understand, recognize, and act upon weather and climate factors that affect the health of populations. With a greater understanding of the relationship between weather and influenza-like illness, nurses and other healthcare providers can potentially work to respond to and mitigate the consequences of weather-related illness as well as anticipate and prepare for increased flu burden. Furthermore, nurses can remain engaged in climate protective initiatives and policy development at their local community and/or organizational levels to underscore and advocate for the needs of populations and groups they serve.

How to identify predatory journals in a search: Precautions for nurses.

ABSTRACT: Nursing journals offer important content on new practices and approaches to care. Unfortunately, predatory journals that use unsavory publication practices have emerged. This article shares guidance to help nurses effectively appraise information and their sources, distinguish predatory from legitimate journals, and conduct due diligence.

Publishing in Predatory Journals: Guidelines for Nursing Faculty in Promotion and Tenure Policies.

PURPOSE: The purpose of this study was to assess the extent to which academic promotion and tenure (APT) criteria and guidelines in schools of nursing recognize predatory publishing. This assessment included an analysis of APT documents looking specifically for guidance about predatory publications by faculty in schools of nursing. DESIGN: This study used a cross-sectional, descriptive design and was conducted in 2020. METHODS: A mixed methods approach was used to collect data from two sources. Data were extracted from APT documents for 92 research-intensive universities found online and specifically focused on documents for universities and for schools of nursing in the United States. Interviews were conducted with a subsample of academic administrators (n = 10) from selected schools. FINDINGS: The majority (57%; n = 50) of APT documents reviewed addressed quality of the journals in which faculty publish. However, very nonspecific terms, such as "high quality" or "peer reviewed" were used. None of the documents reviewed (n = 88) included any reference to predatory journals. Deans who were interviewed validated the analysis of the APT documents. While most deans reported faculty were aware of predatory journals and the risks of publishing in them, formal guidelines for consequences for publishing in predatory journals were not developed or available. CONCLUSION: This study examined how schools of nursing in research-intensive universities address the issue of predatory journals. APT criteria do not provide guidance to faculty and promotion and tenure committees about issues related to predatory publications as low-quality publication outlets. Recommendations for APT committees, mentors, and faculty are provided. CLINICAL RELEVANCE: Clinicians rely on researchers, many of whom are faculty, to publish rigorous studies that produce evidence they can translate into practice. One measure of the quality of a study's findings is where the paper is published and reflects the level of peer review it has been through. Faculty who publish in predatory journals may not have had their work reviewed by experts; evidence produced may or may not be adequate for translation to guide nursing practice.

Augmenting an Inpatient Fall Program With Video Observation.

BACKGROUND: Keeping patients safe is a goal for all health care facilities. Facilities should look at technology as a way to help improve outcomes. Patient falls are a dangerous, costly, and preventable health care-associated event. LOCAL PROBLEM: The fall rate on the host facility's orthopedic unit was 2.6 per 1000 patient-days. METHODS: Patients on an inpatient orthopedic unit who had a fall risk score greater than 13, based on the Johns Hopkins Fall Risk Assessment Tool, were provided with an added intervention, video observation. INTERVENTION: Video observation units with 2-way communication were introduced to help prevent patient falls. RESULTS: The fall rate per 1000 patient-days after implementing this intervention for 6 weeks was 0 falls per 1000 patient-days. CONCLUSIONS: There was a 100% decrease in patient falls on the inpatient unit where video observation was implemented.

Analysis of Citation Patterns and Impact of Predatory Sources in the Nursing Literature.

PURPOSE: This study was undertaken to learn how predatory journal articles were cited in articles published in legitimate (nonpredatory) nursing journals. The extent of citation and citation patterns were studied. DESIGN: A two-phase approach was used. METHODS: In Phase 1, 204 articles published in legitimate nursing journals that cited a predatory publication were randomly selected for analysis from a list of 814 articles with predatory journal citations. In Phase 2, the four predatory journal articles that were cited most frequently were analyzed further to examine their citation patterns. FINDINGS: The majority (n = 148, 72.55%) of the articles that cited a predatory publication were research reports. Most commonly, the predatory article was only cited once (n = 117, 61.58%). Most (n = 158, 82.72%) of the predatory articles, though, were used substantively, that is, to provide a basis for the study or methods, describe the results, or explain the findings. The four articles in Phase 2 generated 38 citations in legitimate journals, published from 2011 to 2019, demonstrating persistence in citation. An evaluation of the quality of these articles was mixed. CONCLUSIONS: The results of this study provide an understanding of the use and patterns of citations to predatory articles in legitimate nursing journals. Authors who choose predatory journals as the channel to disseminate their publications devalue the work that publishers, editors, and peer reviewers play in scholarly dissemination. Likewise, those who cite these works are also contributing to the problem of predatory publishing in nursing. CLINICAL RELEVANCE: Nurse authors should not publish their work in predatory journals and should avoid citing articles from these journals, which disseminates the content through the scholarly nursing literature.

A bibliometric analysis of articles identified by editors as representing excellence in nursing publication: Replication and extension.

AIMS: To analyse subsequent citations of 91 articles identified by editors as reflecting excellence in nursing literature and in a companion dataset of 82 other articles from the same journals; and to compare the concepts of reach, persistence, and dissemination in these two datasets. DESIGN: A quantitative bibliometric analysis and qualitative thematic analysis were done between February-June 2019. DATA SOURCES: In all, 91 articles nominated by editors comprised the first dataset. A companion dataset was created by selecting articles (N = 82) from the same journals. REVIEW METHODS: Articles were assessed for type, focus, discipline, total number of authors, and geographical location of the first author. Scopus was searched to obtain bibliographic information and subsequent second- and third-generation citations for all indexed articles. RESULTS: For the articles selected by the editors, 76 were indexed and 43 (56.5%) were cited at least once, resulting in 333 citations in the second and third generations. For the companion articles, 38 (of 78) were cited, with 175 subsequent citations. These findings are congruent with the prior study. CONCLUSION: Articles in nursing journals are being read and cited. The concepts of persistence, reach, and dissemination are supported and their use in bibliometric analysis is warranted. IMPACT: This novel research highlights the global and interdisciplinary impact of a unique set of articles representing nursing and nursing specialty areas. All the articles in the virtual journal and companion dataset were from nursing journals, but dissemination was to other disciplines, primarily medicine. Findings from this replication study continue the effort to document the rigour of content in the nursing literature; support its use to inform policy and practice at all levels; and offer evidence of excellence in content to inform nursing curricula.

A Portal Adoption Program to Enhance Patient Satisfaction in Primary Care.

Patient engagement technologies have become a focal point for defining quality in government and medical practice arenas. Patient portals are recognized as a promising mechanism to foster patient engagement and, as such, have become embedded in major healthcare reform initiatives. Despite sweeping implementation endeavors, portal adoption rates among patients remain low and create a significant gap in quality-based reimbursement. The purpose of this research was to evaluate a 12-week portal adoption program in the primary care setting featuring customized tablets with a patient-centric design for targeted point-of-contact portal registration. This project focused on three objectives: (1) achieve a 75% metric for portal adoption to align with highest tier adopters; (2) evaluate patient satisfaction for measuring perceived ease-of-use and usefulness of system; and (3) assess cost-effectiveness in determining sustainability and potential to replicate the initiative throughout other primary care settings. An outcome evaluation of the program revealed a 90% portal utilization rate, 94% new patient portal adoption rate, and 79% existing patient portal adoption rate during the data collection period. A χ analysis revealed a statistically significant difference in patient satisfaction scoring relative to efficiency, quality of care, and safety of information based on sex and insurance carrier demographics.

Nursing Informatics: A Historical Bibliometric Analysis.

Computers were introduced into nursing care areas in the early 1950s; however, nursing informatics' historical roots emerged much earlier. Contrary to previous studies, which used manual review of the nursing informatics literature, we employed an automated, electronic approach with specialized software to identify its historical roots. The corpus of nursing informatics literature was harvested from Scopus using "informatic*" in information source titles, abstracts, and keywords, limited to the "subject area = nursing." The search resulted in 3805 publications containing 57 057 valid references. Fifteen historical sources were identified, the two oldest written by nursing pioneer Florence Nightingale. Other historical roots represent specific foundational and core scholarly works offering insight into the genesis and sustainment of particular bodies of literature in the field of informatics. Our study revealed that the field of nursing informatics has sought to respond to global health concerns and that through intensive development nursing informatics has become an independent research area affecting nursing advancements in general. Additionally, nursing informatics has influenced other disciplines. This study offered an in-depth look at nursing informatics literature, using a systematic approach to identify historical roots and analyze the evolution of topics and themes to gain more information about knowledge development in nursing informatics.

Improved Patient Flow and Provider Efficiency After the Implementation of an Electronic Health Record.

Electronic health records are used widely across the nation in many different types of healthcare facilities. Electronic health record systems can provide more accurate and complete information about a patient's health, improve patient safety, and improve patient care. The purpose of this project is to evaluate a provider efficiency and workflow program at a hospital-owned, freestanding urgent care system after implementation of an electronic health record. A retrospective, longitudinal approach was used to evaluate the implementation of an electronic health record system among six freestanding urgent care clinics. The logic model was used as a guiding framework to determine whether provider efficiency and patient flow were improved. Data were collected from participants via an online survey, electronic health record data review, paper chart review, and direct observation of providers. An evaluation of a provider efficiency program using door-to-triage, door-to-provider, door-to-discharge, and average length of stay at each urgent care clinic was collected. The results indicate improvement in all areas after implementation of the electronic health record in all six urgent care settings. The average length of stay decreased from 109 minutes in 2014 to 73 minutes in 2016.

Current Trends in Robotics in Nursing Patents-A Glimpse Into Emerging Innovations.

The purpose of this study was to describe the current evidence found through a patent search about robotics used to assist nurses in providing care. The authors used a modified seven-step strategy of searching patents according to the US Patent and Trademark Office guidelines. The nursing robotic search was performed in four databases including the US Patent and Trademark Office issued patent database, the US Patent and Trademark Office published patent application database, the European Patent Office database, and Relecura. Keywords reflecting the scope of the term "robot" were defined for the purposes of this specific search. This broad search yielded large numbers of patents germane to nursing care. These results were narrowed using keywords and the Cooperative Patent Classification schemes to determine relevance, ensure rigor, and capture the most relevant results. This review of patents suggests robots for nursing care are proliferating. The opportunity for robotics in nursing is emerging in industry. Although nursing will likely benefit from robotics, we must determine the appropriate place to include robots in nursing care delivery.

An analysis of nursing citations and disciplinary characteristics in 79 articles that represent excellence in nursing publication.

Development of the knowledge base for a profession depends on research and scholarship that builds on the insights and work of scholars within the discipline and is disseminated through the literature. The purpose of this study was to examine a unique collection of 79 articles selected by editors as representative of their nursing journals. Articles were assessed for congruence with long-standing values and conceptual definitions of nursing, and the extent to which they built on prior literature published in nursing. Articles were scored based on whether they reflected four characteristics of nursing as a discipline (holism, social context, goal of health, and consistency with common definitions of nursing); an abstract score on the extent to which the title, abstract, or keywords indicated a general focus on nursing; and a distinction score based on whether the article distinguished nurses or nursing from other providers. Fifty of the articles received an article score of 4, indicating all four disciplinary characteristics were present in the article's content. While the majority of the articles were congruent with fundamental nursing values and perspectives, only 28% of the sources cited were from nursing sources. The lack of citations to nursing literature, coupled with an assessment that reveals gaps in substantive content that builds on nursing knowledge, raises questions about the future of nursing perspectives in the literature.

Citations of articles in predatory nursing journals.

BACKGROUND: Nursing journals from predatory publication outlets may look authentic and seem to be a credible source of information. However, further inspection may reveal otherwise. PURPOSE: The purpose of this study was to analyze publication and dissemination patterns of articles published in known predatory nursing journals. METHOD: Using Scopus, reference lists were searched for citations from seven identified predatory nursing journals. Bibliographic information and subsequent citation information were then collected and analyzed. FINDINGS: A total of 814 citations of articles published in predatory nursing journals were identified. Further analysis indicated that these articles were cited in 141 nonpredatory nursing journals of various types. DISCUSSION: Predatory nursing journals continue to persist, yet fewer may now be in existence. Education and information may help authors and reviewers identify predatory journals, thereby discouraging submissions to these publications and hesitancy among authors to cite articles published in them.

Robotics in Nursing: A Bibliometric Analysis.

PURPOSE: The purpose of this study was to describe the current evidence found in the nursing literature about robotics used to assist or augment nursing care. METHODS: A bibliometric analysis of published research focused on robotics in nursing care was conducted to analyze the trends of publications. A search of the Cumulative Index to Nursing and Allied Health Literature database was conducted. This analysis was used to determine the types and extent of robotic research presented in nursing and allied health literature, journals that publish robotic research, and the origins of the study. FINDINGS: Twenty-one articles met inclusion criteria and spanned the years 2004 to 2016. The main disciplines represented by first authors in these 21 articles were medicine (n = 4, 9%), nursing (n = 4, 9%), and psychiatric medicine (n = 4, 9%). Nine countries were represented by the first author. The majority of the specific studies reported using qualitative research methods (n = 4, 19%) with reports of other research designs being used. Further analysis of subsequent citations found that 248 subsequent citations were generated from these articles. CONCLUSIONS: The application of robots has been used beyond typical physical day-to-day processes as many definitions of robotics suggest. Eleven (52%) of the 21 articles described the use of robots with aged patients. In some cases, robots were used as companions for older adults, as opposed to replacing mechanical and repetitive motions. CLINICAL RELEVANCE: Robotics are being used globally in nursing care areas. While a limited amount of research on this topic in nursing exists, this study of the literature offers reports of applications of robots within nursing care areas.

A bibliometric analysis of 81 articles that represent excellence in nursing publication.

AIM: To analyze publication patterns of 81 articles included in a "virtual journal." BACKGROUND: From May-July 2017, editors submitted articles from their journals representing distinction in nursing research, education, or practice. Brief responses explained their rationale for article selection. This sample embodied a unique exemplar of excellence in nursing publication and warranted further bibliometric analysis, which was undertaken from February to May 2018. DESIGN/METHOD: Using Scopus, each article (N = 81) was searched to obtain bibliographic information and subsequent second and third generation citations. Three concepts guided the analysis: (a) persistence, rate of subsequent citations over time; (b) reach, geographic distribution of subsequent citations; and (c) dissemination, specialty of follow-on citations represented as nursing or another discipline. Patterns amongst the second and third generation of citations were also examined. RESULTS: Of the 81 articles, 43 (53%) were cited at least once, resulting in 721 second generation citations. There was long-term persistence (N = 2094) over the third and fourth generation citations. There was a wide geographic reach, representing 41 states in the United States and 44 countries. Dissemination was broad with citations in the medical literature eclipsing nursing in the third generation. The highest cited articles were all research reports. Patterns of silos and ripple effect were identified. No pattern could be identified for the 31 articles with zero subsequent citations. CONCLUSION: This study revealed the impact of articles perceived as exemplar representations of 80 different nursing journals. Nursing research is being widely read and cited, both in and outside the profession.

A Study Comparing Colorectal Cancer Screening Techniques.

Colorectal cancer is in the top 3 of both diagnosed cancers and deaths related to cancer in the United States. Despite this, Americans are continuing to forgo colorectal cancer screening as part of their preventive health maintenance. Screening helps identify precancerous and early cancerous lesions so they can be easily treated and cured. The purpose of this study was to compare the rates of detection of adenomatous (precursors to colorectal cancer) polyps and colorectal cancer in 2 groups of asymptomatic patients: one group undergoing standard colonoscopy and the other group undergoing standard colonoscopy in conjunction with fecal occult blood testing. A pilot study was performed using a total of 63 patients who were randomly allocated into 2 groups: those receiving standard colonoscopy as the control group and those receiving standard colonoscopy in conjunction with fecal occult blood testing as the intervention group. Research participants also completed demographic information as well as a survey evaluating their perceptions regarding colorectal cancer screening. This survey was adopted from a previous study that evaluates colorectal cancer disease awareness and patients' perceptions following a Health Belief Model. The results show that despite a detection rate of 41% of adenomatous polyps in the intervention group, there were no positive fecal occult blood testing specimens. The Health Belief Model survey revealed that most participants were appropriately aware of the seriousness and treatability of colorectal cancer. They also agreed that colorectal cancer screening guidelines were important and beneficial to follow.