Western Journal of Nursing Research最新文献

{"title":"Interventions to Improve the Sleep of Nurses: An Integrative Review.","authors":"Constance N Owen, Helen W Lach","doi":"10.1177/01939459251341830","DOIUrl":"10.1177/01939459251341830","url":null,"abstract":"<p><strong>Background: </strong>Adequate sleep is critical for nurses, affecting their physical, emotional, and occupational health. Nurses suffer from higher levels of sleep disorders than the national average, especially night-shift nurses, with rates as high as 61%. Irregular work/sleep patterns and occupational stress are the main contributors to inadequate sleep for nurses. Not only does this issue impact nurses, but insufficient sleep has been linked to billions of dollars lost due to decreased productivity and medical errors.</p><p><strong>Purpose: </strong>This integrative review explores and evaluates existing research on nonpharmacologic interventions designed to improve sleep function and quality for nurses.</p><p><strong>Methods: </strong>A systematic search was performed to find research interventions that improved nurses' sleep. CINAHL, Scopus, and OVID Medline databases were searched using the terms (sleep OR circadian rhythm) AND (intervention OR sleep hygiene) AND (nurs*). After the initial search, reference lists and secondary sources were evaluated for potential articles for inclusion.</p><p><strong>Results: </strong>This review included 33 articles. Interventions included exercise, lighting manipulation, supplements, aromatherapy, education, music therapy, and mindfulness/meditation. All 7 exercise interventions included in this review improved participants' sleep length and quality. Nearly all mindfulness and aromatherapy interventions that promote relaxation and stress reduction were effective. Exposing nurses to bright light did not necessarily correlate with increased sleep but did improve fatigue levels at work.</p><p><strong>Conclusion: </strong>Prioritizing sleep can ensure the health and safety of nurses, and further research is still needed. Health care organizations can positively impact this problem by implementing effective practices to improve the sleep health of nurses.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"996-1006"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Scheduling Is Everything\": A Qualitative Descriptive Study of Job and Schedule Satisfaction of Staff Nurses and Nurse Managers.","authors":"Amy Witkoski Stimpfel, Kathryn Leep-Lazar, Maile Mercer, Kathleen DeMarco","doi":"10.1177/01939459251330280","DOIUrl":"10.1177/01939459251330280","url":null,"abstract":"<p><strong>Background: </strong>Shift work and scheduling are major contributors to occupational stress for nurses, leading to job dissatisfaction and risk of turnover. Nurse scheduling processes are complex, as they are dynamically linked to nurse staffing and patient demand.</p><p><strong>Objective: </strong>This study sought to describe barriers and facilitators influencing job and scheduling satisfaction among staff nurses and nurse managers.</p><p><strong>Methods: </strong>We used a qualitative descriptive design. The sampling frame included staff nurses and nurse managers employed at an urban academic medical center. Participants (N = 16) completed individual semi-structured Zoom interviews from August 2023 to February 2024, which were audio recorded and transcribed. Data were analyzed using content analysis.</p><p><strong>Results: </strong>The overarching theme identified was \"Scheduling is everything,\" reflecting the importance of scheduling for nurses' satisfaction in and outside of work. Both staff nurses and managers identified tensions between scheduling for patient care needs (e.g., adequate staffing) and scheduling to optimize staff needs (e.g., health, sleep). They also identified staffing shortfalls as a contributor to these scheduling tensions. Staff nurses reported that scheduling challenges compromised their health and well-being, caused work-family conflict, and influenced turnover intentions. Facilitators of scheduling satisfaction included scheduling flexibility, autonomy, and equity. Participants also provided pragmatic ideas for improving scheduling processes.</p><p><strong>Conclusions: </strong>Our study explored perspectives on job and scheduling satisfaction through the lens of both staff and managers. Scheduling challenges contribute to nurses' job dissatisfaction and turnover intentions. By increasing scheduling flexibility, equity, and integrating nurse-led innovations into the scheduling process, healthcare organizations can potentially increase nurse retention.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"912-923"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Night Shift Work and Sleep Experiences in Older Night Shift Nurses.","authors":"Yuan Zhang, Audra Murphy, Heidi M Lammers-van der Holst, Laura K Barger, Jeanne F Duffy","doi":"10.1177/01939459241299779","DOIUrl":"10.1177/01939459241299779","url":null,"abstract":"<p><strong>Background: </strong>Working at night leads to misalignment between the biological clock and the work/sleep schedule, resulting in sleepiness and impaired performance during the night shift and poor quality, shortened sleep during the day; this is greatly impaired in older individuals.</p><p><strong>Objective: </strong>To describe night work and sleep experiences from the perspective of older (aged 50-65) nurses.</p><p><strong>Methods: </strong>Seven virtual focus groups were formed comprising 19 older nurses who worked regular 8-hour night shifts (at least 6 consecutive hours between midnight and 6 am) to learn about their shift work and sleep experiences. Two facilitators and 2 research assistants independently reviewed and coded the transcripts using qualitative content analysis.</p><p><strong>Results: </strong>Nine themes were identified in 3 domains: (a) night shift challenges and difficulties, including first night shift is most difficult; never feel rested working nights; and personal health concerns and benefits from working nights; (b) sleep challenges and difficulties, including inconsistent sleep timing when switching between nights and days; extended (24+ hours) time awake before and after consecutive nights; difficulty maintaining long and sound daytime sleep; and napping before night shifts for better performance; and (c) family and social challenges and support, including childcare, family, personal obligations, and social activities affect sleep; aging of self and children influences sleep and prioritization of sleep.</p><p><strong>Conclusions: </strong>The findings help understand challenges and struggles to obtain adequate sleep and safe work performance in older night shift nurses. These insignts are critical for designing and implementing feasible and acceptable interventions to improve sleep in this high-risk occupational group.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"904-911"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shift Type and Resilience Training Effect on Nurse Outcomes.","authors":"Aoyjai P Montgomery, Ja-Lin Carter, Joyce B Stevens, Toni Beam, Cindy Blackburn, Tracey K Dick, Shannon S Layton, Katherine A Meese, Dana M Morson, Shea Polancich, Asiah Ruffin, Jill R Stewart, Joseph R Travis, Jacqueline Westbrook, Jennifer A Werthman, Patricia A Patrician","doi":"10.1177/01939459251340779","DOIUrl":"10.1177/01939459251340779","url":null,"abstract":"<p><strong>Background: </strong>Nursing shift work disrupts circadian rhythms, negatively impacting physical and mental health. Night shift workers face the added challenge of shift work disorder. Resilience training may help mitigate these effects and improve perceived organizational support.</p><p><strong>Objective: </strong>We aimed to examine the effect of the Community Resilience Model^® training on outcomes (ie, perception of organizational support, resilience, burnout, distress, and intention to leave) among shift workers at an academic medical center while exploring differences in demographics, work characteristics, and outcomes by shift type (day vs night).</p><p><strong>Methods: </strong>Training was offered to all nursing roles. Work characteristics, demographics, and nurse outcomes were collected via an online survey. Binomial logistic regressions were conducted for all outcomes.</p><p><strong>Results: </strong>Of our sampling (N = 878), 52.6% were nurse staff, 23% usually worked night shifts, and 28% attended training. Night shift workers reported significantly lower perceptions of organizational support (<i>P</i> = .03) and resilience (<i>P</i> = .005). Over 55% of night shift workers reported burnout compared to 45% of day shift workers. Sixty-three percent of night and 51% of day shift workers were distressed (<i>P</i> = .002). Training attendees reported significantly higher perceptions of organizational support. Participants reporting higher perceived organizational support also reported less burnout, distress, and intention to leave.</p><p><strong>Conclusion: </strong>Participants in resilience training rated higher perceptions of organizational support, particularly among night shift workers, who reported lower support, resilience, and higher burnout and distress. These results suggest that resilience training may benefit night shift workers by enhancing support and reducing negative outcomes.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"942-951"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Employment Status, Decision-Making, and Sleep Among Hispanic and Latinx Dementia Family Caregivers: A Secondary Data Analysis.","authors":"Abigail A Poe, Natashia Bibriescas, Chunhong Xiao, Frank Puga","doi":"10.1177/01939459251343736","DOIUrl":"10.1177/01939459251343736","url":null,"abstract":"<p><strong>Background: </strong>Hispanic and Latinx dementia family caregivers frequently face heightened stress, which can negatively impact their health and well-being. Balancing employment and caregiving responsibilities adds to this burden, potentially influencing decision-making involvement and sleep.</p><p><strong>Objective: </strong>This study examined the relationship between employment status, caregiver involvement in everyday decision-making, and sleep duration among Hispanic and Latinx dementia caregivers.</p><p><strong>Methods: </strong>A sample of 138 Hispanic and Latinx dementia caregivers completed online surveys on their daily caregiving experiences. Cross-tabulations and linear regression were used to analyze associations between employment status (full-time, part-time, retired, stopped working due to caregiving), decision-making (eg, daily activities, meals, medical care), and total sleep time.</p><p><strong>Results: </strong>Participants had a mean age of 55.1 years (SD = 14), were predominantly female, and primarily cared for a parent. Caregivers who stopped working due to caregiving were more involved in planning activities (χ² = 20.21, <i>P</i> < .027). Retired caregivers were more involved in meal planning (χ² = 17.34, <i>P</i> < .01), and those who stopped working were more involved in medical decisions (χ² = 35.45, <i>P</i> < .001). Greater decision-making involvement predicted shorter total sleep time (β = -0.198, <i>P</i> < .01). However, the interaction between full-time employment and decision-making involvement was significant (β = 0.235, <i>P</i> = .05), suggesting that full-time employment buffered the negative impact of decision-making involvement on sleep duration.</p><p><strong>Conclusions: </strong>Findings highlight the complex relationship between employment status, decision-making involvement, and sleep among Hispanic and Latinx dementia caregivers. Culturally tailored interventions that consider both caregiving decision-making and employment-related demands may help support caregiver health and well-being.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"965-974"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12324171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationships Between Sleep, Social Isolation, and Health Care Access to Depression, Post-Traumatic Stress, Number of Medical Diagnoses, and Medication Use Among Long-Haul Truck Drivers: A Cross-Sectional Study.","authors":"Karen Heaton, Prasert Kham-Ai, Aoyjai Montgomery","doi":"10.1177/01939459251362553","DOIUrl":"10.1177/01939459251362553","url":null,"abstract":"<p><strong>Background: </strong>Long-haul truck drivers experience many challenges while working \"on the road.\" These challenges include, but are not limited to, problems with sleep, access to health care, and loneliness. It is also known that they have tend to have a number of chronic medical conditions, including mental health diagnoses.</p><p><strong>Objective: </strong>The purpose of this study was to explore how sleep, loneliness, and health care access are related to depression, post-traumatic stress, number of medical diagnoses, and medication use among long-haul truck drivers.</p><p><strong>Methods: </strong>A total of 98 participants were recruited to the study by way of Facebook-based and trucking industry-specific websites. Potential participants reviewed an online study information sheet and clicked forward to the survey, indicating their consent to participate. At that point, participants engaged with a 60-item online Qualtrics survey containing items related to the variables of interest and demographics.</p><p><strong>Results: </strong>Participants were primarily married or partnered white males aged 54 years old. They experienced poor sleep, moderate loneliness and depression, and probable post-traumatic stress. The final model showed that while all the independent variables, except the number of medications prescribed, predicted the dependent variables, sleep quality significantly influences mental health in this sample.</p><p><strong>Conclusions: </strong>Ongoing education of providers, truck drivers, and their employers on the significance of sleep on mental health is essential. Addressing loneliness, using multiple modalities, should be considered. Finally, the importance of mental health and social connections should be stressed by all providers who encounter truck drivers to support their well-being.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"987-995"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urinary Incontinence Self-Management in Rural Midlife Women: A Mixed Methods Study.","authors":"Abbey Jo Klein, Christine Eisenhauer, Elizabeth Mollard, Meryl Alappattu, Marcia Y Shade, Leeza Struwe, Ann M Berger","doi":"10.1177/01939459251366795","DOIUrl":"https://doi.org/10.1177/01939459251366795","url":null,"abstract":"<p><strong>Background: </strong>Urinary incontinence (UI) affects over half of adult women in the United States and negatively impacts physical and psychological health. Our understanding of UI self-management is limited to older, urban women despite the prevalence of UI in all women, particularly during the midlife period.</p><p><strong>Purpose: </strong>The purpose of this study was to examine how contextual factors influence UI self-management behaviors of rural, midlife women with UI.</p><p><strong>Methods: </strong>A convergent, mixed-methods study was conducted with 31 rural women aged 30-60 years who were recruited via social media. Participants completed a demographics questionnaire, individual interview, and questionnaires to assess contextual factors: UI subtype, incontinence severity, access to care, and quality of life (QOL) impact. Analyses included qualitative description, descriptive statistics and correlations, and data integration to assess for convergence.</p><p><strong>Results: </strong>Qualitative interview results have been published. The strongest correlation was seen between incontinence severity and QOL impact. Significant correlations were found between postmenopausal status, UI subtype, incontinence severity, and QOL impact. Integration of qualitative and quantitative data revealed difference between incontinence severity and the qualitative themes <i>self-management behaviors</i> and <i>medical encounters</i>. As incontinence severity increased, the intensity of self-management behaviors increased. Lacking knowledge about symptom reduction and providers' fatalistic attitudes were barriers to improving UI self-management in this rural sample.</p><p><strong>Conclusion: </strong>Findings demonstrate a need for specific health care educational resources and supportive interactions to reduce the QOL impact of UI in rural midlife women.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459251366795"},"PeriodicalIF":1.7,"publicationDate":"2025-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socioeconomic Risk and Sleep Health Among Young Adults With Type 1 Diabetes.","authors":"Quiana Howard, Stephanie Griggs","doi":"10.1177/01939459251366037","DOIUrl":"https://doi.org/10.1177/01939459251366037","url":null,"abstract":"<p><strong>Background: </strong>While individual socioeconomic risk factors have been examined in relation to various health outcomes in young adults with type 1 diabetes (T1D), the collective impact of significant socioeconomic risk on multiple dimensions of sleep health in this population remains underexplored.</p><p><strong>Objective: </strong>We sought to examine the association between socioeconomic risk and sleep health dimensions among young adults with T1D.</p><p><strong>Methods: </strong>Using baseline data from a pilot randomized controlled trial involving 44 young adults (38.6% female, mean age 20.9 years, mean glycated hemoglobin 8.6%), socioeconomic risks were assessed using the Protocol for Responding to and Assessing Patients Assets, Risks, and Experiences framework. Sleep health was evaluated across 6 dimensions: regularity, satisfaction, alertness, timing, efficiency, and duration. We used actigraphy-derived measures of regularity, timing, efficiency, duration, alertness (via the trail-making test), and self-reported satisfaction. Analyses were adjusted for sex, T1D duration, body mass index, and area-level social vulnerability.</p><p><strong>Results: </strong>Higher socioeconomic risk composite scores were significantly associated with lower sleep satisfaction (β = 0.556, <i>R</i>² = 0.281, <i>P</i> = .001), lower alertness (β = 0.471, <i>R</i>² = 0.292, <i>P</i> = .005), and a lower sleep health composite score (β = -0.368, <i>R</i>² = 0.210, <i>P</i> = .035). No significant associations were identified for sleep regularity, timing, efficiency, or duration.</p><p><strong>Conclusions: </strong>Higher socioeconomic risk is associated with lower sleep satisfaction, alertness, and multidimensional sleep health among young adults with T1D, independent of covariates. Addressing socioeconomic risk could offer an important target for interventions to improve sleep and health outcomes in this vulnerable population.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459251366037"},"PeriodicalIF":1.7,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Caregiving Stress and Advance Care Planning Behavioral Intentions Among Family Caregivers: A Cross-Sectional Survey.","authors":"Li-Shan Ke, Hui-Chuan Cheng, Yu-Chen Ku, Wurn-Yirng Ju, Ming-Ju Lee","doi":"10.1177/01939459251368959","DOIUrl":"https://doi.org/10.1177/01939459251368959","url":null,"abstract":"<p><strong>Background: </strong>Family caregivers are pivotal in older adults' care and decision-making processes. Notably, few studies have examined the relationship between caregiving stress and family caregivers' advance care planning (ACP) behavioral intentions or the factors associated with ACP behavioral intentions.</p><p><strong>Objectives: </strong>This study explored the relationship between caregiving stress and ACP behavioral intentions among family caregivers and the factors associated with ACP behavioral intentions.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among family caregivers of hospitalized patients aged >65 years from a medical center in northern Taiwan. The main measurements were a questionnaire on knowledge, attitudes, and behavioral intentions regarding the implementation of ACP and the Kingston Caregiver Stress Scale.</p><p><strong>Results: </strong>In total, 507 valid responses were received. The mean age of the caregivers was 55.3 years, and caregiving stress levels were low to moderate. The caregivers demonstrated fair knowledge of ACP and generally positive attitudes and behavioral intentions toward its implementation. Caregiver stress was not significantly correlated with ACP knowledge, attitudes, or behavioral intentions. In addition, caregiver attitudes and subjective norms, caregiver cancer status, experience with advance directives, and care recipient renal disease status were associated with caregiver behavioral intentions toward ACP.</p><p><strong>Conclusions: </strong>Caregiver stress was not associated with ACP behavioral intentions from the findings. The current results highlight the need to consider the personal illness experiences of family caregivers, plans for future medical management, and the process of caring for older care recipients in promoting ACP among family caregivers.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459251368959"},"PeriodicalIF":1.7,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying the Priorities to Develop Advanced Practice Nursing in Mexico Using a Delphi Study.","authors":"Geraldine Lee, Gustavo Nigenda, Patricia Aristizabal, Rosa Amarilis Zárate-Grajales","doi":"10.1177/01939459251364643","DOIUrl":"https://doi.org/10.1177/01939459251364643","url":null,"abstract":"<p><strong>Introduction: </strong>Advanced practice nursing is well established in many countries. However, in Mexico the role has not been implemented. The aim of this paper was to establish consensus, via expert stakeholder engagement, on the priorities to develop advanced practice nurse (APN) roles nationally in Mexico.</p><p><strong>Methods: </strong>A 2-round Delphi technique was employed. Along with using data from in-depth interviews with health care professionals in Mexico, a review of the published literature was also undertaken. A total of 25 statements using a Likert scale from <i>not important</i> (1) to <i>very important</i> (4) were developed for round 1. Those working in positions with an interest in advanced practice nursing were invited to participate. A context index validity of 0.8 was applied for round 1, and those that scored above 0.8 were used for round 2 where participants were asked to rank the statements in order of priority.</p><p><strong>Results: </strong>Thirty-one experts participated in round 1 and 14 in round 2. A total of 12 statements were scored with a content validity index above 0.8, and these were ranked for round 2. The statements reflected key areas around advanced practice nursing from workforce issues to regulation, education, and career progression. The key priorities were the need for a national regulatory framework and clear definition of APN roles.</p><p><strong>Conclusions: </strong>These statements will now be used to support the case for how advanced practice nursing should be developed in Mexico at a national level addressing the health care needs of the population and help toward building a strong APN workforce.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459251364643"},"PeriodicalIF":1.7,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}