Nursing Inquiry最新文献

Navigating Quality and Innovation: Actor-Network Theory and Hybrid Assemblages in Midwifery Practice, Implications of Maternity Early Warning Tools and Artificial Intelligence. 质量与创新导航：助产实践中的行动者网络理论和混合组合》，《孕产妇预警工具和人工智能的影响》。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2025-04-01 DOI: 10.1111/nin.70001

Bridget Ferguson, Adele Baldwin, Clare Harvey, Amanda Henderson

{"title":"Navigating Quality and Innovation: Actor-Network Theory and Hybrid Assemblages in Midwifery Practice, Implications of Maternity Early Warning Tools and Artificial Intelligence.","authors":"Bridget Ferguson, Adele Baldwin, Clare Harvey, Amanda Henderson","doi":"10.1111/nin.70001","DOIUrl":"10.1111/nin.70001","url":null,"abstract":"Midwifery philosophy views childbearing as primarily normal, indicative of a woman's overall health. Midwifery practice focuses on supporting the human-to-human relationship between the midwife and the woman holding primacy. Despite the traditional focus on wellness, maternity care in today's risk averse world is increasingly complex. Technology has been increasingly implemented into maternity care to detect complications early and reduce harm. The Maternity Early Warning Tool is a technological innovation in this regard. Actor-network theory (ANT) offers a framework for analysing the connections between human actors (women, fetuses, and midwives) and nonhuman actors (machines, tools, and policies) within healthcare. This paper through drawing on the tenets of ANT, particularly in understanding the adoption of Maternity Early Warning Tools in midwifery practice, examines and explores the implications of integrating these tools in relation to midwifery practice. ANT also guides thoughtful considerations regarding the potential trajectory of Artificial Intelligence in midwifery, specifically regarding how these technological advancements alter midwifery practice by creating new hybrid assemblages and fluid identities. This discussion of subversive elements enhances understanding of the implications of Maternity Early Warning Tools on contemporary midwifery practice.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"32 2","pages":"e70001"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537897","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}

引用次数: 0

Indigenous African Philosophy as a Paradigm for Health and Social Care Research: A Philosophical and Methodological Discussion. 土著非洲哲学作为健康和社会关怀研究的范式：哲学和方法论讨论。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2025-04-01 DOI: 10.1111/nin.70002

Jonathan Bayuo

{"title":"Indigenous African Philosophy as a Paradigm for Health and Social Care Research: A Philosophical and Methodological Discussion.","authors":"Jonathan Bayuo","doi":"10.1111/nin.70002","DOIUrl":"10.1111/nin.70002","url":null,"abstract":"The growing demand for research that is culturally sensitive and contextually relevant is leading to a greater acceptance of indigenous paradigms. Despite this, African philosophy, with its rich cultural and ethical dimensions, is still developing as a field. This paper delves into the philosophical concepts of Ubuntu, Ukama and Consciencism, exploring the ontology, epistemology, axiology and methodology of indigenous African philosophy. It highlights the importance of relationships, community, interconnectedness and a holistic understanding of human existence and experiences. Indigenous African philosophy presents itself as an alternative framework for addressing health and social issues through co-creation, active participation and empowerment. Ontologically, it focuses on relativism and individuals defined by their social and relational contexts. Epistemologically, it values the social construction of knowledge, which should be shared for the benefit of others. Relational ethics are central to African axiology. Together, the ontological, epistemological and axiological basis of African philosophy form a unique paradigm that emphasize community and examine phenomena in both physical and spiritual contexts to achieve a comprehensive understanding.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"32 2","pages":"e70002"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651653","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}

引用次数: 0

Understanding Power Distance in Healthcare: A Scoping Review. 理解医疗保健中的权力距离：范围审查。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2025-04-01 DOI: 10.1111/nin.70022

Anton Kyynärsalmi, Mira Hammarén, Outi Kanste

{"title":"Understanding Power Distance in Healthcare: A Scoping Review.","authors":"Anton Kyynärsalmi, Mira Hammarén, Outi Kanste","doi":"10.1111/nin.70022","DOIUrl":"10.1111/nin.70022","url":null,"abstract":"This review aimed to map the existing research and methodologies used and identify themes of power distance in healthcare. A systematic search for original studies was conducted in May 2023 in accordance with the Joanna Briggs Institute's guidelines for scoping reviews. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews were used for reporting. A total of 30 studies were included, and all were published between 2004 and 2022. Power distance as a moderator was evident in the research, influencing the relation between other variables. Three distinct themes of power distance in healthcare were identified: interpersonal, intrapersonal and cultural aspects of power distance. These themes illustrate the multilevel effects of power distance in healthcare. Based on current evidence, power distance is an impactful phenomenon in healthcare. Power distance has diverse direct and indirect impacts and is a valuable framework for describing healthcare's complex social inequalities. Power distance was directly linked with hierarchy and associated with a lack of collegiality. Awareness and understanding of power distance are valuable for healthcare leadership and research, aiding in the comprehension of employee outcomes, expectations and subtle cultural differences, though further research on power distance in healthcare is needed.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"32 2","pages":"e70022"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036730","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}

引用次数: 0

The Fundamentals of Care in Practice: A Qualitative Contextual Inquiry. 实践中的护理基础：定性背景调查。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2025-04-01 DOI: 10.1111/nin.70000

Bobbie-Jo Pene, Cathleen Aspinall, Ebony Komene, Julia Slark, Merryn Gott, Jackie Robinson, Jenny M Parr

{"title":"The Fundamentals of Care in Practice: A Qualitative Contextual Inquiry.","authors":"Bobbie-Jo Pene, Cathleen Aspinall, Ebony Komene, Julia Slark, Merryn Gott, Jackie Robinson, Jenny M Parr","doi":"10.1111/nin.70000","DOIUrl":"10.1111/nin.70000","url":null,"abstract":"Empirical evidence on the Fundamentals of Care framework and its relevance to practice is increasing. However, there is a need to understand the evidence in practice and determine how best to evaluate caring activities. This exploratory study aimed to understand current nursing practice with the Fundamentals of Care framework, how nurses understand the framework, and what is essential to patients receiving care. The objectives were (1) to observe nurses in practice and record nurse-patient interactions against the Fundamentals of Care framework dimensions, (2) to probe the nurse's understanding of the framework, (3) to explore what is important to patients when receiving care from nurses, (4) to explore the nurse's and patient's understanding of culture and spirituality, and (5) to identify the barriers and facilitators to delivering integrated care. The study identified four key findings: (1) nurse-patient interactions centred around completing tasks and the physical aspects of care, (2) there are crucial gaps in nurses' ability to connect with their patients and establish a good nurse-patient relationship, (3) integrated fundamental care was not evident in the behaviours and narratives of the nurses, and (4) the context in which care is delivered significantly impacts how nurses work particularly the challenges of using technology and electronic records. Healthcare organisations and nursing leaders need to consider the implications of nurses prioritising the organisation's efficiency-driven requirements over establishing a therapeutic relationship and integrating the patient's care needs. More work is required to support nurses in delivering integrated fundamental care.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"32 2","pages":"e70000"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537900","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}

引用次数: 0

Why Public Health Nurses Matter: Bringing Specialized Knowledge and Skills to Advancing Health Equity. 为什么公共卫生护士很重要：将专业知识和技能用于促进卫生公平。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2025-04-01 DOI: 10.1111/nin.70018

Paula M Kett, Grace A Guenther, Shahida Shahrir, Selina A Mohammed, Betty Bekemeier

{"title":"Why Public Health Nurses Matter: Bringing Specialized Knowledge and Skills to Advancing Health Equity.","authors":"Paula M Kett, Grace A Guenther, Shahida Shahrir, Selina A Mohammed, Betty Bekemeier","doi":"10.1111/nin.70018","DOIUrl":"https://doi.org/10.1111/nin.70018","url":null,"abstract":"Research is needed to better understand how public health nurses (PHNs) contribute to promoting health equity in communities. Our study aimed to fill this gap by exploring what activities PHNs describe they undertake in advancing health equity as well as examining their skills, proficiencies, and training needs specific to health equity work. We collected qualitative data via interviews with 18 PHNs across the US and developed major themes using a thematic analysis approach. We also analyzed quantitative survey data to compare health equity competencies among PHNs versus non-PHNs in local health departments. Most participants identified as female (N = 15); years of experience as a PHN ranged from 1 to 37. Participants described four major themes related to their health equity work: foundational elements of health equity work, components of health equity work, how nurses are equipped to do health equity work, and barriers to engaging in health equity work, which included a need for a more diverse PHN workforce and the opportunity to practice at the top of their scope. Quantitative analyses highlighted PHNs confidence in addressing core health equity concepts, such as the social determinants of health. Findings provide a deeper understanding of how PHNs contribute to advancing health equity, underscoring the value they bring to public health and demonstrating ways that health equity is at the core of what they do. Further work is needed to address barriers, including establishing recruitment pathways for those from diverse backgrounds to facilitate growth of this valuable sector of the public health workforce.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"32 2","pages":"e70018"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044557","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}

引用次数: 0

Stirring the Sleeping Giant? an Evaluation of a Planetary Health Political Action Sequential Simulation for Nursing Students. 唤醒沉睡的巨人？护生行星健康政治行动序贯模拟之评估。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2025-04-01 DOI: 10.1111/nin.70017

Lydia Mainey, Ryan Essex, Philip Gurnett, Sarah Richardson

{"title":"Stirring the Sleeping Giant? an Evaluation of a Planetary Health Political Action Sequential Simulation for Nursing Students.","authors":"Lydia Mainey, Ryan Essex, Philip Gurnett, Sarah Richardson","doi":"10.1111/nin.70017","DOIUrl":"10.1111/nin.70017","url":null,"abstract":"The need for nurses to be political is as great as ever, however, nursing has a complicated relationship with politics and political action. This paper examines the impact of a sequential simulation learning activity that sought to transform students' values and attitudes towards political action in addressing Planetary Health issues. Adult and adult mental health nursing students from two British universities participated in the Political Action Sequential Simulation which had three scenarios related to either water or air pollution. Scenario one was clinical, while scenarios two and three were community- and policy-based, respectively. We used a pre-post design to gauge attitudes and values both before and after the intervention. Outcomes measures included Nurse Professional Value Scale-3, Political Efficacy - Short Scale, Perceived Political Self-Efficacy Scale - Short Form, Social Justice Scale and Internal Environmental Locus of Control scale. Of the 256 students who undertook the activity, 75 completed both pre and post-measures. Significant shifts across all scales except the social justice scale were found, meaning that students' attitudes towards political action, their beliefs in their ability to take political action, and in particular, action related to the environment shifted significantly after the sequential simulation. We discuss these results in the context of the broader literature, reflect on some of the reasons why these shifts occurred and consider the implications for nursing education and practice.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"32 2","pages":"e70017"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11973622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796686","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}

引用次数: 0

Exploring Philosophically Driven Research in Nursing: An Exploration of Research Driven by Jamesian Pragmatism. 探索哲学驱动的护理研究：詹姆斯实用主义驱动的研究探索。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2025-04-01 DOI: 10.1111/nin.12699

Annie Pettifer, Sean Hughes

引用次数: 0

"It's Very Cisnormatively Structured": An Interpretive Description of Undergraduate Nursing Students' Experiences of Gender Inclusive and Affirming Practices. “它是非常顺规范的结构”：对本科护理学生性别包容和肯定实践经验的解释性描述。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2025-04-01 DOI: 10.1111/nin.12701

Jess Crawford, Marnie Kramer, Janice Ristock, Annette S H Schultz

{"title":"\"It's Very Cisnormatively Structured\": An Interpretive Description of Undergraduate Nursing Students' Experiences of Gender Inclusive and Affirming Practices.","authors":"Jess Crawford, Marnie Kramer, Janice Ristock, Annette S H Schultz","doi":"10.1111/nin.12701","DOIUrl":"10.1111/nin.12701","url":null,"abstract":"This study explores the experiences of undergraduate nursing students learning about transgender and gender diverse (TGD) health. We discuss nursing education's perpetuation of discrimination and erasure of TGD people and upholding of gender norms (cisnorms) is not sufficiently preparing students to care for TGD patients. Further, this rampant cisnormativity harms TGD nursing students. This interpretive description drew on queer theory and Hafferty's three levels of curriculum and engaged 18 undergraduate nursing students in initial and 13 in follow-up focus groups or interviews. Three key themes included (1) cisnormativity is perpetuated in nursing education through pervasive power and norms across the three levels of curriculum; (2) \"The Trans Problem\": Transgender and gender diverse people are othered in nursing education; and (3) Welcoming the other: Individual educators who welcome and affirm TGD people are crucial. Critical recommendations from students to advance gender inclusive and affirming practices are provided, including normalizing gender diversity in formal nursing education, the importance of accountability and representation in schools of nursing, and the need for nursing governing bodies to disrupt cisnormativity.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"32 2","pages":"e12701"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11803551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366523","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}

引用次数: 0

Combining Empathy With Creativity to Encourage Organ Donation in Lebanon. 将同理心与创造力结合起来，鼓励黎巴嫩的器官捐赠。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2025-04-01 DOI: 10.1111/nin.70024

Michael Clinton

{"title":"Combining Empathy With Creativity to Encourage Organ Donation in Lebanon.","authors":"Michael Clinton","doi":"10.1111/nin.70024","DOIUrl":"https://doi.org/10.1111/nin.70024","url":null,"abstract":"Conflicts can arise when a medical team declares a patient brain dead, especially in Lebanon, where families may be reluctant to accept the diagnosis for religious or cultural reasons. Families sometimes withhold consent for organ donation until they can reconcile their beliefs with their concerns. This manuscript examines these challenges through the eyes of an ICU nurse, who described what happened when a 22-year-old woman was declared brain dead. The nurse explains how she helped the patient's family overcome their objections to organ donation despite some nurses exacerbating the situation by arguing with the family about the patient's care. I use Stein's theory of empathy and Castoriadis' concepts of radical imagination and social imagery to interpret the conflict that emerged due to Lebanese law, which permits families to veto organ donation and prohibits the withdrawal of life support unless requested by the patient's next of kin or legally authorized representative. The case study highlights the importance of trust, compassion, and kindness in helping families resolve organ donation conflicts. ICU nurses who earn families' trust can help them make informed decisions about organ donation without compromising their religious and cultural beliefs. This approach improves outcomes for waitlisted organ recipients. Resolving conflicts requires nurses to stay true to their values and accept responsibility. While the case study focuses on Lebanon, creative nursing practices have the potential to address brain death and after-death care disputes in other jurisdictions.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"32 2","pages":"e70024"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022534","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}

引用次数: 0

Digital Artifacts of Self-Representation: A Critical Qualitative Analysis of Nursing Memes. 自我表征的数字伪影：护理模因的关键定性分析。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2025-04-01 DOI: 10.1111/nin.70021

Jaymelyn Hubert, Madelaine Beaumont, Vicky Bungay, Allie Slemon

{"title":"Digital Artifacts of Self-Representation: A Critical Qualitative Analysis of Nursing Memes.","authors":"Jaymelyn Hubert, Madelaine Beaumont, Vicky Bungay, Allie Slemon","doi":"10.1111/nin.70021","DOIUrl":"https://doi.org/10.1111/nin.70021","url":null,"abstract":"Stereotypes in mass media depict harmful and inaccurate portrayals of nurses and nursing work. As memes are understood to be units of culture, they may be examined as artifacts, deepening understandings of contemporary culture. This critical qualitative analysis of nursing memes from two popular social media platforms seeks to identify current cultural narratives and social meanings of nursing reproduced within the public domain. Memes were selected from popular hashtags and nursing meme accounts with more than 2500 followers. Memes were included if they followed traditional meme format and content-centered discourses of gender, race, and other aspects of power and oppression within nursing and healthcare systems. Our analysis employed a qualitative descriptive design within an overarching critical social theoretical framework. We identified that nursing memes reproduced stigmatizing and discriminatory narratives of patients and perpetuated harmful notions of \"who\" nurses are and \"what\" nurses do, while also drawing attention to systemic challenges facing the profession. Memes therefore serve as a valuable artifact for communicating contemporary cultural narratives about nursing and nursing work. Generating and distributing memes to raise awareness of systemic pressures may serve as a valuable social strategy toward advocating for systemic shifts in nursing and healthcare to address persistent challenges.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"32 2","pages":"e70021"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12010467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024751","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}

引用次数: 0