International Journal of Nursing Studies最新文献

{"title":"Understanding Chinese adults' attitudes toward nurse prescribing: A national cross-sectional study","authors":"Xue Wang ,&nbsp;Yibo Wu ,&nbsp;Xinghua Bai ,&nbsp;Yiwen Wang ,&nbsp;Jing Wang ,&nbsp;Shuang Zang","doi":"10.1016/j.ijnurstu.2025.105064","DOIUrl":"10.1016/j.ijnurstu.2025.105064","url":null,"abstract":"<div><h3>Background</h3><div>Limited studies have investigated the attitudes of Chinese adults toward the role of nurse prescribing, particularly based on population-based cross-sectional research.</div></div><div><h3>Objective</h3><div>To investigate the associations of socio-demographic and health-related factors with the acceptance of the role of nurse prescribing.</div></div><div><h3>Design</h3><div>A cross-sectional study.</div></div><div><h3>Setting</h3><div>In China.</div></div><div><h3>Participants</h3><div>A total of 30,054 participants were included in this study.</div></div><div><h3>Methods</h3><div>We employed univariate generalized linear model and multivariable generalized linear model analyses to explore the factors that were associated with the acceptance of the role of nurse prescribing.</div></div><div><h3>Results</h3><div>Individuals of older age (β: 0.08, 95 % CI: 0.05–0.10) and residing in the Western region of China (β: 1.99, 95 % CI: 1.29–2.70), with average monthly household income per capita in the range of 3001–6000 (β: 2.58, 95 % CI: 1.84–3.32) and ≥ 6001 (β: 3.90, 95 % CI: 3.01–4.80), as well as those reporting higher levels of perceived social support (β: 0.46, 95 % CI: 0.35–0.56), better self-rated health status (β: 0.15, 95 % CI: 0.14–0.17), and increased eHealth literacy (β: 0.61, 95 % CI: 0.53–0.68), tend to demonstrate an inclination toward accepting nurse prescribing.</div></div><div><h3>Conclusions</h3><div>These findings provide valuable insights for healthcare policymakers and practitioners aiming to promote the integration of nurse prescribing into the Chinese healthcare system. Our results emphasize the need for targeted interventions to address barriers to acceptance and enhance the accessibility and utilization of nurse-prescribing services among diverse demographic characteristics.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"166 ","pages":"Article 105064"},"PeriodicalIF":7.5,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Truth-telling is required for health equity for Aboriginal peoples: A qualitative study","authors":"Ieta D'Costa ,&nbsp;Lynette Russell ,&nbsp;Karen Adams","doi":"10.1016/j.ijnurstu.2025.105066","DOIUrl":"10.1016/j.ijnurstu.2025.105066","url":null,"abstract":"<div><h3>Background</h3><div>The World Health Assembly has called for a Global Action Plan to address health inequities imposed upon Indigenous peoples. In seeking equity, Aboriginal peoples and allies have called for truth-telling about colonisation and its relation to healthcare. Australian healthcare, largely based on the biomedical model, is inadequate in terms of design, delivery, and access for Aboriginal peoples. Healthcare employees are known to contribute to health inequities.</div></div><div><h3>Purpose</h3><div>This study explores non-Indigenous healthcare employee perceptions and experiences of engaging with Aboriginal peoples.</div></div><div><h3>Methods</h3><div>Forty-nine health professionals from an Australian hospital participated in qualitative interviews. Interviews were audio-recorded, and data analysed with reflexive thematic analysis. Interviewees volunteered for the study and were first recruited in January 2020. The study is not registered.</div></div><div><h3>Results</h3><div>Four themes were identified, including perceptions of: colonisation, Aboriginal peoples and knowledges, racism toward Aboriginal people, and healthcare inequities imposed upon Aboriginal people. Many participants were oblivious to how colonisation and racism create present healthcare inequities. This limited understanding was a consequence of feelings of distress and subsequent disengagement with the history of colonisation.</div></div><div><h3>Conclusions</h3><div>Healthcare education requires better truth-telling methods to achieve health equity. We suggest trials of collaborative modes of education from arts and humanities that simultaneously recognise continuing colonial ideology and promote antiracism. Crucially, as the World Health Assembly notes, from design to implementation, these strategies must foreground and involve Aboriginal peoples, and deeper understanding of what it is to be an Indigenous ally.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105066"},"PeriodicalIF":7.5,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The job content of head nurses in a hospital setting: A scoping review and multinational Delphi study","authors":"Lukas Billiau ,&nbsp;Simon Malfait ,&nbsp;Karen Mannekens ,&nbsp;Rik Verhaeghe ,&nbsp;Veerle Duprez ,&nbsp;Kristof Eeckloo","doi":"10.1016/j.ijnurstu.2025.105067","DOIUrl":"10.1016/j.ijnurstu.2025.105067","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Head nurses face challenging job content while executing their roles as nurses, managers and leaders. However, no European compilation for portraying head nurses' job content within a hospital setting is available.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;This study aimed to develop and validate a compilation that portrays the job content of head nurses employed in European hospitals.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A scoping review was conducted according to Arksey and O’Malley's (2005) five-stage framework. Articles focusing on the job content of head nurses with 24-h first-line organizational and hierarchical responsibility for one or two units in a hospital setting were included. An electronic search was performed via PubMed, CINAHL and Embase. The Journal of Nursing Administration, Journal of Nursing Management, Journal of Healthcare Management and Nursing Management were screened manually to identify additional articles. Subsequently, a two-round multinational Delphi study following the methodology of Yussof (2019) was carried out. Eligible opinion leaders originated from Europe and included head nurses, as well as second-line nurse managers and hospital executives with head nurse experience. Twenty-three opinion leaders participated in the first round of the Delphi study, and 16 opinion leaders from the initial round subsequently participated in the second round. The item-level content validity index and scale-level content validity index based on the average method were calculated.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The scoping review included 90 articles published between 1934 and 2024. In total, 64 terms were found to name the head nurse position. Job content could be categorized according to four main themes: operational management, patient care, human resources management and unit-level policy development. Fifteen subthemes were determined, namely quality and safety management, staff planning, administrative and financial management, resource and technology management, care planning, direct and indirect patient care, individual and general staff management, learning opportunities, strategic management, creative thinking, and change management. After two Delphi rounds, the final compilation comprises four main themes, 10 subthemes and 53 task descriptions, excluding staff planning, care planning, direct patient care, administrative management and financial management.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Head nurses' job content mapped by international evidence differs from the job content considered relevant by European opinion leaders. Fragmentation in what European opinion leaders considered relevant within the head nurses' job content became apparent. The compilation can be tailored to different countries or types of hospitals and serve as a guide for second-line nurse managers and hospital executives to determine the key job content based on the priorities and strategic direction of the hospi","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105067"},"PeriodicalIF":7.5,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143740059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How the dyads of heart failure patients and their informal caregivers cope with the disease process: A qualitative evidence synthesis","authors":"Can Xiong,&nbsp;Polly W.C. Li,&nbsp;Doris S.F. Yu,&nbsp;Cathy W.Y. Wong","doi":"10.1016/j.ijnurstu.2025.105065","DOIUrl":"10.1016/j.ijnurstu.2025.105065","url":null,"abstract":"<div><h3>Background</h3><div>Heart failure is a debilitating, progressive condition that poses significant challenges for patients and their caregivers. Successful coping with the disease relies on the concerted efforts of patients and caregivers. However, previous reviews on this topic have focused on the coping experiences of patients or informal caregivers separately, without considering the dynamic interaction between them.</div></div><div><h3>Objectives</h3><div>The aim of this review was to synthesise qualitative data on the experience of dyadic coping with heart failure from patient-caregiver dyads' perspectives.</div></div><div><h3>Methods</h3><div>A systematic literature search was conducted of nine electronic databases from their inception to 8 July 2023. Manual searching of the reference lists of relevant articles was also conducted. Articles were deemed eligible if they focused on elucidating the experiences of patients with heart failure and their informal caregivers in living with heart failure. The Critical Appraisal Skills Programme tool for qualitative studies was used to assess the methodological quality of the included studies. Thematic synthesis was used to synthesise the findings.</div></div><div><h3>Results</h3><div>Thirty articles were included in the review. Three analytical themes developed from the findings: (1) communal and intertwined challenges in dyadic disease coping, (2) interplay of individual, relational and social conditions shaping the dyadic coping experience and (3) dyadic coping strategies along the disease course. Patients' progressive and debilitating disease conditions disrupted the shared lives of the dyads, leading to communal and intertwined challenges for the patients and their caregivers. The dyadic coping experience was shaped by the interplay of individual illness perception, relational dynamics and social supportive context. Redefining relationship boundaries, adjusting disease-management patterns, co-regulating emotions, amplifying positive change and seeking meaning were crucial strategies for dyads to cope with and normalise the disease in daily life.</div></div><div><h3>Conclusions</h3><div>This synthesis revealed that dyadic coping for heart failure patients and caregivers is a dynamic process of adopting constructive or destructive strategies to respond to the communal and intertwined challenges brought by the disease, shaped by the interplay of individual, relational and social conditions. A dyadic approach is warranted to support patients and caregivers in mitigating stressors and promoting sustainable positive dyadic coping.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105065"},"PeriodicalIF":7.5,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143740061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Personal and work-related factors associated with nurse resilience: An updated systematic review using meta-analysis and narrative synthesis","authors":"Fiona Yu ,&nbsp;Deborah Raphael ,&nbsp;Lisa Mackay ,&nbsp;Melody Smith ,&nbsp;Ritin Fernandez","doi":"10.1016/j.ijnurstu.2025.105054","DOIUrl":"10.1016/j.ijnurstu.2025.105054","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Nursing shortages and increased workforce turnover have significantly increased nurses' workloads, thus increasing the risk of burnout and stress, particularly during the COVID-19 pandemic. A systematic review published in 2019 suggested that resilience could act as a buffer to adversity; however, the factors associated with resilience during and after this global pandemic have not been identified.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;To identify personal and work-related factors associated with nurse resilience, including the period during and after the COVID-19 pandemic.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Systematic review.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Data sources&lt;/h3&gt;&lt;div&gt;The search was conducted between January and February 2024 in the following databases: CINAHL Plus, MEDLINE (Ovid), PsycINFO, EMBASE, and Scopus, using the key terms ‘resilience’, ‘hardiness’, ‘work’, ‘employ’, ‘occupation’, ‘job’, and ‘nursing’.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Review methods&lt;/h3&gt;&lt;div&gt;Quantitative studies with English full text, published between 2018 and 2024, were selected if they assessed resilience and its associated factors among nurses providing direct patient care. Two authors independently completed the data selection process. Studies with quality assessment grades of 3 or above were included for final analysis. A meta-analysis was utilised for the mean resilience levels from studies using the same measures of resilience, and a narrative synthesis was performed for the demographic and work-related factors.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Fifty-nine cross-sectional studies with a quality assessment score of 3 or above were included. Forty-seven studies were included in a meta-analysis, which reported an estimated mean resilience level of 20.69 using a random-effects model (95 % CI [18.53, 22.85], z = 18.79, p &lt; 0.0001, I&lt;sup&gt;2&lt;/sup&gt; = 95.1 %). Twenty studies with the Connor Davidson Resilience Scale (CD-RISC)-25 and five with the CD-RISC-10 were meta-analysed for the mean resilience levels of 62.85 (95 % CI: [55.60, 70.10], z = 16.97, p &lt; 0.0001, I&lt;sup&gt;2&lt;/sup&gt; = 31.70 %) and 26.34 (95 % CI: [20.85, 31.83], p &lt; 0.0001, I&lt;sup&gt;2&lt;/sup&gt; = 0 %), respectively. A low mean resilience level was identified. Sixteen demographic factors were identified as associated with resilience. Twenty job demand factors negatively associated with resilience were determined and categorised into exhaustion, psychological factors, and work challenges. Thirty-two job resource factors positively related to resilience were identified and classified into the following categories: psychological factors, leadership, work performance, well-being and quality of life, and social and organisational support.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Understanding the job demand and resource factors can help organisations minimise the risks and develop institutional strategies to protect nurses from the negative impact of COVID-19 or future pandemics on nurses' well","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"166 ","pages":"Article 105054"},"PeriodicalIF":7.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143704461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How can we optimise nurse staffing systems? Insights from a comparative document analysis of 10 widely used models and focused interpretative review of implementation experiences","authors":"Davina Allen ,&nbsp;Heather Strange ,&nbsp;Nina Jacob ,&nbsp;Anne Marie Rafferty","doi":"10.1016/j.ijnurstu.2025.105056","DOIUrl":"10.1016/j.ijnurstu.2025.105056","url":null,"abstract":"<div><h3>Background</h3><div>A diverse range of formal systems have been implemented in high income countries to ensure safe nurse staffing. Evidence reviews indicate that no one best model exists and recommends optimising existing systems. As a result of the Covid-19 pandemic and a global nursing workforce crisis, healthcare systems and the nursing profession face a challenging future. Nurse staffing systems must be fit for purpose.</div></div><div><h3>Aim</h3><div>Identify, describe and compare the core components of nurse staffing systems, assess the conditioning effects of context on their mechanisms of action, and explore front-line implementation experiences to inform system optimisation.</div></div><div><h3>Sample</h3><div>Ten widely used nurse staffing systems deployed in high-income western healthcare systems.</div></div><div><h3>Theory</h3><div>Complex interventions thinking and Actor Network Theory.</div></div><div><h3>Methods</h3><div>Phase 1: Document analysis of formal published accounts of nurse staffing systems. Phase 2: Focused interpretative review of evidential fragments on implementation experiences and contextual influences from available evaluation studies.</div></div><div><h3>Conclusions</h3><div>Systems varied in their complexity, core components, and organising logics. Nurses experience a range of implementation challenges, but workforce shortages and budgetary constraints were the principal contextual influences. Prospective strategies to optimise nurse staffing systems must be tailored to system and context but include strategies and tools to augment professional authority, more granular workload measurement, improved outcome measurements, strengthened digital infrastructures, enhanced governance arrangements and increased public accountability. Benchmarking approaches should be used with caution, given the normative impulse to depress staffing levels. In the context of a global workforce shortage, consideration should also be given to the impacts of nurse staffing models on the wider healthcare system.</div><div><strong>Tweetable abstract</strong>: How can we optimise safe nurse staffing systems? Insights from a document analysis and interpretative review informed by actor network theory.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105056"},"PeriodicalIF":7.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143740060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differentiating signs, symptoms, and physical findings in preagonal states: Comment on Simões et al. (2025) ‘High specificity clinical signs of impending death: A scoping review’","authors":"Steven H. Yale ,&nbsp;Halil Tekiner ,&nbsp;Adivitya Aggarwal ,&nbsp;Eileen S. Yale","doi":"10.1016/j.ijnurstu.2025.105055","DOIUrl":"10.1016/j.ijnurstu.2025.105055","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105055"},"PeriodicalIF":7.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on Xu et al. (2024) ‘The effectiveness of the comprehensive geriatric assessment for older adults with frailty in hospital settings: A systematic review and meta-analysis’","authors":"Ke-qian Chen ,&nbsp;Dan Qiu ,&nbsp;Li-xia Li ,&nbsp;Can Wu ,&nbsp;Ling Zhou","doi":"10.1016/j.ijnurstu.2025.105053","DOIUrl":"10.1016/j.ijnurstu.2025.105053","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105053"},"PeriodicalIF":7.5,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systemic and organizational barriers and facilitators to the advancement of ethnic minority women nurses in healthcare leadership: A meta-synthesis","authors":"Mihirika Surangi De Silva Pincha Baduge ,&nbsp;Belinda Garth ,&nbsp;Mariam Mousa ,&nbsp;Leanne Boyd ,&nbsp;Ifeoluwa Adesina ,&nbsp;Kathryn Joseph ,&nbsp;Helena Jane Teede","doi":"10.1016/j.ijnurstu.2025.105052","DOIUrl":"10.1016/j.ijnurstu.2025.105052","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This meta-synthesis explored system and organizational-level barriers and facilitators for women in nursing from ethnically minoritized backgrounds that impact their advancement in healthcare leadership. This topic is important because nursing accounts for a significant proportion of the global health workforce, and women represent the majority of the nursing profession, yet, women nurses are underrepresented in healthcare leadership. This disparity is further compounded for women nurses from ethnically minoritized backgrounds, including migrants.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Systematic review methods incorporating meta-synthesis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Data sources&lt;/h3&gt;&lt;div&gt;Six databases (MEDLINE, EMCARE, EMBASE, PsycINFO, PubMed, and CINAHL) were searched from January 2000 to November 2024 for terms including: “women”, “nurses OR midwives”, and “leadership”. The search was limited to the English language.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Review methods&lt;/h3&gt;&lt;div&gt;Template analysis was performed to identify system and organizational-level barriers and facilitators that impact on ethnically minoritized women nurses' career progression. Methodological quality of included studies was assessed using the Joanna Briggs Institute Cross-sectional and Prevalence Studies criteria and Critical Appraisal Skills Programme-Qualitative Studies Checklist.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Twenty-one papers were included in this review. Under four main categories, seventeen sub-themes were identified: 1. Systemic/outer setting barriers (skills, education and qualification recognition for migrants; societal racial bias), 2. Systemic/outer setting facilitators (policies; supportive nursing organizations specific to ethnically minoritized women; research, evidence and awareness on racism; representation across all stakeholders in nursing), 3. Organizational/inner setting barriers (lack of support for organizational processes and policies; institutional racism; discriminatory organizational culture; limited access to effective mentoring and networking; ineffective support tools; impact of persistent barriers), and 4. Organizational/inner setting facilitators (organizational processes and policies; organizational culture; mentoring and networking; support tools; training and development).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Women nurses from ethnically minoritized backgrounds encounter systemic and organizational-level barriers to healthcare leadership, contributing to their underrepresentation in leadership. Recruitment, promotion, and retention processes for leadership positions are adversely affected, primarily due to bias, inadequate support mechanisms, and discrimination. Addressing these issues and removing structural barriers for women nurses from ethnically minoritized backgrounds requires a systemic and organizational-level approach. By identifying these disparities, healthcare systems can work towards creating equal opportunities for","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"166 ","pages":"Article 105052"},"PeriodicalIF":7.5,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on Kim (2025) ‘Survivorship concerns among posttreatment cancer survivors in South Korea: A secondary analysis of a cross-sectional survey’","authors":"Xiaona Pan ,&nbsp;Bo Wang ,&nbsp;Shuling Fang","doi":"10.1016/j.ijnurstu.2025.105040","DOIUrl":"10.1016/j.ijnurstu.2025.105040","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"166 ","pages":"Article 105040"},"PeriodicalIF":7.5,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}