Maryam Al-Mujtaba, Micheal V Relf, Laura C Nyblade, Marta I Mulawa
{"title":"Integrated Framework for Assessing Multi-level Determinants of HIV Acquisition Affecting Adolescent Girls and Young Women in Sub-Saharan Africa: Assessing Risk and Protective Factors (INFORM-HERS).","authors":"Maryam Al-Mujtaba, Micheal V Relf, Laura C Nyblade, Marta I Mulawa","doi":"10.1097/ANS.0000000000000646","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000646","url":null,"abstract":"<p><p>Adolescent girls and young women (AGYW) aged 15 to 24 face disproportionate human immunodeficiency virus acquisition risk in sub-Saharan Africa, yet existing frameworks inadequately address their multilevel, gender-specific determinants. We developed INFORM-HERS (INtegrated Framework fOR assessing Multilevel determinants of human immunodeficiency virus acquisition among AGYW) using \"Up and Down\" theory integration of 3 established frameworks: Theory of Gender and Power, Modified Social Ecological Model, and Center for Latino Adolescent and Family Health Framework of Social Determinants of Health Mechanisms. INFORM-HERS incorporates gender inequality risk factors, social protective factors, and AGYW-specific developmental transitions, providing a theoretical foundation for multilevel interventions in sub-Saharan Africa.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788189","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":"Guest Editorial: Evolutions in Theory for Nursing Science.","authors":"Sharron L Docherty, Danny G Willis","doi":"10.1097/ANS.0000000000000658","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000658","url":null,"abstract":"","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788238","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":"Nursing Theory During a Time of Transition: Rupture or Rapture?","authors":"Lorraine O Walker","doi":"10.1097/ANS.0000000000000653","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000653","url":null,"abstract":"","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678330","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":"Visions: Perspectives of Living-Dying.","authors":"John R Phillips","doi":"10.1097/ANS.0000000000000615","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000615","url":null,"abstract":"<p><p>This article presents a Rogerian perspective on living-dying through a dialogic narrative situated in a health care facility. Drawing on Rogers' Science of Unitary Human Beings, the work illustrates living-dying as a developmental, pandimensional process rather than a linear cause-and-effect event. Through evolving conversations among patients, nurses, and clinicians, the narrative reveals how awareness, patterning, and integrality shape experiences of dying, care, and wellbecoming. The integration of the arts and humanities-music, poetry, and dialog-offers nurses creative modalities to deepen understanding of living-dying and to support compassionate, unitary nursing practice in clinical and educational settings.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151269","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":"Nursing Profession: The Contemporary Reality and Its Metamodernism Underpinning.","authors":"Holly Wei, Jean Watson","doi":"10.1097/ANS.0000000000000626","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000626","url":null,"abstract":"<p><p>Nursing is a professional discipline defined by professional standards and practice grounded in scientific knowledge, evidence-informed decision making, and ethical responsibility. This practice is supported by ontological, epistemological, and theoretical foundations that enable nurses to address the complexities of human health and illness. Viewed through the lens of metamodernism, nursing is further affirmed as a profession in which authority and identity are continually enacted through the integration of scientific rigor and relational care, standardization and contextual responsiveness, and technical competence and moral accountability. Thus, we affirm that nursing stands as a profession and that nurses are professionals.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114841","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":"Theorizing From, About, Through, For, With, and Towards: Six Prepositions to Guide Theoretical Reflexivity in Nursing.","authors":"Jerome Visperas Cleofas, Luis Emmanuel A Abesamis","doi":"10.1097/ANS.0000000000000625","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000625","url":null,"abstract":"<p><p>Nursing theory's history reflects a movement from scientific legitimacy toward epistemic reflexivity. We situate that shift within nursing's metatheoretical evolution, expanding from hierarchies of abstraction to include pluricentric, context-responsive, and justice-oriented paradigms. It advances a reflexive grammar of theorizing organized around 6 prepositions (from, about, through, for, with, and towards), each identifying a locus of reflexivity. This grammar of interdependent reflexive loci reconceives theorizing as contingent, embodied, relational, and political labor that makes it explicit how positionality, onto-epistemologies, beneficiaries, sociomaterialities, and values shape knowledge creation. This transcends theorizing from being a procedural task to a dialogical, ethical, and imaginative act.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114861","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":"Reciprocal Adaptation in Postpartum Fathers: A Mid-Range Theory of Role Negotiation, Relational Reciprocity, and Family Adjustment.","authors":"Rachael E Schmitz","doi":"10.1097/ANS.0000000000000629","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000629","url":null,"abstract":"<p><p>Paternal postpartum depression is an underrecognized public-health concern affecting approximately 10% of new fathers in the US.1 Despite this prevalence, paternal postpartum depression remains underdiagnosed and poorly addressed within obstetric and mental-health systems that prioritize maternal experience.1 Emerging evidence indicates that fathers face substantial barriers, including gendered expectations of parenting, limited health care inclusion, and face stigmas in their help-seeking habits, contributing to the strain and adverse child outcomes. This theory integrates Gender Role Conflict Theory, Transitions Theory, and Family Stress Theory, positioning adaptation as a dynamic, feedback-driven process shaped by masculine beliefs, partner support, and systemic inclusion. The theory, Reciprocal Adaptation in Postpartum Fathers: A Mid-Range Theory of Role Negotiation, Relational Reciprocity, and Family Adjustment, points to the influence of nurses as pivotal agents in recognizing paternal distress, promoting early screening, and facilitating family-centered care that supports both fathers and families.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114877","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}
Natalia Maella-Rius, Laura Martinez-Rodriguez, Joan-Enric Torra-Bou
{"title":"Parallel Itineraries: A Situation-Specific Theory for Community Care of People with Dependency-Related Skin Injuries.","authors":"Natalia Maella-Rius, Laura Martinez-Rodriguez, Joan-Enric Torra-Bou","doi":"10.1097/ANS.0000000000000628","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000628","url":null,"abstract":"<p><p>Dependency-related skin injuries (DRSIs) are prevalent in community care and substantially impair quality of life. This study develops a situation-specific nursing theory to guide community practice. Using Im's integrative method, we triangulated a pilot interview, a scoping review, focus groups with primary/community nurses, and in-depth patient interviews. An integrative process yielded Parallel Itineraries, a theory that integrates 4 core concepts-community care, healing progression, dependency status, and individual experience-and advances propositions linking them. The theory delineates nursing's distinctive contribution and prioritizes early prevention at the onset of dependency, etiologic management, case coordination, shared decision-making, and continuity of care in the community.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087811","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}
Lisa Carter, Elena Mottola, Liat Chernoff, Jane Flanagan
{"title":"A Hermeneutic Phenomenological Exploration of the Early Phase of Healing From Liver Transplant Surgery Guided by Newman's Theory of Health as Expanded Consciousness.","authors":"Lisa Carter, Elena Mottola, Liat Chernoff, Jane Flanagan","doi":"10.1097/ANS.0000000000000627","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000627","url":null,"abstract":"<p><p>There is a lack of evidence describing the lived experience of the early healing period (72 hours to 6 weeks post-transplant) and its meaning to people undergoing liver transplant surgery. To address this gap, a qualitative hermeneutic phenomenological approach guided by Newman's Theory of Health as Expanding Consciousness was used to describe and interpret the meaning of the early stage of healing post liver transplantation. We conducted 2 semistructured interviews with 9 participants (8 men, 1 woman; ages 31-70 years). Six themes were identified: Waiting to die while preparing to live; Desire to help others as a way of supporting themselves; Misaligned expectations that complicate the healing process; Nonjudgmental, nonstigmatizing healing; Financial and employment difficulties as a barrier to healing; and History of adverse childhood experiences as a barrier to healing. The overarching conceptualization of the study was the awareness of the need to address past traumas as central to whole-person healing. Findings highlight the many educational, psychosocial, financial, and interpersonal challenges faced by this population that should be considered to improve the healing process.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087790","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":"Nursing Theories in the Current Sociopolitical Contexts of Nursing.","authors":"","doi":"10.1097/ANS.0000000000000624","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000624","url":null,"abstract":"","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054859","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}