{"title":"Navigating Language Barriers in Linguistically Complex Settings: A Qualitative Analysis of Paradoxes in Nurse Communication in Acute Care Units in Saudi Arabia.","authors":"Mashael Hasan Alamrani, Shira Birnbaum","doi":"10.1097/ANS.0000000000000552","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000552","url":null,"abstract":"<p><p>This qualitative study explores how nurses managed communication challenges in linguistically complex Saudi Arabian acute care hospitals. A secondary analysis of transcripts from interviews with 21 nurses in Riyadh revealed the use of informal and creative strategies, including translation apps, non-verbal signaling, family interpreters, and an ad hoc system of sharing translation work among team members. In the absence of formal interpretation services, these strategies were essential but paradoxical, contributing to delays, errors, and team tension. Findings underscore the need for interventions prioritizing inclusivity, formal interpretation services, and clear guidelines, affirming nurse and patient rights to understand and be understood.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933442","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":"From Subversion to Hard-Wiring Equity: A Discourse Analysis of Nurses' Equity-Promoting Practices in Emergency Departments.","authors":"Allie Slemon, Vicky Bungay, Colleen Varcoe, Amélie Blanchet Garneau","doi":"10.1097/ANS.0000000000000517","DOIUrl":"10.1097/ANS.0000000000000517","url":null,"abstract":"<p><p>Nursing has articulated a shared commitment to equity in response to inequities in health and health care; however, understandings of how nurses enact equity are needed to uphold this professional mandate. This Foucauldian discourse analysis examined how nurses' equity-promoting practices are shaped by dominant discourses within the emergency department and illustrated that within this institutional context that constrained equity, nurses engaged in equity-promoting practices through subversion of discursive power. This study illustrates the need for embedding equity discourses within health care systems and ensuring meaningful supports for nurses in enacting equity-promoting practices within the emergency department setting.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":"3-20"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048455","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":"Rogers' Principle of Integrality: An Evolving Inquiry.","authors":"Mary Jane Smith","doi":"10.1097/ANS.0000000000000538","DOIUrl":"10.1097/ANS.0000000000000538","url":null,"abstract":"<p><p>Rogers' principle of integrality was examined using quantitative methodology by the author in 1986. Since then, Rogers made revisions changing from probability and multidimensionality to unpredictability and pandimensionality. Another look at integrality through a lens congruent with the revisions was designed. A descriptive approach, storying the lived experience of making a significant life change was completed. A pandimensional view of the continuous integral human environment mutual energy field process included believing, dreaming, realizing, choosing, and envisioning while making a life change with the wave manifestation of storying changing from pragmatic knowing, to imaginative knowing, to visionary knowing.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":"107-113"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127244","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}
Kathleen M Hanna, Zeinab Alazri, Christine M Eisenhauer
{"title":"A Theory of Transitions Influencing Diabetes Self-management Among Emerging Adults With Type 1 Diabetes.","authors":"Kathleen M Hanna, Zeinab Alazri, Christine M Eisenhauer","doi":"10.1097/ANS.0000000000000524","DOIUrl":"10.1097/ANS.0000000000000524","url":null,"abstract":"<p><p>Emerging adults with type 1 diabetes are experiencing numerous transitions, potentially affecting diabetes self-management. For example, when transitioning to college, these emerging adults may experience changes in their daily routines and usual reminders or triggers for habitual behavior such as checking blood glucose levels. In turn, these emerging adults may omit checking glucose levels, impacting decisional and adaptational diabetes self-management behavior associated with their insulin dose or bolus. Thus, we propose a theory on transitions influencing daily routines, diabetes self-management habitual behavior triggers, and, in turn, diabetes self-management habitual and decisional/adaptational behaviors for emerging adults with type 1 diabetes.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":"E32-E39"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855743","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":"The Curious Case of \"Men in Nursing\" as a Diversity Issue: A Critical Reading of the Literature.","authors":"Stephen M Padgett","doi":"10.1097/ANS.0000000000000540","DOIUrl":"10.1097/ANS.0000000000000540","url":null,"abstract":"<p><p>In recent years the situation of \"men in nursing\" has been framed as a diversity issue, analogous to efforts to increase the proportion of women in male-dominated occupations, and to racial diversity in health professions. Advocates claim that nursing education is dominated by a \"feminine\" perspective, resulting in unhappy male students and marginalized male faculty. This is puzzling, as a close reading of the literature finds little support for these claims; and a persistent discounting of male advantages. Portraying men in nursing as victims distorts the nature of systemic oppression, and distracts us from more serious diversity struggles.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":"78-93"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331855","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}
Andrew Cashin, Michelle Kersten, Virginia Howie, Amy Pracilio, Julia Morphet, Ken Griffin, Julian N Trollor, Nathan J Wilson
{"title":"The Experience of Facilitating Inclusive Research Advisory Groups With Parents and People With Intellectual Disability and/or Autism Spectrum Disorder.","authors":"Andrew Cashin, Michelle Kersten, Virginia Howie, Amy Pracilio, Julia Morphet, Ken Griffin, Julian N Trollor, Nathan J Wilson","doi":"10.1097/ANS.0000000000000497","DOIUrl":"10.1097/ANS.0000000000000497","url":null,"abstract":"<p><p>There is little nursing research about process issues in conducting inclusive project advisory groups of people with autism and/or intellectual disability or those who are parents/carers of this cohort. Through a descriptive qualitative design, this article aims to analyze the processes, challenges, and solutions when facilitating these groups for a nursing project in Australia. Reflexive thematic analysis was utilized to analyze field notes and meeting minutes. Results highlight the need for a defined, robust communication process between researchers and advisory groups, skilled facilitators, and careful planning of when in the life of the project the groups can contribute meaningfully. This project offers a proposed framework for the valuable contribution of lived experiences from research advisory groups.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":"21-40"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9524239","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}
Hsiu-Min Tsai, Reiko Sakashita, Hsiu-Hung Wang, Ching-Min Chen, Hae-Won Kim, Eui-Geum Oh, Eun-Ok Im
{"title":"Essential Competencies in Nursing Leadership From Asian Leaders' Perspectives.","authors":"Hsiu-Min Tsai, Reiko Sakashita, Hsiu-Hung Wang, Ching-Min Chen, Hae-Won Kim, Eui-Geum Oh, Eun-Ok Im","doi":"10.1097/ANS.0000000000000551","DOIUrl":"10.1097/ANS.0000000000000551","url":null,"abstract":"<p><p>The literature on nursing leadership tends to be mainly based on Western perspectives and models, which could be viewed as an imperialistic and colonialist aspect of nursing knowledge development. Furthermore, leadership competencies and skills could differ across countries due to variations in cultural backgrounds. The purpose of this discussion paper is to identify essential competencies of leaders from Asian nurse leaders' perspectives and provide suggestions for future nursing leadership. Four themes related to the leadership competencies were identified: \"harmony,\" \"visionary,\" \"political activism,\" and \"good character.\"</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":"52-63"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933440","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":"It's Hard Being a Girl: A Qualitative Content Analysis Examining Emotional Distress and Suicidality in Adolescent Girls.","authors":"Gennifer Holt, Jessica Draughon Moret","doi":"10.1097/ANS.0000000000000544","DOIUrl":"10.1097/ANS.0000000000000544","url":null,"abstract":"","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":"94-106"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584931","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":"Reconciling Incongruencies: A Straussian Grounded Theory Approach to Defining Oncology Nurses' Professional Quality of Life.","authors":"Rebecca L Boni, Catherine Dingley","doi":"10.1097/ANS.0000000000000516","DOIUrl":"10.1097/ANS.0000000000000516","url":null,"abstract":"<p><p>This grounded theory study explored the processes and actions enacted by oncology nurses to enhance professional quality of life and the related meaning, facilitators, and barriers. Oncology nurses described a process by which they continually Reconcile Incongruencies . This process involves 4 categories: Accepting the Context of Oncology Nursing, Bettering the World, Pursuing a Calling, and Being Valued. External facilitators and barriers, self-driven actions to maintain, and consequences of professional quality of life were also revealed. The findings from this study offer an operational definition, a foundation for instrument development, and the consequences of oncology nurses' professional quality of life.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":"E14-E31"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240613","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}