{"title":"Impact of Lifestyle Factors on Breast Cancer Recurrence: A Meta-Analysis of Prospective Cohort Studies.","authors":"Sojung Park, Eungil Ko, Yaelim Lee","doi":"10.1097/ANS.0000000000000578","DOIUrl":"10.1097/ANS.0000000000000578","url":null,"abstract":"<p><p>Breast cancer recurrence remains a significant challenge, impacting patient survival and quality of life. This study aimed to identify lifestyle factors influencing recurrence through a meta-analysis of 20 studies encompassing 53 datasets. Using Comprehensive Meta-Analysis (CMA) 4.0 software, significant factors such as alcohol consumption, dietary habits, metabolic syndrome, and sleep patterns were identified. Findings emphasize the critical role of lifestyle modifications in reducing recurrence risk, advocating for educational interventions to inform breast cancer survivors. The integration of lifestyle education in clinical practices and policy efforts is crucial to supporting survivors and lowering recurrence rates effectively.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644087","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":"Preserving Professional Human Caring in Nursing in the Era of Artificial Intelligence.","authors":"Holly Wei, Jean Watson","doi":"10.1097/ANS.0000000000000573","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000573","url":null,"abstract":"<p><p>This article examines Professional Human Caring in Nursing within the evolving landscape of artificial intelligence (AI). As AI becomes increasingly integrated into healthcare, it necessitates a philosophical, moral, ethical, and transpersonal spiritual foundation to safeguard nursing's core disciplinary values. Watson's Unitary Caring Science and Theory of Transpersonal Human Caring offer a guiding framework for sustaining Professional Human Caring in the face of advancing AI technologies. Furthermore, Watson's 10 Caritas Processes® serve as a timeless philosophical and theoretical anchor, ensuring that human caring remains central to nursing. This article explores key AI-related questions and strategies through a disciplinary philosophical lens, reinforcing that AI in nursing should enhance rather than diminish the essence of Professional Human Caring.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555643","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}
Sara K Kaylor, Abby G Horton, Haley Townsend, Meridith N Rice, Valerie Trull, Suzanne S Prevost
{"title":"A Critical Discourse Analysis of Emotional Labor, People-Pleasing, and Boundary-Setting in Nursing.","authors":"Sara K Kaylor, Abby G Horton, Haley Townsend, Meridith N Rice, Valerie Trull, Suzanne S Prevost","doi":"10.1097/ANS.0000000000000574","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000574","url":null,"abstract":"<p><p>Nursing has long been shaped by sociocultural and institutional discourses that reinforce emotional labor, people-pleasing behaviors, and boundary-setting challenges. Through a critical discourse analysis, this study examines how historical and structural influences condition nurses to prioritize others at the expense of their well-being. Findings reveal that professional expectations, policy language, and power dynamics perpetuate these norms, leading to burnout and diminished autonomy. Addressing these issues requires systemic reforms that support boundary-setting and self-advocacy. Reframing emotional labor as a recognized form of work, rather than an expectation, is essential to sustaining both nurse well-being and quality patient care.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545930","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":"Empowering Nurses Through Data Literacy and Data Science Literacy: Insights From a State-of-the-Art Literature Review.","authors":"","doi":"10.1097/ANS.0000000000000575","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000575","url":null,"abstract":"","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576882","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":"Establishing Directionality in the Self-Regulation-Self-Efficacy Change Relationship to Best Leverage Theory Within Cognitive-Behavioral vs. Educational Obesity Treatment.","authors":"James J Annesi, Maliheh Bakhshi","doi":"10.1097/ANS.0000000000000571","DOIUrl":"10.1097/ANS.0000000000000571","url":null,"abstract":"<p><p>Behavioral (non-surgical/non-pharmacological) obesity treatments have poor-to-modest outcomes, largely due to inadequate foci on psychosocial correlates of requisite behaviors. Better understanding theory-driven interrelations and directionalities of self-regulation and self-efficacy changes can inform intervention methods. Women were randomized into community-based obesity-treatment programs emphasizing either cognitive-behavioral (n = 90) or traditional educational (n = 44) methods. Regression-based paths from treatment type→early change in self-regulation→later change in self-efficacy→6- and 12-month change in both diet and physical activity/exercise were significant, but not when change in self-efficacy was, reciprocally, entered as the predictor of self-regulation change. Findings indicated advantages in focusing on self-regulation skill development for behavioral changes and weight reduction.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337197","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 Use of Artificial Intelligence (AI) in Nursing.","authors":"Eun-Ok Im","doi":"10.1097/ANS.0000000000000572","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000572","url":null,"abstract":"","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210152","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":"Through a Window: Finding Meaning in Unitary Appreciative Knowing.","authors":"W Richard Cowling Iii, Leslie H Nicoll","doi":"10.1097/ANS.0000000000000568","DOIUrl":"10.1097/ANS.0000000000000568","url":null,"abstract":"<p><p>The experience of a critical illness provided a pause in the life of one of the authors. Seeking to further understand this experience from a Rogerian perspective, the authors engaged in a mutual process of unitary appreciative nursing praxis. The process included 4 in-depth conversations with an ongoing back-and-forth conversation to both illuminate the critical illness experience as well as grounding it in the Science of Unitary Human Beings. A unitary appreciative rendering was the primary outcome with a letter, song, video, conference presentation, and scholarly manuscript. Other selected Rogerian perspectives that can be used to understand the illness experience are presented and briefly discussed.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152841","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":"Intersectionality in Maternal Health: Gender, Labor, and Structural Barriers With a Focus on Korea.","authors":"Jeung-Im Kim, Mi Yu","doi":"10.1097/ANS.0000000000000570","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000570","url":null,"abstract":"<p><p>Drawing on intersectional feminist theory, this review interrogates maternal health disparities through lenses of gender, labor, and structural inequality, with a particular focus on South Korea. It integrates global trends with local realities to examine how socioeconomic status, digital divides, and algorithmic bias in artificial intelligence systems could compound maternal vulnerability. By critically evaluating gender gaps in nursing research and leadership, this paper advocates for the adoption of intersectionality as a foundational framework in nursing science to redress inequities and promote inclusive health care innovation.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120380","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}
Kirsten E Hepburn, Tiffany A Moore, Marcia Y Shade, Sheri Rowland
{"title":"A New Situation-Specific Theoretical Framework to Guide Ectopic Pregnancy Research in Nursing.","authors":"Kirsten E Hepburn, Tiffany A Moore, Marcia Y Shade, Sheri Rowland","doi":"10.1097/ANS.0000000000000569","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000569","url":null,"abstract":"<p><p>Ectopic pregnancy (EP) is a serious and increasing health concern that remains poorly understood despite identified risk factors. This article introduces the N-GEM Theoretical Framework, a novel approach that integrates genomic, epigenomic, environmental, and microbiome factors to address the complex and multifactorial etiology of EP. By offering a comprehensive and dynamic model, the N-GEM framework supports the development of personalized prevention strategies and can enhance early detection methods. This situation-specific theoretical framework not only positions nursing at the forefront of EP research but also fosters interdisciplinary collaboration that can drive significant advancements in clinical practice and ultimately reduce EP-related morbidity and mortality.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120146","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}
Heather Carter-Templeton, Marilyn H Oermann, Jacqueline K Owens, Billie Vance, Melissa L Mastorovich, Mohammed Quazi, Jordan Wrigley, Suzy Mascaro Walter, Roger Carpenter, Faythe Thurman
{"title":"Completeness of Systematic Reviews in Nursing Literature Based on PRISMA Reporting Guidelines.","authors":"Heather Carter-Templeton, Marilyn H Oermann, Jacqueline K Owens, Billie Vance, Melissa L Mastorovich, Mohammed Quazi, Jordan Wrigley, Suzy Mascaro Walter, Roger Carpenter, Faythe Thurman","doi":"10.1097/ANS.0000000000000567","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000567","url":null,"abstract":"<p><p>Systematic reviews and meta-analyses provide the highest levels of evidence to support practice and research. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines were established to ensure comprehensive and transparent reporting. Among the 70 reviews in our study, there was 100% adherence to 4 of the PRISMA items (review type in title, research objectives in introduction, inclusion/exclusion criteria and methods to synthesize results in methods section). We identified an improvement in adherence to the PRISMA guidelines when comparing early (done through 2020) and more recent reviews, suggesting that authors are increasingly adopting these guidelines.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027458","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}