{"title":"A Situation-Specific Theory on Kidney Health Inequities Among Midlife Women From Ethnic Minority Groups in the US (KH-MWMG Theory).","authors":"Dongmi Kim, Eun-Ok Im","doi":"10.1097/ANS.0000000000000600","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000600","url":null,"abstract":"<p><p>Chronic kidney disease (CKD) inequities among midlife women in the U.S. arise from intersecting determinants across individual, interpersonal, community, and societal levels. This paper introduces the Kidney Health Inequities among Midlife Women Minority Group (KH-MWMG) Theory, a situation-specific theory (SST) developed using an integrative approach. The KH-MWMG theory illustrates how socio-ecological factors interact to influence CKD risks and outcomes over the life course. The KH-MWMG theory provides a structured framework to address CKD inequities. The SST needs to be further developed through its actual application in nursing research and practice with various minority groups of this specific population.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281653","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":"Enhance the Emotional Dimension of Caring: The Applicability of Emotional Labor Model in Pediatric Nursing.","authors":"Paula Manuela Jorge Diogo","doi":"10.1097/ANS.0000000000000602","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000602","url":null,"abstract":"","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294390","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}
Giulia Villa, Ercole Vellone, Laura Rasero, Rosaria Alvaro, Duilio Fiorenzo Manara, Paolo Iovino
{"title":"A Situation-Specific Theory of Self-Care Behaviors in People Living With an Intestinal or Urinary Ostomy.","authors":"Giulia Villa, Ercole Vellone, Laura Rasero, Rosaria Alvaro, Duilio Fiorenzo Manara, Paolo Iovino","doi":"10.1097/ANS.0000000000000601","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000601","url":null,"abstract":"<p><p>The literature on self-care in people living with an ostomy pouch is expanding rapidly, yet a guiding theoretical framework remains lacking. This article aims to present the development of a situation-specific theory of self-care in people living with an ostomy pouch, encompassing both intestinal (colostomy and ileostomy) and urinary (urostomy) diversions. We describe the process of ostomy self-care, the key predictors of self-care behaviors, and their outcomes. Underlying assumptions and theoretical propositions are also outlined. Self-care includes actions directed toward maintaining the physiological stability of the stoma (maintenance), detecting complications (monitoring), and responding to them (management). Factors influencing ostomy self-care include self-efficacy and cultural context. Predictors of self-care may be sociodemographic, psychological, or clinical. Outcomes are categorized as clinical or psychosocial. A total of 9 theoretical propositions are proposed. This situation-specific theory offers a framework for understanding the multifaceted nature of self-care engagement in people living with an ostomy pouch. Future research should refine the theory by testing its propositions and assessing its applicability across diverse populations and health care settings.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151304","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}
Bjørg Karlsen, Torgeir Martin Hillestad, Elin Dysvik
{"title":"Clarifying the Theoretical Foundation for the Concept of Diagnosis and Its Relevance in Nursing: A Discussion Paper.","authors":"Bjørg Karlsen, Torgeir Martin Hillestad, Elin Dysvik","doi":"10.1097/ANS.0000000000000595","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000595","url":null,"abstract":"<p><p>The purpose is to explore and clarify the theoretical foundation for the diagnosis concept and its relevance in nursing. We adopted a meta-theoretical approach, including conceptual analysis. A purposive sampling, obtained from a literature search, provided insights into what is known, or unclear. While medical diagnoses focus mostly on etiological aspects, nursing diagnoses focus more on care. We identified suffering, adaptation, and biopsychosocial conditions as essential requirements for the concept's ontological status. To enhance practice, nursing diagnoses demand clinical thinking, logical reasoning and causal hypotheses. Both procedures in medicine and nursing are critical in delivering adequate health care and collaboration.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151625","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 as a Special Science: Rethinking Knowledge, Practice, and Philosophy.","authors":"Reiko Sakashita, Tomoki Kihira","doi":"10.1097/ANS.0000000000000589","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000589","url":null,"abstract":"","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139231","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":"Editorial - Call to Action.","authors":"","doi":"10.1097/ANS.0000000000000579","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000579","url":null,"abstract":"","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126200","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":"What is Nursing Science?","authors":"Eun-Ok Im","doi":"10.1097/ANS.0000000000000583","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000583","url":null,"abstract":"","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126172","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":"Deriving a Theory for Nursing on Uncertainty in Cardiac Inherited Disease: Integrating Self-Organized Criticality and Parse's Human Becoming Theory.","authors":"Sudhir K Mummidi","doi":"10.1097/ANS.0000000000000597","DOIUrl":"10.1097/ANS.0000000000000597","url":null,"abstract":"<p><p>Existential uncertainty dominates the patient experience in cardiac inherited diseases due to unpredictable disease course and the risk of sudden cardiac death. Traditional uncertainty theoretical models inadequately capture the unique facets of uncertainty associated with these diseases. Using Walker and Avant's theory derivation method, an uncertainty theory for nursing practice was developed by adapting concepts from self-organized criticality and grounding them with Parse's Human Becoming Theory within the Unitary Transformative Paradigm. This innovative synthesis enhances the understanding of uncertainty factors among vulnerable patients, potentially improving nurses' capacity to provide holistic, person-centered care and develop targeted clinical interventions addressing existential concerns.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001822","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":"Advocacy in Nursing: An Anchor and a Compass.","authors":"Cheryl M Killion","doi":"10.1097/ANS.0000000000000598","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000598","url":null,"abstract":"","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071144","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}