{"title":"Care Bag Theory for Healthy Internet Use in Adolescents: A Situation-Specific Theory.","authors":"Arif Özparlak, Dudu Karakaya","doi":"10.1097/ANS.0000000000000622","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000622","url":null,"abstract":"<p><p>Problematic internet use among adolescents has recently emerged as a significant concern. Currently, there is no nursing theory available to guide nurses in addressing this issue. This study aims to describe a situation-specific nursing practice theory designed to promote healthy internet use in adolescents. A four-step integrative approach was used to develop a situation-specific theory. A comprehensive literature review, cognitive-behavioral and developmental theories, expert opinions, and findings from theory testing formed the primary sources. As a result, the Care Bag Theory for Healthy Internet Use in Adolescents (CHIA) was developed. The theory may guide nurses in promoting healthy internet use in adolescents.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047112","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: Power as Knowing Participation in Change: Lessons in Social Justice Advocacy for Undergraduate STEM Students.","authors":"Darcel M Reyes","doi":"10.1097/ANS.0000000000000623","DOIUrl":"10.1097/ANS.0000000000000623","url":null,"abstract":"<p><p>This article applies Barrett's theory of Power as Knowing Participation in Change (PKPC) to teaching social justice advocacy to undergraduate college students. The author designed and implemented a seminar that integrated PKPC principles through experiential learning, multimedia resources, and reflective assignments, using the HIV advocacy movement as a case study to demonstrate how awareness, choice, intentional action, and involvement in change can address social inequities. Students created advocacy projects addressing contemporary social inequities by identifying a group power profile and developing a power prescription. The seminar demonstrated the potential of PKPC as a transformative framework for education and activism across disciplines.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114816","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}
Oluwatoyin Olukotun, Yamikani Nkhoma, Tosin Adebayo, Mary Olukotun, Lucy Mkandawire-Valhmu, Angelica Walton
{"title":"Quantifying With CARE: A Framework for Applying Critical Epistemologies in Quantitative Health Research.","authors":"Oluwatoyin Olukotun, Yamikani Nkhoma, Tosin Adebayo, Mary Olukotun, Lucy Mkandawire-Valhmu, Angelica Walton","doi":"10.1097/ANS.0000000000000617","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000617","url":null,"abstract":"<p><p>Quantitative health research remains anchored in positivist assumptions that can obscure structural drivers of inequity. This article introduces the CARE Model-Community-accountability, Anti-oppression, Reflexivity, and Equity-centered evidence-to align quantitative methods with critical epistemologies. Drawing on critical theories, qualitative methodology, and existing critical quantitative approaches, the proposed model details implications for study design, measurement, coding strategies, modeling choices, interpretation, and dissemination. CARE offers a systematic approach for rigorous, reflexive, and community-guided inquiry that reframes variables, integrates structural context, and informs action. The model advances quantitative research that not only documents disparities but also targets the systems that produce them.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054834","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}
Kristopher J Jackson, Ralph Klotzbaugh, Jacqueline Fawcett
{"title":"Nursing Approaches to Safety for Transgender, Non-Binary, and Gender-Expansive Patients: A Roy Adaptation Model Application.","authors":"Kristopher J Jackson, Ralph Klotzbaugh, Jacqueline Fawcett","doi":"10.1097/ANS.0000000000000620","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000620","url":null,"abstract":"<p><p>Safety for transgender, non-binary, and gender-expansive (TGNE) individuals includes freedom from discrimination, stigma, and threats to psychological well-being. This paper presents an application of Roy's adaptation model (RAM) to examine safety across the physiological, self-concept, role function, and interdependence modes through a fictional case study of a TGNE patient in a nurse-client encounter. Our analysis reveals how nurses can foster affirming environments, address systemic barriers, and use theory to guide adaptive and equitable care. This application highlights the connection between nursing theory and practice and demonstrates how RAM can inform nurse-led interventions to support TGNE patients' adaptation, well-being, and experiences of safety.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013142","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}
Lauren Gerchow, Veronica C Pasha, Allison Squires, Anne-Laure Fayard
{"title":"An Onto-Epistemological Review of Human-Centered Design Family Planning Research: Implications for Relationship-Based and Theory-Guided Nursing Inquiry.","authors":"Lauren Gerchow, Veronica C Pasha, Allison Squires, Anne-Laure Fayard","doi":"10.1097/ANS.0000000000000621","DOIUrl":"10.1097/ANS.0000000000000621","url":null,"abstract":"<p><p>Human-centered design (HCD) is increasingly applied in global sexual and reproductive health research to engage communities in creating person-centered interventions, yet it remains underutilized in the United States (US). A stronger theoretical understanding of HCD can support nurses to apply it as a novel approach to address persistent sexual and reproductive health inequities. This narrative review analyzes 10 US-based family planning HCD studies using the concept of epistemic stance to clarify how knowledge is created and evaluated through HCD. Findings show that HCD embodies a pluralistic stance grounded in creativity, context, and shared expertise, supporting nursing's philosophical commitment to relational, person-centered care.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12878667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","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":"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":"3-13"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","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}
{"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":"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":"26-38"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","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":"The Future of Nursing Theory and Philosophy: Where to Go?","authors":"","doi":"10.1097/ANS.0000000000000616","DOIUrl":"10.1097/ANS.0000000000000616","url":null,"abstract":"","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":"1-2"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901456","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":"Proposing Technology-Enhanced Wisdom: A Middle-Range Theory for Contemporary Nursing Practice in the Age of AI.","authors":"Pankaj Vyas, Sheila Gephart","doi":"10.1097/ANS.0000000000000585","DOIUrl":"10.1097/ANS.0000000000000585","url":null,"abstract":"<p><p>This paper proposes Technology-Enhanced Wisdom (TEW), a middle-range theory to guide nursing practice in the age of artificial intelligence. Building on Nelson's Data-to-Wisdom continuum and developed using Walker and Avant's theory synthesis method, TEW identifies 6 mediating concepts - context, perception, veracity, trust, usability, and competency - that shape how nurses integrate artificial intelligence (AI)-enhanced insights. TEW provides a framework for synthesizing internal knowledge with machine-generated information to support ethically grounded, human-centered decisions. As AI transforms health care, TEW offers a timely theoretical foundation for wisdom-driven, technologically informed nursing care, positioning technology not as a replacement for human wisdom but as a co-pilot in advancing it.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":"39-50"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977383","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 as a Theoretical Framework for Health Inequities in Pregnancy: Theory Analysis.","authors":"Fatemeh Hashemi, Jennifer Tedder Sonney","doi":"10.1097/ANS.0000000000000604","DOIUrl":"10.1097/ANS.0000000000000604","url":null,"abstract":"<p><p>Overlapping identities, including race, sex, and disability, intersect with structural oppression to amplify maternal health inequities. This study uses Walker and Avant's 7-step theory analysis, examining origins, meaning, logical adequacy, usefulness, generalizability, parsimony, and testability, to evaluate intersectionality theory in pregnancy health inequities. The analysis shows the model's strengths in capturing complexity while identifying a critical gap: reproductive autonomy. The findings highlight that actual progress toward maternal health equity requires intersectional, autonomy-centered approaches in research, policy, and practice to ensure all pregnant women have the power and resources to make autonomous reproductive choices.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":"62-69"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551392","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}