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Establishing Directionality in the Self-Regulation-Self-Efficacy Change Relationship to Best Leverage Theory Within Cognitive-Behavioral vs. Educational Obesity Treatment. 在认知-行为与教育肥胖治疗中建立自我调节-自我效能改变关系与最佳杠杆理论的方向性。
IF 2.2 4区 医学
Advances in Nursing Science Pub Date : 2026-01-01 Epub Date: 2026-01-27 DOI: 10.1097/ANS.0000000000000571
James J Annesi, Maliheh Bakhshi
{"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":"51-61"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","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}
引用次数: 0
A New Situation-Specific Theoretical Framework to Guide Ectopic Pregnancy Research in Nursing. 指导异位妊娠护理研究的新情境理论框架
IF 2.2 4区 医学
Advances in Nursing Science Pub Date : 2026-01-01 Epub Date: 2026-01-27 DOI: 10.1097/ANS.0000000000000618
{"title":"A New Situation-Specific Theoretical Framework to Guide Ectopic Pregnancy Research in Nursing.","authors":"","doi":"10.1097/ANS.0000000000000618","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000618","url":null,"abstract":"","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":"49 1","pages":"E27"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054862","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}
引用次数: 0
Nursing Professional Identity: A Critical Review of the Concept Amidst COVID-19. 护理职业认同：对 COVID-19 概念的批判性回顾。
IF 2.2 4区 医学
Advances in Nursing Science Pub Date : 2026-01-01 Epub Date: 2026-01-27 DOI: 10.1097/ANS.0000000000000529
Alayna Payne, Michelle Lalonde, Brandi Vanderspank-Wright, Amélie Perron
{"title":"Nursing Professional Identity: A Critical Review of the Concept Amidst COVID-19.","authors":"Alayna Payne, Michelle Lalonde, Brandi Vanderspank-Wright, Amélie Perron","doi":"10.1097/ANS.0000000000000529","DOIUrl":"10.1097/ANS.0000000000000529","url":null,"abstract":"<p><p>Heroism is an immutable and quintessential part of what gives rise to the phenomenon that is nurse. This altruistic discourse comes with profound consequences for the nursing profession, particularly in relation to nursing's professional identity. This critical review explores nursing's professional identity against the backdrop of gendered and heroic discourses. Two concept analyses of nursing's professional identity are critically reviewed and juxtaposed with literature on the topic amidst COVID-19. Using poststructural feminism and critical discourse analysis, the review provides valuable insights into the evolutionary significance of the concept and raises key questions around knowledge-power structures and discursive constructions of nurse.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":"E17-E26"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395005","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}
引用次数: 0
An Update to the Middle-Range Theory of Self-Care of Chronic Illness. 慢性病自我照顾中程理论的更新。
IF 2.2 4区 医学
Advances in Nursing Science Pub Date : 2026-01-01 Epub Date: 2026-01-27 DOI: 10.1097/ANS.0000000000000594
Barbara Riegel, Tiny Jaarsma, Anna Strömberg
{"title":"An Update to the Middle-Range Theory of Self-Care of Chronic Illness.","authors":"Barbara Riegel, Tiny Jaarsma, Anna Strömberg","doi":"10.1097/ANS.0000000000000594","DOIUrl":"10.1097/ANS.0000000000000594","url":null,"abstract":"<p><strong>Background: </strong>Self-care is essential in the management of chronic illness. In 2012, we published a middle-range theory addressing self-care as a process of maintaining health through health-promoting practices and managing chronic illness. Three key concepts in the theory were self-care maintenance, self-care monitoring, and self-care management. Self-care maintenance refers to those behaviors performed to improve well-being, preserve health, or maintain physical and emotional stability. Self-care monitoring is the process of routine vigilant surveillance, self-awareness, and body monitoring or body listening. Self-care management involves the response to signs and symptoms when they occur. In 2019, we updated the theory, specifying the important contribution of symptoms to self-care. Assumptions and propositions of the theory were specified in the original publication; both are expanded in this update.</p><p><strong>Purpose: </strong>Here, we update the theory to reflect changes in our thinking and what has been learned from published literature and discussions with others. An important addition is a detailed discussion of 6 essential intrapersonal requirements for self-care: experience, knowledge, skills, reflection, decision-making, and motivation. These requirements interact dynamically; the order in which they are presented is not meant to reflect the order in which they are developed.</p><p><strong>Implications for practice and research: </strong>These factors are particularly important in guiding the development of self-care interventions. Readers can now refer to this version instead of the 2012 publication.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":"14-25"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12851549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071181","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}
引用次数: 0
Strategies to Engage Systematically Marginalized Youth and Their Families in Research Using High-Tech Methods. 利用高科技方法系统地让边缘化青年及其家庭参与研究的策略。
IF 2.2 4区 医学
Advances in Nursing Science Pub Date : 2026-01-01 Epub Date: 2026-01-27 DOI: 10.1097/ANS.0000000000000421
Heather K Hardin, Anna E Bender, Cheryl M Killion, Shirley M Moore
{"title":"Strategies to Engage Systematically Marginalized Youth and Their Families in Research Using High-Tech Methods.","authors":"Heather K Hardin, Anna E Bender, Cheryl M Killion, Shirley M Moore","doi":"10.1097/ANS.0000000000000421","DOIUrl":"10.1097/ANS.0000000000000421","url":null,"abstract":"<p><p>The purpose of this study was to identify facilitators and barriers for engaging youth and families from a historically and systematically marginalized community in high-tech research. Adapting community-based participatory research principles, 4 focus groups were conducted with 13 youth and 12 parents. Using codebook thematic analysis, 5 facilitator themes (develop skills, ensure health, build understanding, promote safety, and help others, youth-initiated interest) and 4 barrier themes (anxiety and fear, skepticism, confusion, and unfamiliar/unknown experience) were identified. Youth and parent responses informed proposed guidelines for recruiting and engaging families in research using high-tech methods, particularly those from historically and systematically marginalized communities.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":"E1-E8"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9616962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415137","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}
引用次数: 0
Preserving Professional Human Caring in Nursing in the Era of Artificial Intelligence. 人工智能时代护理中的专业人文关怀
IF 2.2 4区 医学
Advances in Nursing Science Pub Date : 2026-01-01 Epub Date: 2026-01-27 DOI: 10.1097/ANS.0000000000000573
Holly Wei, Jean Watson
{"title":"Preserving Professional Human Caring in Nursing in the Era of Artificial Intelligence.","authors":"Holly Wei, Jean Watson","doi":"10.1097/ANS.0000000000000573","DOIUrl":"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":"70-76"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","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}
引用次数: 0
Exploring Nursing Theory Conversance in Doctor of Nursing Practice Education. 护理实践博士教育中护理理论知识的探索。
IF 2.2 4区 医学
Advances in Nursing Science Pub Date : 2025-12-31 DOI: 10.1097/ANS.0000000000000612
Marie E Gill, Laura Reed, Sharon H Little, Janet Tucker, Rhonda Johnson, Jacqueline Sharp, Michelle Rickard, Amanda Matthaei
{"title":"Exploring Nursing Theory Conversance in Doctor of Nursing Practice Education.","authors":"Marie E Gill, Laura Reed, Sharon H Little, Janet Tucker, Rhonda Johnson, Jacqueline Sharp, Michelle Rickard, Amanda Matthaei","doi":"10.1097/ANS.0000000000000612","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000612","url":null,"abstract":"<p><p>A working knowledge of theory requires theory translation within and outside the nursing discipline to guide practice and inform generative epistemic nursing knowledge. However, theory focused content for application to practice is scarce in many Doctor of Nursing (DNP) education programs. Communication between faculty and students regarding the use of theory to guide practice is an important action that is not well understood. The terminology to describe this process is nursing theory conversance (NTC). However, NTC has not been defined within the literature. We provide a tentative definition of NTC and explore its importance in DNP education.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901458","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}
引用次数: 0
Patient Emotional Safety: A Dimensional Concept Analysis. 病人情绪安全：一个维度的概念分析。
IF 2.2 4区 医学
Advances in Nursing Science Pub Date : 2025-12-29 DOI: 10.1097/ANS.0000000000000611
Baomi T Phung, Audrey Lyndon
{"title":"Patient Emotional Safety: A Dimensional Concept Analysis.","authors":"Baomi T Phung, Audrey Lyndon","doi":"10.1097/ANS.0000000000000611","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000611","url":null,"abstract":"<p><p>Patient reports of emotional harm during healthcare experiences require urgent action to center emotional safety as core to patient safety. We conducted a dimensional concept analysis to clearly define the dimensions of patient emotional safety. We propose a preliminary definition with dimensions that characterize patient emotional safety related to the experience of individual and structural dimensions of autonomy, human connectedness, practice of structural humility, and secure environment during healthcare interactions. This work serves as an initial step towards understanding patient emotional safety to inform future studies, education, practice, and advocacy to improve patient safety, quality of care, and health outcomes.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901473","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}
引用次数: 0
Causes of Minority Stress in LGB and TGNC Individuals: An Integrative Review. LGB和TGNC个体中少数民族压力的原因：一项综合综述。
IF 2.2 4区 医学
Advances in Nursing Science Pub Date : 2025-12-29 DOI: 10.1097/ANS.0000000000000613
Elina Partanen, Ari Haaranen, Minna Laiti, Kati Appelberg, Päivi Kankkunen
{"title":"Causes of Minority Stress in LGB and TGNC Individuals: An Integrative Review.","authors":"Elina Partanen, Ari Haaranen, Minna Laiti, Kati Appelberg, Päivi Kankkunen","doi":"10.1097/ANS.0000000000000613","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000613","url":null,"abstract":"<p><p>Minority stress is a cumulative and unique form of stress resulting from societal and environmental conditions. This integrative review aimed to synthesize factors that generate minority stress in lesbian, gay, bisexual, and transgender and gender nonconforming individuals. Systematic literature searches were conducted in 7 databases, and the data were analyzed using reflexive thematic analysis. Five main themes were identified: (1) social ambivalence, (2) identity formation, (3) persecution from society, (4) inequity in society, and (5) devaluation of identity. Nursing and health sciences can benefit from incorporating this theoretical framework when designing interventions that promote health and prevent illness among sexual and gender minorities.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901528","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}
引用次数: 0
Developing the Adolescent Asthma Self-Management Behavioral Framework: Centering Adolescent Autonomy in Theory and Practice. 建立青少年哮喘自我管理行为框架：以青少年自主性为中心的理论与实践。
IF 2.2 4区 医学
Advances in Nursing Science Pub Date : 2025-12-29 DOI: 10.1097/ANS.0000000000000609
Elif Isik, Jean-Marie Bruzzese
{"title":"Developing the Adolescent Asthma Self-Management Behavioral Framework: Centering Adolescent Autonomy in Theory and Practice.","authors":"Elif Isik, Jean-Marie Bruzzese","doi":"10.1097/ANS.0000000000000609","DOIUrl":"10.1097/ANS.0000000000000609","url":null,"abstract":"<p><p>Asthma remains highly prevalent among adolescents, many of whom experience poor control despite medical advances. Adolescents are often expected to manage their asthma independently, yet may lack the necessary knowledge, skills, and autonomy. Existing family-centered frameworks frequently overlook their developmental needs. This paper introduces the Adolescent Asthma Self-Management Behavioral Framework, which emphasizes cognitive, behavioral, and emotional autonomy within social and developmental contexts. By addressing these gaps, the framework can advance clinical practice and guide future research toward developmentally appropriate, autonomy-supportive, and contextually relevant approaches to adolescent asthma self-management.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12795316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901460","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}
引用次数: 0
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