Nertila Podgorica, Francisco Sampaio, Martin Červený, Louise Mew, Chun Hua Shao, Helena de Rezende, Dhurata Ivziku, Małgorzata Nagórska, Luísa Teixeira-Santos, Sigalit Warshawski, Tiago Horta Reis da Silva, Marie-Louise Luiking
{"title":"Nursing Doctoral Theses Across Eight Countries: A Document-Based Qualitative Study","authors":"Nertila Podgorica, Francisco Sampaio, Martin Červený, Louise Mew, Chun Hua Shao, Helena de Rezende, Dhurata Ivziku, Małgorzata Nagórska, Luísa Teixeira-Santos, Sigalit Warshawski, Tiago Horta Reis da Silva, Marie-Louise Luiking","doi":"10.1111/jnu.70077","DOIUrl":"10.1111/jnu.70077","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Doctoral research in nursing is central to advancing scientific knowledge, strengthening professional identity, and informing evidence-based practice, education, and health policy. Analyzing the thematic content of doctoral theses offers insight into research priorities and national variations in nursing scholarship. Yet, no systematic cross-country analysis has examined the thematic focus of such work.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To explore and describe the diversity and scope of doctoral nursing research themes across eight countries in the Sigma Europe Region, identifying key areas of scholarly focus and shared priorities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A document-based qualitative study using reflexive thematic analysis, as outlined by Braun and Clarke, to examine patterns of meaning within thesis summaries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants and Setting</h3>\u0000 \u0000 <p>The study included doctoral nursing thesis summaries defended between January 2020 and December 2023, sourced from national and institutional repositories in eight countries of the Sigma Europe Region. A total of 15 repositories (4 national, 11 institutional) were systematically searched, and additional summaries were obtained via direct contact with universities offering doctoral nursing programmes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected between September 2024 and February 2025 using predefined inclusion and exclusion criteria. In total, 431 eligible thesis summaries were analyzed following Braun and Clarke's six-phase framework, supported by MAXQDA software for data management and coding.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thematic analysis identified three overarching domains: (1) foundations of nursing practice and care philosophy, (2) systemic and organizational dimensions of nursing, and (3) clinical innovation and public health impact. Ten interrelated themes emerged, including holistic and patient-centred care; emotional, psychological, and quality-of-life dimensions; communication in healthcare; workforce challenges; transforming nursing practice; maternal, neonatal and pediatric health; digital and virtual health innovations; public health and chronic disease management; and disease management, caregiving, and outcomes. Cross-cutting elements such as cultural sensitivity and resilience spanned multiple themes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 ","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sigmapubs.onlinelibrary.wiley.com/doi/epdf/10.1111/jnu.70077","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Letter to Editor Regarding “I'm a 45-Year-Old Woman in the Body of an 80-Year-Old: The Multiple Losses of Living and Aging in the Shadow of Prostitution”","authors":"Jiayi Chen","doi":"10.1111/jnu.70072","DOIUrl":"10.1111/jnu.70072","url":null,"abstract":"","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Muhammad Waseem, Rohail Hassan, Umme Habiba, Khalid Khan, Muhammad Haroon Malik
{"title":"Servant Leadership and Nurses' Innovative Work Behavior: The Serial Mediation Role of Trust-In Leadership and Knowledge Sharing","authors":"Muhammad Waseem, Rohail Hassan, Umme Habiba, Khalid Khan, Muhammad Haroon Malik","doi":"10.1111/jnu.70081","DOIUrl":"10.1111/jnu.70081","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim/Objective</h3>\u0000 \u0000 <p>The research investigated the relationship between servant leadership (SL) and innovative work behavior (IWB) among nurses in Pakistan. It also formulates and hypothesizes a serial mediation model, integrating trust-in leadership (TL) and knowledge sharing (KS) as mediated variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurses' IWBs are critical for improving patient healthcare quality. Despite their significance, scant research has examined how leadership styles, especially SL, can trigger such behavior in nursing. The paper seeks to fill this gap by examining how SL can enhance innovation among nurses, while accounting for the mediating variables of TL and KS within the Pakistani healthcare system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design/Methodology/Approach</h3>\u0000 \u0000 <p>A quantitative, cross-sectional study was conducted, involving 269 nurses from hospitals in Islamabad and Rawalpindi. A time-lagged approach to data collection was used to reduce common method bias. Confirmatory Factor Analysis (CFA) and Structural Equation Modeling (SEM) were employed to test the proposed hypothesized relationships using SPSS (version 27) and AMOS (version 23).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The hypotheses revealed a significant impact of the constructs. It was discovered that SL has both direct and indirect positive influences on IWB among nurses through TL and KS. Moreover, the findings support high serial mediation, implying that SL has a positive effect on IWB by first building trust, which then leads to knowledge sharing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The paper contributes to the literature on servant leadership and innovative work behavior by examining mediating mechanisms within nursing teams in Pakistan. The paper also offers practical implications for nurse managers and hospital administrators on fostering a culture of innovation and trust among nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>The findings offer actionable insights for nursing management by demonstrating that adopting a servant leadership style can directly and indirectly enhance nurses' innovative work behaviors. By prioritizing trust-building and fostering a culture of knowledge sharing, nurse managers can stimulate innovation, which is critical for improving patient care quality and overall healthcare outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"In the Shadow of Digital Burnout: A Qualitative Study on Academic Nurses' Perspectives on Digital Fatigue and Mental Health","authors":"Sema Toker, Sevda Uzun, Elif Güzide Emirza, Emel Güven","doi":"10.1111/jnu.70070","DOIUrl":"10.1111/jnu.70070","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The rapid integration of digital technologies into academic and professional life has significantly increased screen time and workload, leading to growing concerns about digital fatigue and its impact on mental health. This study employs a qualitative research approach to investigate the perspectives of academic nurses on the effects of digital fatigue on their mental health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This qualitative study utilized a pre-developed interview schedule to conduct in-depth interviews with 19 academic nurses residing in the northern region of Türkiye. All interviews were conducted online via Google Meet in accordance with participants’ availability and preferences. Participants were identified through snowball sampling based on predetermined inclusion criteria. Interviews continued until data saturation was achieved. The interviews were conducted without audio recording, and the data were collected through detailed field notes. The study data were evaluated using thematic analysis. The study was conducted and reported in accordance with the COREQ checklist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Data analysis revealed four themes (Multidimensional impact of digital exposure, Social consequences of digital fatigue, Coping and support strategies, Institutional and policy-level challenges) and 11 subthemes (Physical effects, Mental effects, Cognitive effects, Social isolation, Disconnection from reality, Personal physical measures, Psychological measures, Social support, Environmental regulations, Work-life balance challenges, Need for education and awareness).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study revealed the adverse effects of technology use by nurse academics in the digital age. It was determined that the social lives of nurse academics were negatively impacted by digital exposure, resulting in digital fatigue. It was also found that some nurse academics had difficulty coping with this fatigue. It is recommended to conduct research examining the relationship between the effects of digital fatigue on personality, digital literacy, mental health, and life satisfaction, addressing the impact of digital platforms that cause fatigue, and evaluating users' awareness levels of digital network fatigue. In this context, addressing digital fatigue requires the integration of psychiatric nursing approaches focused on mental health promotion and coping enhancement, together with public health nursing strategies emphasizing preventive interventions, digital hygiene policies, and institutional regulation to ensure sustainable and healthy academ","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147464277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nora Gnaim-Mwassi, Tova Band Winterstein, Hila Avieli
{"title":"“I'm a 45-Year-Old Woman in the Body of an 80-Year-Old”: The Multiple Losses of Living and Aging in the Shadow of Prostitution—Authors' Response","authors":"Nora Gnaim-Mwassi, Tova Band Winterstein, Hila Avieli","doi":"10.1111/jnu.70078","DOIUrl":"10.1111/jnu.70078","url":null,"abstract":"","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lan Gao, Zhiwei Wang, Siya Meng, Fang Xue, Bingyan Zhang, Zongke Long, Peiyun Zhou, Xiaorong Luan
{"title":"Associations of Individual and Team-Level Resources With Turnover Intention in Nurses: A Multilevel Analysis","authors":"Lan Gao, Zhiwei Wang, Siya Meng, Fang Xue, Bingyan Zhang, Zongke Long, Peiyun Zhou, Xiaorong Luan","doi":"10.1111/jnu.70075","DOIUrl":"10.1111/jnu.70075","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Turnover intention among nurses poses a significant threat to both workforce stability and the overall quality of healthcare delivery. However, few studies have comprehensively examined the associations between turnover intention and nurses' individual and team-level resources within a multilevel framework. Our study aims to provide an in-depth exploration of the relationship between turnover intention and nurses' individual and team-level resources.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>The multicenter cross-sectional study adopted a stratified convenience sampling approach to enroll 773 clinical nurses from 62 teams across eight hospitals in Shandong Province, China.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used the 10-item Connor-Davidson Resilience Scale for psychological resilience, the Perceived Social Support Scale for perceived social support, the 51-item Analyzing and Developing Adaptability and Performance in Teams to Enhance Resilience Scale for team resilience, and a single-item turnover intention measure. Multilevel logistic regression modeling was conducted to examine the simultaneous impacts of individual-level (psychological resilience and perceived social support) and team-level (team resilience) factors on turnover intention, while controlling for key demographic and organizational covariates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The multilevel analysis revealed several key findings: (1) The prevalence of turnover intention reached 35.6%, indicating a substantial workforce stability challenge; (2) Multilevel modeling demonstrated significant between-team variance (ICC = 0.19), confirming the importance of examining nested data structures; (3) At the individual level, both psychological resilience (OR = 0.78, CI: 0.62–0.99) and perceived social support (OR = 0.75, CI: 0.60–0.94) showed significant negative associations with turnover intention; (4) At the team level, higher team resilience predicted lower turnover intention (OR = 0.73, CI: 0.56–0.94). These results were obtained after controlling for key demographic and organizational covariates, highlighting the robust protective effects of multilevel resources against nurses' turnover propensity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The prevalence of turnover intention was relatively high in this study. Nurses with higher psychological resilience, perceived social support, and team resilience exhibited lower turnover intention. Healthcare administrators need to increase investments in nurses' multilevel res","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 2","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}