Research and Theory for Nursing Practice最新文献

Exploring Hypertension Medication Adherence in African Americans Using the Health Belief Model and the Social Determinants of Health. 利用健康信念模型和健康的社会决定因素探索非裔美国人高血压药物依从性。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2025-06-30 DOI: 10.1891/RTNP-2024-0071

Tracie L Augusta, Sheri Howard, Annapoorna Mary

{"title":"Exploring Hypertension Medication Adherence in African Americans Using the Health Belief Model and the Social Determinants of Health.","authors":"Tracie L Augusta, Sheri Howard, Annapoorna Mary","doi":"10.1891/RTNP-2024-0071","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0071","url":null,"abstract":"Background: Medication nonadherence is a significant threat to the treatment of hypertension in African Americans. Nonadherence to medications negatively impacts treatment efficacy, safety, and cost. Purpose: This paper aims to identify potential predictors of medication adherence among African Americans based on the Health Belief Model (HBM). In addition, this analysis provides insight into medication nonadherence, interventions to reduce the risk of nonadherence, and the impact of the Social Determinants of Health (SDOH). Conclusion: African American patients with hypertension continue to have lower hypertension medication adherence, due to factors that health care providers may not understand. Besides modifiable and nonmodifiable risk factors, African Americans also experience both unintentional and intentional adherence barriers that are influenced by SDOH, historical constructs, mistrust of the health care system, myths about medications, potential side effects, and passed-down beliefs. The HBM provides a viable theoretical model for promoting hypertension health promotion and disease prevention in African Americans. Clinical Implications: In addition to considering modifiable and nonmodifiable risk factors, health care providers should understand how intentional and unintentional rationales for taking medications can affect a patient's decision. The HBM can be used as a foundation for education and establishing patient willingness to take prescribed medications. Future studies must examine African Americans' readiness and intention to use medications to treat hypertension.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"39 2","pages":"151-168"},"PeriodicalIF":0.8,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530942","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

Turkish Validation of the Simplified Omaha System Terms for Use Within a Mobile Health Application. 在移动健康应用程序中使用简化的奥马哈系统条款的土耳其验证。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2025-06-25 DOI: 10.1891/RTNP-2024-0172

Selda Secginli, Merve Altiner Yas, Robin R Austin, Karen A Monsen

{"title":"Turkish Validation of the Simplified Omaha System Terms for Use Within a Mobile Health Application.","authors":"Selda Secginli, Merve Altiner Yas, Robin R Austin, Karen A Monsen","doi":"10.1891/RTNP-2024-0172","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0172","url":null,"abstract":"Background and Purpose: Most mobile health applications may be unstandardized and have not been simplified for use by a wide range of community users. Therefore, it can potentially affect data quality due to a lack of validated translation and cross-cultural adaptation. This study aimed to evaluate the validity of the Turkish version of the Simplified Omaha System Terms (T-SOST) for use within a consumer-facing application, MyStrengths MyHealth (MSMH). Methods: The descriptive study comprised three phases: (a) language validity, (b) content validity, and (c) readability assessment and pilot testing. A total of 20 experts assessed the content validity. The Ateşman Readability Formula was used to conduct the readability assessment of T-SOST. The MSMH was used by 74 participants to test the T-SOST in the study. Results: The scale-level content validity index of T-SOST ranged from 0.963 to 0.999. The reading level of T-SOST averaged 82.66 ± 15.62. In the pilot test, the most frequently reported strengths were Speech and Language (f = 67) and Cleaning (f = 63). The most frequent challenges were for Emotions (f = 177) and Income (f = 95). Information/guidance was the most frequent need for Emotions (f = 19). Check-ins were the most frequent need for Income (f = 17). Implications for Nursing Practice: The T-SOST had acceptable psychometric properties and was found to be understandable for secondary education. It is suitable for self-reported strengths, challenges, and needs embedded in MSMH. Consumer-generated data may allow individuals to directly participate in their own health and provide insight for nurses and other clinicians to tailor interventions from a patient-centered perspective.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499168","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

Data-Based Program Design Using Implementation Science Frameworks. 使用实现科学框架的基于数据的程序设计。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2025-06-25 DOI: 10.1891/RTNP-2024-0137

Cheryl A Smith-Miller

{"title":"Data-Based Program Design Using Implementation Science Frameworks.","authors":"Cheryl A Smith-Miller","doi":"10.1891/RTNP-2024-0137","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0137","url":null,"abstract":"Background: Integrating evidence into nursing practice remains challenging due to gaps in nurses' research experience, knowledge, and skills. Purpose: To address these challenges, an Evidence Resource Nurse (ERN) program was developed using implementation science frameworks to enhance nurses' research literacy and skills and foster a culture of inquiry. Methods: Baseline data identified deficiencies in nurses' knowledge and confidence in utilizing research to inform practice. The ERN program was designed using the Consolidated Framework for Implementation Research and the Capability, Opportunity, Motivation, and Behavior model. The 4-hour core course is supplemented by quarterly seminars and self-paced activities in collaboration with governance councils, policy owners, and quality improvement coaches. This approach ensures that participants acquire both theoretical knowledge and practical experience in applying evidence in clinical settings. Results: The program has engaged over 100 nurses since its launch, with the latest evaluations showing improvements in participants' knowledge and skills. The program's integration into nursing professional development specialists' onboarding demonstrates institutional commitment to facilitating evidence-informed practice. Future evaluations will assess the programs' influence on nurses' initiation of evidence-informed practice changes at the unit and institutional level. Implications for Practice: The ERN program offers a model for bridging the gap between research and practice and demonstrates the use of implementation science methods to create targeted programs designed for specific populations and settings. Data-driven approaches better address nurses' professional development needs and enhance educational offerings.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499165","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

Obstetrical Nurse Perceptions of Debriefing Following Emergencies. 产科护士对急诊后述职的认识。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2025-06-25 DOI: 10.1891/RTNP-2025-0018

Abeer Alhaj Ali, Donna Green, Vicki Minnich

{"title":"Obstetrical Nurse Perceptions of Debriefing Following Emergencies.","authors":"Abeer Alhaj Ali, Donna Green, Vicki Minnich","doi":"10.1891/RTNP-2025-0018","DOIUrl":"https://doi.org/10.1891/RTNP-2025-0018","url":null,"abstract":"Background and Purpose: Debriefing is a strategy that can help improve communication and teamwork. This study explored obstetrical (OB) nurses' perceptions and practices of real-time (clinical) debriefing following OB emergencies and how debriefing impacts their practices and unit policies. Methods: A cross-sectional quantitative study was based on a descriptive nonexperimental design with qualitative components about the debriefing practices in the OB units. A convenience sample of OB nurses participated in this study. Among the 150 nurses who received the survey, 69 completed the questionnaire (response rate = 46). The OB-Registered Nurse Debriefing Survey was developed to gather data from OB nurses about debriefing following OB emergencies. Donabedian's model \"structure, process, and outcome\" was used to guide data collection and analysis. Results: OB nurses defined debriefing as a formal discussion of what happened, what went well, what improvement is needed, and identifying resources. Nurses reported multiple perceived benefits of debriefings, including the opportunity to learn, celebrate success and appraisal, improve teamwork, promote patient safety, and identify opportunities for improvement. Several barriers to OB debriefing were reported, including increased nursing workload, emotional distress, lack of confidence, and limited nursing staffing. Conclusions and Implications: Real-time (clinical) debriefing may improve OB outcomes, promote patient safety, and address organizational/structural failures. Despite being beneficial, implementing debriefings is challenging due to various barriers. It also addresses and resolves psychological distress resulting from clinical events. Increased nursing and provider staff engagement and ongoing training would enhance debriefing facilitation. Empowering nurses to lead clinical debriefing that promotes safety and communication and improves OB outcomes is required.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499167","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

Development and Psychometric Properties of the Self-Efficacy Scale for Symptom Management and Self-Care in Patients With Cardiac Surgery. 心脏手术患者症状管理和自我护理自我效能感量表的编制及其心理测量学特征。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2025-06-25 DOI: 10.1891/RTNP-2024-0129

Rabia Sağlam Aksüt, Cantürk Çapık, Tuğçe Bozkurt Elmas

{"title":"Development and Psychometric Properties of the Self-Efficacy Scale for Symptom Management and Self-Care in Patients With Cardiac Surgery.","authors":"Rabia Sağlam Aksüt, Cantürk Çapık, Tuğçe Bozkurt Elmas","doi":"10.1891/RTNP-2024-0129","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0129","url":null,"abstract":"Background and Purpose: Evaluating self-efficacy for symptom management and self-care is crucial for ensuring follow-up care after cardiac surgery. As there is not yet a validated measurement tool for this evaluation, the aim of this study was to develop the Self-Efficacy Scale for Symptom Management and Self-Care (SESMSC: Cardiac Surgery) in patients with cardiac surgery and to examine its psychometric properties. Methods: The Symptom Management Theory and Bandura's Self-Efficacy Theory were used as the theoretical background for scale development. A multiphase design was utilized. The initial development phase consisted of item generation and expert panel review. The second phase comprised a three-step validation process: (a) face and content validity analysis, (b) exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) for construct validity, and (c) Cronbach's α, test-retest, and item-total correlation analysis to assess internal consistency reliability. The sample (n = 401) was randomly divided into two subsamples for EFA and CFA (EFA group: n = 201; CFA group: n = 200). Results: EFA suggested a 20-item, two-factor structure with factor loadings of .342-0.782. The two subscales of the scale were labeled symptom management self-efficacy and self-efficacy for self-care activities. Goodness-of-fit indices indicated a good model fit. Cronbach's α, test-retest, and item-total correlation results demonstrated acceptable internal consistency reliability. Implications for Practice: The SESMSC: Cardiac Surgery may be a useful tool to evaluate self-efficacy for symptom management and self-care after cardiac surgery. Further evaluation in independent samples is needed to investigate its psychometric properties and usefulness in clinical practice.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499166","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 Snapshot of 43 Years of Publications on Hope in Nursing: A Bibliometric Study. 43年关于护理希望的出版物的快照：一项文献计量研究。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2025-06-25 DOI: 10.1891/RTNP-2025-0001

Nazmiye Yıldırım, Esra Uslu

{"title":"A Snapshot of 43 Years of Publications on Hope in Nursing: A Bibliometric Study.","authors":"Nazmiye Yıldırım, Esra Uslu","doi":"10.1891/RTNP-2025-0001","DOIUrl":"https://doi.org/10.1891/RTNP-2025-0001","url":null,"abstract":"Background and Purpose: The study aimed to examine key features of publications on hope in nursing. Method: A bibliometric analysis of 3,814 nursing-related publications from Web of Science (August 2023) was conducted using the R Bibliometrix Package. Including numerical data, word clouds, trend topics, and thematic maps was applied for the analysis. Results: The average age of articles published in 1980-2023 was 9.71 years, with an annual increase of 10.82%. Hope in nursing was primarily explored in oncology, focusing on the quality of life and palliative care through qualitative studies. The longest-studied topic was \"stress.\" \"Quality of life\" is the motor theme in the field, while \"palliative care\" and \"spirituality\" are the themes that continue to evolve in this field. On the centrality line, a significant part of the \"recovery\" theme was niche, and a significant part of the \"COVID-19\" theme was emerging or declining. Implications for Practice: This bibliometric analysis reviews 43 years of research on hope in nursing. It has been observed that hope is examined in the context of illness, particularly in populations with a high risk of mortality. Investigating hope from the perspective of positive psychology in terms of protecting health and enhancing well-being would offer contributions. It has been understood that specific assessment tools are needed. Nurses must be prepared to maintain hope and work with patients who feel hopeless. As this bibliometric analysis highlights gaps in research, practice, and education, it can serve as a guide for future strategies.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499164","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

The Status of Nursing Theory Use in Nursing Administration Practice. 护理理论在护理管理实践中的应用现状。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2025-06-03 DOI: 10.1891/RTNP-2024-0115

Marie E Gill, Sherry S Webb, Randall L Johnson, Annabelle L Holt

{"title":"The Status of Nursing Theory Use in Nursing Administration Practice.","authors":"Marie E Gill, Sherry S Webb, Randall L Johnson, Annabelle L Holt","doi":"10.1891/RTNP-2024-0115","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0115","url":null,"abstract":"Background: Nursing theory plays an integral part of the nursing discipline. The use of nursing theory provides value and confidence to nurses in practice within the discipline. The American Association of Colleges of Nursing recognizes the importance of nursing theory by noting in their new Essentials that theory must be integrated into curricula at entry and advanced levels in nursing education. However, the use and value of nursing theory in nursing administration practice are unclear. The American Organization of Nursing Leadership Core Competencies do not explicitly mention nursing theory use in nursing administration practice. Therefore, this discussion article seeks to identify the status of nursing theory use in nursing administration practice. Design: A discussion paper format is used. Literature Review: Sixteen articles published from 1986 to 2025 were retrieved from searches using CINAHL, Embase, PubMed, Scopus, and ScienceDirect and were sorted and analyzed using thematic networks to identify global themes reflecting the use of nursing theory in nursing administration practice. Implications for Nursing: There is a weak history of nursing theory use in nursing administration practice. Nursing administrators must develop business acumen and leadership skills to help guide their decision-making in health care while also incorporating theory use and development, including economic and leadership theories outside of nursing, anchored by nursing theory. Conclusion: Six global themes reflecting the use of nursing theory in nursing administration practice emerged: (a) undervaluing of nursing theory, (b) the case of borrowed theory, (c) theory imbalances of business acumen and nursing leadership, (d) importance of the practice environment, (e) intentionality of theory-integrated practice, and (f) underdevelopment of nursing theory-guided practice.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217481","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

Theory of the Action and Coping Plans for Medication Adherence Intervention Nursing Intervention to Promote Medication Adherence in Patients After Myocardial Infarction. 护理干预促进心肌梗死后患者服药依从性的作用理论及应对方案

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2025-05-27 DOI: 10.1891/RTNP-2024-0147

Nathalia Malaman Galhardi, Suzanne Fredericks, Júlia Oliveira Monteiro de Barros, Juliany Lino Gomes Silva, Rafaela Batista Dos Santos Pedrosa

{"title":"Theory of the Action and Coping Plans for Medication Adherence Intervention Nursing Intervention to Promote Medication Adherence in Patients After Myocardial Infarction.","authors":"Nathalia Malaman Galhardi, Suzanne Fredericks, Júlia Oliveira Monteiro de Barros, Juliany Lino Gomes Silva, Rafaela Batista Dos Santos Pedrosa","doi":"10.1891/RTNP-2024-0147","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0147","url":null,"abstract":"Background: Cardioprotective medications have been shown to be effective in reducing morbidity and mortality in patients with a history of myocardial infarction; however, the adherence rate is lower than expected. An adherence-based intervention was designed. Purpose: The purpose of the study is to describe the theory of \"Action and Coping Plans for Medication Adherence Intervention (ADHERE),\" a nursing intervention to promote adherence to cardioprotective medications. Methods: Theoretical and empirical approaches were combined with the clinical and research experience of a committee of experts to carry out the following stages: (a) in-depth understanding of the problem under study, (b) defining the objectives and identifying the theoretical framework of the intervention, and (c) operationalization of the intervention and identification of immediate, intermediate, and final outcomes. Results: The application of the stages resulted in the generation of the theory underpinning the ADHERE nursing intervention, which aims to promote adherence to cardioprotective medications in patients with a history of myocardial infarction and should be implemented by a nurse in a primary health care unit. The content of ADHERE is delivered through action and coping plans, developed by patients with the support of the nurse, verbally and in writing, in a meeting lasting 30 minutes and a reinforcement at a 30-day interval. Implications for Practice: The description of the theory of this intervention provides detailed information to researchers and health professionals about how the intervention contributes to changing behavior related to medication adherence and in what context; the theory can enhance the fidelity of its implementation in clinical practice.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163426","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 Principle-Based Concept Analysis of Supported Conversation for Adults With Aphasia. 基于原则的成人失语支持对话概念分析。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2025-05-23 DOI: 10.1891/RTNP-2024-0094

Amy B Thomas, Catherine R Van Son, Lonnie A Nelson, Gerasimos Fergadiotis, Celestina Barbosa-Leiker

{"title":"A Principle-Based Concept Analysis of Supported Conversation for Adults With Aphasia.","authors":"Amy B Thomas, Catherine R Van Son, Lonnie A Nelson, Gerasimos Fergadiotis, Celestina Barbosa-Leiker","doi":"10.1891/RTNP-2024-0094","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0094","url":null,"abstract":"Background and Purpose: Supported Conversation for Adults with Aphasia (SCA™ ), an evidence-based framework to improve communicative access, is a unique concept to nursing with theoretical and technical components. Effective communication is essential in all patient interactions, and SCA™ could aid health care professionals in meeting the needs of people with aphasia. Methods: A principle-based concept analysis was conducted using a systematic and conceptually driven literature search. A review of literature from 1998 to 2024 contained in CINAHL, PubMed, and PsycINFO databases was performed on the concept of SCA™ The concept was explored for (a) definitional clarity (epistemological principle), (b) relevance to nursing (pragmatic principle), (c) consistency in meaning (linguistic principle), and (d) differentiation from related concepts (logical principle). Results: The final dataset consisted of 49 articles. Findings revealed that (a) SCA™ is composed of theoretical and technical components used to acknowledge and reveal the competence of a person with aphasia, but there is a vague use and a lack of definitional clarity; (b) the philosophical framework and techniques outlined by the concept are relevant and useful for nursing; (c) there is variability in the use, nomenclature, and conceptualization of SCA™; and (d) the concept is poorly differentiated from other similar concepts. Implications for Practice: Nurses working with people diagnosed with aphasia and other communication disorders should consider SCA™ and its application in nursing practice. Findings from this concept analysis stress the importance of an interdisciplinary approach to future SCA™ studies, as nursing can lend its distinct viewpoint to integrate SCA™ techniques into practice.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144133374","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

Compassionate Communities: Conceptual Evolution and Implications for Nursing Practice. 富有同情心的社区：概念演变及其对护理实践的影响。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2025-05-23 DOI: 10.1891/RTNP-2024-0184

Marianne Sofronas, Kim McMillan

{"title":"Compassionate Communities: Conceptual Evolution and Implications for Nursing Practice.","authors":"Marianne Sofronas, Kim McMillan","doi":"10.1891/RTNP-2024-0184","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0184","url":null,"abstract":"Background and Purpose: Compassion is a well-known nursing principle with a rich literature on concept development and clarification. Despite being central to care and at risk of being compromised due to increasingly challenging working conditions, compassion continues to be described as a predominantly individual attribute, with the responsibility to demonstrate compassion (and address lack of compassion) placed squarely on the shoulders of individual nurses. There is scant literature holding health care institutions accountable for implementing policies and practices that demonstrate, support, and sustain compassion. Acknowledging the encouraging recent literature on the potential for compassionate leadership, we look to other models based on compassion as embedded in practices and communities to better examine how it can shape nursing work environments. Methods: This paper examines the Compassionate Communities movement, first developed at the intersection of public health and palliative care. We trace its development, highlight ongoing methodological and conceptual tensions, and showcase its applicability as a conceptual framework for research and policy in health care beyond the palliative care context, specifically in nursing. Results: Literature on Compassionate Communities aligns with the priorities and concerns of nursing care, policy, and research. It also has the potential to transform health care institutions, creating compassionate spaces for patients, families, and nurses themselves. Implications for Practice: Proposed definitions and principles for using Compassionate Communities as a conceptual framework are offered; considerations on how health care organizations can become more compassionate, using reflections from our program of research examining nurses' psychological safety.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144133376","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