Creative NursingPub Date : 2026-10-15DOI: 10.1177/10784535261499636
Marty Lewis-Hunstiger
{"title":"Where Nurses Gather to Work.","authors":"Marty Lewis-Hunstiger","doi":"10.1177/10784535261499636","DOIUrl":"https://doi.org/10.1177/10784535261499636","url":null,"abstract":"<p><p><i>Creative Nursing</i> 2026, with its overarching theme of The Sociology of Nursing, has illuminated the social dimensions of health, illness, and health-care delivery. This issue of the journal contains articles by authors from Austria, Brazil, Canada, China, Egypt, Ghana, Japan, New Zealand, Norway, Pakistan, Saudi Arabia, Sri Lanka, and the US, on topics that have resonance far beyond the countries in which they were written. Categories include internationality in diverse global contexts, climate change and sustainability, universal challenges, and honoring diversity. These transnational and often transdisciplinary articles are setting the stage for our 2027 publication year's theme: The Global Nursing Profession.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535261499636"},"PeriodicalIF":2.5,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Creative NursingPub Date : 2026-10-14DOI: 10.1177/10784535261497719
Erandima Sandamali, Whms Samarathunga
{"title":"The Impact of Artificial Intelligence Language Models on Critical Thinking in Theoretical and Practical Aspects of Learning among Undergraduate Nursing Students: A Narrative Review.","authors":"Erandima Sandamali, Whms Samarathunga","doi":"10.1177/10784535261497719","DOIUrl":"https://doi.org/10.1177/10784535261497719","url":null,"abstract":"<p><p>Artificial Intelligence (AI) language models are increasingly used in higher education. Many students use them for learning, often without proper academic policies or guidelines. Nursing undergraduate curricula include both theoretical and practical aspects of learning, in which critical thinking is essential, especially for clinical decision-making. This review explores the effects of AI language models on the critical thinking skills of undergraduate nursing students. Sixty-seven articles published between 2020 and 2025 on AI in nursing, medicine, or higher education, and its impact on learning and cognition, were analyzed and synthesized. Findings revealed that AI language models offer benefits, limitations, and ethical concerns. Benefits include improved academic writing, rapid access to information, and support for self-directed learning. Limitations include overdependence, biased content, and reduced social learning. Ethical concerns include confidentiality and plagiarism. In nursing education, AI models affect critical thinking both positively and negatively, enhancing simulated clinical decision-making but potentially reducing independent analysis and interactions with real patients. Studies recommend developing guidelines, training, and balanced integration to maximize benefits while minimizing risks.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535261497719"},"PeriodicalIF":2.5,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessment Tools for Nursing Informatics Competency: A Scoping Review.","authors":"Kexin Zheng, Siyu Zong, Lifang Fan, Weilai Chen, Qian Wang, Fang Liu","doi":"10.1177/10784535261496573","DOIUrl":"https://doi.org/10.1177/10784535261496573","url":null,"abstract":"<p><p>ObjectiveTo conduct a scoping review of existing nursing informatics competency assessment tools in China and abroad.MethodsFollowing the methodological framework for scoping reviews, eight databases were systematically searched for studies related to tools assessing nursing informatics competency. The search period was from database inception to 10 March 2025. Two researchers independently completed literature screening and data extraction.ResultsA total of 41 articles were finally included, involving 23 tools. Among these, 22 articles reported tool development, 11 cross-cultural adaptations, three tool revisions, and five tool validations.ConclusionThis study systematically reviewed existing nursing informatics competency assessment tools in China and abroad and found that most tools were developed by scholars in the United States and have not yet been localized for China. In the future, scholars may develop or culturally adapt assessment tools based on China's national context to promote the study and application of nursing informatics competency in the country.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535261496573"},"PeriodicalIF":2.5,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Creative NursingPub Date : 2026-10-08DOI: 10.1177/10784535261495571
Ateya Megahed Ibrahim, Mohamed Gamal Elsehrawy, Abdullah A Alqasem, Mohamed Gamal Noaman Malek, Donia Elsaid Fathi Zaghamir
{"title":"Bridging Sustainability and Planetary Health: Nursing Students' Sustainability Consciousness and Perceived Competency for Sustainable Health Care.","authors":"Ateya Megahed Ibrahim, Mohamed Gamal Elsehrawy, Abdullah A Alqasem, Mohamed Gamal Noaman Malek, Donia Elsaid Fathi Zaghamir","doi":"10.1177/10784535261495571","DOIUrl":"https://doi.org/10.1177/10784535261495571","url":null,"abstract":"<p><p>Climate change, environmental degradation, and increasing pressure on health-care resources highlight the need for nurses who are prepared to promote planetary health and sustainable health care. Nursing education provides an important opportunity to develop students' sustainability consciousness and planetary health competencies. This study examined nursing students' sustainability consciousness, including self-reported knowingness, attitudes, and stewardship-related behaviour, and their perceived planetary health competency, and explored associated sociodemographic and academic factors. An analytical cross-sectional study was conducted among 300 undergraduate nursing students at the College of Nursing, Prince Sattam bin Abdulaziz University, Saudi Arabia. As these outcomes were assessed using self-report measures, the findings reflect students' reported perceptions and behaviours rather than objectively observed knowledge or practices. Data were collected using the Short Sustainability Consciousness Questionnaire and the Planetary Health Competency Questionnaire. Descriptive statistics, reliability analysis, correlation tests, group comparisons, and multiple linear regression analyses were performed. Students demonstrated relatively high sustainability consciousness and moderate-to-high perceived planetary health competency. Overall sustainability consciousness was not significantly related to planetary health competency. Previous sustainability education was associated with higher sustainability consciousness, whereas the examined sociodemographic and academic characteristics were not significantly associated with planetary health competency. Nursing curricula should integrate sustainability and planetary health education across academic levels and provide experiential opportunities that connect environmental knowledge with sustainable health-care practices, stewardship, and climate-responsive nursing.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535261495571"},"PeriodicalIF":2.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Creative NursingPub Date : 2026-09-29DOI: 10.1177/10784535261491856
Mariko Nagai, Fumiko Okuno, Nozomi Setoya, Edward Barroga, Erika Ota
{"title":"Mental Health Support and Educational Programs for New Graduate Nurses: A Scoping Review.","authors":"Mariko Nagai, Fumiko Okuno, Nozomi Setoya, Edward Barroga, Erika Ota","doi":"10.1177/10784535261491856","DOIUrl":"https://doi.org/10.1177/10784535261491856","url":null,"abstract":"<p><p>AimTo explore studies on mental health support and educational programs for new graduate nurses to enhance their workplace adaptation, job satisfaction, and well-being.BackgroundNew graduate nurses face significant mental health challenges during the transition to practice, contributing to high turnover rates.MethodsThis scoping review used Arksey and O'Malley's framework and Joanna Briggs Institute's methodology to identify quantitative and mixed-methods studies in English or Japanese, published between January 2014 and July 2024, involving new graduate nurses within 12 months of graduation.ResultsOf 1,024 records, 14 studies were included. The analysis identified three categories of mental health support programs (clinical nurse educator-led mentorship, mindfulness-based interventions, and workplace environment support) and four types of educational programs (resilience education, communication skills training, positive psychology interventions, and stress management education). Research gaps included limited evidence regarding long-term effectiveness and the lack of standardized measurement tools.ConclusionExisting programs show promise; however, researchers need to conduct rigorous, longitudinal, multisite studies using standardized measurement tools, along with research that evaluates program sustainability, cost-effectiveness, and cultural adaptability.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535261491856"},"PeriodicalIF":2.5,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Creative NursingPub Date : 2026-09-28DOI: 10.1177/10784535261493619
Mallory Bejster, Virginia Reising, Sam Ramos
{"title":"Artful Encounters: Using Visual Humanities to Explore Social Complexity in Nursing.","authors":"Mallory Bejster, Virginia Reising, Sam Ramos","doi":"10.1177/10784535261493619","DOIUrl":"https://doi.org/10.1177/10784535261493619","url":null,"abstract":"<p><p>Integrating humanities into nursing education can deepen self-understanding, enhance empathy and communication, and strengthen culturally responsive practice. This article describes an innovative partnership between a college of nursing and a major urban art institute designed to encourage nursing faculty and students to explore sociological complexity through facilitated engagement with visual art. Nursing faculty collaborated with the museum's Director of Gallery Activation to offer Civic Wellness workshops, during which participants spent two hours at the museum observing and reflecting on selected artworks. Workshop participation was voluntary and not tied to coursework or job requirements, creating a low-stakes environment for personal and professional growth. Postworkshop surveys captured quantitative outcomes and qualitative reflections. Between July 2024 and March 2025, two workshops engaged 17 participants, with 15 participants (9 students, 5 faculty, and 1 staff) returning postsurveys. Eighty-seven percent reported the workshops cultivated their curiosity and social awareness, and 67% reported an improvement in their perceived ability to provide culturally responsive care after the workshop. Students also noted exposure to new populations and health topics through engaging with artworks depicting diverse cultural contexts and narratives. Feasibility evaluation results suggest that engaging with the humanities can encourage vulnerability, reflection, and empathy, offering learning experiences not easily replicated in traditional nursing curricula. Nursing programs should consider integrating humanities-based partnerships to support personal and professional growth for students and faculty.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535261493619"},"PeriodicalIF":2.5,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Creative NursingPub Date : 2026-09-24DOI: 10.1177/10784535261490954
Norah M Alyahya
{"title":"Medication Adherence Views of Mental Health Nurses to Inspire Transformative Care.","authors":"Norah M Alyahya","doi":"10.1177/10784535261490954","DOIUrl":"https://doi.org/10.1177/10784535261490954","url":null,"abstract":"<p><p>AimAdherence to the treatment plan for medications is crucial in treating mental illness but remains low due to complex factors such as illness characteristics, side effects of psychotropic drugs, and systemic health-care challenges. Understanding these barriers is vital for effective management. Most research has been quantitative, focusing on clients and caregivers, leaving gaps in understanding nurses' perspectives. This qualitative study explores views of nurses in Saudi Arabia about medication adherence in clients with mental illness.MethodsNine mental health nurses participated in one of two focus group discussions. Data were analyzed thematically. Guided by Cox's Interaction Model of Client Health Behavior, the findings identified internal (e.g., medication refusal, lack of insight) and external (e.g., weak support, cultural and financial strains) factors influencing non-adherence.ResultsNegative impacts of non-adherence on clients and care were noted, along with adherence-promotion strategies.ConclusionMedication adherence could be enhanced by expanding nursing roles to include psychoeducation, using psychotherapeutic approaches, implementing quality-assurance projects, extending telemedicine services, and providing additional training for nurses.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535261490954"},"PeriodicalIF":2.5,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149042129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Creative NursingPub Date : 2026-09-23DOI: 10.1177/10784535261492027
José Erivelton De Souza Maciel Ferreira
{"title":"Technical Rationality Under Pressure: Nursing Leadership and Clinical Governance in Politically Volatile Health-Care Settings.","authors":"José Erivelton De Souza Maciel Ferreira","doi":"10.1177/10784535261492027","DOIUrl":"https://doi.org/10.1177/10784535261492027","url":null,"abstract":"<p><p>Clinical protocols are commonly framed as technical instruments for standardizing care and improving patient safety. Their implementation in practice, however, depends not only on the strength of the evidence that underpins them, but also on the organizational and political conditions that enable their continuity over time. In health-care settings characterized by administrative instability, political interference, patronage-based appointments, and high workforce turnover, adherence to protocols becomes especially fragile. This practice-based analysis examines how such conditions affect clinical governance and argues that nursing leadership plays a pivotal operational role in safeguarding the technical coherence of care. Drawing on frontline managerial experience and recent literature, the paper explores how politically volatile institutional environments can undermine protocol continuity, weaken safety culture, erode team trust, and generate tensions between formal authority and technical authority. It also considers the practical implications for nurse leaders and health-care managers working in systems where nontechnical pressures may reshape priorities, disrupt implementation, and compromise the sustainability of evidence-based practices. In these contexts, sustaining protocols requires more than technical design; it demands leadership capable of protecting standards, reinforcing accountability, and preserving continuity amid recurrent political and organizational disruption. The analysis further proposes that nurse leaders engage upstream through nonpartisan policy advocacy, participation in governance structures, and coalition-building when political and social conditions repeatedly threaten care continuity.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535261492027"},"PeriodicalIF":2.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Creative NursingPub Date : 2026-09-21DOI: 10.1177/10784535261486392
Sarmad Muhammad Soomar, Kiran Qasim Ali, Simel Masood, Jatender Lal, Rameen Faisal, Syeda Naghma Rizvi, Muhammad Abir, Tazeen Saeed Ali
{"title":"From Silence to Solutions: Learning Through the \"Problem Tree Game\" to Explore Public Health-Oriented Sexual and Reproductive Health Issues.","authors":"Sarmad Muhammad Soomar, Kiran Qasim Ali, Simel Masood, Jatender Lal, Rameen Faisal, Syeda Naghma Rizvi, Muhammad Abir, Tazeen Saeed Ali","doi":"10.1177/10784535261486392","DOIUrl":"https://doi.org/10.1177/10784535261486392","url":null,"abstract":"<p><p>BackgroundGame-based learning has become a successful method for encouraging nursing students' active participation, critical thinking, and conceptual understanding, while building comfort and helping with information recall. It is a creative and interactive approach for talking about sexual and reproductive health and rights (SRHR), especially in countries like Pakistan where this subject is still culturally sensitive.ObjectiveThis study explored undergraduate public health nursing students' learning about cause-and-effect relationships in sexual health using the Problem Tree Game as a teaching/learning tool. Through experiential learning, the goal was to improve comprehension, memory, and application of SRHR knowledge in the public health domain.MethodsA design-based research approach was used, including: (1) co-design and conceptualization; (2) prototype development and testing; (3) implementation and evaluation (through focus group discussions); and (4) reflection and refinement. Data analysis was conducted through reflexive thematic analysis.ResultsFour major themes were identified: (1) Game-based Learning as Cognitive Architecture for SRHR Learning; (2) Learning as a Social, Dialogic, and Reflective Process; (3) Facilitation, Learning Climate, and the Pedagogical Conditions of Participation; (4) Cognitive Friction in SRHR Game Play.ConclusionThe Problem Tree Game effectively linked theoretical SRHR concepts with practical reasoning skills in public health nursing. By promoting dialogue, reflection, and empathy, this gamified approach holds significant potential to bridge the knowledge-to-practice gap in SRHR education in Pakistan, preparing future nurses for culturally competent community engagement.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535261486392"},"PeriodicalIF":2.5,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Creative NursingPub Date : 2026-09-12DOI: 10.1177/10784535261487679
Frezer Kedir, Sadik Abdulwehab
{"title":"Geriatric Nursing Care in Ethiopia: A Systematic Review of Nurses' Knowledge, Attitudes, and Practices.","authors":"Frezer Kedir, Sadik Abdulwehab","doi":"10.1177/10784535261487679","DOIUrl":"https://doi.org/10.1177/10784535261487679","url":null,"abstract":"<p><p>BackgroundEthiopia's rapidly growing older population increases demand for geriatric care, yet nurses' knowledge, attitudes, and practices toward elderly care remain fragmented and inadequately synthesized at the national level.ObjectiveThis systematic review assessed the overall level of nurses' knowledge, attitudes, and practice toward geriatric care in Ethiopia and identified key factors influencing these elements.MethodsA comprehensive literature search was conducted across PubMed, Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature, Google Scholar, and African Journals Online. Eligible studies were screened, and data were extracted using predefined criteria. Study quality was assessed using the Joanna Briggs Institute checklist. A random-effects meta-analysis was performed to estimate the pooled prevalence and identify associated factors.ResultsSeven studies from diverse Ethiopian regions were included. The mean proportion of nurses with knowledge of geriatric care that was rated as good or better was 43%, while 44% of the nurses studied had positive attitudes about geriatric care, and 39% had good practice levels of geriatric care. Determinants of higher knowledge, attitudes, and practice included previous geriatric training, higher education level, living with older adults, longer work experience, and being in the 30-39 years age group.Conclusion and RecommendationThis review found that fewer than half of Ethiopian nurses demonstrate adequate knowledge, positive attitudes, or good practice toward geriatric care. Targeted geriatric training and curriculum reform are urgently needed.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535261487679"},"PeriodicalIF":2.5,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148957216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}