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Indigenous Nurses' Worldviews and the Contested Space of Climate Discourse. 土着护士的世界观和气候话语的争议空间。
IF 0.9
Creative Nursing Pub Date : 2025-07-31 DOI: 10.1177/10784535251362505
Odette M Best, Melissa Vera, Melessa Kelley
{"title":"Indigenous Nurses' Worldviews and the Contested Space of Climate Discourse.","authors":"Odette M Best, Melissa Vera, Melessa Kelley","doi":"10.1177/10784535251362505","DOIUrl":"https://doi.org/10.1177/10784535251362505","url":null,"abstract":"<p><p>In this paper, we present three Indigenous worldviews, anchored to the epistemology and ontology of each author in discussing climate impact on Indigenous people. Each worldview speaks to our unique and individual Indigenous ways of knowing, being, and doing. We then extended the Indigenous worldviews by discussing the climate crisis and its impact on Indigenous peoples, the voices of Indigenous nurses in the climate space, and further outline how we believe that climate change impact is a colonizing force which is structurally racist. We then provide some potential ways forward. We argue that being a climate activist involves being an advocate for Indigenous justice and a disruptor of Western paradigms of economy, ownership, and capitalism.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535251362505"},"PeriodicalIF":0.9,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755110","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}
引用次数: 0
Listening to the Voice of Laryngeal Dystonia: Advocating from the Inside Out. 聆听喉张力障碍的声音:由内而外的倡导。
IF 0.9
Creative Nursing Pub Date : 2025-07-29 DOI: 10.1177/10784535251362893
Lorraine Steefel
{"title":"Listening to the Voice of Laryngeal Dystonia: Advocating from the Inside Out.","authors":"Lorraine Steefel","doi":"10.1177/10784535251362893","DOIUrl":"https://doi.org/10.1177/10784535251362893","url":null,"abstract":"<p><p>Some 29 million people in the United States have the neurological voice disorder spasmodic dysphonia (SD), a type of what is now more accurately called laryngeal dystonia (LD), characterized by an altered voice, the result of involuntary and intermittent contractions of the laryngeal muscles. This personal account details key facts about LD, as its etiology and treatment are still in research. It attests to how LD compromises communication and can threaten people's self-esteem, even their lives, and provides implications for nursing practice.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535251362893"},"PeriodicalIF":0.9,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735262","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}
引用次数: 0
Stories of Strength. 力量的故事。
IF 0.6
Creative Nursing Pub Date : 2025-07-24 DOI: 10.1177/10784535251360780
Marty Lewis-Hunstiger
{"title":"Stories of Strength.","authors":"Marty Lewis-Hunstiger","doi":"10.1177/10784535251360780","DOIUrl":"https://doi.org/10.1177/10784535251360780","url":null,"abstract":"<p><p>In <i>Creative Nursing</i> 2025, Amplifying Seldom-Heard Voices and Dismantling Oppressive Structures, we continue to confront complex issues, listening for narratives that are often suppressed or discounted and contravening the forces and policies that act to stifle them. The theme of Issue 3, Indigenous Voices Sharing Our Stories and Leading Change, continues our legacy of publishing information that the world needs to hear. This journal issue brings together a group of scholars, many of whom are Indigenous, to speak their truths. Many report on the impact of the physical and cultural genocide against Indigenous people in many lands. But when establishing the rightful place of Indigenous scholars and Indigenous ways of knowing, and teaching about Indigenous health, it is important to acknowledge the pre-contact history of Indigenous peoples and to take a strengths-based approach. All of this issue's articles about Indigenous health are exemplars of strengths-based, solutions-focused knowledge about how to support Indigenous nursing students and how to provide culturally safe care, fully conscious of issues of structure and power.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535251360780"},"PeriodicalIF":0.6,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700283","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}
引用次数: 0
Investigating the Relationship Between Self-Efficacy and Caring Behaviors in Critical Care Nurses: A Cross-Sectional Study. 危重护理护士自我效能感与关怀行为关系的横断面研究
IF 0.6
Creative Nursing Pub Date : 2025-07-23 DOI: 10.1177/10784535251357968
Hossein Bakhtiari-Dovvombaygi, Zahra Rahmaty, Fatemeh Bahramnezhad
{"title":"Investigating the Relationship Between Self-Efficacy and Caring Behaviors in Critical Care Nurses: A Cross-Sectional Study.","authors":"Hossein Bakhtiari-Dovvombaygi, Zahra Rahmaty, Fatemeh Bahramnezhad","doi":"10.1177/10784535251357968","DOIUrl":"https://doi.org/10.1177/10784535251357968","url":null,"abstract":"<p><p>This descriptive-analytical cross-sectional study investigated the relationship between self-efficacy and self-reported caring behaviors of 198 nurses working in intensive care units of hospitals affiliated with Tehran University of Medical Sciences in Tehran, Iran in 2023. The tools used were a Sociodemographic Information Form, the Nursing Profession Self-Efficacy Scale, and the Caring Behaviors Inventory. In the multiple linear regression model, the support situation subscale of self-efficacy was significantly associated with the total caring behavior scores of nurses (<i>β</i> = 1.9, 95% CI = 1.74-2.07, <i>p</i> = 0.001). In the multiple linear regression model, 70% of the variance in caring behaviors among nurses was explained (<i>R</i><sup>2</sup> = 0.73). By recognizing the role of social support in fostering nurses' confidence and competence, healthcare organizations can implement targeted interventions to promote a supportive work environment and enhance patient care outcomes.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535251357968"},"PeriodicalIF":0.6,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692318","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}
引用次数: 0
Choosing an Analytical Approach in Narrative Inquiry. 叙事探究中分析方法的选择。
IF 0.6
Creative Nursing Pub Date : 2025-07-22 DOI: 10.1177/10784535251360782
Ahtisham Younas, Shahzad Inayat
{"title":"Choosing an Analytical Approach in Narrative Inquiry.","authors":"Ahtisham Younas, Shahzad Inayat","doi":"10.1177/10784535251360782","DOIUrl":"https://doi.org/10.1177/10784535251360782","url":null,"abstract":"<p><p>Narrative inquiry focuses on gathering a comprehensive account of individuals' life experiences and their life stories. This editorial is the third in a series titled \"Focus on Qualitative Data Analysis.\" The aim of this editorial is to provide researchers with guidance on choosing appropriate methods of analyses for undertaking narrative inquiry. Previous articles in this series addressed case studies and phenomenology. Future articles will focus on qualitative description and ethnography.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535251360782"},"PeriodicalIF":0.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692317","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}
引用次数: 0
Healing Through Representation: An Integrative Review of American Indian and Alaska Native Students in Health Professions Education. 透过表征疗愈:美国印第安人和阿拉斯加原住民学生在卫生专业教育中的综合回顾。
IF 0.6
Creative Nursing Pub Date : 2025-07-22 DOI: 10.1177/10784535251359691
Kristin Payestewa-Picazo, Timian M Godfrey, Tim Joseph Sowicz, Sarah M Llanque-White, Barret Michalec
{"title":"Healing Through Representation: An Integrative Review of American Indian and Alaska Native Students in Health Professions Education.","authors":"Kristin Payestewa-Picazo, Timian M Godfrey, Tim Joseph Sowicz, Sarah M Llanque-White, Barret Michalec","doi":"10.1177/10784535251359691","DOIUrl":"https://doi.org/10.1177/10784535251359691","url":null,"abstract":"<p><p><b>Background:</b> The underrepresentation of American Indian and Alaska Native (AI/AN) professionals in health care exacerbates health disparities and limits culturally relevant care. The AI/AN students in health professions face challenges such as financial barriers, cultural isolation, and systemic discrimination. <b>Objective:</b> This review examines the barriers and facilitators influencing the success of AI/AN students in health professions education, identifying strategies for improvement. <b>Methods:</b> A synthesis of 14 peer-reviewed studies examined factors affecting the success of AI/AN students, with a focus on challenges, interventions, and outcomes. <b>Results:</b> Key challenges include academic structures that do not incorporate Indigenous knowledge, a lack of AI/AN faculty and mentors, and the struggle to balance professional training with cultural identity. Interventions such as culturally tailored mentorship, financial support, and retention programs have improved retention and graduation rates. <b>Conclusion:</b> The findings underscore the need for institutional reforms, including the integration of Indigenous perspectives into curricula and the strengthening of partnerships with tribal colleges and universities. While short-term programs offer vital support, addressing systemic issues requires long-term structural change. Future research should focus on longitudinal studies, policy evaluations, and holding institutions accountable for advancing equity in health-care education.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535251359691"},"PeriodicalIF":0.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683542","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}
引用次数: 0
A Success Academy for Increasing Tribal College Transfer Student Success in Nursing Degree Completion: A Mixed-Methods Study. 提高部落学院转学生护理学位完成成功率的成功学院:一项混合方法研究。
IF 0.6
Creative Nursing Pub Date : 2025-07-15 DOI: 10.1177/10784535251357340
Twila Yellow Horse, Madeline Metcalf, Laura S Larsson
{"title":"A Success Academy for Increasing Tribal College Transfer Student Success in Nursing Degree Completion: A Mixed-Methods Study.","authors":"Twila Yellow Horse, Madeline Metcalf, Laura S Larsson","doi":"10.1177/10784535251357340","DOIUrl":"https://doi.org/10.1177/10784535251357340","url":null,"abstract":"<p><p><b>Background:</b> A health-care workforce that mirrors the identities of patients is critical for achieving positive outcomes. To support a highly qualified and diverse nursing workforce, the Caring for Our Own Program (CO-OP) aims to increase the enrollment and retention of Indigenous students in nursing programs. Poor retention rates for Tribal-college transfer students (35.9%) presented a barrier to success for students best placed to enhance the nursing workforce in Tribal communities. <b>Methods:</b> CO-OP piloted the Success Academy, a pre-entry immersion program for Tribal college transfer students, ahead of four consecutive semesters. This four-week immersion featured a holistic hybrid format to improve sense of place, financial security, academic readiness, and social connection. <b>Results:</b> Thirty students participated ahead of beginning upper division coursework. Twenty have progressed without delays, including seven who graduated on time and are pursuing licensure. Five participants were delayed by one semester to repeat one or more courses, one was delayed by two semesters, and four stepped away. <b>Conclusion:</b> Success Academy had a demonstrable long-term impact to improve college access and success for Indigenous nursing candidates most ideally placed to make lasting change on Indigenous health in the Western U.S.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535251357340"},"PeriodicalIF":0.6,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644127","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}
引用次数: 0
Centering First Voice in Indigenous Ways of Knowing in a Foundational Indigenous Health Course. 原住民健康基础课程中以原住民认知方式为中心的第一声音。
IF 0.6
Creative Nursing Pub Date : 2025-07-15 DOI: 10.1177/10784535251357331
Michelle Scott Paul, Heather Bensler, Evelyn Good Striker
{"title":"Centering First Voice in Indigenous Ways of Knowing in a Foundational Indigenous Health Course.","authors":"Michelle Scott Paul, Heather Bensler, Evelyn Good Striker","doi":"10.1177/10784535251357331","DOIUrl":"https://doi.org/10.1177/10784535251357331","url":null,"abstract":"<p><p>In Fall 2024, the University of Calgary Faculty of Nursing launched its inaugural Indigenous health course within the new Bachelor of Science in Nursing curriculum. Rather than simply providing a stand-alone course, this first-year course provides the foundation for ongoing learning and transformation needed to prepare nursing students to provide culturally safe care to Indigenous peoples. In this article, we will share the curriculum design process and implementation of the first iterations of the course. We will highlight the long-standing relationships and trust built over years that made it possible for a group of women (a Mi'kmaw/Irish/English settler scholar, a Scottish/German settler nurse scholar, and a Lakota/Dakota Elder, and scholar) to work together from course design to implementation and validation. Through the embodied practice of \"first voice\" as eloquently articulated in the epilogue by Graveline, we are leading change through stories of lived experiences that enable us to forefront Indigenous ways of knowing, being, doing, and connecting from our unique locations.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535251357331"},"PeriodicalIF":0.6,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638675","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}
引用次数: 0
Asserting Indigenous Academic Sovereignty Through Assemblage, Indigenization, and Cultural Safety. 通过集合、本土化和文化安全来维护本土学术主权。
IF 0.6
Creative Nursing Pub Date : 2025-07-10 DOI: 10.1177/10784535251357218
Morgan A Torris-Hedlund, Donna-Marie Palakiko, Ebony Komene
{"title":"Asserting Indigenous Academic Sovereignty Through Assemblage, Indigenization, and Cultural Safety.","authors":"Morgan A Torris-Hedlund, Donna-Marie Palakiko, Ebony Komene","doi":"10.1177/10784535251357218","DOIUrl":"https://doi.org/10.1177/10784535251357218","url":null,"abstract":"<p><p>Colonial academic institutions systematically marginalize Indigenous scholars and devalue Indigenous knowledge systems by privileging methodologies, epistemologies, and structures rooted in White-dominant cultural norms. This exclusion is a structural feature of what this paper terms <i>colonial academia</i>. These systems persist in nursing education and research due to tenure and promotion criteria, Institutional Review Board protocols, publishing standards, and the underrepresentation of Indigenous faculty. These mechanisms function to suppress relational, land-based, and community-driven approaches fundamental to Indigenous ways of knowing. Focusing on nursing academia, we explore how Indigenous scholars can resist these systemic barriers through three interconnected strategies: assemblage, Indigenization, and cultural safety. We share how these strategies are applied across nursing education, research, and policy, enabling scholars to assert knowledge sovereignty while navigating institutional constraints. Assemblage allows for the selective incorporation of colonial tools into Indigenous frameworks. Indigenization aims to restructure institutions through Indigenous governance, ethics, and pedagogy. Cultural safety ensures these transformations are accountable to Indigenous communities. Together, these strategies challenge epistemic injustice and offer a model for transforming colonial institutions from within. By illustrating how Indigenous scholars lead these efforts, this paper contributes to global conversations on decolonization in health sciences and higher education.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535251357218"},"PeriodicalIF":0.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602198","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}
引用次数: 0
Recognizing the Role of Cultural Safety in Supporting Indigenous Voices in an Intensive Care Unit. 认识到文化安全在支持重症监护室土著声音方面的作用。
IF 0.6
Creative Nursing Pub Date : 2025-07-08 DOI: 10.1177/10784535251354983
Sandra K Richardson, Anna Richardson
{"title":"Recognizing the Role of Cultural Safety in Supporting Indigenous Voices in an Intensive Care Unit.","authors":"Sandra K Richardson, Anna Richardson","doi":"10.1177/10784535251354983","DOIUrl":"https://doi.org/10.1177/10784535251354983","url":null,"abstract":"<p><p>Conceptual approaches such as cultural safety have developed in nursing to address issues of power and oppression, emerging from Indigenous knowledge and the pain of colonization. Cultural safety aims to improve the safety of individuals and families, recognizing the role of power and oppression in health care, to return power to the recipient of care. <b>Purpose:</b> This research was designed to study the perceptions of intensive care nurses and to identify the degree to which cultural safety was incorporated into their nursing practice. <b>Methods:</b> This is a secondary analysis of a single-country data set, extracted from a qualitative-descriptive multisite study. The data set contains individual, in-depth, qualitative interviews with registered nurses working in intensive care (<i>N</i> = 8). Reflexive deductive thematic analysis was used to generate findings. <b>Conclusions:</b> This study illustrated the use of cultural safety and the application of Treaty of Waitangi principles by intensive care nurses in New Zealand, demonstrating the integration of principles of equity, partnership, active protection, and options. The use of cultural safety is identified as a means by which Indigenous voices can be supported in health care.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535251354983"},"PeriodicalIF":0.6,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585618","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}
引用次数: 0
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