Creative NursingPub Date : 2026-08-01Epub Date: 2026-07-07DOI: 10.1177/10784535261467379
Ahtisham Younas
{"title":"Critical Approaches for Nursing Research: Critical Mixed Methods Research.","authors":"Ahtisham Younas","doi":"10.1177/10784535261467379","DOIUrl":"10.1177/10784535261467379","url":null,"abstract":"<p><p><i>Creative Nursing</i> Volume 32 Issue 2 introduced critical qualitative research as part of the series on Critical Approaches for Nursing Research. This third article continues the series by offering an overview of critical mixed methods research (cMMR). As nurse researchers increasingly recognize the limitations of single-method inquiry for addressing complex equity issues, cMMR offers a powerful approach that integrates qualitative and quantitative methodologies through a critical lens. Drawing on two recently proposed frameworks (Hernandez-Johnson and Bendixen's 11-phase process and Younas, Kvist, and Stolt's conceptual framework), this article outlines the philosophical foundations, core features, and practical considerations for designing and conducting cMMR in nursing. The next editorial in the series will address queer research methods.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"457-461"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148400091","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 : 2026-08-01Epub Date: 2026-07-14DOI: 10.1177/10784535261470016
Kristen P Treinen
{"title":"Exploring Lateral Violence Among Nurses.","authors":"Kristen P Treinen","doi":"10.1177/10784535261470016","DOIUrl":"10.1177/10784535261470016","url":null,"abstract":"<p><p>This qualitative descriptive study explored how 26 nurses practicing in diverse settings across the United States experienced, understood, and made meaning of nurse-to-nurse bullying, and how these experiences shaped their workplace culture. Analysis of the results of semi-structured interviews revealed three themes: the normalization of bullying through professional language and early socialization, the acceptance of bullying as a rite of passage tied to power and hierarchy, and the need to intentionally disrupt these patterns through nursing education. Participants described how bullying began in nursing school and continued into their clinical practice, contributing to stress, disengagement, and intent to leave the profession. They also emphasized the responsibility of nursing educators to address workplace climates and to prepare students to respond to bullying through the curriculum. Creating learning environments that emphasize communication, reflection, and relational accountability may help challenge the normalization of bullying and foster more supportive and collaborative nursing cultures.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"380-387"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438864","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 : 2026-08-01Epub Date: 2026-07-15DOI: 10.1177/10784535261468735
Vania Carter-Strauss
{"title":"Supporting Undocumented Nursing Students: A Narrative Review.","authors":"Vania Carter-Strauss","doi":"10.1177/10784535261468735","DOIUrl":"10.1177/10784535261468735","url":null,"abstract":"<p><p>IntroductionUndocumented students face systemic and personal challenges in pursuing nursing education, particularly within the current sociopolitical climate. The purpose of this narrative review of the literature is to explore strategies to foster inclusive and supportive learning environments for undocumented nursing students.MethodsA systematic search of the literature was conducted to explore the experiences of undocumented college/university students and college/university nursing students. A narrative synthesis approach was used to categorize the findings into themes.ResultsThe literature on the broader population of undocumented college students highlights several key themes that shape their educational experiences and interactions with institutional support systems. These themes include the distinction between undocu-friendly and undocu-serving institutions, barriers to academic and mental health services, legal vulnerability, psychosocial well-being, the dual role of family as both a source of support and stress, and the advocacy and navigational strategies students employ to persist in higher education.ConclusionThe literature review revealed a significant gap in the literature regarding undocumented nursing students. Actionable recommendations are made for building undocu-affirming practices within nursing programs.Clinical RelevanceSupporting undocumented students promises to increase success in nursing degree achievement and promote higher education goals in a previously underrepresented population.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"414-421"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148457905","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 : 2026-07-31DOI: 10.1177/10784535261473236
Masauko Msiska, Patrick Mapulanga, Annie Msosa, Ingrid Tjoflåt, Kristin Hjorthaug Urstad, Bodil Bø, Eva Christina Furskog-Risa, Gertrude Mwalabu
{"title":"Using Simulation to Improve the Quality of Nursing and Midwifery Education in Malawi: A Qualitative Descriptive Study.","authors":"Masauko Msiska, Patrick Mapulanga, Annie Msosa, Ingrid Tjoflåt, Kristin Hjorthaug Urstad, Bodil Bø, Eva Christina Furskog-Risa, Gertrude Mwalabu","doi":"10.1177/10784535261473236","DOIUrl":"https://doi.org/10.1177/10784535261473236","url":null,"abstract":"<p><p>Simulation-based education (SBE) is increasingly used in health-care training, offering nursing and midwifery students hands-on experiences in realistic controlled environments. This study examined the views of educators, clinical instructors, and final-year students in Malawi, where limited research on SBE exists. Using a descriptive qualitative approach, data were collected through interviews with 35 educators and clinical instructors and focus group discussions with 91 students from hospitals and academic institutions. The findings revealed that SBE enhanced comprehensive skill development, encouraged teamwork in multidisciplinary settings, and improved knowledge retention through repetition and reflection. Participants emphasized that SBE built students' self-confidence by allowing them to learn from mistakes in a safe space, thereby reducing clinical errors. Simulation-based education was seen as a cost-effective, practical tool that supported the development of both technical and nontechnical skills essential for health-care practices. This study underscores the significant role of SBE in preparing students for real-world clinical challenges and advocates for its broader adoption in nursing and midwifery curricula across Malawi to strengthen health-care education and service delivery.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535261473236"},"PeriodicalIF":2.5,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649752","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 : 2026-07-06DOI: 10.1177/10784535261464193
Anita Fafa Dartey, Theodocia Avle Doe, John Yesuohene Ofori, Francis Mawougnon Sagbo, Dennis Uwumbordo Alhassan, Perfect Titiati
{"title":"A Qualitative Study of the Effect of Climate Change on Home Visiting in the Ho Municipality, Ghana.","authors":"Anita Fafa Dartey, Theodocia Avle Doe, John Yesuohene Ofori, Francis Mawougnon Sagbo, Dennis Uwumbordo Alhassan, Perfect Titiati","doi":"10.1177/10784535261464193","DOIUrl":"https://doi.org/10.1177/10784535261464193","url":null,"abstract":"<p><p><b>Introduction:</b> Climate change is one of the major factors making home visiting of patients more challenging and complex. The increasing concentration of greenhouse gases intensifies climate change impacts, prompting a crucial investigation into how environmental shifts are influencing the practice of home visiting and the well-being of individuals and families relying on these services. <b>Objective:</b> To explore the effects of climate change on home visit practices in the Ho Municipality of Ghana. <b>Method:</b> This study employed a qualitative descriptive approach and a purposive sampling technique to recruit 19 participants to reach data saturation. In-depth interviews were conducted, audio recorded, and analyzed using thematic analysis. <b>Results:</b> Three themes (Negative Outcomes of Climate Change, Daily Confronts, and Strategies to Allay these Confronts) were generated. <b>Conclusion:</b> Based on the study's findings, a climate-resilient strategy and evidence-based training on coping mechanisms should be developed to sustain and improve the home visiting program.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535261464193"},"PeriodicalIF":2.5,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392441","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 : 2026-05-11DOI: 10.1177/10784535261448187
Sara Lewandowski, Nitha Mathew Joseph, Sheeba John
{"title":"The Role of Nurse Health Coaching in Supporting Physical Activity Behavior Change.","authors":"Sara Lewandowski, Nitha Mathew Joseph, Sheeba John","doi":"10.1177/10784535261448187","DOIUrl":"10.1177/10784535261448187","url":null,"abstract":"<p><p>Nurse health coaching certification is a unique specialty that is being reported in the literature to support health along the continuum of illness to wellness. Board-certified nurse coaches can help clients achieve their health goals. In this article, a nurse coach provided coaching to participants using motivational interviewing techniques. This article describes an intervention in which a nurse provided health coaching to mutual-support dyads of South Asian women. Using technology-based communication and motivational interviewing techniques, the nurse supported participants in working toward their physical activity goals. This article offers a brief overview of the nurse-led health coaching component of the intervention.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535261448187"},"PeriodicalIF":0.9,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147870378","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":"Designing Environments of Care: Nursing Leadership and Healing Practice in Global Advocacy Systems.","authors":"Angelica Walton, Kasey Bellegarde-Armstrong, Mary Benbenek, Julie Nisco-Madden, Loryann Fradejas, Urszula Winkiewicz, Judith Pechacek","doi":"10.1177/10784535261447930","DOIUrl":"https://doi.org/10.1177/10784535261447930","url":null,"abstract":"<p><p>Discrimination and violence against women and girls continue to rise globally, and the advocacy spaces confronting these crises are themselves sites of emotional intensity, trauma exposure, and burnout. This quality improvement report describes a nursing-led initiative to cocreate environments of care within the nongovernmental organization (NGO) Commission on the Status of Women (CSW) Forum, a nongovernmental advocacy space that connects civil society and grassroots activists to the official United Nations CSW, one of the world's largest gatherings on gender equality worldwide. In partnership with NGO CSW Forum leaders and community healers, nurses designed and implemented a two-phase restoration initiative that offered respite, somatic regulation, and relational support for delegates and organizers. Guided by Healing Justice, Human Caring Theory, and Human-Centered Leadership frameworks, the project elevates nursing's role as social architects for caring spaces in high-intensity systems and settings. Using participatory codesign principles and value-oriented relationship building, the initiative engaged more than 100 participants over 2 weeks, with feedback highlighting experiences of calm, connection, and renewed capacity to continue advocacy work. Executive leaders rated the initiative as highly valuable and integrated it into the formal forum structure. This case illustrates how nurses can lead care-centered design in global advocacy contexts, using power-with partnerships to address burnout, sustain participation, and model environments of care adaptable across health and social systems.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535261447930"},"PeriodicalIF":0.9,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846141","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 : 2026-05-01Epub Date: 2025-08-21DOI: 10.1177/10784535251368947
Lisa Gomes, Maria Cassar, Roderick Bugeja, Inês Oliveira, João Cainé, Maria Augusta Romão Veiga, Rui Pereira, Daren Chircop
{"title":"Virtual Escapes: A Pedagogical Strategy for Developing Emotional Competence in Nursing Students.","authors":"Lisa Gomes, Maria Cassar, Roderick Bugeja, Inês Oliveira, João Cainé, Maria Augusta Romão Veiga, Rui Pereira, Daren Chircop","doi":"10.1177/10784535251368947","DOIUrl":"10.1177/10784535251368947","url":null,"abstract":"<p><p>Emotional competence, the ability to manage interpersonal relationships through understanding one's and others' emotions, encompasses two dimensions: cognitive and behavioral. In nursing practice, the combination of these dimensions allows for better performance in highly complex clinical situations. Nursing education does not always emphasize these competences. This pilot study explored the potential of an escape room, a Serious Games (SGs) prototype with virtual reality (VR), as a pedagogical strategy for eliciting emotions in a safe learning environment. Participants' immersion in the game provided an opportunity to identify, manage, and process emotions. Data were gathered by a questionnaire and by observation of performance. The findings revealed that participants felt various emotions (n = 51) while playing the game. The least frequent reported emotions were hope, shame, and contempt. Admiration, pride, satisfaction, and fear were the most frequently reported emotions. These findings suggest that using a SGs prototype with VR as a pedagogical tool holds significant potential in emotion elicitation in a safe learning environment, implying its value as a construct of emotional competence. Further research to verify educational value is recommended.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"194-204"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978323","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":"Conceptualizations of Allyship with 2S/LGBTQ+ Groups in the Context of Health Settings: A Scoping Review.","authors":"Ingrid Handlovsky, Allie Slemon, Lenora Marcellus, Lorelei Newton, Sage Schmied, Jaymelyn Hubert, Bernadette Zakher, Jessica Mussell","doi":"10.1177/10784535261439715","DOIUrl":"10.1177/10784535261439715","url":null,"abstract":"<p><p>BackgroundTwo-Spirit, lesbian, gay, bisexual, transgender, queer, and other sexual and gender identity diverse (2S/LGBTQ+) individuals experience health inequities rooted in discrimination. Efforts to redress this discrimination in health settings is frequently termed allyship. However, definitions of allyship remain ambiguous, posing challenges for health providers.Review QuestionHow is allyship defined in the literature specific to 2S/LGBTQ+ people and health settings and/or health care in countries where English is the primarily spoken language (Canada, the United States, the United Kingdom, Australia, and New Zealand)?MethodsThis scoping review drew on the Joanna Briggs Institute (JBI) approach and qualitative descriptive analysis of 46 sources.ConclusionsThe dearth of specificity in definitions of allyship poses challenges for health-care provision and education.Implications for Practice, Education, or ResearchCommunity-engaged research is needed to elicit the perspectives of 2S/LGBTQ+ people about conceptualizing allyship. A clear definition of allyship is necessary for integration into classroom and clinical curriculum. Further, a clear definition of allyship will inform practice via education and via institutional guidelines, policies, and practice standards with the overarching goal of improving health outcomes for 2S/LGBTQ+ people.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"259-273"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147639815","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 : 2026-05-01Epub Date: 2026-04-20DOI: 10.1177/10784535261444383
Ahtisham Younas, Deanne Curnew, Laura Alyssa Roberts, Amara Sundus, Younas Masih, Abubaker M Hamed
{"title":"Social Justice Is Not a Power-Driven Charity: The Problem With \"Equity-Deserving\" Terminology in Health Equity Literature.","authors":"Ahtisham Younas, Deanne Curnew, Laura Alyssa Roberts, Amara Sundus, Younas Masih, Abubaker M Hamed","doi":"10.1177/10784535261444383","DOIUrl":"10.1177/10784535261444383","url":null,"abstract":"<p><p>This commentary critiques the growing use of the term \"equity-deserving\" in health equity literature, academic institutions, and policy research. The term was originally intended to frame equity as a right rather than a request. However, we argue that \"equity-deserving\" is a conceptually flawed term that reinforces a charity-based model of social justice by positioning institutions as benevolent givers and marginalized groups as passive receivers. This, in turn, results in obscuring the structural causes of inequality, risking the creation of meritocratic gatekeeping in clinical care and jeopardizing the validity of health equity research through the use of monolithic, performative labels.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"274-278"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730686","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}