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Breaking Barriers to Advocacy as a Core Professional Responsibility in Nursing: The Nursing Advocacy Activation Model. 护理倡导的核心职业责任:护理倡导激活模型。
IF 2.5
Creative Nursing Pub Date : 2026-02-01 Epub Date: 2026-01-29 DOI: 10.1177/10784535261418728
Luke Laari
{"title":"Breaking Barriers to Advocacy as a Core Professional Responsibility in Nursing: The Nursing Advocacy Activation Model.","authors":"Luke Laari","doi":"10.1177/10784535261418728","DOIUrl":"10.1177/10784535261418728","url":null,"abstract":"<p><p>Nursing advocacy has emerged as a foundational pillar of modern nursing practice, reflecting the profession's ethical commitment to protecting patient rights, promoting health equity, and shaping health policy. Despite its significance, advocacy remains inconsistently practiced due to barriers at the individual, interpersonal, and systemic levels. This article synthesizes current literature to analyze the evolution, conceptual foundations, challenges, and impact of advocacy as a core professional responsibility in nursing. Findings reveal that while advocacy is strongly supported by ethical codes and professional frameworks, its practical implementation is often hindered by bureaucratic structures, fear of retaliation, limited institutional support, communication barriers, and workload pressures. Strategies such as enhanced education, policy empowerment, organizational culture reform, and interprofessional collaboration are essential to strengthen advocacy in clinical and policy settings. There is a need for a renewed commitment to empowering nurses to advocate in this increasingly complex health-care environment. Future studies should emphasize sustainable advocacy frameworks that enhance nurses' and midwives' influence on health-care system transformation.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"11-18"},"PeriodicalIF":2.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087209","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
Barriers to Integrating Soft Skills in Nursing Education and Patient Care in Ghana's Health-Care Institutions. 加纳卫生保健机构将软技能纳入护理教育和病人护理的障碍。
IF 2.5
Creative Nursing Pub Date : 2026-02-01 Epub Date: 2025-09-03 DOI: 10.1177/10784535251374712
Luke Laari, Menford Owusu Ampomah, Oboshie Anim-Boamah, Priscilla Yeye Adumoah Attafuah, Lillian Akorfa Ohene
{"title":"Barriers to Integrating Soft Skills in Nursing Education and Patient Care in Ghana's Health-Care Institutions.","authors":"Luke Laari, Menford Owusu Ampomah, Oboshie Anim-Boamah, Priscilla Yeye Adumoah Attafuah, Lillian Akorfa Ohene","doi":"10.1177/10784535251374712","DOIUrl":"10.1177/10784535251374712","url":null,"abstract":"<p><p><b>Background:</b> Most professions in which human interactions are essential for successful job performance require both soft and hard skills. Integrating these two concepts has synergistic job output, yet there are barriers to nurse educators and nurse clinicians integrating soft skills. This study identified and described barriers to integrating soft skills in nursing education and patient care. <b>Methods:</b> In this qualitative descriptive study, 27 professional nurses and midwives in three different regions of Ghana completed semi-structured interviews. Data from the interviews were analyzed using inductive dominating content analysis. <b>Findings:</b> Three themes related to barriers were identified. Systemic barriers denoted institutional challenges, including unstructured curricula, that hindered the effective incorporation of soft skills into nursing. Interpersonal barriers denoted barriers arising from individuals' inability to connect and communicate. Personal barriers pertained to nurses' and midwives' difficulties relating to clients and students' lack of attentiveness in the classroom. <b>Conclusion:</b> Notwithstanding the significance of soft skills in nursing care, the identified barriers have hindered nurse educators and clinicians from employing them. Nurse educators are urged to engage with students as junior colleagues and exemplify the principles they impart, while nurse clinicians are recommended to interact and connect with their clients compassionately.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"19-29"},"PeriodicalIF":2.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978136","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 Registered Nurse's Reflection on Sociology. 一名注册护士的社会学思考。
IF 2.5
Creative Nursing Pub Date : 2026-02-01 Epub Date: 2026-01-30 DOI: 10.1177/10784535261417626
Erika L Samman
{"title":"A Registered Nurse's Reflection on Sociology.","authors":"Erika L Samman","doi":"10.1177/10784535261417626","DOIUrl":"10.1177/10784535261417626","url":null,"abstract":"<p><p>Using her personal experience as a Registered Nurse, the author reflects on her decision to study sociology for master's education. The article draws on <i>Why is Thinking Sociologically Important for Nursing,</i> by Gulbu Tanriverdi to discuss two points of application, and how the decision to study sociology was the result of her work as a Registered Nurse in New Orleans, Louisiana.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"8-10"},"PeriodicalIF":2.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094921","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 Natural Part of Human Diversity. 人类多样性的自然组成部分。
IF 0.9
Creative Nursing Pub Date : 2025-11-01 Epub Date: 2025-11-03 DOI: 10.1177/10784535251392922
Marty Lewis-Hunstiger
{"title":"A Natural Part of Human Diversity.","authors":"Marty Lewis-Hunstiger","doi":"10.1177/10784535251392922","DOIUrl":"10.1177/10784535251392922","url":null,"abstract":"<p><p>This fourth issue of <i>Creative Nursing</i> 2025 focuses on people with disabilities (another example of seldom-heard voices), those who are or want to be nurses and those for whom nurses care. Ableism in nursing education has kept out generations of people with disabilities, and our profession is the poorer for it. In this journal issue we hear the voices of content experts about structures and processes needed to enact true inclusion of people with disabilities (including accommodations, communication, leadership, design, technology, advocacy, and policy work), and personal accounts of student learners and professional nurses living with disabilities visible or invisible that have a direct impact on their practice. We hear about varying degrees of inclusion extended to people with achondroplasia, d/Deaf and hard-of-hearing college students, children with profound intellectual and multiple disabilities and their families, and people coping with laryngeal dystonia, sudden blindness, and preparation for discharge to home after a stroke. An article in our series on methodology focuses on qualitative description, in which researchers recruit participants with diverse experiences or who can provide detailed information regarding the phenomenon under study. And we present three recently published articles of general interest, all related either to nursing education or innovations in practice.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"336-340"},"PeriodicalIF":0.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145440028","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
Undergraduate Nursing Students' Engagement and Associated Factors in Classroom Learning. 本科护生课堂学习投入及相关因素研究。
IF 0.9
Creative Nursing Pub Date : 2025-11-01 Epub Date: 2025-05-05 DOI: 10.1177/10784535251337524
Younas Masih, Huma Rubab
{"title":"Undergraduate Nursing Students' Engagement and Associated Factors in Classroom Learning.","authors":"Younas Masih, Huma Rubab","doi":"10.1177/10784535251337524","DOIUrl":"10.1177/10784535251337524","url":null,"abstract":"<p><p>Higher education institutions are under pressure to improve the quality of education. Student engagement (SE) is among the critical indicators of quality education. Numerous studies demonstrated the engagement of nursing students in their learning environment. However, there is limited evidence on nursing students' engagement levels across academic years and post-pandemic restrictions. This study aimed to determine undergraduate nursing students' classroom engagement levels and associated factors across academic years. An analytical cross-sectional survey was conducted in Islamabad, Pakistan. Students enrolled in a Bachelor of Nursing Sciences program (<i>n</i> = 276) participated in this survey. Data were collected using a 40-item Student Engagement Questionnaire. Descriptive and inferential statistics were used for data analysis. Most undergraduate nursing students reported high (47.8%) or moderate (36.6%) levels of engagement. Higher engagement levels were reported in the self-directed learning and adaptability domains and moderate levels in student-teacher and student-student relationships. There was a difference across academic years regarding critical thinking and student health related. Grade point averages and cumulative grade point averages were unrelated to SE. Although most participants reported a high level of SE, the number of moderate-level achievers was significant. Therefore, the findings can be valuable for nursing educators and educational institutions to design effective strategies to improve the conduciveness of the teaching and learning environment and student engagement.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"461-472"},"PeriodicalIF":0.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032390","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
Collective Action for Advancing Disability Inclusion in Nursing Education: The Access in Nursing Program. 促进护理教育中残疾人包容的集体行动:护理计划的访问。
IF 0.9
Creative Nursing Pub Date : 2025-11-01 Epub Date: 2025-10-31 DOI: 10.1177/10784535251392262
Lisa Meeks, Anne Lewis, Brandy Jackson
{"title":"Collective Action for Advancing Disability Inclusion in Nursing Education: The Access in Nursing Program.","authors":"Lisa Meeks, Anne Lewis, Brandy Jackson","doi":"10.1177/10784535251392262","DOIUrl":"10.1177/10784535251392262","url":null,"abstract":"<p><p>This commentary describes how the Access in Nursing (AIN) program, a national working group of the Docs with Disabilities Initiative, models collective action to advance disability inclusion in nursing education. Drawing on theories of distributed leadership, communities of practice, asset-based leadership, and disability justice, we examine how AIN's collaborative structure flattens hierarchies, redistributes power, and centers the expertise of disabled nurses, students, and educators. Examples from AIN's interinstitutional research and education working groups illustrate how coordinated, justice-oriented collaboration can replace compliance-based approaches with sustainable systems of equity. The article concludes by highlighting the implications of collective action for strengthening belonging, and creating scalable pathways to inclusion across nursing education.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"341-345"},"PeriodicalIF":0.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145423416","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
Analyzing the Strengths, Weaknesses, Opportunities, and Threats (SWOT) of Chatbots in Emergency Nursing: A Narrative Review of Literature. 分析聊天机器人在急诊护理中的优势、劣势、机会和威胁(SWOT):文献综述。
IF 0.9
Creative Nursing Pub Date : 2025-11-01 Epub Date: 2025-05-14 DOI: 10.1177/10784535251341624
Hooman Mohammad Talebi
{"title":"Analyzing the Strengths, Weaknesses, Opportunities, and Threats (SWOT) of Chatbots in Emergency Nursing: A Narrative Review of Literature.","authors":"Hooman Mohammad Talebi","doi":"10.1177/10784535251341624","DOIUrl":"10.1177/10784535251341624","url":null,"abstract":"<p><p><b>Background:</b> Artificial intelligence (AI) has the potential to enhance health care by optimizing patient management and supporting workforce demands. AI-driven chatbots have potential in emergency and triage nursing, although their adoption is currently limited. <b>Objective:</b> This review explores the role of chatbots in emergency nursing using a Strengths, Weaknesses, Opportunities, and Threats (SWOT) framework. <b>Methods:</b> A narrative review of 16 studies published between 2018 and 2024 was conducted using PubMed, ScienceDirect, and Google Scholar, synthesizing data into the SWOT framework. <b>Results:</b> Use of chatbots was associated with improved decision-making, operational efficiency, and staff development through educational tools. However, chatbots' incapacity for critical thinking raises concerns about the usefulness of their output in complex scenarios. Opportunities include predictive analytics and better care coordination, while threats include ethical challenges, provider resistance, and overreliance on automation. <b>Conclusion:</b> Chatbots can transform emergency nursing by enhancing efficiency and care quality when used as complementary tools with human oversight.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"451-460"},"PeriodicalIF":0.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081879","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
Disability Intersectionality and Visibility in Nursing. 护理中的残疾交叉性和可视性。
IF 0.9
Creative Nursing Pub Date : 2025-11-01 Epub Date: 2025-09-25 DOI: 10.1177/10784535251379534
Anna Maria Valdez, Andrea Dalzell
{"title":"Disability Intersectionality and Visibility in Nursing.","authors":"Anna Maria Valdez, Andrea Dalzell","doi":"10.1177/10784535251379534","DOIUrl":"10.1177/10784535251379534","url":null,"abstract":"<p><p>Disability remains a largely invisible component of diversity within the nursing profession due to a lack of comprehensive data collection and ongoing systemic ableism. This article explores the multifaceted experiences of nurses with disabilities through an intersectional lens, illustrating how disability intersects with other marginalized identities to create unique and compounded barriers. Drawing on the authors' personal narratives, one with an apparent physical disability and the other with a nonapparent, dynamic disability, the paper highlights how disabled nurses navigate intersectional discrimination, exclusion, and invisibility in both educational and professional settings. Emphasizing that disability is a natural part of human diversity, this article calls for nurses and professional nursing organizations to reimagine equity, diversity, inclusivity, and belonging to include the experiences of people with disabilities and to ensure access in nursing.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"399-406"},"PeriodicalIF":0.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151931","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
Transformative Teaching Practices: Real-Time Feedback for Dynamic Classroom Engagement. 变革教学实践:动态课堂参与的实时反馈。
IF 0.9
Creative Nursing Pub Date : 2025-11-01 Epub Date: 2025-05-06 DOI: 10.1177/10784535251340117
Saleh Salimi, Farinaz Mohammadzad
{"title":"Transformative Teaching Practices: Real-Time Feedback for Dynamic Classroom Engagement.","authors":"Saleh Salimi, Farinaz Mohammadzad","doi":"10.1177/10784535251340117","DOIUrl":"10.1177/10784535251340117","url":null,"abstract":"<p><p><b>Background:</b> High-quality teaching is fundamental to higher education. Over time, the understanding of what constitutes quality teaching has evolved, and the concept of student feedback literacy has recently gained significant attention. <b>Purpose:</b> This descriptive cross-sectional study investigated the efficacy of a real-time feedback survey for classroom lectures. <b>Methods:</b> Forty-eight second-year nursing students enrolled in a compulsory surgical nursing course completed a survey tool assessing understanding, engagement, clarity, pace, visual aids, real-life examples, and interactive activities, at the end of each topic, and adjustments were immediately made by the lecturer in response to student feedback. <b>Results:</b> Teaching quality improved, with students reporting better understanding and fewer misunderstandings. They felt less overwhelmed and requested fewer interactive activities, visual aids, and real-life examples. However, some showed reduced interest and engagement, and felt the lectures were too fast. <b>Conclusion:</b> Real-time feedback enhanced teaching quality by allowing immediate instructional adjustments. However, finding the right balance in repetition and pacing remains essential to sustain student interest and engagement.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"473-479"},"PeriodicalIF":0.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008094","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
Reconsidering the Need for Technical Standards: Embracing Competency-Based Education in Nursing. 重新考虑技术标准的需要:在护理中接受以能力为基础的教育。
IF 0.9
Creative Nursing Pub Date : 2025-11-01 Epub Date: 2025-11-03 DOI: 10.1177/10784535251391874
Brandy Jackson, Rachel Derr, Elizabeth Davis, Dionne DeMille, Serah Nthenge, Kathleen Tilton, Rylee Betchkal, Lisa Meeks
{"title":"Reconsidering the Need for Technical Standards: Embracing Competency-Based Education in Nursing.","authors":"Brandy Jackson, Rachel Derr, Elizabeth Davis, Dionne DeMille, Serah Nthenge, Kathleen Tilton, Rylee Betchkal, Lisa Meeks","doi":"10.1177/10784535251391874","DOIUrl":"10.1177/10784535251391874","url":null,"abstract":"<p><p>The use of technical standards has been common in nursing education for 40 years, originating to clarify nonacademic criteria for admission to and completion of nursing programs. However, these standards have a narrow focus, emphasizing physical and sensory abilities, that serves as a gatekeeper and hinders inclusivity. In recent years, competency-based education (CBE) has emerged as the predominant model for determining student competency in nursing education, prompting a reevaluation of technical standards. This commentary examines the continued use of technical standards in nursing education, questioning both their perceived value and necessity. The authors argue that CBE offers a more precise and less biased means of assessing readiness for practice. By replacing outdated, ableist, technical standards with outcomes-based frameworks nursing education is better positioned to cultivate a diverse workforce.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"375-380"},"PeriodicalIF":0.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145440058","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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