ADVANCES IN NURSING SCIENCE

The Curious Case of "Men in Nursing" as a Diversity Issue: A Critical Reading of the Literature
Padgett SM
In recent years the situation of "men in nursing" has been framed as a diversity issue, analogous to efforts to increase the proportion of women in male-dominated occupations, and to racial diversity in health professions. Advocates claim that nursing education is dominated by a "feminine" perspective, resulting in unhappy male students and marginalized male faculty. This is puzzling, as a close reading of the literature finds little support for these claims; and a persistent discounting of male advantages. Portraying men in nursing as victims distorts the nature of systemic oppression, and distracts us from more serious diversity struggles.
Empowering Nurses Through Data Literacy and Data Science Literacy: Insights From a State-of-the-Art Literature Review
Lee MA, Vyas P, D'Agostino F, Wieben A, Coviak C, Mullen-Fortino M, Park S, Sileo M, Nogueira de Souza E, Brown S, Role J, Reger A and Pruinelli L
Capturing Intersections of Discrimination: Quantitative Analysis of Nursing Students' Experiences
Slemon A, Handlovsky I and Dhari S
While prior literature has established that nursing students experience racism, mental health stigma, and ableism within their programs, there is a dearth of knowledge of how students experience discrimination more broadly, across intersecting identities. This analysis draws on Crenshaw's intersectionality theory to conduct an intersectional analysis of cross-sectional survey data of nursing students' experiences of discrimination. Results illustrate that discrimination operates in complex ways across students' social locations, as experiences of intersecting impacts of racism, homophobia/transphobia, mental health stigma, religious discrimination, ableism, and other forms of discrimination. Such experiences further unfold across clinical, classroom, and policy contexts.
Political and Legal Changes and Nursing Knowledge Generation
Im EO
Bibliometric Analysis (2000-2024) of Research on Artificial Intelligence in Nursing
Monaco F, Andretta V, Bellocchio U, Cerrone V, Cascella M and Piazza O
We conducted a bibliometrics analysis utilizing the Web of Science database, selecting 1925 articles concerning artificial intelligence (AI) in nursing. The analysis utilized the network visualization tool VOSviewer to explore global collaborations, highlighting prominent roles played by the United States, China, and Japan, as well as institutional partnerships involving Columbia University and Harvard Medical School. Keyword analysis identified prevalent themes and co-citation analysis highlighted influential journals. A notable increase in AI-related publications in nursing was observed over time, reflecting the growing interest in AI in nursing. However, high-quality clinical research and increased scientific collaboration are needed.
Nursing Professional Identity: A Critical Review of the Concept Amidst COVID-19
Payne A, Lalonde M, Vanderspank-Wright B and Perron A
Heroism is an immutable and quintessential part of what gives rise to the phenomenon that is nurse. This altruistic discourse comes with profound consequences for the nursing profession, particularly in relation to nursing's professional identity. This critical review explores nursing's professional identity against the backdrop of gendered and heroic discourses. Two concept analyses of nursing's professional identity are critically reviewed and juxtaposed with literature on the topic amidst COVID-19. Using poststructural feminism and critical discourse analysis, the review provides valuable insights into the evolutionary significance of the concept and raises key questions around knowledge-power structures and discursive constructions of nurse.
Exploring Research Trends on Digital Health in Nursing Science in Korea: A Topic Modeling Approach
Kim HW, Choi J, Kim JS and Son YJ
Digital health technology is utilized in contemporary nursing practice and education. This review explored the scope of digital health applications and major trends in nursing research involving digital health in Korea using topic modeling. Our analysis of data using the Latent Dirichlet Allocation model identified four distinct research topics: nursing education using digital technologies (35.17%), hospital-based nursing practice using digital technologies (19.88%), digital technologies for health education (25.75%), and development of digital technologies to support self-management of chronic conditions (19.20%). Our findings reveal trends, current issues, and gaps in digital health nursing research.
It's Hard Being a Girl: A Qualitative Content Analysis Examining Emotional Distress and Suicidality in Adolescent Girls
Holt G and Moret JD
Rogers' Principle of Integrality: An Evolving Inquiry
Smith MJ
Rogers' principle of integrality was examined using quantitative methodology by the author in 1986. Since then, Rogers made revisions changing from probability and multidimensionality to unpredictability and pandimensionality. Another look at integrality through a lens congruent with the revisions was designed. A descriptive approach, storying the lived experience of making a significant life change was completed. A pandimensional view of the continuous integral human environment mutual energy field process included believing, dreaming, realizing, choosing, and envisioning while making a life change with the wave manifestation of storying changing from pragmatic knowing, to imaginative knowing, to visionary knowing.
Construction of a Theoretical Model of Chronic Disease Self-Management: Self-Management Within a Syndemic
Zuñiga J, Thurman W, West Ohueri C, Cho E, Chineyemba P, Martin CA, Mathews WC, Christopoulos K, Davy-Mendez T and García AA
The purpose of this article is to describe a model of chronic disease self-management that incorporates the complexity of social and environmental interactions experienced by people who self-manage chronic conditions. This study combines quantitative data from a large national research cohort and qualitative interviews to test and refine a self-management model. The self-management within a syndemic model depicts the contextual, psychological, and social factors that predict self-management behaviors and clinical and long-term outcomes.
Science of Unitary Human Beings: Toward Anti-racist Actions for Human Environment Wellbecoming
Leveille-Tulce AMB and Hopkins-Walsh J
Rogers' Science of Unitary Human Beings (SUHB) and several theories that emanate from Rogers' work contain foundational concepts that may lend themselves toward nursing actions to address important social justice mandates, to advocate and to act for equity, and to uproot systems of oppression and racism in nursing. However, at the same time, theoretical concepts such as power arising from ascendant theories of SUHB are often used with little to no critical reflection for past and present-day histories of racism and power inequities in nursing and in society writ large. Using concepts related to SUHB such as integrality, turbulence, power, and patterning, we critically explore the potential of developing anti-racism reflections and actions through 3 theories: Barrett's Knowing Participation in Change; Butcher's Kaleidoscoping in Life's Turbulence; and Smith's Turbulence-Ease in the Rhythmic Flow of Patterning. We acknowledge that SUHB was/is largely developed within a framework of whiteness by scholars who were/are working from academic positions and social identities of societal safety and privilege. This requires nurses to reflect on how that history shapes SUHB. We also acknowledge the urgent need for ongoing anti-racism and justice work by nurses. As a call to action, we suggest a start by critically building upon existing theoretical foundations in SUHB to develop a more explicit anti-racist theorizing-praxis in nursing for the wellbecoming of humans and nonhumans alike.
Critical Realism in Symptom Science - A Scoping Review
Mathew A, Akpotu IC, Lockwood MB, Tirkey AJ, Patil CL and Doorenbos AZ
There has been an increasing interest in research positioned within critical realism (CR). This analysis aimed to determine how CR has been applied in symptom science through a scoping review of the literature. Fifty-two articles were identified through searches in seven databases and search engines, and grey literature. Quantitative and qualitative analyses were performed using Excel and ATLAS.ti 8.0. Review findings indicate that CR has been used to examine two key aspects of symptoms - symptom experiences and symptom interventions. The details of how CR was operationalized are presented. This first scoping review highlights how a critical realist lens would help examine individual and contextual factors that influence symptom experiences, response to interventions, and outcomes.
Development of a Situation-Specific Theory for the Transition of Survivors of Stroke With Dysphagia
Awamura K and Sakashita R
The process by which stroke survivors move toward health while facing various difficulties can be construed as a "transition." Importantly, nurses need to understand and support this state of transition effectively. This study developed a situation-specific theory to explain post-stroke transition by integrating the findings of a qualitative study that explored the rehabilitation experiences of stroke survivors with dysphagia with a scoping review of qualitative studies using the theoretical framework of transition theory. This theory will help understand the transitions that stroke survivors with dysphagia undergo during recovery and provide a framework for exploring nursing care to support healthy transitions.
A Theory of Transitions Influencing Diabetes Self-management Among Emerging Adults With Type 1 Diabetes
Hanna KM, Alazri Z and Eisenhauer CM
Emerging adults with type 1 diabetes are experiencing numerous transitions, potentially affecting diabetes self-management. For example, when transitioning to college, these emerging adults may experience changes in their daily routines and usual reminders or triggers for habitual behavior such as checking blood glucose levels. In turn, these emerging adults may omit checking glucose levels, impacting decisional and adaptational diabetes self-management behavior associated with their insulin dose or bolus. Thus, we propose a theory on transitions influencing daily routines, diabetes self-management habitual behavior triggers, and, in turn, diabetes self-management habitual and decisional/adaptational behaviors for emerging adults with type 1 diabetes.
Health Information Technology and Innovation in Nursing Knowledge Generation
Application of Within-Methods Triangulation to Analyze Hospital System Health
Brittain AC and Carrington JM
Qualitative descriptive research can be used when researchers are seeking to find the "how," "what," or "when" of phenomena. The most common qualitative descriptive analysis methods are content and thematic analyses. Data triangulation through content analysis and natural language processing was first described in 2018 for the analysis of nurse-to-nurse communication in an acute care setting. The purpose of this article is to discuss a within-methods data triangulation of interviews done with nurses and nursing leaders in Magnet- and non-Magnet-designated hospitals through integration and application of content analysis, code quantification via the Goodwin statistic, and natural language processing.
Mystery and Miracle in Nursing: A Preliminary Unitary Appreciative Inquiry
Cowling WR
This study of mystery and miracles in nursing offers a unique perspective in examning and understanding these phenomena grounded in a unitary science framework and guided by unitary appreciative inquiry. It examined 6 years of postings from an online course that gave nurses globally the opportunity to describe and elaborate upon experiences of mystery and miracles in their professional and personal lives. The analysis and synopsis processes used revealed the diversity and uniqueness of mystery and miracle phenomena and acceptance by nurses of their reality without need for scientific explanation despite the tendency to dismiss them by colleagues.
Nursing in the Contemporary Interdisciplinary World
Im EO
Aesthetics in Nursing Practice as Experienced by Children During Hospitalization in Philippines: A Phenomenological Study
Kongsuwan W, Galvez B and Betriana F
This study aimed to describe the meaning of aesthetics in nursing practice as experienced by children during hospitalization. A hermeneutic phenomenological approach was used. Fifteen children who met the inclusion criteria participated in the study conducted from June to August 2021. Data were collected by drawing and interviewing. Kongsuwan's approach was used to analyze the data. Six thematic categories that revealed aesthetics in nursing practice were identified, namely, Enjoyment; Kindness; Creating impressive care; Appreciation of safeness; Intention to know children; and Connecting to others. The study findings present useful knowledge to inform nurses regarding special approaches to implementing aesthetic nursing care for children.
Current Status of Translational Science in Nursing Across Four Countries
Tsai HM, Wang HH, Sakashita R, Oh EG, Chen CM and Im EO
The raison d'être of nursing is caring for human beings. Mainly due to its close link to the nursing discipline's raison d'être, "caring," translational science is recently getting more attention from nursing scientists across the globe. This paper is to discuss the current status of translational science in nursing across four countries (the USA, Taiwan, South Korea, and Japan). The data used in this discussion paper included: (a) written notes on issues related translational research/science in individual countries; (b) written memos on exemplars/cases from their own experiences; and (c) summaries of literature reviews. The data analysis was conducted using a simple content analysis. Four themes reflecting the current status of translational science across the countries were identified: (a) "contextualized in unique culture and history of nursing"; (b) "connecting basic science to clinical practice"; (c) "an extension of evidence-based practice"; and (d) "highly promoted, but still minimal translation of nursing knowledge."
Compassionate Care for Parents Experiencing Miscarriage in the Emergency Department: A Situation-specific Theory