Poor sleep quality impacts cognition, emotions, and immunity. This study evaluated the efficacy of auricular acupressure in improving sleep conditions. Eighty-eight women aged ≥40 years with insomnia were randomly assign...Poor sleep quality impacts cognition, emotions, and immunity. This study evaluated the efficacy of auricular acupressure in improving sleep conditions. Eighty-eight women aged ≥40 years with insomnia were randomly assigned to acupoint, sham, or comparison groups. Magnetic pellets were applied to heart, liver, and shenmen acupoints for the acupoint group and were offset by 1 to 2 cm for the sham group. Participants pressed pellets thrice daily for 1 month. In the acupoint and sham groups, insomnia was reduced and sleep quality improved dramatically in the acupoint group at 4 weeks. Auricular acupressure may improve sleep and support equitable, cultural patient-centered care.
This cross-sectional study examined associations among work-related characteristics, sleep problems, and metabolic syndrome in Taiwanese workers. A total of 348 workers undergoing routine occupational health examinations...This cross-sectional study examined associations among work-related characteristics, sleep problems, and metabolic syndrome in Taiwanese workers. A total of 348 workers undergoing routine occupational health examinations were analyzed using multivariate logistic regression. The prevalence of metabolic syndrome was 26.4%, higher in men (33.3%) than in women (19.3%). Among women, shift work and body mass index were associated with metabolic syndrome, whereas among men, sleep disturbances, sleep latency, and body mass index were significant predictors. These findings suggest sex-specific pathways linking occupational conditions, sleep characteristics, and metabolic risk and highlight the importance of targeted occupational health nursing interventions.
Crosschild C, Varcoe C, Brown H
… +1 more, Browne AJ
ANS Adv Nurs Sci
· 2026 Jun · PMID 42348713
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Iitsim'kaatsita is a four-phase study grounded in Indigenous Research Methodologies that explores how nursing can mitigate perinatal health inequities experienced by Indigenous women. This paper presents findings from Ph...Iitsim'kaatsita is a four-phase study grounded in Indigenous Research Methodologies that explores how nursing can mitigate perinatal health inequities experienced by Indigenous women. This paper presents findings from Phase 2: a survey of Blackfoot women's experiences with perinatal nursing care in southern Alberta, Canada. Of the participants (n = 107), 68 contributed written responses. Women reported discrimination, surveillance, and cultural exclusion, but also expressed agency, resistance, and relational strength. This study adds the voices of Blackfoot women to nursing scholarship and calls for a shift from cultural sensitivity/competency toward culturally safe, accountable, equity-oriented care rooted in Indigenous sovereignty and guided by Blackfoot values.
ANS Adv Nurs Sci
· 2026 Jun · PMID 42348284
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New infectious disease outbreaks underscore the importance of infection prevention and control (IPC) for health care safety. This study examined IPC knowledge, attitudes, practices, and motivation among 140 nursing stude...New infectious disease outbreaks underscore the importance of infection prevention and control (IPC) for health care safety. This study examined IPC knowledge, attitudes, practices, and motivation among 140 nursing students. Validated questionnaires assessed these variables, with data analyzed using Mann-Whitney, Kruskal-Wallis tests, Spearman correlation, and regression. Results showed limited proficiency in IPC practices and knowledge of precautions, despite positive attitudes and high motivation. Attitude predicted motivation for IPC compliance. Targeted training programs are needed to improve students' IPC skills. Simulation-based learning, reflective practices, role modeling, and peer-led activities can enhance proficiency, ensuring patient safety and professional accountability.
ANS Adv Nurs Sci
· 2026 Jun · PMID 42302755
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Digital health literacy is increasingly important for health equity in digitized societies; however, prevailing frameworks often emphasize individual competencies and may not fully capture the intersecting linguistic, cu...Digital health literacy is increasingly important for health equity in digitized societies; however, prevailing frameworks often emphasize individual competencies and may not fully capture the intersecting linguistic, cultural, relational, and system-level constraints shaping marriage migrant women's digital health engagement. To develop an Extended Digital Health Literacy Model (EDHLM) for marriage migrant women in South Korea by integrating Rodgers' evolutionary concept analysis with Roy's Adaptation Model (RAM). Rodgers' concept analysis guided an analytic synthesis of domestic qualitative evidence on marriage migrant women's digital health information experiences, supplemented by cross-mapping with established digital health literacy frameworks to clarify boundaries and justify extensions. The EDHLM conceptualizes digital health literacy as a multidimensional adaptive process and organizes foundational and extended domains into basic, core, and enhancing elements mapped to RAM's adaptive modes. By challenging individual-responsibility assumptions and recentering structural, relational, and sociocultural determinants, the EDHLM provides a nursing-focused basis for equity-oriented, mode-specific assessment and staged, multilevel intervention planning in multicultural digital health environments.
Liu SW, Hou WL, Hsieh WP
… +5 more, Hsu CY, Shao SL, Tseng CJ, Hung JP, Lin ML
ANS Adv Nurs Sci
· 2026 Jun · PMID 42302752
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This mixed-methods study evaluated the effectiveness of a patient-as-teacher learning model in undergraduate mental health nursing using a pre-/post-test design. Pre- to post-test stigma decreased in the intervention gro...This mixed-methods study evaluated the effectiveness of a patient-as-teacher learning model in undergraduate mental health nursing using a pre-/post-test design. Pre- to post-test stigma decreased in the intervention group (n = 42), notably in disclosure and help-seeking; there was no change in the control group (n = 41). Empathy increased substantially in both groups, with the largest gains in empathic concern; a marginally larger within-group effect was seen in the intervention group. Qualitative analysis identified 3 themes: deconstructing stigma and reshaping perspectives, integrating knowledge and practice, and cultivating self-reflection and caring attitudes. The patient-as-teacher model appears to support stigma reduction and empathy development.
Chen YJ, Pond RS, DeVries JR
… +2 more, McEwen-Campbell M, Cheng CY
ANS Adv Nurs Sci
· 2026 Jun · PMID 42302738
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Labor pain can profoundly affect a woman's childbirth and postpartum experience. This systematic review and meta-analysis examined the effectiveness of complementary health therapies for reducing labor pain. Twenty-nine...Labor pain can profoundly affect a woman's childbirth and postpartum experience. This systematic review and meta-analysis examined the effectiveness of complementary health therapies for reducing labor pain. Twenty-nine randomized controlled trials (N = 3774) between 2020 and 2023 were analyzed. Interventions included massage, acupressure, yoga, music, electrical nerve stimulation, and virtual reality. Massage and acupressure were the most frequently used. These therapies significantly reduced labor pain (d = -1.16), but no single therapy was identified as the most effective. Nonpharmacological approaches may support individualized, culturally responsive labor pain management and promote integrative maternity care globally. Findings should account for heterogeneity and potential publication bias.
ANS Adv Nurs Sci
· 2026 Jun · PMID 42302730
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As digital technologies and artificial intelligence reshape health care, nursing's humanistic foundations face profound ontological and epistemological transformations. In this paper we analyze the tensions between techn...As digital technologies and artificial intelligence reshape health care, nursing's humanistic foundations face profound ontological and epistemological transformations. In this paper we analyze the tensions between technological efficiency and relational presence, arguing that "datafication" risks eroding the humanness in clinical care. By synthesizing these tensions through a constructivist lens, we propose the Integrated Dimensions of Technology and Care Framework which positions technological competence and compassionate care as symbiotic, mutually reinforcing dimensions. The framework provides a conceptual structure for improved understanding around how technology and compassionate care can connect in a way that ensures person-centered care remains paramount.
Forster J, Boardman J, Kuhn L
… +1 more, Raeburn T
ANS Adv Nurs Sci
· 2026 Jun · PMID 42302726
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Nurses are regularly exposed to workplace traumatic events, including violence, aggression, witnessing patient deaths, and self-harming behavior and suicide attempts. These experiences can adversely affect nurse well-bei...Nurses are regularly exposed to workplace traumatic events, including violence, aggression, witnessing patient deaths, and self-harming behavior and suicide attempts. These experiences can adversely affect nurse well-being and can interrelate with personal histories of trauma. Despite this, psychological trauma in nursing remains underexplored. Foli's mid-range theory of psychological trauma (2022) provides a contemporary framework for addressing this gap by identifying 7 types of psychological trauma in nursing practice while incorporating personal experiences beyond the clinical setting. This paper adapts Fawcett's Criteria (2005) to critically examine the theory's background, concepts, and relationship to other theories, highlighting strengths and applicability for advancing research into nurses' psychological trauma.
Chen CM, Hsieh PC, Liu WC
… +3 more, Yeh SH, Chan TC, Tsai HM
ANS Adv Nurs Sci
· 2026 May · PMID 42187315
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This study reconceptualizes value in nurse-led home care within Taiwan's rapidly expanding, policy-driven community care system. Using national administrative data and a survey of 94 agencies, we examined performance, wo...This study reconceptualizes value in nurse-led home care within Taiwan's rapidly expanding, policy-driven community care system. Using national administrative data and a survey of 94 agencies, we examined performance, workforce capacity, and managerial conditions. Agencies achieved low hospital and emergency utilization despite small-scale operations. However, documentation burden, limited management training, and marked discrepancies between recorded and actual caseloads revealed substantial invisible nursing work. These findings advance a multidimensional understanding of value, encompassing clinical, coordinative, relational, and organizational dimensions, and underscore the need for leadership development and integrated digital infrastructures to sustain value-based community nursing.
Metersky K, Guruge S, Al-Hamad A
… +8 more, Wang L, Yasin YM, Yang L, Zhuang ZC, Catallo C, Amanzai H, Kirkwood M, Chahine M
ANS Adv Nurs Sci
· 2026 May · PMID 42187301
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Existing migration literature has predominantly focused on mitigating social isolation and loneliness rather than understanding what aspects promote social belonging, warranting a conceptual exploration of social belongi...Existing migration literature has predominantly focused on mitigating social isolation and loneliness rather than understanding what aspects promote social belonging, warranting a conceptual exploration of social belonging in migrant older adults. Political integration, community/family connections, social identity continuity, economic integration, and spatial navigation were identified as defining attributes along with the antecedents, consequences, and cases which helped to define social belonging. Social belonging in migrant older adults is defined as feeling recognized, supported, and accepted in the received country, fostered through community involvement, meaningful relationships, preservation of cultural identity, access to services, and navigation within a new environment.
ANS Adv Nurs Sci
· 2026 May · PMID 42171399
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Contemporary nursing requires philosophical frameworks that integrate empirical rigor with humanistic care, yet classical philosophy is rarely engaged in nursing scholarship. This philosophical comparative analysis exami...Contemporary nursing requires philosophical frameworks that integrate empirical rigor with humanistic care, yet classical philosophy is rarely engaged in nursing scholarship. This philosophical comparative analysis examines the convergences and divergences between Aristotle's philosophy and Martha Rogers' Science of Unitary Human Beings. Through systematic philosophical comparison, the analysis explores the ontological, epistemological, and axiological dimensions of both frameworks. Findings reveal shared commitments to holism, human potential, and flourishing, alongside methodological differences that create productive tensions. Integrating Aristotelian empiricism with Rogers' holistic perspective offers a robust philosophical foundation for holistic nursing practice while preserving disciplinary integrity.
ANS Adv Nurs Sci
· 2026 May · PMID 42171398
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This study explored the meaning and experience of aging in place for adults 85 years and older in the community. The unitary biographical narrative method, informed by Ricoeur and Rogerian science, undergirded by Elizabe...This study explored the meaning and experience of aging in place for adults 85 years and older in the community. The unitary biographical narrative method, informed by Ricoeur and Rogerian science, undergirded by Elizabeth Barrett's theory, power as knowing participation in change, was used. Final analysis was a metanarrative. Fifteen interviews of older adults revealed that their decisions demonstrate power-as-freedom. Home is different from home - Home is the manifestation of unitary synthesis with the universe, love, familiarity, and connections, and love-power resonance enhances wellbecoming. Nurses are well-positioned to interpret the meaning behind the words of their patients and support love-power resonance in nursing practice.
Internationally educated nurses (IENs) play an essential role in sustaining health care systems facing ongoing workforce shortages, yet their integration is often disrupted by structural, cultural, and educational challe...Internationally educated nurses (IENs) play an essential role in sustaining health care systems facing ongoing workforce shortages, yet their integration is often disrupted by structural, cultural, and educational challenges. This narrative synthesis examines global migration patterns, the factors shaping nurses' decisions to relocate, and the barriers they encounter in host countries. Drawing on recent global and US workforce data, the review highlights the magnitude of nursing shortages and the growing reliance on IENs to stabilize care delivery. Findings highlight the need for coordinated strategies that strengthen transition support, promote equitable advancement, and foster inclusive professional environments. A 3-pillar framework is presented to guide IEN-specific skill development, role advancement, and academic progression. Enhancing support for IENs can improve workforce stability and advance high-quality, culturally responsive care.