ANS Adv Nurs Sci
· 2026 May · PMID 42153734
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Secondary trauma (ST) refers to the impact of emotional engagement with narratives from individuals who have experienced trauma. Racialized researchers experience heightened risks of ST which arises from empathetic engag...Secondary trauma (ST) refers to the impact of emotional engagement with narratives from individuals who have experienced trauma. Racialized researchers experience heightened risks of ST which arises from empathetic engagement, resonance with participants' traumatic narratives, and systemic inequities compounded by their positionality. Grounded in critical hermeneutics, trauma theory, and intersectionality, we argue that ST should be framed as an epistemological, methodological, and ethical concern for racialized researchers with implications for researcher protection and methodological rigour. ST in racialized researchers necessitates a reconceptualization that broadens its implications from individual accountability to encompass institutional responsibility, epistemic justice, and collective healing.
ANS Adv Nurs Sci
· 2026 May · PMID 42153729
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Power plays an important role in nursing practice, yet there is limited research into how nurses themselves understand and use it. As staffing concerns grow, many nurses report feeling unable to influence change. Existin...Power plays an important role in nursing practice, yet there is limited research into how nurses themselves understand and use it. As staffing concerns grow, many nurses report feeling unable to influence change. Existing research often frames power as something that is granted to nurses rather than something they experience internally; this grounded theory study examines how nurses and nurse leaders perceive and enact power in practice. The resulting theory, feeling heard flips the switch, affirms that nurses access power when they feel heard. Feeling heard activates agency, enabling nurses to advocate for patients and themselves and fostering healthier work environments that support recruitment and retention.
Communities worldwide experience collective trauma arising from disasters, pandemics, political violence, displacement, and historical oppression. Although collective healing appears in qualitative and interdisciplinary...Communities worldwide experience collective trauma arising from disasters, pandemics, political violence, displacement, and historical oppression. Although collective healing appears in qualitative and interdisciplinary scholarship, it remains inconsistently defined within nursing science. Guided by Rodgers and Knafl's evolutionary concept analysis, this study examined peer-reviewed literature to clarify defining attributes, antecedents, and consequences. Findings conceptualize collective healing as a relational, meaning-centered, socially embedded, and nonlinear process emerging in response to shared trauma and shaped by collective identity, structural conditions, and sustained relational connection. This analysis advances theoretical clarity within nursing science and establishes collective healing as a critical construct for trauma-informed and equity-oriented scholarship.
Slemon A, Handlovsky I, Schmied S
… +1 more, Goodyear T
ANS Adv Nurs Sci
· 2026 May · PMID 42153726
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This study reports on a 2S/LGBTQIA+ Liaison Nurse role in Victoria, British Columbia, Canada via a convergent parallel mixed-methods design. Data comprised quantitative daily logs completed by the 2S/LGBTQIA+ Liaison Nur...This study reports on a 2S/LGBTQIA+ Liaison Nurse role in Victoria, British Columbia, Canada via a convergent parallel mixed-methods design. Data comprised quantitative daily logs completed by the 2S/LGBTQIA+ Liaison Nurse along with observational field notes. A total of N = 60 daily logs were captured, and N = 17 observations for a total of 79 observation hours. Predominant services included being present (64%), care planning (47%), discharge planning (35%), and advocacy with health care providers (33%). This role upholds the social justice mandate of the nursing profession and illustrates the potential of embedding safe and affirming practices within direct care of 2S/LGBTQIA+ clients.
ANS Adv Nurs Sci
· 2026 May · PMID 42153708
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This article updates the methods of theoretical derivation, adaptation, and substruction, with particular emphasis on substruction as a nursing-specific formalization process linking theory, measurement, and analysis. It...This article updates the methods of theoretical derivation, adaptation, and substruction, with particular emphasis on substruction as a nursing-specific formalization process linking theory, measurement, and analysis. It examines their philosophical and methodological foundations and reviews recent applications in nursing and health sciences. Substruction is presented as a form of formalization, articulated through conceptual-theoretical-empirical structures that organize constructs, hierarchical levels of abstraction, and empirical indicators. By making explicit the relationships among theoretical frameworks, research design, instruments, and analytical strategies, substruction enhances conceptual coherence, methodological traceability, and theoretical validity in applied research. The article advocates for its systematic and transparent use to strengthen knowledge development in nursing and related disciplines.
ANS Adv Nurs Sci
· 2026 May · PMID 42153707
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This study examined factors influencing intensive care unit nurses' engagement in advance care planning. A concurrent mixed-methods design integrated a survey from 158 nurses across 3 university-affiliated hospitals with...This study examined factors influencing intensive care unit nurses' engagement in advance care planning. A concurrent mixed-methods design integrated a survey from 158 nurses across 3 university-affiliated hospitals with narrative responses. Nurse-physician collaboration emerged as the strongest predictor of engagement, followed by working in medical intensive care units. Qualitative findings identified barriers such as limited education, administrative workload, and hierarchical decision-making, while nurses emphasized roles in emotional support, patient advocacy, and communication. These findings suggest that engagement is shaped by team dynamics and institutional context. Strengthening collaboration and providing targeted education may enhance nurses' contributions to end-of-life care.
This article articulates the Attribution Theory and the Emancipatory Theory of Compassion to examine how attributional beliefs about the controllability of body weight become enacted within nursing practice. While Attrib...This article articulates the Attribution Theory and the Emancipatory Theory of Compassion to examine how attributional beliefs about the controllability of body weight become enacted within nursing practice. While Attribution Theory elucidates how nurses' judgments toward people living in larger bodies are shaped, the Emancipatory Theory of Compassion situates these judgments within biopower, radical disconnect, and the unspeakable in care environments. By linking cognitive attributions to biopolitical care spaces, this framework provides nurses with a critical lens to identify how weight stigma is reproduced in practice and highlights emancipatory compassion as a pathway toward advocacy and more equitable nursing care.
Adolescent girls and young women (AGYW) aged 15 to 24 face disproportionate human immunodeficiency virus acquisition risk in sub-Saharan Africa, yet existing frameworks inadequately address their multilevel, gender-speci...Adolescent girls and young women (AGYW) aged 15 to 24 face disproportionate human immunodeficiency virus acquisition risk in sub-Saharan Africa, yet existing frameworks inadequately address their multilevel, gender-specific determinants. We developed INFORM-HERS (INtegrated Framework fOR assessing Multilevel determinants of human immunodeficiency virus acquisition among AGYW) using "Up and Down" theory integration of 3 established frameworks: Theory of Gender and Power, Modified Social Ecological Model, and Center for Latino Adolescent and Family Health Framework of Social Determinants of Health Mechanisms. INFORM-HERS incorporates gender inequality risk factors, social protective factors, and AGYW-specific developmental transitions, providing a theoretical foundation for multilevel interventions in sub-Saharan Africa.
ANS Adv Nurs Sci
· 2026 Feb · PMID 41665405
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This article presents a Rogerian perspective on living-dying through a dialogic narrative situated in a health care facility. Drawing on Rogers' Science of Unitary Human Beings, the work illustrates living-dying as a dev...This article presents a Rogerian perspective on living-dying through a dialogic narrative situated in a health care facility. Drawing on Rogers' Science of Unitary Human Beings, the work illustrates living-dying as a developmental, pandimensional process rather than a linear cause-and-effect event. Through evolving conversations among patients, nurses, and clinicians, the narrative reveals how awareness, patterning, and integrality shape experiences of dying, care, and wellbecoming. The integration of the arts and humanities-music, poetry, and dialog-offers nurses creative modalities to deepen understanding of living-dying and to support compassionate, unitary nursing practice in clinical and educational settings.
ANS Adv Nurs Sci
· 2026 Feb · PMID 41632100
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Nursing theory's history reflects a movement from scientific legitimacy toward epistemic reflexivity. We situate that shift within nursing's metatheoretical evolution, expanding from hierarchies of abstraction to include...Nursing theory's history reflects a movement from scientific legitimacy toward epistemic reflexivity. We situate that shift within nursing's metatheoretical evolution, expanding from hierarchies of abstraction to include pluricentric, context-responsive, and justice-oriented paradigms. It advances a reflexive grammar of theorizing organized around 6 prepositions (from, about, through, for, with, and towards), each identifying a locus of reflexivity. This grammar of interdependent reflexive loci reconceives theorizing as contingent, embodied, relational, and political labor that makes it explicit how positionality, onto-epistemologies, beneficiaries, sociomaterialities, and values shape knowledge creation. This transcends theorizing from being a procedural task to a dialogical, ethical, and imaginative act.
ANS Adv Nurs Sci
· 2026 Feb · PMID 41632097
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Nursing is a professional discipline defined by professional standards and practice grounded in scientific knowledge, evidence-informed decision making, and ethical responsibility. This practice is supported by ontologic...Nursing is a professional discipline defined by professional standards and practice grounded in scientific knowledge, evidence-informed decision making, and ethical responsibility. This practice is supported by ontological, epistemological, and theoretical foundations that enable nurses to address the complexities of human health and illness. Viewed through the lens of metamodernism, nursing is further affirmed as a profession in which authority and identity are continually enacted through the integration of scientific rigor and relational care, standardization and contextual responsiveness, and technical competence and moral accountability. Thus, we affirm that nursing stands as a profession and that nurses are professionals.
ANS Adv Nurs Sci
· 2026 Feb · PMID 41632096
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Paternal postpartum depression is an underrecognized public-health concern affecting approximately 10% of new fathers in the US.1 Despite this prevalence, paternal postpartum depression remains underdiagnosed and poorly...Paternal postpartum depression is an underrecognized public-health concern affecting approximately 10% of new fathers in the US.1 Despite this prevalence, paternal postpartum depression remains underdiagnosed and poorly addressed within obstetric and mental-health systems that prioritize maternal experience.1 Emerging evidence indicates that fathers face substantial barriers, including gendered expectations of parenting, limited health care inclusion, and face stigmas in their help-seeking habits, contributing to the strain and adverse child outcomes. This theory integrates Gender Role Conflict Theory, Transitions Theory, and Family Stress Theory, positioning adaptation as a dynamic, feedback-driven process shaped by masculine beliefs, partner support, and systemic inclusion. The theory, Reciprocal Adaptation in Postpartum Fathers: A Mid-Range Theory of Role Negotiation, Relational Reciprocity, and Family Adjustment, points to the influence of nurses as pivotal agents in recognizing paternal distress, promoting early screening, and facilitating family-centered care that supports both fathers and families.
ANS Adv Nurs Sci
· 2026 Jan · PMID 41632079
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This article applies Barrett's theory of Power as Knowing Participation in Change (PKPC) to teaching social justice advocacy to undergraduate college students. The author designed and implemented a seminar that integrate...This article applies Barrett's theory of Power as Knowing Participation in Change (PKPC) to teaching social justice advocacy to undergraduate college students. The author designed and implemented a seminar that integrated PKPC principles through experiential learning, multimedia resources, and reflective assignments, using the HIV advocacy movement as a case study to demonstrate how awareness, choice, intentional action, and involvement in change can address social inequities. Students created advocacy projects addressing contemporary social inequities by identifying a group power profile and developing a power prescription. The seminar demonstrated the potential of PKPC as a transformative framework for education and activism across disciplines.
ANS Adv Nurs Sci
· 2026 Jan · PMID 41615243
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Dependency-related skin injuries (DRSIs) are prevalent in community care and substantially impair quality of life. This study develops a situation-specific nursing theory to guide community practice. Using Im's integrati...Dependency-related skin injuries (DRSIs) are prevalent in community care and substantially impair quality of life. This study develops a situation-specific nursing theory to guide community practice. Using Im's integrative method, we triangulated a pilot interview, a scoping review, focus groups with primary/community nurses, and in-depth patient interviews. An integrative process yielded Parallel Itineraries, a theory that integrates 4 core concepts-community care, healing progression, dependency status, and individual experience-and advances propositions linking them. The theory delineates nursing's distinctive contribution and prioritizes early prevention at the onset of dependency, etiologic management, case coordination, shared decision-making, and continuity of care in the community.
Carter L, Mottola E, Chernoff L
… +1 more, Flanagan J
ANS Adv Nurs Sci
· 2026 Jan · PMID 41615239
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There is a lack of evidence describing the lived experience of the early healing period (72 hours to 6 weeks post-transplant) and its meaning to people undergoing liver transplant surgery. To address this gap, a qualitat...There is a lack of evidence describing the lived experience of the early healing period (72 hours to 6 weeks post-transplant) and its meaning to people undergoing liver transplant surgery. To address this gap, a qualitative hermeneutic phenomenological approach guided by Newman's Theory of Health as Expanding Consciousness was used to describe and interpret the meaning of the early stage of healing post liver transplantation. We conducted 2 semistructured interviews with 9 participants (8 men, 1 woman; ages 31-70 years). Six themes were identified: Waiting to die while preparing to live; Desire to help others as a way of supporting themselves; Misaligned expectations that complicate the healing process; Nonjudgmental, nonstigmatizing healing; Financial and employment difficulties as a barrier to healing; and History of adverse childhood experiences as a barrier to healing. The overarching conceptualization of the study was the awareness of the need to address past traumas as central to whole-person healing. Findings highlight the many educational, psychosocial, financial, and interpersonal challenges faced by this population that should be considered to improve the healing process.
Olukotun O, Nkhoma Y, Adebayo T
… +3 more, Olukotun M, Mkandawire-Valhmu L, Walton A
ANS Adv Nurs Sci
· 2026 Jan · PMID 41586879
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Quantitative health research remains anchored in positivist assumptions that can obscure structural drivers of inequity. This article introduces the CARE Model-Community-accountability, Anti-oppression, Reflexivity, and...Quantitative health research remains anchored in positivist assumptions that can obscure structural drivers of inequity. This article introduces the CARE Model-Community-accountability, Anti-oppression, Reflexivity, and Equity-centered evidence-to align quantitative methods with critical epistemologies. Drawing on critical theories, qualitative methodology, and existing critical quantitative approaches, the proposed model details implications for study design, measurement, coding strategies, modeling choices, interpretation, and dissemination. CARE offers a systematic approach for rigorous, reflexive, and community-guided inquiry that reframes variables, integrates structural context, and informs action. The model advances quantitative research that not only documents disparities but also targets the systems that produce them.