Nursing has long been shaped by sociocultural and institutional discourses that reinforce emotional labor, people-pleasing behaviors, and boundary-setting challenges. Through a critical discourse analysis, this study exa...Nursing has long been shaped by sociocultural and institutional discourses that reinforce emotional labor, people-pleasing behaviors, and boundary-setting challenges. Through a critical discourse analysis, this study examines how historical and structural influences condition nurses to prioritize others at the expense of their well-being. Findings reveal that professional expectations, policy language, and power dynamics perpetuate these norms, leading to burnout and diminished autonomy. Addressing these issues requires systemic reforms that support boundary-setting and self-advocacy. Reframing emotional labor as a recognized form of work, rather than an expectation, is essential to sustaining both nurse well-being and quality patient care.
Behavioral (non-surgical/non-pharmacological) obesity treatments have poor-to-modest outcomes, largely due to inadequate foci on psychosocial correlates of requisite behaviors. Better understanding theory-driven interrel...Behavioral (non-surgical/non-pharmacological) obesity treatments have poor-to-modest outcomes, largely due to inadequate foci on psychosocial correlates of requisite behaviors. Better understanding theory-driven interrelations and directionalities of self-regulation and self-efficacy changes can inform intervention methods. Women were randomized into community-based obesity-treatment programs emphasizing either cognitive-behavioral (n = 90) or traditional educational (n = 44) methods. Regression-based paths from treatment type→early change in self-regulation→later change in self-efficacy→6- and 12-month change in both diet and physical activity/exercise were significant, but not when change in self-efficacy was, reciprocally, entered as the predictor of self-regulation change. Findings indicated advantages in focusing on self-regulation skill development for behavioral changes and weight reduction.
The experience of a critical illness provided a pause in the life of one of the authors. Seeking to further understand this experience from a Rogerian perspective, the authors engaged in a mutual process of unitary appre...The experience of a critical illness provided a pause in the life of one of the authors. Seeking to further understand this experience from a Rogerian perspective, the authors engaged in a mutual process of unitary appreciative nursing praxis. The process included 4 in-depth conversations with an ongoing back-and-forth conversation to both illuminate the critical illness experience as well as grounding it in the Science of Unitary Human Beings. A unitary appreciative rendering was the primary outcome with a letter, song, video, conference presentation, and scholarly manuscript. Other selected Rogerian perspectives that can be used to understand the illness experience are presented and briefly discussed.
Ectopic pregnancy (EP) is a serious and increasing health concern that remains poorly understood despite identified risk factors. This article introduces the N-GEM Theoretical Framework, a novel approach that integrates...Ectopic pregnancy (EP) is a serious and increasing health concern that remains poorly understood despite identified risk factors. This article introduces the N-GEM Theoretical Framework, a novel approach that integrates genomic, epigenomic, environmental, and microbiome factors to address the complex and multifactorial etiology of EP. By offering a comprehensive and dynamic model, the N-GEM framework supports the development of personalized prevention strategies and can enhance early detection methods. This situation-specific theoretical framework not only positions nursing at the forefront of EP research but also fosters interdisciplinary collaboration that can drive significant advancements in clinical practice and ultimately reduce EP-related morbidity and mortality.
Drawing on intersectional feminist theory, this review interrogates maternal health disparities through lenses of gender, labor, and structural inequality, with a particular focus on South Korea. It integrates global tre...Drawing on intersectional feminist theory, this review interrogates maternal health disparities through lenses of gender, labor, and structural inequality, with a particular focus on South Korea. It integrates global trends with local realities to examine how socioeconomic status, digital divides, and algorithmic bias in artificial intelligence systems could compound maternal vulnerability. By critically evaluating gender gaps in nursing research and leadership, this paper advocates for the adoption of intersectionality as a foundational framework in nursing science to redress inequities and promote inclusive health care innovation.
Systematic reviews and meta-analyses provide the highest levels of evidence to support practice and research. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines were establish...Systematic reviews and meta-analyses provide the highest levels of evidence to support practice and research. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines were established to ensure comprehensive and transparent reporting. Among the 70 reviews in our study, there was 100% adherence to 4 of the PRISMA items (review type in title, research objectives in introduction, inclusion/exclusion criteria and methods to synthesize results in methods section). We identified an improvement in adherence to the PRISMA guidelines when comparing early (done through 2020) and more recent reviews, suggesting that authors are increasingly adopting these guidelines.
The purpose of this paper is to examine philosophical knowing and practical knowing in the Science of Unitary Human Beings for the purpose of documenting evidence of their interrelationship in existing practice tools and...The purpose of this paper is to examine philosophical knowing and practical knowing in the Science of Unitary Human Beings for the purpose of documenting evidence of their interrelationship in existing practice tools and practice methodologies that are based on Rogers' philosophical assumptions. We contend that identification of philosophical knowing and practical knowing in the Science of Unitary Human Beings illustrates the nature of each and exposes the importance of their interrelationship for future knowledge development.
We aim to investigate the mediating effects of subjective social status and psychological distress on the relationship between perceived prejudice and job satisfaction, and explore the moderating effect of self-esteem on...We aim to investigate the mediating effects of subjective social status and psychological distress on the relationship between perceived prejudice and job satisfaction, and explore the moderating effect of self-esteem on these relationships. A cross-sectional questionnaire survey was conducted among 626 Chinese male nurses. Results showed that perceived prejudice had both direct and indirect impacts on job satisfaction, with the latter partially mediated by psychological distress but not subjective social status. Self-esteem moderated these relationships. To improve job satisfaction among male nurses, measures should be taken to reduce their sensitivity to prejudice and change public stereotypes.
This study aimed to identify the current state of nursing theory development among Japanese scholars by analyzing the syllabi of doctoral nursing programs in Japan to examine the educational content relating to nursing p...This study aimed to identify the current state of nursing theory development among Japanese scholars by analyzing the syllabi of doctoral nursing programs in Japan to examine the educational content relating to nursing philosophy and theory and by reviewing the related literature. Only 17.2% of the doctoral-level nursing programs in Japan offer courses in philosophy or theory. Florence Nightingale was the most frequently discussed figure in the literature. Middle-range and situation-specific theories originating in Japan have emerged relatively later than those introduced by Western theorists. Recently, the development of nursing theories, particularly situation-specific theories, has begun in Japan, showing promising prospects for advancement in the field.
Understanding health-seeking behavior toward dengue fever is crucial for early diagnosis and timely treatment to mitigate fatal outcomes. In this paper, a concept analysis based on Walker and Avant's method was performed...Understanding health-seeking behavior toward dengue fever is crucial for early diagnosis and timely treatment to mitigate fatal outcomes. In this paper, a concept analysis based on Walker and Avant's method was performed to define health-seeking behaviors regarding dengue fever. This behavior was defined as a series of actions increasing awareness, promoting preventive measures, facilitating informed health decisions, and ensuring timely access to medical care. This concept analysis clarified how awareness, preventive measures, and access to care influence health-seeking behaviors. Our analysis may help refine health care taxonomies and foster a standardized language for describing health-seeking behaviors in nursing and public health contexts.
Theories of pain have been developed in several patient populations, but none currently exist for heart failure (HF) that include contributing factors and associated outcomes. We developed a situation-specific theory of...Theories of pain have been developed in several patient populations, but none currently exist for heart failure (HF) that include contributing factors and associated outcomes. We developed a situation-specific theory of pain in HF by adapting the biopsychosocial model of pain. Existing theoretical and empirical literature in HF samples was utilized to construct the new theory. Components, contributing factors, and associated outcomes of pain in HF are presented in the new theory. Areas in need of additional research are emphasized, and strengths and limitations are discussed. This theory could provide a foundation for future pain research initiatives in HF. Key words : pain, heart failure, theoretical model.
This study used qualitative description to describe factors influencing nurses' use of the Concern Factor tool to support decision making in acute care settings. Twenty-two nurses participated in interviews. Three main t...This study used qualitative description to describe factors influencing nurses' use of the Concern Factor tool to support decision making in acute care settings. Twenty-two nurses participated in interviews. Three main themes included: (1) The Concern Factor tool supported consistent and effective communication toward team understanding of patient status, (2) The Concern Factor tool supported nurses' identification of patterns and prioritization of patient care needs rooted in previous clinical experience, and (3) The flexible and intuitive design of the Concern Factor tool supported usability for nursing practice. Findings provide new information to support nurse communication and prioritization decision making.
This study examined South Korean pregnant women's workplace experiences through Meleis' transition theory. Twenty participants engaged in online focus groups, discussing pregnancy, childbirth, prenatal care, and COVID-19...This study examined South Korean pregnant women's workplace experiences through Meleis' transition theory. Twenty participants engaged in online focus groups, discussing pregnancy, childbirth, prenatal care, and COVID-19 concerns. Content analysis revealed 15 themes reflecting transition theory's components. Participants were mostly first-time mothers in their second trimester. Transition facilitators included supportive family and health checks, while inhibitors comprised workplace stress and COVID-19 risks. Transition responses included worries about delivery pain and infant expectations. Nursing interventions recommended encompassed diet, exercise, and psychological support. The findings suggest health care providers should understand and address these transitions with tailored prenatal interventions.
Workplace violence is a major global societal issue that demands attention. Nurses commonly underreport workplace violence (WPV) perpetrated by patients and visitors, which not only poses risks to their physical and emot...Workplace violence is a major global societal issue that demands attention. Nurses commonly underreport workplace violence (WPV) perpetrated by patients and visitors, which not only poses risks to their physical and emotional health but also disrupts the regular operation of health care services. We used a qualitative thematic synthesis to evaluate the rationale behind the underreporting of WPV systematically. We identified 4 thematic analysis results. We found that to reduce underreporting of WPV, health care organizations should improve their policies and training, and management should prioritize nursing safety, increase awareness of regulations, and work together to maintain safe environments.
This cross-sectional study examined the effects of parenting stress, resilience, and social support on the retention intentions of married nurses with preschool-aged children in South Korea. Data from 150 nurses were col...This cross-sectional study examined the effects of parenting stress, resilience, and social support on the retention intentions of married nurses with preschool-aged children in South Korea. Data from 150 nurses were collected through an online survey. The findings indicate that age, household income, job satisfaction, the presence of caregiver cohabitants, and resilience significantly influence retention intentions, explaining 30.7% of the variance. The results underscore the urgent need for healthcare organizations to develop and implement customized support programs targeting midcareer married nurses with young children, emphasizing resilience building, job satisfaction, and financial support.