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ANS Adv Nurs Sci [JOURNAL]

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Conducting Intersectional Analysis in Nursing Research.

Oudshoorn A, Rabiah-Mohammed F, Ariba O … +7 more , Krywucky A, Annor B, Adu J, Ndayisenga JP, Guerrero D, Reid TA, Lindsay SM

ANS Adv Nurs Sci · 2025 Jan · PMID 39902888 · Full text

Intersectionality allows nurses to be attuned to the many forms of social marginality present in society that ultimately impact upon health and well-being. However, while intersectionality is often named and well-defined... Intersectionality allows nurses to be attuned to the many forms of social marginality present in society that ultimately impact upon health and well-being. However, while intersectionality is often named and well-defined in terms of the theoretical implications, less direction is provided regarding how these principles are actualized in various methodological approaches. This article presents our experiences as a large team of researchers working with a variety of marginalized populations in living out intersectionality in nursing research. We explore a variety of different methods and analysis approaches and how intersectionality is integrated in an authentic and meaningful way.

Workplace Prejudice Toward Nurses (WPtN): Scale Development and Validation.

Kaye MP, Dellasega C, Andreae DA

ANS Adv Nurs Sci · 2025 Jan-Mar 01 · PMID 39888826 · Publisher ↗

Measuring and understanding experiences of workplace prejudice faced by underrepresented nurses comprise a first step toward workplace equality and enhanced morale and retention. With no existing instruments to measure p... Measuring and understanding experiences of workplace prejudice faced by underrepresented nurses comprise a first step toward workplace equality and enhanced morale and retention. With no existing instruments to measure prejudice directed toward nurses, the primary goal of the current study was to report the results and validation of the newly developed Workplace Prejudice toward Nurses (WPtN) scale. Participants (1692 nurses, 65% whom identified as an underrepresented racial or ethnic group) completed an online survey assessing WPtN. Participants reported on the types and frequency of WPtN they experienced, who directed the prejudice toward them, and the impact it caused on their job satisfaction and retention. Results supported the fit of a 1-factor model assessing general workplace prejudice, and 4-factor model comprising WPtN directed from different groups (ie, patients, their family members, coworkers, and administrators). More than one-third (34%) of participants reported experiencing WPtN. Those reporting WPtN indicated this prejudice was directed toward them from patients (45%), family members (41%), coworkers (42%), and administrators (14%). Experiencing WPtN negatively impacted job satisfaction and retention. Together, findings indicate that the WPtN scale is a reliable measure of WPtN of underrepresented backgrounds. The development of this tool is an important step to combating prejudiced behavior and attitudes, which can often be covert and difficult to validate.

Essential Competencies in Nursing Leadership From Asian Leaders' Perspectives.

Tsai HM, Sakashita R, Wang HH … +4 more , Chen CM, Kim HW, Oh EG, Im EO

ANS Adv Nurs Sci · 2025 Jan-Mar 01 · PMID 39760668 · Publisher ↗

The literature on nursing leadership tends to be mainly based on Western perspectives and models, which could be viewed as an imperialistic and colonialist aspect of nursing knowledge development. Furthermore, leadership... The literature on nursing leadership tends to be mainly based on Western perspectives and models, which could be viewed as an imperialistic and colonialist aspect of nursing knowledge development. Furthermore, leadership competencies and skills could differ across countries due to variations in cultural backgrounds. The purpose of this discussion paper is to identify essential competencies of leaders from Asian nurse leaders' perspectives and provide suggestions for future nursing leadership. Four themes related to the leadership competencies were identified: "harmony," "visionary," "political activism," and "good character."

Navigating Language Barriers in Linguistically Complex Settings: A Qualitative Analysis of Paradoxes in Nurse Communication in Acute Care Units in Saudi Arabia.

Alamrani MH, Birnbaum S

ANS Adv Nurs Sci · 2025 Jul-Sep 01 · PMID 39760661 · Publisher ↗

This qualitative study explores how nurses managed communication challenges in linguistically complex Saudi Arabian acute care hospitals. A secondary analysis of transcripts from interviews with 21 nurses in Riyadh revea... This qualitative study explores how nurses managed communication challenges in linguistically complex Saudi Arabian acute care hospitals. A secondary analysis of transcripts from interviews with 21 nurses in Riyadh revealed the use of informal and creative strategies, including translation apps, non-verbal signaling, family interpreters, and an ad hoc system of sharing translation work among team members. In the absence of formal interpretation services, these strategies were essential but paradoxical, contributing to delays, errors, and team tension. Findings underscore the need for interventions prioritizing inclusivity, formal interpretation services, and clear guidelines, affirming nurse and patient rights to understand and be understood.

Invisible Nursing Science.

Im EO

ANS Adv Nurs Sci · 2025 Jan-Mar 01 · PMID 39651995 · Publisher ↗

Abstract loading — click title to view on PubMed.

The Health and Health-Related Quality of Life Impacts of Having a Sibling on Probation or Parole in the United States: A Focused Ethnography.

Hutson T, Heitkemper E, Hecht JD … +2 more , Shlafer R, Thurman W

ANS Adv Nurs Sci · 2025 Apr-Jun 01 · PMID 39651959 · Publisher ↗

In this study, we explored the experiences of adult siblings of brothers who have been on probation or parole and the impacts on the participants' health and health-related quality of life. We conducted semi-structured i... In this study, we explored the experiences of adult siblings of brothers who have been on probation or parole and the impacts on the participants' health and health-related quality of life. We conducted semi-structured interviews and focused field observations of 8 adult siblings. The major themes were siblings being primary support providers , feelings of existing in a perpetual state of unknown , and perceived needs and resources . These themes reflected the types of support that participants provided; the associated strains and instability perpetuated by the criminal legal system; and the perceived resources needed to mitigate the negative impacts of participants' experiences.

It's Hard Being a Girl: A Qualitative Content Analysis Examining Emotional Distress and Suicidality in Adolescent Girls.

Holt G, Moret JD

ANS Adv Nurs Sci · 2025 Jan-Mar 01 · PMID 39499064 · Publisher ↗

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Exploring Research Trends on Digital Health in Nursing Science in Korea: A Topic Modeling Approach.

Kim HW, Choi J, Kim JS … +1 more , Son YJ

ANS Adv Nurs Sci · 2024 Oct-Dec 01 · PMID 39401160 · Publisher ↗

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 u... 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.

Nursing Professional Identity: A Critical Review of the Concept Amidst COVID-19.

Payne A, Lalonde M, Vanderspank-Wright B … +1 more , Perron A

ANS Adv Nurs Sci · 2026 Jan-Mar 01 · PMID 39377482 · Publisher ↗

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 nursi... 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.

Bibliometric Analysis (2000-2024) of Research on Artificial Intelligence in Nursing.

Monaco F, Andretta V, Bellocchio U … +3 more , Cerrone V, Cascella M, Piazza O

ANS Adv Nurs Sci · 2025 Jul-Sep 01 · PMID 39356114 · Publisher ↗

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 e... 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.

Political and Legal Changes and Nursing Knowledge Generation.

ANS Adv Nurs Sci · 2024 Oct-Dec 01 · PMID 39356111 · Publisher ↗

Abstract loading — click title to view on PubMed.

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 … +10 more , Wieben A, Coviak C, Mullen-Fortino M, Park S, Sileo M, Nogueira de Souza E, Brown S, Role J, Reger A, Pruinelli L

ANS Adv Nurs Sci · 2025 Jul-Sep 01 · PMID 39356110 · Publisher ↗

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Capturing Intersections of Discrimination: Quantitative Analysis of Nursing Students' Experiences.

Slemon A, Handlovsky I, Dhari S

ANS Adv Nurs Sci · 2025 Jan-Mar 01 · PMID 39356109 · Publisher ↗

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 broad... 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.

The Curious Case of "Men in Nursing" as a Diversity Issue: A Critical Reading of the Literature.

Padgett SM

ANS Adv Nurs Sci · 2025 Jan-Mar 01 · PMID 39352215 · Publisher ↗

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 profession... 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.

Construction of a Theoretical Model of Chronic Disease Self-Management: Self-Management Within a Syndemic.

Zuñiga J, Thurman W, West Ohueri C … +7 more , Cho E, Chineyemba P, Martin CA, Mathews WC, Christopoulos K, Davy-Mendez T, García AA

ANS Adv Nurs Sci · 2025 Apr-Jun 01 · PMID 39235280 · Full text

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. Th... 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.

Rogers' Principle of Integrality: An Evolving Inquiry.

Smith MJ

ANS Adv Nurs Sci · 2025 Jan-Mar 01 · PMID 39230401 · Publisher ↗

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 pandimension... 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.

Science of Unitary Human Beings: Toward Anti-racist Actions for Human Environment Wellbecoming.

Leveille-Tulce AMB, Hopkins-Walsh J

ANS Adv Nurs Sci · 2024 Oct-Dec 01 · PMID 39186367 · Publisher ↗

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 mandate... 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.

Compassionate Care for Parents Experiencing Miscarriage in the Emergency Department: A Situation-specific Theory.

ANS Adv Nurs Sci · 2024 Jul-Sep 01 · PMID 39093936 · Publisher ↗

Abstract loading — click title to view on PubMed.

Current Status of Translational Science in Nursing Across Four Countries.

Tsai HM, Wang HH, Sakashita R … +3 more , Oh EG, Chen CM, Im EO

ANS Adv Nurs Sci · 2024 Jul-Sep 01 · PMID 39093935 · Publisher ↗

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... 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."
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