Nursing Science Quarterly最新文献

This philosophical analysis combines Watson's theory of human caring with Levinas's relational ethics to examine the nurse-patient relationship as a moral encounter that creates nursing knowledge. Watson's theory alone cannot explain the ontological priority of moral responsibility in nursing identity; Levinas provides this foundation, while Watson demonstrates how moral obligation manifests therapeutically. Through a structured three-stage inquiry, nine core concepts are analyzed to resolve tensions between ethical asymmetry and mutual transformation. The synthesis shows that ethical responsiveness to vulnerability drives transpersonal caring processes, positioning the nurse-patient relationship as central to professional identity rather than just a part of the practice context. This integrated framework highlights relational ontology as fundamental to nursing science, with implications for practice change, curriculum design, and research focused on transpersonal caring.

This article examines the joint cognitive systems framework as a foundation for understanding human-machine collaboration. Using Meleis's theory evaluation model, we describe its origins, principles, and applications and then critique its strengths and limitations. Findings highlight challenges in trust, workload, and integration that limit effective use in health care. Application to obstetric anesthesia demonstrates how combining provider expertise with machine learning insights may improve maternal risk assessment. We propose the modernized extension, human-AI joint cognitive systems, to incorporate ethics and sociocultural factors, supporting safer and more effective clinical decision making.

Upright standing posture is a hallmark of human bipedalism, distinguishing humans from other species. The core of good standing posture refers to the optimal body alignment with significant implications of postural health. Guided by the Roy adaptation model, the purpose of this paper is to examine existing methods for measuring good standing posture from both instrumental and non-instrumental perspectives, offering analytical insights into practical applications, strengths, and limitations of various measurement approaches. Findings underscore the need for a standardized measurement protocol, providing nurses with a useful reference to support informed advisory care to individuals seeking to improve their postural health.

This paper presents the theory of asthma self-management, a middle-range theory that focuses on the personal, socioeconomic, environmental, and healthcare-related factors that affect asthma self-management behaviors and asthma control in adults. The theory of asthma self-management was deduced from Orem's self-care theory, one of the three subtheories of the self-care deficit theory of nursing. A substruction model is included and illustrates the linkages between the concepts of Orem's self-care theory and the novel middle-range theory. The development of this theory expands the body of nursing science by bridging an existing theory with current asthma knowledge.

Persons with spinal cord injury are at high risk of developing pressure injuries, and their caregivers are in a critical position to help prevent them. The objective of this study was to evaluate the effectiveness of an educational program for caregivers of persons with spinal cord injuries to prevent pressure injuries in Iraq. A pre- and post-test design was used and involved 25 caregivers of persons with spinal cord injury during the acute care phase in an SCI-specific unit of a hospital. A scale and questionnaire were used to gather the participants' demographic information, pre- and post-educational program knowledge, and observations of their pre- and post-program performance of pressure injury preventive tasks. Descriptive statistics and inferential statistics were calculated using SPSS (Version 26.0). The educational program effectively increased caregivers' knowledge and improved pressure injury prevention performance. The findings are discussed from a global nursing perspective.

Nurses are guided by a unique disciplinary knowledge base. With this base, they have a significant role in crafting innovative policies with communities. Innovation is essential for persons, as individual and group communities, as they cocreate meaningful change. In this paper, the author explores innovation with Parse's (2021) community change concepts to enhance policy improvement, implementation, and maintenance.

Parse's humanbecoming teaching-learning model provided the framework for guiding the analysis-synthesis in this study using Giorgi's descriptive phenomenological method to reach the general structural description of the lived experience of living on the edge for nursing students. The central findings emerged as acquiescing to ambiguity in moving moment-to-moment coming-to-know something of value, dignifying the journey by vigilantly exploring unknowns of the everchanging, risking venturing forth with quieting-disquieting regard amid diverse alliances in anticipation of cherished endeavors, persevering with novel experiences amid potentiating-restricting opportunities in realizing cherished endeavors, venerating words, wisdom, and images of others in considering-composing cherished choosings, and discovering anew cherished priorities as possibilities emerge.

This column presents a scholarly dialogue with Dr. Sandra Schmidt Bunkers, a senior Parse scholar, who sheds light on the humanbecoming paradigm-guided nursing sciencing, living the art, teaching-learning, and nursing policy development. Exploring Dr. Bunkers' scholarly works, with her wisdom and experiences shared in the scholarly dialogue, provides valuable guidance for the future of nursing, creating a new horizon of nursing as a unique discipline and practice.

The following article incorporates findings from a humanbecoming inquiry on feeling unsure, storytelling, and poetry to discuss the experience of going Nowhere.

The purpose of this article is to examine how nursing paradigms and the theories and research that arise from them contribute to the creation of unique nursing knowledge that fortifies the discipline.