Advances in Nursing Science最新文献

This grounded theory study explored the processes and actions enacted by oncology nurses to enhance professional quality of life and the related meaning, facilitators, and barriers. Oncology nurses described a process by which they continually Reconcile Incongruencies . This process involves 4 categories: Accepting the Context of Oncology Nursing, Bettering the World, Pursuing a Calling, and Being Valued. External facilitators and barriers, self-driven actions to maintain, and consequences of professional quality of life were also revealed. The findings from this study offer an operational definition, a foundation for instrument development, and the consequences of oncology nurses' professional quality of life.

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.

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.

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.

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.

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.