Advances in Nursing Science最新文献

Background: Self-care is essential in the management of chronic illness. In 2012, we published a middle-range theory addressing self-care as a process of maintaining health through health-promoting practices and managing chronic illness. Three key concepts in the theory were self-care maintenance, self-care monitoring, and self-care management. Self-care maintenance refers to those behaviors performed to improve well-being, preserve health, or maintain physical and emotional stability. Self-care monitoring is the process of routine vigilant surveillance, self-awareness, and body monitoring or body listening. Self-care management involves the response to signs and symptoms when they occur. In 2019, we updated the theory, specifying the important contribution of symptoms to self-care. Assumptions and propositions of the theory were specified in the original publication; both are expanded in this update.

Purpose: Here, we update the theory to reflect changes in our thinking and what has been learned from published literature and discussions with others. An important addition is a detailed discussion of 6 essential intrapersonal requirements for self-care: experience, knowledge, skills, reflection, decision-making, and motivation. These requirements interact dynamically; the order in which they are presented is not meant to reflect the order in which they are developed.

Implications for practice and research: These factors are particularly important in guiding the development of self-care interventions. Readers can now refer to this version instead of the 2012 publication.

The purpose of this study was to identify facilitators and barriers for engaging youth and families from a historically and systematically marginalized community in high-tech research. Adapting community-based participatory research principles, 4 focus groups were conducted with 13 youth and 12 parents. Using codebook thematic analysis, 5 facilitator themes (develop skills, ensure health, build understanding, promote safety, and help others, youth-initiated interest) and 4 barrier themes (anxiety and fear, skepticism, confusion, and unfamiliar/unknown experience) were identified. Youth and parent responses informed proposed guidelines for recruiting and engaging families in research using high-tech methods, particularly those from historically and systematically marginalized communities.

This article examines Professional Human Caring in Nursing within the evolving landscape of artificial intelligence (AI). As AI becomes increasingly integrated into healthcare, it necessitates a philosophical, moral, ethical, and transpersonal spiritual foundation to safeguard nursing's core disciplinary values. Watson's Unitary Caring Science and Theory of Transpersonal Human Caring offer a guiding framework for sustaining Professional Human Caring in the face of advancing AI technologies. Furthermore, Watson's 10 Caritas Processes ® serve as a timeless philosophical and theoretical anchor, ensuring that human caring remains central to nursing. This article explores key AI-related questions and strategies through a disciplinary philosophical lens, reinforcing that AI in nursing should enhance rather than diminish the essence of Professional Human Caring.

A working knowledge of theory requires theory translation within and outside the nursing discipline to guide practice and inform generative epistemic nursing knowledge. However, theory focused content for application to practice is scarce in many Doctor of Nursing (DNP) education programs. Communication between faculty and students regarding the use of theory to guide practice is an important action that is not well understood. The terminology to describe this process is nursing theory conversance (NTC). However, NTC has not been defined within the literature. We provide a tentative definition of NTC and explore its importance in DNP education.

Patient reports of emotional harm during healthcare experiences require urgent action to center emotional safety as core to patient safety. We conducted a dimensional concept analysis to clearly define the dimensions of patient emotional safety. We propose a preliminary definition with dimensions that characterize patient emotional safety related to the experience of individual and structural dimensions of autonomy, human connectedness, practice of structural humility, and secure environment during healthcare interactions. This work serves as an initial step towards understanding patient emotional safety to inform future studies, education, practice, and advocacy to improve patient safety, quality of care, and health outcomes.

Minority stress is a cumulative and unique form of stress resulting from societal and environmental conditions. This integrative review aimed to synthesize factors that generate minority stress in lesbian, gay, bisexual, and transgender and gender nonconforming individuals. Systematic literature searches were conducted in 7 databases, and the data were analyzed using reflexive thematic analysis. Five main themes were identified: (1) social ambivalence, (2) identity formation, (3) persecution from society, (4) inequity in society, and (5) devaluation of identity. Nursing and health sciences can benefit from incorporating this theoretical framework when designing interventions that promote health and prevent illness among sexual and gender minorities.

Asthma remains highly prevalent among adolescents, many of whom experience poor control despite medical advances. Adolescents are often expected to manage their asthma independently, yet may lack the necessary knowledge, skills, and autonomy. Existing family-centered frameworks frequently overlook their developmental needs. This paper introduces the Adolescent Asthma Self-Management Behavioral Framework, which emphasizes cognitive, behavioral, and emotional autonomy within social and developmental contexts. By addressing these gaps, the framework can advance clinical practice and guide future research toward developmentally appropriate, autonomy-supportive, and contextually relevant approaches to adolescent asthma self-management.

This philosophical reflection analyzes nursing clinical care in light of Hannah Arendt's concepts of labor, work, and action. Grounded in a hermeneutic approach, the analysis articulates The Human Condition with scientific literature on clinical care, aiming to understand how these categories expand the meaning and practice of caregiving. The reflection highlights that clinical care involves complementary dimensions: labor, which sustains life; work, which structures and gives permanence to actions; and action, which expresses freedom, ethics, and responsibility in human relationships. This triad allows care to be recognized as a creative and transformative practice that integrates technical skills, sensitivity, and social commitment. It is concluded that Arendtian thought provides a foundation for humanistic nursing, capable of articulating theory, research, and practice in the construction of ethical and meaningful care.

This study explores the lived experiences of Nurses in Latin America through Enrique Dussel's phenomenology of liberation. Using a qualitative phenomenological approach, data were collected in 2 phases through in-depth interviews and reflective diaries. Findings reveal themes of resistance, corrupted care, autonomy, and Cuidado as a liberating praxis. Nurses navigate systemic oppression with resilience, drawing strength from community ties and ethical commitment. The study concludes that Nursing in Abya Yala is not only a practice of care but also a political and emancipatory act, contributing to the decolonization of disciplinary knowledge and the redefinition of Nursing in the region.