Advances in Nursing Science最新文献

Patient safety incident reporting is essential for maintaining health care quality, yet nurses often underreport these issues due to psychological and organizational barriers. Using an extended Theory of Planned Behavior model, 211 nurses at a Seoul hospital were surveyed to assess factors affecting nurses' safety incident reporting. Multiple regression and PROCESS Model 4 revealed that perceived barriers markedly affect reporting behavior, while intention acts as a mediator between attitude or organizational silence and action. No direct effects or moderating barriers were observed; the model explained 16% of the variance. Interventions should foster positive attitudes, reduce organizational silence, and lower perceived barriers.

Genre-focused pedagogy is a teaching approach that encourages students to compare communication styles across different professional disciplines. Experimenting with a strategy to build critical consciousness and prepare doctoral students for interdisciplinary scholarship, faculty used ChatGPT to generate texts reflecting communication styles in nursing, medicine, policy, and social science journals. A student analyzed how the same content was approached differently. The exercise highlighted diversity in word choice, sentence structure, and strategies for signaling status, framing problems, and centering particular forms of disciplinary authority. AI tools can be used to build understanding of disciplinary epistemologies, language norms, and power in scholarly communication.

The literature on self-care in people living with an ostomy pouch is expanding rapidly, yet a guiding theoretical framework remains lacking. This article aims to present the development of a situation-specific theory of self-care in people living with an ostomy pouch, encompassing both intestinal (colostomy and ileostomy) and urinary (urostomy) diversions. We describe the process of ostomy self-care, the key predictors of self-care behaviors, and their outcomes. Underlying assumptions and theoretical propositions are also outlined. Self-care includes actions directed toward maintaining the physiological stability of the stoma (maintenance), detecting complications (monitoring), and responding to them (management). Factors influencing ostomy self-care include self-efficacy and cultural context. Predictors of self-care may be sociodemographic, psychological, or clinical. Outcomes are categorized as clinical or psychosocial. A total of 9 theoretical propositions are proposed. This situation-specific theory offers a framework for understanding the multifaceted nature of self-care engagement in people living with an ostomy pouch. Future research should refine the theory by testing its propositions and assessing its applicability across diverse populations and health care settings.

The purpose is to explore and clarify the theoretical foundation for the diagnosis concept and its relevance in nursing. We adopted a meta-theoretical approach, including conceptual analysis. A purposive sampling, obtained from a literature search, provided insights into what is known, or unclear. While medical diagnoses focus mostly on etiological aspects, nursing diagnoses focus more on care. We identified suffering, adaptation, and biopsychosocial conditions as essential requirements for the concept's ontological status. To enhance practice, nursing diagnoses demand clinical thinking, logical reasoning and causal hypotheses. Both procedures in medicine and nursing are critical in delivering adequate health care and collaboration.

Existential uncertainty dominates the patient experience in cardiac inherited diseases due to unpredictable disease course and the risk of sudden cardiac death. Traditional uncertainty theoretical models inadequately capture the unique facets of uncertainty associated with these diseases. Using Walker and Avant's theory derivation method, an uncertainty theory for nursing practice was developed by adapting concepts from self-organized criticality and grounding them with Parse's Human Becoming Theory within the Unitary Transformative Paradigm. This innovative synthesis enhances the understanding of uncertainty factors among vulnerable patients, potentially improving nurses' capacity to provide holistic, person-centered care and develop targeted clinical interventions addressing existential concerns.