Advances in Nursing Science最新文献

Unitary Rogerian concepts are more evident in nursing's evolving disciplinary discourse since the seventies. This article explores ancient universal Laws of Nature that coincide with Unitary Nursing/Caring Science. These principles of life have not been addressed in nursing literature. Rogers' Science of Unitary Human Beings in convergence with Watson's Transpersonal Caring Science/Unitary Caring Science, are highlighted as evidentiary exemplars of the presence of these Natural Laws, referred to as Hermetic truths. By uncovering the universals that underpin Unitary Nursing/Caring Science, the discipline of Nursing is helped to mature to a higher level of consciousness, affirming the timeless universal unitary nature of Human-Universe phenomena of Nursing.

The nursing profession currently exists in the untenable position of holding social justice as a core value of the profession but operating within dominant oppressive systems of colonialism and racism. Decolonizing and Indigenizing nursing are proposed as strategies toward reconciliation; however, little is known regarding specific nursing actions toward decolonizing and Indigenizing the profession. This scoping review highlights approaches, barriers, goals, and the utility of decolonizing and Indigenizing nursing knowledge, education, research, and practice. Synthesizing these will provide ideas and inspiration leading to praxis while also highlighting the reality of the challenges of this work.

In 1986, Yarling and McElmurry published a provocative article in Advances in Nursing Science that challenged the notion of nurses as moral agents. They argued that the hierarchical structure of hospitals, which placed physicians at the center of decision-making, limited nurses' autonomy and ethical agency. While nurses today continue to face complex ethical challenges, significant strides have been made. Nurses are now widely recognized as moral agents whose primary commitment is to their patients, families, and communities. This essay underscores the central role of moral agency in ethical nursing practice. To fully support this role, healthcare institutions must foster environments that respect and empower nurses. This includes recognizing their contributions to patient safety and quality care, and ensuring they have the resources needed to navigate the evolving demands of modern nursing.

This study evaluated the impact of Advance Care Planning (ACP) facilitator training on home care nurses' competencies and the effects of an ACP program led by trained nurses on patient-family outcomes. A one-group pretest-posttest design assessed nurses (N = 28) after a 3-day online workshop, while a randomized controlled trial examined patient-family outcomes (N = 39). Nurses showed significant improvements in confidence, and attitudes related to ACP post-training. However, the ACP program did not yield significant patient-family outcome changes. As ACP demand grows, tailored training is essential to equip nurses with the skills needed for their roles and practice settings.

This paper examines the art of nursing through linguistic appreciation interpreted from Paley's method of concept analysis and is situated within Carper's fundamental ways of knowing. Examining the theoretical framework for the art of nursing, a historical exploration for disciplinary dialogue, analyzing and interpreting existing art of nursing literature, and identifying prominent attributes embrace multiple conceptions. Five constitutive meanings develop the art of nursing as: a craft, an aesthetic, nursing science, transpersonal caring, and multiple ways of knowing. Narratives of operationalization allow an exploration with the art of nursing for use in nursing education, research, and practice.

First-degree relatives (FDRs) of colorectal cancer patients in China face distinctive health behavior challenges shaped by cultural and familial contexts. Little is known about how familial responsibilities influence their health motivations. This study explored FDRs' perceptions and motivations regarding healthy lifestyles using a qualitative descriptive design. Semi-structured interviews with 16 FDRs revealed 2 themes: (1) Health Perceptions in Cultural Context-integrating traditional Chinese medicine with modern views, with contradictions about exercise/tobacco/alcohol; and (2) Dual Role of Family Responsibility-acting as both motivation and barrier when interacting with economic pressures. Culturally adapted interventions addressing multilevel socioeconomic factors are essential.