Advances in Nursing Science最新文献

Breast cancer recurrence remains a significant challenge, impacting patient survival and quality of life. This study aimed to identify lifestyle factors influencing recurrence through a meta-analysis of 20 studies encompassing 53 datasets. Using Comprehensive Meta-Analysis (CMA) 4.0 software, significant factors such as alcohol consumption, dietary habits, metabolic syndrome, and sleep patterns were identified. Findings emphasize the critical role of lifestyle modifications in reducing recurrence risk, advocating for educational interventions to inform breast cancer survivors. The integration of lifestyle education in clinical practices and policy efforts is crucial to supporting survivors and lowering recurrence rates effectively.

Nursing has long been shaped by sociocultural and institutional discourses that reinforce emotional labor, people-pleasing behaviors, and boundary-setting challenges. Through a critical discourse analysis, this study examines how historical and structural influences condition nurses to prioritize others at the expense of their well-being. Findings reveal that professional expectations, policy language, and power dynamics perpetuate these norms, leading to burnout and diminished autonomy. Addressing these issues requires systemic reforms that support boundary-setting and self-advocacy. Reframing emotional labor as a recognized form of work, rather than an expectation, is essential to sustaining both nurse well-being and quality patient care.

This qualitative study explores how nurses managed communication challenges in linguistically complex Saudi Arabian acute care hospitals. A secondary analysis of transcripts from interviews with 21 nurses in Riyadh revealed the use of informal and creative strategies, including translation apps, non-verbal signaling, family interpreters, and an ad hoc system of sharing translation work among team members. In the absence of formal interpretation services, these strategies were essential but paradoxical, contributing to delays, errors, and team tension. Findings underscore the need for interventions prioritizing inclusivity, formal interpretation services, and clear guidelines, affirming nurse and patient rights to understand and be understood.

Drawing on intersectional feminist theory, this review interrogates maternal health disparities through lenses of gender, labor, and structural inequality, with a particular focus on South Korea. It integrates global trends with local realities to examine how socioeconomic status, digital divides, and algorithmic bias in artificial intelligence systems could compound maternal vulnerability. By critically evaluating gender gaps in nursing research and leadership, this paper advocates for the adoption of intersectionality as a foundational framework in nursing science to redress inequities and promote inclusive health care innovation.

Theories of pain have been developed in several patient populations, but none currently exist for heart failure (HF) that include contributing factors and associated outcomes. We developed a situation-specific theory of pain in HF by adapting the biopsychosocial model of pain. Existing theoretical and empirical literature in HF samples was utilized to construct the new theory. Components, contributing factors, and associated outcomes of pain in HF are presented in the new theory. Areas in need of additional research are emphasized, and strengths and limitations are discussed. This theory could provide a foundation for future pain research initiatives in HF. Key words : pain, heart failure, theoretical model.

This study examined South Korean pregnant women's workplace experiences through Meleis' transition theory. Twenty participants engaged in online focus groups, discussing pregnancy, childbirth, prenatal care, and COVID-19 concerns. Content analysis revealed 15 themes reflecting transition theory's components. Participants were mostly first-time mothers in their second trimester. Transition facilitators included supportive family and health checks, while inhibitors comprised workplace stress and COVID-19 risks. Transition responses included worries about delivery pain and infant expectations. Nursing interventions recommended encompassed diet, exercise, and psychological support. The findings suggest health care providers should understand and address these transitions with tailored prenatal interventions.