Creative Nursing最新文献

Background: The underrepresentation of American Indian and Alaska Native (AI/AN) professionals in health care exacerbates health disparities and limits culturally relevant care. The AI/AN students in health professions face challenges such as financial barriers, cultural isolation, and systemic discrimination. Objective: This review examines the barriers and facilitators influencing the success of AI/AN students in health professions education, identifying strategies for improvement. Methods: A synthesis of 14 peer-reviewed studies examined factors affecting the success of AI/AN students, with a focus on challenges, interventions, and outcomes. Results: Key challenges include academic structures that do not incorporate Indigenous knowledge, a lack of AI/AN faculty and mentors, and the struggle to balance professional training with cultural identity. Interventions such as culturally tailored mentorship, financial support, and retention programs have improved retention and graduation rates. Conclusion: The findings underscore the need for institutional reforms, including the integration of Indigenous perspectives into curricula and the strengthening of partnerships with tribal colleges and universities. While short-term programs offer vital support, addressing systemic issues requires long-term structural change. Future research should focus on longitudinal studies, policy evaluations, and holding institutions accountable for advancing equity in health-care education.

While artificial intelligence (AI) holds immense potential for health care, the future of AI-powered chatbots such as ChatGPT in research remains uncharted. Through narrative-focused group discussion, this study explored Filipino nurse scientists' perspectives on ChatGPT's role in research. Ten experienced ChatGPT users participated in semi-structured interviews. Thematic analysis revealed three themes: (a) cultural awareness when using ChatGPT-emphasizing sensitivity to local practices, respect for elders, illness perceptions, and family involvement; (b) ChatGPT-specific needs of Filipino nurse scientists-highlighting data and language accessibility, cultural integration, and public health applications; and (c) shifting skillsets and resources for effective AI use in nursing research-underlining the need for technical expertise, ethical considerations, and resource development. This study emphasizes ChatGPT's potential to enhance patient services and well-being while stressing the importance of cultural sensitivity and ethics in AI development. These findings can guide health-care professionals and developers to optimize AI use, ensuring patient security, confidentiality, and inclusivity.

In Fall 2024, the University of Calgary Faculty of Nursing launched its inaugural Indigenous health course within the new Bachelor of Science in Nursing curriculum. Rather than simply providing a stand-alone course, this first-year course provides the foundation for ongoing learning and transformation needed to prepare nursing students to provide culturally safe care to Indigenous peoples. In this article, we will share the curriculum design process and implementation of the first iterations of the course. We will highlight the long-standing relationships and trust built over years that made it possible for a group of women (a Mi'kmaw/Irish/English settler scholar, a Scottish/German settler nurse scholar, and a Lakota/Dakota Elder, and scholar) to work together from course design to implementation and validation. Through the embodied practice of "first voice" as eloquently articulated in the epilogue by Graveline, we are leading change through stories of lived experiences that enable us to forefront Indigenous ways of knowing, being, doing, and connecting from our unique locations.

Background: American Indian/Alaska Native (AI/AN) communities continue to experience significant health disparities rooted in historical trauma and structural and systemic inequities. Increasing the number of AI/AN nurses, especially those with doctoral degrees, is a culturally grounded strategy to address these disparities and transform health care for Tribal communities. Methods: The Doctoral Education Pathway for American Indian/Alaska Native Nurses (Pathway), an initiative at the University of Minnesota School of Nursing, builds upon the Niganawenimaanaanig: "We Take Care of Them" Indigenous Nursing Education Model to recruit, retain, and graduate AI/AN nurses in Doctor of Nursing Practice and Doctor of Philosophy (PhD) programs. Through intentional partnerships, Indigenous mentorship, financial and academic support, and culturally responsive curriculum, Pathway empowers AI/AN nursing students to thrive in doctoral education and beyond. Results: Early outcomes show increased enrollment, strong community building among students, and strong positive feedback. Yet, challenges remain, particularly in the need to strengthen Indigenous content and cultural safety within the curriculum. Conclusion: This work underscores that when Indigenous students are honored, supported, and centered in their education, they not only succeed-they become confident, empowered leaders for their people and communities.

Phenomenology as a research methodology is based on Edmund Husserl's and Martin Heidegger's philosophy of phenomenology, which addresses the subject of human experience. It is one of the commonly used methodologies in health sciences research. This second editorial in the series titled "Focus on Qualitative Data Analysis" aims to provide researchers with guidance on how to choose appropriate methods of analysis among varied phenomenological approaches. We provide an analytical choice tree that presents our perspective on the methods of analysis in phenomenology. The previous article in this series addressed case study methodology. Future articles will address qualitative description, grounded theory, and narrative inquiry.

Mental illness in adolescence has seen an unprecedented increase over the past decade. This has left parents, teachers, health-care providers, and other stakeholders wondering what is happening in the teenage population. What has caused such a significant increase in depression, anxiety, and suicidal thoughts and behaviors in young people aged 13-19? Most of the research in this narrative literature review of articles published from 2016 to 2024 points to social media use as a contributing factor. The goal of this paper is to present an analysis of research related to social media use and the increase in depression, anxiety, and suicide in adolescents. Identified themes include negative psychological and physical effects of increased social media use, several different types of addiction related to social media use, the mention of fear of missing out, cybervictimization, contagion phenomenon, and low perceived support.

Forty-nine percent of mental health patients exhibit medication non-adherence, with associated risk for mental health instability. Medication non-adherence can contribute to poor treatment outcomes, aggravation of diseases, and increased occurrences of adverse medical events that costs the United States billions of dollars annually. The overarching aim of this quality improvement project (QIP) was to increase medication adherence to support mental health stability among patients ages 18-65 years at an outpatient mental health clinic in the Midwestern United States. The project incorporated the Medication Adherence Rating Scale (MARS) instrument and shared decision-making (SDM) intervention to assess for increased medication adherence after SDM. This QIP illustrated the positive impact of SDM on MARS scores and empowerment of patients to participate actively in treatment decisions through shared responsibility between patients, providers, and health-care systems.

Background: Cardiac surgery is an operation with a high risk of postoperative complications. Many factors affect patients' intensive care experience, especially after an operation. Objectives: To investigate the factors affecting the intensive care experience of patients undergoing cardiac surgery. Methods: A cross-sectional study of 200 patients who had undergone cardiac surgery in a hospital in Turkey between February and September 2022. Results: Patients who had cardiac surgery perceived their experiences in the intensive care unit (ICU) as more positive than negative. Variables of age, gender, length of stay (LOS) in the ICU, and mean pain scores were found to be significant predictors (53%) of the intensive care experience, with the most significant factor being LOS in the ICU. Conclusions: Both the LOS in the ICU and the pain scores can be alleviated with effective care. Reducing pain and shortening intensive care stays by providing quality nursing care will make the ICU experience more positive.

This journal issue reports on the effects on our spirits of the increasing stress, complexity, and change that seemingly are coming faster than we as a species can adapt to them. The sources of our articles (Australia, Brazil, Canada, Ecuador, India, Indonesia, Jordan, Palestine, Portugal, South Korea, Turkey, and the US) show that these effects are being felt all over the world. The title of this editorial reflects two concepts presented in this issue: that it is the things we want or need to do in our lives-our activities-that comprise our humanity, and that mental health is a daily continuum, from coping and resilience to significant vulnerability, from psychological pleasure to psychological pain, and from effective performance to struggles with, and sometimes inability to do, the things that help us live in the world. All our articles illustrate in some way these concepts of a continuum of mental health, and of our functioning in the world as its measure.

Introduction: Simulation-based education is one of the important teaching and learning strategies that imitate real situations in a clinical environment of safety. Simulation-based education offers experiential, interactive, and collaborative learning opportunities, and hence can help improve students' communication skills and increase their satisfaction and self-confidence. Purpose: This study aimed to examine the effectiveness of simulation-based learning on the educational practice of communication skills, satisfaction, and self-confidence among undergraduate nursing students. Methods: An uncontrolled before-and-after study design among first-year nurse students (n = 112) used the Educational Practices Questionnaire and the Student Satisfaction and Self-Confidence in Learning instruments for data collection. Results: In total, 91.1% of participants reported high satisfaction with simulation-based education experiences. Mean scores for communication skills, student satisfaction, and self-confidence were higher on posttest. There was a suggestive correlation between simulation-based education and the practices of communication skills, satisfaction, and self-confidence. Conclusion: Simulation-based education is associated with improved communication, student satisfaction, confidence, and critical thinking among nursing students. This study is important for institutions because it demonstrates that simulation-based education enhances a safer and more effective learning environment to meet the demands of future health-care professionals by increasing their satisfaction and self-confidence and improving communication skills through increased collaboration in several real-life scenarios.