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Resourcefulness theory has been developed and applied for nearly four decades in the West and been recommended and used by scholars in Taiwan for almost two decades. Research into the concept and theory of resourcefulness has been conducted in the nursing profession, especially in psychiatric and mental health nursing, in Taiwan, making the country the earliest Chinese and Taiwanese culture to adopt and use this theory. The concept of resourcefulness was derived from psychology and refers to the ability to effectively use internal (personal) and external (social) resources. It thus covers the two dimensions of skills application (e.g., personal resourcefulness and social resourcefulness). Beyond applying the concept of resourcefulness in academia and in the clinical practice of psychology and nursing, an instrument, the Resourcefulness Scale, has also been developed to measure resourcefulness with robust reliability and validity. Resourcefulness has been studied and tested in different populations, including patients with mental illness, elderly, adolescents, caregivers, nurses, and others, and has been found to correlate with depressive symptoms, self-harm behaviors, work stress, care burden, adaptation functioning, recovery, and quality of life. Moreover, resourcefulness training based on theory of resourcefulness and quality of life has also been fully developed and tested. The evolution of resourcefulness theory may be expected to be rooted and developed broadly to benefit more populations. The scientific development of psychiatric and mental health nursing may be seen in another field. [ABSTRACT FROM AUTHOR]

Purpose: This article aimed to review and summarize symptom literature to promote a comprehensive understanding of symptom science. Methods: An integrative review was conducted regarding symptom science with a particular focus on cancer symptoms. Results: Nursing theories that lead symptom science were reviewed. The importance of symptom assessment was highlighted. The current status of symptom science related to symptom mechanisms, symptom clusters, symptom management, and symptom outcomes was summarized. Conclusion: Nursing researchers need to develop expertise and facilitate collaborative multidisciplinary research to enhance symptom science. A comprehensive understanding of symptom experience and the application of valid research methodologies can advance symptom science. [ABSTRACT FROM AUTHOR]

Self‐management, or self‐care, by individuals and/or families is a critical element in chronic illness management as more care shifts to the home setting. Mobile device‐enhanced health care, or mHealth, is being touted as a means to support self‐care. Previous mHealth reviews examined the effect of mHealth on patient outcomes, however, none used a theoretical lens to examine the interventions themselves. The aims of this integrative review were to examine recent (e.g., last 10 years) chronic illness mHealth empiric studies and (1) categorize self‐care behaviors engaged in the intervention according to the Middle‐Range Theory of Self‐care of Chronic Illness, and (2) conduct an analysis of gaps in self‐care theory domains and behaviors utilized. Methods included: (1) Best practice study identification, collection, and data extraction procedures and (2) realist synthesis techniques for within and across case analysis. From a pool of 652 records, 33 primarily North American clinical trials, published between 2010 and 2019 were examined. Most mHealth interventions used apps, clinician contact, and behavioral prompts with some wireless devices. Examination found self‐care maintenance behaviors were supported in most (n = 30) trials whereas self‐care monitoring (n = 12) and self‐care management behaviors (n = 8) were less so. Few trials (n = 2) targeted all three domains. Investigation of specific behaviors uncovered an overexamination of physical activity and diet behaviors and an underexamination of equally important behaviors. By examining chronic illness mHealth interventions using a theoretical lens we have categorized current interventions, conducted a gap analysis uncovering areas for future study, and made recommendations to move the science forward. [ABSTRACT FROM AUTHOR]

The editor calls for nurse authors to help facilitate the dissemination of high-quality oncology nursing theory, science, evidence-based practice and policy. She raises concern about the rising number of journals within and outside of nursing and predatory journals. She discusses challenges for developing nurse authors such as variability in multiple domains of the doctor of nursing practice (DNP) project, little focus on scholarly writing skills, and general development of specialized focus.

The article informs readers about the highlights of the 47th Annual Research Conference organized by the Midwest Nursing Research Society (MNRS). Topics include attendance statistics, key objectives of the conference, special sessions offered, notable keynote speakers, and positive feedback from attendees regarding the organization, content quality, and technology used during the conference.

The purpose of this essay is to discuss what is meant by the external environment within our discipline. The essay includes an overview of attention to environment that began when human beings first inhabited the planet and has continued to contemporary times within the context of nursing conceptual models. The finally recognized need for attention to global environmental conditions that include climate and climate change is cited. The essay concludes with a call for decolonizing the disciplinary meanings of environment. [ABSTRACT FROM AUTHOR]

An educated healthcare professional or student is sensitive and able to make good judgements, understanding existential challenging issues. It is argued that the ideas within phenomenology and hermeneutics can function as a basis for comprehension. This article focuses on how choice of perspective and knowledge is of importance to what we do in practice. However, education does not consist of mere accumulation of knowledge and ways of explanation. We do not become competent practitioners by being able to reproduce philosophical ideas. These are merely perspectives by means of which we can seek to go beyond what we take for granted, or what we assume to know, thus enabling us to take a new direction understanding problems and issues that until now may have been hidden to us. In other words, understanding is of an existential character, whereas an observing healthcare professional must be aware and open to the mental aspects of life. It is therefore important to attune ourselves to being sensitive to and aware of experiences from our lifeworld, understanding what they imply. It is argued that literature provides insight into human nature through the written depiction of real or imagined experiences. To develop such narrative imagination, it is suggested that literature should be part of the curriculum of various educations. This is relevant to healthcare professionals who thereby can get an important insight into human nature and begin to develop the self‐awareness and sensitivity to others that is so central to care. [ABSTRACT FROM AUTHOR]

Based on a historical and a contemporary fieldwork at a Danish hospital, this article offers a genealogical and philosophical exploration of the development of nurses' doing and focus within a hospital setting from the 1800 s to the present day. This exploration finds that nurses' doing has changed during history, which is reflected in their focus. Thus, nurses' focus has developed from, what the Danish philosopher Uffe Juul Jensen refers to as a situation‐oriented, to a disease‐oriented practice, and while new values are established, the conception of care as a core value in nursing seems to have receded. This article also argues that today's nurses are doing what doctors did in the 19th century. The French philosopher Michel Foucault discusses how things repeat themselves in new ways and new contexts. The nursing profession has become 'a career open to the talents' where nurses with the appropriate skills and talents are able to build a career, within which they provide status, position and legitimacy. The conclusion of the article discusses the significance of this development for patients and the nursing profession. [ABSTRACT FROM AUTHOR]

Physiological observations or vital sign monitoring is a fundamental tenet of nursing care within an acute care setting. Surveillance of vital signs with algorithmic early warning frameworks aids the nurse in monitoring for early symptoms of clinical deterioration. The nurse must be cognizant of the factors that can influence the vital sign measurements because the framework score is only as reliable as the data inserted. Vital sign technology has made significant progress in its ability to objectify nursing subjective assessments. Early scientists have struggled with its relationship with subjectivity, claiming it has no relevance in true science. Quantitative measurements, regardless of how objectively they were created or obtained, need a subjective lens to interpret and act on the results. The skill of "making" the vital signs can be easily taught or done with technology, but it is the "taking" of the data for analysis of truth and action that requires a higher level of expertise. This paper will examine the truth of vital sign methodology and monitoring to explore the question, "Is true objectivity in the nursing practice of vital sign measurement possible?" The truth in vital sign recognition through a subjective lens will also be explored to challenge the philosophical scientific claims that objective data are the absolute truth. [ABSTRACT FROM AUTHOR]

Purpose: This study aims to determine the effect of individualized care provided based on Swanson's Caring Theory on the grief, depression, anxiety, and stress levels of women who had a miscarriage. Design and Methods: A total of 104 women who experienced a miscarriage were randomized as study (n = 52) and control (n = 52) groups. Findings: The women's physical, emotional, behavioral, and cognitive grief symptoms decreased after receiving Swanson's care (P <.001). Negative feelings about the future, level of depression, and anxiety levels diminished after receiving Swanson's Care (P <.001). Practice Implications: Supportive care and counseling provided after miscarriage were found to contribute to women's psychosocial well‐being and to improve their ability to cope with psychological symptoms. [ABSTRACT FROM AUTHOR]

Objective: To develop a nursing consultation instrument for elderly women with Urinary Incontinence. Methods: Methodological study carried out in three stages: identification of adaptive problems based on the theory of Callista Roy through the literature review, the identified data were collected using a structured form, the content was evaluated by specialist nurses using the validation technique by consensus, culminating in the elaboration of the instrument. Results: It was considered approved in the validation by consensus 60 terms that indicated adaptive problems, being 45 in the physiological mode, 6 in the self-concept, 5 in the role function and 4 in the interdependence mode. Conclusion: The elaborated instrument provides subsidies for behavioral research, assisting in the formulation of nursing diagnoses, knowledge of the nurse's clinical reasoning to evaluate the effectiveness of the intervention in relation to the behavior presented by the patient, providing holistic care, since adaptation is a characteristic inherent to human beings. [ABSTRACT FROM AUTHOR]

Objective: to understand the phenomenon of suicide from the perspective of Betty Neuman's System Theories Model. Method: qualitative research, conducted between August and September 2018, with Nursing students from a private higher education institution in the Federal District who attempted suicide. The data were submitted to content analysis, with the aid of Alceste software, and interpreted from the perspective of Betty Neuman's Nursing theory. Results: two axes emerged from the content analysis: the first highlighted the main intrapersonal stressors faced by the students, distinguishing different amortization strategies used in stress management. The second refers to the possible origin of limiting beliefs that contributed to psychic suffering and regret after the suicide attempt. Final considerations: Betty Neuman theory proved to be an effective tool in understanding the social phenomenon of suicide, and may appear in the list of perspectives of theoretical-philosophical understanding of the problem, highlighting nursing science. [ABSTRACT FROM AUTHOR]

Objective: to present the health panorama of men experiencing the Covid-19 pandemic in Brazil. Method: qualitative study conducted with 100 men living in Brazil. An online form was applied and the data were analyzed using Collective Subject Discourse, supported by Nursing Adaptation Theory. Results: the Covid-19 pandemic mobilized men's physical, affective and sexual, family and marital, health at and from work, financial, social, emotional, psychological and mental, spiritual, religious, and bioenergetic health dimensions. Conclusion: deleterious repercussions, coping adaptive modes, and men's self-care comprise the health panorama in the Covid-19 pandemic context. [ABSTRACT FROM AUTHOR]

Objective: to reflect on the implications of Home Office work in the covid-19 pandemic period on individuals' health, from the perspective of the Adaptation Theory developed by Callista Roy. Method: reflective study based on the application of the Adaptation Theory developed by Callista Roy related to changes in the work process imposed by the health crisis of the COVID-19 pandemic, with emphasis on the Home Office. Results: Callista Roy's Adaptation Theory has four adaptive modes: physiological, self-concept, role performance and interdependence. There is the interlocution of all these dimensions at Home Office work imposed by the pandemic context. Conclusion: Callista Roy's Theory supports discussions about the possibility of adaptation in this new context, either in a specific way or through transformations in the long-term work process, overcoming limitations of the individual and discovering ways to do and be in the work field. [ABSTRACT FROM AUTHOR]

AIM This study explored evidence-based testing practices of nurse faculty teaching in baccalaureate programs. BACKGROUND Faculty-developed examinations are important for determining progression in nursing programs. Little is known about faculty who implement such practices most often. METHOD A causal comparative study with a convenience sample of 177 was used to answer the research question. Participants were grouped according to level of teaching experience based on Benner's novice to expert theory. Individual/group means were calculated for the best practices in test development survey; one-way analysis of variance was used to identify significant differences between groups. RESULTS Expert faculty had higher overall mean scores than the other four groups, with significantly higher scores than both the advanced beginner (p = .007) and proficient (p = .020) groups. CONCLUSION Faculty with more experience seem to implement evidence-based testing practices most often. This information can be used to guide faculty development and peer-mentoring initiatives within nursing programs. [ABSTRACT FROM AUTHOR]

PURPOSE: To construct a situation‐specific theory (SST) to represent nutritional deficits for assessing children with cancer. DATA SOURCES: Literature review. DATA SYNTHESIS: The SST included the definition of key concepts, a pictorial scheme, propositions, causal relationships, and evidence for nursing practice. CONCLUSIONS: It was possible to characterize the elements as antecedent and consequent clinical factors to allow for an understanding of the existing relationships between them and their temporality. These elements differed considerably from those included in NANDA International. IMPLICATIONS FOR NURSING PRACTICE: This study provides additional information so that nurses in clinical practice can infer the presence of nutritional deficits in children with cancer early, given the risk already inherent in the diagnosis of cancer and treatment. [ABSTRACT FROM AUTHOR]

Mental illness is an epidemic in the United States, and there is a gap in care due to minimal integrated programs and transitional community resources. This paper reports the development of a conceptual framework to identify challenges facing families living with mental illness and the integral role nursing plays to positively impact health. An inductive, bottom-up approach was used to develop the Nursing Science, Mental Illness and Family model. Concepts clustered around family health, cycle of suffering, improving outcomes, healthcare policy, and nursing science. Successful, goal-directed interprofessional collaborations are essential for individual-, family-, and system-level interventions to be effective. [ABSTRACT FROM AUTHOR]

The Neuman Systems Model was developed to create a structure to depict nursing clients as complex systems, in constant energy exchange with their environments, comprised of multiple interrelated parts. It has been widely used in practice, education, research, and administration. An analysis of the theory, based upon Meleis' methods, was conducted. The theory has high utility and a large circle of contagiousness despite its complexity, lack of teleology, and level of abstractness. Based upon this analysis, a new model entitled the Neuman Systems Model Perspective of Nurse-Led Interprofessional Collaborative Practice has been created to provide a framework for the care of community-dwelling older adults. As a first step in its development, this new model will be used to guide a mixed-methods study evaluating an interprofessional collaborative practice intervention for community-dwelling older adults. [ABSTRACT FROM AUTHOR]

In this article, I revisit a philosophical idea from Intermodernism about generating knowledge through nursing practice and examine how this may enhance the epistemic dignity of knowledge. Epistemic dignity is an evaluation of knowledge (formalized in theories) as possessing quality and worth as scientific knowledge and as held in esteem by a disciplinary community and others. The philosophical turn toward the practice of science is discussed along with contemporary work on theoretical virtues as qualities of scientific theory. In addition, I suggest that what we may refer to as uniquely nursing knowledge is knowledge that is generated through nursing practice and ground in disciplinary perspective. [ABSTRACT FROM AUTHOR]

This is a dialogue between two PhD nurses who have served as chief nursing officers; one is now in academia wondering about current scholarly endeavors in practice. Topics addressed include working relationships at the executive level, the chief nursing officer that is PhD prepared, theory in practice, scrambling to honor nursing's pact with society during the COVID-19 pandemic, and some recommendations for academia. [ABSTRACT FROM AUTHOR]

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Copyright of Rev Rene is the property of Rev Rene and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background and Purpose: Despite different labels used to refer to different types of nursing theories by different authors, agreements were made on three major types of theories by level of abstraction. The purpose of this analysis was to discuss the characteristics of the three major types of nursing theories by level of abstraction that were published in refereed journals and to propose directions for future theoretical development in nursing. Methods: An integrated literature review was conducted using PUBMED, CINAHL, and PsycINFO. A total of 116 articles were included in this analysis. The retrieved articles were sorted by the type of theories (by level of abstraction), and analyzed in terms of scope, theorizing process, specificity and abstraction, contextual understanding, links to research and practice, and diversity and generalizability. Finally, themes reflecting the characteristics of the three major types of nursing theories were extracted and discussed. Results: A total of 17 themes were found. Although most of the themes reflected what were known about these theories, there were three new findings. First, all the grand theories that were reviewed tended to have more specific foci rather than explaining general nature, mission, or goals of nursing. Second, middle-range theories were developed based on various types/levels of theories using various sources for theorizing. Third, situation-specific theories began to be used to generate propositions and tested through statistical and qualitative analyses. Implications for Practice: The efforts to try to link nursing theories to nursing practice need to be continued through further development and evaluation of the theories regardless of the types of theories. [ABSTRACT FROM AUTHOR]

Objective: For the past 30 years there has been a growing emphasis on evidence as the primary or exclusive basis for nursing practice. Methods: Critical examination of literature related to evidence-based practice from the 1990s to the present. Results: This review of the nursing literature from the 1990s to the present reveals that in the midst of the movement to promote evidence-based practice as the gold standard, there have been persistent expressions of concern. These concerns are (a) lack of alignment of evidence-based practice with nursing's disciplinary perspective; (b) wrongful privileging of empirical knowledge over other sources of knowledge; (c) underappreciation of the complexity of practice and practice wisdom;(d) possibilities of evidence-based practice thwarting innovation and creativity;(e) vulnerabilities of empirical evidence to be flawed, inconsistent, and influenced by competing interests; (f) situational realities that limit access to and critical appraisal of evidence that access to and critical appraisal of evidence is not feasible or practical; and (g) lack of relationship of evidence-based practice to theory. Conclusions: We call for a recalibrated practice epistemology that promotes a greater appreciation for the myriad sources of knowledge for nursing practice, and offer recommendations for international change in education, literature, scholarship, and public media. [ABSTRACT FROM AUTHOR]

Objective: The aim was to explore and compare documentation of the nursing process for patient safety in two nursing documentation systems: paper and digital records. Background: The 'nursing process' (assessment, planning, intervention, and evaluation) is recommended by professional nursing registration and health service accreditation bodies as a key component of understanding nurses' clinical reasoning. Nurses' responsibility for patient safety must be supported by comprehensive documentation practices. Study design and methods: A retrospective audit of twenty clinical care records (N = 20) randomly selected from a single acute medical ward at a tertiary hospital in Australia; ten from a digital trial that replicated selected paper forms and ten paper records as controls. The audit was conducted by two nurse researchers using a purpose built data extraction tool. Results: Patient age, gender and primary diagnoses were similar for the digital and paper care records. Documentation of the full nursing process was low in both record types, and comprehensiveness of nursing documentation was similar across the paper and digital records. Compared to the paper documents, the digital documents were more often rated as 'complete' (p<0.05). Documentation of risk to skin integrity (p<0.05) and evidence of completed nursing interventions to address risks were more frequent (p<0.05) in digital records. Discussion: The findings of this study highlight an important gap in comprehensive documentation of the nursing process that supports and informs the clinical reasoning of nurses for patient safety. Improvements in digital documents reflect future opportunity to enhance the quality of nurse documentation using technology specific strategies such as prompts, visualisation and nudge. Conclusion: This research identifies that both paper and digital systems of hospital documentation may fail to capture and communicate the clinical reasoning of nurses. Digital systems have the potential to improve capture of the clinical reasoning and nursing process. What is already known about the topic? * Professional registration and healthcare accreditation bodies recommend nurses' clinical decision making is underpinned by processes of assessment, planning, intervention and evaluation. * Poor capture of nurses' clinical decision making in their documentation has negative consequences for the continuity, quality and safety of care; including inadequate detection of deterioration and escalation of care. * Electronic systems are expected to enhance capture of nurse decision making in documentation. What this paper adds: * Nurses' clinical reasoning was poorly captured in both paper and digital documentation systems. * Nurses documented their intervention responses to identified patient risks more often in the digital system compared to paper records. * Digital systems offer an opportunity to proactively nudge nurses towards improved documentation of nursing processes. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to explore the motives of clinical nurses for experiencing empathy with patients and their families based on a self-determination theory framework. Methods: Semi-structured face-to-face interviews with twenty-one nurses at four tertiary hospitals in Anhui, China, were conducted, recorded and transcribed. A content analysis with a directed approach was performed. Results: An analysis of the interview transcripts revealed three categories of empathy motivation: autonomous motivation, controlled motivation and a lack of empathy motivation. Autonomous motivation included personal interests, enjoyment and a sense of value, pure altruism, assimilation, and recognition of the importance of empathy. Controlled motivation highlighted pressures from oneself and others, the possibility of tangible or intangible rewards, and avoidance of adverse effects. Finally, a lack of empathy motivation referred to a lack of intention for empathy and denial of the value of empathy. Conclusion: This study provides a deep understanding of the motives underlying empathy in nurses. The results reveal the reasons for empathy and may support the development of effective strategies to foster and promote empathy in nurses. [ABSTRACT FROM AUTHOR]

Background: Volunteering is a common concept used in various disciplines including in the health care context. Nursing plays a role in volunteering concept development. However, the use of volunteering concept is still interchangeable. The clear definition concept about volunteering will promote the improvement in healthcare system quality. Purpose: This study aimed to clarify the volunteering concept in the health care context using Rodger's evolutionary concept analysis. Methods: This study used a literature review for collecting the exemplars. Researchers used articles published in 2010-2020 in ScienceDirect, PubMed, Web of Science, and Google Scholar. Articles were searched using OR and AND. The keywords and MeSH used were "Volunteering OR Volunteerism OR volunteers AND Health OR Care OR Nursing" in the title, abstract, and keyword articles. Inclusion criteria were full articles in English. Rodger's evolutionary concept analysis was implemented in this study with six steps. Results: This study used 39 eligible articles analyzed by providing codes of each article and then classified them in attributes, antecedents, and consequences of concept. Five attributes of volunteering, namely, giving help freely, as long-term planned, as giving a benefit to another individual, group, or organization, as working at a formal organization, and as a long-life activity were found. Antecedents of volunteering include motivation, social demographic, and philanthropic behavior. The consequences of volunteering were consequences for volunteers, patients, and the health care system. Conclusion: Volunteering is a complex concept and many surrogate concepts have similar definitions. The attributes are still debatable and need to be explored. Also, the consequences of volunteering are still rarely discussed in a particular health care system context. Further studies need to analyze the measurement of volunteering development based on the nursing theory framework and explore the consequences of volunteering in the health care system related to the nursing care context. [ABSTRACT FROM AUTHOR]

Ongoing shifts in the healthcare system require practitioners who possess metacognitive skills to evaluate their decisions and the thinking and rationale guiding those decisions. In an effort to design learning activities that support metacognition in nursing education, undergraduate and graduate faculty, are embracing simulation-based education (SBE) as an effective teaching and learning strategy. SBE includes prebriefing, the simulation scenario, and debriefing, all of which are supported by psychological safety. Prebriefing precedes the entire learning process and is integral to engagement in the simulation and to the effectiveness of the debriefing. Debriefing provides educators with the opportunity to explore and develop those metacognitive skills with learners. In this chapter on evidence-based debriefing, the authors will explore the evidence and theories surrounding best practices in SBE, specifically the prebriefing and debriefing components of the learning experience. The chapter explores the theoretical foundation of SBE and theory-based debriefing; educational best practices of prebriefing as an integral part of an effective debriefing; theory-based debriefing models; research evidence of debriefing outcomes; evaluation of the prebriefing and debriefing process; and finally, provides recommendations on the priorities for further research in debriefing. Within this chapter, the term educator is inclusive of undergraduate, graduate, and professional development nurse educators and reflects the educator role in SBE. [ABSTRACT FROM AUTHOR]

The use of simulation in nursing education is an integrated part of the curriculum and has demonstrated the benefit for learning in nursing students at all levels. The next stage in simulation-based learning will utilize the wide variety of new technologies that are currently available, including virtual and augmented reality. The use of these new technologies brings with it a need for standard definitions, evaluation of its impact on learning, and new opportunities for research. Efforts are underway to standardized definitions and publish early findings on research using these new technologies. There are many opportunities available for nursing educators to create a new era of simulation-based learning methodologies by incorporating virtual and augmented realities in their curriculum. The state of the science is showing promising outcomes and commercial products are maturing. The utilization of these new technologies should be approached in the same way as other learning methodologies as many new ideas and ways of learning are emerging in this area. It will be critical for nursing educators and faculty to determine the optimal ways to utilize them. [ABSTRACT FROM AUTHOR]

BACKGROUND: This review builds upon previous work exploring the concept of Midwifery Abdication, within the national midwifery literature. This article focuses on Australian legal literature, court/tribunal decisions and coronial or coroner's court findings. OBJECTIVE: To explore Midwifery Abdication and whether it is evident within Australian caselaw. DATA SOURCES: Australian Legal literature, coronial findings, and court/tribunal decisions reported by the Australian Health Practitioner Regulation Agency, during 2005–2020. ELIGIBILITY CRITERIA: 1,246 cases were located using the presented search terms. Use of exclusion criteria resulted in the inclusion of 41 cases. METHODS: While there are no validated tools to appraise caselaw, this review followed a robust protocol that guides the preparation and reporting of systematic reviews. Midwifery Abdication was identified using previously validated, interrelated constructs. RESULTS: Midwifery Abdication occurred in 41 cases; that included one or more previously identified constructs. In line with the associated integrative review, a midwife's professional identity, environmental hierarchy and associated culture of social obedience are all shown to act as influencing factors in Midwifery Abdication. LIMITATIONS: Rigorous and reproducible processes were used; however, limited search functionality of some data sources may have resulted in inadvertent omission of cases. While this review relates to case law in one high-income country it provides a platform for further international research. CONCLUSIONS AND IMPLICATIONS OF KEY FINDINGS: Acknowledging Midwifery Abdication in Australian caselaw may serve to strengthen the midwifery voice and encourage an enhanced educational and reflective focus on midwifery philosophy and decision-making. Midwifery education must empower midwives to embrace their autonomous status while enhancing their abilities to optimize informed decision-making within a woman-centered midwifery philosophy. [ABSTRACT FROM AUTHOR]

The problem of itch occurring with chronic wounds has been recognised, but is often ignored in practice. This paper describes the process of how the 'theory of wound itch' was formulated from Levine's conservation model. Concepts and propositions from the conceptual model were used to develop the theory. The theory will provide a basis for nursing research and practice. [ABSTRACT FROM AUTHOR]

Objective: To describe Nursing results and interventions / activities for the elderly with the Nursing Diagnosis of the Frailty Elderly Syndrome, based on Comfort Theory. Methods: Clinical case study, carried out with an elderly woman with fragile elderly syndrome, resident of an Long Term Elderly Care Institution. Results: The nursing interventions were based on the classification of nursing outcomes and classification of nursing interventions. Conclusion: The applicability of the nursing language it's considered relevant in the clinical practice and helps establish the identity of the nursing profession. [ABSTRACT FROM AUTHOR]

Objective: To reflect on the resignification of nursing care, based on the pillars ontological, epistemological and methodological. Methods: This is a reflective theoretical essay, which turns to knowledge about nursing care from an integral perspective, from the different dimensions that constitute it. Results: Nursing care, with regard to the ontological pillar, refers to care as inherent to the human condition; with regard to epistemology, it focuses on the specific knowledge carried out by nurses and, in relation to methodology, it refers to praxis, that is, the articulation between theory and practice, encompassing nursing education, teaching-learning to care. Conclusion: Thinking about this issue becomes, therefore, the initial step for nurses to recognize the ethos of their profession, to value it even more and have the relevant subsidies to support the struggles for better working conditions for Nursing. [ABSTRACT FROM AUTHOR]

Objective: To implement the Comfort Theory, mediated by research-care, to achieve institutional integrity in the clinical practice of nurses in a coronary care unit. Methods: Care research carried out from April 2014 to January 2015 with nurses and people with coronary diseases at a public hospital in Sobral-Ceará- Brazil. Results: The care-research method facilitated the use of Comfort Theory in the practice of caring for people with coronary artery disease, through dialogues between nurse researchers and nursing assistants. It was possible to guide them in the implementation of a theory and a research method in daily care, with a view to better policies and practices for institutional integrity. Conclusion: The Theory of Comfort, in clinical nursing care directed to people with coronary diseases mediated by research-care, allows dialogues between nurse researchers and nurses in clinical practice and favors the achievement of institutional integrity. [ABSTRACT FROM AUTHOR]

The article offers information on the Institute of Medicine recommended doubling the number of doctorally prepared nurses by 2020, and because of the significant increase in doctor of nurse practice (DNP) graduates there is substantial progress toward achieving this recommendation.

Introduction: Because virtually no theories were available to explain unique characteristics of Asian women's leadership in nursing, a middle-range theory on women's leadership in Asian culture was previously published. To reflect recent political and social changes in different countries, there is a necessity to refine the theory. The purpose of this article is to present the refined middle-range theory on Asian women's leadership in nursing. Methodology: Using an integrative approach, the theory was further developed based on two major sources: literature reviews and exemplars/cases from six different countries. Results: The Refined Middle-Range Theory on Women's Leadership in Asian Culture has two main domains: (a) leadership frames and (b) leadership contexts. The domain of leadership contexts has been extended with two additional main concepts including demographic contexts and health workforce/system contexts. Discussion: The refined theory is expected to guide Asian women's leadership in nursing across the globe. [ABSTRACT FROM AUTHOR]

Hermeneutic phenomenology was used to explore the perceived impact of student engagement and leadership opportunities on English-as-an-additional-language (EAL) student success. Participant interviews revealed insight into the lived experiences of EAL students completing undergraduate nursing education in a secondary language. Research findings revealed: a) the importance of student engagement and leadership opportunities, b) the influence of student engagement and leadership opportunities on mental well-being, c) accessible student engagement and leadership opportunities for EAL students, and d) future ambitions encouraged by student engagement and leadership opportunities. [ABSTRACT FROM AUTHOR]

The author in this article provides a book review of Rosemarie Rizzo Parse's The Humanbecoming Paradigm: An Everchanging Horizon. [ABSTRACT FROM AUTHOR]

This paper celebrates NSQ over the past 35 years, acknowledging its role in advancing and sustaining nursing as a distinct discipline, guided by unique knowledge, theories, and a maturing nursing science paradigm. A play on the number 35 can be considered significant and symbolic in numerology—as 35 represents the number 8. Eight represents wholeness, infinity, harmony, and leadership—all characteristics that NSQ has stood for as a leading nursing science publication. [ABSTRACT FROM AUTHOR]

Historically, nurses have volunteered to serve in wars and natural catastrophes. However, instead of a distant disaster, many nurses in the UK volunteered, working above and beyond, to assist their colleagues, local communities and health systems in the NHS during the peaks of the COVID-19 pandemic. Although the motivations and benefits to the community or self of volunteerism have been discussed in the literature, there is a paucity of literature and theoretical understanding from the field of nursing. Using a reflective and personal account of volunteering, this article aims to provide a better understanding of the concept of volunteerism in nursing. By exploring associated nursing theories from Jean Watson and Kristen Swanson, this article aims to illuminate and expand the knowledge base about nursing volunteerism. These nursing theories can frame the act of volunteerism and nursing and illustrate the interrelations of nursing theory and the practice of nursing volunteerism. [ABSTRACT FROM AUTHOR]

Philosophy courses are hallmarks for research-focused doctoral nursing programs. They help students develop inductive reasoning to build critical thinking skills, but students often find them dry and boring and have difficulty developing enthusiasm for the material. Students in an online EdD in Nursing Education program were able to engage with philosophical topics meaningfully by designing and facilitating creative peer-learning activities. To assess the realization of learning outcomes, participating students completed a survey at the end of the module. Five of the six participants (83 percent) indicated they agreed or strongly agreed that the activities helped meet course learning outcomes. [ABSTRACT FROM AUTHOR]

In nursing practice, awareness of ethical inner values and a common understanding of nursing and caring are needed. It is therefore important to highlight ideas of caring in nursing practice. The aim of this paper was to illuminate nursing, caring and ethical inner values in caring and caring in nursing practice. By being attentive, open, respectful and treating the patient as a person, nurses can enhance both their own and the patient's sense of personal meaning in the caring relationship. Nurses can use self‐reflection to create an awareness of nursing, caring and ethical inner values in caring. [ABSTRACT FROM AUTHOR]

In 1978, Barbara Carper named personal knowing as a fundamental way of knowing in our discipline. By that, she meant the discovery of self‐and‐other, arrived at through reflection, synthesis of perceptions and connecting with what is known. Along with empirics, aesthetics and ethics, personal knowing was understood as an essential attribute of nursing knowledge evolution, setting the context for the nurse to become receptively attentive to and engaged within the interpersonal processes of practice. Although much has been done over the 40 years since Carper described these ways of knowing, and we have seen enormous advances in empirics and ethics, and I would argue even in aesthetics (understanding the subtle craft of nursing in action), personal knowing may not have attracted its fair share of critical unpacking. Further, we see increasing evidence of a distortion on how forms of personal knowledge, including beliefs and attitudes, are being taken up within segments of the profession; these include legitimizing idiosyncratic positionings and, most worrisome, challenges to the idea that there are and ought to be fundamental truths within nursing that stand as central to disciplinary knowledge. In this paper, the author reflects on the confusion that a continued uncritical deference to personal knowing may be creating and the evolving interests it seems to serve. [ABSTRACT FROM AUTHOR]

Philosophical inquiries in nursing are useful for analysing and critiquing existing practices, exploring contextual factors affecting practice, adapting to and sustaining ongoing changes in knowledge development, and facilitating the linkages between theory, research and practice. Nurse scholars used several philosophical schools of thought to guide knowledge development and practice. Pragmatism has been described as essential for bridging the theory–practice gap, for engaging in the inquiry‐based practice and for translating knowledge into practice. The existing descriptions of pragmatism rely on rudimentary descriptions of "what works" and "inquiry‐based action" aspects. However, the operationalist and inferentialist aspects of pragmatism and their worth for nursing knowledge development and practice are yet to be discussed. This paper explores the operationalist and inferentialist pragmatism and highlights the implications of these aspects for nursing knowledge development and practice. It has been argued that the dual aspect of pragmatism offers an approach to develop practical lines of action, evaluate actions in terms of their usefulness and assimilate already learned actions with the new actions. I suggested that moving beyond the rudimentary understanding of pragmatism and embracing and utilizing the dual aspect of pragmatism can bring more significant benefits for nursing. Embracing the dual aspect of pragmatism can enable nurses in developing philosophical reflexivity, emphasizing the experiential context of nursing, generating actionable and ready to use knowledge, and utilizing nursing theories to their fullest potential. [ABSTRACT FROM AUTHOR]

The Finnish nursing theorist Katie Eriksson's (1943–2019) theory of caritative caring represents a non‐medical paradigm concerning the phenomena of nursing. The aim of this article was to present an oversight of the development of Eriksson's theory of caritative caring from a human science point of view. The historical development of the theory is outlined, combined with a brief overview of its philosophical connections, its impact on contemporary caring science research and its implications for nursing care. Caring science is considered a human science in the Nordic tradition, as it is deeply rooted in basic issues of human life and existence. The key ideas of Eriksson's theory of caritative caring are linked to the metaparadigm concepts of human being, health and suffering, caring and environment. All of these are permeated with the ethos of caritative caring, that is, the caritas thought of human love and mercy, and the honouring of the absolute dignity of human beings. Epistemologically, Gadamer is the most influential philosopher when it comes to the theory of caritative caring. Eriksson's theory is used in, for example, intercultural caring, caring for patients suffering from addiction, the importance of aesthetic surroundings, providing ethically good care for older people and mothers as patients in psychiatric care. In these fields of research, Eriksson's ideas of ethics, caring and suffering are highlighted in various clinical contexts. Beyond the areas of nursing care in which Eriksson's work has been cited and developed, there are at least two areas that have been actively enhanced by her works: the field of leadership and education for nursing teachers. According to Eriksson, it is momentous to ponder scientific results as not limited to empirically strengthened, randomized outcomes. Part of making the results of scientific work evident is up to the individual nurses and their being in the world. [ABSTRACT FROM AUTHOR]

The everyday expressions of nursing practices are driven by their entanglement in complex flows of social, cultural, political and economic interests. Early expressions of trained nursing practice in the United States and Europe reflect claims of moral, spiritual and clinical exceptionalism. They were both imposed upon—and internalized by—nursing pioneers. These claims were associated with an endogenous narrative of discipline and its physical manifestation in early nursing schools and hospitals, which functioned as "total institutions." By contrast, the external forces—diffuse yet pervasive—impacting upon contemporary nursing more closely align with the power dynamics explored in Gilles Deleuze's concept of the Society of Control. The example of sensor technology and telemetric monitoring of nurses' locations in the clinical setting exemplifies the intense presence of surveillance, performance metrics and the "rationalization" of nursing practice. It falls upon nurses to recognize, accept or challenge these dynamics in order to shape the future of nursing practice into a discipline which embodies our values and priorities. [ABSTRACT FROM AUTHOR]