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ANS. Advances in Nursing Science

Sydney Buckland, Bunny Pozehl, Bernice Yates
The concept of depression in women with coronary heart disease has been poorly defined for several reasons: numerous widely variable instruments that operationalize the concept; divergent proposed instrument cutoff scores; and continued lack of female participants and data analysis by gender in coronary heart disease research. In the forty articles from 1990 to 2018 evaluating depression in women with coronary heart disease, the concept is defined by specific somatic and cognitive symptoms, preceded by particular physiological and psychosocial vulnerabilities, and leads to poorer outcomes...
March 7, 2019: ANS. Advances in Nursing Science
Nancy Clark, Nasrin Saleh
Racism in nursing can be positioned through institutional forms of gendered, racialized, and religious structures. Muslim nurses who choose to honor the Islamic practice of donning hijab may be at risk of experiencing racism in contexts of post-September 11 era and the war on terror. Critical race feminism and intersectionality are theoretical frameworks that when applied to narrative inquiry can illuminate the standpoint of Muslim nurses donning hijab by providing a counternarrative as a point of resistant to racism in nursing...
March 7, 2019: ANS. Advances in Nursing Science
Whitney A Thurman, Karen E Johnson, Danica F Sumpter
In health care, as in society, racism operates on multiple levels and contributes greatly to health and social inequities experienced by black Americans. In addressing racism, however, health care has primarily focused on interpersonal racism rather than institutionalized forms of racism that are deeply entrenched and contribute to racial inequities in health. In order to meaningfully address health inequities, health care must extend its focus beyond the interpersonal level. The purpose of this integrative literature review is to identify how and to what extent peer-reviewed nursing literature and professional nursing organizations have explicitly addressed institutionalized racism...
March 7, 2019: ANS. Advances in Nursing Science
Patrick O╩╝Byrne, Jean Daniel Jacob
HIV prevention has changed since the identification of AIDS in 1981, the discovery of HIV in 1983, and the rollout of HIV antibody testing in 1985. Since this time, HIV prevention changed from behavior modification to testing to treatment as prevention to chemoprophylaxis using HIV medications among HIV-negative persons. While these modifications have been heralded as public health successes, critical evaluations are needed. In this article, we present one such review in which we argue that HIV prevention, while previously disciplinary in the Foucauldian sense, has become controlling in the Deleuzian sense...
March 1, 2019: ANS. Advances in Nursing Science
Jamal Beydoun, Laya Nasrallah, Talal Sabrah, Meriam Caboral-Stevens
Using Walker and Avant's approach, a concept analysis was performed to develop a working definition of caregiver fatigue. Defining attributes of caregiver fatigue identified were "fell into role" by default, outside the norm of role expectations, excess caregiving demand, and exposure to prolonged period of caregiving. Model, related, and contrary cases were developed. Antecedent, consequences, and empirical referent of caregiver fatigue were also identified. Lastly, a working definition of caregiver fatigue was developed...
March 1, 2019: ANS. Advances in Nursing Science
Melissa Beauchemin, Elizabeth Cohn, Rachel C Shelton
The literature is replete with clinical practice guidelines (CPGs) and evidence supporting them. Translating guidelines into practice, however, is often challenging. We conducted a concept analysis to define the concept of "implementation of CPGs in health care settings." We utilized Walker and Avant's methodology to define the concept of "implementation of CPGs in health care settings." This included a focused review of the literature, defining the relevant attributes, defining implementation, case examples, and antecedents and potential consequences from implementation of CPGs in health care settings...
March 1, 2019: ANS. Advances in Nursing Science
Helen Hudson, David Kenneth Wright
The number of people aging and dying behind bars is growing, bringing greater attention to the need for prison palliative care. While this trend has rightly led to increased scholarship, a focus on understanding the most effective way to deliver prison palliative care has overshadowed thinking about why the need itself has arisen, as well as deeper ethical thinking about how the nursing profession should respond. This article interweaves 4 strands of analysis-contextual, relational, social, and political-to produce a framework to guide ethical action in prison palliative care nursing, relevant to practice, research, policy, and education...
March 1, 2019: ANS. Advances in Nursing Science
Ethan C Cicero, Sari L Reisner, Susan G Silva, Elizabeth I Merwin, Janice C Humphreys
This integrated literature review, framed by the gender affirmation framework, sought to contextualize the experiences of transgender adults interfacing with health care after the release of Healthy People 2020. The constructs of the gender affirmation framework represented 4 a priori themes used to organize the findings. The 23 articles synthesized (quantitative, n = 13; qualitative, n = 7; case studies, n = 2; and mixed methods, n = 1) revealed numerous obstacles accessing health care, discrimination from health care professionals and clinicians, restricted health insurance benefits for medically necessary care, and barriers to medically necessary care, such as cross-sex hormones, as well as primary and preventative health care...
March 1, 2019: ANS. Advances in Nursing Science
Barbara Charbonneau-Dahlen
This article introduces symbiotic allegory, an innovative research method designed by the researcher, an American Indian Chippewa. Symbiotic allegory incorporates traditional methods (storytelling, the Dream Catcher-Medicine Wheel, traditional grounding ceremonies) with Western interview methodology to evoke trust and candor among Plains Indians who had never voiced the traumatic stories of their childhood boarding school experiences. Implications reflect the importance of creating methodologies that incorporate the ways of knowing of the group being studied, which is best accomplished by a researcher who comes from within the ranks of the population being studied...
March 1, 2019: ANS. Advances in Nursing Science
Jennifer Searle
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) health disparities persist and reflect larger structural inequities that negatively impact the health of historically marginalized communities. By way of using queer phenomenology, the author analyzes a personal experience that was harmful to her as a lesbian patient who required emergency medical attention. Also a registered nurse, the author draws on her lived experiences to reveal heteronormativity as a prevalent, but largely unacknowledged, source of structural harms for LGBTQ patients...
March 1, 2019: ANS. Advances in Nursing Science
Alina Engelman, Claire Valderama-Wallace, Sahar Nouredini
The nursing profession can both perpetuate inequities and elevate the discourse around disability. Our article uses an intersectional lens to discuss the scope, magnitude, and determinants of health inequities that people with disabilities experience and the ways in which theoretical models of disability used in nursing education can further contribute to inequities. Our article makes the case for an intersectional social justice approach to nursing education by contextualizing the current state of affairs within historical and contemporary models of disability...
March 1, 2019: ANS. Advances in Nursing Science
Kathleen Quinn
This article focuses on the use of mandalas as part of a reflective practice journaling process. In this article, there is an approach to the science of communication, empathy, and interdependent communication. Drawing from a previous article on the "space between" in communication spirals, this article uses mandalas as preparation for and instrument of diverse communication. Emphasis is on mandala usage within reflective practice to consider depth interiority and then using the mandala as metaphor for engaging and sharing with others externally in dialogue...
February 21, 2019: ANS. Advances in Nursing Science
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January 2019: ANS. Advances in Nursing Science
Ronald L Hickman
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January 2019: ANS. Advances in Nursing Science
Deborah F Lindell
No abstract text is available yet for this article.
January 2019: ANS. Advances in Nursing Science
Patricia A Sharpnack
No abstract text is available yet for this article.
January 2019: ANS. Advances in Nursing Science
Tara M Tehan, Amanda E Cornine, Rita K Amoah, Thin Zar Aung, Danny G Willis, Pamela J Grace, Callista Roy, Kathleen A Averka, Donna J Perry
Doctorally prepared nurses must be able to represent the unique nursing perspective within interdisciplinary teams to address contemporary health challenges. This article provides a student exemplar applying the unifying focus of facilitating humanization as described by Willis, Grace, and Roy to science on nature and health. As scientific knowledge becomes more complex, nurses must be skilled in translating information through the nursing lens to support individuals in realizing meaning, choice, quality of life, and healing in living and dying...
January 2019: ANS. Advances in Nursing Science
Danny G Willis, Danielle M Leone-Sheehan
Fundamental patterns of knowing in nursing have historically served to clarify the substance and structure of the discipline, significantly contributing to nursing's body of knowledge. In this article, we continue the scholarly conversation on patterns of knowing in nursing by advancing spiritual knowing as a pattern of knowing that helps advance nursing's agenda toward universal well-being and critical during this time toward interdisciplinarity. Implications for nursing are explored in relation to enduring and new questions that require our attention related to human beings, their environments, and healing...
January 2019: ANS. Advances in Nursing Science
Mary Jane Smith, Joyce J Fitzpatrick
Nursing knowledge development continues to face significant challenges, as there is not yet widespread acceptance of the important role of nursing theory in research, education, and professional practice. The purpose of this article is to describe perspectives on person, environment, health from different levels of knowledge development for the discipline of nursing. The authors recommend continued discourse among nurse scholars to advance the discipline of nursing globally.
January 2019: ANS. Advances in Nursing Science
Pamela G Reed
Nursing is not only a professional practice, it is a scientific practice as well. One aspect of this practice involves development of scientific theory. In this article, I present a philosophical perspective called intermodernism for considering the content, structure, and process of scientific theory. Three types of theory structure are reviewed along with descriptions of the use of models and mechanisms in knowledge development. Practice is championed as a context that informs theory development as well as a context of theory validation and application...
January 2019: ANS. Advances in Nursing Science
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