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Check out the current issue of ANS!


Here is what you will find!

Editorial by Eun Ok Im! The Future of Nursing Theory and Philosophy: Where to Go?

A New Situation-Specific Theoretical Framework to Guide Ectopic Pregnancy Research in Nursing
Hepburn, Kirsten E.; Moore, Tiffany A.; Shade, Marcia Y.; Rowland, Sheri

An Update to the Middle-Range Theory of Self-Care of Chronic Illness
Riegel, Barbara; Jaarsma, Tiny; Strömberg, Anna

A Situation-Specific Theory on Kidney Health Inequities Among Midlife Women From Ethnic Minority Groups in the US (KH-MWMG Theory)
Kim, Dongmi; Im, Eun-Ok

Proposing Technology-Enhanced Wisdom: A Middle-Range Theory for Contemporary Nursing Practice in the Age of AI
Vyas, Pankaj; Gephart, Sheila

Establishing Directionality in the Self-Regulation-Self-Efficacy Change Relationship to Best Leverage Theory Within Cognitive-Behavioral vs. Educational Obesity Treatment
Annesi, James J.; Bakhshi, Maliheh

    Intersectionality as a Theoretical Framework for Health Inequities in Pregnancy: Theory Analysis
    Hashemi, Fatemeh; Tedder Sonney, Jennifer

    Preserving Professional Human Caring in Nursing in the Era of Artificial Intelligence
    Wei, Holly; Watson, Jean

    Strategies to Engage Systematically Marginalized Youth and Their Families in Research Using High-Tech Methods
    Hardin, Heather K.; Bender, Anna E.; Killion, Cheryl M.; Moore, Shirley M.

    A Socioecological Model of Heart Failure Self-Care
    Whyte, Michelle; Sethares, Kristen A.

    Nursing Professional Identity: A Critical Review of the Concept Amidst COVID-19
    Payne, Alayna; Lalonde, Michelle; Vanderspank-Wright, Brandi; Perron, Amélie

    VISIONS: Scholarship of Rogerian Nursing Science


    The “VISIONS” article in the current issue of ANS is titled “Unitary Nursing-Caring Science and Natural Laws of Nature” authored by Jean Watson, RN, PhD, AHN-BC, FAAN, LL (AAN) and
    Demitri Watson Ervedosa, BA-SLHS

    Abstract

    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.

    ANS October-December 2025 – Vol 48:4


    The current issue of ANS is packed with articles that inform, inspire and invite scholarly discourse that contributes to the ongoing development our discipline! Check out the Table of Contents here, and link to specific items for a journey into a world of current thought in nursing!

    From the Editor

    What is Nursing Science?
    Im, Eun-Ok

     Editorial

    Call to Action
    Chinn, Peggy L.

    Reflections on Nursing Research Then and Now: Challenges to the Viability of Nursing Science
    Morrison-Beedy, Dianne; Murray, Teri

    Original Article

    Opinion Paper: What is Nursing Science?: Ontological – Epistemological Disciplinary Questions
    Watson, Jean

    Opinion Paper: Are Nurses Free to Be Moral Agents? Revisiting the Moral Foundation of Nursing in Uncertain Times
    Ulrich, Connie M.; Grady, Christine

    Opinion Paper: The Value of Nursing Science: We Need Our Collective Voice
    Dickinson, Jane K.

    Opinion Paper: Metamodernism in Nursing: An Epistemological Paradigm Shift
    Wei, Holly

    Opinion Paper: Revisiting Speaking Truth to Power: A Return to Its Roots
    Canales, Mary K.

    Opinion Paper: Fundamental Patterns of Knowing: A Reflection
    Polifroni, E. Carol

    Opinion Paper: Advocacy in Nursing: An Anchor and a Compass
    Killion, Cheryl M.

    International Section Opinion Paper: Nursing as a Special Science: Rethinking Knowledge, Practice, and Philosophy
    Sakashita, Reiko; Kihira, Tomoki

    Critical Environmental Justice Nursing for Planetary Health: A Guiding Framework
    Le Clair, Jessica; Luebke, Jeneile; Oakley, Linda Denise

    The Mediating Role of Subjective Social Status and Psychological Distress in the Relationship Between Perceived Prejudice and Job Satisfaction Among Male Nurses: The Moderating Role of Self-Esteem
    Kong, Wenwen; Li, Miao; Chen, Xinxia;  Liu, Huan; Feng, Danjun 

    A Linguistic Appreciation for the Art of Nursing
    Lewis, Ruth L.; Reed, Sean M.

    The State of the Science on Mitigating Cancer Inequities Through Measuring and Addressing Social Determinants of Health
    Lee, Youran; Gonzalez-Guarda, Rosa

    Conducting Intersectional Analysis in Nursing Research
    Oudshoorn, Abe; Rabiah-Mohammed, Fawziah; Ariba, Olayinka; Krywucky, Andrea; Annor, Bridget; Adu, Joseph; Ndayisenga, Jean Pierre; Guerrero, Danny; Reid, Tracy-Ann; Lindsay, Sarah May 

    Clarifying the Theoretical Foundation for the Concept of Diagnosis and Its Relevance in Nursing: A Discussion Paper
    Karlsen, Bjørg; Hillestad, Torgeir Martin; Dysvik, Elin

    Completeness of Systematic Reviews in Nursing Literature Based on PRISMA Reporting Guidelines
    Carter-Templeton, Heather; Oermann, Marilyn H.; Owens, Jacqueline K.; Vance, Billie; Mastorovich, Melissa L.; Quazi, Mohammed; Wrigley, Jordan; Walter, Suzy Mascaro; Carpenter, Roger; Thurman, Faythe 

    A Critical Discourse Analysis of Emotional Labor, People-Pleasing, and Boundary-Setting in Nursing
    Kaylor, Sara K.; Horton, Abby G.; Townsend, Haley; Rice, Meridith N.; Trull, Valerie; Prevost, Suzanne S. 

    Adverse Childhood Experiences and Cardiovascular Health: An Exploration of Protective Social Determinants Among Young Adult Black Women
    Scott, Jewel; Silva, Susan; Gonzalez-Guarda, Rosa M.; Bennett, Gary G.; Merwin, Elizabeth; Simmons, Leigh Ann 

    Visions: Scholarship of Rogerian Nursing Science

    Unitary Nursing-Caring Science and Natural Laws of Nature
    Watson, Jean; Ervedosa, Demitri Watson

    ANS Special Issue: Evolutions in Theory for Nursing Science


    Timeline extended – Submissions accepted through November 8, 2025.

    The submission deadline for the upcoming Advances in Nursing Science special issue on “Evolutions in Theory for Nursing Science” has been extended to November 8, 2025. Danny Willis, DNS, RN, PMHCNS-BC, FAAN, Dean of The University of Rhode Island College of Nursing and Sharron Docherty, PhD, PNP, FAAN, Vice Dean for Research, Duke University School of Nursing are the guest editors for this issue, which aims to highlight and/or challenge the status quo of theory in nursing research. The call for papers encompasses topics related to:

    • Opportunities is the application of theory in nursing science
    • Contemporary midrange and situation specific theories
    • Philosophical and theoretical discourses in the interdisciplinary contexts of nursing
    • Theorizing social justice in nursing science
    • Building connections between theory, research and practice

    We welcome high-quality contributions, and hope that this extension will provide an opportunity for authors to submit their work.

    Please visit the ANS website for 

    For detailed information on the scope and submission guidelines, please visit the ANS homepage.
    https://journals.lww.com/advancesinnursingscience/pages/default.aspx

    Earn Continuing Education Credits with ANS!


    Each issue of ANS includes an article that is accompanied by a CE test, giving you the opportunity to each Nursing Continuing Professional Development (NCPD) credits! The NCPD article in the current issue is also a current ‘hot topic’! The article is titled “Empowering Nurses Through Data Literacy and Data Science Literacy: Insights From a State-of-the-Art Literature Review“. It is co-authored by an international team of nurse scienctists: Mikyoung Angela. Lee, PhD, RN; Pankaj Vyas, MSN, MBA, RN; Fabio D’Agostino, PhD, RN; Ann Wieben, PhD, RN, NI-BC; Cynthia Coviak, PhD, RN, FNAP; Margaret Mullen-Fortino, PhD, RN; Suhyun Park, MSN, RN; Marisa Sileo, MSN, RN, NI-BC; Emiliane Nogueira de Souza, PhD, RN; Sophia Brown, PhD, DBA, FACHE, CPHIMS, PMP; Jethrone Role, DNP, RN, LHIT; Anita Reger, PhD, RN; and Lisiane Pruinelli, PhD, RN, FAMIA.

    Statement of Significance

    What is known or assumed to be true about this topic?

    1. The volume and complexity of data that health care professionals must understand and use is increasing exponentially, driven by the growing demands of data-driven health care to promote patient outcomes and address health equity.

    2. There is a critical need for comprehensive education tailored to equip nurses with a nuanced understanding of both data literacy and data science literacy.

    What this article adds:

    1. A review of recent frameworks, models, training, and assessment tools for developing data literacy and data science literacy among nurses and other health care professionals.

    2. Recommendations for action in educational and practice settings to enhance data literacy and data science literacy among nurses.

    VISIONS in ANS


    Each issue of ANS contains an article from the Society of Rogerian Scholars, named for the original journal of the Society – Visions. This section features scholarship of Rogerian Nursing Science. The current Visions article is titled “Through a Window: Finding Meaning in Unitary Appreciative Knowing,” authored by W. Richard Cowling III, RN, PhD, AHN-BC, SGAHN, ANEF,
    FAAN; and Leslie H. Nicoll, PhD, MBA, RN, FAAN

    Abstract:

    The experience of a critical illness provided a pause in the life of one of the authors. Seeking to further understand this experience from a Rogerian perspective, the authors engaged in a mutual process of unitary appreciative nursing praxis. The process included 4 in-depth conversations with an ongoing back-and-forth conversation to both illuminate the critical illness experience as well as grounding it in the Science of Unitary Human Beings. A unitary appreciative rendering was the primary outcome with a letter, song, video, conference presentation, and scholarly manuscript. Other selected Rogerian perspectives that can be used to understand the illness experience are presented and briefly discussed.

    Statements of Significance

    What is known or assumed to be true about this topic?
    The unitary appreciative knowing process has been used in the development of a praxis model as well as in a variety of research studies. The process enables the viewing of phenomena of central
    concern through a unitary lens that often expands and deepens an understanding of an experience. The phenomena of transcending the wish to die to experiencing a strong will to live, and to live voraciously, are understudied in the nursing literature. Nurses’ firsthand accounts of patients experiencing unusual or unexplainable phenomena are often relegated to anecdotal accounts, not fully appreciating the significance and meaning of these experiences.

    What this article adds:
    This article applies the unitary appreciative knowing process to explore the experience of transcending the wish to die replaced with an extraordinary blossoming of a will to live. A consensual
    qualitative approach is employed to examine the meaning of this experience from a unitary appreciative knowing perspective. This is the first article to represent and explicate the unitary
    knowing process within the context of this type of transcendent experience leading to a unitary appreciative rendering of the experience, perceptions, and expressions associated with it. In addition, it offers the potential alternative unitary explications of the experience related to 4 associated theoretical niches.

    ANS International Section


    The current ANS International Section article is titled “Intersectionality in Maternal Health: Gender, Labor, and Structural Barriers With “a Focus on Korea,” This article is authored by Jeung-Im Kim, PhD of the School of Nursing, Soonchunhyang University, Asan, Chungnam, South Korea; and Mi Yu, PhD of the College of Nursing, Sustainable Health Research Institute, Gyeongsang National University, Jinju, Gyeongnam, South Korea.

    Article abstract

    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.

    Statements of Significance

    What is known or assumed to be true about this topic?

    • Maternal health is shaped by intersecting factors such as gender, socioeconomic status, and employment. In Korea and other countries, women face structural barriers such as workplace discrimination, financial strain, and stress during pregnancy. Although technological innovations such as artificial intelligence (AI) offer new possibilities for care delivery, their effectiveness is limited when gender biases in data and design are unaddressed. Despite increasing global focus on health equity, Korean nursing research often relies on gender-neutral frameworks that overlook lived experiences of marginalized women.

    What this article adds:

    • This review introduces an intersectional perspective to the examination of maternal health disparities in Korea, placing local issues within broader international frameworks. It shows how gender, economic inequality, and digital access can combine with each other to affect health outcomes, highlighting risks related to algorithmic bias and digital exclusion in AI-based care. The article calls for gender-responsive, inclusive nursing research and recommends strategies such as diversifying health data, expanding community-based care, and ethically integrating digital technologies. It argues that structural change in nursing is essential to advance equity in maternal health.

    ANS July/September 2025!


    Here is the table of contents for the current issue of ANS – 48:3

    The Use of Artificial Intelligence (AI) in Nursing Editorial by Eun-Ok Im

     Original Article

    Empowering Nurses Through Data Literacy and Data Science Literacy: Insights From a State-of-the-Art Literature Review

    Lee, Mikyoung Angela.; Vyas, Pankaj; D’Agostino, Fabio; Wieben, Ann; Coviak, Cynthia; Mullen-Fortino, Margaret; Park, Suhyun; Sileo, Marisa; Nogueira de Souza, Emiliane; Brown, Sophia; Role, Jethrone; Reger, Anita; Pruinelli, Lisiane 

    Bibliometric Analysis (2000-2024) of Research on Artificial Intelligence in Nursing

    Monaco, Federica; Andretta, Vincenzo; Bellocchio, Umberto; Cerrone, Valentina; Cascella, Marco; Piazza, Ornella 

    Development of a Situation-Specific Theory for the Transition of Survivors of Stroke With Dysphagia

    Awamura, Kenji; Sakashita, Reiko

    Lived Experience of South Korean Pregnant Women at Work During the COVID-19 Pandemic: A Qualitative Study

    Lee, Yaelim; Kim, Seohyeon; Ko, Eungil; Park, Sojung; Park, Hyo Chan

    Navigating Language Barriers in Linguistically Complex Settings: A Qualitative Analysis of Paradoxes in Nurse Communication in Acute Care Units in Saudi Arabia

    Alamrani, Mashael Hasan; Birnbaum, Shira

    International Section Intersectionality in Maternal Health: Gender, Labor, and Structural Barriers With a Focus on Korea

    Kim, Jeung-Im; Yu, Mi

    Development of a Situation-Specific Biopsychosocial Model of Pain in Heart Failure

    Smith, Asa B.; Jung, Miyeon; White, Fletcher A.; Dorsey, Susan G.; Giordani, Bruno; Pressler, Susan J. 

    How Fast Is My Patient Deteriorating? A Qualitative Description Study of A Concern Factor Tool to Support Nurses’ Communication and Prioritization Decision Making: An Exemplar on A COVID-19 Unit

    Nibbelink, Christine W.; Mendoza, Kristine; Harding, Hannah; Fields, Willa

    s Outline | Back to Top

     Visions

    Scholarship of Rogerian Nursing Science

    Through a Window: Finding Meaning in Unitary Appreciative Knowing

    Cowling III, W. Richard; Nicoll, Leslie H.

    Featured “International Section” in ANS 48:2!


    The current issue ANS features the article titled “Nursing Philosophy and Theory in Japan: Current Trends and Challenges.” This article is authored by Reiko Sakashita, PhD, RN, PHN, FAAN; Kenji Awamura, MSN, RN, PHN; and Hiroshi Ono, PhD, RN, PHN from the University of Hyogo, Akashi City, Japan. The “Statements of Signifcance” for this article give clues to why this information is important for all of us!

    Statements of Significance

    What is known or assumed to be true about this topic?

    After World War II, under the guidance of the GHQ (General Headquarters of the Supreme Commander for the Allied Powers), American nursing education was introduced in Japan. Theories developed in the United States began to be actively translated and incorporated into basic nursing education in the 1960s. From 1990 onward, the number of nursing universities in Japan has increased, but since 2000, interest in nursing theories has declined significantly.

    What this article adds?

    Here, we reveal the current state of nursing philosophy and theories in Japan. Specifically, we explored how nursing philosophy and theories are taught in doctoral programs, the topics covered in the literature on nursingphilosophy and theories, and any theories developed by Japanese researchers. We also propose future directions for exploring nursing philosophy and theories, and hope to spark a conversation among readers with respect to how these insights could shape the future of nursing education and practice in Japan.

    Upcoming Special Issue – Oct-Dec 2025!


    Advances in Nursing Science is pleased to announce an upcoming special issue that invites a conversation between the past and future of nursing science. Issue 48(4) will bring together contributions from members of the ANS advisory board, offering fresh perspectives on seminal articles and influential ideas that have shaped the field over the past five decades.

    This issue is anchored by two themes, “What is Nursing Science?” and “Social Justice and Nursing Science,” and will revisit articles that examine social, political, ontological and epistemological questions at the heart of the discipline. These articles ask how nurses understand their roles in a changing world, and how our core commitments, knowledge and capacity to effect change continue to evolve.

    Even as the political, social and scientific landscapes continue to shift, the questions that shaped the field’s early development remain deeply relevant, calling for renewed reflection.

    While reviewing the journal’s archives in preparation for this issue, we came across an unpublished editorial by founding Editor (now Emerita) Dr. Peggy Chinn. Written more than a decade ago, it reads as if it could have been written today:

    “As a discipline, we stand in a particularly key place and time to focus on scholarship that is both high in scientific merit and creative – worldwide there are major changes underway in healthcare systems, and the boundaries of science are expanding like never before. Nurses have a long and valuable tradition of challenging the status quo in our quest for better care for those we serve, and in our quest for a more inclusive and wholistic approach to human health and illness.”

    Times change, but the heart of nursing science endures. We look forward to sharing this special issue with you.