NURSING SCIENCE QUARTERLY

The Leaving and Feeling Unsure
Bunkers SS
The following article incorporates findings from a humanbecoming inquiry on feeling unsure, storytelling, and poetry to discuss the experience of going Nowhere.
Editorial: "Move On"-Beginning Anew
Ortiz MR
With the publication of this volume and issue, () will "just keep moving on," carving out its place for the enhancement of the nursing discipline, while seeking innovative ways to expand knowledge development in the health sciences.
Innovation, Health Policy, and Community Change Concepts
Ortiz MR
Nurses are guided by a unique disciplinary knowledge base. With this base, they have a significant role in crafting innovative policies with communities. Innovation is essential for persons, as individual and group communities, as they cocreate meaningful change. In this paper, the author explores innovation with Parse's (2021) community change concepts to enhance policy improvement, implementation, and maintenance.
Innovation in Practice
Carroll K
Innovation typically is denoted as creating novel ideas to advance improvements in disciplinary work. This article advances the idea that the concept of innovation should be broadened to include the face-to-face dialogues that nurses have within their practice. As persons are the center of ethos of nursing, innovation is driven by theoretical frameworks, research, and practices. These thoughts are framed by the humanbecoming theory.
A Book Review: by Holly Wei and Sara Horton-Deutsch (Eds.) Sigma Theta Tau International
Hamilton T
The author of this article reviewed the book , edited by Holly Wei and Sara Horton-Deutsch in 2022. The editors call for engaged, equitable, inclusive, authentic, and caring leadership, from the framework of Watson's Caring Science, to address current challenges in healthcare. This book is a compelling read for both new and experienced nurse leaders, as well as leadership students, and serves as a valuable reference for those seeking a hopeful, values-driven, and ethical approach to nursing leadership.
Managing Anger in Persons With Substance Use Disorders: A Global Nursing Perspective
Kadhim AJ, Kadhim MH, Eftekhari A, Rajabi E, Noghabi ES, Taher M, Barzgar B, Ahmadi Chenari H and Baumann SL
The management of anger is problematic for many people and it is a particularly important issue for persons with substance use disorders (SUD). The paper reviews the research studies dating back to 2005 on how to help persons with SUD manage anger. The literature reveals that various pharmaceutical and non-pharmacological approaches have been studied to help persons with SUD manage their anger. In chronic and lower risk situations non-pharmacological are the first line approaches, they include anger management training, cognitive-behavioral based treatments, exercising and relaxing, music therapy and empathy. Atypical antipsychotic and medications for opioid use disorders (MOUD) are also widely used. In acute and high risk of violence situations physical restraint and pharmacological management are the first line intervention. Various nursing frameworks provide a useful basis for integrating various approaches. Current approaches have their advantages and disadvantages and are discussed in this paper.
Improving Sleep Quality for Persons on Hemodialysis in Iraq
Nasir AM, Kadhim AJ, Seghaleh MM, Ahmadi Chenari H, Khachian A and Baumann SL
Insufficient and poor sleep quality significantly impacts the health and quality of life of persons with end-stage renal failure (ESRF) on hemodialysis. This study explored the effectiveness of teaching patients on hemodialysis, Benson's relaxation technique. Seventy-one persons on hemodialysis in Iraq were randomly assigned to either the experimental or the control group. The experimental group received training and encouragement to use the Benson relaxation technique. The Pittsburgh Sleep Quality Index (PSQI) score was collected for all the patients before and after the intervention. After 8 weeks a repeated measurement of the post-test on sleep quality was done for both groups. The experimental group showed a statistically significant pre- and post-test difference. The findings suggest that Benson's relaxation approach improves the quality of sleep for persons on hemodialysis.
Shared Decision Making in Cancer Nursing: An International Review
Vitale E, Fanizzi A, Bove S, Comes MC, Massafra R and Baumann SL
Shared decision making (SDM) is an approach in which patients and healthcare providers simultaneously work to make decisions about tests, treatments, or chronic conditions management. To explore any possible interventions between cancer patients, nurses in the SDM process need to be up to data on the current literature. A global focused literature review of English and Italian language papers on the topic was done. The search included the use of the following terms: shared decision making, cancer patient, and nurse. Fourteen studies that were the best fit with the inclusion criteria were included to create this narrative review. The conclusion was that cancer nurses seemed to be relevant in cancer teams to support patients in their SDM processes. They do this by balancing the evidence on options, preferences, and values through a decision coaching approach to determine the best practices for supporting patients in their decisions.
Scholarly Dialogue: Creating a New Horizon of Nursing With the Humanbecoming Paradigm
Doe MJ and Bunkers SS
This column presents a scholarly dialogue with Dr. Sandra Schmidt Bunkers, a senior Parse scholar, who sheds light on the humanbecoming paradigm-guided nursing sciencing, living the art, teaching-learning, and nursing policy development. Exploring Dr. Bunkers' scholarly works, with her wisdom and experiences shared in the scholarly dialogue, provides valuable guidance for the future of nursing, creating a new horizon of nursing as a unique discipline and practice.
Measurements of Good Standing Posture: A Roy Adaptation Model Perspective
Chen H
Upright standing posture is a hallmark of human bipedalism, distinguishing humans from other species. The core of good standing posture refers to the optimal body alignment with significant implications of postural health. Guided by the Roy adaptation model, the purpose of this paper is to examine existing methods for measuring good standing posture from both instrumental and non-instrumental perspectives, offering analytical insights into practical applications, strengths, and limitations of various measurement approaches. Findings underscore the need for a standardized measurement protocol, providing nurses with a useful reference to support informed advisory care to individuals seeking to improve their postural health.
Middle-Range Theory of Asthma Self-Management
Hall AL, MacDonell KK and Vallerand AH
This paper presents the theory of asthma self-management, a middle-range theory that focuses on the personal, socioeconomic, environmental, and healthcare-related factors that affect asthma self-management behaviors and asthma control in adults. The theory of asthma self-management was deduced from Orem's self-care theory, one of the three subtheories of the self-care deficit theory of nursing. A substruction model is included and illustrates the linkages between the concepts of Orem's self-care theory and the novel middle-range theory. The development of this theory expands the body of nursing science by bridging an existing theory with current asthma knowledge.
Living on the Edge: A Cocreated Teaching-Learning Journey
Ursel KL
Parse's humanbecoming teaching-learning model provided the framework for guiding the analysis-synthesis in this study using Giorgi's descriptive phenomenological method to reach the general structural description of the lived experience of for nursing students. The central findings emerged as in moving moment-to-moment coming-to-know something of value, by vigilantly exploring unknowns of the everchanging, with quieting-disquieting regard amid diverse alliances in anticipation of cherished endeavors, amid potentiating-restricting opportunities in realizing cherished endeavors, of others in considering-composing cherished choosings, and as possibilities emerge.
Patterning the Mutual Human-Environment Process for Wellbecoming of All Living Beings and the Planet: A Unitary Conceptualization
Morrow MR, Malinski VM and Perry DJ
is a unitary conceptualization proposed by Rogerian scholar, Dr. Violet M. Malinski. In this scholarly dialogue column, she and her colleague, nurse scholar Dr. Donna J. Perry, discuss why this conceptualization is important to them, the theoretical, philosophical, and research underpinnings, and other related human-environment topics.
Listening: Leading-Following and Living Quality Connections
Ortiz MR
Living out unique knowledge in nursing arises out of the discipline's extant and emerging theoretical perspectives. These perspectives guide nurses in their approaches to various research, teaching, practice, and leadership situations. These situations, although different, have a common focus on persons and their lives. So, it is interesting to think about the ways in which nurses listen or coparticipate in listening to understand what is important within the lives of persons, as they live their unique values and beliefs.
Living on the Edge: Paradoxical Experiences With Ethics
Milton CL
Paradox is living phenomenon that provides insights into straight thinking and diverse human experiences important to the discipline of nursing from a nursing philosophical theory-based approach. The author here delves into the metaphorical experience of and the paradoxical concepts that assist the discipline in its thinking about artificial intelligence. Possible ethical implications of utilizing artificial intelligence from a humanbecoming ethos of understanding is utilized. The metaphorical implications for future disciplinary priorities are presented.
Dwelling in the Emerging Now: A Humanbecoming Perspective of Feeling Listened To
Kabigting ER
The purpose of this article is to explore Duarte-Quilao's newknowings on feeling listened to and to deepen understanding with the lens of the humanbecoming paradigm.
Effectiveness of an Educational Program in Reducing Pressure Injuries in Patients With Spinal Cord Injury in Iraq
Saud AT, Kadhim AJ, Ahmadi Chenari H and Baumann SL
Persons with spinal cord injury are at high risk of developing pressure injuries, and their caregivers are in a critical position to help prevent them. The objective of this study was to evaluate the effectiveness of an educational program for caregivers of persons with spinal cord injuries to prevent pressure injuries in Iraq. A pre- and post-test design was used and involved 25 caregivers of persons with spinal cord injury during the acute care phase in an SCI-specific unit of a hospital. A scale and questionnaire were used to gather the participants' demographic information, pre- and post-educational program knowledge, and observations of their pre- and post-program performance of pressure injury preventive tasks. Descriptive statistics and inferential statistics were calculated using SPSS (Version 26.0). The educational program effectively increased caregivers' knowledge and improved pressure injury prevention performance. The findings are discussed from a global nursing perspective.
Nursing Education in New Light
Doe MJ
This is an introduction to the review of by Cara et al. (2021). It allows readers to gain a new understanding of nursing education informed by theoretical perspectives that position nursing as a human science.
Fortifying Our Discipline: Unique Nursing Knowledge in the Totality, Simultaneity, and Humanbecoming Paradigm
Kabigting ER
The purpose of this article is to examine how nursing paradigms and the theories and research that arise from them contribute to the creation of unique nursing knowledge that fortifies the discipline.
The Moment of Knowing-Not Knowing
Bunkers SS
This article uses findings from a Parsesciencing inquiry, storytelling, and poetry to describe moments of knowing-not knowing.
The Humanbecoming Concept Inventing Model: Feeling Afraid
Carreon JR
This study adopted the humanbecoming concept inventing model to explore the phenomenon of feeling afraid. Through simultaneously immersing with explicit-tacit knowings, exploring with pattern preferences, and explicating with pondering possibles, the author unveiled the now-truth of feeling afraid as . This now-truth was shapeshifted into an ingenuous proclamation, articulated within the language of the humanbecoming paradigm. The final declaration portrayed feeling afraid as , with Edvard Munch's (1893) as the chosen artform. This inventive inquiry enriches nursing knowledge by deepening understanding of feeling afraid as a universal humanuniverse living experience.