Human ; Nursing

INTRODUCTION

For female nursing students in Vietnam, juggling work, school, and personal obligations can be especially difficult. Research on how these students develop resilience while juggling their multiple roles is still lacking, despite the fact that their numbers in nursing school are increasing. This study explores how the work-life-study balance (WLSB) of female students pursuing an Associate Degree in Nursing (ADN) to a Bachelor of Science in Nursing (BSN) program is shaped by their real-life experiences and sociocultural influences.

A qualitative research design informed by interpretative phenomenological analysis (IPA) was used in this study. In September 2024, ten carefully selected female nursing students participated in semi-structured interviews at a private university in Ho Chi Minh City. From October 2024 to February 2025, each 45–60 minute interview was subjected to a thematic analysis using Delve software.

The challenges faced by the participants, along with their support systems, coping strategies, and aspirations, were captured in four key themes, each with its own set of sub-themes. The first theme, Navigating Life's Crossroads: The Struggle for Balance, highlighted the students' struggles to manage competing demands, featuring subthemes, Pulled in All Directions, Time as a Scarce Commodity, and Compromises and Sacrifices. The second theme, Anchors in the Storm: Finding Strength in Support, emphasized the vital role of relational support, showcasing subthemes, Peer Solidarity and Shared Struggles, and Family as a Pillar of Strength. The third theme, Pathways to Resilience: Strategies for Survival, focused on coping strategies and adaptive techniques, incorporating subtheme, Faith and Inner Strength, Embracing the Role of a Working Learner, and Prioritizing and Organizing. Finally, the last theme, Purpose, Aspiration, and Future Orientation, brought attention to the participants' sources of motivation and their optimistic outlook, with subthemes, Motivation Rooted in Family and Self and Hope and Optimism as Sustaining Forces. These findings, grounded in the Transformative Resilience Model, illustrate how students harness their inner drive, familial and social responsibilities, and cultural values to adapt and thrive in the face of challenges. To maintain their dedication to education and uplift their families, participants leaned on hope, spiritual insights, and a sense of agency, viewing their struggles as meaningful experiences.

The experiences of Vietnamese female nursing students reveal a remarkable resilience shaped by both heavy social expectations and personal challenges. Drawing from the Transformative Resilience Model, this study highlights how facing and overcoming adversity can lead to significant identity development and personal growth. Institutional support plays a crucial role in enhancing a student's well-being, which can include flexible academic policies, accessible mental health services, and adaptable work-study options. Financial pressures, job-related stress, and academic demands often contribute to burnout. These findings underscore the urgent need for systemic, collaborative efforts to foster inclusive and sustainable learning environments for nursing students who are balancing work and study.

The way health policies and practices have evolved is largely influenced by translational research, which uses various conceptual and theoretical frameworks to connect evidence with real-world applications. This scoping review had set out to map and to summarize the existing literature on the most used frameworks for turning research into practice and policy. Instead of providing definitive clinical recommendations, it focused on showcasing the current state of evidence to guide future research efforts. To conduct this review, a systematic search was carried out across seven databases, covering peer-reviewed articles, theses, dissertations, and academic literature in health and science. These studies were screened and analyzed following the guidelines set by the Joanna Briggs Institute (JBI). A total of 73 studies were reviewed, encompassing 58 distinct frameworks, with eight emerging as the most frequently applied: CFIR (Consolidated Framework for Implementation Research), ARCC Model (Advancing Research and Clinical practice through close Collaboration), KTA (Knowledge-to-Action) Framework, aSSKINg (Assessing risk, Skin assessment and care, Surface selection, keep moving, Incontinence management, Nutrition, and Giving information ) Framework, CATs (Critically Appraised Topics) Framework, Delphi Technique, HIRAID (History including Infection risk, Red flags, Assessment, Interventions, Diagnostics, communication, and reassessment) Framework, and MRC (Medical Research Council) Framework. The review pinpointed these eight frequently referenced frameworks that served as essential tools for implementing research-informed practices and policies; however, the successful application of these frameworks was affected by various contextual factors, such as the availability of resources, workforce capacity, professional skills, and the suitability of timing and setting. The findings revealed variations in framework orientation, context of application, and stakeholder engagement, highlighting the importance of adaptability, contextsensitivity, and co-design in effective evidence translation. Given the limited range of databases examined, it was suggested that future research should involve a wider and more diverse array of sources to bolster the evidence base and to improve the generalizability of the findings. The review called for greater methodological rigor in framework selection and use, as well as the development of decision-support tools to optimize translational outcomes.

Human ; Education, Continuing ; Nursing Research

Ethics ; Nursing

This integrative article explored how nurse-researchers craft and negotiate researcher identity through reflexivity. Drawing on three reflexive narratives situated across distinct practice and career contexts, including academe and military nursing, this article synthesized how personal histories, professional roles, and methodological training intersect in order to shape how one becomes a researcher. Guided by Benner's novice-to-expert lens and contemporary discussions on positionality and reflexive practice, this article's synthesis surfaced recurring themes: identity-in-motion rather than identity-as-status; persistence and vulnerability as engines of growth; insider–outsider movements and the ethical responsibilities being invited; and methodological pluralism as a value stance that links rigor with relevance and care. The narratives also illuminated how institutional cultures, resource constraints, and role expectations contour opportunities for inquiry, while reflexive writing functions as both method and pedagogy, supporting integrity, accountability, and epistemic fluency. It was argued in this article that cultivating researcher identity in nursing requires spaces that normalize doubt, foreground values, and make visible the relational, moral, and political textures of knowledge production. Implications included embedding explicit reflexivity and positionality work in curricula, mentoring, and research supervision; recognizing mixed-methods and qualitative approaches as complementary pathways to impact and to align institutional supports with nurses' dual commitments for both practice and scholarship. In this article, the process of becoming a nurse-researcher had been shown to be a continual practice of courage, reflexivity, and commitment that is by doing it, and learning it, until nurse-researchers make it.

AIM

This study explored the developmental process of self-advocacy among nurses and proposed a conceptual framework, The Nurse Becoming Model of Self-Advocacy, to contribute to middle-range theory development.

A constructivist grounded theory design guided this study. Data was gathered from 29 nurses through in-depth individual and group interviews across academe, hospitals, and professional organizations in Region I and the Cordillera Administrative Region. Theoretical and disconfirming sampling was used to refine categories. Data was analyzed using constant comparative methods.

Self-advocacy emerged as a developmental trajectory comprising four interrelated stages: self-preservation, selfdevelopment, self-actualization, and self-transcendence. Novice nurses often relied on protective strategies such as silence and conformity, while experienced nurses engaged in assertiveness, credibility-building, leadership, and collective advocacy. Nurses emphasized that self-advocacy extended beyond the individual to encompass patients, the profession, and society, while highlighting its relational and collective nature.

Self-advocacy is a dynamic process and core dimension of professional identity. It evolves through stages of growth, integrating self-care, competence, engagement, and transcendence. Supporting self-advocacy through education, mentoring, reflective practice, and enabling organizational structures enhance nurses' well-being and strengthens their capacity to advocate for patients, advance the profession, and contribute to societal transformation. The Nurse Becoming Model of Self-Advocacy offers a transferable framework to guide nursing research, education, and policy toward empowerment and resilience.

BACKGROUND

The COVID-19 pandemic has significantly challenged global healthcare systems, particularly impacting the psychological health of nurses. This study examines the psychosocial impact and work-related stressors faced by Filipino nurses during the COVID-19 crisis.

Adescriptive cross-sectional survey was used to gather data from May 2021 to May 2022. Participants included registered nurses recruited from across the Philippines, focusing on their exposure to work related stressors, burnout, job satisfaction, and coping activities. The survey included validated items that measured work related variables (e.g., job responsibilities, workload) and personal stress management strategies. Descriptive statistics (means, standard deviations, frequencies, and percentages) were calculated to interpret the continuous and categorical variables.

A total of 2,229 nurses participated in the survey. Findings indicate that 78.9% of nurses experienced increased workloads, and 36% were assigned to units outside their expertise. Despite the high stress and burnout rates (30.4% reported symptoms), 56.4% of nurses intended to stay in their positions. The most common coping strategies were use of social media (53.7%) and connecting with friends and family (51.5%).

Filipino nurses displayed considerable resilience despite facing severe work-related stressors and psychological strains during the pandemic. The study highlights significant stressors such as increased workload, role shifts, and the lack of clear workplace goals, contributing to burnout and reduced job satisfaction. This study underscores the need for enhanced support systems and policies to safeguard nurses' well-being, recommending more robust mental health services, adequate staffing, and the provision of necessary resources and training to prepare nurses for future health crises better.

BACKGROUND AND OBJECTIVES

Hangzhou, a digital leader in China, is pioneering the development of an 'Internet Plus' medical and geriatric services system designed to leverage the city's advanced digital infrastructure, extensive medical resources, and strong government support to address the healthcare needs of its elderly population. Despite the surge in the use of such technology, there remains a gap in the comprehension and perception of such technological solutions and how the said solutions can be effectively integrated into community-based services to meet the elderly's complex healthcare needs. This study, therefore, aimed to explore not only the preferences and acceptability of the 'Internet Plus' model among elderly residents in Hangzhou, but to also identify the key factors that influence the successful integration of such technology into elderly-focused care services.

The study used quantitative surveys and qualitative data to better understand geriatric requirements. A structured questionnaire was administered to a stratified random sample of 908 elderly residents across various communities in Hangzhou, measuring the utilization and the preferences for diferent older adults care services. Purposive sampling was alsodone on 15 participants who underwent in-depth interviews. Quantitative data was statistically analyzed using SPSS 26.0 while qualitative data was processed using Atlas.ti, a qualitative data analysis software.

The analysis of survey responses from 908 elderly residents in Hangzhou, combined with qualitative interviews, provided a comprehensive view of the preferences and needs regarding the "Internet Plus" elderly care system. Majority of respondents at 91.3% favored technology-assisted home care, emphasizing the convenience and comfort it offers. The "Internet Plus" model for medical services was preferred by 96.4%, suggesting a strong inclination towards technology-enabled healthcare access. Comprehensive health maintenance was considered important by 94.4% of participants thereby highlighting the need for ongoing health support. The qualitative analysis corroborated these findings, with elderly participants expressing a strong desire for home-based medical services and the importance of reliable emergency medical assistance.

The study affirmed a pronounced preference for technology-assisted healthcare among Hangzhou's elderly, underscoring a critical shift towards patient-centric models. To optimize elderly care, it was also discovered how imperative it was to expand home care technologies, to fortify the 'Internet Plus' healthcare framework, and to augment community health centers for holistic care. Integrating swift emergency response systems was also found out to be essential in order to ensure that the 'Internet Plus' model not only meets but exceeds the evolving healthcare demands of the aging population.

PURPOSE: The disparity between conducting research and putting it into practice has remains a global healthcare issue, with less than 50% of nurses utilizing research. This study aims to determine the level and relationship between Evidence-based practice (EBP) competency, current EBP beliefs and research utilization among nurses. DESIGN AND METHOD: This quantitative study utilized a descriptive-correlational design and mediation analysis. A purposive sampling was used to select six Christian Health Association of Ghana (CHAG) hospitals. Simple random sampling was used to recruit 544 nurses from the six CHAG hospitals. The study utilized mean and standard deviation, Pearson Correlation, ANOVA, and GLS mediation analysis. The researcher obtained ethical approval from the Saint Louis University Research Ethics committee and, the institutional review board of the CHAG. FINDINGS: The results showed that nurses had a low level of EBP competency (M=2.27, SD= 0.255), strong positive EBP beliefs (M=2.58, SD=0.322) and low research utilization (M=2.57, SD=0.300). There was a moderately significant positive relationship between EBP competency and research utilization (r= .431, p= .000), EBP competency and EBP beliefs (r= .327, p= .000) and EBP beliefs and research utilization (r= .306, p= .000). There is no significant difference in terms of EBP competency and research utilization when EBP training attendance was considered. Nurses with 1-2 years of experience had a higher level of EBP competency. Theatre nurses had a higher level of EBP competency, however, emergency nurses had a lower level of research utilization than nurses in the surgical unit. EBP beliefs mediated the relationship (B= 0.0604, z= 3.99, p < .001) between EBP competency and research utilization. CONCLUSIONS Nurses in CHAG hospitals have a limited ability to implement the EBP process. The respondent perceived the value of EBP in nursing practice to be significant and has the confidence to implement the EBP process. The nurses' respondents use of research in nursing practice is limited due to the organizational barriers in CHAG institutions in Ghana. Based on the findings, it is recommended for nurse administrators and policy makers to prioritize the provision of adequate resources, support, EBP policies and targeted training programs to facilitate a culture of evidence-based practice and research utilization in CHAG institutions. By improving EBP competency and promoting research utilization, nurses can enhance the quality and safety of patient care.
Evidence-based practice ; Competencies