Background and Purpose: Many parents of children with chronic health conditions (CHCs) experience condition-related and everyday stress as well as intermittent stress during their children's repeated hospitalizations. As a result, they are at risk of high cumulative stress exposure and poor health outcomes. Knowledge of the contribution of intermittent hospitalization-related stressors to cumulative stress exposure in these parents is limited. We reviewed the literature to determine whether the Parent Stress and Resilience in Congenital Heart Disease (PSRCHD) model could be applied to parents of children of all ages with a variety of CHCs and whether hospitalization-specific stressors could be integrated into the model. Methods: Peer-reviewed primary studies and review articles written in English between 2015 and 2025 that described parents' stress from their children's hospitalizations and other sources in the PSRCHD model were identified through repeated literature searches. Articles were reviewed using deductive methods based on concepts in the PSRCHD model. Results: The original model structure, including stressors, stress responses, mediators, and outcomes, appears to fit the broader population. New concepts were identified to fill in potential gaps. Implications for Practice: The adapted model provides a structure for understanding the impact of cumulative stress on parents of children with CHCs. Research guided by the model could facilitate the development of interventions to support parents of children with CHCs, particularly during hospitalizations.

Background and Objective: Guided by the cognitive avoidance theory of worry, the study examines school locations that victims of certain types of bias-based bullying or verbal hate tend to avoid. Methods: The 2017 National Crime Victimization Survey was used. Findings and Conclusions: The latent class analysis results revealed that Class 2 ("Intensive Multiple Bias-Based Bullying Victimization") exhibited higher rates of bias-based bullying victimization related to race, ethnic/origin, and physical appearance. Class 2 demonstrated a higher mean of avoidance than Class 1 ("Low-Level Bias-Based Bullying Victimization") in various locations. Moreover, Class 3 ("Gender and Sexual Orientation-Centered Verbal Hate Victimization") showed a higher mean of avoidance in school activities than Class 1 ("Disability-Centered Verbal Hate Victimization") and Class 2 ("Race and Ethnicity-Centered Verbal Hate Victimization"). Class 3 exhibited a higher mean of avoidance in classes compared with Class 2.

Background: Nurse faculty routinely balance many caregiving roles in their work duties. Approximately 61% of the workforce is also an unpaid caregiver, adding to the possibility that nurse faculty have caregiving roles associated with the classroom, clinical area, and at home. Purpose: The aim of this article is to determine the state of the literature on compound caregivers and determine a definition in the context of nurse faculty. Methods: The method used for this study was a concept analysis by Walker and Avant's framework. CINAHL, MEDLINE, Scopus, ERIC, and Complementary Index databases were searched from 2004 to 2024. Results: Nine peer-reviewed articles were examined for this discussion. Implications for Practice: A concept definition was proposed for compound caregivers in the context of nurse faculty. Defining this concept helps administrators recognize factors that place nurse faculty at risk for negative consequences from caregiving and may improve retention in the faculty workforce.

Background and Purpose: The body has undergone significant aesthetic transformations throughout the centuries. A normalization has gradually taken place in contemporary Western society regarding the criteria attributed to a healthy and attractive body. The image of a thin body is omnipresent in how we conceptualize aesthetic norms in Western societies. This dominance of bodily beauty, this idealization of thinness, generates and reinforces a "cult of the body" that is already prevalent in our current societies. Methods: We believe our understanding of the "cult of the body" could be enlightened by the writings of Michel Foucault and Nikolas Rose. Results: The forthcoming article will initially delve into how immanent power operates within normative disciplinary practices, technologies of the self, and neoliberal practices. It will then seek to comprehend the extent and influence of the normative regime on the social construction of societal ideals of beauty and thinness to which adolescents in contemporary societies may be exposed. Implications for Practice: Foucault's and Rose's works allow us to expose power relations and interrogate the patient's body as constructed through technical and medical discourse. Their work allows for questioning, reevaluation, and deconstruction of certain paradigms in mental health nursing and raises awareness of not unquestionably accepting a single psychiatric and mental health nursing epistemology. Finally, they provide important insights for nursing practice, especially when it comes to comprehending how societal standards around beauty and health influence the behaviors and body image of adolescents.

Background and Purpose: Adolescent involvement in decision-making processes is influenced by their developmental phase in life, the type of decision, the severity of the adolescent's condition or prognosis, and vulnerability. While developmental science does not support the exclusion of adolescents from decision-making, work to promote adolescent shared decision-making has been hampered by the uncertainty of what the concept means. This paper analyzes the concept of adolescent shared decision-making and brings light to a special population within pediatrics. Methods: Rodgers's evolutionary method was used for this concept analysis. Adolescent shared decision-making was defined along with surrogate and related terms, antecedents, attributes, and consequences. An exemplar was included to further describe the application and context of adolescent shared decision-making. Results: Adolescent shared decision-making is defined as an ongoing process with active participation of multiple parties through shared decision-making to reach an agreed medical decision with a goal to optimize the adolescent's future medical wishes; it may change with time and/or growth and development of the adolescent. Implications for Practice: Adolescent shared decision-making bridges the gap in the continuum of patient-centered, medical care participation. Since nurses often have more contact with patients than providers, the integration of adolescent shared decision-making into practice may help nurses better advocate for adolescents' wishes, especially if they are not able to speak for themselves. Adolescents will feel better prepared for future decision-making in adulthood by empowering them to use their voices to become active contributors within our global society.

Purpose: This study aimed to identify and compare the chemotherapy-induced symptoms perceived as distressing by pediatric oncology patients and nurses, utilizing both patient-reported outcomes and proxy report outcomes frameworks. Methods: This cross-sectional, descriptive study was conducted in three university hospitals in Türkiye between January 2023 and December 2023. A total of 122 pediatric oncology patients and 139 pediatric oncology nurses participated. The Children's Memorial Symptom Assessment Scale was used to rank the perceived distress of symptoms. Results: Both pediatric oncology patients and nurses identified lack of energy, pain, nausea, feeling nervous, and feeling drowsy as the five most distressing symptoms. However, discrepancies were noted between the two groups: Pediatric oncology nurses reported higher distress rankings for symptoms such as nausea (p = .018), dry mouth (p = .027), cough (p = .030), mouth sores (p < .001), and difficulty swallowing (p = .003) compared with the patients. Conversely, pediatric oncology patients reported higher distress rankings for feeling nervous (p = .016), weight loss (p = .003), constipation (p = .014), and swelling of arms/legs (p < .001). Conclusions: The study revealed a general alignment in the ranking of distressing symptoms between pediatric oncology nurses and patients, with some notable differences. Practice Implications: Understanding the differences in symptom perception between patients and nurses is crucial to enhancing patient-centered care in pediatric oncology. Tailoring interventions to address the specific distress identified by patients and nurses can improve care outcomes and patient well-being.

Background and Purpose: Nurses frequently care for patients who make decisions against medical advice, a challenge that continues during and after the COVID-19 pandemic. This article explores U.S. nurses' experiences caring for unvaccinated COVID-19 patients and the resulting impacts using Swanson's Theory of Caring (STC). Methods: Data were gathered through an online survey collecting nurses' demographics, mental health screening data, and an open-ended question asking about a personal experience providing care to an unvaccinated COVID-19 patient. Researchers analyzed 128 responses using content analysis. STC served as the analytical framework. Results: Nurses' experiences were summarized into two main themes and four subthemes: (a) anger, frustration, fatigue, and resentment (24.2%) and (b) feeling a professional commitment to a nurse's duty (60.9%). Within the professional commitment theme, subthemes include the following: (a) patients can make an autonomous decision (15.6%); (b) feeling concerned for the patient (6.3%); (c) wanting to take action, educate, and vaccinate (29.7%); and (d) feeling moral conflict (9.3%). Results aligned with STC's five caring actions: knowing, doing for, being with, enabling, and maintaining belief. Implications for Practice: Nurses experienced emotional challenges caring for the unvaccinated during the pandemic resulting in psychological sequelae, including compassion fatigue and moral distress, in addition to positive outcomes of resilience and enhanced coping mechanisms. This study underscores the multifaceted nature of nurses' experiences and the emotional, ethical, and professional challenges they encountered when caring for unvaccinated COVID-19 patients. Nurse leaders should address these issues to enhance nurses' wellbeing and reduce compassion fatigue and dissatisfaction.

Background: Prophetic Medicine, integral to healthcare in Muslim-majority regions, particularly the Middle East and North Africa, is often underexplored in existing literature. Purpose: This concept analysis sought to explore the concept of Prophetic Medicine by delineating its attributes, antecedents, and consequences in order to augment healthcare providers' comprehension of Prophetic Medicine. It also seeks to enhance interdisciplinary dialogue, thereby enriching the integration of traditional healing modalities in modern medical practices. Methods: Walker and Avant's method was used to conduct the concept analysis by reviewing published literature on the concept. Results: The analysis identified the core attributes of Prophetic Medicine, such as Black Seeds, Dates, Miswak, Wet cupping, and Zamzam water, and explored cultural, spiritual, and practical underpinnings of these practices. Antecedents such as cultural background, spiritual beliefs, basic knowledge, lower cost, perceived safety, efficacy, simple techniques, and dissatisfaction with allopathic therapy were identified. The consequences of these practices include the multifaceted impact of Prophetic Medicine, highlighting the relationship between these traditional practices and health outcomes. Implications for Practice: This concept analysis underscores the significance of recognizing these aspects of Prophetic Medicine for healthcare providers to effectively integrate Prophetic Medicine into practice, aiming for favorable patient outcomes and fostering a more inclusive, culturally sensitive healthcare environment.

Introduction: Perinatal loss is a tremendous loss for many and can have consequences that affect physical and mental health. This topic has been substantially examined among women; however, men's experiences with perinatal loss have lacked attention. Many men report significant grief, self-blame, stigma, loss of self-identity, lack of recognition of their loss, marginalization, and gendered expectations that negate their grieving process. This places men at risk for complicated or disenfranchised grief. Most studies examining perinatal loss have been conducted in countries outside of the United States and outside of the discipline of nursing. As nurses are concerned about holistic care of men and women, the findings resulting from studies with women and other cultural perspectives may not be generalizable to men in the United States. Purpose: The purpose of this integrative review was to examine the current state of science regarding men's experiences with perinatal loss, what is known about this loss within the nursing discipline, to identify gaps in nursing knowledge, and to expose areas for further research. Method: Online databases including CINAHL, PubMed, and Scopus were used to perform the initial search. The search terms included "men," "perinatal loss," "miscarriage," "stillbirth," and "grief." Results: Themes were identified through a review of the literature that included that men experienced a loss of the role of fatherhood and identity. Additionally, men reported expectations about socially and gender-specific behavior that influenced their expressions of grief and their coping process. Finally, the lack of recognition of their loss as fathers in perinatal loss resulted in the marginalization and the use of avoidance and distraction to cope with the loss, as well as risks to the health of the partnered relationship.

Objective: This study aimed to determine the relationship between spiritual, religious, and existential well-being and self-efficacy for appropriate medication use in African American women with hypertension. Methods: In this study, we conducted cross-sectional correlations using linear regression analysis. An African American sample of women from across the United States with hypertension was chosen through a purposive sampling technique. An online survey was used. Results: There were 186 African American women with hypertension who took part in the study, with an average age of 57.15 (SD = 12.79) years. The study found significant correlations between spiritual (p = .022), religious (p = .033), and existential (p = .021) well-being and self-efficacy for appropriate medication use in African American women with hypertension. The study concluded that no women reported high spiritual, religious, or existential well-being, only moderate. Nor were they very confident that they would take their medications under changing or challenging circumstances. Conclusion: African American women are the most religious aggregate in the United States, and there is evidence that spiritual, religious, and existential well-being affects their self-efficacy for appropriate medication use. Clinicians and researchers must collaborate to enhance medication adherence through continuous education, assessment, and reinforcement while also attuning their practice to spiritual, religious, and existential well-being effects on self-efficacy for appropriate medication use in African American women.