Background: Data integrity is a priority in any internet research study; it should be maintained to protect the safety and privacy of human participants and to maintain the validity and reliability of research findings. However, one noteworthy risk of web-based research is fraudulent respondent activity. When investigators must utilize anonymous web-based recruitment techniques to reach hidden and expanded populations, steps should be taken to safeguard the integrity of data collected. Objective: The purpose of this paper is to present a novel protocol in the form of an anonymous web-based research data integrity plan (DIP) protocol that outlines steps for securing data integrity while conducting anonymous web-based data collection. Methods: In this paper, we discuss a protocol regarding the development and implementation of a specific DIP in response to fraudulent activity in an original large-scale mixed methods study launched in April 2021. Four primary steps, each with a set of affiliated procedures, are presented: (1) defining the risks, (2) planning research protocols, (3) securing data collection and recruitment, and (4) determining enrollment. Results: Following the relaunch of a large-scale original study and implementation of the DIP protocol, preliminary analyses demonstrated no fraudulent activity. A pre-post analysis is underway to evaluate the effectiveness of the DIP strategies from February 2022 through May 2023. Conclusions: Implementing the DIP protocol could save valuable research time, provides a process to examine data critically, and enables the contribution of rigorous findings to various health fields. International Registered Report Identifier (IRRID): DERR1-10.2196/38550

Purpose: Adolescence is a critical time for the development of spiritual identity. Aiming to contribute to the science of an essential component of holistic nursing and health, we explored perceptions of spirituality among sexual and gender minority (SGM) adolescents. Study Design: A qualitative descriptive design was used to explore spirituality perceptions among youth. Methods: We recruited a national purposive sample of 12 sexual and/or gender minority youth using online eligibility screening. Enrolled participants engaged in semi-structured interviews followed by conventional thematic content analysis of transcribed qualitative data. Findings: Four overarching themes of spirituality perception and meaning were interpreted in our study. Findings included eleven corresponding categories within our main themes. The four overarching themes were: (1) Why am I here? It's not just about me , (2) This is how I connect to the spirit, traditions, and beyond , (3) I care, I’m just not sure, and I’m still thinking about it, and (4) I’m not worried or preoccupied with the sacred . Conclusion: SGM adolescence is a unique and essential time of spiritual identity, spiritual and religious transition or rejection, life purpose or connection, and/or a lack of preoccupation. Our findings have important implications for advancing holistic nursing practice, education, and research.

Mentorship is an underestimated asset that focuses on growth and accomplishments and offers broad forms of support to students from marginalized populations, including intersectional and overlapping identities. This article aims to identify the gaps in current literature regarding mentorship, propose an adaptive mentorship model and identify the model's strengths in practice. Traditional mentorship models focus on one specific aspect of student identity, and this gap marginalizes an individual's identity's duplicity or multi-faceted complexity. Such models often offer great educational support but dismiss the value of high-impact research. High-impact research has been shown to positively impact marginalized communities because it allows the unique opportunity to engage in all stages of research. The model described in this paper is grounded in principles of collaboration and cooperation across an interdisciplinary team. Each faculty mentor and mentee possess intersectional and overlapping identities adding unique perspectives and resilience to the work they engage in. This resilience is united with various intersectional study complexities in behavioral sciences, medicine, social studies, and humanities. Thus, it offers a strengths-based experience that widens student opportunities and challenges unitary models of peer-peer/peer-to-adult mentorship patterns.

Nursing is a discipline heavily revolving around the implementation of holistic care. However, evidence to support the understanding of holistic health and healthcare needs of sexual and gender marginalized youth (SGM) from advanced practitioners is poorly understood. We present the results of a national qualitative study centered on the exploration of whole-person health and health needs for SGM adolescents. Using a qualitative descriptive approach grounded in naturalistic inquiry and Kolcaba's holistic comfort theory, we conducted semi-structured interviews and analyzed transcripts from 12 SGM youth (n = 12) in middle and late adolescence. Four overarching themes with 10 corresponding categories were interpreted. Findings support the presence of holistic health and healthcare needs in the physical, psychospiritual, sociocultural, and environmental context. This paper adds new inductive evidence and beginning theoretical foundations centered on the exploration and provision of "whole-person" care with a focus on strength-building opportunities for practitioners.