Objective: The objective of this review was to map the literature about the concept of capability in advanced practice nursing education and practice to achieve greater clarity on the concept and its application. Introduction: Advanced practice nursing roles make up a growing segment of the global nursing workforce. Capability has been proposed as an overarching description of the attributes of advanced practice nursing roles within complex workplace environments. Capability includes knowing how to learn, and the ability to creatively integrate prior knowledge, skills, judgment, and experience in both new and familiar situations. Inclusion criteria: This review looked at the literature about capability applied to advanced practice nursing in any setting globally. We were guided by the International Council of Nurses’ definition of advanced practice nursing, which includes nurses with both graduate education and an expanded scope of practice. Drawing from an initial review of the literature, we used a working definition of capability, which was a combination of knowledge, skills, experience, and competencies that enables advanced practice nurses to provide appropriate care for patients in both known and unfamiliar clinical settings. We included literature about individual capability as a concept in any setting related to advanced practice nursing and education. Methods: We searched 18 electronic databases and included qualitative, quantitative, and mixed methods study design methodologies, reviews, and reports. The gray literature search included policy and practice documents from the World Health Organization, the International Council of Nurses, and websites of 48 nursing and health organizations. Two reviewers independently completed title and abstract screening prior to full-text review and data extraction. Conflicts were resolved via discussion or with a third reviewer. Extraction was completed by 2 reviewers using a piloted data extraction tool. Articles published in English from 1975 to the present were included. Sources in languages other than English were not included in the review due to the difficulties in accurately translating the concept of capability. Results: Thirty-five sources were included in the review with publication dates from 2000 to 2023. Most sources originated from Australia, the United Kingdom, and the United States. Sources included frameworks and clinical guidelines, peer-reviewed articles, and gray literature. Capability was discussed in a range of settings, including specialized clinical roles. Applications of capability in educational settings included the use of capability frameworks to guide nurse practitioner education, nursing practice doctorates, and postgraduate nurse practitioner training. Definitions of capability, where provided, were relatively consistent. Capability was proposed as a distinguishing characteristic of advanced practice nursing, as a descriptor of clinical proficiency that moved beyond competency, and as a framework that accounted for complexity in health care settings. Conclusion: Capability was used as a concept and framework to describe advanced practice nursing within complex practice environments that necessitate flexible approaches. Capability frameworks were applied holistically and to specific areas of practice or education, including in pregraduate and postgraduate advanced practice nursing education. Strategies for teaching and learning capability focused on flexibility, student-directed learning, and development of flexible learning pathways. Supplemental digital content: A Norwegian-language version of the abstract of this review is available: http://links.lww.com/SRX/A58

Parents provide most of the support needed for children with cerebral palsy (CP) to increase the child’s participation and independence. Understanding the experiences of parents caring for children with CP is essential for developing effective family programs and services. The current knowledge about parents’ experiences in CP is based on studies in Western countries, with little known about this phenomenon in Arab countries like Saudi Arabia. This study aimed to understand the unique experiences and support needs of Saudi parents caring for children with CP from a social-ecological perspective. We conducted a qualitative, exploratory, descriptive study involving 12 semi-structured interviews with mothers and fathers of children with different types of CP. We analyzed the data using a reflexive thematic approach, following six distinct phases. Participants’ narratives revealed a complex caregiving journey marked by both challenges and rewards. Support from Saudi nuclear and extended family members was considered important; however, many parents expressed a need for additional physical and financial assistance from their families. Parents reported feeling stressed and experiencing challenges in accessing and navigating educational and healthcare services. Our findings highlight that Islamic values play a crucial role in the experiences of Saudi parents. These values foster a sense of collectivism, highlighting the importance of family support and community involvement, which can affect the Saudi caregiving environment. Parents remain an essential yet often invisible part of the Saudi caregiving system. Without adequate support, parents are at risk of experiencing social, financial, academic, physical, and mental health challenges, which may affect their overall family well-being. Future work may need to consider spiritual and gender roles when developing programs or services to support Saudi parents of children with CP.

New and novice qualitative researchers can be overwhelmed, and they may face uncertainty with the variety of available approaches when choosing their research methods. Feminist poststructuralist discourse analysis is a qualitative analysis method that has not been described extensively in the literature, despite variations in its application by different researchers. In this paper, the author will describe her use of these analytical methods for her doctoral research study. The aim of this paper is to provide researchers with an in-depth example of how feminist poststructuralist discourse analysis can be used in qualitative research. To begin, a brief description of the theoretical perspective, feminist poststructuralism, that informs feminist poststructuralist discourse analysis will be provided, followed by an outline of the analytical process that was used. Two examples of how the analysis methods were applied to the data will be shared. Strengths and challenges will be identified, and suggestions will be made for researchers who are interested in using this method of analysis. This first-person account contributes to improved understandings of discourse analysis generally, and feminist poststructuralist discourse analysis specifically. This account will be of particular interest to researchers new to discourse analysis or who are considering using feminist poststructuralist discourse analysis

Objective: The objective of this review is to explore and understand the birthing care experiences of midwives, nurses, women, and birthing people during COVID-19. Introduction: The COVID-19 pandemic has had implications for providing and receiving birthing care globally. In addition to navigating fears of contracting COVID-19, health care providers and families have had to adapt to changing policies and clinical practices in response to varying recommendations and evidence. These changes, including restrictive visitor policies and mandated mask-wearing, influenced the experience of birthing care. Synthesizing qualitative evidence about the birthing experiences of midwives, nurses, women, and birthing people (people who give birth but who do not identify as women) during COVID-19 can provide important information for policies and decision-making for future global pandemics. Inclusion criteria: Studies including licensed midwives, licensed nurses, women, and birthing people who provided or received birthing care during the COVID-19 pandemic will be considered. Studies published from January 2020 onward will be included. The review will consider all studies that present qualitative data, including, but not limited to, research designs such as phenomenology, ethnography, grounded theory, feminist research, and action research. Methods: The following databases will be searched: MEDLINE, Embase, CINAHL, PsycINFO, and LitCovid. MedArchiv, PsyArXiv, and Google Scholar will be searched for gray literature. Studies will be assessed independently by two reviewers. Any disagreements will be resolved through discussion or with a third reviewer. Data extraction will be completed by two reviewers. The JBI tools and resources will be used for meta-aggregation, including the creation of categories and synthesized findings. Systematic review registration number: PROSPERO CRD42021292832

Obstetric fistula is a childbirth complication causing abnormal openings between the urinary, bowel, and genital tracts, leading to involuntary leakage and potential long-term disability. Even after surgical repair, women continue to face psychological and social challenges that affect their social inclusion and participation. This study explored family and service provider perspectives on current support systems and identified gaps affecting women’s inclusion and participation post-fistula surgery. Building on a prior study of women who underwent obstetric fistula surgical repair, we qualitatively examined available formal and informal post-surgical supports in Ethiopia. We conducted 20 interviews with family members and service providers and analyzed them using Charmaz’s grounded theory inductive analysis approach. We identified four themes that indicated the available formal support in fistula care, the impact of formal support on women’s social participation and inclusion, the gaps in formal support systems, and post-surgery informal supports and their challenges. Both groups believed support needs for women after surgery remain unmet, highlighting the need to strengthen holistic support services to improve women’s social inclusion and participation. This study contributes to limited research on formal and informal support for women, emphasizing the need for enhanced economic, psychological, and sexual health-related support post-obstetric fistula surgery.