Convergent Care Theory (CCT) proposes that optimal outcomes are achieved through the convergence of interdependent dimensions of care within a culture of caring. CCT 2.0 responds to the integration of artificial intelligence (AI) into care through 5 domains: organizational care, collaborative care, human-centered care, self-care, and AI-powered care . These domains align organizational capabilities, connect knowledge and perspectives toward shared goals, center humanity and judgment, sustain personal capacity, and intentionally integrate AI capabilities to expand the capacity of care. Six facilitators, competence, compassion, accountability, trusting, sharing, and engaging, enable purposeful convergence of the domains within a culture of caring toward optimal outcomes.
A qualitative study of 34 adults with Tourette syndrome explored how stigma operates across interpersonal and structural contexts to shape psychosocial outcomes. Interviews revealed 4 interrelated processes: (1) developmental origins of stigma and identity formation, (2) anticipated and internalized stigma in adult relationships, (3) structural stigma and occupational vulnerability, and (4) adaptive coping, concealment, and social withdrawal. Symptom visibility amplified stigma across contexts, reinforced by misconceptions and media portrayals. Findings highlight the life-course impact of Tourette syndrome stigma and provide a foundation for stigma-informed, nurse-led interventions addressing both psychosocial and structural dimensions of care.
How parents sustain care for children with complex chronic conditions remains undertheorized. Using Rodgers’ evolutionary method, we analyzed parental adaptability across 25 articles. Our analysis conceptualized parental adaptability as a parent-enacted, bivalent caregiving process in which responsiveness, balancing, and care management operate iteratively across parent, family, and social system levels as child needs change. Adaptability may support child functioning, family adjustment, and care continuity, yet coincide with unrelieved psychological, physical, and relational strain for parents—adaptive exhaustion, in which caregiving nonetheless remains effective. This conceptualization offers attribute-specific targets for nursing assessment and measurement while directing interventions toward conditions that sustain caregiving.
Older adult migrants often experience language barriers, cultural dissonance, fragmented continuity of care, and inequitable access to home health care. Existing nursing theories do not fully explain how migration, aging, cultural identity, relational care, and the meaning of home intersect in practice. Guided by Walker and Avant’s theory derivation approach, this paper uses bell hooks’ conceptualization of homeplace as the source conceptual domain and integrates nursing theories and empirical evidence to develop a situation-specific Homeplace-Centered Nursing Homecare Theory. The theory identifies 8 interrelated domains, nursing roles, and relational propositions supporting culturally responsive, relational, equity-oriented care across practice, education, research, and policy.
