Evidence map›Paper›PMID 42639970›Full record

ArticleJournal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing2026

International Nurse Leaders' Journeys of Engagement, Belonging, and Growth in Professional Nursing Organizations: A Qualitative Study.

Jihane Frangieh, Edmund J Walsh, Kay Kennedy, Kim Crawford, Cindy Zellefrow, Beverly Hancock, Mary A Dolansky

Abstract read
In one paragraph

Article in Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. International Nurse Leaders' Journeys of Engagement, Belonging, and Growth in Professional Nursing Organizations: A Qualitative Study.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jihane FrangiehSchool of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.ORCID https://orcid.org/0009-0004-9816-4771
Edmund J WalshArthur Labatt Family School of Nursing, University of Western Ontario, London, Ontario, Canada.ORCID https://orcid.org/0000-0002-6670-1454
Kay KennedyuLeadership, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0001-7356-4948
Kim CrawfordTanner Health School of Nursing, University of West Georgia, Carrollton, Georgia, USA.ORCID https://orcid.org/0000-0002-2469-1999
Cindy ZellefrowCollege of Nursing, The Ohio State University, Columbus, Ohio, USA.ORCID https://orcid.org/0000-0001-6953-3962
Beverly HancockCollege of Nursing, Rush University, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0002-0705-7638
Mary A DolanskyFrances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0002-6472-1275

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionProfessional nursing organizations play a central role in connecting nurse leaders across borders, advancing leadership science, and addressing shared challenges, including workforce sustainability, burnout, and policy influence. Little is known about how specialized professional nursing organizations with a primarily national membership base can build and sustain meaningful international membership. Barriers to and facilitators of international membership in professional nursing leadership organizations have received limited attention in the literature, particularly from the perspectives of international members themselves. The aims of the study are to explore the perspectives of international nurse leaders enrolled in the Association for Leadership Science in Nursing International Ambassador Program on what motivates and sustains their engagement, the leadership-related benefits they seek, the organizational supports that would make engagement more feasible, and the contributions they bring as members of an international nursing leadership community.

designA qualitative descriptive design was used.

methodsData were collected using a Zoom-based focus group with five of 11 nurse leader ambassadors enrolled in the program. Data were analyzed using Braun and Clarke's six-phase reflexive thematic analysis. Trustworthiness was supported through investigator triangulation, peer debriefing, an audit trail, and reflexive review of researcher perspectives.

resultsFour themes were developed: (1) reciprocal exchange, in which members positioned themselves as contributors as well as recipients; (2) engaging on our own terms, framing access and context-sensitivity as preconditions of membership; (3) belonging as more than membership, distinguishing formal affiliation from felt inclusion in a community of nurse leaders; and (4) growth through sustained international relationships, in which professional growth depends on ongoing cross-border connection rather than time-bound programs.

conclusionFindings suggest that international nursing leadership organizations should build infrastructure for reciprocal contribution, equitable access, substantive belonging, and sustained cross-border relationships to engage and retain global members. CLINICAL RELEVANCE: Engagement in global nursing communities facilitates the exchange of knowledge, best practices, and innovations across healthcare settings. These opportunities can strengthen leadership development, support evidence-based practice, and ultimately improve patient outcomes.

Indexed as

LeadershipNurse AdministratorsNurses, InternationalSocieties, NursingFocus GroupsHumansQualitative Researchbelongingglobal engagementinternational collaborationinternational membershipmember engagementnursing leadershipprofessional nursing organizations

Identifiers

PMID42639970
PMCPMC13504725

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.