Framework for Patient and Informal Caregiver Participation in Research (PAICPAIR): Part 1 The term user involvement is frequently applied in research. Frameworks for patient and informal caregiver participation as coresearchers in studies concerning patients with life-threatening illness are however sparse. The PhD project Dying With Dignity—Dignity-Preserving Care for Older Women Living at Home With Incurable Cancer has implemented a thorough cooperation with patients and informal caregivers from the early stages of the research process. A framework for Patient and Informal Caregiver Participation In Research (PAICPAIR) is suggested—creating a stronger foundation for democracy, equality, and research quality by also promoting active participation among vulnerable people experiencing incurable, life-threatening illness, as coresearchers. Correspondence: Katrine Staats, RN, MClinNurs, Department of Global Public Health and Primary Care, Centre for Elderly and Nursing Home Medicine, University of Bergen, Kalfarveien 31, 5018 Bergen, Norway (katrine.staats@uib.no). We would like to give special thanks to our patients and informal caregiver representatives entrusting engagement in being coresearchers in this study. We are also grateful to Extra Foundation Norway, for funding this research project, and to English language consultant Robert Dean Luke, RN, OCN, MSN, for his helpful advice in preparing this article for publication. The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.

Clinical Information Needs: A Concept Analysis Health care organizations have invested resources to implement and upgrade information systems capable of collecting large quantities of data. Recent technology developments have created a renewed interest in studying clinician information needs. However, a common definition and analysis of the concept clinical information needs have not been provided. Walker and Avant's method was used to perform a concept analysis. Following a review of relevant literature, a clinical information need was defined as a conscious expression, which can be verbal or nonverbal, of a desire for knowledge to answer clinical questions in the course of decision making to deliver patient care. Correspondence: Cara S. Schlegel, MS, RN, The University of Texas at Austin, School of Nursing, 1710 Red River St, Austin, TX 78701 (cara.schlegel@utexas.edu). The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.

Reducing 30-Day Readmissions Through Nursing Science: An Application of Transitions Theory With Best Practice Guidelines The Transition Management Model was developed by and for nurse care coordinators at an Independent Health Network to reduce Medicare and Medicaid 30-day readmission rates. Preimplementation assessment revealed the need for a nursing science framework to effectively reduce 30-day readmissions. The model was developed through thoughtful integration of transitions theory with best practice guidelines set forth by Project BOOST. Initial results of the Transition Management Model produced a decline in readmission rates by 11%. The Transition Management Model initiative can serve as an exemplar for the integration of transitions theory to best practice guidelines to effectively reduce 30-day readmissions. Correspondence: Bridget Stixrood, MSN, RN, CNL, 220 Tacoma Ave S, Apt 402, Tacoma, WA 98402 (bridgetstixrood@gmail.com). The author has disclosed that she has no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.

Toward a System Theory of Stress, Resilience, and Reintegration Military to civilian reintegration is a complex, multidimensional phenomenon warranting holistic perspectives. Complex phenomena require theory to understand and interpret relationships among concepts. Despite the need for theory-driven research, recent nursing reports often lack a theoretical structure. We extracted relevant concepts from the Neuman's Systems Model (stressors, environment, and person) and the Transactional Model of Stress and Coping (primary and secondary appraisal, coping, and adaptation) to form a Conceptual-Theoretical-Empirical model. Exemplar empirical instruments are presented, along with their conceptual and theoretical dimensions. An integrated System Theory of Stress, Resilience, and Reintegration is presented with its utility demonstrated through a research application. Correspondence: Anna G. Etchin, PhD, RN, Translational Research Center for TBI and Stress Disorders (TRACTS), VA Boston Healthcare System, 150 S Huntington Ave (182 JP), Jamaica Plain, MA 02130 (Anna.Etchin@va.gov). The first author sincerely thanks Dr Clifford for the Clifford Scholarship in the name of his late wife, Joyce Clifford. Dr Etchin was supported by a Veterans Affairs OAA Polytrauma fellowship, Jonas Veterans Healthcare Scholar grant 2016-2018, and Sigma grant 2018. This material is the result of work supported with resources and the use of facilities at the VA Boston Healthcare System. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs of the United States government. The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.

Traditional Masculinity: A Review of Toxicity Rooted in Social Norms and Gender Socialization The toxicity of traditional masculinity has become a heated topic of mainstream media debate since the American Psychological Association's release of psychological treatment guidelines for men and boys. To recognize how traditional masculinity is toxic, there needs to be greater understanding of the social norms and gender socialization behind traditional masculinity. Gender-based social norms and gender socialization have had dire consequences on how men behave, act in relationships, and care for their health. There is a need to reform the perception of masculinity in the contemporary social climate. Supplemental digital content Abstract is available at http://links.lww.com/ANS/A17. Correspondence: Ashley Rivera RN, MSN, Jonas Scholar, Florida Atlantic University, 777 Glades Rd, Boca Raton, FL 33431 (happydayrn@gmail.com). The author has disclosed that she has no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.

Epistemic Injustice: A Philosophical Analysis of Women's Reproductive Health Care in a Somali-American Community Epistemology is the study of the grounds of knowledge. We illustrate through case studies how epistemic injustice is manifested in the delivery of reproductive health care services for women from Somalia, even though it may not be intended or recognized as injustice. Testimonial injustice occurs when women are not believed or are discredited in their aim to receive care. Hermeneutic injustice occurs when a significant area of one's social experience is obscured from understanding owing to flaws in group knowledge resources for understanding. For example, women from Somalia may not receive full disclosure about the diagnostic or treatment services that are recommended in the reproductive health care setting. We explore how the many intersections in a person's identity can give rise to epistemic injustice and we suggest more expansive ways of evaluating the validity of diverse epistemologies in patient-centered care. Structural competency is recommended as a way nurses and other health care providers can mitigate the social determinants of health, which contribute to epistemic injustice. Correspondence: Robin Narruhn, PhD, MN, RN, College of Nursing, Seattle University, 901 12th Ave, PO Box 222000, Seattle, WA 98122 (narruhnr@seattleu.edu). The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.

Symbiotic Allegory as Innovative Indigenous Research Methodology This article introduces symbiotic allegory, an innovative research method designed by the researcher, an American Indian Chippewa. Symbiotic allegory incorporates traditional methods (storytelling, the Dream Catcher–Medicine Wheel, traditional grounding ceremonies) with Western interview methodology to evoke trust and candor among Plains Indians who had never voiced the traumatic stories of their childhood boarding school experiences. Implications reflect the importance of creating methodologies that incorporate the ways of knowing of the group being studied, which is best accomplished by a researcher who comes from within the ranks of the population being studied. Correspondence: Barbara Charbonneau-Dahlen, PhD, Minnesota State University, Mankato, 210 Park Ave N, Park River, ND 58270 (barbara.dahlen@minnstate.edu). The author has disclosed that she has no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (www.advancesinnursingscience.com). Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.