{"id":"https://openalex.org/W7204201160","doi":"https://doi.org/10.1111/jnu.70125","title":"International Nurse Leaders' Journeys of Engagement, Belonging, and Growth in Professional Nursing Organizations: A Qualitative Study","display_name":"International Nurse Leaders' Journeys of Engagement, Belonging, and Growth in Professional Nursing Organizations: A Qualitative Study","publication_year":2026,"publication_date":"2026-08-25","ids":{"openalex":"https://openalex.org/W7204201160","doi":"https://doi.org/10.1111/jnu.70125","pmid":"https://pubmed.ncbi.nlm.nih.gov/42639970"},"language":"en","primary_location":{"id":"doi:10.1111/jnu.70125","doi":"https://doi.org/10.1111/jnu.70125","is_oa":true,"landing_page_url":"https://doi.org/10.1111/jnu.70125","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jnu.70125","source":{"id":"https://openalex.org/S205285807","display_name":"Journal of Nursing Scholarship","issn_l":"0363-2792","issn":["0363-2792","0743-5150","1527-6546","1547-5069"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-2","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Nursing Scholarship","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jnu.70125","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5071146194","display_name":"Jihane Frangieh","orcid":"https://orcid.org/0009-0004-9816-4771","observed_orcids":["https://orcid.org/0009-0004-9816-4771"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jihane Frangieh","raw_affiliation_strings":["School of Nursing Johns Hopkins University  Baltimore Maryland USA"],"raw_orcid":"https://orcid.org/0009-0004-9816-4771","affiliations":[{"raw_affiliation_string":"School of Nursing Johns Hopkins University  Baltimore Maryland USA","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054613969","display_name":"Edmund J. Walsh","orcid":"https://orcid.org/0000-0002-6670-1454","observed_orcids":["https://orcid.org/0000-0002-6670-1454"]},"institutions":[{"id":"https://openalex.org/I125749732","display_name":"Western University","ror":"https://ror.org/02grkyz14","country_code":"CA","type":"education","lineage":["https://openalex.org/I125749732"]}],"countries":["CA"],"is_corresponding":true,"raw_author_name":"Edmund J. Walsh","raw_affiliation_strings":["Arthur Labatt Family School of Nursing University of Western Ontario  London Ontario Canada"],"raw_orcid":"https://orcid.org/0000-0002-6670-1454","affiliations":[{"raw_affiliation_string":"Arthur Labatt Family School of Nursing University of Western Ontario  London Ontario Canada","institution_ids":["https://openalex.org/I125749732"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032119687","display_name":"Kay Kennedy","orcid":"https://orcid.org/0000-0001-7356-4948","observed_orcids":["https://orcid.org/0000-0001-7356-4948"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kay Kennedy","raw_affiliation_strings":["uLeadership  Atlanta Georgia USA"],"raw_orcid":"https://orcid.org/0000-0001-7356-4948","affiliations":[{"raw_affiliation_string":"uLeadership  Atlanta Georgia USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035010869","display_name":"Kimberley Crawford","orcid":"https://orcid.org/0000-0002-2469-1999","observed_orcids":["https://orcid.org/0000-0002-2469-1999"]},"institutions":[{"id":"https://openalex.org/I4210160596","display_name":"Tanner Health System","ror":"https://ror.org/05px2re83","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210160596"]},{"id":"https://openalex.org/I5950314","display_name":"University of West Georgia","ror":"https://ror.org/01cqxk816","country_code":"US","type":"education","lineage":["https://openalex.org/I5950314"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kim Crawford","raw_affiliation_strings":["Tanner Health School of Nursing University of West Georgia  Carrollton Georgia USA"],"raw_orcid":"https://orcid.org/0000-0002-2469-1999","affiliations":[{"raw_affiliation_string":"Tanner Health School of Nursing University of West Georgia  Carrollton Georgia USA","institution_ids":["https://openalex.org/I4210160596","https://openalex.org/I5950314"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053813233","display_name":"Cindy G. Zellefrow","orcid":"https://orcid.org/0000-0001-6953-3962","observed_orcids":["https://orcid.org/0000-0001-6953-3962"]},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Cindy Zellefrow","raw_affiliation_strings":["College of Nursing The Ohio State University  Columbus Ohio USA"],"raw_orcid":"https://orcid.org/0000-0001-6953-3962","affiliations":[{"raw_affiliation_string":"College of Nursing The Ohio State University  Columbus Ohio USA","institution_ids":["https://openalex.org/I52357470"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111873821","display_name":"Beverly Hancock","orcid":"https://orcid.org/0000-0002-0705-7638","observed_orcids":["https://orcid.org/0000-0002-0705-7638"]},"institutions":[{"id":"https://openalex.org/I49886154","display_name":"Rush University","ror":"https://ror.org/01k9xac83","country_code":"US","type":"education","lineage":["https://openalex.org/I49886154"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Beverly Hancock","raw_affiliation_strings":["College of Nursing Rush University  Chicago Illinois USA"],"raw_orcid":"https://orcid.org/0000-0002-0705-7638","affiliations":[{"raw_affiliation_string":"College of Nursing Rush University  Chicago Illinois USA","institution_ids":["https://openalex.org/I49886154"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5037722691","display_name":"Mary A. Dolansky","orcid":"https://orcid.org/0000-0002-6472-1275","observed_orcids":["https://orcid.org/0000-0002-6472-1275"]},"institutions":[{"id":"https://openalex.org/I58956616","display_name":"Case Western Reserve University","ror":"https://ror.org/051fd9666","country_code":"US","type":"education","lineage":["https://openalex.org/I58956616"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mary A. Dolansky","raw_affiliation_strings":["Frances Payne Bolton School of Nursing Case Western Reserve University  Cleveland Ohio USA"],"raw_orcid":"https://orcid.org/0000-0002-6472-1275","affiliations":[{"raw_affiliation_string":"Frances Payne Bolton School of Nursing Case Western Reserve University  Cleveland Ohio USA","institution_ids":["https://openalex.org/I58956616"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":7,"corresponding_author_ids":["https://openalex.org/A5054613969"],"corresponding_institution_ids":["https://openalex.org/I125749732"],"apc_list":{"value":3640,"currency":"USD","value_usd":3640},"apc_paid":{"value":3640,"currency":"USD","value_usd":3640},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.71435619,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"58","issue":"5","first_page":"e70125","last_page":"e70125"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T14316","display_name":"Nursing Education, Practice, and Leadership","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2910","display_name":"Issues, ethics and legal aspects"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T14316","display_name":"Nursing Education, Practice, and Leadership","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2910","display_name":"Issues, ethics and legal aspects"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10186","display_name":"Nursing education and management","score":0.005499999970197678,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12244","display_name":"Healthcare Education and Workforce Issues","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2911","display_name":"Leadership and Management"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/nursing-associations","display_name":"nursing organizations","score":0.9760000109672546},{"id":"https://openalex.org/keywords/international-membership","display_name":"international membership","score":0.8730000257492065},{"id":"https://openalex.org/keywords/leadership-science","display_name":"leadership science","score":0.45500001311302185},{"id":"https://openalex.org/keywords/sense-of-belonging","display_name":"sense of belonging","score":0.8299999833106995},{"id":"https://openalex.org/keywords/reciprocal-exchange","display_name":"reciprocal exchange","score":0.7350000143051147},{"id":"https://openalex.org/keywords/cross-border-relationships","display_name":"cross-border relationships","score":0.8529999852180481},{"id":"https://openalex.org/keywords/organizational-support","display_name":"organizational support","score":0.47200000286102295},{"id":"https://openalex.org/keywords/leadership-development","display_name":"leadership development","score":0.703000009059906},{"id":"https://openalex.org/keywords/knowledge-sharing","display_name":"knowledge sharing","score":0.44200000166893005}],"concepts":[{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.6151999831199646},{"id":"https://openalex.org/C2778139618","wikidata":"https://www.wikidata.org/wiki/Q13440398","display_name":"Workforce","level":2,"score":0.5856999754905701},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.5770999789237976},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.5187000036239624},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.5157999992370605},{"id":"https://openalex.org/C13200473","wikidata":"https://www.wikidata.org/wiki/Q2747831","display_name":"Reflexivity","level":2,"score":0.47119998931884766},{"id":"https://openalex.org/C113616995","wikidata":"https://www.wikidata.org/wiki/Q13378080","display_name":"Nurse education","level":2,"score":0.41990000009536743},{"id":"https://openalex.org/C169087156","wikidata":"https://www.wikidata.org/wiki/Q2131593","display_name":"Framing (construction)","level":2,"score":0.4169999957084656},{"id":"https://openalex.org/C2910125345","wikidata":"https://www.wikidata.org/wiki/Q2084130","display_name":"Nurse Administrator","level":3,"score":0.4106999933719635},{"id":"https://openalex.org/C109359841","wikidata":"https://www.wikidata.org/wiki/Q728944","display_name":"Inclusion (mineral)","level":2,"score":0.3995000123977661},{"id":"https://openalex.org/C518773536","wikidata":"https://www.wikidata.org/wiki/Q918533","display_name":"Nursing research","level":2,"score":0.3594000041484833},{"id":"https://openalex.org/C2780271678","wikidata":"https://www.wikidata.org/wiki/Q6508669","display_name":"Leadership development","level":2,"score":0.3443000018596649},{"id":"https://openalex.org/C199521495","wikidata":"https://www.wikidata.org/wiki/Q181487","display_name":"Audit","level":2,"score":0.34139999747276306},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3321000039577484},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.31189998984336853},{"id":"https://openalex.org/C51067260","wikidata":"https://www.wikidata.org/wiki/Q828812","display_name":"Professional development","level":2,"score":0.30230000615119934},{"id":"https://openalex.org/C199728807","wikidata":"https://www.wikidata.org/wiki/Q2578557","display_name":"Equity (law)","level":2,"score":0.28870001435279846},{"id":"https://openalex.org/C2776007630","wikidata":"https://www.wikidata.org/wiki/Q2798912","display_name":"Accountability","level":2,"score":0.28760001063346863},{"id":"https://openalex.org/C2780344248","wikidata":"https://www.wikidata.org/wiki/Q2084130","display_name":"Nursing management","level":2,"score":0.2802000045776367},{"id":"https://openalex.org/C7225491","wikidata":"https://www.wikidata.org/wiki/Q2697537","display_name":"Leadership studies","level":3,"score":0.27250000834465027},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.2671000063419342},{"id":"https://openalex.org/C134215751","wikidata":"https://www.wikidata.org/wiki/Q829080","display_name":"Professional association","level":2,"score":0.2603999972343445},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.2533999979496002}],"mesh":[{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007857","descriptor_name":"Leadership","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D007857","descriptor_name":"Leadership","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D009718","descriptor_name":"Nurse Administrators","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D009718","descriptor_name":"Nurse Administrators","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D012956","descriptor_name":"Societies, Nursing","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D012956","descriptor_name":"Societies, Nursing","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D017144","descriptor_name":"Focus Groups","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017144","descriptor_name":"Focus Groups","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D064700","descriptor_name":"Nurses, International","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D064700","descriptor_name":"Nurses, International","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1111/jnu.70125","doi":"https://doi.org/10.1111/jnu.70125","is_oa":true,"landing_page_url":"https://doi.org/10.1111/jnu.70125","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jnu.70125","source":{"id":"https://openalex.org/S205285807","display_name":"Journal of Nursing Scholarship","issn_l":"0363-2792","issn":["0363-2792","0743-5150","1527-6546","1547-5069"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-2","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Nursing Scholarship","raw_type":"journal-article"},{"id":"pmid:42639970","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42639970","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13504725","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13504725/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Nurs Scholarsh","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1111/jnu.70125","doi":"https://doi.org/10.1111/jnu.70125","is_oa":true,"landing_page_url":"https://doi.org/10.1111/jnu.70125","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jnu.70125","source":{"id":"https://openalex.org/S205285807","display_name":"Journal of Nursing Scholarship","issn_l":"0363-2792","issn":["0363-2792","0743-5150","1527-6546","1547-5069"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-2","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Nursing Scholarship","raw_type":"journal-article"},"sustainable_development_goals":[],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204201160.pdf","grobid_xml":"https://content.openalex.org/works/W7204201160.grobid-xml"},"referenced_works_count":19,"referenced_works":["https://openalex.org/W1526463714","https://openalex.org/W1979290264","https://openalex.org/W2093646292","https://openalex.org/W2528334318","https://openalex.org/W2763766763","https://openalex.org/W2962641351","https://openalex.org/W2996617870","https://openalex.org/W3048560297","https://openalex.org/W3134745025","https://openalex.org/W3211770867","https://openalex.org/W4210702550","https://openalex.org/W4233451756","https://openalex.org/W4283747563","https://openalex.org/W4362586535","https://openalex.org/W4383059280","https://openalex.org/W4385374722","https://openalex.org/W4396991959","https://openalex.org/W4410997497","https://openalex.org/W4415675268"],"related_works":[],"abstract_inverted_index":{"INTRODUCTION:":[0],"Professional":[1],"nursing":[2,35,59,134,268,296],"organizations":[3,36,61,270],"play":[4],"a":[5,38,149,238],"central":[6],"role":[7],"in":[8,57,66,92,98,161,200,237,250,294],"connecting":[9],"nurse":[10,89,157,241],"leaders":[11,90],"across":[12,307],"borders,":[13],"advancing":[14],"leadership":[15,60,135,269,314],"science,":[16],"and":[17,25,45,52,106,124,169,186,219,243,281,287,305,319],"addressing":[18],"shared":[19],"challenges,":[20],"including":[21],"workforce":[22],"sustainability,":[23],"burnout,":[24],"policy":[26],"influence.":[27],"Little":[28],"is":[29],"known":[30],"about":[31],"how":[32],"specialized":[33],"professional":[34,58,252],"with":[37,153],"primarily":[39],"national":[40],"membership":[41,56],"base":[42],"can":[43,312],"build":[44,272],"sustain":[46],"meaningful":[47],"international":[48,55,74,88,133,248,267],"membership.":[49],"Barriers":[50],"to":[51,83,285],"facilitators":[53],"of":[54,73,79,87,131,155,189,223,240,301],"have":[62],"received":[63],"limited":[64],"attention":[65],"the":[67,71,80,85,93,110,115,125,162,299],"literature,":[68],"particularly":[69],"from":[70,234],"perspectives":[72,86],"members":[75,130,202],"themselves.":[76],"The":[77],"aims":[78],"study":[81],"are":[82],"explore":[84],"enrolled":[91,160],"Association":[94],"for":[95,274],"Leadership":[96],"Science":[97],"Nursing":[99],"International":[100],"Ambassador":[101],"Program":[102],"on":[103,213,255],"what":[104],"motivates":[105],"sustains":[107],"their":[108],"engagement,":[109],"leadership-related":[111],"benefits":[112],"they":[113,127],"seek,":[114],"organizational":[116],"supports":[117],"that":[118,266],"would":[119],"make":[120],"engagement":[121],"more":[122,228],"feasible,":[123],"contributions":[126],"bring":[128],"as":[129,205,207,209,221,227],"an":[132,183],"community.":[136],"DESIGN:":[137],"A":[138],"qualitative":[139],"descriptive":[140],"design":[141],"was":[142,176],"used.":[143],"METHODS:":[144],"Data":[145,164],"were":[146,165,195],"collected":[147],"using":[148,167],"Zoom-based":[150],"focus":[151],"group":[152],"five":[154],"11":[156],"leader":[158],"ambassadors":[159],"program.":[163],"analyzed":[166],"Braun":[168],"Clarke's":[170],"six-phase":[171],"reflexive":[172,187],"thematic":[173],"analysis.":[174],"Trustworthiness":[175],"supported":[177],"through":[178,246],"investigator":[179],"triangulation,":[180],"peer":[181],"debriefing,":[182],"audit":[184],"trail,":[185],"review":[188],"researcher":[190],"perspectives.":[191],"RESULTS:":[192],"Four":[193],"themes":[194],"developed:":[196],"(1)":[197],"reciprocal":[198,275],"exchange,":[199],"which":[201,251],"positioned":[203],"themselves":[204],"contributors":[206],"well":[208],"recipients;":[210],"(2)":[211],"engaging":[212],"our":[214],"own":[215],"terms,":[216],"framing":[217],"access":[218],"context-sensitivity":[220],"preconditions":[222],"membership;":[224],"(3)":[225],"belonging":[226],"than":[229,260],"membership,":[230],"distinguishing":[231],"formal":[232],"affiliation":[233],"felt":[235],"inclusion":[236],"community":[239],"leaders;":[242],"(4)":[244],"growth":[245,253],"sustained":[247,282],"relationships,":[249],"depends":[254],"ongoing":[256],"cross-border":[257,283],"connection":[258],"rather":[259],"time-bound":[261],"programs.":[262],"CONCLUSION:":[263],"Findings":[264],"suggest":[265],"should":[271],"infrastructure":[273],"contribution,":[276],"equitable":[277],"access,":[278],"substantive":[279],"belonging,":[280],"relationships":[284],"engage":[286],"retain":[288],"global":[289,295],"members.":[290],"CLINICAL":[291],"RELEVANCE:":[292],"Engagement":[293],"communities":[297],"facilitates":[298],"exchange":[300],"knowledge,":[302],"best":[303],"practices,":[304],"innovations":[306],"healthcare":[308],"settings.":[309],"These":[310],"opportunities":[311],"strengthen":[313],"development,":[315],"support":[316],"evidence-based":[317],"practice,":[318],"ultimately":[320],"improve":[321],"patient":[322],"outcomes.":[323]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2026-08-26T00:00:00"}
