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Nancy R. Reynolds

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Review Aug 2026

Men in nursing across workforce, patient-related, and sociocultural domains: A systematic review.

BACKGROUND Nursing remains one of the most gender-segregated professions worldwide, with men historically underrepresented. Workforce initiatives increasingly aim to diversify the profession by increasing the representation of men in nursing, yet the implications of greater male representation for workforce sustainability, patient outcomes, and sociocultural change remain unclear. PURPOSE To systematically synthesize quantitative evidence concerning men in nursing across workforce, patient-related, and sociocultural domains. METHODS A systematic review was conducted and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. DISCUSSION The findings suggest that greater representation of men in nursing does not necessarily translate into equitable workforce experiences or uniformly improved outcomes. Interpreted through Gendered Organizations Theory, the observed patterns may reflect the influence of organizational structures, workplace interactions, and sociocultural expectations on how men are positioned and supported within nursing. These findings highlight the need to consider representation together with equitable integration, retention, and patient experience. CONCLUSION Evidence concerning men in nursing revealed varied workforce, patient-related, and sociocultural patterns across contexts. The findings suggest that numerical representation alone may be insufficient to address workforce inequities without attention to organizational structures, workplace interactions, and broader sociocultural norms. REGISTRATION Retrospectively registered in PROSPERO (CRD420261309048) on 15 February 2026, after the database search was conducted on 30 June 2025.

Po-Jen Kung, Nancy R. Reynolds, M. Ho et al. · 0 citations
Open access Aug 2026

Factors associated with influenza vaccine uptake and intention among public transportation drivers: A cross-sectional study from Lebanon

ABSTRACT Public transportation drivers (PTDs) are vulnerable to influenza and could potentially act as super-spreaders. Therefore, understanding the factors associated with influenza vaccine uptake is crucial for public health. This cross-sectional study evaluated the prevalence of and factors associated with influenza vaccination uptake and intention among PTDs in Lebanon. A face-to-face questionnaire was administered to 509 PTDs in 2023. Socio-demographics, health-related variables, environmental factors, social norms, and knowledge were collected. Vaccine Hesitancy and Vaccination Attitudes Examination scales were used. Chi-square test and hierarchical logistic regression analyses were performed. Influenza vaccine uptake rate was 28.9%, with 56.2% expressing an intention to receive the vaccine if it was affordable or available through a mobile clinic. Factors that were positively associated with vaccine uptake included: knowing someone who took the vaccine aOR = 3.6[2.2–6.1]; being advised to take the vaccine aOR = 2.1[1.2–3.8]; and previous influenza infection aOR = 1.9[1.4–2.7]. Factors negatively associated with vaccine uptake included: lack of confidence in vaccines aOR = 0.7[0.6–0.9] and risk calculation aOR = 0.8[0.6–0.9]. Factors positively associated with influenza vaccine intention were knowing someone who took the vaccine aOR = 2.2[1.4–3.4] and previously taking the influenza vaccine aOR = 1.8[1.1–3.0]. Factors negatively associated with vaccine intention were having an average socioeconomic status aOR = 0.6[0.4–0.9], lack of confidence aOR = 0.7[0.6–0.8], concerns about commercial profiteering aOR = 0.7[0.6–0.9], and a preference for natural immunity 0.8[0.6–0.9]. Enhancing vaccine accessibility and affordability along with targeted educational campaigns that address specific concerns and misinformation, could increase uptake rates among PTDs.

Mahmoud Salam, Gladys N. Honein-AbouHaidar, N. Melhem et al. · 0 citations

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