{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T07:52:01Z","timestamp":1791186721022,"version":"4.1.0"},"reference-count":43,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"vor","delay-in-days":276,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82271238"],"award-info":[{"award-number":["82271238"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["U21A20357"],"award-info":[{"award-number":["U21A20357"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Established perioperative and nursing theories provide foundations for patient safety, adaptation, caring, communication, and professional practice. This study aimed to develop a context\u2010specific operational framework that applies and specifies these concepts for 5G\u2010enabled cross\u2010regional remote surgery, particularly in relation to technology\u2010mediated care, distributed collaboration, and adaptive nursing capacity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This mixed\u2010methods study combined a systematic literature review (four databases; topic search, January 2000\u2010July 2025; foundational theory searches unrestricted) with case analysis of two cross\u2010continental, three\u2010site 5G\u2010enabled robotic surgeries. The review examined how established nursing theories and perioperative practice guidance have been applied to remote, robotic, and technology\u2010mediated surgical contexts. Literature synthesis and case analysis were integrated to identify operational domains for framework development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Established nursing theories remained useful conceptual lenses for understanding patient safety, healthcare\u2010system interaction, adaptation, communication, professional learning, and human responses to technologically advanced care environments. Case analysis did not indicate theoretical obsolescence; rather, it identified areas requiring context\u2010specific operational specification in remote robotic surgical practice. The AORN perioperative patient\u2010focused model, Roy\u2019s adaptation model, Benner\u2019s skill acquisition model, and related theories informed the proposed framework. In the two cases, remote nursing involved technological complexity, independent patient\u2010site teams, and substantial interprofessional coordination. The proposed framework incorporates three interrelated components: (1) technology\u2010mediated nursing, emphasizing integration of advanced technological systems into nursing judgment and care processes; (2) distributed nursing collaboration, addressing teamwork across geographically separated sites; and (3) nursing adaptive capacity, underscoring continuous learning and flexible response in dynamic technological environments. The preliminary framework may provide guidance for preoperative planning, intraoperative execution, and postoperative care in remote robotic surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>The preliminary framework may inform perioperative nurse managers, nursing directors, and operating room leaders in patient\u2010site staffing and role allocation, training and competency assessment, standardized communication protocols, emergency drills, quality indicators, and distributed workflow oversight.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The framework offers a preliminary, context\u2010specific operational foundation for cross\u2010regional remote robotic surgery nursing. It applies, specifies, and supplements established nursing theories rather than replacing them and may support process standardization and care\u2010quality evaluation. Further multicenter validation, instrument development, and outcome\u2010based evaluation are needed to refine its applicability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/9403452","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T06:57:43Z","timestamp":1791183463000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Development of a Nursing Practice Framework for 5G\u2010Enabled Cross\u2010Regional Remote Surgery"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6415-4012","authenticated-orcid":false,"given":"Yaling","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Operating Room Fuzhou University Affiliated Provincial Hospital  Fuzhou 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