{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T18:00:17Z","timestamp":1790704817650,"version":"4.1.0"},"reference-count":42,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:p>Strategic communication plays a vital role in healthcare organizations undergoing continuous cultural transformation, yet its impact on reinforcing nurses\u2019 professional identity remains underexplored. Nurses\u2019 professional identity\u2014how they perceive and enact their roles shaped by professional values and social interactions\u2014is fundamental to job satisfaction, resilience, collaboration, and retention. This scoping review protocol outlines a study designed to systematically map and synthesize existing literature on the interaction between strategic communication, professional identity, and cultural change in nursing contexts. Following Joanna Briggs Institute methodology and PRISMA-ScR guidelines, a comprehensive search will be conducted across seven bibliographic databases and multiple grey literature sources for records published from 2000 to 2025, with no language restrictions. Studies will be included if they demonstrate an explicit interaction between these three core concepts, rather than their isolated presence. Two independent reviewers will conduct screening and data extraction. Data extraction and analysis will be guided by three established frameworks: a 14-component strategic communication framework, the ISPIN-IBIN nursing professional identity model, and an eight-dimension cultural transformation framework. Data will be analyzed descriptively and thematically to create an evidence map of communication models, strategies, and actions that strengthen nurses\u2019 professional identity and support sustainable cultural transformation. An interpretative layer will also be incorporated to explore relationships between communication practices, identity construction, and organizational change. The review aims to identify implementation challenges, contextual enablers, and gaps in current knowledge. Findings will offer evidence-informed guidance for nursing leadership, education, and policy to embed identity-driven communication strategies in organizational change initiatives. Ultimately, this work seeks to advance theoretical understanding and practical application of strategic communication to support resilient nursing workforces and improve healthcare organizational culture.<\/jats:p>","DOI":"10.1371\/journal.pone.0359546","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T17:37:52Z","timestamp":1790703472000},"page":"e0359546","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Strategic communication to strengthen nurses\u2019 professional identity and drive cultural change in healthcare organizations: A JBI scoping review protocol"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4948-6518","authenticated-orcid":true,"given":"Carmen","family":"Arteaga-Jord\u00e1","sequence":"first","affiliation":[{"name":"Cl\u00ednica Universidad de Navarra","place":["Madrid, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Jes\u00fas","family":"Y\u00e1\u00f1ez-Galdames","sequence":"additional","affiliation":[{"name":"International University of La Rioja (UNIR)","place":["Logro\u00f1o, Spain"],"department":["Faculty of Economics and Business"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7328-2051","authenticated-orcid":true,"given":"Hildegart","family":"Gonz\u00e1lez-Luis","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Navarra","place":["Pamplona, Spain"]},{"name":"Navarra Institute for Health Research (IdiSNA)","place":["Pamplona, Spain"]},{"name":"Center for Health Policy and Media Engagement, George Washington University School of Nursing","place":["Washington, District of Columbia, United States of America"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Oroviogoicoechea","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Universidad de Navarra","place":["Pamplona, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4002-6454","authenticated-orcid":true,"given":"Mar\u00eda Jos\u00e9","family":"Hern\u00e1ndez-Leal","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Navarra","place":["Pamplona, Spain"]},{"name":"Navarra Institute for Health Research (IdiSNA)","place":["Pamplona, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"issue":"3","key":"pone.0359546.ref001","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1097\/01.NEP.0000000000000667","article-title":"The professional identity in nursing initiative","volume":"41","author":"J Brewington","year":"2020","journal-title":"Nurs Educ Perspect"},{"key":"pone.0359546.ref002","doi-asserted-by":"crossref","DOI":"10.1097\/00000446-198412000-00027","volume-title":"From novice to expert: excellence and power in clinical nursing practice","author":"PE Benner","year":"1984"},{"key":"pone.0359546.ref003","volume-title":"La socialisation. Construction des identit\u00e9s sociales et professionnelles","author":"C Dubar","year":"1991"},{"key":"pone.0359546.ref004","doi-asserted-by":"crossref","first-page":"23779608251335240","DOI":"10.1177\/23779608251335240","article-title":"Professional identity in nursing: a narrative review of the ISPIN definition and domains usage","volume":"11","author":"MSM Geoghan","year":"2025","journal-title":"SAGE Open Nurs"},{"issue":"2","key":"pone.0359546.ref005","doi-asserted-by":"crossref","DOI":"10.1111\/jjns.12515","article-title":"Professional identity, job satisfaction, and intention to stay among clinical nurses during the prolonged COVID-19 pandemic: A mediation analysis","volume":"20","author":"AL Hanum","year":"2023","journal-title":"Jpn J Nurs Sci"},{"issue":"2","key":"pone.0359546.ref006","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1007\/s10459-022-10171-1","article-title":"Professional identity research in the health professions-a scoping review","volume":"28","author":"M Cornett","year":"2023","journal-title":"Adv Health Sci Educ Theory Pract"},{"issue":"1","key":"pone.0359546.ref007","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1186\/s12912-023-01460-0","article-title":"Reasons for resistance to change in nursing: an integrative review","volume":"22","author":"R Cheraghi","year":"2023","journal-title":"BMC Nurs"},{"key":"pone.0359546.ref008","volume-title":"Organizational identity: a reader","author":"MJ Hatch","year":"2004"},{"key":"pone.0359546.ref009","volume-title":"Corporate communication","author":"PA Argenti","year":"2023","edition":"8"},{"key":"pone.0359546.ref010","volume-title":"Corporate communication: a guide to theory and practice","author":"J Cornelissen","year":"2020","edition":"6"},{"key":"pone.0359546.ref011","volume-title":"Leading change","author":"JP Kotter","year":"1996"},{"issue":"4","key":"pone.0359546.ref012","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1080\/1553118X.2018.1452742","article-title":"Alignment: explicating a key concept in strategic communication","volume":"12","author":"SC Volk","year":"2018","journal-title":"International J Strat Commun"},{"issue":"17","key":"pone.0359546.ref013","doi-asserted-by":"crossref","first-page":"10995","DOI":"10.3390\/ijerph191710995","article-title":"Leadership effectiveness in healthcare settings: a systematic review and meta-analysis of cross-sectional and before-after studies","volume":"19","author":"V Restivo","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"pone.0359546.ref014","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1136\/bmjinnov-2023-001097","article-title":"What is the impact of healthcare innovation on measurable outcomes of healthcare organisation performance? A systematic review","volume":"10","author":"C Madden","year":"2024","journal-title":"BMJ Innov"},{"key":"pone.0359546.ref015","doi-asserted-by":"crossref","first-page":"3433","DOI":"10.2147\/JMDH.S514080","article-title":"The themes have to be considered in the change process within healthcare organizations: critical analysis review","volume":"18","author":"HH Alsaqqa","year":"2025","journal-title":"J Multidiscip Healthc"},{"key":"pone.0359546.ref016","unstructured":"Sets of patient-centered outcomes measures. Accessed 2025 October 1."},{"issue":"7","key":"pone.0359546.ref017","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1097\/01.NAJ.0000681648.48249.16","article-title":"Original research: How magnet hospital status affects nurses, patients, and organizations: A systematic review","volume":"120","author":"MC Rodr\u00edguez-Garc\u00eda","year":"2020","journal-title":"Am J Nurs"},{"issue":"9","key":"pone.0359546.ref018","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1108\/JHOM-04-2024-0159","article-title":"Implementation of a magnet hospital model: attracting and retaining healthcare staff in a Swedish hospital","volume":"38","author":"P Nilsson","year":"2024","journal-title":"J Health Organ Manag"},{"key":"pone.0359546.ref019","unstructured":"American Nurses Association ANA. Magnet model: creating a magnet culture. 2017. Accessed 2025 October 2."},{"issue":"10","key":"pone.0359546.ref020","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1097\/NNA.0000000000001325","article-title":"The association between magnet \u00ae recognition and patient outcomes: a scoping review","volume":"53","author":"L Connor","year":"2023","journal-title":"J Nurs Adm"},{"key":"pone.0359546.ref021","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1007\/978-3-030-69063-2_13","article-title":"Nurse outcomes: burnout, engagement, and job satisfaction","volume-title":"Nurses contributions to quality health outcomes","author":"P van Bogaert","year":"2021"},{"issue":"1","key":"pone.0359546.ref022","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1186\/s12912-024-01772-9","article-title":"Organizational characteristics of nursing practice environments related to registered nurses\u2019 professional autonomy and job satisfaction in two Finnish Magnet-aspiring hospitals: structural equation modeling study","volume":"23","author":"K Pursio","year":"2024","journal-title":"BMC Nurs"},{"key":"pone.0359546.ref023","first-page":"5587501","article-title":"The effect of professional autonomy and nursing work environment on nurses\u2019 patient safety activities: a perspective on magnet hospitals","volume":"2023","author":"S Yuk","year":"2023","journal-title":"J Nurs Manag"},{"key":"pone.0359546.ref024","article-title":"Scoping reviews.","volume-title":"JBI manual for evidence synthesis","author":"MDJ Peters","year":"2020"},{"issue":"6","key":"pone.0359546.ref025","doi-asserted-by":"crossref","first-page":"102051","DOI":"10.1016\/j.outlook.2023.102051","article-title":"A framework for transforming the professional identity and brand image of All Nurses as Leaders","volume":"71","author":"ML Joseph","year":"2023","journal-title":"Nurisng Outlook"},{"key":"pone.0359546.ref026","volume-title":"Health communication: theory and practice","author":"G Kreps","year":"1992","edition":"2"},{"key":"pone.0359546.ref027","volume-title":"Theory at a glance a guide for health promotion practice","author":"K Glanz","year":"2005","edition":"2"},{"key":"pone.0359546.ref028","volume-title":"Leadership communication: A communication approach for senior-level managers","author":"DJ Barrett","year":"2006"},{"key":"pone.0359546.ref029","volume-title":"Organizational culture and leadership","author":"EH Schein","year":"2017","edition":"5"},{"key":"pone.0359546.ref030","doi-asserted-by":"crossref","DOI":"10.1093\/acprof:oso\/9780195301014.001.0001","volume-title":"Social networks and health: models, methods, and applications","author":"TW Valente","year":"2010"},{"key":"pone.0359546.ref031","doi-asserted-by":"crossref","DOI":"10.3726\/978-1-4539-1460-1","volume-title":"Corporate communication: strategic adaptation for global practice","author":"MB Goodman","year":"2010"},{"key":"pone.0359546.ref032","doi-asserted-by":"crossref","DOI":"10.4324\/9781410617095","volume-title":"Transformational leadership","author":"BM Bass","year":"2006","edition":"2"},{"key":"pone.0359546.ref033","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.profnurs.2023.11.004","article-title":"Professional Identity in Nursing Scale 2.0: A national study of nurses\u2019 professional identity and psychometric properties","volume":"50","author":"T Landis","year":"2024","journal-title":"Journal of Professional Nursing"},{"key":"pone.0359546.ref034","first-page":"33","article-title":"An integrative theory of intergroup conflict.","volume-title":"The social psychology of intergroup relations","author":"H Tajfel","year":"1979"},{"key":"pone.0359546.ref035","volume-title":"JBI manual for evidence synthesis","author":"E Aromataris","year":"2020"},{"issue":"10","key":"pone.0359546.ref036","doi-asserted-by":"crossref","first-page":"2119","DOI":"10.11124\/JBIES-20-00167","article-title":"Updated methodological guidance for the conduct of scoping reviews","volume":"18","author":"MDJ Peters","year":"2020","journal-title":"JBI Evid Synth"},{"issue":"7","key":"pone.0359546.ref037","doi-asserted-by":"crossref","first-page":"467","DOI":"10.7326\/M18-0850","article-title":"PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation","volume":"169","author":"AC Tricco","year":"2018","journal-title":"Ann Intern Med"},{"key":"pone.0359546.ref038","author":"C Arteaga-Jord\u00e1","year":"2025","journal-title":"The role of strategic communication in the integration of cultural change and the reinforcement of nurses\u2019 professional identity in healthcare organizations: A scoping review protocol"},{"key":"pone.0359546.ref039","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.g7647","article-title":"Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation","volume":"349","author":"L Shamseer","year":"2015","journal-title":"BMJ"},{"key":"pone.0359546.ref040","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.jclinepi.2016.01.021","article-title":"PRESS peer review of electronic search strategies: 2015 guideline statement.","volume":"75","author":"J McGowan","year":"2016","journal-title":"J Clin Epidemiol"},{"issue":"1","key":"pone.0359546.ref041","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1111\/j.1365-2648.2007.04569.x","article-title":"The qualitative content analysis process","volume":"62","author":"S Elo","year":"2008","journal-title":"J Adv Nurs"},{"issue":"4","key":"pone.0359546.ref042","doi-asserted-by":"crossref","first-page":"2102","DOI":"10.1111\/jan.14743","article-title":"Undertaking a scoping review: A practical guide for nursing and midwifery students, clinicians, researchers, and academics","volume":"77","author":"D Pollock","year":"2021","journal-title":"J Adv Nurs"}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0359546","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T17:38:02Z","timestamp":1790703482000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0359546"}},"subtitle":[],"editor":[{"given":"Udoka","family":"Okpalauwaekwe","sequence":"first","affiliation":[{"name":"University of Saskatchewan","place":["CANADA"]}],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,9,29]]},"references-count":42,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026,9,29]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0359546","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,29]]}}}