MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Clinical Nursing Research' source. Mon, 15 Mar 2010 15:02:49 +0100 http://www.medworm.com/index.php?rid=3173975&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F1%2F89%3Frss%3D1 In the May 2009 issue of Clinical Nursing Research, Figure 1 on p. 124 was incorrectly labeled (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3173975 Thu, 14 Jan 2010 19:51:30 +0100 3173975 http://www.medworm.com/index.php?rid=3173974&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F1%2F71%3Frss%3D1 The purpose of the research was to determine if an adult asthma self-management program could significantly improve psychological outcomes for participants. Small groups of adults met for 2 hours for 7 consecutive weeks. Intervention techniques included interactive discussions, problem solving, social support, and a behavior modification procedure. The behavior modification procedure consisted of homework assignments in which participants were asked to self-monitor and record asthma-specific behaviors (peak expiratory flow monitoring, avoidance/removal of asthma triggers, and controller medication adherence) and general lifestyle behaviors (drinking water, washing hands, and exercising). Paired sample t tests indicated statistically significant improvements for the outcomes of quality of l... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3173974 Thu, 14 Jan 2010 19:51:30 +0100 3173974 http://www.medworm.com/index.php?rid=3173973&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F1%2F55%3Frss%3D1 This study determines if there are differences in circadian effects of myocardial infarctions (MIs) and MI type, non-ST elevation MI (NSTEMI) and ST elevation MI (STEMI), between females and males. A two-group, nonexperimental chart review was conducted. A total of 273 randomly selected patients with an acute MI were included. Data analysis included descriptive statistics, t test and chi square to determine differences between the groups. Of the 109 females, 26% had MI symptoms begin at night, 30% in the morning, 29% in the afternoon, and 15% in the evening (p = .067). In comparison, of the 164 males, 27% had MIs at night, 30% morning, 32% afternoon, and 11% evening (p < .001). There was no circadian difference between females and males and the time of day MI-related symptoms began (p =... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3173973 Thu, 14 Jan 2010 19:51:30 +0100 3173973 http://www.medworm.com/index.php?rid=3173972&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F1%2F38%3Frss%3D1 In conclusion, the study findings highlight the importance of targeting cardiac symptom attribution and emotion-focused coping in interventions that are aimed at reducing AMI care-seeking delay. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3173972 Thu, 14 Jan 2010 19:51:30 +0100 3173972 http://www.medworm.com/index.php?rid=3173971&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F1%2F21%3Frss%3D1 There is a significant body of research demonstrating that many hospitalized patients exhibit signs of clinical deterioration prior to experiencing a cardiopulmonary arrest (CPA).This qualitative study used the critical decision method to describe the cues and factors employed by nurses to identify and interrupt a potentially preventable CPA. The cues that nurses used in identifying a patient at risk for CPA were altered level of consciousness and other selected triggers from the Early Warning Scoring System (EWSS) combined with knowledge of the patient and the contextual features of the decision situation. Nurse characteristics that assisted in interrupting an adverse event included previous experiences in prearrest situations, and the ability to function as part of a team. Organizational... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3173971 Thu, 14 Jan 2010 19:51:30 +0100 3173971 http://www.medworm.com/index.php?rid=3173970&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F1%2F6%3Frss%3D1 Conclusion: Adolescent health-seeking behaviors can be influenced positively by school programs that involve families in discussion, nurses in risk identification, and referrals to physicians for follow-up. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3173970 Thu, 14 Jan 2010 19:51:30 +0100 3173970 http://www.medworm.com/index.php?rid=3173969&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F19%2F1%2F3%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3173969 Thu, 14 Jan 2010 19:51:30 +0100 3173969 http://www.medworm.com/index.php?rid=2873980&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F4%2F348%3Frss%3D1 The purpose of this qualitative descriptive study was to examine reasons for participation in clinical research among older adults with mobility limitation. A purposive sample of 20 men and 20 women aged 70 years or older was recruited. Data were collected by audiotaped telephone interviews using a semistructured interview guide and transcribed verbatim. Participants expect privacy, professionalism by research staff, and respectful treatment. Benefits to protocol adherence include personal education, comparison of their health status with that of others, opportunity to maintain vitality, and altruism. Barriers to protocol adherence are apprehension, in particular a negative impact on their health care, randomization to the control group, and experimental drugs; and inconvenience. Factors p... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2873980 Thu, 08 Oct 2009 20:41:38 +0100 2873980 http://www.medworm.com/index.php?rid=2873979&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F4%2F336%3Frss%3D1 The undertreatment of postoperative pain in older adults with delirium is attributed, in part, to the inability to complete self-report pain assessment instruments. Patients’ loss of verbal skills to self-report pain and the lack of reliable and valid postoperative pain assessment instruments for use in older adults with delirium prompted the design of a study to identify common and subtle behavioral indicators of pain. Sixteen experienced registered nurses participating in four focus groups identified behavioral indicators of pain.Transcript analysis resulted in 89 behaviors indicative of pain. Seven researchers with expertise in pain and cognitive impairment in older adults reached 80% agreement on 22 behavioral indicators. The behavioral indicators were classified within one of fo... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2873979 Thu, 08 Oct 2009 20:41:38 +0100 2873979 http://www.medworm.com/index.php?rid=2873978&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F4%2F323%3Frss%3D1 This descriptive qualitative study examined the perspectives of women and their partners regarding the key roles of the labor and delivery nurse during labor and birth.Ten couples were interviewed separately.The data analysis, conducted through independent and team analysis, was both iterative and interpretive. Participants identified four key roles of the labor and delivery nurse: support person, educator, patient advocate, and provider of continuity. Nurses provided both physical and emotional support.As an educator, they normalized the birth experience and served as a coach for the couple. Nurses advocated on behalf of the woman in labor, particularly when there was an adverse event. The continuity of care provided by the nurses wove the above roles into a cohesive whole. Findings provi... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2873978 Thu, 08 Oct 2009 20:41:38 +0100 2873978 http://www.medworm.com/index.php?rid=2873977&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F4%2F307%3Frss%3D1 Background: Limited research has examined differences in patients’ learning needs in relation to demographic characteristics, such as age, gender, level of education, and culture. Yet such knowledge is essential to develop postoperative educational interventions that are tailored to patients’ needs. Study purpose: The purpose of this study was to examine the relationship between learning needs and the demographic characteristics of patients who have undergone coronary artery bypass graft (CABG) surgery. Method: A descriptive design was used.The sample of convenience included 38 patients who met eligibility criteria. Major results: Statistically significant relationships were found between the patients’ age, gender, and cultural background, and learning needs (p < .05) ... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2873977 Thu, 08 Oct 2009 20:41:38 +0100 2873977 http://www.medworm.com/index.php?rid=2873976&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F4%2F291%3Frss%3D1 This study explored awareness of CHD symptoms, risks, and help-seeking behaviors among 12 PR women. Focus group methodology revealed that participants were unaware of their risk and had misconceptions about CHD symptoms and contributing factors. Barriers to early recognition and treatment included lack of knowledge, gender role conflict (caregiver vs. care recipient), and fears of falsely alarming family members or the embarrassment of feeling "dismissed" by health care providers. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2873976 Thu, 08 Oct 2009 20:41:38 +0100 2873976 http://www.medworm.com/index.php?rid=2604258&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F3%2F272%3Frss%3D1 Nurses' responses to aggression among patients with dementia or brain injury are not fully informed by evidence-based interventions. For this reason, the primary purpose of this investigation was to delineate a conceptual framework of optimal therapeutic interventions to manage verbal and behavioral aggression among these individuals. Meta-synthesis methods were used, and findings from seven reports of qualitative research were synthesized. Therapeutic management of aggression among patients with dementia or brain injury was captured by the metaphor entering the patient's world. This process involves getting to know the patient behind the aggression and normalizing their experiences. Nurses are encouraged to become a part of the patient's world and to strive for mutual understanding and ac... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2604258 Tue, 14 Jul 2009 23:00:00 +0100 2604258 http://www.medworm.com/index.php?rid=2604257&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F3%2F253%3Frss%3D1 This study included ED staff nurses in a Level II Trauma Center who administered the RSQ to adolescent, adult, and geriatric patients, regardless of chief complaint or psychiatric history. Participants consisted of a convenience sample of 202 patients composed of 59 adolescents and 143 adults, including 36 geriatric patients. Psychometric analysis demonstrated a lower-than-expected degree of reliability and an adequate level of criterion-related validity for the RSQ in this sample. Interrater reliability was established. Approximately 42% of all patients who participated screened positive for suicide risk using the RSQ. Results support screening by nurses as part of the admission assessment to determine suicide risk in patients who present to the ED. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2604257 Tue, 14 Jul 2009 23:00:00 +0100 2604257 http://www.medworm.com/index.php?rid=2604256&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F3%2F242%3Frss%3D1 The Geriatric Institutional Assessment Profile (GIAP) is a self-administered survey of hospital nurses designed to assess a hospital's readiness to implement geriatric programs. The GIAP measures nurses' knowledge and attitudes toward older adults as well as the organizational attributes that support or constrain geriatric best practices. Test—retest reliability estimates of the GIAP were conducted with a sample of 166 direct care nurses in three urban, university-affiliated hospitals over a 3-week time period. Intraclass correlation coefficients of GIAP scales and subscales ranged between .82 and .92, demonstrating good to very good reliability. The GIAP is a reliable measure of organizational attributes of the hospital relevant to geriatric care. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2604256 Tue, 14 Jul 2009 23:00:00 +0100 2604256 http://www.medworm.com/index.php?rid=2604255&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F3%2F223%3Frss%3D1 The purposes of this study were to (a) develop a tool to assess statistical methods and (b) use the tool to evaluate recently published quantitative research. We rated the statistical approaches used in 152 studies published in the 5 top impact-factor nursing research journals from September 2005 to August 2007. Studies were generally of high quality; 45% scored between 80% and 100%, and 22% achieved a score of 100%. Predictors of high scores were interdisciplinary authorship, a statistician coauthor, and the number of aims. The authors conclude that studies published in high impact-factor nursing journals are statistically sound and provide a solid foundation for evidence-based practice. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2604255 Tue, 14 Jul 2009 23:00:00 +0100 2604255 http://www.medworm.com/index.php?rid=2604254&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F18%2F3%2F218%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2604254 Tue, 14 Jul 2009 23:00:00 +0100 2604254 http://www.medworm.com/index.php?rid=2604253&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F3%2F200%3Frss%3D1 The primary purposes of this descriptive and prospective pilot study was to test the feasibility of a nursing and dental hygiene team to measure specific oral health indices in a sample of older adults residing in nursing homes (NHs). The secondary purpose was to determine the relationship between plaque and dentate status. Oral health indicators, functional status scores, and behavioral scores were collected and analyzed from 38 female NH residents from two geographically, organizationally, and economically diverse NHs. Persons with dentures had significantly lower plaque scores than those with natural dentition. Rural NH residents and African American NH residents had fewer filled teeth, indicating a potential lack of access to dental care. Oral health indicators were collected safely an... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2604253 Tue, 14 Jul 2009 23:00:00 +0100 2604253 http://www.medworm.com/index.php?rid=2604252&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F18%2F3%2F199%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2604252 Tue, 14 Jul 2009 23:00:00 +0100 2604252 http://www.medworm.com/index.php?rid=2361205&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F1%2F98%3Frss%3D1 In the November 2008 issue of Clinical Nursing Research, the sentence in the final paragraph on page 249 read: If the forearm is used as an alternate site for BPM, the technique recommended by the American Heart Association to place the forearm at heart level and auscultate at the brachial artery should be followed. The correct statement should be to auscultate at the radial artery (the wrist), not the brachial artery. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2361205 Thu, 23 Apr 2009 04:00:00 +0100 2361205 http://www.medworm.com/index.php?rid=2335552&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F2%2F172%3Frss%3D1 This study assesses the use of marijuana as a symptom management approach for six common symptoms for persons living with HIV/AIDS--anxiety, depression, fatigue, diarrhea, nausea, and peripheral neuropathy. This sub-analysis of the efficacy of a symptom management manual encompasses the experiences of participants from sites in the U.S., Africa, and Puerto Rico. Baseline data are analyzed to examine differences in the use and efficacy of marijuana as compared with prescribed and over-the-counter medications as well as the impact on adherence and quality of life. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2335552 Fri, 17 Apr 2009 04:00:00 +0100 2335552 http://www.medworm.com/index.php?rid=2335551&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F2%2F153%3Frss%3D1 This was a cross-sectional study to investigate predisposing factors associated with delirium among demented long-term-care residents and to assess the cumulative effect of these factors on the likelihood of having delirium. Of the 155 participants, 109 (70.3%) were found delirious according to the confusion assessment method. Among these individuals, age (OR = 1.07; 95% CI = 1.05-1.10) and severity of dementia (OR = 1.05; 95% CI = 1.03-1.07) were the most associated factors of delirium. The likelihood of being in delirium increased with the number of associated predisposing factors present (OR = 1.67; 95% CI = 1.11-2.51). Associated factors identified were level of functional autonomy, pain, depression, behavioral disturbances, number of medications, dehydration, fever, and malnutrition. ... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2335551 Fri, 17 Apr 2009 04:00:00 +0100 2335551 http://www.medworm.com/index.php?rid=2335550&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F2%2F136%3Frss%3D1 By adopting more appropriate statistical methods to appraise data from a previously published randomized controlled trial, the statistical and clinical significance of an intervention on the 18-month neurodevelopmental outcome of infants with suspected brain injury is evaluated. The intervention group (n = 32) receives extensive, individualized cognitive/sensorimotor stimulation by public health nurses while the control group (n = 30) receives standard follow-up care. At 18 months, 43 infants remain in the study (22 intervention and 21 control). The results indicate that there is a significant statistical change within groups and a clinical significance whereby more infants in the intervention group improve in mental, motor, and neurological functioning at 18 months compared to the control... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2335550 Fri, 17 Apr 2009 04:00:00 +0100 2335550 http://www.medworm.com/index.php?rid=2335549&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F2%2F119%3Frss%3D1 This study explores myocardial infarction patients' experiences of adaptation to illness consequences after one year, focusing on experiences of "the self." The study sample consisted of 19 respondents (10 women, 9 men) who have suffered a first-time myocardial infarction. They were interviewed 1 year after the acute heart attack. A constant comparative method for grounded theory provided the strategies used for data collection and analysis. Codes emerged and memos clarified theoretical reflections. The resulting model was able to illustrate possible mechanisms underlying two different behaviors: self-modifying and self-protecting behavior. Four different adaptation positions were identified: put up with current health, struggle for health, ignore illness , and struggle against illness. Th... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2335549 Fri, 17 Apr 2009 04:00:00 +0100 2335549 http://www.medworm.com/index.php?rid=2335548&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F2%2F103%3Frss%3D1 A Danish version of the Stroke-Specific Quality of Life Scale (SSQOL-DK) has been developed for self-reporting; it contains 12 physical and psychosocial domains. The purpose of this study was (a) to assess the reliability of the proxy version of the SSQOL-DK and (b) to evaluate the influence of frequency of proxy contact on agreement. In all, 143 patients completed the SSQOL-DK 1 to 5 years post-stroke. A patient chosen proxy completed a proxy version of the same questionnaire. The proxy version showed satisfactory internal consistency (Cronbach's = .85-.95). Agreement was generally high. Proxies rated the amount of trouble significantly smaller (higher score) than the patients only in the domain Social Roles. The amount of trouble in the domain Family Roles received significantly higher r... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2335548 Fri, 17 Apr 2009 04:00:00 +0100 2335548 http://www.medworm.com/index.php?rid=2176859&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F1%2F80%3Frss%3D1 This study was undertaken to better understand family caregivers' perspectives of providing end-of-life (EOL) care to elders facing expected deaths from life-limiting, chronic illnesses, and the study involved understanding the nature of EOL caregiving using caregivers' own words. The study employed a cross-sectional, exploratory descriptive design. The data source was intensive interviews with 27 EOL caregivers. Eight themes were extracted from data that exemplify the core characteristics of EOL caregiving. The themes intersected at a central idea expressed in the voice of one caregiver as "jumping . . . into the abyss of someone else's dying." Data suggested that caregivers of elders with life-limiting illnesses needed nursing guidance about EOL care earlier than it is usually provided a... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2176859 Tue, 10 Feb 2009 05:00:00 +0100 2176859 http://www.medworm.com/index.php?rid=2176858&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F1%2F68%3Frss%3D1 Parents of children with chronic illnesses face many challenges not faced by other parents. A family-centered parent support and education program, Building on Family Strengths (BFS), was designed to help parents meet these challenges by gaining new skills and learning new ways to support their children. BFS researchers involved potential participant families in the refinement of the BFS curriculum to make it truly family centered. The article reports major feedback received from parent focus groups, leaders in several cultural communities, and participants in a pilot class as BFS underwent final refinement. This feedback greatly influences the development of the BFS curriculum, as without it the final product going into a randomized clinical trial would be less attuned to the needs of par... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2176858 Tue, 10 Feb 2009 05:00:00 +0100 2176858 http://www.medworm.com/index.php?rid=2176857&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F1%2F44%3Frss%3D1 The purpose of this qualitative study was to develop a pro-active psycho-educational intervention program for Alzheimer's family caregivers following diagnostic disclosure. Based on a theoretical model of role transitions and a participatory approach, the study comprised four steps: (a) exploring caregiver needs; (b) developing and validating a program proposal based on caregiver-expressed needs; (c) formalizing program through intervention mapping; and (d) testing and qualitatively evaluating the program. The psycho-educational program consisted of seven individual sessions aimed at fostering knowledge and skills required to ensure successful transition to the caregiver role. The approach used in this study can serve as a guide for the development of nursing intervention programs. Interve... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2176857 Tue, 10 Feb 2009 05:00:00 +0100 2176857 http://www.medworm.com/index.php?rid=2176856&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F1%2F26%3Frss%3D1 The primary purpose of this pilot study was to examine the influence of maternal health status on health services use in children with the diagnosis of asthma. A secondary purpose was to assess both preventive and illness-related child health services use patterns. Fifty-two asthmatic children and 43 mothers met the inclusion criteria. The majority of mothers (72%, n = 31/43) rated their own overall health as good to excellent. Eighty-six percent (n = 38/44) of the children had a medical home, 20% had peak flow meters, 26% had been to see a specialist, and 4% were currently under the care of a specialist. This pilot study raises important questions about the influence of maternal health on child health services use patterns for asthmatic children from low-income families. Understanding the... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2176856 Tue, 10 Feb 2009 05:00:00 +0100 2176856 http://www.medworm.com/index.php?rid=2176855&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F18%2F1%2F23%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2176855 Tue, 10 Feb 2009 05:00:00 +0100 2176855 http://www.medworm.com/index.php?rid=2176854&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F1%2F6%3Frss%3D1 The purpose of this study is to evaluate collection, transport, and storage protocols of urine and air allergen samples from infants in a rural setting. Infant urine and aeroallergen samples (n = 21) are collected in the home setting in rural areas where time and distance to the central laboratory is a consideration. Urine samples are analyzed using ELISA tests after being transported using three different techniques: (a) ambient temperature, (b) dry ice, and (c) packaged on dry ice and shipped commercially. Following initial ELISA testing for levels of cytokines, urine samples are frozen at -70 degrees Celsius for 6 months. Samples are then reanalyzed for levels of cytokines. Dust samples are analyzed for levels of aeroallergens, stored at 4 degrees for 6 months, and reanalyzed. The integ... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2176854 Tue, 10 Feb 2009 05:00:00 +0100 2176854 http://www.medworm.com/index.php?rid=2176853&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F18%2F1%2F3%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2176853 Tue, 10 Feb 2009 05:00:00 +0100 2176853 http://www.medworm.com/index.php?rid=1882814&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F4%2F297%3Frss%3D1 This descriptive, cross-sectional survey study illustrates the roles for and motives of being a family visitor to accompany a hospitalized loved one during hospitalization in a Taiwanese hospital. Family visitors were approached by research assistants on a random basis in acute inpatient units. Among the 1,034 participants, 91% were relatives. About 80.0% of them were present to attend to the patient's physical care, 61.0% to offer psychological support, and 63.5% to express their desire to learn more about the patient's medical condition and illness in time. Their primary motives included fulfilling one of their responsibilities, coming to help voluntarily, showing filial piety for their parent, and being afraid that the patient could not obtain appropriate care. The family involvement cu... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1882814 Thu, 16 Oct 2008 04:00:00 +0100 1882814 http://www.medworm.com/index.php?rid=1882813&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F4%2F278%3Frss%3D1 Coping difficulties of 113 adults 3 weeks after hospital discharge were identified using the Post-Discharge Coping Difficulty Scale and a brief focused telephone interview (11-item guide). Overall, low difficulty scores were reported (M = 23.9, SD = 18.2, range = 0 to 100). Qualitative data reveal specific coping difficulties in the categories of stressors, specific difficulties, caring for self, managing the condition, family, advice needed, contact with the health care system, and what they wished they knew before discharge. A core theme of biographical reconstruction emerged. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1882813 Thu, 16 Oct 2008 04:00:00 +0100 1882813 http://www.medworm.com/index.php?rid=1882812&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F4%2F262%3Frss%3D1 The effect of restricting the temperature of cardiac surgery patients' oral intake to room temperature or warmer, over the first 3 postoperative days, on gastrointestinal (GI) symptoms was examined. In all, 57 patients were randomly assigned to receive the intervention or usual care. GI symptoms were measured daily over the first 5 postoperative days. Following hospital discharge, GI symptoms and return to function data were collected over 4 postoperative weeks. On Postoperative Day 1, 41% of patients reported having GI symptoms, and they were significantly associated with higher cross-clamp time. Symptoms dissipated over time. There were no differences between the study groups in GI symptoms or return to function. Nearly 70% of patients who withdrew from the study were randomized to the i... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1882812 Thu, 16 Oct 2008 04:00:00 +0100 1882812 http://www.medworm.com/index.php?rid=1882811&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F4%2F251%3Frss%3D1 This study determines if there are significant differences in blood glucose sampled at the earlobe relative to fingertip sites. A 50-participant cross-sectional comparative design was conducted at a 480-bed community hospital. Four trained data collectors obtained demographic information and blood glucose samples from both the fingertip and earlobe sites. Data analysis included descriptive statistics, paired t test, and the Bland Altman technique, assessing agreement between two methods of clinical measurements. Results indicate that the mean finger stick glucose result was statistically significantly greater than the mean earlobe glucose result. The Bland Altman plot did not demonstrate clinical significance. Results suggest that the earlobe may be a viable alternative to exclusive finger... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1882811 Thu, 16 Oct 2008 04:00:00 +0100 1882811 http://www.medworm.com/index.php?rid=1882810&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F4%2F241%3Frss%3D1 This study determines if there is a significant difference between upper arm and forearm BPMs among adults and examines the relationship of participant characteristics to the BPM difference. A convenience sample was recruited from a low-income, independent-living, 104-apartment complex in the Midwest. Of the 106 participants, 64% were female and 89% were White. Ages ranged from 20 to 85 years (M = 50.7). The investigators calculated the BMIs (range = 18 to 42, M = 29.3, SD = 5.4) for the 89% (n = 94) of participants who reported their weight. The forearm tended to have higher BPMs than the upper arm (M difference = 4.0 mm Hg systolic, 2.3 mm Hg diastolic). However, site differences were greatest for men, obese adults, and middle aged (36 to 65) adults. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1882810 Thu, 16 Oct 2008 04:00:00 +0100 1882810 http://www.medworm.com/index.php?rid=1882809&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F17%2F4%2F239%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1882809 Thu, 16 Oct 2008 04:00:00 +0100 1882809 http://www.medworm.com/index.php?rid=1604783&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F3%2F220%3Frss%3D1 The purpose of this study was to describe people's experiences of being dependent on others for care in their final stage of life, as well as what they felt made their experience of being dependent easier or more difficult. The phenomenological-hermeneutical method was chosen, where data collection consisted of open-ended interviews with nine people undergoing palliative care at a hospice unit or at home. The meaning of being care dependent is described via the following themes: changed relationship with oneself and with others, striving to adapt oneself to the situation, obstacles, and opportunities along the way while dependent. The result is described as an effort, a journey from independence to moments where it was possible to rest and recuperate while struggling with care dependency. ... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1604783 Thu, 10 Jul 2008 04:00:00 +0100 1604783 http://www.medworm.com/index.php?rid=1604782&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F3%2F200%3Frss%3D1 Ensuring that patients' informational needs have been met prior to hospital discharge sets the stage for successful self-management of recovery at home. This secondary analysis study aims to identify differences in the amount of discharge teaching content needed and received by adult medical-surgical patients on the basis of their sociodemographic characteristics and hospitalization-related factors. The Quality of Discharge Teaching Scale (QDTS) is used to measure patients' perceptions of the amount of discharge-related informational content they needed and received. Eighty-nine percent of patients receive more informational content than they perceived they needed. Nonwhite patients report more content needed than White patients. Patients with prior hospitalizations and cardiac patients re... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1604782 Thu, 10 Jul 2008 04:00:00 +0100 1604782 http://www.medworm.com/index.php?rid=1604781&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F3%2F182%3Frss%3D1 The purpose of this randomized field study was to determine the effects of telehomecare on hospitalization, emergency department (ED) use, mortality, and symptoms related to sodium and fluid intake, medication use, and physical activity. The sample consists of 284 patients with heart failure. The authors used logistic regression to study the effects of telehomecare on health services utilization and mortality and a general linear model to analyze changes in self-reported symptoms. On average, patients in the telehomecare groups had a lower probability of hospitalizations and ED visits than did patients in the control group. Differences were statistically significant at 60 days but not 120 days. Results show a greater reduction in symptoms for patients using telehomecare compared to control... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1604781 Thu, 10 Jul 2008 04:00:00 +0100 1604781 http://www.medworm.com/index.php?rid=1604780&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F3%2F174%3Frss%3D1 Asthma is one of the most common medical complications of pregnancy. Asthma control is associated with improved perinatal outcomes. Peak flow measures have been recommended to determine the status of asthma, yet norms for peak flow values in women with asthma are missing from the literature. The purpose of this study was to determine average peak flow values in pregnant women with asthma. Forty-three women were recruited into the study prior to the 20th week of pregnancy. Demographic data, including age, ethnic background, and number of pregnancies, were collected. Type and severity of asthma, medications used for asthma, and past hospitalizations for asthma were recorded. Peak flow values increased across the three trimesters. Significant differences were found in peak flow values between... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1604780 Thu, 10 Jul 2008 04:00:00 +0100 1604780 http://www.medworm.com/index.php?rid=1604779&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F17%2F3%2F171%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1604779 Thu, 10 Jul 2008 04:00:00 +0100 1604779 http://www.medworm.com/index.php?rid=1604778&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F3%2F151%3Frss%3D1 A descriptive study examining the relationship of denial of illness and compliance with inhaled controller asthma medications is conducted with 51 adults taking inhaled asthma controller medications. Affective and cognitive denial are assessed with the Levine Denial of Illness Scale. Severity is determined by portable spirometry; compliance is measured for 2 weeks with DOSER, a microelectronic monitor. The mean percent compliance rate for inhaled controller medications is 36%, with only 10.4% of the participants demonstrating optimal compliance (>80%). Although cognitive denial is not significantly associated with compliance, those in the suboptimal compliance group do have significantly higher information avoidance subscale scores (M = 1.88; p = .02). Affective denial is inversely correla... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1604778 Thu, 10 Jul 2008 04:00:00 +0100 1604778 http://www.medworm.com/index.php?rid=1604777&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F17%2F3%2F147%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1604777 Thu, 10 Jul 2008 04:00:00 +0100 1604777 http://www.medworm.com/index.php?rid=1346809&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F2%2F133%3Frss%3D1 Health literacy—the ability to read, understand, and use health information to make health care decisions—affects health care outcomes, hospitalization costs, and readmission. The purpose of this exploratory mixed-methods study is to determine how two different parent groups (English speaking and Spanish speaking) understand medical care for their children and the procedural and research consent forms required by that care. Quantitative and qualitative data are gathered and compared concurrently. Differences between groups are found in age, grade completed, Short Test of Functional Health Literacy in Adults scores, and ways of understanding health information. Identifying how parents understand health information is the first step in providing effective family-centered health c... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1346809 Wed, 02 Apr 2008 04:00:00 +0100 1346809 http://www.medworm.com/index.php?rid=1346808&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F2%2F118%3Frss%3D1 The purpose of this study was to describe how spirituality affected the lives of African American mothers with Human Immunodeficiency Virus (HIV) in the context of coping. This qualitative descriptive study used secondary data of interviews from a larger longitudinal study of parental caregiving of infants seropositive for HIV. Participants were 38 African American mothers with HIV. Data from longitudinal semi-structured interviews were analyzed using content analysis. The women dealt with the stresses of HIV through a relationship with God. Two domains explain this relationship: God in control and God requires participation. The benefits of their relationship with God were a decrease in stress and worry about their own health and that of their infants. It is important for nurses working w... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1346808 Wed, 02 Apr 2008 04:00:00 +0100 1346808 http://www.medworm.com/index.php?rid=1346807&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F2%2F98%3Frss%3D1 The aims of this study were to (a) describe health stressors, health-related hardiness, perception of illness impact, self-perception of health status, and psychosocial adjustment to illness in individuals living with an inherited bleeding disorder; (b) determine relationships between health stressors, health-related hardiness, perception of illness impact, self-perception of health status, and psychosocial adjustment to illness; and (c) determine if perception of illness impact had a direct and/or mediating effect on the relationship between health stressors, health-related hardiness, and self-perception of health status and psychosocial adjustment to illness. A cross-sectional survey design was used. Sixty participants composed the sample. Participants completed five questionnaires. High... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1346807 Wed, 02 Apr 2008 04:00:00 +0100 1346807 http://www.medworm.com/index.php?rid=1346806&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F2%2F89%3Frss%3D1 In the past decade, the introduction of electronic monitoring systems for monitoring medication adherence has contributed to the dialog about what works and what does not work in monitoring adherence. The purpose of this article is to describe the use of the Medication Event Monitoring System (MEMS) in a study of patients receiving isoniazid for latent tuberculosis infection. Three case examples from the study illustrate the data that are obtained from the electronic device compared to self-reports and point to the disparities that may occur in electronic monitoring. The strengths and limitations of using the MEMS and ethical issues in utilizing this technology are discussed. Nurses need to be aware of these challenges when using electronic measuring devices to monitor medication adherence... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1346806 Wed, 02 Apr 2008 04:00:00 +0100 1346806 http://www.medworm.com/index.php?rid=1346805&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F2%2F74%3Frss%3D1 This quasi-experimental study tested an intervention to reduce sound levels in an acute care hospital. A parallel pre- and posttest design with control group was used; patients and employees completed the Topf Adapted Sound Disturbance Scales, and environmental sound levels were recorded on a Quest 2900 Sound Level Meter. Treatment interventions included an educational PowerPoint presentation for employees, minor environmental acoustical alterations, and the use of a Quest 261 Sound Detector/Controller for behavioral modification. None of these interventions produced statistically significant changes in sound levels. Patients and employees reported slightly less disturbance due to noise postintervention on the treatment unit. The findings of this study support Philbin and Gray's suggestion... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1346805 Wed, 02 Apr 2008 04:00:00 +0100 1346805 http://www.medworm.com/index.php?rid=1346804&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F17%2F2%2F71%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1346804 Wed, 02 Apr 2008 04:00:00 +0100 1346804 http://www.medworm.com/index.php?rid=1139003&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F1%2F50%3Frss%3D1 This study examines the difference between LLL of frail nursing home residents and the height of their toilets and beds in the lowest position, compares the patient or environmental characteristics of those able to transfer from the bed or toilet to those who cannot, and determines the relationship of patient or environmental characteristics to bed-related falls. A retrospective observational design using secondary data from 263 nursing home residents finds that bed height of three fourths of participants was greater than 140% of LLL, whereas toilet height of more than half was 100% to 120% of LLL. Increased fall risk is associated with increased age, shorter length of stay, normal lower extremity range of motion, less cognitive impairment, more behavioral symptoms, and no complaints of pa... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1139003 Wed, 09 Jan 2008 05:00:00 +0100 1139003 http://www.medworm.com/index.php?rid=1139002&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F1%2F32%3Frss%3D1 The purpose of this descriptive, phenomenological qualitative study is to describe women's lived experiences of spirituality within end-stage renal disease (ESRD) and hemodialysis. The purposive volunteer sample of 16 women regularly attended two outpatient dialysis centers in a large Midwestern city. Audiotaped, transcribed interviews were analyzed using Colaizzi's method. These women affirmed that spirituality was extremely important in living with their illness and necessary treatment regime. Four major clusters of themes pertaining to the women's spiritual experience within their illness emerged: acceptance, understanding, fortification, and emotion modulation. Findings show that spirituality is of great importance in living with ESRD while receiving hemodialysis and suggest that spiri... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1139002 Wed, 09 Jan 2008 05:00:00 +0100 1139002 http://www.medworm.com/index.php?rid=1139001&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F1%2F20%3Frss%3D1 This exploratory study examines differences in health risk characteristics and perceived health by caregiver status in two groups of Black women, 37 informal caregivers and 20 noncaregivers, transitioning from welfare to work. Health risk characteristics were assessed with the Center for Epidemiologic Studies Depression Scale and Healthier People Network Health Risk Appraisal—Version 6. Body mass index (BMI) calculations were based on the standard Centers for Disease Control formula. Perceived health status was assessed using a single-item Cantril ladder. Results show no statistically significant between-group differences in perceived health status, depressive symptoms, frequency of lifestyle behaviors, or BMI. Clinically significant proportions of participants in both groups rated t... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1139001 Wed, 09 Jan 2008 05:00:00 +0100 1139001 http://www.medworm.com/index.php?rid=1139000&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F1%2F5%3Frss%3D1 We report baseline data collected from 128 human immunodeficiency virus (HIV)-positive individuals. The HIV-Related Fatigue Scale was used to measure several aspects of fatigue. Blood was drawn for the following physiological variables: hepatic function, thyroid function, HIV viral load, immunologic function, gonadal function, hematologic function, serum cortisol, and cellular injury. In bivariable analyses, free testosterone (p = 0.03) and CD8 (p = 0.07) were negatively correlated with fatigue intensity, and nonlinear relationships were observed between fatigue intensity and total testosterone (p = 0.02), thyroxine (p = 0.01), hematocrit (p = 0.06), and total bilirubin (p = 0.06). However, none of these associations persisted in multivariable models. It is possible that fatigue suffered b... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1139000 Wed, 09 Jan 2008 05:00:00 +0100 1139000 http://www.medworm.com/index.php?rid=1138999&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F17%2F1%2F3%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1138999 Wed, 09 Jan 2008 05:00:00 +0100 1138999 http://www.medworm.com/index.php?rid=1014474&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F4%2F350%3Frss%3D1 The aim of this study is to explore the experiences of relatives of nursing home residents receiving percutaneous endoscopic gastrostomy feeding. Qualitative methodology using semistructured interviews explores the experiences and perceptions of eight relatives. Data are analyzed using thematic analysis. Four themes are constructed from the data: dependence and resulting disempowerment, having minimal or no involvement in the decision-making process for PEG placement, betrayal, and the losses associated with the social aspects of eating. There is a need for professional education about the psychosocial implications of feeding and an increased level of support for relatives to assist them to develop coping strategies. This will require an expansion of current professional roles to include a... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1014474 Thu, 08 Nov 2007 05:00:00 +0100 1014474 http://www.medworm.com/index.php?rid=1014473&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F4%2F336%3Frss%3D1 To give informed consent in research, persons must be mentally capable of understanding the study, risks, and benefits. An objective screening tool may assess cognitive capacity better than brief conversations or clinician input. The purpose is to explore the validity of the Mental Alternations Test (MAT) to assess the cognitive capacity of older (ages 50 years +) HIV+ persons (N = 81). Descriptive correlational quantitative method was used. About 12% of the sample was cognitively impaired. Contrary to expectations, primary language was the only variable with a significant relationship with the MAT (r = -.22, p = .02); there were no significant relationships between the MAT and age, education, alcohol, smoking, injection drug use, street or mind-altering drug use, physical functional statu... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1014473 Thu, 08 Nov 2007 05:00:00 +0100 1014473 http://www.medworm.com/index.php?rid=1014472&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F4%2F317%3Frss%3D1 This project assessed the extent to which modern technology (Vigil) can augment or substitute for direct staff intervention in nonacute late-evening and nighttime situations in a nursing home setting. Vigil was implemented for dementia residents of a special care unit (SCU) in a large nursing home. An SCU matched in terms of unit-wide case mix and cognition was used for comparison. Results showed that there was no significant reduction in falls and injuries, but there was a significant improvement in affective disorder in the intervention group as contrasted with the comparison group. There was no significant increase in staff-perceived burden, despite the significant increase in the amount of direct care time logged. Additional time spent in staff care was significantly related to decreas... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1014472 Thu, 08 Nov 2007 05:00:00 +0100 1014472 http://www.medworm.com/index.php?rid=1014471&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F4%2F302%3Frss%3D1 The purpose of this study was to examine the relationship between social support and positive health practices in early adolescents and to test two variables, depression and optimism, that mediate this relationship. The final sample included 128 adolescents, ages 12 to 14, who responded to instruments measuring social support, depression, optimism, and positive health practices in classroom settings. Correlational analysis supported the five hypothesized relationships. A series of regression analyses indicated that depression and optimism each were weak mediators of the relationship between social support and positive health practices. The application of findings to nursing is addressed, using the ACE Star Model for evidence-based practice. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1014471 Thu, 08 Nov 2007 05:00:00 +0100 1014471 http://www.medworm.com/index.php?rid=1014470&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F16%2F4%2F298%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1014470 Thu, 08 Nov 2007 05:00:00 +0100 1014470 http://www.medworm.com/index.php?rid=1014469&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F16%2F4%2F294%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1014469 Thu, 08 Nov 2007 05:00:00 +0100 1014469 http://www.medworm.com/index.php?rid=1014468&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F4%2F278%3Frss%3D1 This study describes the information and support needs of women following breast cancer treatment. A semistructured interview guide designed by the research team was used to gather data. Major findings indicate that women continue to experience a variety of physical and psychological symptoms and have concrete information and support needs following therapy, including the need for information on persistent treatment effects, emotional distress, and lifestyle changes. Findings illustrate that there is need to provide comprehensive information and support to help women transition from breast cancer therapy. Additional research is needed to optimize approaches to providing posttreatment care. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1014468 Thu, 08 Nov 2007 05:00:00 +0100 1014468 http://www.medworm.com/index.php?rid=1014467&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F16%2F4%2F275%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1014467 Thu, 08 Nov 2007 05:00:00 +0100 1014467 http://www.medworm.com/index.php?rid=742267&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F3%2F251%3Frss%3D1 This article describes aspects of the advice call process and examines predictors of caller follow-through, using a conceptual model derived from the literature and the authors' preliminary work. Calls to call centers and medical offices of a large health maintenance organization were taped, then content was coded and matched with caller questionnaire (CQ) data. Out of 1,863 participants, 1,489 reported following all the advice. In the final multivariate predictive model, statistically significant predictors of follow-through were patient health status, caller's rating of nurse helpfulness, and the extent to which caller expectations for collaboration were met and the caller understood the advice given. Results suggest that nurses should receive continuous training on effective communicati... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=742267 Wed, 18 Jul 2007 04:00:00 +0100 742267 http://www.medworm.com/index.php?rid=742266&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F3%2F231%3Frss%3D1 The purpose of this qualitative inquiry was to examine the meaning of prolonged mechanical ventilation from the perspective of the patient with a diagnosis of chronic obstructive pulmonary disease (COPD). Interviews were conducted with four individuals with a diagnosis of COPD who had experienced long-term ventilator dependence. Participants were asked to reflect on their experiences while they were ventilator dependent, and their narratives were utilized as text for hermeneutical analysis. The study's findings describe three distinct phases experienced by the participants, beginning with intubation and lasting until well after discharge from the hospital. The support of nurses was an important aspect of maintaining hope for the participants. The study revealed that prolonged mechanical ve... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=742266 Wed, 18 Jul 2007 04:00:00 +0100 742266 http://www.medworm.com/index.php?rid=742265&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F3%2F212%3Frss%3D1 This study investigated parents' pre- and postoperative stressors and their coping strategies. Ninety-two parents identified their predominant stressor and completed the Ways of Coping Questionnaire during their adolescent's preoperative clinic visit and 77 completed this procedure 4 days postoperatively. Results showed that primary stressors were parental role loss (28.26%), possibility of poor surgical outcomes (28.26%), and uncertainty about successful recovery (27.17%) preoperatively, and concerns about pain (32.47%) and parental role loss (32.47%) postoperatively. The greatest increase from pre- to postoperative periods occurred in concerns about pain. Parents used both emotion-focused and problem-focused coping strategies with significant increases postoperatively in confrontive copi... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=742265 Wed, 18 Jul 2007 04:00:00 +0100 742265 http://www.medworm.com/index.php?rid=742264&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F3%2F195%3Frss%3D1 The objective is to summarize the existing nursing literature on the concept of functional status after childbirth. Studies were selected by incorporating all existing published literature, including inquiry into functional status after childbirth as measured by the Inventory of Functional Status After Childbirth. The data were extracted from online nursing databases such as CINAHL (1982-present) and dissertation abstracts. Results of the literature review indicate the need for further development of functional status after childbirth and the instrument used to measure it, the Inventory of Functional Status after Childbirth. The author concludes that functional status after childbirth is a highly important nursing concept and further inquiry is needed to guide nursing practice. (Source: Cl... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=742264 Wed, 18 Jul 2007 04:00:00 +0100 742264 http://www.medworm.com/index.php?rid=742263&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F16%2F3%2F193%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=742263 Wed, 18 Jul 2007 04:00:00 +0100 742263 http://www.medworm.com/index.php?rid=742262&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F16%2F3%2F189%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=742262 Wed, 18 Jul 2007 04:00:00 +0100 742262 http://www.medworm.com/index.php?rid=742261&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F3%2F170%3Frss%3D1 This is an exploratory, descriptive study based on a convenience sample from a rural nursing service and in-country area farmers from The Gambia. The purpose of the study was to provide descriptive information about agricultural-related injury and illness from area farmers and to obtain data from rural nurses about the time they spent caring for and treating farmers. Employees of the nursing service could read and write English fluently and thus completed a written questionnaire; the area farmers were unable to read and write English so they were interviewed by farm extension workers in their own tribal language. The most alarming findings were the nursing respondents' report of farm workers using pesticides in their homes, the poor condition of pesticide sprayers, and the lack of personal... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=742261 Wed, 18 Jul 2007 04:00:00 +0100 742261 http://www.medworm.com/index.php?rid=742260&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F16%2F3%2F167%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=742260 Wed, 18 Jul 2007 04:00:00 +0100 742260 http://www.medworm.com/index.php?rid=566374&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F2%2F153%3Frss%3D1 This study provides empirical support for monitoring a single immunosuppressive medication electronically to estimate medication adherence with double or triple immunosuppressive drug therapy. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=566374 Mon, 23 Apr 2007 04:00:00 +0100 566374 http://www.medworm.com/index.php?rid=566373&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F2%2F138%3Frss%3D1 Childhood overweight is increasing, yet limited information is available on children's perspectives of overweight. The purpose of this investigation was to identify children's perspective of their weight, exercise, and health status. Participants were 17 children, 8 to 12 years of age, with body mass indexes ≥ 95% for age and gender. A qualitative investigation using a phenomenological approach was conducted with a thematic analysis. Themes that emerged included intellectual disconnect, body image incongruence, social importance, and exercise perspectives . Children correctly identified healthy and unhealthy behaviors: dietary intake and physical activity. Children's knowledge about healthy dietary intake and physical activities disconnected from actual health practices. Children demons... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=566373 Mon, 23 Apr 2007 04:00:00 +0100 566373 http://www.medworm.com/index.php?rid=566372&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F2%2F119%3Frss%3D1 This article examines predictors of patient satisfaction with telephone nursing services among a sample of 1,939 respondents, using a conceptual model derived from the literature and preliminary work. The study was conducted in medical offices and call centers of a large national health maintenance organization. Calls were taped and content coded and then matched with caller questionnaire data. In the final multivariate predictive models, patient health status; caller ratings of expectations met by the nurse for listening, clarity, and collaboration; and nurse competence were the strongest predictors of satisfaction. Consistent with the literature, findings suggest that nurses should expand interpersonal communication skills, and systems should reduce barriers to effective listening, clari... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=566372 Mon, 23 Apr 2007 04:00:00 +0100 566372 http://www.medworm.com/index.php?rid=566371&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F2%2F103%3Frss%3D1 Although body piercing procurement continues to increase, 13% to 18% of them are removed. Reasons for piercing removal in college students were examined with three groups: (a) those who kept all their piercings, (b) those who removed some, or (c) those who removed all of their body piercings. Of the sample, 41% were still pierced; 50% in their lifetime. Their major purpose for the body piercing was "helped them feel unique." Females obtained more (in high school) and then removed more, usually as upperclassmen. Males and females reported themselves as risk takers at procedure time and currently; however, only 10% cited deviancy as a reason for the body piercing(s). Only removal elements of "I just got tired of it" and "I just decided to remove it" were present, especially with the Some Rem... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=566371 Mon, 23 Apr 2007 04:00:00 +0100 566371 http://www.medworm.com/index.php?rid=566370&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F16%2F2%2F100%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=566370 Mon, 23 Apr 2007 04:00:00 +0100 566370 http://www.medworm.com/index.php?rid=566369&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F2%2F85%3Frss%3D1 In conclusion, the findings of this study show that massage offered a retreat from uneasy, unwanted, negative feelings connected with chemotherapy treatment. It is a treatment that can be added to the arsenal of treatment choices available to the oncological staff. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=566369 Mon, 23 Apr 2007 04:00:00 +0100 566369 http://www.medworm.com/index.php?rid=566368&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F16%2F2%2F83%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=566368 Mon, 23 Apr 2007 04:00:00 +0100 566368 http://www.medworm.com/index.php?rid=342412&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F1%2F72%3Frss%3D1 Providing safe nursing home care is both a clinical and fiscal challenge in many countries. The fiscal realities result in the addition of other workers, such as medication technicians or aides (CMT/A), to the health care team. The purpose of this study was to determine the impact of various levels of credentialing among nursing home staff who deliver medications (RN, LPN, or CMT/A) on medication error. In addition, the impact of distractions and interruptions was explored. Using naïve observation, 39 medication administrators representing various levels of credentialing were unobtrusively observed to determine the number of medication errors, distractions, and interruptions in five nursing homes. There were no differences in medication error rates by level of credential. However, RNs... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=342412 Thu, 04 Jan 2007 07:00:00 +0100 342412 http://www.medworm.com/index.php?rid=342411&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F1%2F58%3Frss%3D1 This study examined the relationship between prescribed medication use and frequency and intensity of MVPS symptoms. A descriptive cross-sectional survey design was used. Descriptive statistics and Cramèr’s V correlational analysis were used to answer the research questions. Self-completed questionnaires were mailed to 2,282 MVPS individuals older than 21 years of age throughout the United States and Canada previously diagnosed with MVPS. Of the 837 participants, 337 (40%) were taking one or more medications. Although there were significant positive correlations between anxiety and calcium channel blockers, chest pain and digoxin, and mood swings and digoxin, the correlations were very weak. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=342411 Thu, 04 Jan 2007 07:00:00 +0100 342411 http://www.medworm.com/index.php?rid=342410&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F1%2F44%3Frss%3D1 Nurses have been advised to encourage older persons to keep their doors locked, but there is little guidance about how home care providers should best gain access to the homes of clients. During a descriptive phenomenological study of the experience of home care (N = 25), 9 frail older women explained their strategies for allowing providers access to their homes. Women who typically left their doors open for their own reasons were not uncomfortable leaving the door open when a provider was expected. However, women who left the door unlocked at the request of a provider expressed misgivings about doing so. Older women need personalized counseling about ensuring access to care providers while maximizing safety. For practical, ethical, and legal reasons, home care providers who ask older wome... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=342410 Thu, 04 Jan 2007 07:00:00 +0100 342410 http://www.medworm.com/index.php?rid=342409&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F1%2F29%3Frss%3D1 The specific aims of this study were to (a) identify relationships among care-giving stress, caregivers’ functional ability, and number of self-care behavior responses to physical and psychological symptoms in caregivers of persons with dementia and (b) examine the mediating function of functional ability in the relationship between caregiving stress and self-care behavior response to symptoms. A correlational, cross-sectional design was used, and a survey was mailed to 99 caregivers. The survey questionnaire contained items about demographics, caregiving stress, functional ability, and self-care behavior. The results indicate that caregivers who reported higher levels of caregiving stress had poorer self-rated health, poorer physical function, more symptoms, high levels of depressed... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=342409 Thu, 04 Jan 2007 07:00:00 +0100 342409 http://www.medworm.com/index.php?rid=342408&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F16%2F1%2F25%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=342408 Thu, 04 Jan 2007 07:00:00 +0100 342408 http://www.medworm.com/index.php?rid=342407&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F1%2F5%3Frss%3D1 The purpose of this study was to evaluate a strategy designed to permit early detection of anxiety disorders in adolescent asthmatics. Adolescents with asthma (N = 53) were screened for anxiety disorders using the Trait subscale of the State-Trait Anxiety Inventory for Children [STAI-C (Trait)] and the Multidimensional Anxiety Scale for Children (MASC). Adolescents and their parents were individually evaluated by a nurse trained in the administration of the Anxiety Disorders Interview Schedule-IV: Parent and Child Versions (ADIS-IV: P&C). Of the participants, 21 (40%) met the diagnostic criteria for one or more anxiety disorders. The STAI-C (Trait) was more effective than the MASC in screening adolescents for risk of coexisting anxiety disorders. Nurses trained to administer the ADIS-I... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=342407 Thu, 04 Jan 2007 07:00:00 +0100 342407 http://www.medworm.com/index.php?rid=342406&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F16%2F1%2F3%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=342406 Thu, 04 Jan 2007 07:00:00 +0100 342406 http://www.medworm.com/index.php?rid=245596&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F15%2F4%2F306%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=245596 Fri, 20 Oct 2006 06:00:00 +0100 245596 http://www.medworm.com/index.php?rid=245595&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F290%3Frss%3D1 In this study parental experiences of care of children with high and intermediate imperforate anus were evaluated. A group of 45 parents of children with high and intermediate imperforate anus and two control groups participated. Data collection with individual questionnaires concerning the child's hospital care, information to the parent and the child, and involvement in the care of the child were performed. Parents of children with imperforate anus reported being less satisfied with the care of their child, and they were less content with information about their child's treatment compared with the control groups. The parents had been extremely involved in the follow-up treatment. Constipation and fecal incontinence are common and involve suffering for the children and their parents. Pare... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=245595 Fri, 20 Oct 2006 06:00:00 +0100 245595 http://www.medworm.com/index.php?rid=245594&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F274%3Frss%3D1 The purpose of this study was to describe patients’ experience during and after coronary angiography and percutaneous coronary intervention. Data were collected by interviews with 14 patients. A qualitative content analysis approach was used. Four main categories were identified that describe patients’ experience of the hours during and following intervention: emotional thoughts, bodily sensations, nursing intervention of importance, and personal strategies. All patients made a comment on staff conduct and pointed out that even minor nursing actions may be of great importance. Patients were most positive toward the transradial approach. Even though the approach via arteria radialis will increase, many patients will still have their procedure done via arteria femoralis. In spite... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=245594 Fri, 20 Oct 2006 06:00:00 +0100 245594 http://www.medworm.com/index.php?rid=245593&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F258%3Frss%3D1 This study’s findings offer insights into the experience of living with and managing FM and identify social, policy, and health care issues that profoundly affect those suffering from it. Participants believe that people with FM would benefit if more health care professionals, as well as family and friends, would validate their condition and provide them with better support. More research could clarify ways in which health care providers may provide more effective interventions, appropriate care, and ongoing support for those affected with FM. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=245593 Fri, 20 Oct 2006 06:00:00 +0100 245593 http://www.medworm.com/index.php?rid=245592&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F15%2F4%2F255%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=245592 Fri, 20 Oct 2006 06:00:00 +0100 245592 http://www.medworm.com/index.php?rid=245591&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F231%3Frss%3D1 This study explores and describes the perceptions of nurses with respect to everyday client-centered care. A grounded theory study was conducted with 10 Dutch nurses and auxiliary nurses giving home care to chronically ill clients. Participatory observations and semistructured interviews were held. Nurses perceived roles and responsibilities competing with the role as a responsive professional to the client demand: a critical professional, developer of client competencies, individual, and employee. Strategies in balancing between competing responsibilities were distinguished: pleasing, dialoguing, directing, and detaching. Directing (related to impaired client competencies) and detaching (related to organizational barriers) were also used as second choice strategies. Effectively balancing ... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=245591 Fri, 20 Oct 2006 06:00:00 +0100 245591 http://www.medworm.com/index.php?rid=245590&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F15%2F4%2F227%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=245590 Fri, 20 Oct 2006 06:00:00 +0100 245590 http://www.medworm.com/index.php?rid=78257&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F3%2F209%3Frss%3D1 The purpose of the article is to present one aspect of the findings of a descriptive, exploratory investigation of the self-care decision making of 33 adults diagnosed with chronic hepatitis C (Hep C), specifically how they experienced living with this disease as a chronic illness. The findings were interpreted from a social constructivist perspective in which Hep C was viewed as both a biomedical entity and a social construction. The authors will suggest that although Hep C is constructed by people with the disease as a chronic illness, the care of this disease is often based on an acute model that acknowledges its chronicity only in terms of the persistence of the virus. The article points to the need for a model of Hep C care that incorporates the dimensions of the chronic illness exper... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=78257 Mon, 26 Jun 2006 06:00:00 +0100 78257 http://www.medworm.com/index.php?rid=78256&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F3%2F197%3Frss%3D1 In this study, we found that Japanese clinical nurses suffer a significant occupational burden from HD. As such, it is essential that hospital managers consider interventions to reduce this troublesome occupational disease among clinical nurses in Japan, as elsewhere. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=78256 Mon, 26 Jun 2006 06:00:00 +0100 78256 http://www.medworm.com/index.php?rid=78255&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F3%2F177%3Frss%3D1 This research sought to elicit HIV/AIDS peer counselors’ perspectives about delivery formats for a counseling intervention. Peer counselors identified personal contact as the major advantage of the face-to-face format. Personal contact afforded counselors better opportunities to understand and assess clients’ physical, emotional, and environmental status and allowed them to connect with peers in more concrete and personal ways. Being physically present was also a very direct and effective way to role model for other HIV-positive women. Peer counselors identified a number of inherent barriers and challenges to telephone interventions but also recognized potential logistic and personal advantages. Despite the overwhelming preference for the face-to-face intervention format, couns... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=78255 Mon, 26 Jun 2006 06:00:00 +0100 78255 http://www.medworm.com/index.php?rid=78254&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F3%2F157%3Frss%3D1 Evaluation and prevention of falls begin with a thorough understanding of their occurrence. Post-fall assessment (PFA) tools should be available to sufficiently guide nursing staff in identification of all possible causes. Absence of empirically tested PFA tools led to the development of the Post-Fall Index (PFI). Developed and validated in three phases, a 76-item PFI was first tested for content validity by national experts. Next, it was tested for feasibility with registered nurses practicing in nursing homes. Last, it was piloted with a sample of 30 falls by older residents of a skilled nursing unit in a continuing care retirement community. Review of data from these 30 falls provided the item analysis. Reflective of evidenced-based guidelines, a 30-item PFI emerged, containing essentia... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=78254 Mon, 26 Jun 2006 06:00:00 +0100 78254 http://www.medworm.com/index.php?rid=78253&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F15%2F3%2F155%3Frss%3D1 (No abstract is available for this citation) (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=78253 Mon, 26 Jun 2006 06:00:00 +0100 78253 http://www.medworm.com/index.php?rid=14167&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F2%2F135%3Frss%3D1 The aim of the study is to assess family members' perceptions of the quality of nursing care of older people and its relationships between demographic factors and family involvement. Data were gathered from family members of four residential homes (N= 474) using structured questionnaires. Data were analyzed using descriptive statistics, correlation, and predictive analyses. The results imply that family members' perceptions of quality were fairly positive. Age, educational background, and the frequency of visits on the ward were related with the quality perception. The association between quality perceptions and family involvement in care proved to be strong. The information and support from the staff and possibilities to participate in decision making were associated with high-quality rat... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=14167 Tue, 25 Apr 2006 06:00:00 +0100 14167 http://www.medworm.com/index.php?rid=14166&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F2%2F119%3Frss%3D1 This study compares the effect of a daily gauze dressing with that of a lipidocolloid dressing on the time taken to make up the dressing and efficacy of the management of traumatic digitalwounds. This is a randomized controlled trial of 28 patients (16 experimental and 12 control) with injuries to their fingers and loss of tissue. The patients in the experimental and control groups were given a lipido-colloid dressing and a daily gauze dressing, respectively. The patients'wounds were assessed in terms of the size of thewound and the time it took for thewound to heal. The findings showed that patients in the experimental group had a faster recovery time from the healing of their wound than the control group (p= .024). The findings can help to establish an evidence-based practice in the mana... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=14166 Tue, 25 Apr 2006 06:00:00 +0100 14166 http://www.medworm.com/index.php?rid=14165&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F2%2F107%3Frss%3D1 The objective of this study is to further validate the utility of the Spanish version of the ADA's Risk Test for Latino Populations. A convenience sample of 316 Latinos participated in this study. A positive but weak statistical correlation was found between blood glucose and the Risk Test score (.138), suggesting low reliability and validity of the Spanish version of the instrument. Two internal consistency estimates of reliability techniques were computed for the Risk Test for diabetes scale items, indicating low reliability. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=14165 Tue, 25 Apr 2006 06:00:00 +0100 14165 http://www.medworm.com/index.php?rid=14164&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F15%2F2%2F105%3Frss%3D1 (No abstract is available for this citation) (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=14164 Tue, 25 Apr 2006 06:00:00 +0100 14164 http://www.medworm.com/index.php?rid=14163&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F2%2F86%3Frss%3D1 This study reveals a need for healthcare staff to understand the next of kin's narrated meaning of changes when a family member has a progressive disease. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=14163 Tue, 25 Apr 2006 06:00:00 +0100 14163 http://www.medworm.com/index.php?rid=14162&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F15%2F2%2F83%3Frss%3D1 (No abstract is available for this citation) (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=14162 Tue, 25 Apr 2006 06:00:00 +0100 14162 http://www.medworm.com/index.php?rid=14172&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F1%2F67%3Frss%3D1 This pilot study tested the effects of an interactive nutrition education Web site on fruit, vegetable, and fat consumption in minority adolescents genetically at risk for Type 2 diabetes. A one-group nonexperimental pretest, posttest focus group design was used. Twenty-one sixth-grade to eighth-grade junior high adolescents who were minorities volunteered to participate. Participants received 5 hours of Web-based nutrition education over 3 weeks. A significant difference in fat consumption was supported from the computerized dietary assessment. No difference was found in fruit or vegetable consumption. Comparative data indicated a rise in body mass index (BMI) percentile from 88.03 (1999) to 88.40 (2002; boys) and 88.25 (1999) to 91.2 (2002; girls). Focus group responses supported the sat... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=14172 Thu, 12 Jan 2006 07:00:00 +0100 14172 http://www.medworm.com/index.php?rid=14171&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F1%2F46%3Frss%3D1 This study goal was to describe the effect of severity of prior cognitive impairment on delirium prevalence and symptom presentation among patients who were older and were newly admitted to an acute care hospital. A total of 104 were included in this descriptive study and screened for delirium. The results showed that the prevalence of delirium increased according to the severity of the patients’ prior cognitive impairment. Except for disorganized thinking, all symptoms of delirium were similar among patients with mild, moderate, and severe prior cognitive impairment. The study concluded that training nurses to recognize subtle changes in mental status among those patients who were older with prior cognitive impairment may prevent the underdetection of delirium. (Source: Clinical Nur... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=14171 Thu, 12 Jan 2006 07:00:00 +0100 14171 http://www.medworm.com/index.php?rid=14170&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F1%2F27%3Frss%3D1 This study’s purpose was to explore family caregivers’ experiences while they waited placement of family members with dementia in long-term care and how they coped during this period of waiting and transition. In this exploratory descriptive qualitative study, interviews were conducted with 29 caregivers at entry to the placement wait-list and at 3 to 4-month intervals thereafter. Final interviews, with 15 caregivers, were conducted shortly after admission to long-term care. When "the waiting begins," the themes of crisis as initiator, synchronicity, control, and reciprocity emerged. "After placement" included the themes of deeply bonded relationships, attempting continuity, and sorting out the change. The findings provide new insight into family caregiver experiences during an... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=14170 Thu, 12 Jan 2006 07:00:00 +0100 14170 http://www.medworm.com/index.php?rid=14169&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F1%2F6%3Frss%3D1 The primary purpose of this quasi-experimental research is to observe health care workers’ compliance with hand-hygiene guidelines during patient care in an intensive care unit in Ireland before (pretest) and after (posttest) implementation of a multifaceted hand-hygiene program. Health care workers’ attitudes, beliefs, and knowledge in relation to compliance with handwashing guidelines were also investigated. A convenience sample of nurses, doctors, physiotherapists, and care assistants (n = 73 observational participants, n = 62 questionnaire respondents) was used. Data (N = 314 observations, 62 questionnaires) were analyzed descriptively and cross-tabulated using chi-square (Pearson’s) and Mann-Whitney statistical tests. Results revealed that a significant shift (32%) o... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=14169 Thu, 12 Jan 2006 07:00:00 +0100 14169 http://www.medworm.com/index.php?rid=14168&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F15%2F1%2F3%3Frss%3D1 (No abstract is available for this citation) (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=14168 Thu, 12 Jan 2006 07:00:00 +0100 14168 http://www.medworm.com/index.php?rid=126876&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F14%2F4%2F324%3Frss%3D1 (No abstract is available for this citation) (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=126876 Thu, 27 Oct 2005 06:00:00 +0100 126876 http://www.medworm.com/index.php?rid=14178&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F14%2F4%2F394%3Frss%3D1 (No abstract is available for this citation) (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=14178 Thu, 27 Oct 2005 06:00:00 +0100 14178 http://www.medworm.com/index.php?rid=14177&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F4%2F370%3Frss%3D1 The purpose of this study is to explore client-nurse interaction from a client perspective with respect to client-centered care. A grounded theory study was conducted with Dutch clients who were chronically ill and receiving home care. Data were collected by focus interviews with 8 client informants, participatory observations with 45 clients, and semistructured interviews with 6 clients. The core category actual interaction was identified. Six patterns of actual interaction were distinguished. Changes in actual interaction could be related to changes in desired participation by the client and in allowed client participation by the professional. From the client's perspective, client-centeredness means congruence between desired and allowed participation. Congruence was experienced with con... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=14177 Thu, 27 Oct 2005 06:00:00 +0100 14177 http://www.medworm.com/index.php?rid=14176&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F4%2F343%3Frss%3D1 Symptoms such as amnesia, agnosia, apraxia, and aphasia may lead to a fragmented experience and actions among people with moderate and severe dementia. The aim of this study was to explore the interactions where fragmentation occurred and how caregivers counteract fragmentation. The observation notes from participant observations were analyzed using interpretive content analysis. Fragmentation was noted if the patients showed that they did not recognize what was going on, the people involved, the things used in the action, or did not recognize themselves in the situation. Care providers could counteract fragmentation by a caring based on attentive interest in the interaction, valuing the person behind the dementia disease, using an individual perspective considering the impact of the demen... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=14176 Thu, 27 Oct 2005 06:00:00 +0100 14176 http://www.medworm.com/index.php?rid=14175&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F4%2F327%3Frss%3D1 This study compared the benefits of an SBHC with a School Health Survey and selected HEDIS measures in preschool children with and without access to an SBHC. Preschoolers with access to an SBHC (N = 130) and preschoolers without access (N = 131) were compared on (a) HEDIS measures including well-child care, immunizations, dental care, and smoke exposure; (b) measures of access and use of physical and mental health services; (c) satisfaction with health care; (d) barriers and facilitators to care; and (e) health insurance. Significant differences were found in parents' perceptions of children's physical and emotional health, self-esteem, incidence of behavioral problems, difficulty in obtaining care, number of hospitalizations, and satisfaction with care received. Findings suggest that holi... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=14175 Thu, 27 Oct 2005 06:00:00 +0100 14175 http://www.medworm.com/index.php?rid=14174&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F4%2F303%3Frss%3D1 This project described prospectively obese, critically ill patients and the resources critical care nurses used to care for these challenging patients. It also examined the relationship between resources used by nurses and patient outcomes, including complications and length of stay. Forty-three participants were enrolled. Patients with a body mass index (BMI) 40 kg/m2 used the majority of equipment and personnel resources and experienced a prolonged length of stay. The most common equipment used was a specialty bed or mattress; the most common complications were related to the pulmonary system. Initial use of multiple resources may indicate a patient at risk for adverse outcomes. Nurses can use findings to anticipate care needs and develop interventions, such as optimal positioning, to av... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=14174 Thu, 27 Oct 2005 06:00:00 +0100 14174 http://www.medworm.com/index.php?rid=14173&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F14%2F4%2F299%3Frss%3D1 (No abstract is available for this citation) (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=14173 Thu, 27 Oct 2005 06:00:00 +0100 14173 http://www.medworm.com/index.php?rid=14183&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F3%2F273%3Frss%3D1 This study examined the relationships among subjective sleep disturbance, depressive symptoms, and adherence to medications among HIV-infected women. HIV-infected women ( N = 173) were recruited through community AIDS service organizations throughout South Carolina. Participants completed the Pittsburgh Sleep Quality Index (PSQI), the Centers for Epidemiological Studies Depression Scale (CES-D), and a modified version of the Adults AIDS Clinical Trials Group Adherence Baseline Questionnaire. Women who reported greater sleep disturbance also reported a higher level of depressive symptoms and reported poor adherence to their medication regimen. Depression helped to explain the relationship between sleep quality and adherence. Results indicate that assessment and management of sleep disturban... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=14183 Fri, 01 Jul 2005 06:00:00 +0100 14183 http://www.medworm.com/index.php?rid=14182&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F3%2F253%3Frss%3D1 This research examined well-being in relationship to the variables of hope, spirituality, and state anxiety using a cross-sectional correlation design to test two mediation models. The convenience sample of 130 older adults, mostly women, between the ages of 60 and 89, completed the Demographic Data Sheet and the Index of Well-Being, the Herth Hope Index, the Spiritual Perspective Scale, and the state anxiety portion of the State-Trait Anxiety Inventory. Statistically significant and positive correlations were found between hope and well-being, hope and spirituality, and spirituality and well-being. A statistically significant and negative correlation was found between hope and state anxiety and between state anxiety and well-being. Multiple regression analyses results indicated that neith... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=14182 Fri, 01 Jul 2005 06:00:00 +0100 14182 http://www.medworm.com/index.php?rid=14181&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F3%2F238%3Frss%3D1 In this study, the internal position of a nasogastric/orogastric tube was determined in 72 children, prior to an abdominal radiograph, by measuring CO2 and pH and bilirubin of tube aspirate. Fifteen of the 72 tubes (20.8%) were incorrectly placed on radiograph. Using the suggested adult cutoff of pH 5, pH of aspirate correctly predicted misplacement outside the stomach in 7/28 (25%) of children and correctly predicted correct placement in the stomach in 34 of 40 children (85%). Using the suggested adult cutoff of bilirubin ≥ 5 mg/dL, bilirubin monitoring failed to identify either of two incorrectly placed tubes. In this study, using an algorithm of assuming stomach placement if the pH of aspirate is ≤ 5 and obtaining an abdominal radiograph when either no aspirate is obtained or the ... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=14181 Fri, 01 Jul 2005 06:00:00 +0100 14181 http://www.medworm.com/index.php?rid=14180&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F3%2F215%3Frss%3D1 Intimate partner violence (IPV) is a major cause of health conditions among women presenting for health care. Many physicians and nurses miss potential opportunities to increase battered women’s safety. The purpose of this study is to increase health care providers’ understanding of abused women’s preferences concerning provider response when they do disclose IPV in order to increase effectiveness of interventions. A total of 26 abused women from a larger study participated in five focus groups at three agencies on "how a hospital or doctor’s office can be most helpful to a woman who is experiencing domestic violence." Women identified seven preferences for responses: (a) treat me with respect and concern, (b) protect me, (c) documentation, (d) give me control, (e) ... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=14180 Fri, 01 Jul 2005 06:00:00 +0100 14180 http://www.medworm.com/index.php?rid=14179&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F14%2F3%2F211%3Frss%3D1 (No abstract is available for this citation) (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=14179 Fri, 01 Jul 2005 06:00:00 +0100 14179