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 'Western Journal of Nursing Research' source. Thu, 18 Mar 2010 14:57:12 +0100 http://www.medworm.com/index.php?rid=3309060&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F32%2F2%2F269%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3309060 Thu, 25 Feb 2010 21:07:13 +0100 3309060 http://www.medworm.com/index.php?rid=3309059&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F2%2F250%3Frss%3D1 This descriptive correlational study describes the translation process and the psychometric testing of the Pittsburgh Sleep Quality Index (PSQI). The PSQI has been successfully translated into Arabic and back-translated into English by 10 Arabic bilingual translators. Then the PSQI is tested in a sample of 35 healthy Arabic bilinguals.The internal consistency reliability for the Global PSQI demonstrates borderline acceptability (Cronbach’s alpha = .65). The reliability is further supported by moderate to high correlations between five PSQI components and the global PSQI score (r = .53 to .82, p < .01). Convergent validity is supported by the global PSQI correlating strongly with the Insomnia Severity Index (r = .76) and moderately with the related construct of the Medical Outcome ... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3309059 Thu, 25 Feb 2010 21:07:13 +0100 3309059 http://www.medworm.com/index.php?rid=3309058&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F2%2F233%3Frss%3D1 This study integrates computer-vision techniques and explores a markerless human motion analysis system. Using human—computer interaction (HCI) methods and goals, researchers use a computer interface to provide feedback about range of motion to users. A total of 35 adults aged 65 and older perform three exercises in a public gym while human motion capture methods are used. Following exercises, participants are shown processed human motion images captured during exercises on a customized interface. Standardized questionnaires are used to elicit responses from users during interactions with the interface. A matrix of HCI goals (effectiveness, efficiency, and user satisfaction) and emerging themes are used to describe interactions. Sixteen users state the interface would be useful, but ... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3309058 Thu, 25 Feb 2010 21:07:13 +0100 3309058 http://www.medworm.com/index.php?rid=3309057&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F2%2F218%3Frss%3D1 The purpose of this study is to examine quality of life (QOL) and dietary constituents in three subgroups of women with irritable bowel syndrome (IBS) based on the severity of their bloating symptoms. A secondary analysis of data from two studies of women with IBS (n = 183), ages 18 to 48, is performed. Measures include the Modified Flanagan Quality of Life Scale and a 3-day food record ( n = 95) and a daily symptom diary completed over a month. There are no differences in QOL and few differences in dietary intake, although women with the most severe bloating report less dietary intake of fructose ( p = .035) as compared with the women with less severe bloating symptoms. The findings suggest that women with IBS who experience moderate to severe bloating symptoms may not reduce their dietar... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3309057 Thu, 25 Feb 2010 21:07:13 +0100 3309057 http://www.medworm.com/index.php?rid=3309056&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F2%2F199%3Frss%3D1 Breast cancer is a significant cause of mortality and morbidity. A strong association exists between survival and early detection through regular mammography. Impoverished women underuse this life-saving screening, resulting in a disproportionate cancer burden. The study purpose is to discover the process of rarely or never-screened women’s mammography-screening decisions. The sample consists of five rural, low-income, uninsured, and rarely or never-screened women. Grounded theory methodology is used to generate a new theoretical explanation of mammography-screening decision making. Findings include the central conceptual categories, intuitive dominance and intuitive certainty, which contribute toward an intuitive decision-making default. This intuitive thinking style weaves througho... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3309056 Thu, 25 Feb 2010 21:07:13 +0100 3309056 http://www.medworm.com/index.php?rid=3309055&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F2%2F185%3Frss%3D1 The purpose of this interpretive phenomenological study is to describe the commonality of the lived experience of suicide survivors and how it influences their family relationships in Taiwan from a sociocultural perspective. Thirteen suicide survivors have participated in this study. Study results reveal that some survivors blame themselves, some blame others, and some are blamed by their family as part of their need to find a reason for the death. Consequently, family members ignore each other and treat each other as if they are invisible. These Chinese suicide survivors, unlike Western survivors, maintain their strained family connections because of strong cultural influences. Therefore, health professionals should acknowledge the experiences of living with an invisible family when suppo... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3309055 Thu, 25 Feb 2010 21:07:13 +0100 3309055 http://www.medworm.com/index.php?rid=3309054&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F2%2F168%3Frss%3D1 Suicidal ideation has been reported to be a major factor in attempted and completed suicides. The purpose of this study is to test a structural model to explain adolescent suicidal ideation. Specifically tested is the relationship between the predictor variables of trait anger, anger suppression, entrapment, psychosomatic symptoms, depression, and resilience and the dependent variable of suicidal ideation. Data are collected from a convenience sample of 11,393 students from 36 middle schools and 23 high schools in Korea. Trait anger, entrapment, psychosomatic symptoms, depression, and resilience have a direct effect on suicidal ideation whereas anger suppression shows a significant indirect effect on adolescent suicidal ideation. The predictor variables account for 39% of the variance in s... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3309054 Thu, 25 Feb 2010 21:07:13 +0100 3309054 http://www.medworm.com/index.php?rid=3309053&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F2%2F157%3Frss%3D1 As health care technology advances and patients require more care, nurses will need to be prepared to change old and incorporate new care practices and systems. Nurses must not only be able to deliver quality nursing care, but will also need to be capable of creating innovative approaches, reacting quickly, and taking calculated risks. Using the Organizational Engineering Model, this study examines the informational processing styles of students entering the nursing profession and in turn, measures the way they process information at the end of their education. The information processing style predicts the ability to innovate, take risks, and change. The findings of this study demonstrate that we attract nursing students who fall within the Conservator information processing style. Conserv... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3309053 Thu, 25 Feb 2010 21:07:13 +0100 3309053 http://www.medworm.com/index.php?rid=3309052&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F32%2F2%2F155%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3309052 Thu, 25 Feb 2010 21:07:13 +0100 3309052 http://www.medworm.com/index.php?rid=3281551&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F32%2F1%2F149%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3281551 Wed, 17 Feb 2010 21:33:30 +0100 3281551 http://www.medworm.com/index.php?rid=3281550&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F1%2F128%3Frss%3D1 This study suggests that substance abuse, violence, and risky sexual behaviors are linked conditions with common cultural and socioenvironmental risk factors and consequences. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3281550 Wed, 17 Feb 2010 21:33:30 +0100 3281550 http://www.medworm.com/index.php?rid=3281549&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F1%2F103%3Frss%3D1 Among the many sequelae of childhood sexual abuse is a maladaptive response to stress. Stress has been linked to a reduction in the immune system’s ability to resist disease. The purpose of this exploratory mixed-method study is to examine the experience of stress management training for 35 adult survivors of childhood sexual abuse. Data gathered for analysis include pre- and postintervention saliva samples for sIgA, Ways of Coping Questionnaire, and a postintervention qualitative interview. Stress management strategies enhance immunity (increase in salivary immunoglobulin A, p < .05) and coping (less distancing, p < .001; less escape-avoidance, p < .001; more planful problem solving, p < .01; and more positive reappraisal, p < .001). Grounded theory analysis finds thr... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3281549 Wed, 17 Feb 2010 21:33:30 +0100 3281549 http://www.medworm.com/index.php?rid=3281548&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F1%2F81%3Frss%3D1 This study has evaluated the influence of stress resiliency on job stress, psychological empowerment, job satisfaction, and intent to stay using causal modeling. Participants are 464 RNs employed in five acute care hospitals in West Virginia. The final model has provided a very good fit to the data. Stress resiliency is a predictor of psychological empowerment, situational stress, and job satisfaction. This study provides the first evidence of the influence of stress resiliency on job stress, psychological empowerment, job satisfaction, and intent to stay in a sample of RNs. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3281548 Wed, 17 Feb 2010 21:33:30 +0100 3281548 http://www.medworm.com/index.php?rid=3281547&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F1%2F64%3Frss%3D1 This study examines the effects of adding oral supplements containing n-3 eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) to diets of healthy young adults on plasma n-6/n-3 ratios. Thirty volunteers are randomly assigned to one of two groups: experimental group, EPA (1.6 g/day) and DHA (1.2 g/day); and the control group, mineral oil (2.4 ml/day). Plasma fatty acids, nutrients from foods, and anthropometric measures are evaluated at baseline and at the Week 4 endpoint. The mean (±SD) n-6/n-3 ratio for the experimental group is significantly lower (6.3 ± 1.6) than the placebo group (16.8 ± 3.5) by study completion. The results suggest that more balanced n-6/n-3 ratios may be achieved efficiently in healthy, young adults with supplements containing EPA and DHA.... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3281547 Wed, 17 Feb 2010 21:33:30 +0100 3281547 http://www.medworm.com/index.php?rid=3281546&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F1%2F47%3Frss%3D1 Nursing staff are at risk for musculoskeletal injuries because of the physical nature of patient handling. The purpose of this study is to examine the effectiveness of a multifaceted minimal-lift environment on reported equipment use, musculoskeletal injury rates, and workers’ compensation costs for patient-handling injuries. The pilot study consists of a mixed measures design, with both descriptive and quasi-experimental design elements. The intervention consists of engineering (minimal-lift equipment), administrative (nursing policy), and behavioral (peer coach program) controls. The comparison nursing unit has received engineering controls only. The convenience sample includes nursing staff employed on two medical-surgical nursing units, who provide direct patient care at least 50... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3281546 Wed, 17 Feb 2010 21:33:30 +0100 3281546 http://www.medworm.com/index.php?rid=3281545&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F1%2F23%3Frss%3D1 The authors have examined the effects of coaching sensory self-monitoring and reporting on pain-related variables in patients with lung cancer. Randomly assigned to coached or not-coached groups, 215 patients have their interactions with their providers audiotaped and complete study measures pre- and postintervention. Of the 151 patients who complete the 4-week study, those coached are more likely than those not coached to give their providers unsolicited sensory pain information and to mention it before their providers ask for it. The mean number of pain parameters discussed during the audiotaped clinic visit is statistically larger at study end for the coached group. Scores for analgesic adequacy, all pain indices except one, anxiety, depression, and catastrophizing coping are not signif... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3281545 Wed, 17 Feb 2010 21:33:30 +0100 3281545 http://www.medworm.com/index.php?rid=3281544&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F1%2F5%3Frss%3D1 The Internet is a relatively new method of delivering strategies for health behavior change. The purpose of this study was to determine the feasibility of delivering a physical activity intervention by the Internet to improve outcomes in adults with the metabolic syndrome. Twenty-two participants (16 males; 6 females) were recruited from a cardiology clinic database, age range 32-66 years. Participants were randomly assigned to the Internet intervention (n = 12) or the usual care ( n = 10) group. The mean total dose, in terms of the time the intervention Web site was accessed was 2 hours over 6 weeks, which was greater than the time spent delivering usual care. Overall, participants_ evaluations of the Internet intervention were positive. The costs of development and delivery of the Intern... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3281544 Wed, 17 Feb 2010 21:33:30 +0100 3281544 http://www.medworm.com/index.php?rid=3281543&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F32%2F1%2F3%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3281543 Wed, 17 Feb 2010 21:33:30 +0100 3281543 http://www.medworm.com/index.php?rid=3081158&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F8%2F1096%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3081158 Sat, 12 Dec 2009 00:46:23 +0100 3081158 http://www.medworm.com/index.php?rid=3081157&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F8%2F1094%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3081157 Sat, 12 Dec 2009 00:46:23 +0100 3081157 http://www.medworm.com/index.php?rid=3081156&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F8%2F1092%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3081156 Sat, 12 Dec 2009 00:46:23 +0100 3081156 http://www.medworm.com/index.php?rid=3081155&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F8%2F1090%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3081155 Sat, 12 Dec 2009 00:46:23 +0100 3081155 http://www.medworm.com/index.php?rid=3081154&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F8%2F1088%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3081154 Sat, 12 Dec 2009 00:46:23 +0100 3081154 http://www.medworm.com/index.php?rid=3081153&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F8%2F1086%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3081153 Sat, 12 Dec 2009 00:46:23 +0100 3081153 http://www.medworm.com/index.php?rid=3081152&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F8%2F1084%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3081152 Sat, 12 Dec 2009 00:46:23 +0100 3081152 http://www.medworm.com/index.php?rid=3081151&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F8%2F1082%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3081151 Sat, 12 Dec 2009 00:46:23 +0100 3081151 http://www.medworm.com/index.php?rid=3081150&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F8%2F1080%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3081150 Sat, 12 Dec 2009 00:46:23 +0100 3081150 http://www.medworm.com/index.php?rid=3081149&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F8%2F1078%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3081149 Sat, 12 Dec 2009 00:46:23 +0100 3081149 http://www.medworm.com/index.php?rid=3081148&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F8%2F1076%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3081148 Sat, 12 Dec 2009 00:46:23 +0100 3081148 http://www.medworm.com/index.php?rid=3081147&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F8%2F1057%3Frss%3D1 This study evaluates the reliability and validity of a measure of mastery, the Chronic Heart Failure Questionnaire (CHQ) mastery subscale. One hundred twenty-two (75% men, mean age 65 years) and 100 patients complete baseline and 12-month face-to-face interviews, respectively. The CHQ mastery subscale is found to have internal consistency reliability (Cronbach’s alphas = .79, .84), and its validity is supported. Factor analysis yields a single robust factor. Differences in the CHQ mastery subscale scores by the New York Heart Association (NYHA) classes are found: Patients with NYHA Class III or IV have lower mastery than those with Class I or II. Baseline younger age and less frequent ICD shocks and lower mastery are significant predictors of respectively 12-month anxiety (R 2 = .37)... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3081147 Sat, 12 Dec 2009 00:46:23 +0100 3081147 http://www.medworm.com/index.php?rid=3081146&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F8%2F1035%3Frss%3D1 The first anniversary for older widows (n = 47) has been explored during Months 11, 12, and 13. Concurrent correlations show that optimism inversely correlates with psychological (intrusion and avoidance) stress as measured with the Impact of Event Scale (r = —.52 to —.66, p < .005) and positively correlates with well-being (physical: r = .36 to .46, p < .025; psychosocial: r = .58 to .72, p < .005; spiritual: r = .50 to .69, p < .005). Lagged correlation patterns suggest that higher levels of optimism at a given time are associated with higher life satisfaction and spiritual well-being at later times. Psychological stress is higher at Month 12 when compared to Month 13, t(43) = 2.54, p = .01, but not when compared to Month 11, t(43) = 1.49, p > .10. There are no... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3081146 Sat, 12 Dec 2009 00:46:23 +0100 3081146 http://www.medworm.com/index.php?rid=3081145&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F8%2F1014%3Frss%3D1 This study evaluates KPAS reliability and validity (not widely documented) in measuring physical activity among 341 groups in this classification. Internal consistency coefficients are adequate for all ethnic groups except non-Hispanic (N-H) African Americans. To evaluate construct validity, the researchers use multiple analytic approaches, including correlation between behavioral intention and KPAS scores and factor analysis. KPAS scores correlate positively with behavioral intention scores among all ethnic groups. Eight factors are extracted among all groups except N-H Asian Americans. In the convergent validity test, N-H African Americans and N-H Asian Americans show unique patterns. Overall, the KPAS proves reliable as a reasonably accurate instrument to assess physical activities amon... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3081145 Sat, 12 Dec 2009 00:46:23 +0100 3081145 http://www.medworm.com/index.php?rid=3081144&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F8%2F999%3Frss%3D1 This article aims to examine the factors that motivate middle-aged women to engage in leisure physical activity (LPA) and to explore the relationship between resources loss and gains and engaging in LPA. It is a cross-sectional study based on a self-reported questionnaire (n = 949), using variables of the conservation of resources theory and the theory of planned behavior. Results show that women who engage in physical activity experience lower resources loss than inactive women. The longer they engage in physical activity, the less they experience losses such as youth, attractiveness, optimism, health, and beauty. Conservation of resources, perceived behavioral control, attitudes, and normative beliefs predict 41% (p < .0001) of the variance in the engagement in leisure physical activi... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3081144 Sat, 12 Dec 2009 00:46:23 +0100 3081144 http://www.medworm.com/index.php?rid=3081143&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F8%2F983%3Frss%3D1 This article describes important concepts in this debate and discusses key issues in distinguishing between specific and nonspecific effects of psychoeducational nursing interventions. Four examples are used to illustrate potential methods of identifying and controlling for nonspecific effects in clinical intervention trials. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3081143 Sat, 12 Dec 2009 00:46:23 +0100 3081143 http://www.medworm.com/index.php?rid=3081142&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F8%2F981%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3081142 Sat, 12 Dec 2009 00:46:22 +0100 3081142 http://www.medworm.com/index.php?rid=2929277&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F7%2F970%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2929277 Tue, 27 Oct 2009 00:01:40 +0100 2929277 http://www.medworm.com/index.php?rid=2929276&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F7%2F965%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2929276 Tue, 27 Oct 2009 00:01:40 +0100 2929276 http://www.medworm.com/index.php?rid=2929275&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F7%2F948%3Frss%3D1 This article illustrates use of GEE, using a data set describing symptoms of women with gynecological cancers, with eight data collection times across a period of 6 months. Three research questions are analyzed: (a) Did number of symptoms in women with gynecological cancer change within 6 months after surgery? (b) Did individual symptom (e.g., pain) in women with gynecological cancers change within 6 months after surgery? (c) Were psychosocial and disease variables (age, cancer site, new diagnosis or recurrence, treatment, emotional distress, and use of symptom management toolkit) associated with individual symptoms (e.g., fatigue) in women with gynecological cancers? For each research question, SAS code and explanation of SAS instructions are described in detail. Missing data and time int... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2929275 Tue, 27 Oct 2009 00:01:40 +0100 2929275 http://www.medworm.com/index.php?rid=2929274&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F7%2F923%3Frss%3D1 This integrative review of the literature analyzed the research about hospital discharge planning within the historical timeline of public policy changes that affected service utilization. There were 36 articles reviewed that represented a variety of disciplines, nursing (n = 21), social work (n = 6), medicine (n = 5), and sociology (n = 4). The review revealed several interesting findings. Though the family is the first line of defense against problems, little work done has been done that focuses on building partnerships between patients, families, and health care providers. The costs of care drive the health care system; yet costs of interventions were rarely described. Intensive case management of at-risk populations has neither been widely adopted nor is it reimbursed through public fu... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2929274 Tue, 27 Oct 2009 00:01:40 +0100 2929274 http://www.medworm.com/index.php?rid=2929273&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F7%2F905%3Frss%3D1 The National Institute of Drug Abuse has promoted drug abuse research in the past two decades focusing on women and gender differences. One hundred twenty-eight Hispanic and White women have participated in this comparative descriptive study that has examined the differences between chemically dependent (CD) women in recovery and non—chemically dependent (non-CD) women in regard to resilience and self-differentiation—demographic variables associated with resilience and self-differentiation and recovery variables associated with resilience and self-differentiation in the CD women. Findings indicate that the CD women and Hispanic women have scored significantly lower on measures of resilience and self-differentiation. Among the recovery variables, resilience and self-differentiat... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2929273 Tue, 27 Oct 2009 00:01:40 +0100 2929273 http://www.medworm.com/index.php?rid=2929272&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F7%2F889%3Frss%3D1 Condom use during sexual encounters continues to be a challenge for seropositive individuals. Hence, the influence of personal characteristics, AIDS knowledge, and religious well-being on perceived self-efficacy to use condoms has been examined in a convenience nonprobabilistic sample of 130 middle-aged seropositive African American men from the Mid-Atlantic region. AIDS knowledge and religious well-being are strongly related to self-efficacy to use condoms. These findings indicate that it is critical to explore further the relationship of AIDS knowledge and religious well-being with self-efficacy to use condoms. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2929272 Tue, 27 Oct 2009 00:01:40 +0100 2929272 http://www.medworm.com/index.php?rid=2929271&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F7%2F872%3Frss%3D1 The purpose of this descriptive correlational secondary data analysis is to describe the relationship between job satisfaction and accountability among registered nurses with clinical responsibilities employed by a rural health care network in the Midwest. The response rate from the primary study is 39%, with 337 RN respondents. The sample for this secondary analysis is 299. The instruments used to measure accountability and job satisfaction are the Specht and Ramler Accountability Index—Individual Referent and the McCloskey—Mueller Satisfaction Scale (MMSS). The results indicate that accountability is perceived to be relatively high and job satisfaction is moderate. Accountability and job satisfaction are significantly correlated at a moderate level. The correlations between t... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2929271 Tue, 27 Oct 2009 00:01:39 +0100 2929271 http://www.medworm.com/index.php?rid=2929270&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F7%2F853%3Frss%3D1 The effects of gradient levels of perinatal morbidity on school outcomes have been investigated at age 12 in four preterm groups, classified as healthy (no medical or neurological illness), medical morbidity, neurological morbidity, and small-for-gestational-age (SGA), and a full-term comparison group. Teachers report on academic competence, social skills, and problem behaviors. Data on school type, classroom setting, and school service use are gathered from school records. Preterm groups are found to be equivalent to full-term peers in social skills and problem behavior. Preterm groups with neurological and SGA morbidity have the lowest academic competence scores. Unexpectedly, preterm infants with medical morbidity have higher academic competence scores compared with the other preterm gr... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2929270 Tue, 27 Oct 2009 00:01:39 +0100 2929270 http://www.medworm.com/index.php?rid=2929269&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F7%2F837%3Frss%3D1 Reports of qualitative studies typically do not offer much information on the numbers of respondents linked to any one finding. This information may be especially useful in reports of basic, or minimally interpretive, qualitative descriptive studies focused on surveying a range of experiences in a target domain, and its lack may limit the ability to synthesize the results of such studies with quantitative results in systematic reviews. Accordingly, the authors illustrate strategies for deriving plausible ranges of respondents expressing a finding in a set of reports of basic qualitative descriptive studies on antiretroviral adherence and suggest how the results might be used. These strategies have limitations and are never appropriate for use with findings from interpretive qualitative stu... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2929269 Tue, 27 Oct 2009 00:01:39 +0100 2929269 http://www.medworm.com/index.php?rid=2929268&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F7%2F818%3Frss%3D1 This study investigates the neuroendocrine and psychological responses to the acute physical stress of a lumbar puncture (LP) in women with diarrhea-predominant IBS by assessing central and peripheral HPA activity and affective measures. Blood samples have been collected at baseline and immediately post- and 1 hr following LP from 13 women with IBS and 13 controls. Plasma adrenocorticotropic hormone (ACTH), cortisol, epinephrine, and norepinephrine levels are analyzed. A single measure of cerebrospinal fluid (CSF) concentrations of corticotropin-releasing factor (CRFCSF) and norepinephrine CSF is noted. Affective assessments are used to rate anxiety and depression with the Hospital Anxiety and Depression Scale (HADS) and acute mood state is rated using the Stress Symptom Rating questionnai... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2929268 Tue, 27 Oct 2009 00:01:39 +0100 2929268 http://www.medworm.com/index.php?rid=2929267&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F7%2F815%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2929267 Tue, 27 Oct 2009 00:01:39 +0100 2929267 http://www.medworm.com/index.php?rid=2830333&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F6%2F799%3Frss%3D1 This study evaluates the factor structure and concurrent validity of a measure of self-care, the Denyes Self Care Practice Instrument (DSCPI-90©), when used with adults. Three hundred eight participants complete the 18-item DSCPI-90© and a measure of general health status. Data are examined using descriptive statistics, exploratory factor analysis, and correlation. An efficient 12-item, two-factor model is identified. Reducing the number of items from 18 to 12 does not have an untoward effect on either scale reliability or the amount of variance explained. Correlations with a measure of health status are modest, lending validity to the construct of self-care as being distinct from, yet related to, health status. It is concluded that the 12-item version of the DSCPI© is relia... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2830333 Wed, 23 Sep 2009 23:00:00 +0100 2830333 http://www.medworm.com/index.php?rid=2830332&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F6%2F787%3Frss%3D1 This cross-sectional study examines predictors of heavy smoking among 256 male and female methadone maintenance therapy (MMT) clients from five MMT clinics in the Los Angeles area. The authors find that women report lower rates of heavy smoking than men (47% vs. 54%, respectively), in concordance with current literature pointing to gender differences in smoking behaviors. In particular, men who report heavy drinking, fair or poor health, and recent heroin use are more likely to report heavy smoking compared with men not reporting these factors. Women who report recent heroin use, a lifetime history of sex trade, and who have been ill enough to require a blood transfusion also have greater odds of reporting heavy cigarette smoking. Findings from this study may aid not only in designing gend... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2830332 Wed, 23 Sep 2009 23:00:00 +0100 2830332 http://www.medworm.com/index.php?rid=2830331&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F6%2F772%3Frss%3D1 The purpose of this pilot study was to evaluate the effect of integrative reminiscence on depressive symptoms in older African Americans. Fifty-six community-dwelling participants from a northeast urban setting were randomized into a reminiscence intervention group (n = 19), attention control group (health education; n = 19), or true control group (n = 18). Data were collected pre- and posttest using the Center for Epidemiological Studies Depression Scale. Significant differences were found between groups, F(2, 52) = 8.6, p = .001, 2 = .10. Using Holm’s method of post hoc analysis, the mean score for the reminiscence group was 6.8 (SD = 4.7), significantly different from the control group 14.6 (SD = 10.1) and the health education group 11.7 (SD = 7.1). Findings demonstrate that integ... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2830331 Wed, 23 Sep 2009 23:00:00 +0100 2830331 http://www.medworm.com/index.php?rid=2830330&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F6%2F748%3Frss%3D1 This study explored men’s perceptions of their role in sexual relationships with adolescent women with a history of sexually transmitted infection (STI) and abuse. The AIDS risk reduction model was used to assess sexual risk behaviors of these men for development of cognitive behavioral risk reduction interventions for themselves and partner. Qualitative interviews were conducted with African and Mexican American men (n = 14; ages 18 to 21 years), recruited via adolescent women enrolled in a control-randomized trial of behavioral interventions for reduction of unintended pregnancy, abuse, substance use, and STI. Participants varied in their perceptions of personal susceptibility to STI or HIV, access to informational resources regarding sexual behavior, and level of adult support for... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2830330 Wed, 23 Sep 2009 23:00:00 +0100 2830330 http://www.medworm.com/index.php?rid=2830329&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F6%2F731%3Frss%3D1 Relationships between chronic perceived stress, cortisol response (area under the curve) and posttraumatic brain injury fatigue were examined with persons from outpatient settings. Seventy-five injured persons with traumatic brain injury and their relatives/significant others participated in this cross-sectional study. Using interviews and self-reported data from the Neurofunctional Behavioral Inventory, the Perceived Stress Scale, the Profile of Mood States-Fatigue subscale, the McGill Pain Scale, as well as self-collection of salivary cortisol over a 12-hour period ( N = 50), we found that perceived chronic stress explained 40% of the variance in fatigue until depressive symptoms and pain were in the model. Hypocortisolemia was evident. Somatic symptom frequency and perceived chronic str... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2830329 Wed, 23 Sep 2009 23:00:00 +0100 2830329 http://www.medworm.com/index.php?rid=2830328&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F6%2F715%3Frss%3D1 This study has sought to determine if the Tommie Smith Youth Athletic Initiative (TSYAI) intervention could decrease the risk factors for childhood obesity among children 5 to 10 years of age. The TSYAI intervention is a 14-week after-school intervention for students in Grades K-5 that was started during the spring of 2008. It serves 63 children in a predominantly African American elementary school. The intervention consists of supervised after-school sessions 3 days per week. These sessions include 2 days of physical activity (flexibility, resistance, and track-and-field training) and 1 day of 45 min of nutrition education modules based on the Transtheoretical Model of behavior change followed by 45 min of group physical activity. Ninety-two percent of the participants are African America... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2830328 Wed, 23 Sep 2009 23:00:00 +0100 2830328 http://www.medworm.com/index.php?rid=2830327&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F6%2F693%3Frss%3D1 Little is known about the role performance of case managers, who come from a variety of professional disciplines. The purpose of this secondary analysis is to identify and compare case management (CM) activities and knowledge elements by professions and by work settings. In an online field survey conducted by the Commission for Case Manager Certification in 2004, 4,419 case managers rated the frequency and importance of 103 activities (8 domains) and 64 knowledge statements (6 domains). Nursing and social work showed a relatively similar pattern as to their role activities and knowledge factors for CM practice. Similar patterns were seen in work settings: between hospitals and rehabilitation facilities; health insurance companies and managed care organizations; and CM companies, workers&rs... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2830327 Wed, 23 Sep 2009 23:00:00 +0100 2830327 http://www.medworm.com/index.php?rid=2830326&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F6%2F691%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2830326 Wed, 23 Sep 2009 23:00:00 +0100 2830326 http://www.medworm.com/index.php?rid=2652044&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F5%2F683%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2652044 Tue, 28 Jul 2009 23:00:00 +0100 2652044 http://www.medworm.com/index.php?rid=2652043&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F5%2F681%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2652043 Tue, 28 Jul 2009 23:00:00 +0100 2652043 http://www.medworm.com/index.php?rid=2652042&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F5%2F679%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2652042 Tue, 28 Jul 2009 23:00:00 +0100 2652042 http://www.medworm.com/index.php?rid=2652041&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F5%2F662%3Frss%3D1 This study examined the validity of the Nursing Child Assessment of Feeding Scale (NCAFS) during toddlerhood, using a longitudinal design to assess the scale's convergence with the Toddler Snack Scale (TSS) between 12 and 36 months, and comparing videotaped interactions of 116 mother—toddler dyads. Differences between TSS mutuality classifications were found for the NCAFS subscales at each age. The pattern of mean scores followed expected directions at 12 and 36 months, but only two of the six NCAFS subscales maintained this pattern at 24 months. Significant differences were found between TSS mutuality classifications and NCAFS dyadic scores at each age. With one exception, "connected" and "marginal" dyads had consistently higher dyadic scores than dyads classified as "poor" in mutua... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2652041 Tue, 28 Jul 2009 23:00:00 +0100 2652041 http://www.medworm.com/index.php?rid=2652040&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F5%2F648%3Frss%3D1 The Internet is a relatively new method of delivering strategies for health behavior change. The purpose of this study was to determine the feasibility of delivering a physical activity intervention by the Internet to improve outcomes in adults with the metabolic syndrome. Twenty-two participants (16 males; 6 females) were recruited from a cardiology clinic database, age range 32-66 years. Participants were randomly assigned to the Internet intervention (n = 12) or the usual care ( n = 10) group. The mean total dose, in terms of the time the intervention Web site was accessed was 2 hours over 6 weeks, which was greater than the time spent delivering usual care. Overall, participants' evaluations of the Internet intervention were positive. The costs of development and delivery of the Intern... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2652040 Tue, 28 Jul 2009 23:00:00 +0100 2652040 http://www.medworm.com/index.php?rid=2652039&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F5%2F627%3Frss%3D1 This is a qualitative study report from a parent study that used a concurrent mixed methods design whose aim was to describe the transition and self-management experiences of patients diagnosed with type 2 diabetes mellitus (T2DM) and stage 3 chronic kidney disease (CKD). Six adult men and women recruited from outpatient clinics completed two focus group interviews. Discerned in the ethnographic analysis of interviews and field notes using ATLAS/ti was a pattern of Health Literacy Self-Management with two major threads: (a) transition experience to self-advocacy characterized as seeking useful resources and difficulties in resource use and (b) partnering with the health care provider (HCP) characterized as helpful messaging and messaging confusion. Self-management support includes a shared... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2652039 Tue, 28 Jul 2009 23:00:00 +0100 2652039 http://www.medworm.com/index.php?rid=2652038&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F5%2F613%3Frss%3D1 When nursing home residents experience acute illness, the preference of family members is a major consideration in the choice between aggressive treatment and palliative care. Grounded theory method was used to explore decision making by family members of acutely ill nursing home residents. Analysis of 12 in-depth interviews with family members resulted in a theory, "doing what's best," that describes the basic psychosocial problem and response of family members. The problem was to make treatment decisions in the face of uncertain circumstances, and the response consisted of five subprocesses: protecting life, creating comfort, relying on religion, honoring wishes, and seeking guidance. Application of this theory to nursing practice can help nurses identify sources of uncertainty and suppo... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2652038 Tue, 28 Jul 2009 23:00:00 +0100 2652038 http://www.medworm.com/index.php?rid=2652037&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F5%2F599%3Frss%3D1 The purpose of this study was to identify whether severe postpartum fatigue at 1 and 3 months postpartum was associated with depressive symptomatology at 6 months in lower-income urban women. A convenience sample of 43 lower-income postpartum women completed the Modified Fatigue Symptoms Checklist and Edinburgh Postpartum Depression scale at 1, 3, and 6 months postpartum. Participants who were severely fatigued at both 1 and 3 months postpartum were significantly more likely to exhibit depressive symptomatology at 6 months. Fatigue and depressive symptoms were moderately to strongly correlated at 1 (r = .68), 3 (r = .74), and 6 (r = .70) months postpartum (p = .001). Severe fatigue and depressive symptomatology often co-exist for months after childbirth. Future research should examine whet... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2652037 Tue, 28 Jul 2009 23:00:00 +0100 2652037 http://www.medworm.com/index.php?rid=2652036&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F5%2F583%3Frss%3D1 Alzheimer's disease (AD) robs persons living with the disease of their independence and self-esteem, which can lead to depression, anxiety, and loneliness. Understanding how people with early-stage AD cope is a critical step in enhancing their adaptive abilities and ultimately improving their quality of life. This qualitative study describes how individuals with early-stage AD use spirituality to cope with the losses of self-esteem, independence, and social interaction that they face. The purposive sample for this focused ethnographic study consisted of 15 participants living at home in central Arkansas. Holding onto faith, seeking reassurance and hope, and staying connected were the global themes. Personal faith, prayer, connection to church, and family support enhanced the ability of peo... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2652036 Tue, 28 Jul 2009 23:00:00 +0100 2652036 http://www.medworm.com/index.php?rid=2652035&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F5%2F569%3Frss%3D1 This study used a cross-sectional, correlational design to investigate the effects of workload, practice environment, and care processes on burnout among nurses in U.S. chronic hemodialysis centers and to determine the association between burnout and nurses' intentions to leave their jobs. Findings indicate that predictors were associated with an increased likelihood of nurse burnout and that nurses experiencing burnout were more likely to be planning to leave their jobs. Findings have important implications for retention of nurses, enhancement of patient safety, and adherence to new federal staffing requirements in chronic hemodialysis units. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2652035 Tue, 28 Jul 2009 23:00:00 +0100 2652035 http://www.medworm.com/index.php?rid=2652034&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F5%2F553%3Frss%3D1 The purpose of this secondary analysis was to compare gender differences in retrospective reports of acute myocardial infarction (AMI) symptoms resulting from two different assessment methods: the open-ended inquiry and the combined assessment approach. Women reported more atypical symptoms in their responses to the open-ended inquiry and a greater number of typical, atypical, and total symptoms in the combined assessment approach in which the open-ended inquiry was followed by a series of closed-ended questions. Women reported more jaw/neck pain, dyspnea, and palpitations in response to the open-ended inquiry. In the combined assessment, men reported more chest pain/discomfort than women, whereas women were more likely to report jaw/neck pain, dyspnea, back pain, fatigue, paroxysmal noctu... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2652034 Tue, 28 Jul 2009 23:00:00 +0100 2652034 http://www.medworm.com/index.php?rid=2652033&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F5%2F551%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2652033 Tue, 28 Jul 2009 23:00:00 +0100 2652033 http://www.medworm.com/index.php?rid=2384654&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F4%2F544%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2384654 Thu, 30 Apr 2009 04:00:00 +0100 2384654 http://www.medworm.com/index.php?rid=2384653&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F4%2F525%3Frss%3D1 This cross-sectional study (n = 190) examined correlates of hospitalization for physical health problems among methadone maintenance therapy (MMT) clients with a history of alcohol abuse. The study was derived from baseline data collected for a longitudinal trial assessing the effect of motivational interviewing among alcohol-abusing adults undergoing MMT. The sample included clients who were 18-55 years of age, abusing alcohol, and receiving MMT from five large methadone maintenance clinics in the Los Angeles area. A structured questionnaire was used to collect the data. Correlates of hospitalization in logistic regression analysis included lack of social support, recent victimization, age of first alcohol use, chronic severe pain in the previous 6 months, not having children, and ethnici... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2384653 Thu, 30 Apr 2009 04:00:00 +0100 2384653 http://www.medworm.com/index.php?rid=2384652&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F4%2F513%3Frss%3D1 The purpose of this study is understanding women's experiences regarding health-related quality of life (HRQOL) in the context of living with coronary artery disease (CAD). Sampling was purposive and continued until data saturation. The women participated in semistructured interviews that were tape-recorded and completed in less than 1 hour. Conventional content analysis was used to analyze the data. Results indicate that CAD influenced the participants' HRQOL. This occurred through categories the investigators labeled "dealing with one more thing," "surrendering roles and pleasures," "managing the health system," "understanding CAD," and "resolving to be strong." The thoughtful responses of the women in this study suggest that understanding the HRQOL of women who have CAD lies in the cont... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2384652 Thu, 30 Apr 2009 04:00:00 +0100 2384652 http://www.medworm.com/index.php?rid=2384651&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F4%2F496%3Frss%3D1 This study used a grounded theory approach to formulate a conceptual framework of the nursing role in end-of-life decision making in a critical care setting. Fourteen nurses from an intensive care unit and cardio-respiratory care unit were interviewed. The core concept, Supporting the Journey, became evident in four major themes: Being There, A Voice to Speak Up, Enable Coming to Terms, and Helping to Let Go. Nurses described being present with patients and families to validate feelings and give emotional support. Nursing work, while bridging the journey between life and death, imparted strength and resilience and helped overcome barriers to ensure that patients received holistic care. The conceptual framework challenges nurses to be present with patients and families at the end of life, c... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2384651 Thu, 30 Apr 2009 04:00:00 +0100 2384651 http://www.medworm.com/index.php?rid=2384650&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F4%2F480%3Frss%3D1 The relationships between general and geriatric-specific nursing practice environments (NPEs) and nurse-perceived quality of geriatric care in hospitals were examined using the Nurses Improving Care for Healthsystems Elders benchmarking database. The overall general NPE was negatively related, but the overall geriatric-specific NPE was positively related to quality of geriatric care. Among five subdomains of the general NPE measured by the Practice Environment Scale of the Nursing Work Index, Nurse Participation in Hospital Affairs was positively related to quality of geriatric care, whereas two subdomains were not significant, and another two were negatively related to quality of geriatric care. All three subdomains of the geriatric-specific NPE measured by the Geriatric Nursing Practice ... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2384650 Thu, 30 Apr 2009 04:00:00 +0100 2384650 http://www.medworm.com/index.php?rid=2384649&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F4%2F462%3Frss%3D1 The purpose of this qualitative study is to understand the reasons why elders move to retirement communities and what living in retirement communities is like from the perspective of relocated elders. Several themes emerged following qualitative analysis. The themes reflect three categories, labeled as "pushing" factors, "pulling" factors, and "overlapping" factors. Pushing factors included own or spouse's failing health, getting rid of responsibilities, not helped, facility closed out, and loneliness. Pulling factors were location, familiarity and reputation of the facility, security, and joining friends. The third category reflected both pushing and pulling factors, which overlapped and constituted their reason for moving. The findings help to inform the planning of tailored intervention... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2384649 Thu, 30 Apr 2009 04:00:00 +0100 2384649 http://www.medworm.com/index.php?rid=2384648&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F4%2F437%3Frss%3D1 The purpose of this meta-analysis was to examine the effectiveness of aerobic exercise interventions on cardiopulmonary function and body composition in women with breast cancer. Of 24 relevant studies reviewed, 10 studies (N = 588) met the inclusion criteria. The findings indicated that aerobic exercise significantly improved cardiopulmonary function as assessed by absolute VO2 peak (standardized mean difference [SMD] .916, p < .001), relative VO2 peak (SMD .424, p < .05), and 12-minute walk test ( SMD .502, p < .001). Similarly, aerobic exercise significantly improved body composition as assessed by percentage body fat (SMD —.890, p < .001), but body weight and lean body mass did not change significantly. Aerobic exercise during or after cancer adjuvant therapy seems to... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2384648 Thu, 30 Apr 2009 04:00:00 +0100 2384648 http://www.medworm.com/index.php?rid=2384647&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F4%2F435%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2384647 Thu, 30 Apr 2009 04:00:00 +0100 2384647 http://www.medworm.com/index.php?rid=2237132&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F3%2F428%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2237132 Wed, 04 Mar 2009 05:00:00 +0100 2237132 http://www.medworm.com/index.php?rid=2237131&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F3%2F409%3Frss%3D1 The objective was to determine if there are differences between young enlisted military women with and without preschool children on role strain, stress, health, and military career aspiration and to identify the best predictors of these variables. The study used a cross-sectional descriptive design of 50 junior Air Force women with preschool children and 50 women without children. There were no differences between women with and without children in role strain, stress, health, and military career aspiration. In all women, higher stress was moderately predictive of higher role strain (39.9% of variance explained) but a poor predictor of career aspiration (3.8% of variance explained). Lower mental health scores were predicted by high stress symptoms (27.9% of variance explained), low milita... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2237131 Wed, 04 Mar 2009 05:00:00 +0100 2237131 http://www.medworm.com/index.php?rid=2237130&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F3%2F389%3Frss%3D1 This study used the resiliency model of family stress, adjustment, and adaptation as the framework to examine the main and moderating effects of social support and resourcefulness in the relationship between family life stresses and strain and depressive symptoms in grandmothers raising grandchildren, grandmothers in multigenerational homes, and noncaregivers to grandchildren. A sample of 486 Ohio grandmothers, recruited using random and supplemental convenience methods, completed mailed surveys. Analysis of variance was used to examine differences in family life stresses and strain, resourcefulness, support, and depressive symptoms across the three groups of grandmothers. Hierarchical multiple regression analyses were used to examine whether family stresses and strains affected the grandm... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2237130 Wed, 04 Mar 2009 05:00:00 +0100 2237130 http://www.medworm.com/index.php?rid=2237129&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F3%2F364%3Frss%3D1 The specific aim of this predictive, correlational study was to test a culturally sensitive diabetes-specific health protection model to determine predictors of successful diabetes management in a newly diagnosed, type 2, low-income Hispanic population. Using a research-based Hispanic Health Protection Model (HHPM) as a framework, 240 adult participants with low levels of acculturation, strong beliefs about illness attribution and control of health, and low literacy levels were interviewed in a three-phase process over 4 to 6 months. The data analysis resulted in support of the HHPM based on relationships between 11 variables in four partial structural equation models, including lifestyle profile, acculturation, health beliefs, professional and social support, self-efficacy, diabetes knowl... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2237129 Wed, 04 Mar 2009 05:00:00 +0100 2237129 http://www.medworm.com/index.php?rid=2237128&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F3%2F347%3Frss%3D1 Despite the rising incidence of type 2 diabetes in Korean immigrants, little is known about glucose control in these individuals. This descriptive study examined factors influencing glucose control in Korean immigrants with type 2 diabetes. Participants were 143 Korean immigrants with type 2 diabetes who completed questionnaires, a finger stick blood test for glycosylated hemoglobin (HbA1c), and anthropometric measures. The mean HbA1c level was 7.6 % (SD = 1.5; range = 5.6 to 12.5). Less than half of the participants (41.3%) met the American Diabetes Association's goal of less than 7%. After adjusting for demographic and health variables, family diet support, waist-to-hip ratio (WHR), the duration of diabetes, the number of diabetic medications, and age significantly influenced glucose con... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2237128 Wed, 04 Mar 2009 05:00:00 +0100 2237128 http://www.medworm.com/index.php?rid=2237127&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F3%2F330%3Frss%3D1 Although the benefits of physical activity are well known, most adults in the United States are relatively sedentary, with about 60% of adults not regularly physically active and 25% of those not active at all. This inactivity places the population at risk for many chronic diseases. Understanding optimal ways of both communicating with and educating employees regarding intention to reduce risk of ill health and enhance well-being through physical activity was the fundamental aim of this health communication research study. The authors designed a series of theory-based, tailored e-mail messages, which were evaluated for content validity by health care experts and focus groups. Focus groups were held according to the stage-of-change level of the participants, and two clear domains emerged: p... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2237127 Wed, 04 Mar 2009 05:00:00 +0100 2237127 http://www.medworm.com/index.php?rid=2237126&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F3%2F312%3Frss%3D1 In conclusion, simulation was perceived to be an important element in nursing education. Overall, there was a belief that clinical simulation requires (a) additional support in terms of the time required to engage in teaching using this modality, (b) additional human resources to support its use, and (c) other types of support such as a repository of clinical simulations to reduce the time from development of a scenario to implementation. Few negative voices were heard. It was evident that with correct support (human resources) and training, many faculty members would embrace clinical simulation because it could support and enhance nursing education. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2237126 Wed, 04 Mar 2009 05:00:00 +0100 2237126 http://www.medworm.com/index.php?rid=2237125&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F3%2F289%3Frss%3D1 Research using theory-based interventions to promote regular physical activity (PA) has increased substantially over the past decade. The purpose of this article is to provide a review and summary of PA intervention research specific to fidelity to intervention theory, providing an overview of the concept of fidelity to intervention theory, defining the evaluative components of fidelity: (a) conceptualization of the problem, (b) operationalization of the theory, (c) specification of mediating processes, and (d) specification of outcome variables. Using journal scans and computerized literature database searches, the authors identified 470 PA activity intervention studies that incorporated a theoretical perspective. A validity framework explicated by was used to summarize intervention resea... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2237125 Wed, 04 Mar 2009 05:00:00 +0100 2237125 http://www.medworm.com/index.php?rid=2237124&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F3%2F287%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2237124 Wed, 04 Mar 2009 05:00:00 +0100 2237124 http://www.medworm.com/index.php?rid=2143338&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F2%2F280%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2143338 Thu, 29 Jan 2009 05:00:00 +0100 2143338 http://www.medworm.com/index.php?rid=2143337&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F2%2F245%3Frss%3D1 Initiation and maintenance of physical activity (PA) in older adults is of increasing concern as the benefits of PA have been shown to improve physical functioning, mood, weight, and cardiovascular risk factors. Meditative movement forms of PA, such as tai chi and qigong (TC&QG), are holistic in nature and have increased in popularity over the past few decades. Several randomized controlled trials have evaluated TC&QG interventions from multiple perspectives, specifically targeting older adults. The purpose of this report is to synthesize intervention studies targeting TC&QG and identify the physical and psychological health outcomes shown to be associated with TC&QG in community dwelling adults older than 55. Based on specific inclusion criteria, 36 research reports with a... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2143337 Thu, 29 Jan 2009 05:00:00 +0100 2143337 http://www.medworm.com/index.php?rid=2143336&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F2%2F235%3Frss%3D1 The aim of this study was to evaluate psychometric properties of a questionnaire measuring to what extent the climate of health care settings are perceived as being person-centered. The English Person-Centered Climate Questionnaire—Patient version (PCQ-P) was distributed to a sample of hospital patients (n = 108) and data were subjected to psychometric evaluation using statistical estimates of validity and reliability. Content and construct validity of the PCQ-P was satisfactory in literature reviews and factor and item analysis. Cronbach's alpha was satisfactory for the total scale (0.90) and also for sub-scales: safety = 0.96 and hospitality = 0.89. The intraclass correlation coefficient indicating test-retest reliability was 0.70 with a 95% confidence interval ranging between 0.63... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2143336 Thu, 29 Jan 2009 05:00:00 +0100 2143336 http://www.medworm.com/index.php?rid=2143335&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F2%2F219%3Frss%3D1 This study compared reliability and validity estimates across the 12 short forms and investigated similarities in classifying elders with diabetes as clinically depressed using standardized cut scores. Beck's theory provides a framework for identifying the affective, cognitive, behavioral, and somatic symptoms that are measured by the CES-D. Data were merged from two studies, which yielded 80 elders with diabetes who completed the CES-D items during structured interviews. Cronbach's alpha was .87 for the CES-D; it ranged from .60 (5 items) to .84 (16 items) for shorter forms. Correlations of the full CES-D and short forms ranged from .82 (4 items) to .98 (16 items). Using the CES-D cut score, 14% of the elders with diabetes had clinically significant depressive symptoms: 21% men, 11% women... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2143335 Thu, 29 Jan 2009 05:00:00 +0100 2143335 http://www.medworm.com/index.php?rid=2143334&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F2%2F201%3Frss%3D1 In this study, the authors used the schema model of the self-concept to explore the role of self-beliefs in predicting dietary intake in community-dwelling, working-class, middle-aged adults. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2143334 Thu, 29 Jan 2009 05:00:00 +0100 2143334 http://www.medworm.com/index.php?rid=2143333&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F2%2F187%3Frss%3D1 This study employed a descriptive, correlational survey. A total of 81 patients with atrial fibrillation were recruited from two large medical centers in the United States. Only the interaction term of uncertainty and internal health locus of control had a significant moderating effect on appraisal of danger. Greater internal health locus of control was associated with greater appraisal of danger at the given degree of uncertainty. Therefore, the internal health locus of control played a significant role in magnifying the relationship of uncertainty on appraisal of danger. However, health locus of control did not moderate the relationship between uncertainty and appraisal of opportunity. Finally, this study concluded that internal health locus of control had a moderating effect on the rela... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2143333 Thu, 29 Jan 2009 05:00:00 +0100 2143333 http://www.medworm.com/index.php?rid=2143332&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F2%2F171%3Frss%3D1 This study examined the effects of Korean hand acupuncture therapy (HAT) and hand moxibustion therapy (HMT) on symptom severity in Korean women with PMS. This quasi-experimental pilot study based on the khi, yin, yang, and the five elements theory used a nonequivalent control group pretest—posttest design. Experimental groups received 10 sessions of either HAT or HMT treatment. Outcome measures included menstrual symptom severity as measured with the Menstrual Symptom Severity List and skin temperature change measured with Digital Infrared Thermographic Imaging. Both experimental groups had significantly reduced overall PMS symptom severity scores following therapy as compared to women in the control group. The HMT but not the HAT group showed improved flow of khi and balanced skin t... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2143332 Thu, 29 Jan 2009 05:00:00 +0100 2143332 http://www.medworm.com/index.php?rid=2143331&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F2%2F153%3Frss%3D1 This study examines the relationship between nurse staffing and patient length of stay (LOS). Data were collected on nurses employed and patients admitted to one of four study units located in two Midwest hospitals. Three nursing variables (hours per patient day [HPPD], skill mix, and nursing expertise) were collected through survey and administrative forms. The nursing data were then linked with patient-specific characteristics (deviation from expected LOS) to test the relationship at the patient level of analysis. Average HPPD was a positive predictor of deviation from expected LOS, whereas overall expertise was a negative predictor of deviation from expected LOS. Higher staffing levels may result in patients being discharged sooner than expected. Nurse administrators must consider the q... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2143331 Thu, 29 Jan 2009 05:00:00 +0100 2143331 http://www.medworm.com/index.php?rid=2143330&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F2%2F141%3Frss%3D1 The aim of this study was to test the effect of increasing the personal relevance of stroke symptom information on learning stroke symptoms/emergency response. A randomized pretest—posttest double-blind study design was used. A total of 173 community-dwelling adults participated. Treatment participants read the personally relevant statement, "Learn about stroke to save someone you love," completed the Stroke Action Test pretest, read the National Institute of Neurological Disorder and Stroke pamphlet titled Know Stroke. Know the Signs. Act in Time, and responded to the Stroke Action Test posttest. The control condition differed only in the omission of the personally relevant statement. The treatment group learned significantly more than the control group, F(1, 170) = 7.46, p < .00... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2143330 Thu, 29 Jan 2009 05:00:00 +0100 2143330 http://www.medworm.com/index.php?rid=2143329&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F2%2F139%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2143329 Thu, 29 Jan 2009 05:00:00 +0100 2143329 http://www.medworm.com/index.php?rid=2106253&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F1%2F128%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2106253 Thu, 15 Jan 2009 05:00:00 +0100 2106253 http://www.medworm.com/index.php?rid=2106252&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F1%2F110%3Frss%3D1 Health care is rapidly increasing the types of information systems (IS) that are used to manage patient care. The extent to which nurses move to a paperless system will be contingent on their beliefs about IS. The study explores the moderating and mediating effects of nurses' beliefs about IS use on the relationship between IS use and perceived benefits and satisfaction. A descriptive, correlational, cross-sectional design is used, and a random sample of 201 staff nurses working in hospitals was surveyed via a mail questionnaire. Nurses' beliefs have mediating effects on the relationship between nurses' IS use and their perceptions of IS benefits and satisfaction. The results can guide nurse administrators to improve nurses' perceptions about IS by using such methods as providing a trainin... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2106252 Thu, 15 Jan 2009 05:00:00 +0100 2106252 http://www.medworm.com/index.php?rid=2106251&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F1%2F89%3Frss%3D1 Structural equation modeling (SEM), a popular statistical technique for analysis of multivariate data in the social sciences, is increasingly being used in the behavioral and clinical sciences. SEM is appropriate for posing complex models that evaluate the direct and indirect influence of several variables on one or more outcome variables. A biosocial model of disability, the Disablement Process Model, lends itself to evaluation by SEM. Using SEM, this study examined predictors of disability (Age, Education, Duration of Illness, and Economic Adequacy Functional Limitations, Depressive Symptoms, and Social Support) separately in women with multiple sclerosis (MS) and women with fibromyalgia syndrome (FMS) and compared the respective models across groups. Data were analyzed with Analysis of ... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2106251 Thu, 15 Jan 2009 05:00:00 +0100 2106251 http://www.medworm.com/index.php?rid=2106250&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F1%2F66%3Frss%3D1 This study evaluates the feasibility of building a national, standardized hospital nurse staffing database from state data collections in order to improve the availability of valid, reliable nursing staffing measures and to allow linkage to other databases. A state-by-state review of public and private reporting systems reveals that 25 states collect some form of nurse staffing data. Out of those, 12 states make complete, usable data available, and 5 additionally meet data quality and specificity criteria. Our review finds that there is little consistency in the content of the RN measure, which makes it difficult to conduct multistate research on nurse staffing topics. We recommend the long-term development of two types of nurse staffing databases: a state-by-state collection, and a standa... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2106250 Thu, 15 Jan 2009 05:00:00 +0100 2106250 http://www.medworm.com/index.php?rid=2106249&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F1%2F44%3Frss%3D1 This descriptive, cross-sectional study examines the relationship of job satisfaction, turnover cognitions, job search behavior, and nurse demographics to work engagement among a sample of 167 registered nurses employed on medical and/or surgical units within six hospitals. Professional status, interaction, and thinking of quitting together explain 46%, F(3,160) = 47.546, p < .001, of the variance in work engagement. Additionally, the job satisfaction components of professional status and interaction are shown to significantly moderate the relationship between thinking of quitting and work engagement (t = 1.96, p < .05). Results suggest improvements in work environment processes that are consistent with professional status and interaction at work, such as integration of a professiona... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2106249 Thu, 15 Jan 2009 05:00:00 +0100 2106249 http://www.medworm.com/index.php?rid=2106248&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F1%2F24%3Frss%3D1 This study reports the results of a Colorado statewide survey of nurse—midwives (N = 217). Electronic survey was utilized to detail practice in seven areas: demographics, type of practice, compensation, leadership, legislativep riorities,teaching involvement, and practice satisfaction. Responses(N = 114) were analyzed using SPSS 13.0. Results found wide variation in compensation and practice types. Respondents largely worked in urban settings, cared for low to moderate risk patients, and were generally older and White. Restriction from medical staffm membership, prescriptive authority constraints, and liability issues were practice limitations. While teaching a wide variety of learners, nurse—midwives do limited mentoring of nurse—midwifery students, a finding which is co... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2106248 Thu, 15 Jan 2009 05:00:00 +0100 2106248 http://www.medworm.com/index.php?rid=2106247&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F1%2F17%3Frss%3D1 The purpose of this post-hoc investigation was to determine the difference in response rates between respondents who received personalized prenotification prior to receiving an electronic survey and those who did not. An electronic survey was e-mailed to 236 program directors or other designated individuals from nurse practitioner (NP) programs around the United States. Seventy six percent of the NP program directors were personally contacted about the survey in advance, and 97.5% agreed to participate. The remaining 24% were sent e-mails with a link to the survey without prenotification. Response rates for those in the prenotification group who had agreed to participate versus those who did not receive prenotification were 49% and 45%, respectively. Personalized prenotification did not af... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2106247 Thu, 15 Jan 2009 05:00:00 +0100 2106247 http://www.medworm.com/index.php?rid=2106246&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F31%2F1%2F6%3Frss%3D1 This study examines the effectiveness of interventions for decreasing the fear of falling by synthesizing the results of individual studies of fear of falling prevention. The mean weighted effect sizes (MWES) of six studies are computed. The overall MWES is .21 (N = 957; 95% CI .068—.362). Results indicate that interventions are effective in reducing the fear of falling or increasing fall efficacy. The MWES is .249, .024, and .418 for the combined intervention, exercise intervention only, and hip protector groups, respectively. The MWES of the 3 months or less group was .000, and the 4-months group was .240. The MWES is .022, .228, and .418 for the facility-based, community-based, and home-based intervention groups, respectively. Overall, interventions were effective in decreasing fe... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2106246 Thu, 15 Jan 2009 05:00:00 +0100 2106246 http://www.medworm.com/index.php?rid=2106245&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F31%2F1%2F3%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=2106245 Thu, 15 Jan 2009 05:00:00 +0100 2106245 http://www.medworm.com/index.php?rid=1966414&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F30%2F8%2F1032%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1966414 Mon, 17 Nov 2008 05:00:00 +0100 1966414 http://www.medworm.com/index.php?rid=1966413&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F30%2F8%2F1030%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1966413 Mon, 17 Nov 2008 05:00:00 +0100 1966413 http://www.medworm.com/index.php?rid=1966412&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F30%2F8%2F1028%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1966412 Mon, 17 Nov 2008 05:00:00 +0100 1966412 http://www.medworm.com/index.php?rid=1966411&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F30%2F8%2F1026%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1966411 Mon, 17 Nov 2008 05:00:00 +0100 1966411 http://www.medworm.com/index.php?rid=1966410&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F30%2F8%2F1024%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1966410 Mon, 17 Nov 2008 05:00:00 +0100 1966410 http://www.medworm.com/index.php?rid=1966409&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F30%2F8%2F1023%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1966409 Mon, 17 Nov 2008 05:00:00 +0100 1966409 http://www.medworm.com/index.php?rid=1966408&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F30%2F8%2F1021%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1966408 Mon, 17 Nov 2008 05:00:00 +0100 1966408 http://www.medworm.com/index.php?rid=1966407&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F30%2F8%2F1019%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1966407 Mon, 17 Nov 2008 05:00:00 +0100 1966407 http://www.medworm.com/index.php?rid=1966406&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F8%2F1005%3Frss%3D1 This study examines the association between history of violence, attitudes toward pregnancy, and initiation of prenatal care (PNC). Pregnant women receiving their first PNC visit at a public prenatal clinic in Monterrey, Mexico, were enrolled in the study. Structured interviews collected information concerning demographics, reproductive history, current pregnancy, attitudes toward pregnancy, history of violence, and perceived barriers and benefits of PNC. Results showed that 35% of participants reported violence. A current or previous partner was the most common perpetrator. Of women experiencing abuse, 47% reported that abuse was ongoing during the current pregnancy. More women reporting violence were unmarried, did not live with a partner, and reported a lower monthly income. An experien... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1966406 Mon, 17 Nov 2008 05:00:00 +0100 1966406 http://www.medworm.com/index.php?rid=1966405&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F8%2F991%3Frss%3D1 Increasing condom use requires an understanding of the influencing factors. Previous research has used psychosocial theories such as the social cognitive theory and health belief to explain AIDS risk factors and condom use. However, it is still difficult to effectively predict the multidimensional factors associated with condom use. The present study utilizes the transtheoretical model to investigate condom use among college students by examining stages of change for condom use and measuring decisional balance and self-efficacy for each stage. The aim was to identify the variables affecting condom use so as to provide scientific data that would aid the development of effective strategies for increasing condom use. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1966405 Mon, 17 Nov 2008 05:00:00 +0100 1966405 http://www.medworm.com/index.php?rid=1966404&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F8%2F975%3Frss%3D1 In the absence of pain management outcome reports representing mainland China, the purposes of this study were to describe the outcome of postoperative pain management and the relationship between patient satisfaction and clinical outcomes in an indigenous Chinese population. From a sample of 388 second-day-postoperative inpatients, 304 (78%) reported pain in the past 24 hours and were enrolled in the study. Mean ratings for pain were moderate to severe. Patients reported mild to moderate pain-related interference with mood and physical activities. There were significant differences on worst pain intensity and pain interference with daily activity in the past 24 hours for different types of surgery. Top-ranked nonpharmacologic methods for managing pain were tolerating pain, changing positi... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1966404 Mon, 17 Nov 2008 05:00:00 +0100 1966404 http://www.medworm.com/index.php?rid=1966403&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F8%2F960%3Frss%3D1 The purpose of this article is to examine knowledge and health beliefs associated with cervical cancer screening among Korean American women. A telephone survey was conducted with 189 Korean American women in the Chicago area. Age, marital status, income, knowledge of early detection method for cervical cancer, and perceived beliefs about benefits of and barriers to receiving Pap tests were all related to outcomes of ever having a Pap test and having had one in the preceding 3 years. Variables uniquely related to ever having a Pap test were education, employment status, fluency in English, and proportion of life spent in the United States. Variables uniquely related to having had the test during the preceding 3 years were having a usual source of care and regular checkups. Different interv... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1966403 Mon, 17 Nov 2008 05:00:00 +0100 1966403 http://www.medworm.com/index.php?rid=1966402&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F8%2F943%3Frss%3D1 This article concludes with implications for nursing practice and future research. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1966402 Mon, 17 Nov 2008 05:00:00 +0100 1966402 http://www.medworm.com/index.php?rid=1966401&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F8%2F928%3Frss%3D1 This study evaluated a telephone intervention to reduce uncertainty (through problem-solving strategies, information, cognitive reframing, and improved patient—provider communication)—namely, to measure its effects on diabetes self-care and psychosocial adjustment. Sixty-eight older African American women were randomly assigned to an experimental group and a control group. The experimental group received the intervention for 4 weeks, and the control group received usual care. Psychosocial adjustment and self-care were measured in all participants at baseline and 6 weeks postbaseline. The experimental group reported increased participation in exercise (self-care component; p < .001) and improvement in psychosocial adjustment (p < .001). Thus, reducing the uncertainty relat... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1966401 Mon, 17 Nov 2008 05:00:00 +0100 1966401 http://www.medworm.com/index.php?rid=1966400&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F8%2F915%3Frss%3D1 This study aims to evaluate the effect of the MTCC qigong program in improving physical status for middle-aged women. A quasi-experimental design was used. The experimental group (n = 37) received an 8-week MTCC qigong program, whereas the control group (n = 34) received none. Physiological parameters of muscular performance, body composition, and bone strength were measured before and after the program. The average age was 49 ± 4.13 years for the experimental group and 50 ± 4.74 years for the control group. The demographic characteristics were homogeneous between the two groups. There were statistically significant differences between the two groups in muscular endurance, body fat, waist-to-hip ratio, and body mass index at the completion of 8-week MTCC qigong program. The M... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1966400 Mon, 17 Nov 2008 05:00:00 +0100 1966400 http://www.medworm.com/index.php?rid=1966399&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F30%2F8%2F913%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1966399 Mon, 17 Nov 2008 05:00:00 +0100 1966399 http://www.medworm.com/index.php?rid=1861265&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F30%2F7%2F905%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1861265 Wed, 08 Oct 2008 04:00:00 +0100 1861265 http://www.medworm.com/index.php?rid=1861264&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F7%2F888%3Frss%3D1 Most research pertaining to the teaching of nursing research has focused on learning outcomes and students' attitudes toward research. Few scholars have explored what it is like to teach nursing research. The purpose of this study was to describe the experience of teaching undergraduate nursing research. Data were obtained from 12 nurse educators through e-mail interviews and analyzed using Giorgi's method of descriptive phenomenology. Four meaning units describe the experience: marketing research content, introducing the research process, enhancing student abilities to learn about research, and enhancing personal abilities to teach research. The three meaning units that focus on faculty intentions toward students are somewhat consistent with prior research but include interesting new idea... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1861264 Wed, 08 Oct 2008 04:00:00 +0100 1861264 http://www.medworm.com/index.php?rid=1861263&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F7%2F869%3Frss%3D1 This article describes stress and coping by decider status. Participants were 154 women aged 34 to 54 years who were recently divorced from their first marriage and were married 3 years prior to divorce. Participants self-selected into decider statuses as initiators, noninitiators, or mutual deciders. Noninitiators indicated not knowing the divorce experience was going to occur, not having enough time to get ready for it, saw it as something someone else did, and perceived it as a threat. Initiators and mutual deciders viewed the divorce as a challenge. Noninitiators were less positive about the divorce experience than were initiators and mutual deciders. Acceptance or resignation differed significantly for noninitiators and mutual deciders but not between noninitiators and initiators. Cha... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1861263 Wed, 08 Oct 2008 04:00:00 +0100 1861263 http://www.medworm.com/index.php?rid=1861262&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F7%2F852%3Frss%3D1 This article describes the psychometric evaluation of an instrument measuring knowledge and beliefs related to breast cancer and screening among Chinese American women aged 40 or older. A sample of 100 foreign-born Chinese American women were recruited from an Asian community. Guided by the health belief model, a questionnaire was adapted from three existing questionnaires. Principal axis factoring analyses yielded a three-factor solution that accounted for 53% of the variance in the breast cancer items and a four-factor solution that accounted for 69% of the variance in the cultural items (Cronbach's alphas = .71—.89). Whereas these findings contribute to the understanding of the psychometric properties of an instrument targeted for Chinese American women, additional research is nee... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1861262 Wed, 08 Oct 2008 04:00:00 +0100 1861262 http://www.medworm.com/index.php?rid=1861261&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F7%2F836%3Frss%3D1 The objective of this study was to develop a model to predict SHS avoidance behavior among young adolescents. The impact of gender differences on predictor variances was investigated. Model testing was conducted using structural equation modeling on data from 1,291 nonsmoking Taiwanese middle school students. Attitude toward SHS is an important factor influencing the avoidance behavior of adolescents. The explanatory model of SHS avoidance behaviors provides useful information for program development aimed at decreasing adolescent exposure to SHS. Interventions focused on influencing adolescent attitudes toward SHS and supporting avoidance self-efficacy are needed. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1861261 Wed, 08 Oct 2008 04:00:00 +0100 1861261 http://www.medworm.com/index.php?rid=1861260&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F7%2F817%3Frss%3D1 Although many women suffer from fecal incontinence (FI), little is known about their day-to-day experiences. The aims of this phenomenological study were to understand the experience of women living with FI from their perspective and to elicit women's self-care and management strategies for FI. Ten women participated in audiotaped, unstructured interviews that were transcribed into a written text. The text was analyzed using Van Manen's approach for deriving themes. The findings display the women's experience of lived time, lived space, lived relationships, and lived body and the essential theme of "controlling the body out of control." The findings demonstrate that FI is a problem that affects women in all dimensions of their lifeworld experience and describes the continual attention and ... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1861260 Wed, 08 Oct 2008 04:00:00 +0100 1861260 http://www.medworm.com/index.php?rid=1861259&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F7%2F801%3Frss%3D1 Anesthesia provider models were characterized based on responsibilities and technique privileges and the distribution of clinical resource and process variables using a survey of 1,135 hospitals offering obstetric care in eight representative states. The resulting models were then analyzed by resource availability. In the 40% of hospitals where certified registered nurse anesthetists (CRNAs) and anesthesiologists both practiced obstetric anesthesia, three models emerged based on consistency of privileges within the institution and permission to initiate procedures. Hospitals in which only anesthesiologists practice and those in which CRNAs practice was most restricted had more resources than other hospitals surveyed. Traditional characterizations of provider fail to capture differences in ... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1861259 Wed, 08 Oct 2008 04:00:00 +0100 1861259 http://www.medworm.com/index.php?rid=1861258&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F7%2F785%3Frss%3D1 This study examines predictors of job satisfaction among rural acute care registered nurses. The data are from a cross-sectional national survey, which was part of a larger project, The Nature of Nursing Practice in Rural and Remote Canada. This analysis suggests that a combination of individual, workplace, and community characteristics are interrelated predictors of job satisfaction for rural acute care nurses. There were nine variables that accounted for 38% of the total variance in job satisfaction. Four variables alone (available and up-to-date equipment and supplies, satisfaction with scheduling and shifts, lower psychological job demands, and home community satisfaction) explained 33% of the variance. Recruitment and retention strategies in rural areas must acknowledge that rural nur... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1861258 Wed, 08 Oct 2008 04:00:00 +0100 1861258 http://www.medworm.com/index.php?rid=1861257&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F30%2F7%2F783%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1861257 Wed, 08 Oct 2008 04:00:00 +0100 1861257 http://www.medworm.com/index.php?rid=1787445&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F30%2F6%2F774%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1787445 Fri, 12 Sep 2008 04:00:00 +0100 1787445 http://www.medworm.com/index.php?rid=1787444&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F6%2F759%3Frss%3D1 This article provides an overview and application of Q-methodology for nursing researchers, with an illustration of its appropriate usage. Q-methodology has been identified as a method for the analysis of subjective viewpoints and has the strengths of both qualitative and quantitative methods. It shares with qualitative methodologies the aim of exploring subjectivity; however, statistical techniques are used to reveal the structure of views. This article describes the use of Q-methodology to examine subjectivity systematically, revealing connections between accounts that other techniques may overlook. An example from the literature is presented. Q-methodology is useful in qualitative nursing research concerned with the exploration and comparison of subjectivity and attitudes. It can be use... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1787444 Fri, 12 Sep 2008 04:00:00 +0100 1787444 http://www.medworm.com/index.php?rid=1787443&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F6%2F743%3Frss%3D1 Over the past 20 years, the transition to parenting has been widely investigated as much in nursing as in psychology. The challenges of this developmental period, such as developing parenting efficacy, and the resources available to one or both parents have been explored. Different factors have been found to influence parents' perceived efficacy, such as the quality of social support, the quality of the marital relationship, and the level of stress and anxiety. Little attention has been paid, however, to the influence of nurses' relationships with parents on parents' development of parenting efficacy, especially with multiparous parents. This information is needed to better understand nurses' contribution to parenting development. A model of the primary variables of interest—perceive... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1787443 Fri, 12 Sep 2008 04:00:00 +0100 1787443 http://www.medworm.com/index.php?rid=1787442&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F6%2F724%3Frss%3D1 This study evaluates the outcomes of a theory-based, couple-focused HIV prevention program for Latino adolescent mothers and their male partners. The sample includes 49 couples (98 individuals) who receive either the intervention or only an HIV information session (comparison). The six-session, culturally appropriate intervention was developed through a community—academic partnership. Findings at the 6-month evaluation show that the probability of unprotected sex is significantly reduced and intentions to use condoms increase over time for participants in the experimental group, compared with the comparison group (p < .001), although AIDS knowledge improves for participants in both groups. Females in both groups have higher intentions of using condoms (p < .01) and lower probab... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1787442 Fri, 12 Sep 2008 04:00:00 +0100 1787442 http://www.medworm.com/index.php?rid=1787441&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F6%2F704%3Frss%3D1 This study examined health-related quality of life (HRQL) at baseline and 6, 9, and 12 months after initiating exercise training in three groups of older adults. The conditions were cognitive-behavioral therapy, attention-control health promotion education, and a control group. Participants (N = 332) were mainly women (n = 252, 75.9%) with a mean age of 71.8 (SD = 5.1) years. Therapy participants were trained to modify their negative interpretations of exercise. Participants in the education group received information unrelated to exercise. After controlling for exercise behavior over time, the therapy group reported lower general health, more role limitations because of emotional problems, and somewhat less vitality than the control group did. The education group also reported lower gener... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1787441 Fri, 12 Sep 2008 04:00:00 +0100 1787441 http://www.medworm.com/index.php?rid=1787440&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F6%2F690%3Frss%3D1 In this study, trained Nurse Coaches (NCs) were employed to assist practices in adopting a new model of patient care called Virtual Integrated Practice (VIP). The feasibility and treatment fidelity of this approach were assessed through process measures and interviews in three practices. Findings document high acceptance of the NC approach and consistent delivery of the intervention. Enactment of the VIP model took place across practices, although to a variable degree. The study suggests that NCs may be an effective delivery method for quality and organizational improvements in small primary care practices. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1787440 Fri, 12 Sep 2008 04:00:00 +0100 1787440 http://www.medworm.com/index.php?rid=1787439&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F6%2F673%3Frss%3D1 The purpose of this study was to use data from three Behavior Change Consortium intervention studies to consider the practicality of use of two surveys of physical activity (PA) relevant for older adults, provide support for the validity of these surveys, and provide guidance to researchers for decisions on use of one survey as opposed to the other. The samples included 218 participants in the Community Health Advice by Telephone Study, 150 participants in the Study of Exercise and Nutrition in Older Rhode Islanders, and 150 participants from the Testing the Effectiveness of the Exercise Plus Program. PA surveys included the Yale PA Survey and the Community Health Activities Model Program for Seniors PA Questionnaire. Older adults were able to complete either survey, although for frailer p... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1787439 Fri, 12 Sep 2008 04:00:00 +0100 1787439 http://www.medworm.com/index.php?rid=1787438&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F6%2F653%3Frss%3D1 In this study, the authors describe certified nursing assistants' (CNA) Explanatory Models (EMs) of depression and aspects of their EMs that may contribute to the underdetection of depression in nursing homes. Interviews with 18 CNAs working in two nursing homes are guided by Kleinman's Explanatory Models of Illness framework. Interview data are content analyzed and CNAs' descriptions of depression are compared to the MDS 2.0 Mood Screening criteria and to the DSM-IV-TR diagnostic criteria for depression. The result is that the CNAs are unsure about the duration and normalcy of depression in residents. Although they have no formal training, CNAs feel responsible for observing for signs of depression and describe verbal and nonverbal ways of interacting when providing emotional care to resi... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1787438 Fri, 12 Sep 2008 04:00:00 +0100 1787438 http://www.medworm.com/index.php?rid=1787437&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F30%2F6%2F651%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1787437 Fri, 12 Sep 2008 04:00:00 +0100 1787437 http://www.medworm.com/index.php?rid=1594938&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F30%2F5%2F644%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1594938 Tue, 08 Jul 2008 04:00:00 +0100 1594938 http://www.medworm.com/index.php?rid=1594937&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F30%2F5%2F642%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1594937 Tue, 08 Jul 2008 04:00:00 +0100 1594937 http://www.medworm.com/index.php?rid=1594936&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F30%2F5%2F640%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1594936 Tue, 08 Jul 2008 04:00:00 +0100 1594936 http://www.medworm.com/index.php?rid=1594935&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F30%2F5%2F639%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1594935 Tue, 08 Jul 2008 04:00:00 +0100 1594935 http://www.medworm.com/index.php?rid=1594934&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F5%2F620%3Frss%3D1 This study describes the physical activity behavior of Korean immigrant women and examines the relationships among leisure-time physical activity (LTPA) behavior, background, and intrapersonal correlates of behavior in Korean immigrant women in the United States using a cross-sectional survey design. A convenience sample of Midwestern Korean immigrant women completed the long form of the International Physical Activity Questionnaire in Korean. Among the participants, 78% were physically active, meeting the Healthy People 2010 goal for physical activity when all physical activity behaviors were considered, whereas 23% met the goal when only LTPA was considered. Women who were older, did not have a child younger than 5, used environmental resources for physical activity, had lower depressive... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1594934 Tue, 08 Jul 2008 04:00:00 +0100 1594934 http://www.medworm.com/index.php?rid=1594933&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F5%2F606%3Frss%3D1 Thirty-six caregivers of stroke survivors who are new to that role participate in a Web-based support and education intervention over the course of a year. The authors use a secondary analysis of a total of 2,148 e-mail messages that these caregivers posted to the intervention's discussion group. Rigorous content analysis is used to analyze the narrative data coded to spirituality (n = 230 e-mails). Four themes emerge and are drawn to Friedemann's (1995) framework of systemic organization: (a) feeling the presence of a greater power, (b) practicing rituals, (c) being one with nature, and (d) interacting with family and friends. Spirituality gives these caregivers hope and sustenance, but it also helps them express themselves more fully during a difficult time of change. The e-mail discussi... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1594933 Tue, 08 Jul 2008 04:00:00 +0100 1594933 http://www.medworm.com/index.php?rid=1594932&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F5%2F588%3Frss%3D1 This study explored child health promotion and protection practices used by mothers of Mexican descent. A naturalistic design, guided by Spradley's ethnographic interview techniques, was selected for this study. The sample included 9 Mexican-descent mothers from an urban U.S. community with healthy preschool children. Despite significant challenges, participants promoted and protected the health of their preschool children by al cuidado (taking care) and by being al pendiente (being mindful) of balancing the health of their children's bodies, minds, and souls. Understanding these mothers' approaches allows the creation of culturally sensitive health programs that can build on existing maternal strengths. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1594932 Tue, 08 Jul 2008 04:00:00 +0100 1594932 http://www.medworm.com/index.php?rid=1594931&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F5%2F578%3Frss%3D1 The National Institutes of Health have developed a new organizational consortium through a funding mechanism called the Clinical and Translational Science Award. This program funds academic institutions to create a platform for research that expedites the development and delivery of new treatments through open interdisciplinary collaboration. As a result, the adult clinical research center at San Francisco General Hospital is now part of the Clinical and Translational Science Institute at the University of California San Francisco. Nurses on this research unit have begun to employ a standardized nursing care plan that focuses on the particular needs of the research participant, an advancement that if implemented nationwide among all adult clinical research centers will be of paramount impo... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1594931 Tue, 08 Jul 2008 04:00:00 +0100 1594931 http://www.medworm.com/index.php?rid=1594930&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F5%2F560%3Frss%3D1 This article examines the relationship between nurse burnout and patient safety indicators, including both safety perceptions and reporting behavior. Based on the Conservation of Resources model of stress and burnout, it is predicted that burnout will negatively affect both patient safety perceptions and perceived likelihood of reporting events. Nurses from a Veteran's Administration hospital completed the Maslach Burnout Inventory and safety outcomes subset of measures from the Agency for Healthcare Research and Quality Patient Safety Culture measure. After controlling for work-related demographics, multiple regression analysis supported the prediction that burnout was associated with the perception of lower patient safety. Burnout was not associated with event-reporting behavior but was ... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1594930 Tue, 08 Jul 2008 04:00:00 +0100 1594930 http://www.medworm.com/index.php?rid=1594929&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F5%2F539%3Frss%3D1 This mixed-methods study uses interviews, participant observations, and the CWEQII empowerment tool to identify structures and attributes of structures that promote control over nursing practice (CNP). Nearly 3,000 staff nurses completed the Essentials of Magnetism (EOM), an instrument that measures CNP, one of the eight staff nurse-identified essential attributes of a productive work environment. Strategic sampling is used to identify 101 high CNP-scoring clinical units in 8 high-EOM scoring magnet hospitals. In addition to 446 staff nurses, managers, and physicians on these high-scoring units, chief nursing officers, chief operating officers, and representatives from other professional departments are interviewed; participant observations are made of all unit/departmental/hospital counci... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1594929 Tue, 08 Jul 2008 04:00:00 +0100 1594929 http://www.medworm.com/index.php?rid=1594928&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F30%2F5%2F537%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1594928 Tue, 08 Jul 2008 04:00:00 +0100 1594928 http://www.medworm.com/index.php?rid=1408674&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F30%2F4%2F527%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1408674 Wed, 30 Apr 2008 04:00:00 +0100 1408674 http://www.medworm.com/index.php?rid=1408673&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F4%2F515%3Frss%3D1 This article addresses the development and implementation of a coordinated recruitment core aimed at managing recruitment to multiple studies competing for patients within a breast cancer clinic. The discussion centers around the process used to define the problem and need for change, the proposed change, steps in implementing the change, strategies to facilitate implementation of the change, and initial evaluation, including expected and unexpected benefits. Also included is a discussion of future directions. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1408673 Wed, 30 Apr 2008 04:00:00 +0100 1408673 http://www.medworm.com/index.php?rid=1408672&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F30%2F4%2F501%3Frss%3D1 Analysis of discipline of nurses by the Missouri Board of Nursing, 2000-2003, demonstrated differing rates by gender. Males received disproportionately high rates at 18.9%, although they represented 7.5% of Missouri nurses. Males received more severe discipline than females, with higher rates of license suspension and revocation, regardless of infractions or license level. Males surrendered licenses at higher rates. For 3 of the 28 infractions, males exceeded the number of females by a ratio of 2:1. Males committed one infraction that females did not. For three infractions, females outnumbered males by a ratio of 2:1. Females committed eight infractions not committed by males, including four murders. Consistent with previous studies, substance abuse was the behavior disciplined in the majo... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=1408672 Wed, 30 Apr 2008 04:00:00 +0100 1408672