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. Wed, 08 Feb 2012 21:55:14 +0100 http://www.medworm.com/index.php?rid=5584922&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F34%2F1%2F142%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5584922 Mon, 09 Jan 2012 05:00:00 +0100 5584922 http://www.medworm.com/index.php?rid=5584921&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F34%2F1%2F118%3Frss%3D1 This study’s findings can provide practical guidelines to steer partnership programs within the academic and clinical bodies, with the aim of providing a collaborative partnership approach to clinical education. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5584921 Mon, 09 Jan 2012 05:00:00 +0100 5584921 http://www.medworm.com/index.php?rid=5584920&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F34%2F1%2F97%3Frss%3D1 Adolescent homelessness has received increasing attention because of its fast growth throughout the United States and the poor mental outcomes experienced by homeless young people. This cross-sectional study (N = 156) identified correlates of depressive symptomatology among homeless young adults and investigated how depressive symptoms are influenced by the coping strategies these young adults use. The findings are based on analysis of baseline data collected for a hepatitis vaccination intervention pilot study conducted in partnership with a young adult’s drop-in center in Santa Monica, California. Standardized tools assessed drug use history, coping ability, and psychiatric symptomatology. Linear regression modeling was used to identify correlates of depressive symptom severity. Po... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5584920 Mon, 09 Jan 2012 05:00:00 +0100 5584920 http://www.medworm.com/index.php?rid=5584919&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F34%2F1%2F72%3Frss%3D1 Urogenital atrophy affects the lower urinary and genital tracts and is responsible for urinary, genital, and sexual symptoms. The accurate identification, measurement, and documentation of symptoms are limited by the absence of reliable and valid instruments. The Urogenital Atrophy Questionnaire was developed to allow self-reporting of symptoms and to provide clinicians and researchers an instrument to identify, measure, and document indicators of urogenital atrophy. A pilot study (n = 30) measured test–retest reliability (p < .05) of the instrument. Subsequently, a survey of women with (n = 168) and without breast cancer (n = 166) was conducted using the Urogenital Atrophy Questionnaire, Female Sexual Function Instrument, and Functional Assessment of Cancer Therapy, Breast, Endoc... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5584919 Mon, 09 Jan 2012 05:00:00 +0100 5584919 http://www.medworm.com/index.php?rid=5584918&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F34%2F1%2F52%3Frss%3D1 This article concludes with clinical practice and policy implications. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5584918 Mon, 09 Jan 2012 05:00:00 +0100 5584918 http://www.medworm.com/index.php?rid=5584917&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F34%2F1%2F24%3Frss%3D1 There has been much discussion regarding the need to empower older adults to make informed health decisions and to test interventions targeting empowerment to promote health among older adults. It has been suggested that an empowerment approach may nurture an older adult’s participation in health care decisions and promote positive health outcomes. The purpose of this article is to report the findings of a critical review of published empowerment intervention studies with community-dwelling older adults. A descriptive literature review was conducted to examine how empowerment is conceptualized across interventions, the guiding theoretical frameworks, the outcomes measured, as well as the health outcomes of these interventions. Based on the findings from this review, recommendations f... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5584917 Mon, 09 Jan 2012 05:00:00 +0100 5584917 http://www.medworm.com/index.php?rid=5584916&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F34%2F1%2F6%3Frss%3D1 This article provides strategies from the Western Journal of Nursing Research editorial board for preparing competitive shorter research proposals. Two key strategies for success are fully conceptualizing the study prior to writing and obtaining assistance from experienced colleagues during the editing process. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5584916 Mon, 09 Jan 2012 05:00:00 +0100 5584916 http://www.medworm.com/index.php?rid=5584915&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F34%2F1%2F3%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5584915 Mon, 09 Jan 2012 05:00:00 +0100 5584915 http://www.medworm.com/index.php?rid=5410756&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F8%2F1118%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5410756 Tue, 15 Nov 2011 05:00:00 +0100 5410756 http://www.medworm.com/index.php?rid=5410755&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F8%2F1116%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5410755 Tue, 15 Nov 2011 05:00:00 +0100 5410755 http://www.medworm.com/index.php?rid=5410754&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F8%2F1114%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5410754 Tue, 15 Nov 2011 05:00:00 +0100 5410754 http://www.medworm.com/index.php?rid=5410753&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F8%2F1112%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5410753 Tue, 15 Nov 2011 05:00:00 +0100 5410753 http://www.medworm.com/index.php?rid=5410752&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F8%2F1110%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5410752 Tue, 15 Nov 2011 05:00:00 +0100 5410752 http://www.medworm.com/index.php?rid=5410751&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F8%2F1108%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5410751 Tue, 15 Nov 2011 05:00:00 +0100 5410751 http://www.medworm.com/index.php?rid=5410750&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F8%2F1106%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5410750 Tue, 15 Nov 2011 05:00:00 +0100 5410750 http://www.medworm.com/index.php?rid=5410749&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F8%2F1104%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5410749 Tue, 15 Nov 2011 05:00:00 +0100 5410749 http://www.medworm.com/index.php?rid=5410748&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F8%2F1102%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5410748 Tue, 15 Nov 2011 05:00:00 +0100 5410748 http://www.medworm.com/index.php?rid=5410747&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F8%2F1100%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5410747 Tue, 15 Nov 2011 05:00:00 +0100 5410747 http://www.medworm.com/index.php?rid=5410746&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F8%2F1098%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5410746 Tue, 15 Nov 2011 05:00:00 +0100 5410746 http://www.medworm.com/index.php?rid=5410745&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F8%2F1069%3Frss%3D1 Adults who experienced childhood sexual abuse (CSA) are at increased risk for major depressive disorder (MDD) and posttraumatic stress disorder (PTSD). Animal studies suggest that dysregulated biological stress systems are a potential mechanism, but there are multiple challenges involved in conducting translational studies in humans. The purpose of this integrative literature review was to determine the state of the science of hypothalamic–pituitary–adrenal (HPA) axis regulation in adults who experienced CSA, with a focus on the health outcomes of MDD and PTSD. A variety of methods for HPA axis measurement were used in the 10 reviewed studies. The results suggested that changes in HPA axis regulation are present in many adults who experienced CSA—with and without a curren... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5410745 Tue, 15 Nov 2011 05:00:00 +0100 5410745 http://www.medworm.com/index.php?rid=5410744&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F8%2F1047%3Frss%3D1 As health care is shifting from hospital to community, community health nurses (CHNs) are directly affected. This descriptive qualitative study sought to understand priority issues currently facing CHNs, explore development of a national vision for community health nursing, and develop recommendations to shape the future of the profession moving toward the year 2020. Focus groups and key informant interviews were conducted across Canada. Five key themes were identified: community health nursing in crisis now, a flawed health care system, responding to the public, vision for the future, and CHNs as solution makers. Key recommendations include developing a common definition and vision of community health nursing, collaborating on an aggressive plan to shift to a primary health care system, d... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5410744 Tue, 15 Nov 2011 05:00:00 +0100 5410744 http://www.medworm.com/index.php?rid=5410743&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F8%2F1030%3Frss%3D1 This study is undertaken to better identify the types of errors being made by nurses in Oregon, to have a more thorough understanding of who is making the errors, and to examine how the Board is sanctioning nurses through Board (Board of Nursing) discipline. Results show that older nurses, and a disproportionately high number of male nurses, are being disciplined. RNs tend to be disciplined more for substance abuse and LPNs for substandard or inadequate care or for unprofessional conduct. RNs tend to be reprimanded more often than other licensure types, and LPNs receive more licensure suspensions. It may be helpful for administrators and nurse managers to use the information for staff education and development decisions. It may also inform Oregon nursing regulators, charged with protecting... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5410743 Tue, 15 Nov 2011 05:00:00 +0100 5410743 http://www.medworm.com/index.php?rid=5410742&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F8%2F1017%3Frss%3D1 Animal models are useful in research that examines physiological mechanisms and, as such, are invaluable in developing therapies to alleviate illness and promote health. Ethical considerations are essential for proper animal use and include replacement by nonanimal models where possible, reduction in the numbers of animals used, and refinement of experimental protocols to reduce animal suffering. Choosing the optimum model depends on the long- and short-term goals of the project, and the choice of a model goes hand in hand with appropriate study design. Five key features to think about when choosing a model are as follows: model asymmetry, necessary differences, specificity to the study, model validity, and model improvement. Appropriate use of both male and female animals has also become ... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5410742 Tue, 15 Nov 2011 05:00:00 +0100 5410742 http://www.medworm.com/index.php?rid=5410741&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F8%2F996%3Frss%3D1 The purpose of this study was to examine the effects of a MBSR program on physiological and psychological outcomes among early-stage breast cancer survivors. A quasi-experimental, pre-and posttest control group design was selected. The intervention group received the MBSR intervention. The control group received no MBSR intervention. ANOVA and ANCOVA were used to analyze data. The intervention group demonstrated statistically significant improvement in physiological and psychological outcomes including reduced blood pressure, heart rate, and respiratory rate and increased mindfulness state at the level of p = .05 to p = .001. The effects of MBSR on reducing stress in this sample were statistically significant on the physiological outcome (morning cortisol) at the measurement after the inte... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5410741 Tue, 15 Nov 2011 05:00:00 +0100 5410741 http://www.medworm.com/index.php?rid=5410740&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F8%2F993%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5410740 Tue, 15 Nov 2011 05:00:00 +0100 5410740 http://www.medworm.com/index.php?rid=5262822&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F7%2F979%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5262822 Mon, 26 Sep 2011 04:00:00 +0100 5262822 http://www.medworm.com/index.php?rid=5262821&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F7%2F953%3Frss%3D1 This article describes how a family caregiver lifestyle physical activity clinical trial uses research technology to enhance quality control and treatment fidelity. This trial uses a range of Internet, Blaise® Windows-based software and Echo Server technologies to support quality control issues, such as data collection, data entry, and study management advocated by the clinical trials literature, and to ensure treatment fidelity concerning intervention implementation (i.e., design, training, delivery, receipt, and enactment) as proposed by the National Institutes of Health Behavior Change Consortium. All research staff are trained to use these technologies. Strengths of this technological approach to support quality control and treatment fidelity include the comprehensive plan, involve... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5262821 Mon, 26 Sep 2011 04:00:00 +0100 5262821 http://www.medworm.com/index.php?rid=5262820&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F7%2F933%3Frss%3D1 In this study, the authors examined the effect and duration of effect of therapeutic light on sleep, rest–activity, and global function in women with AD using mixed methods in a two-group experimental design with repeated measures on one factor. Twenty women with AD were randomized to experimental or control conditions. Blue-green or dim red light was delivered via cap visor in the morning. Results of the qualitative analysis of serial interviews with family and facility caregivers regarding perceived effect of light on global function are presented. Themes emerged in both groups with respect to cognition and psychosocial function. Future studies with larger samples using quantitative measures of global function are warranted to verify findings. (Source: Western Journal of Nursing Re... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5262820 Mon, 26 Sep 2011 04:00:00 +0100 5262820 http://www.medworm.com/index.php?rid=5262819&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F7%2F916%3Frss%3D1 People with chronic obstructive pulmonary disease (COPD) can experience severe dyspnea, tenacious secretions, and a disruptive cough. They often struggle with daily activities and over time tend to decrease the amount of time they spend outside the home. The functional decline accompanying these changes is not adequately explained by physical changes alone. This descriptive, qualitative study describes social changes and experiences of stigma from the perspective of people with moderate to severe COPD. A total of 16 participants (11 men, 5 women) participated in individual interviews regarding effects of COPD on social relationships and experiences with COPD-related stigma. Participants were aware of the potential for stigma related to COPD. Emerging themes included the prevalence of blame... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5262819 Mon, 26 Sep 2011 04:00:00 +0100 5262819 http://www.medworm.com/index.php?rid=5262818&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F7%2F901%3Frss%3D1 "Tribes Sharing Life" is an educational intervention about deceased organ donation for American Indian Tribal College and University (TCU) students. The classroom and web-based program was derived from cultural values and beliefs, and the Transtheoretical Model. The aim of this study was to develop and formatively evaluate the intervention for acceptability and satisfaction among advisory council members (n = 10) and TCU students (n = 22). Council evaluation results were strong. All items met the <3.0 mean acceptability criterion using an intervention materials review form. Content validity indices met criterion of 0.80 overall and for each item. Dialogue among tribal advisors led to culturally based changes in the images that portrayed the need for organ donation. TCU student evaluatio... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5262818 Mon, 26 Sep 2011 04:00:00 +0100 5262818 http://www.medworm.com/index.php?rid=5262817&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F7%2F870%3Frss%3D1 Greater understanding of the mechanisms (mediators) by which behavioral-change interventions work is critical to developing theory and refining interventions. Although systematic reviews have been advocated as a method for exploring mediators, this is rarely done. One challenge is that intervention researchers typically test only two paths of the mediational model: the effect of the intervention on mediators and on outcomes. The authors addressed this challenge by drawing information not only from intervention studies but also from observational studies that provide data on associations between potential mediators and outcomes. They also reviewed qualitative studies of participants’ perceptions of why and how interventions worked. Using data from intervention (n = 37) and quantitativ... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5262817 Mon, 26 Sep 2011 04:00:00 +0100 5262817 http://www.medworm.com/index.php?rid=5262816&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F7%2F867%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5262816 Mon, 26 Sep 2011 04:00:00 +0100 5262816 http://www.medworm.com/index.php?rid=5228289&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F6%2F858%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5228289 Tue, 13 Sep 2011 04:00:00 +0100 5228289 http://www.medworm.com/index.php?rid=5228288&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F6%2F852%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5228288 Tue, 13 Sep 2011 04:00:00 +0100 5228288 http://www.medworm.com/index.php?rid=5228287&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F6%2F846%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5228287 Tue, 13 Sep 2011 04:00:00 +0100 5228287 http://www.medworm.com/index.php?rid=5228286&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F6%2F825%3Frss%3D1 We evaluated feasibility of the Internet-based Relieve Children’s Pain (RCP) protocol to improve nurses’ management of children’s pain. RCP is an interactive, content-focused, and Kolb’s experiential learning theory–based intervention. Using a one-group, pretest–posttest design, we evaluated feasibility of RCP and pretest–posttest difference in scores for nurses’ beliefs, and simulated and actual pain management practices. Twenty-four RNs completed an Internet-based Pain Beliefs and Practices Questionnaire (PBPQ, alpha = .83) before and after they completed the RCP and an Acceptability Scale afterward. Mean total PBPQ scores significantly improved from pretest to posttest as did simulated practice scores. After RCP in actual hospital practice... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5228286 Tue, 13 Sep 2011 04:00:00 +0100 5228286 http://www.medworm.com/index.php?rid=5228285&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F6%2F805%3Frss%3D1 This study describes the behaviors of charge nurses from the perspective of charge nurses, nurse managers, and staff nurses. This qualitative descriptive study was conducted with a sample of 24 nurses. The findings revealed that staffing the unit was the most important role for charge nurses. Charge nurses reported spending up to 90% of a shift resolving intrashift staffing issues. Five effective decision-making behaviors emerged: (a) resourcefulness, (b) tactful communication, (c) flexibility, (d) decisiveness, and (e) awareness of the big picture. These behaviors of charge nurses are similar to mindful behaviors of workers in hazardous work environments, and are therefore described as mindful staffing. Practice implications and considerations for the education of charge nurses in relatio... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5228285 Tue, 13 Sep 2011 04:00:00 +0100 5228285 http://www.medworm.com/index.php?rid=5228284&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F6%2F786%3Frss%3D1 Studies that have examined the nursing quality of work life (QWL) have not been systematically reviewed in the recent years. Thus, the current study was aimed to identify the predictors of the nurses’ QWL and determine the definitions of QWL for nurses. The authors used an integrative review of the literature and identified six themes as the major predictors of the nurses’ QWL: leadership and management style/decision-making latitude, shift working, salary and fringe benefits, relationship with colleagues, demographic characteristics, and workload/job strain. Although different researchers had varied perspectives on the QWL in nursing, most viewed QWL as a subjective phenomenon that is influenced by personal feeling and perceptions. A closer review of definitions of QWL indicat... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5228284 Tue, 13 Sep 2011 04:00:00 +0100 5228284 http://www.medworm.com/index.php?rid=5228283&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F6%2F767%3Frss%3D1 This concurrent mixed-method study examines the nurse work environment of high-quality Medicare-certified home health agencies. High-quality (n = 6) and low-quality (n = 6) home health agencies were recruited using agency-level publicly reported patient outcomes. Direct care registered nurses (RNs) from each agency participated in a focus group and completed the Practice Environment Scale of the Nurse Work Index (PES-NWI). No significant differences were found in the PES-NWI results between nurses working in high- and low-quality agencies, though nurses in high-quality agencies scored higher on all subscales. Nurses working in all the high-quality agencies identified themes of adequate staffing, supportive managers, and team work. These themes were not consistently identified in low-qualit... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5228283 Tue, 13 Sep 2011 04:00:00 +0100 5228283 http://www.medworm.com/index.php?rid=5228282&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F6%2F745%3Frss%3D1 The aims of this study were to ascertain how registered nurses convey and experience respect in their day-to-day work environment with other registered nurses. Nurses generally feel respected when they are acknowledged for a job well done and for what they as individuals bring to the situation, including knowledge, skills, and experience. Findings revealed that communication was a key factor in conveying and experiencing respect, including what is communicated, how it is communicated, and what is not communicated. Experiencing respect was linked to collaboration, acknowledgment, autonomy, support, and fairness. Important findings in this study were barriers to conveying respect. Barriers were described as lack of time, lack of understanding of roles, inability to develop collegial relation... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5228282 Tue, 13 Sep 2011 04:00:00 +0100 5228282 http://www.medworm.com/index.php?rid=5228281&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F6%2F743%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=5228281 Tue, 13 Sep 2011 04:00:00 +0100 5228281 http://www.medworm.com/index.php?rid=4978861&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F5%2F734%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4978861 Mon, 27 Jun 2011 23:00:00 +0100 4978861 http://www.medworm.com/index.php?rid=4978860&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F5%2F712%3Frss%3D1 The purpose of this secondary analysis of data is to examine relationships among Asian American Pacific Islanders (AAPI) adolescents’ level of acculturation, maternal influences, and age of sexual initiation. Selected predictive variables are based on the theoretical frameworks and literature review. The results indicate that for these adolescents speaking English at home was positively associated with maternal sexual discussion, mothers’ perceptions of connectedness with their adolescents, adolescents’ perceived maternal sexual expectations, and later sexual initiation at Wave 1. Adolescents’ years of U.S. residency are positively associated with adolescents’ level of perceived connectedness with their mothers and later sexual initiation at Wave 2. Adolescent... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4978860 Mon, 27 Jun 2011 23:00:00 +0100 4978860 http://www.medworm.com/index.php?rid=4978859&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F5%2F690%3Frss%3D1 In this study, baseline data were analyzed from 738 adolescent girls ages 15 to 19 years in Rochester, New York. Data on sexual behavior and substance use (lifetime, past 3 months, and most recent sexual experience) were collected. Nearly one half of recent vaginal (42%) and anal (45%) sex acts were not condom protected; 39% had a prior sexually transmitted infection (STI) and 12% were currently infected with an STI. Approximately one third (31%) of girls had more than one sex partner in the past 3 months. Girls with multiple partners reported that their recent sexual experiences were more likely to involve drug and alcohol use by themselves and partners. Adolescent girls, particularly those with multiple sexual partners, continue to report high-risk sexual behaviors and need focused risk-... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4978859 Mon, 27 Jun 2011 23:00:00 +0100 4978859 http://www.medworm.com/index.php?rid=4978858&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F5%2F671%3Frss%3D1 Numerous studies have reported that exercise is safe and beneficial for breast cancer survivors; however, long-term adherence to exercise programs is not easy to accomplish. This secondary analysis examined the demographic and clinical characteristics, adherence to exercise, and cognitive—behavioral intervention components data collected on 120 postmenopausal women with a history of breast cancer and bone loss who had been randomized to the exercise group in a 24-month study. Hierarchical regression was used to identify variables that predicted adherence to exercise. Mean adherence to exercises was 61.89%. Feedback and support were the most frequently used cognitive—behavioral intervention components. In hierarchical regression, predictors for adherence to exercise were feedbac... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4978858 Mon, 27 Jun 2011 23:00:00 +0100 4978858 http://www.medworm.com/index.php?rid=4978857&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F5%2F652%3Frss%3D1 African American women are less physically active than White women and have a higher prevalence of inactivity-related diseases. Increased physical activity is known to reduce the risks for many chronic diseases. Positive health behavior changes have resulted from health promotion interventions conducted in African American churches. Eighteen midlife African American women participated in the Heart and Soul Physical Activity Program (HSPAP), a church-based physical activity intervention conceptualized in appraisal, belonging, tangible, and self-esteem domains of social support. Feasibility of the HSPAP was tested by determining changes in time and intensity of physical activity and social support for physical activity from baseline to 6 weeks. Data analyses were conducted utilizing paired t... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4978857 Mon, 27 Jun 2011 23:00:00 +0100 4978857 http://www.medworm.com/index.php?rid=4978856&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F5%2F630%3Frss%3D1 Little is known about how fast-food consumption affects dietary quality in women during the first trimester of pregnancy, which may adversely affect pregnancy outcomes. An observational design compared high versus low frequency of fast-food consumption in low-income pregnant women (N = 50) during the first trimester. Although high-frequency fast-food consumers ate significantly more vegetables, they also consumed more gravies, less fruit, and more daily calories, with a higher percentage of total calories from fats. Those with high-frequency fast-food consumption were more likely to be obese, depressed, and stressed and they skipped more meals. In addition, the combination of depression, stress, and emotional eating depression and anxiety subscale scores explained 45% of the variance in di... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4978856 Mon, 27 Jun 2011 23:00:00 +0100 4978856 http://www.medworm.com/index.php?rid=4978855&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F5%2F609%3Frss%3D1 Attention-deficit/hyperactivity disorder (AD/HD) and obesity are complex, costly disorders affecting physical, emotional, and social well-being. Executive function (EF), the cognitive ability for self-understanding and regulation, is often impaired in AD/HD, yet rarely considered in treatment of obese individuals with AD/HD. The hypothesis for this study is that low EF is seen in individuals with 4 or more symptoms of adult AD/HD and is associated with overeating behaviors leading to obesity. A nonexperimental single group design was used. A volunteer convenience sample (n = 125) completed EF, AD/HD, eating, and BMI measures. Path analysis tested the hypothesized/ modified model. Chi square (2 = 6.15, df = 6, p = .4) and RMSEA (0.014) indicated a very good fit for the data. Assessment of E... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4978855 Mon, 27 Jun 2011 23:00:00 +0100 4978855 http://www.medworm.com/index.php?rid=4978854&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F5%2F607%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4978854 Mon, 27 Jun 2011 23:00:00 +0100 4978854 http://www.medworm.com/index.php?rid=4755704&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F4%2F601%3Frss%3D1 In the April 2011 issue of Western Journal of Nursing Research, the two grants on pp. 473 and 476 were labeled incorrectly. On p. 473, the Joanne Stevenson Dissertation Research Grant should have been named the Beverly McElmurry Dissertation Research Grant. On p. 476, the Beverly McElmurry Seed Grant should have been named the Joanne Stevenson Seed Grant. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4755704 Mon, 25 Apr 2011 23:00:00 +0100 4755704 http://www.medworm.com/index.php?rid=4755703&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F4%2F593%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4755703 Mon, 25 Apr 2011 23:00:00 +0100 4755703 http://www.medworm.com/index.php?rid=4755702&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F4%2F577%3Frss%3D1 Unexpected increases in the teen birth rates have stimulated a renewed focus on the prevention of teen pregnancy. Although many adults believe there are certain costs associated with teen parenting, the attitudes of teens toward the parenting experience are not known. The purpose of this descriptive study was to determine teens’ thoughts on how their lives would change if they experienced a teen birth in the areas of relationships, vocation, and life impacts. The Thoughts on Teen Parenting Survey (TTPS), designed to measure demographic variables and perspectives on the costs and rewards of teen parenting, was administered to 695 high school students. The survey yielded a composite score, subscale scores, and aggregate data measuring teen thoughts on the consequences of the teen paren... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4755702 Mon, 25 Apr 2011 23:00:00 +0100 4755702 http://www.medworm.com/index.php?rid=4755701&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F4%2F560%3Frss%3D1 Depression is increasing among Korean college students. Moreover, it is common for depressed individuals to consider attempting suicide. The purpose of this study therefore was to develop and examine the effectiveness of an intervention to reduce suicidal ideation and depression among female college students. Study participants were assigned to either an intervention (n = 27) or control (n = 31) group. The intervention group received a depression-reducing program in eight 1-hr weekly sessions. Measures of suicidal ideation and depression were administered. The program has effects on suicidal ideation and depression among female college students. The findings suggest that the study program may be useful in reducing suicidal ideation and depression among female college students. (Source: Wes... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4755701 Mon, 25 Apr 2011 23:00:00 +0100 4755701 http://www.medworm.com/index.php?rid=4755700&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F4%2F540%3Frss%3D1 The aim of this study was to examine the role of cognitive appraisal in predicting psychosocial adjustment during the postradiation treatment transition. A predictive correlational design was used in a convenience sample of 80 patients with breast, lung, and prostate cancer who were receiving radiation therapy. Two weeks prior to completion of treatment, participants completed instruments to measure symptom distress, uncertainty, cognitive appraisal, social support, and self-efficacy for coping. The Psychosocial Adjustment to Illness Scale was administered 1 month after therapy. Adjustment was significantly correlated with all independent variables, age, and comorbidity. Young age and high amounts of threat appraisal, harm/loss appraisal, uncertainty, and symptom distress were significantl... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4755700 Mon, 25 Apr 2011 23:00:00 +0100 4755700 http://www.medworm.com/index.php?rid=4755699&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F4%2F522%3Frss%3D1 The objective of this study was to evaluate patterns of change in depressive symptoms and function in ischemic stroke patients 0 to 3 months poststroke. Twenty-three newly diagnosed ischemic stroke patients were enrolled in a study with nonrandomized prospective longitudinal design to assess function and depressive symptoms on admission, 2 weeks, 1 month, and 3 months poststroke in a tertiary care acute rehabilitation center in the Midwest. Participants’ mean age was (69 ± 11.9), Mini Mental State Exam (MMSE ≥ 23), and NIH Stroke Scale (M = 2.8, SD =±2.3), and thus cognitively intact. Results suggest that the dominant pattern emerging for function (Functional Independence Measure) and depressive symptoms (Center for Epidemiologic Studies Depression Scale) showed sign... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4755699 Mon, 25 Apr 2011 23:00:00 +0100 4755699 http://www.medworm.com/index.php?rid=4755698&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F4%2F506%3Frss%3D1 Nursing journal peer reviewers (N = 1,675) completed a 69-item online survey that assessed their views on manuscripts’ contributions to nursing, priorities in writing reviews, use of journal impact factor, and other areas related to indicators of quality. They reported using contribution to knowledge or research evidence, topic of current interest, and newly emerging area as indicators of a manuscript’s contribution to nursing. In writing their reviews, research rigor and clinical relevance of the manuscript were high priorities. Those familiar with the concept of impact factor were significantly more often not nurses; not United States residents; involved in research; and most often reviewed for journals that published only research or a scholarly mix of research, reviews, pol... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4755698 Mon, 25 Apr 2011 23:00:00 +0100 4755698 http://www.medworm.com/index.php?rid=4755697&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F4%2F486%3Frss%3D1 Despite substantial evidence of maternal and infant benefits of breastfeeding, adolescent mothers initiate breastfeeding less often and maintain breastfeeding for shorter durations when compared to their adult counterparts. A randomized controlled trial drawing on the theory of planned behavior and developmental theory was conducted to determine if an education and counseling intervention provided by a lactation consultant—peer counselor team increased breastfeeding initiation and duration up to 6 months postpartum among adolescent mothers. Study participants ( N = 289) enrolled from multiple prenatal clinic and school settings, were 15 to 18 years old, and predominately African American, single, and primiparous. The intervention, which started in the second trimester of pregnancy an... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4755697 Mon, 25 Apr 2011 23:00:00 +0100 4755697 http://www.medworm.com/index.php?rid=4755696&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F4%2F483%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4755696 Mon, 25 Apr 2011 23:00:00 +0100 4755696 http://www.medworm.com/index.php?rid=4562687&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F3%2F472%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4562687 Tue, 08 Mar 2011 00:00:00 +0100 4562687 http://www.medworm.com/index.php?rid=4562686&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F3%2F457%3Frss%3D1 Patients on a telemetry unit experienced an increase in thrombophlebitis in 2004. The purpose of this research was to determine if peripheral IV amiodarone and vancomycin influenced the incidence of thrombophlebitis in an adult cardiothoracic population. Amiodarone phlebitis rates range up to 27%. In December 2004, Pharmacy diluted the amiodarone concentration to 600 mg/500 ml. By 2005, data demonstrated a consistent decrease in the incidence of thrombophlebitis. However, related to institutional policies and patient safety concerns, the amiodarone infusion concentration was reversed back to 900 mg/500 ml in October 2005. Thrombophlebitis increased after the return to a more concentrated amiodarone IV solution. Vancomycin infusion administration did not change during this time period. A re... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4562686 Tue, 08 Mar 2011 00:00:00 +0100 4562686 http://www.medworm.com/index.php?rid=4562685&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F3%2F443%3Frss%3D1 We describe our process and outcomes of implementing and sustaining the use of PEWS at the unit and organizational level using the Plan—Do—Check—Act methodology for performance improvement. Our outcome data indicate that cardiopulmonary arrests were reduced by 31% at the pilot unit level and subsequently 23.4% at the organizational level. Data also suggest that bedside nurses effectively escalated patient care needs without activating RRTs (19.4% reduction in RRT activations after PEWS implementation). Strategies to sustain the positive outcomes of PEWS at the unit and organizational levels are also described. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4562685 Tue, 08 Mar 2011 00:00:00 +0100 4562685 http://www.medworm.com/index.php?rid=4562684&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F3%2F427%3Frss%3D1 Pressure ulcers (PUs) are among the most common harms experienced by patients in health care facilities. Despite the existence of evidence-based guidelines and protocols for PU prevention and treatment, the sustained success in reducing the development of PUs is elusive. The purpose of this article is to describe how the Translating Research Into Practice (TRIP) model was used to support implementation of a care management solution (i.e., the Daily Project) aimed at preventing PUs. Using a case study approach, the development and implementation of the Daily Project is described in relation to the TRIP model. Initial success was evidenced by a 34% reduction in PU rates and an 86% reduction in missed patient turns 3 months postimplementation of the Daily intervention. Based on our experience... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4562684 Tue, 08 Mar 2011 00:00:00 +0100 4562684 http://www.medworm.com/index.php?rid=4562683&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F3%2F398%3Frss%3D1 In a pay-for-performance environment, implementing and sustaining evidence-based practice (EBP) is no longer a luxury but a necessity. A critical driving force for EBP is that our communities—the people we serve—expect to receive care based on the best available evidence. Transformational nursing leadership is required to create an infrastructure that influences organizational factors, processes and expectations, thus enabling the sustainability of EBP. The American Nurses Credentialing Center and the American Organization of Nurse Executives provide a framework for nursing leaders to consider when designing EBP implementation structures. This exemplar illustrates nursing leadership competencies with regard to implementation and sustainability of EBP within a multihospital syst... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4562683 Tue, 08 Mar 2011 00:00:00 +0100 4562683 http://www.medworm.com/index.php?rid=4562682&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F3%2F385%3Frss%3D1 The purpose of this article was to describe nursing practices (e.g., assessment, interventions) around fall prevention, as perceived by nurse managers in adult, medical-surgical nursing units. One hundred forty nurse managers from 51 hospitals from across the United States participated. Descriptive frequencies are used to describe nurse manager responses. The most commonly used fall risk assessment tool was the Morse Fall Risk Assessment Tool (40%). The most common fall prevention interventions included bed alarms (90%), rounds (70%), sitters (68%), and relocating the patient closer to the nurses’ station (56%). Twenty-nine percent of nurse managers identified physical restraints as an intervention to prevent falls whereas only 10% mentioned ambulation. No nurse manager identified th... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4562682 Tue, 08 Mar 2011 00:00:00 +0100 4562682 http://www.medworm.com/index.php?rid=4562681&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F3%2F365%3Frss%3D1 This article reports the findings from a 5-year study that describes an educational intervention for nurse leaders and a unit-based educational intervention for nursing staff, based on the application of Positive Organizational Scholarship (POS) and its impact on nursing work environments. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4562681 Tue, 08 Mar 2011 00:00:00 +0100 4562681 http://www.medworm.com/index.php?rid=4562680&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F3%2F345%3Frss%3D1 Evidence-based practice has led to improved health care quality and safety; greater patient, family, and staff satisfaction; and reduced costs. Despite these promising outcomes, use of evidence-based practice is inconsistent. The purpose of this article is to describe an advanced educational program for nurses in leadership roles responsible for guiding teams and mentoring colleagues through the challenges inherent in the evidence-based practice process. The Advanced Practice Institute: Promoting Adoption of Evidence-Based Practice is an innovative program designed to develop advanced skills essential for completing evidence-based practice projects and building organizational capacity for evidence-based practice programs. Learning is facilitated through group discussion, facilitated work t... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4562680 Tue, 08 Mar 2011 00:00:00 +0100 4562680 http://www.medworm.com/index.php?rid=4562679&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F3%2F333%3Frss%3D1 This article describes Evidence-Based Practice (EBP) day, an interactive learning environment that engages nursing staff and strengthens their understanding of the science that guides practice. Topics for inclusion were selected based on staff requests, current research, quality improvement data, and institutional priorities. Evidence was provided in a format that supported rapid implementation into practice. Key components of the program included a clinical scenario, internal and external data, nursing interventions, patient outcomes (nursing-sensitive and organizational), and regulatory requirement updates. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4562679 Tue, 08 Mar 2011 00:00:00 +0100 4562679 http://www.medworm.com/index.php?rid=4562678&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F3%2F306%3Frss%3D1 We report the steps taken to implement and evaluate this approach to stimulating nurses’ interest in and use of EBP. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4562678 Tue, 08 Mar 2011 00:00:00 +0100 4562678 http://www.medworm.com/index.php?rid=4562677&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F3%2F296%3Frss%3D1 Nurses in health care today need to practice from an evidence base. There are many models to guide nurses in using the evidence in their practice; however, often nurses rely on their own mental processes to deliver care and do not rely on protocols or guidelines. The challenge often is not to teach the correct evidence-based practice guideline but to support the nurse to incorporate the guidelines into daily practice. Simulation is a method that can be used in an overall strategy to diffuse evidence-based practice guidelines at the point of care delivery. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4562677 Tue, 08 Mar 2011 00:00:00 +0100 4562677 http://www.medworm.com/index.php?rid=4562676&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F3%2F291%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4562676 Tue, 08 Mar 2011 00:00:00 +0100 4562676 http://www.medworm.com/index.php?rid=4379358&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F2%2F286%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4379358 Thu, 20 Jan 2011 00:00:00 +0100 4379358 http://www.medworm.com/index.php?rid=4379357&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F2%2F268%3Frss%3D1 In conclusion, the ISR is a reliable and valid measure to assess the level of self-regulation in the maintenance of physical activity. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4379357 Thu, 20 Jan 2011 00:00:00 +0100 4379357 http://www.medworm.com/index.php?rid=4379356&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F2%2F247%3Frss%3D1 This study examined the relationships between stress, coping, general well-being, and sociodemographic characteristics using Lazarus and Folkman’s theory of stress and coping. A descriptive correlational design was used. The sample consisted of 105 female spouses of currently deployed active duty military members. Instruments included the Perceived Stress Scale, the Jalowiec Coping Scale, and the RAND-36. Perceived stress was the best predictor of both mental and physical well-being, accounting for 51.7% and 25.4% of the variance, respectively. Evasive and optimistic coping contributed an additional 1.9 % and 4.3%, respectively, to the variance in mental well-being. Differences in coping use were found among rank groups, those who grew up in a military family, and those with a previo... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4379356 Thu, 20 Jan 2011 00:00:00 +0100 4379356 http://www.medworm.com/index.php?rid=4379355&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F2%2F224%3Frss%3D1 Cardiac support groups may positively affect adjustment after cardiac events and quality of life (QoL). However, although participation in support groups is presumed to be beneficial, there were few studies regarding the potential benefit. The purpose of this review was to examine studies focused on the effects of cardiac support groups on health-related outcomes. Four studies met the inclusion criteria for review. Eight categories of support group outcomes were identified, including psychological outcomes, health behaviors, clinical health, health-related QoL, self-reported health conditions, social support, life situation, and knowledge. Most cardiac support group outcomes, though positive, were not statistically significantly different from those of control groups in studies reviewed. P... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4379355 Thu, 20 Jan 2011 00:00:00 +0100 4379355 http://www.medworm.com/index.php?rid=4379354&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F2%2F207%3Frss%3D1 This study of South Korean adolescents explores the association between the two conditions analyzing secondary data from the 2007 Korea Youth Risk Behavior Web-Based Survey. The sample is representative of the South Korean adolescent population (N = 73,836). For data analysis, analysis of variance, chi-square test, and logistic regression were used. Findings indicated that (a) sleep duration is inversely associated with levels of body mass index, F(4, 72654) = 240.07, p < .0001, and risks for overweight and obesity, 2(4, 72659) = 27.41, p < .0001; and (b) after controlling for obesity-related factors, reduced sleep is strongly associated with a greater risk for overweight and obesity, OR = 0.94, p < .0001. Given the important link between sleep and obesity, health professionals sh... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4379354 Thu, 20 Jan 2011 00:00:00 +0100 4379354 http://www.medworm.com/index.php?rid=4379353&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F2%2F196%3Frss%3D1 The purpose of this secondary analysis study was to identify factors associated with increased pain communication by older adults. Data were obtained from 312 older adults with osteoarthritis pain. Content analysis was conducted using criteria from the American Pain Society’s "Guidelines for the Management of Pain in Osteoarthritis, Rheumatoid Arthritis, and Juvenile Chronic Arthritis" to identify important pain management information described by the older adults in response to general questions about their pain. Gender was the only factor associated with increased pain communication from the predictor variables of age, education, gender, ethnicity, race, marital status, pain intensity, functional pain interference, treatment from a practitioner for arthritis and for pain, and pain ... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4379353 Thu, 20 Jan 2011 00:00:00 +0100 4379353 http://www.medworm.com/index.php?rid=4379352&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F2%2F180%3Frss%3D1 This study also helps establish an empirical basis for future research. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4379352 Thu, 20 Jan 2011 00:00:00 +0100 4379352 http://www.medworm.com/index.php?rid=4379351&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F2%2F161%3Frss%3D1 Enhancing involvement in organizational decisions is one strategy to improve the work environment of registered nurses and to increase their recruitment and retention. Little is known about the type of decision making and the level of involvement nurses desire. This was a descriptive study exploring staff nurse and nurse manager ratings of actual and preferred decisional involvement and differences between staff nurses and nurse managers. A sample of 320 RNs from a Midwestern health care network was surveyed using the Decisional Involvement Scale. Nurse managers and staff nurses had statistically significant differences in their perceptions of who was involved in actual decision making in the areas of unit governance and leadership and collaboration or liaison activities. There were statis... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4379351 Thu, 20 Jan 2011 00:00:00 +0100 4379351 http://www.medworm.com/index.php?rid=4379350&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F2%2F159%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4379350 Thu, 20 Jan 2011 00:00:00 +0100 4379350 http://www.medworm.com/index.php?rid=4311080&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F1%2F150%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4311080 Wed, 05 Jan 2011 00:00:00 +0100 4311080 http://www.medworm.com/index.php?rid=4311079&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F1%2F148%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4311079 Wed, 05 Jan 2011 00:00:00 +0100 4311079 http://www.medworm.com/index.php?rid=4311078&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F1%2F146%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4311078 Wed, 05 Jan 2011 00:00:00 +0100 4311078 http://www.medworm.com/index.php?rid=4311077&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F1%2F144%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4311077 Wed, 05 Jan 2011 00:00:00 +0100 4311077 http://www.medworm.com/index.php?rid=4311076&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F1%2F142%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4311076 Wed, 05 Jan 2011 00:00:00 +0100 4311076 http://www.medworm.com/index.php?rid=4311075&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F1%2F140%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4311075 Wed, 05 Jan 2011 00:00:00 +0100 4311075 http://www.medworm.com/index.php?rid=4311074&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F1%2F138%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4311074 Wed, 05 Jan 2011 00:00:00 +0100 4311074 http://www.medworm.com/index.php?rid=4311073&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F1%2F136%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4311073 Wed, 05 Jan 2011 00:00:00 +0100 4311073 http://www.medworm.com/index.php?rid=4311072&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F1%2F121%3Frss%3D1 This study examined these relationships in a sample of 94 cognitively intact elders (aged 60+ years) who had relocated to retirement communities in Alexandria, Egypt. Results showed that relocation controllability had direct effects on positive cognitions and on relocation adjustment. Positive cognitions had a moderating and a partial mediating effect on the relationship between relocation controllability and relocation adjustment. These findings suggest that it is imperative to develop interventions to enhance positive thinking for elders facing the need to relocate. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4311072 Wed, 05 Jan 2011 00:00:00 +0100 4311072 http://www.medworm.com/index.php?rid=4311071&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F1%2F106%3Frss%3D1 Physical appearance concerns lead to serious health compromising behaviors among women in Thailand. The purpose of this study was to examine differences in physical appearance identity among young women in four regions of Thailand based on 30 physical appearance characteristics generated and validated in two previous samples of young Thai women. Using Q methodology, 200 Thai young women sorted the physical appearance characteristics in terms of importance. Across-region differences exist for the most important physical appearance characteristics. Regional differences in physical appearance identity may explain the variety of behaviors used by Thai women to enhance their physical appearance. Further research should focus on regional factors that contribute to these aspects of physical appea... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4311071 Wed, 05 Jan 2011 00:00:00 +0100 4311071 http://www.medworm.com/index.php?rid=4311070&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F1%2F79%3Frss%3D1 This article provides an overview of National Institutes of Health (NIH)—funded SBIR and STTR programs and summarizes similarities and differences between the programs. The article also describes unique features of NIH SBIR and STTR funding mechanisms that differentiate them from other R-series funding mechanisms, reviews evaluation criteria for SBIR and STTR projects, and discusses critical partners and resources for proposal development. Finally, the article describes characteristics of successful partnerships and provides examples of SBIR/STTR-funded projects. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4311070 Wed, 05 Jan 2011 00:00:00 +0100 4311070 http://www.medworm.com/index.php?rid=4311069&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F1%2F63%3Frss%3D1 The purpose of this study was to determine whether any of the sociodemographic, biomedical, psychosocial, and medical-care factors independently predict health-related quality of life (HRQoL) among low-income women. Cross-sectional data were used to predict factors that determine HRQoL. A survey was conducted targeting a convenience sample of 200 midlife women. Blood samples were drawn from all participants, who also received a physical examination. Hierarchical multiple regression analysis was used to test the independent effects of each factor. The study found that sociodemographic and psychosocial factors were independently associated with HRQoL. Compared to married women, widowed or divorced women had significantly lower HRQoL, whereas those with higher levels of stress perception and ... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4311069 Wed, 05 Jan 2011 00:00:00 +0100 4311069 http://www.medworm.com/index.php?rid=4311068&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F1%2F45%3Frss%3D1 This article explores the relationships among nurse self-concept, health status, and healthy lifestyle practices in a sample of Midwestern nurses in an attempt to better understand if nurses who integrate healthy behaviors into their everyday lives feel a stronger sense of professional adequacy relative to nurses who do not. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4311068 Wed, 05 Jan 2011 00:00:00 +0100 4311068 http://www.medworm.com/index.php?rid=4311067&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F1%2F26%3Frss%3D1 The purpose of this study was to test the effects of a multistimulant home-based intervention program on cognitive function, anxiety, and depression among older adults with cognitive impairment. This research is quasi-experimental and was designed in an effort to increase the cognitive capacity of individuals above the age of 60 with reduced cognitive capacities. Each senior received a total of seven home visits, including intervention conversation, newspaper/ book reading, painting/handcraft activities, and physical exercise. The Mini Mental State Test scores of the participants statistically increased, whereas the Beck Anxiety and the Geriatric Depression Scale scores showed a decrease (p < .05) after the intervention. Findings demonstrate that the multistimulant approach to improve c... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4311067 Wed, 05 Jan 2011 00:00:00 +0100 4311067 http://www.medworm.com/index.php?rid=4311066&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F33%2F1%2F7%3Frss%3D1 Researchers in Minnesota have described and validated the phenomenon of Complexity Compression in qualitative studies of registered nurses. Analysis of themes from this research led to the design of a survey to assess nurses’ agreement with variables that contribute to their experience of Complexity Compression. The survey was administered to a random sample of 199 registered nurses in Minnesota. Exploratory factor analysis was used to evaluate the attributes of Complexity Compression and its underlying structure. Three factors emerged that explained 51.4% of the variance in responses: work of nursing, systems, and personal factors. Internal consistency of the factors ranged from .79 to .89. Validity of the survey for assessment of Complexity Compression in hospital-based nurses was ... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4311066 Wed, 05 Jan 2011 00:00:00 +0100 4311066 http://www.medworm.com/index.php?rid=4311065&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F33%2F1%2F5%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4311065 Wed, 05 Jan 2011 00:00:00 +0100 4311065 http://www.medworm.com/index.php?rid=4112323&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F32%2F8%2F1112%3Frss%3D1 (No abstract is available for this citation) (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4112323 Wed, 27 Oct 2010 23:00:00 +0100 4112323 http://www.medworm.com/index.php?rid=4112322&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F8%2F1091%3Frss%3D1 This study involved a psychometric property test to evaluate MSI among 512 multiethnic groups of midlife women (White, Hispanic, African American, and Asian American). Across the ethnic groups, the MSI had an adequate internal consistency in all subdomains except psychosomatic symptoms. The item—total correlation coefficients of lost weight and nosebleeds were lower than .20 among all ethnic groups. The discriminant validity was confirmed among all ethnic groups except Asian Americans. Overall, the MSI may work better for Whites compared with other ethnic groups. Additional studies with diverse groups of multiethnic midlife women are needed, however, to confirm the psychometric properties of the MSI because the samples tended to be a select group. (Source: Western Journal of Nursing ... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4112322 Wed, 27 Oct 2010 23:00:00 +0100 4112322 http://www.medworm.com/index.php?rid=4112321&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F8%2F1073%3Frss%3D1 In the context of an inherited condition such as sickle cell disease (SCD), it is critical to understand how people with SCD or carriers (sickle cell trait [SCT]) face the challenges of making informed reproductive health decisions. The purpose of this analysis was to examine the beliefs, attitudes, and personal feelings of people with sickle cell disease or sickle cell trait related to making informed reproductive health decisions. Three focus groups were conducted with a total of 15 people who had either SCD or SCT. Five themes were identified: health-related issues in sickle cell disease, testing for sickle cell trait, partner choice, sharing sickle cell status with partners, and reproductive options. These findings enhance understanding of the reproductive experiences in people with SC... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4112321 Wed, 27 Oct 2010 23:00:00 +0100 4112321 http://www.medworm.com/index.php?rid=4112320&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F8%2F1055%3Frss%3D1 This article reports on the development of a learning needs assessment questionnaire for CHNs. Exploratory and confirmatory factor analyses were conducted to examine the consistency of factors underpinning the CCHN Standards. Also, validity and reliability of the questionnaire were evaluated using appropriate techniques. This process resulted in a valid and reliable CHN learning needs assessment questionnaire to measure learning needs of large groups of practitioners, where other forms of measurement cannot be feasibly conducted. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4112320 Wed, 27 Oct 2010 23:00:00 +0100 4112320 http://www.medworm.com/index.php?rid=4112319&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F8%2F1031%3Frss%3D1 This study leverages current nursing documentation technology capacity to advance nursing knowledge. Future research is needed to explore relationships between client and intervention clusters and their associations with client outcomes, with the end goals of improving home visiting practice and client outcomes. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4112319 Wed, 27 Oct 2010 23:00:00 +0100 4112319 http://www.medworm.com/index.php?rid=4112318&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F8%2F1011%3Frss%3D1 The traumatic aspects of positive diagnosis of a severe fetal anomaly have garnered the most attention, but the personal growth in the aftermath of this event remains relatively unexplored. We used the five dimensions of growth and change from Posttraumatic Growth Inventory (PTGI) to analyze data generated from ethnographic interviews conducted with 15 women and 10 of their male partners in the aftermath of a severe fetal diagnosis. Eighteen (12 women and 6 men) of these 25 participants experienced positive change across these dimensions. Relating to others was the dimension that showed the most consistent early and prolonged change. Six of the 10 couples had congruent profiles of change. Negative change was evident in 2 women and 2 men. Recognizing the potential for growth allows nurses o... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4112318 Wed, 27 Oct 2010 23:00:00 +0100 4112318 http://www.medworm.com/index.php?rid=4112317&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F8%2F994%3Frss%3D1 Pilot intervention studies can be viewed as rehearsals for subsequent full-scale trials. They can help investigators fine-tune later larger studies as well as explore issues related to project management and budget. Pilot studies permit testing of sampling strategies, participant recruitment, intervention content, delivery methods, data collection, and analysis. They also allow researchers to experience the more practical aspects of implementing a study, such as determining the number of study staff members needed to handle recruitment and data collection or identifying special equipment needs. Because pilot study findings may be generalizable, publication is encouraged as long as the preliminary nature of the work is clearly indicated in both the abstract and the article. The present arti... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4112317 Wed, 27 Oct 2010 23:00:00 +0100 4112317 http://www.medworm.com/index.php?rid=4112316&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F32%2F8%2F991%3Frss%3D1 (No abstract is available for this citation) (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4112316 Wed, 27 Oct 2010 23:00:00 +0100 4112316 http://www.medworm.com/index.php?rid=4015617&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F32%2F7%2F984%3Frss%3D1 (No abstract is available for this citation) (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4015617 Wed, 29 Sep 2010 20:23:21 +0100 4015617 http://www.medworm.com/index.php?rid=4015616&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F7%2F967%3Frss%3D1 The purpose of this study was to evaluate the psychometric properties of three questionnaires to measure fatigue with myocardial infarction. The Fatigue Symptom Inventory Interference Scale, Profile of Moods States Fatigue subscale (POMS-F), and Short Form 36 (SF-36) Vitality Scale were completed during hospitalization (n = 116) and 30 days after hospital admission (n = 49). Moderate to strong correlations were found among each of these fatigue scales and between each fatigue scale and measures of other variables to include vigor, depressed mood, anxiety, and physical functioning. POMS-F scores decreased significantly at Time 2, but this decline in fatigue was not validated on the other fatigue scales. Patients’ Time 1 scores reflected significantly more fatigue compared to published... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4015616 Wed, 29 Sep 2010 20:23:21 +0100 4015616 http://www.medworm.com/index.php?rid=4015615&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F7%2F949%3Frss%3D1 Gaining an understanding of the meaning of health in children may provide insight into factors that contribute to effective programs aimed at preventing diseases such as childhood obesity. A mixed methods design was used to explore the meaning of health of rural Saskatchewan children. A health questionnaire and Body Mass Index scores were collected from 99 children (Grades 1 to 7). A focused ethnographic approach was used to explore the meaning of health in a subset of 20 children (9 to 12 years old). Regardless of weight status, children described their meaning of health as Knowing Stuff, Having a Working Body, and Feeling Happy and suggested that Feeling Happy was most meaningful. The rural environment appeared to provide a sense of safety, security, and freedom. The researcher discovere... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4015615 Wed, 29 Sep 2010 20:23:21 +0100 4015615 http://www.medworm.com/index.php?rid=4015614&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F7%2F932%3Frss%3D1 This study tested use of a comprehensive PFAT as an intervention, prospectively, facility-wide for 1 year by registered nurses using a pretest—posttest design. A 29.4% reduction in the fall rate (z = 3.89, p < .001), 27.6% decline in total falls experienced by all fallers (p < .001), and a 34.0% decline for recurrent fallers (p = .025) from preintervention to intervention year was observed when trained nurses categorized falls according to perceived causes. These declines are likely due to consistent and rigorous use by trained nursing staff, prompting their critical examination of each fall. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4015614 Wed, 29 Sep 2010 20:23:21 +0100 4015614 http://www.medworm.com/index.php?rid=4015613&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F7%2F910%3Frss%3D1 Work is central to well-being but working is problematic when people experience workplace bullying, which includes psychological, physical, and sexual abuse or harassment. The purpose of the present grounded theory study was to extend current understanding, from the perspective of women, of how workplace bullying affects their work and how they engage in the workforce. The study was conducted in eastern Canada with 36 English-speaking women who had been bullied in the workplace. They reported mainly psychological bullying. The central problem for women is they cannot continue working as they had before the workplace bullying. The authors named a four-stage process of how women address this problem as "Doing Work Differently." The four stages are Being Conciliatory, Reconsidering, Reducing ... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4015613 Wed, 29 Sep 2010 20:23:21 +0100 4015613 http://www.medworm.com/index.php?rid=4015612&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F7%2F894%3Frss%3D1 This study examined the use of national racial/ethnic categories in both patient and registered nurse (RN) populations and found them to be a poor indicator of cultural similarity. Rather, we found that cultural similarity between RN and patient populations needs to be established at the level of local labor markets and broadened to include other cultural parameters such as country of origin, primary language, and self-identified ancestry. Only then can the relationship between cultural similarity and cultural competence be accurately determined and its outcomes measured. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4015612 Wed, 29 Sep 2010 20:23:21 +0100 4015612 http://www.medworm.com/index.php?rid=4015611&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F7%2F871%3Frss%3D1 Little is known about the specific sources and types of support that assist patients in alleviating stress and achieving positive recovery outcomes after a cardiac event. The purpose of this study is to examine the effects of illness-related stress, emotional and tangible support from a significant other, and informational support from a health care provider on physical and psychological recovery outcomes in cardiac patients 8 weeks after their cardiac event. The sample consists of 220 cardiac patients. Data analysis uses structural equation modeling. Final fit indices were as follows: 2 (df = 110) = 156.169, comparative fit index = .963, Tucker—Lewis index = .949, and root mean square error of approximation = .044 suggesting an acceptable model. Illness-related stress has direct eff... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4015611 Wed, 29 Sep 2010 20:23:21 +0100 4015611 http://www.medworm.com/index.php?rid=4015610&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F7%2F849%3Frss%3D1 This pilot study examined the impact of a hospital transition intervention for older adults (≥ 65 years of age) with heart failure (HF) to promote medication use self-management. Forty subjects, hospitalized with either primary or secondary HF, had a mean age of 76.9 ± 6.5 years; 65% were males. The majority of subjects (55%) had NYHA Class III HF. A prospective, repeated measures experimental design was used. Baseline and follow-up data (1- and 3-months after hospitalization) were obtained using the Medication Regimen Complexity Index, Brief Medication Questionnaire, Drug Regiment Unassisted Grading Scale, and Kansas City Cardiomyopathy Questionnaire. Using repeated measures analysis of covariance (ANCOVA), with baseline measures as covariates, the transition intervention group ... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4015610 Wed, 29 Sep 2010 20:23:21 +0100 4015610 http://www.medworm.com/index.php?rid=4015609&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F32%2F7%2F847%3Frss%3D1 (No abstract is available for this citation) (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=4015609 Wed, 29 Sep 2010 20:23:21 +0100 4015609 http://www.medworm.com/index.php?rid=3944522&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F32%2F6%2F833%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3944522 Wed, 08 Sep 2010 19:55:51 +0100 3944522 http://www.medworm.com/index.php?rid=3944521&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F6%2F814%3Frss%3D1 Historically, nurses have been expected to be role models of health promotion, conceptualized and operationalized narrowly and indirectly as the practice of healthy behaviors. The purpose of the current study was to develop and test an instrument (The Self as Role Model for Health Promotion [the SARMHEP]) to measure nurses’ perceptions of themselves as role models. Data were collected from nurses working in public health, nursing education, and general practice with a 56% return rate. A series of exploratory factor analyses elicited a five-factor solution that accounted for 44% of the variance and approximated the theoretical dimensions that guided the instrument’s development. Cronbach’s alpha for the total scale was .91. The new multidimensional SARMHEP was shown to hav... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3944521 Wed, 08 Sep 2010 19:55:51 +0100 3944521 http://www.medworm.com/index.php?rid=3944520&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F6%2F794%3Frss%3D1 The purpose of this research was to understand the modern experience of stress among adult coronary artery bypass grafting (CABG) patients who are hospitalized less than 10 days and among their significant caregivers. The naming of stressors and the nature and triggers for the stress response that either contributed to or ameliorated stress were examined. A qualitative research method using hermeneutic phenomenology was used to interpret and understand the experience of stress. The stressors identified by both patient and family participants in this study were shock and disbelief leading to a feeling of being overwhelmed. Among patients, mortality was foremost. Among family caregivers, anger was expressed. The importance of providing information, honesty, and trust were pivotal to alleviat... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3944520 Wed, 08 Sep 2010 19:55:51 +0100 3944520 http://www.medworm.com/index.php?rid=3944519&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F6%2F779%3Frss%3D1 African American men have the highest prostate cancer incidence and mortality rates worldwide, but have lower screening rates compared with Caucasian men. The purpose of the study was to identify social ecological factors that affect screening behaviors in African American men, knowledge that could be integral to the design of culturally appropriate interventions. The exploratory study included 60 African American males recruited from the greater Detroit metropolitan area. Social ecological variables examined included age, marital status, presence of health insurance, education, health values and behaviors, physician trust, and perceived stress coping (John Henryism). Analyses included descriptives, chi-square tests, one-way ANOVAs, and logistic regression. Findings concluded that a parsim... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3944519 Wed, 08 Sep 2010 19:55:51 +0100 3944519 http://www.medworm.com/index.php?rid=3944518&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F6%2F761%3Frss%3D1 This descriptive study examined factors associated with adolescent girls continuing in a randomized controlled trial of an HIV-prevention intervention after enrollment based on an analysis of locator form and demographic data. When the authors piloted the study, 48% (62 of 129) of the participants (aged 15-19 years) continued in the intervention after enrollment. Once a formal recruitment and retention protocol was initiated, 80% (264 of 334 girls 15-19 years old) returned after enrollment. Chi-square analyses found statistically significant differences (p < .001 to .05) between the girls who continued (n = 264) and those who did not (n = 68), associated with recruiter’s experience, recruitment method, contact status, and parental awareness of study participation. Living situation... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3944518 Wed, 08 Sep 2010 19:55:51 +0100 3944518 http://www.medworm.com/index.php?rid=3944517&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F6%2F730%3Frss%3D1 Despite known advantages, the use of biobehavioral approaches in nursing research remains limited. The purposes of this article are to (1) present applications of stress and inflammation in various health conditions as examples of biobehavioral concepts and (2) stimulate similar applications of biobehavioral concepts in future nursing research. Under a biobehavioral conceptual framework, studies on stress and selective inflammatory biomarkers in cardiovascular, cancer, and pulmonary health are reviewed and summarized. Inflammation underlies many diseases, and stress is a significant source of increased inflammation. Biobehavioral concepts of stress and inflammation are highly relevant to nursing research concerned with health-related issues. Diverse biobehavioral concepts are readily appli... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3944517 Wed, 08 Sep 2010 19:55:51 +0100 3944517 http://www.medworm.com/index.php?rid=3944516&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F6%2F713%3Frss%3D1 Emergency department (ED) nurses are in a key position to initiate life-saving recommendations for myocardial infarction, which include a physician-read electrocardiogram (ECG) within 10 min of ED arrival. Using a quasi-experimental, one-group pretest—posttest design, the authors evaluated the preliminary effectiveness of the Aid to Cardiac Triage (ACT) intervention to improve ED nurses’ cardiac triage decisions. Charts of all women who received an ED ECG 3 months before ( n = 171) and after (n = 184) the intervention and who were at least 18 years of age were reviewed. A 1-hr educational session was conducted to improve nurses’ (n = 23) cardiac triage decisions. Postintervention, the proportion of women receiving an ECG within 10 min of ED arrival improved, as did the od... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3944516 Wed, 08 Sep 2010 19:55:51 +0100 3944516 http://www.medworm.com/index.php?rid=3944515&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F32%2F6%2F711%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3944515 Wed, 08 Sep 2010 19:55:51 +0100 3944515 http://www.medworm.com/index.php?rid=3829579&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F32%2F5%2F705%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3829579 Fri, 06 Aug 2010 15:41:09 +0100 3829579 http://www.medworm.com/index.php?rid=3829578&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F5%2F686%3Frss%3D1 The purpose of this study was to test the reliability and validity of the Dementia Quality of Life (DQOL) in a sample of 486 residents from 12 nursing homes in the greater Baltimore area. There was some evidence of validity of the DQOL based on confirmatory factor analysis and Rasch model testing and criterion-related validity. Reliability of the DQOL was somewhat supported in this study based on internal consistency and test—retest reliability. Alpha coefficients and R 2 estimations were generally low across all of the subscales. Despite these findings, the subscale scores remained consistent over a 12-month period. The use of the single-item question about QOL may not be an accurate reflection of QOL among nursing home residents. These findings provide additional information... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3829578 Fri, 06 Aug 2010 15:41:09 +0100 3829578 http://www.medworm.com/index.php?rid=3829577&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F5%2F662%3Frss%3D1 Maternal depression, especially in the early years of child development, affects parenting behaviors that have been repeatedly linked to poor outcomes in children. However, recurrent maternal depression may be a more potent predictor of parenting than depression that only occurs in the early years. Longitudinal population data were used to examine the influence of depression in the first 2 years postpartum alone or in combination with recurrent episodes of depression on self-reported parenting behaviors known to influence children’s development. Growth curve hierarchical linear modeling was used to examine the relationships among depression in the early years, recurrent depression, and parenting during children’s first 12 years of life. Findings revealed that 63% of the depress... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3829577 Fri, 06 Aug 2010 15:41:09 +0100 3829577 http://www.medworm.com/index.php?rid=3829576&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F5%2F644%3Frss%3D1 The purpose of this study was to identify goals of fecal incontinence (FI) management and their importance to community-living adults if complete continence would not be possible. Participants expressed their goals of FI management in a semistructured interview, selected others from 12 investigator-identified goals, and rated their importance. Five thematic categories emerged from the 114 participant-identified goal statements: Fecal Incontinence/Bowel Pattern, Lifestyle, Emotional Responses, Adverse Effects of Fecal Incontinence, and Self-Care Practices. Participants selected a median of seven investigator-identified goals (range = 2 to 12). Goals selected by the most participants were decreased number of leaks of stool and greater confidence in controlling fecal incontinence. These goals... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3829576 Fri, 06 Aug 2010 15:41:09 +0100 3829576 http://www.medworm.com/index.php?rid=3829575&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F5%2F628%3Frss%3D1 This study investigates whether organizational citizenship behaviors enhance job satisfaction among nursing personnel, while exploring whether customer-oriented perception has a moderating effect between nursing personnel’s organizational citizenship behaviors and job satisfaction.The authors used a cross-sectional survey sent to 500 nurses with 232 valid responses. According to the research findings, nurses’ organizational citizenship behaviors have a positive and significant influence on job satisfaction. Results also indicated that the moderating effect of nurses’ customer-oriented perception on the relationship between their organizational citizenship behaviors and job satisfaction was stronger for high customer-oriented perception than it was low customer-oriented pe... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3829575 Fri, 06 Aug 2010 15:41:09 +0100 3829575 http://www.medworm.com/index.php?rid=3829574&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F5%2F610%3Frss%3D1 Advances in genomic science create both opportunities and challenges for future generations. Both adolescents and adults may benefit or be harmed by decisions they make in response to this new science. Using a qualitative descriptive design, the authors interviewed 22 adolescents (11 who were aged 14-17 years and 11 who were 18-21 years) and 11 parents to determine levels of knowledge and approaches to decision making. It was found that younger adolescents and their parents have very limited knowledge about genetics and genetic testing. Older adolescents have more complete information and consider a broader range of points in making decisions about hypothetical situations involving genetic testing. Adolescents and parents need much more information to enhance their ability to make decision... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3829574 Fri, 06 Aug 2010 15:41:09 +0100 3829574 http://www.medworm.com/index.php?rid=3829573&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F5%2F591%3Frss%3D1 The purpose of this study was to determine nurses’ views on the organizational supports needed for the delivery of culturally competent care. The research design was qualitative, with a case study approach. Data collection included face-to-face interviews with 23 registered nurses, document analysis, and reports of critical incidents. The findings of this study revealed that caring for culturally diverse clients was challenging and frustrating for most participants. Major themes emerging from the data included language barriers, lack of training, difficulty with cultural differences, lack of organizational support, and reliance on culturally diverse staff members. Few organizational supports existed for delivering culturally competent care. Expectations were not explicit, and cultura... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3829573 Fri, 06 Aug 2010 15:41:09 +0100 3829573 http://www.medworm.com/index.php?rid=3829572&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F5%2F578%3Frss%3D1 Recent National Institutes of Health changes have focused attention on the potential scientific impact of research projects. Research with the excellent potential to change subsequent science or health care practice may have high scientific impact. Only rigorous studies that address highly significant problems can generate change. Studies with high impact may stimulate new research approaches by changing understanding of a phenomenon, informing theory development, or creating new research methods that allow a field of science to move forward. Research with high impact can transition health care to more effective and efficient approaches. Studies with high impact may propel new policy developments. Research with high scientific impact typically has both immediate and sustained influence on ... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3829572 Fri, 06 Aug 2010 15:41:09 +0100 3829572 http://www.medworm.com/index.php?rid=3829571&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F32%2F5%2F575%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3829571 Fri, 06 Aug 2010 15:41:09 +0100 3829571 http://www.medworm.com/index.php?rid=3819108&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F32%2F4%2F566%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3819108 Wed, 04 Aug 2010 15:40:54 +0100 3819108 http://www.medworm.com/index.php?rid=3819107&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F4%2F540%3Frss%3D1 This study was done via a cross-sectional Internet survey among 512 midlife women recruited using a convenience sampling. The instruments included questions on background characteristics, ethnicity-related factors, health, and menopausal status and the Midlife Women’s Symptom Index. The data were analyzed using descriptive and inferential statistics. Significant ethnic differences were found in the total number and severity of the symptoms. The most frequently reported symptoms and predictors of the total number and severity of the symptoms differed by ethnic identity. More in-depth cultural studies are needed to understand the reasons for the ethnic differences in menopausal symptom experience. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3819107 Wed, 04 Aug 2010 15:40:54 +0100 3819107 http://www.medworm.com/index.php?rid=3819106&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F4%2F530%3Frss%3D1 The measurement equivalence of job satisfaction ratings from physicians and nurses working in intensive care units was tested in the present study. Seventy-two nurses and 72 physicians completed the Safety Attitudes Questionnaire, which contains five items about job satisfaction. Measurement equivalence across nurses and physicians of the job satisfaction ratings was examined via multiple-group confirmatory factor analysis. The results indicated that physicians and nurses use the same metric when providing ratings for this job satisfaction measure. The primary implication from the present study is that nurses and physicians conceptualize job satisfaction in a similar manner. This implication needs to be extended to other survey measures of interest to health services researchers. Future ar... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3819106 Wed, 04 Aug 2010 15:40:54 +0100 3819106 http://www.medworm.com/index.php?rid=3819105&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F4%2F511%3Frss%3D1 The purpose of this study was to identify the stages of change, the processes of change, and the decisional balance for weight control, self-efficacy, and other weight control—related variables and to determine the significant factors explaining movements between the stages of change in Korean adolescents. A total of 475 adolescents completed questionnaires and anthropometric measures. The majority of the adolescents were in the precontemplation (42.1%) and contemplation (43.0%) stages. The benefits of weight control (pros), desire for weight change, perceived body shape, and past experience with weight control increased the odds ratio of movement from precontemplation to contemplation. Stimulus control, self-reevaluation, regular exercise, and past experience of weight control signi... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3819105 Wed, 04 Aug 2010 15:40:54 +0100 3819105 http://www.medworm.com/index.php?rid=3819104&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F4%2F497%3Frss%3D1 The purpose of this study was to explore the differences in how advanced beginners, competent, and expert nurses prioritize and reprioritize patient care. This qualitative study had a purposive sample of 23 nurses on cardiac/ telemetry units at five hospitals. Four themes emerged from the data: cognitive strategies, communication, integration of roles, and response to the work environment. As the nurses progressed in expertise, they were better able to organize, more effectively deal with interruptions, anticipate patient needs, integrate varied nursing roles into their work, and communicate effectively. The significance of this study is the identification of factors that affect the nurse’s ability to work productively in today’s care environment. It increases understanding of ... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3819104 Wed, 04 Aug 2010 15:40:54 +0100 3819104 http://www.medworm.com/index.php?rid=3819103&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F4%2F480%3Frss%3D1 Urinary incontinence is a complex problem from which millions of people are affected worldwide. How the affected persons experience and organize their day-to-day lives has hardly been studied. This was the motive for a 21/2-year study in the German-speaking region. Thirty-two problem-centered interviews were conducted with 22 women and 10 men, which were then analyzed using the grounded theory method, after Strauss and Corbin. The experience of urinary incontinence is dependent on the cause of the incontinence and on whether the episode of incontinence took place in private or in public. Incontinence itself influences social, cultural, and sportive activities and partner relationships. The results show that persons with incontinence use complex strategies to regain control. These include (... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3819103 Wed, 04 Aug 2010 15:40:54 +0100 3819103 http://www.medworm.com/index.php?rid=3819102&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F4%2F462%3Frss%3D1 This study suggests that connectedness provides older adults with a mechanism to engage life in meaningful, positive, and purposeful ways. (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3819102 Wed, 04 Aug 2010 15:40:54 +0100 3819102 http://www.medworm.com/index.php?rid=3819101&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F4%2F447%3Frss%3D1 Anemia is often an unrecognized and/or undertreated diagnosis in older adults. Failure to diagnose anemia leads to delayed treatment and thus delayed relief of symptoms. Given the potentially significant impact of anemia on cardiovascular disease and physical performance among older nursing home (NH) residents, it is important to evaluate current clinical practice related to anemia.The purpose of this secondary data analysis was to evaluate the frequency of laboratory evaluation and medication treatment for anemia among older NH residents. Results indicated that more than half of NH residents were anemic at baseline, and of those, less than 20% had additional testing done to further evaluate for an underlying cause of their anemia and only 45.3% received any pharmacologic treatment. Future... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3819101 Wed, 04 Aug 2010 15:40:54 +0100 3819101 http://www.medworm.com/index.php?rid=3819100&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F4%2F434%3Frss%3D1 Although researchers and health care practitioners tend to use standard categories to classify smokers and nonsmokers, recent research suggests that individual smokers may use a variety of self-definitions regarding their smoking behavior. The purpose of this study was to examine smoking identity and smoking behavior among college students, specifically, the relationship between self-identifying as a smoker, nonsmoker, occasional smoker, or social smoker and number of days smoked in the past month. Data were obtained during a campuswide health assessment of randomly selected full-time students (N = 741). Results indicate discrepancy between smoking identity and cigarette use. Twenty percent of students who smoked in the past 30 days self-identified as nonsmokers. Such discrepancies have im... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3819100 Wed, 04 Aug 2010 15:40:54 +0100 3819100 http://www.medworm.com/index.php?rid=3819099&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F32%2F4%2F431%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3819099 Wed, 04 Aug 2010 15:40:54 +0100 3819099 http://www.medworm.com/index.php?rid=3700587&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F32%2F3%2F420%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3700587 Sun, 27 Jun 2010 05:49:27 +0100 3700587 http://www.medworm.com/index.php?rid=3700586&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F3%2F401%3Frss%3D1 This multiple, descriptive, explanatory case study design described and explained the perceptions of rural women regarding rural built environments conducive to physical activity. Sources of data included women’s focus groups, city council focus groups, city administrator and clerk interviews, women’s verification individual interviews, individuals referred to the researcher as individuals with perceived power, and analysis of documents. The study involved two rural communities with populations of 1,000 or less, and data were collected between March 2006 and April 2007. Content analysis of each data source and a combined data source analysis for each community was completed using NVivo7. Rural women adapted to conditions of built environments, seasonal concerns, wild animals, t... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3700586 Sun, 27 Jun 2010 05:49:27 +0100 3700586 http://www.medworm.com/index.php?rid=3700585&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F3%2F379%3Frss%3D1 The objective of this study is to form a midrange theoretical interpretation of parental postadoption depression as shared by adoptive parents and experts through a grounded theory approach. Semistructured interviews of adoptive parents, who acknowledge being depressed after the child is placed in the home, and adoption experts are audiotaped, transcribed, and coded to reveal themes. In total, 30 interviews are conducted. Researchers are also participant-observers during an adoptive parent support group meeting. Data reveal recurrent themes in relation to postadoption depression. These themes take into account the various contexts of adoption (international and domestic, public and private, etc.). Parents express unfulfilled and unrealistic expectations in the domains of self, child, famil... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3700585 Sun, 27 Jun 2010 05:49:27 +0100 3700585 http://www.medworm.com/index.php?rid=3700584&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F3%2F363%3Frss%3D1 The descriptive cross-sectional study of 2,235 Korean postpartum women was conducted to explore (a) feeding types with related factors, (b) the perceived benefits of each feeding type, (c) the perceived sexuality-related barriers to breast-feeding, and (d) the perceived relative significance of breast functions. The most frequently utilized feeding type was breast-feeding only. The gender of infants, vaginal delivery, not being employed, having a nuclear family, previous breast-feeding experience, and previously receiving breast-feeding education were statistically significant factors of breast-feeding. Breast-feeding and mixed feeding mothers indicated that their feeding choices were based on nutritional benefits, convenience, and improving family relationships. Only breast-feeding mother... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3700584 Sun, 27 Jun 2010 05:49:27 +0100 3700584 http://www.medworm.com/index.php?rid=3700583&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F3%2F341%3Frss%3D1 The objectives of this review are to (a) provide a comprehensive review and evaluation of intervention studies designed to promote physical activity among Hispanic women and (b) provide recommendations for future research involving Hispanic women in physical activity intervention research. Computer and manual searches have been conducted of articles in the English-language literature from 1980 to present. Twelve articles are evaluated that emphasize physical activity interventions in Hispanic women. A review of current intervention research provides a starting point for determining salient approaches for intervention and evaluation, issues related to program implementation, and the strengths and limits of existing approaches. During the past 30 years, very few interventions have been condu... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3700583 Sun, 27 Jun 2010 05:49:27 +0100 3700583 http://www.medworm.com/index.php?rid=3700582&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F3%2F322%3Frss%3D1 When patients’ upper arms are not accessible and/or when cuffs do not fit large upper arms, the forearm site is often used for blood pressure (BP) measurement. The purpose of this study is to compare forearm and upper-arm BPs in 70 acutely ill adults, admitted to a community hospital’s 14-bed ICU. Using Philips© oscillometric monitors, three repeated measures of forearm and upper-arm BPs are obtained with head of bed flat and with head of bed elevated at 30°. Arms are resting on the bed. Paired t tests show statistically significant differences in systolic BPs, diastolic BPs, and mean arterial pressures in the supine and head-elevated positions. Bland—Altman analyses indicate that forearm and upper-arm oscillometric BPs are not interchangeable in acutely ill adul... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3700582 Sun, 27 Jun 2010 05:49:27 +0100 3700582 http://www.medworm.com/index.php?rid=3700581&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F3%2F305%3Frss%3D1 This article seeks to demonstrate the epistemological affinity between feminist inquiry and grounded theory. Although this relationship is not necessarily unique, the authors contend that when combined, it loosens the androcentric moorings of the empirical processes underpinning grounded theory, enabling the researchers to design inquiry with greater potential to reveal issues particular to the lives and experiences of marginalized women. The article begins by retracing the roots of grounded theory and feminist inquiry to identify six key areas where the underpinnings of GT are enriched by a feminist perspective when working with women. In addition, the authors draw on the literature and their experience from a 2005 study of peer support and lone mothers’ health to demonstrate the ad... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3700581 Sun, 27 Jun 2010 05:49:27 +0100 3700581 http://www.medworm.com/index.php?rid=3700580&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F32%2F3%2F281%3Frss%3D1 This article describes a pilot study to explore use of a personal digital assistant (PDA) to sustain smoking cessation after discharge in clients with socioeconomic vulnerability. The major aim is to describe technology acceptance (perceived ease of use, usefulness, and attitude), portability, technical difficulty, satisfaction, and use time. The sample includes 31 medical surgical clients with average age of 47.35 (±13.3), average household income of $13,629 (±8,204), average number in the household of 2.67 (±2.22), and average education of 11th grade. The results demonstrate mean use time of 9.28 (±3.23) hr, or about 1 hr over 8 weeks. Technology acceptance responses indicate the PDA is viewed as useful to the task of smoking cessation but is not perceived as ... Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3700580 Sun, 27 Jun 2010 05:49:27 +0100 3700580 http://www.medworm.com/index.php?rid=3700579&cid=s_32329_27_f&fid=32329&url=http%3A%2F%2Fwjn.sagepub.com%2Fcgi%2Freprint%2F32%2F3%2F279%3Frss%3D1 (Source: Western Journal of Nursing Research) Western Journal of Nursing Research journals http://www.medworm.com/rss/comments.php?id=3700579 Sun, 27 Jun 2010 05:49:27 +0100 3700579 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