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Research Participation Among Older Adults With Mobility LimitationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this qualitative descriptive study was to examine reasons for participation in clinical research among older adults with mobility limitation. A purposive sample of 20 men and 20 women aged 70 years or older was recruited. Data were collected by audiotaped telephone interviews using a semistructured interview guide and transcribed verbatim. Participants expect privacy, professionalism by research staff, and respectful treatment. Benefits to protocol adherence include personal education, comparison of their health status with that of others, opportunity to maintain vitality, and altruism. Barriers to protocol ...
Source: Clinical Nursing Research - October 8, 2009 Category: Nursing Authors: Schlenk, E. A., Ross, D., Stilley, C. S., Dunbar-Jacob, J., Olshansky, E. Tags: Articles Source Type: journals

Behavioral Indicators of Postoperative Pain in Older Adults With DeliriumEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The undertreatment of postoperative pain in older adults with delirium is attributed, in part, to the inability to complete self-report pain assessment instruments. Patients’ loss of verbal skills to self-report pain and the lack of reliable and valid postoperative pain assessment instruments for use in older adults with delirium prompted the design of a study to identify common and subtle behavioral indicators of pain. Sixteen experienced registered nurses participating in four focus groups identified behavioral indicators of pain.Transcript analysis resulted in 89 behaviors indicative of pain. Seven researchers wit...
Source: Clinical Nursing Research - October 8, 2009 Category: Nursing Authors: Decker, S. A. Tags: Articles Source Type: journals

Women and Their Partners' Perceptions of the Key Roles of the Labor and Delivery NurseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This descriptive qualitative study examined the perspectives of women and their partners regarding the key roles of the labor and delivery nurse during labor and birth.Ten couples were interviewed separately.The data analysis, conducted through independent and team analysis, was both iterative and interpretive. Participants identified four key roles of the labor and delivery nurse: support person, educator, patient advocate, and provider of continuity. Nurses provided both physical and emotional support.As an educator, they normalized the birth experience and served as a coach for the couple. Nurses advocated on behalf of ...
Source: Clinical Nursing Research - October 8, 2009 Category: Nursing Authors: Brown, J. B., Beckhoff, C., Bickford, J., Stewart, M., Freeman, T. R., Kasperski, M. J. Tags: Articles Source Type: journals

Patient Demographics and Learning Needs: Examination of RelationshipEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Limited research has examined differences in patients’ learning needs in relation to demographic characteristics, such as age, gender, level of education, and culture. Yet such knowledge is essential to develop postoperative educational interventions that are tailored to patients’ needs. Study purpose: The purpose of this study was to examine the relationship between learning needs and the demographic characteristics of patients who have undergone coronary artery bypass graft (CABG) surgery. Method: A descriptive design was used.The sample of convenience included 38 patients who met eligibility crit...
Source: Clinical Nursing Research - October 8, 2009 Category: Nursing Authors: Fredericks, S., Guruge, S., Sidani, S., Wan, T. Tags: Articles Source Type: journals

Puerto Rican Women's Perceptions of Heart Disease RiskEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study explored awareness of CHD symptoms, risks, and help-seeking behaviors among 12 PR women. Focus group methodology revealed that participants were unaware of their risk and had misconceptions about CHD symptoms and contributing factors. Barriers to early recognition and treatment included lack of knowledge, gender role conflict (caregiver vs. care recipient), and fears of falsely alarming family members or the embarrassment of feeling "dismissed" by health care providers. (Source: Clinical Nursing Research)
Source: Clinical Nursing Research - October 8, 2009 Category: Nursing Authors: Lange, J., Evans-Benard, S., Cooper, J., Fahey, E., Kalapos, M., Tice, D., Wang-D'Amato, N., Watsky, N. Tags: Articles Source Type: journals

Management of Aggression Among Demented or Brain-Injured PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Nurses' responses to aggression among patients with dementia or brain injury are not fully informed by evidence-based interventions. For this reason, the primary purpose of this investigation was to delineate a conceptual framework of optimal therapeutic interventions to manage verbal and behavioral aggression among these individuals. Meta-synthesis methods were used, and findings from seven reports of qualitative research were synthesized. Therapeutic management of aggression among patients with dementia or brain injury was captured by the metaphor entering the patient's world. This process involves getting to know the pa...
Source: Clinical Nursing Research - July 14, 2009 Category: Nursing Authors: Finfgeld-Connett, D. Tags: Article Source Type: journals

Suicide Risk Screening in an Emergency Department: Engaging Staff Nurses in Continued Testing of a Brief InstrumentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study included ED staff nurses in a Level II Trauma Center who administered the RSQ to adolescent, adult, and geriatric patients, regardless of chief complaint or psychiatric history. Participants consisted of a convenience sample of 202 patients composed of 59 adolescents and 143 adults, including 36 geriatric patients. Psychometric analysis demonstrated a lower-than-expected degree of reliability and an adequate level of criterion-related validity for the RSQ in this sample. Interrater reliability was established. Approximately 42% of all patients who participated screened positive for suicide risk using the RSQ. Re...
Source: Clinical Nursing Research - July 14, 2009 Category: Nursing Authors: Folse, V. N., Hahn, R. L. Tags: Article Source Type: journals

Test--Retest Reliability of the Geriatric Institutional Assessment ProfileEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Geriatric Institutional Assessment Profile (GIAP) is a self-administered survey of hospital nurses designed to assess a hospital's readiness to implement geriatric programs. The GIAP measures nurses' knowledge and attitudes toward older adults as well as the organizational attributes that support or constrain geriatric best practices. Test—retest reliability estimates of the GIAP were conducted with a sample of 166 direct care nurses in three urban, university-affiliated hospitals over a 3-week time period. Intraclass correlation coefficients of GIAP scales and subscales ranged between .82 and .92, demonstrating ...
Source: Clinical Nursing Research - July 14, 2009 Category: Nursing Authors: Boltz, M., Capezuti, E., Kim, H., Fairchild, S., Secic, M. Tags: Article Source Type: journals

Evaluation of Statistical Approaches in Quantitative Nursing ResearchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purposes of this study were to (a) develop a tool to assess statistical methods and (b) use the tool to evaluate recently published quantitative research. We rated the statistical approaches used in 152 studies published in the 5 top impact-factor nursing research journals from September 2005 to August 2007. Studies were generally of high quality; 45% scored between 80% and 100%, and 22% achieved a score of 100%. Predictors of high scores were interdisciplinary authorship, a statistician coauthor, and the number of aims. The authors conclude that studies published in high impact-factor nursing journals are statisticall...
Source: Clinical Nursing Research - July 14, 2009 Category: Nursing Authors: Gross Cohn, E., Haomiao Jia, , Larson, E. Tags: Article Source Type: journals

Commentary by LorenzEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical Nursing Research)
Source: Clinical Nursing Research - July 14, 2009 Category: Nursing Authors: Lorenz, R. A. Tags: Article Source Type: journals

Measuring the Oral Health of Nursing Home EldersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The primary purposes of this descriptive and prospective pilot study was to test the feasibility of a nursing and dental hygiene team to measure specific oral health indices in a sample of older adults residing in nursing homes (NHs). The secondary purpose was to determine the relationship between plaque and dentate status. Oral health indicators, functional status scores, and behavioral scores were collected and analyzed from 38 female NH residents from two geographically, organizationally, and economically diverse NHs. Persons with dentures had significantly lower plaque scores than those with natural dentition. Rural NH...
Source: Clinical Nursing Research - July 14, 2009 Category: Nursing Authors: Jablonski, R. A., Swecker, T., Munro, C., Grap, M. J., Ligon, M. Tags: Article Source Type: journals

Transitions for Clinical Nursing Research: An International JournalEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical Nursing Research)
Source: Clinical Nursing Research - July 14, 2009 Category: Nursing Authors: Cacchione, P. Z. Tags: Article Source Type: journals

ErratumEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the November 2008 issue of Clinical Nursing Research, the sentence in the final paragraph on page 249 read: If the forearm is used as an alternate site for BPM, the technique recommended by the American Heart Association to place the forearm at heart level and auscultate at the brachial artery should be followed. The correct statement should be to auscultate at the radial artery (the wrist), not the brachial artery. (Source: Clinical Nursing Research)
Source: Clinical Nursing Research - April 23, 2009 Category: Nursing Tags: Article Source Type: journals

Marijuana Effectiveness as an HIV Self-Care StrategyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study assesses the use of marijuana as a symptom management approach for six common symptoms for persons living with HIV/AIDS--anxiety, depression, fatigue, diarrhea, nausea, and peripheral neuropathy. This sub-analysis of the efficacy of a symptom management manual encompasses the experiences of participants from sites in the U.S., Africa, and Puerto Rico. Baseline data are analyzed to examine differences in the use and efficacy of marijuana as compared with prescribed and over-the-counter medications as well as the impact on adherence and quality of life. (Source: Clinical Nursing Research)
Source: Clinical Nursing Research - April 17, 2009 Category: Nursing Authors: Corless, I. B., Lindgren, T., Holzemer, W., Robinson, L., Moezzi, S., Kirksey, K., Coleman, C., Tsai, Y.-F., Sanzero Eller, L., Hamilton, M. J., Sefcik, E. F., Canaval, G. E., Rivero Mendez, M., Kemppainen, J. K., Bunch, E. H., Nicholas, P. K., Nokes, K. Tags: Article Source Type: journals

Predisposing Factors Associated With Delirium Among Demented Long-Term Care ResidentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This was a cross-sectional study to investigate predisposing factors associated with delirium among demented long-term-care residents and to assess the cumulative effect of these factors on the likelihood of having delirium. Of the 155 participants, 109 (70.3%) were found delirious according to the confusion assessment method. Among these individuals, age (OR = 1.07; 95% CI = 1.05-1.10) and severity of dementia (OR = 1.05; 95% CI = 1.03-1.07) were the most associated factors of delirium. The likelihood of being in delirium increased with the number of associated predisposing factors present (OR = 1.67; 95% CI = 1.11-2.51)....
Source: Clinical Nursing Research - April 17, 2009 Category: Nursing Authors: Voyer, P., Richard, S., Doucet, L., Carmichael, P.-H. Tags: Article Source Type: journals

Statistical Versus Clinical Significance for Infants With Brain Injury: Reanalysis of Outcome Data From a Randomized Controlled StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
By adopting more appropriate statistical methods to appraise data from a previously published randomized controlled trial, the statistical and clinical significance of an intervention on the 18-month neurodevelopmental outcome of infants with suspected brain injury is evaluated. The intervention group (n = 32) receives extensive, individualized cognitive/sensorimotor stimulation by public health nurses while the control group (n = 30) receives standard follow-up care. At 18 months, 43 infants remain in the study (22 intervention and 21 control). The results indicate that there is a significant statistical change within gro...
Source: Clinical Nursing Research - April 17, 2009 Category: Nursing Authors: Lina Kurdahi Badr, Tags: Article Source Type: journals

Adaptation Positions and Behavior Among Post--Myocardial Infarction PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study explores myocardial infarction patients' experiences of adaptation to illness consequences after one year, focusing on experiences of "the self." The study sample consisted of 19 respondents (10 women, 9 men) who have suffered a first-time myocardial infarction. They were interviewed 1 year after the acute heart attack. A constant comparative method for grounded theory provided the strategies used for data collection and analysis. Codes emerged and memos clarified theoretical reflections. The resulting model was able to illustrate possible mechanisms underlying two different behaviors: self-modifying and self-pr...
Source: Clinical Nursing Research - April 17, 2009 Category: Nursing Authors: Brink, E. Tags: Article Source Type: journals

Health-Related Quality of Life After Stroke: Reliability of Proxy ResponsesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A Danish version of the Stroke-Specific Quality of Life Scale (SSQOL-DK) has been developed for self-reporting; it contains 12 physical and psychosocial domains. The purpose of this study was (a) to assess the reliability of the proxy version of the SSQOL-DK and (b) to evaluate the influence of frequency of proxy contact on agreement. In all, 143 patients completed the SSQOL-DK 1 to 5 years post-stroke. A patient chosen proxy completed a proxy version of the same questionnaire. The proxy version showed satisfactory internal consistency (Cronbach's = .85-.95). Agreement was generally high. Proxies rated the amount of troubl...
Source: Clinical Nursing Research - April 17, 2009 Category: Nursing Authors: Muus, I., Petzold, M., Ringsberg, K. C. Tags: Article Source Type: journals

Into the Abyss of Someone Else's Dying: The Voice of the End-of-Life CaregiverEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study was undertaken to better understand family caregivers' perspectives of providing end-of-life (EOL) care to elders facing expected deaths from life-limiting, chronic illnesses, and the study involved understanding the nature of EOL caregiving using caregivers' own words. The study employed a cross-sectional, exploratory descriptive design. The data source was intensive interviews with 27 EOL caregivers. Eight themes were extracted from data that exemplify the core characteristics of EOL caregiving. The themes intersected at a central idea expressed in the voice of one caregiver as "jumping . . . into the abyss of...
Source: Clinical Nursing Research - February 10, 2009 Category: Nursing Authors: Phillips, L. R., Reed, P. G. Tags: Article Source Type: journals

Parent and Community Participation in Program DesignEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Parents of children with chronic illnesses face many challenges not faced by other parents. A family-centered parent support and education program, Building on Family Strengths (BFS), was designed to help parents meet these challenges by gaining new skills and learning new ways to support their children. BFS researchers involved potential participant families in the refinement of the BFS curriculum to make it truly family centered. The article reports major feedback received from parent focus groups, leaders in several cultural communities, and participants in a pilot class as BFS underwent final refinement. This feedback ...
Source: Clinical Nursing Research - February 10, 2009 Category: Nursing Authors: Uding, N., Kieckhefer, G. M., Trahms, C. M. Tags: Article Source Type: journals

Development of an Intervention Program for Alzheimer's Family Caregivers Following Diagnostic DisclosureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this qualitative study was to develop a pro-active psycho-educational intervention program for Alzheimer's family caregivers following diagnostic disclosure. Based on a theoretical model of role transitions and a participatory approach, the study comprised four steps: (a) exploring caregiver needs; (b) developing and validating a program proposal based on caregiver-expressed needs; (c) formalizing program through intervention mapping; and (d) testing and qualitatively evaluating the program. The psycho-educational program consisted of seven individual sessions aimed at fostering knowledge and skills required...
Source: Clinical Nursing Research - February 10, 2009 Category: Nursing Authors: Ducharme, F., Beaudet, L., Legault, A., Kergoat, M.-J., Levesque, L., Caron, C. Tags: Article Source Type: journals

Maternal Health and Child Asthma Health Services UseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The primary purpose of this pilot study was to examine the influence of maternal health status on health services use in children with the diagnosis of asthma. A secondary purpose was to assess both preventive and illness-related child health services use patterns. Fifty-two asthmatic children and 43 mothers met the inclusion criteria. The majority of mothers (72%, n = 31/43) rated their own overall health as good to excellent. Eighty-six percent (n = 38/44) of the children had a medical home, 20% had peak flow meters, 26% had been to see a specialist, and 4% were currently under the care of a specialist. This pilot study ...
Source: Clinical Nursing Research - February 10, 2009 Category: Nursing Authors: Kaiser, K. L., Barry, T. L., Mason, A. Tags: Article Source Type: journals

Commentary by HinckEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical Nursing Research)
Source: Clinical Nursing Research - February 10, 2009 Category: Nursing Authors: Hinck, S. M. Tags: Article Source Type: journals

Testing Protocols: Care of Biological Samples in a Rural SettingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this study is to evaluate collection, transport, and storage protocols of urine and air allergen samples from infants in a rural setting. Infant urine and aeroallergen samples (n = 21) are collected in the home setting in rural areas where time and distance to the central laboratory is a consideration. Urine samples are analyzed using ELISA tests after being transported using three different techniques: (a) ambient temperature, (b) dry ice, and (c) packaged on dry ice and shipped commercially. Following initial ELISA testing for levels of cytokines, urine samples are frozen at -70 degrees Celsius for 6 month...
Source: Clinical Nursing Research - February 10, 2009 Category: Nursing Authors: Stepans, M. B. F., Wilhelm, S. L., Rodehorst, T. K., Smith, D., Weinert, C. Tags: Article Source Type: journals

The Ethics of Writing for PublicationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical Nursing Research)
Source: Clinical Nursing Research - February 10, 2009 Category: Nursing Authors: Wood, M. J. Tags: Article Source Type: journals

Family Involvement in Inpatient Care in TaiwanEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This descriptive, cross-sectional survey study illustrates the roles for and motives of being a family visitor to accompany a hospitalized loved one during hospitalization in a Taiwanese hospital. Family visitors were approached by research assistants on a random basis in acute inpatient units. Among the 1,034 participants, 91% were relatives. About 80.0% of them were present to attend to the patient's physical care, 61.0% to offer psychological support, and 63.5% to express their desire to learn more about the patient's medical condition and illness in time. Their primary motives included fulfilling one of their responsib...
Source: Clinical Nursing Research - October 16, 2008 Category: Nursing Authors: Tzeng, H.-M., Yin, C.-Y. Tags: Article Source Type: journals

Coping Difficulties After HospitalizationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Coping difficulties of 113 adults 3 weeks after hospital discharge were identified using the Post-Discharge Coping Difficulty Scale and a brief focused telephone interview (11-item guide). Overall, low difficulty scores were reported (M = 23.9, SD = 18.2, range = 0 to 100). Qualitative data reveal specific coping difficulties in the categories of stressors, specific difficulties, caring for self, managing the condition, family, advice needed, contact with the health care system, and what they wished they knew before discharge. A core theme of biographical reconstruction emerged. (Source: Clinical Nursing Research)
Source: Clinical Nursing Research - October 16, 2008 Category: Nursing Authors: Fitzgerald Miller, J., Piacentine, L. B., Weiss, M. Tags: Article Source Type: journals

Examining Oral Intake Temperature in Cardiac Surgery PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The effect of restricting the temperature of cardiac surgery patients' oral intake to room temperature or warmer, over the first 3 postoperative days, on gastrointestinal (GI) symptoms was examined. In all, 57 patients were randomly assigned to receive the intervention or usual care. GI symptoms were measured daily over the first 5 postoperative days. Following hospital discharge, GI symptoms and return to function data were collected over 4 postoperative weeks. On Postoperative Day 1, 41% of patients reported having GI symptoms, and they were significantly associated with higher cross-clamp time. Symptoms dissipated over ...
Source: Clinical Nursing Research - October 16, 2008 Category: Nursing Authors: King, K. M., Donahue, M., Dowey, H., Bayes, A., Cuff, L., Korol, N. Tags: Article Source Type: journals

Equivalence of Earlobe Site Blood Glucose Testing With Finger StickEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study determines if there are significant differences in blood glucose sampled at the earlobe relative to fingertip sites. A 50-participant cross-sectional comparative design was conducted at a 480-bed community hospital. Four trained data collectors obtained demographic information and blood glucose samples from both the fingertip and earlobe sites. Data analysis included descriptive statistics, paired t test, and the Bland Altman technique, assessing agreement between two methods of clinical measurements. Results indicate that the mean finger stick glucose result was statistically significantly greater than the mean...
Source: Clinical Nursing Research - October 16, 2008 Category: Nursing Authors: Anzalone, P. Tags: Article Source Type: journals

Comparison of Upper Arm and Forearm Blood PressureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study determines if there is a significant difference between upper arm and forearm BPMs among adults and examines the relationship of participant characteristics to the BPM difference. A convenience sample was recruited from a low-income, independent-living, 104-apartment complex in the Midwest. Of the 106 participants, 64% were female and 89% were White. Ages ranged from 20 to 85 years (M = 50.7). The investigators calculated the BMIs (range = 18 to 42, M = 29.3, SD = 5.4) for the 89% (n = 94) of participants who reported their weight. The forearm tended to have higher BPMs than the upper arm (M difference = 4.0 mm ...
Source: Clinical Nursing Research - October 16, 2008 Category: Nursing Authors: Domiano, K. L., Hinck, S. M., Savinske, D. L., Hope, K. L. Tags: Article Source Type: journals

How Do We as Nurses Move the Science Forward?: One Step at a TimeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical Nursing Research)
Source: Clinical Nursing Research - October 16, 2008 Category: Nursing Authors: Cacchione, P. Z. Tags: Article Source Type: journals

Care Dependence: A Struggle Toward Moments of RespiteEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this study was to describe people's experiences of being dependent on others for care in their final stage of life, as well as what they felt made their experience of being dependent easier or more difficult. The phenomenological-hermeneutical method was chosen, where data collection consisted of open-ended interviews with nine people undergoing palliative care at a hospice unit or at home. The meaning of being care dependent is described via the following themes: changed relationship with oneself and with others, striving to adapt oneself to the situation, obstacles, and opportunities along the way while de...
Source: Clinical Nursing Research - July 10, 2008 Category: Nursing Authors: Eriksson, M., Andershed, B. Tags: Article Source Type: journals

Patients' Perceptions of Hospital Discharge Informational ContentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Ensuring that patients' informational needs have been met prior to hospital discharge sets the stage for successful self-management of recovery at home. This secondary analysis study aims to identify differences in the amount of discharge teaching content needed and received by adult medical-surgical patients on the basis of their sociodemographic characteristics and hospitalization-related factors. The Quality of Discharge Teaching Scale (QDTS) is used to measure patients' perceptions of the amount of discharge-related informational content they needed and received. Eighty-nine percent of patients receive more information...
Source: Clinical Nursing Research - July 10, 2008 Category: Nursing Authors: Maloney, L. R., Weiss, M. E. Tags: Article Source Type: journals

Impact of Telehealth on Clinical Outcomes in Patients With Heart FailureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this randomized field study was to determine the effects of telehomecare on hospitalization, emergency department (ED) use, mortality, and symptoms related to sodium and fluid intake, medication use, and physical activity. The sample consists of 284 patients with heart failure. The authors used logistic regression to study the effects of telehomecare on health services utilization and mortality and a general linear model to analyze changes in self-reported symptoms. On average, patients in the telehomecare groups had a lower probability of hospitalizations and ED visits than did patients in the control group...
Source: Clinical Nursing Research - July 10, 2008 Category: Nursing Authors: Dansky, K. H., Vasey, J., Bowles, K. Tags: Article Source Type: journals

Peak Flow Values by Gestation in Women With AsthmaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Asthma is one of the most common medical complications of pregnancy. Asthma control is associated with improved perinatal outcomes. Peak flow measures have been recommended to determine the status of asthma, yet norms for peak flow values in women with asthma are missing from the literature. The purpose of this study was to determine average peak flow values in pregnant women with asthma. Forty-three women were recruited into the study prior to the 20th week of pregnancy. Demographic data, including age, ethnic background, and number of pregnancies, were collected. Type and severity of asthma, medications used for asthma, ...
Source: Clinical Nursing Research - July 10, 2008 Category: Nursing Authors: Beckmann, C. A. Tags: Article Source Type: journals

Commentary by LuysterEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical Nursing Research)
Source: Clinical Nursing Research - July 10, 2008 Category: Nursing Authors: Luyster, F. Tags: Article Source Type: journals

Denial and Compliance in Adults With AsthmaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A descriptive study examining the relationship of denial of illness and compliance with inhaled controller asthma medications is conducted with 51 adults taking inhaled asthma controller medications. Affective and cognitive denial are assessed with the Levine Denial of Illness Scale. Severity is determined by portable spirometry; compliance is measured for 2 weeks with DOSER, a microelectronic monitor. The mean percent compliance rate for inhaled controller medications is 36%, with only 10.4% of the participants demonstrating optimal compliance (>80%). Although cognitive denial is not significantly associated with complian...
Source: Clinical Nursing Research - July 10, 2008 Category: Nursing Authors: McGann, E. F., Sexton, D., Chyun, D. A. Tags: Article Source Type: journals

Lessons Learned, Rewards ReceivedEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical Nursing Research)
Source: Clinical Nursing Research - July 10, 2008 Category: Nursing Authors: Cacchione, P. Z. Tags: Article Source Type: journals

Mixed-Methods Exploration of Parents' Health Information UnderstandingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Health literacy—the ability to read, understand, and use health information to make health care decisions—affects health care outcomes, hospitalization costs, and readmission. The purpose of this exploratory mixed-methods study is to determine how two different parent groups (English speaking and Spanish speaking) understand medical care for their children and the procedural and research consent forms required by that care. Quantitative and qualitative data are gathered and compared concurrently. Differences between groups are found in age, grade completed, Short Test of Functional Health Literacy in Adults sco...
Source: Clinical Nursing Research - April 2, 2008 Category: Nursing Authors: Lehna, C., McNeil, J. Tags: Article Source Type: journals

Spirituality: A Cultural Strength for African American Mothers With HIVEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this study was to describe how spirituality affected the lives of African American mothers with Human Immunodeficiency Virus (HIV) in the context of coping. This qualitative descriptive study used secondary data of interviews from a larger longitudinal study of parental caregiving of infants seropositive for HIV. Participants were 38 African American mothers with HIV. Data from longitudinal semi-structured interviews were analyzed using content analysis. The women dealt with the stresses of HIV through a relationship with God. Two domains explain this relationship: God in control and God requires participati...
Source: Clinical Nursing Research - April 2, 2008 Category: Nursing Authors: Polzer Casarez, R. L., Miles, M. S. Tags: Article Source Type: journals

Health-Related Hardiness in Individuals With Chronic IllnessesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aims of this study were to (a) describe health stressors, health-related hardiness, perception of illness impact, self-perception of health status, and psychosocial adjustment to illness in individuals living with an inherited bleeding disorder; (b) determine relationships between health stressors, health-related hardiness, perception of illness impact, self-perception of health status, and psychosocial adjustment to illness; and (c) determine if perception of illness impact had a direct and/or mediating effect on the relationship between health stressors, health-related hardiness, and self-perception of health status ...
Source: Clinical Nursing Research - April 2, 2008 Category: Nursing Authors: Brooks, M. V. Tags: Article Source Type: journals

Use of Electronic Monitoring in Clinical Nursing ResearchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the past decade, the introduction of electronic monitoring systems for monitoring medication adherence has contributed to the dialog about what works and what does not work in monitoring adherence. The purpose of this article is to describe the use of the Medication Event Monitoring System (MEMS) in a study of patients receiving isoniazid for latent tuberculosis infection. Three case examples from the study illustrate the data that are obtained from the electronic device compared to self-reports and point to the disparities that may occur in electronic monitoring. The strengths and limitations of using the MEMS and ethi...
Source: Clinical Nursing Research - April 2, 2008 Category: Nursing Authors: Ailinger, R. L., Black, P. L., Lima-Garcia, N. Tags: Article Source Type: journals

Effect of a Noise Reduction Program on a Medical-- Surgical UnitEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This quasi-experimental study tested an intervention to reduce sound levels in an acute care hospital. A parallel pre- and posttest design with control group was used; patients and employees completed the Topf Adapted Sound Disturbance Scales, and environmental sound levels were recorded on a Quest 2900 Sound Level Meter. Treatment interventions included an educational PowerPoint presentation for employees, minor environmental acoustical alterations, and the use of a Quest 261 Sound Detector/Controller for behavioral modification. None of these interventions produced statistically significant changes in sound levels. Patie...
Source: Clinical Nursing Research - April 2, 2008 Category: Nursing Authors: Taylor-Ford, R., Catlin, A., LaPlante, M., Weinke, C. Tags: Article Source Type: journals

The State of Evidence-Based PracticeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical Nursing Research)
Source: Clinical Nursing Research - April 2, 2008 Category: Nursing Authors: Wood, M. J. Tags: Article Source Type: journals

Bed and Toilet Height as Potential Environmental Risk FactorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study examines the difference between LLL of frail nursing home residents and the height of their toilets and beds in the lowest position, compares the patient or environmental characteristics of those able to transfer from the bed or toilet to those who cannot, and determines the relationship of patient or environmental characteristics to bed-related falls. A retrospective observational design using secondary data from 263 nursing home residents finds that bed height of three fourths of participants was greater than 140% of LLL, whereas toilet height of more than half was 100% to 120% of LLL. Increased fall risk is a...
Source: Clinical Nursing Research - January 9, 2008 Category: Nursing Authors: Capezuti, E., Wagner, L., Brush, B. L., Boltz, M., Renz, S., Secic, M. Tags: Article Source Type: journals

Women's Experience of Spirituality Within End-Stage Renal Disease and HemodialysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this descriptive, phenomenological qualitative study is to describe women's lived experiences of spirituality within end-stage renal disease (ESRD) and hemodialysis. The purposive volunteer sample of 16 women regularly attended two outpatient dialysis centers in a large Midwestern city. Audiotaped, transcribed interviews were analyzed using Colaizzi's method. These women affirmed that spirituality was extremely important in living with their illness and necessary treatment regime. Four major clusters of themes pertaining to the women's spiritual experience within their illness emerged: acceptance, understand...
Source: Clinical Nursing Research - January 9, 2008 Category: Nursing Authors: Tanyi, R. A., Werner, J. S. Tags: Article Source Type: journals

Health Risk Characteristics of Black Female Informal Caregivers on WelfareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This exploratory study examines differences in health risk characteristics and perceived health by caregiver status in two groups of Black women, 37 informal caregivers and 20 noncaregivers, transitioning from welfare to work. Health risk characteristics were assessed with the Center for Epidemiologic Studies Depression Scale and Healthier People Network Health Risk Appraisal—Version 6. Body mass index (BMI) calculations were based on the standard Centers for Disease Control formula. Perceived health status was assessed using a single-item Cantril ladder. Results show no statistically significant between-group differ...
Source: Clinical Nursing Research - January 9, 2008 Category: Nursing Authors: Rice, M. C., Wicks, M. N., Martin, J. C. Tags: Article Source Type: journals

Physiological Correlates of HIV-Related FatigueEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report baseline data collected from 128 human immunodeficiency virus (HIV)-positive individuals. The HIV-Related Fatigue Scale was used to measure several aspects of fatigue. Blood was drawn for the following physiological variables: hepatic function, thyroid function, HIV viral load, immunologic function, gonadal function, hematologic function, serum cortisol, and cellular injury. In bivariable analyses, free testosterone (p = 0.03) and CD8 (p = 0.07) were negatively correlated with fatigue intensity, and nonlinear relationships were observed between fatigue intensity and total testosterone (p = 0.02), thyroxine (p = 0...
Source: Clinical Nursing Research - January 9, 2008 Category: Nursing Authors: Barroso, J., Pence, B. W., Salahuddin, N., Harmon, J. L., Leserman, J. Tags: Article Source Type: journals

Interprofessional Nursing Research: Lost in Translation?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical Nursing Research)
Source: Clinical Nursing Research - January 9, 2008 Category: Nursing Authors: Cacchione, P. Z. Tags: Article Source Type: journals

Percutaneous Endoscopic Gastrostomy Feeding in Nursing Homes: Relatives' PerceptionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aim of this study is to explore the experiences of relatives of nursing home residents receiving percutaneous endoscopic gastrostomy feeding. Qualitative methodology using semistructured interviews explores the experiences and perceptions of eight relatives. Data are analyzed using thematic analysis. Four themes are constructed from the data: dependence and resulting disempowerment, having minimal or no involvement in the decision-making process for PEG placement, betrayal, and the losses associated with the social aspects of eating. There is a need for professional education about the psychosocial implications of feed...
Source: Clinical Nursing Research - November 8, 2007 Category: Nursing Authors: Brotherton, A. M., Carter, B. Tags: Article Source Type: journals