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Tuberculosis Treatment for Mexican Americans Living on the U.S.–Mexico Border
ConclusionsTB treatment can create a high level of patient burden. The participants in TB treatment in the LRGV on the Texas‐Mexico border reported a high level of stigma. Due to this stigma, patients struggled to find a balance between exposure to stigma and the support from family that buoyed them through treatment. Clinical RelevanceThe findings support the importance of addressing stigma and the resulting sense of isolation in patients being treated for TB, perhaps through bolstering support from family and healthcare providers, which is relevant for public health professionals working in regions with high rates of T...
Source: Journal of Nursing Scholarship - March 5, 2014 Category: Nursing Authors: Julie Ann Zuñiga, Silvia E. Muñoz, Mary Zuñiga Johnson, Alexandra Garcia Tags: CLINICAL SCHOLARSHIP Source Type: research

The Effect of Cognitive Stimulation on Nursing Home Elders: A Randomized Controlled Trial
ConclusionsCST had significantly improved cognition, explaining the 15.7% variability, but there was no statistical evidence of its effectiveness on depressive symptoms. This improvement was not affected by the baseline level of dependence‐independence in ADLs. Clinical RelevanceCST offers a range of activities, providing general stimulation for thinking, concentration, and memory, usually in a social setting. These results will support implementation of CST in NHs. In addition to the impact on elderly independence and autonomy, CST may also have an economic impact by reducing the direct costs of the impact of elders’ ...
Source: Journal of Nursing Scholarship - March 5, 2014 Category: Nursing Authors: João Luís Alves Apóstolo, Daniela Filipa Batista Cardoso, Ana Isabel Rosa, Constança Paúl Tags: CLINICAL SCHOLARSHIP Source Type: research

Average Hospital Length of Stay, Nurses’ Work Demands, and Their Health and Job Outcomes
ConclusionsA shorter LOS was associated with higher work demands, and higher work demands were associated with worse nurse outcomes. Thus, excessive work demands should be avoided to prevent nurses’ health and job outcomes from deteriorating. Clinical RelevanceNurse managers need to monitor the impacts of reducing LOS on work demands and nurse outcomes and request additional nurses to meet increasing work demands. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - February 6, 2014 Category: Nursing Authors: Sung‐Hyun Cho, Mihyun Park, Sang Hee Jeon, Hyoung Eun Chang, Hyun‐Ja Hong Tags: HEALTH POLICY AND SYSTEMS Source Type: research

Do Patient Characteristics Influence Nursing Adherence to a Guideline for Preventing Delirium?
ConclusionsPatient characteristics influence nursing in preventive delirium care. Clinical RelevanceThe findings can help to improve preventive delirium care by nurses. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - February 6, 2014 Category: Nursing Authors: Roelie Ijkema, Maaike Langelaan, Lotte Steeg, Cordula Wagner Tags: CLINICAL SCHOLARSHIP Source Type: research

Attitudinal Factors Protective Against Youth Smoking: An Integrative Review
ConclusionsFindings suggest attitudinal factors play a role in protection against youth smoking. Those youth who assign realistic values to smoking risks and benefits are more equipped to engage in the health‐protective behavior of not smoking. Youth, adolescents, and young adults appear vulnerable to inappropriate designation of risk and benefit values of smoking. Theoretical interpretation suggests that bolstering attitudinal factors during youth might counteract immature risk assessment. These findings justify further research related to protective mechanisms against youth smoking and youth‐based smoking prevention ...
Source: Journal of Nursing Scholarship - January 1, 2014 Category: Nursing Authors: Carissa Renée Arens, Tiffany Lynn White, Nichole Massengill Tags: CLINICAL SCHOLARSHIP Source Type: research

Evaluation of Printed Health Education Materials for Use by Low‐Education Families
ConclusionsImproving outcomes and reducing health disparities are increasingly important, and patients must be partners in their care for this to occur. One step to increasing patient understanding of written instructions is improving the quality of the materials in the instruction for all patients and their families, especially those with limited literacy skills. Clinical RelevanceUsing materials that are written in a manner that facilitates the uptake and use of patient education content has great potential to improve the ability of patients and families to be partners in care and to improve outcomes, especially for thos...
Source: Journal of Nursing Scholarship - January 1, 2014 Category: Nursing Authors: Lesa Ryan, M. Cynthia Logsdon, Sarah McGill, Reetta Stikes, Barbara Senior, Bridget Helinger, Beth Small, Deborah Winders Davis Tags: PROFESSION AND SOCIETY Source Type: research

Cultural Correlates of Burden in Primary Caregivers of Older Relatives: A Cross‐sectional Study
ConclusionsOur findings add to the existing evidence regarding the influence of cultural factors in the perception of burden in caregiving situations. Clinical RelevanceA risk profile could be proposed for subjective burden in primary family caregivers. Individuals who are at risk are characterized as young, offspring who live with the care recipient, care for a care recipient with behavioral problems, are unsatisfied with the social support received, and have a low balanced reciprocity. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - January 1, 2014 Category: Nursing Authors: Rafael del‐Pino‐Casado, Martín David Millán‐Cobo, Pedro A. Palomino‐Moral, Antonio Frías‐Osuna Tags: CLINICAL SCHOLARSHIP Source Type: research

Conducting Important and Ethical Research
(Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - January 1, 2014 Category: Nursing Authors: Susan Gennaro Tags: EDITORIAL Source Type: research

The Discrimination of Using the Short Physical Performance Battery to Screen Frailty for Community‐Dwelling Elderly People
ConclusionsThe research findings suggest that physical performance variables can be used to effectively screen elderly people at risk for frailty in the community. Clinical RelevanceThe findings offer reference values for physical performance tests specific to community‐dwelling frail elderly people. The information can enable health practitioners to achieve early identification of frailty among elderly people with anthropometric characteristics similar to those associated with people in Asian countries. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - January 1, 2014 Category: Nursing Authors: Shu‐Fang Chang, Rong‐Sen Yang, Tsung‐Ching Lin, Shu‐Ching Chiu, Mei‐Li Chen, Hui‐Chen Lee Tags: WORLD HEALTH Source Type: research

Israeli Nurses’ Intention to Report for Work in an Emergency or Disaster
ConclusionsPersonal factors, such as perceived knowledge, risk appraisal, and self‐efficacy, are more important to Israeli nurses than objective barriers in preventing them from reporting for emergency work. The level of perceived knowledge as to the demands on and duties of nurses in a large‐scale emergency is low. Self‐efficacy enhancing activities need to be introduced into nurse training for emergency preparedness. Clinical RelevanceThis study makes an important contribution to research on the importance of perceived self‐efficacy in the context of disaster planning. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - December 19, 2013 Category: Nursing Authors: Semyon Melnikov, Michal Itzhaki, Ilya Kagan Tags: PROFESSION AND SOCIETY Source Type: research

Defining and Incorporating Basic Nursing Care Actions Into the Electronic Health Record
ConclusionsThis project demonstrated that it is possible to define the concept of basic nursing care and to distinguish it from the interdisciplinary, problem‐focused plan of care. The use of the electronic health record can help clarify, document, and communicate basic care elements and improve uptake among nurses. Clinical RelevanceThis project to define basic nursing care activities and incorporate into the electronic health record represents a first step in capturing meaningful data elements. When fully implemented, these data could be translated into knowledge for improving care outcomes and collaborative processes....
Source: Journal of Nursing Scholarship - December 19, 2013 Category: Nursing Authors: Jane Englebright, Kelly Aldrich, Cathy R. Taylor Tags: SPECIAL ISSUE Source Type: research

A Patient‐Focused Framework Integrating Self‐Management and Informatics
ConclusionsThe Empowerment Informatics framework can guide intervention design and evaluation and support practicing nurses’ ethical use of technology as part of self‐management support. Clinical RelevanceNurses worldwide provide support to patients who are living with chronic illnesses. As pressures related to cost and access to care increase, technology‐enabled self‐management interventions will become increasingly common. This patient‐focused framework can guide nursing practice using technology that prioritizes patient needs. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - December 19, 2013 Category: Nursing Authors: Elizabeth P. Knight, Kimberly Shea Tags: CLINICAL SCHOLARSHIP Source Type: research

Exploring the Frequency of Blood Pressure Documentation in Emergency Departments
ConclusionsIn this dataset, median time between documentation of BP in the ED was every 2.3 hr for all patients. While the median time was statistically significant between ESI categories, these times may not be clinically relevant. More important was the inconsistent documentation of vital signs of ED patients in the designated fields in the EHR. Most facilities (84.1%) documented BP for >75% of patient visits. However, eight facilities (9.1%) had BP documented in <50% of patient visits. Clinical RelevanceIt seems unlikely that vital signs are not monitored in the ED; nurses anecdotally report that vital signs are r...
Source: Journal of Nursing Scholarship - December 19, 2013 Category: Nursing Authors: Rebecca S. Miltner, Kimberly D. Johnson, Rhiannon Deierhoi Tags: CLINICAL SCHOLARSHIP Source Type: research

Revisiting Basic Nursing Care
(Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - December 19, 2013 Category: Nursing Authors: Theo Achterberg Tags: GUEST EDITORIAL Source Type: research

Basic Nursing Care: Retrospective Evaluation of Communication and Psychosocial Interventions Documented by Nurses in the Acute Care Setting
Conclusions and ImplicationsThe results presented help to demonstrate that the interventions of this interface terminology may be useful to inform psychosocial aspects of basic and advanced nursing care. Clinical relevanceThe identification of psychosocial elements of basic nursing care in the nursing documentation may lead to obtain a deeper understanding of those caring interventions nurses consider essential to represent nurse‐patient interactions. The frequency of psychosocial interventions may contribute to delineate basic and advanced nursing care. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - December 19, 2013 Category: Nursing Authors: Maria‐Eulàlia Juvé‐Udina, Esperanza Zuriguel Pérez, Núria Fabrellas Padrés, Maribel Gonzalez Samartino, Marta Romero García, Mònica Castellà Creus, Núria Vila Batllori, Cristina Matud Calvo Tags: SPECIAL ISSUE Source Type: research

Concurrent Incidence of Adverse Events in Hospitals and Nursing Homes
ConclusionsThere is a high incidence of adverse events in hospitals and nursing homes. Many patients at risk do not receive adequate preventive care. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - December 19, 2013 Category: Nursing Authors: Betsie G.I. Gaal, Lisette Schoonhoven, Joke A.J. Mintjes‐de Groot, Tom Defloor, Herbert Habets, Andreas Voss, Theo Achterberg, Raymond T.C.M. Koopmans Tags: HEALTH POLICY AND SYSTEMS Source Type: research

The Effect of Postinjury Depression on Quality of Life following Minor Injury
ConclusionsDepression after minor injury negatively affects QoL even a full year postinjury. Clinical RelevanceThe findings of this study show that patients who have injuries that are treated and discharged from an emergency department can have significantly lower QoL in the year after that injury that is attributed, in part, to postinjury depression. Nurses should provide anticipatory guidance to patients that they may experience feelings of sadness or being “blue,” and that if they do, they should seek care. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - December 19, 2013 Category: Nursing Authors: Therese S. Richmond, Wensheng Guo, Theimann Ackerson, Judd Hollander, Vicente Gracias, Keith Robinson, Jay Amsterdam Tags: CLINICAL SCHOLARSHIP Source Type: research

Nurses’ Scope of Practice and the Implication for Quality Nursing Care
ConclusionsLower‐category nurses and student nurses should be allowed to perform only tasks within their scope of practice for which they are licensed or enrolled. Nurses with limited formal theoretical training are not adequately prepared to perform tasks unsupervised, even in the current global nursing shortage scenario. Clinical RelevanceTo optimize and ensure safe and quality patient care, risk assessments should be done by a registered professional nurse, who will then coordinate the nursing care of the patient with the assistance of the lower category of nurses. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - December 1, 2013 Category: Nursing Authors: J.C. (Irene) Lubbe, Lizeth Roets Tags: SPECIAL ISSUE Source Type: research

The Relationship Between Emergency Department Crowding and Patient Outcomes: A Systematic Review
ConclusionsED crowding is a major patient safety concern associated with poor patient outcomes. Interventions and policies are needed to address this significant problem. Clinical RelevanceThis review details the negative patient outcomes associated with ED crowding. Study results are relevant to medical professionals and those that seek care in the ED. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - December 1, 2013 Category: Nursing Authors: Eileen J. Carter, Stephanie M. Pouch, Elaine L. Larson Tags: CLINICAL SCHOLARSHIP Source Type: research

Clinical Relevance of Routinely Measured Vital Signs in Hospitalized Patients: A Systematic Review
ConclusionsSome discriminative LR+ were found, suggesting the clinical relevance of routine vital sign measurements. However, the subject is poorly studied, and many studies have methodological flaws. Further rigorous research is needed specifically intended to investigate the clinical relevance of routinely measured vital signs. Clinical RelevanceThe results of this research are important for clinical nurses to underpin daily routine practices and clinical decision making. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - October 11, 2013 Category: Nursing Authors: Marja N. Storm‐Versloot, Lotte Verweij, Cees Lucas, Jeroen Ludikhuize, J. Carel Goslings, Dink A. Legemate, Hester Vermeulen Tags: SPECIAL ISSUE Source Type: research

A New Theoretical Model for the Development of Pressure Ulcers and Other Dependence‐Related Lesions
ConclusionsBased on the classification of risk factors from the different scales into risk dimensions, a new middle‐range theory was constructed that explains the production mechanism of seven dependence‐related lesions considered to date as pressure ulcers. Clinical RelevanceThe prevention and treatment of these lesions requires a correct diagnosis and differentiation of their cause and management of the risk dimensions involved. The type of lesion also influences the selection of local approach. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - October 11, 2013 Category: Nursing Authors: Francisco Pedro García‐Fernández, J. Javier Soldevilla Agreda, José Verdú, Pedro L. Pancorbo‐Hidalgo Tags: SPECIAL ISSUE Source Type: research

Typologies of Professional Identity Among Graduating Baccalaureate‐Prepared Nurses
ConclusionsEvidence was found that these students internalized the QSEN attitudes to varying degrees, but more work may be needed to internalize all attitudes, especially those related to patient‐centered care. Future research is needed to evaluate how students with different perspectives transition to practice and to explore other factors that comprise professional identity. Clinical RelevanceThis study expands on what is known about patterns of professional identity among nurses and helps provide a beginning framework for understanding the values new graduates bring to practice. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - October 11, 2013 Category: Nursing Authors: Desiree Hensel Tags: CLINICAL SCHOLARSHIP Source Type: research

An Integrative Review of Knowing the Patient
ConclusionsWhile knowing the patient continues to be a prominent concept in the nursing literature, practice environments may not provide the conditions necessary to support the process, particularly temporal factors of time availability, sustained contact, continuity, and consistency. Clinical RelevanceFindings inform the development of professional practice models that support knowing the patient. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - September 30, 2013 Category: Nursing Authors: Cynthia Diamond Zolnierek Tags: SPECIAL ISSUE Source Type: research

Family Sense of Coherence and Family Adaptation Among Childbearing Couples
ConclusionsThe study provides evidence that family sense of coherence plays a significant role in promoting family functioning and reducing depressive symptoms during the transition to parenthood. Clinical RelevanceKnowledge of the impact of family sense of coherence in parental transition can better equip healthcare professionals for developing couple‐based and culturally sensitive care to assist childbearing couples to cope with the stress and demands of the parental role, thereby promoting positive family functioning and well‐being. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - September 11, 2013 Category: Nursing Authors: Fei‐Wan Ngai, Siew‐Fei Ngu Tags: PROFESSION AND SOCIETY Source Type: research

Your Legacy
(Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - September 1, 2013 Category: Nursing Authors: Susan Gennaro Tags: EDITORIAL Source Type: research

Postpartum Women's Sleep Quality and Its Predictors in Taiwan
ConclusionsMost postpartum women did not sleep well due to physical discomfort, perceived stress, co‐sleeper disturbance, and marital dissatisfaction. Clinical RelevanceEvaluation of sleep quality should be a routine part of postnatal check‐ups. Information on women's sleep problems, marital satisfaction, stress, co‐sleepers, and baby sleep status can be used to individualize intervention protocols for sleep‐disturbed women. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - September 1, 2013 Category: Nursing Authors: Shu–Hua Ko, Chung–Hey Chen, Hsiu–Hung Wang, Yu–ting Su Tags: CLINICAL SCHOLARSHIP Source Type: research

Basic Nursing Care to Prevent Nonventilator Hospital‐Acquired Pneumonia
ConclusionsNV‐HAP should be elevated to the same level of concern, attention, and effort as prevention of ventilator‐associated pneumonia in hospitals. Clinical RelevanceNursing needs to lead the way in the design and implementation of policies that allow for adequate time, proper oral care supplies, ease of access to supplies, clear procedures, and outcome monitoring ensuring that patients are protected from NV‐HAP. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - September 1, 2013 Category: Nursing Authors: Barbara Quinn, Dian L. Baker, Shannon Cohen, Jennifer L. Stewart, Christine A. Lima, Carol Parise Tags: SPECIAL ISSUE Source Type: research

Frequency and Duration of Nursing Care Related to Older Patient Mobility
ConclusionsNurses infrequently initiated mobility events for hospitalized older patients and most often engaged patients in low‐level activity (standing and transferring). Clinical RelevanceLimited mobility (standing and transferring only) is an independent predictor of negative outcomes for hospitalized older patients. Nurses are in a key position to improve outcomes for hospitalized older patients by engaging them in mobility activity, particularly ambulation, but further research is needed to determine how best to engage nurses in these activities. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - September 1, 2013 Category: Nursing Authors: Barbara Doherty‐King, Ju Young Yoon, Kristen Pecanac, Roger Brown, Jane Mahoney Tags: SPECIAL ISSUE Source Type: research

Dementia Care in Eight European Countries: Developing a Mapping System to Explore Systems
ConclusionsThe dementia care systems were found to be comprehensive and to emphasize home care. Activities aimed at transferring knowledge to informal caregivers, though highly important for home care, seemed less extensive. The mapping system appears useful from a nurse manager's standpoint for exploring the dementia care pathway. Comparisons between countries appear useful for developing the care system and for sharing information of how to perfect it. Further testing and development are needed regarding information on the availability and utilization of care and service activities. Clinical RelevanceThe mapping system c...
Source: Journal of Nursing Scholarship - September 1, 2013 Category: Nursing Authors: Ingalill R. Hallberg, Helena Leino‐Kilpi, Gabriele Meyer, Katrin Raamat, Maria Soto Martin, Caroline Sutcliffe, Adelaida Zabalegui, Sandra Zwakhalen, Staffan Karlsson Tags: WORLD HEALTH Source Type: research

Living With Hypertrophic Cardiomyopathy
ConclusionsParticipation in genetic testing carries a multitude of personal, familial, financial, and emotional implications. The results of a genetic test elicited an emotional response regardless of whether the results were negative, positive, or inconclusive. Living with a potentially life‐threatening illness altered identity, disrupted social relationships, and generated chronic fear and uncertainty. A new normal was re‐ordered or transformed by the demands and limitations posed by HCM, and by the person's concerns, priorities, and the meaning of the illness. Clinical RelevanceResults from this study underscore the...
Source: Journal of Nursing Scholarship - July 1, 2013 Category: Nursing Authors: Kim Subasic Tags: CLINICAL SCHOLARSHIP Source Type: research

Erratum
(Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - June 4, 2013 Category: Nursing Tags: ERRATUM Source Type: research

Engendering Independence While Living With Purpose: Women's Lives After Leaving Abusive Intimate Partners
ConclusionsWomen can successfully establish productive, meaningful lives after violence and will fiercely protect and maintain their independence as they negotiate relationships and developmental challenges throughout their lives. A need for control of their lives and difficulty trusting others remain a lasting legacy of living with a history of violence. Clinical RelevanceThis is the first study that examines women's lives 5 or more years after leaving violent and abusive relationships. Findings indicate that women can successfully leave violent and abusive relationships, and challenge the widely accepted notion that wome...
Source: Journal of Nursing Scholarship - June 1, 2013 Category: Nursing Authors: Penelope W. McDonald, Suzanne Dickerson Tags: CLINICAL SCHOLARSHIP Source Type: research

Using Photos to Develop Text Messages to Promote Walking
ConclusionsUsing TMs to help achieve walking goals is an acceptable method of promoting PA with adults. Using culturally relevant photos to prompt discussion, focus groups can develop a database of PA‐related TMs to promote walking. Clinical RelevancePhysical inactivity is a significant contributor to adult health problems worldwide, and walking is a realistic method of increasing PA. Using focus groups and photos, individuals can generate acceptable, personalized and innovative TMs to promote walking. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - June 1, 2013 Category: Nursing Authors: Susan Weber Buchholz, Diana Ingram, JoEllen Wilbur, Phyllis Pelt Tags: CLINICAL SCHOLARSHIP Source Type: research

The Triple Challenge of Recruiting Older Adults With Dementia and High Medical Acuity in Skilled Nursing Facilities
ConclusionsThe recruitment of an adequate sample of acutely ill older adults with dementia in SNFs can pose a challenge to investigators and threaten the validity of findings. Recruitment strategies that help improve the validity of future studies are described. Clinical RelevanceWorldwide, over 100 million people will have dementia by 2050, placing them at increased risk for delirium. Recruitment strategies that improve the quality of nursing research and, by extension, the care and prevention of delirium in older adults with dementia during rehabilitation in SNFs are greatly needed. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - June 1, 2013 Category: Nursing Authors: Ann Kolanowski, Paula Mulhall, Andrea Yevchak, Nikki Hill, Donna Fick Tags: CLINICAL SCHOLARSHIP Source Type: research

Experiences of Grandmothers Caring for Orphan Grandchildren in Botswana
ConclusionsAlthough the grandmothers accepted this role, it was described as difficult, and had profound consequences for them. Recommendations include comprehensive support for grandmothers and orphans that include psychological support and health promotion. Clinical RelevanceGrandparents are an important support system of orphans in Botswana since there are very few orphanages. In order to support grandparents in this role, community health nurses need to provide comprehensive health promotion for grandmothers caring for orphans that includes support groups and multidisciplinary care teams to ensure that the grandmothers...
Source: Journal of Nursing Scholarship - June 1, 2013 Category: Nursing Authors: Sheila Shaibu Tags: CLINICAL SCHOLARSHIP Source Type: research

Characteristics of Quantitative Nursing Research from 1990 to 2010
ConclusionsQuantitative nursing research can be characterized as multidisciplinary (distinct theories from different disciplines) rather than discipline‐specific to nursing. Interdisciplinary (theories synthesized from different disciplines) research has been conducted minimally. Clinical RelevanceThis study provides information about the growth of the scientific knowledge base of nursing, which has implications for practice. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - June 1, 2013 Category: Nursing Authors: Adela Yarcheski, Noreen E. Mahon Tags: Original Manuscript Source Type: research

Translation of Oral Care Practice Guidelines Into Clinical Practice by Intensive Care Unit Nurses
ConclusionsThe national effort was partially successful in improving evidence‐based oral care practices; however, increased awareness to EBP also might have come from other sources. Other strategies related to knowledge translation need to be attempted and researched in this clinical setting such as the use of opinion leaders, audits and feedback, small group consensus, provider reminder systems, incentives, clinical information systems, and computer decision support systems. Clinical RelevanceThis national effort to improve EBP did reap some rewards; however, other knowledge translation strategies should be used to furt...
Source: Journal of Nursing Scholarship - June 1, 2013 Category: Nursing Authors: Freda DeKeyser Ganz, Raanan Ofra, Rabia Khalaila, Hadassa Levy, Dana Arad, Orly Kolpak, Maureen Ben Nun, Yardena Drori, Julie Benbenishty Tags: CLINICAL SCHOLARSHIP Source Type: research

The Relationship Between Expectation Regarding Aging and Functional Health Status Among Older Adults in China
ConclusionsOlder adults generally consider body function decline to be an expected part of aging. Personality and psychological factors, rather than physical health conditions, were the factors that were considered to be most influential on ERA among Chinese older adults. These findings suggest that community interventions taking into account leisure‐time exercise could be influential in improving the ERA and functional health status of older adults. Clinical RelevanceFor community nurses and other primary care providers, the findings of the present study may facilitate the subsequent design of community‐based particip...
Source: Journal of Nursing Scholarship - May 22, 2013 Category: Nursing Authors: Xianwen Li, Qiyuan Lv, Chunyu Li, Hailian Zhang, Caifu Li, Jinzhen Jin Tags: CLINICAL SCHOLARSHIP Source Type: research

Family Caregiving for Dependent Older Adults in Thai Families
ConclusionsDependent care for older adults varies across and is influenced by many conditions. Health personnel need to assess and monitor these varying conditions in order to support Thai families caring for dependent older adults. Clinical RelevanceThe conceptual model developed from the findings of this study provide a starting place for increasing our understanding of how to help Thai families care effectively and continuously for their older family members. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - May 16, 2013 Category: Nursing Authors: Nongnuch Wongsawang, Sunee Lagampan, Punyarat Lapvongwattana, Barbara J. Bowers Tags: CLINICAL SCHOLARSHIP Source Type: research

Translation Cost, Quality, and Adequacy
ConclusionsThe level of translation adequacy needed for any qualitative study should be considered before beginning the study itself. Based on a predetermined level, translation choices can be assessed using specified methods, which can also lead to greater transparency in the research process. Clinical RelevanceAn ongoing process to verify translation outcomes inclu‐ding cost, a component minimally discussed in the current literature, is relevant to nurses worldwide. Awareness of expense and quality issues makes greater methodological transparency possible in the design of translation projects and research studies. (Sou...
Source: Journal of Nursing Scholarship - May 15, 2013 Category: Nursing Authors: Sherry G. Hendrickson, Tracie C. Harrison, Nora A. Lopez, Aurea G. Zegarra‐Coronado, Tiffany Ricks Tags: WORLD HEALTH Source Type: research

Effects of Motivational Interviewing Intervention on Blackouts Among College Freshmen
ConclusionsMI had an impact on reducing alcohol consumption and the rate of blackouts among college freshmen who were engaging in high‐risk drinking and illicit drug use. Clinical RelevanceThe findings support the importance of using MI with freshmen college students to decrease drinking and the associated negative consequences, including blackouts, which has particular relevance for advanced practice registered nurses, physicians, and community health nurses who conduct MI as an intervention with college students. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - May 15, 2013 Category: Nursing Authors: Donna M. Kazemi, Maureen J. Levine, Jacek Dmochowski, Mary A. Nies, Linman Sun Tags: CLINICAL SCHOLARSHIP Source Type: research

A Systematic Review of Social Networking Sites: Innovative Platforms for Health Research Targeting Adolescents and Young Adults
ConclusionsAlthough this literature review showed relatively minimal research to date on the use of SNS for research targeting adolescents and young adults, the impact of using SNS for health research is of considerable importance for researchers as well as participants. With careful focus, SNS can become a valuable platform to access, recruit, and deliver health interventions in a cost‐effective manner to youth populations as well as hard‐to‐reach minority or underserved populations. Clinical RelevanceThe evidence demonstrates the usefulness of SNS as innovative platforms for health promotion among adolescents and y...
Source: Journal of Nursing Scholarship - May 15, 2013 Category: Nursing Authors: Bu Kyung Park, Christina Calamaro Tags: CLINICAL SCHOLARSHIP Source Type: research

Older Patients’ Experiences of Heart Failure—An Integrative Literature Review
ConclusionsOlder patients with HF have poor health‐related quality of life compared with controls and experience severe and frequent symptoms of fatigue and dyspnea that limit several aspects of their life, making them dependent on others for survival. The variety of ways in which older patients cope with these consequences is determined by how they understand their illness, with the majority showing poor health literacy in relation to HF. Neither self‐management nor symptom monitoring is ideal in older patients with HF, although person‐centered interventions such as motivational interviewing show promising results i...
Source: Journal of Nursing Scholarship - April 25, 2013 Category: Nursing Authors: Hanna Falk, Inger Ekman, Ruth Anderson, Michael Fu, Bradi Granger Tags: CLINICAL SCHOLARSHIP Source Type: research

Successful Aging Among Assisted Living Community Older Adults
ConclusionsThis research demonstrated that successful aging does exist in ALC residents. Clinical RelevanceThe size of the older adult population will proliferate dramatically during the next two decades. Many of these individuals will find themselves living in ALCs; therefore, it is important to continue to strive to understand what successful aging looks like in these individuals in order to adopt meaningful practices and interventions aimed at eliciting successful aging responses in those living in these communities. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - April 16, 2013 Category: Nursing Authors: Maryalice Kozar‐Westman, Meredith Troutman‐Jordan, Mary A. Nies Tags: CLINICAL SCHOLARSHIP Source Type: research

Nurses’ Preparedness and Perceived Competence in Managing Disasters
ConclusionsGlobal increases in natural and human‐induced disasters have called attention to the part that health providers play in mitigation and recovery. Since nurses are involved in planning, mitigation, response, and recovery aspects of disasters, they should actively seek opportunities to participate in actual disaster events, mock drills, and further educational opportunities specific to disaster preparedness. Administrators must support and encourage disaster preparedness education of nurses to promote hospital readiness to provide community care delivery in the event of a disaster situation. Clinical RelevanceNur...
Source: Journal of Nursing Scholarship - April 9, 2013 Category: Nursing Authors: Sylvia Baack, Danita Alfred Tags: WORLD HEALTH Source Type: research

The Global Nursing Faculty Shortage: Status and Solutions for Change
ConclusionsResults point to a needed change in direction and approach to solving the nursing faculty shortage. By designing new education models that fit global healthcare needs and pooling teaching resources, designing and using the same databases across organizations to track and project faculty needs, and collaborating between schools and businesses to create mutually beneficial agreements for services, nursing faculty capacity can be enhanced, and nursing's capacity to meet global healthcare needs can be expanded. Clinical RelevanceThe results of this systematic review can be used as a rubric for the design and develop...
Source: Journal of Nursing Scholarship - April 5, 2013 Category: Nursing Authors: Deena A. Nardi, Charlene C. Gyurko Tags: PROFESSION AND SOCIETY Source Type: research

Development of a Proactive Care Program (U‐CARE) to Preserve Physical Functioning of Frail Older People in Primary Care
ConclusionsUsing the MRC Framework, a detailed description of the development process of the innovative U‐CARE program is provided, which is often missing in reports of complex intervention trials. Based on our feasibility‐pilot study, the general practitioners and the registered practice nurses indicated that the U‐CARE intervention is feasible in clinical practice. Clinical RelevancesThe U‐CARE program consists of promising components and has the potential to improve the care of older patients. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - March 26, 2013 Category: Nursing Authors: Nienke Bleijenberg, Valerie H. ten Dam, Irene Drubbel, Mattijs E. Numans, Niek J. Wit, Marieke J. Schuurmans Tags: CLINICAL SCHOLARSHIP Source Type: research

The Meaning of Evidence‐Based Management to Brazilian Senior Nurse Leaders
ConclusionsEvidence‐based management necessitates a continuous process of locating, implementing, and evaluating evidence. In this study leaders provided multiple, concrete examples of all these processes except seeking out and locating evidence. They also gave examples of other leadership skills associated with successful adoption of evidence‐based practice and management, particularly interdisciplinary teamwork and shared decision making. Clinical RelevanceThis study demonstrates senior nurse leaders’ awareness and utilization of evidence‐based management. The study also suggests what aspects of evidence‐based ...
Source: Journal of Nursing Scholarship - March 26, 2013 Category: Nursing Authors: Wilza Carla Spiri, Maura MacPhee Tags: POLICY AND SYSTEMS Source Type: research

Seeking Health Care Through International Medical Tourism
ConclusionsThe results of this study provide increased understanding of the experience of obtaining health care internationally from the patient perspective. Improved understanding of medical tourism provides additional information about a contemporary approach to health‐seeking behavior. Clinical RelevanceResults of this study will aid nursing professionals in counseling regarding medical tourism options and providing follow‐up health care after medical tourism. Nurses will be able to actively participate in global health policy discussions regarding medical tourism trends. (Source: Journal of Nursing Scholarship)
Source: Journal of Nursing Scholarship - March 14, 2013 Category: Nursing Authors: Lee Ann Eissler, John Casken Tags: WORLD HEALTH Source Type: research

Views of Black Nurses Toward Genetic Research and Testing
ConclusionsBlack nurses expressed concerns about the potential for discriminatory use of genetic information gleaned from research and testing. Yet, Black nurses recognize the importance of racial‐ethnic minority participation in genetic research and testing. Clinical RelevanceParticipation in genetic research and testing by diverse populations will provide opportunities to improve the healthcare delivery system and aid the eradication of health disparities. More research is needed to clarify factors that contribute to the bifurcation of importance for participation, reluctance to participate, and what interventions migh...
Source: Journal of Nursing Scholarship - March 7, 2013 Category: Nursing Authors: Yolanda M. Powell‐Young, Ida J. Spruill Tags: CLINICAL SCHOLARSHIP Source Type: research