The Effect Of Preceptor Role Effectiveness On Newly Licensed Registered Nurses' Perceived Psychological Empowerment And Professional Autonomy, Channell Watkins, Patricia Hart, Nicole Mareno
Feb 2016
The Effect Of Preceptor Role Effectiveness On Newly Licensed Registered Nurses' Perceived Psychological Empowerment And Professional Autonomy, Channell Watkins, Patricia Hart, Nicole Mareno
Nicole Mareno
The first year turnover rate for newly licensed registered nurses is roughly 30% and increases to about 57% in the second year ( Twibell et al., 2012 ). An effective preceptorship has been shown to better facilitate the first year transition (Hodges et al., 2008) and increase retention rates ( Pine and Tart, 2007 ). The purpose of this study was to examine the relationships between newly licensed registered nurses' perceived preceptor role effectiveness, psychological empowerment and professional autonomy. A prospective, cross-sectional, descriptive research design was used. Sixty-nine newly licensed registered nurses were recruited and surveyed. Newly licensed registered nurses were found …
The Role Of Preceptorship And Group Cohesion On Newly Licensed Registered Nurses' Satisfaction And Intent To Stay, Sarah Bontrager, Patricia Hart, Nicole Mareno
Feb 2016
The Role Of Preceptorship And Group Cohesion On Newly Licensed Registered Nurses' Satisfaction And Intent To Stay, Sarah Bontrager, Patricia Hart, Nicole Mareno
Nicole Mareno
BACKGROUND:
Thirteen percent of newly licensed registered nurses (NLRNs) vacate their first job after 1 year, and 37% report that they feel ready to change jobs. Turnover can lead to consistent and detrimental nursing shortages in nursing units, as well as increased costs for health care systems.
METHOD:
A descriptive, prospective, cross-sectional design was used to understand how preceptor role effectiveness and group cohesion affect NLRNs' satisfaction and intent to stay.
RESULTS:
NLRNs reported high levels of perceived preceptor role effectiveness, group cohesion, and job satisfaction, with only moderate levels of intent to stay. Statistically significant relationships were found among …
A Statement Synthesis Of Emotional Eating And Body Size Recognition: Advancing Nursing Science Related To Obesity Research, Nicole Mareno, James Annesi
Jan 2016
A Statement Synthesis Of Emotional Eating And Body Size Recognition: Advancing Nursing Science Related To Obesity Research, Nicole Mareno, James Annesi
Nicole Mareno
Aim
A discussion of a statement synthesis of the relationship between the concepts of emotional eating and body size recognition.
Background
The interrelatedness of the concepts of emotional eating and body size recognition is poorly understood; however, both factors significantly impact weight management. Nurses can be instrumental in developing more effective weight management interventions as a critical step in helping to ameliorate the public health burden of obesity.
Design
This discussion article reports a literary statement synthesis.
Data sources
Five quantitative research studies from 1996 - 2014 were identified, which examined the relationship between the concepts.
Implications for nursing
A …
Ch. 7 Applying Middle-Range Concepts And Theories To The Care Of Vulnerable Populations, 4th Edition, Nicole Mareno
Dec 2015
Ch. 7 Applying Middle-Range Concepts And Theories To The Care Of Vulnerable Populations, 4th Edition, Nicole Mareno
Nicole Mareno
Abstract Forthcoming
Improvement In Emotional Eating Associated With An Enhanced Body Image In Obese Women: Mediation By Weight-Management Treatments' Effects On Self-Efficacy To Resist Emotional Cues To Eating, James Annesi, Nicole Mareno
Nov 2015
Improvement In Emotional Eating Associated With An Enhanced Body Image In Obese Women: Mediation By Weight-Management Treatments' Effects On Self-Efficacy To Resist Emotional Cues To Eating, James Annesi, Nicole Mareno
Nicole Mareno
Aims
To assess effects of cognitive-behavioural weight-loss treatments on self-efficacy to control emotionally cued eating and whether those changes mediate relationships between body satisfaction and emotional eating.
Background
Emotional eating is common, especially in women with obesity. A better understanding of relationships of its psychosocial correlates might benefit behavioural weight-loss treatments.
Design
A field-based, quantitative study incorporated two theoretically derived weight-loss treatments using repeated measures analyses that employed validated surveys.
Methods
Women with obesity volunteered for a community-based weight-loss study and were assigned to either a treatment of a manual plus phone support (n = 47), or in-person …
Indirect Effects Of Exercise On Emotional Eating Through Psychological Predictors Of Weight Loss In Women, James Annesi, Nicole Mareno
Nov 2015
Indirect Effects Of Exercise On Emotional Eating Through Psychological Predictors Of Weight Loss In Women, James Annesi, Nicole Mareno
Nicole Mareno
An improved understanding of how weight-loss interventions might be tailored to improve emotional eating is required. This study aimed to assess mediation of the relationship between increased exercise and decreased emotional eating so that behavioral treatments might be optimized. After randomization, women with obesity (N = 108; mean age = 48 years) were assigned to either a previously tested treatment of manual-based self-help for nutrition and exercise plus brief phone follow-ups, or a new protocol ofcognitive-behavioral methods of exercise support intended to carry-over psychological improvements to better controlled eating and weight loss. A community-based field setting was incorporated. Validated self-report measures were administered …
Effects Of An After-School Care-Administered Physical Activity And Nutrition Protocol On Body Mass Index, Fitness Levels, And Targeted Psychological Factors In 5-To 8-Year-Olds, James Annesi, Alice Smith, Stephanie Walsh, Nicole Mareno, Kathleen Smith
Nov 2015
Effects Of An After-School Care-Administered Physical Activity And Nutrition Protocol On Body Mass Index, Fitness Levels, And Targeted Psychological Factors In 5-To 8-Year-Olds, James Annesi, Alice Smith, Stephanie Walsh, Nicole Mareno, Kathleen Smith
Nicole Mareno
Over one third of U.S. youth are overweight or obese. Treatments typically have had unreliable effects, inconsistently incorporating behavior-change theory. After-school care might be a viable setting for health behavior-change programs. We evaluated effects of two consecutive 12-week segments of a revised self-efficacy/social cognitive theory-based physical activity and nutrition treatment on fitness levels, body mass index (BMI), and targeted psychosocial factors in after-school care participants, ages 5–8 years. Changes in physiological measures, exercise self-efficacy (ESE), and physical self-concept over 9 months were contrasted in experimental (n = 72) vs. typical-care (n = 42) groups. Mediation of the group–BMI change relationship …
Psychosocial Predictors Of Emotional Eating And Their Weight-Loss Treatment-Induced Changes In Women With Obesity, James Annesi, Nicole Mareno, Kristin Mcewen
Jul 2015
Psychosocial Predictors Of Emotional Eating And Their Weight-Loss Treatment-Induced Changes In Women With Obesity, James Annesi, Nicole Mareno, Kristin Mcewen
Nicole Mareno
Purpose
This study aimed at assessing whether psychosocial predictors of controlled eating and weight loss also predict emotional eating, and how differing weight-loss treatment methods affect those variables.
Methods
Women with obesity (M = 47.8 ± 7.9 years; BMI = 35.4 ± 3.3 kg/m2) were randomized into groups of either phone-supported self-help (Self-Help; n = 50) or in-person contact (Personal Contact; n = 53) intended to increase exercise, improve eating behaviors, and reduce weight over 6 months.
Results
A multiple regression analysis indicated that at baseline mood, self-regulating eating, body satisfaction, and eating-related self-efficacy significantly predicted emotional eating (R 2 = 0.35), with mood and self-efficacy as independent …
Association Of A Behaviorally Based High School Health Education Curriculum With Increased Exercise, James Annesi, John Trinity, Nicole Mareno, Stephanie Walsh
Apr 2015
Association Of A Behaviorally Based High School Health Education Curriculum With Increased Exercise, James Annesi, John Trinity, Nicole Mareno, Stephanie Walsh
Nicole Mareno
Increasing exercise in children and adolescents through academic classes is an understudied area. Potential benefits include associated improvements in health, psychosocial, and quality-of-life factors. A sample of 98 students (M age = 14.3) from high school health education classes received six, 40-min lessons incorporating cognitive–behavioral methods to increase exercise over 6 weeks. Significant within-group improvements in exercise, mood, and body satisfaction were found, with slightly larger effect sizes identified for the boys. Increase in exercise was significantly associated with reduced mood distress (β = −.17, p < .001). For the girls only, change in body satisfaction significantly mediated …
Ch. 10 Exploring Parental Perceptions Of Healthy Eating And Physical Activity Using The Photovoice Method, Nicole Mareno
Dec 2014
Ch. 10 Exploring Parental Perceptions Of Healthy Eating And Physical Activity Using The Photovoice Method, Nicole Mareno
Nicole Mareno
Abstract forthcoming
Treatment-Associated Changes In Body Composition, Health Behaviors, And Mood As Predictors Of Change In Body Satisfaction In Obese Women, James Annesi, Gisele Tennant, Nicole Mareno
Nov 2014
Treatment-Associated Changes In Body Composition, Health Behaviors, And Mood As Predictors Of Change In Body Satisfaction In Obese Women, James Annesi, Gisele Tennant, Nicole Mareno
Nicole Mareno
A lack of satisfaction with one’s body is common among women with obesity, often prompting unhealthy “dieting.” Beyond typically slow improvements in weight and body composition, behavioral factors might also affect change in body satisfaction. Age and race/ethnicity (African American vs. White) might moderate such change. Obese women (N = 246; Mage = 43 years; MBMI = 39 kg/m2) initiating a 6-month cognitive-behaviorally based physical activity and nutrition treatment were assessed on possible predictors of body satisfaction change. At baseline, African American and younger women had significantly higher body satisfaction. The treatment was associated with …
Parental Perception Of Healthy Eating And Physical Activity: Results From A Preliminary Photovoice Study, Nicole Mareno
Oct 2014
Parental Perception Of Healthy Eating And Physical Activity: Results From A Preliminary Photovoice Study, Nicole Mareno
Nicole Mareno
Aims and objectives
The aim of this study was to explore parental perception of assets and barriers of healthy eating and physical activity among a group of diverse, economically disadvantaged mothers in southeastern USA.
Background
The World Health Organization (
2012) estimated that 170 million children in developed and developing countries are overweight or obese. Higher prevalence rates of obesity are reported more frequently among children from socioeconomically disadvantaged backgrounds (Waters
et al.
2011). Empowering parents to be champions of healthy weight management helps to address two major contributing factors to childhood obesity: high caloric diets and lack …
An Early-Phase Translation Study Of The Ways To Enhance Children's Activity And Nutrition (We Can!) Programme For Low-Income Families, Nicole Mareno
May 2014
An Early-Phase Translation Study Of The Ways To Enhance Children's Activity And Nutrition (We Can!) Programme For Low-Income Families, Nicole Mareno
Nicole Mareno
Abstract forthcoming
Temporal Aspects Of Psychosocial Predictors Of Increased Fruit And Vegetable Intake In Adults With Severe Obesity: Mediation By Physical Activity, Nicole Mareno, James Annesi
Dec 2013
Temporal Aspects Of Psychosocial Predictors Of Increased Fruit And Vegetable Intake In Adults With Severe Obesity: Mediation By Physical Activity, Nicole Mareno, James Annesi
Nicole Mareno
Effective and reliable obesity treatments are lacking because of a poor understanding of the health behavior change process. Community-based organizations with the capacity to train existing staff members are particularly well-positioned to implement evidence-based treatment protocols to impact obesity-related behaviors such as unhealthy eating and lack of physical activity. The aim of this study was to assess temporal aspects of psychosocial predictors (self-regulation, mood, and self-efficacy) on increased fruit and vegetable intake in adults with severe obesity, while also accounting for mediation by physical activity volume. A 6-month, randomized field investigation was conducted. Severely obese adults volunteered for behavioral support …
Parental Perception Of Child Weight: A Concept Analysis, Nicole Mareno
Dec 2013
Parental Perception Of Child Weight: A Concept Analysis, Nicole Mareno
Nicole Mareno
Aim
This article is a report of an analysis of the concept of parental perception of child weight.
Background
Perception is commonly studied, but lacks a strong conceptual definition. Concept analysis is important in providing a conceptual definition of parental perception of child weight.
Design
Rodgers's evolutionary view of concept analysis guided this enquiry.
Data sources
A search of multiple nursing and social sciences databases was undertaken, including CINAHL, Academic Search Complete, Science Direct, ProQuest, PsychINFO, Medline and SocINDEX.
Review methods
Data from 2000–2012 related to the concept of interest were reviewed. Fifty-eight articles meeting the inclusion criteria were included. …
Psychometric Properties Of The Clinical Decision-Making Self-Confidence Scale, Patricia Hart, Leeanna Spiva, Nicole Mareno
Dec 2013
Psychometric Properties Of The Clinical Decision-Making Self-Confidence Scale, Patricia Hart, Leeanna Spiva, Nicole Mareno
Nicole Mareno
Background and Purpose: Nurses' self-confidence in handling acute patient deterioration events may influence decision-making capabilities and implementation of lifesaving interventions during such events. The study purpose is to provide further psychometric testing of the Clinical Decision-Making Self-Confidence Scale (CDMSCS).
Methods: The psychometric properties and factor structure of the CDMSCS was examined. Results: A two-factor solution was discovered for the CDMSCS. Construct validity was further supported by statistically significant differences between registered nurses and nursing students' self-confidence level in handling deterioration events. Cronbach's alpha coefficients were acceptable for the subscales and instrument.
Conclusion: The CDMSCS is a valid and reliable instrument. …
Cultural Competency In Delivering Family Weight Management Programs: A Summary Of Lessons Learned, Nicole Mareno
Dec 2011
Cultural Competency In Delivering Family Weight Management Programs: A Summary Of Lessons Learned, Nicole Mareno
Nicole Mareno
Increased rates of childhood overweight and obesity are a major public health concern in the United States. Family weight management programs are one effective approach to preventing and treating childhood overweight and obesity. With changing demographics and socioeconomic disparities in the rates of childhood overweight and obesity, it is more important than ever for clinicians and researchers to understand parents' health-related values, beliefs, and practices in order to implement culturally competent weight management programs. The process of achieving cultural competency when conducting family weight management strategies will be discussed. Specific experiences using the Ways to Enhance Children'€™s Activity and Nutrition …
Overweight And Obesity Among White, Black, And Mexican American Children: Implications For When To Intervene, Janice Long, Nicole Mareno, Rebecca Shabo, Astrid Wilson
Dec 2011
Overweight And Obesity Among White, Black, And Mexican American Children: Implications For When To Intervene, Janice Long, Nicole Mareno, Rebecca Shabo, Astrid Wilson
Nicole Mareno
Purpose. The study sought to determine if race/ethnicity, age, gender, and poverty index influence the development of overweight (OW) or obesity (OB) in children 6–11 years of age and whether a desirable time to intervene could be established.
Methods. A descriptive and comparative analysis was conducted using data from the 1999–2008 National Health and Nutrition Examination Survey.
Results. Advancing age was the single largest predictor of OW or OB followed by race/ethnicity.
Practice Implications. Culturally sensitive interventions targeting children in their early elementary school years could reduce the consequences of OW and OB in childhood.
Further Validation Of The Body-Mind-Spirit Wellness Behavior And Characteristic Inventory For College Students, Nicole Mareno, Kathy James
Nov 2010
Further Validation Of The Body-Mind-Spirit Wellness Behavior And Characteristic Inventory For College Students, Nicole Mareno, Kathy James
Nicole Mareno
Health promotion is a vital component of college health programs. College health professionals are challenged to find cost-effective, comprehensive measures to assess wellness and risk behaviors. Hettler’s 1979 Six Dimension of Wellness Model guided this inquiry. Physical, emotional, intellectual, occupational, social, and spiritual wellness dimensions were measured by the Body-Mind-Spirit Wellness Behavior and Characteristic Inventory (BMS-WBCI). This study aimed to further validate the BMS-WBCI by reporting reliability as internal consistency of the scale when used to measure wellness in a sample of college students. A descriptive cross-sectional design was utilized. A convenience sample of 106 college students from a small, …
Ways To Enhance Children's Activity And Nutrition (We Can)--A Pilot Project With Latina Mothers, Kathy James, Cynthia Connelly, Luz Garcia, Nicole Mareno, Janice Baietto
Sep 2010
Ways To Enhance Children's Activity And Nutrition (We Can)--A Pilot Project With Latina Mothers, Kathy James, Cynthia Connelly, Luz Garcia, Nicole Mareno, Janice Baietto
Nicole Mareno
PURPOSE. This article presents the feasibility and acceptability of the 4-week Ways to Enhance Children's Activities and Nutrition (WE CAN) program.
DESIGN AND METHOD. Mixed methods were utilized. Quantitative data were collected from Latina mothers using self-administered surveys.
RESULTS. The program was positively received, although attrition was a concern. Mothers were concerned about their children's weight and were receptive to being key role models for being more active, limiting screen time, buying less junk food, and increasing consumption of fruits and vegetables.
PRACTICE IMPLICATIONS. Findings provide nurses with knowledge on how mothers view appropriate nutrition and activity as important to …
The Use Of Audience Response Systems In Nursing Education: Best Practice Guidelines, Nicole Mareno, Marie Bremner, Christie Emerson
Aug 2010
The Use Of Audience Response Systems In Nursing Education: Best Practice Guidelines, Nicole Mareno, Marie Bremner, Christie Emerson
Nicole Mareno
The use of Audience Response Systems (ARS) or 'clickers' as an active learning strategy in nursing education has been steadily on the rise. ARS technology allows the dynamic engagement of students in the classroom by providing immediate two-way communication between faculty and students. ARS can be used to explore knowledge and common misconceptions, act as a springboard for classroom discussions, and can be used for testing or evaluation. The aim of this paper is to present best practice guidelines for both novice and experienced ARS technology users. A summary of the state of the research in this area will be …
Family-Based Weight Management With Latino Mothers And Children, Kathy James, Cynthia Connelly, Elaine Rutkowski, Darlene Mcpherson, Luz Garcia, Nicole Mareno, Dorothy Zirkle
Sep 2008
Family-Based Weight Management With Latino Mothers And Children, Kathy James, Cynthia Connelly, Elaine Rutkowski, Darlene Mcpherson, Luz Garcia, Nicole Mareno, Dorothy Zirkle
Nicole Mareno
PURPOSE. This paper aims to design a culturally appropriate weight management intervention for high-risk Latino families and to examine the feasibility of recruiting program participants.
DESIGN AND METHODS. A descriptive design using qualitative and quantitative data collected during preliminary phases of an ongoing intervention study.
RESULTS. From the preliminary works, a curriculum was revised for Latino families who have overweight children. The curriculum was modified to include suggestions from the focus groups, including helping mothers set limits with their children and make the transition to lighter foods and a more active family life.
PRACTICE IMPLICATIONS. The information will aid professionals …
