Medicine and Health Sciences Commons^™

Social And Psychological Factors Associated With Health Care Transition For Young Adults Living With Sickle Cell Disease, Dora L. Clayton-Jones, Nadine Matthie, Marsha Treadwell, Joshua Field, Amy Mager, Rachel Sawdy, Safiya George Dalmida, Cynthia Leonard, Kathryn L. Koch, Kristin Haglund

College of Nursing Faculty Research and Publications

Introduction: Due to advances in disease management, mortality rates in children with sickle cell disease (SCD) have decreased. However, mortality rates for young adults (YA) increased, and understanding of social and psychological factors is critical. The aim of this study was to explore factors associated with health care transition experiences for YA with SCD.

Method: This was a qualitative descriptive study. A 45-minute semistructured interview was conducted with 13 YA (M = 21.5 years, SD = 1.73).

Results: Results suggest that social and psychological factors and self-management experiences influence health care transition. Eight themes emerged: “need for accessible support”; “early …

The Nurse’S Role In Prognosis-Related Communication In Pediatric Oncology Nursing Practice, Amy Rose Newman, Lauri Linder, Kristin Haglund

College of Nursing Faculty Research and Publications

The experiences of pediatric oncology nurses with prognosis-related communication (PRC) remain largely unknown. The purpose of this article is to report results of focus groups wherein 15 pediatric oncology nurses from three Midwestern pediatric cancer programs provided descriptions of PRC and how they experience PRC within their daily practice. Data from focus groups were analyzed via an interpretive descriptive approach, which resulted in three themes: (1) nurses’ operational definition of PRC, (2) nurses’ roles in PRC, and (3) nurses’ preparation for engagement in PRC. From discussions within the focus groups, nurses recognized that PRC occurs across a continuum. Nurses distinguished …

Effects Of Women’S Weight Changes On Adverse Outcomes In A Second Pregnancy, Marianne E. Weiss, Olga Yakusheva, Kandice A. Kapinos

College of Nursing Faculty Research and Publications

Objective

To estimate the effects of women’s weight changes in four sequential perinatal periods across first and second pregnancies (pregravid, first gestation, interpregnancy, second gestation) on adverse maternal and neonatal outcomes in the second pregnancy while accounting for interdependencies in weight across the four periods (Aim 1) and to test the influence of the sequential path of weight changes through the four perinatal periods of risk on maternal and neonatal outcomes in the second pregnancy (Aim 2).

Design

Secondary data analysis.

Setting

Thirty-one Wisconsin hospitals.

Sample

Women with 24,795 linked records from first and second births from 2006 through 2013. …

Efficacy Of Natural Family Planning Methods, Richard Fehring

College of Nursing Faculty Research and Publications

No abstract provided.

Exploration Of Mindfulness Among Ethnic Minority Undergraduate Nursing Students, Amber Young-Brice, Kristina Dreifuerst

College of Nursing Faculty Research and Publications

Background

Meeting projected needs for ethnically diverse nurses depends on a strong pipeline of diverse students within nursing programs. Colleges assume students readily navigate the university; however, this may not be the reality especially among ethnic minority students.

Purpose

The purpose was to explore the concept of mindfulness among ethnic minority nursing students. Exploring mindfulness, and a lack thereof, may provide strategies for overcoming challenges ethnic minority students experience in prelicensure nursing programs.

Methods

A qualitative study using thematic analysis of semistructured in-depth interviews was conducted with 20 ethnic minority undergraduate nursing students.

Results

Themes that emerged reveal positive associations …

Racism, Bias, And Discrimination As Modifiable Barriers To Breastfeeding For African American Women: A Scoping Review Of The Literature, Karen Marie Robinson, Alissa Fial, Lisa Hanson

College of Nursing Faculty Research and Publications

Introduction

Although breastfeeding has been shown to improve health outcomes for infants, African American women initiate and continue breastfeeding at lower rates than women from other racial groups. This scoping review was conducted to assess the effect racism, bias, and discrimination have on breastfeeding care, support, and outcomes for African American women.

Methods

A scoping review was performed of the literature published between January 2010 through December 2019 using databases MEDLINE via PubMed, CINAHL, Cochrane Library, PsycINFO, and Sociological Abstracts. Studies that examined racism, bias, or discrimination with breastfeeding as an outcome were included. After a review of titles and …

Exploration Of Mindfulness Among Ethnic Minority Undergraduate Nursing Students, Amber Young-Brice, Kristina Dreifuerst

College of Nursing Faculty Research and Publications

Background. Meeting projected needs for ethnically diverse nurses depends on a strong pipeline of diverse students within nursing programs. Colleges assume students readily navigate the university; however, this may not be the reality especially among ethnic minority students.

Purpose. The purpose was to explore the concept of mindfulness among ethnic minority nursing students. Exploring mindfulness, and a lack thereof, may provide strategies for overcoming challenges ethnic minority students experience in prelicensure nursing programs.

Methods. A qualitative study using thematic analysis of semistructured in-depth interviews was conducted with 20 ethnic minority undergraduate nursing students.

Results. Themes that emerged reveal positive associations …

Priority Symptoms, Causes, And Self-Management Strategies Reported By Ayas With Cancer, Lauri Linder, Kristin Stegenga, Jeanne Erickson, Suzanne Ameringer, Amy Rose Newman, Yin-Shun Chiu, Catherine Fiona Macpherson

College of Nursing Faculty Research and Publications

Context

Cancer and symptom experiences of adolescents and young adults (AYAs) with cancer can be highly variable, creating challenges for clinicians and researchers who seek to optimize AYAs' health outcomes. Understanding the heuristics AYAs use to designate priority symptoms can provide insight into the meaning they assign to their symptoms and self-management behaviors.

Objectives

This study described the frequency and characteristics of priority symptoms. It qualitatively explored reasons for a symptom's designation as a priority symptom, perceived causes of priority symptoms, and strategies AYAs use to manage priority symptoms.

Methods

Participants in this single-group, longitudinal study reported symptoms using a …

Time To Move: Shifting The Icu Paradigm To Improve Outcomes For Survivors Of Critical Illness, Jill L. Guttormson, Natalie S. Mcandrew

College of Nursing Faculty Research and Publications

No abstract provided.

Encephalopathic Presentation Of West Nile Virus Neuroinvasive Disease Confounded By Concomitant History Of Acute Alcohol Withdrawal, Alyssa Profita, Kristin Haglund

College of Nursing Faculty Research and Publications

West Nile neuroinvasive disease (WNND) is a rare and severe manifestation of West Nile virus (WNV) infection that occurs in less than 1% of infected persons. It should be considered in patients who present with fever, neurological symptoms, and a history of recent outdoor activity where mosquitoes were active. This article highlights a case of a 55-year-old man whose history and symptoms of WNND were confounded with an alternate diagnosis, acute alcohol withdrawal. An overview of WNV infections, and important historical clues and objective findings characteristic of neuroinvasive disease, is discussed to increase readers' knowledge of WNV and awareness of …

Understanding Baccalaureate Nursing Education Progression From The Student Perspective Using A Grounded Theory Approach, Jennifer Jean Dahlman

Dissertations (1934 -)

National data provides evidence there is a significant gap between the number of first-generation college students (FGCs) and members of underrepresented minority groups (URMs) who are enrolling in baccalaureate programs of nursing (BSN) and those that persist beyond graduation and become members of the nursing workforce. There is a need to graduate more underrepresented student populations from BSN programs and understanding their progression through baccalaureate education can inform our efforts to support them. The purpose of this study was to explore and understand the needs of FGCs and URMs enrolled in BSN programs and to use online mentoring as a …

Creation And Implementation Of A Pediatric Advanced Practice Nurse Critical Care Fellowship Program, Bonnie Stojadinovic, Christine A. Schindler, Margaret Faut Callahan, Maureen O'Brien, Tom B. Rice, Theresa Mikhailov

College of Nursing Faculty Research and Publications

Advanced practice registered nurses (APRNs) who begin their careers in the pediatric intensive care unit (PICU) may be challenged in this practice environment. Inadequate prior experience as a staff nurse, limited opportunities for clinical placements in the PICU during graduate education, and being in a fast-paced, high-acuity practice environment without prior exposure to critically ill children are practice challenges in the PICU setting. The goal of postgraduate education training programs (fellowship programs) for the acute care pediatric nurse practitioner (ACPNP) is to prepare students to become beginner practitioners who can function effectively in the acute care setting within a few …

Does A Professional Code Of Ethics Matter?, Kathryn Schroeter

College of Nursing Faculty Research and Publications

No abstract provided.

Individual Nurse Productivity In Preparing Patients For Discharge Is Associated With Patient Likelihood Of 30-Day Return To Hospital, Olga Yakusheva, Marianne E. Weiss, Kathleen L. Bobay, Linda L. Costa, Ronda G. Hughes, Morris Hamilton, James Bang, Peter I. Buerhaus

College of Nursing Faculty Research and Publications

Objective:

Applied to value-based health care, the economic term “individual productivity” refers to the quality of an outcome attributable through a care process to an individual clinician. This study aimed to (1) estimate and describe the discharge preparation productivities of individual acute care nurses and (2) examine the association between the discharge preparation productivity of the discharging nurse and the patient’s likelihood of a 30-day return to hospital [readmission and emergency department (ED) visits].

Research Design:

Secondary analysis of patient-nurse data from a cluster-randomized multisite study of patient discharge readiness and readmission. Patients reported discharge readiness scores; postdischarge outcomes and …

The Impact Of Simulation On Knowledge And Performance Gain Regarding Diabetic Patient Care, Aimee A. Woda, Jamie Hansen, Kristina Dreifuerst, Polly Anderson, Theresa Marie Hardy, Mauricio Garnier-Villarreal

College of Nursing Faculty Research and Publications

Background

It is essential that nurses be prepared to provide quality care for patients with diabetes, a common condition today. The purpose of this study was to evaluate the impact of a high-fidelity simulation on traditional prelicensure nursing students' knowledge and performance related to care of the diabetic patient.

Methods

This multisite, multimeasure study used a purposive, quasiexperimental [sic] pretest-posttest design.

Results

Simulation positively impacted performance change scores. Pretest scores were positively associated with simulation scores and posttest scores.

Conclusions

The findings from this study support the use of high-fidelity simulation to improve care of the diabetic patient.

Healthcare Quality Improvement: Then And Now, Patricia S. Schroeder, Lenard L. Parisi, Rhonda Foster

College of Nursing Faculty Research and Publications

No abstract provided.

Cross-Cultural Adaptation And Psychometrics Properties Of The Arabic Version Of The Positive Thinking Skills Scale, Abir K. Bekhet, Veronica Nakhla, Isis Emile Gohar, Rawan Oudeh, Mary Gergis, Nadia Malik

College of Nursing Faculty Research and Publications

Background

Identifying depressive cognitions in first-generation Middle Eastern immigrants (FGMEI) can be an important step to prevent the development of clinical depression.

Purpose

This study focused on the cross-cultural equivalence and psychometric testing of the Arabic version of the Positive Thinking Skills Scale (A-PTSS) among 100 FGMEI.

Methods

Content/face validity of the measure was conducted. Internal consistency, homogeneity, dimensionality and construct validity were assessed.

Results

Cronbach’s alpha for (A-PTSS) was .89. Factor extraction generated only one factor, which is consistent with the English version. The A-PTSS total score had a strong positive correlation with the positive cognition scores (r …

Use Of The Spiritual Development Framework In Conducting Spirituality And Health Research With Adolescents, Dora L. Clayton-Jones, Kristin Haglund, Jame Schaefer, Harold C. Koenig, Safiya George Dalmida

College of Nursing Faculty Research and Publications

Spirituality is considered a universal phenomenon, but research addressing the spiritual needs of adolescents in the context of health and illness is limited. The aim of this article is to provide a description of how the spiritual development framework (SDF) was used in conducting research with adolescents. An exemplar of a qualitative descriptive study is provided to demonstrate applicability of the SDF. The SDF was used as a guiding theoretical framework in conducting research with adolescents living with sickle cell disease. The SDF is culturally applicable and methodologically appropriate. Additional research applying the SDF is warranted.

Ethics At Work: What Nurses Really Do On The Job, Kathryn Schroeter

College of Nursing Faculty Research and Publications

No abstract provided.

The Benefits And Burdens Of Pediatric Palliative Care And End-Of-Life Research: A Systematic Review, Meaghann S. Weaver, Kim Mooney-Doyle, Katherine Patterson Kelly, Kathleen Montgomery, Amy Rose Newman, Christine A. Fortney, Cynthia J. Bell, Jessica L. Spruit, Melissa Kurtz Uveges, Lori Wiener, Cynthia M. Schmidt, Vannessa N. Madrigal, Pamela S. Hinds

College of Nursing Faculty Research and Publications

Objective: The aim of this study is to report the benefits and burdens of palliative research participation on children, siblings, parents, clinicians, and researchers.

Background: Pediatric palliative care requires research to mature the science and improve interventions. A tension exists between the desire to enhance palliative and end-of-life care for children and their families and the need to protect these potentially vulnerable populations from untoward burdens.

Methods: Systematic review followed PRISMA guidelines with prepared protocol registered as PROSPERO #CRD42018087304. MEDLINE, CINAHL, PsycINFO, EMBASE, Scopus, and The Cochrane Library were searched (2000–2017). English-language studies depicting the benefits or burdens of palliative …

Regulation Of Simulation Use In United States Prelicensure Nursing Programs, Cynthia Sherraden Bradley, Brandon Kyle Johnson, Kristina Dreifuerst, Patti White, Susan Kata Conde, Colleen H. Meakim, Kim Curry-Lourenco, Reba Moyer Childress

College of Nursing Faculty Research and Publications

Background

Simulation usage has proliferated throughout nursing education. Although nursing programs have sought integration of simulation to substitute traditional clinical learning hours, the variability of regulations between states raises questions about consistency of learner outcomes.

Methods

The Boards of Nursing (BONs) of the United States and the District of Columbia were queried by internet, phone, and email to discover regulations and guidelines for the use of simulation in nursing education.

Results

More than half of the BONs reported regulations for simulation use, but they varied greatly. Some had regulations defining a percentage of traditional clinical hours that could be replaced …

Positive Thinking Training Intervention: Assessing Critical Parameters From First Generation Middle Eastern Immigrants Perspectives, Abir K. Bekhet, Karen Nakhla

College of Nursing Faculty Research and Publications

Few resources are available to help first generation middle- eastern immigrants (FGMEI) manage their problems and their challenging situations that may impact their physical and psychological well-being. Positive thinking training is an intervention designed to help FGMEI improve their ability to deal with these problems. The purpose of this pilot study was to evaluate the six intervention parameters of an in-person face- to- face positive thinking training intervention (PTTI). Twenty FGMEI participated in this pilot intervention that included (a) participating in a four weeks face to face intervention sessions (one and half hour per session). (b) completing two questionnaires over …

Doctoral Education And Preparation For Nursing Faculty Roles, Angela M. Mcnelis, Kristina Dreifuerst, Rhonda Schwindt

College of Nursing Faculty Research and Publications

Background

Despite increased enrollment in doctoral programs and the encouraging numbers of graduates intending to pursue faculty positions, lack of adequate preparedness to assume the faculty role may adversely impact retention and consequently undermine efforts to reduce the shortage.

Purpose

Understanding doctoral nursing students’ and recent graduates’ expectations of their educational experience related to preparation for an academic career is needed to inform curricular revisions and advise guidance to ensure role readiness.

Methods

A secondary analysis of 24 interviews with current PhD and doctor of nursing practice (DNP) students and recent graduates from both degree programs was performed to gain …

Pilot Evaluation Of A New Urine Progesterone Test To Confirm Ovulation In Women Using A Fertility Monitor, Thomas Bouchard, Richard Fehring, Mary Schneider

College of Nursing Faculty Research and Publications

Background

Progesterone rises ~24–36 h after ovulation. Past studies using ultrasound-confirmed ovulation have shown that three consecutive tests with a threshold of 5μg/mL of urine progesterone (pregnanediol-3-glucuronide, PDG), taken after the luteinizing hormone (LH) surge, confirmed ovulation with 100% specificity.

Purpose

The purpose of this study was to a evaluate a new urine PDG self-test to retrospectively confirm ovulation in women who were monitoring ovulation using a hormonal fertility monitor.

Methods

Thirteen women of reproductive age were recruited to test urine PDG while using their home hormonal fertility monitor. The monitor measured the rise in estrogen (estrone-3-glucuronide, E3G) and LH …

The Influence Of Masculinity On Male Latino Adolescents’ Perceptions Regarding Dating Relationships And Dating Violence, Kristin Haglund, Ruth Ann Belknap, Lisa M. Edwards, Marcel Hernani Tassara, James C. Van Hoven, Aimee A. Woda

College of Nursing Faculty Research and Publications

In the United States, teen dating violence (TDV) is a concern across ethnic groups. Attitudes and correlates of violence differ by gender, culture, and acculturation. This study used a qualitative interpretive approach. Data were obtained in focus groups with 23 Latino male adolescents. Themes reflected contexts of participants’ lives, and definitions and nature of dating relationships and TDV. Participants described the importance of respecting dating partners, the destructive effects of TDV, and the pressure to display masculinity that can lead some young men to perpetrate TDV. These results may advance culturally relevant interventions to promote healthy relationships and prevent dating …

A Concept Analysis Of Parental Uncertainty In Illness Of An Infant, Kathryn J. Malin, Teresa S. Johnson

College of Nursing Faculty Research and Publications

Background:

The concept of uncertainty in illness has been well described and applied to many different areas of nursing and other disciplines. Specifically, parental uncertainty in illness of an infant is a meaningful concept that has specific attributes and implications. A current concept analysis that considers the changing healthcare setting, historical conceptual inconsistencies, and a lack of information concerning parents of infants is needed.

Purpose:

To identify essential antecedents, attributes, and consequences of parental uncertainty in illness using Rodgers' Evolutionary Concept Analysis method.

Methods:

A literature search was conducted using PubMed, CINAHL, and PsycInfo. The following keywords were used in …

Variability In Catheter-Associated Asymptomatic Bacteriuria Rates Among Individual Nurses In Intensive Care Units: An Observational Cross-Sectional Study, Olga Yakusheva, Deena K. Costa, Kathleen L. Bobay, Jorge P. Parada, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Catheter-associated asymptomatic bacteriuria (CAABU) is frequent in intensive care units (ICUs) and contributes to the routine use of antibiotics and to antibiotic-resistant infections. While nurses are responsible for the implementation of CAABU-prevention guidelines, variability in how individual nurses contribute to CAABU-free rates in ICUs has not been previously explored. This study’s objective was to examine the variability in CAABU-free outcomes of individual ICU nurses. This observational cross-sectional study used shift-level nurse-patient data from the electronic health records from two ICUs in a tertiary medical center in the US between July 2015 and June 2016. We included all adult (18+) catheterized …

Moving Nursing Beyond P < .05, Matthew J. Hayat, Vincent S. Staggs, Todd A. Schwartz, Melinda Higgins, Andres Azuero, Chakra Budhathoki, Rameela Chandrasekhar, Paul Cook, Emily Cramer, Mary S. Dietrich, Mauricio Garnier-Villarreal, Alexandra Hanlon, Jinghua He, Jinxiang Hu, Myoung Jin Kim, Martina Mueller, Joseph R. Nolan, Yelena Perkhounkova, Janet Rothers, Glenna Schluck, Xiaogang Su, Thomas N. Templin, Michael T. Weaver, Qing Yang, Sangbeak Ye

College of Nursing Faculty Research and Publications

No abstract provided.

Testing Allostatic Load Factor Structures Among Adolescents: A Structural Equation Modeling Approach, Amanda L. King, Mauricio Garnier-Villarreal, Amanda M. Simanak, Norah L. Johnson

College of Nursing Faculty Research and Publications

Objectives

Allostatic load (AL) represents cumulative biological “wear and tear” that results from chronic stress exposure over time, ultimately increasing risk for chronic disease. A consensus is lacking regarding the best operationalization of AL, particularly for younger, less studied populations. The purpose of this study was to test multiple hypothesized factor structures for AL to determine the best measurement approach for adolescents.

Methods

We analyzed biologic data for 1900 adolescents aged 12‐18 from four waves (2003‐2010) of the National Health and Nutrition Examination Survey. AL indicator variables included cardiovascular (systolic BP, creatinine), metabolic (HDL, LDL, triglycerides, insulin, fasting glucose, HA1C, …

Urban Partnerships To Address Health Literacy In High Need Populations, Abiola O. Keller, Amy Vuyk, Joshua Knox

College of Nursing Faculty Research and Publications

Low health literacy disproportionately affects racial and ethnic minority communities and lower-income socioeconomic groups. To address this critical determinant of health inequity, two nonprofit organizations, Repairers of the Breach, a day shelter for individuals experiencing homelessness, and Bread of Healing a neighborhood-based clinic serving individuals with low incomes, partnered with researchers at Marquette University to implement and evaluate an evidence-supported health literacy program. The partnership delivered the curriculum in seven one-hour sessions over seven weeks. The program attendees were predominantly African American men and women from 19–73 years old. Most participants had formal education ranging from elementary school to some …