Medicine and Health Sciences Commons^™

Las Dos Cosas Versus Exclusive Breastfeeding: A Culturally And Linguistically Exploratory Intervention Study In Hispanic Mothers Living In Kentucky, Ana Maria Linares, Diana Cartagena, Mary Kay Rayens

Nursing Faculty Publications

INTRODUCTION: Formula supplementation among infants of breastfeeding Hispanic immigrants is common practice known as las dos cosas. The purpose of this study was to assess the feasibility, effectiveness, and acceptability of a culturally and linguistically diverse intervention to promote exclusive breastfeeding (EBF) for the first 6 months.

METHODS: A sample of 39 Hispanic pregnant women was recruited and randomly assigned to intervention (n = 20) and control groups (n = 19). The intervention included a peer counselor and professional support, and mothers were followed from pregnancy to 6 months after birth.

RESULTS: After the study, women assigned to …

Methodology For Sampling Women At High Maternal Risk In Administrative Data, Jennifer Vanderlaan, Anne Dunlop, Roger Rochat, Bryan Williams, Susan E. Shapiro

Nursing Faculty Publications

Background: In population level studies, the conventional practice of categorizing women into low and high maternal risk samples relies upon ascertaining the presence of various comorbid conditions in administrative data. Two problems with the conventional method include variability in the recommended comorbidities to consider and inability to distinguish between maternal and fetal risks. High maternal risk sample selection may be improved by using the Obstetric Comorbidity Index (OCI), a system of risk scoring based on weighting comorbidities associated with maternal end organ damage. The purpose of this study was to compare the net benefit of using OCI risk scoring vs …

Apolipoprotein L1 Associated Nephropathy; An Overview, Mohsen Akhavan Sepahi, Lvks Bhaskar, Audrey C. Tolouian, Ramin Tolouian

Nursing Faculty Publications

Genetic variants of apolipoprotein L1 (APOL1) have been recognized as a risk factor for kidney disease in people of African ancestry. APOL1 mediate renal damage in podocytes through necrosis, apoptosis and pyroptosis processes. APOL1 gene contains G1 and G2 alleles that mediate in increasing risk of renal disorders in African Americans. People who carry APOL1 risk alleles have a three to four-fold increase risk for non-diabetic renal disease (NDRD), Idiopathic focal segmental glomerulosclerosis (FSGS) and HIV-associated nephropathy (HIVAN). Therefore, identifying genetic factors involved in the pathogenesis of renal disorders, including APOL1 risk variants, may help to improve our understanding of …

The Effects Of Fall Health Belief And Knowledge Of Fall On The Prevention Of Fall In The Elderly: Mediating And Moderating Effects Of Fall Fear, Insun Jang, Seungmi Park, Phoebe (Yeon) S. Kim

Nursing Faculty Publications

Purpose: This descriptive study investigated the mediating and moderating effects of fear of fall on the relationships between health belief on fall, fall-related knowledge and fall prevention behaviors among older adults Methods: We enrolled 229 older adults residing in a senior citizen hall and community welfare center, and investigated their health belief on fall, fall-related knowledge, fall prevention behavior, and fear of fall. Descriptive statistics, ANOVA and t-test were used to analyze differences in variables. Pearson correlation and multiple regression were used to investigate mediating and moderating effects of the fear of fall on the relationships between health belief on …

Cultural Factors Affecting Resilience Of Filipino Immigrant Women, Andrew Reyes

Nursing Faculty Publications

This presentation describes the results of a descriptive study exploring the relationship between resilience, acculturative stress, and cultural family beliefs about disclosing mental health problems among Filipino immigrant women living in the United States.

Rapid 5 Lb Weight Gain Is Not Associated With Readmission In Patients With Heart Failure, Jill Howie-Esquivel, Kathleen Dracup, Mary A. Whooley, Charles Mcculloch, Chengshi Jin, Debra K. Moser, Robyn A. Clark, Michele M. Pelter, Martha J. Biddle, Linda G. Park

Nursing Faculty Publications

Aims Heart failure (HF) patients are taught to identify a rapid 5 lb body‐weight gain for early detection of cardiac decompensation. Few data support this common advice. The study aim was to determine whether a 5 lb weight gain in 1 week and signs and symptoms of HF increased risk for unplanned physician or emergency department (ED) visits or hospital admission in rural HF patients.

Methods and results This was a secondary analysis of a randomized trial. Patients tracked body weight and HF symptoms using diaries. We included patients adherent to daily diaries > 50% over 24 months (N = …

Nursing Students' Willingness To Care For Older Adults, Insun Jang, Younglee Kim, Phoebe (Yeon) S. Kim

Nursing Faculty Publications

The older adult population has increased and is projected to grow. This population usually has chronic disorders that need continuous care. However, it has been reported nurses and nursing students have negative attitude towards older adults. This descriptive study aimed at investigating factors influencing nursing students’ willingness to care for older adults. This study was conducted among 270 nursing students at the university in the United States from February 1 to February 28, 2017. Study participants answered the survey about quality and frequency of contact with older adults, anxiety about aging, empathy, attitude, and willingness to care for older adults. …

Gender Differences In Harmful Use Of Alcohol Among Korean Adults, Eunok Park, Yeon Sook Kim

Nursing Faculty Publications

Objectives: Harmful alcohol consumption is associated with considerable social and economic damage to individuals and society. Because gender and ethnic background influence alcohol intake differently, examining gender specific factors influencing harmful drinking is necessary. This study investigated gender differences in alcohol consumption, harmful drinking, and the associated factors among Korean adults. Methods: We analyzed the data from the 2012–2015 Korean National Health and Nutrition Examination Survey. Data from survey participants aged 20–64 years (N = 18,581) were included. The Alcohol Use Disorders Identification Test was used for alcohol dependence, and pooled weights were used. Chisquared tests and multiple logistic regression …

Factors Associated With Nursing Students’ Willingness To Care For Older Adults In Korea And The United States, Insun Jang, Doonam Oh, Yeon Sook Kim

Nursing Faculty Publications

Objective

Elderly health care needs increase and nurses' role for elderlies is vital. It is significant to identify nursing students' intention to care for elderlies. Thus, this study investigated nursing students’ willingness to care for elderlies in Korea and the United States.

Methods

The study was conducted with 437 undergraduate nursing students from Korea and the United States from May 25 to 31, 2018. Participants completed a survey including frequency and quality of contact, anxiety about aging, empathy, attitude toward elderly, and willingness to care.

Results

Study findings from the entire group showed that nursing students’ willingness to care for …

Effects Of Active Participation And Education Of Caregivers On Peripheral Intravenous Injections For Their Child, Eunmi Hwang, Phoebe (Yeon) S. Kim, Dongsuk Lee

Nursing Faculty Publications

This study was to determine the effects of active participation and education of caregivers on the pain experienced by their hospitalized children, the anxiety of the caregivers, and the working efficiency of nurses when administering peripheral intravenous (IV) injections to their children. It was found IV injections were the most feared procedures experienced by inpatient pediatric patients. A quasi-experimental design used in which different types of treatment were given to subjects in three groups. All caregivers received brief verbal information about the peripheral IV injection procedure for their child. Those in the control group then stayed outside the treatment room, …

Just Culture: It's More Than Policy, Linda Paradiso, Nancy Sweeney

Nursing Faculty Publications

[Description] Paradiso and Sweeney discuss the relationship between trust, just culture, and error reporting in medical care. Errors rarely occur in a vacuum, rather they're a sequence of events with multiple opportunities for correction. Clinical nurses can have a significant impact on reducing errors due to their proximity to patients. Just culture is a safe haven that supports reporting. In a just culture environment, organizations are accountable for systems they design and analysis of the incident, not the individual. The shift to a just culture is a slow process that takes years to develop and hardwire. Hospital-wide policies that incorporate …