Medicine and Health Sciences Commons^™

Depression, Positive Thinking, Personal And Social Resourcefulness Among Caregivers Of Persons With Autism Spectrum Disorders, Abir K. Bekhet, Mauricio Garnier-Villarreal

College of Nursing Faculty Research and Publications

No abstract provided.

Promoting Team-Based Exercise Among African American Breast Cancer Survivors, Linda B. Piacentine, Karen Marie Robinson, Leslie J. Waltke, Judy A. Tjoe, Alexander V. Ng

College of Nursing Faculty Research and Publications

Physical activity benefits the health and well-being of breast cancer survivors (BCS). Yet, many African American survivors do not routinely exercise and have increased risk of poor outcomes. The purpose of this mixed-method study was to identify motivational factors compelling African American BCS to participate in a 14-week team walking program and to intend to continue exercise after the intervention concluded. Focus groups were held with participants (n = 12) before and after training. Content analysis discovered themes before the intervention: Not wanting to go at it alone, exercise not a life or treatment priority, cancer treatment affected activity, …

Comprehensive Evaluation Of Interventions: Eight Vital Parameters, Jaclene A. Zauszniewski, Abir K. Bekhet, Kayla Herbell

College of Nursing Faculty Research and Publications

Background It is critically important to determine the effectiveness of an intervention before it can be translated into clinical practice. However, the future implementation and sustainability of the intervention may be diminished if other intervention parameters are not assessed. This requires obtaining feedback from intervention recipients so interventions will be perceived as appealing, relevant, meaningful and beneficial to them; otherwise recipients may be unlikely to perform them over time, resulting in unsuccessful health outcomes.

Aim To propose the addition of two intervention parameters to the existing six-parameter model and provide examples from recent research of how each parameter can be …

Patient Safety Incentives For Residents: A Slippery Slope Or Reinforcement Of Desirable Behavior?, Kathryn Rapala

College of Nursing Faculty Research and Publications

In a study of error reporting in the care of Medicare beneficiaries, the US Department of Health and Human Services Office of Inspector General found that only 14% of patient safety events were reported.¹ A multicenter study found that 44.6% of residents were uncomfortable reporting diagnostic errors, possibly related to fear of repercussions and issues with the reporting system, among other factors.² A key question at the intersection of graduate medical education and patient safety is how to encourage resident and fellow error reporting.

The intervention described in the article, “Improving Resident and Fellow Engagement in Patient Safety …

Dissociation Between Cervical Mucus And Urinary Hormones During The Postpartum Return Of Fertility In Breastfeeding Women, Thomas Bouchard, Len Blackwell, Simon Brown, Richard Fehring, Suzanne Parenteau-Carreau

College of Nursing Faculty Research and Publications

Identifying the return of fertility with cervical mucus observations is challenging during the postpartum period. Use of urinary measurements of estrogen and progesterone can assist in understanding the return to fertility during this period. The purposes of this study were to describe the postpartum return of fertility by an analysis of total estrogen (TE) and pregnanediol glucuronide (PDG) profiles and to correlate these profiles with cervical mucus observations. Twenty-six participants collected urine samples during the postpartum period and recorded mucus scores. TE and PDG hormones were analyzed and compared with mucus scores. During amenorrhea, mucus reflected TE changes in only …

The State Of The Science Of Natural Family Planning Fifty Years After Humane Vitae: A Report From Nfp Scientists’ Meeting Held At The Us Conference Of Catholic Bishops, April 4, 2018, Michael D. Manhart, Richard Fehring

College of Nursing Faculty Research and Publications

A one-day meeting of physicians, professional nurses, and scientists actively involved in Natural Family Planning (NFP) research was held to review the state of the science of NFP and consider future priorities. The meeting had four objectives: (i) determine the gaps in research evidence for secure methods of NFP among women of all reproductive categories, (ii) determine the gaps in the research and development of new technology for providing NFP services, (iii) determine the gaps in the research that determine the benefits and challenges with use of NFP among married couples, and (iv) provide prioritized ideas for future research needs …

A Framework For Integrating Oncology Palliative Care In Doctor Of Nursing Practice (Dnp) Education, Laura Fennimore, Dorothy Wholihan, Susan Breakwell, Rose Virani, Betty Ferrell

College of Nursing Faculty Research and Publications

Doctor of Nursing Practice (DNP) faculty play a critical role in preparing students to meet the complex needs of the nation as the number of cancer rates and survivors rise (National Cancer Institute, 2018) and as an unprecedented number of older Americans enter into the healthcare system with complicated comorbidities (Whitehead, 2016). Palliative care has dramatically expanded over the past decade and has been increasingly accepted as a standard of care for people with cancer and other serious, chronic, or life-limiting illnesses. Advanced practice registered nurses (APRNs) are recognized as important providers of palliative care (Walling et al., 2017). A …

The Catholic Medical Association And Humanae Vitae: On The Fiftieth Anniversary Of The Encyclical, Kathleen Raviele, Richard Fehring, Janet Smith

College of Nursing Faculty Research and Publications

No abstract provided.

An Emancipatory Approach To Cultural Competency: The Application Of Critical Race, Postcolonial, And Intersectionality Theories, Linda M. Wesp, Victoria Scheer, Ashley Ruiz, Kimberly Walker, Jennifer Weitzel, Leslie Shaw, Peninnah M. Kako, Lucy Mkandawire-Valhmu

College of Nursing Faculty Research and Publications

Nurses teach, work, and conduct research in an increasingly hostile sociopolitical climate where health inequities persist among marginalized communities. Current approaches to cultural competency do not adequately equip nurses to address these complex factors and risk perpetuating stereotypes and discrimination. A theory-driven emancipatory approach to cultural competency will instead lead to lasting change and uphold the core nursing value of commitment to social justice. This article explicates key tenets of critical race, postcolonial feminist, and intersectionality theories and then applies them, using an emancipatory approach to cultural competency that can reshape nursing education, research, and practice.

The Power Of Play: A Pediatric Role In Enhancing Development In Young Children, Michael Yogman, Andrew Garner, Jeffrey Hutchinson, Kathy Hirsh-Pasek, Roberta Michnick Golinkoff, Virginia Keane, Rebecca Baum, Thresia Gambon, Arthur Lavin, Gerri Mattson, Lawrence Wissow, Sahron Berry, Amy Starin, Edward Christopherson, Abigail Schlesinger, Karen S. Smith, David L. Hill, Nusheen Ameenuddin, Yolanda Reid Ghassiakos, Corinn Cross, Rhea Boyd, Robert Mendelson, Megan A. Moreno, Wendy Sue Swanson, Justin Smith, Kristopher Kaliebe, Jennifer Pomeranz, Brian Wilcox, Thomas Mcpheron

College of Nursing Faculty Research and Publications

Children need to develop a variety of skill sets to optimize their development and manage toxic stress. Research demonstrates that developmentally appropriate play with parents and peers is a singular opportunity to promote the social-emotional, cognitive, language, and self-regulation skills that build executive function and a prosocial brain. Furthermore, play supports the formation of the safe, stable, and nurturing relationships with all caregivers that children need to thrive.

Aligning Evidence-Based Practice With Translational Research: Opportunities For Clinical Practice Research, Marianne E. Weiss, Kathleen L. Bobay, Meg Johantgen, Maria Shirey

College of Nursing Faculty Research and Publications

Magnet(R) and other organizations investing resources in evidence-based practice (EBP) are ideal laboratories for translational nursing research. Translational research, the study of implementation of evidence into practice, provides a unique opportunity to leverage local EBP work for maximum impact. Aligning EBP projects with rigorous translational research can efficiently meet both EBP and research requirements for Magnet designation or redesignation, inform clinical practice, and place organizations at the leading edge of practice-based knowledge development for the nursing discipline.

Response To ‘Aspih Standards For Simulation-Based Education: Process Of Consultation, Design And Implementation’, Kristina Dreifuerst, Teresa Gore, Bette Mariani

College of Nursing Faculty Research and Publications

No abstract provided.

Patients’ Perspectives On Engaging In Their Healthcare While Hospitalized, Teresa Jerofke-Owen, Jennifer Jean Dahlman

College of Nursing Faculty Research and Publications

Aims and objectives

To examine patients’ experiences and preferences for engaging in their healthcare while hospitalised.

Background

Promoting patient engagement or involvement in healthcare has become an important component of contemporary, consumer‐oriented approaches to quality care. Previous research on patient engagement highlights that preferences for engagement are not assessed while hospitalised, leading to patient role confusion and frustration.

Methods

Semistructured interviews were conducted with patients from January–March 2017 to examine their experiences and preferences for engaging in their care while hospitalised on medical‐surgical units in the United States. Inductive thematic analysis was used to uncover the themes from the interview …

Current Medical Research: Summer/Fall 2017, Richard Fehring, Mary Lee Barron

College of Nursing Faculty Research and Publications

This issue of Current Medical Research (CMR) includes studies that provide evidence that use of natural family planning (NFP) can be helpful for subfertile couples wishing to achieve a pregnancy, the effectiveness of a method of NFP during breastfeeding, and the effects of using NFP on marital relationships. This review also includes evidence on predicting the sex of a baby by timing intercourse, evidence that brain injuries can be reflected in changes in the menstrual cycle, and that women prefer methods of family planning that have no side effects. The issue ends with an in-depth review of new technologies that …

Moral Distress In Critical Care Nursing: The State Of The Science, Natalie S. Mcandrew, Jane Leske, Kathryn Schroeter

College of Nursing Faculty Research and Publications

Background:

Moral distress is a complex phenomenon frequently experienced by critical care nurses. Ethical conflicts in this practice area are related to technological advancement, high intensity work environments, and end-of-life decisions.

Objectives:

An exploration of contemporary moral distress literature was undertaken to determine measurement, contributing factors, impact, and interventions.

Review Methods:

This state of the science review focused on moral distress research in critical care nursing from 2009 to 2015, and included 12 qualitative, 24 quantitative, and 6 mixed methods studies.

Results:

Synthesis of the scientific literature revealed inconsistencies in measurement, conflicting findings of moral distress and nurse demographics, problems …

Nurses’ Experiences Empowering Hospitalized Patients, Teresa Jerofke-Owen, Margaret J. Bull

College of Nursing Faculty Research and Publications

Four focus groups were conducted to explore acute care nurses’ experiences empowering patients and the facilitators and barriers they encountered during the process. Thirty-four nurses employed at four hospitals in the Midwestern United States participated in the study between February and April 2015. Facilitators of empowerment included establishing a therapeutic relationship, fostering communication, providing education, respecting patient autonomy, engaging support systems, and lifting spirit/giving hope. Barriers included conflicting information about plans of care, lack of time, fear and anxiety over unfamiliar environments and routines, ineffective or inadequate support systems, lack of/low accountability, and killing the soul. Nurses also described innovative …

Photovoice: A Research Method And Intervention To Engage Older Adults, Aimee A. Woda, Kristin Haglund, Ruth Ann Belknap, Elizabeth Cleek

College of Nursing Faculty Research and Publications

The purpose of the current article is to describe the use of photovoice with individuals from vulnerable population groups. Ten African American men and women ages 66 to 72 with heart failure from three different low income public housing facilities were recruited for participation in a qualitative photovoice project. Participants were given 5 weeks to take photographs of images that represented facilitators of and barriers to engaging in self-care behaviors. Each week, participants met as a group to discuss the photographs and their meanings to other participants. The photovoice method was empowering to participants, easy to use, and shown to …

Response To ‘Aspih Standards For Simulation-Based Education: Process Of Consultation, Design And Implementation’, Kristina Dreifuerst, Teresa Gore, Bette Mariani

College of Nursing Faculty Research and Publications

No abstract provided.

Percepciones Ante La Preparación Al Alta En Pacientes Médico-Quirúrgicos De Un Hospital De Alta Complejidad, Viviana Silva, Pilar Espinoza Quiroz, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Objetivo principal:

Analizar la relación entre las percepciones de la calidad de educación al alta y la disposición de pacientes para ser dados de alta.

Metodología:

Se aplicaron la Escala de la Calidad de la Educación al alta (Quality of Discharge Teaching Scale - QDTS) y la Escala para ver si los pacientes están listos para el alta (Readiness Hospital Discharge Scale – RDHS), 1 a 2 horas previas al alta.

Resultados principales:

Los puntajes en la Escala de la Calidad de la Educación al alta explicaron el 22% de la varianza en las …

"Sedation Is Tricky" : A Qualitative Content Analysis Of Nurses' Perceptions Of Sedation Administration In Mechanically Ventilated Intensive Care Unit Patients, Breanna Hetland, Jill L. Guttormson, Mary Fran Tracy, Linda L. Chlan

College of Nursing Faculty Research and Publications

Introduction

Critical care nurses are responsible for administering sedative medications to mechanically ventilated patients. With significant advancements in the understanding of the impact of sedative exposure on physiological and psychological outcomes of ventilated patients, updated practice guidelines for assessment and management of pain, agitation, and delirium in the intensive care unit were released in 2013. The primary aim of this qualitative study was to identify and describe themes derived from critical care nurses' comments regarding sedation administration practices with mechanically ventilated patients.

Methods

This is a qualitative content analysis of secondary text data captured through a national electronic survey of …

Changing Behaviors In Relationships To Prevent Interpersonal Violence: An Anthology Of Short Plays For Young People, Beck Menk, Kristin Haglund, Ruth Belknap

College of Nursing Faculty Research and Publications

These scripts were written by Beck Menk in 2018. The scripts were commissioned by Kristin Haglund & Ruth Ann Belknap as part of their research study at Marquette University College of Nursing.

Dr.'s Haglund and Belknap conducted focus groups with teens ages 13-19 about peer & dating violence. The purpose of that study was to understand behaviors and situations that occurred prior to violence. Our intention was to use the results of that study to create scripts for short plays to teach teens how to recognize behaviors and responses that can escalate violence and to learn how to change those …

Influence Of Contraception Use On The Reproductive Health Of Adolescents And Young Adults, Richard Fehring, Thomas Bouchard, Maria Meyers

College of Nursing Faculty Research and Publications

Oral contraceptives (OCs) are often prescribed to adolescents and young adults for the treatment of health problems and to avoid unwanted pregnancies. We hypothesized that the use of OCs, among adolescents and young adults, is associated with a greater likelihood of pregnancy, abortion, sexually transmitted diseases (STDs), pelvic inflammatory disease (PID), and sexual behaviors that will enhance those problems (i.e., earlier sexual debut and more sexual partners) than adolescents and young adults not using OCs. To test this hypothesis, data from 1,365 adolescents and young adults in the 2011–2013 National Survey of Family Growth (NSFG) were used to describe the …

Cross-Cultural Adaptation Of The Instrument Readiness For Hospital Discharge Scale - Adult Form, Talita Honorato Siqueira, Vanessa Da Silva Carvalho Vila, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Objective:

to perform the cross-cultural adaptation of the Readiness for Hospital Discharge Scale - (RHDS) Adult Form for use in Brazil.

Method:

a methodological study was conducted in 2015, in Brazil’s federal capital, following the eight stages scientifically established.

Results:

analysis proved the maintenance of semantic, idiomatic, cultural, and conceptual equivalences and kept both the face and content validity of the original version. The judging committee and the pre-test participants declared they understood the RHDS items and answer scale.

Conclusion:

the instrument is culturally adapted for Brazil and can be used as one of the stages for planning hospital discharge. …

Health Care Transition Experience Of Emerging Adults With Sickle Cell Disease: Preliminary Results, Dora L. Clayton-Jones

College of Nursing Faculty Research and Publications

No abstract provided.

Patterns Of Physical Activity In Sedentary Older Individuals With Type 2 Diabetes, Pearl G. Lee, Jinkyung Ha, Caroline S. Blaum, Kimberlee A. Gretebeck, Neil B. Alexander

College of Nursing Faculty Research and Publications

Background

The Community Healthy Activities Model Program for Seniors (CHAMPS) survey, summarized into weekly caloric expenditures, is a common physical activity (PA) assessment tool among older adults. Specific types of PA reported in the CHAMPS have not been systematically analyzed. We applied latent class analysis to identify the patterns of PA among sedentary older adults with diabetes reported in the CHAMPS survey.

Methods

Latent class models of PA were identified using the CHAMPS survey data reported by 115 individuals aged ≥60 years with type 2 diabetes whom volunteered for a clinical study of PA. Multinomial logistic regression was used to …

Effectiveness Of Centeringpregnancy On Breast-Feeding Initiation Among African Americans: A Systematic Review And Meta-Analysis, Karen Marie Robinson, Mauricio Garnier-Villarreal, Lisa Hanson

College of Nursing Faculty Research and Publications

While breastfeeding initiation rates for African American mothers are low, an innovative model of group prenatal care, CenteringPregnancy, holds promise to increase breastfeeding rates. The aim of this systematic review and meta-analysis was to examine the effects of CenteringPregnancy versus individual prenatal care on breastfeeding initiation among African American mothers. Using a systematic approach and PRISMA guidelines, 4 electronic databases were used to search the literature. English-language studies, comparing CenteringPregnancy and individual prenatal care, including African American participants, and specifying breastfeeding initiation as an outcome were screened for inclusion. Study strength and quality were assessed and 7 studies were systematically …

Health Equity, Dora L. Clayton-Jones

College of Nursing Faculty Research and Publications

No abstract provided.

Is It Time To Reconsider Pressure Injuries As A Nurse-Sensitive Indicator?, Christine A. Schindler

College of Nursing Faculty Research and Publications

No abstract provided.

Being Invisible: Stereotype Threat In An Undergraduate Nursing Program, Amber Young-Brice, Kristina Dreifuerst, Aaron Buseh

College of Nursing Faculty Research and Publications

Background:

Nursing programs continue to be challenged to increase recruitment and retention of ethnic minority nursing students to meet the needs of a diversifying population. Ethnic minority students face a cadre of barriers, one of which is the negative implications of their own identity. This article describes a qualitative study that explored the experiences of stereotype threat among a group of ethnic minority nursing students at a large urban university.

Method:

Semistructured, one-time in-depth interviews were conducted.

Result:

Three themes emerged: A Sense of Uncertainty About Abilities, Avoidance, and Vigilance for Signs of Failure.

Conclusion:

Nursing faculty and administrators may …

Mediating Effects Of Positive Thinking And Social Support On Suicide Resilience, Denise M. Matel-Anderson, Abir K. Bekhet, Mauricio Garnier-Villarreal

College of Nursing Faculty Research and Publications

Suicide has been the second leading cause of death for 18- to 24-year-olds in the United States since 2011. The stress experienced by undergraduate college students has the potential to increase one’s risk for suicide. Resilience theory was used as a theoretical framework to examine the interplay between risk and protective factors. A cross-sectional and correlational design was used to assess the mediating effects of positive thinking and/or social support on suicide resilience in 131 college students 18 to 24 years old who completed an online survey. The study found an indirect effect of self-esteem on suicide resilience through positive …