Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network™

Open Access. Powered by Scholars. Published by Universities.®

Sigma Theta Tau International Honor Society of Nursing

Keyword
Publication Year
Publication
Publication Type
File Type

Articles 13351 - 13380 of 14747

Full-Text Articles in Entire DC Network

Educational Tool To Improve Caregiver Role, Maria Jose Lumini Landeiro, Teresa Martins Nov 2014

Educational Tool To Improve Caregiver Role, Maria Jose Lumini Landeiro, Teresa Martins

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The development of new technologies in the health area is a strategic axis to improve family caregiving role.

Methods: Develop 'Caring for dependent persons' an interactive tool in order to provide information tailored to the needs of family caregivers of dependent patients to complement the given guidance and promote their autonomy. Using an instrument to evalauate this educacional tool through 6 experts in the area of family caregivers.

Results: Quantitative and qualitative study, quasi-experimental field, with two study groups. To be implemented in an Oporto`s hospital. Consisting of three phases: 1. - …


A Qualitative Study Exploring The Use Of Visual Thinking Strategies With Nursing Students, Meg Moorman Nov 2014

A Qualitative Study Exploring The Use Of Visual Thinking Strategies With Nursing Students, Meg Moorman

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: Nurse educators are called upon to provide creative, innovative experiences for students in order to prepare nurses to work in complex healthcare settings. As part of this preparation, teaching observational and communication skills is critical for nurses and can directly affect patient outcomes. Visual thinking strategies (VTS) are a teaching method that has been studied in primary education to develop communication and observational skills. The purpose of this study was to explore the meaning of Visual Thinking Strategies with nursing students. The students also discussed how they used VTS in caring for …


Nursing Health Promotion Interventions Needed To Reduce Oral Health Disparities: The Situation In Israel, Cheryl Zlotnick, Shlomo Zusman, Lital Keinan-Boker, Orna Baron Epel Nov 2014

Nursing Health Promotion Interventions Needed To Reduce Oral Health Disparities: The Situation In Israel, Cheryl Zlotnick, Shlomo Zusman, Lital Keinan-Boker, Orna Baron Epel

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The World Health Organization (WHO) reminds us that Nursing is a holistic discipline that "encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. It includes the promotion of health, the prevention of illness, and the care of ill, disabled and dying people." 'Yet, despite the well-established link between oral health and cardiovascular disease, nurses rarely consider this important aspect of health care in their disease prevention and health promotion activities. This omission needs to be corrected.'In the quest to reduce …


Improving The Experiences Of Night Shift Nurses In Australian Regional Public Hospitals: An Action Research Project, Idona N. Powell, Greg Fairbrother Nov 2014

Improving The Experiences Of Night Shift Nurses In Australian Regional Public Hospitals: An Action Research Project, Idona N. Powell, Greg Fairbrother

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: To develop a participatory plan to improve the working experience of night shift nurses and enhance delivery of patient care in Australian regional acute inpatient facilities.

Methods: A participatory action research approach was utilised to take up the findings of an initiating qualitative research study which explored the expressed needs and experiences of regional Australian night shift nurses. The original research study was conducted by the presenting author in 2011.' A study reference group consisting of night shift clinical nurses and nurse managers took a problem solving approach to working with the …


Collaboration In The Chain Of Stroke Care: Stroke After-Care, A Gap To Be Closed, Bianca Ivonne Buijck Nov 2014

Collaboration In The Chain Of Stroke Care: Stroke After-Care, A Gap To Be Closed, Bianca Ivonne Buijck

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Background: In the Rotterdam Stroke Service (RSS), numerous hospitals, nursing homes/rehabilitation centers and a home care organization collaborate to provide the best quality of care for stroke patients in the acute and chronically phase. After a stroke, patients are confronted with physical disabilities and changes in cognition and behavior. In spite, practice based research (RSS, 2010) shows that stroke patients do not receive adequate care and support in the home environment after discharge from the hospital, nursing home or rehabilitation centre. There is a lack of specialized care and support to learn to …


Exploring Patient Assessment Practices In The Acute Hospital Environment: An Ethnography, Sonya R. Osborne Nov 2014

Exploring Patient Assessment Practices In The Acute Hospital Environment: An Ethnography, Sonya R. Osborne

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: In Australia, as in other countries, recognising and responding to clinical deterioration in hospitalised patients has become a national priority. Ward nurses play an essential role in detecting acute care patients at risk of clinical deterioration through attentive surveillance, diligent assessment, and timely intervention. Much attention in the literature has been given to the efferent limb of the clinical deterioration pathway, such as hospitals' implementation of the use of early warning scores, track and trigger systems, and rapid response teams. Yet, unrecognised clinical deterioration continues to be a significant problem. The literature …


The Relationship Between Adhd And School Attendance, School Behavior, And School Performance, Nancy M. H. Pontes, Manuel C. F. Pontes Nov 2014

The Relationship Between Adhd And School Attendance, School Behavior, And School Performance, Nancy M. H. Pontes, Manuel C. F. Pontes

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Previous research has shown that Attention Deficit Disorder (ADHD) is negatively associated with school attendance and school performance, and positively associated with school behavioral problems. However, these studies were conducted with samples drawn from individual schools or school districts. Few studies were conducted with nationally representative samples.'One such study from the National Health Interview Survey (NHIS) was based on parent report, and did show a positive association between ADHD and missed days of school.'The purpose of this research is to investigate the relationship between ADHD and school attendance, school behavior, and school …


Is The Braden Mobility Subscale Alone As Predictive As The Braden Scale?, Siti Zubaidah Mordiffi, Nicole M. Phillips, Bridie Kent, Choon Huat Koh Nov 2014

Is The Braden Mobility Subscale Alone As Predictive As The Braden Scale?, Siti Zubaidah Mordiffi, Nicole M. Phillips, Bridie Kent, Choon Huat Koh

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Pressure injury is known to cause not only debilitating physical effects, but also leads to substantial psychological and financial burdens. Given the importance of this issue, it remains imperative that nurses identify patients that are at risk of developing pressure injury, so that preventive interventions can be initiated early. Risk assessment tools are used to assist nurses in identifying such patients. However, research has suggested that using risk assessment tools may be no more effective in preventing actual pressure injury than clinical judgement. Research has also suggested impaired mobility is a significant …


A Program Of Nursing Clinical Supervision In Primary Healthcare: Strategies To Implement, Regina Maria Pires, Filipe Miguel Soares Pereira Nov 2014

A Program Of Nursing Clinical Supervision In Primary Healthcare: Strategies To Implement, Regina Maria Pires, Filipe Miguel Soares Pereira

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: In Portugal the discussion and research on clinical supervision in nursing has deepened in the last decade, it being understood that this is a formal process of professional support, facilitating the development of nurse's cognitive, technical, communication, attitudinal and ethical responsibilities and skills through formative, restorative and normative functions, promoting the quality of professional practice. The interest in promoting quality health care in an integrated perspective that takes into account the simultaneous development of organizations, professionals and practices, has led to deeper reflection about clinical supervision and its adoption in clinical practice. …


Global Advisory Panel On The Future Of Nursing, Cathy D. Catrambone, Hester C. Klopper Nov 2014

Global Advisory Panel On The Future Of Nursing, Cathy D. Catrambone, Hester C. Klopper

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

This session will explain the purpose and goals of the recently formed Global Advisory Panel on the Future of Nursing (GAPFON), which was envisioned and facilitated by Sigma Theta Tau International (STTI). STTI President Hester Klopper and President-elect Cathy Catrambone will explain the need for GAPFON, and how it is positioning itself through global regional meetings to address critical issues for nursing within the context of global health.


Graduate Students Meet Cinematic Leaders: A Creative Final Project For Managerial/Leadership Course, Tova Hendel Nov 2014

Graduate Students Meet Cinematic Leaders: A Creative Final Project For Managerial/Leadership Course, Tova Hendel

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Background: Learning human behaviour and response in variety of situations is often difficult. Review of the literature reveal that nursing education is based strongly on traditional teaching methods and points to the need to incorporate new ways of teaching learning and evaluation methods. The use of aesthetic experiences, in nursing education, movies being one of them, provide students with vivid portrayals of peoples' thoughts, emotions, feelings, human interactions, and everyday life situations and enable them to analyse their behaviours and responses.

Purpose: Enhancing students' awareness and understanding of managerial leadership concepts and theories …


The Relationship Of Maternal Bmi And Child Body Size, Home Environment, And Food In Low-Income Minority Women And Children Participating In A Child Obesity Primary And Secondary Prevention Project, Elizabeth Reifsnider Nov 2014

The Relationship Of Maternal Bmi And Child Body Size, Home Environment, And Food In Low-Income Minority Women And Children Participating In A Child Obesity Primary And Secondary Prevention Project, Elizabeth Reifsnider

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The primary and secondary obesity prevention projects were developed through community-based participatory research with a local grass-roots organization and the local WIC program. Both programs focused on nutrition guidance to mothers and encouragement of more physical activity with less time devoted to screen viewing (television and computer). The projects are based on the Ecological Model of Growth (EMG).

Methods: The mothers and children were recruited through several WIC clinics within the same county. The instruments used to collect data were based on the EMG and reflected the food environment (24 hour diet …


Child Sex Trafficking In The Health Care Setting: Recommendations For Practice, Cathy Miller Nov 2014

Child Sex Trafficking In The Health Care Setting: Recommendations For Practice, Cathy Miller

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

The child sex trafficking (CST) industry can be conceptualized as a broad phenomenon encompassing such human rights violations as survival sex, forced prostitution, debt bondage, child sex tourism and is incorporated under the umbrella of human trafficking. The estimates of CST vary greatly from 600,000 to 2.5 million. This variance can in part be attributed to health care provider lack of education and best practices on the recognition, intervention, and referral of CST survivors. The purpose of this presentation is to provide a foundation for health care providers on the recognition, medical and …


Icu Diary: Mind The Gap, Judy Martin Nov 2014

Icu Diary: Mind The Gap, Judy Martin

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Critically ill patients have reported gaps in their memories, distorted perceptions and hallucinations which can contribute to the development of posttraumatic stress disorder (PTSD). A review of literature indicated patients have reported not believing they had been that sick causing mistrust of family members and their healthcare team. The purpose of this project was to better understand the effect of the ICU diary on the critically ill patient's transition from the ICU setting.

Methods: An evidence-based practice project, based on the IOWA Model of EBP, was conducted in an intensive care setting …


Gender Differences In Depression, Life Satisfaction, And Health In Middle-Aged Koreans, Oksoo Kim Nov 2014

Gender Differences In Depression, Life Satisfaction, And Health In Middle-Aged Koreans, Oksoo Kim

International Nursing Research Congress (INRC)

Study presented on Saturday, July 26, 2014:

Purpose: The purpose of this study was to investigate gender differences in health, depression, and life satisfaction among the middle aged in Korea. Also the predictors of depression by gender were identified.

Methods: The data in this cross-sectional descriptive study were derived from the 2010 Survey for Health, Life condition, and Welfare Needs of Middle Aged Koreans conducted by the Korea Institute for Health and Social Affairs. The health related characteristics included perceived health, alcohol drinking, nutrition, exercise, chronic disease, and climacteric syndrome. The participants were asked "Have you ever experienced sadness or …


The Adoption And Implementation Of The Columbia-Suicide Severity Rating Scale (C-Ssrs) In A Psychiatric Emergency Service: Utilizing Roger's Diffusion Of Innovations Model, Cheranne Morse Nov 2014

The Adoption And Implementation Of The Columbia-Suicide Severity Rating Scale (C-Ssrs) In A Psychiatric Emergency Service: Utilizing Roger's Diffusion Of Innovations Model, Cheranne Morse

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Suicide is a major public health problem and the most dreaded patient outcome. Patient suicides are one of the top five most common sentinel events in health care. Within two months of discharge from an emergency department, one in ten patients will commit suicide. However, the exact number for completed patient suicides following an evaluation in a psychiatric emergency service is unknown. Patients present to the psychiatric emergency department in an acute crisis state often due to suicidal ideation and behaviors. Psychiatric emergency service clinicians are faced with performing a suicide risk assessment …


Trait Negative Affectivity: A Predictor Of Burnout And Secondary Traumatic Stress In Nurses In Wa, Desley G. Hegney, Karen Francis, Samar Aoun, David Hemsworth, Vicki Drury, Mark Craigie Nov 2014

Trait Negative Affectivity: A Predictor Of Burnout And Secondary Traumatic Stress In Nurses In Wa, Desley G. Hegney, Karen Francis, Samar Aoun, David Hemsworth, Vicki Drury, Mark Craigie

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014:

Purpose: The aim was to ascertain the relationship between the constructs of trait negative affectivity (TNA), depression, state anxiety, stress, compassion fatigue and compassion satisfaction.

Methods: In 2013 an on-line self-report study was conducted. The survey contained demographic information and the Professional Quality of Life Scale (ProQOL), the DASS21 and the Spielberger Trait Anxiety Scale. The study included all nurses employed part or full time in an acute tertiary hospital in Perth.

Results: 299 of 1292 nurses provided useable data. Approximately 12% of nurses had stress levels in the moderate, severe to extreme …


Evidence Of Moving On: Education And Evidence-Based Practice, Donna Louise Waters Nov 2014

Evidence Of Moving On: Education And Evidence-Based Practice, Donna Louise Waters

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Since 2006, competency standards for Australian registered nurses have required demonstration of the ability to practice within an evidence-based framework, use the best available evidence in decision-making, and contribute to research and quality improvement (NMBA 2006). While these standards clearly articulate a vision for using research in practice, expectations around preparing nurses to provide evidence-based care and the skills required for contribution to research are much less clear. Currently, undergraduate preparation for competence in EBP is presented and assessed in a variety of ways, neither of which have a strong evidence-base nor …


Meta-Analyses Of Human Genome Studies: Epigenetic Risk Factors And Population Health Issues In The World, Shyang-Yun Pamela K. Shiao Nov 2014

Meta-Analyses Of Human Genome Studies: Epigenetic Risk Factors And Population Health Issues In The World, Shyang-Yun Pamela K. Shiao

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: The purpose of this symposium is to disseminate current evidence on population genome health, through the meta-analyses of epigenetic risk factors, for population health. The new discoveries in human genome sciences show that mutations in the genome of normal human cells can lead to the development of chronic diseases for oneself and future generations. Lifestyles have a major effect on the development of chronic diseases for oneself and future generations through epigenetics and methylation pathways. Western dietary habits cultivated under the modern industrial era may induce gene expression changes in key regulatory …


Experience Of Ethical Conflict In Advanced Practice Nurses And Nurse Managers, Shiuyu Katie C. Lee Nov 2014

Experience Of Ethical Conflict In Advanced Practice Nurses And Nurse Managers, Shiuyu Katie C. Lee

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014: Purpose: There is an increasing of new, advanced clinical or management nursing roles globally. The position in promoting ethical practice, such as preserving human rights and professional integrity may be challenged among these nursing professionals in advanced practice. Thus, this study aimed to describe the experience of ethical conflicts and distress in Advanced Practice Nurses (APN) and Nurse Managers (NM). Methods: A qualitative inquiry with constant comparative method was used. A purposive sample of 10 post-graduate nurses in advanced practice, including nurse practitioners, case managers, nurse managers or clinical nurse educators, were recruited …


Global Nursing Leadership Collaboration: Chinese Evidence-Based Practice Immersion Program, Linda Costa, Susan Kulik Nov 2014

Global Nursing Leadership Collaboration: Chinese Evidence-Based Practice Immersion Program, Linda Costa, Susan Kulik

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

The mission of the Institute of Johns Hopkins Nursing is to share innovations in practice, education, and research. Through a partnership with the Chinese Nursing Committee and a Chinese educational consultant, two nurses from United States traveled to Beijing China to present a weeklong evidence-based practice (EBP) immersion program for Chinese nurse leaders. Twenty-six participants representing 18 Chinese hospitals completed the program. The EBP program was framed around the EBP question: Will the assessment of fall injury risk factors and the implementation of appropriate interventions decrease serious injury from falls in the adult …


Creating Academic Service Partnerships For Education, Practice And Research, Joyce J. Fitzpatrick, Mary T. Quinn Griffin, Carol Porter, Maria Vezina, Sylvia Fung, Agnes Tiwari, Sophia Chan Nov 2014

Creating Academic Service Partnerships For Education, Practice And Research, Joyce J. Fitzpatrick, Mary T. Quinn Griffin, Carol Porter, Maria Vezina, Sylvia Fung, Agnes Tiwari, Sophia Chan

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

This presentation describes a four-prong partnership model to enhance nurse involvement and quality of care. The partnership consists or two academic institutions (one in the USA and one in Hong Kong) and two acute care services, one a Magnet-designated hospital in the USA and one the major provider of services for the population of Hong Kong. Several components of the partnership will be described, including student exchanges, particularly among doctoral students, faculty collaborative research projects, expert clinician exchange programs, site visits from one acute care facility to another, study tours among key personnel. …


Three Japanese Expert Nurses' Professional Narrative: Reflections On Their Accumulated Clinical Nursing Experiences Refining Nursing Identity, Hiromi Kuroda, Tomoko Miyashita, Satomi Yamaguchi, Hideko Urata, Sayaka Higajima Nov 2014

Three Japanese Expert Nurses' Professional Narrative: Reflections On Their Accumulated Clinical Nursing Experiences Refining Nursing Identity, Hiromi Kuroda, Tomoko Miyashita, Satomi Yamaguchi, Hideko Urata, Sayaka Higajima

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Reflection on one's own practices and experiences is a significant key for the expert nurses as it constructs intellectual and clinical competencies of nurse and it would refine their professional identity. The purpose of this study is to describe 3 Japanese expert nurses' perceptions for nursing as their lifework profession.

Methods: Three active expert nurses, who have over 30 years of work experiences, working for a University Medical Hospital with 800 beds in Japan, were the informants of the study. The main role of the informants was day to day patient care …


Mediating Effect On The Relationship Between Professional Commitment And Intent-To-Leave Among Hospital Nurses In Taiwan, Yuan-Ping Chang Nov 2014

Mediating Effect On The Relationship Between Professional Commitment And Intent-To-Leave Among Hospital Nurses In Taiwan, Yuan-Ping Chang

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: This study was conducted to determine the mediating effect of work frustration on the relationship between professional commitment and intent-to-leave.

Methods: A cross-sectional study with a questionnaire survey was performed. The participants in this study were hospital nurses in Taiwan. Three questionnaires covering work frustration, professional commitment and intent-to-leave were used as measuring tools. Data were verified by SEM with AMOS.

Results: There was a significant direct and inverse correlation between professional commitment and intent-to-leave as well as a significant and indirect effect of professional commitment on intent to leave through work …


Effectiveness Of Structured Teaching Programme On Addiction Among Adolescents, Umapathi Mariappan Nov 2014

Effectiveness Of Structured Teaching Programme On Addiction Among Adolescents, Umapathi Mariappan

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: This study was aimed to assess the effectiveness of Structured Teaching Programme (STP) on Addiction {related to alcohol abuse} among adolescents in selected schools of Salem District, Tamil Nadu State.

Methods: Quantitative approach with one group pre test, post test quasi experimental design was adopted for this study. Cluster random sampling technique was used to select the study area and purposive non - random sampling technique was used to select the sample (Rural n =200, Urban n=200). Adolescents between the age group of 15-17 years and who were studying 10thclass in selected …


Effects Of Shift Work Change On Occupational Stress In South Korean Female Nurses, Bokim Lee, Hyesun Jung Nov 2014

Effects Of Shift Work Change On Occupational Stress In South Korean Female Nurses, Bokim Lee, Hyesun Jung

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: For adequate care of shift workers' health, it is essential to understand the relationship between shift work schedule change and job stress. However, there is no published research on the association between shift work schedule change and job stress among South Korean workers, especially South Korean female nurses. The purpose of this study was to examine differences in job stress by shift work schedule change and to determine the association of shift work schedule change to job stress among South Korean female nurses.

Methods: A cohort of 781 nurses was established in …


Acknowledging And Enabling Point-Of-Care Leadership: A Key To Clinical Nursing Excellence, Irmajean Bajnok, Debra A. Bournes Nov 2014

Acknowledging And Enabling Point-Of-Care Leadership: A Key To Clinical Nursing Excellence, Irmajean Bajnok, Debra A. Bournes

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Point-of-care nurses who have opportunities to engage in and be acknowledged for their leadership behaviours find it a source of inspiration, motivation, and' confidence building. Leadership at the point of care is related to leadership behaviours that are informal rather than related to a formal leadership role. Point-of-care nurses regularly engage in leadership behaviours related to their direct clinical work where they make clinical decisions, consult with other team members and plan and carry out nursing treatment plans. In addition, many point-of-care nurses, because of their expert clinical knowledge, are involved in leading …


Factors Affecting The Timing Of An Autism Spectrum Diagnosis, Ashley Darcy Mahoney, Bonnie Minter, Melinda Higgins Nov 2014

Factors Affecting The Timing Of An Autism Spectrum Diagnosis, Ashley Darcy Mahoney, Bonnie Minter, Melinda Higgins

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The prevalence of children with autistic spectrum disorders (ASD) has increased over the past two decades. Over this same time period, the number of infants born preterm has also increased. Early diagnosis of ASD enables interventions that improve the functioning of children with ASD. To address the question of whether late-preterm (LPT, 34-36 weeks) infants carry the same risk for ASD as full-term infants, this study explored possible relationships between gestational age and ASD diagnosis. Additionally, this study addressed how maternal education, race, age, marital status and neonatal factors collectively affect the …


Blood Aspiration During Intramuscular Injection, Megan A. Infanti Mraz, Christine M. Thomas, Lois Rajcan Nov 2014

Blood Aspiration During Intramuscular Injection, Megan A. Infanti Mraz, Christine M. Thomas, Lois Rajcan

International Nursing Research Congress (INRC)

The purpose of this presentation is to disseminate findings identified through data gathering and research analysis that occurred in the summer of 2012.


A Model Testing On Health Literacy, Knowledge About Vitamin D, And Actual Behavior In Sunlight Exposure, Angela Yee Man Leung Nov 2014

A Model Testing On Health Literacy, Knowledge About Vitamin D, And Actual Behavior In Sunlight Exposure, Angela Yee Man Leung

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: To test whether health literacy is associated with actual sunlight exposure behavior, we interviewed 648 Chinese adults aged 65 years or older.

Methods: Using the information-motivation-behavioral skills model and structural equation modeling, we tested how health literacy was associated with the complex relationship among knowledge about vitamin D, attitudes towards sunlight exposure, doctor recommendations regarding sunlight exposure, and actual sunlight exposure behavior. Health literacy was directly associated with sunlight exposure (beta = .20, p < .01). Indirect relationships also existed between knowledge and sunlight exposure through health literacy (beta = .46, p < .001) and between attitudes and sunlight exposure through health literacy (beta = -.12, p < .05).

Results: The model had good fit (chi-square/df = 2.79; RMSEA = .053, p = .346; CFI = .95; …