Medicine and Health Sciences Commons^™

Tobacco And Alcohol Use In People Who Have A Learning Disability: Giving Voice To Their Health Promotion Needs, Maggie Lawrence, Susan M. Kerr, Christopher Darbyshire, Alan Middleton, Hazel Watson

Dr. Susan Kerr

Aim The aim of the study was to explore the tobacco and alcohol-related health promotion needs of people with mild/moderate learning disabilities.

Methodology & Methods The design of the study was grounded in the principles of the Medical Research Council’s Framework for the development and evaluation of complex healthcare interventions. Specifically, a developmental approach was adopted, where evidence was gathered and data collected and synthesised to inform the development of subsequent interventions. Systematic review methods were used to facilitate the gathering of evidence regarding the effectiveness of previous tobacco and alcohol-related interventions designed for people with learning disabilities (PwLD). Following …

Promoting The Self-Regulation Of Clinical Reasoning Skills In Nursing Students, Ruthanne Kuiper, Daniel J. Pesut, Donald D. Kautz

RuthAnne Kuiper

Abstract: Aim: The purpose of this paper is to describe the research surrounding the theories and models the authors united to describe the essential components of clinical reasoning in nursing practice education. The research was conducted with nursing students in health care settings through the application of teaching and learning strategies with the Self-Regulated Learning Model (SRL) and the Outcome-Present-State-Test (OPT) Model of Reflective Clinical Reasoning. Standardized nursing languages provided the content and clinical vocabulary for the clinical reasoning task.

Materials and Methods: This descriptive study described the application of the OPT model of clinical reasoning, use of nursing language …

A Summary Of The Guidance Relating To Four Lifestyle Risk Factors For Recurrent Stroke: Tobacco Use, Alcohol Consumption, Diet And Physical Activity, Maggie Lawrence, Susan Kerr, Hazel Watson, Jennie Jackson, Margaret Brownlee

Dr. Maggie Lawrence

Stroke is a major cause of mortality, disability and family disruption; yet prevalence continues to rise despite advances in prevention and treatment. Many risk factors for stroke are modifi able, including life style behaviours, i.e. tobacco and alcohol use, diet and physical activity. Patterns that infl uence lifestyle behaviour are believed to be embedded in family life. Primary and secondary prevention of stroke are important health promotion issues. The objective of this study was to summarize government recommendations and contemporary evidence-based guidelines regarding four lifestyle risk factors for recurrent stroke.

An Ethnographic Study Of The Media Consumption Habits Of Registered Nurses In The Chicago Designated Market Area (Dma), Sherri L. Ter Molen

Sherri L. Ter Molen

Because there has been a nursing shortage for the past decade and because the competition between employers for experienced registered nurses is fierce, I utilized archival quantitative data from a syndicated advertising database known as The Media Audit, quantitative data I collected from 100 surveys, qualitative data that I collected from 15 interviews, and qualitative data that I collected during 20 hours of observations in hospital cafeterias and nearby restaurants to discover how RNs use media, whether or not they share these media as an occupational co-culture, & their attitudes toward recruitment advertising in these media. This study draws upon …

The Use Of The Ethnonursing Qualitative Research Method To Study Culture Care, Sandra J. Mixer, Hiba Wehbe-Alamah, Marilyn R. Mcfarland, Renee Burke

Sandra J Mixer

Leininger developed the ethnonursing research method to study transcultural human care phenomena using her theory of culture care diversity and universality. The ethnonursing research methodology which uses an open, largely inductive process of discovery to document, describe, understand, and interpret people’s meanings and experiences will be presented. The ethnonursing researcher functions as co-participant with informants working together to discover how people experience and practice care in their daily lives. Systematic and reflective processes are used while focusing on the cultural context to explicate lifeways and understand their meaning for informants. The ethnonursing method embraces the importance of discovery from the …

State Recognition Of Same-Sex Relationships And Preparations For End Of Life Among Lesbian And Gay Boomers, Brian Devries, Anne Mason, Jean Quam, Kimberly D. Acquaviva

Kimberly D. Acquaviva, PhD, MSW

The authors compared 793 nonheterosexual baby boomers on their relationship status (single or in a civil union) and the state in which they lived (did or did not recognize same-sex civil unions). Analyses revealed patterns attributable to participants’ relationship status, state recognition, and the combination of these variables. Findings showed that state recognition of same-sex unions has an impact not only on nonheterosexual individuals’ current quality of life but also on their future plans and emotional responses to those plans. A lack of legal recognition requires nonheterosexuals to take greater action to ensure that their end-of-life wishes will be carried …

Factors Influencing The Nurse Faculty Shortage: A Case Study, Therese M. Mendez

Therese M Mendez

The nursing workforce is aging along with the rest of the American population. In 2012, RNs in their 50's will be the largest age group in the nursing workforce. Who will replace them?

New nurses come from nursing schools. Nursing schools have a steady number of applicants. However, thousands of qualified nursing school applicants are turned away. One reason for denying admission is an inadequate number of nursing faculty to support the number of qualified nursing school applicants.

This case study focuses on some of the issues faced by new faculty in a large university setting in the the Southern …

Mental Health Patients’ Experiences Of Being Misunderstood, Mona Shattell, Laura Gaillard, Sandra Thomas

Mona Shattell

Background: Mental health patients describe “being understood” as an experience that evokes feelings of importance, worthiness, and empowerment. However, the experience of “being misunderstood” is more prevalent in patients’ relationships with health care providers. Negative consequences such as vulnerability, dehumanization, and frustration reveal that being misunderstood has the potential to damage or destroy therapeutic relationships. Objective: The purpose of this secondary analysis was to examine mental health patients’ experiences of being misunderstood. Study Design: Data consisted of transcripts from 20 interviews with community-dwelling adults with mental illness, which were analyzed using an existential phenomenological approach. Results: Four figural themes expressed …

Depression In Latinas Residing In Emerging Latino Immigrant Communities In The United States, Mona Shattell, Jose Villalba, Natalie Stokes, Desmina Hamilton, Jaimie Foster, Harald Petrini, Kristina Johnson, Norma Hinderliter, Claretta Witherspoon, R. Kathy Hinshaw, Chris Faulkner

Mona Shattell

This study examined the ways in which depression affects immigrant Latina women residing in an emerging Latino immigrant community in the US. Three Spanish-language focus groups were conducted within a community-based participatory research framework. Latina women expressed concerns about their immigration status, separation from family in their native countries, and about finances and inabilities to meet family obligations. They expressed fears for their children in the US. Their sociopolitical, economic, and familial explanations for depression differ from the individual, biological explanations of depression common today. Implications for policy makers, community organizers, health care providers, public health educators, and school counselors …

Stroke Research Questions: A Nursing Perspective., Anne Rowat, Maggie Lawrence, Dorothy Horsburgh, Lynne Legg, Lorraine Smith

Dr. Maggie Lawrence

No abstract provided.

Tobacco And Alcohol Use In People Who Have A Learning Disability: Giving Voice To Their Health Promotion Needs, Maggie Lawrence, Susan Kerr, Chris Darbyshire, Alan Midleton, Lorna Fitzsimmons

Dr. Maggie Lawrence

Aim The aim of the study was to explore the tobacco and alcohol-related health promotion needs of people with mild/moderate learning disabilities. Methodology & Methods The design of the study was grounded in the principles of the Medical Research Council’s Framework for the development and evaluation of complex healthcare interventions. Specifically, a developmental approach was adopted, where evidence was gathered and data collected and synthesised to inform the development of subsequent interventions. Systematic review methods were used to facilitate the gathering of evidence regarding the effectiveness of previous tobacco and alcohol-related interventions designed for people with learning disabilities (PwLD). Following …

Stigmatizing Language With Unintended Meanings: "Persons With Mental Illness" Or "Mentally Ill Persons"?, Mona Shattell

Mona Shattell

No abstract provided.

Why Does "Pain Management" Exclude Psychic Pain?, Mona Shattell

Mona Shattell

No abstract provided.

Nursing Faculty Care Expressions, Patterns, And Practices Related To Teaching Culture Care, Sandra J. Mixer

Sandra J Mixer

Introduction: Teaching culture care in nursing education is critical to ensuring a culturally competent workforce. The purpose of this qualitative study was to discover faculty care that facilitates teaching students to provide culture care.

Research questions were:

1. In what ways do nursing faculty care expressions, patterns, and practices influence teaching culture care?

2. In what ways do worldview, culture and social structure, and environmental context influence nursing faculty teaching culture care?

3. Given the nature of the school of nursing/university culture, what influence does this have on nursing faculty teaching culture care?

4. In what ways does nursing faculty …

Embodied Work: Insider Perspectives On The Work Of Hiv/Aids Peer Counselors, D.K. Messias, L Moneyham, M. Vyavaharkar, C. Murdaugh, Kenneth D. Phillips

Kenneth D. Phillips

Our aim in this study was to explore HIV/AIDS peer counseling from the perspective of women actively engaged in this work within the context of a community-based program in rural areas of the southeastern United States. Based on this research we suggest that the embodied work of HIV/AIDS peer counselors is constructed around their personal identities and experiences. This work involves gaining entry to other HIV-positive women’s lives, building relationships, drawing on personal experiences, facing issues of fear and stigma, tailoring peer counseling for diversity, balancing risks and benefits, and terminating relationships. Peer counselors recognize the personal and collective value …

Junior Nursing Students' Experiences Of Vertical Violence During Clinical Rotations, Sandra Thomas, R. Burk

Sandra Thomas

Horizontal violence is a form of workplace violence, a phenomenon that is prevalent in the nursing profession. Research has revealed a variety of negative peer-to-peer behaviors that lower morale and lead to turnover. However, little research has been conducted on “eating our young” (violence occurring between individuals with unequal power, such as staff nurse and student). We propose “vertical violence” as the appropriate term when abusive registered nurse (RN) behavior is directed towards students. We report a content analysis of stories written by junior nursing students about incidents of injustice perpetrated by staff RNs during their clinical experiences. Four levels …

Mental Health Patients' Experiences Of Being Misunderstood, L.M. Gaillard, M.M. Shattell, Sandra Thomas

Sandra Thomas

Mental health patients describe “being understood” as an experience that evokes feelings of importance, worthiness, and empowerment. However, the experience of “being misunderstood” is more prevalent in patients’ relationships with health care providers. Negative consequences such as vulnerability, dehumanization, and frustration reveal that being misunderstood has the potential to damage or destroy therapeutic relationships.

Motivating Persons With Schizophrenia To Exercise: Rationale And Design, Lora Humphrey Beebe Phd, P Mhnp-Bc, Renee Burk, Kelly B. Mcintyre, Kathlene Smith, Dawn Velligan, Barbara Resnick, Abbas Tavakoli, Cliff Tennison, Olivera Dessieux

Lora Humphrey Beebe PhD, PMHNP-BC

Persons with schizophrenia spectrum disorders (SSDs) are not only at risk because of disabling disease symptoms but because necessary medications create health risks associated with high rates of obesity. Despite the well-known benefits of exercise, persons with SSDs rarely adhere to such regimens; few interventions to motivate exercise behavior have been tested in this group.

The purpose of this study is to examine effects of the Walk, Address sensations, Learn about exercise, Cue exercise behavior for persons with SSDs (WALC-S) motivational intervention upon exercise behavior. We will recruit a total of eighty outpatients 18–68 years, meeting these criteria: 1) chart …