Medicine and Health Sciences Commons^™

Digestion And Enzymes, Tini Gruner, Rachel Arthur

Dr Tini M Gruner

The mainstream treatment of a small number of medical conditions has for some time included digestive-enzyme supplementation, however, there are numerous other disease states for which enzymes have been proposed. At present, the many hypotheses contrast with the limited number of clinical trials employing digestive enzymes as treatment agents. Recent scientific findings appear to support some of the underlying propositions behind their use, perhaps paving the way for future research. An estimated four billion people

The Effect Of A Skills Algorithm On Undergraduate Nursing Students' Response Rate, Confidence And Skills Accuracy Using A Simulation Lab (Poster), Luanne Linnard-Palmer

Luanne Linnard-Palmer

Improving The Health Of Underserved Communities; Facilitators And Barriers In Community Based Research (Poster), Luanne Linnard-Palmer

Luanne Linnard-Palmer

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 …

The Tobacco Dependence Clinic (Tdc): Providing Smoking Cessation For A Drug Treatment Population, Milan Khara, Chizimuzo T.C. Okoli, Deanna Barlow, Catherine Hanley

Chizimuzo T.C. Okoli

BACKGROUND: Drug treatment populations are disproportionately affected by tobacco use morbidity and mortality. However, with adequate intervention, individuals in drug treatment settings can succeed in their efforts towards smoking cessation. The Tobacco Dependence Clinic (TDC) is a program that provides smoking cessation counseling and pharmacotherapy for clients through the Addiction Services program of the Vancouver Coastal Health Authority, British Columbia, Canada. OBJECTIVES: To a) describe smoking cessation services and programs provided by the TDC, and b) evaluate 26 week smoking cessation outcomes of drug treatment clients in the TDC. METHODS: Participants of the TDC program receive a structured 8 week …

Smoking Cessation And Drug Treatment: Identifying Gaps, Milan Khara, Chizimuzo T.C. Okoli, Ric M. Procyshyn, Joy Johnson, Alasdair Barr, Lorraine Greaves

Chizimuzo T.C. Okoli

BACKGROUND: An estimated 70% - 90% of individuals in drug treatment con-currently smoke cigarettes. Although individuals in drug treatment settings are motivated and can succeed in smoking cessation, there is still a lack of systematic knowledge regarding the long-term abstinence, methods employed for successful cessation, and the barriers to smoking cessation in this population.

OBJECTIVES: To: a) describe types of smoking cessation interventions (i.e., cognitive-behavioral and/or pharmacotherapy) employed in drug treatment settings, b) determine the effectiveness of such interventions, and c) identify gaps in knowledge regarding smoking cessation interventions among the drug treatment populations

METHODS: A comprehensive review of the …

Action Required: Revisiting Better Practices In Smoking Cessation Interventions For Pregnant Girls And Women, Chizimuzo T.C. Okoli, Lorraine Greaves, Joan Bottorff, Lenora Marcellus, Charmaine Enns, Richard Stanwick

Chizimuzo T.C. Okoli

Background

Despite considerable medical and research attention, smoking in pregnancy remains a serious public health problem, especially among young and disadvantaged women in high income countries and general populations of women in low and middle income countries. Facilitating successful and enduring smoking cessation during pregnancy and preventing relapse is therefore an ongoing public health challenge globally

Objectives

This Canadian project is aimed at better breaking the cycle of smoking during pregnancy, or quitting and relapsing during postpartum; especially for young, disadvantaged women. Equally, it will address the apparent blockages to effective uptake by health professionals, of research evidence and better …

Are Adolescents Smoking Identities Valid Descriptors Of Their Smoking Behaviour?, Chizimuzo T.C. Okoli, Chris G. Richardson, Pamela A. Ratner, Joy L. Johnson

Chizimuzo T.C. Okoli

Background: Studies have raised concerns regarding mismatches between researchers’ and adolescents’ characterizations of youth smoking behaviour; which may impede tobacco use prevention and cessation programs to reach their intended youth audience. Understanding how youth’s characterize their own smoking behaviour is an important factor for designing tailored interventions.

Objective: To address observations that youths’ smoking identities are valid descriptors of their smoking behaviour we examined the relationships between youths’ self-reported smoking identities, their perceived levels of addiction, and established taxonomies of smoking behaviour.

Methods: Cross-sectional data were collected on demographics, perceived extent of addiction to tobacco, smoking history, and self-reported smoking …

Five Years Of Solid Growth In Nursing Education Scholarship, Mary-Anne Andrusyszyn

Mary-Anne Andrusyszyn

No abstract provided.

Cohort Comparison Of Two Fertility Awareness Methods Of Family Planning, Richard Fehring, Mary Schneider, Mary Barron, Kathleen Raviele

Richard J Fehring

OBJECTIVE: To determine if an electronic hormonal fertility monitor aided method (EHFM) of family planning is more effective than a cervical mucus only method (CMM) in helping couples to avoid pregnancy. STUDY DESIGN: Six hundred twenty-eight women were taught how to avoid pregnancy with either the EHFM (n=313) or the CMM (n = 315). Both methods involved standardized group teaching and individual follow-up. All pregnancies were reviewed and classified by health professionals. Correct use and total unintended pregnancy rates over 12 months of use were determined by survival analysis. Comparisons of unintended pregnancies between the 2 methods were made by …

Patient Satisfaction With Nursing Care: A Concept Analysis Within A Nursing Framework, Debra Wagner, Mary Bear

Debra L Wagner

Background.  Patient satisfaction is an important indicator of quality of care, and healthcare facilities are interested in maintaining high levels of satisfaction in order to stay competitive in the healthcare market. Nursing care has a prominent role in patient satisfaction. Using a nursing model to measure patient satisfaction with nursing care helps define and clarify this concept.

Data sources.  Rodgers’ evolutionary method of concept analysis provided the framework for this analysis. Data were retrieved from the Cumulative Index of Nursing and Allied Health Literature and MEDLINE databases and the ABI/INFORM global business database. The literature search used the keywords patient …

Skills Lab Vs. Simulation Lab: A Comparison Of Two Approaches For Teacing Intravenous Push Medication Administration, Margaret Fink

Margaret Fink

Evaluation Of Simulation Learning: Measuring Success Using A Rubric (Poster), Luanne Linnard-Palmer

Luanne Linnard-Palmer

Efficacy And Efficiency In Natural Family Planning Services, Richard Fehring

Richard J Fehring

Relatively few Catholic couples in the United States use modern methods of natural family planning (NFP). So too, few Catholic physicians and health professionals prescribe the use of NFP methods for their patients. Reasons for low use of NFP methods include their perceived low efficacy; the complexity of learning, using, and teaching these methods; and the prolonged (and often unnecessary) required abstinence. Newer and simplified methods of NFP have been developed by physicians and scientists that are less complex and use modern technologies of detecting fertility and communicating instructions. Catholic physicians and scientists need to continue to answer the call …

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.

Using The Computer To Support Health Care And Patient Education, Dr. Margaret M. Hansen

Margaret Mary Hansen

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 …

Becoming A Reviewer, Sandra Thomas

Sandra Thomas

No abstract provided.

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 …

A Descriptive Analysis Of Health Care Coverage And Concerns In West C Entral Wisconsin, E Jamelske, Johs-Artisensi, Lois Taft, K German

Lois Taft

No abstract provided.

Pediatric Ccrn Review Course, Susan Wade

Susan Wade

o November 2014, Houston TX o July 2014, Tampa FL o June 2014, Phoenix AZ o March 2014, Atlantic City, NJ o February 2014, Fort Myers, FL o October 2013, Hollywood FL o July 2013, Philadelphia PA o June 2013, Morristown NJ o June 2013, Phoenix, AZ o March 2013 Atlantic City, NJ o March 2012, Philadelphia, PA o March 2012, Atlantic City, NJ o May 2012, Boise, ID o June 2012, Fairfax, VA o September 2012, Philadelphia, PA o October 2012, Orlando, FL o August 2011, Omaha, NE o July 2011, Memphis, TN o July 2011, Las Vegas, NV …