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 …

Are There Differences In The Smoking Identities Of Adolescents Boys And Girls?, Chizimuzo T.C. Okoli, Iris Torchalla, Pamela A. Ratner, Joy L. Johnson

Chizimuzo T.C. Okoli

Purpose:

To assess sex-disaggregated differences in youth characterizations of their own smoking behaviour

Background:

•Smoking identities represent psychosocial constructions of how adolescents who smoke perceive themselves in relation to their smoking behaviour (e.g, ex-smoker, social smoker, occasional smoker, e.t.c.)

•These smoking identities converge (or diverge) with established taxonomies used to describe youth smoking behaviour

•Few quantitative studies have examined differences in smoking identity between boys and girls

Is Exposure To Peer And Family Smoking Associated With Youths' Initial Smoking Experiences?, Chizimuzo T.C. Okoli, Chris G. Richardson, Joy L. Johnson

Chizimuzo T.C. Okoli

Background:

- Peers and family member’s smoking is associated with adolescent smoking.

- Sensitivity to the initial smoking experience, determined by positive (for e.g., feeling relaxed, high, and good) and/or negative (for e.g., feeling nervous, sick, coughing) symptoms upon initial smoking experimentation, is also associated with youth smoking.

- However, the effect of peer and family member’s smoking on the initial smoking experiences of adolescents has not been previously studied.

- We present the findings of a cross-sectional analysis assessing the association between exposure to smoking from peers and family members on the symptoms of the initial smoking experience of …

A Survey Of Stroke Nurses’ Knowledge Of Secondary Prevention Lifestyle Issues, Maggie Lawrence, Susan Kerr, Hazel Watson, Jennie Jackson, Margaret Brownlee

Dr. Maggie Lawrence

Nurses have an important role to play in providing information and advice on lifestyle risk factors for recurrent stroke. However, patients report receiving little or no lifestyle information. This study aimed to explore stroke nurses' knowledge and practice in relation to the provision of secondary prevention lifestyle information following stroke. Cross-sectional survey methods were used. Participants were members of the Scottish Stroke Nurse Forum (n=97). A self-completed questionnaire was used to collect the data, with descriptive statistics summarizing the results.

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.

Assessing Secondhand Tobacco Smoke Exposure Among Persons With Severe And Persistent Mental Illness, Chizimuzo T.C. Okoli, Joy L. Johnson, Leslie Malchy

Chizimuzo T.C. Okoli

Background

• Secondhand tobacco smoke (SHS) exposure increases the risk for cancer, respiratory illness, and cardiovascular disease.

• Individuals with severe and persistent mental illness (SPMI) have a higher smoking prevalence than the general population, placing them at increased risk for related morbidity and mortality.

• Given the higher smoking prevalence in this population, the risk for SHS exposure among smokers and nonsmokers with SPMI should be an issue of concern. Yet, SHS exposure in this population is understudied.

• The purpose of our study was to examine the correlates of SHS exposure in this population. Our specific aims were …

Association Between Serum 25-Hydroxyvitamin D And Depressive Symptoms In Japanese: Analysis By Survey Season, A. Nanri, T. Mizoue, Y. Matsushita, Kalpana Poudel-Tandukar, M. Sato, M. Ohta, N. Mishima

Kalpana Poudel-Tandukar

Effect Of Oral Stimulation On Feeding Progression In Preterm Infants, Brenda S. Lessen

Brenda S. Lessen

How To Do Case Study Research, Donna M. Zucker

Donna M. Zucker

No abstract provided.

The Association Of Religiosity, Sexual Education, And Parental Factors With Risky Sexual Behaviors Among Adolescents And Young Adults, Kristin Haglund, Richard Fehring

Richard J Fehring

This study examined the association of religiosity, sexual education and family structure with risky sexual behaviors among adolescents and young adults. The nationally representative sample, from the 2002 National Survey of Family Growth, included 3,168 women and men ages 15–21 years. Those who viewed religion as very important, had frequent church attendance, and held religious sexual attitudes were 27–54% less likely to have had sex and had significantly fewer sex partners than peers. Participants whose formal and parental sexual education included abstinence and those from two-parent families were 15% less likely to have had sex and had fewer partners.

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 …

Alternate Reality: Nursing Research Tools For The Real World, Shannon Fay Johnson

Shannon F Johnson

No abstract provided.

Evolving The Theory And Praxis Of Knowledge Translation Through Social Interaction: A Social Phenomenological Study, Carol L. Mcwilliam, Anita Kothari, Cathy Ward-Griffin, Dorothy Forbes, Beverly Leipert

Anita Kothari

Background: As an inherently human process fraught with subjectivity, dynamic interaction, and change, social interaction knowledge translation (KT) invites implementation scientists to explore what might be learned from adopting the academic tradition of social constructivism and an interpretive research approach. This paper presents phenomenological investigation of the second cycle of a participatory action KT intervention in the home care sector to answer the question: What is the nature of the process of implementing KT through social interaction?

Methods: Social phenomenology was selected to capture how the social processes of the KT intervention were experienced, with the aim of representing these …

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 …

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 …