Medicine and Health Sciences | Open Access Articles

Student Evaluations Of Teaching (Set) Tools: A Qualitative Examination Of Student Perceptions, N. Powell, S. Annan, Erika Metzler Sawin, C. Rubenstein

Erika Metzler Sawin

No abstract provided.

Go to article

Fluid And Electrolyte Alteration In The Pediatric Client, Susan Wade

Susan Wade

No abstract provided.

Go to article

Sleeping On The Job: A Managerial Challenge, Marie-Elena Barry

Marie-Elena Barry

No abstract provided.

Go to article

Pediatric Success: A Q&A Review Applying Critical Thinking To Test Taking, Beth Richardson, Susan Wade

Susan Wade

No abstract provided.

Go to article

The Natural Hospital Environment: A Socio-Technical-Material Perspective, Juanita Fernando, Linda Dawson

Associate Professor Linda Dawson

No abstract provided.

Go to article

Temporal Aspects Of Psychosocial Predictors Of Increased Fruit And Vegetable Intake In Adults With Severe Obesity: Mediation By Physical Activity, Nicole Mareno, James Annesi

Nicole Mareno

Effective and reliable obesity treatments are lacking because of a poor understanding of the health behavior change process. Community-based organizations with the capacity to train existing staff members are particularly well-positioned to implement evidence-based treatment protocols to impact obesity-related behaviors such as unhealthy eating and lack of physical activity. The aim of this study was to assess temporal aspects of psychosocial predictors (self-regulation, mood, and self-efficacy) on increased fruit and vegetable intake in adults with severe obesity, while also accounting for mediation by physical activity volume. A 6-month, randomized field investigation was conducted. Severely obese adults volunteered for behavioral support …

Go to article

Parental Perception Of Child Weight: A Concept Analysis, Nicole Mareno

Nicole Mareno

Aim

This article is a report of an analysis of the concept of parental perception of child weight.

Background

Perception is commonly studied, but lacks a strong conceptual definition. Concept analysis is important in providing a conceptual definition of parental perception of child weight.

Design

Rodgers's evolutionary view of concept analysis guided this enquiry.

Data sources

A search of multiple nursing and social sciences databases was undertaken, including CINAHL, Academic Search Complete, Science Direct, ProQuest, PsychINFO, Medline and SocINDEX.

Review methods

Data from 2000–2012 related to the concept of interest were reviewed. Fifty-eight articles meeting the inclusion criteria were included. …

Go to article

Psychometric Properties Of The Clinical Decision-Making Self-Confidence Scale, Patricia Hart, Leeanna Spiva, Nicole Mareno

Nicole Mareno

Background and Purpose: Nurses' self-confidence in handling acute patient deterioration events may influence decision-making capabilities and implementation of lifesaving interventions during such events. The study purpose is to provide further psychometric testing of the Clinical Decision-Making Self-Confidence Scale (CDMSCS).

Methods: The psychometric properties and factor structure of the CDMSCS was examined. Results: A two-factor solution was discovered for the CDMSCS. Construct validity was further supported by statistically significant differences between registered nurses and nursing students' self-confidence level in handling deterioration events. Cronbach's alpha coefficients were acceptable for the subscales and instrument.

Conclusion: The CDMSCS is a valid and reliable instrument. …

Go to article

Parental Perceptions Of Healthy Eating And Physical Activity: A Photovoice Project, Nicole Mareno, M. King

Nicole Mareno

Podium

Go to article

Exploring Parental Perception Of Healthy Eating And Physical Activity: Results From A Photovoice Project, Nicole Mareno

Nicole Mareno

Podium

Go to article

One Step At A Time: A Journey Of Hope, Inspiration, And Determination, Melinda Hermanns, Barbara K. Haas

Melinda Hermanns

Approximately three million persons in the United States face the challenge of living with Parkinson's Disease (PD). In spite of medical and surgical interventions, the disease progresses, resulting in bradykinesia, rigidity and postural instability that impair functional ability and quality of life. The purpose of this case study is to illuminate the impact an exercise program may have on an individual with PD. A single case study design was used to explore the effect of exercise on the quality of life of a 73-year old gentleman with advanced PD. Interviews and field observations of the client, wife, and staff at …

Go to article

Eviteach: A Study Exploring Ways To Optimise The Uptake Of Evidence-Based Practice To Undergraduate Nurses, Louise Hickman, Helen Kelly, Jane Phillips

Helen Kelly

EVITEACH aimed to increase undergraduate nursing student’s engagement with evidence-based practice

and enhance their knowledge utilisation and translation capabilities. Building students capabilities to

apply evidence in professional practice is a fundamental university role. Undergraduate nursing students

need to actively engage with knowledge utilisation and translational skill development to narrow the

evidence practice gap in the clinical setting.

A two phase mixed methods study was undertaken over a three year period (2008e2010, inclusive)

utilizing a Plan-Do-Study-Act (PDSA) approach. Three undergraduate nursing cohorts (N ¼ 188) enrolled

in a compulsory knowledge translation and utilisation subject at one Australian university participated.

Data collection …

Go to article

Nursing Student Experiences Of Death And Dying During A Palliative Care Clinical Placement: Teaching And Learning Implications, Olivia Gallagher, Rosemary Saunders, Karen Tambree, Selma Alliex, Leanne Monterosso, Yasmin Naglazas

Leanne Monterosso

As the population ages, nursing students are increasingly exposed to patients with a plethora of chronic diseases requiring palliative management. Nurses have a key role in caring for patients with a life limiting illness throughout the palliative care trajectory including end-of-life care, especially as they spend more time with patients than any other members of the health professional. The nursing student is likely to encounter palliative and dying patients in any clinical setting; making palliative care and end of life care education and training an essential component of nursing education (Davies &Higginson, 2004; Seymour, Gott, Bellamy, Ahmedzai, & Clark, 2004). …

Go to article

The Role Of Exercise In Cancer Treatment: Bridging The Gap, Gary T. Kimmel, Barbara K. Haas, Melinda Hermanns

Barbara Haas

In recent years, there has been a burgeoning amount of evidence-based scientific data demonstrating the benefit of exercise during and following cancer treatment. This compelling evidence has resulted in major stakeholders in cancer management, including the American College of Sports Medicine, American Society of Clinical Oncology, National Comprehensive Cancer Network, American Cancer Society, Oncology Nursing Society, and the Commission on Cancer, advocating exercise as an integral component of cancer care. Despite the acknowledgment of exercise as an essential component, it remains virtually absent in routine cancer treatment. This article discusses the role of exercise in cancer treatment utilizing a community-based …

Go to article

Fit To Care: An Action Research Study Exploring The Use Of Communication Theory To Strengthen Caring Relationships Between Teachers And Students, Pamela K. Lake, Barbara K. Haas, Marsha L. Matthews

Barbara Haas

No abstract provided.

Go to article

Perceived Family Support And Depression Among People Living With Hiv/Aids In The Kathmandu Valley, Nepal (Plos One), Sadhana Shrestha, Krishna Poudel, Kalpana Poudel-Tandukar, Jun Kobayashi, Basu Dev Pandey, Junko Yasuoka, Keiko Otsuka, Masamine Jimba

Kalpana Poudel-Tandukar

Background: Depression is emerging as a highly prevalent psychiatric condition among people living with HIV/AIDS (PLWHA).

Perceived family support (PFS) buffers depression among chronic disease patients. However, a similar relationship among

PLWHA is unexplored. Objective: To examine the relationship between PFS and depression among PLWHA in the

Kathmandu Valley, Nepal. Methods: In this cross-sectional study, depression was measured by Beck Depression Inventory Ia.

Perceived family support was measured by Nepali Family Support and Difficulties Scale. The status of depression was compared

between 208 PLWHA and 208 HIV-negative participants. The relationship between PFS and depression was examined only among

PLWHA. Results: …

Go to article

Five-Course Meal Infused With Information Skills And Resources, Kimberly J. Whalen, Suzanne E. Zentz

Kimberly J. Whalen

No abstract provided.

Go to article

Things That Matter To Residents In Nursing Homes And The Nursing Care Implications, Nila Reimer

Nila Reimer

A move toward care of residents in nursing homes where they are respected and heard is finally emerging. Common strategies used in nursing homes to improve quality of care for residents are integration of person-centered care and assessing care using satisfaction surveys. Although approaches of integrating person-centered care and satisfaction surveys have been valuable in improving nursing home quality, strategies of care that include things that matter from residents’ perspectives while living in nursing homes need investigation. The purpose of this qualitative descriptive study was to describe things that residents age 65 and older state matter to them while living …

Go to article

A Tool To Assess The Signs And Symptoms Of Catheter-Associated Urinary Tract Infection: Development And Reliability, Thomas Blodgett, Sue Gardner, Nicole Blodgett, Lisa Peterson, Melissa Pietraszak

Thomas Blodgett

The purpose of this pilot study was to determine the inter-rater reliability of four clinical manifestations of catheter-associated urinary tract infections (CAUTI) among hospitalized adults with short-term indwelling urinary catheters using a tool developed for this purpose: the CAUTI Assessment Profile (CAP). Study participants included 30 non-pregnant English-speaking adults, recruited from 2 community hospitals. Three nurses assessed each participant for fever, suprapubic tenderness, flank tenderness, and delirium using standardized techniques. Based on the generalized kappa statistic and 95% confidence intervals, there was evidence of strong inter-rater reliability for fever (kappa = 1.00, 0.793 – 1.207), suprapubic tenderness (kappa = 0.39, …

Go to article

A Recovery-Oriented Alternative To Hospital Emergency Departments For Persons In Emotional Distress: “The Living Room”., Mona Shattell Phd, Rn, Faan, Barbara Harris, Josie Beavers, Karen Tomlinson, Lauren Prasek, Suja Geevarghese, Courtney Emery, Michelle Heyland

Mona Shattell

No abstract provided.

Go to article

The Symptom Experience While Taking Oral Anti-Cancer Medication (Chemotherapy Or Targeted Agents), Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Background: Over 50-oral agents are on the market, and within three years, 25% of treatment will be in pill form, shifting the responsibility for symptom management to the patients. Symptoms need to be managed so they do not become so severe that it leads to reducing or stopping the medication, potentially rendering the cancer treatment ineffective. A gap in the literature exists, with no studies reporting the symptom experience of patients taking oral agents. Prior to developing interventions for patients at home setting on oral agents, we need to determine if symptoms are similar to those treated with IV chemotherapy. …

Go to article

Symptom Attribution Of Older Cancer Patients With Comorbid Conditions During Chemotherapy Treatment, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Background:Over 60% of those who are diagnosed with cancer are older adults, and 75% have comorbid conditions. 15% of cancer treatment is now in pill form; and it is expected to grow to 25% within 3-years. Having comorbid conditions in addition to cancer may exacerbate symptom severity. As a consequence of these symptoms, some patients adjust, interrupt, or stop dosages of the oral agent, which may affect cancer treatment.

Purpose: This study describes the attribution of symptoms (fatigue, pain, numbness/tingling, sleep disturbance, diarrhea, distress, swelling in hands/feet, lack of appetite, constipation, shortness of breath, redness/swelling/pain in hands or …

Go to article

Acceptability And Preliminary Efficacy Of A Sms Text Message Intervention In Older Cancer Patients, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

With 68% of adults owning cell phones, text messaging (herein, SMS) may be a means to prompt self-management. A 10-week trial of a 4-week SMS intervention enrolled 80 patients from 2 cancer centers and a specialty pharmacy. Regarding acceptability, 56.3% (80/142) of eligible consented. Mean age of consented was 58.5 (range 39-82); eligible not consented 57.24 (range 32-92); and ineligible 63.6 (range 26-82). Of 142 approached, consent rate according to age was: 60% (27 of 45) for those 65+; 53% (35 of 66) for those 50-64; and 58.1% (18 of 31) for those <50. Females represented 59% (n=47) of consented, …

Go to article

Translating Evidence-Based Care In A State Waiver Program To Reduce Transitions, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Disability reflects a gap between an individual’s abilities and the environment in which they function, and is the primary modifiable factor in preventing institutionalization. We report on a pilot study testing dissemination and implementation of a proven intervention, intervening directly on pain, medication management, strength and balance, depression and the home environment, in the State of Michigan waiver program to reduce re-institutionalization. We are enrolling 20 clients who were hospitalized or nursing home within the past 14-days, and providing the intervention plus usual waiver services. We will compare those 20 to a match (age, race, gender) cohort from 2012 who …

Go to article

Full-Text Articles in Medicine and Health Sciences

Student Evaluations Of Teaching (Set) Tools: A Qualitative Examination Of Student Perceptions, N. Powell, S. Annan, Erika Metzler Sawin, C. Rubenstein

Erika Metzler Sawin

Fluid And Electrolyte Alteration In The Pediatric Client, Susan Wade

Susan Wade

Sleeping On The Job: A Managerial Challenge, Marie-Elena Barry

Marie-Elena Barry

Pediatric Success: A Q&A Review Applying Critical Thinking To Test Taking, Beth Richardson, Susan Wade

Susan Wade

The Natural Hospital Environment: A Socio-Technical-Material Perspective, Juanita Fernando, Linda Dawson

Associate Professor Linda Dawson

Temporal Aspects Of Psychosocial Predictors Of Increased Fruit And Vegetable Intake In Adults With Severe Obesity: Mediation By Physical Activity, Nicole Mareno, James Annesi

Nicole Mareno

Parental Perception Of Child Weight: A Concept Analysis, Nicole Mareno

Nicole Mareno

Psychometric Properties Of The Clinical Decision-Making Self-Confidence Scale, Patricia Hart, Leeanna Spiva, Nicole Mareno

Nicole Mareno

Parental Perceptions Of Healthy Eating And Physical Activity: A Photovoice Project, Nicole Mareno, M. King

Nicole Mareno

Exploring Parental Perception Of Healthy Eating And Physical Activity: Results From A Photovoice Project, Nicole Mareno

Nicole Mareno

One Step At A Time: A Journey Of Hope, Inspiration, And Determination, Melinda Hermanns, Barbara K. Haas

Melinda Hermanns

Eviteach: A Study Exploring Ways To Optimise The Uptake Of Evidence-Based Practice To Undergraduate Nurses, Louise Hickman, Helen Kelly, Jane Phillips

Helen Kelly

Nursing Student Experiences Of Death And Dying During A Palliative Care Clinical Placement: Teaching And Learning Implications, Olivia Gallagher, Rosemary Saunders, Karen Tambree, Selma Alliex, Leanne Monterosso, Yasmin Naglazas

Leanne Monterosso

The Role Of Exercise In Cancer Treatment: Bridging The Gap, Gary T. Kimmel, Barbara K. Haas, Melinda Hermanns

Barbara Haas

Fit To Care: An Action Research Study Exploring The Use Of Communication Theory To Strengthen Caring Relationships Between Teachers And Students, Pamela K. Lake, Barbara K. Haas, Marsha L. Matthews

Barbara Haas

Perceived Family Support And Depression Among People Living With Hiv/Aids In The Kathmandu Valley, Nepal (Plos One), Sadhana Shrestha, Krishna Poudel, Kalpana Poudel-Tandukar, Jun Kobayashi, Basu Dev Pandey, Junko Yasuoka, Keiko Otsuka, Masamine Jimba

Kalpana Poudel-Tandukar

Five-Course Meal Infused With Information Skills And Resources, Kimberly J. Whalen, Suzanne E. Zentz

Kimberly J. Whalen

Things That Matter To Residents In Nursing Homes And The Nursing Care Implications, Nila Reimer

Nila Reimer

A Tool To Assess The Signs And Symptoms Of Catheter-Associated Urinary Tract Infection: Development And Reliability, Thomas Blodgett, Sue Gardner, Nicole Blodgett, Lisa Peterson, Melissa Pietraszak

Thomas Blodgett

A Recovery-Oriented Alternative To Hospital Emergency Departments For Persons In Emotional Distress: “The Living Room”., Mona Shattell Phd, Rn, Faan, Barbara Harris, Josie Beavers, Karen Tomlinson, Lauren Prasek, Suja Geevarghese, Courtney Emery, Michelle Heyland

Mona Shattell

The Symptom Experience While Taking Oral Anti-Cancer Medication (Chemotherapy Or Targeted Agents), Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Symptom Attribution Of Older Cancer Patients With Comorbid Conditions During Chemotherapy Treatment, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Acceptability And Preliminary Efficacy Of A Sms Text Message Intervention In Older Cancer Patients, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Translating Evidence-Based Care In A State Waiver Program To Reduce Transitions, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN