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2011

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Articles 1 - 30 of 611

Full-Text Articles in Nursing

Development Of An Evidence-Based Clinical Practice Guideline On Linear Growth Measurement Of Children, Jan Foote, L. Brady, A. Burke, J. Cook, M. Dutcher, K. Gradoville, J. Groos, K. Kinkade, R. Meeks, P. Mohr, D. Schultheis, B. S. Walker, K. Phillips Dec 2011

Development Of An Evidence-Based Clinical Practice Guideline On Linear Growth Measurement Of Children, Jan Foote, L. Brady, A. Burke, J. Cook, M. Dutcher, K. Gradoville, J. Groos, K. Kinkade, R. Meeks, P. Mohr, D. Schultheis, B. S. Walker, K. Phillips

Jan M. Foote

Growth is an important indicator of child health; however, measurements are frequently inaccurate and unreliable. This article reviews the literature on linear growth measurement error and describes methods used to develop and evaluate an evidence-based clinical practice guideline on the measurement of recumbent length and stature of infants, children, and adolescents. Systematic methods were used to identify evidence to answer clinical questions about growth measurement. A multidisciplinary team critically appraised and synthesized the evidence to develop clinical practice recommendations using an evidence-based practice rating scheme. The guideline was prospectively evaluated through internal and external reviews and a pilot study to …


Pyloric Channel Stricture Secondary To High-Dose Ibuprofen Therapy In A Patient With Cystic Fibrosis, E. Bell, R. Grothe, V. Zivkovich, Jan Foote, J. Wellendorf Dec 2011

Pyloric Channel Stricture Secondary To High-Dose Ibuprofen Therapy In A Patient With Cystic Fibrosis, E. Bell, R. Grothe, V. Zivkovich, Jan Foote, J. Wellendorf

Jan M. Foote

OBJECTIVE: To describe a case of pyloric channel stricture secondary to high-dose ibuprofen therapy in a pediatric patient with cystic fibrosis. CASE SUMMARY: A 12-year-old white girl started taking high-dose ibuprofen to treat the pulmonary manifestations of cystic fibrosis. The peak plasma concentration at dose initiation was within the accepted therapeutic range. Approximately one month later, the patient developed emesis and intolerance of solid foods, which persisted for several months and resulted in a weight loss of seven kilograms. The patient was referred to a pediatric gastroenterologist, who performed an upper endoscopy and subsequently diagnosed a pyloric channel stricture. The …


Getting A Healthy Start. Feeding Issues In The First Year Of Life, Jan Foote Dec 2011

Getting A Healthy Start. Feeding Issues In The First Year Of Life, Jan Foote

Jan M. Foote

No abstract provided.


Development And Description Of The Incivility In Nursing Education (Ine) Survey, Cynthia Clark, Judy Farnsworth, R. Landrum Dec 2011

Development And Description Of The Incivility In Nursing Education (Ine) Survey, Cynthia Clark, Judy Farnsworth, R. Landrum

R. Eric Landrum

Incivility in nursing education is a challenging problem and difficult to measure. This paper describes both the development and description of the Incivility in Nursing Education (INE) survey. The INE includes eight demographic items, six quantitative items, and four open-ended questions. It measures nursing students' and faculty’s perceptions of and experience with academic incivility. The INE was initially tested in a 2004 pilot study using a convenience sample of 356 nursing students and faculty and re-tested in a 2006 study with another convenience sample of 504 nursing faculty and students. Revisions were made to the INE based on findings from …


Implementing Evidence-Based Practices: Considerations For The Hospice Setting, S. Sanders, Melissa Lehan Mackin, J. Reyes, Keela Herr, M. Titler, P. Fine, C. Forcucci Dec 2011

Implementing Evidence-Based Practices: Considerations For The Hospice Setting, S. Sanders, Melissa Lehan Mackin, J. Reyes, Keela Herr, M. Titler, P. Fine, C. Forcucci

Melissa Lehan Mackin

No abstract provided.


Emergency Contraception In Iowa Pharmacies Before And After Over-The-Counter Approval, Melissa Lehan Mackin, M. Clark Dec 2011

Emergency Contraception In Iowa Pharmacies Before And After Over-The-Counter Approval, Melissa Lehan Mackin, M. Clark

Melissa Lehan Mackin

ABSTRACT Objectives: To compare availability of emergency contraception in Iowa pharmacies, before and after the U.S. Food and Drug Administration (FDA) approved over-the-counter sales and identify reasons why over-the-counter, emergency contraception might still not be available in some Iowa pharmacies. Design and Sample: Secondary analysis of data collected for an existing, descriptive study. A total of 906 pharmacies were identified; 405 (56.8%) pharmacies participated before, and 308 (43.2%) after the FDA policy change. Measures: Data collected via a scripted telephone survey. Results: After the FDA changed its policy and allowed over-the-counter sales of emergency contraception, the percentage of Iowa pharmacies …


Research Participation By Older Adults At End Of Life: Barriers And Solutions, Melissa Lehan Mackin, Keela Herr, K. Bergen-Jackson, P. Fine, C. Forcucci, S. Sanders Dec 2011

Research Participation By Older Adults At End Of Life: Barriers And Solutions, Melissa Lehan Mackin, Keela Herr, K. Bergen-Jackson, P. Fine, C. Forcucci, S. Sanders

Melissa Lehan Mackin

The purpose of this article is to elaborate on barriers to research participation by older adults at end of life. We focus on the hospice setting and classify barriers to research participation into six domains: societal attitudes toward death, research procedures, health care organizations, agency staff, patients' families and caregivers, and patient characteristics. We characterize particular participation issues, uncertainties in participation for individuals with advanced illness, and infringements on patient self-determination, as well as potential solutions to these research challenges. Our observation of the complex palliative context includes the realization that a singular change will not have large enough impact …


The Keys To Creative Caring., Melissa Lehan Mackin, S. Baumler, B. Bezoni, D. Keiffer Dec 2011

The Keys To Creative Caring., Melissa Lehan Mackin, S. Baumler, B. Bezoni, D. Keiffer

Melissa Lehan Mackin

No abstract provided.


Engaging Racial Autoethnography As A Teaching Tool For Womanist Inquiry, Janette Taylor, Melissa Lehan Mackin, A. Oldenburg Dec 2011

Engaging Racial Autoethnography As A Teaching Tool For Womanist Inquiry, Janette Taylor, Melissa Lehan Mackin, A. Oldenburg

Melissa Lehan Mackin

Racial autobiography, self-narratives on how one learned about the idea of race, has been underutilized as a tool to familiarize and orient students in the process of critical inquiry for nursing research. The aims of this article are to explore how racial autoethnography: (1) repositions students to effect an epistemological change, (2) challenges dominant ideology, and (3) functions as a link between the student and critical theories for use in nursing research. Students engage in and share reflective narrative about a variety of instructional materials used in the course. Reflective narratives are presented in a framework that addresses white racial …


Fall Prevention Practices In Adult Medical-Surgical Nursing Units Described By Nurse Managers, L. Shever, M. Titler, Melissa Lehan Mackin, A. Kueny Dec 2011

Fall Prevention Practices In Adult Medical-Surgical Nursing Units Described By Nurse Managers, L. Shever, M. Titler, Melissa Lehan Mackin, A. Kueny

Melissa Lehan Mackin

The purpose of this article was to describe nursing practices (e.g., assessment, interventions) around fall prevention, as perceived by nurse managers in adult, medical-surgical nursing units. One hundred forty nurse managers from 51 hospitals from across the United States participated. Descriptive frequencies are used to describe nurse manager responses. The most commonly used fall risk assessment tool was the Morse Fall Risk Assessment Tool (40%). The most common fall prevention interventions included bed alarms (90%), rounds (70%), sitters (68%), and relocating the patient closer to the nurses' station (56%). Twenty-nine percent of nurse managers identified physical restraints as an intervention …


Developing A Master's Program In Nursing, R. Epstein, Virginia Conley, A. Connolly Nov 2011

Developing A Master's Program In Nursing, R. Epstein, Virginia Conley, A. Connolly

Virginia M. Conley

No abstract provided.


Practice Theory Development: A Model For Person-Centered Care, S. Cumbie, Virginia Conley, M. Burman, C. Weinert Nov 2011

Practice Theory Development: A Model For Person-Centered Care, S. Cumbie, Virginia Conley, M. Burman, C. Weinert

Virginia M. Conley

No abstract provided.


Becoming A Registered Nurse: The Nurse Extern Experience, K. Starr, Virginia Conley Nov 2011

Becoming A Registered Nurse: The Nurse Extern Experience, K. Starr, Virginia Conley

Virginia M. Conley

Little is known about the perceptions of nursing students externing in newly developed hospital-based programs that focus on socialization and transition to the registered nurse (RN) role rather than on institutional recruitment and retention goals. This qualitative study explored student nurse externs' expectations, experiences, and benefits of participation in a student-focused externship program. Externs wanted to gain experience with skills and learn what it was like to be an RN. Goals were met or exceeded by becoming comfortable in the externship role, growing in skill performance and confidence, and becoming members of the healthcare team. The experience fostered growth from …


The Willow Ceremony: Professional Socialization For Nurse Practitioner Students Background, Mary Burman, Ann Hart, Virginia Conley, Penelope Caldwell, Linda Johnson Nov 2011

The Willow Ceremony: Professional Socialization For Nurse Practitioner Students Background, Mary Burman, Ann Hart, Virginia Conley, Penelope Caldwell, Linda Johnson

Virginia M. Conley

No abstract provided.


Evaluation Of Students In Baccalaureate Nursing Programs, Virginia Conley, A. Friesner, U. Krumme Nov 2011

Evaluation Of Students In Baccalaureate Nursing Programs, Virginia Conley, A. Friesner, U. Krumme

Virginia M. Conley

No abstract provided.


Integrating Massage Into Rural Caregiving At End-Of-Life, Virginia Conley, D. Kempson Nov 2011

Integrating Massage Into Rural Caregiving At End-Of-Life, Virginia Conley, D. Kempson

Virginia M. Conley

No abstract provided.


Agent-Based Research: Computational Modeling For Advancing Nursing Science: Overview, C. Macnee, S. Mccabe, V. Conley Nov 2011

Agent-Based Research: Computational Modeling For Advancing Nursing Science: Overview, C. Macnee, S. Mccabe, V. Conley

Virginia M. Conley

No abstract provided.


Promoting Healthy Behaviors Through Process Engagement: Chronic Illness: Clarifying The Concepts Of Information And Information Seeking And Usage... Proceedings Of The Communicating Nursing Research Conference And Win Assembly, "Responding To Societal Imperatives Through Discovery And Innovation", Held April 10-12, 2003, Scottsdale, Arizona, Virginia Conley Nov 2011

Promoting Healthy Behaviors Through Process Engagement: Chronic Illness: Clarifying The Concepts Of Information And Information Seeking And Usage... Proceedings Of The Communicating Nursing Research Conference And Win Assembly, "Responding To Societal Imperatives Through Discovery And Innovation", Held April 10-12, 2003, Scottsdale, Arizona, Virginia Conley

Virginia M. Conley

No abstract provided.


Informational Needs Of Caregivers Of Terminal Patients In A Rural State, Virginia Conley, M. Burman Nov 2011

Informational Needs Of Caregivers Of Terminal Patients In A Rural State, Virginia Conley, M. Burman

Virginia M. Conley

Home care of a terminally ill family member is stressful, especially in rural areas. This qualitative study sought to determine informational needs of rural caregivers and how that information is obtained. Although most caregivers stated satisfaction with available information, mostly obtained from physicians and nurses, their behavior belied their satisfaction. Assertive and self-reliant, they used informal communications rather than written information to meet most of their needs. Approaches home care nurses can use to help caregivers obtain important information are presented.


The Longest Mile: Preparing For Disasters On The Interstates Of The West, Virginia Conley, C. Swearingen Nov 2011

The Longest Mile: Preparing For Disasters On The Interstates Of The West, Virginia Conley, C. Swearingen

Virginia M. Conley

No abstract provided.


The Role Of Values In Caregiver Information-Seeking Behavior, Virginia Conley Nov 2011

The Role Of Values In Caregiver Information-Seeking Behavior, Virginia Conley

Virginia M. Conley

Significance of findings include important relationships noted between values, actions, outcomes, and assigned meaning. Providers' awareness and understanding of involved values may clarify perceived erratic or noncompliant behaviors and provide the means for providing caregivers with information that will enable terminal values to be fulfilled, thereby facilitating the assignment of meaning to their experiences and the death of their loved ones.


Family Caregiver Provided Massage For Rural-Dwelling Chronically Ill Persons, D. Kempson, Virginia Conley Nov 2011

Family Caregiver Provided Massage For Rural-Dwelling Chronically Ill Persons, D. Kempson, Virginia Conley

Virginia M. Conley

Family caregivers attending to chronically ill family members within the community are vulnerable to psychological and medical health issues. Rural caregivers may be at increased risk because of fewer resources. This pilot study explored whether rural caregivers would learn and provide gentle massage to their chronically ill loved ones, would find study participation burdensome, and would realize benefits from providing the massage. Positive results in each of the three areas suggest that providing caregivers with instruction on gentle massage techniques for their chronically ill loved ones may support and enhance rural caregivers' perceptions of self-efficacy and self-agency and thus possibly …


Agent-Based Research: Computational Modeling For Advancing Nursing Science: Using Agent-Based Research Tools In Graduate Nursing Education, Virginia Conley Nov 2011

Agent-Based Research: Computational Modeling For Advancing Nursing Science: Using Agent-Based Research Tools In Graduate Nursing Education, Virginia Conley

Virginia M. Conley

No abstract provided.


National Health Policy Influence On Medicare Home Health, Virginia Conley, M. Walker Nov 2011

National Health Policy Influence On Medicare Home Health, Virginia Conley, M. Walker

Virginia M. Conley

National health policy regulates the delivery of Medicare home health services. These services have grown exponentially over the past several years. Current challenges to service delivery revolve around attempts to contain costs while ensuring quality of and access to care. To meet these challenges, providers must be aware of the societal and ideological influences on national health policies that impact service delivery. This article uses Wong's model of the progression of health care reform to address past health policy influences on Medicare home health delivery, investigate recent sociological trends for relevance to health policy, and propose changes based on current …


Never Did I Know: Iowa Nurses Association Resolution 2010 #2, Virginia Conley Nov 2011

Never Did I Know: Iowa Nurses Association Resolution 2010 #2, Virginia Conley

Virginia M. Conley

No abstract provided.


Patient And Parent/Guardian Perspectives On The Health Care Of Adults With Mental Retardation, Sarah Voss Horrell, William Maclean, Virginia Conley Nov 2011

Patient And Parent/Guardian Perspectives On The Health Care Of Adults With Mental Retardation, Sarah Voss Horrell, William Maclean, Virginia Conley

Virginia M. Conley

Individuals with mental retardation and their parents/guardians have long been neglected in health care research. In this study we used a qualitative methodology to describe the experiences adults with mental retardation and their parents/guardians have with the delivery of primary care services. Semi-structured in-depth interviews were conducted with 12 adults who had mental retardation and 9 parents/guardians. The grounded theory approach was utilized to guide data collection and analysis. Findings suggest an overall positive experience with primary care services. Unique themes were identified that distinguished parent/guardian experiences from those of adults with mental retardation, who focused on immediate, concrete issues …


Scholarship Development: Writing Support Group Project: Meaning Across The Career Trajectory... 37th Annual Communicating Nursing Research Conference/18th Annual Win Assembly, "Hallmarks Of Quality: Generating And Using Knowledge," Held April 22-24, 2004, Portland Marriott Downtown, Portland, Oregon, Virginia Conley, C. Weinert Nov 2011

Scholarship Development: Writing Support Group Project: Meaning Across The Career Trajectory... 37th Annual Communicating Nursing Research Conference/18th Annual Win Assembly, "Hallmarks Of Quality: Generating And Using Knowledge," Held April 22-24, 2004, Portland Marriott Downtown, Portland, Oregon, Virginia Conley, C. Weinert

Virginia M. Conley

No abstract provided.


Reconceptualizing The Core Of Nurse Practitioner Education And Practice, M. Burman, A. Hart, Virginia Conley, J. Brown, P. Sherard, P. Clarke Nov 2011

Reconceptualizing The Core Of Nurse Practitioner Education And Practice, M. Burman, A. Hart, Virginia Conley, J. Brown, P. Sherard, P. Clarke

Virginia M. Conley

PURPOSE: The movement to the doctor of nursing practice (DNP) is progressing rapidly with new programs emerging and curricular documents being developed. We argue that the implementation of the DNP is a good move for nursing, provided that we use the opportunity to reconceptualize the core of advanced practice nursing, especially nurse practitioner (NP) practice. DATA SOURCES: Theory and research articles from nursing focused on advanced practice nursing, NPs, and doctoral education. CONCLUSIONS: The foundation of NP education is currently based essentially on borrowed or shared content in assessment, pharmacology, and pathophysiology. We argue that the heart and soul of …


Beyond Knowledge Deficit To A Proposal For Information-Seeking Behaviors, Virginia Conley Nov 2011

Beyond Knowledge Deficit To A Proposal For Information-Seeking Behaviors, Virginia Conley

Virginia M. Conley

TOPIC: Nursing assessment of knowledge of informational needs. PURPOSE: To present of a brief evolutionary analysis of knowledge deficit in terms of its significance, application, and use, and to present a proposal diagnosis, "information-seeking behaviors." SOURCES: Literature review of knowledge deficit and "information-seeking behaviors." CONCLUSIONS: Knowledge deficit is a nursing diagnosis that is significant for identifying a patient's need for education or knowledge. Its application has revealed limitations to validity and subsequent use. "Information-seeking behaviors" is proposed as an alternative diagnosis. Antecedents and defining characteristics are presented and areas for future research proposed.


Developing A Scholarship Community, S. Cumbie, C. Weinert, S. Luparell, Virginia Conley, J. Smith Nov 2011

Developing A Scholarship Community, S. Cumbie, C. Weinert, S. Luparell, Virginia Conley, J. Smith

Virginia M. Conley

PURPOSE: To report the results of a multidisciplinary, interinstitutional writing support group established to facilitate faculty scholarly productivity. ORGANIZING CONCEPT: The road to scholarship can be filled with many obstacles, among them time constraints, teaching and meeting demands, student needs, office interruptions, and lack of colleagueship. The problems associated with lack of colleagueship, in particular, can be compounded for faculty who work in isolated contexts with few, if any, senior faculty to serve as mentors. METHODS OF DEVELOPMENT: The Western Writers Coercion Group evolved over a 2-year period from a small group of nursing faculty at a single institution to …