Nursing Commons^™

Examination Of Nursing Staffs’ Perceptions Of The Covid-19 Vaccine Using The Health Belief Model, Aidan Cossio, Wilson Cobb, Addison Fugitt, Sandra Nielsen, Matthew Hesson-Mcinnis, Marilyn Prasun

Faculty Publications - Mennonite College of Nursing

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Background:

The coronavirus (COVID-19) pandemic profoundly impacted patient care across the United States.

Objective:

To examine nursing staffs’ perceptions of the COVID-19 vaccine using the Health Belief Model (HBM) as a theoretical framework.

Methods:

A cross-sectional, anonymous, web-based survey was completed by practicing nursing staffs throughout the United States. Analyses involved descriptive and comparative statistics.

Results:

Of the 294 nursing staff who completed surveys, 50% were between 18 and 37 years of age, and 73.1% were registered nurses, with 49.3% employed in a hospital setting. Nursing staff reported their primary reason for vaccination was concern for others (mean: 84.44; SD: …

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Initial Development Of The Chest Pain Conception Questionnaire, John R. Blakeman, Ann L. Eckhardt, Myoungjin Kim

Faculty Publications - Mennonite College of Nursing

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Background: Even though “chest pain” is often highlighted as a key heart attack symptom for which individuals should seek care, little is known about the ways that the lay public conceives of chest pain related to acute coronary syndrome (ACS).

Objectives: The purpose of this four-step process was to develop an instrument to measure the lay public’s conceptions of chest pain related to ACS.

Methods: The Chest Pain Conception Questionnaire (CPCQ) was drafted based on the Theory of Unpleasant Symptoms and findings from the published literature. We then leveraged two rounds of expert feedback to calculate item-level and scale-level content …

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The Lay Public's Knowledge Of The Most Common Acute Coronary Syndrome Symptoms Experienced By Women And Men, John R. Blakeman, Ann L. Eckhardt, Myoungjin Kim

Faculty Publications - Mennonite College of Nursing

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Background

Although extensive research and public education for the last 2 decades has focused on symptom differences experienced by men and women, little is known about what acute coronary syndrome symptoms the lay public associates with men, with women, and with both men and women.

Objective

The aim of this study was to describe what acute coronary syndrome symptoms the lay public associates with men, with women, and with both men and women and to explore whether differences in participant gender affect how these symptoms are associated.

Methods

A descriptive, cross-sectional survey design was used, using an online survey. We …

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Predictors Of Acute Coronary Syndrome Symptom Knowledge, Attitudes, And Beliefs In Adults Without Self-Reported Heart Disease, John R. Blakeman, Marilyn Prasun, Myoungjin Kim

Faculty Publications - Mennonite College of Nursing

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Background: The time of symptom onset to the time an individual decides to seek care is the most significant contributor to total treatment delay.

Objectives: To explore predictors of ACS symptom knowledge, attitudes, and beliefs in adults without diagnosed heart disease.

Methods: We used a cross-sectional, descriptive, and correlational design, employing an online survey including the ACS Response Index and the avoidance subscale of the Coping Strategy Indicator. We leveraged social media platforms and a university email list-serv to enroll participants. Stepwise hierarchical linear regressions were used.

Results: We analyzed responses from 981 participants, with a mean age of 35.2 …

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Effects Of The Covid-19 Pandemic On Emergency Department Triage Nurses' Response To Patients With Potential Acute Coronary Syndrome, John R. Blakeman, Holli A. Devon, Stephen J. Stapleton, Myoungjin Kim, Ann L. Eckhardt

Faculty Publications - Mennonite College of Nursing

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Background: The COVID-19 pandemic added challenges to patient assessment and triage in the emergency department (ED).

Objective: To describe the effects of the COVID-19 pandemic on ED triage nurse decisions for patients with potential ACS.

Methods: This was a secondary analysis of data from a descriptive, electronic, survey-based study. Participants were asked two questions: whether the COVID-19 pandemic had affected their triage and/or assessment practices for patients with potential ACS and if so, how. Descriptive statistics were used to compare characteristics of participants. A qualitative descriptive approach was used to analyze responses to the open-ended questions about the pandemic’s effect …

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Exploratory And Confirmatory Factor Analysis Of The Acs-Response Index In Adults Without Diagnosed Heart Disease, John R. Blakeman, Myoungjin Kim, Marilyn Prasun

Faculty Publications - Mennonite College of Nursing

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Background & Purpose: To report on the psychometric properties of the Acute Coronary Syndrome Response Index in adults without heart disease. Methods: Participants were enrolled online, using social media platforms and an email listserv. The sample of 1,040 was randomly split into two sub-samples for exploratory and confirmatory factor analysis. Results: Exploratory factor analysis yielded a four-factor solution for the knowledge subscale, a one-factor solution for the attitudes subscale, and a two-factor solution for the belief subscale. Subsequent confirmatory factor analysis demonstrated an excellent fit for the attitudes and beliefs subscales and an acceptable fit for the knowledge subscale. Conclusions: …

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An Analysis Of The Use Of The Terms Sex And Gender In Research Reported In Nursing Journals, John R. Blakeman, Valentina M. Fillman

Faculty Publications - Mennonite College of Nursing

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Accurately measuring and reporting the demographic characteristics of research participants are imperative to provide consumers of research with an understanding of who was included in a study. While researchers often, incorrectly, use the variables sex and gender interchangeably, these 2 variables are different. We conducted a content analysis of 239 randomly selected research articles, with the purpose of describing how researchers have used sex and gender in studies published in nursing journals and identifying opportunities for improved clarity and precision in measuring these 2 variables. We found that significant improvement is needed in the way these variables are used/reported.

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Women’S Prodromal Myocardial Infarction Symptom Perception, Attribution, And Care Seeking, John R. Blakeman, Wendy M. Woith, Kim S. Astroth, Sheryl H. Jenkins, Stephen J. Stapleton

Faculty Publications - Mennonite College of Nursing

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Most women experience several prodromal symptoms prior to myocardial infarction (MI). While investigators have focused on acuteMI symptom perception, attribution, and care seeking, few have studied how women experience and process prodromalMI symptoms and ultimately decide to seek care.

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Emergency Department Nurses’ Triage And Prioritization Decisions In Patients Experiencing Acute Coronary Syndrome Symptoms: An Integrative Review, Emily Swiderski, John R. Blakeman

Faculty Publications - Mennonite College of Nursing

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RESEARCH QUESTION How do emergency department (ED) nurses make triage decisions and/or prioritize care for patients that are experiencing symptoms consistent with acute coronary syndrome?

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A Holistic Exploration Of Fatigue Experienced By Women Before A Myocardial Infarction, John R. Blakeman, Wendy M. Woith, Kim S. Astroth, Sheryl H. Jenkins, Stephen J. Stapleton

Faculty Publications - Mennonite College of Nursing

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Most women report fatigue in the weeks and months leading to a myocardial infarction (MI). However, fatigue is a complex phenomenon. Dimensions of this MI related fatigue, such as timing, distress, intensity, quality, patterns, and associated characteristics have not been established through focused study of this symptom. A lack of a holistic understanding of this symptom makes clinical decision making difficult, given that fatigue is a frequently reported symptom overall.

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Input: An Academic–Practice Partnership To An Underserved Rural Community, Judy Neubrander, Susan Franzen, Rebecca Mathis

Faculty and Staff Publications – Milner Library

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The INPUT project is a model partnership that changed the way health care was offered to the underserved in rural Western North Carolina. Grant funding provided a full‐time Family Nurse Practitioner (FNP) to a free clinic and created clinical placements for FNP students. Students had opportunities to learn about unique aspects of care for vulnerable, underserved populations to encourage them to consider working in rural communities. The clinic saw an increase in patient visits and offered more continuity in follow‐up care. This academic–practice partnership represents a successful example of how working together can benefit the collaborators and community.

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Fatigue Experienced By Women Before And During Myocardial Infarction: An Integrative Review, John R. Blakeman, Stephen J. Stapleton

Faculty Publications - Mennonite College of Nursing

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RESEARCH QUESTION What is known about fatigue experienced by adult women during the prodromal and acute periods of myocardial infarction (MI)?

AIMS 1. Identify what is known about prodromal and acute MI fatigue experienced by women in regard to severity, distress, quality, and timing 2. Summarize the current state of the prodromal and acute MI fatigue literature and make recommendations for clinical practice and future study

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Integrating Feminist Theory Into Myocardial Infarction Symptom Research, John R. Blakeman

Faculty Publications - Mennonite College of Nursing

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Heart disease remains the number one killer of men and women globally, yet women have traditionally received less research attention in the cardiovascular literature, and an androcentric bias has persisted. Specifically, symptoms of myocardial infarction (MI) have been shown to be varied between men and women. Feminist standpoint theory is one perspective that researchers can use to explore the situated knowledge that women possess, given their unique experiences. This project incorporates a substantial body of literature, reviews feminist standpoint theory, and proposes three critical steps for MI symptom researchers to use as guides when conducting research. To advance the perspectives …

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