Nursing Commons^™

Current Medical Research: Summer/Fall 2017, Richard J. Fehring, Mary Lee Barron

College of Nursing Faculty Research and Publications

This issue of Current Medical Research (CMR) includes studies that provide evidence that use of natural family planning (NFP) can be helpful for subfertile couples wishing to achieve a pregnancy, the effectiveness of a method of NFP during breastfeeding, and the effects of using NFP on marital relationships. This review also includes evidence on predicting the sex of a baby by timing intercourse, evidence that brain injuries can be reflected in changes in the menstrual cycle, and that women prefer methods of family planning that have no side effects. The issue ends with an in-depth review of new technologies that …

Response To ‘Aspih Standards For Simulation-Based Education: Process Of Consultation, Design And Implementation’, Kristina Dreifuerst, Teresa Gore, Bette Mariani

College of Nursing Faculty Research and Publications

No abstract provided.

Nurses’ Experiences Empowering Hospitalized Patients, Teresa Jerofke-Owen, Margaret J. Bull

College of Nursing Faculty Research and Publications

Four focus groups were conducted to explore acute care nurses’ experiences empowering patients and the facilitators and barriers they encountered during the process. Thirty-four nurses employed at four hospitals in the Midwestern United States participated in the study between February and April 2015. Facilitators of empowerment included establishing a therapeutic relationship, fostering communication, providing education, respecting patient autonomy, engaging support systems, and lifting spirit/giving hope. Barriers included conflicting information about plans of care, lack of time, fear and anxiety over unfamiliar environments and routines, ineffective or inadequate support systems, lack of/low accountability, and killing the soul. Nurses also described innovative …

Photovoice: A Research Method And Intervention To Engage Older Adults, Aimee A. Woda, Kristin Haglund, Ruth Ann Belknap, Elizabeth Cleek

College of Nursing Faculty Research and Publications

The purpose of the current article is to describe the use of photovoice with individuals from vulnerable population groups. Ten African American men and women ages 66 to 72 with heart failure from three different low income public housing facilities were recruited for participation in a qualitative photovoice project. Participants were given 5 weeks to take photographs of images that represented facilitators of and barriers to engaging in self-care behaviors. Each week, participants met as a group to discuss the photographs and their meanings to other participants. The photovoice method was empowering to participants, easy to use, and shown to …

Mgmt Inhibition In Er Positive Breast Cancer Leads To Cdc2, Top2a, Aur, Cdc20, Kiff20a, Cyclin A2, Cyclin B2, Cyclin D1, Erα And Survivin Inhibition And Enhances Response To Temozolomide, George Bobustuc, Amin Kassam, Richard Rovin, Sheila Jeudy, Joshua S. Smith, Beth Isley, Maharaj Singh, Nathan David Sassoon, Kalkunte S. Srivenugopal, Santhi Konduri

College of Nursing Faculty Research and Publications

The DNA damage repair enzyme, O⁶-methylguanine DNA methyltransferase (MGMT) is overexpressed in breast cancer, correlating directly with estrogen receptor (ER) expression and function. In ER negative breast cancer the MGMT promoter is frequently methylated. In ER positive breast cancer MGMT is upregulated and modulates ER function. Here, we evaluate MGMT’s role in control of other clinically relevant targets involved in cell cycle regulation during breast cancer oncogenesis. We show that O⁶-benzylguanine (BG), an MGMT inhibitor decreases CDC2, CDC20, TOP2A, AURKB, KIF20A, cyclin B2, A2, D1, ERα and survivin and induces c-PARP and p21 and sensitizes ER …

Light Chain Diversity Among The Botulinum Neurotoxins, Alexander Gardner, Joseph T. Barbieri

College of Nursing Faculty Research and Publications

Botulinum neurotoxins (BoNT) are produced by several species of clostridium. There are seven immunologically unique BoNT serotypes (A–G). The Centers for Disease Control classifies BoNTs as ‘Category A’ select agents and are the most lethal protein toxins for humans. Recently, BoNT-like proteins have also been identified in several non-clostridia. BoNTs are di-chain proteins comprised of an N-terminal zinc metalloprotease Light Chain (LC) and a C-terminal Heavy Chain (HC) which includes the translocation and receptor binding domains. The two chains are held together by a disulfide bond. The LC cleaves Soluble N-ethylmaleimide-sensitive factor attachment protein receptors (SNAREs). The cleavage of SNAREs …

Pre-Death Grief, Resourcefulness And Perceived Stress Among Care Givers Of Partners With Young Onset Dementia, Karie Kobiske

Dissertations (1934 -)

Over 200,000 Americans are diagnosed with young onset dementia (YOD). YOD is the dementia diagnosed prior to the age of 65. Most persons of YOD are cared for by their partners. Caregiving for a partner diagnosed with YOD has unique challenges including multiple losses resulting from the functional, cognitive, and behavioral declines which can be demanding and stressful. These losses experienced by the caregiver of a partner diagnosed with YOD have been termed pre-death grief. Caregivers of partners with YOD often report high levels of burden and stress resulting in depression, anxiety, hopelessness, as well as increase morbidity and mortality. …

Percepciones Ante La Preparación Al Alta En Pacientes Médico-Quirúrgicos De Un Hospital De Alta Complejidad, Viviana Silva, Pilar Espinoza Quiroz, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Objetivo principal:

Analizar la relación entre las percepciones de la calidad de educación al alta y la disposición de pacientes para ser dados de alta.

Metodología:

Se aplicaron la Escala de la Calidad de la Educación al alta (Quality of Discharge Teaching Scale - QDTS) y la Escala para ver si los pacientes están listos para el alta (Readiness Hospital Discharge Scale – RDHS), 1 a 2 horas previas al alta.

Resultados principales:

Los puntajes en la Escala de la Calidad de la Educación al alta explicaron el 22% de la varianza en las …

"Sedation Is Tricky" : A Qualitative Content Analysis Of Nurses' Perceptions Of Sedation Administration In Mechanically Ventilated Intensive Care Unit Patients, Breanna Hetland, Jill L. Guttormson, Mary Fran Tracy, Linda L. Chlan

College of Nursing Faculty Research and Publications

Introduction

Critical care nurses are responsible for administering sedative medications to mechanically ventilated patients. With significant advancements in the understanding of the impact of sedative exposure on physiological and psychological outcomes of ventilated patients, updated practice guidelines for assessment and management of pain, agitation, and delirium in the intensive care unit were released in 2013. The primary aim of this qualitative study was to identify and describe themes derived from critical care nurses' comments regarding sedation administration practices with mechanically ventilated patients.

Methods

This is a qualitative content analysis of secondary text data captured through a national electronic survey of …

Changing Behaviors In Relationships To Prevent Interpersonal Violence: An Anthology Of Short Plays For Young People, Beck Menk, Kristin Haglund, Ruth Ann Belknap

College of Nursing Faculty Research and Publications

These scripts were written by Beck Menk in 2018. The scripts were commissioned by Kristin Haglund & Ruth Ann Belknap as part of their research study at Marquette University College of Nursing.

Dr.'s Haglund and Belknap conducted focus groups with teens ages 13-19 about peer & dating violence. The purpose of that study was to understand behaviors and situations that occurred prior to violence. Our intention was to use the results of that study to create scripts for short plays to teach teens how to recognize behaviors and responses that can escalate violence and to learn how to change those …

Influence Of Contraception Use On The Reproductive Health Of Adolescents And Young Adults, Richard J. Fehring, Thomas Bouchard, Maria Meyers

College of Nursing Faculty Research and Publications

Oral contraceptives (OCs) are often prescribed to adolescents and young adults for the treatment of health problems and to avoid unwanted pregnancies. We hypothesized that the use of OCs, among adolescents and young adults, is associated with a greater likelihood of pregnancy, abortion, sexually transmitted diseases (STDs), pelvic inflammatory disease (PID), and sexual behaviors that will enhance those problems (i.e., earlier sexual debut and more sexual partners) than adolescents and young adults not using OCs. To test this hypothesis, data from 1,365 adolescents and young adults in the 2011–2013 National Survey of Family Growth (NSFG) were used to describe the …

Cross-Cultural Adaptation Of The Instrument Readiness For Hospital Discharge Scale - Adult Form, Talita Honorato Siqueira, Vanessa Da Silva Carvalho Vila, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Objective:

to perform the cross-cultural adaptation of the Readiness for Hospital Discharge Scale - (RHDS) Adult Form for use in Brazil.

Method:

a methodological study was conducted in 2015, in Brazil’s federal capital, following the eight stages scientifically established.

Results:

analysis proved the maintenance of semantic, idiomatic, cultural, and conceptual equivalences and kept both the face and content validity of the original version. The judging committee and the pre-test participants declared they understood the RHDS items and answer scale.

Conclusion:

the instrument is culturally adapted for Brazil and can be used as one of the stages for planning hospital discharge. …

The Beneficial Effect Of Weight Reduction On Adverse Cardiovascular Outcomes Following Bariatric Surgery Is Attenuated In Patients With Obstructive Sleep Apnea, Ahmed Dalmar, Maharaj Singh, Bennet Pandey, Christopher Stoming, Zoe Heis, Khawaja Afzal Ammar, M. Fuad Jan, Indrajit Choudhuri, Thomas Y. Chua, Jasbir Sra, A. Jamil Tajik, Arshad Jahangir

College of Nursing Faculty Research and Publications

Weight loss after bariatric surgery is associated with reduction in adverse cardiovascular outcomes; however, the impact of obstructive sleep apnea (OSA) on reduction of cardiovascular outcomes after bariatric surgery in morbidly obese patients is not known. We retrospectively assessed differences in cardiovascular events after laparoscopic adjustable gastric banding (LAGB)–induced weight loss in patients with and without OSA before and after propensity score matching for age, sex, body mass index (BMI), and major comorbidities between the two groups and determined predictors of poor outcomes. OSA was present in 222 out of 830 patients (27 per cent) who underwent LAGB between 2001 …

Health Care Transition Experience Of Emerging Adults With Sickle Cell Disease: Preliminary Results, Dora L. Clayton-Jones

College of Nursing Faculty Research and Publications

No abstract provided.

Patterns Of Physical Activity In Sedentary Older Individuals With Type 2 Diabetes, Pearl G. Lee, Jinkyung Ha, Caroline S. Blaum, Kimberlee A. Gretebeck, Neil B. Alexander

College of Nursing Faculty Research and Publications

Background

The Community Healthy Activities Model Program for Seniors (CHAMPS) survey, summarized into weekly caloric expenditures, is a common physical activity (PA) assessment tool among older adults. Specific types of PA reported in the CHAMPS have not been systematically analyzed. We applied latent class analysis to identify the patterns of PA among sedentary older adults with diabetes reported in the CHAMPS survey.

Methods

Latent class models of PA were identified using the CHAMPS survey data reported by 115 individuals aged ≥60 years with type 2 diabetes whom volunteered for a clinical study of PA. Multinomial logistic regression was used to …

United States Born Mexican Origin Women's Descriptions About Their Eating Patterns, Juanita Teresa Garcia

Dissertations (1934 -)

Problem. Mexican origin (MO) women comprise the largest Hispanic subgroup (nearly two-thirds) of Latinas in the US. This subgroup has high incidences of obesity and associated chronic diseases. Modifiable risk factors for obesity and chronic diseases include unhealthy diets and eating patterns. Efforts to understand eating patterns of Hispanics have focused on primarily first-generation Hispanics. To date, limited research has been conducted to explore underlying factors that contribute to eating patterns of US born MO women living in the US. Method. The purpose of this qualitative exploratory-descriptive study, using a thematic analysis approach, was employed to explore 15 US born …

Effectiveness Of Centeringpregnancy On Breast-Feeding Initiation Among African Americans: A Systematic Review And Meta-Analysis, Karen Marie Robinson, Mauricio Garnier-Villarreal, Lisa Hanson

College of Nursing Faculty Research and Publications

While breastfeeding initiation rates for African American mothers are low, an innovative model of group prenatal care, CenteringPregnancy, holds promise to increase breastfeeding rates. The aim of this systematic review and meta-analysis was to examine the effects of CenteringPregnancy versus individual prenatal care on breastfeeding initiation among African American mothers. Using a systematic approach and PRISMA guidelines, 4 electronic databases were used to search the literature. English-language studies, comparing CenteringPregnancy and individual prenatal care, including African American participants, and specifying breastfeeding initiation as an outcome were screened for inclusion. Study strength and quality were assessed and 7 studies were systematically …

Health Equity, Dora L. Clayton-Jones

College of Nursing Faculty Research and Publications

No abstract provided.

The Impact Of Advance Directives On The Intensity Of Care Received In The Acute Care Setting In Older Adults, Marsha Helen Tyacke

Dissertations (1934 -)

The proportion of older adults in the U.S. is rapidly increasing. One-third of Medicare expenditures occur in the final year of life, with nearly half resulting from acute exacerbations of chronic, progressive diseases(Riley & Lubitz, 2010). Older adults prefer comfort over life-sustaining care, and decreased intensity of care is associated with improved quality of life at the end-of-life (EOL). Advance directives (ADs) have been proposed as mechanisms to improve congruence between patient wishes and EOL care; however, the impact of ADs on care delivered in the acute care setting at the EOL for this population is unclear. A retrospective, correlation …

Is It Time To Reconsider Pressure Injuries As A Nurse-Sensitive Indicator?, Christine A. Schindler

College of Nursing Faculty Research and Publications

No abstract provided.

Being Invisible: Stereotype Threat In An Undergraduate Nursing Program, Amber Young-Brice, Kristina Dreifuerst, Aaron Buseh

College of Nursing Faculty Research and Publications

Background:

Nursing programs continue to be challenged to increase recruitment and retention of ethnic minority nursing students to meet the needs of a diversifying population. Ethnic minority students face a cadre of barriers, one of which is the negative implications of their own identity. This article describes a qualitative study that explored the experiences of stereotype threat among a group of ethnic minority nursing students at a large urban university.

Method:

Semistructured, one-time in-depth interviews were conducted.

Result:

Three themes emerged: A Sense of Uncertainty About Abilities, Avoidance, and Vigilance for Signs of Failure.

Conclusion:

Nursing faculty and administrators may …

Mediating Effects Of Positive Thinking And Social Support On Suicide Resilience, Denise M. Matel-Anderson, Abir K. Bekhet, Mauricio Garnier-Villarreal

College of Nursing Faculty Research and Publications

Suicide has been the second leading cause of death for 18- to 24-year-olds in the United States since 2011. The stress experienced by undergraduate college students has the potential to increase one’s risk for suicide. Resilience theory was used as a theoretical framework to examine the interplay between risk and protective factors. A cross-sectional and correlational design was used to assess the mediating effects of positive thinking and/or social support on suicide resilience in 131 college students 18 to 24 years old who completed an online survey. The study found an indirect effect of self-esteem on suicide resilience through positive …

Does An Intervention Designed To Improve Self-Management, Social Support And Awareness Of Palliative-Care Address Needs Of Persons With Heart Failure, Family Caregivers And Clinicians?, Margaret Sebern, Nasir Sulemanjee, Mauricio Garnier-Villarreal, Mark J. Sebern, Carol J. Whitlatch

College of Nursing Faculty Research and Publications

Aims and Objectives

To conduct a formative evaluation of the iPad‐Enhanced Shared Care Intervention for Partners (iSCIP) among persons with heart failure (HF), family caregivers and clinicians. Together, persons with HF and family caregivers are referred to as partners.

Background

There is growing awareness of the caregiver's contributions to HF self‐management, social support and reciprocal benefits of interventions that involve both partners. The iSCIP engages both partners in a six‐session psychosocial intervention to address three preventable causes of poor outcomes in a HF population: poor self‐management skills, inadequate social support and underutilisation of palliative care. An iPad app is used …

Resilience From The Perspectives Of Caregivers Of Persons With Dementia, Abir K. Bekhet, Jennifer Sjostedt Avery

College of Nursing Faculty Research and Publications

No abstract provided.

Current Medical Research Winter/Spring 2017, Richard J. Fehring, Kathleen Raviele

College of Nursing Faculty Research and Publications

No abstract provided.

Psychometric Properties Of The Positive Thinking Skills Scale Among College Students, Denise M. Matel-Anderson, Abir K. Bekhet

College of Nursing Faculty Research and Publications

Suicide continues to be in the top leading causes of death among college students. Positive thinking has been linked to increasing health outcomes and decreasing the effects of stress. The psychometric properties of the 8-item Positive Thinking Skills Scale (PTSS) has not been tested in American college students. The study used resilience as the theoretical framework. In 131 students, internal consistency and construct validity was supported. The Cronbach's alpha of 0.86 and significant correlation with measures of suicide resilience, perceived social support, and self-esteem demonstrated good reliability and validity. The findings of the study provide directions for future suicide prevention …

Achieving Pregnancy Using Primary Care Interventions To Identify The Fertile Window, Thomas Bouchard, Richard J. Fehring, Mary Schneider

College of Nursing Faculty Research and Publications

Objective: To determine the effectiveness of achieving pregnancy with focused intercourse in the fertile window identified using natural fertility indicators. Methods: 24-cycle prospective effectiveness study. Setting: A North American web-based fertility monitoring service. Participants: 256 North American women aged 20–43 (mean age 29.2 years) seeking to achieve pregnancy. Intervention: Participants identified their fertile window with either electronic hormonal fertility monitoring or cervical mucus monitoring, or both, and recorded their observations on an online fertility tracking system. Main outcome measures: Pregnancies were validated by nurses with an online self-assessed pregnancy evaluation form. Survival analysis was used to determine pregnancy rates. Results: …

Surprised By Benefit In Pediatric Palliative Care Research, Meaghann S. Weaver, Cynthia J. Bell, Jessica L. Diver, Shana Jacobs, Maureen E. Lyon, Kim Mooney-Doyle, Amy Rose Newman, Julia Slutsman, Pamela S. Hinds

College of Nursing Faculty Research and Publications

No abstract provided.

Resilience In Caregivers Of Partners With Young Onset Dementia: A Concept Analysis, Karie R. Kobiske, Abir K. Bekhet

College of Nursing Faculty Research and Publications

Introduction: Over 200,000 Americans diagnosed with young onset dementia (YOD), dementia diagnosed prior to age 65, are cared for by family members. This can be costly to caregivers’physical and psychological health. Some adapt well to the caregiver role and are said to be resilient. Aim/Question: This paper builds on current understanding of the concept of resilience and applies this to caregivers of partners diagnosed with YOD. Method: Concept analysis. Results: Resilient caregivers exhibit attributes including determination, flexibility, positive thinking, self-efficacy, resourcefulness, social support and spirituality. Discussion: YOD affects caregiver’s health. Much research has been done on interventions for dementia caregivers. …

Pomona Large Vessel Occlusion Screening Tool For Prehospital And Emergency Room Settings, Kessarin Panichpisal, Kenneth Nugent, Maharaj Singh, Richard Rovin, Reji P. Babygirija, Yogesh Moradiya, Karen Tse-Chang, Kimberly A. Jones, Katrina J. Woolfolk, Debbie Keasler, Bhupat Desai, Parinda Sakdanaraseth, Paphavee Sakdanaraseth, Alimohammad Moalem, Nazli Janjua

College of Nursing Faculty Research and Publications

Background: Early identification of patients with acute ischemic strokes due to large vessel occlusions (LVO) is critical. We propose a simple risk score model to predict LVO. Method: The proposed scale (Pomona Scale) ranges from 0 to 3 and includes 3 items: gaze deviation, expressive aphasia, and neglect. We reviewed a cohort of all acute stroke activation patients between February 2014 and January 2016. The predictive performance of the Pomona Scale was determined and compared with several National Institutes of Health Stroke Scale (NIHSS) cutoffs (≥4, ≥6, ≥8, and ≥10), the Los Angeles Motor Scale (LAMS), the Cincinnati Prehospital Stroke …