Nursing Commons^™

Feasibility And Pilot Testing Of A Mindfulness Intervention For Frail Older Adults And Individuals With Dementia, Christine R. Kovach, Crystal-Rae Waltons, Lisa Sattell, Kimberly Rosenau, Sandeep Gopalakrishnan

College of Nursing Faculty Research and Publications

Mindfulness interventions have been beneficial for healthy adults and individuals experiencing a stressful medical or mental health diagnosis. The purposes of the current study were to: (a) determine feasibility of mindfulness for older adults in long-term residential settings, and (b) examine differences in outcomes between a mindfulness and cognitive activity. The current study is the first mindfulness study to include individuals in moderate and severe stages of dementia, and included 36 individuals with a range of cognitive abilities. A crossover design was used, and the intervention was feasible for continued practice by individuals with cognitive impairment. Statistically significant short-term changes …

Registered Nurses' Experiences Of Passing The Nclex-Rn After More Than One Attempt, Tammy L. Kasprovich, Leona Vandevusse

College of Nursing Faculty Research and Publications

Background:

In the past decade, little research has been conducted regarding individuals' stories about not initially being successful on the National Council Licensure Examination for Registered Nurses. An unsuccessful licensure examination attempt may affect the individual personally and profoundly in ways that could influence their future success.

Method:

Individual in-depth interviews were conducted once with 15 RNs who were initially unsuccessful on the licensure examination and subsequently passed. Data analyses were conducted using both manual and electronic coding through thematic identification. Rigor was ensured by meeting quality criteria for qualitative research.

Results:

Four themes were identified: (a) Pressures all Around, …

Visits For Depression To Physician Assistants And Nurse Practitioners In The Us, Abiola O. Keller, Roderick S. Hooker, Elizabeth R. Jacobs

College of Nursing Faculty Research and Publications

No abstract provided.

Recertification And Reentry To Practice For Nurse Anesthetists: Determining Core Competencies And Evaluating Performance Via High-Fidelity Simulation Technology, Matthew E. Heyes, Lauren Schnitzen, Deana G. Starr, Charles Vecchiano, Virginia C. Muckler, Lisa Thiemann, J. Frank Titch

College of Nursing Faculty Research and Publications

Introduction

The National Board of Certification and Recertification for Nurse Anesthetistsaddressed a barrier to return to practice of uncertified practitioners by replacing required direct patient care experiences with high-fidelity simulation.

Objectives

The aims of this study were to: (a) validate a set of clinical activities for their relevance to reentry and determine if they could be replicated using simulation, (b) evaluate the content validity of an existing simulation scenario containing the proposed clinical activities and determine its substitutability for a clinical practicum, and (c) evaluate the validity of two methods to assess simulation performance.

Methods

A modified Delphi method …

Health-Related Quality Of Life Of Older Adults In Costa Rica As Measured By The Short-Form-36 Health Survey, Esmeralda Valdivieso-Mora, Mirjana Ivanisevic, Leslie A. Shaw, Mauricio Garnier-Villarreal, Zachary D. Green, Monica Salazar-Villanea, Jose Moncada-Jimenez, David K. Johnson

College of Nursing Faculty Research and Publications

Objective: To test the validity of a common measure of health-related quality of life (Short-Form-36 [SF-36]) in cognitively healthy older adults living in rural and urban Costa Rica. Method: Confirmatory factor analysis was applied to SF-36 data collected in 250 older adults from San Jose and Guanacaste, Costa Rica. Results: The best fitting model for the SF-36 was an eight first-order factor structure. A high correlation between the Mental Component Summary and Physical Component Summary scores was found. Region differences indicated that rural dwellers perceive a poorer health-related quality of life compared with the urban group. Discussion: Costa Rican older …

Factor Structure And Psychometric Properties Of Cognitive-Behavioral Scales In Caregivers Of Persons With Dementia, Abir K. Bekhet, Mauricio Garnier-Villarreal

College of Nursing Faculty Research and Publications

Background/Purpose

Caregiving can be costly to dementia caregivers' well-being. Assessing the factor structure and psychometric properties of Cognitive-Behavioral Scales in dementia caregivers is an essential step in addressing the gap in the current state of research. Specifically, it is essential to determine first whether the factorial structure of the three measures used in this study namely, the Positive Thinking Skills Scale, the Revised Memory and Behavior Problems Checklist, and the Zarit Burden Interview are good representation of the data by studying the good model fit. Next, evaluating the reliability of each factor of the three measures used are essential to …

Teaching Students To Teach Patients: A Theory-Guided Approach, Lori Candela, Linda B. Piacentine, Kathleen L. Bobay, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Nurses in every setting provide patient teaching on a routine basis, often several times a day. Patient teaching skills are essential competencies to be developed during pre-licensure nursing education. While students learn what to teach for specific conditions, they often lack competence in how to teach in ways that individualize and optimize patient learning. The ultimate goal of patient teaching is to arm patients with the knowledge and skills, and the desire and confidence in their ability to reach their targeted health outcomes. We describe the creation of a theoretical framework to guide development of patient teaching skills. The framework, …

Sexual Risk Behaviors Of African American Adolescent Females: The Role Of Cognitive And Religious Factors, Safiya George Dalmida, Natasha Aduloju-Ajijola, Dora L. Clayton-Jones, Tami Thomas, Ricardo J. Erazo Toscano, Rashunda Lewis, Terri Fleming, Shirley Taylor, Macie Lunyong

College of Nursing Faculty Research and Publications

Introduction: African American (AA) high school-age girls are more likely to have had sex before age 13 years and have higher rates of all sexually transmitted infections. Cognition and religion/spirituality are associated with adolescent sexuality, therefore, the purpose of this study was to identify cognitive and religious substrates of AA girls’ risky sexual behaviors. Method: A descriptive study was conducted with 65 AA girls aged 15 to 20 years using computerized questionnaires and cognitive function tasks. Results: Average age was 17.8 ± 1.9 years and average sexual initiation age was 15.5 ± 2.6 years. Overall, 57.6% reported a history of …

The Positive Thinking Skills Scale: A Screening Measure For Early Identification Of Depressive Thoughts, Abir K. Bekhet, Mauricio Garnier-Villarreal

College of Nursing Faculty Research and Publications

Background

Depression is currently considered the second leading cause of disability worldwide. Positive thinking is a cognitive process that helps individuals to deal with problems more effectively, and has been suggested as a useful strategy for coping with adversity, including depression. The Positive Thinking Skills Scale (PTSS) is a reliable and valid measure that captures the frequency of use of positive thinking skills that can help in the early identification of the possibility of developing depressive thoughts. However, no meaningful cutoff score has been established for the PTSS.

Aim

To establish a cutoff score for the PTSS for early identification …

Autism And Research Using Magnetic Resonance Imaging, Norah L. Johnson, Nicole M.G. Salowitz, Michael Van Abel, Bridget Dolan, Amy V. Van Hecke, Sheikh Iqbal Ahamed

College of Nursing Faculty Research and Publications

This qualitative study explored the experience of participating in a research study using magnetic resonance imaging (MRI) for children with autism spectrum disorder (ASD), typically developing (TYP) children, and their parent. It also assessed the feasibility, efficacy, and acceptability of the Going to MRI for a Research Study© iPad application (app), developed by the primary author, available for use for MRI preparation. The app provides a description of the steps of the MRI procedure, from the child’s perspective, outlining expected behaviors and responses. Ten English-speaking parent/child dyads (n = 20) participated in an audiotaped question guide-facilitated telephone interview about …

Examination Of The Role Of Religious And Psychosocial Factors In Hiv Medication Adherence Rates, Safiya George Dalmida, Katryna Mccoy, Harold C. Koenig, Aretha Miller, Marcia Mcdonnell Holstad, Tami Thomas, Dora L. Clayton-Jones, Mary Margaret Grant, Terri Fleming, Menka Munira Wirani, George Mugoya

College of Nursing Faculty Research and Publications

Optimal adherence to antiretroviral therapy (ART) is associated with favorable HIV outcomes, including higher CD4 cell counts, HIV virus suppression and a lower risk of HIV transmission. However, only 25% of people living with HIV/AIDS (PLWH) in the USA are virally suppressed. Sub-optimal adherence (p< 0.05). Social support satisfaction was also significantly associated with ART adherence (OR = 1.52, 95% CI [1.11–2.08], p < 0.05) and energy/fatigue/vitality (OR = 1.03, 95% CI [1.00–1.05], p < 0.05).

Hypertrophic Cardiomyopathy With Aortic Dilation: A Novel Observation, Ryan Yousefzai, Anushree Agarwal, M. Fuad Jan, Chi Cho, Michael Anigbogu, Kambiz Shetabi, Maharaj Singh, Michelle Bush, Shannon Treiber, Steven Port, Khawaja Afzal Ammar, Timothy E. Paterick, Renuka Jain, Bijoy K. Khandheria, A. Jamil Tajik

College of Nursing Faculty Research and Publications

Aims Our goal was to identify the prevalence of aortic dilation in patients with hypertrophic cardiomyopathy (HCM), the most prevalent (0.2%) heritable, genetic cardiovascular disease. Aortic dilation also represents a spectrum of familial inheritance. However, data regarding the prevalence of aortic dilation in HCM patients is lacking. Methods and results This is an observational retrospective study of all patients referred to our HCM centre. Aortic dilation was defined based on recent American Society of Echocardiography and European Association of Cardiovascular Imaging published guidelines. Of the 201 HCM patients seen between Jan. 1, 2011 and March 31, 2014, 18 (9.0%) met …

Parental Co‐Construction Of 5‐ To 13‐Year‐Olds' Global Self‐Esteem Through Reminiscing About Past Events, Michelle A. Harris, M. B. Donnellan, Jen Guo, Dan P. Mcadams, Mauricio Garnier-Villarreal, Kali H. Trzesniewski

College of Nursing Faculty Research and Publications

The current study explored parental processes associated with children's global self‐esteem development. Eighty 5‐ to 13‐year‐olds and one of their parents provided qualitative and quantitative data through questionnaires, open‐ended questions, and a laboratory‐based reminiscing task. Parents who included more explanations of emotions when writing about the lowest points in their lives were more likely to discuss explanations of emotions experienced in negative past events with their child, which was associated with child attachment security. Attachment was associated with concurrent self‐esteem, which predicted relative increases in self‐esteem 16 months later, on average. Finally, parent support also predicted residual increases in self‐esteem. …

Spirituality Among Adults Living With Sickle Cell Disease After An Adult Stem Cell Transplantation, Dora L. Clayton-Jones

College of Nursing Faculty Research and Publications

No abstract provided.

The Mediating Effects Of Positive Thinking And Social Support On Suicide Resilience Among Undergraduate Students, Denise Marie Matel-Anderson

Dissertations (1934 -)

Suicide has been the 2nd leading cause of death for 18-24-year-olds in the US since 2011. The stress experienced by undergraduate college students has the potential to increase ones’ 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 18-24 years old who completed an online survey. An indirect effect of self-esteem on suicide resilience was found through positive thinking and social support indicating that …

Nursing Students’ Perception Of The Stigma Of Mental Illness, Abir K. Bekhet, Carolyn J. Murrock, Qiyan Mu, Harpreet Singh-Gill

College of Nursing Faculty Research and Publications

Background: Mental health disorders are highly prevalent in the U.S. Nursing students’ perceptions regarding the stigma of mental illness will impact the quality of care delivered and the patients’ outcomes.

Method: Data was collected from 64 sophomore students. Five open ended questions were distributed to the students during the first class. All the surveys were collected by a volunteer student and were placed in the instructor’s mailbox in a sealed envelope.

Results: The results revealed three categories: students ‘perceptions of the causes of mental illness stigmatization, their own perception of mental illness, and their perception on how to break the …

The Impact Of Simulation Sequencing On Perceived Clinical Decision Making, Aimee A. Woda, Jamie Hansen, Mary Paquette, Robert V. Topp

College of Nursing Faculty Research and Publications

An emerging nursing education trend is to utilize simulated learning experiences as a means to optimize competency and decision making skills. The purpose of this study was to examine differences in students' perception of clinical decision making and clinical decision making-related self-confidence and anxiety based on the sequence (order) in which they participated in a block of simulated versus hospital-based learning experiences.

A quasi-experimental crossover design was used. Between and within group differences were found relative to self-confidence with the decision making process. When comparing groups, at baseline the simulation followed by hospital group had significantly higher self-confidence scores, however, …

Ethics In Practice: From Moral Distress To Moral Resilience, Kathryn Schroeter

College of Nursing Faculty Research and Publications

No abstract provided.

Debrief In Emergency Departments To Improve Compassion Fatigue And Promote Resiliency, Kristin Haglund, Madeline Schmidt

College of Nursing Faculty Research and Publications

The purpose of this case study was to describe compassion fatigue using one nurse's experience as an example and to present the process of Personal Reflective Debrief as an intervention to prevent compassion fatigue in emergency department (ED) nurses. Debriefing after adverse outcomes using a structured model has been used in health care as a nonthreatening and relatively low-cost way to discuss unanticipated outcomes, identify opportunities for improvement, and heal as a group. There are many methods of debrief tailored to specific timing around events, specific populations of health care workers, and amount of time for debriefing. Debrief with personal …

Pediatric Nurses' Perspectives On Medication Teaching In A Children's Hospital, Cori A. Gibson, Ashley Stelter, Kristin Haglund, Stacee M. Lerret

College of Nursing Faculty Research and Publications

Purpose

To explore inpatient pediatric nurses' current experiences and perspectives on medication teaching.

Design and Methods

A descriptive qualitative study was conducted at a Midwest pediatric hospital. Using convenience sampling, 26 nurses participated in six focus groups. Data were analyzed in an iterative group coding process.

Results

Three themes emerged. 1) Medication teaching is an opportunity. 2) Medication teaching is challenging. Nurses experienced structural and process challenges to deliver medication teaching. Structural challenges included the physical hospital environment, electronic health record, and institutional discharge workflow while process challenges included knowledge, relationships and interactions with caregivers, and available resources. 3) Medication …

Physical Activity, Functional Ability, And Obesity In Older Adults: A Gender Difference, Kimberlee A. Gretebeck, Leann M. Sabatini, David R. Black, Randall J. Gretebeck

College of Nursing Faculty Research and Publications

Disability, institutionalization, and loss of independence may be directly caused or exacerbated by physical inactivity and obesity. The purpose of the current cross-sectional survey was to explore the impact of gender and obesity on functional ability tasks, physical activity, and psychosocial factors in older adults. Participants comprised 964 University retirees (55% female, mean age = 75.3 years, SD = 6.7 years) with a mean body mass index (BMI) of 26.1 kg/m² (SD = 4.7 kg/m²). Results revealed significant gender and BMI interaction effects. Women were less active than men and obese women were most functionally impaired, …

A Minimal Contact Diet And Physical Activity Intervention For White-Collar Workers, Kimberlee A. Gretebeck, Tatiana Bailey, Randall J. Gretebeck

College of Nursing Faculty Research and Publications

Minimal contact lifestyle interventions with multiple components coupled with health screening have the potential to improve worker health. The purpose of this study was to test a minimal contact multiple component lifestyle diet and exercise intervention. The multiple components that were included in this project included a worksite health screening, brief counseling session, emailed newsletter, and a pedometer. In response to the intervention, participants reported an increase in green salad, fruit, and vegetable consumption as well as an increase in self-efficacy for consuming three servings of fruits and vegetables a day. Study participants also demonstrated a significant increase in physical …

Risk And Protective Factors In The Lives Of Caregivers Of Persons With Autism: Caregivers’ Perspectives, Abir K. Bekhet, Denise M. Matel-Anderson

College of Nursing Faculty Research and Publications

PURPOSE

The purpose of this descriptive exploratory study is to understand the experience of being a caregiver of a person with autism spectrum disorder (ASD) in the light of the resilience theory.

METHODS

Qualitative data were collected as a part of a larger quantitative study. Ninety-three caregivers completed this qualitative study and responded to the two open-ended questions. In the parent study, subjects were recruited by convenience sampling from the Interactive ASD Network (IAN).

FINDINGS

The identified categories appeared to reflect three distinct categories consistent with the resilience theory, labeled as follows: risk factors, protective factors, and overlapping factors.

PRACTICE …

Effectiveness Of An Online Natural Family Planning Program For Breastfeeding Women, Richard J. Fehring, Mary Schneider, Thomas Bouchard

College of Nursing Faculty Research and Publications

Objective To analyze the effectiveness of an online, nurse-managed natural family planning (NFP) program among breastfeeding women and subgroups of these women. Design Longitudinal comparative cohort study. Setting A university-based online NFP education program and menstrual cycle charting system. Participants Women (N = 816) with a mean age of 30.3 years (standard deviation = 4.5) who registered to use the online NFP system and indicated they were breastfeeding. Methods Participants tracked their fertile times with an electronic hormone fertility monitor (EHFM), cervical mucus monitoring, or both. All unintended pregnancies were evaluated by professional nurses. Results The correct use pregnancy rates …

Parents’ Perspectives On Caring For Children After Solid Organ Transplant, Stacee M. Lerret, Norah L. Johnson, Kristin Haglund

College of Nursing Faculty Research and Publications

Purpose

To explore parents’ experiences of the transition from hospital to home and complex chronic illness management following their children's solid organ transplant (SOT).

Design and Methods

Qualitative component of a larger mixed methods longitudinal study. Parents of SOT recipients were interviewed three times following hospital discharge from five major pediatric transplant hospitals in the United States.

Results

Analysis of parent interviews (N = 48) resulted in three themes that characterized the phases of transition to home and complex chronic illness care. Three themes, corresponding to the three time periods of data collection, included “getting back to normal” at 3 …

The Development And Psychometric Analysis Of The Mu- Fertility Knowledge Assessment Scale, Qiyan Mu

Dissertations (1934 -)

Young women between the ages of 18 to 24 experience disproportionally high rates of negative sexual and reproductive health outcomes. Inadequate and inaccurate fertility knowledge can hinder a young woman’s self-care abilities in managing her sexual and reproductive health. There is no validated instrument to assess young women’s fertility knowledge. The primary purpose of this study is to develop and evaluate the psychometric properties of the MU-fertility knowledge assessment scale (MU-FKAS) for young women. The secondary purpose is to explore the relationships among young women’s individual and contextual factors, self-perceived fertility knowledge, actual fertility knowledge, and fertility health risks. A …

Positive Thinking Training Intervention For Caregivers Of Persons With Autism: Establishing Fidelity, Abir K. Bekhet

College of Nursing Faculty Research and Publications

More than 3.5 million in the US are diagnosed with autism spectrum disorder (ASD) and caregivers experience stress that adversely affects their well-being. Positive thinking training (PTT) intervention can minimize that stress. However, before testing the effectiveness of PTT, its fidelity must be established. This pilot intervention trial examined fidelity of an online PTT intervention for ASD caregivers with a random assignment of 73 caregivers to either the online PTT intervention or to the control group. Quantitative data [Positive Thinking Skills Scale (PTSS)] and qualitative data (online weekly homework) were collected. The mean scores for the PTSS improved for the …

Trauma Exposure Among Women In The Pacific Rim, Elizabeth Reeves, Pilar De Bernal, Susan G. Silva, Diva Jaramillo, Tulia Uribe, Agnes Tiwari, Gladys Eugenia Canaval, Maria Eugenia Mendoza Flores, Ruth Ann Belknap, Janice Carrol Humphreys

College of Nursing Faculty Research and Publications

Purpose

Healthcare professionals who provide services in the immediate or long‐term aftermath of traumatic events need to understand the nature and frequency of traumatic events in the lives of women. However, research on trauma exposure in women has only recently begun to assess events other than intimate partner and sexual violence and has not supported direct statistical comparison of cross‐national and cross‐cultural data. The purpose of this descriptive, correlational study was to describe and compare trauma exposure prevalence and type in community‐based samples of women in the United States, Colombia, and Hong Kong.

Design

Women were recruited through posted notices …

Pain Management Efficacy Study Between Continuous And Single-Administration Bupivacaine Following Lumbar Spinal Fusion, Jay Tumulak, Steve Johnston, Patty Adams

College of Nursing Faculty Research and Publications

Poorly managed postoperative pain decreases patient satisfaction, impedes early patient mobilization, lengthens inpatient hospital stay, and increases healthcare costs. Multimodal analgesia with local anesthetics is considered most effective for postoperative pain management. This study compared patients undergoing lumbar fusion who received plain bupivacaine from May 2011 until August 2012 with those who received liposomal bupivacaine from September 2012 until May 2013. The aim was to determine which preparation reduced postoperative opioid use the most. All lumbar spinal fusion surgeries in the periods indicated were included in the study. Ninety-three patient charts were reviewed: 47 for the plain bupivacaine group and …

Building Research Infrastructure In Magnet® Hospitals: Current Status And Future Directions, Meg Johantgen, Marianne E. Weiss, Vicki Lundmark, Robin Newhouse, Karen Haller, Lynn Unruh, Maria Shirey

College of Nursing Faculty Research and Publications

OBJECTIVE: The aim of this study was to describe the infrastructures supporting research in Magnet® hospitals.

BACKGROUND: Hospitals undertaking the journey toward Magnet designation must build research and evidence-based practice (EBP) infrastructures that support the infusion of research and EBP into clinical practice.

METHODS: An electronic survey was developed and distributed to the chief nursing officer or Magnet coordinator of all Magnet hospitals between June 10, 2015, and July 8, 2015.

RESULTS: Of the 418 Magnet hospitals invited, 249 responses (60%) were received. Resources dedicated to nursing research were difficult to isolate from those for EBP. Supporting clinical nurses’ time …