Nursing Commons^™

Tamiah N. Mccoy - African American Women’S Birth Stories As Told To African American Women Interviewers, Tamiah N. Mccoy

Ronald E. McNair Scholars Program 2013

Background: A woman’s birth story allows each woman to tell her own perspectives about her experience of bringing a child into the world. As healthcare providers, it is always important to value listening to and learning from our clients. Researchers systematically analyzing birth stories can yield insights on ways to improve birthing experiences for women. This is especially important for African American women, who differentially encounter the most numerous health disparities of any racial group, with twice as much infant mortality than other groups.

Purpose: This study examined birth stories of African American women in order to gain insights from …

Christian Villanueva - Trauma Exposure Reported By Women Recently Deported From The U.S. To Mexico, Christian Villanueva

Ronald E. McNair Scholars Program 2013

In 2012 the U.S. deported approximately 200,000 individuals to Mexico; a significant proportion of these individuals were women. The combined effect of previous traumatic experiences with that of being deported to Mexico is detrimental to women’s health. The trauma suffered through this process results in high levels of stress that lead to a variety of mental and physical health problems for Mexican women, disproportionally compared to men, who entered into and are deported from the U.S. The purpose of this study is to describe the life history of trauma exposure of women who have recently been deported from the U.S. …

Randomized Comparison Of Two Internet-Supported Fertility Awareness Based Methods Of Family Planning, Richard J. Fehring, Mary Schneider, Kathleen Raviele, Dana Rodriguez, Jessica E. Pruszynski

Randomized Comparison of Two Internet-Supported Methods of Natural Family Planning

Background: The aim was to compare the efficacy and acceptability of two Internet-supported fertility-awareness-based methods of family planning.

Study design: Six hundred and sixty-seven women and their male partners were randomized into either an electronic hormonal fertility monitor (EHFM) group or a cervical mucus monitoring (CMM) group. Both groups utilized a Web site with instructions, charts and support. Acceptability was assessed online at 1, 3 and 6 months. Pregnancy rates were determined by survival analysis.

Results: The EHFM participants (N=197) had a total pregnancy rate of 7 per 100 users over 12 months of use compared with 18.5 for the …

A Theater Intervention To Prevent Teen Dating Violence For Mexican-American Middle School Students, Ruth Ann Belknap, Kristin Haglund, Holly Felzer, Jessica E. Pruszynski, John Schneider

College of Nursing Faculty Research and Publications

Purpose

To test a theater intervention designed to raise awareness of the dynamics and consequences of teen dating violence (TDV) and to facilitate creation of nonviolent responses to TDV among Latino and Latina adolescents. The intervention was based on Theater of the Oppressed, which advocates the use of theater methods to explore social issues and to allow audiences to experiment with problem-solving, thereby promoting change.

Methods

This study used a pretest–posttest, no control group, mixed-measures design to study 66 Mexican-American adolescents (mean age, 13.4 ± 5 years). Two plays containing subtle and overt signs of control and abuse were written …

Randomized Comparison Of Two Internet-Supported Fertility Awareness Based Methods Of Family Planning, Richard J. Fehring, Mary Schneider, Kathleen Raviele, Dana Rodriguez, Jessica E. Pruszynski

College of Nursing Faculty Research and Publications

Background

The aim was to compare the efficacy and acceptability of two Internet-supported fertility-awareness-based methods of family planning.

Study design

Six hundred and sixty-seven women and their male partners were randomized into either an electronic hormonal fertility monitor (EHFM) group or a cervical mucus monitoring (CMM) group. Both groups utilized a Web site with instructions, charts and support. Acceptability was assessed online at 1, 3 and 6 months. Pregnancy rates were determined by survival analysis.

Results

The EHFM participants (N= 197) had a total pregnancy rate of 7 per 100 users over 12 months of use compared with …

Spirituality, Religiosity, Depression, Anxiety, And Drug-Use Consequences During Methadone Maintenance Therapy, Linda B. Piacentine

College of Nursing Faculty Research and Publications

Substance addiction is damaging to the health of persons, families, and society. Often the person with addiction has decreased spirituality and religiosity and suffers from anxiety, depression, or both, increasing the risk for continued substance use and its concomitant negative consequences. The study purpose was to describe spirituality and religiosity, among persons enrolled in methadone maintenance therapy and to examine associations between spirituality, religiosity, anxiety, depression, and drug-use consequences. Using a descriptive and cross-sectional correlational design, 108 participants completed questionnaires assessing the study variables. Spiritual well-being was similar to other addiction samples and lower than healthy person samples. Most participants …

Quality Improvement Project: Analysis Of Efficiency Of Current Order Set For The Diagnostic Workup Used To Evaluate Neurogenic Stress Myocardium In Aneurysmal Subarachnoid Hemorrhage, Denise Miller Niklasch, Kathleen Bobay

College of Nursing Faculty Research and Publications

Purpose

To evaluate patterns of utilization of the aneurysmal subarachnoid hemorrhage (aSAH) protocol order set for neurogenic stress myocardium (NSM).

Data sources

Retrospective chart review.

Conclusions

The results of this study demonstrate that protocol order sets can be prone to omissions, variations in practice, and delays.

Implications for practice

Education and implementation of an intervening compliance monitor are essential to improve utilization and correctness in use of the aSAH protocol order set for NSM. Advance practice nurses (APNs) or nursing staff could provide this service. This would improve teamwork, improve efficiency of care delivery and utilization of resources, promote leadership …

Leisure-Time Physical Activity In Relation To Depressive Symptoms In African-Americans: Results From The National Survey Of American Life, Elisa R. Torres, Carolyn M. Sampselle, David L. Ronis, Harold W. Neighbors, Kimberlee A. Gretebeck

College of Nursing Faculty Research and Publications

Objective

To examine the frequency of leisure-time physical activity (LTPA) in relation to depressive symptoms in a nationally representative sample of African American (AA) women and AA men with guidance by Stokols' Social Ecological Framework.

Method

A secondary analysis of AA women (n = 1811) and AA men (n = 1038) was performed on the National Survey of American Life, where a four stage national area probability sampling was conducted. Interviews were conducted 2001–2003. Clinically depressed AA were excluded from the current study. LTPA was measured by self-report frequency (never, rarely, sometimes, often) of participation in sports/exercise. Depressive symptoms were …

Children With Autism Spectrum Disorder At A Pediatric Hospital: A Systematic Review Of The Literature, Norah L. Johnson, Dana Rodriguez

College of Nursing Faculty Research and Publications

This review of literature describes the behaviors of hospitalized children with autism spectrum disorder (ASD) that health care providers find challenging. It also identifies strategies used to address these challenging behaviors. The systematic review of literature identified 34 articles from databases on health care of challenging behaviors of children with ASD. The review identified four categories of challenging behaviors (non-compliance, hyperactivity, sensory defensiveness, self-injury) and several strategies for reducing these behaviors. Partnering with parents to develop strategies is important for children with ASD to deliver timely and safe care.

Effects Of Patient-Directed Music Intervention On Anxiety And Sedative Exposure In Critically Ill Patients Receiving Mechanical Ventilatory Support: A Randomized Clinical Trial, Jill L. Guttormson, Linda L. Chlan, Craig R. Weinert, Annie Heiderscheidt, Mary Fran Tracy, Debra J. Skaar, Kay Savik

College of Nursing Faculty Research and Publications

Importance: Alternatives to sedative medications, such as music, may alleviate the anxiety associated with ventilatory support.

Objective: To test whether listening to self-initiated patient-directed music (PDM) can reduce anxiety and sedative exposure during ventilatory support in critically ill patients.

Design, Setting, and Patients: Randomized clinical trial that enrolled 373 patients from 12 intensive care units (ICUs) at 5 hospitals in the Minneapolis-St Paul, Minnesota, area receiving acute mechanical ventilatory support for respiratory failure between September 2006 and March 2011. Of the patients included in the study, 86% were white, 52% were female, and the mean (SD) age was …

Structured Debriefing And Students' Clinical Judgment Abilities In Simulation, Bette Mariani, Mary Ann Cantrell, Colleen H. Meakim, Patricia Prieto, Kristina Dreifuerst

College of Nursing Faculty Research and Publications

Background

Debriefing is a critical component of clinical simulation, yet there are limited studies that demonstrate the outcomes of debriefing on learners' clinical judgment.

Method

Using the Lasater Clinical Judgment Rubric, this mixed-method study examined the effects of structured debriefing after 2 clinical simulation experiences on 86 junior-level baccalaureate nursing students' clinical judgment. Debriefing for Meaningful Learning© was the method used for the structured debriefing sessions.

Results

The mean clinical judgment scores of the intervention group were higher and improved more over time compared with the mean scores of those in the control group; however, the differences were not statistically …

Nurse Residency Program: Best Practices For Optimizing Organizational Success, Marilyn Meyer Bratt

College of Nursing Faculty Research and Publications

A nurse residency program’s best practice recommendations are presented within this article and are organized around three processes: establishing the program infrastructure, creating a multistaged evidence-based program, and sustaining the program through appropriate evaluation and dissemination of results. These recommendations represent lessons learned and key findings derived from a team of academic and nursing professional development educators after 7 years of residency program implementation at multiple rural and urban hospital sites. Organizations, regardless of size and resources, can use these recommendations to increase the likelihood of building a successful residency program.

Topical Menthol, Ice, Peripheral Blood Flow, And Perceived Discomfort, Robert V. Topp, Elizabeth R. Ledford, Dean E. Jacks

College of Nursing Faculty Research and Publications

Context : Injury management commonly includes decreasing arterial blood flow to the affected site in an attempt to reduce microvascular blood flow and edema and limit the induction of inflammation. Applied separately, ice and menthol gel decrease arterial blood flow, but the combined effects of ice and menthol gel on arterial blood flow are unknown.

Objectives : To compare radial artery blood flow, arterial diameter, and perceived discomfort before and after the application of 1 of 4 treatment conditions.

Design : Experimental crossover design.

Setting : Clinical laboratory.

Participants or Other Participants : Ten healthy men, 9 healthy women (mean …

A Retrospective Review Of Sliding Scale Vs. Basal/Bolus Insulin Protocols, Heidi L. Rymaszewski, Susan Breakwell

College of Nursing Faculty Research and Publications

Purpose

The purpose was to assess the differences between subcutaneous basal/bolus and sliding scale insulin protocols in patients admitted with type 2 diabetes on non-critical care units.

Methods

A retrospective review of electronic medical records was conducted on a convenience sample of inpatients in a central-city teaching hospital.

Results

The findings were that basal/bolus protocols achieved American Diabetes Association glycemic targets on fasting, mean, and discharge blood glucoses.

Conclusions

This study provided insight into glycemic control and interdisciplinary education needs at this hospital. Evidence revealed that basal/bolus insulin protocols can achieve glycemic targets.

Lack Of Father Involvement In Research On Children With Autism Spectrum Disorder: Maternal Parenting Stress And Family Functioning, Norah L. Johnson, Pippa Simpson

College of Nursing Faculty Research and Publications

Autism Spectrum Disorder (ASD) has an estimated prevalence of greater than 1% of people in the US. Caring for children with ASD is stressful and challenging for parents. The purpose of the study is to understand the ramifications of the findings of a spouse/father's lack of participation for a study focused on stress and family functioning that attempted to recruit both parents of a child with ASD. The Kruskal-Wallis test compared medians of three groups of mothers of children with ASD in order to assess differences in parenting stress and family functioning discrepancy depending on their marital status and spouse …

Conceptualizing Group Dynamics From Our Clients’ Perspective: Development Of The Conceptualization Of Group Dynamics Inventory, Kevin A. Tate Phd, Edil Torres Rivera, William L. Conwill, David Miller, Ana Puig

College of Nursing Faculty Research and Publications

There is a clear call in group counseling practice and training for evidence-based practice (ACA, 2005; ASGW, 2008; CACREP, 2009). At the same time, group counselors also are asked to keep clients' experience at the center of their work (ASGW, 2012). This article outlines the authors' effort to develop and study an instrument designed to measure group counselors' conceptualization skill using group members' subjective perceptions as a foundation. Descriptions of the instrument's internal reliability, construct validity, and generalizability will be presented, as well as suggestions for conducting research on this instrument in future studies.

The Effect Of Either Topical Menthol Or A Placebo On Functioning And Knee Pain Among Patients With Knee Oa, Robert V. Topp, Joseph A. Brosky, David Pieschel

College of Nursing Faculty Research and Publications

Osteoarthritis (OA) is a common health problem with symptoms including reduced functioning and joint pain. Protracted pharmacological management of knee OA is associated with side effects including gastrointestinal, renal, and neurological dysfunction.Menthol gels have been used with limited empirical support to relieve pain and improve functioning among individual with OA. The purpose of this study was to compare the ability to complete functional tasks and knee pain while completing functional tasks among patients with knee OA after topical application of either 3.5% menthol gel or an inert placebo gel. Twenty individuals with knee OA volunteered to complete 2 data collection …

Methodology Issues In Implementation Science, Robin Newhouse, Kathleen Bobay, Patricia C. Dykes, Kathleen R. Stevens, Marita Titler

College of Nursing Faculty Research and Publications

Background: Putting evidence into practice at the point of care delivery requires an understanding of implementation strategies that work, in what context and how.

Objective: To identify methodological issues in implementation science using 4 studies as cases and make recommendations for further methods development.

Research Design: Four cases are presented and methodological issues identified. For each issue raised, evidence on the state of the science is described.

Results: Issues in implementation science identified include diverse conceptual frameworks, potential weaknesses in pragmatic study designs, and the paucity of standard concepts and measurement.

Conclusions: Recommendations to advance methods in implementation include developing …

Measuring Nurses’ Impact On Health Care Quality: Progress, Challenges, And Future Directions, Susan L. Beck, Marianne E. Weiss, Nancy Ryan-Wenger, Nancy E. Donaldson, Carolyn Aydin, Gail L. Towsley, William Gardner

College of Nursing Faculty Research and Publications

Background: Quality measurement is central in efforts to improve health care delivery and financing. The Interdisciplinary Nursing Quality Research Initiative supported interdisciplinary research teams to address gaps in measuring the contributions of nursing to quality care.

Objective: To summarize the research of 4 interdisciplinary teams funded by The Interdisciplinary Nursing Quality Research Initiative and reflect on challenges and future directions to improving quality measurement.

Methods: Each team summarized their work including the targeted gap in measurement, the methods used, key results, and next steps. The authors discussed key challenges and recommended future directions.

Results: These exemplar projects addressed cross-cutting issues …

Psychometrics Of The Depressive Cognition Scale In Caregivers Of Persons With Autism Spectrum Disorders, Abir K. Bekhet, Jaclene A. Zauszniewski

College of Nursing Faculty Research and Publications

Caregivers of persons with autism spectrum disorders (ASD) are prone to depression, and early identification of cognitive depressive symptoms is important to prevent the development of clinical depression. The Depressive Cognition Scale (DCS) can be used for early detection, but the scale's psychometrics has not been tested in caregivers of persons with ASD. In this study, 95 caregivers of persons with ASD completed the eight-item DCS and measures of caregiver burden and resourcefulness. A Cronbach's alpha of .90 indicated internal consistency. Construct validity was supported by significant correlations with caregiver burden (.59) and resourcefulness (− .57). Principal component factor analysis …

Existing Evidence Of The Business Case For Investments In Nursing Care, Olga Yakusheva, Douglas Wholey, Kevin D. Frick

Economics Faculty Research and Publications

No abstract provided.

Nurses’ Perceptions Of Sustainability Of Magnet® Efforts, Heather Vartanian, Kathleen Bobay, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Magnet® designation and redesignation efforts are time and resource intensive. The results of a survey of nurses’ perceptions about 4 components of sustainability indicate differences between Magnet and non-Magnet hospitals. Evaluating nurses’ perception of the sustainability of Magnet efforts will help nurse executives determine where to commit financial, time, and human resources.

Genomics And Autism Spectrum Disorder, Norah L. Johnson

College of Nursing Faculty Research and Publications

Purpose: To present the current state of the evidence regarding translation of genetics (the study of single genes) and genomics (the study of all genes and gene-gene or gene-environment interactions) into health care of children with autism spectrum disorder (ASD).

Methods: This article presents an overview of ASD as an international health challenge, the emerging science related to broad diagnostic criteria, and the role of the nurse in research, education, and practice.

Findings: Much progress is being made in the understanding of genetics and genomics of ASD. Environmental factors are thought to contribute to the risk of developing ASD by …

Time Management Strategies For Research Productivity, Jo-Ana D. Chase, Robert V. Topp, Carol E. Smith, Marlene Z. Cohen, Nancy Fahrenwald, Julie Zerwic, Lazelle E. Benefield, Cindy M. Anderson, Vicki Conn

College of Nursing Faculty Research and Publications

Researchers function in a complex environment and carry multiple role responsibilities. This environment is prone to various distractions that can derail productivity and decrease efficiency. Effective time management allows researchers to maintain focus on their work, contributing to research productivity. Thus, improving time management skills is essential to developing and sustaining a successful program of research. This article presents time management strategies addressing behaviors surrounding time assessment, planning, and monitoring. Herein, the Western Journal of Nursing Research editorial board recommends strategies to enhance time management, including setting realistic goals, prioritizing, and optimizing planning. Involving a team, problem-solving barriers, and early …

Final Report: Randomized Comparison Of Two Internet-Supported Methods Of Natural Family Planning, Richard J. Fehring, Mary Schneider

Randomized Comparison of Two Internet-Supported Methods of Natural Family Planning

Studies consistently show that women want safe, effective, easy to use, and convenient methods of family planning (Arévalo,1997; Severy 2001). Although Natural Family Planning (NFP) methods are free of side effects, they are often ineffective and complex to learn and use (Grimes et al. 2005). Efforts have occurred over the past 10 years to simplify the teaching and use of NFP methods and increase their efficacy. These efforts include the development of low tech calendar-based methods (Arévalo et al. 2004), simplifying instructions (Frank-Herrmann et al. 2005), and developing accurate biological markers of fertility (Guida et al. 1999).

A new high-tech …

Fit Into College Ii: Physical Activity And Nutrition Behavior Effectiveness And Programming Recommendations, Kristi M. King, Jiying Ling, S. Lee Ridner, Dean E. Jacks, Karen S. Newton, Robert V. Topp

College of Nursing Faculty Research and Publications

Purpose: To determine whether residency (living on campus versus off campus) was related to the effects of Fit into College on students’ health behaviors, and to understand interns’ perceptions of their roles in mentoring their trainees.

Design: Pre-experimental, one-group, pretest-posttest design and a posttest focus group interview.

Setting: University-offered health and internship courses.

Subjects: Twenty-four students (trainees) participated in the intervention, nine of whom lived on campus. Five student-interns served as their mentors.

Intervention: Fit into College was a 14-week intervention in which trainees teamed up with an intern to improve and/or maintain healthy nutrition and physical activity behaviors.

Measures: …

Self-Care Behaviors Of African Americans With Heart Failure: A Photovoice Project, Aimee A. Woda

Dissertations (1934 -)

No abstract provided.

Patient Perceptions Of Patient-Empowering Nurse Behaviors, Patient Activation, And Functional Health Status After Surgery, Teresa Arline Jerofke

Dissertations (1934 -)

PATIENT PERCEPTIONS OF PATIENT-EMPOWERING NURSE BEHAVIORS, PATIENT ACTIVATION, AND FUNCTIONAL HEALTH STATUS

AFTER SURGERY

Teresa A. Jerofke, BSN, MSN, APNP-BC

Marquette University, 2013

Patient empowerment has been advocated as a way to engage patients in self-management of chronic illnesses in emerging patient-centered models for healthcare improvement. The majority of research on patient empowerment has studied empowerment as an outcome in outpatient settings, with little attention to provider processes used to empower patients during a hospitalization. Post-operative patients with life-threatening chronic illnesses face multiple illness-related transitions associated with the recovery from their surgery and taking on the role of managing their …

How It Came To Be…Integrating Ignatian Philosophy And Pedagogical Paradigm Into Marquette University’S Pre-Licensure Nursing Curriculum, Kerry Kosmoski-Goepfert, Margaret Callahan, Stephanie Russell

College of Nursing Faculty Research and Publications

This article describes the process that Marquette University’s College of Nursing used to revise its prelicensure nursing curriculum. More specifically, it explains how faculty discussions, with the Vice President of Mission & Ministry and a faculty member from the Department of Theology, which is centered on the philosophy of St. Ignatius of Loyola, and faculty participation in the Marquette Colleagues Program helped ameliorate the curricular change. The article also addresses how faculty selected the Ignatian Pedagogical Model as the framework for the revised curriculum; and the development of faculty and students for an enhanced understanding and application of Ignatian philosophy, …

Genomics And Autism Spectrum Disorder (Asd), Norah L. Johnson, Ellen Giarelli, Catherine E. Rice

College of Nursing Faculty Research and Publications

Purpose: To understand the current state of the evidence regarding translation of genetics and genomics into nursing care of children with (ASD).