Nursing Commons^™

Coping Difficulties After Hospitalization, Judith Fitzgerald Miller, Linda Piacentine, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Coping difficulties of 113 adults 3 weeks after hospital discharge were identified using the Post-Discharge Coping Difficulty Scale and a brief focused telephone interview (11-item guide). Overall, low difficulty scores were reported (M = 23.9, SD = 18.2, range = 0 to 100). Qualitative data reveal specific coping difficulties in the categories of stressors, specific difficulties, caring for self, managing the condition, family, advice needed, contact with the health care system, and what they wished they knew before discharge. A core theme of biographical reconstruction emerged.

Prenatal Education: Priorities For Perinatal Nurses, Lisa Hanson

College of Nursing Faculty Research and Publications

No abstract provided.

Loneliness: A Concept Analysis, Abir K. Bekhet, Jaclene A. Zauszniewski

College of Nursing Faculty Research and Publications

TOPIC. Loneliness is a universal human experience recognized since the dawn of time, yet it is unique for every individual. Loneliness can lead to both depression and low self‐esteem.

PURPOSE. This article explicates the concept of loneliness through the examination of its conceptual definition and uses, defining attributes, related concepts, and empirical referents.

SOURCES OF INFORMATION. Literature review using hand search and database were used as sources of information.

CONCLUSION. Because loneliness is commonly encountered in nursing situations, the information provided will serve as a framework for assessment, planning, intervention, and evaluation of clients.

Variability In The Hormonally Estimated Fertile Phase Of The Menstrual Cycle, Richard J. Fehring, Mary Schneider

College of Nursing Faculty Research and Publications

The purpose of this study was to determine the variability in length of the fertile phase of the menstrual cycle with 140 participants who produced 1,060 cycles with an electronic hormonal fertility monitor. The length of the fertile phase, as defined by the first day with a threshold level of urinary E3G and ending with a second day above a threshold of LH, varied from7 days, with the most frequent length being 3 days.

Supporting A Community Of Individuals With Intellectual And Developmental Disabilities In Grieving, Sarah Ailey, Marilyn O'Rourke, Susan Breakwell, Anna Murphy

College of Nursing Faculty Research and Publications

Individuals with intellectual and developmental disabilities are living longer and experiencing deaths among their family and peers, yet their grieving is not well recognized. Staff members who provide care for these individuals witness the aging and death of their clients, yet they also receive little preparation to work through issues surrounding bereavement for their clients and themselves. The End of Life Nursing Education Consortium developed a national initiative to improve end-of-life and bereavement care education. Recommendations from the End of Life Nursing Education Consortium were incorporated into a home care/hospice/community health course and practicum for second-degree BSN students. The following …

Resting Energy Expenditure And Delayed-Onset Muscle Soreness After Full-Body Resistance Training With An Eccentric Concentration, Kyle J. Hackney, Hermann J. Engels, Randall J. Gretebeck

College of Nursing Faculty Research and Publications

The purpose of this investigation was to determine the effect of an acute bout of high-volume, full-body resistance training with an eccentric concentration on resting energy expenditure (REE) and indicators of delayed-onset muscle soreness (DOMS). Eight resistance trained (RT) and eight untrained (UT) participants (mean: age = 23.5 years; height = 180.76 cm; weight = 87.58 kg; body fat = 19.34%; lean mass = 68.71 kg) were measured on four consecutive mornings for REE and indicators of DOMS: creatine kinase (CK) and rating of perceived muscle soreness (RPMS). Delayed-onset muscle soreness was induced by performing eight exercises, eight sets, and …

Readiness For Discharge In Parents Of Hospitalized Children, Marianne E. Weiss, Norah Louise Johnson, Shelly Malin, Teresa Jerofke-Owen, Cecilia Lang, Eileen Sherburne

College of Nursing Faculty Research and Publications

Parental preparation for a child's discharge from the hospital sets the stage for successful transitioning to care and recovery at home. In this study of 135 parents of hospitalized children, the quality of discharge teaching, particularly the nurses' skills in “delivery” of parent teaching, was associated with increased parental readiness for discharge, which was associated with less coping difficulty during the first 3 weeks postdischarge. Parental coping difficulty was predictive of greater utilization of posthospitalization health services. These results validate the role of the skilled nurse as a teacher in promoting positive outcomes at discharge and beyond the hospitalization.

Patients' Perceptions Of Hospital Discharge Informational Content, Lynn Rose Maloney, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Ensuring that patients' informational needs have been met prior to hospital discharge sets the stage for successful self-management of recovery at home. This secondary analysis study aims to identify differences in the amount of discharge teaching content needed and received by adult medical-surgical patients on the basis of their sociodemographic characteristics and hospitalization-related factors. The Quality of Discharge Teaching Scale (QDTS) is used to measure patients' perceptions of the amount of discharge-related informational content they needed and received. Eighty-nine percent of patients receive more informational content than they perceived they needed. Nonwhite patients report more content needed than White patients. …

Factors Associated With Perceived Burden, Resourcefulness, And Quality Of Life In Female Family Members Of Adults With Serious Mental Illness, Jaclene Zauszniewski, Abir K. Bekhet, M. Jane Suresky

College of Nursing Faculty Research and Publications

BACKGROUND: Each year, 54 million American adults are affected by serious mental illness. Most of these persons depend on female family members for support or assistance, and unless these women are resourceful, they may experience considerable burden, stigma by association, depressive thoughts, and poor quality of life. OBJECTIVE:In this study, we examined the associations between characteristics of female family members (age, race, education), adults with serious mental illness (age, diagnosis), and the family situation (relationship, living arrangements, care provided) and caregivers' burden, stigma, depressive cognitions, resourcefulness, and quality of life.STUDY DESIGN:In this descriptive, cross-sectional study, a convenience …

The Development Of The Napnap Research Agenda: Priorities For Evidence In Pediatric Practice 2008-2013, Kathleen J. Sawin, Arlene Butz, Margaret A. Brady, Agatha M. Gallo, Dolores Jones, Linda C. Lewin, Victoria P. Niederhauser, Christine A. Schindler, Cynthia A. Trent

College of Nursing Faculty Research and Publications

No abstract provided.

Refinement Of The Shared Care Instrument-Revised: A Measure Of A Family Care Interaction, Margaret Sebern

College of Nursing Faculty Research and Publications

This study’s purpose was to evaluate the psychometric properties of the Shared Care Instrument-Revised (SCI-R) in a sample of family care dyads. The SCI-R was developed to measure the construct of shared care, which is a system of three constructs (communication, decision making, reciprocity) used in family care to exchange support. An important aspect of evaluating the SCI-R was to create a measure that is statistically sound and meaningful for patient and caregivers. Surveys were mailed to randomly selected home health dyads, which included 223 patients and 220 caregivers. Reliability and confirmatory factor analysis, and concurrent validity were examined. Internal …

Happiness: Theoretical And Empirical Considerations, Abir K. Bekhet, Jaclene A. Zauszniewski, Wagdy E. Nakhla

College of Nursing Faculty Research and Publications

TOPIC. Although happiness is important in maintaining health, few studies of happiness can be found in the nursing literature.

PURPOSE. This paper explicates the concept of happiness through examination of its defining attributes, antecedents, consequences, and measurement.

SOURCES OF INFORMATION. Literature review using hand search, and databases were used as sources of information.

CONCLUSION. The information provided can be used in clinical practice so that nursing strategies can be developed and tested to help people to become happy and healthy.

Expectation Modulates Human Brain Responses To Acute Cocaine: A Functional Magnetic Resonance Imaging Study, Peter Kufahl, Zhu Li, Robert C. Risinger, Charles Rainey, Linda B. Piacentine, Gaohong Wu, Alan S. Bloom, Zheng Yang, Shi-Jiang Li

College of Nursing Faculty Research and Publications

Background

Human expectation of psychoactive drugs significantly alters drug effects and behavioral responses. However, their neurophysiological mechanisms are not clear. This study investigates how cocaine expectation modulates human brain responses to acute cocaine administration.

Methods

Twenty-six right-handed non–treatment-seeking regular cocaine abusers participated in this study. Changes in blood oxygenation level-dependent (BOLD) signals were measured, and online behavioral ratings during cocaine expectation and acute cocaine administration were recorded.

Results

Distinct regional characteristics in BOLD responses to expected and unexpected cocaine infusions were observed in the medial orbitofrontal gyrus (Brodmann area [BA] 11), frontal pole (BA 10), and anterior cingulate gyrus regions. …

Adult Qdts, English, Marianne E. Weiss

Quality of Discharge Teaching Scale

The Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing.

PERMISSION TO USE

The Readiness for Discharge Scale, Quality of Discharge …

Ped-Pdcds English, Marianne E. Weiss

Quality of Discharge Teaching Scale

The Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing.

PERMISSION TO USE

The Readiness for Discharge Scale, Quality of Discharge …

Peds Qdts, English, Marianne E. Weiss

Quality of Discharge Teaching Scale

The Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing.

PERMISSION TO USE

The Readiness for Discharge Scale, Quality of Discharge …

Ped-Pdcds English, Marianne E. Weiss

Quality of Discharge Teaching Scale

The Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing.

PERMISSION TO USE

The Readiness for Discharge Scale, Quality of Discharge …

Ped-Pdcds English, Marianne E. Weiss

Post-Discharge Coping Difficulty Scale (PDCDS)

The Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing.

PERMISSION TO USE

The Readiness for Discharge Scale, Quality of Discharge …

Usefulness Of Electronic Hormonal Fertility Monitoring For Avoiding Pregnancy, Richard J. Fehring

College of Nursing Faculty Research and Publications

Couples wishing to achieve or avoid pregnancy can now use an electronic hormonal fertility monitor to aid home fertility monitoring. The Clearplan Easy Fertility Monitor (CPFM) is a handheld monitor designed to help couples achieve pregnancy. It provides information on three levels of fertility (low, high, and peak) based on urinary threshold levels of estrogen and luteinizing hormone (LH). The monitor can be used as an aid to avoid pregnancy when used with another marker of fertility. We conducted an efficacy study to determine the effectiveness of using the monitor along with cervical mucus monitoring with 215 couples seeking to …

Theoretical Substruction Illustrated By The Theory Of Learned Resourcefulness (Article), Abir K. Bekhet, Jaclene A. Zauszniewski

College of Nursing Faculty Research and Publications

This article describes the process of theoretical substruction and uses this process to examine the significance of Rosenbaum's resourcefulness theory for nursing research and practice. The article discusses relocation as a phenomenon of interest to gero-psychiatric nurses working with elders who have relocated to retirement communities, illustrated by the theory of learned resourcefulness. The literature was reviewed to assess the congruence between the theoretical and operational systems suggested by Rosenbaum's resourcefulness theory. A model of learned resourcefulness is presented that includes middle-range concepts, relational statements, and propositions derived from the research literature. Theoretical substruction provides a mechanism for testing middle-range …

Sense Of Coherence And Quality Of Life In Women Family Members Of The Seriously Mentally Ill, M. Jane Suresky, Jaclene Zauszniewski, Abir K. Bekhet

College of Nursing Faculty Research and Publications

Providing care to a family member with serious mental illness (SMI) can reduce a family's quality of life. Quality of life, however, can be positively influenced by the caregiver's sense of coherence (SOC). Antonovsky's Salutogenic Health Model was examined in this secondary analysis of data from 60 women family members of adults with SMI. The results indicated that greater perceived stress decreased SOC and QoL, greater SOC enhanced QoL, and SOC partially mediated the effects of perceived stress on QoL. The findings suggest the need for reducing stress and strengthening SOC to promote optimal QoL for family members of adults …

Wisconsin State Guilds Join Other Organizations In Presenting Humanae Vitae Conference, Richard J. Fehring

College of Nursing Faculty Research and Publications

No abstract provided.

The Community Of Nursing: Moral Friends, Moral Strangers, Moral Family, Carolyn A. Laabs

College of Nursing Faculty Research and Publications

Unlike bioethicists who contend that there is a morality common to all, H. Tristan Engelhardt (1996) argues that, in a pluralistic secular society, any morality that does exist is loosely connected, lacks substantive moral content, is based on the principle of permission and, thus, is a morality between moral strangers. This, says Engelhardt, stands in contrast to a substance-full morality that exists between moral friends, a morality in which moral content is based on shared beliefs and values and exists in communities that tend to be closely knit and religiously based. Of what value does Engelhardt’s description of ethics as …

Teaching Social Justice Using A Pedagogy Of Engagement, Ruth Ann Belknap

College of Nursing Faculty Research and Publications

Teaching an undergraduate level diversity course with a health focus requires specific teaching methods. A pedagogy of engagement provides an effective strategy for exploring issues of race, class, gender, and structural inequalities that underlie health disparities. Engagement learning enhances understanding of theories of oppression and liberation presented in the course and highlights social justice issues.

Crossing Borders In Search Of The Mother-Daughter Story: Interdependence Across Time And Distance, Ruth Ann Belknap

College of Nursing Faculty Research and Publications

Although studies have identified the importance of the mother–daughter relationship and of familism in Mexican culture, there is little in the literature about the mother–daughter experience after daughters have migrated to the United States. This study explores relationships between three daughters in America and their mothers in Mexico, and describes ways in which interdependence between mothers and daughters can be maintained when they are separated by borders and distance. Data collection included prolonged engagement with participants, field notes, and tape-recorded interviews. Narrative analysis techniques were used. Findings suggest mother–daughter interdependence remains. Some aspects may change, but the mother–daughter connection continues …

Dyadic Relationship Scale: A Measure Of The Impact Of The Provision And Receipt Of Family Care, Margaret Sebern, Carol J. Whitlatch

College of Nursing Faculty Research and Publications

Purpose: This study evaluated the psychometric properties of the Dyadic Relationship Scale (DRS), which measures negative and positive dyadic interactions from the perspective of both the patient and the family caregiver. An important aspect of evaluating the DRS was that it be statistically sound and meaningful for both members of the dyad. Design and Methods: The study used a cross-sectional design. Survey packages were mailed to home health care patients and their family caregivers. The unit of analysis was the dyad, and exploratory and confirmatory factor analyses were conducted. We examined the reliability, discriminant, and concurrent validities of the instrument. …

Factors Influencing Cancer Screening Practices Of Underserved Women, Kelly Ackerson, Kimberlee A. Gretebeck

College of Nursing Faculty Research and Publications

Purpose: This integrated review was conducted to evaluate the factors that inhibit or promote decisions by African American and Hispanic women to obtain cervical cancer screening.

Data sources: Research articles were identified using MEDLINE, PubMed, and Cumulative Index to Nursing and Allied Health literature, published between 1999 and 2005.

Conclusions: Cervical cancer screening practices of African American and Hispanic women were influenced by extrinsic motivators including lack of insurance, no usual source of health care, acculturation, and socioeconomic factors. Intrinsic motivators were related to beliefs and perceptions of vulnerability, such as ignoring cervical cancer screening when no symptoms were present; …

Engaging Students Through Collaboration: How Project Fun Works, Michael Havice, Shelly Malin, Heidi Schweizer, Marilyn Frenn

College of Nursing Faculty Research and Publications

Students from three disciplines designed, developed, and implemented exercise and nutrition interventions, online modules and videos, to benefit low-income middle school students. The process used to incorporate the scholarship of teaching into a collaborative college-level application of learning is described.

Clinical Focus Program: Enhancing The Transition Of Senior Nursing Students To Independent Practice, Tondi Harrison, Stephanie Stewart, Katie Ball, Marilyn Meyer Bratt

College of Nursing Faculty Research and Publications

The Clinical Focus Program was designed to prepare senior nursing students for the transition to practice in the hospital setting. Through a series of 1:1 precepted clinical experiences, the students developed a broad base of clinical competencies and self-confidence in their nursing skills. Hospitals experienced reduced costs related to orientation and recruitment of new graduate nurses. The program also was valuable in building a network of collegiality and scholarship between education and practice environments.

According to the National Center for Health Workforce Analysis, the supply of nurses will be 29% less than what is needed by the year 2020, based …

Best Practices In Second Stage Labor Care: Maternal Bearing Down And Positioning, Joyce Roberts, Lisa Hanson

College of Nursing Faculty Research and Publications

Despite evidence of adverse fetal and maternal outcomes from the use of sustained Valsalva bearing down efforts, current second-stage care practices are still characterized by uniform directions to “push” forcefully upon complete dilatation of the cervix while the woman is in a supine position. Directed pushing might slightly shorten the duration of second stage labor, but can also contribute to deoxygenation of the fetus; cause damage to urinary, pelvic, and perineal structures; and challenge a woman’s confidence in her body. Research on the second stage of labor care is reviewed, with a focus on recent literature on maternal bearing down …