Open Access. Powered by Scholars. Published by Universities.®
- Keyword
-
- Doctor of Science in Nursing (DSN) School of Nursing (378)
- Doctor of Philosophy (PhD) School of Nursing (121)
- Nursing (14)
- Alumni (12)
- Magazine (12)
-
- UAB (12)
- Quality of life (9)
- African American (7)
- HIV (7)
- Master of Science in Nursing (MSN) School of Nursing (7)
- Coping (5)
- Mixed methods research (5)
- Obesity (5)
- Cortisol (4)
- Perceived Stress (4)
- Perceived stress (4)
- Phenomenology (4)
- Sleep (4)
- Adolescents (3)
- African American women (3)
- Blood pressure (3)
- Depression (3)
- Heart failure (3)
- Inflammation (3)
- Mixed methods (3)
- Nursing work environment (3)
- Palliative care (3)
- Stroke (3)
- Adherence (2)
- Aging (2)
- Publication Year
- Publication
- Publication Type
Articles 91 - 120 of 536
Full-Text Articles in Nursing
Parent Perspectives Of Neonatal Intensive Care At The End-Of-Life And Subsequent Bereavement And Coping Experiences After Infant Death, Erin Currie
All ETDs from UAB
produced an overall female bias. The fifth chapter addressed the effects of arribada
The Effects Of Markers For Hiv Disease Progression, Social Network, Barriers To Care, Depression, And Substance Abuse On Medical Appointment Adherence Of Hiv-Infected Adults, Yeow Chye Ng
All ETDs from UAB
The study was designed to test a causal model of theoretical relationships among markers for HIV disease progression, social network, barriers to care, depression, substance abuse, and medical appointment adherence among HIV-infected adults. The proposed causal model was derived and developed from Lazarus and Folkman's theory of stress, appraisal, and coping. The knowledge gained from this study may yield critical information with respect to determining how a health care provider or researcher can develop specific behavioral interventions for the improvement of medical appointment adherence among HIV-infected adults living in the Southeastern United States. The correlational study was a secondary analysis …
Socioeconomic Predictors Of 30-Day Readmission Of Elderly Patients With Initial Discharge Destination Of Home Health Care, Dianne Marrie Richmond
Socioeconomic Predictors Of 30-Day Readmission Of Elderly Patients With Initial Discharge Destination Of Home Health Care, Dianne Marrie Richmond
All ETDs from UAB
Introduction The purpose of this study was to examine the association of social determinants of health with 30-day rehospitalization among elderly patients who were discharged from an acute care hospital with an initial discharge destination of home with home health care support and to explore the social determinants' ability to accurately predict the odds of rehospitalization. Methods A secondary data analysis was performed on data obtained from the home healthcare agency. A total of 4,717 unique patients found in the data set. Some patients were represented in the data more than once during the observation period. To examine the relationship …
Relationships Between Latino Parental, Adolescent And Cultural Variables On Adolescents' Attitudes, Norms, Self-Efficacy, And Sexual Intentions, Vanessa Pirani Gaioso
Relationships Between Latino Parental, Adolescent And Cultural Variables On Adolescents' Attitudes, Norms, Self-Efficacy, And Sexual Intentions, Vanessa Pirani Gaioso
All ETDs from UAB
The quantity and quality of parent-adolescent sexual communication has been suggested as the best predictor on adolescent sexual behavior. The purpose of this study was to test a theoretical model based on the Parent-Based Expansion of the Theory of Planned Behavior (PETPB) examining relationships between selected parental, adolescent and cultural variables and Latino adolescents' intentions to engage in sexual behavior. This study used a cross-sectional correlational design based on a secondary data analysis of 130 Latino parent and adolescent dyads. Regression and path analysis procedures were used to test seven research hypotheses and the results demonstrated partial support for the …
Adolescent Mothers: Factors Affecting Social And Sexual Decision-Making, Donna M. Campbell
Adolescent Mothers: Factors Affecting Social And Sexual Decision-Making, Donna M. Campbell
All ETDs from UAB
Adolescent pregnancy remains a public health concern despite decades of attempts to prevent it. The United States continues to have the highest adolescent pregnancy rates of any industrialized country (Kost, Henshaw, & Carlin, 2010). While adolescents of all ages (10-21 years) can become pregnant, pregnancy rates are highest among adolescents who are 15 to 19 years of age. Multiple factors have been identified that increase the likelihood of adolescent pregnancy and repeat pregnancy. Often times, adolescent pregnancy is the result of sexual risk-taking, which has been attributed to the changes that occur neurologically, physically, and emotionally (Reyna & Farley, 2006). …
Obesity, Prediabetes, And Perceived Stress In Municipal Workers, Louise Camilleri O'Keefe
Obesity, Prediabetes, And Perceived Stress In Municipal Workers, Louise Camilleri O'Keefe
All ETDs from UAB
Obesity and diabetes are major contributors to morbidity and mortality in the United States. According to the American Public Health Association and Partnership for Prevention, obesity is growing faster than any other public health problem in the United States. The prevalence of diabetes has also increased significantly with an estimated 79 million Americans aged 20 years or older suffering from prediabetes. Few studies have examined the influence of perceived stress on obesity and prediabetes among working adults. Investigations are needed to examine factors that can contribute to higher health care costs for both employees and employers. The aims of this …
Blood Pressure And Tobacco Exposure Among Rural Adolescents Ages 15-18, Luz Huntington-Moskos
Blood Pressure And Tobacco Exposure Among Rural Adolescents Ages 15-18, Luz Huntington-Moskos
All ETDs from UAB
High blood pressure is a prevalent precursor to cardiovascular disease. An estimated 3% of US adolescents have hypertension. In addition, prehypertension is predictive of hypertension in adolescents, with progression between these stages at approximately 7% per year. Tobacco use/exposure is strongly linked to cardiovascular risk and disease in adults. Further, rural communities have higher tobacco use prevalence and fewer community policies restricting tobacco use. Little is known about the effects of tobacco exposure on blood pressure and the mediating effects of inflammation (salivary C-reactive protein (CRP)) in rural adolescents. The purpose of this study is to determine the relationships between …
Blood Pressure Control And Perceived Stress, Job Satisfaction, Life Satisfaction, And Perceived Health Status In Municipal Workers, Debra D. Baldwin
Blood Pressure Control And Perceived Stress, Job Satisfaction, Life Satisfaction, And Perceived Health Status In Municipal Workers, Debra D. Baldwin
All ETDs from UAB
Although hypertension is highly prevalent, associated with serious health consequences and treatable, fewer than half of those with hypertension have achieved blood pressure control (Centers for Disease Control and Prevention [CDC], 2011b). Limited studies have examined the influence of perceived stress, job satisfaction, life satisfaction, and perceived health status may have on blood pressure control, although epidemiological evidence reveals psychological factors can mediate and negatively influence health behavior leading to hypertension (Blanchflower & Oswald, 2008; Kulkarni, Farrel, Erasi, & Kochar, 1998; Walcott-McQuigg, 2000). The purpose of this study was to explore the prevalence of hypertension, obesity, and blood pressure control …
Hard On Your Heart: A Qualitative Description Of Adolescent Prenatal Stress, Candace Clayton Knight
Hard On Your Heart: A Qualitative Description Of Adolescent Prenatal Stress, Candace Clayton Knight
All ETDs from UAB
Introduction: Pregnancy during adolescence is potentially stressful due to the concurrent tasks of navigating the typically tumultuous adolescent stage of development and the life altering experience of pregnancy (Kaye, 2008). There is a growing body of research linking prenatal stress to poor birth and developmental outcomes such as premature birth and low birth weight infants (K. Keenan, Sheffield, & Boeldt, 2007; Mulder et al., 2002), which makes describing the relatively unexplored perceptions and experience of stress during adolescent pregnancy important. The life course framework, with its emphasis on social, environmental, and family risk factors, has implications for reducing disparities among …
Stress And Job Performance: The Roles Of Salivary Cortisol And Social Support, Tracy Shamburger
Stress And Job Performance: The Roles Of Salivary Cortisol And Social Support, Tracy Shamburger
All ETDs from UAB
Perceived stress may negatively affect job performance. Perceived stress is known to alter physiological responses, including cortisol response. Cortisol affects working memory and may explain how stress affects performance. Aeromedical crewmembers transport wounded soldiers in the austere aeromedical environment. The demands of the Aeromedical Evacuation (AE) may lead to stress and impact job performance. The AE training mission simulates real world operational missions and this setting was used to examine the effects of perceived stress on job performance among aeromedical crewmembers at different time points during the mission (Time 1- baseline, Time 2 - pre-flight, Time 3 - in-flight, Time …
An Exploration Of Factors Associated With Pre-Diabetes In The Reasons For Geographic And Racial Differences In Stroke (Regards) Study Cohort, Loretta Taylor Lee
An Exploration Of Factors Associated With Pre-Diabetes In The Reasons For Geographic And Racial Differences In Stroke (Regards) Study Cohort, Loretta Taylor Lee
All ETDs from UAB
Pre-diabetes is a major contributor to increased morbidity and mortality in the US. Without proper and timely intervention the majority of individuals with pre-diabetes will develop Type 2 diabetes. African Americans (AA) and people living in the Stroke Belt have increased odds of developing pre-diabetes compared to Whites and people living outside the Stroke Belt. While several covariates have been identified as contributors to the increased odds of pre-diabetes there is little consensus on which covariates may be responsible for the disparities of pre-diabetes. The reasons for disparities in pre-diabetes are complex and require further investigation. This study explored the …
A Phenomenological Study Of Obesity And Its Impact On Functional Status, Life-Space Mobility, And Physical Activity In Southern African American Older Women, Pamela G. Bowen
All ETDs from UAB
The majority of work on health disparities has focused on public policy and identifying disparate conditions. Obesity is a significant public health problem that has reached epidemic proportions, considered the second leading cause of preventable death, encourages a sedentary lifestyle, and can lead to a higher prevalence of functional impairments. Moreover, obesity increases the risk that persons may develop one or more serious medical conditions, such as cardiovascular disease, hypertension, stroke, Type 2 diabetes, and osteoarthritis, especially among African Americans. In the United States, African American women are more likely to be classified as overweight or obese. In fact, approximately …
Cardiovascular Disease Knowledge And Risk Perception Among Women With Recent Preeclampsia: Interventional Education In Disease Management And Prevention, Patsy M. Spratling
Cardiovascular Disease Knowledge And Risk Perception Among Women With Recent Preeclampsia: Interventional Education In Disease Management And Prevention, Patsy M. Spratling
All ETDs from UAB
There is a growing body of evidence linking preeclampsia to future development of cardiovascular disease (CVD). Although CVD is well-known as the leading cause of death in women, a lack of evidence exists demonstrating that women with preeclampsia are routinely informed of their risks for future CVD. The specific aims of this study were to: (1) examine the levels of CVD knowledge and perception of CVD risk pre-CVD education; (2) explore relationships among age, race, parity, marital status, previous preeclampsia, income, education, CVD knowledge, and perception of CVD risk; and (3) examine the effect of a postpartum CVD educational intervention …
Sleep Quality, Stress, Caregiver Burden, And Quality Of Life In Maternal Caregivers Of Young Children With Bronchopulmonary Dysplasia, Christine A. Feeley
Sleep Quality, Stress, Caregiver Burden, And Quality Of Life In Maternal Caregivers Of Young Children With Bronchopulmonary Dysplasia, Christine A. Feeley
All ETDs from UAB
Mothers are usually the primary caregivers of young children with a chronic illness such as bronchopulmonary dysplasia (BPD), and may have no formal caregiver training. Children with BPD often require complex healthcare at home (complex medication regimens, oxygen via nasal cannula, Gastrostomy feedings, etc.), thus many maternal caregivers experience difficulty balancing the needs of their child with their own needs and other responsibilities. As such, maternal caregivers may report increased levels of stress and caregiver burden, as well as decreased quality of life (QOL). Additionally, a great number of maternal caregivers report poor sleep quality due to nighttime caregiving duties. …
Risk Factors For Stroke In Rural African Americans And Factors That Influence Exercise Behaviors To Reduce Stroke Risk, Dawn M. Aycock
Risk Factors For Stroke In Rural African Americans And Factors That Influence Exercise Behaviors To Reduce Stroke Risk, Dawn M. Aycock
All ETDs from UAB
Stroke has increased among young adults, which is concerning for African Americans (AA) who tend to have stroke at an earlier age and an increased risk for mortality and severe disability. Rural dwellers lack resources which may increase their susceptibility to stroke. Regular exercise can reduce stroke; however, physical activity among AA is low. The purpose of this research was to use an Expanded Health Belief Model to examine perceived and actual stroke risk among rural AA 19 to 54 years of age and factors that influence exercise behaviors to reduce stroke risk. A cross-sectional correlational design was used. Participants …
The Effects Of Psychological Stress, Depressive Symptoms, And Cortisol On Body Mass And Central Adiposity In 10-To12-Year-Old Children, Hong-Thuy Lam
The Effects Of Psychological Stress, Depressive Symptoms, And Cortisol On Body Mass And Central Adiposity In 10-To12-Year-Old Children, Hong-Thuy Lam
All ETDs from UAB
The percentage of children with elevated body mass and central adiposity has tripled in the U.S. over the past thirty years. While physical factors, such as decreased physical activity and poor nutrition, have been noted to influence elevated body mass and central adiposity in school-aged children, less is known about psychological factors, such as psychological stress and depressive symptoms, especially in 10-to12-year-old children. Further, it has been suggested that cortisol, a biomarker of psychological stress, plays a role in the underlying mechanism that links psychological stress and depressive symptoms to increased body mass and central adiposity, but this has not …
Socioeconomic Patterning Of Obesity Among African American Women In The Jackson Heart Study, Tonya Moore
Socioeconomic Patterning Of Obesity Among African American Women In The Jackson Heart Study, Tonya Moore
All ETDs from UAB
Objectives: The purpose of this study was to expand upon what has been observed in literature about obesity and its ties to socioeconomic status (SES) among African American Women (AAW) participants of the Jackson Heart Study (JHS). Methods: This secondary analysis was a sub-study of the JHS and focused on four SES variables: education, income, occupation and wealth; and five outcome variables: body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), visceral adipose tissue (VAT), and subcutaneous adipose tissue (SAT). Two analytic samples were created in order to examine data collected during Exam 1 (2000-2004) and Exam 2 (2005-2008). …
Factors Associated With Participant Retention In A Behavioral Weight Loss Study, Cathy C. Roche
Factors Associated With Participant Retention In A Behavioral Weight Loss Study, Cathy C. Roche
All ETDs from UAB
Participant retention in longitudinal research is gaining increasing attention. By identifying factors associated with participant retention, programs can be better designed to promote effective weight loss. This study examines factors associated with participant retention. The Anderson Behavioral Model provided the conceptual framework for the study. The sample consisted of secondary data abstracted from the research records of 316 participants in the University of Alabama at Birmingham cohort of the Look Action for Health in Diabetes (AHEAD) trial. The Look AHEAD trial is a randomized controlled trial designed to investigate the long-term effects of interventions aimed at producing weight loss in …
A Study Of The Relationships Among Maternal Caregiver Family Management Behaviors, Childhood Asthma Morbidity, And Asthma Control, Linda M. Gibson
A Study Of The Relationships Among Maternal Caregiver Family Management Behaviors, Childhood Asthma Morbidity, And Asthma Control, Linda M. Gibson
All ETDs from UAB
A STUDY OF THE RELATIONSHIPS AMONG MATERNAL CAREGIVER FAMILY MANAGEMENT BEHAVIORS, CHILDHOOD ASTHMA MORBIDITY, AND ASTHMA CONTROL ABSTRACT LINDA GIBSON NURSING Childhood asthma, the most common chronic childhood condition, is associated with high rates of asthma morbidity (emergency department visits, hospitalizations, and school days missed due to asthma). Inadequate asthma control accounts for $1.9 billion annual health expenditures. Numerous studies have identified the relationship of the family caregiver's perception regarding asthma management and the child's asthma outcomes; though few have examined family caregiver asthma management behaviors. Knafl and colleagues (2003) defined family management behaviors as accommodations that family members use …
Social Support, Social Stigma, Health, Coping, And Quality Of Life In Older Gay Men With Hiv, Larry Zuendel Slater
Social Support, Social Stigma, Health, Coping, And Quality Of Life In Older Gay Men With Hiv, Larry Zuendel Slater
All ETDs from UAB
With the advent of antiretroviral therapy, people with HIV/AIDS are living longer and managing their HIV infection as would an individual with any other chronic disease. As life expectancy increases, quality of life has progressed as an emerging issue for older adults with HIV/AIDS. A majority of people living with HIV in the U.S. are still gay men, who thus comprise a large portion of those who are growing older with the disease. The aims of the descriptive, correlational study were to: (1) explore the relationships among age, race, socioeconomic status, health, social support, social stigma, coping, perceived health, and …
Risk Associations Between Perceived Stress, Allostatic Load, And Insulin Resistance Among Nondiabetic African American Women Of The Jackson Heart Study, Alethea N. Hill
Risk Associations Between Perceived Stress, Allostatic Load, And Insulin Resistance Among Nondiabetic African American Women Of The Jackson Heart Study, Alethea N. Hill
All ETDs from UAB
Objectives: The purpose of this study was to evaluate the associations between perceived stress, allostatic load, and insulin resistance measured by HOMAIR among nondiabetic African American women of the Jackson Heart Study. Methods: The investigative team examined the cross-sectional associations (2000-2004) of perceived stress, summary indices of allostatic load, and insulin resistance in 2,245 nondiabetic African American women, stratified by glycemic profile, participating in the Jackson Heart Study. Measurements include physiological markers, anthropometric measures, and (3) stress instruments: Weekly Stress Inventory (WSI), Global Stress (STS), and JHS Discrimination Questionnaire (DIS). t-tests, ÷2 test, bivariate correlations, and forward hierarchical linear regression …
The Predictability Of C-Reactive Protein, Lipoprotein-Associated Phospholipase A2, And Depression On Later Health Outcomes In Patients Experiencing A First-Time Stroke, Mary King Brethour
The Predictability Of C-Reactive Protein, Lipoprotein-Associated Phospholipase A2, And Depression On Later Health Outcomes In Patients Experiencing A First-Time Stroke, Mary King Brethour
All ETDs from UAB
Stroke is the third leading cause of death and the most common cause of neurologic disability for adults in developed nations. Strokes trigger an acute inflammatory response prompted by brain tissue injury at the infarct site and the surrounding ischemic penumbra raising plasma levels of inflammatory markers. C-reactive protein (CRP), an acute-phase inflammatory marker, has been significantly correlated with infarct size and post-stroke complications. Lipoprotein-associated phospholipase A2 (Lp-PLA2) may also predict long-term cardiovascular risk in the stroke population. In addition to physiologic changes, up to 60% of all stroke survivors are known to experience depression, which may contribute to decreased …
Associations Among Measures Of Engagement With Kp.Org And Clinical Outcomes, Heather J. Sobko
Associations Among Measures Of Engagement With Kp.Org And Clinical Outcomes, Heather J. Sobko
All ETDs from UAB
USING MEASURES OF ENGAGEMENT WITH KP.ORG TO DETERMINE ASSOCIATIONS WITH SELECTED CLINICAL OUTCOMES HEATHER J. SOBKO SCHOOL OF NURSING ABSTRACT Introduction The purpose of this retrospective cohort study was to examine patterns of use of an electronic personal health record among adults diagnosed with diabetes, hypertension or hyperlipidemia. Intermediate behavioral measures (medication possession ratios) and physiological measures of metabolic control for diabetes (hemoglobinA1c), hypertension (blood pressure) and hyperlipidemia (low density lipoprotein) were examined. Methods Administrative data from Kaiser Permanente Georgia were analyzed. Adult members of with selected chronic diseases of diabetes, hypertension or hyperlipidemia who used the Kaiser Permanente electronic …
Protective Factors Against Relapse For Practicing Nurse Anesthetists In Recovery From Anesthetic Opiates, Elizabeth Laura Wright
Protective Factors Against Relapse For Practicing Nurse Anesthetists In Recovery From Anesthetic Opiates, Elizabeth Laura Wright
All ETDs from UAB
Introduction: Addiction to anesthetic opiates is an occupational hazard for anesthesia providers, which includes nurse anesthetists. Several factors influence this hazard risk, including, genetic make-up, personality traits, and job stress. Also of great concern is the risk of relapse if an anesthesia provider returns to work, which can be as high as 40%. However, there are nurse anesthetists who have successfully returned to the practice of anesthesia while in recovery from addiction to anesthetic opiates. These nurse anesthetists have first-hand experience with the challenges of recovery when faced with continual access to opiates, and their experience can help others in …
Relationships Among Self-Efficacy, Social Support, Social Problem-Solving, And Self-Management Behaviors Of People Living With Type 2 Diabetes In Rural Alabama, Caralise Weeks Hunt
Relationships Among Self-Efficacy, Social Support, Social Problem-Solving, And Self-Management Behaviors Of People Living With Type 2 Diabetes In Rural Alabama, Caralise Weeks Hunt
All ETDs from UAB
Self-management behaviors are the cornerstone for control of type 2 diabetes mellitus (T2DM). Patients living with T2DM manage their own care on a daily basis using a variety of self-care strategies. Rural people living with diabetes are diagnosed later and receive less than optimal care compared to people living with T2DM in urban areas. Research evidence supports a relationship between self-efficacy and self-management behaviors of people living with T2DM. Determining mediators of the relationship between self-efficacy and self-management can provide direction for development of interventions to improve participation in self-management behaviors, which can in turn improve diabetes outcomes. The purpose …
Neighborhood Characteristics And Weight Status In Preschool Children, Cynthia Irwin Joiner
Neighborhood Characteristics And Weight Status In Preschool Children, Cynthia Irwin Joiner
All ETDs from UAB
Introduction: Childhood obesity is increasing at an alarming rate particularly among minority and low-income populations. More than 12 million children and adolescents are obese (Ogden, Carroll, Curtin, Lamb, & Flegal, 2010). Research on the neighborhood and built environment is relatively new. Few studies have examined the relationship of neighborhood characteristics and weight status, and studies in the preschool population are limited. Study Purpose: The study had three aims: 1) to examine the relationship between neighborhood characteristics (number of grocery stores and fast food restaurants, and number and quality of parks) and weight status (overweight and obese) in low income, preschool …
Alcoholic Women In Recovery: A Phenomenological Inquiry Of Spirituality And Recidivism Prevention, Jennifer Irene Mcleod
Alcoholic Women In Recovery: A Phenomenological Inquiry Of Spirituality And Recidivism Prevention, Jennifer Irene Mcleod
All ETDs from UAB
In the United States, 7-12% of women compared to 20% of men, abuse alcohol, yet the social and medical consequences impact women much harder and faster than men. Women aggrieved by alcoholism have unique health and social consequences which are not well understood because women have been marginalized in studies of alcoholism. Little is known about the nature of the lived experience of the recovery process in women who have achieved a stable recovery and prevented recidivism. The aim of this study was to describe the lived experiences of alcoholic women in a stable recovery, defined as sustained abstinence for …
Parental Influences On Late Adolescents' Autonomous Motivation And Sexual Risk Knowledge And Behavior, Bettina Hornbuckle Riley
Parental Influences On Late Adolescents' Autonomous Motivation And Sexual Risk Knowledge And Behavior, Bettina Hornbuckle Riley
All ETDs from UAB
Adolescent risky sexual behavior is associated with unprotected sex, unplanned pregnancy, abortion, and contraction of sexually transmitted diseases (STDs) such as chlamydia, syphilis, gonorrhea, and HIV/AIDS. During their time of transition to adulthood, late adolescents make decisions about their sexual health that may or may not be motivated by parental (mother and father) sexual risk communication and autonomy support. While the adolescent may be physically independent or semi-independent from his/her parents, parents continue to influence their adolescents through past and present endorsement of certain behaviors. This research examined how parent-sexual risk communication and parental autonomy support may individually and collectively …
Uab Nursing - Fall 2010, University Of Alabama At Birmingham
Uab Nursing - Fall 2010, University Of Alabama At Birmingham
UAB Nursing magazine
No abstract provided.
Organizational Support, Perceived Social Support, And Intent To Turnover Among Psychiatric Nurses: A Mixed Methods Study., Beverly Jean Myers
Organizational Support, Perceived Social Support, And Intent To Turnover Among Psychiatric Nurses: A Mixed Methods Study., Beverly Jean Myers
All ETDs from UAB
Nurse turnover compromises the quality of patient care and leads to an increase in organizational costs. Nurse turnover is defined as the intent to leave one's current job position either to transfer to another unit within the organization or to terminate employment with the organization. Few studies have examined the role social support received at work as well as at home, personal characteristics and work factors play in guiding psychiatric nurses' decisions to leave a current nursing position (turnover). The overall purpose of this mixed-methods sequential explanatory study was to explore factors that contribute to psychiatric nurses' intent to turnover. …