Nursing Commons^™

Systematic Review Of Psychometric Properties Of Instruments Measuring Patient Preferences For Engagement In Health Care, Teresa Jerofke-Owen, Mauricio Garnier-Villarreal, Alissa Fial, Georgia Tobiano

College of Nursing Faculty Research and Publications

Aim

To identify, critically appraise, and summarize instruments that measure patients’ preferences for engagement in health care.

Design

Psychometric systematic literature review.

Data sources

PubMed, Embase, CINAHL, and PsycINFO were searched from inception to March 2019.

Review methods

Three reviewers independently evaluated the ‘methodological quality’ and the ‘measurement properties’ of the included instruments using the Consensus‐based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist and Terwee's quality criteria. Each instrument was given a Grading of Recommendations Assessment, Development and Evaluation (GRADE) score. The review was registered at PROSPERO (registry number CRD42018109253).

Results

A total of 16 studies evaluating …

Correlates Of Access To Hand Hygiene Resources In Ghanaian Households: An Exploratory Analysis Of The 2014 Demographic And Health Survey, Paul Lawer Kenney, Herman Nuake Kofi Agboh, Florence Akosua Agyemang, Seth Sylvester Dadzie, Henry Ofori Duah, Pascal Agbadi

College of Nursing Faculty Research and Publications

Objectives

Handwashing with soap and water remains the most effective public health measure to reduce the risk of infectious diseases, which kill over 2.5 million people annually, mostly children in developing countries. The absence of hand hygiene resources in homes put many at risk of these infectious diseases. In the wake of the outbreak of the COVID-19 pandemic, the World Health Organization (WHO) and governments around the world have stressed the importance of regular handwashing to prevent the spread of the virus. This suggests that research on water, sanitation, and hygiene issues deserve continuous scholarly attention. In Ghana, studies on …

Development And Psychometric Analysis Of The Patient Preferences For Engagement Tool, Teresa Jerofke-Owen, Mauricio Garnier-Villarreal

College of Nursing Faculty Research and Publications

Background

Assessing patients’ preferences for engaging in healthcare is needed to inform the planning and delivery of individualized healthcare. Unfortunately, patients are often not engaged in their care to the extent that they would like, leading to patient feelings of disempowerment and frustration.

Objectives

The purpose of this study was to (a) develop and (b) psychometrically test the Patient Preferences for Engagement Tool (PPET), a clinical assessment tool that can be used by nursing staff to identify patient preferences for engagement in healthcare. The usability of the PPET was also examined for both nurses and patients participating in the study. …

Spatial Analysis Of Factors Associated With Hiv Infection In Malawi: Indicators For Effective Prevention, Jerry John Nutor, Henry Ofori Duah, Pascal Agbadi, Precious Adade Duodu, Kaboni W. Gondwe

College of Nursing Faculty Research and Publications

Background

The objective of this study was to model the predictors of HIV prevalence in Malawi through a complex sample logistic regression and spatial mapping approach using the national Demographic and Health Survey datasets.

Methods

We conducted a secondary data analysis using the 2015–2016 Malawi Demographic and Health Survey and AIDS Indicator Survey. The analysis was performed in three stages while incorporating population survey sampling weights to: i) interpolate HIV data, ii) identify the spatial clusters with the high prevalence of HIV infection, and iii) perform a multivariate complex sample logistic regression.

Results

In all, 14,779 participants were included in …

Laboratory Analysis Techniques For The Perinatal Microbiome: Implications For Studies Of Probiotic Interventions, Emily Malloy, Ashley Kates, Lauren Watson, Leona Vandevusse, Nasia Safdar, Lisa Hanson

College of Nursing Faculty Research and Publications

The microbiome is composed of many organisms and is impacted by an intricate exchange between genetics and environmental factors. The perinatal microbiome influences both the developing fetus and the pregnant person. The purpose of this article is to describe the tests that are currently available for laboratory analysis of the perinatal microbiome in relationship to probiotic interventions. This article focuses on the bacterial component of the microbiome. Although adverse outcomes associated with the perinatal microbiome have been studied, a comprehensive understanding of the physiologic perinatal microbiome is still emerging. Early efforts to influence the perinatal microbiome through probiotics are currently …

Midwifing The Perinatal Microbiome, Lisa Hanson, Emily Malloy, Leona Vandevusse

College of Nursing Faculty Research and Publications

No abstract provided.

Predictors Of High Hiv+ Prevalence In Mozambique: A Complex Samples Logistic Regression Modeling And Spatial Mapping Approaches, Jerry John Nutor, Precious Adade Duodu, Pascal Agbadi, Henry Ofori Duah, Kelechi Elizabeth Oladimeji, Kaboni W. Gondwe

College of Nursing Faculty Research and Publications

Introduction The burden of HIV infection in southern Africa is a public health concern with an increasing number of new infections. This study sought to investigate the predictors of HIV prevalence in Mozambique through a complex samples logistic regression and spatial mapping approach using nationally representative data. Methods We conducted a secondary data analysis using the 2015 Mozambique Demographic and Health Survey and AIDS Indicator Survey. The analysis performed in four stages while incorporating population survey sampling weights did the following: i) created a complex sample plan file in SPSS, ii) performed the weighted estimate of HIV prevalence, iii) performed …

Factors Influencing Self-Management Of Chronic Obstructive Pulmonary Disease By Community-Dwelling Adults, Wendy S. Bauer, Rachel F. Schiffman

College of Nursing Faculty Research and Publications

Individuals with chronic obstructive pulmonary disease (COPD) struggle with effective self-management, contributing to poor health outcomes and costly health care. More research is needed to understand the factors influencing COPD self-management better in order to improve outcomes and reduce health care costs for those living with this prevalent chronic illness. The purpose of this article is to describe factors influencing community-dwelling adults’ COPD self-management. In-depth interviews were conducted with 28 people living with COPD. Braun and Clarke’s thematic analysis approach was used to analyze interview data, and it resulted in the identification of themes providing insight into COPD self-management as …

Anesthesia Machine Failure: A Case Study, Molly Condit, Paula Hafeman

College of Nursing Faculty Research and Publications

This article examines successful management of an anesthesia machine failure with the Draeger (or Dräger) Apollo (Draeger Inc) anesthesia workstation. Approximately 45 minutes into the case, while the patient was under general anesthesia and mechanical ventilation, the anesthesia machine failed to achieve positive pressurization following a high-pressure alarm. Despite multiple maneuvers, the issue did not resolve until the machine was manually powered off and on at the main power switch. This case report emphasizes the importance of always having a backup means of patient ventilation and anesthesia administration.

Trends In The Proportionate Mortalities Attributed To Noncommunicable Diseases In Sub-Saharan Africa For The Period 2000 To 2016, Henry Ofori Duah, Pascal Agbadi, Charles Enyaah Amankwa, Isaac Adomako, Benson Owusu

College of Nursing Faculty Research and Publications

Noncommunicable diseases (NCDs) remain a growing global health issue and sub-Saharan Africa (SSA) is no exception. Using secondary data obtained from the World Bank on 48 SSA countries, we describe the trends in the proportionate mortalities attributed to NCDs in SSA between 2000 and 2016. The baseline proportionate mortalities attributed to NCDs in SSA increased from 22.49% in 2000 to 33.69% in 2016, representing about 11% increase. The trend was replicated across the low-, middle-, and high-income countries in SSA. The highest change in the NCD mortalities in low-income SSA countries was seen in Eritrea where NCD mortalities increased from …

Nurse Continuity At Discharge And Return To Hospital, Sarah J. Bahr, James Bang, Olga Yakusheva, Kathleen L. Bobay, Janet W. Krejci, Linda L. Costa, Ronda G. Hughes, Morris Hamilton, Danielle M. Siclovan, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Background Promoting continuity of nurse assignment during discharge care has the potential to increase patient readiness for discharge—which has been associated with fewer readmissions and emergency department visits. The few studies that examined nurse continuity during acute care hospitalizations did not focus on discharge or postdischarge outcomes. Objectives The aim of this research was to examine the association of continuity in nurse assignment to patients prior to hospital discharge with return to hospital (readmission and emergency department or observation visits), including exploration of the mediating pathway through patient readiness for discharge and moderating effects of unit environment and unit nurse …

Validity And Reliability Of The Antepartum Gastrointestinal Symptom Assessment Instrument, Lisa Hanson, Leona Vandevusse, Mauricio Garnier-Villarreal, Donna O. Mccarthy, Teresa Jerofke-Owen, Emily Malloy, Heidi Paquette

College of Nursing Faculty Research and Publications

Objective

To examine the psychometric properties of the nine-item Antepartum Gastrointestinal Symptom Assessment (AP-GI-SA) instrument.

Design

Single-group prospective design.

Setting

Urban prenatal clinic serving a diverse population.

Participants

Convenience sample of 45 pregnant women.

Methods

Participants completed the AP-GI-SA before a scheduled prenatal care appointment. We used Bayesian structural equation modeling to evaluate the construct validity of the scale and assessed known-groups validity. We assessed reliability through maximal reliability coefficient estimate and measured internal consistency with Cronbach’s alpha coefficient.

Results

Participants completed the instrument in 2 minutes or less. Construct validity was supported by confirmatory factor analysis (posterior predictive p …

Using The Engaging Parents In Education For Discharge (EPed) Ipad Application To Improve Parent Discharge Experience, Stacee M. Lerret, Norah L. Johnson, Michele Polfuss, Marianne E. Weiss, Karen Gralton, Carol Klingbeil, Cori A. Gibson, Mauricio Garnier-Villarreal, Sheikh Iqbal Ahamed, Riddhiman Adib, Rachel Unteutsch, Louis Pawela, Rosemary White-Traut, Kathleen J. Sawin

College of Nursing Faculty Research and Publications

Purpose

The purpose of this study was to evaluate the use of the Engaging Parents in Education for Discharge (ePED) iPad application on parent experiences of hospital discharge teaching and care coordination. Hypotheses were: parents exposed to discharge teaching using ePED will have 1) higher quality of discharge teaching and 2) better care coordination than parents exposed to usual discharge teaching. The secondary purpose examined group differences in the discharge teaching, care coordination, and 30-day readmissions for parents of children with and without a chronic condition.

Design/Methods

Using a quasi-experimental design, ePED was implemented on one …

Consistency Of The Determinants Of Early Initiation Of Breastfeeding In Ghana: Insights From Four Demographic And Health Survey Datasets, Precious Adade Duodu, Henry Ofori Duah, Veronica Millicent Dzomeku, Adwoa B. Boamah Mensah, Josephine Aboagye Mensah, Ernest Darkwah, Pascal Agbadi

College of Nursing Faculty Research and Publications

Background

Early initiation of breastfeeding (EIBF) is a key strategy in averting neonatal deaths. However, studies on the facilitators and risk factors for EIBF are rare in Ghana. We examined trends in EIBF and its major facilitators and risk factors in Ghana using data from Demographic and Health Surveys from 1998 to 2014.

Methods

We used complete weighted data of 3194, 3639, 2909 and 5695 pairs of mothers ages 15–49 y and their children ages 0–5 y in the 1998, 2003, 2008 and 2014 surveys, respectively. We accounted for the complex sampling used in the surveys for both descriptive statistics …

The Prevalence And Predictive Factors Of Breast Cancer Screening Among Older Ghanaian Women, Akosua F. Agyemang, Agnes Naki Tei-Muno, Veronica Millicent Dzomeku, Emmanuel Kweku Nakua, Precious Adade Duodu, Henry Ofori Duah, Anna Boakyewaa Bentil, Pascal Agbadi

College of Nursing Faculty Research and Publications

Background

Breast cancer cases are on the rise in Ghana, with older adult women being more at risk of the disease. However, there is a paucity of current studies on factors that predict breast cancer screening among older adult women using nationally representative data. The present study, therefore, addressed this gap by estimating the prevalence of and identifying the factors that predict breast cancer screening among older adult women in Ghana.

Methods

We used the cross-sectional survey dataset of the 2014/2015 (wave II) Study on global AGEing and adult health (SAGE). A complex survey design methodology was employed to estimate …

Understanding Etiologies Of Road Traffic Crashes, Injuries, And Death For Patients At National Hospital Abuja: A Qualitative Content Analysis Using Haddon's Matrix, Benjamin D. Holmes, Kristin Haglund, Emmanuel A. Ameh, Oluwole O. Olaomi, Uthman Uthman, Laura D. Cassidy

College of Nursing Faculty Research and Publications

Road traffic crashes and sequelae are reaching pandemic proportions globally and have currently achieved disproportionately high levels in Nigeria. Quantitative studies are accumulating in the peer-reviewed literature, but there is a paucity of qualitative research in Nigeria. Data for this study of structural and behavioral factors of road traffic crashes and injuries in Federal Capital Territory were collected in semi-structured interviews with crash survivors at National Hospital Abuja. Interviews were analyzed via qualitative content analysis, revealing crash location and participant beliefs about crash etiologies. Units of analysis were developed from participant statements and were structured within four a priori etiologic …

Ethics In Perioperative Practice—Principles And Applications, Kathryn Schroeter

College of Nursing Faculty Research and Publications

Though often difficult, ethical decision making is necessary when caring for surgical patients. Perioperative nurses have to recognize ethical dilemmas and be prepared to take action based on the ethical code outlined in the American Nurses Association's (ANA's) Code of Ethics for Nurses with Interpretive Statements. In this first of a nine‐part series that will help perioperative nurses relate the ANA code to their own area of practice, the author looks at the first statement, which emphasizes respect for people. AORN J 75 (April 2002) 818‐824.

U.S.-Born Mexican-Origin Women’S Descriptions About Their Eating Patterns, Juanita T. Garcia, Leona Vandevusse

College of Nursing Faculty Research and Publications

Introduction

Mexican origin (MO) women comprise the largest Hispanic subgroup of Latinas in the United States. This subgroup has high incidences of obesity and associated chronic diseases. Modifiable risk factors for these include unhealthy diets and eating patterns. Efforts to understand eating patterns of Hispanics have focused on primarily first-generation Hispanics. The purpose of this study was to explore U.S.-born MO women’s descriptions about eating patterns.

Method

A qualitative exploratory-descriptive study, using a thematic analysis approach, was employed. Fifteen MO women were interviewed. The participants were second to fourth generation and reported higher educational attainment, middle-income socioeconomic brackets, and English …

Advance Directives And Intensity Of Care Delivered To Hospitalized Older Adults At The End-Of-Life, Marsha Helen Tyacke, Jill L. Guttormson, Mauricio Garnier-Villarreal, Kathryn Schroeter, Wendy Peltier

College of Nursing Faculty Research and Publications

Background

Older adults prefer comfort over life-sustaining care. Decreased intensity of care is associated with improved quality of life at the end-of-life (EOL).

Objectives

This study explored the association between advance directives (ADs) and intensity of care in the acute care setting at the EOL for older adults.

Methods

A retrospective, correlational study of older adult decedents (N = 496) was conducted at an academic medical center. Regression analyses explored the association between ADs and intensity of care.

Results

Advance directives were not independently predictive of aggressive care but were independently associated with referrals to palliative care and hospice; however, …

Adapting Fit Indices For Bayesian Structural Equation Modeling: Comparison To Maximum Likelihood, Mauricio Garnier-Villarreal, Terrence D. Jorgensen

College of Nursing Faculty Research and Publications

No abstract provided.

Budget Impact Analysis Of Robotic Exoskeleton Use For Locomotor Training Following Spinal Cord Injury In Four Sci Model Systems, Daniel Pinto, Mauricio Garnier-Villarreal, Jason Barbas, Shuo-Hsiu Chang, Susan Charlifue, Edelle C. Field-Fote, Catherine L. Furbish, Candy Tefertiller, Chaithanya K. Mummidisetty, Heather Taylor, Arun Jayaraman, Allen W. Heinemann

College of Nursing Faculty Research and Publications

Background

We know little about the budget impact of integrating robotic exoskeleton over-ground training into therapy services for locomotor training. The purpose of this study was to estimate the budget impact of adding robotic exoskeleton over-ground training to existing locomotor training strategies in the rehabilitation of people with spinal cord injury.

Methods

A Budget Impact Analysis (BIA) was conducted using data provided by four Spinal Cord Injury (SCI) Model Systems rehabilitation hospitals. Hospitals provided estimates of therapy utilization and costs about people with spinal cord injury who participated in locomotor training in the calendar year 2017. Interventions were standard of …

Parent Readiness For Hospital Discharge Scale: Psychometrics And Association With Postdischarge Outcomes, Marianne E. Weiss, Stacee M. Lerret, Rachel Schiffman

College of Nursing Faculty Research and Publications

Introduction The purpose of this study is to validate the Readiness for Hospital Discharge Scale (RHDS) for use with parents of hospitalized children. PedRHDS is a structured tool for a discharge readiness assessment before pediatric discharge. Methods Using combined data from four studies with 417 parents, psychometric testing and item reduction proceeded with principal component analysis for factor structure delineation, Cronbach's alpha for reliability estimation, and regression analysis for predictive validity. Results A 23-item PedRHDS retained the a priori factor structure. Reliability ranged from 0.73 to 0.85 for the 23-item and 10- and 8-item short scales. PedRHDS (all forms) was …

Nursing Research Priorities In Critical Care, Pulmonary, And Sleep: International Delphi Survey Of Nurses, Patients, And Caregivers: An Official American Thoracic Society Workshop Report, Maureen George, Carme Hernandez, Sheree Smith, Georgia Narsavage, Mary C. Kapella, Margaretann Carno, Jill L. Guttormson, Rebecca T. Disler, Diana E. Hart, Mary Beth Happ, Zijing Chen, Breanna Hetland, Ana F. Hutchinson, Helga Jonsdottir, Nancy S. Redeker, Hildy Schell-Chaple, Monica Fletcher, Janelle Yorke

College of Nursing Faculty Research and Publications

The objective of this workshop was to determine current nursing research priorities in critical care, adult pulmonary, and sleep conditions through input from consumer (patient, family, and formal and informal caregivers) and nursing experts around the world. Working groups composed of nurses and patients selected potential research priorities based on patient insight and a literature review of patient-reported outcomes, patient-reported experiences, and processes and clinical outcomes in the focal areas. A Delphi consensus approach, using a qualitative survey method to elicit expert opinion from nurses and consumers was conducted. Two rounds of online surveys available in English, Spanish, and Chinese …

Feasibility And Acceptability Of A Game-Based Symptom-Reporting App For Children With Cancer: Perspectives Of Children And Parents, Lauri Linder, Amy Rose Newman, Kristin Stegenga, Yin-Shun Chiu, Sarah E. Wawrzynski, Heidi Kramer, Charlene Weir, Scott Narus, Roger Altizer

College of Nursing Faculty Research and Publications

Background

Children with cancer have difficulty identifying and describing the multiple symptoms they experience during hospitalization and between clinical encounters. Mobile health resources, including apps, are potential solutions to support child-centric symptom reporting. This study evaluated the feasibility and acceptability of a newly developed game-based symptom-reporting app for school-age children with cancer.

Procedure

Nineteen school-age children (6–12 years of age) receiving treatment for cancer at a COG institution in the Intermountain West of the United States used a game-based symptom-reporting app between clinical visits. Feasibility was evaluated through a summary of actual days of app use and interaction with each …

Rural Malawian Women’S Resistance To Systematic Oppression, Violence, And Abuse By Their Husbands, Lucy Mkandawire-Valhmu, Wendy S. Bauer, Patricia E. Stevens, Loren W. Galvao, Katarina M. Grande, April Yerges, Lindsay Emer, Thokozani Mwenyekonde, Lance Weinhardt

College of Nursing Faculty Research and Publications

In Malawi, 41% of women aged 15 to 49 report ever experiencing intimate partner violence (IPV). Although there is evidence of the pervasiveness of IPV in Malawian society, the context in which it occurs and how women respond is not well described. The purpose of this study was to describe experiences of IPV of rural Malawian women. In-depth interviews were conducted with 55 rural Malawian women aged 21 to 75 years (M = 39) as part of a larger, mixed-methods study. This qualitative thematic analysis highlights husbands’ IPV against wives and women’s actions to protect themselves and their children, …

Clinical Nurses' Perspectives On Discharge Practice Changes From Participating In A Translational Research Study, Kathleen L. Bobay, Regina Conway-Philips, Ronda G. Hughes, Linda L. Costa, Sarah J. Bahr, Danielle M. Siclovan, Susan A. Nuccio, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Aim

To describe clinical nurses' experiences with practice change associated with participation in a multi‐site nursing translational research study implementing new protocols for hospital discharge readiness assessment.

Background

Nurses' participation in translational research studies provides an opportunity to evaluate how implementation of new nursing interventions affects care processes within a local context. These insights can provide information that leads to successful adoption and sustainability of the intervention.

Methods

Semi‐structured focus groups from 30 of 33 participating study hospitals lead by team nurse researchers.

Results

Nurses reported improved and earlier awareness of patients' discharge needs, changes in discharge practices, greater patient/family …

Escalation: Raising The College Students' Awareness Regarding Early Signs Of Abusive Relationships, Abir K. Bekhet, Courtney A. Kailunas, Alina T. Atayan

College of Nursing Faculty Research and Publications

Background: Abusive relationships are highly prevalent in our society, but often go unnoticed. Research showed that dating violence continues to escalate in college student populations. Purpose: The purpose of this study is to determine the effectiveness of the video as a chosen method of education in raising the college students' awareness regarding warning signs of an abusive relationship. Design: This study used a descriptive qualitative design. Sample/Data Collection: Five focus groups of college students' participants (freshmen to seniors) were recruited to participate in the “Escalation” workshop. To facilitate discussion, each focus group originally had 15 college students for a total …

Infant Illness Severity And Perinatal Post-Traumatic Stress Disorder After Discharge From The Neonatal Intensive Care Unit, Kathryn J. Malin, Teresa S. Johnson, Sarah Mcandrew, Jacqueline Westerdahl, Jonathan Leuthner, Joanne Lagatta

College of Nursing Faculty Research and Publications

Background

Risk factors for perinatal posttraumatic stress disorder (PTSD) among parents of an infant in the NICU have varied in previous literature. The relationships between perception of illness severity and objective measures of illness severity with PTSD are not well understood.

Aims

To determine if PTSD among parents after an infant NICU discharge can be predicted by 1) objective measures of infant illness severity or 2) perceptions of infant illness severity.

Study design

A prospective, observational study.

Subjects

Parent/infant dyads who were in the NICU for ≥14 days.

Outcome measures

Objective measures of illness severity were obtained from the electronic …

Living The Manatt Report: Advancing The Future Of Nursing Through Joint Academic Appointments, Jennifer K. Pfister, Jill C. Kuester, Katie Mcdermott, Leslie Talbert, Christine A. Schindler

College of Nursing Faculty Research and Publications

In 2016, the American Association of Colleges of Nursing published the Manatt Report which outlines recommendations to address the future of academic nursing. This report asserts that in order to influence the direction of healthcare, academic nursing needs to partner with academic health centers in leadership positions, embrace current clinical practice, and prioritize research. The following paper details the successful implementation of joint academic appointments between a college of nursing and a medical college. Joint appointments have formalized the role of clinician-educator, brought current clinical knowledge to academia, and allowed for protected academic time that is focused on enhancing the …

Blood Flow Improvement Trial: Design And Enrollment Developing Topics, Maiya F. Macalpine, Margo B. Heston, Julian M. Gaitán, Ozioma C. Okonkwo, Barbara B. Bendlin, Kimberlee A. Gretebeck, Randall J. Gretebeck

College of Nursing Faculty Research and Publications

Background

Midlife insulin resistance (IR) has previously been shown to be associated with lower cerebral blood flow (CBF), and is a potentially modifiable risk factor for dementia. The Blood Flow Improvement Trial (BFiT), NCT03117829 , tested a 12 week carbohydrate restricted diet (CRD) and exercise behavioral intervention to reverse IR, and aimed to 1) determine the extent to which improving or normalizing glucose homeostasis improves CBF and cognitive function in individuals with IR, 2) determine whether participants continue to maintain improved or normalized glycemic control for 6 months, and 3) determine changes in the human metabolome as individuals improve or …