Nursing Commons^™

The Influence Of Masculinity On Male Latino Adolescents’ Perceptions Regarding Dating Relationships And Dating Violence, Kristin Haglund, Ruth Ann Belknap, Lisa M. Edwards, Marcel Hernani Tassara, James C. Van Hoven, Aimee A. Woda

College of Nursing Faculty Research and Publications

In the United States, teen dating violence (TDV) is a concern across ethnic groups. Attitudes and correlates of violence differ by gender, culture, and acculturation. This study used a qualitative interpretive approach. Data were obtained in focus groups with 23 Latino male adolescents. Themes reflected contexts of participants’ lives, and definitions and nature of dating relationships and TDV. Participants described the importance of respecting dating partners, the destructive effects of TDV, and the pressure to display masculinity that can lead some young men to perpetrate TDV. These results may advance culturally relevant interventions to promote healthy relationships and prevent dating …

Urban Partnerships To Address Health Literacy In High Need Populations, Abiola O. Keller, Amy Vuyk, Joshua Knox

College of Nursing Faculty Research and Publications

Low health literacy disproportionately affects racial and ethnic minority communities and lower-income socioeconomic groups. To address this critical determinant of health inequity, two nonprofit organizations, Repairers of the Breach, a day shelter for individuals experiencing homelessness, and Bread of Healing a neighborhood-based clinic serving individuals with low incomes, partnered with researchers at Marquette University to implement and evaluate an evidence-supported health literacy program. The partnership delivered the curriculum in seven one-hour sessions over seven weeks. The program attendees were predominantly African American men and women from 19–73 years old. Most participants had formal education ranging from elementary school to some …

A Concept Analysis Of Parental Uncertainty In Illness Of An Infant, Kathryn J. Malin, Teresa S. Johnson

College of Nursing Faculty Research and Publications

Background:

The concept of uncertainty in illness has been well described and applied to many different areas of nursing and other disciplines. Specifically, parental uncertainty in illness of an infant is a meaningful concept that has specific attributes and implications. A current concept analysis that considers the changing healthcare setting, historical conceptual inconsistencies, and a lack of information concerning parents of infants is needed.

Purpose:

To identify essential antecedents, attributes, and consequences of parental uncertainty in illness using Rodgers' Evolutionary Concept Analysis method.

Methods:

A literature search was conducted using PubMed, CINAHL, and PsycInfo. The following keywords were used in …

Variability In Catheter-Associated Asymptomatic Bacteriuria Rates Among Individual Nurses In Intensive Care Units: An Observational Cross-Sectional Study, Olga Yakusheva, Deena K. Costa, Kathleen L. Bobay, Jorge P. Parada, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Catheter-associated asymptomatic bacteriuria (CAABU) is frequent in intensive care units (ICUs) and contributes to the routine use of antibiotics and to antibiotic-resistant infections. While nurses are responsible for the implementation of CAABU-prevention guidelines, variability in how individual nurses contribute to CAABU-free rates in ICUs has not been previously explored. This study’s objective was to examine the variability in CAABU-free outcomes of individual ICU nurses. This observational cross-sectional study used shift-level nurse-patient data from the electronic health records from two ICUs in a tertiary medical center in the US between July 2015 and June 2016. We included all adult (18+) catheterized …

Moving Nursing Beyond P < .05, Matthew J. Hayat, Vincent S. Staggs, Todd A. Schwartz, Melinda Higgins, Andres Azuero, Chakra Budhathoki, Rameela Chandrasekhar, Paul Cook, Emily Cramer, Mary S. Dietrich, Mauricio Garnier-Villarreal, Alexandra Hanlon, Jinghua He, Jinxiang Hu, Myoung Jin Kim, Martina Mueller, Joseph R. Nolan, Yelena Perkhounkova, Janet Rothers, Glenna Schluck, Xiaogang Su, Thomas N. Templin, Michael T. Weaver, Qing Yang, Sangbeak Ye

College of Nursing Faculty Research and Publications

No abstract provided.

The Use Of Halo Gravity Traction In The Treatment Of Severe Early Onset Spinal Deformity, Sravisht Iyer, Henry Ofori Duah, Irene Wulff, Henry O. Tutu, Rufai Mahmud, Kwadwo P. Yankey, Harry Akoto, Oheneba Boachie-Adjei

College of Nursing Faculty Research and Publications

Study Design. 

Retrospective Review of Prospective cohort.

Objective. 

To describe the feasibility of preoperative halo gravity traction (HGT) with subsequent growing rod/guided growth (GR/GG) placement in early onset spinal deformity (EOSD).

Summary of Background Data. 

In children with severe EOSD, primary implantation of GR/GG constructs is not always possible. We describe a staged protocol with preoperative HGT followed by GR/GG implantation.

Methods. 

EOSD patients treated with HGT prior to GR/GG implantation were included. HGT used traction up to 50% body weight for 4 to 29 weeks. Pulmonary function tests (PFTs) were performed before and after HGT. Coronal Cobb (CC) and …

Testing Allostatic Load Factor Structures Among Adolescents: A Structural Equation Modeling Approach, Amanda L. King, Mauricio Garnier-Villarreal, Amanda M. Simanak, Norah L. Johnson

College of Nursing Faculty Research and Publications

Objectives

Allostatic load (AL) represents cumulative biological “wear and tear” that results from chronic stress exposure over time, ultimately increasing risk for chronic disease. A consensus is lacking regarding the best operationalization of AL, particularly for younger, less studied populations. The purpose of this study was to test multiple hypothesized factor structures for AL to determine the best measurement approach for adolescents.

Methods

We analyzed biologic data for 1900 adolescents aged 12‐18 from four waves (2003‐2010) of the National Health and Nutrition Examination Survey. AL indicator variables included cardiovascular (systolic BP, creatinine), metabolic (HDL, LDL, triglycerides, insulin, fasting glucose, HA1C, …

Qualitative Methods Of Road Traffic Crash Research In Low- And Middle-Income Countries: A Review, Benjamin D. Holmes, Kristin Haglund, Kirsten M.M. Beyer, Laura D. Cassidy

College of Nursing Faculty Research and Publications

Road traffic crashes are rapidly becoming one of the leading causes of injury and death globally. It is predicted that by 2030 crashes will become the fourth leading cause of disability-adjusted life years (DALYs) (Mathers & Loncar, [11]) and the seventh leading global cause of death (World Health Organization [WHO], [26]). The global death toll due to crashes has already escalated by 46% over the past two decades (The World Bank, [21]).

Low- and middle-income countries (LMICs) are acutely affected by this 'hidden epidemic' (Balch, [ 1]). Ninety per cent of the world's crash-related deaths occur in LMICs where only …

Functional Exercise Improves Mobility Performance In Older Adults With Type 2 Diabetes: A Randomized Controlled Trial, Kimberlee A. Gretebeck, Caroline S. Blaum, Tisha Moore, Roger Brown, Andrzej Galecki, Debra Strasburg, Shu Chen, Neil B. Alexander

College of Nursing Faculty Research and Publications

Background: Diabetes-related disability occurs in approximately two-thirds of older adults with diabetes and is associated with loss of independence, increased health care resource utilization, and sedentary lifestyle. The objective of this randomized controlled trial was to determine the effect of a center-based functional circuit exercise training intervention followed by a 10-week customized home-based program in improving mobility function in sedentary older adults with diabetes.

Methods: Participants (n = 111; mean age 70.5 [7.1] y; mean body mass index 32.7 [5.9] kg/m²) were randomized to either a moderate-intensity functional circuit training (FCT) plus 10-week home program to …

Interdisciplinary Collaboration Needed In Obtaining High-Quality Medical Information In Child Abuse Investigations, Elizabeth Cleek, Norah L. Johnson, Lynn K. Sheets

College of Nursing Faculty Research and Publications

Background

Despite reporting legislation, healthcare providers (HCPs) do not always report and collaborate in cases of suspected child abuse. Recognizing this leaves children at risk, the Wisconsin Child Abuse Network (WI CAN) sought to understand barriers to mandated reporting and collaboration with child abuse investigators.

Objective

The purpose of the study was to investigate barriers for professionals in providing and obtaining high-quality medical information in child abuse investigations.

Participants and setting

Participants included five discipline-specific focus groups: HCPs, child protective services (CPS), law enforcement, lawyers, and judges. All professionals had been directly involved in Wisconsin child abuse cases.

Methods

This …

“I Am A Runner”: A Qualitative Analysis Of Women-Runners’ Pregnancy Experiences, Jennifer M. Ohlendorf, Anna L. Anklam, Lindsay Gardner

College of Nursing Faculty Research and Publications

Background

Women runners are a group with potential for health maintenance and health promotion in pregnancy. When providers counsel women to discontinue or cut back on running without cause, an opportunity for health benefits to both woman and baby may be lost.

Aim

This study aims to explicate the experience women runners have in pregnancy to further providers’ understanding of this population’s unique needs.

Methods

An online, qualitative inquiry was employed to explore the experiences of an online community of women runners in pregnancy (N = 22). The Doing Pregnancy framework provided guidance for final stages of the analysis.

Findings …

Testing Measurement Invariance With Ordinal Missing Data: A Comparison Of Estimators And Missing Data Techniques, Po-Yi Chen, Wei Wu, Mauricio Garnier-Villarreal, Benjamin Arthur Kite, Fan Jia

College of Nursing Faculty Research and Publications

Ordinal missing data are common in measurement equivalence/invariance (ME/I) testing studies. However, there is a lack of guidance on the appropriate method to deal with ordinal missing data in ME/I testing. Five methods may be used to deal with ordinal missing data in ME/I testing, including the continuous full information maximum likelihood estimation method (FIML), continuous robust FIML (rFIML), FIML with probit links (pFIML), FIML with logit links (lFIML), and mean and variance adjusted weight least squared estimation method combined with pairwise deletion (WLSMV_PD). The current study evaluates the relative performance of these methods in producing valid chi-square difference tests …

A Novel Radiographic Classification Of Severe Spinal Curvatures Exceeding 100°: The Omega (Ω), Gamma (Γ) And Alpha (Α) Deformities, Isaac Obiri Karikari, Henry Pang, Kwadwo P. Yankey, Henry Ofori Duah, Harry Akoto, Rick Hodes, Oheneba Boachie-Adjei, Focos Spine Research Group

College of Nursing Faculty Research and Publications

Purpose For spine curvatures with Cobb angles > 100°, curve classification and characterization become more difficult with conventional radiographs. 3-D computerized axial tomography scans add relevant information to categorize and describe a new classification to aid preoperative assessment in communication and patient evaluation. The purpose of this study is to describe a radiographic classification system of curves exceeding 100°. Methods A consecutive series of patients with curves exceeding 100° underwent a full spine radiographic review using conventional radiographs and 3-D CT. A descriptive analysis was performed to categorize curves into 4 main types (1, 2, 3 and 4) and 6 subtypes …

Preoperative Physical Therapy Results In Shorter Length Of Stay And Discharge Disposition Following Total Knee Arthroplasty: A Retrospective Study, Sheldon R. Garrison, Kelly E. Schneider, Maharaj Singh, Jennifer Pogodzinski

College of Nursing Faculty Research and Publications

Objective: Total knee arthroplasty is an effective surgical approach used to treat arthritis and knee trauma. Its utilization has grown, as has the accompanying financial impact, resulting in an equal need to advance physical therapy practice. One emerging approach improving patient outcomes and reducing cost is the inclusion of a preoperative physical therapy visit. The aim of this study was to quantify the economic impact of a standardized preoperative physical therapy visit in the healthcare setting. Design: This study is a retrospective review of 1,043 adult patients who underwent total knee arthroplasty. Methods: Patients who underwent total knee arthro-plasty were …

Halo Gravity Traction Can Mitigate Preoperative Risk Factors And Early Surgical Complications In Complex Spine Deformity, Sravisht Iyer, Oheneba Boachie-Adjei, Henry Ofori Duah, Kwadwo P. Yankey, Rufai Mahmud, Irene Wulff, Henry O. Tutu, Harry Akoto

College of Nursing Faculty Research and Publications

Study Design.  Retrospective review of prospective cohort. Objective.  We sought to examine the role of halo gravity traction (HGT) in reducing preoperative surgical risk. Summary of Background Data.  The impact of HGT on procedure choice, preoperative risk factors, and surgical complications has not been previously described. Methods.  Patients treated with HGT before primary surgery were included. The FOCOS Score (FS) was used to quantify operative risk. FS was calculated using patient-factors (ASIA, body mass index, etiology), procedure-factors (PcF; osteotomy planned, number of levels fused, etc.), and curve magnitude (CM). Scores ranged from 0 to 100 with higher scores indicating increased …

Exploring The Trajectory And Prevention Of Alcohol Use Among Young People From The Perspective Of Professional Youth Workers, Kristin Haglund, Mark Hayter

College of Nursing Faculty Research and Publications

Excessive alcohol use is a significant health issue. Underage drinking is one expression of excessive alcohol use. Researchers have identified a trajectory of alcohol involvement. Gaps exist in understanding the influences that delay and promote the trajectory of alcohol use among young people. The purpose of this study was to explore the contexts and influences that limited and contributed to the trajectory of alcohol use among young people. A qualitative descriptive design was used. Eight youth workers from a city in Northern England participated in individual audio-recorded semi-structured interviews. Transcriptions were coded. Data were analyzed within, and across, codes to …

Clarifying Model For Continuity Of Care: A Concept Analysis, Sarah J. Bahr, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Aim

The aim is to clarify the use of the term continuity in the specific context of acute care hospitalization and discharge.

Background

The meaning of “continuity” is often co‐mingled with other concepts, specifically coordination and communication. To increase usefulness for contemporary concerns with the hospitalization‐postdischarge continuum, continuity of care is examined from the specific context of acute hospitalization and discharge.

Design

Concept analysis.

Data Sources

Medline via Ovid, Cochrane Library, Cinahl, and Google Scholar. Search years encompassed 2001–2016.

Review Methods

Rodgers evolutionary concept analysis method.

Results

A total of 50 papers were included in this concept analysis. Synthesis of …

Effects Of Implementing A Health Team Communication Redesign On Hospital Readmissions Within 30 Days, Kristi Opper, Joseph Beiler, Olga Yakusheva, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Background and Rationale

Poor communication between health team members can interfere with timely, coordinated preparation for hospital discharge. Research on daily bedside interprofessional health team rounds and nursing bedside shift handoff reports provides evidence that these strategies can improve communication.

Aims

To improve health team communication and collaboration about hospital discharge; improve patient experience of discharge measured by patient‐reported quality of discharge teaching, readiness for discharge, and postdischarge coping difficulty; and reduce readmissions and emergency department (ED) visits postdischarge.

Methods

A two‐sample pre‐ and postintervention design provided baseline data for redesign of health team communication processes and comparison data for …

Young Women’S Knowledge About Fertility And Their Fertility Health Risk Factors, Qiyan Mu, Lisa Hanson, James B. Hoelzle, Richard J. Fehring

College of Nursing Faculty Research and Publications

Objective

To explore the relationships among young women’s demographic characteristics, their self-perceived and actual knowledge about fertility, and their fertility health risk factors.

Design

A quantitative, cross-sectional study.

Setting

Online survey.

Participants

Young women between the ages of 18 and 24 years (N = 342).

Methods

We used an online survey to collect data from young women regarding their demographic characteristics, their self-perceived and actual knowledge about fertility, and their fertility health risk factors. We used multiple linear regression to explore the relationships among these factors.

Results

Participants were mainly White, had some form of college education, and used …

Effect Of Implementing Discharge Readiness Assessment In Adult Medical-Surgical Units On 30-Day Return To Hospital The Readi Randomized Clinical Trial, Marianne E. Weiss, Olga Yakusheva, Kathleen L. Bobay, Linda L. Costa, Ronda G. Hughes, Susan A. Nuccio, Morris Hamilton, Sarah J. Bahr, Danielle M. Siclovan, James Bang

College of Nursing Faculty Research and Publications

Importance: The downward trend in readmissions has recently slowed. New enhancements to hospital readmission reduction efforts are needed. Structured assessment of patient readiness for discharge has been recommended as an addition to discharge preparation standards of care to assist with tailoring of risk-mitigating actions.

Objective: To determine the effect of unit-based implementation of readiness evaluation and discharge intervention protocols on readmissions and emergency department or observation visits.

Design, Setting, and Participants: The Readiness Evaluation and Discharge Interventions (READI) cluster randomized clinical trial conducted in medical-surgical units of 33 Magnet hospitals between September 15, 2014, and March 31, 2017, included all …

A Historical Review Of The Catholic Scientists Who Answered The Call Of Humanae Vitae, Richard J. Fehring

College of Nursing Faculty Research and Publications

No abstract provided.

Predeath Grief, Resourcefulness, And Perceived Stress Among Caregivers Of Partners With Young-Onset Dementia, Karie Ruekert Kobiske, Abir K. Bekhet, Mauricio Garnier-Villarreal, Marilyn Frenn

College of Nursing Faculty Research and Publications

More than 200,000 Americans are currently diagnosed with young-onset dementia (YOD). YOD is dementia diagnosed prior to the age of 65. Most persons of YOD are cared for by their partners. Using the theoretical framework of Resilience Theory, this cross-sectional, correlational study examined the moderating effects of personal and social resourcefulness on the relationship between predeath grief and perceived stress among 104 YOD caregiving partners (life partners/spouses) using an online survey platform. Results indicated a large positive correlation between predeath grief and caregiver perceived stress (r = .65; p < .001). Together predeath grief, personal resourcefulness and social resourcefulness explained 51.5% of the variance in perceived stress. Personal resourcefulness did not moderate the relationship. Social resourcefulness did positively moderate this relationship between predeath grief and perceived stress. These findings allow for a better understanding of the caregiving experience for a partner with YOD and creates opportunities for future research studies.

Through The Microbial Looking Glass: Premature Labor, Preeclampsia, And Gestational Diabetes: A Scoping Review, Alexis B. Dunn, Lisa Hanson, Leona Vandevusse, Sharon Leslie

College of Nursing Faculty Research and Publications

The influence of microbial factors on adverse perinatal outcomes has become the focal point of recent investigations, with particular interest in the role of the microbiome and probiotic interventions. The purpose of this scoping review was to identify and critique the most recent evidence about these factors as they relate to pregnancies complicated by preeclampsia (PEC), preterm birth (PTB), and gestational diabetes mellitus (GDM). Four databases (PubMed, EMBASE, Web of Science, and Cochrane) were searched for articles published in English in the last 10 years with the concepts of the microbiome, probiotics, and PEC, PTB, or GDM. Forty-nine articles were …

A New Leadership Development Model For Nursing Education, Jane M. Miles, Elaine S. Scott

College of Nursing Faculty Research and Publications

Background

Leadership competency is required throughout nursing. Students have difficulty understanding leadership as integral to education and practice. A consistent framework for nursing leadership education, strong scholarship and an evidence base are limited.

Purpose

To establish an integrated leadership development model for prelicensure nursing students that recognizes leadership as a fundamental skill for nursing practice and promotes development of nursing leadership education scholarship.

Method

Summarizing definitions of nursing leadership, conceptualizing leadership development capacity through reviewing trends, and synthesizing existing leadership theories through directed content analysis.

Discussion

Nine leadership skills form the organizing structure for the Nursing Leadership Development Model. Leadership …

On Burr Iii Marshal Olkin Family: Development, Properties, Characterizations And Applications, Fiaz Ahmad Bhatti, Gholamhossein G. Hamedani, Mustafa Ç. Korkmaz, Gauss M. Cordeiro, Haitham M. Yousof, Munir Ahmad

College of Nursing Faculty Research and Publications

In this paper, a flexible family of distributions with unimodel, bimodal, increasing, increasing and decreasing, inverted bathtub and modified bathtub hazard rate called Burr III-Marshal Olkin-G (BIIIMO-G) family is developed on the basis of the T-X family technique. The density function of the BIIIMO-G family is arc, exponential, left- skewed, right-skewed and symmetrical shaped. Descriptive measures such as quantiles, moments, incomplete moments, inequality measures and reliability measures are theoretically established. The BIIIMO-G family is characterized via different techniques. Parameters of the BIIIMO-G family are estimated using maximum likelihood method. A simulation study is performed to illustrate the performance of the …

Signs Of Growth And Healing: Health Care And Science, Richard J. Fehring

College of Nursing Faculty Research and Publications

MY ESSAY ON THE HISTORY OF Catholic Natural Family Planning (NFP) scientists (chapter 8 in this volume) ended with discussing scientists who were active during the papacy of John Paul II (1979-2005). This present essay continues with the time period from approximately 2000 to 2018 and, indeed, into the future. My purpose here, however, is to delineate signs of growth and healing in health care and science related to NFP and not to focus on individual NFP scientists. Given that purpose, recent trends in NFP science and historical factors that influence NFP science can provide us with signs of growth …

Health Policy Engagement Among Graduate Nursing Students In The United States, Pamela B. De Cordova, Mary Beth Wilson Steck, Amber Vermeesch, Natacha Pierre, Audra Rankin, Jennifer M. Ohlendorf, Sherry Lawrence, Anne Derouin

College of Nursing Faculty Research and Publications

Aim

The aim was to understand how health policy education is currently being delivered in the United States’ graduate nursing programs.

Methods

This exploratory cross‐sectional design used an anonymous online survey to target graduate nursing students attending American Association of College of Nursing (AACN) member institutions.

Results

Over 75% of the sample (n = 140) reported taking a dedicated health policy course and 71.5% ( n = 131) of the sample responded that a health policy course was required and an equal distribution among master’s and doctoral students. There was no significant difference between type of graduate degree sought …

Pediatric Oncology Nurses’ Perceptions Of Prognosis-Related Communication, Amy Rose Newman, Kristin Haglund, Cheryl C. Rodgers

College of Nursing Faculty Research and Publications

Background

Disclosure of prognosis-related information is an essential aspect of communication with pediatric patients with cancer and their families. The nurse is believed to play an important role in this process, but nurse perceptions and experiences have not been well-described.

Purpose

Provide an exploration of pediatric oncology nurses’ experiences with prognosis-related communication (PRC).

Method

Mixed-methods, multiphase design. This paper highlights the qualitative portion of the study.

Findings

Three themes were identified: Importance of collaboration, impact of PRC, and delivery of prognostic information.

Discussion

Collaboration is a critical element of PRC. Nurses are often not included in the disclosure process, which …

Effects Of Positive Thinking On Dementia Caregivers’ Burden And Care-Recipients’ Behavioral Problems, Abir K. Bekhet, Mauricio Garnier-Villarreal

College of Nursing Faculty Research and Publications

Most dementia care is provided at home by family members. This caregiving places an additional burden on the family members, which can negatively impact their physical and psychological well-being. The caregivers’ burden can also contribute to behavioral problems in the care-recipients. The purpose of this study was to examine the mediating/moderating effects of positive thinking (PT) on the relationship between caregivers’ burden (embarrassment/anger, patient’s dependency, and self-criticism) and their care-recipients’ behavioral problems (memory, depression, and disruption) in a sample of 100 dementia caregivers. Results indicated that caregivers’ embarrassment, self-criticism, and perception of patient dependency predicts depression in care-recipients, and these …

Integrating Research And Quality Improvement Using Teamstepps: A Health Team Communication Project To Improve Hospital Discharge, Joseph Beiler, Kristi Opper, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Purpose/Objectives:

The purpose of this article is to describe an innovative approach to the integration of quality improvement and research processes. A project with the objective of improving health team communication about hospital discharge provides an exemplar case.

Description of the Project/Program:

The TeamSTEPPS 10-step action planning guide provided the structure for planning, developing, and evaluating a redesign of interprofessional health team communication to improve hospital discharge led by 2 clinical nurse specialists. The redesign involved development of processes for team bedside rounding, registered nurse bedside shift reports, and briefing tools to support the rounding processes.

Outcome:

Using the TeamSTEPPS …