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Nursing Research

Rita H Pickler
No abstract text is available yet for this article.
September 7, 2018: Nursing Research
Bevin Cohen, Christopher M Spirito, Jianfang Liu, Kenrick D Cato, Elaine Larson
BACKGROUND: Some nurse-driven interventions have successfully reduced rates of healthcare-associated infections (HAI), though incidence remains unacceptably high. Bacterial contamination in patient rooms may be a source of exposure for patients and, thus, a target for future interventions; however, few studies have investigated the role of the patient room on organism acquisition. OBJECTIVES: The purpose of this study was to determine the incidence of concurrent detection of bacterial pathogens among patients sharing a hospital room...
September 7, 2018: Nursing Research
Miyeon Jung, John Jonides, Marc G Berman, Laurel Northouse, Todd M Koelling, Susan J Pressler
BACKGROUND: Patients with heart failure (HF) are at risk of cognitive dysfunction, including decreased directed attention. Directed attention is critical for performing daily activities including HF self-care by facilitating one to follow instructions or train-of-thought when there are interferences in which presented stimuli are in conflict with one another. The Multi-Source Interference Task (MSIT) is a computerized neuropsychological test which examines the function of the dorsal anterior cingulate cortex, the neurological substrate for directed attention...
August 28, 2018: Nursing Research
Eliezer Bose, Sasank Maganti, Kathryn H Bowles, Bonnie L Brueshoff, Karen A Monsen
BACKGROUND: Public health nurses (PHNs) engage in home visiting services and documentation of care services for at-risk clients. To increase efficiency and decrease documentation burden, it would be useful for PHNs to identify critical data elements most associated with patient care priorities and outcomes. Machine learning techniques can aid in retrospective identification of critical data elements. OBJECTIVE: We used two different machine learning feature selection techniques of Minimum Redundancy Maximum Relevance (mRMR) and Lasso and Elastic-Net Regularized Generalized Linear Model (glmnet in R)...
August 28, 2018: Nursing Research
Liselotte N Dyrbye, Pamela O Johnson, LeAnn M Johnson, Daniel Satele, Tait Shanafelt
BACKGROUND: Studies suggest there is a high prevalence of burnout and depression among U.S. nurses. OBJECTIVES: To gauge the capability of the Well-Being Index (WBI) to stratify nurse distress (e.g., low quality of life [QOL], extreme fatigue, burnout, recent suicidal ideation) and well-being (high quality of life), and detect those whose level of distress may negatively affect retention or work performance METHODS: In 2016, we conducted a cross-sectional survey of 3,147 U...
August 22, 2018: Nursing Research
Denise Cummins, Donna Waters, Christina Aggar, Catherine C O'Connor
BACKGROUND: People with HIV (PLHIV) are aging and 20% are at risk of developing a neurological complication known as HIV associated neurocognitive disorder (HAND). Signs and symptoms of HAND may be subtle, however treatment can improve clinical outcomes. OBJECTIVE: To identify and agree on a risk assessment and monitoring process for the regular review of patients at risk of HIV associated neurocognitive disorder. METHODS: Between March and September 2017, 25 experts from 4 community health care services participated in 3 rounds of a modified Delphi study to reach consensus on the items, monitoring period and format of assessment tools to identify risk of HAND in people living with HIV in the community...
August 2, 2018: Nursing Research
Nancy M H Pontes, Cynthia G Ayres, Manuel C F Pontes
BACKGROUND: Bullying victimization is common among adolescents and increases the likelihood of depressive symptoms and suicidality. Two previous meta-analyses have shown that these relationships do not significantly vary by gender OBJECTIVES: This research investigated whether there are significant positive additive interactions between bullying victimization and female gender on depressive symptoms, suicidal ideation, suicide attempts, and suicide attempts that required treatment. METHOD: For this research, analyses of pooled data from the 2011, 2013, and 2015 Youth Risk Behavior Survey (YRBS) (N = 44,632) were performed to estimate measures of additive interaction, as well as measures of multiplicative interaction in order to examine whether the relationship between bullying victimization and depressive symptoms or suicidality significantly varied by gender...
August 2, 2018: Nursing Research
Jian Zhao, Yun Zhao, Vishnu Khanal, Andy H Lee, Colin W Binns
BACKGROUND: Correlated breastfeeding duration data are very common in infant feeding research using cohort designs. Intracluster correlation within the same clustering group is expected and needs to be taken into account in statistical analysis, otherwise, the corresponding statistical inferences may be subject to an increased type I error. OBJECTIVES: The aims of this study were to illustrate the necessity of adjusting for the intracluster correlation in correlated breastfeeding duration data analysis and demonstrate different frailty modeling approaches...
August 2, 2018: Nursing Research
Jiwon Lee, Matthew J Hayat, Regena Spratling, Rose A Sevcik, Patricia C Clark
BACKGROUND: While empirical evidence shows that mothers of children with developmental disabilities (DDs) are at risk for poor mental and physical health, the relative contribution of maternal and child characteristics, including sleep quality, remain unclear. OBJECTIVES: The aims of this study were to compare select maternal (sleep quality, caregiving stress, and other sociodemographic variables) and child characteristics (sleep and behavior problems) between mothers with worse mental and physical health and those with better mental and physical health and to determine the contribution of selected characteristics on mental and physical health in mothers of school-age children (ages 6-12) with DDs...
August 2, 2018: Nursing Research
Cindy-Lee Dennis, Hilary K Brown, Sarah Brennenstuhl
BACKGROUND: Childcare stress has been shown to predict postpartum depression; however, there is little research exploring and validating the dimensions of childcare stress instruments such that preventive interventions can be created. OBJECTIVES: To develop and psychometrically test an instrument to measure parental perceptions of postpartum childcare stress. METHODS: Using research based on postpartum stress and childcare stress, the Postpartum Childcare Stress Checklist (PCSC) was developed and content validity was judged by experts...
July 31, 2018: Nursing Research
Horst Rettke, Manuela Pretto, Elisabeth Spichiger, Irena Anna Frei, Rebecca Spirig
BACKGROUND: Reflexivity can be helpful in developing the methodological rigour necessary to attaining trustworthy qualitative study results. OBJECTIVES: To evaluate strategies of critical reflexive thinking during a qualitative enquiry rooted in a mixed-methods study. METHODS: Guided by the questions of Rolfe and colleagues from 2001 ('what,' 'so what,' and 'now what'), we applied reflexive thinking to all aspects of the investigation. RESULTS: Critical reflexive thinking strongly supported our efforts to establish methodological rigour and helped reveal shortcomings...
July 31, 2018: Nursing Research
Dawn L Denny, Tami L Such
BACKGROUND: Subsyndromal delirium is associated with serious adverse outcomes of longer lengths of stay, increased long-term care admissions, and higher six-month mortality rates. Postoperative pain is a risk factor for delirium, but the relationship between pain and the severity of subclinical delirium symptoms is unclear. A better understanding will inform nursing interventions to reduce adverse outcomes associated with delirium symptoms. OBJECTIVES: The purpose of this correlational study was to determine the relationship between pain and subsyndromal delirium in older adults following joint replacement surgery...
July 31, 2018: Nursing Research
Antonia M Villarruel, Nelson Varas-Díaz, Alexandra Hanlon, Elba Betancourt, Alicia J Lozano, Lucia DiNapoli
BACKGROUND: Despite positive attitudes of Latinos using the Internet and the increased availability of health information resources, few studies have been conducted that examine actual use and barriers to web-based health information. OBJECTIVE: To examine whether select sociodemographic factors and technology factors (e.g., computer and Internet access) predicted use of a web-based, parent-adolescent sexual communication program or a physical activity program, entitled Cuídalos, among Puerto Rican parents...
July 31, 2018: Nursing Research
Hui-Chuan Huang, Ming-Yao Chen, Li-Wen Hsieh, Hsiao-Yean Chiu, Nae-Fang Miao, Chia-Shin Wu, Kuan-Chia Lin
BACKGROUND: The assessment of symptoms distress is an important strategy for symptoms management and treatment of patients with liver cirrhosis (LC); however, appropriate instruments are limited. OBJECTIVE: The objective of this study was to validate a symptoms distress scale (SDS) by confirming the appropriateness of each item using item response theory. METHODS: A cross-sectional and convenience sampling was conducted to recruit eligible cirrhotic outpatients from the gastroenterology outpatient department of a single medical university hospital...
September 2018: Nursing Research
Ann Cashion, Rita H Pickler
No abstract text is available yet for this article.
September 2018: Nursing Research
Mohamad M Saab, Margaret Landers, Eoghan Cooke, David Murphy, Martin Davoren, Josephine Hegarty
BACKGROUND: The incidence of benign and malignant testicular disorders is on the rise. Three literature reviews and one qualitative study found that men's awareness of testicular disorders was lacking, and their intentions to seek help for symptoms of testicular disease were low. OBJECTIVES: The aim of the study was to enhance men's awareness of testicular disorders, help-seeking intentions for testicular symptoms, and intention and behavior to feel their testes...
September 2018: Nursing Research
Deanna R Befus, Kristen Hassmiller Lich, Shawn M Kneipp, Janet P Bettger, Remy R Coeytaux, Janice C Humphreys
BACKGROUND: A dearth of effective and affordable treatment options has rendered nonpharmacological self-management a crucial part of living with migraine-a debilitating neurobiological condition without cure that disproportionately disables vulnerable women. OBJECTIVE: The aim of the study was to describe the development and use of a systems thinking, problem-structuring data collection approach that was applied to the study of migraine self-management with women in diverse social locations...
September 2018: Nursing Research
Sanghee Kim
BACKGROUND: Patients with cancer experience many concurrent symptoms during treatment; most symptoms are treatment-related side effects. Lipid peroxidation is a treatment side effect that may increase due to generation of reactive oxygen species; this is dangerous for normal cells and tissues in cancer patients. The relationship between lipid peroxidation and symptom clusters has not been determined in patients with brain cancer during treatment. OBJECTIVES: This study aimed to identify the changes and relationship between symptom clusters and the level of lipid peroxidation in patients with primary malignant brain cancer during concurrent chemoradiotherapy (CCRT)...
September 2018: Nursing Research
Llucia Benito, Laura de la Cueva Ariza, Pilar Delgado-Hito, M Antonia Martinez Momblan, Marta Romero García, Montse García
BACKGROUND: Continuity of care and care coordination are critical issues in virtually all healthcare systems. European guidelines for the quality of screening programs for breast and colorectal cancer describe process, structure, and outcome indicators, but none specifically evaluate coordination and continuity of care during the cancer screening process. OBJECTIVE: The aim of this study was to identify indicators reflecting care coordination and continuity in population-based breast and colorectal cancer screening program...
September 2018: Nursing Research
Marian Wilson, Michele R Shaw, Mary Lee A Roberts
BACKGROUND: Opioid use disorder has drastically increased in recent years within adult populations. Limited understanding exists regarding how people enter medication-assisted treatment (MAT) for opioid use disorder-particularly those who initiate opioid use to treat a painful condition. OBJECTIVES: This research examines the process involved when adults first initiate the use of opioid medicines to treat pain through enrollment in an outpatient MAT program. METHODS: Grounded theory methodology guided the study...
September 2018: Nursing Research
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