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Nursing Research

Wendy A Cook, Megan L Morrison, Linda H Eaton, Brian R Theodore, Ardith Z Doorenbos
BACKGROUND: The United States has a complex healthcare system that is undergoing substantial reformations. There is a need for high-quality, economic evaluations of nursing practice. An updated review of completed economic evaluations relevant to the field of nursing within the U.S. healthcare system is timely and needed. OBJECTIVES: The purpose of this study was to evaluate and describe the quantity and quality of economic evaluations in nursing-relevant research performed in the United States between 1997 and 2015...
November 23, 2016: Nursing Research
Gwen Verchota, Kathleen J Sawin
BACKGROUND: The role of self-management in adolescents with type 1 diabetes mellitus is not well understood. PURPOSE: The purpose of the research was to examine the relationship of key individual and family self-management theory, context, and process variables on proximal (self-management behaviors) and distal (hemoglobin A1c and diabetes-specific health-related quality of life) outcomes in adolescents with type 1 diabetes. METHODS: A correlational, cross-sectional study was conducted to identify factors contributing to outcomes in adolescents with Type 1 diabetes and examine potential relationships between context, process, and outcome variables delineated in individual and family self-management theory...
November 2016: Nursing Research
Sandra K Hanneman, David McCue, Gabriel L Blog
BACKGROUND: Despite the use of saliva with enzyme immunoassay (EIA) methods validated for use with blood to measure interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α), there has been limited validation of saliva as a matrix for EIA of IL-6 and TNF-α. OBJECTIVES: The study aims were to (a) validate one vendor's commercially available EIAs for detecting IL-6 and TNF-α in saliva as an alternative matrix to blood and (b) test the long-term stability of EIA detection of IL-6 and TNF-α after 12-month storage of saliva and plasma...
November 2016: Nursing Research
Krista Schroeder, Haomiao Jia, Arlene Smaldone
BACKGROUND: Propensity score (PS) methods are increasingly being employed by researchers to reduce bias arising from confounder imbalance when using observational data to examine intervention effects. OBJECTIVE: The purpose of this study was to examine PS theory and methodology and compare application of three PS methods (matching, stratification, weighting) to determine which best improves confounder balance. METHODS: Baseline characteristics of a sample of 20,518 school-aged children with severe obesity (of whom 1,054 received an obesity intervention) were assessed prior to PS application...
November 2016: Nursing Research
Anette Arbjerg Højen, Pia S Dreyer, Deirdre A Lane, Torben Bjerregaard Larsen, Erik Elgaard Sørensen
BACKGROUND: Long-term, mental well-being of adolescence and young adults diagnosed with venous thromboembolism (VTE) as experienced by the patients has received little attention. OBJECTIVE: The purpose of this study was to explore the essential meaning of adolescents' and young adults' lived experiences following VTE to gain an in-depth understanding of their long-term, mental well-being. METHODS: Semistructured interviews were conducted with 12 Danish patients who were diagnosed with VTE in adolescence or young adulthood...
November 2016: Nursing Research
Lissi Hansen, Susan J Rosenkranz, Richard A Mularski, Michael C Leo
BACKGROUND: Family members' perspectives about satisfaction with care provided in the intensive care unit (ICU) have become an important part of quality assessment and improvement, but national and international differences may exist in care provided and family perspectives about satisfaction with care. OBJECTIVE: The purpose of the research was to understand family members' perspectives regarding overall care of medical patients receiving intensive care. METHODS: Family members of medical patients who remained 48 hours or more in two adult ICUS at two healthcare institutions in the U...
November 2016: Nursing Research
Pablo J López-Soto, Michael H Smolensky, Linda L Sackett-Lundeen, Alfredo De Giorgi, María A Rodríguez-Borrego, Roberto Manfredini, Cristiano Pelati, Fabio Fabbian
BACKGROUND: A potentially important factor yet to receive adequate study is the time when hospital falls occur. A prior study conducted before the system-wide introduction of preventive measures revealed a biphasic 24-hour pattern of hospital falls with major peak in the morning. OBJECTIVES: The purpose was to identify the temporal patterning of falls among elderly patients in hospitals with comprehensive fall prevention programs in place. METHODS: A 4-year observational study was conducted by the local health authority in the five nonteaching public hospitals located in the province of Ferrara, Italy...
November 2016: Nursing Research
Janet H Van Cleave, Brian L Egleston, Katherine M Abbott, Karen B Hirschman, Aditi Rao, Mary D Naylor
BACKGROUND: Among older adults receiving long-term services and supports (LTSS), debilitating hospitalizations is a pervasive clinical and research problem. Multiple chronic conditions (MCCs) are prevalent in LTSS recipients. However, the combination of MCCs and diseases associated with hospitalizations of LTSS recipients is unclear. OBJECTIVE: The purpose of this analysis was to determine the association between classes of MCCs in newly enrolled LTSS recipients and the number of hospitalizations over a 1-year period following enrollment...
November 2016: Nursing Research
Wei Pan, Haiyan Bai
No abstract text is available yet for this article.
November 2016: Nursing Research
Stephen H A Hernandez, Brenda J Morgan, Mark B Parshall
BACKGROUND: Stigma may deter military service members from seeking mental health (MH) services. Previously, substantial proportions of U.S. Air Force (USAF) registered nurses and medical technicians reported concerns about stigma with accessing MH services; in particular, that unit members might lose confidence in them or perceive them as weak, unit leadership might treat them differently, or accessing care might affect career advancement. OBJECTIVE: This study assessed the extent to which stigma and barriers to accessing MH services as perceived by USAF nursing personnel are associated with resilience, stress, previous deployment, or demographic characteristics...
November 2016: Nursing Research
Marion Bakhoya, Jiying Ling, Karin A Pfeiffer, Lorraine B Robbins
BACKGROUND: Ways to optimize boosters to assist girls to attain adequate moderate-to-vigorous physical activity following an intervention are unknown. OBJECTIVE: This study's purpose was to (a) determine whether girls receiving mailed motivational, individually tailored postcard boosters following a 17-week physical activity intervention would have greater moderate-to-vigorous physical activity at 9-month follow-up as compared to girls not receiving them and those in a control group and (b) evaluate girls' perceptions of the booster intervention...
September 2016: Nursing Research
Kristin Ashford, Amanda Wiggins, Karen Butler, Melinda Ickes, Mary Kay Rayens, Ellen Hahn
BACKGROUND: The prevalence of electronic cigarette use grows. Amid increased e-cigarette use nationwide, this paper attempts to identify underlying risk factors for the most vulnerable populations. OBJECTIVE: The purpose of the study was to assess predictors of e-cigarette use among female current and former tobacco users of childbearing age-specifically to determine whether demographic factors, pregnancy status, conventional cigarette smoking, and perceived e-cigarette harm are associated with e-cigarette use...
September 2016: Nursing Research
Heather M Gilmartin, Karen H Sousa, Catherine Battaglia
BACKGROUND: The central line (CL) bundle interventions are important for preventing central line-associated bloodstream infections (CLABSIs), but a modeling method for testing the CL bundle interventions within a health systems framework is lacking. OBJECTIVES: Guided by the Quality Health Outcomes Model (QHOM), this study tested the CL bundle interventions in reflective and composite, latent, variable measurement models to assess the impact of the modeling approaches on an investigation of the relationships between adherence to the CL bundle interventions, organizational context, and CLABSIs...
September 2016: Nursing Research
Mari Hayashi, Ayako Yahiro, Yuri Sakuragi, Kanako Iwamatsu, Hiroko Sakamoto, Yasuo Kaizuka, Takuya Tsuchihashi, Masahiro Kamouchi
BACKGROUND: Dysphagia is a serious health problem in aging populations. Older persons also experience high rates of chronic illness and hospitalization. Accurate identification of dysphagia at the time of hospital admission is important for providing supportive interventions for effective swallowing and preventing complications of dysphagia. OBJECTIVES: This study aimed to estimate the prevalence of potential impairment of swallowing function, the association between self-reported and observed swallowing difficulty, and factors associated with swallowing impairment in hospitalized patients...
September 2016: Nursing Research
Hyunjin Oh, Dong-Choon Uhm, Young Joo Yoon
BACKGROUND: Negative work environments influence the ability of nurses to provide optimal patient care in a safe environment. AIM: The purpose of the study was to test a model linking workplace bullying (WPB) and lateral violence (LV) with job stress, intent to leave, and, subsequently, nurse-assessed patient adverse outcomes (safety issues). DESIGN: This descriptive-correlational study examined the relationships between study variables and used a structural equation model to test the validity of the proposed theoretical framework...
September 2016: Nursing Research
Dewi Stalpers, Dimitri van der Linden, Marian J Kaljouw, Marieke J Schuurmans
BACKGROUND: Deliberate screening allows detection of health risks that are otherwise not noticeable and allows expedient intervention to minimize complications and optimize outcomes, especially during critical events like hospitalization. Little research has evaluated the usefulness of screening performance and outcome indicators as measures to differentiate nursing quality, although policymakers are using them to benchmark hospitals. OBJECTIVES: The aims of this study were to examine hospital performance based on nursing-sensitive screening indicators and to assess associations with hospital characteristics and nursing-sensitive outcomes for patients...
September 2016: Nursing Research
Judy Yuen-Man Siu
BACKGROUND: Diseases often carry cultural meanings and metaphors, and these meanings can influence illness experiences and behavioral responses. OBJECTIVES: This research investigated how old cultural stereotypes and new social understandings of overactive bladder (OAB) intertwined to influence sick role adaptation and behavioral responses among those with OAB. METHODS: A qualitative approach using in-depth individual, semistructured interviews was adopted...
September 2016: Nursing Research
Licia M Clowtis, Duck-Hee Kang, Nikhil S Padhye, Cathy Rozmus, Michelle S Barratt
BACKGROUND: Exposure to high levels of maternal stress and ineffective maternal-child engagement (MC-E) may adversely affect child health-related outcomes. OBJECTIVE: The aim of this study was to examine the impact of maternal stress and MC-E on maternal and child biological responses (salivary cortisol and testosterone) and child health outcome in mother-child dyads of preschool children (3-5.9 years) in a low socioeconomic setting. METHODS: Observational and biobehavioral data were collected from 50 mother-child dyads in a preschool setting...
September 2016: Nursing Research
Susan J Henly
No abstract text is available yet for this article.
September 2016: Nursing Research
Juan Li, Zhuang He, Yong Luo, Rong Zhang
BACKGROUND: Conflicts arising from cultural diversity among patients and hospital staff in China have become intense. Hospitals have an urgent need to improve transcultural self-efficacy of nurses for providing effective transcultural nursing. OBJECTIVE: The purpose of the research was to (a) evaluate the current status of perceived transcultural self-efficacy of nurses in general hospitals in Guangzhou, China; (b) explore associations between demographic characteristics of nurses and their perceived transcultural self-efficacy; and (c) assess the reliability and validity of scores on the Chinese version of the Transcultural Self-Efficacy Tool (TSET)...
September 2016: Nursing Research
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