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ANS. Advances in Nursing Science

Katja Bohner
Transitions Theory (TT) states that change and transition are phenomena that make humans more vulnerable to health risks. Transitions Theory was evaluated through a text analysis of 4 publications, 3 nursing expert focus group interviews in Switzerland, and a mapping review of the transition literature of the last 5 years. Although the implementation of TT into Swiss nursing practice seems problematic due to conceptual deficiencies, transition is a meaningful nursing topic. The connection between TT, research, and practice is weak...
October 3, 2016: ANS. Advances in Nursing Science
Zahra Rahemi, Christine Lisa Williams
This integrative review was conducted to examine the evidence for understanding diversity in end-of-life preferences among older adults of underrepresented groups. Findings from 21 studies were critically examined, grouped, and compared across studies, populations, and settings. Five major themes emerged: advance directives, hospice and palliative care, communication, knowledge and information, and home and family. Despite multidisciplinary attention, content and methodological limitations narrowed understanding of what matters most to these groups when making decisions at end of life...
September 26, 2016: ANS. Advances in Nursing Science
Laura David
No abstract text is available yet for this article.
September 26, 2016: ANS. Advances in Nursing Science
Solfrid Vatne
Seriously mentally ill patients' unusual behavior is considered challenging in caring relationships, but we know little about how this affects mental health nurses' vulnerability. This article uses a phenomenological design inspired by Heidegger's philosophy with the results of fieldwork and reflection groups with 11 nurses on an acute ward. The nurses were exposed to an accumulation of negative emotions, caused by potentially or actually harmful scenarios that were more extreme than those in other nursing contexts...
September 16, 2016: ANS. Advances in Nursing Science
Marianne Fjose, Grethe Eilertsen, Marit Kirkevold, Ellen Karine Grov
This study explores experiences of elderly patients with cancer and their family members with regard to what is important and difficult in the family relationships during the palliative phase. Family group interviews were conducted with 26 families. The data were analyzed using qualitative content analysis. Three themes emerged: "Ensuring a positive final time together," "Avoiding tension and conflict," and "Concealing thoughts, feelings, and needs." The main theme, "A valuable but demanding time," indicates that although families find this phase of life challenging, they emphasize the importance of ensuring that this time is spent together in a positive way as a family...
September 9, 2016: ANS. Advances in Nursing Science
Charlotte Wool, Beth Perry Black, Anne B Nancy Woods
Measurement of quality indicators (QIs) in perinatal palliative care has not been addressed. Parents who chose to continue pregnancy after a diagnosis of a life-limiting fetal condition described perceptions of quality care and their satisfaction with care. This research identified which QIs explained parental satisfaction. High QI scores are associated with parental satisfaction. Parents who were satisfied reported 2.9 times the odds that their baby was treated with dignity and respect and 3.4 times the odds their medical care was addressed...
September 7, 2016: ANS. Advances in Nursing Science
Donna J Perry, Danny G Willis, Kenneth S Peterson, Pamela J Grace
This article expands upon previous work by the authors to develop a model of nursing essential and effective freedom to facilitate nursing action in behalf of social justice. The article proposes that while social justice is rooted in nursing's ontological, epistemological, and moral foundations, the discipline's social justice mandate is constrained by its historical and contemporary location within an institutionalized medical paradigm. We present a model of nursing "essential" and "effective" freedom based on the philosophy of Bernard Lonergan to illustrate how nursing can transcend these barriers...
September 7, 2016: ANS. Advances in Nursing Science
Sheryl Reimer-Kirkham, Kelli Stajduhar, Bernie Pauly, Melissa Giesbrecht, Ashley Mollison, Ryan McNeil, Bruce Wallace
All too often, palliative care services are not responsive to the needs of those who are doubly vulnerable, being that they are both in need of palliative care services and experiencing deficits in the social determinants of health that result in complex, intersecting health and social concerns. In this article, we argue for a reorientation of palliative care to explicitly integrate the premises of health equity. We articulate the philosophical, theoretical, and empirical scaffolding required for equity-informed palliative care and draw on a current study to illustrate such an approach to the care of people who experience structural vulnerabilities...
September 7, 2016: ANS. Advances in Nursing Science
Cherie S Adkins, Kim K Doheny
In this article we report on a study exploring personal narratives of mothers of former preterm infants and the attributed meaning related to that experience over time. Using narrative inquiry as the research method, in-depth, unstructured interviews were conducted with 6 preterm mothers. Findings reveal that a preterm mother's experience is informed by contextual, intrapersonal, and interpersonal dynamics, some predating the birth often with effects that continue for years beyond it. By learning a preterm mother's unique experience and its attributed meaning, nurses can better understand the resulting effect on maternal/family health and well-being and tailor nursing interventions accordingly...
September 7, 2016: ANS. Advances in Nursing Science
Laura Beth Cook, Ann Peden
Many nursing theorists claim caring as the aspect of nursing that differentiates it from other health care professions. Newman et al defined the focus of nursing as "the study of caring in the human health experience," yet there is little consensus among nurses about the validity of this statement. The purpose of this article is to explore the concept of caring as it has been defined by various nursing scholars and to determine whether the focus of nursing knowledge development can appropriately be defined as "the study of caring in the human health experience...
September 7, 2016: ANS. Advances in Nursing Science
Quinn Grundy, Ruth E Malone
The "as-if" world of nursing is a well-constructed, institutionally preserved and defended myth that asserts clinicians who are "just nurses" do not make decisions in the absence of "doctor's orders." Drawing on data from an ethnography exploring the interactions between nurses and industry, we explore the finding that many nurses did not identify as "decision makers" and were mystified by the attention of sales representatives. Many nurses experienced marketing as benign as there was no "decision" to sway...
August 11, 2016: ANS. Advances in Nursing Science
Louise Terry, Graham Carr, Joan Curzio
This study explored with expert nurses in the UK how nursing wisdom can be developed in new and junior nurses. Carper's patterns of knowing and Benner's novice-to-expert continuum formed the theoretical framework. Employing a constructionist research methodology with participant engagement in co-construction of findings, data were collected via 2 separate cycles comprising 4 consecutive sessions followed by a nationally advertised miniconference. Empirical, ethical, personal, and esthetic knowing was considered evident in junior nurses...
August 11, 2016: ANS. Advances in Nursing Science
William Rosa, Tarron Estes
Conscious Dying Institute is paving a new path in the realm of end of life care; one emerging from awareness, humanity, dignity, caring consciousness, and a return to the sacred. The purpose herein is to discuss the emerging theoretical perspectives of Conscious Dying Institute and to address their implications for broadening the scope of nursing and end of life care. In educating nurses about their own authentic selves, they return to their personal-professional purpose, awaken to a heightened awareness of needs for self and other, and influence a global shift in how end of life care is viewed, addressed, and delivered...
August 11, 2016: ANS. Advances in Nursing Science
Rafael D Romo, Carol S Dawson-Rose, Ann M Mayo, Margaret I Wallhagen
Understanding changes in decision making among older adults across time is important for health care providers. We examined how older adults with a limited prognosis used their perception of prognosis and health in their decision-making processes and related these findings to prospect theory. The theme of decision making in the context of ambiguity emerged, reflecting how participants used both prognosis and health to value choices, a behavior not fully captured by prospect theory. We propose an extension of the theory that can be used to better visualize decision making at this unique time of life among older adults...
August 11, 2016: ANS. Advances in Nursing Science
Danielle Beck, Lindsay Cosco Holt, Joseph Burkard, Taylor Andrews, Lin Liu, Pia Heppner, Jill E Bormann
Statistics show that more than 80% of Veterans mention posttraumatic stress disorder (PTSD)-related symptoms when seeking treatment. Sleep disturbances and nightmares are among the top 3 presenting problems. Current PTSD trauma-focused therapies generally do not improve sleep disturbances. The mantram repetition program (MRP), a mind-body-spiritual intervention, teaches a portable set of cognitive-spiritual skills for symptom management. The aim of this study was to evaluate the efficacy of the MRP on insomnia in Veterans with PTSD in a naturalistic, clinical setting...
August 11, 2016: ANS. Advances in Nursing Science
Seung Eun Lee, Catherine Vincent, Lorna Finnegan
The Theory of Unpleasant Symptoms was developed to enhance understanding of relationships among multiple symptoms and symptom experiences. Although the theory has been used to guide research, no formal critique of the theory has been published since 2000. This article comprehensively analyzes and evaluates the theory using Fawcett and DeSanto-Madeya's framework. Although its semantic clarity, semantic and structural consistency, and parsimony could be improved, the theory demonstrates good social and theoretical significance, testability, and empirical and pragmatic adequacy...
August 11, 2016: ANS. Advances in Nursing Science
Whitney Thurman, Megan Pfitzinger-Lippe
This article reviews the history of social justice in nursing and argues that education needs to be redesigned to allow nurses to return to the profession's social justice roots. A review of social justice literature in nursing practice and education was conducted. Although social justice is a recurring theme in the literature, definitions are abstract, calls to action are ambiguous, and theoretical frameworks continue to emphasize the individual nurse-patient dyad. Nursing education needs to be redesigned to incorporate social justice concepts throughout the entire curriculum...
August 11, 2016: ANS. Advances in Nursing Science
Suzanne S Sullivan, Suzanne S Dickerson
Studies have shown that advanced care planning improves communication and reduces suffering for patients and their bereaved caregivers. Despite this knowledge, the rates of advance care plans are low and physicians, as the primary gatekeepers, have made little progress in improving their rates. Through the lens of critical social theory, we examine these forces and identify the ideologies, assumptions, and social structures that curtail completion of advanced care plans such as Preserving Life, Ageism, Paternalism, and Market-Driven Healthcare System...
August 11, 2016: ANS. Advances in Nursing Science
Kristín Thórarinsdóttir, Kristín Björnsdóttir, Kristján Kristjánsson
In this article, an action-research project has been outlined, aimed at exploring ways for developing an assessment tool, underpinned by phenomenology, which would enhance a person-centered approach to the participation of patients in nursing assessment and care planning in rehabilitation. Participants were nurses in physical rehabilitation and a consultant. Data were collected by interviews and observation of the documentation on the tool. The tool, Hermes, was adopted in practice. Through its use, important person-centered assessment practices were enhanced and several aspects of its phenomenological grounding were supported...
August 11, 2016: ANS. Advances in Nursing Science
Jeffrey M Adams, Sudha Natarajan
Acquiring influence, and knowing how to use it, is a required competency for nurse leaders, yet the concept of influence and how it works is not well described in the nursing literature. In this article, the authors examine what is known about influence and present an influence model specific to nurse leaders. The Adams Influence Model was developed through an iterative process and is based on a comprehensive review of the influence literature, expert commentary, multiple pilot studies, evaluation of nursing theories, and validation by an external data source...
July 2016: ANS. Advances in Nursing Science
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