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Western Journal of Nursing Research

Vicki Hertzberg, Valerie Mac, Lisa Elon, Nathan Mutic, Abby Mutic, Katherine Peterman, J Antonio Tovar-Aguilar, Eugenia Economos, Joan Flocks, Linda McCauley
Affordable measurement of core body temperature (Tc) in a continuous, real-time fashion is now possible. With this advance comes a new data analysis paradigm for occupational epidemiology. We characterize issues arising after obtaining Tc data over 188 workdays for 83 participating farmworkers, a population vulnerable to effects of rising temperatures due to climate change. We describe a novel approach to these data using smoothing and functional data analysis. This approach highlights different data aspects compared with describing Tc at a single time point or summaries of the time course into an indicator function (e...
October 18, 2016: Western Journal of Nursing Research
Ashfaq Khokhar, Muhammad Kamran Lodhi, Yingwei Yao, Rashid Ansari, Gail Keenan, Diana J Wilkie
Despite an unprecedented amount of health-related data being amassed from various technological innovations, our ability to process this data and extract hidden knowledge has yet to catch up with this explosive growth. Although nursing care plans can be an effective tool to support the achievement of desired patient outcomes, their online collection, storage, and processing is lagging far behind. As a result, the impact of nursing care is not well understood from qualitative as well as quantitative perspectives...
October 18, 2016: Western Journal of Nursing Research
Jia-Rong Wu, Terry A Lennie, Sandra B Dunbar, Susan J Pressler, Debra K Moser
Sodium intake in heart failure (HF) is a crucial but poorly understood phenomenon. Theoretical models promote understanding and provide a context for rational appraisal of complex situations. The purpose of this study was to determine which factors were associated with sodium intake in HF patients using theory of planned behavior (TPB). In this study, patients' (N = 244) attitudes, subjective norms, and perceived behavioral control (tenets of the TPB) were assessed using the Dietary Sodium Restriction Questionnaire...
October 18, 2016: Western Journal of Nursing Research
Sharron L Docherty, Allison Vorderstrasse, Debra Brandon, Constance Johnson
Nursing scientists have long been interested in complex, context-dependent questions addressing individual- and population-level challenges in health and illness. These critical questions require multilevel data (e.g., genetic, physiologic, biologic, behavioral, affective, and social). Advances in data-gathering methods have resulted in the collection of large sets of complex, multifaceted, and often non-comparable data. Scientific visualization is a powerful methodological tool for facilitating understanding of these multidimensional data sets...
October 18, 2016: Western Journal of Nursing Research
Jina Choo, Hye-Jin Kim, Sooyeon Park
This study aimed to identify the actual and perceived features of neighborhood environments linked to health behaviors and obesity status in vulnerable children by using geographic information systems, walking surveys, and focus group interviews. The participants were 126 children registered at community child centers and 10 mothers of study participants. Increased availability of fast food outlets and convenience stores was significantly and positively associated with fast food and sugar-sweetened beverage consumption and inversely with physical activity...
October 16, 2016: Western Journal of Nursing Research
Susan J Pressler, Jordan M Harrison, Marita Titler, Todd M Koelling, Miyeon Jung, Susan G Dorsey, Giorgos Bakoyannis, Penny L Riley, Lisa Hoyland-Domenico, Bruno Giordani
Twenty-three percent to 50% of heart failure (HF) patients have memory loss. Objectives were to (a) characterize major allelic frequency of 2 variants in apolipoprotein (APOE) gene in HF patients, (b) evaluate differences in memory and serum brain-derived neurotrophic factor (BDNF) levels based on APOE ε4 allele(s), and (c) estimate effect sizes (ESs) and confidence intervals (CIs). In this pilot, 29 HF patients were enrolled and 26 completed. Recall and delayed recall memory were measured at baseline and 12 weeks...
October 12, 2016: Western Journal of Nursing Research
Victoria Goode, Nancy Crego, Michael P Cary, Deirdre Thornlow, Elizabeth Merwin
Researchers need to evaluate the strengths and weaknesses of data sets to choose a secondary data set to use for a health care study. This research method review informs the reader of the major issues necessary for investigators to consider while incorporating secondary data into their repertoire of potential research designs and shows the range of approaches the investigators may take to answer nursing research questions in a variety of context areas. The researcher requires expertise in locating and judging data sets and in the development of complex data management skills for managing large numbers of records...
October 12, 2016: Western Journal of Nursing Research
Sami Y Al-Rawashdeh, Terry A Lennie, Misook L Chung
Sleep disturbance is common in patients with heart failure and their family caregivers. The purpose of this study was to determine whether sleep disturbances of patients and their spousal caregivers predicted their own and their partners' quality of life (QoL) in 78 heart failure patient-spousal caregiver dyads. Sleep disturbance was assessed using a composite score of four common sleep complaints. QoL was assessed by the physical and mental well-being subscales of the Short-Form 12 Health Survey. The multilevel dyadic actor-partner interdependence model analysis was used to determine the association between sleep disturbance and QoL...
October 6, 2016: Western Journal of Nursing Research
Ok-Kyung Ham, Wonshik Chee, Eun-Ok Im
The aim of this study was to investigate whether social structure is associated with cancer pain and quality of life using the Social Structure and Personality Research Framework. This study was a secondary analysis of data from 480 cancer patients. The measurements included socioeconomic variables, self-reported cancer pain using the McGill Pain Questionnaire-Short Form (MPQ-SF), and quality of life measured using the Functional Assessment of Cancer Therapy Scale (FACT-G). The data were analyzed using moderated multiple regression...
October 4, 2016: Western Journal of Nursing Research
Lina Guo, Jaclene A Zauszniewski, Xianfei Ding, Lin Zhang, Han Gao, Qiyun Guo, Kun Liu
The study aimed to test the reliability and validity of the Chinese version of the Appraisal of Self-Care Agency Scale-Revised (ASAS-R-CHI). A cross-sectional design was used to conduct this study, and the sample consisted of 1,219 older people, collected by a demographic questionnaire, ASAS-R-CHI and the Exercise of Self-Care Agency (ESCA) scale. The Cronbach's alpha (α) of ASAS-R-CHI was .79, the test-retest correlation was 0.95, and the item-to-total correlations ranged from r = .41 to r = .74. Exploratory factor analysis (EFA) resulted in three factors that explained 65...
October 4, 2016: Western Journal of Nursing Research
Miyuki Takase, Masako Yamamoto, Yoko Sato, Takiko Imai, Mitsuko Kawamoto
With the growing focus on continuous professional development, demands placed on nurses to uphold nursing competence have been increasing. This study examined how nurses with different lengths of clinical experience perceived the relationship between their actual competence and the competence they felt was demanded of them, and how this relationship was related to their turnover intentions. Survey questionnaires were distributed to 1,377 nurses, of whom 765 returned usable completed forms. The results showed that across all the groups of clinical experience, nurses perceived the demanded competence levels to be higher than their actual competence levels...
October 3, 2016: Western Journal of Nursing Research
Dilek Soydemir, Seyda Seren Intepeler, Hatice Mert
The purpose of the study was to determine what barriers to error reporting exist for physicians and nurses. The study, of descriptive qualitative design, was conducted with physicians and nurses working at a training and research hospital. In-depth interviews were held with eight physicians and 15 nurses, a total of 23 participants. Physicians and nurses do not choose to report medical errors that they experience or witness. When barriers to error reporting were examined, it was seen that there were four main themes involved: fear, the attitude of administration, barriers related to the system, and the employees' perceptions of error...
September 30, 2016: Western Journal of Nursing Research
Lingying Liu, Jiemin Zhu, Jinqiu Yang, Min Wu, Benlan Ye
The purpose of this study was to examine the effect of a self-efficacy intervention on primiparous mothers' breastfeeding behaviors. Participants were recruited from an antenatal clinic at a university-affiliated hospital. Seventy-five primiparous mothers were recruited from November 2013 to February 2014 for the control group, and 75 primiparous mothers were recruited from March to June 2014 for the intervention group. The intervention group participated in a 1-hr prenatal breastfeeding workshop and a 1-hr breastfeeding counseling session within 24 hr after delivery...
September 28, 2016: Western Journal of Nursing Research
Cara C Young, Liana Lo Chau
This study evaluated qualitative reports of stressful life events from young rural adolescents and examined the relationship between stressor themes and depressive symptoms. A phenomenological approach guided content analysis of qualitative data. Number of themes within each response was tabulated, and association with depressive symptoms was then examined. Stressors were categorized into four thematic domains: family, peers, academics, and intrapersonal. Individual themes within each domain varied, but the themes of conflict and loss were predominant in most domains...
September 27, 2016: Western Journal of Nursing Research
Ju Young Shin, Ryan T Pohlig, Barbara Habermann
Parkinson's disease (PD) is a neurodegenerative disease with a wide range of symptom presentations. The purpose of this research was to compare self-reported motor and non-motor symptoms of PD by sex and disease duration. This study was a cross-sectional descriptive survey in community-dwelling people with PD. A total of 141 participants (64.6% response rate; 59.6% men; Mage = 69.7 years) were included. Males reported more rigidity, speech problems, sexual dysfunction, memory problems, and socializing problems than females...
September 23, 2016: Western Journal of Nursing Research
Wendy R Miller, Doyle Groves, Amelia Knopf, Julie L Otte, Ross D Silverman
There is a need to develop methods to analyze Big Data to inform patient-centered interventions for better health outcomes. The purpose of this study was to develop and test a method to explore Big Data to describe salient health concerns of people with epilepsy. Specifically, we used Word Adjacency Graph modeling to explore a data set containing 1.9 billion anonymous text queries submitted to the ChaCha question and answer service to (a) detect clusters of epilepsy-related topics, and (b) visualize the range of epilepsy-related topics and their mutual proximity to uncover the breadth and depth of particular topics and groups of users...
September 21, 2016: Western Journal of Nursing Research
Maxim Topaz, Kavita Radhakrishnan, Suzanne Blackley, Victor Lei, Kenneth Lai, Li Zhou
This study developed an innovative natural language processing algorithm to automatically identify heart failure (HF) patients with ineffective self-management status (in the domains of diet, physical activity, medication adherence, and adherence to clinician appointments) from narrative discharge summary notes. We also analyzed the association between self-management status and preventable 30-day hospital readmissions. Our natural language system achieved relatively high accuracy (F-measure = 86.3%; precision = 95%; recall = 79...
September 14, 2016: Western Journal of Nursing Research
Anne E Roll, Barbara J Bowers
This qualitative case study sought to examine an innovative community outreach nursing program designed to promote healthy aging for more than 250 individuals with intellectual or developmental disabilities living in the community. We analyzed 10 in-depth interviews, one focus group, and various documents using thematic analysis. We researched why the program emerged and found the reasons to be improving the communication with primary care providers, providing person-centered health care, and building on and contributing to existing community-based programs...
September 12, 2016: Western Journal of Nursing Research
Miriam O Ezenwa, Marie L Suarez, Jesus D Carrasco, Theresa Hipp, Anayza Gill, Jacob Miller, Robert Shea, David Shuey, Zhongsheng Zhao, Veronica Angulo, Timothy McCurry, Joanna Martin, Yingwei Yao, Robert E Molokie, Zaijie Jim Wang, Diana J Wilkie
This purpose of this article is to describe how we adhere to the Patient-Centered Outcomes Research Institute's (PCORI) methodology standards relevant to the design and implementation of our PCORI-funded study, the PAINRelieveIt Trial. We present details of the PAINRelieveIt Trial organized by the PCORI methodology standards and components that are relevant to our study. The PAINRelieveIt Trial adheres to four PCORI standards and 21 subsumed components. The four standards include standards for formulating research questions, standards associated with patient centeredness, standards for data integrity and rigorous analyses, and standards for preventing and handling missing data...
September 12, 2016: Western Journal of Nursing Research
Jennifer B Seaman, Anna C Evans, Andrea M Sciulli, Amber E Barnato, Susan M Sereika, Mary Beth Happ
The electronic health record is a potentially rich source of data for clinical research in the intensive care unit setting. We describe the iterative, multi-step process used to develop and test a data abstraction tool, used for collection of nursing care quality indicators from the electronic health record, for a pragmatic trial. We computed Cohen's kappa coefficient (κ) to assess interrater agreement or reliability of data abstracted using preliminary and finalized tools. In assessing the reliability of study data (n = 1,440 cases) using the finalized tool, 108 randomly selected cases (10% of first half sample; 5% of last half sample) were independently abstracted by a second rater...
September 7, 2016: Western Journal of Nursing Research
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