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Western Journal of Nursing Research

Laurel A Despins, Jung H Kim, Chelsea Deroche, Xuefei Song
Spending time with the patient is essential for intensive care unit (ICU) nurses to detect clinical change. This article reports on an examination of factors influencing nurses' activity time allocation. Data were analyzed from a prospective time and motion study of medical ICU nurses. Nurse demographic data and observation, electronic locator technology, and electronic medical record log data were collected over 12 days from 11 registered nurses. Charlson Co-Morbidity Index and Sequential Organ Failure Assessment scores were calculated for patient assignments...
January 11, 2019: Western Journal of Nursing Research
Natsuki Nakayama, Toshio Hayashi, Masahiko Miyachi, Koji Negi, Koji Watanabe, Makoto Hirai
Heart rate variability (HRV), especially increased high frequency (HF), has been reported to provide clinically useful prognostic information regarding cardiovascular disease. Napping is an excellent sleep management strategy in older adults. This study was conducted to clarify the effect of napping on HRV in older adult patients with cardiovascular risk factors. The patients were divided into two groups: one group of 32 patients who reported napping (nap group) and another group of 45 patients who did not report napping (nonnap group)...
January 11, 2019: Western Journal of Nursing Research
Sophia A Stone, Claire J Han, Taurence Senn, Larissa A Korde, Kristen Allott, Scott Reding, Dale Whittington, Kerryn W Reding
Sedentary lifestyles and obesity are known risk factors for breast cancer. Elevated estrogen levels correlate with obesity and, independently, with increased breast cancer risk. Lifestyle interventions that reduce obesity may mitigate this risk, potentially via estrogen pathways. In a 6-month lifestyle intervention, overweight/obese women with high breast cancer risk were randomized to control ( n = 7) or intervention ( n = 6) and analyzed for sex hormone levels. Serum and urine hormones were evaluated by ultra performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS) and sex hormone binding globulin (SHBG) by enzyme-linked immunosorbent assay (ELISA)...
January 7, 2019: Western Journal of Nursing Research
Melinda J Ickes, Karen Butler, Amanda T Wiggins, Mary Kay Rayens, Ellen J Hahn
This study investigated the association between sociodemographic characteristics and public attitudes toward Tobacco 21 laws. Through a random telephone survey in 2017, 1,675 Kentucky adults were asked if they favored/opposed increasing the minimum legal age to purchase tobacco products from 18 to 21 years of age. Over half (57.9%) favored raising the minimum legal age for tobacco sales to 21 (95% confidence interval: [54.5, 61.2]). Multivariable logistic regression for weighted survey data was used to determine factors associated with support...
January 4, 2019: Western Journal of Nursing Research
Stephanie A Stewart
Understanding perceptions of parents is necessary to meet parents' needs during a child's resuscitation. Parent presence at pediatric resuscitations has been slow to become consistent practice in all hospital settings and remains controversial. The purpose of this integrative review was to synthesize research on parents' experience while present during a child's resuscitation to improve understanding for health care providers and to facilitate application in practice. Nine studies met inclusion criteria, identifying four major themes...
January 4, 2019: Western Journal of Nursing Research
Barbara A Mark, Esita Patel
No abstract text is available yet for this article.
January 2, 2019: Western Journal of Nursing Research
(no author information available yet)
No abstract text is available yet for this article.
December 31, 2018: Western Journal of Nursing Research
(no author information available yet)
No abstract text is available yet for this article.
December 25, 2018: Western Journal of Nursing Research
Senay Gul, Yasemin E Turkman, Marie A Bakitas, J Nicholas Dionne-Odom
A qualitative secondary analysis was undertaken to identify aspects of health care service quality in an intensive care unit from the perspective of surrogate decision makers ( N = 19) who were making decisions for relatives at end of life. Directed content analysis was guided by the Donabedian model of health care quality. Nineteen participants averaged 59 years old and were over half female (53%) and patients' spouses (53%) and adult children (32%). Salient aspects of quality service included surrogate perceptions that clinicians conveyed honesty about the patient's condition and in an easily understandable way; staff were sensitive and responsive to emotions and practical needs; clinicians demonstrated a clear, confident understanding of the patient's condition; and support by clinicians was given for surrogates' choices...
December 21, 2018: Western Journal of Nursing Research
Sohyune R Sok, Ok Sun Kim, Mi Hee Park
This study was conducted on 60 male adult technicians in the worksite to examine the impact of the obesity management program on their eating habits, exercise self-efficacy, quality of life, and body components. This was a nonrandomized pretest and posttest intervention study. The obesity management program was applied for 16 weeks on diet education, exercise, and counseling provided by the occupational health nurse in the worksite. The questionnaire for measure included the general characteristics, eating habits, exercise self-efficacy, and quality of life...
December 13, 2018: Western Journal of Nursing Research
Lisa L Shah, Sandra Daack-Hirsch, Anne L Ersig, Anthony Paik, Ferhaan Ahmad, Janet Williams
The purpose of this study was to identify characteristics of family relationships associated with communication of genetic risk and testing behaviors among at-risk relatives in families with an inherited cardiac condition. Data were collected from 53 patients and parents of children with an inherited cardiac condition through interviews, pedigrees, and surveys. Associations were examined among family relationship characteristics and whether at-risk relatives were informed about their risk and tested for disease...
December 12, 2018: Western Journal of Nursing Research
Amany Farag, Daniel Lose, Amalia Gedney-Lose
Medication errors are common in health care settings. Safety motivation, such as willingness to report error, is needed to contain medication errors. Limited evidence exists about measures to enforce nurses' safety motivation. The purpose of this study was to test a proposed model explaining the mechanism by which organizational and social factors influence nurses' safety motivation. Survey for this cross-sectional study was mailed to a random sample of 500 acute care nurses. Data collection started in January 2014 and lasted 6 months...
December 5, 2018: Western Journal of Nursing Research
Chunyan Nie, Tianzhu Li, Xiaoxia Guo
The objective of this article is to investigate the effects of intensive patients' education and lifestyle improving program (IPEL) on anxiety, depression, and overall survival (OS) in coronary artery disease (CAD) patients with anxiety and depression. In all, 224 CAD patients with anxiety and depression were randomly assigned to IPEL or control group. In Stage I, the IPEL group received IPEL and usual care, while the control group only received usual care. In Stage II, patients were further followed up and OS analysis was performed...
November 19, 2018: Western Journal of Nursing Research
Soo-Kyoung Lee
No abstract text is available yet for this article.
November 12, 2018: Western Journal of Nursing Research
Azza H Ahmed, Sun Hui, Jennifer Crodian, Karen Plaut, David Haas, Lingsong Zhang, Theresa Casey
Sleep quality during pregnancy affects maternal/child health. We aimed to assess changes in sleep quality during pregnancy and determine its relationship to maternal mood, blood glucose, and work schedule among primiparous women. We conducted a prospective/longitudinal/observational study. Ninety-two pregnant women were recruited from Midwestern hospital. Mood and sleep quality data were collected using Edinburgh Postnatal Depression Scale/Pittsburgh Sleep Quality Index at Gestational Weeks 22 and 32. Forty-three women completed the study...
November 8, 2018: Western Journal of Nursing Research
Mark B Lockwood, SeonYoon Chung, Houry Puzantian, Ulf G Bronas, Catherine J Ryan, Chang Park, Holli A DeVon
The purpose of this review was to synthesize evidence on symptom clusters in patients with chronic kidney disease (CKD). The quality of studies was evaluated using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Twelve articles met inclusion criteria. Patients had CKD ranging from Stages 2 through 5. Most studies determined clusters using variable-centered approaches based on symptoms; however, one used a person-centered approach based on demographic and clinical characteristics...
October 31, 2018: Western Journal of Nursing Research
Grant A Pignatiello, Ronald L Hickman
Surrogate decision makers (SDMs) of the critically ill experience intense emotions and transient states of decision fatigue. These factors may increase the cognitive load experienced by electronic decision aids. This cross-sectional study explored the associations of emotion regulation (expressive suppression and cognitive reappraisal) and decision fatigue with cognitive load (intrinsic and extraneous) among a sample of 97 SDMs of the critically ill. After completing subjective measures of emotion regulation and decision fatigue, participants were exposed to an electronic decision aid and completed a subjective measurement of cognitive load...
October 26, 2018: Western Journal of Nursing Research
Karie Ruekert Kobiske, Abir K Bekhet, Mauricio Garnier-Villarreal, Marilyn Frenn
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 = ...
October 20, 2018: Western Journal of Nursing Research
Amy Jude Hoffman
No abstract text is available yet for this article.
January 2019: Western Journal of Nursing Research
Amy Jude Hoffman, Sandra Spoelstra, Kelly Wierenga, Kathleen C Buckwalter
No abstract text is available yet for this article.
December 2018: Western Journal of Nursing Research
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