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Western Journal of Nursing Research

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https://www.readbyqxmd.com/read/28322638/barriers-in-transitioning-patients-with-severe-obesity-from-hospitals-to-nursing-homes
#1
Christine Bradway, Holly C Felix, Tonya Whitfield, Xiaocong Li
This cross-sectional, descriptive study explored perspectives of discharge planners regarding transitions of hospitalized patients who are severely obese seeking discharge to a nursing home. Attention has been focused on care transitions regarding high hospital readmission rates, yet specific needs of patients who are severely obese have been largely overlooked. Ninety-seven (response rate 39.8%) discharge planners returned surveys addressing frequency of, and issues encountered when, arranging placements. Community and hospital characteristics were also collected...
December 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28597724/motivations-and-features-of-co-parenting-an-infant-with-complex-congenital-heart-disease
#2
Karen Pridham, Tondi M Harrison, Anne Chevalier McKechnie, Roger Brown
This study described co-parenting motivations and quality of co-parenting features for parents of infants with complex congenital heart disease (CCHD), including differences over time by illness severity. Existing transcripts of parenting experience at infant age 1 and 12 months for 23 parent couples were analyzed using directed content analysis. Data were quantitized for additional description. Six co-parenting motivations and five co-parenting features were identified. Two co-parenting motivations had not been previously described: Developing the Co-Parenting Relationship and Maintaining the Couple Relationship...
June 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28580857/factors-influencing-patient-perceived-satisfaction-with-community-based-case-management-services
#3
Claire Su-Yeon Park, Eunok Park
This study aimed to identify factors that significantly affect patient-perceived satisfaction with community-based case management services and provide practical strategies for improving patient-perceived quality of care. Secondary data analyses were performed in 2010, 2013, 2015, and 2016, which included Pearson's and Spearman's correlation, Mann-Whitney U and Kruskal-Wallis tests, and stepwise multiple regression. The response variable was measured by the Korean Patient-Perceived Satisfaction Scale of Community-Based Case Management Services (Korean-PSCCM; a 10-level Likert-type scale), whereas explanatory variables were derived from prior studies...
June 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28511584/a-pilot-intervention-designed-to-address-behavioral-factors-that-place-overweight-obese-young-children-at-risk-for-later-life-obesity
#4
Leigh Small, Leroy Thacker, Heather Aldrich, Darya Bonds-McClain, Bernadette Melnyk
The purpose of this pilot randomized controlled trial (RCT) was to intervene with parents of overweight/obese 4- to 8-year-old children to improve child internalizing and externalizing behaviors. Parent-child dyads ( N = 60) were randomly assigned to treatment or comparison conditions. Parents attended four intervention sessions at their child's primary health care office over 3 months. Child behaviors were assessed at 0, 3, 6, and 12 months post intervention. Parental beliefs in their skills/abilities increased in the experimental group parents, but there was no statistical difference between groups at any time...
May 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28508702/cluster-analysis-in-nursing-research-an-introduction-historical-perspective-and-future-directions
#5
Heather Dunn, Laurie Quinn, Susan J Corbridge, Kamal Eldeirawi, Mary Kapella, Eileen G Collins
The use of cluster analysis in the nursing literature is limited to the creation of classifications of homogeneous groups and the discovery of new relationships. As such, it is important to provide clarity regarding its use and potential. The purpose of this article is to provide an introduction to distance-based, partitioning-based, and model-based cluster analysis methods commonly utilized in the nursing literature, provide a brief historical overview on the use of cluster analysis in nursing literature, and provide suggestions for future research...
May 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28508700/the-chronicity-of-depressive-symptoms-in-mothers-of-children-with-asthma
#6
Joan Kub, Melissa H Bellin, Arlene Butz, Mary Elizabeth Bollinger, Cassia Lewis-Land, Philip Osteen
Depression can disproportionately affect low-income women. The purpose of this study was to explore the chronicity of depressive symptoms in a sample of 276 low-income inner-city mothers of children with high-risk asthma. The aims were to identify factors (asthma health status, stress, social support) associated with change in depressive symptomatology over 12 months as well as to ascertain what factors are most consistently associated with depressive symptoms. Using latent growth curve analysis, demographic variables, asthma severity, stress, and social support failed to explain changes in depressive symptomatology...
May 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28470114/collegiate-women-s-definitions-of-responsible-sexual-behavior
#7
Nicole Loew, Melissa Lehan Mackin, Lioness Ayres
Promoting responsible sexual behavior (RSB) is a public health strategy to decrease unplanned pregnancies and sexually transmitted infections (STIs). Current definitions of RSB in the literature have been developed by providers and policy makers; little is known about adult women's perspectives. Interventions inconsistent with women's definitions of RSB may be less effective; therefore, the purpose of this study was to understand how a sample of college women defined RSB. Data was collected from interviews as part of a mixed methods study of college women and unintended pregnancy...
May 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28459179/variables-of-individual-difference-and-the-experience-of-touch-in-nursing
#8
Monica Pedrazza, Sabrina Berlanda, Elena Trifiletti, Stefania Minuzzo
We aim to investigate nurses' feelings of comfort or discomfort with three different types of touch: task-oriented contact, touch promoting physical comfort, and touch providing emotional containment. A questionnaire was administered to a sample of 198 nurses. We present results of multiple regression analysis identifying some antecedents of nurses' feelings of comfort with touch, namely, attachment style, worry, gender, and length of service. Worry is negatively associated with task-oriented contact and touch promoting physical comfort...
April 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28459178/functional-measures-for-fall-risk-in-the-acute-care-setting-a-review
#9
Alaina M Bassett, Ka-Chun Siu, Julie A Honaker
This review explores the evidence pertaining to the use of functional ability measures for fall risk in the acute care setting. We included studies from six bibliographic databases that investigated fall risk functional ability measures in hospitalized older adults (≥55 years). We utilized the following search terms: acute care, subacute care, critical care, inpatient, fall, and fall prevention. Nineteen articles met the inclusion criteria. Timed "Up and Go" (TUG) was identified as a feasible fall risk functional ability measure for clinicians; it demonstrated clinical performance of fair sensitivity (56%-68%) and good specificity (74%-80%)...
April 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28459177/daily-symptom-variability-in-patients-with-stable-copd-a-narrative-review
#10
Maochun Wu, Zequan Wang, Manman Li, Kun Li
Daily symptom variability refers to the fluctuation of chronic obstructive pulmonary disease (COPD) symptoms over the day. Although most clinicians can describe the day-to-day variation in symptoms experienced by patients with COPD, little has been done to quantify the variability. This review aims to synthesize evidence of daily symptom variability among patients with stable COPD. Of the 325 potentially relevant articles that were retrieved, 11 observational articles were finally included in the review. Patients with stable COPD commonly experience daily symptom variability, with morning being the most troublesome time of day, followed by night...
April 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28457204/assessing-cognitive-representations-of-antidepressants-development-and-validation-of-the-attitudes-toward-medication-depression-inventory
#11
Bonnie M Hagerty, Reg A Williams, James Aikens, Melissa A Bathish, Brady T West, Douglas S Fuller, Joe Kazemi
Antidepressant drugs represent the mainstay of treatment for depression; however, nonadherence is a major problem. Attitudes are predictors of long-term adherence and drive medication use. The Attitudes Toward Medication-Depression (ATM-D) Inventory was developed and tested with 131 patients in primary care settings who reported a diagnosis of depression. Content validity was assessed by experts with a 94.4% agreement on item relevancy. Exploratory factor analysis showed three factors (course of medication treatment, identity, and control) that accounted for 57% of the total variance in the final 17-item scale...
April 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28436266/the-identity-threat-of-weight-stigma-in-adolescents
#12
Wren B Hand, Jennifer C Robinson, Mary W Stewart, Lei Zhang, Samuel C Hand
Obesity remains a serious public health issue in adolescents, who may be subjected to weight stigma leading to increased stress and poor health outcomes. Stigma can be detrimental to adolescents during self-identity formation. The purpose of this study was to examine weight stigma in adolescents in light of the Identity Threat Model of Stigma. A cross-sectional correlational design was used to examine the relationships among the variables of weight stigma, psychosocial stress, coping styles, disordered eating, and physical inactivity...
April 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28436265/recruiting-african-american-children-for-research-an-ecological-systems-theory-approach
#13
Diane Graves, Jane P Sheldon
With health disparities still pervasive and persistent in the United States, medical researchers and social scientists continue to develop recruitment strategies to increase the inclusion of racial/ethnic minority groups in research and interventions. Effective methods for recruiting samples of African American participants for pediatric research may be best understood when situated within an overarching conceptual model-one that serves to organize and explain effective recruitment strategies. A theoretical framework well suited for this purpose is Bronfenbrenner's ecological systems theory, which views individuals as influencing and being influenced by (both directly and indirectly) a series of interconnected social systems...
April 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28436264/interventions-to-improve-grandparent-caregivers-mental-and-physical-health-an-integrative-review
#14
Jen'nea Sumo, JoEllen Wilbur, Wrenetha Julion, Susan Buchholz, Michael Schoeny
The aim of this integrative review is to appraise grandparent caregiver interventions that are designed to improve their physical and mental health. A database search was performed to identify relevant studies published between January 1, 1980, and December 31, 2014. Thirteen publications, including 11 studies, met all inclusion and exclusion criteria. All studies included grandparent mental health outcomes with fewer focusing on physical health and social relations. Improvements were found in all three areas with fewer improvements seen in physical health...
April 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28436263/modern-methods-for-modeling-change-in-obesity-research-in-nursing
#15
Susan M Sereika, Yaguang Zheng, Lu Hu, Lora E Burke
Persons receiving treatment for weight loss often demonstrate heterogeneity in lifestyle behaviors and health outcomes over time. Traditional repeated measures approaches focus on the estimation and testing of an average temporal pattern, ignoring the interindividual variability about the trajectory. An alternate person-centered approach, group-based trajectory modeling, can be used to identify distinct latent classes of individuals following similar trajectories of behavior or outcome change as a function of age or time and can be expanded to include time-invariant and time-dependent covariates and outcomes...
April 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28424028/church-based-recruitment-to-reach-korean-immigrants-an-integrative-review
#16
Chorong Park, Myoungock Jang, Soohyun Nam, Margaret Grey, Robin Whittemore
Although the Korean church has been frequently used to recruit Korean immigrants in research, little is known about the specific strategies and process. The purpose of this integrative review was to describe recruitment strategies in studies of Korean immigrants and to identify the process of Korean church-based recruitment. Thirty-three studies met inclusion criteria. Four stages of church-based recruitment were identified: initiation, endorsement, advertisement, and implementation. This review identified aspects of the church-based recruitment process in Korean immigrants, which are different from the Black and Hispanic literature, due to their hierarchical culture and language barriers...
April 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28397571/symptom-clusters-and-quality-of-life-according-to-the-survivorship-stage-in-ovarian-cancer-survivors
#17
Minhae Kim, Kyunghee Kim, Changwon Lim, Ji-Su Kim
This cross-sectional study evaluated a convenience sample comprising 182 ovarian cancer survivors to identify symptom clusters according to the cancer survivorship stage and to determine their effects on quality of life using the European Organization for Research and Treatment of Cancer Quality of Life-C30 and -OV28 questionnaires. Factor and multiple regression analyses were performed to identify symptom clusters according to the cancer survivorship stage and the symptom clusters that affected the quality of life in each cancer survivorship stage, respectively...
April 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28395593/nurse-led-self-management-educational-intervention-improves-symptoms-of-patients-with-functional-constipation
#18
Qiong Shen, Hongqin Zhu, Guixiang Jiang, Xueqin Liu
This study aimed to evaluate the effects of self-management educational intervention on the symptoms of patients with functional constipation. From January 2014 to April 2015, 66 patients with functional constipation were randomly assigned into intervention group receiving intensive educational interventions and control group receiving routine nursing care. The constipation score of all clinical symptoms (Bristol stool form scale, defecation interval, incomplete evacuation, evacuatory difficulty) at 1 month postdischarge were all significantly lower in the intervention group than in the control group (all, p < ...
April 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28395592/nurses-perceptions-of-self-as-role-models-of-health
#19
Shelia Hurley, Joellen Edwards, Jann Cupp, Michael Phillips
This study purposed to determine the relationship between nurses' personal health practices and their perceptions of themselves as role models for health promotion, and assess the relationship of personal and professional characteristics both on perception of self as role model and on the practice of healthy behaviors. In this study of 804 Tennessee registered nurses, 4% report smoking, 24.9% drink alcohol, 34% are overweight, and 30% are obese. Approximately 70% do not meet the weekly physical activity recommendations of 150 min, and 36...
April 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28381113/informal-caregivers-of-cancer-patients-review-of-interventions-care-activities-and-outcomes
#20
Dawn Frambes, Barbara Given, Rebecca Lehto, Alla Sikorskii, Gwen Wyatt
Family and friends are important resources for patients during cancer treatment and warrant an expanded review of not only what they contribute to patient care but also the support they need and the personal consequences of caregiving. A review of 14 randomized controlled trials published between 2009 and 2016 was completed utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The results of this review expand the scope of what is known regarding relationships among supportive interventions for caregivers, activities performed to care for cancer patients, caregiver characteristics, and health outcomes of caregivers...
April 1, 2017: Western Journal of Nursing Research
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