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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
Caitlin W Brennan, Michael Krumlauf, Kathryn Feigenbaum, Kyungsook Gartrell, Georgie Cusack
In research settings, clinical and research requirements contribute to nursing workload, staffing decisions, and resource allocation. The aim of this article is to define patient acuity in the context of clinical research, or research intensity, and report available instruments to measure it. The design was based on Centre for Reviews and Dissemination recommendations, including defining search terms, developing inclusion and exclusion criteria, followed by abstract review by three members of the team, thorough reading of each article by two team members, and data extraction procedures, including a quality appraisal of each article...
October 14, 2018: Western Journal of Nursing Research
Christine R Kovach, Murad H Taani, Crystal-Rae Evans, Sheryl Kelber, Irwin Margolis
Restrictive ventilatory patterns (RVPs) in older adults may contribute to morbidity and decreased quality of life. The purpose of this study was to begin to understand (a) the number of older adults residing in Continuing Care Retirement Communities with RVPs, (b) factors associated with RVP, and (c) whether RVP is associated with ambulation level. This descriptive study was conducted at three sites. RVP was evident in 34 of the 65 participants (52%), and 33 (97%) of these were either moderate or severely restricted...
September 30, 2018: Western Journal of Nursing Research
Allison B Anbari
No abstract text is available yet for this article.
September 28, 2018: Western Journal of Nursing Research
Kristen R Choi, Cathy Sherbourne, Lingqi Tang, Enrico Castillo, Elizabeth Dixon, Andrea Jones, Bowen Chung, Carol Eisen, Kenneth Wells
The purpose of this exploratory subanalysis was to compare the effects of two depression quality improvement approaches on clinical outcomes and service utilization for individuals with comorbid depression/anxiety. This study used data from Community Partners in Care (CPIC), a cluster-randomized comparative effectiveness trial ( N = 1,018; depression = 360; comorbid depression/anxiety = 658). Each intervention arm received the same quality improvement materials, plus either technical support (Resources for Services, RS) or support for collaborative implementation planning (Community Engagement and Planning, CEP)...
September 18, 2018: Western Journal of Nursing Research
Ana Laura Solano López, Shirley Moore
Interoception, the multidimensional ability to sense the physiological condition of the body, is a key mechanism in emotional processing. However, the relationships between interoceptive dimensions and depressed mood and anxiety have not been widely studied. The aim of this secondary analysis, correlational and cross-sectional study, was to determine the relationships among interoceptive accuracy, interoceptive sensibility, depressed mood, and anxiety in adults with hypertension. The sample consisted of 76 adults, predominately African American women...
September 4, 2018: Western Journal of Nursing Research
Jun Sung Hong, Jinwon Kim, Jane J Lee, Celine L Shamoun, Jeoung Min Lee, Dexter R Voisin
African American youths, especially those in low resource communities, are vulnerable to peer victimization, which can increase risk of sexually transmitted infections. However, few studies explored the relationship between these two health concerns and the pathways that may link them. The present study aimed to address this gap. We used descriptive statistics, correlation coefficients, and structural equation modeling to analyze data collected from 277 adolescents ages 13 to 24 years in Chicago. Primary results indicated that peer victimization was not directly related to acquisition of sexually transmitted infections...
September 4, 2018: Western Journal of Nursing Research
Ann F Minnick, Mavis N Schorn, Mary S Dietrich, Beth Donaghey
Environmental conditions and resources that may influence provider's behaviors have been investigated in birth environments focusing on location rather than conditions and available resources. Using a descriptive, cross sectional design, we surveyed a random sample of certified nurse-midwives (CNMs), obstetricians, family practice physicians, and certified professional midwives (CPMs) to describe conditions, resources, and workforce present during U.S. births. In all, 1,243 midwives and physicians reported most environmental resources were present at almost 100% of births they attended...
September 2, 2018: Western Journal of Nursing Research
Robin C Harris, Lori L Popejoy
No abstract text is available yet for this article.
August 31, 2018: Western Journal of Nursing Research
Patricia E Hershberger, Mary Minton, Joachim G Voss, Ann Marie McCarthy, Carolyn J Murrock, Robert Topp, AkkeNeel Talsma
The midcareer academic period is largely unexplored despite its lengthy duration and challenging career expectations at academic institutions. The Midwest Nursing Research Society (MNRS) formed a Midcareer Scholars Task Force to address this gap. All active members of MNRS were invited to participate in a cross-sectional survey, of which 286 members completed. The most frequently perceived institutional support for midcareer scholars was for conference attendance followed by librarian assistance. Most assistant and associate professors perceived mentoring as a critical MNRS organizational activity to advance their research and careers; however, full professors saw MNRS's responsibility in mentoring midcareer scholars differently...
August 30, 2018: Western Journal of Nursing Research
Esita Y Patel, Victoria Petermann, Barbara A Mark
There is heated debate surrounding policy reform granting full state-level nurse practitioner (NP) scope of practice (SOP) in all U.S. states. NP SOP policy is argued to impact access to care; however, a synthesis of empirical studies assessing this relationship has yet to be performed. Our study fills this critical gap by systematically reviewing studies that examine this relationship. We apply Aday and Andersen's Access Framework to operationalize access to care. We also use this framework to map components of access to care that may relate to NP SOP through concepts identified in this review...
August 23, 2018: Western Journal of Nursing Research
Linda B Piacentine, Karen M Robinson, Leslie J Waltke, Judy A Tjoe, Alexander V Ng
Physical activity benefits the health and well-being of breast cancer survivors (BCS). Yet, many African American survivors do not routinely exercise and have increased risk of poor outcomes. The purpose of this mixed-method study was to identify motivational factors compelling African American BCS to participate in a 14-week team walking program and to intend to continue exercise after the intervention concluded. Focus groups were held with participants ( n = 12) before and after training. Content analysis discovered themes before the intervention: Not wanting to go at it alone, exercise not a life or treatment priority, cancer treatment affected activity, advocates to exercise, and can exercise really help? Four themes postintervention themes included: In the same boat, changed mind-set, improved weight and activity, and overcoming barriers...
August 21, 2018: Western Journal of Nursing Research
(no author information available yet)
No abstract text is available yet for this article.
August 17, 2018: 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
Theresa M Hardy, Mauricio Garnier-Villarreal, Donna O McCarthy, Richard A Anderson, Rebecca M Reynolds
The process of ovarian aging is influenced by a complex and poorly understood interplay of endocrine, metabolic, and environmental factors. The purpose of this study was to explore the feasibility of using latent class analysis to identify subgroups based on cardiometabolic, psychological, and reproductive parameters of health and to describe patterns of anti-Müllerian hormone levels, a biomarker of the ovarian reserve, within these subgroups. Sixty-nine lean (body mass index [BMI] ⩽ 25 kg/m2 ) and severely obese (BMI ⩾ 40 kg/m2 ) postpartum women in Edinburgh, Scotland, were included in this exploratory study...
December 2018: Western Journal of Nursing Research
Barbara Resnick, Elizabeth Galik, Marie Boltz, Erin Vigne, Sarah Holmes, Steven Fix, Shijun Zhu
The purpose of this study was to consider the feasibility, reliability, and validity of MotionWatch 8. A total of 249 residents were recruited from 26 assisted living settings. Data collection included demographics, comorbidities, function (Barthel Index), physical activity (MotionWatch 8), and falls. The mean age of participants was 86.86 ( SD = 7.0), the majority were women 179 (74%) and White ( N = 232, 96%). A total of 86% of participants wore the MotionWatch 8. There were no significant differences in physical activity over 3 days of testing...
December 2018: Western Journal of Nursing Research
Pamela L Ostby, Jane M Armer, Kandis Smith, Bob R Stewart
Breast cancer survivors are at lifetime risk for the development of breast cancer-related lymphedema, a chronic, potentially debilitating condition that requires life-long symptom management. Suboptimal self-management rates suggest that health care providers may not be offering educative-support options that are customized to patient-perceived needs. An Institutional Review Board-approved focus group ( N = 9) and mailed surveys ( N = 15) were used to identify (a) barriers to lymphedema self-management, (b) how breast cancer survivors with lymphedema defined education and support, (c) what type of education and support they had received, and (d) what kind of education and support they wanted...
December 2018: Western Journal of Nursing Research
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