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Nursing Research

Lisa Conlon, Rick Wiechula, Amanda Garlick
BACKGROUND: Nurses working in military trauma teams often work in hostile and remote locations. They are faced with the burden of carrying out their duties while ensuring the safety of their patients and themselves in areas of conflict and humanitarian crisis. The stories and experiences of military nurses often go untold. In a phenomenological study, six Australian Defence Force Nursing Officers share their stories of working as members of military trauma teams. OBJECTIVES: The aim of this study was to gain an understanding of the lived experiences of nursing officers when working as a member of a military trauma team...
January 31, 2019: Nursing Research
Jacqueline Vaughn, Erika Summers-Goeckerman, Ryan J Shaw, Nirmish Shah
BACKGROUND: Pediatric blood and marrow transplant patients (PBMT) experience significant symptom distress, and the use of mobile health technologies may enhance symptom management by providing patient generated health data to foster personalized health strategies. OBJECTIVES: To present a study protocol to explore feasibility, acceptability and, usability of integrating mobile health technologies to collect and monitor symptom data for PBMT patients. METHODS: An exploratory mixed method design is employed for 20 PBMT patients to monitor symptoms using real-time data from two mobile health (mHealth) devices: 1) a self-developed mHealth application (app); and 2) a wearable tracking device...
January 31, 2019: Nursing Research
Elisa R Torres, Siobhan M Hoscheidt, Barbara B Bendlin, Vincent A Magnotta, Gabriel D Lancaster, Roger L Brown, Sergio Paradiso
BACKGROUND: White matter hyperintensities (WMH) observed on magnetic resonance images are associated with depression and increase risk of stroke, dementia and death. The association between physical activity and WMH has been inconsistently reported in the literature, perhaps because studies did not account for a lifetime of physical activity or depression. OBJECTIVES: To determine the extent to which a lifetime of leisure-time physical activity is associated with less WMH while accounting for depression...
January 21, 2019: Nursing Research
Pamela V O'Neal, Caroline Bryson Black, Ellise D Adams, Daniel L Armentrout
BACKGROUND: Manual bulb suction is commonly used to promote naso-oropharyngeal airway clearance. Human factors of hand placement (radial vs. axial) and relative negative pressure generated are not known. This study is the first step in developing clinical guidelines for safe and effective mechanical use of manual bulb suction to reduce and prevent upper airway injury. OBJECTIVE: To determine the negative pressure generated when a 2 oz. manual bulb suction device is compressed and released, and hand placement is either in a radial or axial position...
January 21, 2019: Nursing Research
Susan G Dorsey, Mari A Griffioen, Cynthia L Renn, Ann K Cashion, Luana Colloca, Colleen K Jackson-Cook, Jessica Gill, Wendy Henderson, Hyungsuk Kim, Paule V Joseph, Leorey Saligan, Angela R Starkweather, Debra Lyon
No abstract text is available yet for this article.
January 10, 2019: Nursing Research
Sherrie Lessans, Cameron B Lassiter, Valentina Carozzi, Patrick Heindel, Sara Semperboni, Norberto Oggioni, Alessia Chiorazzi, Carleveva Thompson, Monica Wagner, Janean Holden, Elizabeth Rahn, J David Sweatt, Guido Cavaletti, Cynthia L Renn, Susan G Dorsey
BACKGROUND: Multiple cell signaling pathways are implicated in the development, progression, and persistence of cisplatin associated peripheral neuropathy (CIPN). Although advances have been made in terms of understanding specific neurotoxic mechanisms, there are few predictive factors identified that can help inform the clinician approach to symptom prevention or management. OBJECTIVE: We investigate the differential sensitivity to CIPN, and examine the contribution of dorsal root ganglion transcriptional profiles across two inbred strains of mice...
December 21, 2018: Nursing Research
Theresa M Hardy, Veronica Barcelona de Mendoza, Jacquelyn Y Taylor, Yan V Sun
BACKGROUND: Age at menarche and age at natural menopause occur significantly earlier in African-American women than in other ethnic groups. African-American women also have twice the prevalence of cardiometabolic disorders related to the timing of these reproductive traits. OBJECTIVES: The objectives of this integrative review were to (a) summarize the genome-wide association studies (GWAS) of reproductive traits in African-American women; (b) identify genes that overlap with reproductive traits and cardiometabolic risk factors in African-American women; and (c) propose biological mechanisms explaining the link between reproductive traits and cardiometabolic risk factors...
December 18, 2018: Nursing Research
Tiffany A Moore, Adam J Case, Therese L Mathews, Crystal Modde Epstein, Katherine Laux Kaiser, Matthew C Zimmerman
BACKGROUND: Allostatic Load (AL) is a biopsychosocial model that suggests chronic psychosocial stress leads to physiologic dysregulation and poor outcomes. The purpose of this study was to examine AL in pregnant women operationalized using pro-inflammatory cytokines and psychosocial indicators and perinatal outcomes. OBJECTIVES: In pregnant women, identify relationships between circulating cytokines/chemokines and the Prenatal Distress Questionnaire (PDQ), Maternal Antenatal Attachment Scale (MAAS), Emotional and Quotient Inventory (EQi), Life Experiences Scale (LES), and demographics...
December 18, 2018: Nursing Research
Karen E Wickersham, Theresa K Hodges, Martin J Edelman, Yang Song, Mintong Nan, Susan G Dorsey
BACKGROUND: Therapies targeting the epidermal growth factor receptor (EGFR) result in a painful rash, the most common and debilitating toxicity among patients with non-small cell lung cancer (NSCLC) who take EGFR tyrosine kinase inhibitor (TKI) therapy; however, predicting the development and the severity of the rash is difficult. OBJECTIVE: To examine how erlotinib-an EGFR TKI that NSCLC patients take to stop or slow tumor growth-altered the transcriptome of dermal fibroblasts...
December 12, 2018: Nursing Research
Shirley M Moore, Carol M Musil, Anthony I Jack, Megan L Alder, David M Fresco, Allison Webel, Kathy D Wright, Abdus Sattar, Patricia Higgins
BACKGROUND: Although many of the proposed mediating processes of self-management interventions are operationally defined as cognitive processes (e.g., acquiring and using information, self-efficacy, motivation, decision-making), little is known about their underlying brain mechanisms. Brain biomarkers of how people process health information may be an important characteristic on which to individualize health information to optimize self-management of chronic conditions. OBJECTIVES: We describe a program of research addressing the identification of brain biomarkers that differentially predict responses to two types of health information (analytic-focused and emotion-focused) designed to support optimal self-management of chronic conditions...
December 12, 2018: Nursing Research
Sangchoon Jeon, Alla Sikorskii, Barbara A Given, Charles W Given, Nancy S Redeker
BACKGROUND: Symptom clusters reflect the person's experience of multiple co-occurring symptoms. While a variety of statistical methods are available to address the clustering of symptoms, latent transition analysis (LTA) characterizes patient membership in classes defined by the symptom experience and captures changes in class membership over time. OBJECTIVES: The purposes of this paper are to demonstrate the application of LTA to cancer symptom data and to discuss the advantages and disadvantages of LTA relative to other methods of managing and interpreting data on multiple symptoms...
December 12, 2018: Nursing Research
Usha Menon, Kimlin Ashing, Mei Wei Chang, Shannon M Christy, Katarina Friberg-Felsted, Virginia Gil Rivas, Clement K Gwede, Qian Lu, Cathy D Meade, Jamila Sly, Monica Wang, Betina Yanez, Karen Yeary, Jean C Yi, Kassandra I Alcaraz
BACKGROUND: An emphasis on precision health (PH) has stimulated precision medicine studies to focus on the interplay of biological, behavioral, and environmental factors with disease risks, treatments, prognoses, and outcomes affecting health disparities. It is imperative, as well, that improving health equity among underserved populations remains central to the efforts and aims of PH. OBJECTIVES: Apply the transdisciplinary ConNECT Framework: A model for advancing behavioral medicine science and practice to foster health equity to PH by integrating a population health agenda for reducing health disparities...
December 12, 2018: Nursing Research
Suzanne S Sullivan, Sharon Hewner, Varun Chandola, Bonnie L Westra
BACKGROUND: Newer analytic approaches for developing predictive models provides a method of creating decision support to translate findings into practice. OBJECTIVES: To develop and validate a clinically interpretable predictive model for 12-month mortality risk among community-dwelling older adults. This is done by using routinely collected nursing assessment data to aide homecare nurses in identifying older adults who are at risk for decline, providing an opportunity to develop care plans that support patient and family goals for care...
December 6, 2018: Nursing Research
Mary Fran Tracy, Linda Chlan, Kay Savik, Debra J Skaar, Craig Weinert
BACKGROUND: Although potent sedative and opioid drugs are some of the most commonly used medications to manage pain, anxiety, and discomfort in critically ill patients, conducting clinical trials where sedative and opioid medications are outcome variables within a longitudinal research design can be a methodological challenge. OBJECTIVES: The purpose of this article is to provide in detail a conceptual discussion of the concept and analysis of sedative exposure: A novel research analysis method for aggregating sedative and opioid medication doses from disparate drug classes commonly administered to critically ill patients and used by our team in several clinical research studies...
January 2019: Nursing Research
Jenna K Rieder, Lorie S Goshin, D R Gina Sissoko, Olena Kleshchova, Mariann R Weierich
BACKGROUND: Community criminal justice supervised mothers are an underserved population who experience high rates of psychological distress and unique parenting challenges, but little is known about physiological stress system function in this population. OBJECTIVE: We tested the salivary biomarkers of the sympathetic nervous system (SNS) and hypothalamic-pituitary-adrenal (HPA) axis function as predictors of subjective maternal stress. METHOD: We recruited 23 mothers (age: M = 35...
January 2019: Nursing Research
Rocío Rodríguez-Rey, Helena García-Llana, María Paz Ruiz-Álvarez, Alicia Gómez-Gómez, Gloria Del Peso, Rafael Selgas
BACKGROUND: The Emotional State Instrument for Dialysis Patients (ES-D) is a brief semistructured questionnaire to assess emotional distress in patients undergoing dialysis. It was designed to be administered by a healthcare provider. A previous study showed preliminary indicators of its content and face validity. OBJECTIVE: The aim of the current multicenter study was to explore the ES-D's psychometric properties. METHODS: A total of 605 patients with kidney disease undergoing dialysis (524 hemodialysis and 81 peritoneal dialysis) in 19 Spanish dialysis centers completed the ES-D, along with anxiety, depression (Hospital Anxiety and Depression Scale), and resilience (Brief Resilience Scale) questionnaires...
January 2019: Nursing Research
Amy Witkoski Stimpfel, Mattia J Gilmartin
BACKGROUND: Registered nurses are often underprepared with the knowledge and skills to care for hospitalized older adult patients. One strategy to bridge this gap is for hospitals to adopt the Nurses Improving Care for Healthsystem Elders (NICHE) program: A nurse-led interdisciplinary organizational intervention to improve care of hospitalized older adults. OBJECTIVES: This study aimed to identify the market, organizational and managerial, and sociotechnical factors associated with the adoption of NICHE among U...
January 2019: Nursing Research
Ashley L Schoenfisch, Kristen L Kucera, Hester J Lipscomb, Jennifer McIlvaine, Lori Becherer, Tamara James, Susan Avent
BACKGROUND: Devices to lift, transfer, and reposition patients are recommended for healthcare workers' and patients' safety, but their intended use has yet to be fully realized. OBJECTIVE: The aim of this study was to describe hospital nursing staff use of lift/transfer devices and the presence of factors at the time of lifts/transfers with potential to influence whether devices are used. METHODS: Participants were 108 US nursing staff in a university-based medical center and two community hospitals...
January 2019: Nursing Research
Rita H Pickler
No abstract text is available yet for this article.
January 2019: Nursing Research
Rita H Pickler
No abstract text is available yet for this article.
November 2018: Nursing Research
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