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Western Journal of Nursing Research

Jessica I Goldberg, Dena Schulman-Green, Marisol Hernandez, Judith E Nelson, Elizabeth Capezuti
Psychological distress is prevalent among cancer patients, who may be vulnerable to distress at times of transition, such as a change in symptom experience, employment, or goal of treatment. Independently, both psychological distress and transitions impair patients' quality of life, and together their adverse impact may be intensified. Self-management allows patients to engage in tasks that influence the disease experience and can include strategies to help mitigate distress associated with transitions. The purpose of this systematic review was to examine research on the relationship between self-management interventions and distress in adult cancer patients receiving active tumor-directed therapy...
April 21, 2019: Western Journal of Nursing Research
Allison R Webel, Carolyn Smith, Joseph Perazzo, J Craig Phillips, Hamed Al Battashi, Carol Dawson-Rose
Women living with HIV (WLHIV) face unique challenges to successfully self-manage HIV including substance use and limited social capital. We conducted a 6-month mixed-methods study to describe how social capital influences HIV self-management and substance use among WLHIV. Participants completed a self-report survey and in-depth interview at baseline, and 3 and 6 months. Descriptive statistics, t-tests, and generalized estimating equations (GEEs) were used to examine quantitative relationships. Qualitative data were analyzed using qualitative description...
April 21, 2019: Western Journal of Nursing Research
Eunsook Lee, Insil Jang
We examined the factors affecting clinical nurses' turnover intention and constructed a structural equation model based on the Culture-Work-Health Model. This cross-sectional study utilized self-administered questionnaires. Registered nurses ( N = 252) from four tertiary hospitals participated. Factors affecting nurses' turnover intention included the organizational culture, job stress, and fatigue (explanatory power = 56.7%), and the model showed acceptable goodness of fit. In the final turnover intention model, fatigue and job stress had direct effects and the organizational culture had indirect effects...
April 21, 2019: Western Journal of Nursing Research
Breanna Hetland, Heidi Lindroth, Kendra Kamp, Elizabeth Edmiston, Kelly L Wierenga, Heather K Hardin, Andrea Gilmore-Bykovskyi, Robert Topp, Patricia E Hershberger, Elizabeth Madigan
As the nursing faculty shortage persists, there is an urgent need to develop emerging nurse scholars into research leaders capable of advocating for the profession and expanding on the mission to improve health. To address this need, the Midwest Nursing Research Society (MNRS) commissioned a student task force that led to the development of the Emerging Scholars Network (ESN). The purpose of this article is to describe how the ESN was developed, integrated, and promoted within the MNRS to advance the overall mission and sustainability of the society...
April 21, 2019: Western Journal of Nursing Research
Mykin R Higbee, Jenifer M Chilton, Mohammed El-Saidi, Gloria Duke, Barbara K Haas
The energy drink consumption habits of nurses working in clinical settings is unknown. Utilizing a descriptive-comparison design, researchers examined the caffeine and energy drink habits of clinical nurses and relationships or differences that existed with their sleep quantity, sleep quality, and perceived stress levels. Data were analyzed using descriptive and inferential statistics. Significant relationships existed between energy drink consumption and sleep quality, sleep quantity, and perceived stress levels...
April 8, 2019: Western Journal of Nursing Research
Carolyn M Porta, Amy L Gower, Camille Brown, Brittany Wood, Marla E Eisenberg
Young peoples' acceptance and use of nontraditional, descriptive identity labels (e.g., pansexual, genderqueer) require nurses to consider moving beyond use of traditional terms (e.g., gay, transgender). This mixed methods study explores (a) labels used by sexual orientation and gender identity (SOGI) minority youth, (b) their expressed importance and meaning of these labels, and (c) differences in label usage. Sixty-six SOGI minority adolescents in British Columbia, Minnesota, and Massachusetts (mean age = 16...
April 3, 2019: Western Journal of Nursing Research
Simone Stevanin, Ari Voutilainen, Valentina Bressan, Katri Vehviläinen-Julkunen, Valentina Rosolen, Tarja Kvist
A cross-sectional study was conducted with a convenience sample ( N = 3,093) of Finnish and Italian registered nurses to identify differences related to generation, country, gender, and educational level in their perceptions and opinions about workplace-related dimensions of nursing and their managers' leadership practices. The Multidimensional Nursing Generations Questionnaire (MNGQ) and two subscales of the Transformational Leadership Scale (TLS), "Feedback and Rewards" and "Professional Development," were used as survey tools...
April 3, 2019: Western Journal of Nursing Research
Hannah E Fraley, Teri Aronowitz, Hanni M Stoklosa
Human trafficking is a global population health threat. Trafficking minors threatens the safety and well-being of youth. Limited studies measure health care providers' awareness and attitudes toward trafficking. This systematic review synthesized retrospective and current knowledge and identified gaps in educational interventions aimed at increasing providers' awareness and attitudes toward trafficking. A systematic search of four databases identified peer-reviewed published papers between January 1, 2000 and September 1, 2018...
March 29, 2019: Western Journal of Nursing Research
Yonghee Han, Ji-Su Kim, YeJi Seo
This study aims to examine the associations between nurses' perceptions of patient safety culture, patient safety competency, and adverse events. Using convenience sampling, we conducted a cross-sectional study from February to May 2018 in two university hospitals. Furthermore, we performed multiple logistic regression to examine associations between patient safety culture, patient safety competency, and adverse events. Higher mean scores for "communication openness" in patient safety culture were significantly correlated with lower rates for pressure ulcers and falls; furthermore, higher mean scores for "working in teams with other health professionals" in patient safety competency were significantly correlated with reductions in ventilator-associated pneumonia...
March 27, 2019: Western Journal of Nursing Research
JaHyun Kang, Kyounghae Kim
Despite increased incidence rates of human papillomavirus (HPV)-associated cancers among sexual minorities, their HPV vaccine uptake remains suboptimal. This cross-sectional, correlational study aimed to investigate factors associated with HPV vaccination among a nationally representative sample of U.S. young adults by sexual orientation. We used the 2014 to 2017 Behavioral Risk Factor Surveillance System data for adults aged 18 to 45 years. HPV vaccination initiation was associated with being female and Hispanic, having higher educational attainment, and having ever been tested for HIV, whereas completion was associated with being female and non-Hispanic White and having higher educational attainment...
March 27, 2019: Western Journal of Nursing Research
Keesha Powell-Roach, Yingwei Yao, Miriam O Ezenwa, Judith M Schlaeger, Marie L Suarez, Robert E Molokie, Zaijie Jim Wang, Diana L Wilkie
Individuals with pain from sickle cell disease (SCD) are often treated for nociceptive pain, but recent findings indicate they may also have neuropathic pain. PAIN ReportIt, a computerized version of the McGill Pain Questionnaire, provides a potential subscale that is the summed number of selected neuropathic pain quality words (PR-NNP), but it lacks construct validity. The study purpose was to ascertain PR-NNP construct validity in adults with SCD and chronic pain. In an outpatient setting, 186 participants completed the PAIN ReportIt, Neuropathic Pain Symptom Inventory (NPSI), and Leeds Assessment for Neuropathic Symptoms and Signs (S-LANSS)...
March 22, 2019: Western Journal of Nursing Research
Macy L Stockdill, Patricia A Patrician, Marie Bakitas
Heart failure is a common, complex, and costly condition accompanied by a high degree of symptom burden. The concept of heart failure symptom burden has been used and measured inconsistently in research. To develop effective symptom management and palliation strategies, a clear conceptual understanding is needed. Rodgers' evolutionary method of concept analysis was used to identify articles in CINAHL, Embase, Scopus, and PubMed focused on chronic heart failure. Analysis of 20 articles revealed key attributes (subjectivity, negative impact on daily life and/or overall functioning, synergistic symptom associations, and symptom exacerbation), related terms (symptom distress and symptom experience), a surrogate term (heart failure burden), antecedents (heart failure classification or stage), and consequences (increased morbidity/mortality, decreased functioning, increased symptom prevalence/severity, decreased quality of life, and recurrent hospital admissions)...
March 21, 2019: Western Journal of Nursing Research
Claudia Teunissen, Beverley Burrell, Virginia Maskill
It is imperative to understand the factors that contribute to effective surgical teams. The aim of this integrative review was to evaluate the aids and barriers for perioperative teams in functioning effectively, preventing adverse events, and fostering a culture of safety. The literature search was undertaken of 15 databases, which resulted in 70 articles being included. It was found perioperative teamwork was not widely understood. Findings indicated barriers to effective surgical teams comprised of confusion in tasks and responsibilities, existing hierarchies and prevailing misconceptions and understanding among team members...
March 10, 2019: Western Journal of Nursing Research
Jongwon Yoo, Chang Gi Park, Catherine Ryan
End-stage renal disease patients who have impaired physical function are denied for transplantation by clinicians concerned about graft/survival outcomes. The purpose of this study was to determine the impact of physical function on graft/survival outcomes at 1-year post-kidney transplantation. Data were analyzed from the Scientific Registry of Transplant Recipients regarding kidney transplantation patients ( N = 218,657) between January 1, 2000 and September 2, 2014. The hazard ratio of 1-year graft failure for deceased donor transplantation recipients needing total assistance was 1...
March 6, 2019: Western Journal of Nursing Research
Shu-Yu Chung, Eileen D Hacker, Susan Rawl, Rebecca Ellis, Tamilyn Bakas, Josette Jones, Janet Welch
This web-based study recruited kidney transplant recipients from Facebook using three recruiting methods over a 5-week period. Participants completed 125 survey items via REDCap (Research Electronic Data Capture) survey. Facebook recruitment generated 153 eligible participants who completed surveys. The average survey response time was 15.07 min ( SD = 6.12; range: 4-43), with a low missing item rate (<5%). Facebook's standard ads were most effective for recruiting subjects ( n = 78, 51%), followed by three targeted Facebook kidney transplant support groups ( n = 52, 34%) and a pay-to-promote study page ( n = 12, 7...
March 5, 2019: Western Journal of Nursing Research
Kristine M Kulage, Joshua R Massei, Elaine L Larson
Ordinal rankings of schools of nursing by research funding in total dollars awarded by the National Institutes of Health (NIH) is a common metric for demonstrating research productivity; however, these data are not based on the number of doctorally prepared faculty eligible to apply for funding. Therefore, we examined an alternative method for measuring research productivity which accounts for size differences in schools: NIH funding ranked "per capita." We extracted data on total average funding and compared them with average funding secured per faculty member across top-ranked schools of nursing in the United States from 2013 to 2017...
February 22, 2019: Western Journal of Nursing Research
Vicki S Conn
No abstract text is available yet for this article.
February 22, 2019: Western Journal of Nursing Research
Zahra Rahemi, Lynn M Dunphy, David Newman
Using a cross-sectional study, this article addresses end-of-life (EOL) care for older Iranian-American adults. The purposes are twofold: (a) to explore participants' preferences for home or hospital care in the event they face EOL conditions and (b) to learn how participants prefer to communicate these preferences. Results showed that about half of the 130 participants had communicated their EOL care preferences through written documents and/or verbal discussions. A set of factors predicted the preferences (χ2 (9) = 17...
February 22, 2019: Western Journal of Nursing Research
Susan A Flocke, Nora L Nock, Sarah Fulton, Seunghee Margevicius, Sharon Manne, Neal J Meropol, Barbara J Daly
In the United States less than 10% of cancer patients engage in clinical trials. Although most oncology nurses have multiple opportunities to discuss clinical trials with patients, barriers including attitudes and social norms may impede these discussions. Guided by the Theory of Planned Behavior, we developed and evaluated measures for attitudes, subjective norms, and perceived behavioral control of nurses for discussing clinical trials with cancer patients. Of the 18,000 Oncology Nurse Society members invited, 1,964 completed the survey...
February 19, 2019: Western Journal of Nursing Research
Toni L Glover, Hanna Åkerlund, Ann L Horgas, Susan Bluck
Many nurses report a lack of confidence providing care for patients facing a life-threatening illness. Palliative care leaders have devised primary palliative nursing care competencies (CARES [Competencies And Recommendations for Educating undergraduate nursing Students]) that all students should achieve. In this study, nursing students participated in an innovative palliative care immersion experience, the Comfort Shawl Project. We performed a reliable content analysis of their narrative reflections. The goal was to evaluate whether reflections on their interactions with patients/families were consistent with CARES competencies...
February 19, 2019: Western Journal of Nursing Research
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