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Prenatal Primary Nursing Care in a Context of Vulnerability

Our current featured ANS article is titled “The Prenatal Primary Nursing Care Experience of Pregnant
Women in Contexts of Vulnerability: A Systematic Review With Thematic Synthesis
” authored by Émilie Hudon, MSc, RN; Catherine Hudon, MD, PhD; Maud-Christine Chouinard, PhD, RN; Sarah Lafontaine, PhD, RN; Louise Catherine de Jordy, MSc, RN; and Édith Ellefsen, PhD, RN. The article is “open access” and available to download on the ANS website. Émilie Hudon shares this background about her work:

Émilie Hudon

My research interests focus primarily on pregnant women in vulnerable contexts and prenatal nursing care. Soon, I will be submitting my doctoral dissertation, a descriptive and interpretative qualitative study aimed at better understanding the prenatal nursing care experience of pregnant women in vulnerable contexts. The experience of prenatal nursing follow-up has a significant influence on women’s use of health services. The nurse’s pregnancy follow-up can contribute to preventing health complications for both the mother and the fetus. In my doctoral project, I identified the factors influencing the experience of prenatal nursing care for these women, the way in which the relationship between the pregnant women and the nurse influences the experience of prenatal nursing care, as well as avenues for improving the prenatal nursing care experience of pregnant women in vulnerable contexts.

Living with HIV/AIDS & Diabetes during COVID-19

The current ANS featured article is titled “Self-management of the Dual Diagnosis of HIV/AIDS and Diabetes During COVID-19: A Qualitative Study” by Julie A. Zuñiga, PhD; Heather E. Cuevas, PhD; Kristian Jones, PhD; Kristine Adiele; Lauren Cebulske; Livia Frost; Siddhaparna Sannigrahi, BS; Alexandra A. García, PhD, RN, FAAN; and Elizabeth M. Heitkemper, PhD, RN. The article is free to download while it is featured and we welcome your comments and responses here! Dr. Zuñiga sent this message about her work for ANS readers:

Julie A. Zuñiga

My area of research is HIV self-management and HIV prevention in under-represented communities. I recently completed an NIH-funded mixed methods study of people with the dual diagnosis of HIV and diabetes to explore self-management barriers and facilitators for both conditions.  From the findings, we extrapolated that social determinants of health were more influential in this population than in people living with HIV only. In the context of Covid, it became easier for some people to engage in some diabetes management behaviors during the lock down period. With the stigma of blood and HIV, it can be uncomfortable for people with the dual diagnosis of HIV and diabetes to test blood sugar outside of their homes or around others. My current study continues the stigma and discrimination research umbrella with a focus on barriers, facilitators, and preferences for HIV prevention in the transgender and gender expansive community.

Coaching for Childbearing Health

The current ANS featured article is titled “Coaching for Childbearing Health: A Theory Synthesis” authored by Jennifer M. Ohlendorf, PhD, RN and Lisa Anders, PhD, RN, IBCLC. This article is available at no cost from the ANS website while it is featured! Here is a message from Dr. Ohlendorf about the importance of this work:

One of the highest priorities of nursing and advanced nursing practice is health promotion, specifically health behavior change.  Over the past 20 years, the science of health behavior change has developed into the science of self-management—because most of the actual “doing” of health promotion is comprised of daily choices made by people in the midst of their complicated lives.   What this means is that providers must find effective ways to use the limited time they have with patients to influence health behaviors people may engage in in their daily lives.

In my work, I am interested in patient-centric approaches to making physical activity and nourishing eating behaviors part of the perinatal transition.   Transitions are periods of disorganization, followed by a process of engagement in the life change, and then a period of reorganization.  The way the transition unfolds results in a person having achieved a new identity.  Nursing interventions aimed at key timepoints–taking into account the context of the person’s life–to promote positive self-management can result in the person having incorporated health behaviors as part of this new identity. 

This article presents a model that can be used during perinatal care visits to engage in goal setting and planning with pregnant people to promote physical activity and nourishing eating behaviors.   The Coaching for Childbearing Health (CoaCH) Model incorporates salient concepts from Ryan and Sawin’s Individual and Family Self Management Theory (2009) and from Meleis’s Transitions Theory (2000), along with qualitative data women shared as part of a goal-setting intervention during pregnancy.  The qualitative data was keyThe resulting model can be used to design context-appropriate interventions nurses could use in prenatal practice to promote healthy behaviors across the perinatal transition.

This model has already been used to design a coaching intervention and feasibility testing is complete for the intervention. Next steps are to work with our clinical partners to begin a full-scale trial so that, in the future, this coaching can be implemented by nurses in perinatal practice to partner with people who are pregnant or postpartum to develop sustainable, healthy behaviors.

Power and Privilege in Interpersonal Communication

The current ANS featured article, available to download at no cost, is titled “Power and Privilege: A Critical Analysis of Interpersonal Communication in Health Care as a Guide for Oncology Patient Navigation in Breast Cancer Care“, authored by Sarah F. Gallups, PhD, MPH, RN; Deborah Ejem, PhD, MA; and Margaret Q. Rosenzweig, PhD, CRNP-C, AOC,NP, FAAN. The following is a message from Dr. Gallups about this work:

Sarah Frazier Gallups

Communication is a core competency in oncology care and a heavily discussed topic for healthcare professionals. Additionally, much of this information and research is applied broadly and in many different contexts. During my PhD program, I started taking classes and learning more about Critical Race Theory and Feminist theories. It made me start to question whether important voices were being left out of oncology care conversations, particularly those related to interpersonal communication. When I started this critical concept analysis, I intended to focus solely on looking at interpersonal communication through a critical lens specific to oncology care. However, the lack of literature analyzing the intersections of race, class and gender in health communication is vast. I hope that this article not only highlights that gap but also emphasizes the many areas and opportunities that exist for enhancing our communication to promote more equity in oncology care and considering a wider frame in our traditional conceptualizations related to health communication.

Social Media Use by Nursing Journals

The current ANS featured article is titled “An Exploratory Study of Social Media Use and Management by
Nursing Journals
” authored by Jayne Jennings Dunlap, DNP, FNP-C; and Julee Waldrop, DNP, PNP, FAANP, FAAN. We invite you to download the article at no cost while it is featured, and share your comments here. Dr. Dunlap sent this message about this work for ANS readers:

Jayne Jennings Dunlap

I am the Director of Social Media at the Journal for Nurse Practitioners and my co-author Julee Waldrop is the Editor-in-Chief. Social media posting and presence take time and resources. As we considered expanding our journal’s social media platforms, we wondered what other nursing journals were doing. In searching the literature, we discovered that medical journals have looked at the concept of social media editors for some time but to date there has been no nursing specific literature on this topic. This knowledge motivated Julee and I to explore the use and management of social media at nursing journals.

Nurses as leaders and patient advocates may be interested in how peer-reviewed nursing journals are currently using social media and the role of the social media editor.  We believe this is an evolving and important area for investigation and Julee and I hope to continue tracking more information as we begin to understand social media impacts which may transcend the discipline. Nurses should lead, always. And this is an area ripe for future research. 

Exploring the Accuracy of Cited References

The current featured ANS article is titled “Exploring the Accuracy of Cited References in a Selected Data Set of Nursing Journal Articles” authored by Leslie H. Nicoll, PhD, MBA, RN, FAAN; Marilyn H. Oermann, PhD, RN, ANEF, FAAN; Heather Carter-Templeton, PhD, RN-BC, FAAN; Jordan Wrigley, MSLS, MA; and Jacqueline K. Owens, PhD, RN, CNE. Head on over to the ANS website and download this article while it is featured and share your comments here. Dr. Nicoll shared this message about this project:

Leslie H. Nicoll

I heard Karin Kirchhoff speak at a conference almost 40 years ago on the topic of accuracy of reference in nursing journals. This topic has been on my mind ever since and I have always used her original research as a benchmark for accuracy. Our study shows that accuracy has improved dramatically over the past four decades. We found low error rates overall and only 1.3% of references (8 out of 666) could not be retrieved at all. I attribute much of this change to electronic resources for searching, retrieval, and reference management, at both the local and global level. This is a very positive finding.

One thing that struck me, as I sorted through and carefully looked at actual citations, is how little the format has changed, even though the type and location of sources has changed dramatically. APA style was first introduced in 1929 and at that time they asked for the author name(s), article title, journal title, year, volume, and page numbers. At that time, those guidelines probably sufficed for the vast majority of citations, except for maybe the occasional dissertation or reference to a legal citation. Now, almost 100 years later we are basically using the same format, with the addition of the DOI. However, how and where we retrieve information is vastly different. Print journals are no longer the norm; in fact, it is probably safe to say that journal articles are no longer the primary source for information. They share the stage with reports, white papers, policy briefs, legislative documents, blogs, dissertations, fugitive literature and more. Does this 100 year old APA format really work to provide accurate and concise information to retrieve a citation anymore? Maybe it is time to rethink what exactly needs to be included in a citation and make it as streamlined and versatile as possible. Scholars, authors, and students need to be able to move beyond styling references as part of their authorial activity. It’s tedious and time consuming and at this point, provides very little added value. Time to call for a reference citation revolution!

Defining Characteristics of Reviews of Literature

ANS 45:3 has just been published, and the first featured article is titled “Reviews of Literature in Nursing Research: Methodological Considerations and Defining Characteristics” authored by Amina Regina Silva, MN; Maria Itayra Padilha, PhD; Stefany Petry, MN; Vanessa Silva E Silva, PhD; Kevin Woo, PhD; Jacqueline Galica, PhD; Rosemary Wilson, PhD; and Marian Luctkar-Flude, PhD. This article is free to download while it is featured, and leave your comments here for what can be a lively discussion! Here is a message from lead author Amina Silva:

Amina Regina Silva

Literature reviews have been increasing in popularity among nurse researchers. Still, despite the availability of guidelines about the different types of reviews, the identification of the best approach is not always clear for scholars. In this paper we add to the existing literature through providing a comprehensive guide to be used by healthcare and nursing researchers while choosing among four popular types of reviews (narrative, integrative, scoping and systematic), including a descriptive discussion, philosophical underpinnings, critical analysis and decision map tree.

Creation of Care through Communication

The current ANS featured article is titled “Creation of Care Through Communication by Nurses, Welfare Workers, and Persons (Children) With Profound Intellectual Multiple Disabilities at a Day Care Center: Emancipation From the Japanese ‘Shame Culture‘” authored by Tomoni Sato, PhD, RN. Visit the ANS website to download the article at no charge! Here is a message from Dr. Sato about her work:

Persons with PIMD have difficulty communicating both verbally and nonverbally, and are susceptible to life-threatening situations. Therefore, these individuals have high medical dependency and require concentrated care. However, the uniquely Japanese tradition of “shame culture” constrains the lives and behaviors of persons with PIMD and their families.

Tomoni Sato

Japan has a long cultural background of “shame culture” and thus Japanese parents have typically been more reluctant to let children with disabilities out in public. Japanese people place great value on obligations and repaying favors, and “shame” is an emotion that is evoked when one is unable to meet an obligation or return a favor. Japan also used to have a “family reign system,” in which a male succeeded the family genealogy, so the birth of a male child has traditionally been desired.

The family reign system was abolished in 1947, but the belief that the birth of a child with a disability disgraces the family has persisted. Against this backdrop of “shame culture” and the resultant tendency toward prejudice and discrimination, an increase was seen in the number of cases in which Japanese families refused to take their children with PIMD home from the hospital or infant care home. As a countermeasure, a policy was implemented to place children with PIMD in a facility for protection and ryoiku (treatment, childcare, and education). As a result, participation in society by persons with PIMD in Japan was delayed and has only been considered since the beginning of the 21st century. In 2010, the Japanese government created a system that aimed to support independence based on the principle of normalization, stipulated participation by persons with PIMD in social activities as equal members of society through self-selection and selfdetermination, and proceeded to introduce necessary laws.

In this study, care that emancipates persons with PIMD and their families from Japanese “shame culture” was identified using ethnographic research methods. Nurses and welfare staff at a day care facility provided coordinated care to address the medical needs of persons with PIMD and to promote their self-expression and autonomy. This result should be of interest to a broad readership, particularly researchers and practitioners in the field of palliative care. This research provides insight into ways to support persons with PIMD and their families to emancipate them from Japanese “shame culture” and enable their autonomy. 

Early Detection of Patient Deterioration

The featured ANS article for the next two weeks is titled “Patient Deterioration on General Care Units: A Concept Analysis” authored by Mary Rose Gaughan, MS, RN, CNE and Carla R. Jungquist, PhD, ANP-BC, FAAN, both at the School of Nursing, University at Buffalo (SUNY Buffalo). While this article is featured, please visit the ANS website where you can download it at no cost, and we welcome you to add your comments here about this work. Here is a message from Mary Rose Gaughan about this work:

Mary Rose Gaughan

I have been a practicing critical care and emergency room nurse in upstate New York for many years. During my time at the bedside, I have directly observed patients exhibit specific cues that alert the nurse that deterioration is occurring. This concept is difficult to teach by textbook and requires direct observation to understand the phenomena. My future research will involve interviewing expert nurses to clarify these cues that hallmark patient deterioration.

Call for ANS Editor

The time has arrived for me to “retire” from my role as Editor of ANS, and to engage a nurse scholar to assume this role starting in January 2023! The Call for ANS Editor is now posted ! Download PDF.

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