Oct 27
|
The following item was added to PAP on 10/25/2016.
Development and Validation of the Beliefs About Personal Weight Survey Among African American Women.
Pickett, Stephanie; Peters, Rosalind M.; Templin, Thomas
Original Article: PDF Only
|
The latest featured article in the current issue of ANS is titled “Understanding Influence within the Context of Nursing: Development of the Adams Influence Model Using Practice, Research, and Theory” authored by Jeffrey M. Adams, PhD, RN, NEA-BC, FAAN and Sudha Natarajan, PhD, MSN, RN. While it is featured it is available for download at no cost, so I invite you to read the article and return here to share in discussion of these important ideas! Here is a message from Dr. Adams about this work:
The Adams Influence Model (AIM) can be used as a framework for anyone seeking to understand more about the factors, attributes, and process of influence. However, the concept of influence is an especially important one for
Jeffrey Adams
nurses. The basis of exploration of influence highlighted in this article started well over ten years ago and drew from years of experiences as a consultant working in the clinical information systems (CIS) space. At that time, I found that CISs were largely selected by CFOs, CIOs, CMOs and I felt that while nurses were “involved” in the selection process, often times product chosen did not benefit nursing care or capture nursing data. This was despite nurses overwhelmingly being the largest users of the CIS. I wanted to simply understand why or how this happened?
Around that same time RWJF and Gallup released a report identifying that respondents did not perceive nursing as influential in reshaping health policy (what is now the ACA) when compared to nearly every other group. And several other smaller studies also identified that executive nurses self reported as having less influence than their non-nurse executive counterparts on a host of issues. So we thought, how could this be? At 1% of the entire US population nurses are by far the largest percentage of the healthcare workforce, nurses are overwhelmingly the most trusted profession, and nurses are well documented addressing each component of the quadruple aim. Of course nurses SHOULD be influential… and because we aren’t, how do we get there? We decided to start at the beginning and asked the question “what does influence look like?” The AIM, as represented in this article, is the result of our efforts to answer that question.
While the origins and development of the AIM are chronicled in this manuscript, the AIM has been widely used since 2009 to frame health policy and strategy, to describe leadership practices, and serve as a guiding framework for research and instrument development.
Current projects using the AIM include development of:
It would be wonderful to see everyone take inventory and articulate how we anticipate each of our projects, papers, presentations, courses and other efforts will INFLUENCE practice, research, education, theory and/or policy. This “influence” framing provides us opportunity to be purposeful and forward thinking toward an end that doesn’t leave assimilation of our contributions and value to chance.
In the current ANS featured article, author Jessica Barkimer, MSN, RN, CNE illustrates the value of evolutionary concept analysis to understand a dynamic, changing phenomena – clinical growth. The article, titled “Clinical Growth: An Evolutionary Concept Analysis” is available at no charge while it is featured on the ANS website! Here is Ms. Barkimer’s description of her work that led to this article:
As an educator who teaches nursing students in various clinical learning environments, I embrace the student-centered approach. Each student brings forth unique previous experiences that contribute to his or her own construction of knowledge. Years ago, while working on my degree, Masters of Science in Nursing Education, I encountered students who were functioning at various levels in the same cohort of students. Learning objectives
Jessica Barkimer
often guide educators, however, in an attempt to facilitate the learning of each student, I often wondered, “how can an educator determine if a student demonstrates an appropriate amount of growth to progress to the next level?” This multifaceted topic requires examination to benefit nurse educators, students, and patients. Currently, I am working towards my PhD in nursing and have had the opportunity to work with faculty at Marquette University who have helped guide me in this process of knowledge discovery.
This article presents the findings of the conceptual analysis of clinical growth, using Rodger’s evolutionary method. These findings represent a holistic approach, focusing on cognitive, affective, and psychomotor domains of each learner, requiring growth in all three areas. This concept analysis and model lay the foundational groundwork for examining relationships among the antecedents, attributes, and consequences, which are essential for a nurse educator to understand and implement in practice, moving nursing education forward. This examination of the literature also allowed me to consider various instruments designed to capture the aspects of clinical growth. I look forward to continuing my research in this area.
The currently featured article in ANS presents an examination of six practical issues the authors encountered in recruiting Asian-American breast cancer survivors as participants in an intervention study conducted on the internet. The article is titled “Internet Recruitment of Asian American Breast Cancer Survivors,” authored by Eun-Ok Im, PhD, MPH, RN, CNS, FAAN; Yaelim Lee, PhD, RN; Xiaopeng Ji, MSN, RN; Jingwen Zhang, PhD; Sangmi Kim, MSN, RN; Eunice Chee, BSE; Wonshik Chee, PhD; Hsiu-Min Tsai, PhD, FAAN; Masakazu Nishigaki, PhD, RN, PHN, CGC; Seon Ae Yeo, PhD, FAAN; Marilyn M. Shapira, MD, MPH; Jun James Mao, MD, MSCE. This informative article is availabe at no charge while it is featured; we invite you to read the article and contribute your responses to the article here!
|
 |
The latest featured article from the current issue of ANS is titled “Interpretation of Hospital Nurse Fatigue Using Latent Profile Analysis” by Diane Ash Drake, PhD, RN and Linsey M. Barker Steege, PhD. You can access this article here at no charge now while it is featured. Dr. Drake and Dr. Steege have each provided a message about their background and the work that has led to this article! Leave your comments here to join a conversation about their work.
From Diane Drake –
Diane Ash Drake
I have had the privilege to consult as the Nurse Research Scientist at Mission Hospital, Mission Viejo, CA since 2003. Nurse fatigue quickly became a focused research interest supported by a small team of hospital nurse leaders who understood the potential adverse effects of long work shifts, and wanted to better understand hospital nurse fatigue and investigate fatigue risk management strategies. During the initial literature search we reviewed several nurse fatigue dissertations and contacted one investigator, a human factors engineer, who fortunately joined our study team. I want to thank Dr. Linsey Steege who shares the authorship of this paper with me for her perseverant collaboration and brilliant research intellect. Ultimately, my investigation of hospital nurse fatigue is about supporting the important work of hospital nurses with the purpose of making fatigue risk management a reality.
From Linsey Steege –
Linsey M. Barker Steege
As an industrial and systems engineer, my overall research goal is to design work systems to improve health, safety and performance of health professionals, and by doing so, to benefit society by improving healthcare quality and patient outcomes. Human factors engineering is a focus area within industrial and systems engineering, which examines the interactions between humans, tools and technologies, the physical environment, and the organization of work in an effort to optimize human performance and well-being. In recent years, multiple agencies including the Institute of Medicine, the President’s Council of Advisors on Science and Technology, the National Academy of Engineering, and the Agency for Healthcare Research and Quality have pointed to the importance of partnership and collaboration between systems engineering, including human factors engineering, and healthcare. I feel privileged to be able to collaborate with Dr. Drake and the Mission Hospital nurse fatigue study team to better understand nurse fatigue in the context of the hospital nurse work system and work toward improved fatigue monitoring and risk management systems. The findings from this paper offer a new approach for measuring nurse fatigue and may be useful in developing more efficient fatigue monitoring systems and for evaluating the effect of fatigue risk management strategies.
The current ANS featured article is authored by Sarah Bekaert, MSc and Lee SmithBattle, PhD, and is titled “Teen Mothers’ Experience of Intimate Partner Violence: A Metasynthesis.” We invite you to download this article from the ANS website and return here to add you comments to a discussion of this very important issue. Sarah Bekaert shared this background about this article:
This paper arose from the two authors’ mutual interest in the lived experience of teen mothers. Sarah Bekaert is currently lecturing at City University, London, UK, and practicing clinically in Sexual Health and Contraception with Oxford University Hospitals Trust. A Children’s nurse by background, she has a special interest in teen health,
Sarah Bekaert
pregnancy and parenthood. Her current PhD study explores the tension between public expectations for avoiding teen mothering and the private desire of some teens who have had a previous abortion to become a mother whilst still a teen.
Professor Lee SmithBattle of St Louis University, U.S., is a nurse who is currently on the seventh round of interviews with former teen mothers and their families. Spanning 30 years, this qualitative longitudinal study challenges the pejorative assumptions of teen mothers by contextualizing their experiences and long-term outcomes.
With the explosion of qualitative research on teen mothering, Professor SmithBattle drew together a team to organize, summarize and review this research. This first metasynthesis project focuses on intimate partner violence (IPV) in teen mother’s relationships.
Lee SmithBattle
We have organized our findings by the metaphor of a spider’s web to illustrate the trajectory of IPV in the young mother’s lives and attempts to extricate themselves from violent relationships. The metaphor was inspired by a verse from the poem ‘Integrity’ by Adrienne Rich1, American poet, essayist and radical feminist of the 20th and early 21st century.*
Findings highlight pervasive violence in teen mothers’ childhoods and impoverished circumstances that make it difficult to leave an abusive relationship. We observe a constriction of the web as domestic violence emerges or worsens with pregnancy. As a consequence, young mothers become isolated, and live with the physical and psychological consequences of IPV. Research suggests that trauma informed nursing practice is needed to support teen mothers in violent intimate relationships to spin a new web.a
Published Ahead-of-Print on September 7:
|
|
Adkins, Cherie S.; Doheny, Kim K.
Original Article: PDF Only
|
|
|
|
|
|
Wool, Charlotte; Black, Beth Perry; Woods, Anne B. (Nancy)
Original Article: PDF Only
|
|
|
|
|
|
Reimer-Kirkham, Sheryl; Stajduhar, Kelli; Pauly, Bernie; Giesbrecht, Melissa; Mollison, Ashley; McNeil, Ryan; Wallace, Bruce
Original Article: PDF Only
|
|
|
|
|
|
Perry, Donna J.; Willis, Danny G.; Peterson, Kenneth S.; Grace, Pamela J.
Original Article: PDF Only
|
|
|
|
|
|
Cook, Laura Beth; Peden, Ann
|
Our current featured article is by Rebecca M. Carabez, PhD, RN ;Michele J. Eliason, PhD and Marty Martinson, DrPH title “Nurses’ Knowledge About Transgender Patient Care: A Qualitative Study.” This article is available for download at no cost while it is featured on the ANS website! Dr. Eliason sent this message about her personal experiences embarking on a career focused on LGBTQ health:
In 1988, I started my first study of LGBTQ issues in nursing, and I was NERVOUS! I had escaped a homophobic healthcare clinic setting for the supposedly academic freedom environment of the university the year before, but they had hired me as a developmental psych person. Nothing on my vita indicated an interest in LGBTQ issues at that
Mickey Eliason
point, nor had these issues every been discussed in my formal education, except for an off-handed comment about homosexuality being a mental disorder in one psychiatric nursing course I took.
I talked to my research mentor at the time, who told me, “It’s all well and good that you do this type of research, but just make sure that you get 2 or 3 publications in legitimate areas for every one you do on this topic.” I did that, but even then, had some challenges when I came up for tenure. I am glad to report that things have shifted in nursing since then, and articles on LGBTQ issues are becoming much more widespread. Now people are able to say LGBTQ and now what it means. Even Donald Trump, halting and awkward as it was, uttered the initials at the Republican National Convention and called for equal rights (it might be the only sensible thing he has ever said on the campaign trail). We have made progress on LGB issues, but the growing edge of our movement in the past few years has been related to transgender issues.
In regards to this particular study, on nurses’ knowledge of transgender health care needs, our findings demonstrated that nurses’ willingness to work with diverse patients is laudable, but their lack of knowledge and fund of misinformation is quite alarming. This study was conducted in the San Francisco Bay Area, where presumably, nurses have much more exposure to LGBTQ issues than in many other places, but even here, we encountered negative attitudes and nurses saying that they never learned anything about this population in their educational programs or in continuing education.
This study was part of a much larger project on LGBTQ issues more broadly initiated by Rebecca Carabez, and a team
Rebecca Carabez
of nursing students worked on the project. One identified as transgender, and we watched as they struggled with finding employment when the student’s appearance did not match their gender on legal documents, and who became more depressed as time wore on without meaningful employment. Transphobia has material consequences on individual’s daily lives—without adequate employment, transgender people are likely to live in poverty and suffer all the negative consequences of that poverty, from lack of any regular source of healthcare (leading to getting needed hormones and other treatments on the street), to “illegitimate” employment in the drug or sex trades, homelessness, and other serious issues. We found in our study that many nurses laughed when talking about transgender issues—that nervous kind of laugh that means, “I’m really uncomfortable with this question.” They often gave long, rambling, circuitous answers to the questions that indicated that they really had no idea how to answer. Few were overtly negative about transgender patients, but imagine what it would be like for a transgender patient to try to communicate with a nurse who was that uncomfortable.
Marty Martinson
My co-authors and I had long discussions about gender. We all identify as sexual minority women, but none of us as transgender or genderqueer. We tried to imagine ways to break down the gender binary that has been in operation in our own lives but like most others, we are somewhat entrenched in that system and it is hard to imagine life without the breaking down of people into two genders. It requires a radical transformation in thinking and in language itself. We firmly believe that this transformation is necessary, not just to improve services for transgender patients, but for all patient care, because the gender binary and gender stereotypes have hurt us all.
We hoped that our article might start some conversations among nurses about how to treat their transgender clients/patients more respectfully, but even more, about how to have hard conversations about the nature of gender and sexuality and ultimately, how we treat each other. I am gratified that today, unlike the late 1980s when I started writing about LGBTQ issues in nursing, that there is now a willingness to publish articles on these topics and to discuss how to integrate them into nursing education. Talking and writing about LGBTQ issues is a first step, but I challenge you to read the article and ask yourself, “What can I do personally to effect change for transgender patients in my nursing setting?”
ANS Volume 40 Issue 2 will feature articles that address “Crime, Justice & Health.” Manuscripts for this issue are due
October 15, 2017. Here is the issue call for submissions:
In the past several years, there is widespread recognition that cultural and political responses to crime, and standards of justice, are powerful factors that shape the health and wellbeing of individuals, communities, societies, and governments. For this issue of ANS we are seeking nursing scholarship that addresses the complex factors related to crime and justice. We welcome scholarly manuscripts that report research, theory, or philosophic analysis from nursing perspectives. Manuscripts can explore these issue from the standpoint of perpetrators, victims, or those who govern systems of justice in societies worldwide. Due date for manuscripts: October 15, 2017
This journal is a member of, and subscribes to the principles of, the Committee on Publication Ethics (COPE) www.publicationethics.org
ANS: Advances in Nursing Science Blog 