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Posts tagged ‘Stress’

Military to Civilian Reintegration

The latest ANS featured article is titled “Toward a System Theory of Stress, Resilience, and Reintegration” authored by Anna G. Etchin, PhD, RN; Jennifer R. Fonda, PhD; Regina E. McGlinchey, PhD; and Elizabeth P. Howard, PhD, RN, ACNP, ANP-BC, FAAN. In this article the authors address the need for a theoretical sturcture to understand and interpret complex phenomena.  Here is a message from Dr. Etchin about this work, along with  a link to her “Prezi” presentation that details the elements of this work.

Anna Etchin

In my presentation, my co-authors and I present our rationale for developing the System Theory of Stress, Resilience, and Reintegration, created with integrated concepts from Neuman’s Systems Model and the Transactional Model of Stress and Coping. Military to civilian reintegration, or the return to one’s civilian roles, is complex and demands a holistic perspective. Much like any medical or psychiatric diagnosis, considering other possible influencing aspects of one’s health is key to optimizing patient outcomes. With the help of simple metaphors, we demonstrated the abstract components of this theory, which we then applied to a research study (not presented in this paper).

As a nurse working with veterans for nearly a decade, I’ve seen the direct effects of successful and challenging reintegration experiences. These effects can spill into other areas of veterans’ lives, such as relationships, work stability, etc. By adopting a holistic lens, nurses can better facilitate veterans’ returns to their new normalcy.


Model of Parental Stress in Pediatric Cardiac Intensive Care

WE are currently featuring  the article titled “The Pediatric Cardiac Intensive Care Unit Parental Stress Model: Refinement Using Directed Content Analysis” by Amy Jo Lisanti, PhD, RN, CCNS, CCRN-K; Nadya Golfenshtein, PhD, RN; and Barbara Medoff-Cooper, PhD, RN, FAAN. Download and read this article at no cost while it is featured, and return here to share your feedback, comments and ideas!  Dr. Lisanti sent this message about her work:

Amy Jo Lisanti

My research focuses on the stress of parents whose infants are born with congenital heart disease requiring surgery in the neonatal period.  The recent article published in ANS built upon my dissertation work on maternal stress in a pediatric cardiac intensive care unit, where I used research instruments to quantitatively measure stress and anxiety. The study elucidated some of the relationships between maternal stress and anxiety in the critical care environment, but I was hungry to understand more.  I wanted to conduct another study to examine additional factors influencing the stress experience for mothers using the model I had created for my dissertation, the PCICU Parental Stress Model. The ANS publication represents the fruition of the work that I was able to complete under the leadership of my postdoctoral mentor, Dr. Barbara Medoff-Cooper, and with my colleague, Dr. Nadya Golfenshtein. We conducted focus groups with mothers and used directed content analysis to clarify specific foci of stress and to refine the PCICU Parental Stress Model. My goal is continue to use the model as a foundation for future research.  In my current postdoctoral fellowship at the University of Pennsylvania School of Nursing, I am expanding my research on parental stress to include the use of biomarkers and to begin to test interventions to reduce parental stress in this population.

Acculturation & negative health outcomes

In one of our featured articles from the current ANS issue focusing on “Transitions,” Dr. R. Jeanne Ruiz and her colleagues present their research investigating the effects of acculturation on the health of pregnant Hispanic Women in the United States.    This research provides very important evidence for nurses and other providers who care for pregnant Hispanic women in the United States, but there are also important implications related to culture and health.  An important contribution of this study is the inclusion of physiologic measures.  Ruiz and her colleagues concluded that:

” ….  repeated or chronic physiological adaptation to stressors is an explanation for the “unhealthy assimilation” effect seen in Mexican immigrants.”  (see page E9)

As the authors of this article confirm, more research is needed to understand the health effects of cultural stress, how the dynamics of acculturation relate to health and well-being, and most important, ways in which nurses and other health care providers can promote health and well-being for immigrant women and families.

Reflections on the current issue: Trauma & Stress

The current issue of ANS is now available on our ANS Web site, and it promises to another issue of lasting influence!  If you have not already done so, take a look at the Table of Contents and see for yourself what this issue contains.  We will be featuring each of these articles in the “Featured Articles” section of the web site, and while they are featured you will be able to download them at no cost.  If you are a journal subscriber, you have access to all of the articles in not only this issue, but all issues of ANS published since the beginning in 1978!

Given that ANS articles are unsolicited, we can never predict the content profile of any single issue.  We publish issue topics well in advance of the date by which manuscripts must be submitted to considered for each issue, but we leave the interpretation of issue topics open.  But for this issue of ANS, I anticipated that authors might address two substantive areas – trauma and stress brought about by war, and that brought about by violence in the home.  Indeed, both of these areas of concern appeared in the articles we considered for publication, as well as those that were accepted for publication.

Predominantly, nurse authors represented in this issue Read more

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