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1.
Objective
Stress is one of the responses experienced by families with child victims of sexual violence. The purpose of this study was to explore in depth the stress experienced by families dealing with child victims of sexual violence.Method
This qualitative study employed the phenomenology approach. A purposive sample of six families participated in the study. Data were analyzed using Colaizzi's method.Results
This study discussed the experience of family with children who are victims of sexual violence. This study generated the following 5 themes: 1) sexual violence and the subsequent behavior changes in children as a source of family stress; 2) Family stress as a response to changes in the family process; 3) social support as sources of the family's strengths; 4) spiritual activities for coping with stress, and 5) parenting changes as a family learning and evaluation.Conclusions
Results suggested the development of the School Mental Health Unit to help families, and the community, identify and prevent sexual violence. In addition, the School Mental Health Unit would be a useful source for students who experience sexual violence to function well at school. 相似文献2.
Sheila A. Boamah Heather K. Spence Laschinger Carol Wong Sean Clarke 《Nursing outlook》2018,66(2):180-189
Background
Improving patient safety within health care organizations requires effective leadership at all levels.Purpose
The objective of this study was to investigate the effects of nurse managers' transformational leadership behaviors on job satisfaction and patient safety outcomes.Methods
A random sample of acute care nurses in Ontario (N = 378) completed the crosssectional survey. Hypothesized model was tested using structural equation modeling.Finding
The model fit the data acceptably. Transformational leadership had a strong positive influence on workplace empowerment, which in turn increased nurses' job satisfaction and decreased the frequency of adverse patient outcomes. Subsequently, job satisfaction was related to lower adverse events.Conclusion
The findings provide support for managers' use of transformational leadership behaviors as a useful strategy in creating workplace conditions that promote better safety outcomes for patients and nurses. 相似文献3.
Background
Between 45% and 94% of registered nurses (RNs) experience verbal abuse, which is associated with physical and psychological harm. Although several studies examined predictors of RNs' verbal abuse, none examined predictors of RNs' experiences of verbal abuse by RN colleagues.Purpose
To examine individual, workplace, dispositional, contextual, and interpersonal predictors of RNs' reported experiences of verbal abuse from RN colleagues.Methods
In this secondary analysis, a cross-sectional design with multiple linear regression analysis was used to examine the effect of 23 predictors on verbal abuse by RN colleagues in a sample of 1,208 early career RNs.Finding
Selected variables in the empirical intragroup conflict model explained 23.8% of variance in RNs' experiences of verbal abuse by RN colleagues.Conclusion
A number of previously unstudied factors were identified that organizational leaders can monitor and develop or modify policies to prevent early career RNs' experiences of verbal abuse by RN colleagues. 相似文献4.
Objective
The aim of this study was to investigate the perceptions of patients with chronic heart failure regarding palliative care needs.Method
The study used a qualitative design. Five patients with chronic heart failure (New York Heart Association functional classes III or IV) were interviewed in inpatient unit at the main referral government hospital in Indonesia. Data was analyzed using content analysis.Results
Patients reported dyspnea and fatigue as the most common signs and symptoms of chronic heart failure. Psychologically, patients experience fear and believe that the disease is the most serious illness. Declining body functions and quality of life are the reasons chronic heart failure patients need palliative care. Professional treatment, end-of-life care, information, support, and motivation are identified as the needs of patients in palliative care.Conclusions
The findings provide valuable information for health care professionals about the needs of patients with chronic heart failure in relation to palliative care. 相似文献5.
Kathryn Wirtz Rugen Nancy Harada Faith Harrington Mary A. Dolansky Judith L. Bowen 《Nursing outlook》2018,66(4):352-364
Background
Nurse Practitioner (NP) Postgraduate Residency programs are rapidly expanding. Currently, little is known about trainees' self-perceptions during these experiences.Purpose
Describe NP residents' perceptions of their strengths, areas for improvement, and goals while participating in the Veterans Affairs Centers of Excellence in Primary Care Education NP Residency program.Methods
NP residents responded to open-ended questions at three time points across their training year. Responses were analyzed using inductive and deductive approaches.Findings
NP residents self-reported strengths in patient-centered care and interprofessional teamwork. They identified clinical skill acquisition as the major area for improvement. Their short- and long-term goals focused on personal and professional growth.Discussion
These results suggest NPs prioritize clinical skill acquisition during a primary care residency. In contrast, leadership and performance improvement skills did not capture their attention. When aggregated at the programmatic level, assessments identified opportunities to improve the NP Residency program curriculum. 相似文献6.
Background
Requiring parental consent in studies with sexual minority youth (SMY) can sometimes be problematic as participants may have yet to disclose their sexual orientation, may not feel comfortable asking parents' permission, and may promote a self-selection bias.Purpose
We discuss rationale for waiving parental consent, strategies to secure waivers from review boards, and present participants' feedback on research without parents' permission.Methods
We share our institutional review board proposal in which we made a case that excluding SMY from research violates ethical research principles, does not recognize their autonomy, and limits collection of sexuality data.Discussion
Standard consent policies may inadvertently exclude youth who are at high risk for negative health outcomes or may potentially put them at risk because of forced disclosure of sexual orientation. Securing a waiver addresses these concerns and allows for rich data, which is critical for providers to have a deeper understanding of their unique sexual health needs.Conclusion
To properly safeguard and encourage research informed by SMY, parental consent waivers may be necessary. 相似文献7.
8.
Background
The Precision Medicine Initiative will accelerate genomic discoveries that improve health care, necessitating a genomic competent workforce.Purpose
This study assessed leadership team (administrator/educator) year-long interventions to improve registered nurses' (RNs) capacity to integrate genomics into practice.Methods
We examined genomic competency outcomes in 8,150 RNs.Findings
Awareness and intention to learn more increased compared with controls. Findings suggest achieving genomic competency requires a longer intervention and support strategies such as infrastructure and policies. Leadership played a role in mobilizing staff, resources, and supporting infrastructure to sustain a large-scale competency effort on an institutional basis.Discussion
Results demonstrate genomic workforce competency can be attained with leadership support and sufficient time. Our study provides evidence of the critical role health-care leaders play in facilitating genomic integration into health care to improve patient outcomes. Genomics' impact on quality, safety, and cost indicate a leader-initiated national competency effort is achievable and warranted. 相似文献9.
Objective
The purpose of this study was to explore the family roles and psychological well-being of grandparents who are caregivers of grandchildren with autism spectrum disorders.Method
The study used quantitative methods with a correlational design. A self-administered questionnaire was used as an instrument to measure the variables of psychological wellbeing and the grandparenting role. This research involved 108 grandparents from Semarang, Jepara and Kendal, obtained through a quota-purposive sampling technique. Quantitative data analysis was based on simple regression analysis.Results
The study results showed rxy= 0.397; P = .000 (P < .05), which indicates a positive and significant correlation between the role played by grandparents and their psychological well-being.Conclusions
The test results indicate a significant correlation between the roles of grandparents and their psychological well-being. The greater the role played by grandparents, the higher psychological well-being they experienced, and vice versa. Grandparents play an important role in families where there is a child with autism; they take care of the child when the parents are not at home, help with the cost of therapy, and take care of them when sick. 相似文献10.
11.
Objective
Family satisfaction has become an integral part of quality of care in hospitals. Thus, it is crucial to develop instruments that measure family satisfaction. The purpose of this study was to examine the validity and reliability of a family satisfaction questionnaire. Method: This study used a survey questionnaire consisting of 26 items that identified nurses' constructs of behaviors and communication. The population surveyed were families whose children were hospitalized due to pneumonia.Results
The results revealed that only 16 items of the instrument demonstrated evidence of acceptable constructs of reliability and validity. The study recommends further studies that add other potential constructs related to family satisfaction. 相似文献12.
Sandra Founds 《Nursing outlook》2018,66(3):283-292
Background
The systems biology framework was previously synthesized with the person–environment–health–nursing metaparadigm.Purpose
The purpose of this paper is to present a nursing discipline-specific perspective of the association of systems biology with big data and precision health.Method
The fields of systems biology, big data, and precision health are now overviewed, from origins through expansions, with examples of what is being done by nurses in each area of science.Discussion
Technological advances continue to expand omics and other varieties of big data that inform the person's phenotype and health outcomes for precision care. Meanwhile, millions of participants in the United States are being recruited for health-care research initiatives aimed at building the information commons of digital health data.Conclusions
Implications and opportunities abound via conceptualizing the integration of these fields through the nursing metaparadigm. 相似文献13.
Kristin E. Lees Barbara J. Guthrie Elizabeth L. Henderson Holly B. Jimison Carmen Sceppa Misha Pavel Christine Gordon Terry Fulmer 《Nursing outlook》2018,66(2):121-129
Background
The Center for Technology in Support of Self-Management and Health (NUCare) is an exploratory research center funded by the National Institute of Nursing Research's P20 mechanism positioned to conduct rigorous research on the integration of technology in the self-management of the older adult population.Purpose
The purpose of this paper is to describe the development and application of an evaluation plan and preliminary evaluation results from the first year of implementation.Methods
This evaluation plan is derived from and is consistent with Dorsey et al.'s (2014) logic model. Dorsey's model provided guidelines for evaluating sustainability, leveraging of resources, and interdisciplinary collaboration within the center.Discussion
Preliminary results and strategies for addressing findings from the first year of evaluation are discussed. A secondary aim of this paper is to showcase the relevance of this center to the advancement and maintenance of health in the aging population. 相似文献14.
Lisa J. Sundean E. Carol Polifroni Kathryn Libal Jacqueline M. McGrath 《Nursing outlook》2018,66(3):222-232
Background
Inclusion of nurses on boards (NOB) to enhance health care transformation is recommended; however, there is no research-based rationale for NOB.Purpose
To articulate the rationale for NOB in the voices of nurses who serve.Methods
An explanatory sequential mixed methods design was used with priority on the quantitative strand (Delphi method). The qualitative strand was accomplished with focus groups.Findings
Twenty-nine NOB participants (Delphi phase) and nine NOB participants (focus groups) agreed the rationale for NOB is embedded in specific knowledge, skills, and perspectives that nurses contribute for boardroom discussions and policymaking. This study supported anecdotal literature promoting nurses for board leadership.Discussion
Nurses should be appointed to boards of directors based on their knowledge, skills, and perspectives about health care. Board leadership leverages the public's trust in nursing, advances the profession, and positions nurses to influence health care transformation. Further research is recommended. 相似文献15.
Joanne Spetz 《Nursing outlook》2018,66(4):394-400
Background
In 2011, the Institute of Medicine recommended that 80% of RNs have a bachelor's degree or higher by 2020. Progress toward this recommendation has been slow.Purpose
This paper presents a model that projects whether the 80% recommendation can be met within a 10-year period and estimates the impact of education changes that might accelerate progress.Methods
A projection model for 2016 to 2026 was created using a “stock-and-flow” approach. Secondary data were extracted from multiple sources for the projections. The model includes the option to enter alternative values of key parameters to estimate the impact of changes.Discussion
Based on current patterns of entry-level and RN-to-BSN education, approximately 66% of RNs are projected to have BSN+?education by 2025.Conclusions
To reach the 80% goal by 2025, changes in the mix of entry-level education and/or an increase in the number of RN-to-BSN graduates will be required. 相似文献16.
Demetrius A. Abshire Janessa M. Graves Mary Lee Roberts Janet Katz Celestina Barbosa-Leiker Cynthia F. Corbett 《Nursing outlook》2018,66(1):84-93.e3
Background
Factors that contribute to student success in accelerated degree nursing programs are poorly understood and may vary by gender.Purpose
Examine associations between satisfaction with peer and mentor support, gender, and academic outcomes among students in accelerated degree nursing programs.Methods
We used data (demographic variables, satisfaction with peer and mentor support, graduation, and attempts of National Council Licensure Examination for Registered Nurses) from the American Association of Colleges of Nursing and Robert Wood Johnson Foundation's New Career in Nursing Program. Multivariable mixed effects regression models were used to examine associations among gender, satisfaction with support, and academic outcomes.Findings
Males had an increased probability of reporting high satisfaction with peer support. Both males and females who were very dissatisfied with peer support were less likely to graduate than students who were very satisfied with peer support. Gender did not moderate the relationships between satisfaction with peer and mentor support and academic outcomes.Conclusion
Peer support is an important aspect of graduation among students in accelerated degree nursing programs. Continuous quality improvement strategies to improve student peer support may be warranted. 相似文献17.
Background
The National Hartford Center of Gerontological Nursing Excellence (NHCGNE) Scholars/Fellows Award Program was designed to promote the growth and development of nurse scientists, educators, and leaders in aging.Purpose
McBride’s conceptual framework of the growth and development of nurse leaders was used to examine the NHCGNE impact on health and aging policy work among scholars/fellows, including barriers, facilitators, and resources.Methods
A multimethod two-phased approach included an online survey (phase I) focused on research and policy impact at local, state, or national level. Telephone interviews (phase II) were conducted to further understand the nature, depth, and focus of respondents' policy work.Discussion
Based on our findings, we propose multilevel recommendations for advancing nurse scientists' capacity to be leaders in shaping policy.Keen research skills are influential in policy advancement but not sufficient to advance policy. Preparing nurse scientists with competencies in translating research into policy can ultimately transform health and health care for older adults. 相似文献18.
Casey R. Shillam Jeffrey M. Adams Debbie Chatman Bryant Joy P. Deupree Suzanne Miyamoto Matt Gregas 《Nursing outlook》2018,66(2):130-137
Purpose
This study aims to describe the development and psychometric evaluation of the Leadership Influence Self-Assessment (LISA©) tool.Background
LISA© was designed to help nurse leaders assess and enhance their influence capacity by measuring influence traits and practices and identifying areas of strength and weakness.Methods
Concepts identified in the Adams Influence Model and input from content experts guided the development of 145 items for testing. Administered to 165 nurse leaders, the assessment was subjected to exploratory factor analysis (EFA).Findings
EFA yielded a four-factor solution that comprised 80 items. Cronbach's alpha for factors ranged between 0.912 and 0.938. All factor loadings were >0.4; the smallest factor contained 14 items. Items grouped together in the theoretical model also clustered together in the EFA.Conclusions
Preliminary psychometric testing supports validity and reliability of the LISA© and its potential use as a tool to assess influence capacity for purposes of leadership development and research. 相似文献19.
Francisco Alburquerque-Sendín Angelica Viana Ferrari Daiana Priscila Rodrigues-de-Souza Paula Paras-Bravo Juan Francisco Velarde-García Domingo Palacios-Ceña 《Nursing outlook》2018,66(3):293-310
Purpose
The purpose of the study was to summarize the experiences of African psychiatric nurses in their workplace by examining the findings of existing qualitative studies.Methods
Eleven studies published in English, Portuguese, and Spanish, between 1998 and 2016, which explored psychiatric nurses' experiences in Africa, were included.Findings
After meta-aggregation, five key findings were identified: 1) organization and management, 2) perceptions of professional safety and insecurity, 3) relationship with the patient, 4) emotional experiences and 5) recommendations for improvement.Discussion
The findings in this study highlight the stressful nature of the work climate of the psychiatric nurse in South Africa. More focus on improving working conditions and providing support is necessary to increase the quality of care for psychiatric mental health patients and their nurse providers. 相似文献20.