Journal of the American Nurses Association - New York最新文献

{"title":"School Health Services for Children with Chronic Health Conditions in California Public Secondary Schools: Findings from the 2018 School Health Profiles Survey","authors":"Ellen M. McCabe, Beth E. Jameson, S. Strauss","doi":"10.47988/janany.53644423.2.1","DOIUrl":"https://doi.org/10.47988/janany.53644423.2.1","url":null,"abstract":"Background: More than 20% of school districts in the United States do not have policies on identification and case management for students with chronic health conditions (CHCs), suggesting that these students’ health needs may not be met during the school day. Prior research reports a gap in policy implementation and the actual provision or operationalization of the policy into action. Significance: While there is limited research on school health policies, little is known about the actual provision of the services that such policies indicate should be provided. Notably, the actual provision of health services in U.S. schools, particularly regarding CHC management and its association with school nurse employment, is underreported. Methodology: Using data from the 2018 School Health Profiles (SHP) Survey, health services including administering daily medication, providing stock rescue medication, providing case management, facilitating community partnering, and providing disease-specific education were examined in California public secondary schools together with school nurse employment. Complex sampling analysis and chi-square statistics were used to examine the statistical associations. Results: A significantly greater proportion of schools with a full- or part-time nurse compared with schools with no nurse provided: (1) daily medication administration (82.1% vs. 68.1%; p = .014); (2) case management services (75.8% vs. 62.0%; p = .031); (3) disease-specific education for parents and families (44.9% vs. 25.7%; p = .016); and (4) parent and student connection to health services in the community (83.7% vs. 72.2%; p = .035). Conclusion: Findings suggest that nationally representative data, such as SHP, contain important information for states to review regarding school health policies and provision of services. Further research needs to expand these findings to better understand school health policy and practice and its alignment with state and federal laws to support all children, especially those with CHCs.","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132195209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mindfulness-Based Relapse Prevention as a Health Promotion Tool for Substance Use Disorders in Adults","authors":"Anne S. Bartone, Rosemarie R Van Patten","doi":"10.47988/janany.23103123.2.1","DOIUrl":"https://doi.org/10.47988/janany.23103123.2.1","url":null,"abstract":"Background: Substance-use disorders (SUDs) are a prevalent and destructive public health issue. Therefore, tools aimed at reducing/ preventing relapse are critical in promoting positive health outcomes. Objective and/or Significance of the Study: Mindfulness based interventions show promising results for a variety of issues/clientele, including adults with SUDs. One that is showing feasibility and efficacy in reducing/preventing relapse, thereby promoting well-being, is Mindfulness-Based Relapse Prevention (MBRP). Methodology: In addition to a literature review, this paper addresses role-specific information related to MBRP for SUDs. The six functional sub-roles include expert clinician, educator, counselor, collaborator, consultant, and researcher. Results: Nurses at all levels can utilize the techniques associated with this approach in their work with substance use disordered patients to help them stay in the present moment and be less impulsive when faced with triggers. Conclusion and Recommendations: MBRP for SUDs is considered one of the \"third wave\" interventions, has empirical support, and can be utilized after several weeks of training and practicing the techniques with ongoing supervision concordant to the patient. As an expert clinician, educator, counselor, collaborator, consultant, or researcher, nurses can promote MBRP as one of the methods shown to be effective when working with a SUD population.","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121825875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse Practitioners’ Awareness of Existing Barriers Regarding Breast and Cervical Cancer Screening Among African American Women","authors":"Khloe Barlow, Loralee Sessanna, P. Paplham","doi":"10.47988/janany.89473123.2.1","DOIUrl":"https://doi.org/10.47988/janany.89473123.2.1","url":null,"abstract":"Background and Significance: Despite availability of adequate screening protocols, African American (AA) women face increased incidence of breast and cervical cancer due to specific barriers to care. Nurse practitioners (NP) are perfectly positioned to identify and mitigate these specific barriers. Study Purpose and Aim: The purpose of this study was to explore NPs’ awareness of existing barriers regarding breast and cervical cancer screening among AA women. The aim of the study was to promote NP awareness and understanding of existing barriers to care and the need for evidence-based breast and cervical cancer screening protocols tailored to the needs of AA women. Methodology: A qualitative descriptive design was utilized with use of individual semi-structured interviews. Guided by an essentialist/ realist framework, Braun and Clarke’s reflective thematic analysis method was used to analyze data with an inductive approach and use of semantic or explicit data driven codes. Findings: One overarching theme, I’m Not Sure of Anything in Particular with African American Women as Far as Breast and Cervical Cancer Go, and three key themes, Multiple Screening Guidelines: Whatever It’s Called, It’s a Little Bit Too Late...Less Likely to Get Screening Done, and It All Just Comes Down to Awareness, were generated as a result of the analysis of data. Strengths and Limitations: Strengths of this study included use of semi-structured individual interviews which yielded rich data that provided valuable insight into an under-researched area of NP practice concerning cancer screening in AA women. Limitations included study implementation during the Covid-19 pandemic, the data collection time frame, a small sample size, use of convenience sampling, and potential for participant bias. Conclusion and Recommendations: The disparity that currently exists within healthcare for AA women regarding breast and cervical cancer screening is alarming with a critical need to be addressed and mitigated. Improved outcomes of breast and cervical cancer screening for AA women may be achieved through NP and patient education, the creation of culturally sensitive and appropriate standardized breast and cervical cancer screening recommendations and guidelines, and increased provider diversity to promote representation.","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"165 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134495163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges to Educating Nurses about Evidence-Based Nursing Practice in NY State: A Delphi Study","authors":"Darlene M. Del Prato, Jennifer Klimek-Yingling, Prescilla Worral, R. Levin, D. Elliott, Victoria Record","doi":"10.47988/janany.58235864.2.1","DOIUrl":"https://doi.org/10.47988/janany.58235864.2.1","url":null,"abstract":"Background: Nurses play a critical role in delivering evidence-based practice (EBP) that prevents adverse events and fosters quality patient outcomes. Nurses’ ability to engage in EBP after graduation is shaped by their nursing education. The purpose of this study was to examine nurse leaders’ perspectives regarding academic barriers to educating nurses about EBP and its implementation in practice in New York State. Methodology: Using a modified Delphi technique, a purposive sample of nurse leaders in clinical, faculty, and administrative roles that included responsibility for EBP completed two online survey rounds. First Round qualitative data were categorized via content analysis. In the second Round, respondents ranked categories gleaned from Round I. This paper reports the second phase of a larger study about EBP. Results: Respondents identified a lack of faculty expertise as an educational barrier to EBP for undergraduate and graduate students. Additional barriers for undergraduates were lack of experience/context and lack of role models. At the graduate level, additional barriers were lack of time and lack of exposure/experience/ practice. Subgroup differences in ranking highlight the need to consider demographic variation in identification of barriers. Conclusion and Recommendations: Faculty have an important responsibility to create and update nursing curricula so nursing graduates are prepared as competent EBP clinicians. The findings underscore the need for ongoing faculty development of EBP competencies, academic-clinical partnerships, and an integrated curriculum to support nursing students’ professional formation of EBP competency consistent with professional nursing standards and current research.","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126949947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Academic and Practice Experiences of Nursing Students During the Initial Phase of the COVID-19 Pandemic","authors":"Carol Della Ratta, Kathleen M. Gambino, Barbara M. Brathwaite, Annemarie Rosciano, Virginia Coletti","doi":"10.47988/janany.44335864.2.1","DOIUrl":"https://doi.org/10.47988/janany.44335864.2.1","url":null,"abstract":"Aim: To explore undergraduate and graduate nursing students’ academic and employment experiences as they faced the first surge of the COVID-19 pandemic in New York. Background: Little is known about the pandemic’s impact on nursing students who were also providing patient care during the initial phase of the COVID-19 outbreak. Many faced dramatically altered learning environments while also meeting the challenges of professional practice. Method: An electronic survey with an open-ended question was distributed to a convenience sample of students enrolled in a large public university; 194 responded. Data were collected from April through October of 2020. A thematic analysis was used to analyze the responses of 194 students. Results: Five themes illuminating students’ academic and practice experiences were revealed: battling the unknown, filling the void, education interrupted, experiencing moral distress, and taking an emotional toll. Severe mental anguish and emotional distress resulted from providing care during the pandemic. These perceptions may have long-term effects on professional role development, especially in novices and new graduates. Conclusion: Findings indicate a need for significant modifications in both academic and practice arenas. Faculty and clinical leaders must implement changes that will support student and staff preparedness during times of both normalcy and crisis.","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129260969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing Students’ Duty to Care Amidst the COVID-19 Pandemic: A Cross-Sectional Survey","authors":"Jodi L Sutherland","doi":"10.47988/janany.70817655.2.1","DOIUrl":"https://doi.org/10.47988/janany.70817655.2.1","url":null,"abstract":"Background: Research examining undergraduate nursing students’ duty to care during the COVID-19 pandemic is lacking, thus presenting many challenges in nursing education. Significance: This research adds to the literature about nursing students’ duty to care and willingness to respond in the clinical setting early in the COVID-19 pandemic. This research will inform nurse leaders and regulators on ways to safely mobilize a nursing workforce to fill critical nursing roles needed during a pandemic. Methodology: This research study utilized a descriptive, cross-sectional design. The Nash Duty to Care Scale© was used to examine nursing students’ duty to care early in the COVID-19 pandemic at two nursing programs in New York. Results: Most of the nursing students (65.8%) reported a duty to care or a willingness to respond during the COVID-19 pandemic. Perceived obligation and perceived risk were the most predictive subscales between the low and high duty to care groups. Conclusions and recommendations: It is suggested that nursing schools maintain adequate emergency response resources (i.e. personal protective equipment and effective communication) for students in the clinical setting. Enhanced academic and practice partnerships with clear and specific nursing student policies and procedures are needed.","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126645188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tracking the New York State Faculty Shortage: Report on the Schools and Faculty Survey 2013 and 2017","authors":"A. Stanley, Rhonda E. Maneval, Linda Millenbach, M. Nettleton, D. Elliott, Gertrude B. Hutchinson, M. Stapleton, Yvonne Johnston","doi":"10.47988/janany.23587684.2.1","DOIUrl":"https://doi.org/10.47988/janany.23587684.2.1","url":null,"abstract":"Background: This secondary analysis of existing data compared the results of the 2013 New York State (NYS) Nursing Schools and Faculty Report Survey to the results of a replication study completed in 2017. The NYS Council of Deans representing baccalaureate and higher degree programs in NYS and the Council of Associate Degree Nursing were surveyed in academic years 2012-2013 and 2016-2017 (referenced as 2013 and 2017, respectively). Objective: The purpose of this study was to provide detailed and aggregate baseline data about NYS nursing schools' capacity in relation to the number, characteristics, distribution, vacancy rates, and retirement plans of faculty and to contextualize these findings in current national trends. While the issue of nursing faculty shortage is not new in NYS, two studies were conducted in academic years 2012-2013 and 2016-2017, respectively, that examined the rate of nursing faculty vacancies and factors contributing to the nursing faculty shortage. In addition, the secondary analysis revealed trends that have implications for the current and future state of New York States' ability to prepare an adequate nursing workforce. Methodology: Data analysis included 22 questions that appeared on both surveys. The survey response rate was 71.4% in 2013 and 43% in 2017. SPSS was used for data analysis. Descriptive statistics summarize the data and identify patterns and trends between the two data collection points. Results: Faculty gender composition remained unchanged from 2013 to 2017, with 92% women and 8% men. Race and ethnicity of faculty also remained stable in 2013 and 2017, with 78% and 79% of faculty reported as White, respectively. There was little change in the percentage of minority faculty. Most faculty were between the ages of 50 and 59 years (35% in 2013 and 31% in 2017). The master's degree was the highest level of degree for most nursing faculty at 64% in 2013 and 63% in 2017. The top strategy used by nursing schools to fill vacancies was to hire more adjunct faculty, while the most cited strategy to recruit full-time faculty was to increase salaries. The most cited reason for the separation of faculty in 2013 was that faculty accepted a position elsewhere (31%), and in 2017 the most cited reason was retirement (49%). Limitations: The limitations of this analysis include: (a) decrease in survey response rates between the two survey periods, since response rates are a potential source of bias, and (b) the wording of questions was not identical in some cases, which could have led to different responses based on how the question was worded. Conclusions and Recommendations: Complex factors contribute to the NYS faculty shortage and include an aging faculty, increasing retirements, lack of diversity, and low compensation. These results mirror the results of national surveys on the faculty shortage, indicating that NYS needs to take action now to address the nursing pipeline issue.","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116841907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Scoping Review of Aromatherapy Evidence for Test Anxiety in Nursing Education","authors":"Martha J Greenberg, Danielle Bard","doi":"10.47988/janany.28231991.1.2","DOIUrl":"https://doi.org/10.47988/janany.28231991.1.2","url":null,"abstract":"Background: Aromatherapy is a holistic intervention that is purported to relax or stimulate cognitive performance in nursing students and improve sleep disturbances depending upon the essential oil and the method of delivery. Test anxiety is a prevalent educational issue for nursing students that can lead to poor outcomes during the course of their nursing education. Test anxiety can have adverse consequences for students such as poor performance, failure, and attrition in the nursing program. Objective: The aims of this scoping review were to identify, summarize, and synthesize aromatherapeutic evidence implemented and evaluated in nursing education to decrease anxiety and test anxiety and improve test taking and sleep among nursing students. It also aims to propose methodologies that best utilize aromatherapy in nursing education. Methodology: A scoping review of the research evidence was done using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (2021). Results: Nine studies (2008-2019) were identified from the United States, the Philippines, and Turkey. The majority of designs were reported as RCTs (random control trials), with small non-diverse samples reported. Lavender, rosemary and lemon oil were administered via inhalation and hand massage methods. Anxiety and test anxiety were evaluated using scales (Cognitive Test Anxiety, Westside Test Anxiety Scale, State Trait Anxiety Inventory) and vital sign data. Test anxiety decreased with aromatherapy hand massage, and lavender and rosemary scents. Pulse rate decreased while blood pressure was non-significant. Studies did not use sleep disturbances as a variable. Conclusions and Recommendations: Various essential oils and delivery methods were used to mitigate anxiety and test anxiety among nursing students; however, there is limited data available to understand the design, chemistry and concentration of the essential oils used in the studies. There should be comprehensive reports of the design and evidence for use in nursing education.","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"796 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117039750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“A whole day, I might not say a word”: Responses to the Pandemic by People with Parkinson’s","authors":"Melinda Hermanns, Beth Mastel-Smith","doi":"10.47988/janany.28644764.1.2","DOIUrl":"https://doi.org/10.47988/janany.28644764.1.2","url":null,"abstract":"Background: The widespread SARS-CoV-2 or COVID-19 virus accounted for approximately 2.5 million deaths worldwide. Parkinson’s Disease (PD) is a progressive movement disorder of the central nervous system in which the loss of dopamine results in motor and nonmotor symptoms. Stress can exacerbate PD symptoms. The purpose of this study was to examine the lived experiences of persons with Parkinson’s disease during the COVID-19 pandemic. Research Question: The research question, “what is it like to live with Parkinson’s Disease during the COVID-19 pandemic?” guided this study. Examining the subjective lived experiences and meanings of living with PD during the COVID-19 pandemic will advance nursing science by providing insight into the long-term effects as well as the care and services needed to improve patients’ health and well-being. Methodology: This study employed a phenomenological approach to examine the subjective lived experiences and meanings of living with PD during the COVID-19 pandemic. A sample of 14 participants with PD were interviewed. Colaizzi’s seven steps were used for data analysis and methods to ensure trustworthiness were employed. Results: Three themes emerged: (1) pandemic effects, (2) adaptations, and (3) stress and coping. Categories representing the pandemic’s effects included restrictions, the effects of restrictions on physical and mental health, and precautions. Categories representing adaptations included being intentional about contact, activity adaptations, and relocation. Categories representing stress and coping included stress effects, coping, and stress and the pandemic. Limitations: This was a small homogeneous sample. All were white and educated individuals, recruited from two service organizations in Texas, and unaware of their PD staging. At the same time, everyone with PD experience different symptoms and stress responses creating heterogeneity. Conclusion and Recommendations: Based on the findings of this study, a holistic assessment should be conducted during routine visits with people with PD. Nurses and other health care professionals should be aware that a pandemic may have a holistic effect on the well-being of persons with PD necessitating assessment beyond the classic symptoms of tremor, bradykinesia, rigidity, and postural instability.","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124638397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Index of Peer Reviewers for 2021","authors":"","doi":"10.47988/janany.pr.index.2021","DOIUrl":"https://doi.org/10.47988/janany.pr.index.2021","url":null,"abstract":"","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130140838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}