{"title":"The Intersection of Social Determinants of Health and Patient Care.","authors":"Melissa D Pinto","doi":"10.1177/10547738231181164","DOIUrl":"https://doi.org/10.1177/10547738231181164","url":null,"abstract":"","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10040670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Motherhood Experiences of Women With Multiple Sclerosis: A Thematic Meta-Synthesis.","authors":"İlknur Özkan, Cansu Polat Dünya","doi":"10.1177/10547738231177480","DOIUrl":"https://doi.org/10.1177/10547738231177480","url":null,"abstract":"<p><p>The nature and unpredictable prognosis of multiple sclerosis (MS) make pregnancy and motherhood challenging experiences for women with the disease. Using the thematic synthesis method, we aimed to systematically interpret and synthesize data from qualitative research examining the motherhood experiences of women with MS. The analyses revealed three analytical themes: \"Deciding to become a mother,\" \"The journey during pregnancy, childbirth, and the postpartum period,\" and \"Surviving as a mother with multiple sclerosis.\" For women with MS, being a mother, pregnancy, and the postpartum period were complex and challenging issues. During this period, most women felt lonely, thought that they were contradictory and inadequately informed by healthcare professionals and that they could not get enough social support. Despite all the difficulties, being a mother was a source of motivation for them. This meta-synthesis study provides healthcare professionals with an in-depth understanding of the experiences of women with MS with pregnancy, childbirth, postpartum period, and motherhood from their perspectives.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10040668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Young-Me Lee, Shannon D Simonovich, Suling Li, Lily Amer, LeAnne Wagner, Janet Hill, Roxanne Spulark, Elizabeth Aquino
{"title":"Motivators and Barriers to COVID-19 Vaccination in Young Adults Living in the USA.","authors":"Young-Me Lee, Shannon D Simonovich, Suling Li, Lily Amer, LeAnne Wagner, Janet Hill, Roxanne Spulark, Elizabeth Aquino","doi":"10.1177/10547738231177331","DOIUrl":"https://doi.org/10.1177/10547738231177331","url":null,"abstract":"<p><p>High rates of COVID-19 infection and lower vaccination rates among young adults aged 18 to 26 in the United States prompted this study to examine motivating factors and barriers to COVID-19 vaccination and identify preferences in COVID-19 vaccine education. Three focus group discussions were completed. Transcribed data were analyzed using thematic analysis. Three key themes were identified including (1) motivating factors to vaccination, (2) barriers to vaccination, and (3) COVID-19 vaccination educational intervention design recommendations. Motivating factors included five relevant subthemes: civic duty, fear related to the disease process; fear related to emerging variants and breakthroughs; fear regarding the suffering of others; and freedom. Barriers included four subthemes: lack of trust, misinformation, politics, and pressure. Attempts to further educate young adults about the COVID-19 vaccine should consider strategies that target motivating factors and barriers while also making accurate information accessible through social media.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10261948/pdf/10.1177_10547738231177331.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10040672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Experiences of Patients With Type 2 Diabetes Who Recovered From COVID-19 in the Pandemic Period: A Qualitative Study.","authors":"Serap Çetinkaya Özdemir, Merve Gulbahar Eren, Havva Sert, Fatma Can Öztürk","doi":"10.1177/10547738231177481","DOIUrl":"https://doi.org/10.1177/10547738231177481","url":null,"abstract":"<p><p>Coronavirus disease 2019 (COVID-19) infection can induce acute and chronic complications by affecting the self-management behaviors of individuals with diabetes. The objective of this study is to examine the physical, psychosocial health, and self-management experiences of type 2 diabetes patients who have recovered from COVID-19, 1 year after the infection. The study adopted a qualitative research design, specifically content analysis. In all, 14 patients with type 2 diabetes who presented to the diabetes outpatient clinic were interviewed by teleconferencing, which lasted approximately 25 to 30 minutes. The Standards for Reporting Qualitative Research guidelines were used. Based on the participants' responses, four main themes were determined: obstacles in activities of daily living, feeling of psychosocial problems, changes in health and treatment management, and patient self-management practices. Amid the pandemic, diabetes nurses should strive to recognize the issues that diabetes patients encounter. To assist patients, telemedicine should be leveraged, and evidence-based practices must be developed.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10230310/pdf/10.1177_10547738231177481.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9684566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dawn Bounds, Mary A Woo, Adeline Nyamathi, Priscilla Kehoe, Bhaswati Roy, Kartik Yadav, Cristina Cabrera-Mino, Rajesh Kumar
{"title":"Brain Changes Linked to Cognitive Symptomatology in Homeless Youth.","authors":"Dawn Bounds, Mary A Woo, Adeline Nyamathi, Priscilla Kehoe, Bhaswati Roy, Kartik Yadav, Cristina Cabrera-Mino, Rajesh Kumar","doi":"10.1177/10547738231168465","DOIUrl":"https://doi.org/10.1177/10547738231168465","url":null,"abstract":"<p><p>Youth impacted by homelessness experience diminished cognition due to a variety of reasons including mental health symptoms, alcohol and substance use, and adverse childhood experiences. However, the status of specific brain regions which could impact important cognitive functions in homeless youth remains unclear. In this pilot comparative and correlational study, a series of demographic, psychological, cognitive assessments, and brain magnetic resonance imaging were performed in 10 male youth experiencing homelessness and 9 age-matched healthy male controls (age range: 18-25 years). Participants experiencing homelessness had significantly decreased regional brain gray matter tissue in comparison to the controls. Moreover, there were strong inverse correlations between the brain regions classically associated with executive decision-making (prefrontal cortices), depression (insular lobes), and conflict resolution (anterior cingulate), and the level of the symptoms detected by their questionnaires.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1b/23/10.1177_10547738231168465.PMC10265299.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9674516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical and Socio-Demographic Variables Associated With Long COVID-19: A Cross-Sectional Study.","authors":"Zohreh Mahmoodi, Giti Bahrami, Ehsan Shahrestanaki, Hamed Seddighi, Nooshin Ghavidel","doi":"10.1177/10547738231177395","DOIUrl":"https://doi.org/10.1177/10547738231177395","url":null,"abstract":"<p><p>Considering the importance of long COVID-19 (LC), this study aimed to investigate the relationship between clinical/sociodemographic factors and LC symptoms (LCS). This online cross-sectional study was conducted on 308 people infected with COVID-19 in Alborz, Iran, from April 1 to June 1, 2022. Multivariable logistic regression models were applied to measure the association between the LCS with other variables. Overall, 76.6% of participants had at least one LCS. Results from the multivariate logistic regression analysis showed that females (crude odds ratio [OR] [95% confidence interval (CI)]: 2.725 [1.42, 5.22]), educated persons (3.747 [1.58, 8.84]), people with a higher number of COVID-19 reinfection (2.280 [1.30, 3.97]), having an underlying disease (1.996 [1.01, 3.93]), and COVID-19 severity (3.321 [1.037, 10.635]) had higher odds of LC than others (all <i>p</i> < .05). Study findings provide additional clinical/sociodemographic data on risk for LC. These data may inform future research and clinical practice for potential risk identification and early intervention.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10240294/pdf/10.1177_10547738231177395.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10040671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rosemary Agyapomah, Edward Appiah Boateng, Isaac Amankwaa, Veronica Millicent Dzomeku, Lawrencia Oppong Peprah
{"title":"\"She is My Work\": Caregiving for Older Adults With Hypertension and Diabetes Mellitus.","authors":"Rosemary Agyapomah, Edward Appiah Boateng, Isaac Amankwaa, Veronica Millicent Dzomeku, Lawrencia Oppong Peprah","doi":"10.1177/10547738231165886","DOIUrl":"https://doi.org/10.1177/10547738231165886","url":null,"abstract":"<p><p>To explore the lived experiences of informal caregivers of older adults with hypertension and/or diabetes mellitus in Kumasi, Ghana. A qualitative research approach was used to conduct the study using informal caregivers of older adults with hypertension and/or diabetes mellitus at a teaching hospital in Ghana. In all, 20 participants were purposively sampled, interviewed, and data were analyzed using thematic analysis. Three main themes emerged: \"Experience with care demands,\" \"Coping with care demands,\" and \"Motivation for caregiving.\" Older adults with hypertension and/or diabetes mellitus had needs that placed a burden on informal caregivers' work life, health, and social life. Informal caregivers of older adults with hypertension and/or diabetes mellitus are under strain. Caregiving is a difficult task, requiring a lot of time, effort, attention, and devotion. Nurses should plan the care of older adults with hypertension and/or diabetes mellitus in collaboration with their informal caregivers.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9503487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sandra Morgan, Constance Visovsky, Bini Thomas, Aimee B Klein, Ming Ji, Lauren Schwab, Jillian Coury
{"title":"Home-Based Pilot Pulmonary Program for Dyspneic Patients Post-COVID-19.","authors":"Sandra Morgan, Constance Visovsky, Bini Thomas, Aimee B Klein, Ming Ji, Lauren Schwab, Jillian Coury","doi":"10.1177/10547738231170496","DOIUrl":"10.1177/10547738231170496","url":null,"abstract":"<p><p>It is estimated that at least 10% of people who have had COVID-19 will experience ongoing symptoms such as shortness of breath, fatigue, and cognitive disturbances. Pulmonary exercise has demonstrated improved dyspnea outcomes in other respiratory conditions. Thus, the purpose of this study was to assess the efficacy of a home-based pulmonary rehabilitation program in post-COVID-19 survivors who continue to experience dyspnea. This was a longitudinal, single group pilot study in which 19 patients received a home-based expiratory muscle strength training program over 12 weeks. Outcomes measured at baseline, 6 weeks, and 12 weeks included pulmonary symptoms, functional performance, thoracic expansion, forced expiratory volume, and expiratory resistance measures. Significant improvements were found in pulmonary symptoms (<i>p</i> < .001), functional performance (<i>p</i> = .014), and progressive expiratory resistance capabilities (<i>p</i> < .001). A home-based pulmonary program may be an inexpensive strategy for post-COVID-19 survivors who continue to experience dyspnea.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10158807/pdf/10.1177_10547738231170496.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9501230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lindsey A Clark, Robert Reed, Kirsten N Corazzini, Shijun Zhu, Cynthia Renn, N Jennifer Klinedinst
{"title":"COPD-Related Fatigue: A Scoping Review.","authors":"Lindsey A Clark, Robert Reed, Kirsten N Corazzini, Shijun Zhu, Cynthia Renn, N Jennifer Klinedinst","doi":"10.1177/10547738221141224","DOIUrl":"https://doi.org/10.1177/10547738221141224","url":null,"abstract":"Millions of people worldwide have chronic obstructive pulmonary disease (COPD), and one of the most common and troublesome symptoms that must be managed is fatigue. While there are existing interventions to address COPD-related fatigue, not all patients experience benefit. A better understanding of the factors associated with COPD-fatigue could elucidate new approaches to address COPD-related fatigue, thereby offering relief to a greater number of patients. The purpose of this review was to identify the physiologic, psychologic, and situational factors associated with COPD-related fatigue. A total of four databases, PubMed, CINAHL, Scopus, and Google Scholar, were searched. Those that were peer reviewed, in English, and published between 2000 and 2021, were included in the review. A total of 25 articles were included in this scoping review. The following factors were related to fatigue in COPD: dyspnea, pain, anxiety, depression, and sleep. Fatigue is a debilitating symptom with factors influential to the symptom and outcomes. Research is indicated to explore targeted and personalized interventions addressing the factors related to fatigue to mitigate this widespread symptom.","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9493280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carmen Ecija, Patricia Catala, Lorena Gutierrez, Manuel Javier Arrayás-Grajera, Cecilia Peñacoba
{"title":"The Influence of the Fear of Negative Evaluation on Activity Avoidance in Fibromyalgia: Exploring Pain Acceptance and Positive Affect as Resilience Variables.","authors":"Carmen Ecija, Patricia Catala, Lorena Gutierrez, Manuel Javier Arrayás-Grajera, Cecilia Peñacoba","doi":"10.1177/10547738221122670","DOIUrl":"https://doi.org/10.1177/10547738221122670","url":null,"abstract":"<p><p>To examine the mediating role of pain acceptance (PAcc) between fear of negative evaluation (FNE) and activity avoidance (AV) at different levels of positive affect (PA) (moderator) among women diagnosed with fibromyalgia (FM) (moderate mediation model). This study was cross-sectional in design. A convenience sample of women with FM (<i>n</i> = 231) completed measures of pain severity, FNE, PAcc, AV, and PA. A simple mediation model and a moderate mediation model was constructed and analyzed using the SPSS macro-PROCESS. First, PAcc mediated the effect of FNE on AV (β = .02, <i>SE</i> = 0.008; [95% CI [0.0075, 0.0394]). Second, a mediated effect of PAcc between FNE and AV moderated by PA at medium and high levels of PA were found (<i>m</i>: 0.23; β = -.22, <i>p</i> = .0006; <i>h</i>: 9.59; β = -.34, <i>p</i> = .0002. Future work should seek to validate study findings in diverse samples of FM patients. Additionally, future work should explore how FM self-management interventions that include PAcc can promote increased activity among women suffering from FM with medium to high levels of PA.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9854867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}