Research and Theory for Nursing Practice最新文献_第10页

The Process of Injection Drug Use Among Homeless Women in Ottawa, Canada: A Qualitative Study. 加拿大渥太华无家可归妇女使用注射毒品的过程：定性研究。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-03-05 DOI: 10.1891/RTNP-D-20-00068

Cynthia Kitson, Patrick O'Byrne

引用次数: 0

Knowledge for Nursing Practice: Beyond Evidence Alone. 护理实践知识:超越证据。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-02-01 DOI: 10.1891/RTNP-D-20-00095

Marlaine C Smith, Peggy L Chinn, Leslie H Nicoll

{"title":"Knowledge for Nursing Practice: Beyond Evidence Alone.","authors":"Marlaine C Smith, Peggy L Chinn, Leslie H Nicoll","doi":"10.1891/RTNP-D-20-00095","DOIUrl":"https://doi.org/10.1891/RTNP-D-20-00095","url":null,"abstract":"Objective: For the past 30 years there has been a growing emphasis on evidence as the primary or exclusive basis for nursing practice.Methods: Critical examination of literature related to evidence-based practice from the 1990s to the present.Results: This review of the nursing literature from the 1990s to the present reveals that in the midst of the movement to promote evidence-based practice as the gold standard, there have been persistent expressions of concern. These concerns are (a) lack of alignment of evidence-based practice with nursing's disciplinary perspective; (b) wrongful privileging of empirical knowledge over other sources of knowledge; (c) underappreciation of the complexity of practice and practice wisdom;(d) possibilities of evidence-based practice thwarting innovation and creativity;(e) vulnerabilities of empirical evidence to be flawed, inconsistent, and influenced by competing interests; (f) situational realities that limit access to and critical appraisal of evidence that access to and critical appraisal of evidence is not feasible or practical; and (g) lack of relationship of evidence-based practice to theory.Conclusions: We call for a recalibrated practice epistemology that promotes a greater appreciation for the myriad sources of knowledge for nursing practice, and offer recommendations for international change in education, literature, scholarship, and public media.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"35 1","pages":"7-23"},"PeriodicalIF":0.6,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25406076","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}

引用次数: 5

Different Types of Theories by Level of Abstraction in Nursing: A Discussion Paper. 护理抽象层次的不同类型理论:讨论论文。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-02-01 DOI: 10.1891/RTNP-D-20-00038

Eun-Ok Im

{"title":"Different Types of Theories by Level of Abstraction in Nursing: A Discussion Paper.","authors":"Eun-Ok Im","doi":"10.1891/RTNP-D-20-00038","DOIUrl":"https://doi.org/10.1891/RTNP-D-20-00038","url":null,"abstract":"Background and purpose: Despite different labels used to refer to different types of nursing theories by different authors, agreements were made on three major types of theories by level of abstraction. The purpose of this analysis was to discuss the characteristics of the three major types of nursing theories by level of abstraction that were published in refereed journals and to propose directions for future theoretical development in nursing.Methods: An integrated literature review was conducted using PUBMED, CINAHL, and PsycINFO. A total of 116 articles were included in this analysis. The retrieved articles were sorted by the type of theories (by level of abstraction), and analyzed in terms of scope, theorizing process, specificity and abstraction, contextual understanding, links to research and practice, and diversity and generalizability. Finally, themes reflecting the characteristics of the three major types of nursing theories were extracted and discussed.Results: A total of 17 themes were found. Although most of the themes reflected what were known about these theories, there were three new findings. First, all the grand theories that were reviewed tended to have more specific foci rather than explaining general nature, mission, or goals of nursing. Second, middle-range theories were developed based on various types/levels of theories using various sources for theorizing. Third, situation-specific theories began to be used to generate propositions and tested through statistical and qualitative analyses.Implications for practice: The efforts to try to link nursing theories to nursing practice need to be continued through further development and evaluation of the theories regardless of the types of theories.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"35 1","pages":"50-66"},"PeriodicalIF":0.6,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25406078","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}

引用次数: 2

Nurse-Talk Ratios as a Measure of Participation in a Cognitive Rehabilitation Intervention for People With Type 2 Diabetes. 护士-谈话比率对2型糖尿病患者认知康复干预参与程度的影响

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-02-01 DOI: 10.1891/RTNP-D-19-00130

Heather Cuevas, Sharon Carter

{"title":"Nurse-Talk Ratios as a Measure of Participation in a Cognitive Rehabilitation Intervention for People With Type 2 Diabetes.","authors":"Heather Cuevas, Sharon Carter","doi":"10.1891/RTNP-D-19-00130","DOIUrl":"https://doi.org/10.1891/RTNP-D-19-00130","url":null,"abstract":"Background: Comprehensive cognitive rehabilitation teaches strategies to enhance strengths and has been used by nurses to target cognitive problems in chronic conditions. However, to date, no evaluations of web-based cognitive rehabilitation, based in empowerment theory, specifically for people with type 2 diabetes (T2DM), have been done.Purpose: The purpose of this study was to analyze a cognitive rehabilitation intervention for people with T2DM, using qualitative content analysis and 10-second event coding to determine to what extent the classes reflected empowerment theory.Methods: Nineteen adults with T2DM and two nurses participated in an 8-week intervention that combined webinar classes with online home-based computer training. Classes were audio recorded and 10-second event coding was used to calculate nurse-talk ratios. Transcripts were examined using content analysis and compared with the talk ratios.Results: Talk ratios ranged from 40% to 74% for each class. Qualitative themes included (a) importance of goal setting; (b) pairing cognitive strategies with diabetes self-management; (c) experience and information sharing; and (d) validation by healthcare providers. Positive participant outcomes related to empowerment were associated with low nurse-talk ratios in some classes. However, high nurse-talk ratios were associated with factual content that participants also considered valuable.Implications for practice: Talk ratios did not completely reflect the communication skills of the nurse. The 10-second method should be applied to other educational interventions in combination with qualitative analysis. Future interventions should include components of discourse evaluation and examinations of relationships to adherence and clinical outcomes.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"35 1","pages":"67-81"},"PeriodicalIF":0.6,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25406079","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}

引用次数: 0

A Biopsychosocial Framework to Examine Risk for Type 2 Diabetes in Asian Pacific Islander Immigrants. 亚太岛民移民2型糖尿病风险的生物心理社会研究框架

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-02-01 DOI: 10.1891/RTNP-D-19-00132

Jorgia B Connor, Linda W Janusek

{"title":"A Biopsychosocial Framework to Examine Risk for Type 2 Diabetes in Asian Pacific Islander Immigrants.","authors":"Jorgia B Connor, Linda W Janusek","doi":"10.1891/RTNP-D-19-00132","DOIUrl":"https://doi.org/10.1891/RTNP-D-19-00132","url":null,"abstract":"There is large disparity in the incidence of Type 2 diabetes (T2D) for Asian Pacific Islanders (APIs), one of the fastest growing minority populations in the United States. It is critical to examine biopsychosocial pathways and vulnerability factors that intensify risk for T2D in API. Increasing evidence links chronic stress to poor health outcomes and accelerated development and progression of diseases of aging, such as diabetes. Immigrant populations face unique life stressors, including the challenges associated with the process of adapting to a new environment, new language, and cultural differences. In addition, immigrants experience high levels of psychological distress related to changes of identity and values, loss of support, discrimination, and disempowerment. The purpose of this article is to propose a biopsychosocial framework to explicate potential mechanistic pathways that link cumulative life stress to risk for T2D in the API immigrant population. Unique to the proposed framework is the emphasis on inflammatory processes and accelerated cellular aging (telomere biology). A deeper understanding of biopsychosocial pathways can lead to tailored and targeted interventions to reduce the incidence of T2D in the API immigrant population.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"35 1","pages":"82-96"},"PeriodicalIF":0.6,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25406556","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}

引用次数: 0

An Ethos of Inclusion for Global Nursing Practice. 全球护理实践的包容精神。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-02-01 DOI: 10.1891/RTNP-D-19-00080

Michele J Upvall

引用次数: 0

Methods to Optimize Recruitment, Participation, and Retention Among Vulnerable Individuals Participating in a Longitudinal Clinical Trial. 在参与纵向临床试验的弱势个体中优化招募、参与和保留的方法。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-02-01 DOI: 10.1891/RTNP-D-19-00039

Kelly Doran, Anahi Collado, Hailey Taylor, Julia W Felton, Kayla N Tormohlen, Richard Yi

{"title":"Methods to Optimize Recruitment, Participation, and Retention Among Vulnerable Individuals Participating in a Longitudinal Clinical Trial.","authors":"Kelly Doran, Anahi Collado, Hailey Taylor, Julia W Felton, Kayla N Tormohlen, Richard Yi","doi":"10.1891/RTNP-D-19-00039","DOIUrl":"https://doi.org/10.1891/RTNP-D-19-00039","url":null,"abstract":"Low-income and ethnic/racial minority adults do not often participate in research or may face unique barriers when participating in research, which delays and impedes medical advances for this vulnerable population. This article describes in detail the evidenced-based methods used to enhance recruitment, participation, and retention in a clinical trial at a center serving ethnic/racial minorities and low-income individuals. The article details the partnership with a community outreach center and describes the duties and impact of a community liaison to enhance recruitment, participation, and retention in a randomized controlled trial with a 6-month follow-up. Of the 246 individuals initially recruited for screening, 80 did not meet inclusion criteria with the most common reason for disqualification being meeting criteria for substance use disorder (n = 44). One hundred sixty-six participants qualified for participation. The majority of participants identified as African American (n = 127, 77.1%) and reported an annual individual income under $10,000 (n = 121 (74.2%). Forty-five percent of the sample completed the requested number of sessions (i.e., 12). Sixty-three percent of participants completed post intervention assessments and 42% completed 6-month follow-up data collection. The participation and retention numbers in this study appear higher than typical participation and retention rates in longitudinal studies with similar populations. The methods and lessons learned may be useful for other clinical trials that recruit vulnerable populations and wish to enhance participation, engagement, and retention.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"35 1","pages":"24-49"},"PeriodicalIF":0.6,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8863056/pdf/nihms-1691462.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25406077","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}

引用次数: 1

Cultural Care of Pregnancy and Home Birth: An Application of the Sunrise Model. 怀孕与家庭分娩的文化关怀:朝阳模式的应用。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2020-11-01 DOI: 10.1891/RTNP-D-19-00090

Elena Andina-Díaz, José Siles-González

{"title":"Cultural Care of Pregnancy and Home Birth: An Application of the Sunrise Model.","authors":"Elena Andina-Díaz, José Siles-González","doi":"10.1891/RTNP-D-19-00090","DOIUrl":"https://doi.org/10.1891/RTNP-D-19-00090","url":null,"abstract":"Background and purpose: The role of older women close to the pregnant woman may be relevant when conveying information. The use of theories/models can guide the development of nursing practice.Purpose: To explore beliefs and practices related to pregnancy and childbirth from the perspective of older women who gave birth at home, applying Leininger's Sunrise Model.Methods: Qualitative approach, using semi-structured interviews with 24 older women who gave birth at home (rural area, Spain). Manual content analysis of the data was used, and Sunrise Model guided to explore the role of culture and the factors affecting maternity care.Results: Two main categories emerged: beliefs/practices related to physiological aspects (subcategories: minimal intervention, hygiene, pain control, rest, feeding) and to psychosocial aspects (subcategories: spiritual well-being, company).Implications for practice: The experiences of older women who gave birth at home helped us to understand some beliefs that survive in some pregnant women, similar in different cultures, and divided into physiological and psychosocial aspects. Older women have a relevant role as transmitters of information, and can provide some keys to plan health interventions, as companions or counselors. Applying the Sunrise Model, we verified the weight that culture has in maternal health care, and the multiple factors that interfere with the way of caring. The application of models helps us to improve nursing practice: not only should we focus on knowing the physical aspects, but also the social and cultural circumstances surrounding the pregnant woman.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"34 4","pages":"358-370"},"PeriodicalIF":0.6,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38705357","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}

引用次数: 3

Rethinking Suicide Risk With a New Generation of Suicide Theories. 用新一代自杀理论重新思考自杀风险。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2020-11-01 DOI: 10.1891/RTNP-D-19-00128

Tamara P Keefner, Thomas Stenvig

{"title":"Rethinking Suicide Risk With a New Generation of Suicide Theories.","authors":"Tamara P Keefner, Thomas Stenvig","doi":"10.1891/RTNP-D-19-00128","DOIUrl":"https://doi.org/10.1891/RTNP-D-19-00128","url":null,"abstract":"Background: Suicide is a global concern to nurses and other health-care providers. However, deaths by suicide are only part of the spectrum of suicide, as suicidal thinking and behaviors may precede a suicide attempt. Theoretical models are used infrequently in research to explain how the individual progresses from suicidal ideation to a suicide attempt. Thus, there is a critical need to advance the study of suicide with useful theoretical models to describe and explain processes whereby suicidal thoughts transition to attempts and to suicide.Purpose: This article provides a conceptual discussion and scoping review comparing historical and contemporary ideation-to-action theories of suicide.Method: Systematic reviews and meta-analyses from three databases (CINAHL, JSTOR, and PsychINFO) were reviewed to find literature describing suicide theories.Results: Historically, theory applications have limited capacity to differentiate between those individuals with suicidal ideations and those who attempt suicide. Newer theories, grounded in the ideation-to-action framework, propose distinct processes explaining what moves an individual from suicidal ideations toward suicidal behaviors.Implications for practice: The ideation-to-action theories can guide health-care providers' assessment of at-risk individuals beyond merely asking about suicidal thinking.Conclusion: The new generation of suicide theories suggest that suicidal ideations are only one component of risk. The common factor in ideation-to-action theories that distinguishes ideators from attempters is the acquired capability for suicide.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"34 4","pages":"389-408"},"PeriodicalIF":0.6,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38705359","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}

引用次数: 3

Parental Acceptability of HPV Vaccination for Adolescent Daughters and Associated Factors: A Cross-Sectional Survey in Bozhou, China. 父母对青春期女儿接种HPV疫苗的接受程度及其相关因素:亳州的一项横断面调查。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2020-11-01 DOI: 10.1891/RTNP-D-19-00108

Tonghui Suo, Qi Lu

{"title":"Parental Acceptability of HPV Vaccination for Adolescent Daughters and Associated Factors: A Cross-Sectional Survey in Bozhou, China.","authors":"Tonghui Suo, Qi Lu","doi":"10.1891/RTNP-D-19-00108","DOIUrl":"https://doi.org/10.1891/RTNP-D-19-00108","url":null,"abstract":"Purpose: This study aimed to investigate parents' acceptability of human papillomavirus (HPV) vaccination for their daughters and associated factors.Methods: This cross-sectional study was conducted in a city in China with a sample population of parents with a daughter in middle school. Participants' demographic characteristics, knowledge level regarding HPV and the HPV vaccine, perspectives on the health belief model (HBM) constructs, social norms, and acceptability of the HPV vaccine were determined through self-administered questionnaires.Results: Among the 523 parents who completed the questionnaire, 71.5% expressed willingness to have their daughters vaccinated against HPV infection and cervical cancer. Logistic regression analysis revealed higher acceptability in the participants with higher perceived severity of HPV infection (OR = 4.823, 95% CI = 2.683, 12.049), higher knowledge-assessment score (OR = 1.298, 95% CI = 1.055, 1.476), and higher perceived safety of the HPV vaccine (OR = 6.372, 95% CI = 3.856, 14.062). Parents influenced by social norms (OR = 4.959, 95% CI = 2.989, 14.386) and those who complied with physicians' recommendations (OR = 4.896, 95% CI = 1.936, 9.258) reported higher levels of acceptability.Implications: Our results provide preliminary evidence on the need for health education programs and HPV vaccination campaigns. Future studies should focus on whether the factors associated with vaccination can increase parental acceptability of the HPV vaccine.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"34 4","pages":"340-357"},"PeriodicalIF":0.6,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38705356","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}

引用次数: 2