Research and Theory for Nursing Practice最新文献_第6页

"Be Your Own Doctor" Experiences of Patients With Transcatheter Aortic Valve Implantation During the Pandemic: A Qualitative Study. 大流行期间经导管主动脉瓣置入术患者“做你自己的医生”的经验:一项定性研究。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2023-02-01 DOI: 10.1891/RTNP-2022-0043

Arzu Akbaba, Hatice Mert

{"title":"\"Be Your Own Doctor\" Experiences of Patients With Transcatheter Aortic Valve Implantation During the Pandemic: A Qualitative Study.","authors":"Arzu Akbaba, Hatice Mert","doi":"10.1891/RTNP-2022-0043","DOIUrl":"https://doi.org/10.1891/RTNP-2022-0043","url":null,"abstract":"Background and Purpose: Although patients have had reduced access to healthcare institutions due to the COVID-19 pandemic and the related preventive measures, there is no current data on how the pandemic has affected patients who underwent transcatheter aortic valve implantation (TAVI), despite their need for close follow-up.This study investigated TAVI patients' experiences with self-care management during the pandemic. Methods: This study adopted a descriptive qualitative design. The sample consisted of 24 patients recruited using purposive sampling. Data were collected by telephone and analyzed using inductive content analysis. Results: The data were grouped under three themes: \"vulnerability,\" \"worsening of psychological condition,\" and \"expectations.\" The most challenging self-care behaviors reported by TAVI patients were determined to be doing regular physical activity, managing their symptoms, complying with treatment, and attending regular check-ups. They also reported experiencing psychological problems such as fear, concern, and abandonment and stated a need for better communication and follow-up at home during the pandemic. Implications for Practice: The pandemic has more than ever demonstrated the importance of effective self-care for cardiovascular patients. Nurses should plan individualized interventions regarding the problems in self-care management that we identified in this study. In this regard, the use of secure digital applications such as telerehabilitation can be effective. Also, nurses should develop community-based and political initiatives to allow sustainable self-care management to be effectively implemented in special patient groups in extraordinary circumstances such as pandemics.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"37 1","pages":"3-16"},"PeriodicalIF":0.6,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9139263","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

Living in Stealth: A Grounded Theory Study of Transgender Women's Barriers to HIV-Prevention Services and Interventions. 生活在隐形:跨性别妇女艾滋病预防服务和干预障碍的接地理论研究。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2023-02-01 DOI: 10.1891/RTNP-2022-0044

Joseph P De Santis, Elias Provencio-Vasquez, Pablo D Radusky, Rosina Cianelli, Natalia Villegas Rodriguez, Nena Peragallo-Montano

{"title":"Living in Stealth: A Grounded Theory Study of Transgender Women's Barriers to HIV-Prevention Services and Interventions.","authors":"Joseph P De Santis, Elias Provencio-Vasquez, Pablo D Radusky, Rosina Cianelli, Natalia Villegas Rodriguez, Nena Peragallo-Montano","doi":"10.1891/RTNP-2022-0044","DOIUrl":"https://doi.org/10.1891/RTNP-2022-0044","url":null,"abstract":"Background and Purpose: HIV infection is a health disparity among transgender women. Despite availability of HIV-prevention interventions and services, many transgender women do not access these interventions and services. The purpose of this study was to identify the process by which barriers may prevent transgender women from receiving HIV-prevention interventions and services and to have participants propose ideas on how to overcome these barriers. Methods: Utilizing a grounded theory approach, 25 in-depth, semistructured interviews were conducted with transgender women aged 20-69 years. After providing written informed consent, participants completed an in-depth individual interview. Interviews were audio-recorded and transcribed verbatim. Categories and subcategories were identified from the data using open, axial, and selective coding. Results: A theory grounded in the data named Living in Stealth emerged that described this central phenomenon that underpinned the other main categories of Encountering Social Barriers and Encountering Structural Barriers. Generating Ideas for Restructuring HIV-Prevention for Transgender Women was the final category in which participants provided ideas to overcome HIV-prevention barriers. Implications: Clinicians and researchers providing HIV-prevention services and interventions for transgender women need awareness of the complex nature of HIV prevention for this subpopulation of women. More research is needed to incorporate findings from this study into HIV-prevention interventions for transgender women.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"37 1","pages":"17-39"},"PeriodicalIF":0.6,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9086505","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

The Dimensions of Desire Among Gay, Bisexual, and Other Men Who Have Sex With Men (gbMSM): An Evolutionary Concept Analysis. 男同性恋、双性恋和其他男男性行为者(gbMSM)的欲望维度:一个进化概念分析。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2023-02-01 DOI: 10.1891/RTNP-2022-0006

Lauren Orser, Dave Holmes

{"title":"The Dimensions of Desire Among Gay, Bisexual, and Other Men Who Have Sex With Men (gbMSM): An Evolutionary Concept Analysis.","authors":"Lauren Orser, Dave Holmes","doi":"10.1891/RTNP-2022-0006","DOIUrl":"https://doi.org/10.1891/RTNP-2022-0006","url":null,"abstract":"Background and Purpose: Within nursing discourses, the concept of desire among gay, bisexual, and other men who have sex with men (gbMSM) is not well understood. Among nurses, this concept is often constructed as being synonymous with sexual and other risk-taking behaviors, which can influence the type of care nurses provide to gbMSM and affect how this group engages with nurses - and their health. This misinterpretation of what desire represents has resulted in gbMSM becoming the target of public health campaigns and nursing interventions aimed at curbing their deviant behaviors. Such an approach by nurses, however, overlooks the meaning of desire among gbMSM. Methods: To enhance nursing knowledge about, and improve nursing practice for, gbMSM, a concept analysis of desire specific to this group was undertaken using Rodger's evolutionary model. For this analysis, 90 articles reviewed from the disciplines of nursing and allied health, medicine, and psychology. Results: Findings from this analysis revealed a complexity to desire among gbMSM that extended well beyond engagement in radical sexual practices and into dimensions of desire for connection, freedom, and acceptance. These revelations were applied to demonstrate how nurses' beliefs about desire and subsequent regulations for \"good health\" can inhibit the ways in which desire is produced among gbMSM. Implications for Practice: Such findings demonstrate a need to develop future approaches for nursing practice that recognize the innate value and individual perspectives about desire held by this group, which can be uniquely tailored to meet their health needs.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"37 1","pages":"40-58"},"PeriodicalIF":0.6,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9139261","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 Quasi-realist Synthesis Investigating Professional Breastfeeding Support Failure. 调查专业母乳喂养支持失败的准现实主义综合。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2023-02-01 DOI: 10.1891/RTNP-2022-0073

Antonia M Nelson

{"title":"A Quasi-realist Synthesis Investigating Professional Breastfeeding Support Failure.","authors":"Antonia M Nelson","doi":"10.1891/RTNP-2022-0073","DOIUrl":"https://doi.org/10.1891/RTNP-2022-0073","url":null,"abstract":"Background/Purpose: To conduct a synthesis based on a realist perspective, -investigating how professional breastfeeding support can sometimes be ineffective and/or unsatisfactory from the viewpoint of the mother and fail to address the needs of the breastfeeding dyad. Methods: An innovative, targeted \"quasi-realist\" -synthesis technique was used to explore the context of the interpersonal relationships through which professional breastfeeding intervention is delivered and identify any unintended mechanisms and/or consequences. Results: Multiple expressions of failed breastfeeding support were revealed which had a negative impact on maternal empowerment, informed decision-making, and breastfeeding self-efficacy. The overarching theme, inadequate breastfeeding information/ support, was elucidated by several subthemes: giving inconsistent/contradictory advice, use of the hands-on approach, provision of insensitive care, and making parents feel scrutinized/judged Mothers who experienced inadequate breastfeeding information/support often resorted to the mechanism of duplicity/evasion and withdrew from seeking or following further professional advice. Finally, unintended consequences of not breastfeeding as recommended included feelings of guilt and a sense of failure This was particularly true for mothers who intended to exclusively breastfeed. Implications for Practice: The findings of this unique synthesis suggest that to sustain breastfeeding support relationships and prevent unintentional consequences of inadequate support, professionals must pay more attention to the manner in which breastfeeding intervention is provided. The findings also suggest that they must strive to provide more consistent, engaging, -sensitive, and nonjudgmental care that better meets the needs of breastfeeding dyads.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"37 1","pages":"59-83"},"PeriodicalIF":0.6,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9139260","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

Interventions Employed By Licensed Nurses in Nursing Homes: Refinement and Validation of an Existing Omaha System Nursing Intervention Set. 护理院执业护士采用的干预措施:改进和验证现有的奥马哈系统护理干预集。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2022-11-04 DOI: 10.1891/RTNP-2021-0112

Yu Jin Kang, Yinfei Duan, Christine A Mueller, Barbara J McMorris, Joseph E Gaugler, Karen A Monsen

{"title":"Interventions Employed By Licensed Nurses in Nursing Homes: Refinement and Validation of an Existing Omaha System Nursing Intervention Set.","authors":"Yu Jin Kang, Yinfei Duan, Christine A Mueller, Barbara J McMorris, Joseph E Gaugler, Karen A Monsen","doi":"10.1891/RTNP-2021-0112","DOIUrl":"https://doi.org/10.1891/RTNP-2021-0112","url":null,"abstract":"Background and Purpose: Demands on long-term services and supports for older adults are growing, although geriatric workforce shortages have persisted for decades. Methods to define and quantify practice of licensed nurses in nursing homes are needed for work optimization within limited nurse resources available in nursing homes. This study aimed to refine and validate observable nursing interventions for nursing homes, using the Omaha System. Methods: Based on the existing corpus of Omaha System interventions for acute care nursing, this multi-phase, multi-method study included a mapping procedure of interviews from licensed nurses in nursing homes, the evaluation of content validity and coding of the interventions using a survey, and inter-observer reliability assessment using TimeCaT. Results: This study validated 57 observable interventions for nursing homes. Of the previously identified acute care nursing interventions, eight interventions were deemed out of scope. One additional intervention was identified. Refined intervention definitions were related to procedures common in acute care settings such as tracheal intubations/extubations and nasogastric tube insertion that were not performed in nursing homes. Expert agreement for content validity and coding of the interventions was high (S-CVI = 0.97), and inter-observer reliability levels (Cohen's κ value >0.4; proportion agreement >60%) were acceptable for all case studies. Implications for Practice: The validated observable Omaha System nursing interventions for nursing home practice have potential for use in future studies of nursing home practice to understand evidence-based practice, and gaps in care provided. The methodology may be extended to define observable interventions for other roles and settings.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"36 4","pages":"395-421"},"PeriodicalIF":0.6,"publicationDate":"2022-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10687297","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

Guided Participation Support of Coparenting an Infant With Complex Congenital Heart Disease: A Randomized Pilot Feasibility Study. 复杂先天性心脏病患儿父母共同抚养的引导参与支持:一项随机试点可行性研究

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2022-11-04 DOI: 10.1891/RTNP-2021-0096

Karen Pridham, Janet Melby, Tondi Harrison, Roger Brown, Kathleen Mussatto

{"title":"Guided Participation Support of Coparenting an Infant With Complex Congenital Heart Disease: A Randomized Pilot Feasibility Study.","authors":"Karen Pridham, Janet Melby, Tondi Harrison, Roger Brown, Kathleen Mussatto","doi":"10.1891/RTNP-2021-0096","DOIUrl":"10.1891/RTNP-2021-0096","url":null,"abstract":"Background and Purpose: Parents' competencies in coparenting are critical to adaptive and competent caregiving of an infant with complex congenital heart disease. To date, feasible interventions to support parents in working together-coparenting-for caregiving of these infants have not been developed and systematically examined. The purpose of this feasibility study was to examine the efficacy of the participatory teaching/learning intervention, Guided Participation (GP) on parent dyads' competencies in interactive problem-solving tasks in preparation for a randomized controlled trial. Methods: Nurse guides used GP to support mother and father couples in developing coparenting competencies through the first 6 months after birth. Couples, enrolled from two regional heart centers, were randomly assigned either to the usual care group (n = 10) or the GP group (n = 24). Intervention involved nurse guided GP in hospital and, following the infant's discharge, monthly telephone GP sessions between 2-months and 6-months infant age. In-home data collection visits at 2 and 6 months included video-recorded parent interaction problem-solving tasks with two goals, infant caregiving and the parent couple's relationship. The Iowa Family Interaction Rating Scales were used to score observed interactive competencies. Results: Retention was 82%, and results revealed small to moderate effect sizes for GP on problem-solving constructs for mothers and for the parent couple dyad. Implications for Practice: Our findings support further study in a fully powered randomized trial with a more diverse sample, handbook-enhanced GP, and examination of the effect on a broader spectrum of outcomes, including infant growth and development.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"36 4","pages":"361-394"},"PeriodicalIF":0.6,"publicationDate":"2022-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10022131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9504722","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: 0

Death Depression Among Older Adults: A Concept Analysis Utilizing An Evolutionary Approach 老年人死亡抑郁的概念分析

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2022-08-01 DOI: 10.1891/rtnp-2021-0049

Ameneh Yaghoobzadeh, R. Lehto, L. M. Dehkordi, M. Cheraghi, Shahzad Pashaeipour

引用次数: 0

Content Validity of the Omaha System Target Terms for Integrative Healthcare Interventions 综合医疗干预的奥马哈系统目标术语的内容有效性

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2022-08-01 DOI: 10.1891/rtnp-2021-0089

Sheng-Chieh Lu, C. Delaney, M. Tracy, R. Austin, Chih-Lin Chi, K. Monsen

引用次数: 0

A Qualitative Study Exploring Negative Affect in Older Adults Residing in Long-Term Care Facilities 长期照护机构长者负性情绪之质性研究

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2022-08-01 DOI: 10.1891/rtnp-2021-0042

Zhen Chen, Hongxia Zhang, Jinhua Zhang, Suqing Li, Yanmei Zhao

引用次数: 0

Efficacy of a Health Belief Model-Based Intervention for Anticoagulant Adherence in Patients With Atrial Fibrillation: A Randomized Controlled Trial 基于健康信念模型的房颤抗凝依从性干预的疗效:一项随机对照试验

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2022-08-01 DOI: 10.1891/rtnp-2021-0068

Pei-Ti Chen, M. Hsieh, Ko Shih-Chang, Tsae‐Jyy Wang

引用次数: 0