Creative NursingPub Date : 2024-11-01Epub Date: 2024-05-06DOI: 10.1177/10784535241248623
Thomas Smura, Linda Sue Hammonds, Caroline M Griffin
{"title":"Increasing Restorative Sleep Among Adults With Depressive Symptoms: A Quality Improvement Project.","authors":"Thomas Smura, Linda Sue Hammonds, Caroline M Griffin","doi":"10.1177/10784535241248623","DOIUrl":"10.1177/10784535241248623","url":null,"abstract":"<p><p>The Centers for Disease Control and Prevention estimates that 34.8% of adults in the United States experience non-restorative sleep. The restorative theory of sleep is based on sleep as a means for the restoration of cellular function that is needed for activities when awake. Non-restorative sleep leads to awakening feeling unrefreshed and not ready for the activities of the day three or more times weekly. <b>Aims:</b> The aim of this quality improvement project was to increase restorative sleep by increasing the average amount of sleep over units of 24 h, decreasing perceived insufficient sleep, and decreasing episodes of unintended daytime sleep among patients with depressive symptoms ages 18 to 80 years in an outpatient mental health clinic. <b>Methods:</b> Ten patients with depressive symptoms and reporting non-restorative sleep volunteered to participate in the project. Participants kept a sleep diary and followed principles of healthy sleep such as limiting time in bed and going to bed at the same time nightly. The change in and the average amount of sleep over 24 h and daytime sleepiness were evaluated using the Behavioral Risk Factor Surveillance System. <b>Results:</b> All participants achieved at least one more day of restorative sleep, with nine increasing restorative sleep by at least 30 min per day, and nine having no episodes of unintentionally falling asleep.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"320-323"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872660","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}
Creative NursingPub Date : 2024-11-01Epub Date: 2024-11-13DOI: 10.1177/10784535241297345
Marty Lewis-Hunstiger
{"title":"Hierarchies of Actualization.","authors":"Marty Lewis-Hunstiger","doi":"10.1177/10784535241297345","DOIUrl":"10.1177/10784535241297345","url":null,"abstract":"<p><p>The concept of transforming power over to power with, the theme of this issue of <i>Creative Nursing</i>, comes from Riane Eisler's cultural transformation theory describing a continuum of domination and partnership along which cultures orient themselves. Hierarchies are important organizing principles in many systems; it is not their presence that is inhumane, but how they function. Domination systems display authoritarian rule in both the family and the state or tribe, with strict hierarchies of domination, and narratives that normalize domination and present the violence that maintains it as inevitable. Partnership systems are characterized by egalitarian structures in both the family and state or tribe, with hierarchies of actualization in which power is used to empower others rather than disempower, low levels of sanctioned violence (since it is not needed to maintain power), and narratives depicting mutual respect, accountability, and benefit as natural. All the articles in this issue of <i>Creative Nursing</i> depict empowerment: of patients, parents and other family members, foster parents, children from preschool age to near adulthood, providers of direct patient care at many levels in many areas, nurses seeking to publish their knowledge, and all people who seek to use language that demonstrates respect and value for all people while acknowledging the diverse cultures in which we abide.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"259-263"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632334","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}
Creative NursingPub Date : 2024-11-01Epub Date: 2024-02-28DOI: 10.1177/10784535241236757
Nadine Dimech, Maria Cassar, James Carabott
{"title":"Hospital Discharge Process: Context-Sensitive Care.","authors":"Nadine Dimech, Maria Cassar, James Carabott","doi":"10.1177/10784535241236757","DOIUrl":"10.1177/10784535241236757","url":null,"abstract":"<p><p>The transition from hospital to home after surgery is a vulnerable time for all cardiac surgical patients, particularly older adults. This postoperative phase presents multiple physical, physiological, emotional, and socioeconomic challenges, not only for patients but also for their families and informal caregivers, who often describe this period as stressful and overwhelming. Health-care professionals, particularly nurses, play an integral role in a patient's discharge process; the challenges can be ameliorated through timely discharge planning and effective discharge education. The context-sensitive solutions shared in this paper propose enhancing nurses' discharge practices to provide individualized care and to facilitate the hospital-to-home transition.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"332-335"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991853","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":"Closing the Gap: Foster Parents' Lived Experiences and Recommendations for Interdisciplinary Health-Care Providers.","authors":"Kimberlee Grier, Ashleigh Harlow, Lindsay Terrell, Amie Koch","doi":"10.1177/10784535241270174","DOIUrl":"10.1177/10784535241270174","url":null,"abstract":"<p><p><b>Purpose:</b> This study explored barriers and facilitators to utilizing health-care services for foster youth, from the perspective of foster parents. <b>Background:</b> There are nearly 437,283 youths in the United States foster care system. Youths living in locations that are different from their familial home situations have a significantly higher occurrence of physical and mental health illnesses than children who remain in their familial homes, increasing risk for homelessness, substance use and abuse, chronic long-term illnesses, and incarceration, thus placing additional burden on the health-care system. <b>Design and Methods:</b> This study utilized a qualitative descriptive design with purposive sampling, with video focus groups to explore 15 foster parents' experiences in accessing health-care services for foster youth. <b>Results:</b> Barriers and facilitators to accessing health care and care coordination were identified, including logistics, transportation, electronic health record access, location of health care, and the impact of the social worker. <b>Practice Implications:</b> Nurses are well-positioned to aid in closing gaps in care for foster youth. <b>Conclusions:</b> These experiences provide important insights and implications for health-care providers and for future research and policy development.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"289-298"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009893","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}
Creative NursingPub Date : 2024-11-01Epub Date: 2024-11-13DOI: 10.1177/10784535241277258
Julie Kennedy Oehlert
{"title":"Design Labs-The Power of <i>With</i>.","authors":"Julie Kennedy Oehlert","doi":"10.1177/10784535241277258","DOIUrl":"10.1177/10784535241277258","url":null,"abstract":"<p><p>Design labs are one of the most exciting multidimensional communication and disruption strategies available to health-care teams today. A design lab can be as simple as a gathering of people who use the framework of design thinking to iterate solutions and innovations to problems in their environment. Design labs support teams in exploring solutions for current health-care challenges, in a safe, creative space. They are a place where nurses can explore their own practice and iterate organizational policies and processes.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"264-266"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632300","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}
Creative NursingPub Date : 2024-08-01Epub Date: 2024-03-07DOI: 10.1177/10784535241237272
Jayne Sparks
{"title":"Engaging a Team of Rivals to Address the Problem of Gun Violence.","authors":"Jayne Sparks","doi":"10.1177/10784535241237272","DOIUrl":"10.1177/10784535241237272","url":null,"abstract":"<p><p>Gun violence in the United States is a serious problem. Addressing the problem will require not only strong leadership but also a unique approach. One such approach was utilized by U.S. President Abraham Lincoln, who assembled a \"Team of Rivals\" with positions different than his own that provided helpful perspective in finding solutions to the problems of the time. This article applies the team of rivals approach to the problem of gun violence.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"191-194"},"PeriodicalIF":0.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140061238","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}
Creative NursingPub Date : 2024-08-01Epub Date: 2024-09-05DOI: 10.1177/10784535241277856
Hans-Peter de Ruiter, Melanie Breznik
{"title":"The Banality of Data: Patient Records, Nursing, and Ideology.","authors":"Hans-Peter de Ruiter, Melanie Breznik","doi":"10.1177/10784535241277856","DOIUrl":"10.1177/10784535241277856","url":null,"abstract":"<p><p>This article explores nursing, patient records, and ideology within the context of the National Socialist \"euthanasia\" program (<i>Aktion</i> T4) in Germany and Austria from 1939 to 1941, which targeted individuals with mental and physical disabilities for systematic killing. Using Hannah Arendt's concept of the \"banality of evil,\" it examines how ordinary individuals, including nurses, became agents of atrocity by adhering to bureaucratic orders. Jacques Ellul's Ethics of Technology framework is employed to analyze how National Socialist ideology manipulated technological processes to enhance efficiency in genocidal goals. Propaganda was crucial in garnering public support, blurring the lines between technology, ethics, and ideology. Archival research at documentation centers and national archives reveals methods for deciding who was killed, the role of family in medical records, and nurses' involvement in the T4 operation. Three narratives of T4 victims illustrate the personal impacts of these bureaucratic and ideological practices. The article reflects on contemporary nursing, emphasizing the importance of ethical standards and vigilance against data and misuse of technology in health care. This historical examination serves as a reminder of the potential consequences of depersonalization and blind adherence to institutional priorities, underscoring the need for critical engagement with the ethical dimensions of nursing practice.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"245-255"},"PeriodicalIF":0.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141760","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}
Creative NursingPub Date : 2024-08-01Epub Date: 2024-05-17DOI: 10.1177/10784535241252169
Esther N Monari, Richard Booth, Cheryl Forchuk, Rick Csiernik
{"title":"Experience of Family Members of Relatives With Substance Use Disorders: An Integrative Literature Review.","authors":"Esther N Monari, Richard Booth, Cheryl Forchuk, Rick Csiernik","doi":"10.1177/10784535241252169","DOIUrl":"10.1177/10784535241252169","url":null,"abstract":"<p><p><b>Background:</b> Substance use disorders (SUDs) present substantial challenges for family members living with or supporting relatives with SUDs. This review explores existing literature on family members' experiences with relatives with SUDs and their support needs. <b>Method:</b> An integrative review was conducted by searching literature in the Cumulative Index of Nursing and Allied Health, PubMed, PsycINFO, ProQuest, and Scopus databases. <b>Results:</b> Five themes were generated based on analysis of 26 empirical studies: (a) family members' and caregivers' experiences of SUDs; (b) impact of SUDs-related aggressive/violent behaviors on families; (c) dilemmas faced by family members; (d) culture and family stigma related to SUDs; and (e) factors contributing to SUDs, challenges, and support needs. The review highlighted barriers to seeking support due to stigma and guilt, underscoring the need for structured support programs. <b>Conclusions:</b> This review sheds light on the challenges faced by family members with relatives suffering from SUDs and emphasizes the crucial need for structured support programs. The findings provide insights for developing initiatives to address the social and trauma-induced needs of family members and to establish support resources for them.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"232-244"},"PeriodicalIF":0.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959952","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}
Creative NursingPub Date : 2024-08-01Epub Date: 2024-06-11DOI: 10.1177/10784535241256872
Kimberley T Jackson, Tara Mantler, Sheila O'Keefe-McCarthy, Cara A Davidson, Katie J Shillington, Julia Yates
{"title":"\"Breaking through the Brokenness\": An Arts-Based Qualitative Exploration of Pregnant Women's Experience of Intimate Partner Violence while Receiving Trauma- and Violence-Informed Antenatal Care.","authors":"Kimberley T Jackson, Tara Mantler, Sheila O'Keefe-McCarthy, Cara A Davidson, Katie J Shillington, Julia Yates","doi":"10.1177/10784535241256872","DOIUrl":"10.1177/10784535241256872","url":null,"abstract":"<p><p>Intimate partner violence (IPV) is a pervasive, worldwide public health concern. Risk of IPV may elevate during the perinatal period, increasing maternal and fetal health risks. Trauma- and violence-informed care shows promise among interventions addressing associated mental health sequelae. As a secondary analysis, the purpose of this study was to employ a qualitative arts-based exploration to better understand pregnant women's experiences of trauma and violence-informed perinatal care in the context of IPV. Using an arts-based qualitative methodology, different art forms were used to analyze, interpret, and report data, resulting in a layered exploration to represent phenomena. From this, four themes were reflected in four poetic pieces: Black Deep Corners, Triggering my Thoughts, Breaking through the Brokenness, and Now Perfectly Imperfect. Nine pieces of visual art were created reflecting these themes, creating a layered, embodied, artistic way to empathically explore and translate phenomena.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"195-209"},"PeriodicalIF":0.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141302068","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}