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Nurse Assistant Communication Strategies About Pressure Ulcers in Nursing Homes
There is growing recognition of benefits of sophisticated information technology (IT) in nursing homes (NHs). In this research, we explore strategies nursing assistants (NAs) use to communicate pressure ulcer prevention practices in NHs with variable IT sophistication measures. Primary qualitative data were collected during focus groups with NAs in 16 NHs located across Missouri. NAs (n = 213) participated in 31 focus groups. Three major themes referencing communication strategies for pressure ulcer prevention were identified, including Passing on Information, Keeping Track of Needs and Information Access. NAs use a variet...
Source: Western Journal of Nursing Research - June 12, 2015 Category: Nursing Authors: Alexander, G. L. Tags: Special Issue Articles Source Type: research

Use of Electronic Health-Related Datasets in Nursing and Health-Related Research
Datasets of gigabyte size are common in medical sciences. There is increasing consensus that significant untapped knowledge lies hidden in these large datasets. This review article aims to discuss Electronic Health-Related Datasets (EHRDs) in terms of types, features, advantages, limitations, and possible use in nursing and health-related research. Major scientific databases, MEDLINE, ScienceDirect, and Scopus, were searched for studies or review articles regarding using EHRDs in research. A total number of 442 articles were located. After application of study inclusion criteria, 113 articles were included in the final rev...
Source: Western Journal of Nursing Research - June 12, 2015 Category: Nursing Authors: AL-Rawajfah, O. M., Aloush, S., Hewitt, J. B. Tags: Special Issue Articles Source Type: research

A Qualitative Case Study Exploring Nurse Engagement With Electronic Health Records and E-Prescribing
There is a national focus on the adoption and use of electronic health records (EHRs) with electronic prescribing (e-Rx) for the goal of providing safe and quality care. Although there is a large body of literature on the benefits of adoption, there is also increasing evidence of the unintentional consequences resulting from use. As little is known about how use of EHR with e-Rx systems affects the roles and responsibilities of nurses, the purpose of this qualitative case study was to describe how nurses adapt to using an EHR with e-Rx system in a rural ambulatory care practice. Six themes emerged from the data. Findings r...
Source: Western Journal of Nursing Research - June 12, 2015 Category: Nursing Authors: Abbott, A. A., Fuji, K. T., Galt, K. A. Tags: Special Issue Articles Source Type: research

Usability Evaluation of a Web-Based Symptom Monitoring Application for Heart Failure
Symptom recognition and reporting by patients with heart failure are critical to avoid hospitalization. This project evaluated a patient symptom tracking application. Fourteen end users (nine patients, five clinicians) from a Midwestern Veterans Affairs Medical Center evaluated the website using a think aloud protocol. A structured observation protocol was used to assess success or failure for each task. Measures included task time, success, and satisfaction. Patients had a mean age of 70 years; clinicians averaged 42 years in age. Patients took 9.3 min and clinicians took less than 3 min per scenario. Most patients needed...
Source: Western Journal of Nursing Research - June 12, 2015 Category: Nursing Authors: Wakefield, B., Pham, K., Scherubel, M. Tags: Special Issue Articles Source Type: research

Evaluation of a BCMA's Electronic Medication Administration Record
Barcode medication administration (BCMA) systems can reduce medication errors, but sociotechnical issues are quite common. Although crucial to nurses’ work, few usability evaluations are available for electronic medication administration record (eMARs) screens. The purpose of this research was to identify current usability problems in the Veterans Administration’s (VA) eMAR/BCMA system and explore how these might affect nurses’ situation awareness (SA). Three expert evaluators used 10 tasks/elements, heuristic evaluation techniques, and explored potential impacts using a SA perspective. The results yielde...
Source: Western Journal of Nursing Research - June 12, 2015 Category: Nursing Authors: Staggers, N., Iribarren, S., Guo, J.-W., Weir, C. Tags: Special Issue Articles Source Type: research

Nurses' Use of Computerized Clinical Guidelines to Improve Patient Safety in Hospitals
Computerized clinical guidelines are frequently used to translate research into evidence-based behavioral practices and to improve patient outcomes. The purpose of this integrative review is to summarize the factors influencing nurses’ use of computerized clinical guidelines and the effects of nurses’ use of computerized clinical guidelines on patient safety improvements in hospitals. The Embase, Medline Complete, and Cochrane databases were searched for relevant literature published from 2000 to January 2013. The matrix method was used, and a total of 16 papers were included in the final review. The studies we...
Source: Western Journal of Nursing Research - June 12, 2015 Category: Nursing Authors: Hovde, B., Jensen, K. H., Alexander, G. L., Fossum, M. Tags: Special Issue Articles Source Type: research

A Descriptive Analysis of Incidents Reported by Community Aged Care Workers
The objective of the study was to present a profile of incidents reported in Australian community aged care settings. All incident reports made by community care workers employed by one of the largest community aged care provider organizations in Australia during the period November 1, 2012, to August 8, 2013, were analyzed. A total of 356 reports were analyzed, corresponding to a 7.5% incidence rate per client year. Falls and medication incidents were the most prevalent incident types. Clients receiving high-level care and those who attended day therapy centers had the highest rate of incidents with 14% to 20% of these cl...
Source: Western Journal of Nursing Research - June 12, 2015 Category: Nursing Authors: Tariq, A., Douglas, H. E., Smith, C., Georgiou, A., Osmond, T., Armour, P., Westbrook, J. I. Tags: Special Issue Articles Source Type: research

Development of an Instrument to Measure the Unintended Consequences of EHRs
This article augments the existing body of literature through examining the creation and design of an instrument measuring unintended consequences (UCs) of electronic health records (EHRs). Data from a previous qualitative study that explored nurses’ perceptions of EHR effectiveness as a communication system were analyzed using a theoretical model focused on decision making. The qualitative data, informed by the model, were then organized into an instrument seeking to quantitatively measure nurses’ experiences with UCs of EHRs. The model assisted in revealing patterns in nurses’ perceptions of the effecti...
Source: Western Journal of Nursing Research - June 12, 2015 Category: Nursing Authors: Carrington, J. M., Gephart, S. M., Verran, J. A., Finley, B. A. Tags: Special Issue Articles Source Type: research

Building Evidence in Health Informatics
(Source: Western Journal of Nursing Research)
Source: Western Journal of Nursing Research - June 12, 2015 Category: Nursing Authors: Alexander, G. L. Tags: Editorial Source Type: research

Midwest Nursing Research Society News
(Source: Western Journal of Nursing Research)
Source: Western Journal of Nursing Research - May 5, 2015 Category: Nursing Authors: Lach, H. W., Buckwalter, K. C. Tags: Information Exchange Source Type: research

Depression in Black Single Mothers: A Test of a Theoretical Model
The aim of this study was to test a theoretical model of depression for Black single mothers. Participants were 208 Black single mothers, aged 18 to 45, recruited from community settings. The a priori over-identified recursive theoretical model was tested via the LISREL 9.1 program using a maximum likelihood estimation for structural equation modeling. The chi-square indicated that there was an excellent fit of the model with the data, 2(1, N = 208) = .05, p = .82. The fit indices for the model were excellent. Path coefficients were statistically significant for seven out of eight of the direct paths within the model (p &l...
Source: Western Journal of Nursing Research - May 5, 2015 Category: Nursing Authors: Atkins, R. Tags: Research Reports Source Type: research

Correlates of Self-Reported Incarceration Among Homeless Gay and Bisexual Stimulant-Using Young Adults
Gay and bisexual (G/B) homeless adults face multiple challenges in life which may place them at high risk for incarceration. Yet, little is known about this understudied population in terms of risk for incarceration. Baseline data collected from a longitudinal study between October 2009 and March 2012 in Hollywood, California, explored correlates of self-reported incarceration among G/B homeless stimulant-using adults (N = 353). Findings revealed older age, less education, having children, as well as a history of injection drug use and being born in the United States were positively associated with incarceration. Moreover,...
Source: Western Journal of Nursing Research - May 5, 2015 Category: Nursing Authors: Nyamathi, A., Reback, C. J., Salem, B. E., Zhang, S., Shoptaw, S., Branson, C. M., Leake, B. Tags: Research Reports Source Type: research

Nurses' Comfort with Touch and Workplace Well-Being
Touch is an essential part of caregiving and has been proved to be useful to reduce pain. Nevertheless, little attention has been paid to nurses’ perceptions of touch. The aim of this article was to examine the relationship between nurses’ feelings of comfort with touch and their well-being at work. A sample of 241 nurses attending a pain management training course completed a questionnaire, including the following measures: Comfort with Touch (CT) scale (task-oriented contact, touch promoting physical comfort, touch providing emotional containment), Maslach Burnout Inventory (MBI; emotional exhaustion, cynicis...
Source: Western Journal of Nursing Research - May 5, 2015 Category: Nursing Authors: Pedrazza, M., Minuzzo, S., Berlanda, S., Trifiletti, E. Tags: Research Reports Source Type: research

Caregiver Burden, Health Status, and Learned Resourcefulness of Older Caregivers
As caregivers undertake caregiving responsibilities over a long period of time, the burdens placed on them could lead to undue stress and affect their health. This correlation study examined the current situations and relationships among caregiver burden, health status, and learned resourcefulness (LR) of older caregivers who care for disabled older adults, and predicted the important factors that affect their caregiver burden. In all, 108 older caregivers were recruited from home care services of two hospitals. Structured questionnaire interviews were applied to collect data: the Caregiver Burden Scale, the SF-36 Health S...
Source: Western Journal of Nursing Research - May 5, 2015 Category: Nursing Authors: Chen, M.-C., Chen, K.-M., Chu, T.-P. Tags: Research Reports Source Type: research

Physical Activity and Depressive Symptoms in Four Ethnic Groups of Midlife Women
The purpose of this study was to determine the associations between physical activity and depression and the multiple contextual factors influencing these associations in four major ethnic groups of midlife women in the United States. This was a secondary analysis of the data from 542 midlife women. The instruments included questions on background characteristics and health and menopausal status; the Depression Index for Midlife Women (DIMW); and the Kaiser Physical Activity Survey (KPAS). The data were analyzed using chi-square tests, the ANOVA, two-way ANOVA, correlation analyses, and hierarchical multiple regression ana...
Source: Western Journal of Nursing Research - May 5, 2015 Category: Nursing Authors: Im, E.-O., Ham, O. K., Chee, E., Chee, W. Tags: Research Reports Source Type: research