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Understanding of Advance Care Planning by Family Members of Persons Undergoing Hemodialysis
The purpose of this qualitative descriptive study was to explore hemodialysis patients’ family members’ understanding of end-of-life decision-making processes. The project aimed to address (a) family members’ constructions of advance care planning (ACP), including their roles and responsibilities, and (b) family members’ perceptions of health care providers’ roles and responsibilities in ACP. Eighteen family members of persons undergoing hemodialysis were recruited primarily from outpatient dialysis facilities and interviewed individually. Confirmed transcript data were analyzed, coded, and co...
Source: Western Journal of Nursing Research - October 5, 2014 Category: Nursing Authors: Calvin, A. O., Engebretson, J. C., Sardual, S. A. Tags: Research Reports Source Type: research

Infant Feeding Attitudes and Breastfeeding Intentions of Black College Students
Breastfeeding rates are lowest among Black women than women of other races. An understanding of infant feeding attitudes may help improve breastfeeding rates among Black women. The theory of planned behavior guided this study to explore infant feeding attitudes of Black college students and the contribution of attitudes to breastfeeding intentions after controlling for age, gender, income, and education level. A sample of 348 Black college students below 45 years old with no children and no history of pregnancies were recruited for this study. The Iowa Infant Feeding Attitude Scale and a Demographic Questionnaire were used...
Source: Western Journal of Nursing Research - October 5, 2014 Category: Nursing Authors: Jefferson, U. T. Tags: Research Reports Source Type: research

Reducing HIV Stigma Among Nursing Students: A Brief Intervention
The objectives of this study were to (a) assess the acceptability and feasibility of a brief stigma-reduction curriculum among a convenience sample of Indian nursing students and (b) examine the preliminary effect of this curriculum on their knowledge, attitudes, and intent to discriminate. At baseline, 57% of students had at least one misconception about HIV transmission, 38% blamed people living with HIV for their infection, and 87% and 95% demonstrated intent to discriminate while dispensing medications and drawing blood, respectively. Following the curriculum, HIV-related knowledge increased while blame, endorsement of...
Source: Western Journal of Nursing Research - October 5, 2014 Category: Nursing Authors: Shah, S. M., Heylen, E., Srinivasan, K., Perumpil, S., Ekstrand, M. L. Tags: Intervention Studies Source Type: research

Influence of Aquariums on Resident Behavior and Staff Satisfaction in Dementia Units
The influence of an aquarium on resident behavior and staff job satisfaction in three dementia units was examined. The sample consisted of 71 individuals with dementia and 71 professional staff. A pretest–posttest design was utilized. Baseline resident behavior and staff satisfaction were obtained, and an aquarium was introduced into the setting. Post-behavioral assessment and job satisfaction surveys were completed. Residents’ behaviors improved along four domains: uncooperative, irrational, sleep, and inappropriate behaviors. The overall residents’ behavior score was significantly improved after an aqua...
Source: Western Journal of Nursing Research - October 5, 2014 Category: Nursing Authors: Edwards, N. E., Beck, A. M., Lim, E. Tags: Intervention Studies Source Type: research

Looking Beyond Skin Color: Addressing Heterogeneity in Health Disparities Research
(Source: Western Journal of Nursing Research)
Source: Western Journal of Nursing Research - October 5, 2014 Category: Nursing Authors: Jefferson, U. T. Tags: Editorial Source Type: research

Midwest Nursing Research Society News
(Source: Western Journal of Nursing Research)
Source: Western Journal of Nursing Research - September 9, 2014 Category: Nursing Authors: Lach, H. W., Buckwalter, K. C. Tags: Information Exchange Source Type: research

Diabetes Self-Care and the Older Adult
The prevalence of diabetes is highest in older adults, a population that is increasing. Diabetes self-care is complex with important recommendations for nutrition, physical activity, checking glucose levels, and taking medication. Older adults with diabetes have unique issues that impact self-care. As people age, their health status, support systems, physical and mental abilities, and nutritional requirements change. Furthermore, comorbidities, complications, and polypharmacy complicate diabetes self-care. Depression is also more common among the elderly and may lead to deterioration in self-care behaviors. Because of conc...
Source: Western Journal of Nursing Research - September 9, 2014 Category: Nursing Authors: Weinger, K., Beverly, E. A., Smaldone, A. Tags: Articles Source Type: research

Self-Management as a Mediator of Family Functioning and Depressive Symptoms With Health Outcomes in Youth With Type 1 Diabetes
This study examined the relationship of family functioning and depressive symptoms with self-management, glycemic control, and quality of life in a sample of adolescents with type 1 diabetes. It also explored whether self-management mediates family functioning, depressive symptoms, and diabetes-related outcomes. Structural equation modeling was used to estimate parameters in the conceptual causal pathway and test mediation effects. Adolescents (n = 320) were primarily female (55%), younger adolescents (58%), and self-identified as White (63%). Self-management mediated the relationship between family conflict, family warmth...
Source: Western Journal of Nursing Research - September 9, 2014 Category: Nursing Authors: Whittemore, R., Liberti, L., Jeon, S., Chao, A., Jaser, S. S., Grey, M. Tags: Articles Source Type: research

Partnerships With Providers: Reflections From Parents of Children With Type 1 Diabetes
Sixty-three parents with a child or an adolescent with type 1 diabetes participated in this study that focused on what helped them "live well with diabetes." Beyond medical expertise, parents described a partnering relationship with their provider as one of the factors that supported their efforts to live well with diabetes. Parents reported that a partnership was enhanced when the provider had the ability to understand the dynamic nature of the journey in living with diabetes, connect with their family and set the tone by inviting them to openly communicate about all aspects of family life impacting diabetes care, recogni...
Source: Western Journal of Nursing Research - September 9, 2014 Category: Nursing Authors: Ayala, J., Howe, C., Dumser, S., Buzby, M., Murphy, K. Tags: Articles Source Type: research

A Theoretical Framework for a Virtual Diabetes Self-Management Community Intervention
Due to its high prevalence, chronic nature, potential complications, and self-management challenges for patients, diabetes presents significant health education and support issues. We developed and pilot-tested a virtual community for adults with type 2 diabetes to promote self-management education and provide social support. Although digital-based programs such as virtual environments can address significant barriers to reaching patients (i.e., child care, transportation, location), they must be strongly grounded in a theoretical basis to be well-developed and effective. In this article, we discuss how we synthesized beha...
Source: Western Journal of Nursing Research - September 9, 2014 Category: Nursing Authors: Vorderstrasse, A., Shaw, R. J., Blascovich, J., Johnson, C. M. Tags: Articles Source Type: research

Telemedicine for Adolescents With Type 1 Diabetes
Diabetes is the third most common chronic disease in the pediatric population and diabetes management in adolescents presents a unique challenge for health care providers. The purpose of this article is to define telemedicine, review a variety of telemedicine intervention studies in the adolescent population, and interpret those results in the context of the current health care climate. Clinicians and researchers will be provided with education related to adolescent needs and telemedicine interventions so that telemedicine can be used effectively to promote the health of adolescents with diabetes. Because telemedicine has ...
Source: Western Journal of Nursing Research - September 9, 2014 Category: Nursing Authors: Dougherty, J. P., Lipman, T. H., Hyams, S., Montgomery, K. A. Tags: Articles Source Type: research

Features of Online Health Communities for Adolescents With Type 1 Diabetes
The aim of this exploratory study was to examine diabetes online health communities (OHCs) available to adolescents with type 1 diabetes (T1D). We sought to identify and classify site features and relate them to evidence-based processes for improving self-management. We reviewed 18 OHCs and identified the following five feature categories: social learning and networking, information, guidance, engagement, and personal health data sharing. While features that have been associated with improved self-management were present, such as social learning, results suggest that more guidance or structure would be helpful to ensure th...
Source: Western Journal of Nursing Research - September 9, 2014 Category: Nursing Authors: Ho, Y.-X., O'Connor, B. H., Mulvaney, S. A. Tags: Articles Source Type: research

State of the Science: Depression and Type 2 Diabetes
Depression is a significant comorbid condition in diabetes. Individuals with type 2 diabetes (T2DM) are 2 times more likely to experience depression or elevated depressive symptoms compared to those without T2DM. The aims of this state of the science review were to summarize the putative links between diabetes and depression and review empirically supported treatments of depression in diabetes. Findings suggest that a bidirectional association between depression and T2DM exists and that several biological and psychosocial mediators underlie these conditions. Available data indicate that conventional treatments (antidepress...
Source: Western Journal of Nursing Research - September 9, 2014 Category: Nursing Authors: Penckofer, S., Doyle, T., Byrn, M., Lustman, P. J. Tags: Articles Source Type: research

State of the Science: Diabetes Self-Management Interventions Led By Nurse Principal Investigators
Over the past decade, diabetes self-management (DSM) interventions have become increasingly heterogeneous to address the needs of diverse populations. The purpose of this integrative review is to summarize the state of the science regarding DSM interventions led by nurse principal investigators. The Preferred Reporting Items of Systematic Reviews and Meta-Analyses framework informed identification, selection, and appraisal of the literature. A total of 44 national and international studies (RCTs [randomized controlled trial] and quasi-experimental studies) were identified for inclusion. Across national studies, diverse eth...
Source: Western Journal of Nursing Research - September 9, 2014 Category: Nursing Authors: Newlin Lew, K., Nowlin, S., Chyun, D., Melkus, G. D. Tags: Articles Source Type: research

Stressors May Compromise Medication Adherence Among Adults With Diabetes and Low Socioeconomic Status
Studies examining the impact of stressors on diabetes self-care have focused on a single stressor or have been largely qualitative. Therefore, we assessed the stressors experienced by a high-risk population with type 2 diabetes, and tested whether having more stressors was associated with less adherence to multiple self-care behaviors. Participants were recruited from a Federally Qualified Health Center and 192 completed a stressors checklist. Experiencing more stressors was associated with less adherence to diet recommendations and medications among participants who were trying to be adherent, but was not associated with ...
Source: Western Journal of Nursing Research - September 9, 2014 Category: Nursing Authors: Osborn, C. Y., Mayberry, L. S., Wagner, J. A., Welch, G. W. Tags: Articles Source Type: research