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Gender Differences in Factors Related to Diabetes Management in Chinese American Immigrants
Chinese American women with type 2 diabetes (T2DM) are more vulnerable to poor diabetes outcomes than men because immigrant status, ethnicity, and economics intersect with gender to diminish disease management opportunities. We explored gender differences in factors associated with diabetes management at intake and after treatment with a behavioral intervention in first-generation Chinese American immigrants. A sample of 178 Chinese Americans with T2DM was enrolled in a single-cohort, repeated-measures delayed-treatment trial. Data were collected at baseline, 8, 16, 24, and 32 weeks with 6-week treatment provided after 16 ...
Source: Western Journal of Nursing Research - September 9, 2014 Category: Nursing Authors: Chesla, C. A., Kwan, C. M. L., Chun, K. M., Stryker, L. Tags: Articles Source Type: research

Medical Assistant Coaching to Support Diabetes Self-Care Among Low-Income Racial/Ethnic Minority Populations: Randomized Controlled Trial
Innovative, culturally tailored strategies are needed to extend diabetes education and support efforts in lower-resourced primary care practices serving racial/ethnic minority groups. A randomized controlled trial (RCT) examined the effect of a diabetes self-care coaching intervention delivered by medical assistants and the joint effect of intervention and ethnicity over time. The randomized repeated-measures design included 270 low-income African American and Hispanic/Latino patients with type 2 diabetes. The 1-year clinic- and telephone-based medical assistant coaching intervention was culturally tailored and guided by t...
Source: Western Journal of Nursing Research - September 9, 2014 Category: Nursing Authors: Ruggiero, L., Riley, B. B., Hernandez, R., Quinn, L. T., Gerber, B. S., Castillo, A., Day, J., Ingram, D., Wang, Y., Butler, P. Tags: Articles Source Type: research

Baseline Characteristics and Latino Versus Non-Latino Contrasts Among Bronx A1C Study Participants
We describe baseline demographic and psychosocial characteristics of low-income, diverse diabetes adults enrolled in a telephonic intervention trial. Environment for the study was New York City (NYC) A1C Registry program. Baseline data were analyzed from 941 participants randomized to either telephonic/print or print-only intervention to improve glycemic control. Summary statistics for key variables were calculated; we highlight baseline contrasts between Latino and non-Latino participants. There were high proportions of Latino (67.7%) and non-Latino Black (28.0%) participants from South Bronx. Mean age was 56.3 years, alm...
Source: Western Journal of Nursing Research - September 9, 2014 Category: Nursing Authors: Walker, E. A., Silver, L. D., Chamany, S., Schechter, C. B., Gonzalez, J. S., Carrasco, J., Powell, D., Berger, D., Basch, C. E. Tags: Articles Source Type: research

The Challenges of Diabetes Self-Management
(Source: Western Journal of Nursing Research)
Source: Western Journal of Nursing Research - September 9, 2014 Category: Nursing Authors: Whittemore, R. Tags: Editorial Source Type: research

Midwest Nursing Research Society News
(Source: Western Journal of Nursing Research)
Source: Western Journal of Nursing Research - July 28, 2014 Category: Nursing Authors: Lach, H. W., Buckwalter, K. C. Tags: Information Exchange Source Type: research

Work-Arounds Observed by Fourth-Year Nursing Students
Much has been written about the need for health care professionals to consistently promote policies and best practices that create safe, high-quality care environments. At times, nurses deviate from established policies and procedures to create work-arounds or changes in work patterns to accomplish patient care goals. The purpose of this study was to identify common work-arounds and describe what influenced the nurse to engage in the work-around as observed by fourth-year baccalaureate students in clinical settings. A descriptive qualitative approach was used to describe the findings from a Quality and Safety Education for...
Source: Western Journal of Nursing Research - July 28, 2014 Category: Nursing Authors: Westphal, J., Lancaster, R., Park, D. Tags: Research Reports Source Type: research

The Relationship Between Health-Related Quality of Life and Body Mass Index
Obesity is a chronic, progressive, multifactorial medical condition. It is known that obesity is associated with cardiovascular disease, metabolic disorders, degenerative joint disorders, and decreased health-related quality of life (HRQoL). In addition, there are socio-economic, gender, age, and racial differences in the population distribution of obesity. The extent to which HRQoL is impaired by obesity independent of associated chronic disease and known demographic risk factors is less well understood by nurses. A secondary analysis of the National Health Measurement Study (NHMS) was conducted to illustrate this relatio...
Source: Western Journal of Nursing Research - July 28, 2014 Category: Nursing Authors: McLaughlin, L., Hinyard, L. J. Tags: Research Reports Source Type: research

Outcomes of the Evidence-Based Pitocin Administration Checklist at a Tertiary-Level Hospital
Pitocin, a synthetic form of the hormone oxytocin, is a high-alert medication that heightens patient harm when used incorrectly. This investigation examined the outcomes of an evidence-based Pitocin administration checklist used for labor augmentation at a tertiary-level hospital. Data came from patient records. Using the Perinatal Trigger Tool, N = 372 clinical records (n = 194 prior to and n = 178 following checklist implementation) were reviewed. Checklist implementation resulted in statistically significant reductions in the duration of hospitalization (1.72 vs. 2.02 days, p = .0005), presence of meconium (23.7% vs. 6....
Source: Western Journal of Nursing Research - July 28, 2014 Category: Nursing Authors: Wojnar, D. M., Cowgill, K., Hoffman, L., Carlson, H. Tags: Intervention Studies Source Type: research

Effects of a Brief, Prevention-Focused Parenting Education Program for New Mothers
We evaluated the effects of a parenting program, Baby and You, on parenting knowledge, parenting morale, and social support using a single-group, pre-test, and post-test design with 159 Canadian mothers of infants aged 2 to 9 months old. Baby and You is a prevention-focused parenting program (PFPP) to improve maternal and infant health through education and social support. The 4-week curriculum focuses on infant development and safety, parent–child relationships, maternal self-care, and community resources. We computed repeated-measures ANOVAs separately for scores on Parenting Knowledge Scale, Parenting Moral Index,...
Source: Western Journal of Nursing Research - July 28, 2014 Category: Nursing Authors: Hooge, S. L., Benzies, K. M., Mannion, C. A. Tags: Intervention Studies Source Type: research

Should Authors Revise a Rejected Manuscript Prior to Submitting to a New Journal?
(Source: Western Journal of Nursing Research)
Source: Western Journal of Nursing Research - July 28, 2014 Category: Nursing Authors: Conn, V. S. Tags: Editorial Source Type: research

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

The Quality, Implementation, and Evaluation Model: A Clinical Practice Model for Sustainable Interventions
Major efforts have been directed toward the implementation of sustainable quality improvement. To date, progress has been noted using various metrics and performance measures; however, successful implementation has proven challenging. The Quality, Implementation, and Evaluation (QIE) model, derived from Donabedian’s structure component, presents a framework for implementation of specific activities. The QIE model consists of Policy, Patient Preparedness, Provider Competency, and Performance and Accountability, to guide specific practice initiatives. The implementation of alcohol-based pre-operative skin prep was eval...
Source: Western Journal of Nursing Research - July 9, 2014 Category: Nursing Authors: Talsma, A., McLaughlin, M., Bathish, M., Sirihorachai, R., Kuttner, R. Tags: Articles Source Type: research

Interdisciplinary Rounds and Structured Communication Reduce Re-Admissions and Improve Some Patient Outcomes
Hospital communication is more than access to information. Among staff, it is about achieving situation awareness—an understanding of a patient’s current condition and likely trajectory. In the multidisciplinary context of providing care, structure, consistency, and repeatability of communication will enable a shared understanding of the patient and plan, leading to improved patient satisfaction and outcomes. This was tested using the Situation-Background-Assessment-Recommendation (SBAR) protocol, a re-admissions risk assessment and daily interdisciplinary rounds (IDR) in the medical/surgical units of a hospita...
Source: Western Journal of Nursing Research - July 9, 2014 Category: Nursing Authors: Townsend-Gervis, M., Cornell, P., Vardaman, J. M. Tags: Articles Source Type: research

Situation Awareness and Interruption Handling During Medication Administration
Medication administration error remains a leading cause of preventable death. A gap exists in understanding attentional dynamics, such as nurse situation awareness (SA) while managing interruptions during medication administration. The aim was to describe SA during medication administration and interruption handling strategies. A cross-sectional, descriptive design was used. Cognitive task analysis (CTA) methods informed analysis of 230 interruptions. Themes were analyzed by SA level. The nature of the stimuli noticed emerged as a Level 1 theme, in contrast to themes of uncertainty, relevance, and expectations (Level 2 the...
Source: Western Journal of Nursing Research - July 9, 2014 Category: Nursing Authors: Sitterding, M. C., Ebright, P., Broome, M., Patterson, E. S., Wuchner, S. Tags: Articles Source Type: research

Errors of Omission: Missed Nursing Care
A series of studies on missed nursing care (i.e., required standard nursing care that is not completed) is summarized. Missed nursing care is substantial and similar levels are found across hospitals. Reasons for missed nursing care are staffing resources, material resources, and communication and these are also similar across hospitals. The higher the staffing levels, the fewer occurrences of missed nursing care. Magnet status and higher levels of teamwork are associated with less missed nursing care, and more missed care leads to a lower level of staff satisfaction. Missed nursing care has been found to be a mediator bet...
Source: Western Journal of Nursing Research - July 9, 2014 Category: Nursing Authors: Kalisch, B. J., Xie, B. Tags: Articles Source Type: research