Showing papers in "Journal of Research in Nursing in 2012"
TL;DR: It is suggested that reconceptualising child and young person DNA as WNB will lead to positive interventions to safeguard and promote the welfare of children that go beyond the missed appointment to a move towards the child-centric practice described in recent key reviews.
Abstract: The issue of wastage caused by missed appointments features prominently at a time when cost-saving measures become ever more important in the health care economy. Missed appointments are said to co...
47 citations
TL;DR: Assessment of the attitudes of Jordanian nursing students towards nursing research showed that nursing students had positive attitudes towards research, and providing students with information and strengthening their research abilities might enhance their positive feelings and increase their involvement in research activities after graduation.
Abstract: Attitudes towards research are significant indictors that connect practice to research and enhance nursing evidence-based practice. This correlational study was conducted to assess the attitudes of...
37 citations
TL;DR: In this article, the authors review theoretical concepts that provide a framework for decision making in nursing, as well as methods by which students identify how to avoid errors and mistakes in their clinical practice.
Abstract: The ability to exhibit sound judgement and decision-making skills is a fundamental requirement of undergraduate nursing curricula. In order to acquire such skills, students need to develop critical thinking ability, as well as an understanding of how judgements and decisions are reached in complex healthcare environments. The use of techniques such as problem-based learning, simulation and feedback has been hypothesised to help with the development of critical thinking skills. In addition, a curriculum that incorporates teaching on different ways in which judgements and decisions are reached can potentially help students identify how to avoid errors and mistakes in their clinical practice. Feedback has been shown to be a powerful tool to help with developing decision-making skills; evidence for other approaches to teaching critical thinking and decision-making skills is currently limited. This paper reviews theoretical concepts that provide a framework for decision making in nursing, as well as methods by...
31 citations
TL;DR: The evidence suggests that despite a greater emphasis on EOL care in nurse training, adequately preparing nurses remains a challenge to educators.
Abstract: Providing good quality care for dying patients has been highlighted as a national priority in the UK. The Department of Health’s end-of-life (EOL) care strategy outlines how patients should be care...
29 citations
TL;DR: In this paper, the authors identify differences in maternal attachment according to maternal characteristics (socio-demographic, perinatal and self-efficacy variables) and identify factors influencing maternal attachment of first-time Jordanian mothers.
Abstract: The purposes of this study were to identify differences in maternal attachment according to maternal characteristics (socio-demographic, perinatal and self-efficacy variables) and identify factors influencing maternal attachment of first-time Jordanian mothers. A cross-sectional correlational design was used in this study. A convenience sample of 220 first-time Jordanian mothers was recruited during a period of three months in the summer of 2008. Participants completed a socio-demographic and perinatal data sheet, the Parental Self-efficacy scale and the Perceived Maternal Attachment Inventory. ‘Pleasure of proximity’ was the maternal attachment dimension that received the highest mean score, and the highest mean score on the maternal self-efficacy (MSE) measure was reported for the ‘situational belief’ subscale. A significant positive correlation was found between maternal attachment and maternal self-efficacy (r = 0.54, p < 0.001). Factors influencing maternal attachment were maternal self-efficacy, per...
25 citations
TL;DR: In this paper, the authors have found themselves in debates about students' work that centred on the notion of rigor, and they have been criticised for being non-generalisable and non-representative.
Abstract: Over recent years I have found myself in debates about students’ work that centred on
notions of rigor. This is not in itself remarkable and indeed discussions of rigor are very
appropriate. However, what has been surprising is that these discussions have often been
with academic colleagues who were judging the quality of the student’s work by criteria that
were inappropriate given the research question and the approach the student had taken.
Most recently there have been a couple of occasions when a student’s qualitative descriptive
research was judged by criteria most normally applied to statistical research. On both these
occasions the students’ work was being criticised for being non-generalisable and non-
representative and I found myself in the familiar territory of the Qualitative vs
Quantitative Debate or QQD as Krantz (1995) calls it.
23 citations
TL;DR: Focus group protocol successfully involved participants in data collection and analysis through a unique combination of appreciative inquiry and nominal group process, which resulted in credible data for analysis, and the final analysis met scientific research standards.
Abstract: In this paper we evaluate the use of appreciative inquiry in focus groups with public health nurses, managers and policy makers across Canada as part of our project to generate policy recommendations for building public health nursing capacity. The focus group protocol successfully involved participants in data collection and analysis through a unique combination of appreciative inquiry and nominal group process. This approach resulted in credible data for analysis, and the final analysis met scientific research standards. The evaluation revealed that our process was effective in engaging participants when their time available was limited, no matter what their position or public health setting, and in eliciting solution-focused results. By focusing on what works well in an organisation, appreciative inquiry enabled us to identify the positive attributes of organisations that best support public health nursing practice and to develop practical policy recommendations because they were based on participants’...
22 citations
TL;DR: Investigation of the relationships among depressive symptoms, physical function, health satisfaction, age and environment may predict quality of life in a model based on the Wilson and Cleary Model showed that QoL is likely to be influenced by the direct effects of environmental conditions, health dissatisfaction and age.
Abstract: The term quality of life (QoL) has been used in nursing for several years despite having neither a common conceptual model nor a common definition. The Wilson and Cleary Model (WCM), defined in 1995, is used as a conceptual model to identify suitable variables important in planning nursing care in a study among Norwegian older adults. The objective of this study was to investigate how the relationships among depressive symptoms, physical function, health satisfaction, age and environment may predict QoL in a model based on the WCM. The overall model provides empirical evidence for linkages in the WCM. Results showed that QoL is likely to be influenced by the direct effects of environmental conditions, health satisfaction and age. In addition, environmental conditions and age had indirect effects on QoL, in particular via depressive symptoms. Environment had both a significant direct and an indirect effect on QoL. An indirect effect of environment on QoL was shown with depressive symptoms, physical functio...
22 citations
TL;DR: In this article, the authors developed from discussions about the possible implementation and trial of an Australian maternal and early childhood sustained home visiting programme (MECSH) into a United Kingdom (UK).
Abstract: This paper developed from discussions about the possible implementation and trial of an Australian maternal and early childhood sustained home visiting programme (MECSH), into a United Kingdom (UK)...
21 citations
TL;DR: Data of visitor activity and behaviour from 123 countries over three years from 2009–2011 is presented and how the application of the web analytics informs approaches to enhancing visibility of the website, provides an indicator of engagement with genetics-genomics both nationally and globally, and informs future expansion of the site as a global resource for health professional education is considered.
Abstract: The rapid increase in gene-disease discoveries offers real promise of clinical applications for people and families affected by genetic conditions but for which health professionals are not prepare...
20 citations
TL;DR: In this article, a qualitative research study aimed to explore how healthcare professionals discussed sexual and relationship health with young people within an acute care context, focusing on physiology, fertility or medication and the availability of private time and space.
Abstract: The barriers to initiating and holding conversations about sexual and relationship health with young people are under researched within the acute paediatric care setting, with the majority of research focussing on these discussions within primary care settings. This qualitative research study aimed to explore how healthcare professionals discussed sexual and relationship health with young people within an acute care context. Six semi-structured focus groups were held with healthcare professionals (n = 24) from within an acute children’s hospital. This inquiry highlighted different approaches of professionals to initiating and engaging in conversations with young people, which included avoidance, reluctance and confidence. The professionals’ ability to open dialogues with young people was influenced by their levels of knowledge and information, their personal beliefs and the availability of private time and space. Those conversations that did take place focussed on physiology, fertility or medication and d...
TL;DR: The findings from this study demonstrate further research is urgently needed to inform evidence-based infection control policy on the use of personal equipment such as mobile devices in the healthcare settings where contamination may have adverse effects on patients, staff and visitors.
Abstract: The use of mobile devices for professional, business, educational, personal and social purposes has accelerated exponentially over the last decade. Staff working in healthcare organisations, and patients and visitors using healthcare settings, understandably want to use mobile technology. Concerns have been raised about safety in terms of interference with equipment, and threats to privacy and dignity, yet less policy attention has been paid to infection risks.Healthcare professional students were supplied with smartphones as part of a larger educational project. Devices collected from a sub-sample of students working in operating theatre contexts were sampled to estimate the cross-contamination potential of the technology. A longitudinal multiple measures design was used. Under laboratory conditions, samples were taken from surfaces using swabbing techniques followed by contact plating. The devices were subsequently cleaned with 70% isopropyl alcohol and returned to the students.All devices demonstrated ...
TL;DR: The web-based Nurses’ Attitudes toward Nurses with Disabilities Scale (NANDS) was administered to a convenience sample of 131 registered nurses working in three urban tertiary care hospitals and indicated a significantly more positive perception of accessibility in the workplace and more positive attitudes toward the capability of nurses with disabilities.
Abstract: The aims of this pilot study were to describe registered nurses’ attitudes toward nurses with disabilities in the hospital nursing work force, explore factors contributing to these attitudes and ex...
TL;DR: A sophisticated multivariate framework of information access occurring within an intricate, interrelated network of human and data-driven sources that intersect with community and professionally focused systems is revealed.
Abstract: Concept-mapping methodology was used to construct a conceptual model of information access for public health and school nursing practice. Concept mapping is an integrated mixed-methods approach tha...
TL;DR: This paper reflects on the challenges and strategies used to conduct a sustained nurse home visiting randomised trial within the universal child and family health service system in Australia and argues that the MECSH trial was a hybrid research model, testing both efficacy and effectiveness, in a participatory framework.
Abstract: This paper reflects on the challenges and strategies used to conduct a sustained nurse home visiting randomised trial within the universal child and family health service system in Australia. The M...
TL;DR: The results showed that the participants were somewhat knowledgeable about their role as public health nurses; were influenced by lack of resources, poor understanding from others of their role and tensions with managers and the wider team as to the importance of their public health role.
Abstract: This paper is a report of a research study to explore specialist community public health nurses’ views of their public health role. Three key objectives were set: to identify what their public heal...
TL;DR: This research examines the relationship between nurses’ religiosity, their perceived self-efficacy, and the importance they place on aspects of care provided to patients at the end of life, and further supports the body of literature suggesting that end-of-life care is complex and multidimensional.
Abstract: Much has been written about nurses’ responsibility to support patients’ spiritual needs. A plethora of literature explores patients’ religiosity and its effect on their approach and/or response to ...
TL;DR: This study provides health care providers with a better understanding of the psychosocial impact of lipodystrophy and the needs of women who suffer from this condition.
Abstract: Over the past decade, the lipodystrophy syndrome has become one of the biggest challenges in the field of HIV/AIDS. Yet, few qualitative studies have examined how lipodystrophy affects the lives of...
TL;DR: A patient-led cancer care website has the potential to help patients manage their cancer care but needs to be intuitive to use, integrated into hospital systems and requires significant family/carer and health professional engagement.
Abstract: Health ICT is rapidly gaining popularity among policy makers and health consumers. Specific platforms for use in cancer care are missing.Aim:The aim of this pilot study was to: 1) test the feasibility, functionality and usability of a patient-led cancer care web platform: CanCare, in a sample of people undergoing cancer treatment and 2) ascertain if CanCare could enhance communication between patients, family, friends and health professionals.Methods:Cancer patients receiving chemotherapy were invited to participate. Data were collected via semi-structured interviews, online surveys and a website usage program.Results:Nine patients with four different types of cancer completed the study. All saw the potential of the website but many found it too complex to use, particularly when unwell post treatment. Many were frustrated by the lack of integration with existing hospital systems and the need to enter relevant data manually. The cancer-specific information tab rated highly and was used extensively. The web...
TL;DR: The authors discusses the historical evolution of ethnography, identifies the various genres that have developed and argues that the development of ethnographic genres has been informed by a variety of epistemologies that have different aims, methods of data collection and analysis, and styles of presentation.
Abstract: The current paper discusses the historical evolvement of ethnography, identifies the various genres that have developed and argues that the development of ethnographic genres has been informed by a variety of epistemologies that have different aims, methods of data collection and analysis, and styles of presentation. The different genres of ethnography are systematised and categorised into three broad categories, namely classical ethnography, critical ethnography and interpretive ethnography. Each one of these genres are analysed and linked to the unique aims, methods of data collection and analysis, and styles of presentation that are congruent with the epistemology that informs it. Furthermore, it is asserted that different ethnographic genres require different criteria for judging their validity and these criteria should be contextualised and related to the epistemology that informed the specific genre, rather than using a set of unifying criteria for judging all ethnographic studies. Finally, this pap...
TL;DR: The changed care in the municipality was associated with a significant difference in Edinburgh Postnatal Depression Scale scores between the intervention municipality and the usual care municipality at 6 weeks, 3, 6 and 12 months postpartum.
Abstract: Objective: The objective of this paper is to describe and discuss a municipal model for prevention, identification and treatment of postpartum depression (PPD).Major findings: The changed care in the municipality was associated with a significant difference in Edinburgh Postnatal Depression Scale scores between the intervention municipality and the usual care municipality at 6 weeks, 3, 6 and 12 months postpartum. The women who had been depressed at least once during the first postpartum year reported significantly higher levels of parenting stress at 12 months. The public health nurses found the scale easy to score and easy for the mothers to complete, and they were confident that they identified PPD more frequently than before.Conclusion: The results of the present study suggest a basis for a municipality model that gives the primary health care system better possibilities to help women with mental health problems in the postpartum period. The changed care consisted of several elements considered import...
TL;DR: A comparison of research methods shows that, despite these limitations, the use of communities such as Netmums should provide researchers and policy makers with cost-effective and powerful tools of influence in the future.
Abstract: This paper describes how the Netmums social network has been used over recent years as a source of research and discusses whether this type of research has the potential to influence policy. Online...
TL;DR: Until the methodological questions and data management systems can be addressed, the evidence to determine the judicious and optimal use of simulation to improve student and practitioner performance and patient outcomes will remain primarily reliant on proxy measures of self-efficacy and competence.
Abstract: Demonstrating the impact and effectiveness of educational interventions, including medium and high-fidelity simulation, has long been fraught with methodological challenges and ambiguities. This is particularly the case when there are several confounding factors and variables operating in situations where control trials are inappropriate, and investigative costs can be high. Current theoretical and empirical evidence, while emerging, is parsimonious and fails to take account of the characteristics of different modes of simulation, their contested theoretical models of learning and the opportunities presented by cutting edge computer science. Medium and high-fidelity simulations, situated within technology-rich environments, generate new forms of complex data that have the potential to provide insights into ‘real-world’ practices. Drawing on a range of locally based studies, we argue that until the methodological questions and data management systems can be addressed, the evidence to determine the judicious and optimal use of simulation to improve student and practitioner performance and patient outcomes will remain primarily reliant on proxy measures of self-efficacy and competence.
TL;DR: To identify the most appropriate consensus-building method in order to answer three research questions concerning the definition of chronic pain in the neonate, the etiology and the clinical signs and symptoms, a literature search was performed with regards to the methodology of the Delphi method, the Nominal Group Technique and the Consensus Development Conference.
Abstract: Introduction: To date research on neonatal pain has focused mainly on acute or procedural pain. It is recognised that prolonged or chronic pain exists in this age group. Studies on this subject fail to provide a clear description of chronic pain in the neonate.Objectives: To identify the most appropriate consensus-building method in order to answer three research questions concerning the definition of chronic pain in the neonate, the etiology and the clinical signs and symptoms.Methodology: We performed a literature search with regards to the methodology of the Delphi method, the Nominal Group Technique and the Consensus Development Conference.Results: We found only sparse data reviewing the Nominal Group Technique and the Consensus Development Method. More data was found for the Delphi method.Discussion: We chose to design a Delphi survey in the light of our research questions. The main arguments were the ability to include experts from all over the globe, and the low probability of introducing bias.Conc...
TL;DR: The findings of the present study confirmed that lifestyle interventions concerned with educational sessions about dietary behaviours and exercises illustrate promising results in preventing or delaying the risk of developing type 2 DM by modifying its risk factors.
Abstract: Purpose: To investigate (1) the effectiveness of educational interventions in reducing the risk for developing type 2 diabetes mellitus (DM) among Jordanian adults at high risk, and (2) whether lev...
TL;DR: In this article, a range of ethical perspectives are examined before introducing a model which highlights key challenges and benefits of undertaking research within mental health contexts, and extracts from both current and recent projects are then applied to the model.
Abstract: This paper seeks to highlight that researchers can generate the potential for benefit to all stakeholders within the research process through maintaining a wide understanding of ethical and emotionally intelligent behaviours. A range of ethical perspectives is examined before introducing a model which highlights key challenges and benefits of undertaking research within mental health contexts. Excerpts from both current and recent projects are then applied to the model. Finally, it is argued that many of the most ethically challenging issues arise outside of the realms and remits of ethics committees, consequently requiring the mental health researcher to possess and develop his or her ethical and emotionally intelligent capabilities.
TL;DR: This paper describes the community alcohol detoxifications (detox) carried out in primary care by the nurse specialist for alcohol in Islington, as an independent prescriber, and shows the crucial and beneficial role a nurse specialist can play in treating patients in the clinical speciality of alcohol misuse.
Abstract: This paper describes the community alcohol detoxifications (detox) carried out in primary care by the nurse specialist for alcohol in Islington, as an independent prescriber. It is argued that this service is a valuable resource and can enable a better space for preparation for the client, who can then be more insightful and motivated before entering the detox in primary care. It also shows that the guidelines for the assessment and detoxification of patients entering this modality are important in ensuring a potentially good outcome. This is beneficial for the patient and can ensure a break from dependent drinking for 6 months to 1 year. Importantly, it also shows the crucial and beneficial role a nurse specialist can play in treating patients in the clinical speciality of alcohol misuse. The role of the nurse has changed over time, and can now initiate services in primary care. One such role has set up a service that supports GPs and practice staff in the area of alcohol. Often this is seen as specialis...
TL;DR: In this article, a qualitative study examined mothers' and teenage daughters' perceptions of risk-related health concerns around sexual behaviour and the implications for health policy, nursing practice and future research.
Abstract: Concern across more economically developed nations has focused on the role of parental communication and monitoring in predicting risk-taking behaviour and health outcomes. However, explorations of how mothers and daughters negotiate risk remain under-researched. This paper presents the findings of a qualitative study examining mothers’ and teenage daughters’ perceptions of risk-related health concerns around sexual behaviour and the implications for health policy, nursing practice and future research. A purposive sample of seven young women aged 14–16 years and their mothers (n = 14) were recruited from low-income families living in the south-west of England.Data were collected through longitudinal in-depth interviews and were analysed for thematic content using constant comparative methods. Findings highlighted how mothers and daughters understand risks associated with sex and relationships and their implications for safety. Mothers’ concerns focused on their daughters’ vulnerability to the risk of sexu...
TL;DR: The authors explored the role that participatory media can play in the field of nursing research and subsequent knowledge dissemination, and explored a theoretically focused and discursive approach to explore the role of participative media in nursing research.
Abstract: This theoretically focused and discursive paper explores the role that participatory media can play in the field of nursing research and subsequent knowledge dissemination. Being able to gather inf...
TL;DR: An iterative consultative process was undertaken with the aim to develop a cancer care website that was patient-led, facilitated cancer self-management and had the potential to improve communication between patients, family and friends and health care professionals.
Abstract: The role of the internet, and in particular e-health, in chronic illness is a burgeoning phenomenon but its use to date in cancer care is somewhat limited. In this study an iterative consultative process was undertaken with the aim to develop a cancer care website that was patient-led, facilitated cancer self-management and had the potential to improve communication between patients, family and friends and health care professionals. The process involved multiple demonstrations of an already established base platform (SeeCare©) to potential end users (patients, family members and friends and health professionals) to identify required functions of a cancer care specific platform. An exhaustive list of specifications was prioritised and operationalised resulting in a web platform for people affected by cancer that was ready for testing in the clinical setting: CanCare.