Humanbecoming Hermeneutic Sciencing: A Global Perspective on Presence in "In Harm's Way".

The purpose of this article is to report the details of the humanbecoming hermeneutic sciencing of presence in In Harm's Way. Humanbecoming hermeneutic sciencing is dialoguing with an artform by discoursing with penetrating engaging, interpreting with quiescent beholding, and understanding with inspiring envisaging. The artform explored in this article is the comments and images of 60 nurses from around the world included in The New York Times story titled "In Harm's Way." The report is on the meaning of presence as lived and talked about by nurses on the front lines at the peak of the COVID-19 outbreak.

Emergency Nurses' Perceived Confidence in Participating in the Discharge Process of Congestive Heart Failure Patients From the Emergency Department: A Quantitative Study.

INTRODUCTION: Adults with exacerbated heart failure (HF) who present to the emergency department (ED) generally are readmitted. However, Hispanic HF patients are more likely to be admitted than Whites. Studies show the importance of nurse-led interventions in the ED discharge process, but registered nurse (RN) confidence in performing discharge tasks has not been assessed. Greater nurse confidence leads to improved task performance, and potentially reduced HF readmission, lowering cost of care. This study aimed to gain insight into ED RNs' perceived self-confidence in discharge tasks with stabilized HF patients. METHOD: A self-report survey on perceived self-confidence was analyzed in a prospective, cross-sectional quantitative study. Participants were 22 RNs at an ED in a largely Hispanic community in New York City. RESULTS: Moderate levels of confidence were found for performing various tasks with HF patients. Only 6 of the 21 nurses reported feeling "very confident" about discharge tasks. Twenty (90.1%) believed guidelines would increase their confidence. CONCLUSION: These findings can help in developing nurse-driven strategies to foster confidence in the discharge of stabilized HF patients from the ED.

Cancer Worry Among Urban Dominican Women: A Qualitative Study.

BACKGROUND: Two thirds of respondents of a recent survey, primarily self-identified urban immigrant Dominican females, indicated that cancer was the health problem they worried about the most. PURPOSE: The purpose of this qualitative study was to gain a greater understanding of the cancer worry experienced by Dominican women. DESIGN: Giorgi's descriptive existential phenomenological framework and methodology guided the study. SETTING: Washington Heights/Inwood community, New York City, New York. PARTICIPANTS: Thirty-eight urban Dominican immigrant women were included in the study. METHOD: Data were gathered using focus group interviews. All interviews were digitally recorded, transcribed verbatim from Spanish to English. The transcripts were analyzed using Giorgi's existential phenomenological data analysis process. FINDINGS: Four essences unfolded: Cancer as Destiny, Faith, Influential Relationships, and Knowledge Acquisition. CONCLUSION: New knowledge was generated on the contextual factors that influence cancer worry among a major Hispanic subgroup. Implications for nursing research and practice are described.

Correlates of Dominicans' Identification of Cancer as a Worrisome Health Problem.

There is a paucity of studies centering on the correlates of cancer worry among Hispanics from the Dominican Republic and the potential informatics strategies to address such worries. Data were analyzed using descriptive and correlational statistics, and logistic regression with the dependent variable of cancer worry. Independent variables for the regression were: age, gender, marital status, education, socioeconomic status, previous diagnosis of cancer, anxiety, depression, sleep disturbance, and chronic burden. Four variables significantly increased cancer worry: married marital status (OR = 1.19 [95% CI 1.01, 1.41]), younger age (OR = .992 [95% CI 0.987, 0.997]), less depression (OR = .96 [95% CI 0.94, 0.98]), and cancer diagnosis (OR = 2.12 [95% CI 1.24, 3.65]). New knowledge was generated on the contextual factors that influence these health concerns in a major Hispanic sub-group. Implications for practice, research and education are discussed.

Nurses' perceptions of their knowledge and barriers to ambulating hospitalized patients in acute settings.

PURPOSE: The purpose of this study was to understand nurses' knowledge and perceptions of the importance of patient ambulation in acute care hospital settings. The data obtained from this survey will be used to create improvement initiatives that address patient ambulation. METHOD: An exploratory, cross-sectional study using a self-administered survey was conducted in two different hospital sites, and was completed by 192 nurses. A modified version of the validated and reliable tool entitled "Missed Nursing Care Survey" was used. Multivariate regressions were used to determine the relationship of demographic and workplace variables to nurses' knowledge and perceptions regarding acute adult-inpatient ambulation. RESULTS: The primary factors interfering with ambulating patients were inadequate number of staff (both clerical and nursing), urgent patient situations, and unexpected rises in patient volume and/or acuity on the unit. Small associations were found between knowledge of ambulation and years of experience, and shift worked. CONCLUSION: Study findings add to the body of knowledge by providing insight into what variables influence urban nurses' knowledge and perceptions of barriers faced when ambulating acute adult-inpatients in acute hospitalized settings. The study results can be used to develop strategies and improvement initiatives that address acute adult-inpatient ambulation in acute settings and address the perceived barriers to this process. The ultimate goal is to improve the quality of care delivered, improve patient outcomes, and promote patient well-being. Implication for nursing practice, research and education will be discussed.