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1.
Nurs Forum ; 2020 Mar 02.
Artigo em Inglês | MEDLINE | ID: mdl-32124459

RESUMO

The aim of this concept analysis was to identify the attributes of overweight bias among healthcare providers (HCPs) and create a clear definition to guide the recognition of overweight bias among HCPs. Settings within the healthcare system are not exempt from bias and the stigmatization of persons with obesity. Overweight bias among HCPs may negatively impact health care and health outcomes. Rodger's evolutionary method was used to guide this concept analysis. The databases CINAHL Plus with Full Text, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, MEDLINE, and PsycINFO were searched. The analysis provided clarification of the concept to facilitate HCP self-awareness of overweight bias. A definition of the concept of overweight bias among HCPs is provided along with its attributes, antecedents, and consequences.

2.
Issues Ment Health Nurs ; 38(11): 915-923, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-28876964

RESUMO

PURPOSE: Mental health is an important measure of public health (WHO, 2004); however, nursing practice and research continues to prioritize mental illness, rather than well-being (Wand, 2011). Flourishing is a recent concept in the field of well-being. The term has been used sparingly in nursing practice and research, and conceptual clarification is needed to promote comprehensive understanding of the phenomenon. The purpose of this study is to critically analyze flourishing, assess the maturity of the concept, and provide recommendations for future research, education, and practice. METHOD: The concept of flourishing was analyzed using the evolutionary approach to concept analysis (Rodgers, 2000). A search for articles on flourishing within the context of well-being was conducted through CINAHL, MEDLINE, and PsycINFO. A sample of 32 articles and 1 book was reviewed. Data were reviewed for concept attributes, antecedents, consequences, surrogate terms and related concepts. FINDINGS: Four models of flourishing were identified with six overlapping attributes: meaning, positive relationships, engagement, competence, positive emotion, and self-esteem. Limited longitudinal and predictive studies have been conducted, but there is evidence for several antecedents and outcomes of flourishing. Research is ongoing primarily in psychology and sociology and is lacking in other disciplines. DISCUSSION: The concept of flourishing is immature; however, evidence is building for related concepts. A lack of consistent terminology regarding flourishing prevents knowledge development of flourishing as a distinct concept. Further multidisciplinary research is needed to establish standard operational and conceptual definitions and develop effective interventions.


Assuntos
Saúde Mental , Enfermagem Psiquiátrica , Humanos
3.
Clin Gerontol ; 40(5): 401-412, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28452638

RESUMO

OBJECTIVE: Female caregivers often reduce time spent at work to care for aging family members, which precipitates financial hardship and other adverse outcomes. Little is known about psychosocial correlates of labor force participation (LFP) among female caregivers. The theory of planned behavior posits that social norms, attitudes, and perceived control predict intentions and volitional behaviors, but also that the compelling influence of situational variables undermines enactment of behaviors consistent with one's intentions. The objective of this study was to employ the theory of planned behavior to examine how psychosocial characteristics predict willingness to reduce LFP among prospective caregivers and actual LFP reduction among active caregivers. METHODS: Subsamples of 165 female prospective caregivers and 97 active female caregivers responded to a survey assessing filial beliefs and LFP. RESULTS: Filial obligation and caregiver preparedness predicted intentions to reduce LFP among prospective caregivers, but did not predict actual reduction in LFP in active caregivers. Weekly care demands exceeding 20 hours emerged as the sole correlate of LFP among active caregivers. CONCLUSIONS: Domains of the theory of planned behavior predict LFP intentions, but LFP decisions are subject to external pressures, specifically, time demands of the caregiving relationship. Prospective caregivers may benefit from proactive interventions aimed at reducing conflict between situational demands and filial beliefs.


Assuntos
Cuidadores , Emprego , Licença para Cuidar de Pessoa da Família/economia , Adulto , Idoso , Atitude , Cuidadores/economia , Cuidadores/psicologia , Emprego/economia , Emprego/psicologia , Feminino , Humanos , Intenção , Relação entre Gerações , Pessoa de Meia-Idade , Modelos Psicológicos , Psicologia
4.
Cien Saude Colet ; 22(3): 987-996, 2017 Mar.
Artigo em Português, Inglês | MEDLINE | ID: mdl-28301005

RESUMO

The purpose of this metric and descriptive study was to identify the most productive authors and their collaborative research networks from articles published in Ciência & Saúde Coletiva between, 2005, and 2014. Authors meeting the cutoff criteria of at least 10 articles were considered the most productive authors. VOSviewer and Network Workbench technologies were applied for visual representations of collaborative research networks involving the most productive authors in the period. Initial analysis recovered 2511 distinct articles, with 8920 total authors with an average of 3.55 authors per article. Author analysis revealed 6288 distinct authors, 24 of these authors were identified as the most productive. These 24 authors generated 287 articles with an average of 4.31 authors per article, and represented 8 separate collaborative partnerships, the largest of which had 14 authors, indicating a significant degree of collaboration among these authors. This analysis provides a visual representation of networks of knowledge development in public health and demonstrates the usefulness of VOSviewer and Network Workbench technologies in future research.


Assuntos
Autoria , Pesquisa Biomédica/organização & administração , Comportamento Cooperativo , Publicações Periódicas como Assunto/estatística & dados numéricos , Humanos , Editoração
5.
Ciênc. Saúde Colet ; 22(3): 987-996, mar. 2017. tab, graf
Artigo em Português | LILACS-Express | ID: biblio-952610

RESUMO

Resumo O objetivo deste estudo métrico e descritivo foi identificar os autores mais produtivos e suas redes colaborativas de pesquisa a partir de artigos publicados na Revista Ciência & Saúde Coletiva entre 2005 e 2014. Os autores que satisfazem o critério de corte de pelo menos 10 artigos no período foram considerados os mais produtivos. Os programas VOSviewer e Network Workbench foram aplicados para as representações visuais das redes colaborativas de pesquisa envolvendo os autores mais produtivos no período. Uma análise inicial recuperou 2511 artigos distintos com 8920 autores no total e uma média de 3,55 autores por artigo. A análise de autores revelou 6288 autores distintos, sendo 24 destes identificados como os mais produtivos. Esses 24 autores produziram 287 artigos com uma média de 4,31 autores por artigo, e representaram 8 parcerias colaborativas separadas, a maior delas com 14 autores, indicando um grau significativo de colaboração entre eles. Esta análise oferece uma representação visual das redes de conhecimento desenvolvidas na área de saúde coletiva e demonstra a importância das tecnologias aplicadas em pesquisa futura.


Abstract The purpose of this metric and descriptive study was to identify the most productive authors and their collaborative research networks from articles published in Ciência & Saúde Coletiva between, 2005, and 2014. Authors meeting the cutoff criteria of at least 10 articles were considered the most productive authors. VOSviewer and Network Workbench technologies were applied for visual representations of collaborative research networks involving the most productive authors in the period. Initial analysis recovered 2511 distinct articles, with 8920 total authors with an average of 3.55 authors per article. Author analysis revealed 6288 distinct authors, 24 of these authors were identified as the most productive. These 24 authors generated 287 articles with an average of 4.31 authors per article, and represented 8 separate collaborative partnerships, the largest of which had 14 authors, indicating a significant degree of collaboration among these authors. This analysis provides a visual representation of networks of knowledge development in public health and demonstrates the usefulness of VOSviewer and Network Workbench technologies in future research.

6.
Am J Hosp Palliat Care ; 33(1): 8-15, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25172782

RESUMO

This study describes nursing students' reflections on taking an online course on death and dying. In a semistructured paper, students described fears of caring for clients at end of life (EOL), important content learned, and remaining discomforts. Data were analyzed using directed content analysis. Consistent themes were noted among the papers. Student reflections on the knowledge they gained closely followed initial fears. Several students appreciated the ability to reflect on their experiences in a nonjudgmental setting. Overall, the data showed that nursing students can become more confident in EOL care through online education. Knowledge gains and continued fears about the same topics suggest EOL confidence lies along a continuum and may require ongoing education. Future research should focus on offering online continuing education on EOL to practicing nurses.


Assuntos
Instrução por Computador/métodos , Educação a Distância/métodos , Bacharelado em Enfermagem/métodos , Internet , Estudantes de Enfermagem/psicologia , Adulto , Atitude Frente a Morte , Currículo , Feminino , Humanos , Masculino , Relações Enfermeiro-Paciente , Pesquisa em Educação de Enfermagem , Adulto Jovem
7.
Am J Hosp Palliat Care ; 33(7): 617-24, 2016 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26150677

RESUMO

The purpose of this descriptive correlational study was to determine whether nurse characteristics, level of comfort with care of the dying, and spirituality predict intention to refer and timing of referral to pediatric palliative/hospice care. The Behavioral Model of Health Services Use served as the framework for this study. Data were collected from 105 pediatric nurses recruited from 7 patient units of one pediatric hospital. Regression analysis revealed several nurse factors (practice unit, years of experience, age, race/ethnicity) that predicted intent to refer and timing of referral to pediatric palliative/hospice care. The relationship between nurse characteristics and intent to refer was specific to certain medical conditions (HIV, extreme prematurity, brain injuries). Healthcare providers can use these findings to improve care for children with life-limiting illnesses.


Assuntos
Cuidados Paliativos na Terminalidade da Vida/psicologia , Intenção , Enfermeiras Pediátricas/psicologia , Cuidados Paliativos/psicologia , Encaminhamento e Consulta/estatística & dados numéricos , Adulto , Fatores Etários , Atitude do Pessoal de Saúde , Atitude Frente a Morte , Grupos de Populações Continentais , Feminino , Hospitais Pediátricos/estatística & dados numéricos , Humanos , Unidades de Terapia Intensiva Neonatal/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Análise de Regressão , Fatores Sexuais
8.
Am J Hosp Palliat Care ; 32(4): 454-63, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24707009

RESUMO

This focus group study describes end-of-life caregiving and decision making among blacks from the perspective of the informal caregivers and decision makers. The Behavioral Model of Health Services Use framed the study. Five focus groups with a total of 53 informal caregivers/decision makers were conducted. A qualitative phenomenological approach was used for the data analysis. Findings are presented under the themes of end of life caregiving and decision making roles, dynamics and process, and beliefs and values. The common thread of care giving and decision-making within relationship and six subthemes were identified. Findings also suggest the need for support and inclusion of designated informal caregivers and decision-makers in the advance care planning process early in the disease trajectory.


Assuntos
Afro-Americanos/psicologia , Cuidadores/psicologia , Tomada de Decisões , Assistência Terminal/psicologia , Adulto , Planejamento Antecipado de Cuidados , Idoso , Idoso de 80 Anos ou mais , Feminino , Grupos Focais , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Socioeconômicos
9.
J Adv Nurs ; 70(4): 744-55, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23919385

RESUMO

AIM: This paper is a report of an analysis of the concept resilient ageing. Unique in comparison with other healthy ageing concepts, resilient ageing can be applied to all older people, regardless of age or affliction. BACKGROUND: The state of global population expansion in older people over the next 50 years calls for increased health promotion research efforts to ensure the maintenance of health and optimal quality of life for all older people. DATA SOURCES: Literature for this concept analysis was retrieved from several databases, CINAHL, PubMed PsycINFO, for the years 1990-2012. DESIGN: Rodgers's evolutionary method of concept analysis was used because of its applicability to concepts that are still evolving. METHODS: An integrative research review methodology was applied to peer-reviewed journal articles (n = 46) for an inductive analysis of the concept of resilient ageing. RESULTS: The antecedents, defining attributes, and consequence of resilient ageing were identified. Antecedents to resilient ageing were found to be adversity and protective factors, while the core attributes include coping, hardiness and self-concept. The consequence of the process of resilient ageing was optimal quality of life. Sense of coherence was found to be the surrogate term. The results obtained were further substantiated using Antonovsky's (1979) theory of salutogenesis. CONCLUSION: A theoretical definition and a model of resilient ageing were developed. In addition, a discussion was provided on the practice, policy and research implications for promoting the development of protective factors and resilient ageing.


Assuntos
Envelhecimento , Resiliência Psicológica , Humanos
10.
Nurs Outlook ; 61(6): 458-65, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23618550

RESUMO

The Institute of Medicine has outlined important components needed in nursing education to prepare the nursing workforce of the future. Previously published work on RN to BSN education has focused mainly on mode of delivery. The purpose of this paper is to examine RN to BSN program components for the facilitation of academic progression, innovative mechanisms of student engagement, and the curricular components that prepare graduates to meet future nursing challenges. Academic progression factors discussed include those relevant to recruiting RNs to BSN completion programs and factors important to retaining them through graduation. Recommendations for student engagement include the creation of honors programs, ethics teams, and practicum and service learning experiences. Suggestions for curriculum possibilities specifically address meeting the call of the Institute of Medicine report including content in community/public health, informatics, evidence-based practice, ethics, and health policy.


Assuntos
Competência Clínica , Bacharelado em Enfermagem/organização & administração , Reeducação Profissional/organização & administração , Previsões , Enfermagem/tendências , Currículo , Humanos , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem
11.
Am J Hosp Palliat Care ; 29(5): 368-74, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22072640

RESUMO

The purpose of this prospective, correlational study was to examine the differential ability of demographic variables, beliefs, and values about end-of-life, spirituality, and social relationships to predict hospice use among blacks. The framework for this study was the Behavioral Model of Health Services Use. Data were collected from 104 terminally ill black men and women recruited from 6 inpatient and outpatient settings. Only 34% of the individuals participated in hospice services. Chi-square, sequential, and stepwise logistic regressions revealed that the best predictive model consisted of presence of a caregiver, having a religious affiliation, and male gender. Together these factors predicted 13.7% to 19% of hospice use among blacks. Health care providers can use these findings in planning care for patients early in their disease trajectory.


Assuntos
Afro-Americanos/estatística & dados numéricos , Cuidados Paliativos na Terminalidade da Vida/estatística & dados numéricos , Apoio Social , Espiritualidade , Doente Terminal , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Cobertura do Seguro/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Fatores Socioeconômicos , Adulto Jovem
12.
J Adv Nurs ; 46(6): 624-32, 2004 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-15154903

RESUMO

BACKGROUND: Although the amount of literature on spiritual needs and care has increased, in practice there has been little change in how nurses assess spiritual need. This suggests that not all spiritual needs of patients are being addressed. Based on the assumption that spiritual needs vary by culture, this study focused on one subgroup, namely Christian African-Americans. AIMS: The aim of this paper is to report a study examining spiritual perspectives, spiritual needs and desired nursing interventions during hospitalization identified by Christian African-Americans. METHODS: A descriptive correlational design was employed. A convenience sample (n = 44) was recruited from three African-American churches. Descriptive statistics were calculated, and one-way anovas used to examine spiritual perspectives and spiritual values. Content analysis was used to analyse and summarize qualitative data. Instruments included the Spiritual Perspective Scale (SPS) and two open-ended questions. RESULTS: The mean age of participants was 56 years (range 19-84). The majority was female (86%); 71% of respondents strongly agreed that they had spiritual needs to be met during hospitalization. Mean score for the SPS was 5.7 (sd = 0.36). Respondents used a total of 103 phrases to describe spiritual needs, based on three dimensions of connectedness: connectedness to God (50 phrases), connectedness to others (37 phrases) and connectedness to self (16 phrases). Desired nursing interventions included: participating in spiritual activities (n = 41); demonstrating caring qualities (n = 27); providing comforting measures (n = 13); providing reassurance (n = 9); recognizing the spiritual caregiver role (n = 7); and incorporating diversity in care (n = 3). CONCLUSIONS: The findings provide information for nurses to facilitate development of culturally appropriate spiritual nursing interventions.


Assuntos
Afro-Americanos , Processo de Enfermagem/normas , Espiritualidade , Adulto , Idoso , Idoso de 80 Anos ou mais , Análise de Variância , Atitude do Pessoal de Saúde , Cristianismo , Feminino , Hospitalização , Humanos , Masculino , Pessoa de Meia-Idade , Papel do Profissional de Enfermagem , Inquéritos e Questionários
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