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2.
J Hosp Palliat Nurs ; 22(6): 479-488, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33044417

RESUMO

Advance care planning (ACP) is a cornerstone of self-determination for the type of care provided at the end of life. Despite many national efforts to improve American adults' engagement in ACP, statistics indicate low engagement. Low engagement, especially among racial and ethnic minority populations, immigrants, people with lower socioeconomic status, young adults, rural residents, or non-English speakers, is common. Advance care planning engagement among Muslims living in the United States has been minimally studied. The purpose of this study was to explore Muslims' engagement in ACP. A cross-sectional descriptive design was used. Participants were recruited from Islamic organizations through convenience and snowball sampling. Engagement in ACP was measured by the Advance Care Planning Engagement Survey. A sample of 148 Muslims (18-79 years of age) participated in the study. The average engagement scores ranged from 1.97 to 2.09, with about two-thirds in the precontemplation stage. Significant differences in engagement scores were found according to health condition and end of life experiences. Results suggest a need for further collaborative efforts by health care providers, policymakers, and researchers to mitigate the disparities in ACP engagement in the American Muslim community.

3.
MCN Am J Matern Child Nurs ; 45(3): 176-182, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32341249

RESUMO

PURPOSE: Peripartum cardiomyopathy, a traumatic life-threatening type of heart failure, occurs in the last trimester of pregnancy or shortly after childbirth. Little is known about psychological or emotional conditions women experience with peripartum cardiomyopathy. The purpose of this study was to examine relationships among post-traumatic stress, depression, and quality of life in women with peripartum cardiomyopathy. DESIGN AND METHODS: This cross-sectional, correlational survey study included 28 participants recruited via public notice on Facebook. Participants completed the Horowitz Impact of Events Scale, the Center for Epidemiology Scale-Depression 20, and the Ferrans & Powers Quality of Life Index-Cardiac Version-IV. RESULTS: Post-traumatic stress correlated significantly and positively with depression (r = .809, p < .001). Post-traumatic stress and depression correlated significantly and inversely with quality of life (r = -.455, p = .015), (r = -.544, p = .003), respectively. All participants measured positive for depression. Participants with lower education scored higher on post-traumatic stress and depression, whereas those unemployed or disabled registered a lower quality of life. CLINICAL IMPLICATIONS: Nurses, midwives, and physicians caring for women with cardiomyopathies must be vigilant for evidence of post-traumatic stress, depression, and poor quality of life. Targeted antenatal and postnatal support could be vital to emotional and psychological recovery.

4.
Nurs Outlook ; 68(2): 207-219, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31543282

RESUMO

BACKGROUND: A mentally-healthy nursing workforce is vital to providing quality healthcare. While there has been research conducted internationally on depressive symptoms in nurses, most studies have lacked a theoretical framework. PURPOSE: The purpose of this article is to describe the development of a situation-specific theory, the Systemic Assessment of Depressive Symptoms among Registered Nurses (SAD-RN). METHODS: The SAD-RN was developed through theory synthesis using the Roy's Adaptation Model (RAM) as a framework. Sixty-four research articles were selected to abstract relevant concepts based on a priori RAM concepts. FINDINGS: Using depressive symptoms as the anchor concept, related emergent concepts of SAD-RN include context, stressors, protective factors, negative health outcomes, and low patient care quality. DISCUSSION: SAD-RN is an evidence-based comprehensive model that offers researchers a guiding theory to be used in their future research on depressive symptoms among RNs.


Assuntos
Transtorno Depressivo/diagnóstico , Transtorno Depressivo/enfermagem , Enfermeiras e Enfermeiros/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/enfermagem , Medição de Risco/métodos , Adaptação Psicológica , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos de Enfermagem
5.
J Nurs Meas ; 27(1): 5-15, 2019 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-31068487

RESUMO

BACKGROUND: Women with infertility in different cultures, especially those in West African countries, are viewed as inferior. They tend to experience discrimination and have suboptimal mental health outcomes. However, recent evidence shows that social pressure for pregnancy, not infertility, is a significant predictor of depression. Yet, instruments that measure social pressure for pregnancy are scarce. Existing instruments to measure social pressure for pregnancy show no evidence of psychometric properties. PURPOSE: To assess the psychometric properties of a new tool, the Social Pressure for Pregnancy Scale (SPPS), among Malian women in West Africa. METHODS: Exploratory factor analysis, and analyses of convergent validity, discriminant validity (known-groups technique), and reliability. RESULTS AND CONCLUSION: The SPPS has good psychometric properties and can be used in future infertility studies especially in relation to depression.


Assuntos
Transtorno Depressivo/etiologia , Infertilidade/psicologia , Gravidez/psicologia , Gestantes/psicologia , Psicometria/normas , Estigma Social , Adolescente , Adulto , Feminino , Humanos , Mali , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Inquéritos e Questionários , Adulto Jovem
6.
F1000Res ; 7: 159, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30079237

RESUMO

The link between Zika virus infection during pregnancy and microcephaly and other neurodevelopmental defects in infants, referred to as congenital Zika syndrome (CZS), was recently discovered. One key question that remains is whether such neurodevelopmental abnormalities are limited to the recently evolved Asiatic ZIKV strains or if they can also be induced by endemic African strains. Thus, we examined birth registries from one particular hospital from a country in West Africa, where ZIKV is endemic. Results showed a seasonal pattern of birth defects that is consistent with potential CZS, which correspond to a range of presumed maternal infection that encompasses both the peak of the warm, rainy season as well as the months immediately following it, when mosquito activity is likely high. While we refrain from definitively linking ZIKV infection and birth defects in West Africa at this time, in part due to scant data available from the region, we hope that this report will initiate broader surveillance efforts that may help shed light onto mechanisms underlying CZS.

7.
Afr J Reprod Health ; 22(1): 60-72, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29777643

RESUMO

Relatively little is known about infertility and its consequences in Mali, West Africa where the context and culture are different from those of previously studied settings. This study therefore aimed to specifically examine infertility induced psychological distress and coping strategies among women in Mali. A convergent mixed-methods design-correlational cross-sectional and qualitative descriptive-guided the study. Fifty-eight infertile Malian women participated: 52 completed the Psychological Evaluation Test specific for infertility and a question on general health status, and 26 were interviewed in-depth. Over 20% scored above the cut-off point for psychological distress, and 48% described their general health as poor. There was no significant difference between women with primary vs. secondary infertility. The study found that infertile women lived with marital tensions, criticism from relatives, and stigmatization from the community. They experienced sadness, loneliness, and social deprivation. Coping strategies included traditional and biomedical treatments, religious faith and practices, and self-isolation. Health care professionals should provide holistic care for infertile women to meet their physical, spiritual, psychological, and social needs.


Assuntos
Adaptação Psicológica , Infertilidade Feminina/psicologia , Estresse Psicológico , Adulto , Estudos Transversais , Feminino , Humanos , Infertilidade , Mali
8.
Obes Res Clin Pract ; 12(1): 129-132, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29217141

RESUMO

The Dutch Eating Behavior Questionnaire (DEBQ) appraises overeating styles that may contribute to weight gain in adults. The purpose of this analysis was to assess the psychometric properties of a Chinese version of the DEBQ (C-DEBQ) in a sample of parents of school-age children in Taiwan. The C-DEBQ encompassing three subscales that including emotional eating, external eating, and restrained eating. Each subscale's reliability was assessed with Cronbach's alpha internal consistency. Confirmatory factor analysis (CFA) was conducted to validate the model fit. A total of 340 normal weight and overweight parents of school-age children from various geographical locations in Taiwan participated in the study. Each subscale, emotional, external, and restrained eating, displayed good-to-excellent internal consistency (Cronbach's alphas: .94, .81, and .89, respectively). CFA showed that the three-factor solution had close goodness-of-fit to the data for supporting the factorial validity (x2=1239.03, df=488, p<.001, x2/df=2.54, root mean square error of approximation=.067, comparative fit index=.879, Tucker-Lewis index=.869). Findings suggest that the C-DEBQ is a psychometrically reliable and valid instrument with the potential to assess overeating styles in Taiwanese parents of school-age children. Replication studies with more age- and gender-diverse populations are needed to provide further evidence of construct validity for the Chinese version of the DEBQ.


Assuntos
Comportamento Alimentar/psicologia , Pais/psicologia , Obesidade Pediátrica/prevenção & controle , Adulto , Criança , Análise Fatorial , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade Pediátrica/psicologia , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários , Taiwan/epidemiologia , Traduções
9.
Rev Rene (Online) ; 19: e3289, jan. - dez. 2018.
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-883226

RESUMO

Objetivo: examinar e descrever a relação entre liderança em enfermagem e qualidade do cuidado no ambiente hospitalar. Métodos: estudo concomitante e convergente de métodos mistos que incorporou um delineamento correlacional transversal e teoria fundamentada. Os dados quantitativos foram coletados por meio da subescala Liderança do Brazilian Nursing Work Index-Revised, com 105 enfermeiros de um hospital e analisados por meio de estatística descritiva e inferencial. Os dados qualitativos foram coletados por meio de entrevistas com 64 participantes e analisados pelo método de Charmaz. Posteriormente, os achados foram integrados para gerar os resultados dos métodos mistos. Resultados: os resultados qualitativos apoiaram os quantitativos e mostraram que a liderança de enfermagem eficaz gerou qualidade de atendimento por meio de colaboração com a equipe de enfermagem, incentivo à advocacia do paciente e melhoria do atendimento. Conclusão: o uso de métodos mistos possibilita uma compreensão mais profunda do fenômeno. As implicações também são discutidas. (AU)


Assuntos
Liderança , Pesquisa em Administração de Enfermagem , Cuidados de Enfermagem , Organização e Administração , Qualidade da Assistência à Saúde
10.
J Nurs Meas ; 25(3): 387-388, 2017 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-29268823
11.
J Nurs Meas ; 25(3): 389-399, 2017 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-29268824

RESUMO

BACKGROUND AND PURPOSE: The World Health Organization Quality of Life BREF (WHOQOL-BREF) has been used in various populations and cultures. However, its psychometric properties are unknown among women who experienced intimate partner violence (WIPV). This study aimed to explore the reliability and validity of the WHOQOL-BREF among Thai WIPV. METHODS: Two hundred eighty-four female patients receiving care at a northeast hospital in Thailand responded to the WHOQOL-BREF and intimate partner violence (IPV) questions. Exploratory factor and consistency analyses were applied. RESULTS: Different from the original study, this study generated 5 factors, 1 of which is Medical Care Needs. The resulting scale and subscales showed good reliability and construct validity. CONCLUSION: The 5-factor scale can be used among WIPV by health care professionals to assess their quality of life (QOL) and appropriately address their needs.


Assuntos
Violência por Parceiro Íntimo/psicologia , Qualidade de Vida/psicologia , Inquéritos e Questionários , Adolescente , Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Gravidez , Psicometria , Reprodutibilidade dos Testes , Tailândia , Organização Mundial da Saúde , Adulto Jovem
14.
J Appl Gerontol ; 36(4): 480-498, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26399856

RESUMO

Fall among older adults is a concern in Thailand. The challenge for primary care physicians is to deliver effective interventions potentially adhered to by older people. This research employed a mixed-methods design to understand factors leading to fall reporting by community-dwelling Thai elders and their expectations regarding fall prevention education. Participants ( N = 305) who had fallen in the last year completed a questionnaire in the quantitative phase, and 50 of these were interviewed in-depth in the qualitative phase. Results revealed that only 39% reported their fall. Participants with comorbidities were 1.6 times more likely to report falling than those without (odds ratio = 1.61, confidence interval = [1.01, 2.58]). Post-fall pain (84%) was the strongest reason for reporting. Some participants believed that falling is an inevitable life event. It is crucial to encourage older adults to report falling, to provide targeted education, and to focus on improving the overall health status of older adults.


Assuntos
Acidentes por Quedas/prevenção & controle , Acidentes por Quedas/estatística & dados numéricos , Envelhecimento/psicologia , Dor/epidemiologia , Idoso , Idoso de 80 Anos ou mais , Depressão/epidemiologia , Planejamento Ambiental , Feminino , Nível de Saúde , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Dor/etiologia , Atenção Primária à Saúde , Escalas de Graduação Psiquiátrica , Pesquisa Qualitativa , Fatores de Risco , Inquéritos e Questionários , Tailândia
15.
Texto & contexto enferm ; 26(3): e1590016, 2017. tab, graf
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-904268

RESUMO

RESUMO Objetivo: descrever a experiência da integração entre dados quantitativos e qualitativos, por meio de uma pesquisa de métodos mistos. Método: trata-se de um relato de experiência da utilização dessa abordagem metodológica em um estudo de tese de doutorado em enfermagem sobre a governança da prática profissional de enfermagem no ambiente hospitalar. Resultados: o texto apresenta três tópicos principais: fundamentação teórica sobre as características e tipologias dos estudos de métodos mistos; procedimentos de coleta, análise e combinação dos dados; e benefícios e desafios da realização desse tipo de estudo. Conclusão: sustenta-se que a realização de uma pesquisa de métodos mistos permitiu a identificação de convergências e divergências entre os dados qualitativos e quantitativos, contribuindo para a produção de resultados que se complementam entre si.


RESUMEN Objetivo: describir la experiencia de la integración entre datos cuantitativos y cualitativos, a través de una investigación de métodos mixtos. Método: se trata de un relato de experiencia de la utilización de ese enfoque metodológico en un estudio de tesis de doctorado en enfermería sobre la gobernanza de la práctica profesional de enfermería en el ambiente hospitalario. Resultados: tres temas principales se delinean en este artículo: las bases, características y tipologías de la investigación de métodos mixtos; recopilación, análisis e integración de datos cuantitativos y cualitativos; y los beneficios y desafíos de la investigación de métodos mixtos. Conclusión: se apoya que la realización de una investigación de métodos mixtos permitió la identificación de convergencias y divergencias entre los datos cualitativos y cuantitativos, contribuyendo a la producción de resultados que se complementan entre sí.


ABSTRACT Objective: to describe our experience integrating quantitative and qualitative data in a mixed methods study. Methods: we described our experience through real-life examples based on a nursing doctoral thesis on professional practice governance within a hospital environment. Results: three main topics are delineated in this article: the foundation, characteristics, and typologies of mixed methods research; quantitative and qualitative data collection, analysis, and integration; and the benefits and challenges of mixed methods research. Conclusion: it is supported that a mixed method research allowed for the identification of the convergence and divergence between the qualitative and the quantitative data, contributing for the production of results that complement each other.


Assuntos
Humanos , Organização e Administração , Ambiente de Trabalho , Pesquisa em Administração de Enfermagem , Pesquisa em Enfermagem , Metodologia , Serviço Hospitalar de Enfermagem
16.
Holist Nurs Pract ; 30(3): 148-54, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27078809

RESUMO

Stress affects the well-being of both nursing students and the individuals with whom they work. With the theory of cognitive appraisal as a framework for this study, it is proposed that mind-body self-care strategies promote stress management by stabilization of emotions. Outcomes will be a perception of less stress and more mindful engagement with the environment. Objective of the study was to describe an evaluation of student perceived stress and mindfulness to 1-hour per week of class time dedicated to mind-body self-care (yoga, mindful breathing, Reiki, and essential oil therapy). It was a quasi-experimental study; data collection took place at 4 time points. Participants were entry-level accelerated nursing students from 3 US universities: 50 in the treatment group, 64 in the comparison group. Data included health-promoting practices using Health-Promoting Promotion Lifestyle Profile II as a control variable, stress and mindfulness (Perceived Stress Scale [PSS] and Mindful Attention Awareness Scale [MAAS]), and demographic information; analysis using mixed-design repeated-measures analysis of variances. There was a statistically significant interaction between intervention and time on PSS scores, F(3, 264) = 3.95, P = .009, partial η(2) = 0.043, with PSS scores of the intervention group decreasing from baseline to T3 when intervention ended whereas PSS scores of the comparison group increased from baseline. The average scores on the MAAS did not differ significantly. Evaluation of an embedded mind-body self-care module in the first nursing course demonstrated promising improvements in stress management. The findings support the appropriateness of integrating mind-body self-care content into nursing curricula to enhance students' ability to regulate stress.


Assuntos
Enfermagem Holística/educação , Terapias Mente-Corpo , Autocuidado , Estresse Psicológico , Estudantes de Enfermagem , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Psicológico/psicologia , Estresse Psicológico/terapia , Estudantes de Enfermagem/psicologia , Estudantes de Enfermagem/estatística & dados numéricos , Adulto Jovem
17.
Nurse Educ Today ; 35(1): 201-5, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25127928

RESUMO

BACKGROUND: Stress is an inevitable part of life and is especially pervasive in the lives of nursing students. Identifying the predictors of stress as well as coping strategies used can allow for the implementation of appropriate coping interventions to assist in the management of stress in nursing students. Mixed methods research that has been undertaken to gain an understanding about student stress, especially juxtaposing generic versus accelerated nursing students could not be identified. OBJECTIVES: (1) Identify predictors of stress between accelerated and generic Baccalaureate Nursing (BSN) students; and (2) Describe stressors and coping strategies used by accelerated students in comparison with generic students. DESIGN: Embedded mixed methods study. SETTING: Accelerated and generic BSN third- and fourth-year nursing students at two Midwestern universities. PARTICIPANTS: 210 participants: accelerated (n=75) and generic (n=135). METHODS: A questionnaire packet, including demographics, history of depression, the Perceived Stress Questionnaire, Rosenberg Self-Esteem Scale, Multidimensional Scale of Perceived Social Support, and open-ended questions were administered to students at the end of a class. Simultaneous multiple regression was used to examine predictors of stress. Content analysis was used to analyze qualitative data. RESULTS: Predictors of stress for both the accelerated and generic groups included history of depression, year in the program, emotional support, and self-esteem. Fear of failure and clinical incompetence, problematic relationships, and time management issues were identified as major stressors. Coping strategies used by both groups included positive thinking and social support. CONCLUSIONS: Senior students with a history of depression, low self-esteem, and little social support were more likely to experience high levels of stress. This gives educators the potential to identify at risk students and establish stress reduction programs. Encouraging students to use individualized coping strategies will be beneficial.


Assuntos
Adaptação Psicológica , Bacharelado em Enfermagem/métodos , Estresse Psicológico/prevenção & controle , Estudantes de Enfermagem/psicologia , Estudos Transversais , Depressão , Educação em Enfermagem , Feminino , Humanos , Masculino , Apoio Social , Estados Unidos
18.
J Assoc Nurses AIDS Care ; 24(5): e13-24, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23260038

RESUMO

Depressive symptoms negatively impact the lives of HIV-infected individuals and are correlated with faster progression to AIDS. Our embedded mixed methods study examined and described the effects of telephone support on depressive symptoms in a sample of HIV-infected pregnant Thai women. HIV-infected pregnant Thai women (n = 40) were randomly assigned to either the control or the intervention group. A registered nurse provided telephone support to the intervention group. Depressive symptoms were measured at three points in both groups. In-depth interviews were conducted at Time 2 and Time 3. Results show that depressive symptoms in the intervention group decreased over time. Qualitative results describe how telephone support can work, but also reveal that telephone support did not work for everyone. We recommend that a larger mixed methods study be conducted to examine the effects of telephone support on depressive symptoms among HIV-infected women, including the costs and benefits of such support.


Assuntos
Depressão/terapia , Infecções por HIV/psicologia , Gestantes/psicologia , Telefone , Adulto , Depressão/complicações , Depressão/psicologia , Feminino , Infecções por HIV/complicações , Infecções por HIV/etnologia , Humanos , Entrevistas como Assunto , Gravidez , Escalas de Graduação Psiquiátrica , Pesquisa Qualitativa , Apoio Social , Fatores Socioeconômicos , Inquéritos e Questionários , Tailândia , Adulto Jovem
19.
Arch Psychiatr Nurs ; 26(3): 232-9, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22633585

RESUMO

Little is known about HIV disclosure among perinatal women, although we do know that disclosure can facilitate timely initiation of appropriate interventions for infected individuals and their families. This study, therefore, examined predictors of HIV disclosure among perinatal Thai women. Data (N = 207) were extracted from two larger studies of depressive symptoms in HIV-positive pregnant or postpartum women in Thailand in which participants completed questionnaires. Most participants had low socioeconomic status. Logistic regression indicated that significant predictors of disclosure included older age, employment, and high family support. Psychiatric mental health nursing interventions to promote family support are critical during this time.


Assuntos
Infecções por HIV/psicologia , Autorrevelação , Adolescente , Adulto , Fatores Etários , Escolaridade , Feminino , Humanos , Estado Civil , Gravidez , Autoimagem , Fatores Socioeconômicos , Inquéritos e Questionários , Tailândia , Adulto Jovem
20.
J Child Sex Abus ; 20(4): 435-66, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21812546

RESUMO

Childhood sexual abuse is a prevalent social and health care problem. The processes by which individuals heal from childhood sexual abuse are not clearly understood. The purpose of this study was to develop a theoretical model to describe how adults heal from childhood sexual abuse. Community recruitment for an ongoing broader project on sexual violence throughout the lifespan, referred to as the Sexual Violence Study, yielded a subsample of 48 women and 47 men who had experienced childhood sexual abuse. During semistructured, open-ended interviews, they were asked to describe their experiences with healing from childhood sexual abuse and other victimization throughout their lives. Constructivist grounded theory methods were used with these data to develop constructs and hypotheses about healing. For the Sexual Violence Study, frameworks were developed to describe the participants' life patterns, parenting experiences, disclosures about sexual violence, spirituality, and altruism. Several analytic techniques were used to synthesize the findings of these frameworks to develop an overarching theoretical model that describes healing from childhood sexual abuse. The model includes four stages of healing, five domains of functioning, and six enabling factors that facilitate movement from one stage to the next. The findings indicate that healing is a complex and dynamic trajectory. The model can be used to alert clinicians to a variety of processes and enabling factors that facilitate healing in several domains and to guide discussions on important issues related to healing from childhood sexual abuse.


Assuntos
Adaptação Psicológica , Sobreviventes Adultos de Maus-Tratos Infantis/psicologia , Abuso Sexual na Infância/psicologia , Adolescente , Adulto , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Psicológicos , Violência/psicologia
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