Resident- and Institutional-Level Factors, Frailty, and Nursing Homes Residents
This study aimed to examine the trend of frailty over time (at baseline, 6-month follow-up, and 12-month follow-up) among Chinese nursing home residents and identify associated resident- and institutional-level factors. Methods This longitudinal study included 353 residents who were admitted into 27 nursing homes in Jinan, China. Frailty was defined based on the seven self-reported components of the FRAIL-NH scale, which was designed for nursing home residents. Information was gathered using scales that assessed resident-level (sociodemographic characteristics and physical, psychological, and social factors) and ins...
Source: Nursing Research - January 1, 2022 Category: Nursing Tags: AVAILABLE ONLINE ONLY Source Type: research

Exercise Training and Cognitive Function in Kidney Disease: Protocol for a Pilot Randomized Controlled Trial
Conclusion This protocol describes a study to evaluate cognition and brain structure following a home-based exercise program to an at-risk population. (Source: Nursing Research)
Source: Nursing Research - January 1, 2022 Category: Nursing Tags: BRIEF REPORT Source Type: research

Lifetime Trauma and Cardiovascular Health in Latinas
Discussion Women with a higher count of lifetime trauma had worse cardiovascular health scores; this association was not statistically significant. Future studies should investigate associations of lifetime trauma and cardiovascular health in larger and more diverse samples of Latinas. Nurses and other clinicians should incorporate trauma-informed approaches to cardiovascular disease risk reduction to improve the cardiovascular health of Latina women who are survivors of trauma. (Source: Nursing Research)
Source: Nursing Research - January 1, 2022 Category: Nursing Tags: HEALTH EQUITY SERIES/METHOD Source Type: research

A Meta-Analysis of Breastfeeding Effects for Infants With Neonatal Abstinence Syndrome
Discussion Breastfeeding is associated with decreased initiation and duration of pharmacological treatment and length of stay. (Source: Nursing Research)
Source: Nursing Research - January 1, 2022 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Comparing Published Gut Microbiome Taxonomic Data Across Multinational Studies
This article aims to present and define important analysis considerations in microbiome study planning and to identify genera shared across studies despite methodological differences. This methods article will highlight a workflow that the nurse scientist can use to combine and evaluate taxonomy tables for microbiome study or research proposal planning. Methods We compiled taxonomy tables from 13 published gut microbiome studies that had used Ion Torrent sequencing technology. We searched for studies that had amplified multiple hypervariable (V) regions of the 16S rRNA gene when sequencing the bacteria from healthy ...
Source: Nursing Research - January 1, 2022 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Racial Disparities in Stroke Readmissions Reduced in Hospitals With Better Nurse Staffing
Discussion Disparities in readmissions between Black and White stroke patients may be linked to the level of nurse staffing in the hospitals where they receive care. Tailoring nurse staffing levels to meet the needs of Black ischemic stroke patients represents a promising intervention to address systemic inequities linked to readmission disparities among minority stroke patients. (Source: Nursing Research)
Source: Nursing Research - January 1, 2022 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Self-Care Capacity and Its Relationship to Age, Disability, and Perceived Well-Being in Medicare Beneficiaries
We examined the relationship between self-care capacity, age, and disability status with two perceptions of well-being in a cohort of Medicare beneficiaries. Methods The current study is part of a multisite research project to determine factors associated with cross-sectional and longitudinal morbidity and mortality trajectories observed in Medicare beneficiaries. Variable selection was informed by the health disparities and outcomes model. Using data from the 2013 Medicare Current Beneficiary Survey and logistic regression models, we determined associations between self-care capacity, including indicators of self-c...
Source: Nursing Research - January 1, 2022 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Decision-Making Involvement, Self-Efficacy, and Transition Readiness in Youth With Sickle Cell Disease
Discussion While increasing AYAs’ decision-making involvement may improve AYAs’ healthcare responsibility, it may not reduce barriers of feeling unprepared for the transition to adult healthcare. Facilitating active AYA involvement in decision-making regarding disease management, increasing self-efficacy, and safely reducing parent involvement may positively influence their confidence and capacity for self-management. (Source: Nursing Research)
Source: Nursing Research - January 1, 2022 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Social and Environmental Determinants of Health Among Family Caregivers of Older Adults
This study provides evidence about family caregivers’ social and environmental determinants of health. To enhance health equity, nurse-led interventions, a life course approach, and intersectional actions are required. (Source: Nursing Research)
Source: Nursing Research - January 1, 2022 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Shifting Paradigms in Nursing Science
No abstract available (Source: Nursing Research)
Source: Nursing Research - January 1, 2022 Category: Nursing Tags: EDITORIAL Source Type: research

Systematic Review of Self-Monitoring of Blood Glucose in Patients With Type 2 Diabetes
Discussion HbA1c is improved with clinician therapy modification based on structured self-monitoring of blood glucose readings. Implications are for clinicians to prescribe structured self-monitoring of blood glucose to modify therapy based on the readings and not prescribe unstructured self-monitoring of blood glucose. Participants with suboptimal glycemic control may benefit most. A self-monitoring of blood glucose regimen that improves clinical and cost-effectiveness is presented. Future studies can investigate this regimen specifically. (Source: Nursing Research)
Source: Nursing Research - November 1, 2021 Category: Nursing Tags: REVIEW Source Type: research

Pilot Study of Absolute Telomere Lengths in Preterm Infants
Background Annually, approximately 15 million babies are born preterm ( (Source: Nursing Research)
Source: Nursing Research - November 1, 2021 Category: Nursing Tags: BRIEF REPORTS Source Type: research

Possible Bioenergetic Biomarker for Chronic Cancer-Related Fatigue
Conclusion Our results suggest that peripheral blood mononuclear cell messenger RNA for BCS1L is a potential biomarker and therapeutic target for radiation therapy-induced chronic CRF in this clinical population. (Source: Nursing Research)
Source: Nursing Research - November 1, 2021 Category: Nursing Tags: BRIEF REPORTS Source Type: research

Feasibility and Acceptability of a Reiki Intervention With Very Young Children Receiving Palliative Care
Discussion Young children and their parents found Reiki acceptable; these results are comparable to an earlier study of children 7–16 years of age receiving palliative care at home and a study of massage for symptom management for hospitalized children with cancer. These findings add to the literature and support further investigation of Reiki’s efficacy as a nonpharmacological symptom management intervention. (Source: Nursing Research)
Source: Nursing Research - November 1, 2021 Category: Nursing Tags: BRIEF REPORTS Source Type: research

Multi-Omics Analysis on Neurodevelopment in Preterm Neonates: A Protocol Paper
The objective of this article was to share our current protocol for other neonatal intensive care units to potentially expand their existing protocols, aiming to characterize the relationship between the intestinal microbiome and health outcomes in preterm infants. Methods This prospective, longitudinal study planned to recruit 160 preterm infants born (Source: Nursing Research)
Source: Nursing Research - November 1, 2021 Category: Nursing Tags: BRIEF REPORTS Source Type: research

Engaging Social Media Influencers to Recruit Hard-to-Reach Populations
Discussion Engaging social media influencers to recruit for clinical research demonstrates great potential to increase access to hard-to-reach populations. Several methodological considerations remain, and this article shares both opportunities and challenges to guide researchers in this technique. (Source: Nursing Research)
Source: Nursing Research - November 1, 2021 Category: Nursing Tags: METHOD Source Type: research

Latent Class Analysis of Symptom Burden Among Seriously Ill Adults at the End of Life
The objectives of this study were to (a) describe the demographic and baseline characteristics of seriously ill adults at the end of life in a palliative care cohort, (b) identify latent subgroups of seriously ill individuals based on severity of symptom burden, and (c) examine variables associated with latent subgroup membership, such as QOL, functional status, and the presence of multiple chronic conditions. Methods A secondary data analysis of a palliative care clinical trial was conducted. The latent class analysis was based on the Edmonton Symptom Assessment System, which measures nine symptoms on a scale of 0&...
Source: Nursing Research - November 1, 2021 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Effect of a Nurse-Led Community Health Worker Intervention on Latent Tuberculosis Medication Completion Among Homeless Adults
Background Tuberculosis (TB) disproportionately affects marginalized and impoverished homeless adults. Although active TB can be prevented by treating latent TB infection (LTBI), individual factors, such as high prevalence of depression and anxiety, drug and alcohol use, and unstable housing, lead to poor LTBI treatment adherence and completion among homeless adults. Objectives We hypothesized that the delivery of a tailored nurse-led, community health worker (RN/CHW) program across the LTBI continuum of care (e.g., screening, diagnosis, and treatment) that delivers 3HP treatment (3HP: rifapentine plus isoniazid...
Source: Nursing Research - November 1, 2021 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Social Support Is Inversely Associated With Sleep Disturbance, Inflammation, and Pain Severity in Chronic Low Back Pain
Discussion The findings suggest that increased social support is associated with lower sleep disturbance, lower inflammation, and lower pain severity in patients with CLBP. Assessing the extent of social support and fostering social support as part of a comprehensive pain management program may benefit patients with CLBP. Interventions to strengthen social support systems and cultivate support from family and/or informal social networks may reduce symptom burden and improve quality of life. (Source: Nursing Research)
Source: Nursing Research - November 1, 2021 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Barriers to Care and Root Cause Analysis of LGBTQ+ Patients’ Experiences: A Qualitative Study
This study aimed to analyze patient experience data to better understand the context of barriers to care that LGBTQ+ patients experience, in addition to institutional responses. Methods Documentary analysis was employed to review four LGBTQ+ patient experiences that resulted in formal feedback provided to the Office of Patient Relations. Each case was analyzed for content, process, and outcomes. Results Through the outlined analysis, the study team found three primary themes and five secondary themes across the four cases. The overarching themes identified through the study’s case review include (a) lac...
Source: Nursing Research - November 1, 2021 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Exceptional Research Papers
No abstract available (Source: Nursing Research)
Source: Nursing Research - November 1, 2021 Category: Nursing Tags: EDITORIAL Source Type: research

Reviewer List
No abstract available (Source: Nursing Research)
Source: Nursing Research - September 1, 2021 Category: Nursing Tags: BRIEF REPORTS Source Type: research

Exploring the Vaginal Microbiome and Intravaginal Practices in Postmenopausal Women
The objective of this pilot study was to characterize the VM communities of postmenopausal women, identify types and frequency of IVPs, and explore associations between the VM and IVPs in postmenopausal women. Methods We analyzed the VM data of 21 postmenopausal women in Atlanta, Georgia, from vaginal swabs collected at a routine gynecological visit. 16S rRNA gene sequencing in the V3–V4 region was used to characterize the VM. In addition, we described the IVPs of these women, identified by using our newly developed instrument: the Vaginal Cleansing Practices Questionnaire. The associations between the VM and ...
Source: Nursing Research - September 1, 2021 Category: Nursing Tags: BRIEF REPORTS Source Type: research

Limits of the Glasgow Coma Scale When Assessing for Sepsis in Allogeneic Hematopoietic Cell Transplant Recipients
Discussion These data indicate that, among allogeneic hematopoietic cell transplant recipients with suspected infections, the GCS scores are infrequently collected and have a moderate sensitivity. If sepsis screening tools inclusive of acute mental status changes are to be used, nursing teams need to increase measurement of GCS scores among high sepsis risk patients or identify a standard alternative indicator. (Source: Nursing Research)
Source: Nursing Research - September 1, 2021 Category: Nursing Tags: BRIEF REPORTS Source Type: research

Study Protocol Modeling Evoked Pain in Older African Americans With Knee Osteoarthritis
Conclusion Osteoarthritis is now the single most common cause of disability, mobility limitations, and persistent pain in older adults—especially AA older adults. To our knowledge, this will be the first study to systematically phenotype MEP in an older racial minority population with knee osteoarthritis and will be relevant for reducing knee pain and improving function. (Source: Nursing Research)
Source: Nursing Research - September 1, 2021 Category: Nursing Tags: BRIEF REPORTS Source Type: research

Methods, Ethics, and Cross-Language Considerations in Research With Ethnic Minority Children
This study focused on providing a voice for ethnic minority children in childhood obesity literature. Methods The purpose of the study was to discover cultural influences on healthy weight care in children of Burmese refugees of Karen ethnicity. Researchers may exclude children of ethnic minorities from studies because of the distinct challenges in conducting cross-language research and research with children. We critically examine these challenges. The challenge of being a stranger was addressed by a period of immersion in the children’s activities prior to data collection, in addition to volunteering as an E...
Source: Nursing Research - September 1, 2021 Category: Nursing Tags: METHODS Source Type: research

Challenges of Cognitive Interviewing in Sensitive Health Topic Research
Discussion Unique challenges of cognitive interviewing for sensitive health topics can be addressed with a well-planned data collection strategy, anticipating participant safety concerns, and consideration to researcher well-being. (Source: Nursing Research)
Source: Nursing Research - September 1, 2021 Category: Nursing Tags: METHODS Source Type: research

Mixed Methods Study of Nurse Assessment of Patient Preferences for Engagement During Hospitalization
Discussion Assessing patients’ preferences for engagement using the PPET13 was associated with an improved experience of engagement, which was found to mediate the relationship between utilization of PPET13 and ED usage within 30 days postdischarge. Use of a patient engagement preference tool, such as the PPET13, can help inform the delivery of individualized engagement strategies to improve patient and family engagement and outcomes; however, nurses need formalized education on how to tailor their care to meet the individual engagement preferences of their patients. (Source: Nursing Research)
Source: Nursing Research - September 1, 2021 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Acceptability of Nurse-Driven HIV Screening for Key Populations in Emergency Departments: A Mixed-Methods Study
Discussion Screening for key populations was perceived as acceptable and beneficial by patients and providers. Addressing the identified facilitators and barriers would help increase screening implementation in EDs. (Source: Nursing Research)
Source: Nursing Research - September 1, 2021 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Characterizing Health Literacy Among Spanish Language-Preferring Latinos Ages 50–75
Conclusions Findings highlight the need for interventions that address health beliefs and health literacy among Hispanic/Latino patients who have low confidence in completing written forms and difficulty understanding written information and reinforce the use of plain language and salient design features when developing patient education materials. (Source: Nursing Research)
Source: Nursing Research - September 1, 2021 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Pain and Self-Efficacy Among Patients With Systemic Sclerosis: A Scleroderma Patient-Centered Intervention Network Cohort Study
This study identified self-efficacy, age, gender, finger ulcers, small joint contractures, and esophageal gastrointestinal symptoms as important correlates associated with pain in patients with systemic sclerosis. In addition, this study found that self-efficacy and pain outcomes remained stable over time, providing important insights into the longitudinal pain experiences of patients with systemic sclerosis. (Source: Nursing Research)
Source: Nursing Research - September 1, 2021 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

A Preliminary Investigation of Psychoneurological Symptoms in Low-Income Mothers
Discussion In two samples of low-income mothers, psychoneurological symptoms were prevalent and associated with chronic stressors and with maternal function and may mediate the association between those two factors. These findings extend prior research on depressive symptoms in mothers by investigating pain as an additional key symptom. The studies advance symptom science by highlighting psychoneurological symptoms in a heterogeneous sample without known health conditions. (Source: Nursing Research)
Source: Nursing Research - September 1, 2021 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Confronting Racism Through Nursing Science
No abstract available (Source: Nursing Research)
Source: Nursing Research - September 1, 2021 Category: Nursing Tags: EDITORIAL Source Type: research

Systematic Review and Meta-Analysis of Effectiveness of Acceptance and Commitment Therapy in Patients With Breast Cancer
Discussion ACT has beneficial effects on the anxiety, depression, stress, and hope of patients with breast cancer. The evidence of ACT on physiological symptoms, fear of cancer recurrence, and psychological flexibility needs to be treated with caution. Further studies are needed and should consider different delivery forms and also explore the mechanisms of each component of ACT under different cultural contexts. (Source: Nursing Research)
Source: Nursing Research - July 1, 2021 Category: Nursing Tags: AVAILABLE ONLINE ONLY Source Type: research

Personalized Behavioral Nutrition Among Older Asian Americans: Study Protocol
This study aims to examine the feasibility and preliminary effects of the PBN on diabetes outcomes. Results The study began in September 2020, with estimated complete data collection by late 2021. Discussion Findings from this pilot study will inform future research for developing personalized nutrition interventions for people with Type 2 diabetes. (Source: Nursing Research)
Source: Nursing Research - July 1, 2021 Category: Nursing Tags: BRIEF REPORTS Source Type: research

Poor Sleep Predicts Increased Pain Perception Among Adults With Mild Cognitive Impairment
In this study, poor sleep in the prior week increased pain intensity, pain interference, and pain behavior. Interventions designed to decrease awakening after sleep onset and increase sleep efficiency specifically may effectively reduce pain in this population. Given that these symptoms are prevalent among older adults with mild cognitive impairment, sleep and pain interventions may also ameliorate some of the risk for Alzheimer’s disease in this population. (Source: Nursing Research)
Source: Nursing Research - July 1, 2021 Category: Nursing Tags: BRIEF REPORTS Source Type: research

Circadian Rhythms in Sudden Cardiac Arrest: A Review
Discussion The circadian rhythm likely plays an important role in the time-of-day-dependent pattern that is evident in both the incidence of and survival following SCA. There is a renewed call for nursing research to examine or address circadian rhythm as an element in studies involving older adults and activities affecting cardiovascular or respiratory parameters. (Source: Nursing Research)
Source: Nursing Research - July 1, 2021 Category: Nursing Tags: REVIEWS Source Type: research

Predictors of Participation in Clinical Research
Discussion The results support the importance of trust to research participation. Generally, education level was not strongly predictive of research participation, although prediction was influenced by race and attitude. (Source: Nursing Research)
Source: Nursing Research - July 1, 2021 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Factors Associated With Quality of Life Among People Living With a Stoma in Nonmetropolitan Areas
Discussion People living with a stoma in nonmetropolitan Australia reported moderate-to-high QoL. Better QoL was identified in those who worked, had no poststoma clothing change, were sexually active poststoma, and were older. Worse QoL was seen in those who had poststoma depression and stoma location issues. Healthcare providers could influence stoma-related QoL by identifying risk factors and tailoring interventions toward individuals in nonmetropolitan settings. (Source: Nursing Research)
Source: Nursing Research - July 1, 2021 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Pain Behaviors and Pharmacological Pain Management Among Newly Admitted Nursing Home Residents
We examined the association between documented pain behaviors and pharmacological pain management among nursing home residents. Methods We included 447,684 residents unable to self-report pain, with staff-documented pain behaviors (vocal, nonverbal, facial expressions, protective behaviors) and pharmacological pain management documented on the 2010–2016 Minimum Data Set 3.0. The outcome was no pharmacological pain medications, as needed only (pro re nata [PRN]), as scheduled only, or as scheduled with PRN medications. We estimated adjusted odds ratios and 95% confidence intervals from multinomial logistic mode...
Source: Nursing Research - July 1, 2021 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Effect of Nurse Practitioner Interventions on Hospitalizations in the Community Transitions Intervention Trial
Conclusion The results of this post hoc analysis show that, during the study period, decreases in hospitalizations in the intervention groups were comparable to those in UHC, and deploying NPs provided no detectable value added. Future research should focus on testing ways to optimize UHC services. (Source: Nursing Research)
Source: Nursing Research - July 1, 2021 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Influencing Factors of Inflammatory Bowel Disease–Fatigue: A Path Analysis Model
This study aims to examine factors associated with fatigue during IBD and develop a parsimonious model that describes the influencing factors of fatigue. Methods The study was a secondary analysis of cross-sectional data obtained from IBD Partners, an online cohort of adults with the disease, including 12,053 eligible participants. Data were collected using the Patient-Reported Outcomes Measurement Information System short-form scales measuring fatigue, sleep disturbances, pain interference, anxiety, depression, and satisfaction with social roles. Physical activity was measured using a single question. Demographic a...
Source: Nursing Research - July 1, 2021 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Associations Between Dysmenorrhea Symptom-Based Phenotypes and Vaginal Microbiome: A Pilot Study
The objective of this study was to examine associations between dysmenorrhea symptom-based phenotypes and vaginal microbiome compositions on- and off-menses. Methods We conducted a prospective, longitudinal, pilot study of 20 women (aged 15–24 years) grouped into three dysmenorrhea symptom-based phenotypes: “mild localized pain,” “severe localized pain,” and “severe multiple pain and gastrointestinal symptoms.” Over one menstrual cycle, participants provided vaginal swabs when they were on- and off-menses. We assayed the vaginal microbiome using 16S rRNA gene sequencing. Per...
Source: Nursing Research - July 1, 2021 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Self-Efficacy, Outcome Expectations, Group Social Support, and Adherence to Physical Activity in African American Women
Discussion Attention should be given to increasing self-efficacy to overcome physical activity barriers and achieve self-identified physical and psychological outcomes in physical activity programs. (Source: Nursing Research)
Source: Nursing Research - July 1, 2021 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Getting Reviewed
No abstract available (Source: Nursing Research)
Source: Nursing Research - July 1, 2021 Category: Nursing Tags: EDITORIAL Source Type: research

ENRS Supplemental Journal for Conference Abstracts
No abstract available (Source: Nursing Research)
Source: Nursing Research - April 23, 2021 Category: Nursing Tags: AVAILABLE ONLINE ONLY Source Type: research

Using Photo-Elicitation Interviews With Families of Children and Adolescents With Chronic Illness
We present a new perspective of PEIs—the FPEI—in the pediatric context. Previous studies have not addressed considerations about using PEIs for families. We hope our results assist novice researchers in planning and implementing FPEIs in qualitative research. We recommend that researchers explore the use of FPEIs in other contexts, such as geriatrics or palliative care. (Source: Nursing Research)
Source: Nursing Research - April 23, 2021 Category: Nursing Tags: AVAILABLE ONLINE ONLY Source Type: research

Recruiting Nurses Via Social Media for Survey Studies
This report outlines best practices for the recruitment of nurses for survey studies using social media. (Source: Nursing Research)
Source: Nursing Research - April 23, 2021 Category: Nursing Tags: BRIEF REPORT Source Type: research

Inclusion of Effect Size Measures and Clinical Relevance in Research Papers
Discussion Findings in research reports should address effect sizes and clinical relevance and significance. Failure to publish clinically relevant effects and CIs may preclude the inclusion of clinically relevant studies in systematic reviews and meta-analyses, thereby limiting the advancement of evidence-based practice. Several accessible resources for researchers to generate, report, and evaluate measures of magnitude, precision, and relevance are included in this article. (Source: Nursing Research)
Source: Nursing Research - April 23, 2021 Category: Nursing Tags: METHODS Source Type: research

Just-in-Time Qualitative Research: Methodological Guidelines Based on the COVID-19 Pandemic Experience
This article presents methodological guidelines for just-in-time qualitative research based on our current, pandemic-relevant research. Methods The processes followed while conducting two longitudinal, online qualitative studies addressing the lived experience and response to the COVID-19 pandemic were analyzed. Methodological challenges faced were then identified, and specific design and implementation guidelines were developed. The ways in which these guidelines can be applied to conduct just-in-time research during the COVID-19 pandemic and future public health crises were further delineated using examples from o...
Source: Nursing Research - April 23, 2021 Category: Nursing Tags: METHODS Source Type: research