Application of the ConNECT Framework to Precision Health and Health Disparities
We describe proactive, actionable strategies for the systematic application of ConNECT Framework principles to address health equity via the PH initiative. Context and implications for nursing research and practice are also described.
Discussion
The ConNECT Framework emphasizes that diversity inclusion is imperative for true population health benefit from PH, broadly in public health, behavioral medicine, medicine, and nursing, to equip health researchers and practitioners to account for contextual socioecologic data that can be aligned with biologic data for more population responsive and individually tailored interven...
Source: Nursing Research - March 1, 2019 Category: Nursing Tags: FEATURE ARTICLES Source Type: research
Latent Transition Analysis of the Symptom Experience of Cancer Patients Undergoing Chemotherapy
Background
Symptom clusters reflect the person's experience of multiple cooccurring symptoms. Although a variety of statistical methods are available to address the clustering of symptoms, latent transition analysis (LTA) characterizes patient membership in classes defined by the symptom experience and captures changes in class membership over time.
Objectives
The purposes of this article are to demonstrate the application of LTA to cancer symptom data and to discuss the advantages and disadvantages of LTA relative to other methods of managing and interpreting data on multiple symptoms.
Methods
Data from a total of...
Source: Nursing Research - March 1, 2019 Category: Nursing Tags: FEATURE ARTICLES Source Type: research
Working Together to Advance Symptom Science in the Precision Era
No abstract available (Source: Nursing Research)
Source: Nursing Research - March 1, 2019 Category: Nursing Tags: COMMENTARY Source Type: research
Precision Science in Nursing Research
No abstract available (Source: Nursing Research)
Source: Nursing Research - March 1, 2019 Category: Nursing Tags: EDITORIAL Source Type: research
Concurrent Detection of Bacterial Pathogens in Hospital Roommates
Discussion
Methods to improve environmental decontamination should be included as part of a comprehensive approach to infection prevention in hospitals. Nurses have an important role to play in the planning and implementation of interventions to reduce bioburden in the patient environment. (Source: Nursing Research)
Source: Nursing Research - December 14, 2018 Category: Nursing Tags: BRIEF REPORT Source Type: research
A Novel Research Method for Determining Sedative Exposure in Critically Ill Patients
Discussion
This novel research analysis method can overcome the challenges and limitations of determining changes in sedative and opioid medication regimens in cohort and clinical trial study designs. (Source: Nursing Research)
Source: Nursing Research - December 14, 2018 Category: Nursing Tags: METHODS Source Type: research
Machine Learning Methods for Identifying Critical Data Elements in Nursing Documentation
Discussion
Feature selection techniques show promise toward reducing public health nursing documentation burden by identifying the most critical data elements needed to predict risk status. Further studies to refine the process of feature selection can aid in informing PHNs’ focus on client-specific and targeted interventions in the delivery of care. (Source: Nursing Research)
Source: Nursing Research - December 14, 2018 Category: Nursing Tags: METHODS Source Type: research
Four Approaches for Determining Composite Scores for the Measurement of Transition in Cancer Scale
We examined statistical significance using false rate discovery for multiple tests on correlations with clinical outcomes.
Results
Greater extent and less management were significantly associated with higher total symptoms, anxiety, depression, uncertainty, and less self-efficacy in Personal Transitions, but not in Care Transitions. The arithmetic and geometric means had weak correlations with clinical outcomes, whereas the subtractive and proportional need for improvement had significant correlations with most clinical outcomes both in Personal and Care Transitions. The combined proportional need for improvement in Per...
Source: Nursing Research - December 14, 2018 Category: Nursing Tags: METHODS Source Type: research
Salivary Biomarkers of Parenting Stress in Mothers Under Community Criminal Justice Supervision
Discussion
Our results demonstrate the potential predictive utility of AA and cortisol as salivary biomarkers of maternal stress in community-supervised mothers. Given that maternal stress is associated with criminal recidivism and child behavioral health in this population, these biomarkers could potentially inform interventions to improve dyadic health and social outcomes. (Source: Nursing Research)
Source: Nursing Research - December 14, 2018 Category: Nursing Tags: HEALTH EQUITY SERIES Source Type: research
Multicenter Validation of the Emotional State Instrument for Dialysis Patients
Conclusions
The ES-D is a useful tool for healthcare providers to explore the emotional dimension of their patients. Thus, its development represents a step forward in the improvement of comprehensive assistance and the quality of life of patients with kidney disease undergoing dialysis. (Source: Nursing Research)
Source: Nursing Research - December 14, 2018 Category: Nursing Tags: FEATURE ARTICLES Source Type: research
Association of CTRP13 With Liver Enzymes and Cognitive Symptoms in Nonalcoholic Fatty Liver Disease
Background
Nonalcoholic fatty liver disease (NAFLD) is a chronic liver disease in which patients present with metabolic dysregulation and obesity as well as fat accumulation in the liver. Those with NAFLD frequently have symptoms of fatigue, sleep disturbance, depression, and cognitive dysfunction. C1q/TNF-related protein 13 (CTRP13) regulates glucose metabolism and obesity in mice, yet the role of CTRP13 in human NAFLD has not been elucidated.
Aims
Our aims were to examine whether the plasma levels of CTRP13 are (a) increased in patients with NAFLD; (b) associated with metabolic dysregulation, obesity, liver enzymes,...
Source: Nursing Research - December 14, 2018 Category: Nursing Tags: FEATURE ARTICLES Source Type: research
Assessing Risk of HIV-Associated Neurocognitive Disorder
Conclusion
Twenty percent of PLHIV may develop HAND, a treatable condition. The use of a modified Delphi method led to the successful development of two risk assessment tools to identify those at risk of HAND. The initial assessment tool may be used as a precursor to formal assessment by medical and nursing staff, whereas the annual monitoring tool may assist community-based health professionals in their ongoing assessment of risk of HAND in PLHIV, facilitating early formal medical review for this condition. (Source: Nursing Research)
Source: Nursing Research - December 14, 2018 Category: Nursing Tags: FEATURE ARTICLES Source Type: research
Factors Predicting Adoption of the Nurses Improving Care of Healthsystem Elders Program
This study aimed to identify the market, organizational and managerial, and sociotechnical factors associated with the adoption of NICHE among U.S. hospitals in order to understand factors that promote and inhibit the adoption of models to improve care for elders and to provide a basis for future studies that evaluate the effects of NICHE participation on patient outcomes.
Methods
We used an observational, retrospective design, linking three national administrative data sources, in a secondary analysis. Data included the 2012–2013 American Hospital Association Annual Survey, NICHE database, and the American Nurses Cre...
Source: Nursing Research - December 14, 2018 Category: Nursing Tags: FEATURE ARTICLES Source Type: research
Use of Assistive Devices to Lift, Transfer, and Reposition Hospital Patients
Discussion
Despite training in their use, nursing staff use of available lift equipment and assistive devices is limited. Factors present at the time of lifts/transfers that may influence equipment/device use reflect a complex mix of patient, worker, equipment, and situational characteristics. (Source: Nursing Research)
Source: Nursing Research - December 14, 2018 Category: Nursing Tags: FEATURE ARTICLES Source Type: research
Do We Need a Nudge?
No abstract available (Source: Nursing Research)
Source: Nursing Research - December 14, 2018 Category: Nursing Tags: EDITORIAL Source Type: research
