Publisher: Sage Publications   (Total: 1166 journals)

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Showing 1 - 200 of 1166 Journals sorted alphabetically
AADE in Practice     Hybrid Journal   (Followers: 6)
Abstracts in Anthropology     Full-text available via subscription   (Followers: 29)
Academic Pathology     Open Access   (Followers: 6)
Accounting History     Hybrid Journal   (Followers: 18, SJR: 0.527, CiteScore: 1)
Acta Radiologica     Hybrid Journal   (Followers: 1, SJR: 0.754, CiteScore: 2)
Acta Radiologica Open     Open Access   (Followers: 2)
Acta Sociologica     Hybrid Journal   (Followers: 39, SJR: 0.939, CiteScore: 2)
Action Research     Hybrid Journal   (Followers: 53, SJR: 0.308, CiteScore: 1)
Active Learning in Higher Education     Hybrid Journal   (Followers: 398, SJR: 1.397, CiteScore: 2)
Adaptive Behavior     Hybrid Journal   (Followers: 9, SJR: 0.288, CiteScore: 1)
Administration & Society     Hybrid Journal   (Followers: 18, SJR: 0.675, CiteScore: 1)
Adoption & Fostering     Hybrid Journal   (Followers: 25, SJR: 0.313, CiteScore: 0)
Adsorption Science & Technology     Open Access   (Followers: 9, SJR: 0.258, CiteScore: 1)
Adult Education Quarterly     Hybrid Journal   (Followers: 262, SJR: 0.566, CiteScore: 2)
Adult Learning     Hybrid Journal   (Followers: 51)
Advances in Dental Research     Hybrid Journal   (Followers: 11, SJR: 1.791, CiteScore: 4)
Advances in Developing Human Resources     Hybrid Journal   (Followers: 35, SJR: 0.614, CiteScore: 2)
Advances in Mechanical Engineering     Open Access   (Followers: 156, SJR: 0.272, CiteScore: 1)
Advances in Methods and Practices in Psychological Science     Full-text available via subscription   (Followers: 20)
Advances in Structural Engineering     Full-text available via subscription   (Followers: 51, SJR: 0.599, CiteScore: 1)
AERA Open     Open Access   (Followers: 14)
Affilia     Hybrid Journal   (Followers: 6, SJR: 0.496, CiteScore: 1)
Africa Spectrum     Open Access   (Followers: 17)
Agrarian South : J. of Political Economy     Hybrid Journal   (Followers: 3)
Air, Soil & Water Research     Open Access   (Followers: 13, SJR: 0.214, CiteScore: 1)
Alexandria : The J. of National and Intl. Library and Information Issues     Full-text available via subscription   (Followers: 68)
Allergy & Rhinology     Open Access   (Followers: 5)
AlterNative : An Intl. J. of Indigenous Peoples     Full-text available via subscription   (Followers: 39, SJR: 0.194, CiteScore: 0)
Alternative Law J.     Hybrid Journal   (Followers: 12, SJR: 0.176, CiteScore: 0)
Alternatives : Global, Local, Political     Hybrid Journal   (Followers: 12, SJR: 0.351, CiteScore: 1)
Alternatives to Laboratory Animals     Full-text available via subscription   (Followers: 11, SJR: 0.297, CiteScore: 1)
American Behavioral Scientist     Hybrid Journal   (Followers: 26, SJR: 0.982, CiteScore: 2)
American Economist     Hybrid Journal   (Followers: 7)
American Educational Research J.     Hybrid Journal   (Followers: 260, SJR: 2.913, CiteScore: 3)
American J. of Alzheimer's Disease and Other Dementias     Hybrid Journal   (Followers: 23, SJR: 0.67, CiteScore: 2)
American J. of Cosmetic Surgery     Hybrid Journal   (Followers: 9)
American J. of Evaluation     Hybrid Journal   (Followers: 18, SJR: 0.646, CiteScore: 2)
American J. of Health Promotion     Hybrid Journal   (Followers: 35, SJR: 0.807, CiteScore: 1)
American J. of Hospice and Palliative Medicine     Hybrid Journal   (Followers: 47, SJR: 0.65, CiteScore: 1)
American J. of Law & Medicine     Full-text available via subscription   (Followers: 12, SJR: 0.204, CiteScore: 1)
American J. of Lifestyle Medicine     Hybrid Journal   (Followers: 7, SJR: 0.431, CiteScore: 1)
American J. of Medical Quality     Hybrid Journal   (Followers: 13, SJR: 0.777, CiteScore: 1)
American J. of Men's Health     Open Access   (Followers: 9, SJR: 0.595, CiteScore: 2)
American J. of Rhinology and Allergy     Hybrid Journal   (Followers: 11, SJR: 0.972, CiteScore: 2)
American J. of Sports Medicine     Hybrid Journal   (Followers: 249, SJR: 3.949, CiteScore: 6)
American Politics Research     Hybrid Journal   (Followers: 36, SJR: 1.313, CiteScore: 1)
American Review of Public Administration     Hybrid Journal   (Followers: 28, SJR: 2.062, CiteScore: 2)
American Sociological Review     Hybrid Journal   (Followers: 358, SJR: 6.333, CiteScore: 6)
American String Teacher     Full-text available via subscription   (Followers: 3)
Analytical Chemistry Insights     Open Access   (Followers: 26, SJR: 0.224, CiteScore: 1)
Angiology     Hybrid Journal   (Followers: 5, SJR: 0.849, CiteScore: 2)
Animation     Hybrid Journal   (Followers: 15, SJR: 0.197, CiteScore: 0)
Annals of Clinical Biochemistry     Hybrid Journal   (Followers: 10, SJR: 0.634, CiteScore: 1)
Annals of Otology, Rhinology & Laryngology     Hybrid Journal   (Followers: 20, SJR: 0.807, CiteScore: 1)
Annals of Pharmacotherapy     Hybrid Journal   (Followers: 59, SJR: 1.096, CiteScore: 2)
Annals of the American Academy of Political and Social Science     Hybrid Journal   (Followers: 51, SJR: 1.225, CiteScore: 3)
Annals of the ICRP     Hybrid Journal   (Followers: 4, SJR: 0.548, CiteScore: 1)
Anthropocene Review     Hybrid Journal   (Followers: 8, SJR: 3.341, CiteScore: 7)
Anthropological Theory     Hybrid Journal   (Followers: 48, SJR: 0.739, CiteScore: 1)
Antitrust Bulletin     Hybrid Journal   (Followers: 14)
Antiviral Chemistry and Chemotherapy     Open Access   (Followers: 2, SJR: 0.635, CiteScore: 2)
Antyajaa : Indian J. of Women and Social Change     Hybrid Journal   (Followers: 1)
Applied Biosafety     Hybrid Journal   (Followers: 1, SJR: 0.131, CiteScore: 0)
Applied Psychological Measurement     Hybrid Journal   (Followers: 21, SJR: 1.17, CiteScore: 1)
Applied Spectroscopy     Full-text available via subscription   (Followers: 27, SJR: 0.489, CiteScore: 2)
Armed Forces & Society     Hybrid Journal   (Followers: 25, SJR: 0.29, CiteScore: 1)
Arthaniti : J. of Economic Theory and Practice     Full-text available via subscription  
Arts and Humanities in Higher Education     Hybrid Journal   (Followers: 49, SJR: 0.305, CiteScore: 1)
Asia Pacific Media Educator     Hybrid Journal   (Followers: 1, SJR: 0.23, CiteScore: 0)
Asia-Pacific J. of Management Research and Innovation     Full-text available via subscription   (Followers: 3)
Asia-Pacific J. of Public Health     Hybrid Journal   (Followers: 15, SJR: 0.558, CiteScore: 1)
Asia-Pacific J. of Rural Development     Hybrid Journal   (Followers: 2)
Asian and Pacific Migration J.     Full-text available via subscription   (Followers: 8, SJR: 0.324, CiteScore: 1)
Asian Cardiovascular and Thoracic Annals     Hybrid Journal   (Followers: 2, SJR: 0.305, CiteScore: 0)
Asian J. of Comparative Politics     Hybrid Journal   (Followers: 5)
Asian J. of Legal Education     Full-text available via subscription   (Followers: 4)
Asian J. of Management Cases     Hybrid Journal   (Followers: 6, SJR: 0.101, CiteScore: 0)
ASN Neuro     Open Access   (Followers: 2, SJR: 1.534, CiteScore: 3)
Assessment     Hybrid Journal   (Followers: 19, SJR: 1.519, CiteScore: 3)
Assessment for Effective Intervention     Hybrid Journal   (Followers: 15, SJR: 0.578, CiteScore: 1)
Australasian J. of Early Childhood     Hybrid Journal   (Followers: 7, SJR: 0.535, CiteScore: 1)
Australasian Psychiatry     Hybrid Journal   (Followers: 18, SJR: 0.433, CiteScore: 1)
Australian & New Zealand J. of Psychiatry     Hybrid Journal   (Followers: 30, SJR: 1.801, CiteScore: 2)
Australian and New Zealand J. of Criminology     Hybrid Journal   (Followers: 547, SJR: 0.612, CiteScore: 1)
Australian J. of Career Development     Hybrid Journal   (Followers: 5)
Australian J. of Education     Hybrid Journal   (Followers: 51, SJR: 0.403, CiteScore: 1)
Australian J. of Management     Hybrid Journal   (Followers: 13, SJR: 0.497, CiteScore: 1)
Autism     Hybrid Journal   (Followers: 358, SJR: 1.739, CiteScore: 4)
Autism & Developmental Language Impairments     Open Access   (Followers: 17)
Avian Biology Research     Hybrid Journal   (Followers: 6, SJR: 0.401, CiteScore: 1)
Behavior Modification     Hybrid Journal   (Followers: 14, SJR: 0.877, CiteScore: 2)
Behavioral and Cognitive Neuroscience Reviews     Hybrid Journal   (Followers: 27)
Behavioral Disorders     Hybrid Journal   (Followers: 2)
Beyond Behavior     Hybrid Journal   (Followers: 2)
Bible Translator     Hybrid Journal   (Followers: 13)
Biblical Theology Bulletin     Hybrid Journal   (Followers: 24, SJR: 0.184, CiteScore: 0)
Big Data & Society     Open Access   (Followers: 55)
Biochemistry Insights     Open Access   (Followers: 7)
Bioinformatics and Biology Insights     Open Access   (Followers: 12, SJR: 1.141, CiteScore: 2)
Biological Research for Nursing     Hybrid Journal   (Followers: 7, SJR: 0.685, CiteScore: 2)
Biomarker Insights     Open Access   (Followers: 1, SJR: 0.81, CiteScore: 2)
Biomarkers in Cancer     Open Access   (Followers: 11)
Biomedical Engineering and Computational Biology     Open Access   (Followers: 14)
Biomedical Informatics Insights     Open Access   (Followers: 8)
Bioscope: South Asian Screen Studies     Hybrid Journal   (Followers: 4, SJR: 0.235, CiteScore: 0)
BMS: Bulletin of Sociological Methodology/Bulletin de Méthodologie Sociologique     Hybrid Journal   (Followers: 4, SJR: 0.226, CiteScore: 0)
Body & Society     Hybrid Journal   (Followers: 29, SJR: 1.531, CiteScore: 3)
Bone and Tissue Regeneration Insights     Open Access   (Followers: 2)
Brain and Neuroscience Advances     Open Access  
Brain Science Advances     Open Access  
Breast Cancer : Basic and Clinical Research     Open Access   (Followers: 12, SJR: 0.823, CiteScore: 2)
British J. of Music Therapy     Hybrid Journal   (Followers: 9)
British J. of Occupational Therapy     Hybrid Journal   (Followers: 253, SJR: 0.323, CiteScore: 1)
British J. of Pain     Hybrid Journal   (Followers: 31, SJR: 0.579, CiteScore: 2)
British J. of Politics and Intl. Relations     Hybrid Journal   (Followers: 39, SJR: 0.91, CiteScore: 2)
British J. of Visual Impairment     Hybrid Journal   (Followers: 14, SJR: 0.337, CiteScore: 1)
British J.ism Review     Hybrid Journal   (Followers: 18)
BRQ Business Review Quarterly     Open Access   (Followers: 1)
Building Acoustics     Hybrid Journal   (Followers: 4, SJR: 0.215, CiteScore: 1)
Building Services Engineering Research & Technology     Hybrid Journal   (Followers: 3, SJR: 0.583, CiteScore: 1)
Bulletin of Science, Technology & Society     Hybrid Journal   (Followers: 9)
Business & Society     Hybrid Journal   (Followers: 15)
Business and Professional Communication Quarterly     Hybrid Journal   (Followers: 9, SJR: 0.348, CiteScore: 1)
Business Information Review     Hybrid Journal   (Followers: 17, SJR: 0.279, CiteScore: 0)
Business Perspectives and Research     Hybrid Journal   (Followers: 3)
Cahiers Élisabéthains     Hybrid Journal   (Followers: 1, SJR: 0.111, CiteScore: 0)
Calcutta Statistical Association Bulletin     Hybrid Journal   (Followers: 1)
California Management Review     Hybrid Journal   (Followers: 37, SJR: 2.209, CiteScore: 4)
Canadian Association of Radiologists J.     Full-text available via subscription   (Followers: 2, SJR: 0.463, CiteScore: 1)
Canadian J. of Kidney Health and Disease     Open Access   (Followers: 8, SJR: 1.007, CiteScore: 2)
Canadian J. of Nursing Research (CJNR)     Hybrid Journal   (Followers: 15)
Canadian J. of Occupational Therapy     Hybrid Journal   (Followers: 168, SJR: 0.626, CiteScore: 1)
Canadian J. of Psychiatry     Hybrid Journal   (Followers: 28, SJR: 1.769, CiteScore: 3)
Canadian J. of School Psychology     Hybrid Journal   (Followers: 12, SJR: 0.266, CiteScore: 1)
Canadian Pharmacists J. / Revue des Pharmaciens du Canada     Hybrid Journal   (Followers: 3, SJR: 0.536, CiteScore: 1)
Cancer Control     Open Access   (Followers: 2)
Cancer Growth and Metastasis     Open Access   (Followers: 1)
Cancer Informatics     Open Access   (Followers: 4, SJR: 0.64, CiteScore: 1)
Capital and Class     Hybrid Journal   (Followers: 10, SJR: 0.282, CiteScore: 1)
Cardiac Cath Lab Director     Full-text available via subscription   (Followers: 1)
Cardiovascular and Thoracic Open     Open Access   (Followers: 1)
Career Development and Transition for Exceptional Individuals     Hybrid Journal   (Followers: 10, SJR: 0.44, CiteScore: 1)
Cartilage     Hybrid Journal   (Followers: 6, SJR: 0.889, CiteScore: 3)
Cell Transplantation     Open Access   (Followers: 5, SJR: 1.023, CiteScore: 3)
Cephalalgia     Hybrid Journal   (Followers: 8, SJR: 1.581, CiteScore: 3)
Cephalalgia Reports     Open Access   (Followers: 4)
Child Language Teaching and Therapy     Hybrid Journal   (Followers: 34, SJR: 0.501, CiteScore: 1)
Child Maltreatment     Hybrid Journal   (Followers: 11, SJR: 1.22, CiteScore: 3)
Child Neurology Open     Open Access   (Followers: 6)
Childhood     Hybrid Journal   (Followers: 19, SJR: 0.894, CiteScore: 2)
Childhood Obesity and Nutrition     Open Access   (Followers: 12)
China Information     Hybrid Journal   (Followers: 9, SJR: 0.767, CiteScore: 2)
China Report     Hybrid Journal   (Followers: 11, SJR: 0.221, CiteScore: 0)
Chinese J. of Sociology     Full-text available via subscription   (Followers: 5)
Christian Education J. : Research on Educational Ministry     Hybrid Journal   (Followers: 1)
Chronic Illness     Hybrid Journal   (Followers: 6, SJR: 0.672, CiteScore: 2)
Chronic Respiratory Disease     Hybrid Journal   (Followers: 12, SJR: 0.808, CiteScore: 2)
Chronic Stress     Open Access  
Citizenship, Social and Economics Education     Full-text available via subscription   (Followers: 6, SJR: 0.145, CiteScore: 0)
Cleft Palate-Craniofacial J.     Hybrid Journal   (Followers: 8, SJR: 0.757, CiteScore: 1)
Clin-Alert     Hybrid Journal   (Followers: 1)
Clinical and Applied Thrombosis/Hemostasis     Open Access   (Followers: 32, SJR: 0.49, CiteScore: 1)
Clinical and Translational Neuroscience     Open Access   (Followers: 1)
Clinical Case Studies     Hybrid Journal   (Followers: 3, SJR: 0.364, CiteScore: 1)
Clinical Child Psychology and Psychiatry     Hybrid Journal   (Followers: 45, SJR: 0.73, CiteScore: 2)
Clinical EEG and Neuroscience     Hybrid Journal   (Followers: 8, SJR: 0.552, CiteScore: 2)
Clinical Ethics     Hybrid Journal   (Followers: 13, SJR: 0.296, CiteScore: 1)
Clinical Medicine Insights : Arthritis and Musculoskeletal Disorders     Open Access   (Followers: 3, SJR: 0.537, CiteScore: 2)
Clinical Medicine Insights : Blood Disorders     Open Access   (Followers: 1, SJR: 0.314, CiteScore: 2)
Clinical Medicine Insights : Cardiology     Open Access   (Followers: 8, SJR: 0.686, CiteScore: 2)
Clinical Medicine Insights : Case Reports     Open Access   (Followers: 1, SJR: 0.283, CiteScore: 1)
Clinical Medicine Insights : Circulatory, Respiratory and Pulmonary Medicine     Open Access   (Followers: 4, SJR: 0.425, CiteScore: 2)
Clinical Medicine Insights : Ear, Nose and Throat     Open Access   (Followers: 2)
Clinical Medicine Insights : Endocrinology and Diabetes     Open Access   (Followers: 34, SJR: 0.63, CiteScore: 2)
Clinical Medicine Insights : Oncology     Open Access   (Followers: 3, SJR: 1.129, CiteScore: 3)
Clinical Medicine Insights : Pediatrics     Open Access   (Followers: 3)
Clinical Medicine Insights : Psychiatry     Open Access   (Followers: 10)
Clinical Medicine Insights : Reproductive Health     Open Access   (Followers: 1, SJR: 0.776, CiteScore: 0)
Clinical Medicine Insights : Therapeutics     Open Access   (Followers: 1, SJR: 0.172, CiteScore: 0)
Clinical Medicine Insights : Trauma and Intensive Medicine     Open Access   (Followers: 4)
Clinical Medicine Insights : Urology     Open Access   (Followers: 3)
Clinical Medicine Insights : Women's Health     Open Access   (Followers: 4)
Clinical Nursing Research     Hybrid Journal   (Followers: 34, SJR: 0.471, CiteScore: 1)
Clinical Pathology     Open Access   (Followers: 5)
Clinical Pediatrics     Hybrid Journal   (Followers: 25, SJR: 0.487, CiteScore: 1)
Clinical Psychological Science     Hybrid Journal   (Followers: 16, SJR: 3.281, CiteScore: 5)
Clinical Rehabilitation     Hybrid Journal   (Followers: 78, SJR: 1.322, CiteScore: 3)
Clinical Risk     Hybrid Journal   (Followers: 5, SJR: 0.133, CiteScore: 0)
Clinical Trials     Hybrid Journal   (Followers: 22, SJR: 2.399, CiteScore: 2)
Clothing and Textiles Research J.     Hybrid Journal   (Followers: 28, SJR: 0.36, CiteScore: 1)
Collections : A J. for Museum and Archives Professionals     Full-text available via subscription   (Followers: 3)
Common Law World Review     Full-text available via subscription   (Followers: 17)
Communication & Sport     Hybrid Journal   (Followers: 8, SJR: 0.385, CiteScore: 1)
Communication and the Public     Hybrid Journal   (Followers: 2)
Communication Disorders Quarterly     Hybrid Journal   (Followers: 15, SJR: 0.458, CiteScore: 1)
Communication Research     Hybrid Journal   (Followers: 24, SJR: 2.171, CiteScore: 3)
Community College Review     Hybrid Journal   (Followers: 8, SJR: 1.451, CiteScore: 1)
Comparative Political Studies     Hybrid Journal   (Followers: 293, SJR: 3.772, CiteScore: 3)
Compensation & Benefits Review     Hybrid Journal   (Followers: 8)
Competition & Change     Hybrid Journal   (Followers: 12, SJR: 0.843, CiteScore: 2)

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Similar Journals
Journal Cover
Clinical Nursing Research
Journal Prestige (SJR): 0.471
Citation Impact (citeScore): 1
Number of Followers: 34  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1054-7738 - ISSN (Online) 1552-3799
Published by Sage Publications Homepage  [1166 journals]
  • Singular Predictors of Hospital-Acquired Pressure Injuries Under Intensive
           Care: A Retrospective Cohort Study in a Medium-Complexity Hospital

    • Free pre-print version: Loading...

      Authors: Graziela Argenti, Gerson Ishikawa, Cristina Berger Fadel, Ricardo Zanetti Gomes
      Abstract: Clinical Nursing Research, Ahead of Print.
      A retrospective cohort study of hospital-acquired pressure injuries (HAPI) reported an incidence rate of 34.3% based on 582 medical records of adult patients admitted to the intensive care unit (ICU) of a medium-complexity public hospital in 2017 and 2018. Sixty percent of the patients used respirators, 49.3% presented hypotension, and 48.1% used norepinephrine. The main individual predictors of HAPI in the ICU were “days of norepinephrine” with an odds ratio (OR) of 1.625 (95% CI: 1.473–1.792) and concordance statistic (AUC) of 0.818 (95% CI: 0.779–0.857), “days of mechanical ventilation” with an OR of 1.521 (1.416–1.634) and AUC of 0.879 (0.849–0.909), “ICU stay (days)” with an OR of 1.279 (1.218–1.342) and AUC of 0.846 (0.812–0.881), and “Braden’s sensory perception” with an OR of 0.345 (95% CI: 0.278–0.429) and AUC of 0.760 (0.722–0.799). The duration of mechanical ventilation, norepinephrine administration, and ICU length of stay presented significant discriminative capacity for HAPI prediction.
      Citation: Clinical Nursing Research
      PubDate: 2021-10-19T05:57:57Z
      DOI: 10.1177/10547738211051567
       
  • The Effect of Treatment on Quality of Life, Symptoms, and Social Life in
           Gynecologic Cancer Patients

    • Free pre-print version: Loading...

      Authors: Serap Tekbaş, Nevin Hotun Şahin, Niyazi Cenk Sayın
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study was carried out to determine the effect of treatment on quality of life, symptoms, and social life in patients with gynecologic cancer. Data were collected through face-to-face interviews to evaluate the individual and disease characteristics of the patients. The Edmonton Symptom Assessment Scale was used to determine the severity of the side effects. Functional Assessment of Cancer Therapy-General 4 was used to evaluate the quality of life. The total post-treatment quality of life scores of the patients were lower than their total pre-treatment scores. Patients who received chemotherapy and chemoradiotherapy had a lower quality of life than those who received radiotherapy, and they were less involved in social activities. Half of the individuals participated in social activities in the pre-treatment period, but this rate decreased to 16.4% after the treatment started. In this study, the quality-of-life scores of the patients who received gynecologic cancer treatment decreased after treatment and the patients experienced many symptoms at an increasingly severe level.
      Citation: Clinical Nursing Research
      PubDate: 2021-10-13T09:04:33Z
      DOI: 10.1177/10547738211052387
       
  • The Most Commonly Determined Nursing Diagnoses According to NANDA-I
           Taxonomy and Difficulties Using the Nursing Process in COVID-19 Outbreak

    • Free pre-print version: Loading...

      Authors: Hale Tosun, Ayşe Tosun, Birgül Ödül Özkaya, Asiye Gül
      Abstract: Clinical Nursing Research, Ahead of Print.
      The study was planned to determine the most common nursing diagnoses according to NANDA International (NANDA-I) taxonomy and difficulties experienced in using of nursing process in COVID-19 outbreak. The sample of the descriptive cross-sectional study consisted of nurses cared for patients with COVID-19 (n = 114). Average age of nurses is 26.86 ± 6.68. Commonly determined nursing diagnoses according to NANDA-I taxonomy in patients with COVID-19 were imbalanced nutrition (66.7%), impaired gas exchange (40.4%), insomnia (21.1%), acute confusion (31.6%), hopelessness (96.5%), difficulty playing caregiver (84.2%), anxiety (38.6%) willingness to strengthen religious bond (71.9%), risk for infection (64.9%), nausea (49.1%). Twenty-four-years old and younger, high school graduates, caring for intubated patients, and those who stated that they did not use nursing diagnosis had more difficulty in using nursing process (
      Citation: Clinical Nursing Research
      PubDate: 2021-10-11T08:44:50Z
      DOI: 10.1177/10547738211051565
       
  • The Effect of Educational Intervention Based on PRECEDE Model on Health
           Promotion Behaviors, Hope Enhancement, and Mental Health in Cancer
           Patients

    • Free pre-print version: Loading...

      Authors: Yousef Gholampour, Ali Khani Jeihooni, Victoria Momenabadi, Mehdi Amirkhani, Pooyan Afzali Harsini, Shahryar Akbari, Tayebeh Rakhshani
      Abstract: Clinical Nursing Research, Ahead of Print.
      In this experimental study, 200 cancer patients (100 subject in experimental group and 100 subjects in control group) referred to Amir Oncology Hospital in Shiraz were investigated. Educational intervention for experimental group consisted of 12 educational sessions for 50 to 55 minutes. A questionnaire including demographic information, PRECEDE constructs (knowledge, attitude, self-efficacy, enabling factors, and social support), was used to measure health promotion behaviors, patients’ hope, and mental health before and 6 months after intervention. Six months after intervention, experimental group showed significant increase in knowledge, attitude, self-efficacy, enabling factors, social supports, health promotion behaviors, patients’ hope, and mental health compared to the control group. This study showed the effectiveness of intervention based on PRECEDE constructs in mentioned factors 6 months after intervention. Hence, this model can act as a framework for designing and implementing educational intervention for health promotion behaviors of cancer patients.
      Citation: Clinical Nursing Research
      PubDate: 2021-10-11T08:44:10Z
      DOI: 10.1177/10547738211051011
       
  • Factors Associated With Informational Support in Transitional Care for
           Older Adults With Chronic Diseases: A Cross-Sectional Study

    • Free pre-print version: Loading...

      Authors: Gui-Ling Geng, Wen-Wen Yang, Xiao-Liu Shi, Jia-Ning Hua, Min Cui, Cheng-Feng-Yi Yang, Zi-Han Geng, Xiang-Yun Qian
      Abstract: Clinical Nursing Research, Ahead of Print.
      To evaluate the current situation and associated factors of informational support for older adults with chronic diseases in transitional care. Study was conducted in five hospitals of five different cities in Jiangsu Province, China. A random cluster sample of 800 older adults with chronic diseases responded to the informational support questionnaire of transitional care survey. Descriptive analysis, t-tests, variance analysis, and stepwise multiple linear regression were used to analyze data. The STROBE statement for observational studies was applied. Total score of ISQTC for older adults with chronic diseases was (44.05 ± 17.21). Marital status, educational level, past occupation, close friends, medical insurance, complications, and exercise habits were significantly correlated with informational support. The level of informational support in transitional care for older adults with chronic diseases was low. Clinical staff should periodically and primarily assess their informational support, help find information resources for those who have low initial informational support, and identify which information they preferred to carry out accurate transitional care.
      Citation: Clinical Nursing Research
      PubDate: 2021-10-11T08:39:29Z
      DOI: 10.1177/10547738211051881
       
  • Effectiveness of Two Different Methods on the Perceived Pain and
           Satisfaction During Intramuscular Antibiotic Injection: ShotBlocker and
           Local Vibration

    • Free pre-print version: Loading...

      Authors: Cemile Savcı, Burcu Özkan, Kurtuluş Açıksarı, Görkem Alper Solakoğlu
      Abstract: Clinical Nursing Research, Ahead of Print.
      In this study aimed to examine the effectiveness of ShotBlocker and local vibration on the perceived pain and satisfaction during intramuscular antibiotic injection. The sample of the randomized controlled experimental study consisted of 100 patients (32 in vibration group, 35 in ShotBlocker group, 33 in control group) who applied to the adult emergency clinic for antibiotic (amoxicillin/cefuroxime sodium) injection between April and May 2021. The study data were collected using the Structured Information Form, VAS for Pain and VAS for Satisfaction. CONSORT statement was followed for reporting. After the intramuscular antibiotic injection, a significant difference was found between the groups in terms of the mean scores of VAS for Pain and VAS for Injection Satisfaction (p 
      Citation: Clinical Nursing Research
      PubDate: 2021-10-11T08:37:56Z
      DOI: 10.1177/10547738211051877
       
  • Risk Factors Associated With Pressure Ulcers in Patients With Traumatic
           Brain Injury Admitted to the Intensive Care Unit

    • Free pre-print version: Loading...

      Authors: Jeong Eun Yoon, Ok-Hee Cho
      Abstract: Clinical Nursing Research, Ahead of Print.
      Pressure injuries (PIs) are one of the most important and frequent complications in patients admitted to the intensive care unit (ICU) or those with traumatic brain injury (TBI). The purpose of this study was to determine the incidence and risk factors of PIs in patients with TBI admitted to the ICU. In this retrospective study, the medical records of 237 patients with TBI admitted to the trauma ICU of a university hospital were examined. Demographic, trauma-related, and treatment-related characteristics of all the patients were evaluated from their records. The incidence of PIs was 13.9%, while the main risk factors were a higher injury severity score, use of mechanical ventilation, vasopressor infusion, lower Braden Scale score, fever, and period of enteral feeding. This study advances the nursing practice in the ICU by predicting the development of PIs and their characteristics in patients with TBI.
      Citation: Clinical Nursing Research
      PubDate: 2021-10-08T12:24:45Z
      DOI: 10.1177/10547738211050489
       
  • Metaphoric Perceptions of Covid-19 Patients Related to the Disease

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      Authors: Betul Cakmak, Afra Calik, Bahar Vardar Inkaya
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study aimed to explore metaphoric perceptions of patients with COVID-19 including treatment process, family relationships, and mental health via using metaphors. Purposive sampling was used to include participants. Totally 46 patients diagnosed with COVID-19 were included in the study. The metaphor-based data collection process was carried out with three open-ended questions. The metaphors compiled according to questions and grouped by 13 themes according to analysis. Patients explained to COVID-19 process by using 91 different metaphors. Most frequently used metaphors by patients; black hole/dark for the treatment process of COVID-19, steel for family relationships, sea metaphor for mental health. This study, it was determined that individuals are afraid of death, have a serious perception of uncertainty, and their family relationships and this process negatively affected their family relationships and mental states. Nurses have important responsibilities to increase the quality of patient care.
      Citation: Clinical Nursing Research
      PubDate: 2021-10-07T08:51:16Z
      DOI: 10.1177/10547738211048312
       
  • “I Wish I Could Have My Leg”: A Qualitative Study on the Experiences
           of Individuals With Lower Limb Amputation

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      Authors: Cigdem Canbolat Seyman, Yeter Sinem Uzar Ozcetin
      Abstract: Clinical Nursing Research, Ahead of Print.
      Amputation is commonly regarded as a lifesaving procedure. However, the loss of a body part can lead to permanent disability that can impact patients physically, psychologically, and socially. The aim of this study was to describe and understand the perspectives of patients with lower limb amputation (LLA) about their condition. The study uses a descriptive phenomenological design. Data were collected from 12 patients. The researchers conducted interviews using semi-structured questions. MAXQDA was used for qualitative software support in managing the interview data. Data were transcribed. The participants were aged 61.3 ± 10.8 years. Three themes emerged from the qualitative data: (i) losing control over one’s own life, (ii) dreams versus the realities of life, and (iii) future perceptions. Most of the participants emphasized that they face undesirable experiences in their post-amputation lives. The findings of the present study provide novel insight into how individuals subjectively experience life after LLA.
      Citation: Clinical Nursing Research
      PubDate: 2021-10-06T10:19:29Z
      DOI: 10.1177/10547738211047711
       
  • The Effect of Psychoeducation Based on Motivational Interview Techniques
           on Medication Adherence, Hope, and Psychological Well-Being in
           Schizophrenia Patients

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      Authors: Pınar Harmanci, Funda Kavak Budak
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study was conducted to determine the effect of psychoeducation based on motivational interview techniques on medication adherence, hope, and psychological well-being in schizophrenia patients. There are many studies using Motivational Interviewing for individuals with schizophrenia. However, there are no studies on whether the concept of “adherence to treatment,” which is clearly shown to be corrected with 6 to 8 weeks of motivational interviewing, will positively affect concepts such as “hope and well-being,” which require longer interventions, in a shorter time. In this context, there are not enough studies in which motivational interviewing techniques are integrated into psychoeducational interventions that can be organized with more individuals. The study was conducted with a pretest-posttest control group design. The sample size of the study was determined as 150 schizophrenia patients including 75 in the experimental group and 75 in the control group based on power analysis. The researcher provided the patients in the experimental group with a six-session psychoeducation program based on motivational interview techniques. A “Descriptive Characteristics Form,” the “Herth Hope Index,” the “Morisky Medication Adherence Scale,” and the “Psychological Well-Being Scale” were used to collect the data. In the study, psychoeducation based on motivational interview techniques created a statistically significant difference in the medication adherence, hope and psychological well-being levels of the patients in the experimental and control groups (p 
      Citation: Clinical Nursing Research
      PubDate: 2021-10-01T01:46:31Z
      DOI: 10.1177/10547738211046438
       
  • Determining the Cardiovascular Disease Risk Factor Knowledge and Related
           Factors Among Adults With Type 2 Diabetes Mellitus

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      Authors: Emine Karaman, Aslı Kalkım, Banu Pınar Şarer Yürekli
      Abstract: Clinical Nursing Research, Ahead of Print.
      In this study was to determine knowledge of cardiovascular disease (CVD) risk factors and to explore related factors among adults with type 2 diabetes mellitus (DM) who have not been diagnosed with CVD. This descriptive study was conducted with 175 adults. Data were collected individual identification form and Cardiovascular Disease Risk Factors Knowledge Level (CARRF-KL) scale. A negative correlation was found between age and CARRF-KL score. A significant difference was found between educational status and CARRF-KL score. The individuals described their health status as good, managed their condition with diet and exercise, received information from nurses, adults with DM in their family and those with no DM complications had significantly higher scores in CARRF-KL. The knowledge of an individual with DM about CVD risk factors should be assessed, CVD risks should be identified at an early stage, and individuals at risk should be subjected to screening.
      Citation: Clinical Nursing Research
      PubDate: 2021-09-27T12:12:41Z
      DOI: 10.1177/10547738211046441
       
  • The Effect of Supportive Nursing Interventions on Reducing Stress Levels
           of Mothers of Infants in the Neonatal Intensive Care Unit: A Randomized
           Controlled Trial

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      Authors: Gamze Yilmaz, Dilek Küçük Alemdar
      Abstract: Clinical Nursing Research, Ahead of Print.
      The purpose of this study was to determine the effects of supportive interventions on the stress levels of mothers with infants hospitalized in the Neonatal Intensive Care Unit (NICU). This study was a prospective, pre-and post-test randomized controlled trial. The research was completed with 85 mothers in two groups of 45 subjects and 40 controls selected at random. Data collection used the Parental Stressor Scale: Neonatal Intensive Care Unit (PSS:NICU), NICU Parent Belief Scale (NICU:PBS), State-Trait Anxiety Inventory (STAI TX-2) and saliva cortisol analysis. There were statistically significant differences in favor of the experiment group for the PSS:NICU images and sounds subscale and PBS total points after supportive interventions (p 
      Citation: Clinical Nursing Research
      PubDate: 2021-09-24T08:18:13Z
      DOI: 10.1177/10547738211047359
       
  • Health-Related Stigma, Social Support, Self-Efficacy, and Self-Care
           Actions Among Adults With Sickle Cell Disease in Oman

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      Authors: Huda Al Raqaishi, Mohammad Al Qadire, Omar Alzaabi, Omar Al Omari
      Abstract: Clinical Nursing Research, Ahead of Print.
      Stigma contributes to the burden of individuals and families affected by Sickle cell disease (SCD) and causes delay in appropriate care seeking. The aim of this study is to examine the levels and associations between stigma, social support, self-efficacy, and self-care actions among adult patients with SCD in Oman using a cross-sectional, correlational design. Of the 264 participants, 56.1% (n = 148) were males, with mean age of 30.1 years (SD 7.7). Half of the participants were married, and 88.3% had no other associated diseases. The results demonstrate that patients in Oman suffer from health-related stigma. However, social support, self-efficacy, and self-care actions were reported to be high and correlated with several clinical and demographic variables. Based on the results, effective, low-cost interventions such as psycho-educational groups, individual counseling, or group therapies might be developed. They can promote belief in enhanced efficacy and improved SCD adaptation, thereby increasing patient, and provider satisfaction.
      Citation: Clinical Nursing Research
      PubDate: 2021-09-24T08:16:57Z
      DOI: 10.1177/10547738211046731
       
  • Event-Specific Emotional Expression of Persons Living With Dementia in
           Long-term Care: A 6 Months Follow-up Study

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      Authors: Kyung Hee Lee, Ji Yeon Lee, Bora Kim, Marie Boltz
      Abstract: Clinical Nursing Research, Ahead of Print.
      This longitudinal study aimed to explore the event-specific emotional expressions of persons living with dementia in long-term care during a 6-month period with repeated observations. Emotional expressions at three specific events (mealtime, personal care, and social activity) were videotaped at the beginning, month 3, and month 6. Thirty participants were enrolled, and nine observations were made for each participant. Mixed-effect models were used for statistical analysis. The type of care events, the person who provides care, and the facility type were associated with emotional expressions. Specifically, personal care, interaction with non-nursing providers, and facility type were associated with positive emotional expressions. Negative emotional expressions were related to personal care, interaction with family or volunteer, and facility type. This study provides a better understanding of event-specific emotional expressions and knowledge to support the development of emotion-oriented intervention programs to improve the psychological well-being of persons living with dementia.
      Citation: Clinical Nursing Research
      PubDate: 2021-09-18T11:51:24Z
      DOI: 10.1177/10547738211047047
       
  • Attitudinal Correlates of HPV Vaccination in College Women

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      Authors: Monica L. Kasting, Shannon M. Christy, Madison E. Stout, Gregory D. Zimet, Catherine E. Mosher
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study examined associations between general attitudes toward seeking medical care, attitudes about vaccines/fear of shots, and human papillomavirus (HPV) vaccine uptake and intentions in college women. Hypothesized associations were framed by the Theory of Planned Behavior (TPB). Participants (N = 330, mean age = 18.9 years, 75% White) completed a one-time survey. The majority (61%; n = 201) had received ≥1 HPV vaccine dose. Hierarchical logistic regression examined relationships between attitudes and vaccine uptake. Pearson correlation coefficients and Kruskal-Wallis tests examined associations between attitudes and vaccine intentions. Results were partially consistent with the TPB. In the final model, perceived benefits, but not fear of shots, were associated with vaccine uptake. Among the unvaccinated, perceived benefits, but not fear of shots, were associated with vaccine intentions. Provider recommendation was the strongest predictor of vaccine uptake. Findings suggest interventions incorporating discussion of perceived benefits and provider recommendation may improve HPV vaccine receipt among college women.
      Citation: Clinical Nursing Research
      PubDate: 2021-09-18T11:49:42Z
      DOI: 10.1177/10547738211045227
       
  • Effect of Two Bathing Methods on Physiologic Parameters in Pediatric
           Intensive Care

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      Authors: Özgül Öz, Gülzade Uysal, Duygu Sönmez Düzkaya
      Abstract: Clinical Nursing Research, Ahead of Print.
      To determine the effect of traditional and disposable bed baths performed in the pediatric intensive care unit (PICU) on the physiologic parameters of children. This research was conducted as a randomized controlled trial with children who were monitored in the PICU. It was found that the pulse and blood pressure immediately after the bath were higher for both bath applications and was the lowest 30 minutes after the bath (p 
      Citation: Clinical Nursing Research
      PubDate: 2021-09-18T11:45:36Z
      DOI: 10.1177/10547738211043337
       
  • Effects of Progressive Relaxation Exercises on Vital Signs and Fatigue in
           Liver Transplant Patients: A Randomized Controlled Trial

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      Authors: Sema Kömürkara, Zeliha Cengiz
      Abstract: Clinical Nursing Research, Ahead of Print.
      This randomized controlled study was conducted to evaluate the effects of progressive relaxation exercises on vital signs and fatigue level. Ninety patients with liver transplantation (experimental group = 45, control group = 45) were included in the study. The patients in the experimental group performed progressive relaxation exercises for 25 to 30 minutes every day for 4 weeks. Before the progressive relaxation exercises, the vital signs and fatigue level of the patients were recorded. Vital signs were recorded again immediately after the progressive relaxation exercises and at the end of the second week. At the end of the fourth week, the final measurement of vital signs was performed along with the second fatigue level assessment. In the experimental group, pulse and respiratory rates, systolic and diastolic blood pressure values, and fatigue severity mean scores were found to be lower and oxygen saturation level was higher than those of the control group. The improvement in vital signs in the experimental group was evident at week 3 (p 
      Citation: Clinical Nursing Research
      PubDate: 2021-09-16T09:20:26Z
      DOI: 10.1177/10547738211045850
       
  • Quality of Life and Hope of Women in China Receiving Chemotherapy for
           Breast Cancer

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      Authors: Yuan Li, Zijun Zhou, Na Ni, Jiaxin Li, Ze Luan, Xin Peng
      Abstract: Clinical Nursing Research, Ahead of Print.
      We explore the association of hope and quality of life in breast cancer chemotherapy women. Their quality of life is related to treatment effects and disease outcomes. This cross-sectional study was conducted in City, China, in 2017. In a convenience sampling, 450 women who underwent breast cancer chemotherapy were selected from two hospitals. Descriptive statistics, single-factor analysis, Spearman correlation, linear regression, and structural equation modeling were used to analyze data. The mean quality of life score was 65.65. In linear regression analysis, we found patients’ quality of life was significantly related to age, marital status, education level, chemotherapy cycle, and hope. Structural equation results showed the “temporality and future” and “interconnectedness” subscales of the HHI explained 43% of the variance in quality of life. We found hope is an important aspect in quality of life, and further research is needed to determine if nurses can influence this aspect of care.
      Citation: Clinical Nursing Research
      PubDate: 2021-09-14T12:49:58Z
      DOI: 10.1177/10547738211046737
       
  • Effect of a Nurse-Led Education Program for Stroke Patients on Sleep
           Quality and Quality of Life: A Randomized Controlled Study

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      Authors: Zeynel Urcan, Merve Kolcu
      Abstract: Clinical Nursing Research, Ahead of Print.
      Nurse-led education and follow-up for stroke patients may facilitate management and improve quality of life. This study investigated the effect of a nurse-led education program for stroke patients on sleep and life quality. A total of 92 stroke patients (46 in the intervention group, 46 in the control group) aged 18 to 75 years who were independently mobile (less than or equal to one assistive device) and had no other neurologic or psychiatric disorders or history of sleep disorder prior to stroke were included. Patients randomized to the intervention group completed a 20-week education and follow-up program including information about stroke, rehabilitation, adaptation to daily life, and the importance of sleep quality. In the posttest, the intervention group had significantly higher sleep quality and stroke-specific quality of life scores than the control group. This study may serve as a guide for nurses who work with stroke patients.
      Citation: Clinical Nursing Research
      PubDate: 2021-09-14T12:49:28Z
      DOI: 10.1177/10547738211046138
       
  • Determination of Dyadic Adjustment, Marriage and Sexual Satisfaction as
           Risk Factors for Women with Lifelong Vaginismus: A Case Control Study

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      Authors: Seyhan Çankaya, Beyza Nur Aslantaş
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study was conducted to assess dyadic adjustment, marriage, and sexual satisfaction as risk factors for women with lifelong vaginismus. This is a case-control study. A total of 142 women were included in the study: 71 women with a diagnosis of lifetime vaginismus constituted the study group and 71 women without a history of vaginismus/painful sexual activity constituted the control group. Data were collected using a questionnaire and the Revised Dyadic Adjustment Scale (RDAS), the Marriage Satisfaction Scale (MSS), and the Golombok-Rust Inventory of Sexual Satisfaction (GRISS). Duration of marriage (OR = 1.344), frequency of sexual intercourse (OR = 0.059), marital satisfaction (OR = 1.450), sexual satisfaction (OR = 0.901), and consensus (OR = 1.749), which is a sub-dimension of RDAS, were found to be risk factors increasing likelihood of vaginismus by 83% (χ2 = 140.191, p 
      Citation: Clinical Nursing Research
      PubDate: 2021-09-14T12:49:02Z
      DOI: 10.1177/10547738211046136
       
  • Early and Standard Urinary Catheter Removal After Gynecological Surgery
           for Benign Lesions: A Quasi-Experimental Study

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      Authors: Shu Fen Chen, Peng-Hui Wang, Shu-Chen Kuo, Yin-Chen Chen, Huei-Jhen Sia, Pei-Hsuan Lee, Jia-Hwa Yang, Senyeong Kao
      Abstract: Clinical Nursing Research, Ahead of Print.
      Patients undergoing gynecological surgery commonly receive indwelling transurethral Foley catheters, however duration of catheterization is associated with risk of urinary tract infections and other adverse effects. Early removal of catheters is encouraged, however optimal timing postsurgery remains unclear. This quasi-experimental study compared outcomes for women after removal of a Foley catheter at two different times following benign gynecological surgery. Participants received either early catheter removal, within 6 hours of surgery (n = 38) or standard catheter removal, within 12 to 24 hours of surgery (n = 45). There were no significant differences in outcomes for discomfort scores or re-catheterization rates between groups. However, the early removal group had a significantly shorter time to first ambulation and shorter hospital stays. Early removal of Foley catheters in patients who underwent gynecological surgery did not increase adverse events. Early removal of catheters after gynecological surgery may decrease re-catheterization rates and increase patient satisfaction.
      Citation: Clinical Nursing Research
      PubDate: 2021-09-11T10:38:13Z
      DOI: 10.1177/10547738211044500
       
  • Supportive Care Needs: Perspectives of Cancer Patients and Healthcare
           Providers

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      Authors: Wonsun Kim, Chanam Shin, Linda Larkey, Soojung Jo, Dara James
      Abstract: Clinical Nursing Research, Ahead of Print.
      This descriptive qualitative study was conducted to understand supportive care needs from the perspectives of cancer patients and their healthcare providers (HCPs). Data collected from a purposive sample of 15 individuals (eight cancer patients and seven HCPs) using individual semi-structured interviews (60–90 minutes) were analyzed using thematic analysis. Four themes emerged from interview data in both patients and their HCPs: (1) information and resources, (2) peer support groups, (3) support for caregivers, and (4) tailored care. These four themes were discussed with subtle differences between groups. In addition, communication with and among HCPs was discussed by patients, while survivorship was mentioned by HCPs. Findings from this study indicate that nurses and other HCPs should provide supportive care congruent with the needs, preferences, and priorities of cancer patients through active and bidirectional communication with patients as well as interdisciplinary collaboration, which may optimize patient outcomes and use of resources.
      Citation: Clinical Nursing Research
      PubDate: 2021-09-07T08:54:38Z
      DOI: 10.1177/10547738211045226
       
  • Nursing and Parkinson’s Disease: A Scoping Review of Worldwide
           Studies

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      Authors: Michelle Hyczy S. Tosin, Claudio Antonio C. Mecone, Emanuelle Freitas M. Oliveira, David S. Tsui, Siok-Bee Tan, Sin Irene, Bianca C. Oliveira, Beatriz Guitton R. B. de Oliveira
      Abstract: Clinical Nursing Research, Ahead of Print.
      This scoping review aims to evaluate the characteristics of worldwide studies evolving the scope of nursing practice in Parkinson’s disease (PD). We conducted a three-step search strategy using 11 databases and reference lists. Of the 4,174 screened studies we included 324 (8%). Most were published during 1978 to 2020, with significant increasing in publications from 2002 onwards and a forecast to double in the next 10 years (total expected = 614, ±62.2, R2 = .998). We identified studies involving nine contexts of nursing practice in PD, in four continents and 31 countries, most of them of observational design (47.2%), funded (52.2%), authored by nurses (70.1%), and related to Nursing care/Guidelines (32.1%), Educational/Research content (16.4%), Symptom management/Medication adherence (14.5%), and Family caregiving (11.1%). The worldwide studies evolving the scope of nursing practice in PD is growing in several health context. These results can guide future research and evidence-based practice involving the role of nurses in PD.
      Citation: Clinical Nursing Research
      PubDate: 2021-09-06T11:02:03Z
      DOI: 10.1177/10547738211044047
       
  • The Impact of Cognitive impairment on Clinical Symptoms, Physical Activity
           and Care Interactions among Residents in Assisted Living Settings

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      Authors: Barbara Resnick, Marie Boltz, Elizabeth Galik, Shijun Zhu
      Abstract: Clinical Nursing Research, Ahead of Print.
      The purpose of this study was to describe differences in pain, behavioral symptoms, quality of staff-resident interactions, participation in function focused care and physical activity among residents with and without cognitive impairment in assisted living. This was a secondary data analysis using baseline data from an ongoing trial testing Function Focused Care for Assisted Living using the Evidence Integration Triangle (FFC-AL-EIT). A total of 550 residents were recruited from 59 communities. The average age of participants was 89.30 (SD = 7.63), the majority were white (98%), female (69%), had evidence of cognitive impairment (75%), and 5.16 (SD = 1.86) comorbidities. Those with cognitive impairment had more pain, were more sedentary and less likely to engage in function focused care activities. Addressing pain and implementing interventions for those with cognitive impairment to participate in function focused care may help optimize function and physical activity in assisted living residents.
      Citation: Clinical Nursing Research
      PubDate: 2021-09-02T10:56:05Z
      DOI: 10.1177/10547738211040628
       
  • Expectations of an Online-Self-Management Program for Rheumatoid Arthritis

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      Authors: Su-Hui Chen, Kuang-Hui Yu, Yi-Hui Lee, Jung-Hua Shao
      Abstract: Clinical Nursing Research, Ahead of Print.
      This qualitative descriptive study aimed to explore expectations of patients and healthcare experts for an online self-management program for rheumatoid arthritis. Participants were recruited from rheumatology clinics, medical centers, and universities in Taiwan. Individual face-to-face, semi-structured interviews were conducted with patients (n = 16) and healthcare experts (n = 7). Content analysis of the interview data resulted in five subthemes for expectations of an online self-management program: information about how the disease trajectory would impact future health status, availability of opportunities for self-monitoring, opportunities to interact with fellow patients and healthcare providers, simplicity and ease-of-use of the program, and methods to facilitate patient-motivation. These subthemes formulated two overarching themes: content and format. An online self-management program for patients with rheumatoid arthritis should provide evidence-based information about disease variables and behaviors aligned with the specific needs of the individual and adopt strategies that encourage and increase motivation and confidence.
      Citation: Clinical Nursing Research
      PubDate: 2021-08-23T09:46:28Z
      DOI: 10.1177/10547738211041692
       
  • Time to Seek Care and Hospital Length of Stay Among Older Adults With
           Acute Coronary Syndrome During the COVID-19 Pandemic

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      Authors: Audai A. Hayajneh, Mohammad Rababa, Sami Al-Rawashedeh
      Abstract: Clinical Nursing Research, Ahead of Print.
      The prevalence of prehospital delay is high among older adults with acute coronary syndrome (ACS). The current study aimed to examine the associated factors of prehospital delay among patients with ACS during the COVID-19 pandemic. This cross-sectional study was conducted on a convenience sample of 300 older adults with ACS admitted to the emergency department in Jordan. Data were collected from June 1 to September 1, 2020. Bivariate and multivariate analyses were used to explore the predictors of prehospital delay. Being widowed, educational level, pain intensity, the gradual onset of ACS symptoms, symptoms lasting for more than 30 minutes, patients’ feeling anxious about their ACS symptoms, patients’ perceiving their symptoms to be particularly dangerous, history of myocardial infarction (MI), and mode of transportation were associated with the time taken before seeking emergency care. Significant predictors of time to seek help were chief complaint of chest pain or palpitations, abrupt onset of symptoms, the associated symptom of vertigo, and a higher number of chronic illnesses; they explained about 17.9% of the variance in the time to seek care. The average time to seek care among patients with ACS during the COVID-19 pandemic was found to be longer than the average time reported by studies conducted prior the pandemic. Improved understanding of the associations between prehospital delay is crucial for optimal ACS patient outcomes under the impacts of the COVID-19 pandemic.
      Citation: Clinical Nursing Research
      PubDate: 2021-08-20T06:20:05Z
      DOI: 10.1177/10547738211040167
       
  • Quality of Life and Perceived Social Support Before and After Sex
           Reassignment Surgery

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      Authors: Süreyya Gümüşsoy, İsmet Hortu, Nursel Alp Dal, Sevgül Dönmez, Ahmet Mete Ergenoğlu
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study aimed to explore the pre- and postoperative differences in quality of life and perceived social support of Female-to-Male transsexual patients who underwent mastectomy and complete hysterectomy. Sixty-three Female-to-Male female individuals who underwent complete hysterectomy and mastectomy between November 2019 and November 2020 were included in this study. Data were collected using the Personal Information Form, Multidimensional Scale of Perceived Social Support, and the World Health Organization Quality of Life Scale Short Form. The pre- and postoperative perceived social support mean scores of patients were 57.2 ± 9.0 and 74.9 ± 7.3, respectively. The pre- and postoperative quality of life mean scores of patients were 76.9 ± 8.3 and 107.8 ± 10.1, respectively. There were statistically significant differences between the measurements (p 
      Citation: Clinical Nursing Research
      PubDate: 2021-08-19T10:23:29Z
      DOI: 10.1177/10547738211040636
       
  • Impact of Video Technology on the Comprehension of Patients With First
           Insulin Injection and the Efficiency of Nurse Education

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      Authors: Jing Zhu, Le-wen Shao, Jing-yun Yuan, Liang Zhu, Can-hua Chen, Xin-mei Hu
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study aims to compare the effectiveness of video and paper materials used for teach-back education on the first insulin injection for patients with diabetes. The study enrolled 110 patients hospitalized for diabetes who had received education on their first insulin injection in the endocrinology department. The patients were divided into an intervention group (n = 55) and a control group (n = 55) using convenience sampling. Video materials were employed for the teach-back education of the intervention group, while paper materials were employed for the teach-back education of the control group. We compared cases who answered correctly to the common parts (selection and management of injection devices, selection and rotation of injection sites, proper use of injection angles and pinching, insulin storage, injection-related complications and their prevention, selection of the correct needle length, and safe disposal of needles after use) for the first time, the number of educational sessions and total education duration between the two groups and employed the “My View on Insulin” questionnaire to survey the two groups before and 28 days after the intervention. The intervention group had a shorter total education duration than the control group, a difference that was statistically significant (p 
      Citation: Clinical Nursing Research
      PubDate: 2021-08-19T10:19:52Z
      DOI: 10.1177/10547738211036600
       
  • It Is Like a Puppet Show-Experiences of Rheumatoid Arthritis Among Adult
           Chinese: A Qualitative Study

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      Authors: Su-Hui Chen, Kuang-Hui Yu, Yi-Chun Kao, Jung-Hua Shao
      Abstract: Clinical Nursing Research, Ahead of Print.
      Rheumatoid arthritis results in progressive destruction of the joints. However, descriptions of patient’s experiences with the disease are limited. This qualitative study aimed to explore patients’ personal experiences with rheumatoid arthritis in Taiwan. Face-to-face interviews were conducted with 30 patients from January to May 2019; interview data were analyzed with content analysis. Most participants were female (90%); their mean age was 57 years. Three main categories emerged from analysis of the data: “physical suffering,” “limitations of abilities,” and “coexisting with the disease.” Physical suffering was due to personal lifelong hardships from chronic pain and stiffness. Limitations of abilities occurred from loss of physical function and limited social life, due to participants discomfort with joint deformities and their appearance to others. Participants coexisted with the disease by making changes in their outlook and comparing their lives with others in order to gain a positive perspective.
      Citation: Clinical Nursing Research
      PubDate: 2021-08-18T08:36:17Z
      DOI: 10.1177/10547738211037467
       
  • A Heideggerian Phenomenological Study of the Lived Experiences of Ghanaian
           Patients Living With End-Stage Renal Disease

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      Authors: Arpi Manookian, Nahid Dehghan Nayeri, Nicholas Danzima Yakubu, Fariba Tabari, Alexis Dun Bo-Ib Buunaaim, Vivian Afoko
      Abstract: Clinical Nursing Research, Ahead of Print.
      There is a lack of knowledge regarding perceptions, feelings, and experiences of Ghanaian patients living with ESRD. This study aimed to discover the experience and meaning of living with ESRD. This qualitative study was conducted using Heideggerian hermeneutic phenomenology. A total of 13 participants were purposefully selected, and data was collected through individual semi-structured interviews. The recorded interviews were transcribed and analyzed using Diekelmann, Allen, and Tanner method. After the final analysis, five main themes emerged: Spiritual fluctuation, Living in uncertainty, Period of agony and frustration, Tough fortification, and Changed roles and status. This study provided deep insight and understanding regarding the lived experiences of patients living with end-stage renal disease in Ghana. The results of this study may benefit nursing care in terms of considering the patients’ lived experiences to provide quality and person-centered care.
      Citation: Clinical Nursing Research
      PubDate: 2021-08-14T08:52:14Z
      DOI: 10.1177/10547738211035456
       
  • Psychological Distress in Patients with COVID-19 During Hospitalization

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      Authors: Nazmiye Yıldırım, Hatice Dayılar Candan, Abdurrahman Hamdi İnan
      Abstract: Clinical Nursing Research, Ahead of Print.
      To determine the changes in psychological distress levels of patients hospitalized with the diagnosis of COVID-19 and the characteristics of patients at risk. This longitudinal study included 76 patients. The psychological distress was evaluated using the Hospital Anxiety and Depression Scale thrice (on the 1st day of hospitalization and isolation (t0), sixth day (t1), and when the discharge decision was made). The prevalence of anxiety was 22.4%, 14.5%, and 9.2%, whereas the prevalence of depression was 36.8%, 42.1%, and 43.4% at t0, t1, and t2, respectively. The patients’ anxiety level decreased, whereas the depression level increased during hospitalization (p 
      Citation: Clinical Nursing Research
      PubDate: 2021-08-14T07:18:35Z
      DOI: 10.1177/10547738211040322
       
  • Psychometric Properties of the High-Need Community-Dwelling Older Adults
           Screening Scale

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      Authors: Kuei-Min Chen, Meng-Chin Chen, Hui-Fen Hsu, Frank Belcastro, Wei-Yun Chang
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study aimed to verify the factorial structure, internal consistency, test-retest reliability, and discriminant validity of the High-need Community-dwelling Older Adults Screening Scale (HCOASS). A 20-item HCOASS covering five domains was used with a systematic random sample of 818 community-dwelling older adults. After the analyses, the Exploratory Factor Analysis suggested a removal of two items, resulting in 5 domains with 18 items, and the Confirmatory Factor Analysis yielded satisfactory results with Goodness of Fit Index of .98. The HCOASS demonstrated acceptable internal consistency (Kuder-Richardson Formula 20 α = .75) and excellent test-retest reliability (0.94; 95% CI [0.91, 0.97]). The area under the Receiver Operating Characteristic (ROC) curve was 0.90 (95% CI [0.84, 0.95]) and the optimal cut-off score was 4/5. The HCOASS is a valid and reliable screening tool. It has the potential for consistent and efficient administration to be used by non-healthcare professionals in the community.
      Citation: Clinical Nursing Research
      PubDate: 2021-08-13T07:07:17Z
      DOI: 10.1177/10547738211036812
       
  • The Impact of Multidisciplinary Collaborative Nursing Intervention on
           Arteriovenous Fistula in Patients Undergoing Hemodialysis

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      Authors: Danfeng Zha, Xionghao Yang, Yan Yang, Haifen Zhang, Yan Jin, Na Li, Yin Zhou
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study was conducted to evaluate the effect of multidisciplinary collaborative nursing intervention on AVF in patients with chronic kidney disease (CKD) undergoing hemodialysis. Patients (n = 84) with CKD who underwent the first autologous AVF were randomly divided into control group and multidisciplinary collaborative nursing intervention (MCNI) group and they received routine nursing procedure and multidisciplinary collaborative nursing intervention procedure, respectively. The natural blood flow and vessel diameter in MCNI group were higher than that in control group at the fourth week after surgery (p 
      Citation: Clinical Nursing Research
      PubDate: 2021-08-13T07:06:16Z
      DOI: 10.1177/10547738211037132
       
  • Exercise Experiences of Older Adults with Diabetes and Sarcopenia: A
           Phenomenological Study

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      Authors: Ting-Ru Lin, Xuan-Yi Huang, Chii-Min Hwu
      Abstract: Clinical Nursing Research, Ahead of Print.
      Sarcopenia is a common and progressive skeletal muscle condition, often described as an intermediate stage in the development of frailty and disability in patients with diabetes. This can be improved through physical activity and exercise. This descriptive phenomenological study explored the exercise experiences of older adults with diabetes and sarcopenia. Individual interviews were conducted following semi-structured interview guidelines, and narratives were analyzed using Giorgi’s method. Data saturation was achieved after interviewing 14 purposively sampled older patients with diabetes and sarcopenia. The study identified three main themes: encountering difficulty during exercise, recognizing the advantages of exercise, and constructing a suitable exercise model. While older adults with diabetes and sarcopenia may encounter difficulty during exercise, they also experience positive feedback from exercise. Understanding the limitations of older adults, individualizing exercise models based on their exercise experiences, and providing appropriate interventions and necessary emotional support can effectively prevent diabetes and sarcopenia.
      Citation: Clinical Nursing Research
      PubDate: 2021-08-12T09:07:55Z
      DOI: 10.1177/10547738211039381
       
  • The Effects of Mindfulness-Based Stress Reduction Training on Hope,
           Psychological Well-Being, and Functional Recovery in Patients with
           Schizophrenia

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      Authors: Aysel A. Özdemir, Funda Kavak Budak
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study tested the effects of mindfulness-based stress reduction (MBSR) training on multiple outcomes in patients with schizophrenia. We compared MBSR, psychoeducation, and control groups in a randomized controlled research design. Outcome measures assessed hope, psychological wellbeing, and functional recovery over three time points in 137 participants. The results of this study indicate that MBSR training was more effective in terms of increasing the level of hope, psychological well-being, and functional recovery of schizophrenia patients when compared with psychoeducation and control patients.
      Citation: Clinical Nursing Research
      PubDate: 2021-08-12T09:06:56Z
      DOI: 10.1177/10547738211039069
       
  • Computer-Based Communication Tool Provides Effective Communication for
           Non-speaking Patients: A Quasi-experimental Study

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      Authors: Melek Ertürk Yavuz, Ayla Gürsoy
      Abstract: Clinical Nursing Research, Ahead of Print.
      Even though they are conscious, patients who are unable to speak while connected to a mechanical ventilator have serious difficulties in communicating with healthcare staff. This research aimed to determine the effectiveness for patients of a computer-based communication tool (CBCT) and to compare these results with patients using a routine method. This quasi-experimental study was conducted with 90 intubated patients. It was found that 20.0% of the patients using CBCT stated that they had difficulties in communicating, while this rate was 82.2% among patients not using CBCT. Compared with participants in the control group, experimental group patients reported a lower median score for the anxiety levels (23.0 [20.0–39.0], 29.0 [20.0–57.00], p 
      Citation: Clinical Nursing Research
      PubDate: 2021-08-12T09:04:49Z
      DOI: 10.1177/10547738211038638
       
  • Dignity and Predictors of Its Change Among Inpatients in Long-Term Care

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      Authors: Helena Kisvetrová, Jitka Tomanová, Romana Hanáčková, Peta Jane Greaves, Alison Steven
      Abstract: Clinical Nursing Research, Ahead of Print.
      The purpose of this study was to identify any differences in the dignity evaluation of geriatric inpatients after 1 month of hospitalization in a long-term care wards (LTC) and predictors of this change. This follow-up study included 125 geriatric inpatients who filled the Patient Dignity Inventory (PDI-CZ), Geriatric Depression Scale, Barthel Index, and Mini-Mental State Examination. In the initial measurement, the patients rated of PDI-CZ item “Not able to perform tasks of daily living” the worst. One month after, the items “Not able to perform tasks of daily living,” “Not able to attend to bodily functions,” and “Not feeling worthwhile or valued” were improved. Patients with higher education, for whom self-sufficiency improved and depression decreased, rated their dignity more positively 1 month after the hospitalization in LTC. Our findings suggest that these factors are important for the maintenance of the dignity of older adults hospitalized in LTC.
      Citation: Clinical Nursing Research
      PubDate: 2021-08-09T06:55:49Z
      DOI: 10.1177/10547738211036969
       
  • Health-Related Quality of Life in the Spironolactone to Reduce ICD Therapy
           (SPIRIT) Trial

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      Authors: Ana C. S. Liberato, Merritt H. Raitt, Ignatius Gerardo E. Zarraga, Karen S. MacMurdy, Cynthia M. Dougherty
      Abstract: Clinical Nursing Research, Ahead of Print.
      To describe health related quality of life (HRQOL) and symptoms in the SPIRIT trial and determine effects of implantable cardioverter defibrillator (ICD) shocks on HRQOL over 24 months. Ninety participants aged 66 ± 10 years, 96% men, 75% with NYHA class II, with an ICD were randomized to spironolactone 25 mg (N = 44) or placebo (N = 46). HRQOL was measured every 6 months for 24 months using: Patient Concerns Assessment (PCA), Short Form Health Survey-Veterans Version (SF-36V), and Kansas City Cardiomyopathy Questionnaire (KCCQ). Linear mixed modeling compared changes in HRQOL over-time and ANCOVA compared HRQOL between those getting an ICD shock or not. Over 24-months, there were no differences in HRQOL between the spironolactone versus placebo groups. Those with at least one ICD shock reported significantly lower HRQOL and more symptoms at 6- and 24-months. Patients receiving one or more ICD shocks reported significant reductions in HRQOL and higher symptoms.
      Citation: Clinical Nursing Research
      PubDate: 2021-08-07T06:15:17Z
      DOI: 10.1177/10547738211036817
       
  • Effects of Illness Perception on Self-Care Agency and Hopelessness Levels
           in Liver Transplant Patients: A Descriptive Cross-Sectional Study

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      Authors: Bilsev Demir, İlker Demir
      Abstract: Clinical Nursing Research, Ahead of Print.
      Individuals with liver transplantation (LT), hopelessness, and lack of self-care may occur and change in the illness perceptions; however, no study has examined the effects of the illness perceptions on self-care agency and hopelessness levels in individuals with LT. This study was conducted to examine the effects of the illness perceptions of patients who had received LT surgery on their self-care agency and hopelessness levels. A descriptive cross-sectional study with a convenience sample (N = 120) was conducted at a center in eastern Turkey. The data were collected by using the “Brief Illness Perception Questionnaire” (B-IPQ), “Self-Care Agency Scale” (SCAS), “Beck Hopelessness Scale” (BHS). In the study, the mean total B-IPQ, SCAS, BHS scores was found as 57.50 ± 3.61, 83.83 ± 9.43, 10.19 ± 3.81, respectively. There was a positive and significant relationship between the B-IPQ and BHS total scores.
      Citation: Clinical Nursing Research
      PubDate: 2021-08-07T06:12:45Z
      DOI: 10.1177/10547738211036983
       
  • Relationship Between Symptom Distress and Fatigue Characteristics in
           Patients with Gastric Cancer During 1 Month after Gastrectomy

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      Authors: Hui-Ying Yang, Yun-Hsiang Lee, Jin-Ming Wu, I-Rue Lai, Shiow-Ching Shun
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study’s purpose was to describe changes in symptom distress and fatigue characteristics identifying which symptoms significantly impacted fatigue characteristics of patients with Gastric Cancer (GC) within 1 month after gastrectomy. A prospective longitudinal study was conducted. Patients with GC who were scheduled for gastrectomy were recruited from surgical outpatient clinics and surgery wards in northern Taiwan. Data were collected using a set of questionnaires before (T0) and 7 (T1) and 28 days (T2) after gastrectomy. Over all, 86 patients experienced mild levels of fatigue and symptom distress. The changes in worst fatigue and fatigue interference were greatest at T1. Anxiety had a significant negative effect on both worst fatigue and fatigue interference. Dry mouth, pain, and body image had significant deleterious effects on worst fatigue. The co-occurring symptoms affecting fatigue for patients with GC in the acute phase after gastrectomy should be actively assessed to ensure optimal fatigue management.
      Citation: Clinical Nursing Research
      PubDate: 2021-08-06T07:18:14Z
      DOI: 10.1177/10547738211035284
       
  • The Relationship Between Brain Fog and Medication Adherence for
           Individuals With Hypothyroidism

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      Authors: Kelly Haskard-Zolnierek, Courtney Wilson, Julia Pruin, Rebecca Deason, Krista Howard
      Abstract: Clinical Nursing Research, Ahead of Print.
      Individuals with hypothyroidism suffer from symptoms including impairments to cognition (i.e., “brain fog”). Medication can help reduce symptoms of hypothyroidism; however, brain fog may hinder adherence. The aim of this study was to determine if memory impairment and cognitive failures are related to treatment nonadherence in 441 individuals with hypothyroidism. Participants with a diagnosis of hypothyroidism and currently prescribed a thyroid hormone replacement medication were placed in two groups according to adherence level and compared on validated scales assessing impairments to memory and cognition. Results indicated a significant association between treatment nonadherence and self-reported brain fog, represented by greater cognitive and memory impairments. Nonadherent individuals indicated impairments with prospective, retrospective, and short- and long-term memory; and more cognitive failures, compared to adherent individuals. Findings suggest the importance of interventions to enhance adherence for individuals with brain fog, such as encouraging the use of reminders.
      Citation: Clinical Nursing Research
      PubDate: 2021-08-05T09:01:19Z
      DOI: 10.1177/10547738211038127
       
  • Intimate Partner Violence Stories of Appalachian Women

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      Authors: Kellie A. Riffe-Snyder, Janice D. Crist, Sally J. Reel
      Abstract: Clinical Nursing Research, Ahead of Print.
      The purpose of this study was to explore past intimate partner violence as it occurred in Appalachian women residing in rural and non-urbanized areas. The methodology was qualitative description. Twelve former intimate partner violence female victims shared their experiences through the socioculturally appropriate tradition of story-telling. The meta-theme, Turning Points, reflecting the perceived non-linearity of intimate partner violence was supported by three themes: (1) The Process of Abuse: (2) Learn from my Story; Don’t Let it be Your Story; and (3) Does Where I Live Make a Difference' All participants experienced patterns of abuse that cycled in frequency and severity, similar injuries and health problems, fear, helplessness, and, at times, hopelessness. Application of knowledge gained through naturalistic methods can advance our understanding of intimate partner violence as it occurs in vulnerable populations and the depth and breadth of sociocultural influences which may affect the public health threat of this type of violence.
      Citation: Clinical Nursing Research
      PubDate: 2021-08-04T04:57:47Z
      DOI: 10.1177/10547738211036272
       
  • Prevalence, Symptoms, and Associated Factors of Chronic Constipation Among
           Older Adults in North-East of Peninsular Malaysia

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      Authors: Patimah Abdul Wahab, Dariah Mohd Yusoff, Azidah Abdul Kadir, Siti Hawa Ali, Lee Yeong Yeh
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study aimed to determine the prevalence, symptoms, and associated factors of chronic constipation among older adults in the North-East of Peninsular Malaysia. A cross-sectional study was conducted among older patients from four health clinics. A total of 400 older patients participated, with a mean age of 68.7 (SD = 6.4) years. The prevalence of chronic constipation was 14.8%. The highest symptom reported was the inability to pass stool (98.3%). Chronic constipation was significantly associated with older age (OR = 2.97; 95% CI [1.17, 7.54]; p = .022), inadequate plain water intake per day (OR = 2.13; 95% CI [1.13, 4.02]; p = .020), hypertension (OR = 2.22; 95% CI [1.07, 4.61]; p = .033), and hyperlipidemia (OR = 2.52; 95% CI [1.24, 5.11]; p = .010). Identification of chronic constipation should be done as part of routine clinic visits, especially for older patients with cardiovascular disease.
      Citation: Clinical Nursing Research
      PubDate: 2021-08-03T04:51:50Z
      DOI: 10.1177/10547738211033934
       
  • Socio-Demographic and Coping Correlates and Predictors of Depressive
           Symptoms Among Low-Income and Ethnic Minority Mothers At-Risk

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      Authors: Rahshida Atkins, Shanda Johnson, Manuel C. F. Pontes, Tiffany Stellmacher, Daniella Gadaleta, Helene Lewis, Arta Qosja, Dana Finkelstein, Wanda Williams
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study identified coping and sociodemographic correlates and predictors of depressive symptoms in mothers at risk for clinical depression. A descriptive, cross-sectional design was employed. A convenience sample of 88 low-income or ethnic-minority mothers aged 21 to 45 completed a depression scale, demographic data sheet, and responded to an open-ended question. Content analysis, descriptive, and inferential statistics was used for data analysis. Exactly 42.5% of mothers reported high depressive symptoms (>16). Lower income levels (r = .342, p = .01) and head-of-household status (r = .220, p = .04) were significantly associated with higher depressive symptoms. Those who used social support coping had lower depressive symptoms than those who did not (t = 2.50, p = .014). Those using emotion-focused coping only had higher depressive symptoms than those using a mix of coping strategies (t = 2.60, p = .011). Healthcare providers can employ vigilant depression screening and encourage utilization of a mix of problem and emotion-focused coping strategies to reduce depressive symptoms and prevent clinical depression.
      Citation: Clinical Nursing Research
      PubDate: 2021-07-30T10:00:41Z
      DOI: 10.1177/10547738211029685
       
  • Empowerment-Based Education in Urological Patients: A Scoping Review

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      Authors: Giulia Villa, Emanuele Galli, Vittoria Azzimonti, Marianna Doneda, Noemi Giannetta, Duilio Fiorenzo Manara
      Abstract: Clinical Nursing Research, Ahead of Print.
      Prostate, kidney, and bladder cancer are the three most frequently diagnosed urological cancers. Educational programs could teach patients to become experts in disease management. The aim of this scoping review was to explore the literature to identify the educational requirements and strategies for improving and implementing educational processes for urological patients undergoing surgery. We searched several databases, including PubMed, CINAHL, Embase, Scopus, PsycINFO, and Cochrane Library. All adult patients undergoing urological educational interventions were included in the review. Of 3,197 initially identified articles, 42 were retained. Urological patients undergoing prostatectomy, cystectomy, and nephrectomy require cognitive, psychological, and functional support. For each level of support, several methods exist to provide support, including informational brochures, preoperative counseling, telephone support, online content, educational videos, support groups, individual stress management interventions, peer support, online interventions, partner support, and various educational programs that help the patient manage negative effects associated with the urological intervention.
      Citation: Clinical Nursing Research
      PubDate: 2021-07-29T10:17:26Z
      DOI: 10.1177/10547738211030389
       
  • Effect of Acupressure and Abdominal Massage on Constipation in Patients
           with Total Knee Arthroplasty: A Randomized Controlled Study

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      Authors: Mahinur Durmuş İskender, Nurcan Çalışkan
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study was a randomized controlled trial aimed to compare the effects of acupressure and abdominal massage on constipation development for patients with TKA. The patients were randomly assigned to each group: control group (n = 31), acupressure group (n = 30), and abdominal massage group (n = 30). The finding showed that the severity of constipation and straining stool consistency of the groups in which acupressure and abdominal massage was applied are significantly better than the control group (p 
      Citation: Clinical Nursing Research
      PubDate: 2021-07-28T05:48:27Z
      DOI: 10.1177/10547738211033917
       
  • The Effect of Local Heat Therapy versus Cold Rub Gel on Pain and Joint
           Functions in Patients with Knee Osteoarthritis

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      Authors: Moslem Ariana, Ardashir Afrasiabifar, Shahla Najafi Doulatabad, Asadolah Mosavi, Mohammad Behnammoghadam
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study was compared the effect of local heat therapy versus cold rub gel on pain and joint function in patients with knee osteoarthritis. One hundred seventeen patients with knee osteoarthritis were randomly assigned to cold rub gel, local heat therapy, and control group. Data were collected by knee injury and osteoarthritis outcome score at a week prior to the interventions and on weeks of 1, 2, 3, and 4 of the interventions. A significant difference was found between the three groups in terms of pain severity (p = .001), joint symptoms (p = .001), ADL function (p = .001), Sport and Recreation function (p = .001), except Knee related QOL (p = .3). Cold rub gel and heat therapy were both effective in improving pain and joint function in patients with knee osteoarthritis.
      Citation: Clinical Nursing Research
      PubDate: 2021-07-26T11:19:05Z
      DOI: 10.1177/10547738211035502
       
  • What Does the Psychological Flexibility Model Contribute to the
           Relationship Between Depression and Disability in Chronic Pain' The
           Role of Cognitive Fusion and Pain Acceptance

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      Authors: Carmen Ecija, Patricia Catala, Irene Lopez-Gomez, Dolores Bedmar, Cecilia Peñacoba
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study examines the mediator role of cognitive fusion between depressive symptoms, activity avoidance and excessive persistence at different levels of pain acceptance (moderator) among fibromyalgia patients (FM). Using a sample of 231 women, multiple and moderate mediation analyses were conducted with PROCESS. Results showed that depression was positively associated with activity avoidance and excessive persistence. Furthermore, cognitive fusion and pain acceptance were found to mediate the effect of depression in both patterns. Additionally, pain acceptance was found to play a contextual role in cognitive fusion, as a moderator, between depressive symptoms and maladaptive patterns. Specifically, FM patients with high acceptance levels and low levels of depression presented the strongest associations between depression and cognitive fusion. Techniques aimed at reducing cognitive fusion, could be especially beneficial to FM women with high pain acceptance.
      Citation: Clinical Nursing Research
      PubDate: 2021-07-24T05:23:18Z
      DOI: 10.1177/10547738211034307
       
  • Physical Activity and its Influencing Factors in Community-Dwelling Older
           Adults With Dementia: A Path Analysis

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      Authors: Bei Li, Xiuxiu Huang, Chenchen Meng, Qiaoqin Wan, Yongan Sun
      Abstract: Clinical Nursing Research, Ahead of Print.
      Dementia is prevalent in worldwide, and increases the care burden and potential costs. Physical activity (PA) has been increasingly shown to be beneficial for them. This was a cross-sectional observational study aiming to investigate the status of PA among community-dwelling older adults with dementia in Beijing or Hangzhou, China, and verify the relationships between neuropsychiatric symptoms, activities of daily living (ADL), caregivers’ fear of patients’ falling and their PA using a path analysis approach. The level of PA among 216 included people with dementia was low. PA was related to the neuropsychiatric symptoms, with ADL and caregivers’ fear of patients’ falling have mediation roles. The findings indicated that person-centered strategies related to the management of these symptoms might be helpful to improve ADL, relieve caregivers’ concerns about them falling and consequently foster positive participation in PA.
      Citation: Clinical Nursing Research
      PubDate: 2021-07-23T06:23:31Z
      DOI: 10.1177/10547738211033928
       
  • Strategies Australian Hospitals Utilize to Incorporate Patient Feedback in
           the Delivery and Measurement of Person-Centered Care: A Scoping Review

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      Authors: Joy Davis, Sue Sinni, Stephen Maloney, Lorraine Walker
      Abstract: Clinical Nursing Research, Ahead of Print.
      Patients are central to healthcare clinicians and organizations but often subsidiary to clinical expertise, knowledge, workplace processes, and culture. Shifting societal values, technology, and regulations have remoulded the patient-clinician relationship, augmenting the patient’s voice within the healthcare construct. Scaffolding this restructure is the global imperative to deliver person-centered care (PCC). The aim of the scoping review was to explore and map the intersection between patient feedback and strategies to improve the provision of PCC within acute hospitals in Australia. Database searches yielded 493 articles, with 16 studies meeting inclusion criteria. Integration of patient feedback varied from strategy design, through to multi-staged input throughout the initiative and beyond. Initiatives actioning patient feedback fell broadly into four categories: clinical practice, educational strategies, governance, and measurement. How clinicians can invite feedback and support patients to engage equally remains unclear, requiring further exploration of strategies to propel clinician-patient partnerships, scaffolded by hospital governance structures.
      Citation: Clinical Nursing Research
      PubDate: 2021-07-23T06:21:58Z
      DOI: 10.1177/10547738211033098
       
  • Comparative Analysis of Health Domains for Neuropathic Pain Patients

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      Authors: Christine Bader, Diane Flynn, Chester Buckenmaier, Catherine McDonald, Salimah Meghani, Christian Calilung, Rosemary Polomano
      Abstract: Clinical Nursing Research, Ahead of Print.
      Active duty military members have significant service-related risks for developing pain from injury. Although estimates for neuropathic pain (NP) are available for civilian populations, the incidence and prevalence for NP in military members is less clear. Understanding correlates of pain in military members is vital to improving their physical, mental, and social health. Using a comparative design, a secondary analysis was conducted on longitudinal PASTOR data from 190 pain management center patients. The objectives were to compare trends in patient-reported outcomes over time between those screening positive and negative for NP (NP+, NP−, respectively) based on PROMIS Neuropathic Pain Scale T-scores. Findings showed improvements in fatigue, sleep-related impairment, and anger over time. There was a difference between those screening NP+ and NP− for sleep-related impairment, and the cross-level interaction effect showed sleep-related impairment worsening over time. These results emphasize the need to identify NP and implement and evaluate targeted therapies.
      Citation: Clinical Nursing Research
      PubDate: 2021-07-22T11:19:09Z
      DOI: 10.1177/10547738211030640
       
  • Medication Adherence and Patients’ Characteristics in Chronic Diseases:
           A National Multi-Center Study

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      Authors: Huda Al-Noumani, Maryam Al-Harrasi, Jimmy Jose, Zakariya Al-Naamani, Sathiya M. Panchatcharam
      Abstract: Clinical Nursing Research, Ahead of Print.
      Chronic diseases constitute a significant threat to health. Worldwide, medication adherence in chronic diseases remains unsatisfactory. Understanding factors affecting adherence is essential. This study examined medication adherence by characteristics of patients with chronic diseases. This cross-sectional study included 800 patients. The Adherence to Chronic Diseases Scale was used to measure adherence. Descriptive statistics and logistic regression was used to examine factors influencing medication adherence. Low adherence was found in 19.5% of the patients, 45% had medium adherence, and 35.5% had high adherence. Logistic regression showed that retired (OR 0.496, 95% CI [0.33–0.75]), having COPD (OR 0.460, 95% CI [0.32–0.67]) and duration of disease ≤5 years (OR 1.554, 95% CI [1.11–2.17]) remain independent predictors for high adherence. Mixed findings regarding the relationship between medication adherence and patients’ characteristics were noticed. Patients’ characteristics should be examined with the individual population when examining and attempting to improve medication adherence in clinical practice.
      Citation: Clinical Nursing Research
      PubDate: 2021-07-21T12:54:18Z
      DOI: 10.1177/10547738211033754
       
  • Self-Management Micro-Video Health Education Program for Hemodialysis
           Patients

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      Authors: Qingli Ren, Suhua Shi, Chen Yan, Yang Liu, Wei Han, Min Lin, Honggu He, Qu Shen
      Abstract: Clinical Nursing Research, Ahead of Print.
      Self-management in hemodialysis patients is critical; however, is generally low. This study aimed to examine the effects of a theory-based micro-video health education program on the improvement of self-management, hemodialysis knowledge, and self-efficacy in hemodialysis patients. A pre-test post-test control group quasi-experimental design was used to recruit 80 hemodialysis patients in a dialysis center. The participants were assigned in a 1:1 ratio to receive routine care or a 3-month micro-video health education program. Between-group comparison showed that patients in the intervention group had significantly greater improvement in hemodialysis knowledge than those in the control group (p 
      Citation: Clinical Nursing Research
      PubDate: 2021-07-20T10:28:19Z
      DOI: 10.1177/10547738211033922
       
  • Self-Esteem as a Mediator between Life Satisfaction and Depression among
           Cardiovascular Disease Patients

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      Authors: Zeying Qin, Songli Mei, Tingting Gao, Leilei Liang, Chuanen Li, Yueyang Hu, Xinmeng Guo, Cuicui Meng, Jianping Lv, Tongshuang Yuan, Junsong Fei, Qian Tong, Yang Yang
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study explores the association between life satisfaction and depression among patients with cardiovascular diseases and whether this association is mediated by self-esteem. A cross-sectional study was conducted in a third-grade hospital. We examined 300 patients with cardiovascular diseases with a mean age of 62.00 years (females, 133). Life satisfaction was associated with depression. Adding self-esteem to the model weakened the strength of the association between the two. Moreover, 34.2% of the effect of life satisfaction on depression could be explained by self-esteem. We found that self-esteem could totally explain the effect of life satisfaction on depression among patients with cardiovascular diseases.
      Citation: Clinical Nursing Research
      PubDate: 2021-07-14T10:23:55Z
      DOI: 10.1177/10547738211030002
       
  • The Effect of Labor Dance on Traumatic Childbirth Perception and Comfort:
           A Randomized Controlled Study

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      Authors: Bihter Akin, Hülya Yurteri Türkmen, Hacer Yalnız Dilcen, Ebru Sert
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study aims to evaluate the effect of labor dance on traumatic childbirth perception and comfort. This is a randomized controlled experimental study. The study was conducted with 120 primiparous pregnant women (60 in experiment group, 60 in control group). The pregnant women in the experiment group performed labor dance with the researcher midwife during the active phase of labor. The researcher implemented the Childbirth Comfort Questionnaire (CCQ) when the cervical dilation was 8 cm. The Postpartum Comfort Scale (PCS) and Traumatic Childbirth Perception Scale (TCPS) were implemented almost 2 hours after giving birth. The scores of the women in the experiment group in TCPS were significantly lower than those in the control group while their mean scores in CCQ and PCS were significantly higher. Labor dance contributed to the women’s more positive childbirth experiences, perceptions of childbirth as less traumatic, and increased their comfort levels.
      Citation: Clinical Nursing Research
      PubDate: 2021-07-07T06:50:13Z
      DOI: 10.1177/10547738211030745
       
  • Acupuncture for Sleep Disturbances in Post-Deployment Military Service
           Members: A Randomized Controlled Trial

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      Authors: Jane J. Abanes, Sheila H. Ridner, Mary S. Dietrich, Cynthia Hiers, Bethany Rhoten
      Abstract: Clinical Nursing Research, Ahead of Print.
      This RCT and mixed-methods study examined the difference between two groups receiving the following interventions: (1) brief manual standardized stress acupuncture (MSSA) combined with an abbreviated Cognitive Behavioral Therapy (ACBT) versus (2) ACBT alone. Three study aims: Aim (1): Insomnia Severity Index (ISI) and Pittsburg Sleep Quality Index (PSQI) scores were analyzed using descriptive summaries, linear regression, and reliable change index (RCI). Aim (2): Journal entries were analyzed using content analysis. Aim (3): Acupuncture Expectancy Scale (AES) scores were analyzed using paired t-test and RCI. Aim (1): Both groups demonstrated similar improvements in the ISI scores (p = .480). Aim (2): The ACBT/MSSA group reported greater benefits in sleep and in other life areas including mental, physical, and social functioning. Aim (3): The AES showed that 21.6% had a clinically meaningful increase in expectations in the effect of acupuncture for stress (p = .965). The study was registered in ClinicalTrials.gov (NCT04031365) at https://clinicaltrials.gov/ct2/show/NCT04031365 on July 24, 2019.
      Citation: Clinical Nursing Research
      PubDate: 2021-07-07T06:47:36Z
      DOI: 10.1177/10547738211030602
       
  • Effects of Different Methods Used to Take Blood Samples on Blood Glucose
           Measurements

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      Authors: Eda Ergin, Ayten Zaybak
      Abstract: Clinical Nursing Research, Ahead of Print.
      The purpose of this study is to compare whether or not there is a difference between venous and capillary blood samples in blood glucose measurements and investigate the effects of different aseptic methods used in skin cleaning before collecting blood samples on measurement results. This quasi-experimental study was conducted with 109 patients. The capillary first and second blood drop values taken from the patients after fasting and at 2 hours following 75 g oral glucose tolerance test (OGTT) and capillary and venous blood glucose values were compared. There was no significant difference between the median venous blood glucose value and the capillary second blood drop value taken after wiping the finger with alcohol. There was no significant difference between the first and second blood drop values of capillary blood glucose 2 hours after OGTT.
      Citation: Clinical Nursing Research
      PubDate: 2021-07-05T07:22:31Z
      DOI: 10.1177/10547738211024782
       
  • Men’s Perceptions of Violence against Women: Improving Cultural Literacy
           for Combating Violence within Family

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      Authors: Ahlam Al-Natour, Gordon Lee Gillespie
      Abstract: Clinical Nursing Research, Ahead of Print.
      While research evidence exists about Jordanian men’s perceptions and attitudes about violence against women (VAW), there is a scientific gap for addressing VAW as a Jordanian cultural norm. This study aimed to describe Jordanian men’s perceptions and attitudes toward VAW, leading factors for VAW, and strategies to combat VAW. A qualitative descriptive design was used with 14 Jordanian men and semi-structured interviews. Nine themes emerged: men’s definitions of VAW, men’s beliefs and attitudes about VAW, men’s feelings toward VAW, intensifying factors for VAW, men’s justification for women staying in abusive relationships, the hazardous impact of VAW, experience of using violence against wives, men’s strategies for combating VAW, and absence or limited role of services for victims of VAW. Men in many cultures including Jordan inherit structured patriarchal ideology, which gives men the perceived right to control women and to manage familial conflict. Inherited cultural beliefs about male roles within families should be restructured by collaborating with community stakeholders to combat VAW.
      Citation: Clinical Nursing Research
      PubDate: 2021-06-30T09:56:04Z
      DOI: 10.1177/10547738211027223
       
  • Nursing Diagnosis for Potential Organ Donors: Accuracy Study

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      Authors: Luciana Nabinger Menna Barreto, Éder Marques Cabral, Marina Raffin Buffon, Juliana Elenice Pereira Mauro, Lisiane Pruinelli, Miriam de Abreu Almeida
      Abstract: Clinical Nursing Research, Ahead of Print.
      The objective was to analyze the diagnostic accuracy of Impaired physiological balance syndrome in potential brain-dead organ donors. It is a study of diagnostic accuracy. Data was retrospectively collected from 145 medical records through the filling out of an instrument containing 25 indicators of the nursing diagnosis (ND). Descriptive and inferential statistics were used. The prevalence of the ND was 77 (53.1%). The indicator with the best measures of accuracy was altered heart rate. Therefore, it has the best predictive capacity for determining the ND. It was identified that the absence of the indicators altered heart rate, hyperglycemia, and altered blood pressure is associated with the absence of the ND, while the presence of the indicators hyperthermia, hypothermia, and altered heart rhythm is associated with the presence of the ND. Accurate indicators will assist in diagnostic inference and the interventions and results will have greater chances of targeting and effectiveness.
      Citation: Clinical Nursing Research
      PubDate: 2021-06-28T11:52:39Z
      DOI: 10.1177/10547738211019435
       
  • Efficacy of Benson’s Relaxation Technique on Anxiety and Depression
           among Patients Undergoing Hemodialysis: A Systematic Review

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      Authors: Haya Ibrahim Ali Abu Maloh, Kim Lam Soh, Mohannad Eid AbuRuz, Seng Choi Chong, Siti Irma Fadhilah Ismail, Kim Geok Soh, Dima Ibrahim Abu Maloh
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study aimed to evaluate the efficacy of Benson’s relaxation technique on anxiety and depression among patients undergoing hemodialysis. A systematic review of randomized controlled trials was conducted. Searching databases included EBSCO Host, PubMed, ProQuest, Science Direct, Sage Journals, Ovid, and Google Scholar from January 2000 to September 2020. Five randomized controlled trials were identified. Findings revealed a statistically significant decrease in anxiety score. Concerning depression; one RCT showed a statistically significant decrease and two RCTs revealed a non-significant difference in depression level. The overall quality of the RCTs was not high. Despite that the RCTs showed benefits of BRT in managing anxiety. However, this is not the same for depression. The lack of high-quality scientific evidence supporting its retinue use indicates that additional well designed randomized controlled trials in multiple countries are warranted to support the efficacy of Benson’s relaxation technique on anxiety and depression among patients undergoing hemodialysis.
      Citation: Clinical Nursing Research
      PubDate: 2021-06-23T11:40:46Z
      DOI: 10.1177/10547738211024797
       
  • Coping as a Mediator of the Relationship between Stress and Anxiety in
           Caregivers of Patients with Acute Stroke

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      Authors: Yoonmi Lee, Yeoungsuk Song
      Abstract: Clinical Nursing Research, Ahead of Print.
      According to Lazarus and Folkman’s theory, stress and coping affect an individual’s anxiety, which is an adaptive outcome. This study examined the mediation effects of stress-coping strategies on the relationship between stress and anxiety in caregivers of patients with acute stroke. A cross-sectional descriptive design was used to analyze a total of 131 caregivers caring for patients with acute stroke at a university hospital. The Caregivers Stress Scale, Ways of Coping Questionnaire, and Korean Beck Anxiety Inventory were used to quantify the participants’ responses. Our results revealed that emotion-focused coping (β = .56, p 
      Citation: Clinical Nursing Research
      PubDate: 2021-06-09T09:25:53Z
      DOI: 10.1177/10547738211021223
       
  • The Online Use of the Newest Vital Sign in Adolescents

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      Authors: Elizabeth Perry Caldwell, Erin Elizabeth Killingsworth
      Abstract: Clinical Nursing Research, Ahead of Print.
      Seventy percent of premature adult deaths are caused by adolescent behaviors. Data suggests that health literacy may influence adolescent behaviors. However, adolescent health literacy research is scarce; and, timely, more robust data is imperative. Nonetheless, many potential study samples are currently inaccessible due to the pandemic. Thus, there is an immediate need to evaluate online adolescent health literacy research modalities to further the science. The purpose of this study is to explore the psychometric properties of online administration of the Newest Vital Sign (NVS) health literacy instrument in adolescents. A total of 105 adolescents completed the study via Qualtrics. Internal consistency reliability of the online NVS was good (α = .77). There was, however, no significant correlation between online and in-person comparison scores (r = .05, p = .59). This study yields clinically significant results showing insight into the online NVS for adolescents, providing a foundation for future adolescent health literacy research.
      Citation: Clinical Nursing Research
      PubDate: 2021-06-03T05:21:38Z
      DOI: 10.1177/10547738211021423
       
  • The Effect of ShotBlocker Application on Intramuscular Injection Pain in
           Adults: A Meta-Analysis

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      Authors: Seda Şahan, Ayşegül Yildiz
      Abstract: Clinical Nursing Research, Ahead of Print.
      This meta-analysis study was conducted to determine the effects of ShotBlocker application during administration of intramuscular injections to adult patients for providing an evidence-based practice. The PubMed, Scopus, Science Direct, Ovid and Google Scholar databases were used for the literature review. The literature review was conducted by two researchers using the key phrases intramuscular injection AND ShotBlocker AND pain AND adults. According to the result of the meta-analysis, the pain levels in the experiment group in which ShotBlocker was used during IM injection to adult patients was found to be significantly different in comparison to the control group (SMD = −0.769, 95% CI = −1.449 to −0.090, p = .027). As a result of the meta-analysis, it was found that ShotBlocker application in IM injection in adult patients reduced patients’ pain intensity. High-quality studies conducted with appropriate research methods are required for achieving a more comprehensive and effective result.
      Citation: Clinical Nursing Research
      PubDate: 2021-06-01T10:23:39Z
      DOI: 10.1177/10547738211021225
       
  • Irritable Bowel Syndrome and Coping Strategies: A Cross-sectional Study
           for Identifying Psychological Alarms and Factors Related to Coping in
           Riyadh, Saudi Arabia

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      Authors: Abeer Selim, Samah Saad Salem, Noura Albasher, Ghadah Bakrmom, Samar Alanzi, Hoda Jradi
      Abstract: Clinical Nursing Research, Ahead of Print.
      Psychological alarms including severity of pain, functional impairment, depression, and impaired coping strategies have been correlated with (IBS); however, these attributes, particularly coping strategies, have not been well studied. The aim of this study was to assess psychological alarms, life stressors, and coping strategies of adults diagnosed with IBS. A total of 806 participants completed a self-administered survey consisting of socio-demographic data and life stressors, the Rome IV criteria to diagnose IBS, the Psychological Alarm Questionnaire, and the Coping Strategies Questionnaire (CSQ 24). IBS diagnosis was established among 372 (46.15%) participants. Anxiety (OR = 1.81; 95% CI: 1.35–2.45), severe pain (OR = 1.92; 95% CI: 1.42–2.63), financial life stressors (OR = 1.98; 95% CI: 1.33–2.40), and coping strategies such as reinterpretation (OR = 1.92; 95% CI: 1.39–2.68) and diversion (OR = 2.01; 95% CI: 1.05–3.89) were all significantly and independently associated with IBS diagnosis. Giving the chronic nature of IBS, future research should focus on coping as a potential treatment goal for IBS patients.
      Citation: Clinical Nursing Research
      PubDate: 2021-05-31T06:14:56Z
      DOI: 10.1177/10547738211020437
       
  • Optimizing the InterRAI Assessment Tool in Care Planning Processes for
           Long-Term Residents: A Scoping Review

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      Authors: Steve Iduye, Tracie Risling, Shelley McKibbon, Damilola Iduye
      Abstract: Clinical Nursing Research, Ahead of Print.
      The aim of this review was to chart and report on existing literature that discusses how the interRAI assessment tool drives care-planning processes for residents in long-term-care settings. This scoping review was informed by the Joanna Briggs Institute guidelines for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guideline. Relevant studies were obtained from databases search of CINAHL (EBSCO), MEDLINE (Ovid), PsycINFO (EBSCO), Academic Search Premier (EBSCO), Embase (Elsevier), ProQuest Nursing and Allied Health Database (ProQuest), Sociological Abstracts (ProQuest), and Social Services Abstracts (ProQuest). Of the 17 included studies, five (29.4%) addressed interRAI’s minimum dataset component as a clinical data-collection tool; five (29.4%) addressed interRAI’s assessment scales and its clinical-assessment protocols as viable health-assessment tools; four (23.5%) considered interRAI’s assessment scales in terms of whether this tool is capable of predicting residents’ health risks; one (5.9%) addressed the effects of interRAI’s care plans on residents’ health outcomes; and the remaining two studies (11.8%) used interRAI’s quality-indicator function for both the performance of and improvements in the quality of care. The scoping review finds that there is no substantial evidence that supports the implementation of interRAI care plans for consistent health outcomes.
      Citation: Clinical Nursing Research
      PubDate: 2021-05-31T06:13:03Z
      DOI: 10.1177/10547738211020373
       
  • Determinants of Self-Rated Health Among Middle-Aged and Elderly Patients
           with COPD: The China Health and Retirement Longitudinal Study

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      Authors: Cui Wang, Limin Wang, Luoya Hou, Han Lu, Shaomei Shang
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study aimed to assess self-rated health (SRH) status and its determinants in patients with chronic obstructive pulmonary disease (COPD). Participants aged at least 45 years were included from a nationally representative investigation in 2015. The SRH assessment was divided into two groups: “good” and “not good.” Independent samples t-tests, chi-square tests, and Fisher’s exact tests were used to determine differences in patient characteristics between the two groups. Multiple logistic models were used to determine factors influencing SRH. A total of 1,215 patients with COPD were included in the final analysis, of whom 21.2% reported favorable SRH status. The results indicated that female gender, non-smoking, and elevated peak expiratory flow correlated with better SRH, while nighttime sleep duration less than 7 hours, asthma, and disability, negatively impacted SRH. Our findings provide new evidence for the development of effective health promotion programs for the well-being of patients with COPD.
      Citation: Clinical Nursing Research
      PubDate: 2021-05-28T08:35:55Z
      DOI: 10.1177/10547738211018818
       
  • Factors Influencing the Physical Restraint of Patients in the
           Neurosurgical Intensive Care Unit

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      Authors: Yuanyuan Ji, Xin Yang, Jun Wang, Weixin Cai, Fengli Gao, Hongyan Wang
      Abstract: Clinical Nursing Research, Ahead of Print.
      The purpose of this study was to investigate the current status of physical restraint of patients in the neurosurgical intensive care unit (NSICU) and analyze the factors influencing this measure using a cross-sectional study design. A total of 312 patients from four tertiary hospitals in NSICU were investigated in Beijing, China. The rate of physical restraint of patients in the NSICU was 42.9%. In 41.8% of cases, nurses performed physical restraint based on experience, and 45.5% of patients had physical restraint-related nursing records. Binary logistic regression analyses revealed that physical restraint was associated with delirium, mild-to-moderate disturbance of consciousness, history of extubation, surgery, and use of sedatives within 24 hour. Analysis of related factors can provide a reference for nurses and managers to improve physical restraint strategies.
      Citation: Clinical Nursing Research
      PubDate: 2021-05-19T11:27:45Z
      DOI: 10.1177/10547738211016874
       
  • Correlation Between Functional Health Literacy and Self-efficacy in People
           with Type 2 Diabetes Mellitus: Cross-sectional Study

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      Authors: Luis Angel Cendejas Medina, Renan Alves Silva, Magda Milleyde de Sousa Lima, Lívia Moreira Barros, Rafael Oliveira Pitta Lopes, Geórgia Alcântara Alencar Melo, José Cláudio Garcia Lira Neto, Joselany Áfio Caetano
      Abstract: Clinical Nursing Research, Ahead of Print.
      To analyze the correlation between functional health literacy (FHL) and self-efficacy (SE) in people with type 2 Diabetes Mellitus. Cross-sectional study was conducted among September and October 2019, with 196 people with type 2 diabetes. Data were collected using the Functional Literacy in Health instrument (B-TOFHLA) and the Diabetes Management Self-Efficacy Scale for Patients with Type 2 Diabetes Mellitus (DMSES). Bivariate analysis was used to verify the relationship among the constructs. Most diabetics showed an average B-TOFHLA score of 74.75, considered adequate, and self-efficacy of 4.07, high. The association between SE and FHL in the bivariate analysis found no statistical significance (p > .05), in the same sense as the B-TOFHLA score and the DMSES domains (p > .05). Constructs were not related to each other in terms of skills arising from judgments and decisions with motivational confidence by the investigated audience.
      Citation: Clinical Nursing Research
      PubDate: 2021-03-29T11:48:29Z
      DOI: 10.1177/10547738211006841
       
  • Psychometric Properties of the Korean Version of the Patient Knowledge
           Questionnaire-Osteoarthritis

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      Authors: Jung-Suk Kim, Chun-Ja Kim, Elizabeth A. Schlenk
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study examined the psychometric properties of the Korean version of the Patient Knowledge Questionnaire-Osteoarthritis (PKQ-OA-K). A cross-sectional survey was conducted with 157 adults with osteoarthritis from the outpatient clinic at a university hospital in Korea. The overall correct answer rate for the PKQ-OA-K was 60.4%; notably, the drug therapy subscale had the lowest median score percentage (42.9%). For structural validity, exploratory factor analysis identified the PKQ-OA-K as two-dimensional, explaining 52.4% of the total variance. Confirmatory factor analysis showed that the two-factor model adequately fit the data. The PKQ-OA-K was positively correlated with education level (r = 0.24) and osteoarthritis outcomes (r = 0.17), thus verifying the hypotheses of construct validity. The intraclass correlation coefficient for test-retest reliability was 0.52; alpha was 0.44. The PKQ-OA-K has excellent validity but imperfect reliability for adults with osteoarthritis. This study recommends cautious use of the PKQ-OA-K to assess Korean patients’ knowledge of osteoarthritis.
      Citation: Clinical Nursing Research
      PubDate: 2021-03-22T10:00:53Z
      DOI: 10.1177/10547738211001964
       
  • Exoskeletons in Nursing and Healthcare: A Bionic Future

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      Authors: Siobhan O’Connor
      First page: 1123
      Abstract: Clinical Nursing Research, Ahead of Print.
      This editorial summarizes the emergence of bionic technology in the form of exoskeletons and how these wearable robotics are and could be applied in the nursing profession to improve the occupational health of nurses and deliver patient care. The benefits, risks, and limitations of these novel technologies are also briefly discussed.
      Citation: Clinical Nursing Research
      PubDate: 2021-08-09T06:54:24Z
      DOI: 10.1177/10547738211038365
       
  • Effect of Undertriage on the Outcomes of Cancer Patients with Febrile
           Neutropenia, Sepsis, and Septic Shock

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      Authors: Anas Alsharawneh
      First page: 1127
      Abstract: Clinical Nursing Research, Ahead of Print.
      Sepsis and neutropenia are considered the primary life-threatening complications of cancer treatment and are the leading cause of hospitalization and death. The objective was to study whether patients with neutropenia, sepsis, and septic shock were identified appropriately at triage and receive timely treatment within the emergency setting. Also, we investigated the effect of undertriage on key treatment outcomes. We conducted a retrospective analysis of all accessible records of admitted adult cancer patients with febrile neutropenia, sepsis, and septic shock. Our results identified that the majority of patients were inappropriately triaged to less urgent triage categories. Patients’ undertriage significantly prolonged multiple emergency timeliness indicators and extended length of stay within the emergency department and hospital. These effects suggest that triage implementation must be objective, consistent, and accurate because of the several influences of the assigned triage scoring on treatment and health outcomes.
      Citation: Clinical Nursing Research
      PubDate: 2021-03-02T06:35:39Z
      DOI: 10.1177/1054773821999688
       
  • Identifying a Clinical Risk Triage Score for Adult Emergency Department

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      Authors: Aiqun Zhu, Xiao Liu, Jingping Zhang
      First page: 1135
      Abstract: Clinical Nursing Research, Ahead of Print.
      Emergency triage is crucial for the treatment and prognosis of emergency patients, but its validity needs further improvement. The purpose of this study was to identify a risk score for adult triage. We conducted a regression analysis of physiological and biochemical data from 1,522 adult patients. A 60-point triage scoring model included temperature, pulse, systolic blood pressure, oxygen saturation, consciousness, dyspnea, admission mode, syncope history, chest pain or chest tightness, complexion, hematochezia or hematemesis, hemoptysis, white blood count, creatinine, bicarbonate, platelets, and creatine kinase. The area under curve in predicting ICU admission was 0.929 (95% CI [0.913–0.944]) for the derivation cohort and 0.911 (95% CI [0.884–0.938]) for the validation cohort. Four categories: critical level (≥13 points), severe level (6–12 points), urgency level (1–5 points), and sub-acute level (0 points) were divided, which significantly distinguished the severity of emergency patients.
      Citation: Clinical Nursing Research
      PubDate: 2021-03-27T05:55:05Z
      DOI: 10.1177/10547738211003273
       
  • Caring for a Child with Cancer: Experiences of Jordanian Mothers

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      Authors: Khulood K. Shattnawi, Heba Okour, Ahlam Alnatour, Nihaya Al-Sheyab, Lina Mrayan, Rachel A. Joseph
      First page: 1144
      Abstract: Clinical Nursing Research, Ahead of Print.
      The diagnosis of childhood cancer is one of the most serious and unexpected experiences a mother can endure. A descriptive phenomenological approach was used to explore the experiences of mothers of children diagnosed with cancer in Jordan. Themes that emerged include (1) Emotional response on knowing the diagnosis (feelings of shock, lack of preparedness, denial, and feelings of “paralysis”), (2) Fear of the dreaded disease (fear of suffering and fear of death), and (3) The challenges of the treatment journey (inadequate financial resources, role transition, and feeling socially isolated). This study describes the experiences of Jordanian mothers who care for their children diagnosed with cancer so that health care providers can develop strategies to provide adequate psychological support to these mothers.
      Citation: Clinical Nursing Research
      PubDate: 2021-03-19T06:12:38Z
      DOI: 10.1177/10547738211002021
       
  • Mediation of Coping Strategies among Patients with Advanced Cancer

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      Authors: Nurul Huda, Yun-Yen, Hellena Deli, Malissa Kay Shaw, Tsai-Wei Huang, Hsiu-Ju Chang
      First page: 1153
      Abstract: Clinical Nursing Research, Ahead of Print.
      The purpose of this study was to test the mediating effects of coping on relationships of psychological distress and stress with anxiety, depression, and quality of life. A cross-sectional and correlational research study was used to recruit a sample of 440 patients with advanced cancer in Indonesia. A bootstrap resampling procedure was used to test the significance of the total and specific indirect effects of coping. Data analysis showed that problem-focused coping (PFC) mediated relationships of psychological distress and stress on depression, anxiety and functional well-being. PFC also mediated the relationship between stress and social well-being. Emotional-focused coping (EFC) mediated the relationship of stress with physical and emotional well-being. EFC also mediated the relationships between psychological distress and physical well-being. Thus, proper assessments and interventions should be tailored and implemented for patients in order to facilitate their use of coping strategies when needed in stressful situations.
      Citation: Clinical Nursing Research
      PubDate: 2021-04-03T07:47:58Z
      DOI: 10.1177/10547738211003276
       
  • Dietary Intake Assessment, Severity of Symptoms, and Pain in Women with
           Fibromyalgia

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      Authors: María Correa-Rodríguez, Blanca Rueda-Medina, Antonio Casas-Barragán, Rosa María Tapia-Haro, Francisco Molina, María Encarnación Aguilar-Ferrándiz
      First page: 1164
      Abstract: Clinical Nursing Research, Ahead of Print.
      A cross-sectional study was conducted to assess dietary intake in 92 FMS compared to 96 healthy control patients and to examine the potential associations between daily intake and pain and the severity of symptoms in women with FMS. The tender point count (TPC), the Visual Analog Scale (VAS), and the Revised Fibromyalgia Impact Questionnaire (FIQR) were assessed. FIQ-R correlated negatively with phosphorus (r = −.230, p = .028), iron (r = −.320, p = 0.002), zinc (r = −.238, p = .023), vitamin B1 (r = −.218, p = .038), vitamin B6 (r = −.123, p = .012), folic acid (r = −.250, p = .017), and vitamin C (r = −.217, p = .039). A negative correlation was also found between VAS pain and the intake of vitamin B6 (r = −.322, p = .002). Lower intakes of certain micronutrients correlated with higher scores in FIQ-R and a lower intake of vitamin B6 correlated with higher scores in VAS pain, supporting the potential relevance of these micronutrients in the severity of symptoms and in levels of global pain in FMS women.
      Citation: Clinical Nursing Research
      PubDate: 2021-04-24T11:27:38Z
      DOI: 10.1177/10547738211012464
       
  • Educating Post-Partum Women: Interventions to Improve Engagement

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      Authors: Pamela C. Spigelmyer, Austin Winberg, Michael Heyd
      First page: 1174
      Abstract: Clinical Nursing Research, Ahead of Print.
      Women giving birth in in-patient maternity units are required to complete certain education. The aim of this study was to investigate the effects of prompting on post-partum women’s education engagement (time from assignment to completion) while testing the feasibility of staff nurses assisting in research. A quasi-experimental design was used with 141 women allocated by admission date to one of three groups (usual care and two intervention) between September 2014 and December 2015. Intervention group I women were quickest to engage in their education and had the shortest length of stay. Significance was found for academic attainment (df = 1, F = 6.218, p = .014), partial eta squared = 0.053 and R2 = 0.124. Women who had attended college engaged more quickly in all groups than those who had not. This statistically significant finding indicates how nurses can identify patients needing more assistance. Nurses reported no adverse effects on care.
      Citation: Clinical Nursing Research
      PubDate: 2021-05-22T11:08:55Z
      DOI: 10.1177/10547738211018316
       
  • Olfactory Stimulation of Preterm Infants with Breast Milk

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      Authors: Woon Ae Lee, Jin Suk Ra
      First page: 1183
      Abstract: Clinical Nursing Research, Ahead of Print.
      Maintaining stable physiological responses may be important for the growth and development of preterm infants. The purpose of our study was to evaluate the effects of olfactory stimulation with maternal breast milk on the occurrence of abnormal physiological responses in preterm infants. With a non-equivalent control group pretest-posttest design, 13 preterm infants in the experimental group and 18 preterm infants in the control group completed the intervention. The intervention was implemented three times a day for 5 days in a row with 2 hours of administration per intervention. The frequency of abnormal physiological responses was assessed over 6 days (one day before intervention administration and 5 days during intervention administration). With repeated-measures analysis of variance, the experimental group showed a significantly lower frequency of apnea than the control group (p = .021). Olfactory stimulation with maternal breast milk may be an effective nursing intervention for reducing apnea episodes in preterm infants.
      Citation: Clinical Nursing Research
      PubDate: 2021-06-07T06:25:34Z
      DOI: 10.1177/10547738211018913
       
  • Asian Pacific Americans Living with HIV Who Were Smuggled Immigrants: A
           Qualitative Study

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      Authors: Feifei Huang, Wei-Ti Chen, Cheng-Shi Shiu, Wenxiu Sun, Abigail Radaza, Lance Toma, Binh Vinh Luu, Judy Ah-Yune
      First page: 1193
      Abstract: Clinical Nursing Research, Ahead of Print.
      Migrant smuggling is a humanitarian crisis that impacts public health. A limited number of studies have focused on the links between migrant smuggling and its impact on the risk of infectious diseases, including HIV, for those smuggled. To explore these links, we conducted in-depth interviews with 11 Asian and Pacific Americans (APA) living with HIV in New York and Los Angeles. Qualitative content analysis revealed that smuggled immigrants described their experience as one with opportunity and danger. Smuggled immigrants, who aimed to achieve their American dream, were influenced by hometown pioneers who successfully journeyed to the United States and by the prospect of gaining legal status through immigration policy similar to the 1986 amnesty. Unfortunately, the long and dangerous journey exposed the immigrants to health problems, including risk for HIV. Thus, health care providers for immigrants should assess their migration routes and screen for infectious diseases.
      Citation: Clinical Nursing Research
      PubDate: 2021-05-26T09:20:44Z
      DOI: 10.1177/10547738211008572
       
  • Perceived Health Status and its Correlates among Middle-Aged Laotians

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      Authors: Younhee Kang, Kyungock Yi, Gunjeong Lee, Yuri Kim, Minah Kang, Boeun Kim, Yujin Hur, Yookyung Choi, Sumin Park
      First page: 1202
      Abstract: Clinical Nursing Research, Ahead of Print.
      The purpose of this study is to identify the determinants of perceived health status among Laotian aged 40 to 59. A total of 922 men or women in their 40’s or 50’s living in Vientiane Capital and Province, Lao People’s Democratic Republic were included in the study. Hierarchical multiple regression was used to analyze the data. Perceived health status was negatively correlated with chance health locus of control and physical symptom frequency and positively correlated with doctors health locus of control. Age, drinking, difficulty in health utilization, physical activity, physical symptom frequency, and doctors health locus of control explained 23.5% of the variance in perceived health. To prevent the non-communicable disease, action should be taken not only at the individual level but also at the healthcare system level. In the health care fields, the targeted intervention based on the findings of this study should be devised.
      Citation: Clinical Nursing Research
      PubDate: 2021-03-29T11:44:34Z
      DOI: 10.1177/10547738211005029
       
  • Sexual Experiences of Patients with Acute Onset of Coronary Artery Disease
           in Korea

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      Authors: Nayeon Shin, Jiyoung Kim
      First page: 1211
      Abstract: Clinical Nursing Research, Ahead of Print.
      Research on the sex life experiences of patients with acute onset of coronary artery disease (CAD) in Korea is limited. This study explored the sex life experiences of Korean patients with acute onset of CAD. In-depth interviews were conducted from April 2019 to March 2020 and responses were analyzed using Colaizzi’s phenomenological method. Participants were nine patients with acute onset of CAD. Five theme clusters were discovered: clearing some doubts about CAD and sex, but remains confused; becoming disheartened after disease onset in a society that considers discussion about sex as taboo; avoiding sexual intercourse after recognizing changes in sexual function; experiencing an imbalance in their relationship with their spouse; and hoping to overcome sex life difficulties and return to their old self. Overall, participants experienced challenges in their sex lives after diagnosis and treatment of CAD. The study results contribute to the nursing knowledge on sexual experiences after CAD.
      Citation: Clinical Nursing Research
      PubDate: 2021-03-10T10:19:34Z
      DOI: 10.1177/1054773821998543
       
  • Impact of Sleep Apnea, Daytime Sleepiness, Comorbidities, and Depression
           on Patients’ Heart Failure Health Status

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      Authors: Ubolrat Piamjariyakul, April L. Shapiro, Kesheng Wang, Rafia Zulfikar, Trisha Petitte, Saima Shafique, Carol E. Smith
      First page: 1222
      Abstract: Clinical Nursing Research, Ahead of Print.
      There is a gap in current research on common factors that impact patients with advanced heart failure (HF). The purpose of this secondary data analysis was to explore associations of those factors with three empirically verified measures of HF-related clinical, physical, and mental health status. Baseline data of 198 advanced systolic HF (EF 
      Citation: Clinical Nursing Research
      PubDate: 2021-05-12T01:07:32Z
      DOI: 10.1177/10547738211015545
       
  • Translation, Adaptation, and Validation of Chronic Kidney Disease
           Self-Management and Knowledge Instruments for People at Pre-Dialysis Stage
           in the Arab World

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      Authors: Hayfa Almutary, Nahla Tayyib
      First page: 1231
      Abstract: Clinical Nursing Research, Ahead of Print.
      Knowledge is critical for self- management, however there are no measures available in Arabic to effectively assess knowledge and self-management for chronic kidney disease (CKD). The aim of this study was to translate, culturally adapt, and validate Chronic Kidney Disease Self-Management Instrument-29 (CKD-SM-29) and Kidney Disease Knowledge survey (KiKs) for use by Arabic-speaking health professionals and patients. The study was carried out in two phases: translation and cultural adaptation, and validation. Instruments were translated from English to Arabic then adapted and validated using 203 pre-dialysis CKD patients. Face validity and internal consistency were demonstrated for Arabic versions of CKD-SM-29 and KiKs. Cronbach’s α for the CKD-SM-29 was .91 for KiKS was .78. Test-retest revealed good stability over a 1-week period. Intra Class Correlation coefficient for CKD-SM-29 was .90 and was .78 for KiKS. Convergent and discriminative validity were also demonstrated for the translated instruments. The validity and reliability of the Arabic CKD-SM-29 and KiKs were demonstrated. The translated instruments are culturally adapted and will support care of patients with CKD in Arabic-speaking countries.
      Citation: Clinical Nursing Research
      PubDate: 2021-04-03T07:56:39Z
      DOI: 10.1177/10547738211006242
       
  • Development and evaluation of the Coronary Artery Disease Empowerment
           Scale (CADES) in Korea

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      Authors: Jiyoung Kim, Nayeon Shin, Kyungmi Lee
      First page: 1241
      Abstract: Clinical Nursing Research, Ahead of Print.
      The study aimed to develop and test the Coronary Artery Disease Empowerment Scale in Korea and assess its initial aspects of validity and reliability. The participants included 301 patients diagnosed with coronary artery disease, receiving regular outpatient and inpatient care. Data were collected from August to December 2019. The exploratory factor analysis resulted in extracting 25 items and three factors—self-determination, emotional self-regulation, and personal competence of disease management perception—with a cumulative explanatory power of 55.40%. A significant correlation was found between the Korean versions of the Cardiac Self-efficacy Scale (r = .31, p 
      Citation: Clinical Nursing Research
      PubDate: 2021-03-29T11:41:26Z
      DOI: 10.1177/10547738211003387
       
  • Examining the Relationship between Older Adults’ Readiness for Discharge
           after Surgery and Satisfaction with Nursing Care and the Associated
           Factors

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      Authors: Altun Baksi, Hamdiye Arda Sürücü, Hale Turhan Damar, Meltem Sungur
      First page: 1251
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study aimed to examine the relationship between older adults’ readiness for discharge after surgery and satisfaction with nursing care and effects factors, using a descriptive, cross-sectional design that included 204 older adults. Examining the state of readiness for the discharge of older adults who underwent surgery in terms of the expected support sub-dimension of patients revealed that the presence of someone to support home care, the existence of health insurance, living with someone, undergoing emergency surgery, and being illiterate were statistically significant predictors. Thought of improvement in terms of nursing care between prior hospitalization and the latest hospitalization, use of intensive care unit, male, nursing care satisfaction, and the existence of health insurance were statistically significant predictors of the readiness for discharge in older adults after surgery in terms of personal status sub-dimension. Accordingly, an individual approach that takes these characteristics/variables into account is recommended when planning discharge.
      Citation: Clinical Nursing Research
      PubDate: 2021-05-03T11:01:38Z
      DOI: 10.1177/10547738211011768
       
  • Patients’ and Nurses’ Demographics and Perceived Learning Needs
           Post-Coronary Artery Bypass Graft

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      Authors: Ahmed Al-Maskari, Huda Al-Noumani, Mohammed Al-Maskari
      First page: 1263
      Abstract: Clinical Nursing Research, Ahead of Print.
      Worldwide, the number of coronary artery bypass grafts (CABG) surgeries significantly increased. To develop effective discharge planning and avoid complications, patients learning needs are essential to be examined. The study examined the difference between patients’ and nurses’ perceptions of post-CABG learning needs and the relationship between patients’ and nurses’ demographic variables and the perceptions of the learning needs. This study included 180 participants (90 nurses, 90 patients). Data were collected from two cardiac centers in Oman using a modified cardiac patient learning need inventory and analyzed using descriptive and inferential statistics. The findings showed: (1) there was a significant difference in perceived learning needs between nurses and patients, and (2) patients’ learning needs differed significantly by gender, marital status, education, and occupation. This study highlights that post-CABG patients’ learning needs should be assessed despite patients’ demographical characteristics to individualize education planning and prevent complications.
      Citation: Clinical Nursing Research
      PubDate: 2021-01-23T11:55:34Z
      DOI: 10.1177/1054773821990266
       
  • Patient-Readiness for Discharge and 30-Day Adherence to Treatment After
           Coronary Stent Implantation

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      Authors: Wei Liang, Danni Zuo, Master Candidate, Tangyihua Li, Huihua Zhao
      First page: 1271
      Abstract: Clinical Nursing Research, Ahead of Print.
      This study aimed to explore the association between readiness for hospital discharge and 30-day adherence to treatment among patients with coronary heart disease who have undergone coronary stent implantation. A prospective, observational study design was adopted. A total of 153 participants were recruited from five cardiovascular units of a tertiary care teaching hospital in China. Data were collected using the Readiness for Hospital Discharge Scale, Morisky, Green, and Levine Adherence Scale, and Patients’ Adherence to Treatment Questionnaire. The results showed that patient-readiness for discharge was high whereas the 30-day adherence to treatment remained suboptimal. Readiness for hospital discharge and medical history of hypertension were significantly associated with patients’ 30-day adherence to blood pressure self-monitoring and control ([math] .05). This study demonstrates the importance of paying attention to discharge preparation service as it may improve patients’ 30-day adherence to treatment after coronary stent implantation.
      Citation: Clinical Nursing Research
      PubDate: 2021-03-01T09:51:39Z
      DOI: 10.1177/1054773821998550
       
  • Post-Bariatric Surgery Care in Israeli Adolescents: A Qualitative Study

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      Authors: Raya Tashlizky Madar, Neriya Zion Yohay, Orli Grinstein Cohen, Lea Cohen, Nitza Newman-Heiman, Yael Dvori
      First page: 1281
      Abstract: Clinical Nursing Research, Ahead of Print.
      Undergoing bariatric surgery is a life-changing experience for adolescents. However, little is known about post-bariatric surgery management among Israeli adolescents. We aimed to identify the post-operative needs and support from a qualitative aspect. Seventeen adolescents who underwent bariatric surgery were interviewed by semi-structure telephone interview. The interview guide was validated by 10 content experts from different hospitals across the country. Data were collected in 2018. Analysis of the interviews revealed three major themes: “multi-disciplinary team management,” “patient satisfaction,” and “follow-up.” The “multi-disciplinary team management” theme was further divided into three major categories: “pain management,” “physiotherapy,” and “nutrition.” “Patient satisfaction” was further divided into “guidance” and “team handling” categories. The “follow-up” theme included recommendations for improvement. The analysis provides novel information about adolescents’ needs after bariatric surgery. Healthcare professionals’ awareness of the adolescents’ perspective could contribute to providing optimal post-operative care to this population.
      Citation: Clinical Nursing Research
      PubDate: 2021-03-23T10:19:13Z
      DOI: 10.1177/10547738211000064
       
  • Comparison of Postoperative Pain Management Outcomes in the United States
           and China

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      Authors: Hui Wang, Gwen D. Sherwood, Shuang Liang, Zhiyi Gong, Liying Ren, Huaping Liu, Iat Kio Van
      First page: 1290
      Abstract: Clinical Nursing Research, Ahead of Print.
      To compare pain management outcomes in postoperative patients from an American hospital and a Chinese hospital. A convenience sample of 244 patients in the United States and 268 patients in China with similar surgical sites completed the American Pain Society Patient Outcome Questionnaire-Revised (APS-POQ-R) and the Pain Management Index (PMI) was calculated on their first postoperative day. Patients in the United States reported a higher score on the “perception of pain management” subscale of the APS-POQ-R and a higher proportion of adequate treatment as measured by the PMI (85.2% vs. 39.0%, p 
      Citation: Clinical Nursing Research
      PubDate: 2021-05-17T01:39:29Z
      DOI: 10.1177/10547738211012832
       
 
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