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Appl Nurs Res 2020 May 15:151297. Epub 2020 May 15.

UC San Diego Health, United States of America.

Aim: To determine the correlation between meaning and joy in work among managers with employee engagement.

Background: The Institute of Healthcare Improvement and the National Patient Safety Foundation both recognize the link between joy and meaning in work and an optimally performing healthcare system. The relationship between manager joy and employee engagement is unknown. Read More

Appl Nurs Res 2020 May 12:151290. Epub 2020 May 12.

Morristown Medical Center, 100 Madison Avenue, Box 163, Morristown, NJ 07960, United States of America. Electronic address:

Appl Nurs Res 2020 Jun 6;53:151251. Epub 2020 Mar 6.

NYU Langone Heath, Departments of Nursing, 545 First Avenue GH-SC1-164, New York, NY 10016, United States of America. Electronic address:

Appl Nurs Res 2020 Jun 19;53:151268. Epub 2020 Apr 19.

University College Absalon, Sorø,Denmark.

Background: Nursing tasks are changing as the proportion of people over the age of 65 years is increasing and is expected to double over the next four decades. New innovative solutions such as Point of Care Treatment (POCT) are being tested in oncological settings in order to optimise treatment, and this changes the nurse management in oncology. There is a need to explore oncology nurses' perception and experience when implementing the innovations in order to understand the implications for nursing and the treatment of older patients with cancer. Read More

Appl Nurs Res 2020 Jun 19;53:151269. Epub 2020 Apr 19.

College of Nursing, Ewha Womans University, Seoul, Republic of Korea. Electronic address:

Aim: This study aimed to evaluate the effects of auricular acupressure (AA), a non-invasive type of reflexotherapy, on sleep quality and anxiety in patients after cardiac surgery.

Background: Sleep disturbances and anxiety hinder the recovery of patients after cardiac surgery; thus, appropriate and adequate nursing interventions must be pursued. AA is a complementary therapy suitable for patients with limited pharmacological therapy options. Read More

Appl Nurs Res 2020 Jun 19;53:151267. Epub 2020 Apr 19.

Jonas Veterans Health Scholar, University of Missouri, 1 University Blvd, Ste. 40, Saint Louis, MO 63121, United States of America. Electronic address:

Aim: The purpose of this paper is to present the conceptual framework that was used to guide a study on the development of type 2 diabetes mellitus (T2DM).

Background: The Stress and Coping Framework for Type 2 Diabetes Mellitus was developed in response to a review of the literature that suggests psychological stress, or simply distress, can contribute toward the development of T2DM with the established risk factors of genetic risk for diabetes (GRD), obesity, and advancing age. The literature shows that distress can influence insulin sensitivity and contribute to the development of T2DM; however, much of the literature fails to acknowledge the influence of distress in collaboration with GRD, obesity, and advancing age. Read More

Appl Nurs Res 2020 Jun 11;53:151266. Epub 2020 Apr 11.

University of Lisbon, Faculty of Human Kinetics, Aventura Social, Lisbon, Portugal; University of Lisbon, Faculty of Medicine, Environmental Health Institute (ISAMB), Lisbon, Portugal.

Aim: To describe and analyse the PUs problem based on data from hospital electronic health records.

Methods: A retrospective cohort descriptive study was performed based on electronic health records (medical and nursing) from adult patients (≥18 years) admitted to medical, surgical and orthopaedics wards during 2016 after implementation of National Strategy of Patient Safety 2015-2020. Ethical approval was obtained. Read More

Appl Nurs Res 2020 Jun 18;53:151270. Epub 2020 Apr 18.

Department of Nursing, Health Sciences Faculty Bartın University, Bartın, Turkey. Electronic address:

Aim: This study examined eating attitudes, perceptions of body image and quality of life of patients before and after bariatric surgery.

Methods: This prospective, descriptive study was conducted with fifty patients between April 23, 2018 and November 05, 2018. The data were collected by a survey form, the Three-Factor Eating Questionnaire, the Body Image Perception Questionnaire and SF-36 Quality of Life Questionnaire. Read More

Appl Nurs Res 2020 Jun 5;53:151248. Epub 2020 Mar 5.

United States Air Force Academy, United States of America. Electronic address:

Background: Communicating pain is a difficult endeavor due to the lack of observable pathology, the immeasurable nature of pain, and the presence of comorbid symptoms. While research has shown the value of cure-centered and care-centered communication, it is unclear how chronic pain patients would like to structure pain communication with their providers so that it produces pain disclosure and emotional support. Aim This study examines communication preferences of chronic pain patients including types of questions asked and information received to allow a holistic portrayal of the experience of living with chronic pain. Read More

Appl Nurs Res 2020 Jun 5;53:151247. Epub 2020 Mar 5.

Istanbul University - Cerrahpasa, Florence Nightingale Faculty of Nursing, Istanbul, Turkey.

Background: Heart failure (HF) is associated with poor quality of life and increased morbidity and mortality.

Aim: This study aimed to investigate effect of application of Gordon's functional health pattern (FHP) model in nursing care of symptomatic HF patients on quality of life, morbidity and mortality in the post-discharge 30-day.

Methods: This is a prospective randomized controlled study conducted in a single center. Read More

Appl Nurs Res 2020 Jun 7;53:151249. Epub 2020 Mar 7.

Department of Nursing, University of West Attica, Ag. Spiridonos 28, 12243 Aegaleo, Greece. Electronic address:

Aim To identify the experiences related to adaptation for people living with HIV in Greece and to explore different adaptation stages as well as their individual reactions.

Background: Receiving an HIV positive diagnosis leads to major changes in an individual's life and it can trigger an array of emotions including fear, despair and loss of control. As the profile of the disease has changed due to its transition into a chronic disease and extended life expectancy, adaptation to life and coping with uncertain events is of paramount importance. Read More

Appl Nurs Res 2020 Jun 18;53:151243. Epub 2020 Feb 18.

Ascension, St. Louis, MO, United States.

Aim: To validate the psychometrics of the Hendrich II Fall Risk Model (HIIFRM) and identify the prevalence of intrinsic fall risk factors in a diverse, multisite population.

Background: Injurious inpatient falls are common events, and hospitals have implemented programs to achieve "zero" inpatient falls.

Methods: Retrospective analysis of patient data from electronic health records at nine hospitals that are part of Ascension. Read More

Appl Nurs Res 2020 May 16:151283. Epub 2020 May 16.

Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.

Background: People living with HIV/AIDS (PLWHA) are a vulnerable group who experience multiple physiological and psychological symptoms. A better understanding of unmet symptom management needs will allow researchers to design interventions that are more reflective of deficits in care and more effective at improving patient care. Few studies have focused on unmet needs for symptom management in PLWHA particularly in China. Read More

Appl Nurs Res 2020 Mar 6:151250. Epub 2020 Mar 6.

Nursing Department, School of Medicine, Xiamen University, Xiamen City, Fujian Province 361101, China. Electronic address:

Background: To improve nursing quality and safety, it is essential to better understand relationships between sleep quality, mindfulness, and work-family conflict among nurses.

Purpose: To examine the relationships among sleep quality, mindfulness and work-family conflict, and the mediating effect of mindfulness.

Methods: A cross-sectional study was conducted using survey data from five comprehensive tertiary first-class hospitals in Xiamen. Read More

Appl Nurs Res 2020 Jun 24;53:151264. Epub 2020 Mar 24.

NewYork-Presbyterian, Columbia University Irving Medical Center (NYP/CUIMC), United States of America; Columbia University School of Nursing (CU Nursing), United States of America.

Appl Nurs Res 2020 Mar 7:151234. Epub 2020 Mar 7.

University of Massachusetts Boston, 100 Morrissey Boulevard, Boston, MA 02125, United States of America. Electronic address:

Appl Nurs Res 2020 04 20;52:151246. Epub 2020 Feb 20.

University of Massachusetts Amherst, Amherst, MA, United States of America; University of Pittsburgh, Pittsburgh, PA, United States of America.

Sleep disruptions are common in pregnancy and can have significant maternal and infant health consequences. Management of sleep using a personal health monitoring (PHM) device may be effective in promoting behavior change and contribute to improved pregnancy-related sleep. The purpose of this pilot, randomized controlled trial was to determine the feasibility of recruitment (i. Read More

Appl Nurs Res 2020 04 19;52:151245. Epub 2020 Feb 19.

Academic College of Tel Aviv Yaffo, Postal code G161001 Tel Aviv, Israel.

The scholarship of euthanasia indicates that in most cases, to date, non-voluntary euthanasia has been studied where euthanasia is legalized. Findings of these studies demonstrate the 'slippery slope' and reveal that non-voluntary euthanasia is pervasive in these countries. The research is aimed at answering two questions: (1) What are the common death hastening methods? (2) Is the acceptance of active non-voluntary euthanasia related to the legal status of euthanasia? A qualitative study was conducted in ICUs with 15 nurses. Read More

Appl Nurs Res 2020 Jun 24;53:151226. Epub 2019 Dec 24.

University of Nebraska Medical Center-College of Nursing, Omaha, NE, United States of America.

Appl Nurs Res 2020 04 18;52:151244. Epub 2020 Feb 18.

College of Nursing, Ewha Womans University, Seoul, Republic of Korea. Electronic address:

Appl Nurs Res 2020 Feb 8:151242. Epub 2020 Feb 8.

Department of Women's and Children's Health, Karolinska Institutet, Sweden. Electronic address:

Background: In 2017, a new clinical visit for non-birthing parents (e.g. fathers) of three-to-five month old infants was implemented in Stockholm County. Read More

Appl Nurs Res 2020 04 26;52:151224. Epub 2019 Dec 26.

MD Anderson, Department of Neuro-Oncology, Division of Cancer Medicine, United States of America.

Background: Persons living with HIV experience high symptom burden that can negatively impact medication adherence, work productivity, and quality of life. Symptoms are highly subjective, which can lead to under- or improper treatment. The purpose of this exploratory study was to examine relationships between circulating biomarkers representative of inflammatory, coagulation, and vascular function pathways and prevalent HIV symptoms. Read More

Appl Nurs Res 2020 04 7;52:151228. Epub 2020 Jan 7.

Washington University School of Medicine, 4921 Parkview Place, Suite C, Floor 8, St. Louis, MO 63110, United States of America. Electronic address:

Purpose: The purpose was to test a published model of body image in the bariatric surgery patient in the clinical office setting.

Background: A model was created based on clinical observations during field work and the literature. It focuses on five concepts of body image: body attitude, body checking, appearance orientation, perceived body size, and perceived body space. Read More

Appl Nurs Res 2020 04 9;52:151231. Epub 2020 Jan 9.

Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, Kyung Hee University School of Medicine, Republic of Korea.

Aim: To examine the effect of a 6-month, smartphone app-based self-management program for people with chronic obstructive pulmonary disease (COPD).

Background: Technological interventions have been used for chronic disease management, but the effect of a self-management program using a smartphone app has not been evaluated in people with COPD.

Methods: For this randomized controlled trial, patients with COPD (N = 44) were recruited in pulmonary medicine outpatient clinics at two, metropolitan, tertiary care, academic hospitals. Read More

Appl Nurs Res 2020 04 9;52:151233. Epub 2020 Jan 9.

University of Toledo, College of Health and Human Services, M.S. 1027, 3000 Arlington Ave., Toledo, OH 43614, United States of America. Electronic address:

Appl Nurs Res 2020 04 7;52:151232. Epub 2020 Jan 7.

East Carolina University College of Nursing, Greenville, NC 27858, USA.

Globally, patients with the co-morbidity of physical and mental illness experience greater health complexities than the general population. Yet nurses caring for medical-surgical patients with a secondary diagnosis of mental illness are often unprepared for these complexities. This paper focuses on professional experiences from a more extensive parent study that evaluated components of nursing preparedness (nursing care self-efficacy and mental health care competency) to provide care for medical-surgical patients who also have mental illness. Read More

Appl Nurs Res 2020 04 26;52:151227. Epub 2019 Dec 26.

College of Nursing, Ajou University, Suwon, South Korea. Electronic address:

Aim: We systematically reviewed the quality of sleep measurement instruments applied to shift-work nurses and analyzed the effects of intervention research.

Background: There is a need to test the effects of experimental studies worldwide that conducted interventions to improve the sleep quality of nurses who work shiftwork.

Methods: In this systematic literature review and meta-analysis, we used PICO (Participant, Intervention, Comparison, and Outcome) and searched for papers in Korean and English published up until August 2018. Read More

Appl Nurs Res 2020 Feb 26;51:151230. Epub 2019 Dec 26.

Department of Nursing, Institute of Health Science, Inje University, Busan, Republic of Korea. Electronic address:

Appl Nurs Res 2020 04 24;52:151225. Epub 2019 Dec 24.

School of Nursing, University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, United States of America.

Background: With life expectancy on the rise and the baby boomer generation growing older, Alzheimer's disease (AD) will affect more individuals and families than ever before. Therefore, it is imperative that healthcare providers identify the objective and perceived factors which positively and negatively affect the experience of progressing through AD.

Aim: The goal of this exploratory qualitative research is to begin to develop an in-depth description of the perceptions related to life satisfaction in early-to mid-AD from the patient and caregiver perspectives. Read More

Appl Nurs Res 2020 Feb 26;51:151229. Epub 2019 Dec 26.

University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, SP, Brazil. Electronic address:

Introduction: Contamination through the hands of professionals and surfaces is one of the main agents involved in health care-associated infections in health services. Flaws in the execution of hospital housekeeping can lead to the contamination of surfaces and health equipment though, representing a risk for patient safety and highlighting the need to maximize the quality of cleaning processes in these institutions.

Objective: To describe the profile of managers and environmental service workers (ESWs) in Brazilian hospitals. Read More

Appl Nurs Res 2020 Feb 20;51:151175. Epub 2019 Nov 20.

Nursing and Midwifery care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: Chronic back pain is one of the most common work-related diseases and most important of musculoskeletal disorders in nursing professionals and because of the physical and psychological effects, has a significant impact on quality of life (QOL). Acupressure is a holistic form of complementary medicine. This study aimed to investigate the effect of acupressure on QOL among female nurses with chronic back pain. Read More

Appl Nurs Res 2020 Feb 29;51:151223. Epub 2019 Nov 29.

West Virginia University School of Public Health, Morgantown, WV 26506, United States of America. Electronic address:

Purpose: This study assessed the acceptability and limited efficacy of a self-management intervention to improve lifestyle behaviors and headache outcomes among rural adolescents with recurrent headache.

Design And Methods: Participants were randomly assigned to a self-management intervention for adolescent headache (SMI-AH, n = 13) or standard care group (n = 17). The SMI-AH group participated in goal-setting, self-monitoring, and information processing to modify lifestyle behaviors (missed meals, caffeine intake, and poor sleep). Read More

Appl Nurs Res 2020 Feb 24;51:151188. Epub 2019 Oct 24.

Honor Health Thompson Peak Medical Center, 7400 E. Thompson Peak Parkway, Scottsdale, AZ 85255, USA. Electronic address:

Appl Nurs Res 2020 Feb 6;51:151199. Epub 2019 Nov 6.

Formerly: University of Maryland Baltimore School of Nursing, Baltimore, MD 21201, United States of America.

Well-designed, rigorously implemented instrumentation studies are essential to develop valid, reliable pain assessment tools in non-communicative (non-self-reporting) palliative care patients. When conducting a pain instrumentation study, a research team identified methodologic challenges surrounding informed consent, eligibility criteria, acute pain operational definitions, patient recruitment, missing data, and study-related training during a run-in phase at the beginning of the project and during the conduct of the study. The team dealt with these challenges through identifying root causes, implementing remedial measures, and collecting data to demonstrate improvement or resolution. Read More

Appl Nurs Res 2019 12 25;50:151200. Epub 2019 Oct 25.

Children's Hospital of Wisconsin, Milwaukee, WI, United States of America; University of Illinois at Chicago, College of Nursing, United States of America.

Background: Death of one's infant is devastating to parents, negatively impacting couple relationships and their own health. The impact of a prenatally diagnosed life-limiting fetal condition (LLFC) on parents of minority status is unclear.

Aim: This comparative mixed methods case study examined the person characteristics, quality of perinatal palliative care (PPC) received and parent health outcomes. Read More

Appl Nurs Res 2020 Feb 5;51:151190. Epub 2019 Oct 5.

University of Missouri Sinclair School of Nursing, United States of America.

Background: Falls and fall-related injuries remain an ongoing and serious health problem in older adults. Many clinical and environmental factors have been implicated in falls and recurrent falls, including sleep disturbances, sensory deficits, balance problems, incontinence, comorbid conditions, and certain categories of medications. We undertook this study to determine if there was an association between these factors and falls or recurrent falls in older adult residents of an aging in place community. Read More

Appl Nurs Res 2020 Feb 9;51:151210. Epub 2019 Nov 9.

Egan School of Nursing and Health Studies, Fairfield University, Fairfield, CT 06824, United States of America. Electronic address:

Appl Nurs Res 2019 12 7;50:151197. Epub 2019 Nov 7.

Continuing Education for the Kanarek Center for Palliative Care Nursing Education, Egan School of Nursing and Health Studies, Fairfield University, United States of America.

Aim: To evaluate the effectiveness of a palliative and end-of-life care nursing education program on nurses' knowledge and attitudes toward caring for patients with advanced serious illness or nearing death.

Background: It is projected that 9 million Americans will be over 85 years old, in the year 2030; many will be living with disabilities and serious medical conditions. Expanding access to palliative care resources and knowledgeable providers is essential for meeting the future demands required by the aging population. Read More

Appl Nurs Res 2019 12 24;50:151196. Epub 2019 Oct 24.

Fairfield University, Egan School of Nursing and Health Studies, 1073 North Benson Road, Fairfield, CT 06824-5195, United States of America. Electronic address:

Appl Nurs Res 2019 12 25;50:151206. Epub 2019 Oct 25.

Kanarek Center for Palliative Care Nursing Education, Egan School of Nursing and Health Studies Fairfield University, United States of America.

Appl Nurs Res 2019 12 21;50:151209. Epub 2019 Oct 21.

Hospital Universitario de Caceres, Servicio de Tocoginecología, Servicio Extremeño de Salud, Cáceres, Spain.

Appl Nurs Res 2019 12 20;50:151203. Epub 2019 Oct 20.

University of Massachusetts Boston, College of Nursing and Health Sciences, 100 William T. Morrissey Blvd., Boston, MA 02125-3393, United States. Electronic address:

Appl Nurs Res 2019 12 24;50:151198. Epub 2019 Oct 24.

Aims: To explore the challenge of losing a loved one who was hospitalized at end of life and identify approaches deemed most helpful by older adult family members to resolve this challenge.

Background: Nurses will be caring for a growing number of terminally ill older adults and their families. Research specific to older adults to address their needs when a loved one is dying is necessary to promote quality family-oriented care. Read More

Appl Nurs Res 2019 12 20;50:151201. Epub 2019 Oct 20.

East Carolina University College of Nursing, Department of Nursing Science, Greenville, NC, United States of America.

Background: Recruiting a diverse group of parents who are grieving the loss of a child into research is challenging. Social media users represent all demographic groups in the United States. Online platforms, such as Facebook and Twitter, may be one potential method to reach and recruit a diverse group of bereaved parents. Read More

Appl Nurs Res 2019 12 21;50:151205. Epub 2019 Oct 21.

Southern Connecticut State University, Department of Nursing, New Haven, CT 06515, United States of America. Electronic address:

This article presents select findings from an interpretive phenomenological study which aimed to describe the lived experience of parental bereavement. Six parents, each of whom experienced the death of a child due to cancer at least one year prior, participated in conversational interviews to share what it has been like for them since their child's death. Heideggerian (1962) phenomenology provided the philosophical underpinnings of the study, while van Manen's (1997) phenomenological method guided data collection and analysis. Read More

Appl Nurs Res 2019 12 29;50:151194. Epub 2019 Oct 29.

Medical University of South Carolina, College of Nursing, 99 Jonathan Lucas St., Charleston, SC 29425, USA. Electronic address:

The National Institutes of Nursing Research provides funding via the P20 grant mechanism for research infrastructure and resources to develop nurse scientists with expertise in symptom self-management. The Medical University of South Carolina College of Nursing was awarded a P20 grant in 2016 to build the Symptoms Self-Management Center for technology-enhanced interventions to address pain and fatigue in individuals with chronic health conditions. Resources were derived from three key subcores: bioinformatics, mHealth and eHealth consultative services, and community engagement. Read More

Appl Nurs Res 2020 Feb 23;51:151207. Epub 2019 Oct 23.

Department of Agricultural Extension and Rural Development, Faculty of Agriculture, University of Khartoum, Sudan.

Appl Nurs Res 2020 Feb 23;51:151208. Epub 2019 Oct 23.

Inönü University, Faculty of Nursing, Malatya, Turkey. Electronic address:

The study was conducted to evaluate the meaning of life and self-care agency in nursing care given to chronic obstructive pulmonary patients according to the health promotion model. The sample of the study was determined by power analysis and 40 COPD patients were assigned to each group by simple random sampling method. Descriptive Information Form, Life Attitude Profile and Self-care Agency Scale were used to obtain the data. Read More

Appl Nurs Res 2020 Feb 3;51:151189. Epub 2019 Sep 3.

Division of Pulmonary, Critical Care, and Sleep Medicine, School of Medicine, University of California, Davis, Sacramento, 4150 V Street, Suite 3400, CA 95817, United States of America.

Aim: To quantify the type and duration of physical activity performed by hospitalized adults.

Background: Inactivity is pervasive among hospitalized patients and is associated with increased mortality, functional decline, and cognitive impairment. Objective measurement of activity is necessary to examine associations with clinical outcomes and quantify optimal inpatient mobility interventions. Read More

Appl Nurs Res 2019 12 21;50:151204. Epub 2019 Oct 21.

University of Illinois at Chicago, College of Nursing, 845 S. Damen Ave., Chicago, IL 60612, United States; Children's Hospital of Wisconsin, 8915 W. Connell Ct., Milwaukee, WI 53226, United States.

Background: Neonatal Intensive Care Unit (NICU) nurses in Korea often experience challenges in providing care for dying infants and their families. However, there is limited understanding about what contributes to the challenges related to end-of-life care.

Purpose: To describe NICU nurses' perceived roles and challenges faced while providing end-of-life care in South Korea. Read More