Publications
Publications
Defining new immigrant communities: Implications for prevention planning
Shedlin, M., & Decena, C. (2005). AIDS & Anthropology Bulletin, 17(2), 3-4.
Detection of silent myocardial ischemia in asymptomatic diabetic subjects [7] (multiple letters)
Bhalodkar, N. C., Blum, S., Wackers, F. J., Young, L. H., Inzucchi, S. E., & Chyun, D. A. (2005, January 1). In Diabetes Care (Vols. 28, Issue 1, pp. 231-233). 10.2337/diacare.28.1.231
Development of a questionnaire to measure heart disease risk knowledge in people with diabetes: The Heart Disease Fact Questionnaire
Wagner, J., Lacey, K., Chyun, D., & Abbott, G. (2005). Patient Education and Counseling, 58(1), 82-87. 10.1016/j.pec.2004.07.004
Abstract
This paper describes a paper and pencil questionnaire that measures heart disease risk knowledge in people with diabetes. The Heart Disease Fact Questionnaire (HDFQ) is a 25-item questionnaire that was developed to tap into respondents' knowledge of major risk factors for the development of CHD. Approximately half of these items specifically address diabetes-related CHD risk factors. Based on extensive pilot data, the current study analyzed responses from 524 people with diabetes to assess the psychometric properties. The HDFQ is readable to an average 13-year old and imposes little burden. It shows good content and face validity. It demonstrates adequate internal consistency, with Kuder-Richardson-20 formula = 0.77 and good item-total correlations. Item analysis showed a desirable range in P-values. In discriminant function analyses, HDFQ scores differentiated respondents by knowledge of their own cardiovascular health, use of lipid lowering medications, health insurance status, and educational attainment, thus indicating good criterion related validity. This measure of heart disease risk knowledge is brief, understandable to respondents, and easy to administer and score. Its potential for use in research and practice is discussed. Future research should establish norms as well as investigate its test-retest reliability and predictive validity.
Diabetes education intervention: An integrative review
Siripitayakunkit, A., Hanucharurnkl, S., & Melkus, G. (2005). Thai Journal of Nursing Research, 9(1), 13-27.
"Dissed" by dating violence
Amar, A. F., & Alexy, E. M. (2005). Perspectives in Psychiatric Care, 41(4), 162-171. 10.1111/j.1744-6163.2005.00032.x
Abstract
PROBLEM. This study describes the impact of the experience of dating violence on the daily lives of college women. METHODS. Qualitative content analysis was used to analyze transcribed responses from an open-ended question about the impact of dating violence. FINDINGS. Eight thematic categories emerged: emotional distress, distrust and using extra precautions, disconnected and distant in relationships, self-discontentment, disclaiming the experience, feeling disenfranchised, life disruption, and turning a situation from disempowering to empowering. CONCLUSIONS. Understanding the perspective of dating violence victims assists the advanced practice psychiatric nurse (APPN) with planning effective care. Routine screening about past and present experiences of violence must occur with all young women. Providers must be knowledgeable about available resources for victims.
Do women in the community recognize hereditary and sporadic breast cancer risk factors?
Katapodi, M. C., & Aouizerat, B. E. (2005). Oncology Nursing Forum, 32(3), 617-623. 10.1188/05.ONF.617-623
Abstract
Purpose/Objectives: To describe knowledge of hereditary, familial, and sporadic breast cancer risk factors among women in the community and to identify characteristics associated with this knowledge. Design: Descriptive, cross-sectional. Setting: Community settings in the San Francisco Bay Area. Sample: 184 women who had never been diagnosed with cancer, were 30-85 years old (X=47 ± 12), and agreed to complete a questionnaire in Engfish. Participants were from diverse racial and cultural backgrounds (i.e., 43% European descent, 27% African descent, 16% Asian descent, and 14% Hispanic descent). Many (49%) were college graduates, and 24% had a median annual family income of $30,000-$50,000. Methods: Survey. Main Research Variables Knowledge of hereditary, familial, and sporadic breast cancer risk factors and characteristics associated with this knowledge. Findings: Although most women recognized heredity as a risk factor, some did not understand the impact of paternal family history on risk. Some women did not recognize the relationship between breast and ovarian cancer, risk factors associated with the Gail model, and that aging increases risk. Education level was the most important characteristic associated with knowledge of risk factors. Conclusions: Although age and family history are independent predictors of sporadic, hereditary, and familial breast cancer risk, women in the community could not distinguish between the three forms of the disease. Although the sample included a large number of educated women, their knowledge of breast cancer risk factors appeared incomplete. Implications for Nursing: Advanced practice nurses should provide Individualized risk assessment and education regarding breast cancer risk factors.
Documentar la falta de personal: Un equilibrio deficil
Squires, A. (2005). Nursing (Español), 43.
Does biofeedback improve the efficacy of pelvic floor muscle rehabilitation for urinary incontinence or over active bladder dysfunction in women?
Gray, M., & David, D. J. (2005). Journal of Wound, Ostomy and Continence Nursing, 32(4), 222-225. 10.1097/00152192-200507000-00005
Drug and sexual risk in four men who have sex with men populations: Evidence for a sustained HIV epidemic in New York City
Clatts, M. C., Goldsamt, L. A., & Yi, H. (2005). Journal of Urban Health, 82, i9-i17. 10.1093/jurban/jti019
Abstract
The objective of this article was to examine drug and sexual risk in four salient groups of men who have sex with men (MSM) in New York City (NYC): (1) nonhomeless young MSM (YMSM), (2) homeless YMSM, (3) adult MSM Speed users, and (4) HIV-positive "POZ Party" MSM. Lifetime and current exposure to drugs, drug injection, and selected drug-sex interactions are highlighted in each group. Data derive from recently completed field-based, ethnoepidemiological studies that used venue-oriented/targeted sampling and semistructured interviews. Across all four groups, findings show that both drug and sexual risk remain prevalent in the MSM population in NYC. This is especially troubling given the already high background prevalence of HIV and other sexually transmitted diseases in NYC and the widespread suffering and death already wrought by HIV/AIDS among MSM. These findings suggest that available public health interventions today are, in many respects, failing to reach, engage, and affect critical risk groups within the NYC MSM population.
Dynamics of nutritional health in a community sample of American elders: A multidimensional approach using Roy Adaptation Model
Chen, C. C. H., Chang, C. K., Chyun, D. A., & McCorkle, R. (2005). Advances in Nursing Science, 28(4), 376-389. 10.1097/00012272-200510000-00009
Abstract
Nutritional health of community-dwelling elders has been shown to be one of the prime indices of health, influencing the elders' ability to live independently. However, little research has been directed toward understanding the dynamics of nutritional health in community-dwelling elders using a multidimensional theory approach. The purpose of this study was to evaluate the dynamics of nutritional health within the context of Roy Adaptation Model. Factors associated with nutritional health of community-dwelling elders were cross-examined. Depressive symptoms, functional status, oral health, and income emerged as independent predictors of nutritional health adjusting for confounders. This finding lends support to the notion that multidimensional biopsychosocial factors contribute to the dynamics of nutritional health.
Effects of nurse-coordinated intervention on patients with type 2 diabetes in Korea
Kim, H. S., Oh, J. A., & Lee, H. O. (2005). Journal of Nursing Care Quality, 20(2), 154-160. 10.1097/00001786-200504000-00011
Abstract
This study investigated the effects of a nurse-coordinated intervention on patients with type 2 diabetes in Korea. Fifteen patients were randomly assigned to an intervention group and 10 to a control group. The intervention was implemented for 12 weeks by telephone. Patients in the intervention group had a mean decrease of 1.2% in glycosylated hemoglobin (HbA1c) levels and those in the control group had a mean increase of 0.5%. Patients' satisfaction with care was higher in the intervention group than in the control group after the intervention. These findings indicated that the nurse-coordinated intervention could improve HbA1c levels and satisfaction with care in patients with type 2 diabetes in Korea.
An emerging HIV risk environment: A preliminary epidemiological profile of an MSM POZ Party in New York City
Clatts, M. C., Goldsamt, L. A., & Yi, H. (2005). Sexually Transmitted Infections, 81(5), 373-376. 10.1136/sti.2005.014894
Abstract
Objective: To develop a preliminary epidemiological description of a men who have sex with men (MSM) "POZ Party," an emerging sex environment for HIV+ MSM. Methods: As part of a pilot study in New York City in 2003, data were collected using a brief, behavioural intercept survey at entry to POZ Party events. Domains include demographic characteristics, history of HIV infection, motivations for attending POZ parties, lifetime and recent exposure to drugs (including use during POZ Party events), and recent sexual practices (both within both POZ Party venues as well as in non-POZ Party venues). Results: Predominantly white and over the age of 30, subjects in the sample include a broad range of years living with HIV infection. Motivations for using a POZ Party venue for sexual partnering include relief from burdens for serostatus disclosure, an interest in not infecting others, and opportunities for unprotected sexual exchange. High rates of unprotected sex with multiple partners are prevalent in the venue. Although the sample evidences high rates of lifetime exposure to illicit drugs, relatively little drug use was reported in these sexual environments. These reports are consistent with evidence from direct observation at the venues themselves, in which no drug use was apparent. Conclusion: Serosorting among HIV+ MSM may reduce new HIV infections, a stated interest of both POZ Party organisers and participants alike. However, high rates of unprotected anal intercourse within these venues signal continued risk for STIs. Additionally, unprotected sexual contact with HIV partners and status unknown partners outside POZ Party venues heightens concern for diffusion of HIV superinfection.
Emerging services for community-based long-term care in urban China: A systematic analysis of Shanghai's community-based agencies
Wu, B., Carter, M. W., Turner Goins, R., & Cheng, C. (2005). Journal of Aging and Social Policy, 17(4), 37-60. 10.1300/J031v17n04_03
Abstract
China's rapid economic reforms, coupled with the changes in age composition of the demographic structure, have greatly affected the traditional family support system. In response to these changes, efforts to develop new models of community-based long-term care (CBLTC) for elders in China have received growing attention. This paper provides a systematic analysis of the current status of emerging CBLTC systems in Shanghai, China. It covers several domains of the system: service delivery, workforce, financing, and quality of care management. Several main issues involved in the development of the emerging system are addressed, and relevant policy implications are presented in the paper.
Examining nurses' decision process for medication management in home care.
Kovner, C., Menezes, J., & Goldberg, J. D. (2005). Joint Commission Journal on Quality and Patient Safety Joint Commission Resources, 31(7), 379-385. 10.1016/S1553-7250(05)31051-8
Abstract
BACKGROUND: The process of medication management within home care agencies was prospectively described, with a focus on the nurse's role and critical points in the process. The process the nurse must follow includes preparing, checking, and administering medications; updating knowledge of medications; monitoring the effectiveness of treatment; reporting adverse reactions; and teaching patients about their drugs. PROCESSES FOR MEDICATION MANAGEMENT IN HOME HEALTH CARE: The steps that home health nurses (HHNs) go through with families and the system changes that could be developed to decrease errors were identified. The approach was based on Failure Mode and Effects Analysis-a method to identify and prevent process problems before they occur. The medication management process was divided into drug utilization review (DUR) for duplicative and harmful interactions; drug administration by the patient, family member, and/or caregiver; and side effects. Failure modes were developed for a DUR for duplicative and harmful interactions. DISCUSSION: Home health agencies should analyze the medication management process in their own agencies and identify system solutions. The difficulty encountered by HHNs in contacting physicians to discuss changes to the drug regimen following the assessment of potential drug interactions or duplications is an ongoing problem. Careful monitoring by HHNs could decrease the impact of adverse drug effects.
Factors influencing the use of registered nurse overtime in hospitals, 1995-2000
Berney, B., Needleman, J., & Kovner, C. (2005). Journal of Nursing Scholarship, 37(2), 165-172. 10.1111/j.1547-5069.2005.00032.x
Abstract
Purpose: To assess nurse overtime in acute care general hospitals and the factors that influence overtime among various hospitals and in the same hospitals from year to year. Methods: Staffing data from 1995 to 2000 from 193 acute general hospitals in New York State were used to examine hospital characteristics (size, location, RN unionization, hospital ownership, and teaching status) to determine whether they were associated with nurse overtime. Results: The average weekly overtime RNs worked was 4.5% of total hours, varying from almost none to 16.6%. At mean overtime levels, nurses were working less overtime than the mean for manufacturing workers, but, at the extreme, nurses were working more than 6 hours overtime per week. Significant differences were observed in the use of overtime by hospital ownership and by union status. Nurses in government hospitals worked less overtime than did those in nongovernment hospitals. Nurses in unionized hospitals worked slightly more overtime than did nurses in nonunionized hospitals. Conclusions: Hospitals varied dramatically in their overtime use. That some categories of hospitals (e.g., government-owned) used little overtime indicates that hospital management can find substitutes for overtime to meet fluctuating staffing needs. The finding that hospitals with similar characteristics varied greatly in their number of overtime hours also supported this conclusion.
Forward
Kovner, C. (2005). In B. Cleary & R. Rice (Eds.), Nursing workforce development (1–, p. xii-xiv). Springer.
From science to service
Nieva, V., Murphy, R., Ridley, N., Donaldson, N., Combes, J., Mitchell, P., Kovner, C., Hoy, E., & Carpenter, D. (2005). In K. Henriksen, J. Battles, D. Lewin, & E. Marks (Eds.), Advances in patient safety: A framework for the transfer of patient safety research into practice (1–). Agency for Healthcare Research and Quality.
Functional outcomes for older adults with cognitive impairment in a comprehensive outpatient rehabilitation facility
Yu, F., Evans, L. K., & Sullivan-Marx, E. M. (2005). Journal of the American Geriatrics Society, 53(9), 1599-1606. 10.1111/j.1532-5415.2005.53453.x
Abstract
The purpose of the study was to examine functional outcomes of a nurse-managed, community-based Comprehensive Outpatient Rehabilitation Facility (CORF) for frail older adults and to compare the outcomes between two groups: older adults with cognitive impairment and those with intact cognition. A retrospective cohort design using healthcare record abstraction was used for the study. Two hundred and one older adults who were admitted to the CORF from the end of 1997 to early 1999 were included in the study. Data were abstracted from healthcare records, including clinician-generated Mini-Mental State Examination, Geriatric Depression Scale, and Functional Independence Measure scores from the healthcare records and investigator-constructed measures of functional gain, rehabilitation efficiency, days of service, and discharge location. Multivariate regression analyses were performed to compare rehabilitation outcomes between the two groups. Regardless of cognitive status, all subjects improved significantly in their levels of functional dependence through participating in this outpatient rehabilitation program (P<.001). Subjects with cognitive impairment exhibited more functional dependence at baseline and discharge than did their cognitively intact counterparts. Nevertheless, there was no difference between the two groups in functional gain (P = .63), rehabilitation efficiency (P = .66), days of service (P = .83), or discharge location (P =.69). Therefore, despite their greater degree of functional dependence on admission, older adults with cognitive impairment benefited from this CORF without requiring more days of service and should thus be referred for rehabilitation services.
Funded research: Genetics dissection of nonalcoholic fatty liver disease
Aouizerat, B. (2005). American Liver Foundation Newsletter.
Genetics
Aouizerat, B. (2005). In . Woods, . Froelicher, . Underhill Motzer, & . Bridges (Eds.), Cardiac nursing (5th eds., 1–, pp. 111-121). Lippincott Williams & Wilkins.
Georgia case brings np educational debate to light
Newland, J. (2005). Nurse Practitioner, 30(9). 10.1097/00006205-200509000-00001
HCV pre- and post-test counseling services at drug treatment programs: Missed opportunities for primary prevention
Munoz-Plaza, C., Strauss, S., Astone, J., Des Jarlais, D. C., & Hagan, H. (2005). Contemporary Drug Problems, 32, 655-675.
Head and neck cancer patient and family member interest in and use of E-mail to communicate with clinicians
Kagan, S. H., Clarke, S. P., & Happ, M. B. (2005). Head and Neck, 27(11), 976-981. 10.1002/hed.20263
Abstract
Background. E-mail is actively discussed as a promising method for clinical communication, but little study of patient and family preferences regarding its use has been done. This study aimed to describe patients' and family members' interest in and use of E-mail with their surgeons and nurses after head and neck cancer surgery. Methods. Surveys were distributed to patients and family members attending postoperative clinic visits. Seventy-four patients and 35 caregivers completed the surveys. Results. Although one in three patients expressed interest in E-mailing their clinicians, only 9.5% reported actually doing so. Symptom management and prescription refills were the most common issues addressed by E-mail. Few family members expressed any interest in using E-mail. Conclusions. The findings suggest that E-mail communication between patients with head and neck cancer or their family members with surgeons and nurses is not common. Interest in using E-mail tends to be stronger among patients than family members.
Health behaviors and socioeconomic status
Mao, Z., & Wu, B. (2005). In J. Hu & . Et Al. (Eds.), Hubei Health Services Survey (1–, pp. 140-153). Hubei Science Publisher.
Health care and social service use among Chinese immigrant elders
Aroian, K. J., Wu, B., & Tran, T. V. (2005). Research in Nursing and Health, 28(2), 95-105. 10.1002/nur.20069
Abstract
We explored patterns and reasons for health and social service use among Chinese immigrant elders. Interviews were conducted with 27 Chinese immigrant elders, 11 adult care giving children, and 12 health and social service providers. Content analysis of these data indicated that participants across groups agreed that Chinese elders underutilize services because of problems related to language, transportation, cost, long waits for appointments, and because of cultural norms/values related to need for care, preference for self-over professional care, fear, and distrust of western biomedicine, and the obligation to refrain from using formal services. These problems are complicated by geographical dispersion and dialect differences in the local Chinese immigrant community.