Publications
Publications
The Association between Intergenerational Support and Self-Rated Health among Chinese Older Adults: Do Resilience and Gender Matter?
Liu, S., Zhang, W., Zhang, K., & Wu, B. (2023). Journal of Applied Gerontology, 42(1), 111-120. 10.1177/07334648221127882
Abstract
This study aims to examine the association between intergenerational support and self-rated health (SRH) levels using data collected from Chinese older adults residing in Honolulu, United States (N = 329). We also investigated the mediating role of resilience and the moderating role of gender in the association. We found that receiving emotional support was significantly and positively associated with better SRH for the whole sample. The positive effect of receiving emotional support on health was significant among older women only. In contrast, the beneficial effect of providing economic support on health was significant among older men only. We found that resilience significantly mediated the positive effect of received emotional support on SRH, and this effect was found for the whole sample and among older women. However, resilience did not mediate the positive effect of the economic support provided on SRH among older men.
The Benefits of a Diverse Nursing Workforce
Crespo-Fierro, M. (2023). American Journal of Nursing, 123(3), 17-18. 10.1097/01.NAJ.0000921780.57195.8a
The Cluster Randomized Trial Study Design
Capili, B., & Anastasi, J. K. (2023). American Journal of Nursing, 123(9), 57-60. 10.1097/01.NAJ.0000978168.48569.72
Abstract
Editor's note: This is the 17th article in a series on clinical research by nurses. The series is designed to be used as a resource for nurses to understand the concepts and principles essential to research. Each column will present the concepts that underpin evidence-based practice - from research design to data interpretation. To see all the articles in the series, go to https://links.lww.com/AJN/A204.
The complexity of providing behavioral healthcare in assisted living
Cortes, T. A., & Seidel, L. (2023). Geriatric Nursing, 54, 369-370. 10.1016/j.gerinurse.2023.10.010
The feasibility of a visiting professorship to introduce innovation into nursing education
Kelley, T., Bourgault, A., Meehan, C., & Chyun, D. (2023). Nursing Outlook, 71(3). 10.1016/j.outlook.2023.101987
The Impact of an Electronic Best Practice Advisory on Patients’ Physical Activity and Cardiovascular Risk
McCarthy, M., Szerencsy, A., Fletcher, J., Taza-Rocano, L., Hopkings, S., Weintraub, H., Applebaum, R., Schwartzbard, A., Mann, D. M., D’Eramo Melkus, G., Vorderstrasse, A., & Katz, S. (2023). Journal of Cardiovascular Nursing.
The Impact of COVID-19 on Systems of Care for Children and Youth With Special Health Care Needs
Cohen, S. S., Toly, V. B., Lerret, S. M., & Sawin, K. J. (2023). Journal of Pediatric Health Care, 37(2), 106-116. 10.1016/j.pedhc.2022.09.009
Abstract
Introduction: This article describes the challenges and opportunities that the COVID-19 pandemic presented for providing and coordinating care for children and youth with special health care needs (CYSHCN) who rely on a diverse array of systems to promote their health, education, and well-being. Method: Peer-reviewed published literature and reports from the national government and nonprofit organizations that advocate for CYSHCN were examined, particularly concerning systems that impacted CYSHCN during COVID-19. Results: Pre-COVID-19, CYSHCN and their families faced challenges accessing and coordinating care across diverse systems. COVID-19 exacerbated these challenges because of disruptions in care and services that negatively impacted CYSHCN. COVID-19 also highlighted opportunities for positive change and care innovations. Discussion: Understanding the systems of care that CYSHCN rely on and the effects of COVID-19 on these systems can enhance access to and quality of care. Recommendations are made for practice, leadership, research, and policy.
The Impact of Providing Free HIV Self-testing on Sexual Risk Behaviors Among Men who have Sex with Men in Hunan, China: A Randomized Controlled Trial
Zhang, C., Goldsamt, L. A., Zheng, S., Qian, H. Z., Wang, H., Li, Q., Li, X., & Koniak-Griffin, D. (2023). AIDS and Behavior, 27(2), 708-718. 10.1007/s10461-022-03804-4
Abstract
HIV self-testing (HIVST) increases testing frequency among men who have sex with men (MSM). However, its impact on sexual risk behaviors is unclear. In a randomized controlled trial conducted in Hunan Province, China, HIV-negative MSM were randomized to receive one of two interventions for one year: (1) facility-based HIV testing, or (2) facility-based HIV testing augmented with free HIVST. From April to June 2018, 230 MSM were enrolled. They self-reported sexual behaviors every 3 months for 12 months. Among 216 MSM with follow-ups (intervention: 110; control: 106), adjusting for potential confounders in Generalized Estimating Equation models, there were no statistically significant differences in consistent condom use with male partners (regular/casual) or female partners, nor on number of male or female sexual partners. Provision of free HIVST kits does not increase risky sex and should be included in comprehensive HIV prevention packages, particularly for sexual minority men in China.
The impact of systemic racism on health outcomes among Black women: Recommendations for change
James-Conterelli, S., Dunkley, D., McIntosh, J. T., Julien, T., Nelson, M. D., & Richard-Eaglin, A. (2023). Nurse Practitioner, 48(2), 23-32. 10.1097/01.NPR.0000000000000001
Abstract
Black women suffer disproportionately from healthcare inequities in comparison to their White counterparts. Using the Public Health Critical Race framework, this article explores the lasting effects of systemic racism on the health outcomes of Black women across the lifespan. A case study and specific strategies are presented to examine how clinicians, educators, and policymakers can work with Black women to mitigate and eliminate health inequities.
The Impact of the Early COVID-19 Pandemic on Registered Nurses’ Intent to Stay in Nursing
Yu, G., Kovner, C. T., Glassman, K., Devanter, N. V., Ridge, L. J., & Raveis, V. H. (2023). Policy, Politics, and Nursing Practice, 24(3), 168-177. 10.1177/15271544231160694
Abstract
The COVID-19 pandemic has been difficult for registered nurses. Media reports, most of them anecdotal, have reported upticks in nurse resignations, and plans to resign and/or leave nursing due to COVID-19. This article reports findings from an online anonymous 95-item survey completed by about 1,600 nurses from a New York City metropolitan area health system's (HS) four hospitals and ambulatory care centers about their COVID-19 experience in the spring of 2020, their intent to stay at the HS, and their intent to stay working as a nurse. Conducted early in the pandemic, this survey addresses a major gap in the literature, as there was no timely evaluation of nurses’ intent to leave during the “Great Attrition” wave or to stay during the “Great Attraction” trend. Among those nurses completing the survey, 85.7% reported that they planned to work as a nurse one year later and 77.9% reported that they planned to work at the HS one year later. Those nurses who obtained a master’s or doctoral degree as their first professional degree in nursing, or had a high level of mastery, were less likely to report an intent to stay at the HS. Those with no children, those who thought the HS was more supportive, and those who thought that registered nurse–medical doctor relations were higher were more likely to intend to stay at the HS. Those nurses who reported worse communication with their nurse manager were less likely to report an intent to stay in nursing. Those who reported lower stress, who were unmarried and had no children were more likely to intend to work as nurses. Our findings on nurses’ intent to leave their organization and their intent to leave nursing are much lower than reports in the popular press. Our data were collected early in the pandemic and it may not reflect the accumulated stress nurses experienced from witnessing the death of so many patients.
The Inclusion of LGBTQ+ Health across the Lifespan in Pre-Registration Nursing Programmes: Qualitative Findings from a Mixed-Methods Study
Brown, M., McCann, E., Webster-Henderson, B., Lim, F., & McCormick, F. (2023). Healthcare (Switzerland), 11(2). 10.3390/healthcare11020198
Abstract
Poor physical and mental ill-health is experienced by many LGBTQ+ people, compounded by a reluctance to access healthcare services. This reluctance is attributed to experiences of heteronormative assumptions and negative attitudes encountered. Despite increasing recognition of the need to include LGBTQ+ health in undergraduate healthcare programmes, inconsistencies and gaps in content, skills development, and assessment are still apparent. The aim of the study was to identify LGBTQ+ health content within nursing and midwifery pre-registration programmes and identify education best practice and innovation. A mixed-methods study involving a quantitative and qualitative design was undertaken. The qualitative findings from a nursing perspective were extracted from the dataset for further detailed analysis and are reported in this paper. Information about the study and an online survey were distributed to 135 Schools of Nursing and Midwifery in the UK and Ireland. Individual semi-structured online interviews took place with academics. Qualitative data from 29 survey responses and 12 follow-up interviews were thematically analysed. Eight of the 12 follow-up interviews were held with nursing academics and following data analysis three themes emerged: (i) LGBTQ+ health across the lifespan; (ii) taking the initiative for LGBTQ+ health inclusion; and (iii) identifying and overcoming challenges. The findings highlight the endeavours by nursing academics to integrate LGBTQ+ health within pre-registration programmes to meet the education needs of students and the opportunity to develop curriculum content to address the needs and concerns of LGBTQ+ people across the lifespan.
The number one challenge facing the nursing profession—A need for a fresh look
Clarke, S. (2023). Nursing Outlook, 71(3). 10.1016/j.outlook.2023.102005
The power of the language we use: Stigmatization of individuals and fellow nurses with substance use issues
Foli, K. J., Choflet, A., Matthias-Anderson, D., Mercer, M., Thompson, R. A., & Squires, A. (2023). Research in Nursing and Health, 46(1), 3-8. 10.1002/nur.22295
The promise and peril of ChatGPT in geriatric nursing education: What We know and do not know
Qi, X., Zhu, Z., & Wu, B. (2023). Aging and Health Research, 3(2). 10.1016/j.ahr.2023.100136
The relationship between social support and depression among HIV-positive men who have sex with men in China: the chain mediating role of psychological flexibility and hope
Wang, R., Zheng, F., Cao, G., Goldsamt, L. A., Shen, Y., Zhang, C., Yi, M., Peng, W., & Li, X. (2023). Frontiers in Public Health, 11. 10.3389/fpubh.2023.1271915
Abstract
Introduction: HIV and mental health problems are a global syndemic. One key issue is that the significant mental health problems among people vulnerable to acquiring or living with HIV have not been fully addressed. Access to social support has been one of the biggest challenges for HIV-positive men who have sex with men (HIV+ MSM). Lower social support has been linked to more severe depression symptoms. However, the mechanisms underlying the association between social support and depression in HIV+ MSM are unclear. Two possible mediators include hope and psychological flexibility. This study aimed to examine the relationship between social support and depression in HIV+ MSM and to explore the single mediating effects of hope and psychological flexibility and the chain mediating effect of these two variables on this relationship. Methods: A convenience sample was used to recruit participants from the designated HIV/AIDS hospital in Changsha city, Hunan Province of China. A total of 290 HIV+ MSM completed questionnaires. Results: Our findings showed that hope mediated the relationship between social support and depression in HIV+ MSM. Furthermore, the chain mediation model confirmed a direct negative association between social support and depression, but this relationship was largely mediated by the chain effects of hope and psychological flexibility. Conclusions: Integrating hope and psychological flexibility into interventions may provide better mental health support for HIV+ MSM and improve their wellbeing and quality of life.
The validity of hospital diagnostic and procedure codes reflecting morbidity in preterm neonates born <32 weeks gestation
Ryckman, K. K., Holdefer, P. J., Sileo, E., Carlson, C., Weathers, N., Jasper, E. A., Cho, H., Oltman, S. P., Dagle, J. M., Jelliffe-Pawlowski, L. L., & Rogers, E. E. (2023). Journal of Perinatology, 43(11), 1374-1378. 10.1038/s41372-023-01685-6
Abstract
Objective: To determine the validity of diagnostic hospital billing codes for complications of prematurity in neonates <32 weeks gestation. Study Design: Retrospective cohort data from discharge summaries and clinical notes (n = 160) were reviewed by trained, blinded abstractors for the presence of intraventricular hemorrhage (IVH) grades 3 or 4, periventricular leukomalacia (PVL), necrotizing enterocolitis (NEC), stage 3 or higher, retinopathy of prematurity (ROP), and surgery for NEC or ROP. Data were compared to diagnostic billing codes from the neonatal electronic health record. Results: IVH, PVL, ROP and ROP surgery had strong positive predictive values (PPV > 75%) and excellent negative predictive values (NPV > 95%). The PPVs for NEC (66.7%) and NEC surgery (37.1%) were low. Conclusion: Diagnostic hospital billing codes were observed to be a valid metric to evaluate preterm neonatal morbidities and surgeries except in the instance of more ambiguous diagnoses such as NEC and NEC surgery.
The value of including reproductive justice into nursing curricula
Niles, P. M., Augé, L., & Gilles, S. A. (2023). Nurse Education Today, 123. 10.1016/j.nedt.2023.105742
The year in reflection: Holding on to hope
Newland, J. A. (2023). Nurse Practitioner, 48(12), 6. 10.1097/01.NPR.0000000000000127
Time, Technology, Social Support, and Cardiovascular Health of Emerging Adults with Type 1 Diabetes
McCarthy, M. M., Yan, J., Jared, M. C., Ilkowitz, J., Gallagher, M. P., & Dickson, V. V. (2023). Nursing Research, 72(3), 185-192. 10.1097/NNR.0000000000000645
Abstract
Background Emerging adults with Type 1 diabetes (T1DM) face an increased risk of cardiovascular disease; however, there are both barriers and facilitators to achieving ideal cardiovascular health in this stage of their lives. Objectives The aim of this study was to qualitatively explore the barriers and facilitators of achieving ideal levels of cardiovascular health in a sample of emerging adults with T1DM ages 18-26 years. Methods A sequential mixed-methods design was used to explore achievement of ideal cardiovascular health using the seven factors defined by the American Heart Association (smoking status, body mass index, physical activity, healthy diet, total cholesterol, blood pressure, and hemoglobin A1C [substituted for fasting blood glucose]). We assessed the frequency of achieving ideal levels of each cardiovascular health factor. Using Pender's health promotion model as a framework, qualitative interviews explored the barriers and facilitators of achieving ideal levels of each factor of cardiovascular health. Results The sample was mostly female. Their age range was 18-26 years, with a diabetes duration between 1 and 20 years. The three factors that had the lowest achievement were a healthy diet, physical activity at recommended levels, and hemoglobin A1C of <7%. Participants described lack of time as a barrier to eating healthy, being physically active, and maintaining in-range blood glucose levels. Facilitators included the use of technology in helping to achieve in-range blood glucose and social support from family, friends, and healthcare providers in maintaining several healthy habits. Discussion These qualitative data provide insight into how emerging adults attempt to manage their T1DM and cardiovascular health. Healthcare providers have an important role in supporting these patients in establishing ideal cardiovascular health at an early age.
Tooth Loss, Periodontal Disease, and Mild Cognitive Impairment Among Hispanic/Latino Immigrants: The Moderating Effects of Age at Immigration
Luo, H., Wu, B., González, H. M., Stickel, A., Kaste, L. M., Tarraf, W., Daviglus, M. L., Sanders, A. E., & Cai, J. (2023). Journals of Gerontology - Series A Biological Sciences and Medical Sciences, 78(6), 949-957. 10.1093/gerona/glac178
Abstract
Background: The objectives were to assess (a) the association between poor oral health and mild cognitive impairment (MCI) in Hispanic/ Latino immigrants and (b) potential modification effects on this association by age at immigration. Methods: Data were from the Hispanic Community Health Study/Study of Latinos and its ancillary study—the Study of Latinos–Investigation of Neurocognitive Aging. MCI, a binary outcome variable, defined by the National Institute on Aging-Alzheimer’s Association criteria. The main exposure was significant tooth loss (STL), defined as a loss of 8 or more teeth, and periodontitis, classified using the Centers for Disease Control and Prevention and American Academy of Periodontology case classification. Multiple logistic regression was used to assess the association between STL/periodontitis and MCI and test moderation effects of age at immigration. The analytical sample comprised 5 709 Hispanic/Latino adult immigrants. Results: Hispanic/Latino immigrants with STL (adjusted odds ratio [AOR] = 1.36, 95% confidence interval [CI]: 1.01–1.85) were more likely to have MCI than those with greater tooth retention. Overall, migration to the United States after age 18 was associated with greater odds of MCI than migration at a younger age. A significant interaction effect between STL and age at immigration revealed that the effect of STL on MCI is even higher in those who immigrated to the United States at ages 35–49 years. Conclusions: STL is a significant risk factor for MCI and age at immigration had a modification effect on the association between STL and MCI. Better access to dental care, health education on risk factors of MCI, and promotion of good oral health may mitigate the burden of cognitive impairment in Hispanics/Latinos.
Toward a Stronger Post-Pandemic Nursing Workforce
Buerhaus, P., Fraher, E., Frogner, B., Buntin, M., O’reilly-Jacob, M., & Clarke, S. (2023). New England Journal of Medicine, 389(3), 200-202. 10.1056/NEJMp2303652
Transforming Nursing Home Teams: What We Can Do Now to Build a Stronger Nursing Home Workforce
Travers, J. L., Scales, K., Bonner, A., Longobardi, I., & Maki, S. (2023). Journal of the American Medical Directors Association, 24(12), 1807-1808. 10.1016/j.jamda.2023.10.018
Trauma Considerations
Merlo, G., & Sugden, S. G. (2023). In Lifestyle Psychiatry (1–, pp. 63-70). CRC Press. 10.1201/b22810-6
Abstract
Trauma is a complex phenomenon that has varying degrees of intensity and impairment for individuals who experience it. As a result, many develop chronic behavioral and physical health sequela that increase their interactions within the healthcare system. The chronicity of these symptoms is further complicated by their overarching adoption of shame, as an unintended chronic coping skill. Shame becomes a master or blanket emotion that suppresses other healthier emotions and healthy interactions with others and the individual’s community. As the majority of individuals have had traumatic exposures, it is hard for healthcare providers to know on the onset which of their patients experience ongoing sequela or not. Subsequently, unintended interactions with the healthcare system have worsened the trauma-related symptoms for many. Over the years, healthcare providers have been encouraged to adopt universal precautions for all blood-borne encounters. Similarly, healthcare providers are encouraged to implement trauma-informed care, universally, to all patients as a means to create healthier environments for healing.
Trauma Informed Educational Practices: An Educational Innovation for GraduateNursing Students
Aktan, N. M., Kwong, J., Robinson, M., Porter, S., Rawlins, L., & Dorsen, C. (2023). Online Journal of Issues in Nursing, 28(1). 10.3912/OJIN.Vol28No01Man02
Abstract
The signifi cance of trauma on the nursing workforce is of utmost importance in graduate nursing education. Competingroles of graduate nursing students, such as the demands of nursing practice and advanced education, can increasevulnerability to trauma and chronic stress. Stressors associated with graduate nursing education can signifi cantly impactstudent and program outcomes. Incorporating a trauma-informed approach to graduate-level education can be anessential component to support the needs of this student population. Creating and sustaining a trauma-informedacademic setting requires awareness, open-mindedness, empathy, and incorporating educational practices that promotehealing and mitigate harm. Nurse faculty can play a pivotal role in restructuring curriculum design to include principles ofa trauma-informed approach.
Trends in the survival benefit of repeat kidney transplantation over the past 3 decades
Sandal, S., Ahn, J. Y. B., Chen, Y., Massie, A. B., Clark-Cutaia, M. N., Wu, W., Cantarovich, M., Segev, D. L., & McAdams-DeMarco, M. A. (2023). American Journal of Transplantation, 23(5), 666-672. 10.1016/j.ajt.2023.01.008
Abstract
Repeat kidney transplantation (re-KT) is the preferred treatment for patients with graft failure. Changing allocation policies, widening the risk profile of recipients, and improving dialysis care may have altered the survival benefit of a re-KT. We characterized trends in re-KT survival benefit over 3 decades and tested whether it differed by age, race/ethnicity, sex, and panel reactive assay (PRA). By using the Scientific Registry of Transplant Recipient data, we identified 25 419 patients who underwent a re-KT from 1990 to 2019 and 25 419 waitlisted counterfactuals from the same year with the same waitlisted time following graft failure. In the adjusted analysis, a re-KT was associated with a lower risk of death (adjusted hazard ratio [aHR] = 0.63; 95% confidence interval [CI], 0.61-0.65). By using the 1990-1994 era as a reference (aHR = 0.77; 95% CI, 0.69-0.85), incremental improvements in the survival benefit were noted (1995-1999: aHR = 0.72; 95% CI, 0.67-0.78: 2000-2004: aHR = 0.59; 95% CI, 0.55-0.63: 2005-2009: aHR = 0.59; 95% CI, 0.56-0.63: 2010-2014: aHR = 0.57; 95% CI, 0.53-0.62: 2015-2019: aHR = 0.64; 95% CI, 0.57-0.73). The survival benefit of a re-KT was noted in both younger (age = 18-64 years: aHR = 0.63; 95% CI, 0.61-0.65) and older patients (age ≥65 years: aHR = 0.66; 95% CI, 0.58-0.74; Pinteraction = .45). Patients of all races/ethnicities demonstrated similar benefits with a re-KT. However, it varied by the sex of the recipient (female patients: aHR = 0.60; 95% CI, 0.56-0.63: male patients: aHR = 0.66; 95% CI, 0.63-0.68; Pinteraction = .004) and PRA (0-20: aHR = 0.69; 95% CI, 0.65-0.74: 21-80: aHR = 0.61; 95% CI, 0.57-0.66; Pinteraction = .02; >80: aHR = 0.57; 95% CI, 0.53-0.61; Pinteraction< .001). Our findings support the continued practice of a re-KT and efforts to overcome the medical, immunologic, and surgical challenges of a re-KT.