1,721,045 research outputs found
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Translation of Verran Snyder-Halpern sleep scale into Russian
No full textThis thesis offers an overview of Russian immigration and a summary of the
impact of Soviet Socialism on attitudes ofRussian society. The emigre endures
barriers to health services based on cultural and language differences and little is
known of Russian health practices. The elderly are vulnerable to health problems
because of the poor health care in the old USSR. The author identifies chronic ill
health and depression as contributing to reported sleep disturbances, leading to
exacerbation of physical and emotional illness. A search for Russian language
health assessment forms revealed none existed. The purpose of this paper is to
demonstrate a rigorous process for translating an English instrument, the V erran
Snyder-Halpern Sleep Scale, into Russian while preserving cultural and linguistic
equivalency. By adopting principles from cross-cultural psychology, the author
develops a protocol for an asymmetrical translation using content equivalence,
forward and back-translation, analysis of back-translations, and bilingual error in
meaning checks. The result was a Russian version of the Verran Snyder-Halpern
Sleep Scale that is culturally and linguistically equivalent.Digitized from a paper copy provided by the Arizona Health Sciences Library
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Nurse case management: impact on costs and outcomes
No full textThe purpose of this study was to describe the cost of community-based Nurse
Case Management (NCM) services and changes in three client outcomes. A cost-evaluation
framework was used in this secondary analysis of data collected for an
earlier study by Papenhausen ( 1995).
Nurse Case Manager salaries and benefits were used to operationalize two
cost variables: cost of service and cost per unit of change in client outcomes. The
cost of NCM service for the 71 study clients during a three-month periods was 5.10 for Severity of Illness, 126.14 for Symptom Distress. This is one of few descriptions of monetary
value of community-based NCM service.Digitized from a paper copy provided by the Arizona Health Sciences Library
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Exploratory data analysis of type II diabetes among Navajo Indians
No full textThis research explicated the use of exploratory data analysis in describing type II diabetes mellitus among the Navajo Indians. A sample of 98 diagnosed diabetics was obtained from a retrospective chart review and had a 1.3:1 female to male ratio, a median age of 58.6 years, and a mean duration for diabetes of 7.66 years. Other characteristics included a median age at diagnosis of 50 years, a median weight prior to diagnosis (expressed in percent desired weight) of 140%, and a median blood glucose value at time of diagnosis of 241 mg/dl. The distribution patterns for age, weight, and blood glucose revealed several asymmetry problems which had implications for the appropriateness of using parametric statistics in numerical summarizations. Bivariate analyses revealed a negative association between age at diagnosis and percent desired weight prior to diagnosis. This finding identifies the risk that obesity brings to the young and that aging brings to the non-obese, Navajo Indian
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Effect of written information of wound healing and self care practices in postoperative patients
No full textAn experimental design was employed to determine the knowledge gained through use of written Wound Healing Fact Sheets. The study sample consisted of 30 postoperative patients recruited from the accessible population of abdominal and chest surgery patients. Subjects were randomly assigned to experimental and control groups. Experimental subjects were interviewed, received the Fact Sheets and underwent knowledge testing prior to discharge and by telephone approximately one week after discharge. Control subjects did not receive the Fact Sheets but were interviewed and tested identically to the experimental group. Low equivalent reliabilities were demonstrated through use of the KR-20 for the knowledge test. Content validity was established by a panel of three experts. A t-test computed between pre and post test mean scores identified a significant difference in knowledge gained by experimental versus control subjects. Low reliability weakens the significance of this result
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Development resource and fiscal variables utilizing Differentiated Group Professional Practice project data
No full textThis study had two purposes: (1) to formulate and test for sensitivity and comparability of Resource variables based on data collected across multiple sites; (2) to formulate and test for sensitivity and comparability of Fiscal variables based upon data collected across multiple sites. This exploratory descriptive study utilized data collected during the Differentiated Group Professional Practice project. Global analysis was utilized in creation of nurse Resource and Fiscal variables. Correlational statistics were utilized to evaluate performance of Resource and Fiscal variables within the project model. The Professional Practice index of Autonomy demonstrated a positive relationship with the nurse Resource variables of Retention and Stability. Increases in Professional Practice indices demonstrated negative relationships with Fiscal variables. Satisfaction demonstrated relationship to Resource or Fiscal variables
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The relationship between organizational structural variables and the utilization of nursing practice innovations
No full textThis research sampled a group of 261 nurse managers to test the relationships among organizational structural variables and the utilization of nursing practice innovations. Subjects completed instruments that measured organizational complexity, centralization, formalization and the utilization of nursing practice innovations. Pearson correlations revealed a significant positive relationship between utilization of nursing practice innovations and individual perception of autonomy in decision-making. Within organizational centralization the decision-making components of organizational centralization entered into a multiple regression equation which explained 27% of the variance in utilization of nursing practice innovations, with total decision-making contributing the greatest amount of variance. Organizational complexity variables entered into a multiple regression equation which explained 2% of the variance in utilization of nursing practice innovations with the certification variable explaining the majority of the variance. Five variables related to organizational centralization and complexity together explained 28% of the variance in utilization of nursing practice innovations with the total decision-making variable explaining the majority of the variance
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Benchmarking nurse sensitive quality patient outcomes across the continuum of care
No full textThe impact health care delivery changes have on nursing and subsequently on the health of individuals, families, and the community are unknown to the nursing profession as well as the public. Delineation of patient outcomes sensitive to nursing care and their benchmarks would enable the nursing profession to evaluate system changes being implemented. Establishing targets for patient outcomes will provide facilities with benchmarks to measure themselves against. The purposes of this study were first, to identify if the nurse sensitive patient outcomes identified by the AAN expert panel are appropriate and second, to establish benchmarks for these outcomes that are applicable across the continuum of care. The appropriateness and benchmarks were determined through a Delphi study with nurse experts identified from the health care continuum of primary health care providers, hospitals, home care, hospice, and long term care. The five patient outcomes are Appropriate Self Care Behaviors, Symptom Management, Health Promoting Behaviors, Perceptions of Being Well Cared For, and Health Related Quality of Life (HRQOL). All patient outcomes were deemed appropriate for all healthcare settings. Two indicators of Health Related Quality of Life were excluded by the panel from Acute Care. Consensus was reached for the majority of patient outcomes. There were only seven benchmarks out of 18 for each continuum of care (a total of 90) that did not achieve consensus. The acute care participants did not reach consensus on one indicator within Health Promoting Behaviors. The remaining six were from Hospice participants: one indicator of Appropriate Self Care, all indicators of Health Promoting Behaviors and two within Health Related Quality of Life. The majority of benchmarks were in the mid to high range. Long Term Care tended to have lower scores than the other settings. Patient self care behaviors were very low for hospice patients. The indicators that did not meet consensus criteria were stable indicating that scores were not changing between rounds. Sample size of participants prevent citation of results for Home Care, Hospice and Long Term Care. Benchmarks can be set and used to evaluate the effectiveness of nursing care and the impact of system changes
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Translation of the Verran and Synder-Halpern Sleep Scale into Spanish
No full textThe purpose of this study was to translate the Verran and Snyder-Halpern (VSH) Sleep Scale into Spanish and assess equivalence of translation. Criteria for establishing cross-cultural equivalence and concepts in translation served to guide the research and provide impetus in developing a flow chart for equivalence of meaning in asymmetrical translation. Nineteen Mexican national or Mexican-American bilingual subjects were recruited from the community. The translation protocol contained two phases. Phase One consisted of four steps, specifically: (1) content equivalence analysis, (2) back translation, (3) analysis of translations and back translations, and (4) bilingual meaning error checks. Phase Two involved field pretesting using the random probe technique. Descriptive statistics were used in Phase One. Qualitative data analysis was done in Phase One and Phase Two. Findings indicated tool items were relevant in the target culture and cultural equivalents were available. In addition, equivalence of meaning was established
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Evaluation of an established telephone triage program
No full textThe purpose of this study was to evaluate the outcomes of an established telephone
triage (TT) service in a pediatric outpatient clinic. A sample of 25% of all callers triaged
at the pediatric clinic in a one month period was randomly selected for participation in the
study. A telephone survey was developed and used to guide the data collection. This
study demonstrated that the telephone triage program evaluated resulted in the following
positive outcomes. First, the TT program was found to be helpful in meeting the needs of
the client. Second, clients were satisfied with both the technical and interpersonal aspects
of the program. Third, the program resulted in considerable dollar savings for the
pediatric clinic. Conclusions were that this TT program lived up to its expected
outcomes, and that more research is needed to identify variables and the degree to which
they contribute to a successful TT program.Digitized from a paper copy provided by the Arizona Health Sciences Library
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Evaluation of a nursing intervention to provide health services to rural communities
No full textThis study was a secondary analysis of data originally collected by the
Comprehensive Multi-level Nursing Practice Model for Rural Hispanics (Ferketich,
Philips, & Verran, 1990). The purpose of this study was to determine if those Mexican
Americans who accessed the services perceived differently satisfaction and utilization of
the services provided by the intervention. Overall evaluation of services by those who
utilized them was also studied. Specific to the research questions was the impact that the
culturally sensitive nature of this intervention had on use and satisfaction by the Mexican
Americans in these communities.
General evaluation of the services found many were satisfied. Data revealed that
those in poorer perceived general health had greater use of services. No significant
differences in satisfaction or utilization were found between those using services and
those not visiting clinics. These findings are important for the nursing community for
developing projects and providing interventions to minority communities.Digitized from a paper copy provided by the Arizona Health Sciences Library
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