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    Erika Froelicher

    Background Caring for a person with Alzheimer’s disease is stressful for caregivers. So that, considering all the emotional and financial costs imposed on the families of Alzheimer’s patients, stress from caring is an issue that cannot be... more
    Background Caring for a person with Alzheimer’s disease is stressful for caregivers. So that, considering all the emotional and financial costs imposed on the families of Alzheimer’s patients, stress from caring is an issue that cannot be ignored and plans need to be developed to help these caregivers to manage the care properly. The current study was designed to develop a valid and reliable care stress management scale for family caregivers of patients with Alzheimer’s. Methods This study is a methodological study with a sequential-exploratory mixed-method approach that was performed in two-phase: develop the caring stress management scale and evaluate the psychometric properties of the scale. In the first phase, 14 semi-structured face-to-face interviews were performed with family caregivers of patients with Alzheimer’s. The interviews were transcribed immediately and an item pool with 275 items was prepared. After removing the duplicate or overlapping code, the initial format of ...
    BackgroundPatient-centered care in diabetes self-management might be a significant factor in improving health outcomes of adults with type 2 diabetes, yet the supporting evidence is inadequate. This review aimed at assessing the... more
    BackgroundPatient-centered care in diabetes self-management might be a significant factor in improving health outcomes of adults with type 2 diabetes, yet the supporting evidence is inadequate. This review aimed at assessing the effectiveness of patient-centered self-management care interventions on glycemic control (HbA1c) and self-care behaviors compared with usual care.MethodsCINAHL, PubMed, Cochrane Library, Google Scholar, and the HEC Digital Library were searched for studies in English language that assessed patient-centered self-management educational and/or behavioral interventions in adults aged 18 years or older with type 2 diabetes from 2005 to 2020. Interventional studies with at least 3 months of follow-up and reporting on self-care outcomes such as glycemic control (HbA1c) and self-care behaviors including diet control, physical activity, foot care, and medication adherence were included.ResultsOf 168 identified records, 24 were found eligible comprising 20 RCTs and fo...
    BackgroundAlzheimer's disease (AD) is a progressive and debilitating disorder that strongly affects people with AD and their families. The changes in signs of the disease and its treatment lead to many challenges in people with AD... more
    BackgroundAlzheimer's disease (AD) is a progressive and debilitating disorder that strongly affects people with AD and their families. The changes in signs of the disease and its treatment lead to many challenges in people with AD that affect the performance and the ability of caregivers, their social life, and physical, emotional, and psychological aspects of caregivers' health. Therefore, this study was designed to develop and validate the Care Challenge Scale (CCS) for family caregivers of people with AD in the care context of Iran.MethodThis is a cross-sectional study, and the primary scale was based on 14 semi-structured interviews with family caregivers of Iranian people with AD. In the next phase, the psychometric features were assessed, including the face validity (qualitative and quantitative), content validity (qualitative and quantitative), item analysis, structural validity (exploratory and confirmatory factors), and construct validity (convergent and discriminan...
    BackgroundHardiness is one of the personality traits that can help individuals in stressful situations. Since human beings are constantly under stressful situations and the stresses inflicted on people in each situation are different,... more
    BackgroundHardiness is one of the personality traits that can help individuals in stressful situations. Since human beings are constantly under stressful situations and the stresses inflicted on people in each situation are different, various scales have been developed for assessing this feature among different people in different situations. Hence, it becomes necessary for researchers and health workers to assess this concept with valid and reliable scales. This systematic review aims to rigorously assess the methodological quality and psychometric properties of hardiness scales.MethodIn the first step, the databases including Scopus, PubMed, Web of science, and Persian databases were searched using suitable keywords without limitation time. We select eligible suitable studies after screening titles and abstracts. The quality of studies was evaluated using the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) checklist and the Terwee quality cri...
    Background and AimHemodialysis treatment saves the life of people with end-stage renal disease (ERDS), but does not prevent the suffering of the disease, anxiety, hopelessness, and so on. Many studies have been performed on self-care... more
    Background and AimHemodialysis treatment saves the life of people with end-stage renal disease (ERDS), but does not prevent the suffering of the disease, anxiety, hopelessness, and so on. Many studies have been performed on self-care behaviors as well as body image in different patients, but so far, no research has been done to investigate the relationship between self-care behavior and body image concerns in hemodialysis patients. Therefore, the aims of this study are to determine the relationship between self-care behavior and body image concern in patients undergoing hemodialysis.Materials and MethodsA cross-sectional design was used to evaluate Self-care Behavior and Concerns about Body Image in a convenience sample of 280 patients with ERDS. Measures included demographic factors, health characteristics, and validated instruments of the study constructs Body Image Concern Questionnaire (BICI) and Assessment of self-care behaviors with arteriovenous fistula (ASBHD-AVF).ResultsThi...
    Background Although various studies have been conducted on the effects of seasonal climate changes or emotional variables on the risk of AMI, many of them have limitations to determine the predictable model. The currents study is... more
    Background Although various studies have been conducted on the effects of seasonal climate changes or emotional variables on the risk of AMI, many of them have limitations to determine the predictable model. The currents study is conducted to assess the effects of meteorological and emotional variables on the incidence and epidemiological occurrence of acute myocardial infarction (AMI) in Sari (capital of Mazandaran, Iran) during 2011–2018. Methods In this study, a time series analysis was used to determine the variation of variables over time. All series were seasonally adjusted and Poisson regression analysis was performed. In the analysis of meteorological data and emotional distress due to religious mourning events, the best results were obtained by autoregressive moving average (ARMA) (5,5) model. Results It was determined that average temperature, sunshine, and rain variables had a significant effect on death. A total of 2375 AMI’s were enrolled. Average temperate (°C) and sun...
    Background Older adults duo to circumstances of aging such as relationship losses, medical morbidities, and functional declines, are prone to social isolation and loneliness more than any other age group. Furthermore, with The recent... more
    Background Older adults duo to circumstances of aging such as relationship losses, medical morbidities, and functional declines, are prone to social isolation and loneliness more than any other age group. Furthermore, with The recent outbreak of the COVID-19 pandemic and the need to quarantine, the possibility of feelings of loneliness, especially in older adults, became an important nursing priority. Therefore, it is important to quickly identify loneliness and respond appropriately to prevent, reduce, or treat it. The aim of this study was to translate the De Jong Gierveld loneliness scale into Persian for older adults. Methods The sample was 400 adults aged 65 and older with a mean age of 71.32 (SD= ± 6.09) years. Recruitment and data collection was done via online methods. The original scale was translated into Persian using the World Health Organization (WHO) protocol of forward-backward translation technique. Face validity and content validity; was followed by exploratory and ...
    Introduction: Psychological aspects are important issues in patients that will have significant effects on disease progression. A new and important psychological concern is self-blame. This review was performed with the aim of systematic... more
    Introduction: Psychological aspects are important issues in patients that will have significant effects on disease progression. A new and important psychological concern is self-blame. This review was performed with the aim of systematic review on studies around patient’s self-blame.Methods: This is a systematic review using international databases including PubMed (since 1950), Scopus (since 2004), Web of Sciences (since 1900), and ProQuest (since 1938) and Iranian databases including SID (since 2004) and Magiran (since 2001). Mesh terms including “patient,” “regret,” and “guilt” and non-Mesh terms including “self-blame attribution,” “characterological self-blame,” “behavioral self-blame,” and “blame” were used in Iranian and international databases with OR and AND operators.Results: The review yielded 59 articles; 15 articles were included in the present study. The ages of patients ranged from 29-68.4 years. Most of studies (86.6%) had cross-sectional design and use characterologi...
    Background: Patient-centered care in diabetes self-management might be a significant factor in improving self-care outcomes yet the supporting evidence is inadequate. This review is aimed to assess the effectiveness of patient-centered... more
    Background: Patient-centered care in diabetes self-management might be a significant factor in improving self-care outcomes yet the supporting evidence is inadequate. This review is aimed to assess the effectiveness of patient-centered self-management care interventions on self-care outcomes such as glycemic control (HbA1c) and self-care behaviors in adults with type-2 diabetes compared with usual care. Methods: CINAHL, PubMed, Cochrane Library, Google Scholar and the HEC Pakistan digital library were searched for English language studies that assessed patient-centered self-management educational and/or behavioral interventions in adults aged 18 years or above with type 2 diabetes from 1991 to 2020. Interventional studies comprising randomized controlled trials (RCT) and quasi experimental studies (QES) with at least three months follow up and reporting on self-care outcomes with glycemic control (HbA1c) as primary outcome and self-care behaviors including diet control, physical act...
    Background: The coronavirus pandemic can cause unprecedented global anxiety, and, in contrast, resilience can help the mental health of people in stressful situations. This study aimed to assess anxiety, hyperarousal stress, the... more
    Background: The coronavirus pandemic can cause unprecedented global anxiety, and, in contrast, resilience can help the mental health of people in stressful situations. This study aimed to assess anxiety, hyperarousal stress, the resilience of the Iranian population, and their related factors during the coronavirus disease 2019 (COVID-19) epidemic.Methods: A cross-sectional study was conducted in 31 provinces in Iran between March 18 and 25, 2020. A four-part questionnaire, including the demographic information, the State-Trait Anxiety Inventory (STAI-y1—a 20-item standard questionnaire for obvious anxiety), the Connor–Davidson Resilience Scale (CD-RISC—a 25 item standard questionnaire), and the stress hyperarousal subscale from the Impact of Event Scale-Revised (IES-R), was used to collect data. The ordinal multivariable generalized estimating equation (GEE) model was used to identify correlates of the psychological factors mentioned above. The Fisher exact test was used to investig...
    Aim and ObjectivesThis study aims to test the hypothesis that job satisfaction and organisational commitment might play a mediating roles between workload, quality of supervision, extra‐role behaviour, pay satisfaction and intention to... more
    Aim and ObjectivesThis study aims to test the hypothesis that job satisfaction and organisational commitment might play a mediating roles between workload, quality of supervision, extra‐role behaviour, pay satisfaction and intention to care of patients with COVID‐19.BackgroundGiven the high incidence of coronavirus and shortage of nurses in Iranian hospitals, learning about nurses’ intention to care for patients with COVID‐19 is important.DesignIn this cross‐sectional study, 648 Iranian nurses were surveyed during March 2020. The online questionnaire consisted of two parts. The mediating role was explored for the following: job satisfaction and commitment in the association of workload, quality of supervisor, extra‐role behaviours, and pay satisfaction with the intention to care. The study adhered to STROBE checklist for cross‐sectional studies.ResultsThe results of this study show that job satisfaction and organisational commitment mediated the relationship of nurses’ workload, qua...
    Background: Meteorological parameters and seasonal changes can play an important role in the occurrence of acute coronary syndrome (ACS). However, there is almost no evidence on a national level to suggest the associations between these... more
    Background: Meteorological parameters and seasonal changes can play an important role in the occurrence of acute coronary syndrome (ACS). However, there is almost no evidence on a national level to suggest the associations between these variables and ACS in Iran. We aim to identify the meteorological parameters and seasonal changes in relationship to ACS. Methods: This retrospective cross-sectional study was conducted between 03/19/2015 to 03/18/2016 and used documents and records of patients with ACS in Mazandaran ProvinceHeart Center, Iran. The following definitive diagnostic criteria for ACS were used: (1) existence of cardiac enzymes (CK or CK-MB) above the normal range; (2) Greater than 1 mm ST-segment elevation or depression; (3) abnormal Q waves; and (4) manifestation of troponin enzyme in the blood. Data were collected daily, such as temperature (Celsius) changes, wind speed and its direction, rainfall, daily evaporation rate; number of sunny days, and relative humidity were...
    Without assistance, smokers being admitted to the hospital for coronary heart disease often return to regular smoking within a year. This study assessed the 12-month effectiveness of a telephone and a face-to-face counselling intervention... more
    Without assistance, smokers being admitted to the hospital for coronary heart disease often return to regular smoking within a year. This study assessed the 12-month effectiveness of a telephone and a face-to-face counselling intervention on smoking abstinence among cardiac patients. Differential effects for subgroups varying in their socioeconomic status and intention to quit smoking were also studied. A randomised controlled trial was used. During hospital stay, smokers hospitalised for coronary heart disease were assigned to usual care (n = 245), telephone counselling (n = 223) or face-to-face counselling (n = 157). Eligible patients were allocated to an intervention counselling group and received nicotine patches. After 12 months, self-reported continued abstinence was assessed and biochemically verified in quitters. Effects on smoking abstinence were tested using multilevel logistic regression analyses applying the intention-to-treat approach. Compared with usual care, differen...
    Glycemic control is a great challenge in the management of type 1 diabetes mellitus (T1DM). There is limited data concerning glycemic control among adults with T1DM. We used data from the Guangdong T1DM Translational Medicine Study to... more
    Glycemic control is a great challenge in the management of type 1 diabetes mellitus (T1DM). There is limited data concerning glycemic control among adults with T1DM. We used data from the Guangdong T1DM Translational Medicine Study to evaluate glycemic control and its associated factors in Chinese adults with T1DM. This cross-sectional analysis included 827 participants who were 18 years of age or older and had been living with T1DM for at least 1 year. Participants with HbA1c levels < 7% were compared against those with HbA1c levels ≥ 7%. A multivariate logistic regression model was used to examine factors associated with glycemic control. Among the 827 participants, the mean age was 34.2 ± 12.1 years and the median (interquartile range, IQR) duration of diabetes was 6.1 (3.4, 10.4) years. The median HbA1c level was 8.5% (7.5%, 10.2%). Only one-fifth of participants had HbA1c levels < 7%. Insufficient glycemic control (HbA1c  ≥ 7%) was strongly associated with infrequent self...
    Background: The prevalence of Acute Myocardial Infarction (AMI) varies from region to region caused by seasonal climate changes and temperature variation. This study aimed to assess the relationship between changing meteorological... more
    Background: The prevalence of Acute Myocardial Infarction (AMI) varies from region to region caused by seasonal climate changes and temperature variation. This study aimed to assess the relationship between changing meteorological conditions and incidence of AMI in Iran. Methods: This retrospective prevalence study was based on medical records of the heart center of Mazandaran Province on all patients diagnosed with AMI in Mazandaran, northern Iran between 2013 and 2015. Patients’ sex and the day, month, year and time of hospital admission were extracted from patients’ records. Moreover, the meteorological reports were gathered. Results: A statistically significant difference was found between the distributions of AMI cases across 12 months of the year (P < 0.01). Fuzzy clustering analysis using 16 different climatic variables showed that March, April, and May were in the same cluster together. The other 9 months were in different clusters. Conclusion: Significant increase in AMI...
    Background: Little is known about Arab health professionals' smoking practices. Aim: This is the first study to examine smoking practices among Arab health professionals. Methods: Background: Little is known about Arab nurses and... more
    Background: Little is known about Arab health professionals' smoking practices. Aim: This is the first study to examine smoking practices among Arab health professionals. Methods: Background: Little is known about Arab nurses and physicians' smoking patterns. Aim: This study aims to examine smoking patterns among Arab nurses and physicians. Methods: A total of 918 nurses and physicians participated in this study. Data were collected using the Global Professional Health Survey. Results: About 38.8% are current smokers. The smoking percentages for male nurses and male physicians were high (83.8%, 94.6% respectively) compared to female nurses and female physicians (16.2%, 5.4% respectively). Approximately 53.8% wanted to quit and 60.6% had made previous quit attempts that lasted for more than two days. About 64.1% believed that nurses and physicians who smoke were less likely to advise patients to stop smoking. The predictors of smoking were: age when tried first cigarettes OR=...
    A healthy lifestyle is important for maintaining health and preventing complications in patients with type 2 diabetes, and yet, few instruments are available to measure this. The aim of the present study was to examine the psychometrics... more
    A healthy lifestyle is important for maintaining health and preventing complications in patients with type 2 diabetes, and yet, few instruments are available to measure this. The aim of the present study was to examine the psychometrics of a recently developed tool that can be used to screen for a health-promoting lifestyle in patients with type 2 diabetes. Data were collected from outpatients attending diabetes clinics. The Type 2 Diabetes and Health Promotion Scale (T2DHPS), EQ-5D, medical records and a demographic questionnaire were administered to 368 participants. Forward-backward translation of the original English version was used to develop a Persian version. Internal consistency of the scale was assessed by Cronbach's alpha and item-to-total correlation. Acceptability was measured by assessing floor and ceiling effects for each item and subscale. The item scaling test was used to examine the convergent and discriminant validity of the measure. Pearson correlation was used to determine the predictive validity of the scale. An explanatory factor analysis and known-group method were used to establish construct validity. Adjusted item-total correlations were higher than 0.20. Cronbach's alpha for the 28-item scale was 0.88 and for subscales ranged from 0.53 to 0.94. Correlations between the total score and subscale scores were significant (<0.01) and adequate (r's ≥ 0.53). There were significant relationships between the T2DHPS and both the EQ-5D and indicators of glycaemic control. Convergent and discriminant validity of the scale was established. Significant differences in lifestyle dimensions were present between different groups of patients, demonstrating known-group validity. A six-factor solution was obtained that explained 54.6% of the total variance. The T2DHPS is a valid and reliable tool for investigating lifestyle behaviours in patients with type 2 diabetes. Further studies to establish the psychometric properties of the scale in other languages and cultures are suggested.
    This cross-sectional survey assessed the level of competence of nursing graduates of Jordanian universities (2001–2004 cohorts) in relation to the type of university, sex, hospital type, and working area. A convenience sample (n = 258) of... more
    This cross-sectional survey assessed the level of competence of nursing graduates of Jordanian universities (2001–2004 cohorts) in relation to the type of university, sex, hospital type, and working area. A convenience sample (n = 258) of full-time nurses (6 months–4 years' experience) was selected from public, private, and teaching hospitals. A specifically designed tool with a rating scale of 1–5 was used to evaluate the nurses' competence in five nursing competencies (management, professionalism, problem-solving, nursing process, and knowledge of basic skills). The findings showed a satisfactory competency level with no significant differences related to the type of university or sex. General ward nurses scored significantly better than those in intensive care units in relation to management, professionalism, and nursing process, while the teaching hospital nurses showed significantly better performance in professionalism and management skills than did the nurses in the other two sectors. We recommend that nurse recruitment policies should consider individual competencies rather than innate characteristics in their selection of employees.
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    Type of funding sources: None. Heart Failure patients often present impairment on their functional capacity. Exercise training is the key component of cardiac rehabilitation and must be early implemented. Knowing the characteristics that... more
    Type of funding sources: None. Heart Failure patients often present impairment on their functional capacity. Exercise training is the key component of cardiac rehabilitation and must be early implemented. Knowing the characteristics that lead a patient to be a good responder to an exercise intervention would be useful to identify the ones that could benefit from this same intervention. Identify the characteristics of good responses to an aerobic exercise training in decompensated heart failure (HF) patients and understand if there are gender differences.  Cross sectional study with 76 inpatients who performed an aerobic exercise training program (AET). Functional capacity was evaluated at admission and discharge using three different tools: the London Chest of Activity of Daily Living (LCADL) scale, the Barthel Index (BI) and the 6-minute walking test (6MWT). Multivariate linear regression was performed by gender to understand which variables lead a patient to have better performanc...
    Sustaining a Quality Doctoral Program Through Networking Conference Sponsor: Western Institute of Nursing Conference Year: 2009 Author: Nabolsi, Manar, PhD, RN PI Institution Name: University of Jordan, Faculty of Nursing Title: Vice Dean... more
    Sustaining a Quality Doctoral Program Through Networking Conference Sponsor: Western Institute of Nursing Conference Year: 2009 Author: Nabolsi, Manar, PhD, RN PI Institution Name: University of Jordan, Faculty of Nursing Title: Vice Dean Contact Address: ...
    Melissa Alderfer Glen Ally Elizabeth Altmaier Erin Andrews June Andrews Horowitz Rachel Annunziato Kelly Anthony Adam Arechiga Glenn Ashkanazi Heather Austin Andrea Auxier Marni Axelrad Kay Barrett Abbie Beacham Annemerle Beerthuizen... more
    Melissa Alderfer Glen Ally Elizabeth Altmaier Erin Andrews June Andrews Horowitz Rachel Annunziato Kelly Anthony Adam Arechiga Glenn Ashkanazi Heather Austin Andrea Auxier Marni Axelrad Kay Barrett Abbie Beacham Annemerle Beerthuizen Kristoffer Berlin Kristin Bingen Margaret Booth-Jones Robert Bornstein T.K. Bouman Özlem Bozo Cheryl Brosig Pim Brouwers Kathleen Brown Elizabeth Burns Brittany Canady Timothy Carmody John Carr Helena Chandler Rosemary Cogan Kimberly Dasch Teresa Deshields Lesley Dibley Kristine Donovan Elaine Duncan Christina Duncan Mithat Durak Shawna Ehlers Michelle Ernst Robin Everhart Donna Evon Carolyn Fang Erika Froelicher Elizabeth Getzoff Jeffrey Goodie Rod Gragg Arthur Larry Greil William Gunn Richard Handel Vicki Helgeson Payman Hemmati Marisa Hilliard Adam Hirsh Kevin Hommel
    Smoking causes many health problems, including myocardial infarction, stroke, and peripheral vascular disease, and has devastating effects on the cardiovascular system. This study was performed to assess: (1) the prevalence of smoking... more
    Smoking causes many health problems, including myocardial infarction, stroke, and peripheral vascular disease, and has devastating effects on the cardiovascular system. This study was performed to assess: (1) the prevalence of smoking among Jordanian nurses and physicians, (2) the ...
    The objectives of this quantitative study were to identify factors associated with contraceptive use by Jordanian Muslim women; to estimate factors that predict the variance in contraceptive use; and recommend appropriate health and... more
    The objectives of this quantitative study were to identify factors associated with contraceptive use by Jordanian Muslim women; to estimate factors that predict the variance in contraceptive use; and recommend appropriate health and social policies to enhance quality of life of Jordanian women. A cross -sectional design was used to collect data from 487 married non-pregnant women aged 18 to 49 years who resided in three southern governorates in Jordan using a structured interview guide. Results showed that 63.2% of women used some form of contraceptive method; IUD was the most frequently used method (44.2%). The percentage of women exposed to violence was 5% and 9.2% for physical and verbal abuse respectively. Findings also showed that there was a significant relationship between psychological wellbeing of women and contraceptive use. Furthermore, no relationship between women's perceived religious stance towards contraceptives and their use. Predictors of contraceptive use were...
    Introduction: Mexican American women in the US have the second highest prevalence of overweight or obesity (78.2%), 44.8% are obese, yet little research has examined the relationship between body mass index (BMI) and body satisfaction... more
    Introduction: Mexican American women in the US have the second highest prevalence of overweight or obesity (78.2%), 44.8% are obese, yet little research has examined the relationship between body mass index (BMI) and body satisfaction among young, low-income Latina adults. Objective: To examine the relationships between knowledge, attitudes, beliefs, and behaviors about weight, body image and excess weight. Hypothesis: We hypothesized that (1) the women would incorrectly classify BMI; (2) the majority would be obese and (3) there is no difference in body satisfaction among those with and without excess weight. Methods: A cross-sectional study with a convenience sample of 131 self-identified Latina women, ages 18 to 45 years was used from two Northern California clinics. An interview administered questionnaire assessed demographics, weight and body image. Statistical analysis included descriptive statistics, chi-square statistics, and logistic regression analysis. Results: While 31% (n=41) classified themselves as having a healthy BMI, 21% (n= 27) met the criteria. Although 58% (n=77) classified themselves as overweight, 46% (n=60) met the criteria. Although 2% (n=3) classified themselves as obese, 34% (n=44) were obese. The majority of women (67%; n=88) reported that they were not at their ideal body weight. Of those who wanted to lose weight, the mean number of pounds they would have to lose to be at their ideal body weight was 15.5 (± 16). The mean body dissatisfaction score of those with excess weight was 2.2 (± 1.1) and 0.74 (± 1.4) for those with healthy BMI. Conclusions: Most women underestimated their BMI category. Less than 6% (n=3) of obese women correctly classified themselves as obese. The misclassification and underreporting of excess weight was statistically significant (p≤ 0.05), pointing to a need for education about weight. Body dissatisfaction scores were higher in women with excess weight. Actual/current body silhouette sizes were statistically significantly associated with excess weight: (OR=2.78, 95% CI: 1.28, 6.04, p= 0.02).
    People can live longer and healthier lives by engaging in physical activity (PA). The purpose of this article is to assess the social cognitive theory (SCT) in relation to its relevance to produce cultural-specific directions for... more
    People can live longer and healthier lives by engaging in physical activity (PA). The purpose of this article is to assess the social cognitive theory (SCT) in relation to its relevance to produce cultural-specific directions for gerontological nursing practice in order to guide the design of PA interventions for Korean-American elders. SCT is compared to the Korean cultural, social, and health belief system and is analyzed and evaluated based on 3 criteria: assumptions of the theory, completeness and consistency, and essence of nursing. Within the Korean culture, as presumed in the SCT and the nursing paradigm, health-promoting behavior, such as PA, is conceptualized as the desire for a higher level of health rather than a fear of disease as is proposed by other health behavior theories. SCT with the integration of Korean culture recognizes cultural, developmental, societal, and other external constraints that may help in formulating interventions and better understanding of the limits faced by older Korean-Americans (OKAs) in their pursuit of routine PA.
    This paper describes the methodological issues associated with secondary analysis of large national survey datasets. Issues about survey sampling, data collection, and non-response and missing data in terms of methodological validity and... more
    This paper describes the methodological issues associated with secondary analysis of large national survey datasets. Issues about survey sampling, data collection, and non-response and missing data in terms of methodological validity and reliability are discussed. Although reanalyzing large national survey datasets is an expedient and cost-efficient way of producing nursing knowledge, successful investigations require a methodological consideration of the intrinsic limitations of secondary survey analysis. Nursing researchers using existing national survey datasets should understand potential sources of error associated with survey sampling, data collection, and non-response and missing data. Although it is impossible to eliminate all potential errors, researchers using existing national survey datasets must be aware of the possible influence of errors on the results of the analyses.
    This paper presents a theoretical framework to study medication compliance in Chinese immigrants with hypertension (HTN). The framework was developed from (a) literature review of medication compliance and Chinese cultural... more
    This paper presents a theoretical framework to study medication compliance in Chinese immigrants with hypertension (HTN). The framework was developed from (a) literature review of medication compliance and Chinese cultural belief/practices and (b) critique of major models of health behaviors in persons with chronic illness. Four constructs shape the model: motivation, cultural health perceptions, modifying factors, and cultural health care activities. Among these constructs, cultural health perceptions and health care activities are especially important because these address how Chinese immigrants perceive HTN and antihypertensive treatments and how they manage HTN. Using a culturally sensitive model is important to guide studies of medication compliance in this population and to assist health care providers to support compliance with antihypertensive treatments for Chinese immigrants.
    AMERICANS older than 65 years make up the fastest growing segment of the population, which will reach 69.4 million by 2030, placing a significant demand on the health care delivery system (1). Although malnutrition is believed to be... more
    AMERICANS older than 65 years make up the fastest growing segment of the population, which will reach 69.4 million by 2030, placing a significant demand on the health care delivery system (1). Although malnutrition is believed to be relatively rare (10%) (2), nutritional risk is more ...
    The study sample included 97 men with a mean age of 54.1 (±9.6) years. Most of the men were married (85.6%) and employed (79.4%), and had graduated from high school or higher levels of education (74.2%). Sixty-five percent of the men were... more
    The study sample included 97 men with a mean age of 54.1 (±9.6) years. Most of the men were married (85.6%) and employed (79.4%), and had graduated from high school or higher levels of education (74.2%). Sixty-five percent of the men were addicted to nicotine. Lower ...
    Developing a PhD Program Through National and International Networking Conference Sponsor: Western Institute of Nursing Conference Year: 2009 Author: Nabolsi, Manar, PhD, RN PI Institution Name: University of Jordan, Faculty of Nursing... more
    Developing a PhD Program Through National and International Networking Conference Sponsor: Western Institute of Nursing Conference Year: 2009 Author: Nabolsi, Manar, PhD, RN PI Institution Name: University of Jordan, Faculty of Nursing Title: Vice Dean Contact ...
    Background: Little is known about Arab health professionals' smoking practices. Aim: This is the first study to examine smoking practices among Arab health professionals. Methods: Background: Little is known about Arab nurses and... more
    Background: Little is known about Arab health professionals' smoking practices. Aim: This is the first study to examine smoking practices among Arab health professionals. Methods: Background: Little is known about Arab nurses and physicians' smoking patterns. Aim: This study aims to examine smoking patterns among Arab nurses and physicians. Methods: A total of 918 nurses and physicians participated in this study. Data were collected using the Global Professional Health Survey. Results: About 38.8% are current smokers. The smoking percentages for male nurses and male physicians were high (83.8%, 94.6% respectively) compared to female nurses and female physicians (16.2%, 5.4% respectively). Approximately 53.8% wanted to quit and 60.6% had made previous quit attempts that lasted for more than two days. About 64.1% believed that nurses and physicians who smoke were less likely to advise patients to stop smoking. The predictors of smoking were: age when tried first cigarettes OR=...

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