Factors Affecting Psychosocial Adjustment in Persons With a Recent Ostomy.

Purpose: The aim of this study was to examine the influence of personal and clinical factors on psychosocial adjustment in persons living with an ostomy for less than 1 year.

Design: A cross-sectional survey.

Subjects And Setting: The study sample comprised 183 adult individuals who had a colostomy, ileostomy, or urostomy for less than 1 year, residing in the Northeastern United States.

The Experience of Men Whose Partners Have Postpartum Depression [Formula: see text].

The correlation of paternal depressive symptomatology to maternal postpartum depression can approach 50%. Paternal depression during a female partner's postpartum time period can include feelings of fear, confusion, frustration, anger, helplessness, and lack of support. There are only a few published studies that address the interaction between paternal and maternal mental health during the postpartum period.

Self-Management of Type 2 Diabetes in Adult Haitian Immigrants: A Qualitative Study.

A large body of literature exists on self-management of type 2 diabetes (T2D) in a variety of populations. However, research is limited on how Haitian immigrants self-manage their T2D despite a prevalence of 6.9% in Haiti.

Bhutanese Older Adult Refugees Recently Resettled in the United States: A Better Life With Little Sorrows.

Purpose: This study explores the experiences and adjustment process among older Bhutanese refugees resettled in the United States and identifies their unmet health and social service needs.

Design: This phenomenological study design included the conduction of nine in-depth semistructured interviews in the respondents' native language. The researchers adhered to the steps outlined by Moustakas for data analysis.

Psychometric evaluation of the Thai translation of the Diabetes Self-management Questionnaire in type 2 diabetes.

Objectives: To explore the content validity and the internal consistency of the diabetes Self-management Questionnaire (DSMQ) for persons with T2DM in Thailand.

Methods: Diabetes Self-management Questionnaire (DSMQ) was developed in English. The translation of DSMQ into Thai language was performed by native Thai translators.

The moderating effect of social cognitive factors on self-management activities and HbA1c in Thai adults with type-2 diabetes.

Background: Diabetes mellitus (DM) has become a serious chronic disease. Self-management strategies help persons with DM make choices which will develop skills needed to reach their goal of blood glucose control and allow them to be successful in reaching goals.

Objective: To examine the impact of self-management activities on HbA1c for persons with DM and to examine the impact of social support, self-efficacy and Buddhist values as moderators on the relationship between the self-management activities and HbA1c.

Quality of Life of College Students Living With Type 1 Diabetes: A Qualitative View.

The purpose of this phenomenological qualitative study was to examine the quality of life among college students living with Type 1 diabetes (T1D). Inclusion criteria included age 18 to 24, current college student, and a diagnosis of T1D for at least 1 year. Semi-structured interviews were conducted, in-person and by phone.

Working Conditions and Mental Health of Nursing Staff in Nursing Homes.

Nursing staff in nursing homes suffer from poor mental health, probably associated with stressful working conditions. Working conditions may distribute differently among nursing assistants, licensed practical nurses, and registered nurses due to their different levels in the organizational hierarchy. The objectives of this study were to evaluate the association between working conditions and mental health among different nursing groups, and examine the potential moderating effect of job group on this association.

Occupational Hazards in the Thai Healthcare Sector.

Healthcare personnel work in vulnerable conditions that can adversely impact physical and/or mental health. This paper aims to synthesize the state of knowledge on work-related illnesses, injuries, and risks experienced by Thai healthcare workers. We found that Thai healthcare personnel, like others worldwide, are at risk for injury related to needle sticks and sharp instruments; infectious diseases due to biological hazards exposure such as airborne pathogens and patient secretions; muscle pain due to workload and long duration of work; and psychological disorders related to stressful working conditions.

Exploring Transition to Self-Management Within the Culture of Sickle Cell Disease.

Purpose: The aim of this study was to explore the meaning of transition to self-management in sickle cell disease.

Design/method: Twelve audio-recorded semistructured interviews were conducted with a sample of 21- to 25-year-olds recruited from a comprehensive sickle cell center in the northeast region of the United States. Data were analyzed using an existential framework according to van Manen's phenomenological method.

Lessons learned about primary weight maintenance and secondary weight maintenance: results from a qualitative study.

Background: Obesity is now a worldwide problem and Ireland is no exception with approximately two thirds of the adult population now overweight or obese. A recent report has found that 53% of Irish adults aged 50 years and over are classified as centrally obese and at substantially increased risk of metabolic complications. While most studies investigating weight maintenance have been conducted on those who have managed to lose weight and/or achieved weight loss maintenance (secondary weight maintainers), few studies have been undertaken to understand the attitudes, behaviours, motivations and strategies of those who maintain their weight within normal weight ranges over their lifetime, so called primary weight maintainers.

Predictors of Food Insecurity among Older Adults in the United States.

Objective: Food insecurity among U.S. households is a national concern.

Cancer risk management decision making for BRCA+ women.

Women with pathogenic BRCA genetic mutations face high risks for cancer development. Estimates vary among mutation carriers, with lifetime risks ranging from 41% to 90% for breast cancer and 8% to 62% for ovarian cancer. Cancer risk management options for BRCA mutation positive (BRCA+) women have life-altering implications.

Trends in the nursing doctoral comprehensive examination process: a national survey.

The doctoral comprehensive or qualifying examination (CE/QE) is a traditional rite of passage into the community of scholars for the nursing profession. This exploratory, descriptive cross-sectional study examined trends in the process, timing, and methodology of comprehensive and qualifying examinations in nursing doctoral programs in the United States. Administrators from 45 schools responded to an online survey from 27 states across the country (37% response rate).

Children's voices: living with HIV.

Purpose: To present the findings from a qualitative study that explored living with pediatric HIV from the children's perspectives.

Study Design And Methods: The researcher conducted face-to-face interviews with seven HIV-positive children in this nested, phenomenological study. The children's parents were enrolled at the same time in a longitudinal qualitative study, which focused on raising a child with HIV.

The changing horizons of U.S. families living with pediatric HIV.

Although HIV is considered a chronic pediatric illness that is on the wane in the United States, challenges remain for those affected. The purpose of this longitudinal qualitative study was to examine the phenomenon of raising an HIV-positive child in the United States from the parental perspective. This study incorporated a longitudinal, phenomenological approach.

Development of the Fogg Intent-to-Screen for HIV (ITS HIV) questionnaire.

In this paper, we describe the development and psychometric properties of the Fogg Intent-to-Screen for HIV questionnaire (ITS HIV), which measures peoples' beliefs and intentions toward HIV screening. The ITS HIV was developed using the Theory of Planned Behavior as the framework for a developmental process that included qualitative interviews, a validation phase, two pilot tests, and a field test of the final 55-item questionnaire. The field test involved 312 homeless persons from five New England states.

The context of unintended pregnancy among married women in the USA.

Background And Methodology: Unintended pregnancy is a concern in the USA due to its association with adverse physical, mental, social and economic outcomes. Few studies have examined this issue among married women from a social and contextual perspective. This study targeted married women to examine factors associated with unintended pregnancy using the ecological model of health promotion that focuses attention on both individual and social environmental factors.

Bullying in the workplace--a qualitative study of newly licensed registered nurses.

Bullying in the workplace is associated with negative job satisfaction and retention. It has also been found to have adverse effects on the health of employees. Using a qualitative descriptive design, this study examined the stories of bullying among nurses based on actual or witnessed experiences.

HIV screening: beliefs and intentions of the homeless.

HIV screening is the first step in identifying HIV infection; however, the HIV screening rates remain low. Homeless people in the United States are at risk for HIV infection, yet their acceptance of HIV screening remains poorly understood. The purpose of this study was to investigate beliefs and intentions of the homeless toward HIV screening.

Health disparities among health care workers.

In this article we describe the process of an interdisciplinary case study that examined the social contexts of occupational and general health disparities among health care workers in two sets of New England hospitals and nursing homes. A political economy of the work environment framework guided the study, which incorporated dimensions related to market dynamics, technology, and political and economic power. The purpose of this article is to relate the challenges encountered in occupational health care settings and how these could have impacted the study results.

Conducting interdisciplinary research to promote healthy and safe employment in health care: promises and pitfalls.

Due to the complexity of human health, emphasis is increasingly being placed on the need for and conduct of multidisciplinary and/or interdisciplinary health research. Yet many academic and research organizations--and the discipline-specific associations and journals--may not yet be prepared to adopt changes necessary to optimally support interdisciplinary work. This article presents an ongoing interdisciplinary research project's efforts to investigate mechanisms and pathways that lead to occupational health disparities among healthcare workers.