A Different View of Health Information Technology Workarounds in Critical Care.

When health information technology (HIT) was introduced into the hospital setting there was an obvious disruption to nursing workflow. In many cases it took a nurse extra steps or extra time to complete processes such as clinical documentation and medication administration. In response to HIT problems, nurses developed workarounds.

Exploring illness perceptions of multimorbidity among community-dwelling older adults: a mixed methods study.

Background: Illness perceptions are individual beliefs or experiences about the nature and treatment of their illness. Although extensive research exists about illness perceptions, little is known about illness perceptions of multimorbidity.

Methods: The purpose of this parallel-convergent mixed-methods study was to comprehensively explore illness perception of multimorbidity among community dwelling older adults.

Self-regulatory coping among community dwelling older adults with multiple chronic conditions.

Objectives: Many older adults with multiple chronic conditions (MCC) frequently experience hospitalizations, functional limitations, and poor quality of life. Outcomes may be improved by promoting self-regulation, which may individuals respond to health threats and manage their health conditions. The aim of this study was to describe self-regulatory coping among older adults with MCC.

Illness uncertainty and quality of life in patients with advanced cancer and their family caregivers: An actor-partner interdependence model analysis.

Objective: The relationship between illness uncertainty and quality of life (QOL) has been examined for either the patient or caregiver, but not among the patient-caregiver dyads. This study examined relationships between illness uncertainty and QOL among patients with advanced cancer and family caregivers.

Methods: We conducted a secondary analysis of data from a randomized clinical trial that examined the effects of a dyadic-based intervention on psychological outcomes for patients with advanced cancer and family caregivers (N = 484 dyads).

Developing Theoretical Underpinnings for Nursing Workaround Research Using a Mixed Method Approach.

The use of health information technology (HIT) in acute care had an unexpected impact on nursing workflow. It often took a nurse extra steps or extra time to complete a process once documentation and medication administration was automated. In response to HIT problems, nurses developed workarounds.

Health Literacy and Access to Care in Cancer Screening Among Korean Americans.

Background: Health literacy and access to care are critical facilitators for preventive health behaviors. After the passage of the Affordable Care Act in March 2010, little has been studied about how improved health insurance coverage has impacted the use of preventive health services among Korean Americans.

Objective: The study assessed the impact of access to care, use of services, and health literacy on cancer screening among Korean Americans.

Nursing Turbulence in Critical Care: Relationships With Nursing Workload and Patient Safety.

Background: Increased nursing workload can be associated with decreased patient safety and quality of care. The associations between nursing workload, quality of care, and patient safety are not well understood.

Objectives: The concept of workload and its associated measures do not capture all nursing work activities, and tools used to assess healthy work environments do not identify these activities.

Definition and Relational Specification of Work-around.

There are many investigations of nursing work-arounds reported in the literature.1 Despite numerous studies the concept remains vague and not logically linked to a theory base. Assumptions associated with many of these studies are not clearly articulated, leading to poor logic fit with analysis.

Model test of the relationship between self-help-promoting nursing interventions and self-care and health status outcomes.

In this study of a nursing intervention outcomes model was tested. Path analysis techniques were used to examine predicted relationships between self-help-promoting interventions and patient outcomes of self-care practice and client morbidity at three times. A sample of 307 women receiving medical treatment for breast cancer provided data for the study.

Depression burden, psychological adjustment, and quality of life in women with breast cancer: patterns over time.

The purpose of this study was to examine how level of depression burden influences women's psychological adjustment and quality of life over time and how depression burden interacted with a community-based oncology support program to influence psychological adjustment and life quality. Participants were 169 women who completed a side effects checklist at three data collection points. Women were divided into two groups based on their depression burden scores: 123 women reporting no burden, and 46 women reporting high depression burden.

Utility of retrospective pretest ratings of patient satisfaction with health status.

Outcomes assessment is often difficult to accomplish in evaluation research studies in situations where the gathering of pretest data is impossible or prohibitively expensive. The purpose of this longitudinal study was to investigate the substitutability of retrospective pretest ratings for actual pretest ratings in indexing change in patient satisfaction with health status. The sample consisted of 251 women receiving medical treatment for breast cancer enrolled in the Self-Help Intervention Project (SHIP).