Identifying parentally perceived barriers for children with celiac disease to participate in elementary school meal programs.

Several states have recently enacted laws permanently granting all public school students access to free breakfast and lunch. However, children with dietary restrictions, such as celiac disease (CeD), may encounter barriers to participation in these meal programs. We surveyed caregivers of school-aged children with CeD to study barriers to universal school meals.

The therapy relationship with lesbian and gay clients.

This study investigated the role of therapy practices and the therapy relationship on lesbian and gay clients' feelings about their current therapist. Participants were 76 lesbian and 40 gay male clients ranging in age from 19 to 69 years. The real relationship was found to predict an additional 8% of variance in clients' positive feelings about their therapist above and beyond months in therapy, therapy practices, and the working alliance.

The development and initial validation of the dating attitudes inventory: a measure of the gender context of dating violence in men.

The development and initial psychometric investigation of the Dating Attitudes Inventory (DAI) is reported. The DAI was created, to fill a gap in the literature and to measure specific masculine ideology and traditional gender attitudes that rationalize the abuse of women. Using a sample (n = 164) of male college students, a 20-item measure was developed consisting of two subscales (Rationalization of Abuse and Dominance and Control) and a total score.

The real relationship inventory: development and psychometric investigation of the client form.

The development and validation of a client version of the Real Relationship Inventory (RRI-C) is reported. Using a sample of clients (n = 94) who were currently in psychotherapy, a 24-item measure was developed consisting of two subscales (Realism and Genuineness) and a total score. This 24-item version and other measures used for validation were completed by 93 additional clients.

Second language learning in a family nurse practitioner and nurse midwifery diversity education project.

Purpose: To describe the Clinical Communication Program developed to integrate second language learning (L2), multimedia, Web-based technologies, and the Internet in an advanced practice nursing education program.

Data Sources: Electronic recording devices as well as audio, video editing, Web design, and programming software were used as tools for developing L2 scenarios for practice in clinical settings.

Conclusions: The Clinical Communication Program offers opportunities to support both students and faculty members to develop their linguistic and cultural competence skills to serve better their patients, in general, and their students who speak a language other than English, in particular.

Predoctoral interns' nondisclosure in supervision.

In interviews with 14 counseling center predoctoral interns regarding a significant nondisclosure in supervision, eight interns reported good supervisory relationships and six indicated that they experienced problematic supervisory relationships. Nondisclosures for the interns in good supervisory relationships related to personal reactions to clients, whereas nondisclosures for interns in problematic supervisory relationships related to global dissatisfaction with the supervisory relationship. In both groups, interns mentioned concerns about evaluation and negative feelings as typical reasons for nondisclosure.

Advanced health assessment in nurse practitioner programs: follow-up study.

The increase in advanced practice graduate programs and the inclusion of content and skills related to advanced health assessment as a core competency for practice served as the impetus for a 5-year follow-up study to track the changes, methodologies, and integration of technology into practitioner programs. The questionnaire was mailed to the faculty/schools listed as current members in the National Health Service Corps Nurse Practitioner Faculty Advocate Network. The number of responding schools was 135 (44%).

Evaluation of a tobacco cessation curricular intervention among acute care nurse practitioner faculty members.

Background: In 2002, a report indicated that tobacco-related curricular content in educational programs for acute care nurse practitioners was insufficient. To provide healthcare professionals with the necessary knowledge and skills to intervene with patients who smoke tobacco, the Summer Institute for Tobacco Control Practices in Nursing Education was implemented at Georgetown University in Washington, DC.

Objective: To evaluate the impact of a train-the-trainer program in which the Rx for Change: Clinician-Assisted Tobacco Cessation curriculum was used among faculty members of acute care nurse practitioner programs.

Quality of life and psychological status of patients with implantable cardioverter defibrillators.

Background: Implantable cardioverter defibrillators reduce mortality in patients at high risk for sudden cardiac death and in patients with heart failure. Patients with defibrillators often experience psychological distress and poor quality of life, which can potentiate pathological processes that increase the risk for sudden cardiac death. To achieve the full benefits of the defibrillators, patients must maintain their psychological status and quality of life.

Using the Rx for Change tobacco curriculum in advanced practice nursing education.

In today's health care system driven by quality outcome indicators and performance care measures, it is essential for nurses to know how to intervene with tobacco-dependent patients. This article discusses pilot results from the "Rx for Change: Clinician Assisted Tobacco Cessation Curriculum" intervention conducted at Georgetown University School of Nursing and Health Studies using advanced practice students. The results reveal that 6 hours of tobacco-cessation training can increase knowledge and self-efficiency scores.

Caught in the middle: experiences of tobacco-dependent nurse practitioners.

Purpose: To explore how tobacco-dependent nurse practitioners (NPs) describe their experiences with health promotion and disease prevention practices with patients who smoke.

Data Sources: Twelve NPs who completed a graduate level NP program of study participated in face-to-face interviews and/or online chat room interviews.

Conclusions: Participants' responses revealed three themes relevant to their experience as tobacco-dependent clinicians with health promotion responsibilities.

Leadership to reduce health disparities: a model for nursing leadership in American Indian communities.

Health disparities can be especially dramatic for American Indians because of a variety of powerful forces that include poverty, isolation, low educational achievement, and a unique political relationship that dictates the design of special healthcare delivery mechanisms. The challenge facing nursing leaders in these setting is addressed with consideration to culture, an examination of why leadership is needed to change the forces that lead to health disparities, the role of leadership in reducing ethnic disparities in health outcomes, as well as an examination of the most productive ways to mobilize nurses and nursing leadership to address the problems. A model for nursing leadership in Native American communities is proposed and a case study that illustrates how culturally diverse leadership in a public health setting can maximize results is presented.

The ABCs of psychopharmacology.

The forgoing represents an attempt to reduce psychopharmacology to a presynaptic neuron-synapse-post-synaptic neuron event. Obviously other strategies might be employed resulting in equal or perhaps greater clarity. Limitations of this approach include the lack of discussion about neuronal modulation, second messenger systems (which most NTs discussed here use), expansion of the ion channel discussion, and the implications of excitatory vs.

Health risk behaviors in smoking and non-smoking young women.

Purpose: To compare the health, health risk behaviors and stress levels of college female smokers and non-smokers.

Data Sources: Forty-one college women, ages 18-21 years, participated in an interview and completed a health survey and the Derogatis Stress Profile.

Conclusions: The smokers perceived themselves to be more overweight (Chi square, p = < .

Tobacco dependence curricula in acute care nurse practitioner education.

Background: Tobacco dependence is the leading preventable cause of death in the United States, yet healthcare professionals are not adequately educated on how to help patients break the deadly cycle of tobacco dependence.

Objective: To assess the content and extent of tobacco education in the curricula of acute care nurse practitioner programs in the United States.

Methods: A survey with 13 multiple-choice items was distributed to the coordinators of 72 acute care nurse practitioner programs.