Understanding Diabetes Self-Management Among Vietnamese Americans: A Focused Ethnography.

Introduction: The Vietnamese American (VA) population is projected to grow to 3.9 million by 2030. This demographic shift could affect health care cost as VAs have greater susceptibility for type 2 diabetes mellitus (T2DM).

Psychosexual responses to BRCA gene mutations in women of childbearing age.

Background: Diagnosis of a BRCA gene mutation presents a dilemma because life-changing medical decisions must be made to prevent breast and ovarian cancer. There is minimal evidence regarding how psychosexual functioning, psychological well-being with regard to body image and sexuality, affects the decision to have prophylactic treatment in women of childbearing age (WCBA; 18-49 years) with a BRCA gene mutation.

Purpose: To explore, describe, and interpret the experience of women with a BRCA mutation during the treatment and decision-making process.

Exploring Latino Perspectives in Childhood Fever: Beliefs, Practices, and Needs.

Introduction: Latino parents have significant knowledge gaps and misconceptions about fever. In this study, we explored Latino beliefs and practices around fever and its impact on their care decisions.

Methods: A qualitative-focused ethnography was conducted with 21 Latino parents.

A Person-Centered Approach Understanding Stroke Survivor and Family Caregiver Emotional Health.

BACKGROUND: The purpose of this study was to incorporate a person-centered approach to understand the emotional health needs and perspectives of stroke survivors (SSs) and their caregivers. METHODS: In collaboration with 4 SSs and caregivers as research partners, quantitative data were collected to assess poststroke emotional health needs, and qualitative data were collected to gain insight into SS and caregiver emotional health perspectives after stroke. RESULTS: Forty surveys (n = 26 SSs, n = 14 caregivers) were collected.

Hispanic Parental Beliefs and Practices in the Management of Common Childhood Illnesses: A Review of the Literature.

Hispanic parents are more likely to perceive common childhood illnesses as serious and needing immediate attention compared with other groups. The purpose of this review is to describe the factors that influence Hispanic parental management of common childhood illnesses. A systematic search of PubMed, PsycINFO, and Cumulative Index of Nursing and Allied Health Literature was conducted.

Moral distress perspectives among interprofessional intensive care unit team members.

Aim: To examine interprofessional healthcare professionals' perceptions of triggers and root causes of moral distress.

Design: Qualitative description of open-text comments written on the Moral Distress Scale-Revised survey.

Methods: A subset of interprofessional providers from a parent study provided open-text comments that originated from four areas of the Moral Distress Scale-Revised, including the margins of the 21-item questionnaire, the designated open-text section, shared perceptions of team communication and dynamics affecting moral distress, and the section addressing an intent to leave a clinical position because of moral distress.

The Good, the Bad, and Recovery: Adolescents Describe the Advantages and Disadvantages of Alternative Peer Groups.

In 2017, approximately 1.5 million American adolescents had a substance use disorder (SUD). Adolescents with SUD risk hindering their neurological development, which can result in problems with memory and self-regulation, and in turn disrupt their education, relationships, and life opportunities.

An Ethnography of Parents' Perceptions of Patient Safety in the Neonatal Intensive Care Unit.

Background: Parents of neonates are integral components of patient safety in the neonatal intensive care unit (NICU), yet their views are often not considered. By understanding how parents perceive patient safety in the NICU, clinicians can identify appropriate parent-centered strategies to involve them in promoting safe care for their infants.

Purpose: To determine how parents of neonates conceptualize patient safety in the NICU.

Employing Evidence in Evaluating Complementary Therapies: Findings from an Ethnography of Integrative Pain Management at a Large Urban Pediatric Hospital.

Background: Complementary and Integrative Medicine (CIM) shows positive clinical benefit with minimal side effects, yet, challenges to effective integration of CIM providers in biomedical health care settings remain. This study aimed to better understand the role evidence played in the process of integration of complementary therapies into a large urban pediatric hospital from the perspective of patients, caregivers, providers, and administrators through applied medical ethnography.

Methods: An ethnography was conducted over the course of 6 months in a large urban pediatric hospital in the Southern United States.

Forensic Nursing State of the Science: Research and Practice Opportunities.

Introduction: The International Association of Forensic Nurses (IAFN) is the only nursing organization advancing the forensic nursing specialty. The organization seeks to advance the profession, and one mechanism for doing so is development of a research agenda.

Methods: The purpose of this action-based research study was to aid in the development of a forensic nursing research agenda.

Treatment recidivism in adolescents with mental illness: A focused applied medical ethnography.

Problem: Treatment recidivism, described as frequent unplanned relapse readmissions, is a national problem predominant in adolescents with mental illness. Because the main triggers of treatment recidivism are not fully understood, the purpose of this study was to explore treatment recidivism (i) to better understand treatment recidivism from the perspectives of recidivist adolescents with mental illness, (ii) to describe major factors that contribute to treatment recidivism and how best to minimize them from the perspectives of these adolescents, and (iii) to describe their interaction with the medical culture.

Methods: A focused applied medical ethnography was used to study 16 purposively selected adolescents.

Interconnection: A qualitative analysis of adjusting to living with renal cell carcinoma.

Unlabelled: ABSTRACTObjective:Adjusting to cancer is an ongoing process, yet few studies explore this adjustment from a qualitative perspective. The aim of our qualitative study was to understand how patients construct their experience of adjusting to living with cancer.

Method: Qualitative analysis was conducted of written narratives collected from four separate writing sessions as part of a larger expressive writing clinical trial with renal cell carcinoma patients.

Steps in Developing a Patient-Centered Measure of Hospital Design Factors.

Patients and families are at the center of care and have important perspectives about what they see occurring surrounding their healthcare, yet organizations do not routinely collect such perspectives from patients/families. Creating patient-centered measures is essential to understanding what they perceive about the environment as well as achieving the goal of patient-centered care. We focus this research methodology column on describing a four-step medical ethnography approach that can be used in developing patient-centered measures of interest to those studying built environments.

Exceptional patients and communication in cancer care-are we missing another survival factor?

Objective: There is increased awareness of the issue of exceptional survival beyond expectations among cancer patients with poor prognosis, and researchers are starting to look closely at this phenomenon. In this study, we explored the perceptions of these "exceptional patients" as to their understanding and insight into their unusual experience.

Methods: We used a qualitative approach consisting of in-depth, open-ended interviews with exceptional patients in two locations, Texas and Israel, from 2007 to 2014.

Exploring the skin-to-skin contact experience during cesarean section.

Purpose: To explore and describe the mother's experience of holding her neonate in skin-to-skin contact (SSC) immediately after cesarean delivery during surgical closure and recovery.

Data Sources: Eleven women between the ages of 23 and 38 years, who had achieved 39.1-40.

From Dissertation Defense to Dissemination: Jump Start Your Academic Career With a Scholar Mentor Group.

Problem: The dissertation provides an excellent source of scholarly productivity for new doctoral faculty, yet is often neglected because of the demands inherent in the faculty role.

Methods: The purpose of this paper is to present a case study of a scholar mentor group composed of three graduates of a PhD nursing program and their shared dissertation chair, who acted as a senior scholar mentor to the group.

Findings: By working together, we have been able to enhance our scholarly productivity by disseminating our dissertations through presentations and publications.

Exploring the Cancer Experiences of Young Adults in the Context of Stem Cell Transplantation.

Background: Cancer is the leading cause of nonaccidental morbidity and mortality among young adults (YAs) in the United States. Stem cell transplantation (SCT), a treatment modality for a variety of YA malignancies, often requires prolonged hospitalization and immune-compromising treatment regimens. Stem cell transplantation may isolate YAs physically and emotionally, contributing to uncertainty about treatment processes, outcomes, and long-term sequelae.

Holistic nurses' stories of healing of another.

The purpose of this study was to uncover the essence and meaning of healing through narrative accounts of holistic nurses, using a qualitative, descriptive design integrating narrative and story inquiry. Twenty-five stories were collected. Seven stories revealed personal healing and have been published in a prior article.

Experiences of paradox: a qualitative analysis of living with cancer using a framework approach.

Objectives: Life-threatening diseases such as cancer represent unique traumas-compared with singular, time-limited traumatic events-given their multidimensional, uncertain, and continuing nature. However, few studies have examined the impact of cancer on patients as a persistent stressor. The aim of this qualitative study is to explore patients' ongoing experiences of living with cancer and the changes encountered in this experience over time.

Understanding of advance care planning by family members of persons undergoing hemodialysis.

The purpose of this qualitative descriptive study was to explore hemodialysis patients' family members' understanding of end-of-life decision-making processes. The project aimed to address (a) family members' constructions of advance care planning (ACP), including their roles and responsibilities, and (b) family members' perceptions of health care providers' roles and responsibilities in ACP. Eighteen family members of persons undergoing hemodialysis were recruited primarily from outpatient dialysis facilities and interviewed individually.

Understanding stigma in chronic health conditions: implications for nursing.

Purpose: This article explores the social processes in stigmatization and the theoretical background on the impact in chronic illness.

Data Sources: Review of literature from social sciences and applications to health issues.

Conclusions: Understanding the social utility of stigmatization in preserving social cohesion and protecting the social order is an important function.

Exceptional patients: narratives of connections.

Objective: This study sought to better understand the patient s perspective of the experience of recovery from cancer that appeared to defy medical prognoses.

Methods: Fourteen cases of medically verified exceptional outcomes were identified. A qualitative approach, employing long narrative interviews was used.

Providing mother's own milk in the context of the NICU: a paradoxical experience.

Background: Mothers of very preterm infants continue to face challenges related to providing their expressed breast milk in the neonatal intensive care unit (NICU).

Objective: This qualitative study sought to understand the experience of mothers of hospitalized very preterm infants related to their daily pumping routine during the NICU stay.

Methods: Fourteen women who were pumping breast milk for their hospitalized infants were interviewed.