Publications by authors named "John Blakeman"
Background: Social media is a common source of health-related information. However, more clarity regarding ACS symptom information posted on social media is needed.
Objectives: The objective was to describe ACS symptom information on social media platforms, including Twitter (now named X), Instagram, and TikTok.
Background: The Chest Pain Conception Questionnaire was developed to measure the lay public's conceptions of chest pain related to acute coronary syndrome.
Objective: The purpose of this study was to further test the Chest Pain Conception Questionnaire in a racially and ethnically diverse sample.
Methods: Participants from across the United States completed an online survey.
Background: Little attention has been placed on language proficiency as a potential variable affecting ACS symptom knowledge, attitudes, and beliefs.
Objectives: To compare the ACS symptom knowledge, attitudes, and beliefs of Hispanic and Latina/o/x/e individuals proficient in English and in those only proficient in Spanish. Secondary aims were to determine if there were differences in ACS symptom knowledge, attitudes, or beliefs based on participants' previous exposure to ACS symptom information and to evaluate instrument characteristics of the new Spanish version of the ACS Response Index.
Introduction: Emergency nurses must quickly identify patients with potential acute coronary syndrome. However, no recent nationwide research has explored nurses' knowledge of acute coronary syndrome symptoms. The purpose of this study was to explore emergency nurses' recognition of acute coronary syndrome symptoms, including whether nurses attribute different symptoms to women and men.
View Article and Find Full Text PDFIntroduction: This study aimed to identify the symptoms used to assess angina, determine how emergency nurses make triage decisions for potential acute coronary syndrome, and determine emergency nurses' initial actions.
Methods: This was a cross-sectional, survey-based design. Emergency nurses were recruited through a posting on the Emergency Nurses Association website and through postcards.
Cardiovascular disease (CVD) is the leading cause of death in women but is often underrecognized and undertreated. Women are more likely to experience delay in treatment and worse outcomes, even though they experience similar symptoms as men. Women are more likely to experience ischemia related to microvascular dysfunction, which is not readily diagnosed by commonly used diagnostic tests.
View Article and Find Full Text PDFBackground: Even though "chest pain" is often highlighted as a key heart attack symptom for which individuals should seek care, little is known about the ways that the lay public conceives of chest pain related to acute coronary syndrome (ACS).
Objectives: The purpose of this four-step process was to develop an instrument to measure the lay public's conceptions of chest pain related to ACS.
Methods: The Chest Pain Conception Questionnaire (CPCQ) was drafted based on the Theory of Unpleasant Symptoms and findings from the published literature.
Background: The COVID-19 pandemic added challenges to patient assessment and triage in the emergency department (ED).
Objective: The aim of this study was to describe the effects of the COVID-19 pandemic on ED triage nurse decisions for patients with potential acute coronary syndrome (ACS).
Methods: This was a secondary analysis of data from a descriptive, electronic, survey-based study.
Background: Although extensive research and public education for the last 2 decades has focused on symptom differences experienced by men and women, little is known about what acute coronary syndrome symptoms the lay public associates with men, with women, and with both men and women.
Objective: The aim of this study was to describe what acute coronary syndrome symptoms the lay public associates with men, with women, and with both men and women and to explore whether differences in participant gender affect how these symptoms are associated.
Methods: A descriptive, cross-sectional survey design was used, using an online survey.
Background: The time of symptom onset to the time an individual decides to seek care is the most significant contributor to total treatment delay.
Objectives: To explore predictors of ACS symptom knowledge, attitudes, and beliefs in adults without diagnosed heart disease.
Methods: We used a cross-sectional, descriptive, and correlational design, employing an online survey including the ACS Response Index and the avoidance subscale of the Coping Strategy Indicator.
Background: Most women experience prodromal myocardial infarction (MI) symptoms, but more information is needed about the perception, attribution, and care-seeking behaviors related to these prodromal symptoms.
Objectives: We aimed to describe women's perceptions, attributions, and care-seeking behaviors related to prodromal MI symptoms.
Method: We used a qualitative, multiple case study approach, recruiting participants during summer 2019 from a large hospital in the Midwestern United States.
Background: The clinical work of nurses across the United States was profoundly impacted by the Coronavirus (COVID-19) pandemic. Nurses in both hospital and outpatient settings had to adapt quickly to the continuously changing healthcare environment.
Objective: To describe nurses' responses to open-ended questions of their clinical work adaption during the COVID-19 pandemic.
To report on the psychometric properties of the Acute Coronary Syndrome Response Index in adults without heart disease. Participants were enrolled online, using social media platforms and an email listserv. The sample of 1,040 was randomly split into two sub-samples for exploratory and confirmatory factor analysis.
View Article and Find Full Text PDFBackground: The Coronavirus (COVID-19) had a profound impact on the delivery of care in both hospital and outpatient settings across the United States. Patients with heart failure (HF) and healthcare providers had to abruptly adapt.
Objective: To describe how the COVID-19 pandemic affected practice patterns of HF nurses.
Background: Simply knowing the common symptoms of acute coronary syndrome (ACS) is not sufficient to ensure prompt care-seeking when these symptoms occur. Factors other than symptom knowledge contribute to prompt care-seeking behaviours and correct symptom attribution to the heart.
Objectives: To explore how perceived personal risk and perceived personal vulnerability towards ACS affect a person's ACS symptom recognition and attribution and also how this perception affects a person's response to ACS symptoms.
Accurately measuring and reporting the demographic characteristics of research participants are imperative to provide consumers of research with an understanding of who was included in a study. While researchers often, incorrectly, use the variables sex and gender interchangeably, these 2 variables are different. We conducted a content analysis of 239 randomly selected research articles, with the purpose of describing how researchers have used sex and gender in studies published in nursing journals and identifying opportunities for improved clarity and precision in measuring these 2 variables.
View Article and Find Full Text PDFAims And Objectives: The purpose of this study was to explore adult women's unique and shared experiences of prodromal myocardial infarction fatigue.
Background: Fatigue is the most prevalent symptom experienced by women in the weeks and months before myocardial infarction. However, dimensions of this fatigue, such as timing, distress, intensity, quality, patterns and associated characteristics have not been established through studies of this symptom.
This paper describes a three-semester hour applied research course taught over three semesters in a revamped PhD research curriculum at a Midwestern high research activity (R2) university-based nursing program. Faculty developed this strategy to help students become adequately prepared nurse scientists. Students and faculty engaged in a collaborative research project to provide students with opportunities to develop, integrate, and apply research knowledge, skills, and attitudes while concurrently advancing through the related research courses.
View Article and Find Full Text PDFSex and gender are not equivalent concepts, even though these 2 variables are often used interchangeably by researchers. The precise use of variables is critical to ensure that research and theoretical work is of the highest quality. This article defines sex and gender and the importance of recognizing both of these variables as being unique and then demonstrates the benefit of measuring both of these variables using the cardiovascular disease literature as an exemplar.
View Article and Find Full Text PDFBeliefs and Experiences of Nurse Educators Regarding Changing Answers on Examinations.
Nurs Educ Perspect
March 2020
Aim: The purpose of this study was to explore nurse educators' beliefs and experiences regarding students changing answers on multiple-choice examinations.
Background: Studies suggest that answer-changing behavior does not negatively affect academic performance and may actually have a positive impact, but published studies reporting nurse educators' beliefs and experiences on this topic are limited.
Method: A mixed-methods approach, QUAN + Qual, was employed.
Patients' care-seeking behaviors are often based on the symptoms they experience. Prodromal myocardial infarction symptoms are those symptoms that occur prior to a myocardial infarction, and fatigue is common. However, the concept of prodromal myocardial infarction fatigue has not been explored from a multidimensional perspective using a concept analysis approach.
View Article and Find Full Text PDFAims: The aim of this study was to explore how the theory of unpleasant symptoms (TOUS) has been used in the methodological design and analysis of symptom research.
Design: An integrative review, using Whittemore and Knafl's approach.
Data Sources: Searches were conducted between 26 January-10 February 2018.
Aims And Objectives: To explore the extant literature for key features of prodromal and acute myocardial infarction fatigue experienced by women, including estimates of severity, narrative descriptors, impacts on activities of daily living and frequency, and to describe what is known from the current evidence base.
Background: Several studies, conducted across the globe, have investigated prodromal and acute myocardial infarction symptoms experienced by women and suggested that fatigue is prevalent, and they have also sporadically described specific characteristics of fatigue, such as narrative descriptors and severity. However, no review specific to this acute and prodromal fatigue could be located in the literature.
Objectives: This integrative review sought to identify studies that describe individual prodromal myocardial infarction (MI) symptoms and clusters of prodromal symptoms in women and to critically examine this body of evidence.
Background: Studies have suggested that women may experience warning symptoms months prior to MI.
Methods: A comprehensive database search was conducted using multiple search terms in various combinations.