Publishing pragmatic trials.

Background: Pragmatic clinical trials (PCTs) are an important research approach for nurse researchers seeking to bring efficacious interventions to the real world of clinical practice. These approaches take into account the complex and often messy conditions of clinical care, involving patients with comorbid conditions, many providers providing the intervention, and limited evaluation data with which to judge effectiveness.

Purpose: The purposes of this paper are to describe the challenges for PCT manuscript writer and to review the various guidelines that may be used to assist in manuscript development.

Balancing Eating With Breathing: Community-Dwelling Older Adults' Experiences of Dysphagia and Texture-Modified Diets.

Purpose: Although many older adults suffer from dysphagia and are required to eat texture-modified diets, little is known about the experiences and challenges faced in doing so at home. In this study, we explored the perspectives of community-dwelling older adults as they struggled to balance dysphagia symptoms and recommended diet modifications with their preferred lifestyles.

Design And Methods: Using an interpretive descriptive design, we conducted 37 in-home semi-structured interviews and 5 member-checking interviews, participant observations during a meal, and reviewed the medical charts of 20 participants recruited through maximum variation purposeful sampling.

Development and evaluation of a web-based assent for adolescents considering an HIV vaccine trial.

HIV vaccine trials with minors will likely require parental permission and informed assent from adolescents. For this to be a valid process, the information needs to be presented in a manner that promotes adolescent comprehension. Previous studies suggest that adolescent comprehension of assent is often insufficient.

African American mothers' self-described discipline strategies with young children in 1992 and 2012.

In this qualitative descriptive study, 30 young, unmarried, low-income African American mothers in Memphis, TN, were interviewed in 2011-2012 about their discipline strategies with their 12- to 19-month-old children. Using content analyses, their strategies were described and compared with those from a similar sample in 1992. Findings suggest both continuity and change during that 20-year period.