Publications by authors named "Margaret Wilmoth"

Children who have a parent serving in one of the military Reserve Components have access to fewer support services than their active-duty counterparts. They also have unique circumstances that need recognition by school administra-tors, nurses, and counselors. This paper suggests ways the state of North Carolina can improve support provided to these children and their parents.

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Civilian health professionals can play a significant role in our national security as it relates to medical readiness of the military. Members of the Reserve Component and many Veterans receive their health care in the civilian sector, thus all North Carolina health professionals need to understand the unique issues affecting this population. This issue high-lights current challenges facing our military, their families, and our Veterans, and authors offer suggestions for provid-ing quality care to this population.

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Background: Lower job satisfaction is associated with increased turnover. Although factors that contribute to job satisfaction are well documented, less is known about job satisfaction among health care professionals in military hospitals.

Purpose: To explore areas of most and least satisfaction with work among civilian and military nurses and physicians in an Army hospital.

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Objective: The aim of this study was to explore whether demographic characteristics and professional roles are associated with relational coordination (RC) among nurses and physicians.

Background: The increased race, age, and gender diversity in the nursing and medical workforce raises questions regarding how well nurses and physicians communicate and interact. Relational coordination is a unique framework to enhance teamwork and care coordination among healthcare professionals.

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Relational coordination (RC) is a process of coordinating work between professionals that can be used as a framework to enhance interprofessional collaborative practice (IPCP) in various healthcare settings. RC encompasses four communication dimensions (frequent, timely, accurate, problem-solving) and three relational dimensions (shared knowledge, shared goals, mutual respect). RC has been associated with better staff and patient outcomes; it has wide applicability, and it has been examined nationally and internationally in various healthcare settings.

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Military children make tremendous sacrifices in support of a parent(s) military service. More than two million children have a parent who is serving or has served in the Armed Forces. Research shows that military-connected children are at higher risk of physical, psychological, and behavioral health issues.

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Purpose: A good 'fit' with an organization is critical to a leader's success yet when searching for a new position assessment an evaluation of many aspects may be overlooked, such as culture. This paper presents key considerations around 'fit' that applicants for leadership positions should consider prior to, during, and after the interview. Suggestions are provided on how to approach an evaluation of 'fit'.

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The American Academy of Nursing launched the "Have You Ever Served in the Military?" campaign in 2013 in conjunction with the Joining Forces campaign spearheaded by First Lady Michelle Obama and Dr. Jill Biden. The "Have You Ever Served in the Military?" campaign provides guidance and resources for nurses outside the Military Health System and Veterans Health Administration where upwards of 80% of veterans receive care.

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This article describes the reliability of the instruments embedded in a mental health screening instrument designed to detect risky drinking, depression, and post-traumatic stress disorder among members of the Armed Forces. The instruments were generally reliable, however, the risky drinking screen (Alcohol Use Disorders Identification Test-Consumption) had unacceptable reliability (α = 0.58).

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Background And Purpose: The Sexual Adjustment Questionnaire (SAQ) is used in National Cancer Institute-sponsored clinical trials as an outcome measure for sexual functioning. The tool was revised to meet the needs for a clinically useful, theory-based outcome measure for use in both research and clinical settings. This report describes the modifications and validity testing of the modified Sexual Adjustment Questionnaire-Male (mSAQ-Male).

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In their 2010 report on The Future of Nursing, the Institute of Medicine called for nurses to be prepared to lead in all areas of healthcare. However, the nursing profession lacks consensus on a framework to guide the development of nurses as leaders and has yet to define essential leader competencies. This article reviews the Army's intentional, sequential, and progressive leader development program that is grounded in essential leader competencies.

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Nurse leaders in North Carolina convened the Statewide Summit for Creating the Future of Nursing and Health Care in North Carolina on April 11, 2011. This article summarizes the summit and lays out the way ahead for implementing, in North Carolina, recommendations from the report on the future of nursing recently published by the Institute of Medicine of the National Academies (IOM). A synopsis of the commentaries composing the policy forum of this issue of the NCMJ follows, linking them to the IOM report.

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Purpose/objectives: To better understand treatment-induced changes in sexuality from the patient perspective, to learn how women manage these changes in sexuality, and to identify what information they want from nurses about this symptom.

Research Approach: Qualitative descriptive methods.

Setting: An outpatient gynecologic clinic in an urban area in the southeastern United States served as the recruitment site for patients.

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Purpose/objectives: To analyze the incidence of chemotherapy-induced neuropathy in a set of patients with gynecologic cancer who were treated with known neurotoxic agents, to identify correlative factors related to patients' experience of neuropathy, and to analyze providers' assessment and treatment of neuropathy.

Design: Observational descriptive study of patient-reported neuropathy using a retrospective chart analysis.

Setting: A hospital-based outpatient infusion center in the southeastern United States.

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Nursing is a science and an art. The science aspect of including sexuality in nursing practice requires knowledge about "normal" sexual functioning, an understanding of the pathophysiology and pharmacotherapies that may cause changes in sexuality, and knowledge about assessing and treating sexual difficulties. The art of including sexuality into nursing practice comes from awareness of one's beliefs and values, and comfort in talking about sexuality.

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The Readiness Estimate and Deployability Index measures the level of individual deployment readiness in Army Nurse Corps officers. The primary purposes of this pilot study were to determine the psychometric properties of the measure for Army Reserve component nurses and enlisted medical personnel and to compare the reliability between groups. The convenience sample consisted of 92 subjects.

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Purpose/objectives: To find the most effective methods of providing social support for women diagnosed with breast cancer by testing the effectiveness of a telephone social support and education intervention to promote emotional and interpersonal adaptation to breast cancer.

Design: Multisite, two-group experimental study with repeated measures.

Setting: Arkansas and New Jersey.

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