Multi-level barriers to early detection of breast cancer among rural midlife women in Tanzania: A qualitative case study.

Background: Breast cancer is the second most common cause of cancer mortality among women in Tanzania and thus, early detection and treatment methods are central to improving breast cancer outcomes. However, in low- and middle-income countries in Sub-Saharan Africa, the survival rates remains low due to late presentation. Hence, a significant number of deaths could be prevented if barriers and facilitators to early detection are known.

A Theory of Family Health: A Neuman's Systems Perspective.

Understanding the social contexts of health and healthcare delivery from a multilevel thinking perspective offers nurses an opportunity to prioritize research and interventions that address communicable and noncommunicable diseases across the care continuum. The content of this paper explains the development of a multilevel theory of family health for Sub-Saharan families affected by the burden of breast cancer guided by Neuman's Systems Model. Implications for knowledge development in family nursing practice and research in the region are discussed.

A Teaching Strategy to Facilitate Nursing Students' Translation of Global Health Learning from Classroom to the Community.

Integrating global health concepts in nursing curricula is important for a competent contemporary global nursing workforce. This article describes a teaching strategy that facilitates students' translation of global health content from classroom to the community. A community-academic partnership and a train-the-trainers' approach to support community capacity for working with refugees was implemented.

Thoughts About Nursing Curricula: Dark Clouds and Bright Lights.

In this essay, several nurse scholars who are particularly concerned about the contemporary state of nursing science present their concerns about the inclusion of nursing conceptual models and theories in the curricula of nursing programs (dark clouds) and ways in which the concerns have been addressed (bright lights). This essay is the second of two essays that were catalyzed by Barrett's paper, "Again, What Is Nursing Science?" The first essay was published in the previous issue of Nursing Science Quarterly.

Thoughts About Advancement of the Discipline: Dark Clouds and Bright Lights.

In this essay, several nurse scholars who are particularly concerned about the contemporary state of nursing science present their specific concerns (dark clouds) about the advancement of our discipline and the ways in which the concerns have been addressed (bright lights). This essay is the first of two essays that were catalyzed by Barrett's paper, "Again, What Is Nursing Science?" The second essay will be published in the next issue Nursing Science Quarterly.

Exploratory Factor Analysis of the Attitudes Towards Simulation-Based Learning Scale.

Background: Simulation is used in nursing curricula to augment or replace the traditional clinical practice experiences. Studies reported varying attitudes of nursing students to simulation-based learning. The aim of this study was to conduct an exploratory factor analysis of the Attitudes of Nursing Students to Simulation-Based Learning scale to be used to explore the nursing students' attitudes related to simulation.

Community Stakeholders' Perceptions of the Role of Family in HIV Prevention in Iringa, Tanzania.

Although HIV is identified as a family disease, the overall response to the global HIV epidemic continues to predominantly focus on individuals. The aim of this qualitative study was to explore how the role of the family in HIV prevention is perceived by community-based stakeholders. Understanding the role of the family within the context of the HIV/AIDS is essential for community/public health nurses.

The meaning of family nursing intervention: what do acute care nurses think?

Understanding the concept of family nursing intervention from the perspective of practicing nurses is essential for implementing a family-centered approach in the acute care context. Data from this qualitative study were analyzed using a colloquial concept analysis method derived from Rodgers' evolutionary theory. Five main attributes of family nursing interventions were identified.

Simulation-based end-of-life care training during surgical clerkship: assessment of skills and perceptions.

Background: Assessment of interpersonal and psychosocial competencies during end-of-life care training is essential. This study reports the relationship between simulation-based end-of-life care Objective Structured Clinical Examination ratings and communication skills, trust, and self-assessed empathy along with the perceptions of students regarding their training experiences.

Method: Medical students underwent simulation-based end-of-life care OSCE training that involved standardized patients who evaluated students' communication skills and physician trust with the Kalamazoo Essential Elements Communication Checklist and the Wake Forest Physician Trust Scale.

Coping with colorectal cancer: a qualitative exploration with patients and their family members.

Background: Extensive family coping research has been conducted among breast cancer, prostate cancer and melanoma with lesser emphasis on the coping experiences of colorectal cancer (CRC) patients and their family members.

Objective: To examine ways in which patients and their family members cope with the diagnosis of CRC.

Methods: A total of 73 participants (21 patients, 52 family members) from 23 families described their experiences during and after a CRC diagnosis, including their coping experiences with the diagnosis.

A discussion of HIV/AIDS family interventions: implications for family-focused nursing practice.

Aim: This article presents a discussion on the role of family interventions in HIV/AIDS disease prevention and care.

Background: Although HIV/AIDS epidemic and its impact on the society traditionally has been measured in terms of individual risk behaviours and individual-level HIV prevention, HIV/AIDS family-focused prevention and management strategies are increasingly becoming a priority. However, little is known as to what constitutes a HIV/AIDS family intervention.

HIV disclosure among HIV positive individuals: a concept analysis.

Aim: This paper is a report of an analysis of the concept of HIV disclosure.

Background: There is a growing interest among healthcare providers and researchers in HIV disclosure as an effective HIV prevention and early disease management initiative. However, the concept still remains unclear.