Cervical Cancer Screening Among Older Garifuna Women Residing in New York City.

This study examined the level of adherence to the recommended cervical cancer screening guidelines among Garifuna women residing in New York City, and screening practice association with demographic factors, access to healthcare services, perceptions/barriers to cervical cancer screening, acculturation, identity, and level of screening guideline knowledge. Four hundred Garifuna women were surveyed. The study results reveal low self-reported cervical cancer screening rates (60%), increased age, visiting a Garifuna healer in the past year, perceived benefits of receiving the screening test, and knowledge of the Pap test as having the highest predictive variability for receiving cervical cancer screening.

Leading Improvements in the Delivery of Nursing Care for Older Adults with Frailty in Long-Term Care Using Mitchell's Quality Health Outcome Model and Health Outcome Data.

Protecting frail older residents from adverse health outcomes associated with preventable illnesses and conditions, such as geriatric syndromes within the long-term care (LTC) health system requires attention by the health care team, led by professional nurse leaders, to all of the operant contextual factors influencing health outcomes. Mitchell's Health Outcomes Model helps to frame these operant contextual factors to help understand how the person and the situation are viewed, which then directs professional nurse leaders' interventions. Utilization of the LTC facilities Quality Metrics data can shape and inform nurses leaders as to the gaps which can be filled to meet resident care needs operant among these modifiable contextual factors.

Association between physical function and perceived stress among U.S. Chinese older adults.

Objectives: Physical function impairment can cause great stress to older adults. The purpose of the study is to investigate the association between self-reported and directly-observed physical function on perceived stress among U.S.

Risk Factors for Pressure Injury Development Among Critical Care Patients.

Identification of the appropriate pressure injury (PI) risk factors is the first step in successful PI prevention. Measuring PI risk through formalized PI risk assessment is an essential component of any PI prevention program. Major PI risk factors identified in the empirical literature in the critical care population include age, diabetes, hypotension, mobility, prolonged intensive care unit admission, mechanical ventilation and vasopressor administration.

Utilization of Mental Health Services Among Older Chinese Immigrants in New York City.

Older immigrants are at risk of developing mental illness. This study aims to examine mental health service utilization among older Chinese immigrants, using a mixed-method design. Andersen's Behavioral Model of Health Services Use informed an examination of predictors of mental health services utilization, and semi-structured individual interviews were conducted to illuminate these findings.

Anxiety Symptoms, Depressive Symptoms, and Traditional Chinese Medicine Use in U.S. Chinese Older Adults.

This study examined the association between anxiety symptoms, depressive symptoms, and Traditional Chinese Medicine (TCM) use among U.S. Chinese older adults.

Substance craving changes in university students receiving heart rate variability biofeedback: A longitudinal multilevel modeling approach.

Background: Previously published findings from a study of university students living in substance use disorder (SUD) recovery housing showed an eight-session heart rate variability biofeedback (HRVB) intervention significantly reduced craving. That study, however, uncovered pronounced inter-participant variability in craving change patterns through the course of HRVB that warranted further exploration. The purpose of the current investigation was to examine how within- and between-person factors may have differentially influenced craving changes.

"They do not see us as one of them": a qualitative exploration of mentor mothers' working relationships with healthcare workers in rural North-Central Nigeria.

Background: In HIV programs, mentor mothers (MMs) are women living with HIV who provide peer support for other women to navigate HIV care, especially in the prevention of mother-to-child transmission of HIV (PMTCT). Nigeria has significant PMTCT program gaps, and in this resource-constrained setting, lay health workers such as MMs serve as task shifting resources for formal healthcare workers and facility-community liaisons for their clients. However, challenging work conditions including tenuous working relationships with healthcare workers can reduce MMs' impact on PMTCT outcomes.

Impaired Mobility and Functional Decline in Older Adults: Evidence to Facilitate a Practice Change.

The Centers for Medicare and Medicaid services report nearly 55% of Medicare beneficiaries older than 85 experience impaired mobility and nearly 28% (n = 671,833) of these individuals have difficulty getting help. Impaired mobility is a precursor to disability, which has notable clinical significance and importance to older adults. Using case exemplars of older adults who have experienced a "serious" fall, along with evidence-based research, the physical, psychosocial, emotional, and clinical consequences are discussed, along with assessment parameters and interventions for maximizing function and early mobility.

A Pilot Study of a Novel Method of Measuring Stigma about Depression Developed for Latinos in the Faith-Based Setting.

In order to understand the effects of interventions designed to reduce stigma about mental illness, we need valid measures. However, the validity of commonly used measures is compromised by social desirability bias. The purpose of this pilot study was to test an anonymous method of measuring stigma in the community setting.

Online Reporting of Military Sexual Trauma.

Case finding and treatment of military sexual trauma (MST) remains a serious problem in military and veteran populations as well as in the civilian population. This report provides descriptive examples, with statistics, of persons serving in the military or while living/working on a military base when they experienced unwanted sex. Males, more than females, never disclosed MST before online survey, had more physical injuries as a result and reported chronic disturbing thoughts of the experience.

Depression, Help-Seeking and Self-Recognition of Depression among Dominican, Ecuadorian and Colombian Immigrant Primary Care Patients in the Northeastern United States.

Latinos, the largest minority group in the United States, experience mental health disparities, which include decreased access to care, lower quality of care and diminished treatment engagement. The purpose of this cross-sectional study of 177 Latino immigrants in primary care is to identify demographic factors, attitudes and beliefs, such as stigma, perceived stress, and ethnic identity that are associated with depression, help-seeking and self-recognition of depression. Results indicated that 45 participants (25%) had depression by Patient Health Questionnaire (PHQ-9) criteria.

Conflict management style, supportive work environments and the experience of work stress in emergency nurses.

Aims: To examine the conflict management style that emergency department (ED) nurses use to resolve conflict and to determine whether their style of managing conflict and a supportive work environment affects their experience of work stress.

Background: Conflict is a common stressor that is encountered as nurses strive to achieve patient satisfaction goals while delivering quality care. How a nurse perceives support may impact work stress levels and how they deal with conflict.

Engagement with Care, Substance Use, and Adherence to Therapy in HIV/AIDS.

Engagement with care for those living with HIV is aimed at establishing a strong relationship between patients and their health care provider and is often associated with greater adherence to therapy and treatment (Flickinger, Saha, Moore, and Beach, 2013). Substance use behaviors are linked with lower rates of engagement with care and medication adherence (Horvath, Carrico, Simoni, Boyer, Amico, and Petroli, 2013). This study is a secondary data analysis using a cross-sectional design from a larger randomized controlled trial (n = 775) that investigated the efficacy of a self-care symptom management manual for participants living with HIV.

Engagement with Health Care Providers Affects Self- Efficacy, Self-Esteem, Medication Adherence and Quality of Life in People Living with HIV.

The engagement of patients with their health care providers (HCP) improves patients' quality of life (QOL), adherence to antiretroviral therapy, and life satisfaction. Engagement with HCP includes access to HCP as needed, information sharing, involvement of client in decision making and self-care activities, respect and support of the HCP for the client's choices, and management of client concerns. This study compares country-level differences in patients' engagement with HCP and assesses statistical associations relative to adherence rates, self-efficacy, self-esteem, QOL, and symptom self-reporting by people living with HIV (PLHIV).

Key components of an effective mentoring relationship: a qualitative study.

Background: Despite the recognized importance of mentoring, little is known about specific mentoring behaviors that result in positive outcomes.

Objective: To identify key components of an effective mentoring relationship identified by protégés-mentor dyads in an academic setting.

Methods: In this qualitative study, purposive sampling resulted in geographic diversity and representation of a range of academic disciplines.

Understanding sample size determination in nursing research.

Sample size determination is a natural consideration in the planning stages of most research studies. The purpose of this work is to provide an overview of modern methods of sample size determination and describe some of the challenges to be aware of and pitfalls to avoid in applying these various methods. Although sample size can be determined in many ways, the most commonly used approach has relied on classical hypothesis-based methods of power analysis.

Cultural influences on causal beliefs about depression among Latino immigrants.

Purpose: This study describes causal beliefs about depression among Dominican, Colombian, and Ecuadorian immigrants. The authors describe participants' narratives about how particular supernatural or religious beliefs may contribute to or alleviate depression.

Method: Latino primary care patients (n = 177) were interviewed with the Beliefs About Causes of Depression Scale, a list of 35 items rated from not at all important to extremely important.

Streaming weekly soap opera video episodes to smartphones in a randomized controlled trial to reduce HIV risk in young urban African American/black women.

Love, Sex, and Choices is a 12-episode soap opera video series created as an intervention to reduce HIV sex risk. The effect on women's HIV risk behavior was evaluated in a randomized controlled trial in 238 high risk, predominately African American young adult women in the urban Northeast. To facilitate on-demand access and privacy, the episodes were streamed to study-provided smartphones.

The influence of marianismo beliefs on physical activity of immigrant Latinas.

Purpose: To verify and explicate the impact of marianismo beliefs on the physical activity behaviors of immigrant Latinas.

Design: Twenty-eight immigrant Latinas, aged 18 to 40 years, were recruited to participate in two focus group interviews. Data collection and analysis were driven by Spradley's Developmental Research Sequence.

The under-controlled do it first: childhood personality and sexual debut.

The relationship of childhood personality type to the timing of first sexual intercourse was investigated through survival analysis. Participants from the Child Sample of the National Longitudinal Survey of Youth were categorized into one of the three personality types at 5 or 6 years of age: under-controlled, resilient, and over-controlled. Those categorized as under-controlled at 5 or 6 years of age were more likely than those resilient or over-controlled to have sexual intercourse before the age of 16.

The association of personality type in childhood with violence in adolescence.

The relationship of personality type at age 6 years to interpersonal violence at age 12 years was investigated. Participants from the Child Sample of the National Longitudinal Survey of Youth with complete data measures for the three time periods were categorized into one of the three personality types at age 6: under-controlled, resilient, and over-controlled. At age 12, participants assigned to the under-controlled personality type 6 years earlier were more likely than those assigned to the resilient or over-controlled personality types to report that they had hurt someone seriously at least once in the past year.

National plastic surgical nursing survey.

An understanding of the scope and nature of negative psychological complications resulting from plastic surgery is vital. This knowledge is essential to improve the complex interactions that patients experience as part of their surgical intervention. This is a national survey of patients' psychological complications reported by 312 board certified plastic surgical nurses.

Depressive symptoms in HIV disease.

Although depressive symptoms are common in people living with HIV/AIDS, their reported prevalence varies greatly across HIV-positive populations, ranging from 21% to 97%. Comparing these rates is complicated by the varied conceptualization of depression as a major depressive disorder (clinical depression) or depressive symptoms, and by the use of multiple methods of measurement. Knowledge of predictors of depressive symptoms can assist health care providers in the identification of those who are most at risk.