The Paradoxical Tensions of Speaking-Being Silent: An Ethical Perspective.

Choosing whether or not to speak or be silent is a paradoxical experience that emerges in the moment. For the discipline of nursing, it is an important value priority found in nurse-person, nurse-group, and nurse-community situations. The discipline of nursing is at a crossroad when contemplating what its place and status will be in the chaotic and ever-changing healthcare and higher educational arenas.

Advancing EBP culture and competencies through an academic-research partnership: Process and outcomes of an EBP scholar program.

Background: Evidence-based practice (EBP) is increasingly being adopted in healthcare organizations to improve patient care and outcomes. Yet, barriers remain that prevent consistent implementation of EBP in clinical settings.

Aims: To increase EBP competencies and promote practice change, a regional academic-community hospital in Los Angeles, California, jointly with a university school of nursing, developed and implemented an EBP scholar program.

Honoring the past and charting the future: The International Society of Psychiatric Mental Health Nurses' commitment to advance diversity and equity in mental health care.

For more than two decades, the International Society of Psychiatric Nurses has dedicated its efforts to improving mental health care services worldwide, focusing on leveraging the psychiatric nursing workforce and advocating to eradicate systemic health disparities. Part of this labor included creating a culturally centered initiative, the Position Statement on Diversity, Cultural Competence and Access to Mental Health Care to fortify the cultural awareness of ISPN members to improve health-care quality delivered to diverse individuals, families, and communities across the life span and to improve these populations' access to mental health care.

Multidisciplinary Insights into the Structure-Function Relationship of the CYP2B6 Active Site.

Cytochrome P450 2B6 (CYP2B6) is a highly polymorphic human enzyme involved in the metabolism of many clinically relevant drugs, environmental toxins, and endogenous molecules with disparate structures. Over the last 20-plus years, in silico and in vitro studies of CYP2B6 using various ligands have provided foundational information regarding the substrate specificity and structure-function relationship of this enzyme. Approaches such as homology modeling, X-ray crystallography, molecular docking, and kinetic activity assays coupled with CYP2B6 mutagenesis have done much to characterize this originally neglected monooxygenase.

Optimizing Concussion Care Seeking: A Longitudinal Analysis of Recovery.

Background: Approximately half of concussions go undisclosed and therefore undiagnosed. Among diagnosed concussions, 51% to 64% receive delayed medical care. Understanding the influence of undiagnosed concussions and delayed medical care would inform medical and education practices.

Technology-Dependent Rehabilitation Involving Action Observation and Movement Imagery for Adults with Stroke: Can It Work? Feasibility of Self-Led Therapy for Upper Limb Rehabilitation after Stroke.

Background: Motor (re)learning via technology-dependent therapy has the potential to complement traditional therapies available to older adults living with stroke after hospital discharge and increase therapy dose. To date, little is known about the feasibility of technology-dependent therapy in a home setting for this population.

Objective: To develop a technology-dependent therapy that provides mental and physical training for older adults with stroke and assess feasibility.

The Worldview Genogram: A process model for enhancing diversity responsiveness and competence in education, training, and clinical supervision.

Diversity responsiveness and competence is an imperative in current graduate psychology training and few, if any, will debate this. However, what has been and still remains frustrating to most practicum and internship clinical supervisors and graduate school instructors is a dearth of safe and practical tools to enhance this process, particularly in terms of the awareness domain. The authors of this article present a process model, the Worldview Genogram (WVG), that has been developed and implemented in clinical field placements and classroom settings over the last 22 years with significant success.

Assessing language background and experiences among heritage bilinguals.

The language backgrounds and experiences of bilinguals have been primarily characterized using self-report questionnaires and laboratory tasks, although each of these assessments have their strengths and weaknesses. The Electronically Activated Recorder (EAR), an audio recording device, has recently become more prominent as a method of assessing real-world language use. We investigated the relationships among these three assessment tools, to understand the shared variance in how these measures evaluated various aspects of the bilingual experience.

The Impact of Cultural Embeddedness on the Implementation of an Artificial Intelligence Program at Triage: A Qualitative Study.

Introduction: Triage requires rapid determination of acuity and resources. Current modalities allow for individual judgment, with varied application of algorithmic rules. Although artificial intelligence can improve triage accuracy, gaps remain in understanding implementation facilitators and barriers, especially those related to the cultural understandings by nurses of emergency department presentations.

A Moment in Time.

Time is often reflected in a linear, chronological order. It is considered a basic unit of reference for institutions that employ nurses, and it is referred to as nursing time. This article raises a discussion regarding ethical thinking for the meaning of time as glimpsing the moment and its importance for persons' living quality.

The effects of an integrated mindfulness-based tai chi chuan programme on sleep disturbance among community-dwelling elderly people: protocol for a randomized controlled trial.

Background: Many elderly individuals who experience sleep disturbances would consider complementary and alternative medicine as an alternative therapeutic option in light of the limitations of traditional treatments. Mindfulness-based interventions (MBIs) and Tai Chi Chuan (TCC) are two alternative forms of complementary and alternative medicine. They both share the common feature of a focus on breathing but represent distinct approaches with different mechanisms and philosophical orientations.

The Business Case to Care for Persons With Serious Illness Using Home-Based and Community-Based Palliative Care.

The number of persons with serious illness in America has dramatically increased over the last half decade, while the cost for health care quadrupled. The trajectory of these chronic conditions can mean declining health, frequent emergency department visits and more hospitalizations, driving up health care costs, and reducing quality of life. Palliative care, a viable solution to reducing disease burden, improving quality of life, and decreasing costs, has been offered in hospitals for many years and is now a standard of care and practice.

A Study of Immigrant Latinas Perspectives of Caring for their Diabetes.

Hispanic-Americans are disproportionately affected by type 2 diabetes compared to non-Hispanic Whites. Five million adult Hispanic Americans are estimated to have been diagnosed with T2D. Among US Hispanics, Mexicans have the highest rate (14.

It's Time We Looked Under the Hood: An In-Depth Examination of Five Public California Area Agencies on Aging.

Background And Objectives: As the older adult population grows, it is important to understand the effectiveness of service delivery systems that support aging in place. Studying service delivery processes and organizational structures of Area Agencies on Aging (AAAs) is essential for future efforts to understand service delivery outcomes and innovations.

Research Design And Methods: We conducted site visits with 5 government-run California AAAs.

Correlations Between Preseason Functional Test Scores and Game Performance in Female Collegiate Volleyball Players.

Background: Functional tests (FT) are assessment tools that attempt to evaluate balance, flexibility, strength, power, speed, or agility through performance of gross motor skills. FT are frequently administered by coaches or sports medicine professionals to evaluate athletic ability, to predict performance, to identify athletes at risk for injury, or to evaluate an athlete's ability to return to sport after injury. Functional tests which can provide accurate or predictive information regarding athletic ability would be advantageous to coaching staffs or medical professionals.

Patterns of Reasons for Not Disclosing Personal Activities and Feelings to Mothers and Fathers among Ethnically Diverse Adolescents.

Adolescents' routine disclosure and self (non)disclosure to parents have been distinguished conceptually, but rarely empirically. Using latent profile analyses (LPA), these two types of (non)disclosure were operationalized and examined in terms of the patterns of reasons middle adolescents endorsed for not disclosing personal activities and personal feelings to mothers and fathers and their correlates. This was studied in a sample of 489 U.

Test Review of the Feifer Assessment of Reading (FAR).

The Feifer Assessment of Reading (FAR) is a comprehensive reading test for children ages 4 through 21 years. The FAR was designed to evaluate the underlying cognitive and linguistic processes of reading. It has 15 subtests to evaluate aspects of phonological development, orthographical processing, decoding, reading fluency, and comprehension skills.

Ethics and Emerging Health Policy.

Following the tumultuous times of a pandemic, members of the healthcare disciplines, including nursing, face mounting priorities and ethical straight-thinking questions for policy development. The processes for developing ethical policies must acknowledge others' health priorities and what matters to them instead of political agendas that dominate global thinking. An example of doing harm in healthcare is examined here as a priority leadership policy opportunity from a humanbecoming ethos understanding.

The relationship between kinesiophobia and biomechanics in anterior cruciate ligament reconstructed females.

Objective: Kinesiophobia has been associated with deleterious biomechanical alterations during dual-limb landing tasks in anterior cruciate ligament (ACL) reconstructed females, however, no research has yet investigated single-limb tasks related to ACL injury. The aim of this investigation was to examine the relationship between kinesiophobia and biomechanics during a series of dual and single-limb functional tasks associated with ACL injury risk.

Design: Cross-sectional study.

Youth survivor perspectives on healthcare and sex trafficking.

Purpose: This study aimed to assess the perspectives of youth survivors of sex trafficking on healthcare to improve care for this vulnerable and often unrecognized population.

Design And Methods: Semi-structured focus groups were conducted with eight survivors in Southern California who interacted with the healthcare system while being sex trafficked. Interviews were audio- and/or video-recorded and transcribed verbatim.