Nurses as Disciplinary Agents of the State: Ethical Practice and Mandatory Reporting in the United States.

This article reviews legislative initiatives that mandate nurses to report patients, families, and clinicians to law enforcement. Most recently, these laws target transgender and gender diverse (TGD) youth and people seeking abortion. In this article, we examine the ethics of such laws through professional ethical codes.

A Grounded Theory Approach to Navigating Infertility Care During U.S. Military Service.

Introduction: In this study, we aimed to understand how active duty service members and their partners navigate the infertility care process within the Military Health System (MHS) while managing a military career.

Materials And Methods: We obtained Institutional Review Board approval to employ a qualitative design using grounded theory methods. We recruited participants using purposive sampling, followed by theoretical sampling.

Utilization of an Online Education Module and Standardized Patient Simulation Experience to Improve Nursing Student Learning Outcomes With Heart Failure Patients.

The aim of this experimental study was to examine whether nursing students' participation in an online comprehensive heart failure educational module enhances their knowledge and ability to apply heart failure education skills in a simulated standardized nurse-patient interaction. Findings suggest that students who received a heart failure educational module scored significantly higher on both an exam of heart failure knowledge and a simulated nurse-patient interaction. The results suggest that large gains can be made in nursing education by using innovative teaching strategies that move beyond normal classroom/lecture teaching techniques.

Safety and Security Concerns of Nurses Working in the Intensive Care Unit: A Qualitative Study.

Intensive care units (ICUs) exist to serve as a safe place for critically ill patients to receive care from skilled practitioners. In this qualitative study, ICU nurses shared their perspectives on elements that promote safety and security on their units. After obtaining institutional review board approval, participants participated in telephone interviews with a nurse researcher who has experience as a bedside ICU nurse.

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.

Community hospital CPOE system implementation: The lived experience of multi-disciplinary healthcare team members.

Research has demonstrated that physician medication prescribing practices can be improved with Computerized Provider Order Entry (CPOE) systems. However, while these systems specifically target physicians, they also have a ubiquitous and pervasive impact on all healthcare team members. The purpose of this poster is to report preliminary results from a qualitative interview study conducted to capture multi-disciplinary healthcare team member adoption experiences during a community hospital pilot CPOE implementation.

Reducing hunger-associated symptoms: the midmorning nutrition break.

This study measured the effectiveness of a 9 a.m. nutrition break after it had been implemented for 1 academic year at an inner-city high school.

The breakfast-eating habits of inner city high school students.

This cross-sectional, descriptive correlational research study describes the breakfast-eating habits of 846 inner-city high school students. Fifty-seven percent of students reported skipping breakfast on the day of the survey, despite the free hot-breakfast program at their high school. Significantly more girls than boys skipped breakfast, and 10th grade students had the highest rate of skipping breakfast.

Measurement of fatigue in HIV-positive adults: reliability and validity of the Global Fatigue Index.

Fatigue is among the most common and distressing symptoms in patients with HIV/AIDS. Little is known about the clinical assessment of fatigue, especially in patients using highly active antiretroviral regimens. The purpose of this study was to evaluate the psychometric properties of the Global Fatigue Index (GFI) in a community-based sample of 209 patients with HIV/AIDS.

The education of advanced practice nurses: a contemporary approach.

The Advanced Practice Nursing of Adults and the Elderly graduate program at San Diego State University School of Nursing prepares experienced professional nurses with primary and specialized care (acute or critical care) knowledge and skills to deliver health care to adults and elders across practice settings as nurse practitioners and clinical nurse specialists. Emphasis is placed on health care that is research based and congruent with national standards of practice. This approach to graduate education is congruent with recommendations of professional nursing organizations and responds to the educational needs of professional nurses and the health care needs of adult and elders.

Development of an instrument to measure cardiac illness dependency.

Objective: Dependency is frequently mentioned in the literature as a response of patients with cardiac disease. The purpose of this study was to develop and test a measure of dependency occurring in response to a cardiac illness. Illness dependency is defined as the need for emotional protection and social support after a significant change in health.

Focus on research utilization.

This column focuses on research utilization in future issues. In this article, the coeditors of this column review the differences between the conduct of research and research utilization, describe the decision-making process for research utilization, and discuss the Agency for Health Care Policy and Research Clinical Practice Guidelines.

Caring for patients with ventricular assist devices.

The purpose of this article is to stimulate nursing research questions and potential areas for study related to patients with ventricular assist devices. Multidisciplinary research is needed, and nurses should play a key role in developing database variables and research for patients with this technology.

Effects of intravenous magnesium sulphate in acute myocardial infarction.

This column reviews the results of second Leicester Intravenous Magnesium Sulphate Intervention Trial (LIMIT-2), a clinical study investigating the effects of intravenous magnesium sulphate on 28-day mortality and morbidity in suspected AMI patients. Many LIMIT-2 subjects also received thrombolytic and anti-platelet therapy, differentiating findings of this study from earlier results. Implications for practice, education, and future research are discussed.

Developing case management in a primary nursing system.

Primary nursing has been both a philosophy of care and a delivery model for many hospitals during the past decade. Although the authors still value the philosophy of primary nursing, they believe the model no longer is effective in their hospital. The authors describe the experience of changing the nursing care delivery system from primary nursing to case management in leveled practice.