Cathy Rozmus - Academia.edu (original) (raw)

Papers by Cathy Rozmus

Research paper thumbnail of Rural women's knowledge of and attitudes toward acquired immune deficiency syndrome

Health Care for Women International, May 1, 1993

We surveyed the knowledge of and attitudes about acquired immune deficiency syndrome (AIDS) of 23... more We surveyed the knowledge of and attitudes about acquired immune deficiency syndrome (AIDS) of 236 women living in a rural community. The design of the study was descriptive, using the AIDS Knowledge and Belief Survey. There was a significant positive correlation between attitude scores and knowledge scores. Women who had read about AIDS had significantly higher knowledge scores than women who had not read about AIDS, but there were no significant differences between the attitude scores of women who had and had not read about AIDS.

Research paper thumbnail of Association Between Continuing Education and Job Satisfaction of Nurses Employed in Long-Term Care Facilities

Journal of Continuing Education in Nursing, May 1, 1999

Research paper thumbnail of Energy Healers’ Distance Healing Experience

Journal of Holistic Nursing, May 10, 2023

The purpose of this study was to describe the experience of energy healing practitioners (specifi... more The purpose of this study was to describe the experience of energy healing practitioners (specifically, Healing Touch) use of distance healing to provide insight into the methods, practice, and experience from the providers’ perspective. One hundred and fifty-three energy workers participated in the open-ended survey. Overall, the experience of using distance healing during the pandemic was positive for practitioners in both giving and receiving. Practitioners also reported primarily positive feedback from their patients. A few respondents reported feeling hesitant about using distance healing and preferred hands-on work. However, distance healing was generally seen as providing flexibility to the practitioners’ work, connection, and enhanced understanding of the human energy field.

Research paper thumbnail of Neonatal nursing in the Gaza Strip

Research paper thumbnail of Hispanic Parental Beliefs and Practices in the Management of Common Childhood Illnesses: A Review of the Literature

Journal of Transcultural Nursing, Jun 21, 2020

Introduction: Hispanic parents are more likely to perceive common childhood illnesses as serious ... more Introduction: Hispanic parents are more likely to perceive common childhood illnesses as serious and needing immediate attention compared with other groups. The purpose of this review is to describe the factors that influence Hispanic parental management of common childhood illnesses. Method: A systematic search of PubMed, PsycINFO, and Cumulative Index of Nursing and Allied Health Literature was conducted. Studies were screened and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Results: Fifteen studies met the inclusion criteria for synthesis. Key findings include the following: (a) parental fears around common illnesses, (b) belief in folk illnesses, (c) use of traditional healers and remedies, (d) family members as a source of health information, (e) medical pluralism, and (f) barriers to care. Conclusion: Hispanic parents simultaneously engage both biomedical and folk spheres of treatment. More current research is needed to understand Hispanic beliefs and practices and to formulate culturally sensitive interventions in this population.

Research paper thumbnail of Health promoting behavior among chronically ill Pacificans living with non-communicable disease in Fiji, Nauru, and Kiribati

Pacific health dialog, Nov 1, 2009

Individuals in the developing world are quick to adopt patterns of behavior that mimic Western tr... more Individuals in the developing world are quick to adopt patterns of behavior that mimic Western trends even when those trends have negative long term effects on health. In this study we relate survey results describing attitudes and perceptions toward individual health responsibility of people being treated for non-communicable diseases including diabetes, hypertension, and cardiovascular disease in order to improve public health interventions. We conducted convenience sample surveys in both English and native languages at outpatient clinics and hospital centers in Fiji, Nauru, and Kiribati with people being treated for non-communicable diseases. We used the Health Promoting Lifestyle Profile in regression analyses to explore underlying factors explaining patient attitudes in managing their illnesses. Our results suggest that there exist attitudinal differences among afflicted populations with regard to stress, physical activity, nutrition, and health responsibility. One unifying theme is the lack of interest in conventional public health educational methods including printed material and public lectures. These similarities and differences must be recognized by government health ministries as well as international health organizations when developing public health interventions. Public health professionals and educators must develop ways to transmit the message of healthy lifestyles to populations in the South Pacific that do not give much attention to conventional public health education methods. The epidemic of non-communicable disease that is occurring in many of the Pacific Island nations will only be effectively addressed by new educational approaches.

Research paper thumbnail of Critical pathways: Application to selected patient outcomes following coronary artery bypass graft

Applied Nursing Research, Nov 1, 1999

As health care reform evolves in the United States, many hospitals are implementing strategies to... more As health care reform evolves in the United States, many hospitals are implementing strategies to contain the cost of coronary artery bypass graft (CABG) surgery. The purpose of this study was to examine the length of stay in the intensive care unit (ICU) after CABG surgery relative to the number of hours, postoperation, when ambulation occurred, and to examine the overall postoperative length of hospital stay. The study found a significant difference between ICU length of stay and the time when ambulation was initiated (t(150) =-2.68; p = .004). These results suggest that CABG patients with shorter ICU stays begin ambulation sooner, thus potentially reducing the risk of postoperative complications as well as cost. No other significant differences were demonstrated.

Research paper thumbnail of Adolescent sexuality and sexually transmitted diseases: Attitudes, beliefs, knowledge, and values

Journal of Pediatric Nursing, Jun 1, 1999

This study described rural adolescents' attitudes, beliefs, knowledge, and values with regard to ... more This study described rural adolescents' attitudes, beliefs, knowledge, and values with regard to sexuality and sexually transmitted diseases (STDs). Rotter's Social Learning Theory (1954) provided the theoretical framework for this descriptive, correlational design. The convenience sample consisted of 170 students from one rural high school. Consistent with past studies, results included the following: participants had more correct than incorrect knowledge related to sexual intercourse and STDs; the majority had positive attitudes toward condom use and believed it was OK for peers to have sex with a "steady;" the value of an exciting life correlated positively with attitudes toward sex; knowledge of sexual intercourse correlated positively with attitudes toward condom use; and the value health correlated positively with knowledge of sex and attitudes toward condom use, and negatively with attitudes toward sex. The findings in this study suggest the need for ongoing research with adolescents in the area of sexuality and STDs. Additionally, the findings support past studies, which revealed that knowledge of sexual intercourse and STDs has little impact on attitudes toward sexual intercourse. With the serious nature of some of the undesired consequences of adolescent sexual behavior, current and accurate information on this population is needed to assist health educators in developing interventions in this area. Copyright 9 1999by W.B. Saunders Company S EXUALLY ACTIVE ADOLESCENTS have the highest rates of sexually transmitted diseases (STDs) (Bell & Hein, 1984; Newcomer & Baldwin, 1992). In 1994, for example, 138,000 cases of gonorrhea were reported among teens 15 to 19 years of age in the United States (Centers for Disease Control [CDC], 1995a). With STD rates increasing among adolescents, their risk of contracting acquired immune deficiency syndrome (AIDS) is growing (Newcomer & Baldwin, 1992). The CDC reported 2,354 cases of AIDS among teens 13 to 19 years of age in 1995 (CDC, 1995b), with AIDS becoming one of the 10 leading causes of death among 15-to 24-year-olds (Kilbourne, Buehler, & Rogers, 1990). Also, during adolescent development there is the establishment of lifetime behavior patterns and attitudes related to sexual activities and risk taking, which therefore possibly has an impact on contraction of STDs throughout the life span (Morris, Warren, & Aral, 1993). Previous studies have indicated marked increases in sexual activities at age 14 years for males and age 15 years for females

Research paper thumbnail of Nursing Journals Read and Assigned Most Often in Doctoral Programs

Image--the journal of nursing scholarship, Dec 1, 1989

Five doctoraifacutty members were randomly selectedfiom each faulty group of 35 doctoral procams ... more Five doctoraifacutty members were randomly selectedfiom each faulty group of 35 doctoral procams in nursing to identtfv which nursing journals t h q read most ojten and which nursing journals thcy assign most o j e n to doctoral students. Five nursing journals were consistently ranked 1-4 as being read and assigned most ojlen. These journals are: Nursing Research, Advances in Nursing Science, IMAGE: Journal of Nursing Scholarship, Research in Nursing and Health, and Western Journal of Nursing Research. Implications for editors, reviewers and research consumers are discussed. * * + he number of nursing journals has steadily increased since the mid-1970's. In McCloskey's (1977) report of publishing opportunities for

Research paper thumbnail of Pacesetter curriculum: An experimental design evaluation of a clinical immersion model for nursing education

Journal of Nursing Education and Practice, Apr 20, 2014

Research paper thumbnail of Posting With a Purpose: Improving Social Media Strategies to Communicate With Younger Generations

Clinical Journal of Oncology Nursing, Jun 1, 2021

The presence of four generations in the workplace and professional associations, paired with the ... more The presence of four generations in the workplace and professional associations, paired with the advent of social media outlets as a dominant form of communication, suggests opportunities for improving communication strategies to better appeal to younger generations. This process improvement initiative sought to improve communication processes within a local chapter of the Oncology Nursing Society by using more diverse posting strategies that would speak to members' professional needs and included strategies encouraging members to view and engage with posts.

Research paper thumbnail of Biobehavioral Factors in Child Health Outcomes

Nursing Research, Sep 1, 2016

Background: Exposure to high levels of maternal stress and ineffective maternal-child engagement ... more Background: Exposure to high levels of maternal stress and ineffective maternal-child engagement (MC-E) may adversely affect child health-related outcomes. Objective: The aim of this study was to examine the impact of maternal stress and MC-E on maternal and child biological responses (salivary cortisol and testosterone) and child health outcome in mother-child dyads of preschool children (3-5.9 years) in a low socioeconomic setting. Methods: Observational and biobehavioral data were collected from 50 mother-child dyads in a preschool setting. Assessments included maternal stress with the Perceived Stress Scale, child health outcomes with the Pediatric Quality of Life Inventory, and MC-E with videotaped mother-child interactions and scored with the Keys to Interactive Parenting Scale. Morning and evening saliva samples were collected from mother and child for biological assays. Results: Maternal stress was negatively correlated with MC-E (r = −.32, p < .05) and child health outcome (r = −.33, p < .05). Lower levels of MC-E predicted higher morning cortisol (p = .02) and higher morning and bedtime testosterone levels in children (p = .03 and p = .04, respectively). Child biological responses did not predict child health outcome. Discussion: Maternal stress and MC-E during mother-child interactions play a significant role in the regulation of child stress physiology and child health outcome. Elevated cortisol and testosterone related to high maternal stress and low MC-E may increase the child's vulnerability to negative health outcomes-if sustained. More biobehavioral research is needed to understand how parent-child interactions affect child development and health outcomes in early childhood.

Research paper thumbnail of Is Acanthosis Nigricans a Reliable Indicator for Risk of Type 2 Diabetes in Obese Children and Adolescents?

Journal of School Nursing, Dec 16, 2011

Acanthosis nigricans (AN) is a thickening and hyperpigmentation of the skin commonly found on the... more Acanthosis nigricans (AN) is a thickening and hyperpigmentation of the skin commonly found on the neck, axilla, or groin and is generally caused by hyperinsulinemia, a consequence of insulin resistance associated with obesity. Insulin resistance is a primary risk factor for the development of type 2 diabetes, hypercholesterolemia, and hypertension. Screening for acanthosis nigricans is controversial and not recommended by the Centers for Disease Control and Prevention; however, some states, such as Texas, are implementing AN screenings in schools to identify those children who are at highest risk for developing type 2 diabetes. With the current epidemics of obesity and diabetes, school nurses will see students in the health office with AN and should be knowledgeable about this skin condition and the association with hyperinsulinemia and obesity. The school nurse's role is to educate and assist students and their families in seeking appropriate medical advice based on current knowledge of risk factors. This article will explore the controversy associated with screening for AN and make recommendations for school nursing practice.

Research paper thumbnail of Preparing parents for their child's transfer from the PICU to the pediatric floor

Applied Nursing Research, Aug 1, 1999

The experimental study described here was conducted to examine a nursing intervention intended to... more The experimental study described here was conducted to examine a nursing intervention intended to diminish the anxiety level of parents of children being transferred from a pediatric intensive care unit (PICU) to a general pediatric floor. The convenience sample included 50 parents of patients in a PICU at a southeastern U.S. tertiary medical center. The sample was randomly assigned to control and experimental groups. All subjects' anxiety levels were measured using Spielberger's State-Trait Anxiety Inventory (STAI) 24 to 48 hours prior to the child's impending transfer. The experimental group subsequently was given a transfer-preparation letter along with a verbal explanation. Finally, both groups were retested using the STAI immediately prior to the child's transfer. After controlling for trait anxiety, the analysis of covariant results showed significantly lower anxiety levels among the subjects who received the transfer-preparation letter than among those who did not, F(1,47) = 18.65, p < .0005. The study concludes that effective transfer preparation can significantly reduce the anxiety experienced by parents who are facing the imminent transfer of their child out of the PICU.

Research paper thumbnail of Symptoms (Sx) in English (E) and Spanish (S) speaking children with cancer

Journal of Clinical Oncology, May 20, 2012

9096 Background: Sx in children receiving treatment for cancer are poorly described and often rep... more 9096 Background: Sx in children receiving treatment for cancer are poorly described and often reported by proxies. Study aims were to 1. Characterize sx of pediatric oncology outpatients 2. Evaluate the agreement between patient (pt) and proxy reports 3. Report the association between pt assessed sx and treatments prescribed by physicians (MD). Methods: The pediatric Memorial Symptom Assessment Scale (pMSAS) is a validated tool that evaluates frequency, intensity and distress of 8 sx (version 7-12) or 30 sx (version 10-18) for pts of corresponding ages. Higher scores indicate greater sx burden. pMSAS was translated into S versions. Pt eligibility included ages 7-18, E or S speaking, advanced cancer, pediatric assent/parent consent and E or S speaking family caregiver (CG) with IRB approved consent for self participation. Pts and CG were administered age appropriate pMSAS in E or S independently just prior to MD visit and consenting MDs, the corresponding pMSAS after the visit. Subscale scores included total pMSAS score (TOTAL), psychological, physical and global distress index for older group (OG) and TOTAL for younger group (YG). Statistical analysis included Spearman correlation coefficients and weighted kappas. Results: E and S results were similar and combined. 60 children [age mean +SD 12 +.5, 62% male, 35 S] and their CG completed the pMSAS. 14 MD completed pMSAS for 20 pts. 9 pts (15%) had no sx and 38 (63%), ≥2. The most common sx for ages 7-10 were tired (N=12, 40%) and itch (N=9, 30%) and for ages 11-18, pain (15/30, 50%) and energy (13/29, 45%). Subscale score agreement varied by proxy type and subscale. For TOTAL, highest correlation was 0.6 (p

Research paper thumbnail of Clinical Application of Research and Community Health for Baccalaureate Students: Impacting Houston Pediatric Immunization Rates

Sigma's 30th International Nursing Research Congress, Jun 28, 2019

Research paper thumbnail of A description of the maternal decision-making process regarding circumcision (DISS)

Research paper thumbnail of Values, knowledge, and attitudes about acquired immunodeficiency syndrome in rural adolescents

Journal of Pediatric Health Care, Jul 1, 1993

Research paper thumbnail of Family strategies for managing childhood cancer: using complementary and alternative medicine in Jordan

Journal of Advanced Nursing, Nov 30, 2010

Aim. This paper is a report of a study that examined the use of complementary and alternative med... more Aim. This paper is a report of a study that examined the use of complementary and alternative medicine therapies among children with cancer in Jordan. Background. Complementary and alternative medicine use by oncology patients has been gaining acceptance in the developed countries and developing countries. Healthcare professionals are becoming increasingly aware that patients use complementary and alternative medicine either covertly or overtly. Methods. A descriptive cross-sectional design was used with parents of children with cancer under treatment and follow-up in a paediatric oncology department in Jordan between August 2007 and April 2008. Results. Parents of 69 children with cancer in Jordan were surveyed for their use of complementary and alternative medicine with their children. A total of 65AE2% of the sample had used at least one type of complementary and alternative medicine during the course of their child's treatment. The use of biological and nutritional complementary and alternative medicine was 70AE5% among the users. Use of body and soul complementary and alternative medicine strategies was reported for 22AE2% of the children using complementary and alternative medicine. Twenty per cent of the sample used body movement complementary and alternative medicine for their children. A total of 45AE5% of complementary and alternative medicine users perceived benefits in using complementary and alternative medicine for their children with cancer. However, 40% of complementary and alternative medicine users had stopped using complementary and alternative medicine for multiple reasons. Conclusion. Parents used complementary and alternative medicine to support their children's medical treatment and to use all possible methods to cure their children. The reason for parents not using complementary and alternative medicine included not being aware of complementary and alternative medicine. Most of the patients have not discussed the issue of using complementary and alternative medicine with the medical staff.

Research paper thumbnail of Culturally Sensitive Care of the Muslim Patient

Journal of Transcultural Nursing, Jul 1, 2001

The number of Muslims in the United States is growing. This article outlines a few of the major b... more The number of Muslims in the United States is growing. This article outlines a few of the major beliefs in Islam. Religious and philosophical factors that affect health care are discussed, and practical suggestions are made for nursing actions that lead to culture care preservation, culture care accommodation, and culture care restructuring. Major topics covered include the need for cleanliness, preparation for prayer, modesty, family structure, fasting and diet, and care of the dying.

Research paper thumbnail of Rural women's knowledge of and attitudes toward acquired immune deficiency syndrome

Health Care for Women International, May 1, 1993

We surveyed the knowledge of and attitudes about acquired immune deficiency syndrome (AIDS) of 23... more We surveyed the knowledge of and attitudes about acquired immune deficiency syndrome (AIDS) of 236 women living in a rural community. The design of the study was descriptive, using the AIDS Knowledge and Belief Survey. There was a significant positive correlation between attitude scores and knowledge scores. Women who had read about AIDS had significantly higher knowledge scores than women who had not read about AIDS, but there were no significant differences between the attitude scores of women who had and had not read about AIDS.

Research paper thumbnail of Association Between Continuing Education and Job Satisfaction of Nurses Employed in Long-Term Care Facilities

Journal of Continuing Education in Nursing, May 1, 1999

Research paper thumbnail of Energy Healers’ Distance Healing Experience

Journal of Holistic Nursing, May 10, 2023

The purpose of this study was to describe the experience of energy healing practitioners (specifi... more The purpose of this study was to describe the experience of energy healing practitioners (specifically, Healing Touch) use of distance healing to provide insight into the methods, practice, and experience from the providers’ perspective. One hundred and fifty-three energy workers participated in the open-ended survey. Overall, the experience of using distance healing during the pandemic was positive for practitioners in both giving and receiving. Practitioners also reported primarily positive feedback from their patients. A few respondents reported feeling hesitant about using distance healing and preferred hands-on work. However, distance healing was generally seen as providing flexibility to the practitioners’ work, connection, and enhanced understanding of the human energy field.

Research paper thumbnail of Neonatal nursing in the Gaza Strip

Research paper thumbnail of Hispanic Parental Beliefs and Practices in the Management of Common Childhood Illnesses: A Review of the Literature

Journal of Transcultural Nursing, Jun 21, 2020

Introduction: Hispanic parents are more likely to perceive common childhood illnesses as serious ... more Introduction: Hispanic parents are more likely to perceive common childhood illnesses as serious and needing immediate attention compared with other groups. The purpose of this review is to describe the factors that influence Hispanic parental management of common childhood illnesses. Method: A systematic search of PubMed, PsycINFO, and Cumulative Index of Nursing and Allied Health Literature was conducted. Studies were screened and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Results: Fifteen studies met the inclusion criteria for synthesis. Key findings include the following: (a) parental fears around common illnesses, (b) belief in folk illnesses, (c) use of traditional healers and remedies, (d) family members as a source of health information, (e) medical pluralism, and (f) barriers to care. Conclusion: Hispanic parents simultaneously engage both biomedical and folk spheres of treatment. More current research is needed to understand Hispanic beliefs and practices and to formulate culturally sensitive interventions in this population.

Research paper thumbnail of Health promoting behavior among chronically ill Pacificans living with non-communicable disease in Fiji, Nauru, and Kiribati

Pacific health dialog, Nov 1, 2009

Individuals in the developing world are quick to adopt patterns of behavior that mimic Western tr... more Individuals in the developing world are quick to adopt patterns of behavior that mimic Western trends even when those trends have negative long term effects on health. In this study we relate survey results describing attitudes and perceptions toward individual health responsibility of people being treated for non-communicable diseases including diabetes, hypertension, and cardiovascular disease in order to improve public health interventions. We conducted convenience sample surveys in both English and native languages at outpatient clinics and hospital centers in Fiji, Nauru, and Kiribati with people being treated for non-communicable diseases. We used the Health Promoting Lifestyle Profile in regression analyses to explore underlying factors explaining patient attitudes in managing their illnesses. Our results suggest that there exist attitudinal differences among afflicted populations with regard to stress, physical activity, nutrition, and health responsibility. One unifying theme is the lack of interest in conventional public health educational methods including printed material and public lectures. These similarities and differences must be recognized by government health ministries as well as international health organizations when developing public health interventions. Public health professionals and educators must develop ways to transmit the message of healthy lifestyles to populations in the South Pacific that do not give much attention to conventional public health education methods. The epidemic of non-communicable disease that is occurring in many of the Pacific Island nations will only be effectively addressed by new educational approaches.

Research paper thumbnail of Critical pathways: Application to selected patient outcomes following coronary artery bypass graft

Applied Nursing Research, Nov 1, 1999

As health care reform evolves in the United States, many hospitals are implementing strategies to... more As health care reform evolves in the United States, many hospitals are implementing strategies to contain the cost of coronary artery bypass graft (CABG) surgery. The purpose of this study was to examine the length of stay in the intensive care unit (ICU) after CABG surgery relative to the number of hours, postoperation, when ambulation occurred, and to examine the overall postoperative length of hospital stay. The study found a significant difference between ICU length of stay and the time when ambulation was initiated (t(150) =-2.68; p = .004). These results suggest that CABG patients with shorter ICU stays begin ambulation sooner, thus potentially reducing the risk of postoperative complications as well as cost. No other significant differences were demonstrated.

Research paper thumbnail of Adolescent sexuality and sexually transmitted diseases: Attitudes, beliefs, knowledge, and values

Journal of Pediatric Nursing, Jun 1, 1999

This study described rural adolescents' attitudes, beliefs, knowledge, and values with regard to ... more This study described rural adolescents' attitudes, beliefs, knowledge, and values with regard to sexuality and sexually transmitted diseases (STDs). Rotter's Social Learning Theory (1954) provided the theoretical framework for this descriptive, correlational design. The convenience sample consisted of 170 students from one rural high school. Consistent with past studies, results included the following: participants had more correct than incorrect knowledge related to sexual intercourse and STDs; the majority had positive attitudes toward condom use and believed it was OK for peers to have sex with a "steady;" the value of an exciting life correlated positively with attitudes toward sex; knowledge of sexual intercourse correlated positively with attitudes toward condom use; and the value health correlated positively with knowledge of sex and attitudes toward condom use, and negatively with attitudes toward sex. The findings in this study suggest the need for ongoing research with adolescents in the area of sexuality and STDs. Additionally, the findings support past studies, which revealed that knowledge of sexual intercourse and STDs has little impact on attitudes toward sexual intercourse. With the serious nature of some of the undesired consequences of adolescent sexual behavior, current and accurate information on this population is needed to assist health educators in developing interventions in this area. Copyright 9 1999by W.B. Saunders Company S EXUALLY ACTIVE ADOLESCENTS have the highest rates of sexually transmitted diseases (STDs) (Bell & Hein, 1984; Newcomer & Baldwin, 1992). In 1994, for example, 138,000 cases of gonorrhea were reported among teens 15 to 19 years of age in the United States (Centers for Disease Control [CDC], 1995a). With STD rates increasing among adolescents, their risk of contracting acquired immune deficiency syndrome (AIDS) is growing (Newcomer & Baldwin, 1992). The CDC reported 2,354 cases of AIDS among teens 13 to 19 years of age in 1995 (CDC, 1995b), with AIDS becoming one of the 10 leading causes of death among 15-to 24-year-olds (Kilbourne, Buehler, & Rogers, 1990). Also, during adolescent development there is the establishment of lifetime behavior patterns and attitudes related to sexual activities and risk taking, which therefore possibly has an impact on contraction of STDs throughout the life span (Morris, Warren, & Aral, 1993). Previous studies have indicated marked increases in sexual activities at age 14 years for males and age 15 years for females

Research paper thumbnail of Nursing Journals Read and Assigned Most Often in Doctoral Programs

Image--the journal of nursing scholarship, Dec 1, 1989

Five doctoraifacutty members were randomly selectedfiom each faulty group of 35 doctoral procams ... more Five doctoraifacutty members were randomly selectedfiom each faulty group of 35 doctoral procams in nursing to identtfv which nursing journals t h q read most ojten and which nursing journals thcy assign most o j e n to doctoral students. Five nursing journals were consistently ranked 1-4 as being read and assigned most ojlen. These journals are: Nursing Research, Advances in Nursing Science, IMAGE: Journal of Nursing Scholarship, Research in Nursing and Health, and Western Journal of Nursing Research. Implications for editors, reviewers and research consumers are discussed. * * + he number of nursing journals has steadily increased since the mid-1970's. In McCloskey's (1977) report of publishing opportunities for

Research paper thumbnail of Pacesetter curriculum: An experimental design evaluation of a clinical immersion model for nursing education

Journal of Nursing Education and Practice, Apr 20, 2014

Research paper thumbnail of Posting With a Purpose: Improving Social Media Strategies to Communicate With Younger Generations

Clinical Journal of Oncology Nursing, Jun 1, 2021

The presence of four generations in the workplace and professional associations, paired with the ... more The presence of four generations in the workplace and professional associations, paired with the advent of social media outlets as a dominant form of communication, suggests opportunities for improving communication strategies to better appeal to younger generations. This process improvement initiative sought to improve communication processes within a local chapter of the Oncology Nursing Society by using more diverse posting strategies that would speak to members' professional needs and included strategies encouraging members to view and engage with posts.

Research paper thumbnail of Biobehavioral Factors in Child Health Outcomes

Nursing Research, Sep 1, 2016

Background: Exposure to high levels of maternal stress and ineffective maternal-child engagement ... more Background: Exposure to high levels of maternal stress and ineffective maternal-child engagement (MC-E) may adversely affect child health-related outcomes. Objective: The aim of this study was to examine the impact of maternal stress and MC-E on maternal and child biological responses (salivary cortisol and testosterone) and child health outcome in mother-child dyads of preschool children (3-5.9 years) in a low socioeconomic setting. Methods: Observational and biobehavioral data were collected from 50 mother-child dyads in a preschool setting. Assessments included maternal stress with the Perceived Stress Scale, child health outcomes with the Pediatric Quality of Life Inventory, and MC-E with videotaped mother-child interactions and scored with the Keys to Interactive Parenting Scale. Morning and evening saliva samples were collected from mother and child for biological assays. Results: Maternal stress was negatively correlated with MC-E (r = −.32, p < .05) and child health outcome (r = −.33, p < .05). Lower levels of MC-E predicted higher morning cortisol (p = .02) and higher morning and bedtime testosterone levels in children (p = .03 and p = .04, respectively). Child biological responses did not predict child health outcome. Discussion: Maternal stress and MC-E during mother-child interactions play a significant role in the regulation of child stress physiology and child health outcome. Elevated cortisol and testosterone related to high maternal stress and low MC-E may increase the child's vulnerability to negative health outcomes-if sustained. More biobehavioral research is needed to understand how parent-child interactions affect child development and health outcomes in early childhood.

Research paper thumbnail of Is Acanthosis Nigricans a Reliable Indicator for Risk of Type 2 Diabetes in Obese Children and Adolescents?

Journal of School Nursing, Dec 16, 2011

Acanthosis nigricans (AN) is a thickening and hyperpigmentation of the skin commonly found on the... more Acanthosis nigricans (AN) is a thickening and hyperpigmentation of the skin commonly found on the neck, axilla, or groin and is generally caused by hyperinsulinemia, a consequence of insulin resistance associated with obesity. Insulin resistance is a primary risk factor for the development of type 2 diabetes, hypercholesterolemia, and hypertension. Screening for acanthosis nigricans is controversial and not recommended by the Centers for Disease Control and Prevention; however, some states, such as Texas, are implementing AN screenings in schools to identify those children who are at highest risk for developing type 2 diabetes. With the current epidemics of obesity and diabetes, school nurses will see students in the health office with AN and should be knowledgeable about this skin condition and the association with hyperinsulinemia and obesity. The school nurse's role is to educate and assist students and their families in seeking appropriate medical advice based on current knowledge of risk factors. This article will explore the controversy associated with screening for AN and make recommendations for school nursing practice.

Research paper thumbnail of Preparing parents for their child's transfer from the PICU to the pediatric floor

Applied Nursing Research, Aug 1, 1999

The experimental study described here was conducted to examine a nursing intervention intended to... more The experimental study described here was conducted to examine a nursing intervention intended to diminish the anxiety level of parents of children being transferred from a pediatric intensive care unit (PICU) to a general pediatric floor. The convenience sample included 50 parents of patients in a PICU at a southeastern U.S. tertiary medical center. The sample was randomly assigned to control and experimental groups. All subjects' anxiety levels were measured using Spielberger's State-Trait Anxiety Inventory (STAI) 24 to 48 hours prior to the child's impending transfer. The experimental group subsequently was given a transfer-preparation letter along with a verbal explanation. Finally, both groups were retested using the STAI immediately prior to the child's transfer. After controlling for trait anxiety, the analysis of covariant results showed significantly lower anxiety levels among the subjects who received the transfer-preparation letter than among those who did not, F(1,47) = 18.65, p < .0005. The study concludes that effective transfer preparation can significantly reduce the anxiety experienced by parents who are facing the imminent transfer of their child out of the PICU.

Research paper thumbnail of Symptoms (Sx) in English (E) and Spanish (S) speaking children with cancer

Journal of Clinical Oncology, May 20, 2012

9096 Background: Sx in children receiving treatment for cancer are poorly described and often rep... more 9096 Background: Sx in children receiving treatment for cancer are poorly described and often reported by proxies. Study aims were to 1. Characterize sx of pediatric oncology outpatients 2. Evaluate the agreement between patient (pt) and proxy reports 3. Report the association between pt assessed sx and treatments prescribed by physicians (MD). Methods: The pediatric Memorial Symptom Assessment Scale (pMSAS) is a validated tool that evaluates frequency, intensity and distress of 8 sx (version 7-12) or 30 sx (version 10-18) for pts of corresponding ages. Higher scores indicate greater sx burden. pMSAS was translated into S versions. Pt eligibility included ages 7-18, E or S speaking, advanced cancer, pediatric assent/parent consent and E or S speaking family caregiver (CG) with IRB approved consent for self participation. Pts and CG were administered age appropriate pMSAS in E or S independently just prior to MD visit and consenting MDs, the corresponding pMSAS after the visit. Subscale scores included total pMSAS score (TOTAL), psychological, physical and global distress index for older group (OG) and TOTAL for younger group (YG). Statistical analysis included Spearman correlation coefficients and weighted kappas. Results: E and S results were similar and combined. 60 children [age mean +SD 12 +.5, 62% male, 35 S] and their CG completed the pMSAS. 14 MD completed pMSAS for 20 pts. 9 pts (15%) had no sx and 38 (63%), ≥2. The most common sx for ages 7-10 were tired (N=12, 40%) and itch (N=9, 30%) and for ages 11-18, pain (15/30, 50%) and energy (13/29, 45%). Subscale score agreement varied by proxy type and subscale. For TOTAL, highest correlation was 0.6 (p

Research paper thumbnail of Clinical Application of Research and Community Health for Baccalaureate Students: Impacting Houston Pediatric Immunization Rates

Sigma's 30th International Nursing Research Congress, Jun 28, 2019

Research paper thumbnail of A description of the maternal decision-making process regarding circumcision (DISS)

Research paper thumbnail of Values, knowledge, and attitudes about acquired immunodeficiency syndrome in rural adolescents

Journal of Pediatric Health Care, Jul 1, 1993

Research paper thumbnail of Family strategies for managing childhood cancer: using complementary and alternative medicine in Jordan

Journal of Advanced Nursing, Nov 30, 2010

Aim. This paper is a report of a study that examined the use of complementary and alternative med... more Aim. This paper is a report of a study that examined the use of complementary and alternative medicine therapies among children with cancer in Jordan. Background. Complementary and alternative medicine use by oncology patients has been gaining acceptance in the developed countries and developing countries. Healthcare professionals are becoming increasingly aware that patients use complementary and alternative medicine either covertly or overtly. Methods. A descriptive cross-sectional design was used with parents of children with cancer under treatment and follow-up in a paediatric oncology department in Jordan between August 2007 and April 2008. Results. Parents of 69 children with cancer in Jordan were surveyed for their use of complementary and alternative medicine with their children. A total of 65AE2% of the sample had used at least one type of complementary and alternative medicine during the course of their child's treatment. The use of biological and nutritional complementary and alternative medicine was 70AE5% among the users. Use of body and soul complementary and alternative medicine strategies was reported for 22AE2% of the children using complementary and alternative medicine. Twenty per cent of the sample used body movement complementary and alternative medicine for their children. A total of 45AE5% of complementary and alternative medicine users perceived benefits in using complementary and alternative medicine for their children with cancer. However, 40% of complementary and alternative medicine users had stopped using complementary and alternative medicine for multiple reasons. Conclusion. Parents used complementary and alternative medicine to support their children's medical treatment and to use all possible methods to cure their children. The reason for parents not using complementary and alternative medicine included not being aware of complementary and alternative medicine. Most of the patients have not discussed the issue of using complementary and alternative medicine with the medical staff.

Research paper thumbnail of Culturally Sensitive Care of the Muslim Patient

Journal of Transcultural Nursing, Jul 1, 2001

The number of Muslims in the United States is growing. This article outlines a few of the major b... more The number of Muslims in the United States is growing. This article outlines a few of the major beliefs in Islam. Religious and philosophical factors that affect health care are discussed, and practical suggestions are made for nursing actions that lead to culture care preservation, culture care accommodation, and culture care restructuring. Major topics covered include the need for cleanliness, preparation for prayer, modesty, family structure, fasting and diet, and care of the dying.