Cynthia Aber - Academia.edu (original) (raw)

Papers by Cynthia Aber

Research paper thumbnail of Adaptation, postpartum concerns, and learning needs in the first two weeks after caesarean birth

Journal of Clinical Nursing, Oct 7, 2009

Aims. The purpose of this Roy Adaptation Model-based study was to describe women's physical, emot... more Aims. The purpose of this Roy Adaptation Model-based study was to describe women's physical, emotional, functional and social adaptation; postpartum concerns; and learning needs during the first two weeks following caesarean birth and identify relevant nursing interventions. Background. Studies of caesarean-delivered women indicated a trend toward normalisation of the caesarean birth experience. Escalating caesarean birth rates mandate continued study of contemporary caesarean-delivered women. Design. Mixed methods (qualitative and quantitative) descriptive research design. Methods. Nursing students collected data from 233 culturally diverse caesarean-delivered women in urban areas of the Midwestern and Northeastern USA between 2002-2004. The focal stimulus was the planned or unplanned caesarean birth; contextual stimuli were cultural identity and parity. Adaptation was measured by open-ended interview questions, fixed choice questionnaires about postpartum concerns and learning needs and nurse assessment of post-discharge problems. Potential interventions were identified using the Omaha System Intervention Scheme. Results. More positive than negative responses were reported for functional and social adaptation than for physical and emotional adaptation. Women with unplanned caesarean births and primiparous women reported less favourable adaptation than planned caesarean mothers and multiparas. Black women reported lower social adaptation, Hispanic women had more role function concerns and Black and Hispanic women had more learning needs than White women. Post-discharge nursing assessments revealed that actual problems accounted for 40% of identified actual or potential problems or needs. Health teaching was the most commonly recommended postpartum intervention strategy followed by case management, treatment and surveillance interventions. Conclusions. Caesarean-delivered women continue to experience some problems with adapting to childbirth. Recommended intervention strategies reflect the importance of health teaching following hospital discharge. Relevance to clinical practice. Women who experience caesarean birth require comprehensive assessment during the early postpartum period. Nurses should devise strategies to continue care services for these women following hospital discharge.

Research paper thumbnail of Women's perceptions and concerns about menopause

Clinical excellence for nurse practitioners : the international journal of NPACE, 1998

The purpose of this study was to explore the following questions: What are the perceptions of mid... more The purpose of this study was to explore the following questions: What are the perceptions of midlife women as to the care they receive from a variety of healthcare providers? What are the issues and concerns that influence their decision making about hormonal therapy? What strategies do women find helpful in accommodating to menopause? What are the knowledge and perceptions/role of the partner during the menopause transition? The research design for this study used a nonrandom survey. The nonrandom convenience sample consisted of 320 midlife women 46-55 years of age. Data were gathered via a mailed self-administered Menopause Questionnaire. Descriptive statistics were used to analyze the survey data. Qualitative data revealed more in-depth and personal comments from women concerning menopause. The most significant findings were that respondents (1) were in conflict about hormone therapy (HT), yet they had read extensively about menopause and used a variety of strategies to cope wit...

Research paper thumbnail of Adaptation to Cesarean Birth: The First 2 Weeks Post-Discharge

... PI Institution Name: Marquette University. Title: Associate Professor. Contact Address: , Mil... more ... PI Institution Name: Marquette University. Title: Associate Professor. Contact Address: , Milwaukee, WI, 53201, USA. Contact Telephone: 414.288.3855. Email: marianne.weiss@marquette.edu. Co-Authors: Jacqueline Fawcett, RN, PhD, FAAN; Cynthia Aber, EdD, RN. ...

Research paper thumbnail of Spousal Death, A Threat To Women's Health: Paid Work as A “Resistance Resource”

Image--the journal of nursing scholarship, Jun 1, 1992

This study examined the paid work role as a predictor of widows' health during conjugal bereaveme... more This study examined the paid work role as a predictor of widows' health during conjugal bereavement. The sample of widows aged 55-75 bereaved for two years prior to the study (N=157) was identified through recorded death certificates as the surviving spouses of deceased men. Work history and work attitude were statistically significant predictors of health during bereavement. * * have addressed the paid work role as a predictor of widows' health during bereavement. Review of the Literature An important concern in this study is the issue of what role or roles paid work plays in the lives of women. The paid work role has been described as a source of self-esteem, identity, wellbeing, income, social interaction, support, personal satisfaction, fulfillment, as an outlet for energy, and as giving life purpose and meaning (Baruch, Barnett

Research paper thumbnail of An Orientation to Hospitals and Community Agencies

Journal of Psychosocial Nursing and Mental Health Services, 1988

Research paper thumbnail of Factors Associated with Student Success in a Baccalaureate Nursing Program within an Urban Public University

Journal of Nursing Education, 1996

Research paper thumbnail of The Content of Advertisements in Medical Journals

Http Dx Doi Org 10 1300 J013v14n02_04, Oct 26, 2008

ABSTRACT This study was designed to examine the content of advertisements in medical journals to ... more ABSTRACT This study was designed to examine the content of advertisements in medical journals to determine if the images of women are different than those of men. The method for this investigation was content analysis of a stratified random sample of issues of selected medical journals that regularly include picture advertisements. Advertisements were analyzed according to criteria and characteristics derived from a review of the literature. Interrater reliability was computed as a function of agreements. The results indicate that readers of medical journals are still being exposed to images of women that are negative and outdated. Until portrayals of women are consistently positive and timely, the images can have a negative effect on the health care women receive.

Research paper thumbnail of Facilitating Multicultural Education in Maternity Nursing

Research paper thumbnail of Adaptation to cesarean birth: implementation of an international multisite study

Nursing science quarterly, 2005

The purpose of this column is to describe the implementation of an international multisite Roy ad... more The purpose of this column is to describe the implementation of an international multisite Roy adaptation model-based study of women's perceptions of and responses to cesarean birth. The need for the study arose from the concern that women's childbearing needs may not be met to their full satisfaction, especially if the infant is born by cesarean. Serendipity and networking played a part in the selection of four study sites in the United States (Boston, Milwaukee, Norfolk, Oklahoma City) and two in other countries (Finland, Australia). Data were collected by nursing students and staff nurses. Post-hoc consideration of the diversity of study sites revealed opportunities for examination of the influence of the contextual stimuli of culture and geographic region on the women's adaptation to cesarean birth. Strategies used to foster integration of teaching, practice, and research are discussed.

Research paper thumbnail of Women's perceptions of caesarean birth: a Roy international study

Nursing science quarterly, 2011

The purpose of this Roy adaptation model-based multi-site international mixed method study was to... more The purpose of this Roy adaptation model-based multi-site international mixed method study was to examine the relations of type of caesarean birth (unplanned/planned), number of caesarean births (primary/repeat), and preparation for caesarean birth to women's perceptions of and responses to caesarean birth. The sample included 488 women from the United States (n = 253), Finland (n = 213), and Australia (n = 22). Path analysis revealed direct effects for type of and preparation for caesarean birth on responses to caesarean birth, and an indirect effect for preparation on responses to caesarean birth through perception of birth the experience.

Research paper thumbnail of Spousal Death, A Threat To Women's Health: Paid Work as A “Resistance Resource”

Image: the Journal of Nursing Scholarship, 1992

This study examined the paid work role as a predictor of widows' health during conjugal bereaveme... more This study examined the paid work role as a predictor of widows' health during conjugal bereavement. The sample of widows aged 55-75 bereaved for two years prior to the study (N=157) was identified through recorded death certificates as the surviving spouses of deceased men. Work history and work attitude were statistically significant predictors of health during bereavement. * * have addressed the paid work role as a predictor of widows' health during bereavement. Review of the Literature An important concern in this study is the issue of what role or roles paid work plays in the lives of women. The paid work role has been described as a source of self-esteem, identity, wellbeing, income, social interaction, support, personal satisfaction, fulfillment, as an outlet for energy, and as giving life purpose and meaning (Baruch, Barnett

Research paper thumbnail of Post-Caesarean Adaptation Interview Schedule

Research paper thumbnail of Abuse Assessment Screen--Puerto Rican Version

Research paper thumbnail of The Content of Advertisements in Medical Journals

Women & Health, 1988

This study was designed to examine the content of advertisements in medical journals to determine... more This study was designed to examine the content of advertisements in medical journals to determine if the images of women are different than those of men. The method for this investigation was content analysis of a stratified random sample of issues of selected medical journals that regularly include picture advertisements. Advertisements were analyzed according to criteria and characteristics derived from a review of the literature. Interrater reliability was computed as a function of agreements. The results indicate that readers of medical journals are still being exposed to images of women that are negative and outdated. Until portrayals of women are consistently positive and timely, the images can have a negative effect on the health care women receive.

Research paper thumbnail of Translation of Domestic Violence Instruments for Use in Research

Violence Against Women, 2003

... KELLY Massachusetts General Institute of Health Professions SHARYL EVE TOSCANO Hawaii Pacific... more ... KELLY Massachusetts General Institute of Health Professions SHARYL EVE TOSCANO Hawaii Pacific University CYNTHIA S. ABER DEBORAH MAHONY University ... Hispanics have adopted since living in the United States (Fullerton et al., 1993; Kirkman & Mondragon, 1991). ...

Research paper thumbnail of Women in advertisements in medical journals

Sex Roles, 1993

To determine the images of women in picture advertisements, a stratified random sample of 32 medi... more To determine the images of women in picture advertisements, a stratified random sample of 32 medical journals, representing approximately 12% of medical journals published in the United States that are directed toward physicians in clinical practice, was subjected to content analysis. The sample consists of 209 different ads. The subjects of the ads included men, women, and children representing a

Research paper thumbnail of Contemporary Women's Adaptation to Motherhood: The First 3 to 6 Weeks Postpartum

Nursing Science Quarterly, 2013

A better understanding of the process of adaptation to motherhood should enhance nurses&a... more A better understanding of the process of adaptation to motherhood should enhance nurses' ability to prepare women for the transition to motherhood and to provide care following childbirth. Knowledge about women's adaptation to motherhood was developed primarily from the 1960s to the 1990s. Cesarean birthing was a special focus of research throughout the late 1970s and the 1980s, followed by functional status, and more recently, depression and stress associated with birth and postpartum. Adaptation to motherhood in the context of the early 21st century has received limited attention in nursing research, creating an assumption that the process of adaptation is universal and context-free rather than evolving within the life and societal context of women across generations. Although becoming and being a mother has been described as a normative transition rather than a stressor by some, knowledge development about adaptation to motherhood also has been constrained by the limited use of a unified perspective of transition as a process of adaptation. Therefore, the purposes of this exploratory study were to describe contemporary women's physical, emotional, functional, and social adaptation to motherhood and to examine the relations of selected demographic and perinatal variables to adaptation to motherhood in the first 3 to 6 weeks of the postpartum.

Research paper thumbnail of Teaching, practice, and research: An integrative approach benefiting students and faculty

Journal of Professional Nursing, 2003

A project showing the integration of teaching, practice, and research is described.

Research paper thumbnail of Factors associated with national council licensure examination-registered nurse success

Journal of Professional Nursing, 1998

Identification of factors associated with National Council Licensure Examination-Registered Nurse... more Identification of factors associated with National Council Licensure Examination-Registered Nurse (NCLEX-RN) success is critical at public colleges of nursing with diverse student populations. This issue was the purpose of this research study. A descriptive correlational research design was used. Seventy-nine generic senior students enrolled in an urban public university participated in the study. Several internal and external blocks to success were described by the students, including family responsibilities, emotional distress, fatigue, and financial and work burdens. Significant correlations were found between success in the NCLEX-RN and cumulative undergraduate nursing program grade point average, English as the primary language spoken at home, lack of family responsibilities or demands, lack of emotional distress, and sense of competency in critical thinking. Establishment of a comprehensive data base-including factors associated with success in the NCLEX-RN and programs of advisement, tutoring, and stress management as well as classes in study skills, test taking, and NCLEX preparation-are recommended for public colleges of nursing with diverse student populations.

Research paper thumbnail of Portrayal of Nurses in Advertisements in Medical and Nursing Journals

Image: the Journal of Nursing Scholarship, 1992

nursing journals to determine if the images of nurses reflect the roles nurses play in health car... more nursing journals to determine if the images of nurses reflect the roles nurses play in health care. The method used was content analysis. Thirty-five nursing journals and 48 medical journals yielded 3 13 different advertisements picturing nurses. Data were analyzed using descriptive statistics, chi-square, correlation coefficients, and interpreted for overall impressions ofthe portra yals. Nurses are portrayed as sex objects, ornaments and as handmaidens to physicians. The findings demonstrate a freezing of the image of nurses in the print media.

Research paper thumbnail of Adaptation, postpartum concerns, and learning needs in the first two weeks after caesarean birth

Journal of Clinical Nursing, Oct 7, 2009

Aims. The purpose of this Roy Adaptation Model-based study was to describe women's physical, emot... more Aims. The purpose of this Roy Adaptation Model-based study was to describe women's physical, emotional, functional and social adaptation; postpartum concerns; and learning needs during the first two weeks following caesarean birth and identify relevant nursing interventions. Background. Studies of caesarean-delivered women indicated a trend toward normalisation of the caesarean birth experience. Escalating caesarean birth rates mandate continued study of contemporary caesarean-delivered women. Design. Mixed methods (qualitative and quantitative) descriptive research design. Methods. Nursing students collected data from 233 culturally diverse caesarean-delivered women in urban areas of the Midwestern and Northeastern USA between 2002-2004. The focal stimulus was the planned or unplanned caesarean birth; contextual stimuli were cultural identity and parity. Adaptation was measured by open-ended interview questions, fixed choice questionnaires about postpartum concerns and learning needs and nurse assessment of post-discharge problems. Potential interventions were identified using the Omaha System Intervention Scheme. Results. More positive than negative responses were reported for functional and social adaptation than for physical and emotional adaptation. Women with unplanned caesarean births and primiparous women reported less favourable adaptation than planned caesarean mothers and multiparas. Black women reported lower social adaptation, Hispanic women had more role function concerns and Black and Hispanic women had more learning needs than White women. Post-discharge nursing assessments revealed that actual problems accounted for 40% of identified actual or potential problems or needs. Health teaching was the most commonly recommended postpartum intervention strategy followed by case management, treatment and surveillance interventions. Conclusions. Caesarean-delivered women continue to experience some problems with adapting to childbirth. Recommended intervention strategies reflect the importance of health teaching following hospital discharge. Relevance to clinical practice. Women who experience caesarean birth require comprehensive assessment during the early postpartum period. Nurses should devise strategies to continue care services for these women following hospital discharge.

Research paper thumbnail of Women's perceptions and concerns about menopause

Clinical excellence for nurse practitioners : the international journal of NPACE, 1998

The purpose of this study was to explore the following questions: What are the perceptions of mid... more The purpose of this study was to explore the following questions: What are the perceptions of midlife women as to the care they receive from a variety of healthcare providers? What are the issues and concerns that influence their decision making about hormonal therapy? What strategies do women find helpful in accommodating to menopause? What are the knowledge and perceptions/role of the partner during the menopause transition? The research design for this study used a nonrandom survey. The nonrandom convenience sample consisted of 320 midlife women 46-55 years of age. Data were gathered via a mailed self-administered Menopause Questionnaire. Descriptive statistics were used to analyze the survey data. Qualitative data revealed more in-depth and personal comments from women concerning menopause. The most significant findings were that respondents (1) were in conflict about hormone therapy (HT), yet they had read extensively about menopause and used a variety of strategies to cope wit...

Research paper thumbnail of Adaptation to Cesarean Birth: The First 2 Weeks Post-Discharge

... PI Institution Name: Marquette University. Title: Associate Professor. Contact Address: , Mil... more ... PI Institution Name: Marquette University. Title: Associate Professor. Contact Address: , Milwaukee, WI, 53201, USA. Contact Telephone: 414.288.3855. Email: marianne.weiss@marquette.edu. Co-Authors: Jacqueline Fawcett, RN, PhD, FAAN; Cynthia Aber, EdD, RN. ...

Research paper thumbnail of Spousal Death, A Threat To Women's Health: Paid Work as A “Resistance Resource”

Image--the journal of nursing scholarship, Jun 1, 1992

This study examined the paid work role as a predictor of widows' health during conjugal bereaveme... more This study examined the paid work role as a predictor of widows' health during conjugal bereavement. The sample of widows aged 55-75 bereaved for two years prior to the study (N=157) was identified through recorded death certificates as the surviving spouses of deceased men. Work history and work attitude were statistically significant predictors of health during bereavement. * * have addressed the paid work role as a predictor of widows' health during bereavement. Review of the Literature An important concern in this study is the issue of what role or roles paid work plays in the lives of women. The paid work role has been described as a source of self-esteem, identity, wellbeing, income, social interaction, support, personal satisfaction, fulfillment, as an outlet for energy, and as giving life purpose and meaning (Baruch, Barnett

Research paper thumbnail of An Orientation to Hospitals and Community Agencies

Journal of Psychosocial Nursing and Mental Health Services, 1988

Research paper thumbnail of Factors Associated with Student Success in a Baccalaureate Nursing Program within an Urban Public University

Journal of Nursing Education, 1996

Research paper thumbnail of The Content of Advertisements in Medical Journals

Http Dx Doi Org 10 1300 J013v14n02_04, Oct 26, 2008

ABSTRACT This study was designed to examine the content of advertisements in medical journals to ... more ABSTRACT This study was designed to examine the content of advertisements in medical journals to determine if the images of women are different than those of men. The method for this investigation was content analysis of a stratified random sample of issues of selected medical journals that regularly include picture advertisements. Advertisements were analyzed according to criteria and characteristics derived from a review of the literature. Interrater reliability was computed as a function of agreements. The results indicate that readers of medical journals are still being exposed to images of women that are negative and outdated. Until portrayals of women are consistently positive and timely, the images can have a negative effect on the health care women receive.

Research paper thumbnail of Facilitating Multicultural Education in Maternity Nursing

Research paper thumbnail of Adaptation to cesarean birth: implementation of an international multisite study

Nursing science quarterly, 2005

The purpose of this column is to describe the implementation of an international multisite Roy ad... more The purpose of this column is to describe the implementation of an international multisite Roy adaptation model-based study of women's perceptions of and responses to cesarean birth. The need for the study arose from the concern that women's childbearing needs may not be met to their full satisfaction, especially if the infant is born by cesarean. Serendipity and networking played a part in the selection of four study sites in the United States (Boston, Milwaukee, Norfolk, Oklahoma City) and two in other countries (Finland, Australia). Data were collected by nursing students and staff nurses. Post-hoc consideration of the diversity of study sites revealed opportunities for examination of the influence of the contextual stimuli of culture and geographic region on the women's adaptation to cesarean birth. Strategies used to foster integration of teaching, practice, and research are discussed.

Research paper thumbnail of Women's perceptions of caesarean birth: a Roy international study

Nursing science quarterly, 2011

The purpose of this Roy adaptation model-based multi-site international mixed method study was to... more The purpose of this Roy adaptation model-based multi-site international mixed method study was to examine the relations of type of caesarean birth (unplanned/planned), number of caesarean births (primary/repeat), and preparation for caesarean birth to women's perceptions of and responses to caesarean birth. The sample included 488 women from the United States (n = 253), Finland (n = 213), and Australia (n = 22). Path analysis revealed direct effects for type of and preparation for caesarean birth on responses to caesarean birth, and an indirect effect for preparation on responses to caesarean birth through perception of birth the experience.

Research paper thumbnail of Spousal Death, A Threat To Women's Health: Paid Work as A “Resistance Resource”

Image: the Journal of Nursing Scholarship, 1992

This study examined the paid work role as a predictor of widows' health during conjugal bereaveme... more This study examined the paid work role as a predictor of widows' health during conjugal bereavement. The sample of widows aged 55-75 bereaved for two years prior to the study (N=157) was identified through recorded death certificates as the surviving spouses of deceased men. Work history and work attitude were statistically significant predictors of health during bereavement. * * have addressed the paid work role as a predictor of widows' health during bereavement. Review of the Literature An important concern in this study is the issue of what role or roles paid work plays in the lives of women. The paid work role has been described as a source of self-esteem, identity, wellbeing, income, social interaction, support, personal satisfaction, fulfillment, as an outlet for energy, and as giving life purpose and meaning (Baruch, Barnett

Research paper thumbnail of Post-Caesarean Adaptation Interview Schedule

Research paper thumbnail of Abuse Assessment Screen--Puerto Rican Version

Research paper thumbnail of The Content of Advertisements in Medical Journals

Women & Health, 1988

This study was designed to examine the content of advertisements in medical journals to determine... more This study was designed to examine the content of advertisements in medical journals to determine if the images of women are different than those of men. The method for this investigation was content analysis of a stratified random sample of issues of selected medical journals that regularly include picture advertisements. Advertisements were analyzed according to criteria and characteristics derived from a review of the literature. Interrater reliability was computed as a function of agreements. The results indicate that readers of medical journals are still being exposed to images of women that are negative and outdated. Until portrayals of women are consistently positive and timely, the images can have a negative effect on the health care women receive.

Research paper thumbnail of Translation of Domestic Violence Instruments for Use in Research

Violence Against Women, 2003

... KELLY Massachusetts General Institute of Health Professions SHARYL EVE TOSCANO Hawaii Pacific... more ... KELLY Massachusetts General Institute of Health Professions SHARYL EVE TOSCANO Hawaii Pacific University CYNTHIA S. ABER DEBORAH MAHONY University ... Hispanics have adopted since living in the United States (Fullerton et al., 1993; Kirkman & Mondragon, 1991). ...

Research paper thumbnail of Women in advertisements in medical journals

Sex Roles, 1993

To determine the images of women in picture advertisements, a stratified random sample of 32 medi... more To determine the images of women in picture advertisements, a stratified random sample of 32 medical journals, representing approximately 12% of medical journals published in the United States that are directed toward physicians in clinical practice, was subjected to content analysis. The sample consists of 209 different ads. The subjects of the ads included men, women, and children representing a

Research paper thumbnail of Contemporary Women's Adaptation to Motherhood: The First 3 to 6 Weeks Postpartum

Nursing Science Quarterly, 2013

A better understanding of the process of adaptation to motherhood should enhance nurses&a... more A better understanding of the process of adaptation to motherhood should enhance nurses' ability to prepare women for the transition to motherhood and to provide care following childbirth. Knowledge about women's adaptation to motherhood was developed primarily from the 1960s to the 1990s. Cesarean birthing was a special focus of research throughout the late 1970s and the 1980s, followed by functional status, and more recently, depression and stress associated with birth and postpartum. Adaptation to motherhood in the context of the early 21st century has received limited attention in nursing research, creating an assumption that the process of adaptation is universal and context-free rather than evolving within the life and societal context of women across generations. Although becoming and being a mother has been described as a normative transition rather than a stressor by some, knowledge development about adaptation to motherhood also has been constrained by the limited use of a unified perspective of transition as a process of adaptation. Therefore, the purposes of this exploratory study were to describe contemporary women's physical, emotional, functional, and social adaptation to motherhood and to examine the relations of selected demographic and perinatal variables to adaptation to motherhood in the first 3 to 6 weeks of the postpartum.

Research paper thumbnail of Teaching, practice, and research: An integrative approach benefiting students and faculty

Journal of Professional Nursing, 2003

A project showing the integration of teaching, practice, and research is described.

Research paper thumbnail of Factors associated with national council licensure examination-registered nurse success

Journal of Professional Nursing, 1998

Identification of factors associated with National Council Licensure Examination-Registered Nurse... more Identification of factors associated with National Council Licensure Examination-Registered Nurse (NCLEX-RN) success is critical at public colleges of nursing with diverse student populations. This issue was the purpose of this research study. A descriptive correlational research design was used. Seventy-nine generic senior students enrolled in an urban public university participated in the study. Several internal and external blocks to success were described by the students, including family responsibilities, emotional distress, fatigue, and financial and work burdens. Significant correlations were found between success in the NCLEX-RN and cumulative undergraduate nursing program grade point average, English as the primary language spoken at home, lack of family responsibilities or demands, lack of emotional distress, and sense of competency in critical thinking. Establishment of a comprehensive data base-including factors associated with success in the NCLEX-RN and programs of advisement, tutoring, and stress management as well as classes in study skills, test taking, and NCLEX preparation-are recommended for public colleges of nursing with diverse student populations.

Research paper thumbnail of Portrayal of Nurses in Advertisements in Medical and Nursing Journals

Image: the Journal of Nursing Scholarship, 1992

nursing journals to determine if the images of nurses reflect the roles nurses play in health car... more nursing journals to determine if the images of nurses reflect the roles nurses play in health care. The method used was content analysis. Thirty-five nursing journals and 48 medical journals yielded 3 13 different advertisements picturing nurses. Data were analyzed using descriptive statistics, chi-square, correlation coefficients, and interpreted for overall impressions ofthe portra yals. Nurses are portrayed as sex objects, ornaments and as handmaidens to physicians. The findings demonstrate a freezing of the image of nurses in the print media.