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Papers by Danny Willis

Research paper thumbnail of Intensive Care Unit Nurses' Experience of Watson's Theory of Human Caring Caritas Process III

Advances in Nursing Science

Research paper thumbnail of Facilitating Humanization

Philosophies and Practices of Emancipatory Nursing, 2014

Research paper thumbnail of My Mama's Normal Just Like Anybody Else's Mother: The Parenting Experiences of HIV Positive Mothers

Research paper thumbnail of First Episode Schizophrenia Spectrum Disorders and Treatment Non-Adherence: A Qualitative Study

Research paper thumbnail of Sustaining a Concept-Based Curriculum

Nurse Educator, 2021

BACKGROUND Many schools of nursing are transitioning to a concept-based curriculum (CBC) to bette... more BACKGROUND Many schools of nursing are transitioning to a concept-based curriculum (CBC) to better prepare students to practice across complex practice settings. PROBLEM Current literature focused on transitioning to a CBC lacks discussion on how to sustain a CBC once it is implemented. APPROACH In this article, the authors emphasize the importance of intentionally sustaining a dynamic CBC and provide strategies to accomplish this aspect of the curriculum trajectory. CONCLUSION The authors recommend a multipronged approach to sustainability that takes into account the dynamic nature of curricular change, implementation, and evaluation. Strategies are centered around themes of promoting effective use of a dynamic curricular model, stakeholder engagement, and leadership.

Research paper thumbnail of The Experience of Healing for Family Caregivers Following the Death of a Loved One in the Intensive Care Unit (SA527A)

Journal of Pain and Symptom Management, 2018

Research paper thumbnail of Review and application of the National Academies of Sciences, Engineering, and Medicine bullying or cyberbullying recommendations for screening and lesbian, gay, bisexual, and transgender youth

Nursing outlook

Bullying has been long seen as a natural part of childhood and adolescence. However, a growing bo... more Bullying has been long seen as a natural part of childhood and adolescence. However, a growing body of evidence suggests bullying and now cyberbullying may inflict harm or distress on targeted youth including physical, psychological, social, or educational harm. The purpose of this paper is to endorse the National Academies of Sciences, Engineering, and Medicine statement, summarize the report, and apply the recommendations to screening lesbian, gay, bisexual and transgender youth related to bullying and cyberbullying; line 11 change exemplified to discussed. Screening for bullying against youth; lesbian, gay, bisexual, and transgender youth as a high-risk group for bullying victimization; and implications to address bullying against youth are exemplified. Nurses need to promote policies that foster inclusive, supportive, safe, and healthy schools and environments for youth.

Research paper thumbnail of Differences between women’s preferred and actual experience with ‘shared decision-making’: A mixed method study

Journal of Clinical Oncology, 2016

34 Background: Women with metastatic breast cancer (MBC) face numerous treatment and ACP decision... more 34 Background: Women with metastatic breast cancer (MBC) face numerous treatment and ACP decisions along their illness trajectory. We aimed to explore the treatment and ACP decision-making processes and decision support needs of women with MBC. Methods: Convergent, parallel mixed methods study (9/08-7/09). Sample included women with MBC managed by 3 breast oncologists at the Norris Cotton Cancer Center, Lebanon, NH. Participants completed a semi-structured interview and standardized decision-making instruments (decision control preferences) at study enrollment (T1; n = 22) and when they faced a decision point or 3 months later (T2; n = 19), whichever came first. Results: Participants (n = 22) where all white, averaged 62 years and were mostly married (54%), retired (45%), had a ≥ bachelor’s degree (45%), and had incomes > $40,000 (50%). On the control preferences scale, most women reported a preference for a ‘shared decision’ with clinician (T1 = 14 (64%) vs T2 = 9 (47%)) compare...

Research paper thumbnail of Nursing and men's health movement: considerations for the 21st century

The Nursing clinics of North America, 2004

Men's health is a holistic, comprehensive approach that addresses the physical, mental, emoti... more Men's health is a holistic, comprehensive approach that addresses the physical, mental, emotional, social, and spiritual life experiences and health needs of men throughout their lifespan. The men's health movement consists of various movements that are melding into a central focus on men's health and well being. Current health policy is attempting to establish an Office of Men's Health. A men's health nurse practitioner role is proposed for development.

Research paper thumbnail of A Hermeneutic Phenomenological Understanding of Men's Healing From Childhood Maltreatment

Journal of holistic nursing : official journal of the American Holistic Nurses' Association, 2015

To describe and interpret men's experience of healing from childhood maltreatment. Hermeneuti... more To describe and interpret men's experience of healing from childhood maltreatment. Hermeneutic phenomenological. In-depth interviews. Community-based purposive, maximum variation sampling approach. Recruitment occurred through posting flyers and advertisements. Verbatim data were analyzed and themes of the meaning of healing were identified. The meaning of healing was interpreted as "moving beyond suffering." Five themes were identified to capture the multidimensional nature of the phenomenon: (a) breaking through the masculine veneer, (b) finding meaning, (c) choosing to live well, (d) caring for the self using holistic healing methods, and (e) engaging in humanizing relationships. Men who survived childhood maltreatment have needs to heal holistically mind, body, and spirit. Meeting their needs requires the provision of highly compassionate humanistic healing environments and healing-promotive nursing care.

Research paper thumbnail of Moving beyond dwelling in suffering: a situation-specific theory of men's healing from childhood maltreatment

Nursing science quarterly, 2015

The authors present an explanation of the development of a situation-specific theory of men's... more The authors present an explanation of the development of a situation-specific theory of men's healing from maltreatment during childhood. Development of the theory was guided by Rogers' science of unitary human beings (SUHB). The four multidimensional concepts of the theory are interpreted within the context of the SUHB from themes discovered from the findings of a hermeneutic phenomenological study of men who had been exposed to childhood maltreatment, including neglect and abuse. The concepts are: moving beyond suffering, desiring release from suffering, dwelling in suffering, and experiencing wellbeing. Moving beyond suffering is the process of healing from childhood maltreatment. Desiring release from suffering is the facilitator of men's life experiences that speeds up the rate of evolution from moving beyond suffering to experiencing healing. Dwelling in suffering is the barrier in men's life experiences that slows down the rate of evolution from moving beyond ...

Research paper thumbnail of Men's health

Nursing Clinics of North America, 2004

Research paper thumbnail of Strategies for advancing psychiatric-mental health nursing science relevant to practice: Perspectives from the American Psychiatric Nurses Association research council co-chairs

Research paper thumbnail of Male battering of intimate partners: theoretical underpinnings, intervention approaches, and implications

Nursing Clinics of North America, 2004

Male battering of intimate partners is a serious men's health issue related to vi... more Male battering of intimate partners is a serious men's health issue related to violence that calls for the profession of nursing to engage in practice, research, education, and policy initiatives. It inflicts damage and harm to society, and no one is insulated from the problem completely because of its social, health, and legal implications. Scholars and practitioners lack an adequate understanding of the confluence of myriad sociological, psychological, biological, and environmental risk factors in the developmental pathways to male battering. Prevention at the primary and secondary level of intervention is thwarted. Existing models of intervention have been useful in confronting the problem of male battering, but large-scale evaluations and clinical trials of intervention approaches are needed. Interventionists operate from varied theoretical perspectives, so that there is no general consensus on what constitutes best practices. Nursing, health-related, sociological, and criminal justice professionals have an excellent and timely opportunity to improve the health, safety, and well-being of individuals, families, and communities by addressing male battering in their scholarship and practice endeavors.

Research paper thumbnail of Conceptualizing surrogate decision making at end of life in the intensive care unit using cognitive task analysis

Nursing Outlook, 2015

Background-Surrogate decision-makers (SDMs) face difficult decisions at end of life (EOL) for dec... more Background-Surrogate decision-makers (SDMs) face difficult decisions at end of life (EOL) for decisionally incapacitated intensive care unit (ICU) patients. Purpose-Identify and describe the underlying psychological processes of surrogate decisionmaking for adults at EOL in the ICU. Method-Qualitative case study design using a cognitive task analysis (CTA) interviewing approach. Participants were recruited from October 2012 to June 2013 from an academic tertiary medical center's ICU located in the rural Northeastern United States. Nineteen SDMs for patients who had died in the ICU completed in-depth semi-structured CTA interviews. Discussion-The conceptual framework formulated from data analysis reveals that three underlying, iterative, psychological dimensions: gist impressions, distressing emotions, and moral intuitions impact a SDM's judgment about the acceptability of either the patient's medical treatments or his or her condition. Conclusion-The framework offers initial insights about the underlying psychological processes of surrogate decision-making and may facilitate enhanced decision support for SDMs.

Research paper thumbnail of “Would you tell under circumstances like that?”: Barriers to disclosure of child sexual abuse for men

Psychology of Men & Masculinity, 2014

Research paper thumbnail of A response to ‘Ontologies of nursing in an age of spiritual pluralism: closed or open worldview?’ by Barbara Pesut: our review of the Central Unifying Focus perspective as implying an open worldview: a clarification

Research paper thumbnail of Hate Crime and Its Aftermath: Knowledge for Practice, Research, and Policy

... Please use this identifier to cite or link to this item: http://hdl.handle.net/10755/163324 D... more ... Please use this identifier to cite or link to this item: http://hdl.handle.net/10755/163324 Del.icio.us LinkedIn Citeulike Connotea Facebook Stumble it! EndNote. Title: Hate Crime and Its Aftermath: Knowledge for Practice, Research, and Policy. ...

Research paper thumbnail of Nurse Interruptions Pre- and Postimplementation of a Point-of-Care Medication Administration System

Journal of Nursing Care Quality, 2010

The purpose of this study was to identify the types and nature of interruptions nurses described ... more The purpose of this study was to identify the types and nature of interruptions nurses described pre- and postimplementation of a point-of-care medication administration system. This was a secondary analysis of qualitative data originally collected by other researchers from 40 hospital-based RNs. The analysis indicated that nurses described fewer interruptions postimplementation, and the nature of the interruptions differed pre- and postimplementation. Quality nursing care can be improved by a point-of-care medication administration system. Areas for quality improvement are identified.

Research paper thumbnail of Envisioning and Advancing Marginalized Men's Health Disparities Scholarship: The Marginality-Cultural Competence Integrative Framework (M-Ccif)

Issues in Mental Health Nursing, 2006

Given the current focus of the National Institutes of Health (NIH) on eliminating health disparit... more Given the current focus of the National Institutes of Health (NIH) on eliminating health disparities among minority populations, a substantive body of culturally competent scholarship about marginalized men's health disparities is needed to add knowledge about the complex features, processes, and relationships underlying health disparities, marginality, men's health, interventions, and clinical outcomes. Marginalized men in the United States suffer disproportionately from mental and chronic health problems. Historically disadvantaged, their voices have not been privileged in health care and clinical discourses. Utilizing the concepts of marginalization and culturally competent scholarship, an integrative framework has been created to facilitate clinicians and scholars in envisioning and advancing critical scholarship related to marginalized men's health disparities. A recent focus at the national level in health services, mental health, and nursing research is on eliminating health disparities. The National Institutes of Health (NIH) has defined health disparities as "differences The authors thank Joanne M. Hall, PhD, FAAN, for her comments and insight during preparation of the manuscript.

Research paper thumbnail of Intensive Care Unit Nurses' Experience of Watson's Theory of Human Caring Caritas Process III

Advances in Nursing Science

Research paper thumbnail of Facilitating Humanization

Philosophies and Practices of Emancipatory Nursing, 2014

Research paper thumbnail of My Mama's Normal Just Like Anybody Else's Mother: The Parenting Experiences of HIV Positive Mothers

Research paper thumbnail of First Episode Schizophrenia Spectrum Disorders and Treatment Non-Adherence: A Qualitative Study

Research paper thumbnail of Sustaining a Concept-Based Curriculum

Nurse Educator, 2021

BACKGROUND Many schools of nursing are transitioning to a concept-based curriculum (CBC) to bette... more BACKGROUND Many schools of nursing are transitioning to a concept-based curriculum (CBC) to better prepare students to practice across complex practice settings. PROBLEM Current literature focused on transitioning to a CBC lacks discussion on how to sustain a CBC once it is implemented. APPROACH In this article, the authors emphasize the importance of intentionally sustaining a dynamic CBC and provide strategies to accomplish this aspect of the curriculum trajectory. CONCLUSION The authors recommend a multipronged approach to sustainability that takes into account the dynamic nature of curricular change, implementation, and evaluation. Strategies are centered around themes of promoting effective use of a dynamic curricular model, stakeholder engagement, and leadership.

Research paper thumbnail of The Experience of Healing for Family Caregivers Following the Death of a Loved One in the Intensive Care Unit (SA527A)

Journal of Pain and Symptom Management, 2018

Research paper thumbnail of Review and application of the National Academies of Sciences, Engineering, and Medicine bullying or cyberbullying recommendations for screening and lesbian, gay, bisexual, and transgender youth

Nursing outlook

Bullying has been long seen as a natural part of childhood and adolescence. However, a growing bo... more Bullying has been long seen as a natural part of childhood and adolescence. However, a growing body of evidence suggests bullying and now cyberbullying may inflict harm or distress on targeted youth including physical, psychological, social, or educational harm. The purpose of this paper is to endorse the National Academies of Sciences, Engineering, and Medicine statement, summarize the report, and apply the recommendations to screening lesbian, gay, bisexual and transgender youth related to bullying and cyberbullying; line 11 change exemplified to discussed. Screening for bullying against youth; lesbian, gay, bisexual, and transgender youth as a high-risk group for bullying victimization; and implications to address bullying against youth are exemplified. Nurses need to promote policies that foster inclusive, supportive, safe, and healthy schools and environments for youth.

Research paper thumbnail of Differences between women’s preferred and actual experience with ‘shared decision-making’: A mixed method study

Journal of Clinical Oncology, 2016

34 Background: Women with metastatic breast cancer (MBC) face numerous treatment and ACP decision... more 34 Background: Women with metastatic breast cancer (MBC) face numerous treatment and ACP decisions along their illness trajectory. We aimed to explore the treatment and ACP decision-making processes and decision support needs of women with MBC. Methods: Convergent, parallel mixed methods study (9/08-7/09). Sample included women with MBC managed by 3 breast oncologists at the Norris Cotton Cancer Center, Lebanon, NH. Participants completed a semi-structured interview and standardized decision-making instruments (decision control preferences) at study enrollment (T1; n = 22) and when they faced a decision point or 3 months later (T2; n = 19), whichever came first. Results: Participants (n = 22) where all white, averaged 62 years and were mostly married (54%), retired (45%), had a ≥ bachelor’s degree (45%), and had incomes > $40,000 (50%). On the control preferences scale, most women reported a preference for a ‘shared decision’ with clinician (T1 = 14 (64%) vs T2 = 9 (47%)) compare...

Research paper thumbnail of Nursing and men's health movement: considerations for the 21st century

The Nursing clinics of North America, 2004

Men's health is a holistic, comprehensive approach that addresses the physical, mental, emoti... more Men's health is a holistic, comprehensive approach that addresses the physical, mental, emotional, social, and spiritual life experiences and health needs of men throughout their lifespan. The men's health movement consists of various movements that are melding into a central focus on men's health and well being. Current health policy is attempting to establish an Office of Men's Health. A men's health nurse practitioner role is proposed for development.

Research paper thumbnail of A Hermeneutic Phenomenological Understanding of Men's Healing From Childhood Maltreatment

Journal of holistic nursing : official journal of the American Holistic Nurses' Association, 2015

To describe and interpret men's experience of healing from childhood maltreatment. Hermeneuti... more To describe and interpret men's experience of healing from childhood maltreatment. Hermeneutic phenomenological. In-depth interviews. Community-based purposive, maximum variation sampling approach. Recruitment occurred through posting flyers and advertisements. Verbatim data were analyzed and themes of the meaning of healing were identified. The meaning of healing was interpreted as "moving beyond suffering." Five themes were identified to capture the multidimensional nature of the phenomenon: (a) breaking through the masculine veneer, (b) finding meaning, (c) choosing to live well, (d) caring for the self using holistic healing methods, and (e) engaging in humanizing relationships. Men who survived childhood maltreatment have needs to heal holistically mind, body, and spirit. Meeting their needs requires the provision of highly compassionate humanistic healing environments and healing-promotive nursing care.

Research paper thumbnail of Moving beyond dwelling in suffering: a situation-specific theory of men's healing from childhood maltreatment

Nursing science quarterly, 2015

The authors present an explanation of the development of a situation-specific theory of men's... more The authors present an explanation of the development of a situation-specific theory of men's healing from maltreatment during childhood. Development of the theory was guided by Rogers' science of unitary human beings (SUHB). The four multidimensional concepts of the theory are interpreted within the context of the SUHB from themes discovered from the findings of a hermeneutic phenomenological study of men who had been exposed to childhood maltreatment, including neglect and abuse. The concepts are: moving beyond suffering, desiring release from suffering, dwelling in suffering, and experiencing wellbeing. Moving beyond suffering is the process of healing from childhood maltreatment. Desiring release from suffering is the facilitator of men's life experiences that speeds up the rate of evolution from moving beyond suffering to experiencing healing. Dwelling in suffering is the barrier in men's life experiences that slows down the rate of evolution from moving beyond ...

Research paper thumbnail of Men's health

Nursing Clinics of North America, 2004

Research paper thumbnail of Strategies for advancing psychiatric-mental health nursing science relevant to practice: Perspectives from the American Psychiatric Nurses Association research council co-chairs

Research paper thumbnail of Male battering of intimate partners: theoretical underpinnings, intervention approaches, and implications

Nursing Clinics of North America, 2004

Male battering of intimate partners is a serious men's health issue related to vi... more Male battering of intimate partners is a serious men's health issue related to violence that calls for the profession of nursing to engage in practice, research, education, and policy initiatives. It inflicts damage and harm to society, and no one is insulated from the problem completely because of its social, health, and legal implications. Scholars and practitioners lack an adequate understanding of the confluence of myriad sociological, psychological, biological, and environmental risk factors in the developmental pathways to male battering. Prevention at the primary and secondary level of intervention is thwarted. Existing models of intervention have been useful in confronting the problem of male battering, but large-scale evaluations and clinical trials of intervention approaches are needed. Interventionists operate from varied theoretical perspectives, so that there is no general consensus on what constitutes best practices. Nursing, health-related, sociological, and criminal justice professionals have an excellent and timely opportunity to improve the health, safety, and well-being of individuals, families, and communities by addressing male battering in their scholarship and practice endeavors.

Research paper thumbnail of Conceptualizing surrogate decision making at end of life in the intensive care unit using cognitive task analysis

Nursing Outlook, 2015

Background-Surrogate decision-makers (SDMs) face difficult decisions at end of life (EOL) for dec... more Background-Surrogate decision-makers (SDMs) face difficult decisions at end of life (EOL) for decisionally incapacitated intensive care unit (ICU) patients. Purpose-Identify and describe the underlying psychological processes of surrogate decisionmaking for adults at EOL in the ICU. Method-Qualitative case study design using a cognitive task analysis (CTA) interviewing approach. Participants were recruited from October 2012 to June 2013 from an academic tertiary medical center's ICU located in the rural Northeastern United States. Nineteen SDMs for patients who had died in the ICU completed in-depth semi-structured CTA interviews. Discussion-The conceptual framework formulated from data analysis reveals that three underlying, iterative, psychological dimensions: gist impressions, distressing emotions, and moral intuitions impact a SDM's judgment about the acceptability of either the patient's medical treatments or his or her condition. Conclusion-The framework offers initial insights about the underlying psychological processes of surrogate decision-making and may facilitate enhanced decision support for SDMs.

Research paper thumbnail of “Would you tell under circumstances like that?”: Barriers to disclosure of child sexual abuse for men

Psychology of Men & Masculinity, 2014

Research paper thumbnail of A response to ‘Ontologies of nursing in an age of spiritual pluralism: closed or open worldview?’ by Barbara Pesut: our review of the Central Unifying Focus perspective as implying an open worldview: a clarification

Research paper thumbnail of Hate Crime and Its Aftermath: Knowledge for Practice, Research, and Policy

... Please use this identifier to cite or link to this item: http://hdl.handle.net/10755/163324 D... more ... Please use this identifier to cite or link to this item: http://hdl.handle.net/10755/163324 Del.icio.us LinkedIn Citeulike Connotea Facebook Stumble it! EndNote. Title: Hate Crime and Its Aftermath: Knowledge for Practice, Research, and Policy. ...

Research paper thumbnail of Nurse Interruptions Pre- and Postimplementation of a Point-of-Care Medication Administration System

Journal of Nursing Care Quality, 2010

The purpose of this study was to identify the types and nature of interruptions nurses described ... more The purpose of this study was to identify the types and nature of interruptions nurses described pre- and postimplementation of a point-of-care medication administration system. This was a secondary analysis of qualitative data originally collected by other researchers from 40 hospital-based RNs. The analysis indicated that nurses described fewer interruptions postimplementation, and the nature of the interruptions differed pre- and postimplementation. Quality nursing care can be improved by a point-of-care medication administration system. Areas for quality improvement are identified.

Research paper thumbnail of Envisioning and Advancing Marginalized Men's Health Disparities Scholarship: The Marginality-Cultural Competence Integrative Framework (M-Ccif)

Issues in Mental Health Nursing, 2006

Given the current focus of the National Institutes of Health (NIH) on eliminating health disparit... more Given the current focus of the National Institutes of Health (NIH) on eliminating health disparities among minority populations, a substantive body of culturally competent scholarship about marginalized men's health disparities is needed to add knowledge about the complex features, processes, and relationships underlying health disparities, marginality, men's health, interventions, and clinical outcomes. Marginalized men in the United States suffer disproportionately from mental and chronic health problems. Historically disadvantaged, their voices have not been privileged in health care and clinical discourses. Utilizing the concepts of marginalization and culturally competent scholarship, an integrative framework has been created to facilitate clinicians and scholars in envisioning and advancing critical scholarship related to marginalized men's health disparities. A recent focus at the national level in health services, mental health, and nursing research is on eliminating health disparities. The National Institutes of Health (NIH) has defined health disparities as "differences The authors thank Joanne M. Hall, PhD, FAAN, for her comments and insight during preparation of the manuscript.