<strong>Background and Objectives:</strong> Several subgroups of the International Council Nurses Nurse Practitioner/Advanced Practice Network (ICN NP/APNN) have periodically analyzed APN (nurse practitioner clinical nurse specialist) development around world. The primary objective this study was to describe global status practice regarding scope practice, education, regulation, climate. An additional look for gaps in these same areas role order recommend future initiatives....

This article describes the use of policy Delphi method in building consensus for public and proposes a technique measuring degree consensus. The is systematic obtaining, exchanging, developing informed opinion on an issue. It can be used to develop either or against issues. includes multistage process involving initial measurement opinions (first stage), followed by data analysis, design new questionnaire, second (second stage). interquartile deviation presented as one way consensus, McNemar...

The Center for Epidemiologic Studies-Depression Scale (CES-D; L. S. Radloff, 1977) assesses the presence and severity of depressive symptoms occurring over past week. Although it contains only 20 items, its length may preclude use in a variety clinical populations. This study evaluated psychometric properties 2 shorter forms CES-D developed by F. J. Kohout, Berkman, D. A. Evans, Cornoni-Huntley (1993): Iowa form Boston form. Data were pooled from 832 women representing 6 Internal consistency...

Study Design Single group repeated measures following anterior cruciate ligament (ACL) reconstruction. Objective The purpose of this study was to evaluate the intrarater reliability selected clinical outcome in patients having ACL Background Several investigations have reported isokinetic testing and knee arthrometry. Fewer studies examined lower extremity functional tests, with most these evaluating normal subjects. Methods Measures Fifteen physically active males unilateral...

The purpose of this study was to examine the role self-esteem as a mediator effects stressors and social resources on mothers' postpartum depressive symptoms. Data were collected during in-home interviews with 738 women 1 2 months postpartum. Forty-two percent had high Self-esteem mediated everyday quality primary intimate relationships However, also exhibited direct effects. Mothers low 39 times more likely have symptoms than those self-esteem. Interventions decrease chronic improve their...

Physical symptoms are likely to occur in clusters that may be associated with adverse outcome patients heart failure (HF). Despite the importance of early recognition worsening HF management, impact physical on has not been explored context symptom clusters.The purposes this study were explore which and determine event-free survival.A total 421 (60% male; 62 [SD, 14] years; 72% New York Heart Association class II/III) completed modified Memorial Symptom Assessment Scale-Heart Failure measure...

Medication adherence and perceived social support (PSS) are independent predictors of mortality in patients with heart failure (HF). However, the predictive power combination medication PSS for hospitalization death has not been investigated HF. The purpose study was to explore combined influence prediction cardiac event-free survival HF.A total 218 HF monitored 1-3 months completed Multidimensional Perceived Social Support Scale (MPSSS) at baseline. measured using a valid objective measure,...

Background— Previous studies have linked frequent rehospitalizations for heart failure (HF) and increased mortality with older age, higher severity of HF, lack an evidence-based medication regimen, inadequate health literacy. However, the pathway between age outcomes in patients HF remains unknown. Therefore, purpose this study was to test whether association can be explained by use, literacy HF. Methods Results— This a longitudinal 575 rural recruited from outpatient clinics hospitals....

Objective: Examine Juul use patterns, sociodemographic and personal factors associated with use, reasons for initiation current among college students. Participants: Convenience sample of 371 undergraduates at a large university in the southeast; recruited April 2018. Methods: Cross-sectional design using an online survey. Logistic regression identified risk use. Results: Over 80% participants recognized Juul; 36% reported ever 21% past 30-day Significant were: male, White/non-Hispanic,...

Objectives: (1) Compare social norms and perceived peer use between college student cigarette, e-cigarette, and/or hookah users nonusers; (2) determine variables associated with influences. Participants: Undergraduate students attending a large university in the Southeast United States (N = 511). Methods: An April 2013 online survey assessed of 3 types tobacco, norms, perception use, number smokers life, exposure to secondhand smoke, demographic characteristics. Results: Participants...

Background Dietary micronutrient deficiencies have been shown to predict event-free survival in other countries but not examined patients with heart failure living the United States. The purpose of this study was determine whether number dietary associated shorter survival, defined as a combined end point all-cause hospitalization and death. Methods Results Four-day food diaries were collected from 246 (age: 61.5±12 years; 67% male; 73% white; 45% New York Heart Association [NYHA] class III...

Health insurance literacy (HIL) is defined as a person's ability to seek, obtain, and understand health plans, once enrolled use their seek appropriate care services.The objectives of this study were assess sociodemographic disparities in HIL, including knowledge terms costs, confidence using access nationally representative adult sample.We conducted secondary data analysis the Reform Monitoring Survey, which included 15,168 adults age 18 years older who responded surveys third quarter 2015...

This study examined the feasibility, acceptability, and preliminary effectiveness of an oncology financial navigation (OFN) intervention, Coverage Cost-of-Care Links (CC Links), among patients with hematologic cancer their caregivers who are at increased risk experiencing toxicity (FT).All presented to Division Hematology Bone Marrow Transplant (BMT) National Cancer Institute-designated center between April 2021 January 2022 were screened for FT during inpatient outpatient visits. Patients...

Objective: Bar and restaurant workers' exposure to secondhand smoke (SHS) was compared before 3 6 months after implementation of a smoke-free ordinance. Methods: Hair nicotine, self-reported SHS, respiratory symptoms were assessed on 105 smoking nonsmoking workers from randomly selected establishments in Lexington, Kentucky. Thirty-eight percent current smokers with more than half 10 or fewer cigarettes per day. Workers provided hair sample at baseline the 3-month interview. Results: There...

The relationships between different levels of severity ambulatory cerebral palsy, defined by the Gross Motor Function Classification System (GMFCS), and several pediatric outcome instruments were examined. Data from Measure (GMFM), Pediatric Orthopaedic Collection Instrument (PODCI), temporal-spatial gait parameters, oxygen cost collected six sites. sample size for each assessment tool ranged 226 to 1047 participants. There significant differences among GMFCS I, II, III many tools assessed...

The relationships between different levels of severity ambulatory cerebral palsy, defined by the Gross Motor Function Classification System (GMFCS), and several pediatric outcome instruments were examined. Data from Measure (GMFM), Pediatric Orthopaedic Collection Instrument (PODCI), temporal‐spatial gait parameters, oxygen cost collected six sites. sample size for each assessment tool ranged 226 to 1047 participants. There significant differences among GMFCS I, II, III many tools assessed...

Background: Because patients with heart failure (HF) experience multiple symptoms simultaneously, it is necessary to explore symptom clusters rather than individual determine their impact on outcomes. Given gender differences in experience, examination of potential reasonable. Objective: The objective the study was compare between men and women HF, patient characteristics among clusters, cardiac event-free survival. Methods: A total 331 HF recruited from clinics were included (35% female 62%...