bluuebunny/crossref_metadata_2025_split huggingface dataset:
Does telemonitoring in heart failure empower patients for self‐care? A qualitative study
Authors: Riley Jillian P , Gabe Jonathan PN , Cowie Martin R 
Published: November 2012

Aims and objectivesTo explore the extent to which telemonitoring in patients with heart failure empowers them to self‐care.BackgroundTelemonitoring is increasingly used to provide structured follow‐up. In patients with heart failure it has been shown to reduce mortality. However there is limited knowledge of the extent to which it supports the patient to develop self‐care skills.DesignA qualitative study including interviews with patients at 2 time‐points.MethodsFifteen patients mean age 74, 11 (73%) male, 9 (60%) symptomatic on moderate activity, 6 (40%) symptomatic on mild exertion were interviewed at two time points: firstly following three months of telemonitoring and the second interview following six months of telemonitoring. Thematic analysis of the data was undertaken using constant comparison.ResultsPatients undertook a variety of self‐care actions. During the three‐month interview technological skills featured highly in patients accounts and they used telemonitoring to facilitate professional monitoring. However, during the six‐month interview patients described how they used telemonitoring to support their self‐care actions. Such actions were based on the understanding of heart failure that patients developed from their personal experience of symptoms, and their interaction with the telemonitoring and the telemonitoring nurse. We found no difference in self‐care actions regardless of patients age, severity of their heart failure, time since diagnosis with heart failure or living alone.ConclusionIn summary, the majority of patients used telemonitoring daily and developed self‐care skills in monitoring their heart failure. Such skills were developed over the six‐month time‐period of the study.Relevance to clinical practiceOur findings suggest how the nurse can help patients to use telemonitoring to develop their understanding of their heart failure and empower them for self‐ care decision making.
Bed and shower baths: comparing the perceptions of patients with acute myocardial infarction
Authors: L Lopes Juliana , Nogueira‐Martins Luiz A , de Barros Alba LBL 
Published: November 2012

Aims and objectivesTo compare the perceptions of patients with acute myocardial infarction concerning bed and shower baths and evaluate how antecedent variables influence their perceptions.BackgroundProfessionals are often oblivious to the fact that, when performing a bed bath, they are manipulating someone else's body and invading someone's privacy and intimacy. This lack of awareness may trigger various responses in patients, such as dissatisfaction and anxiety. Several studies assessing the perceptions of patients when receiving a bed bath, and most are qualitative. Thus, there is a need to quantify these perceptions.DesignThe research was a crossover study.MethodsThe sample consisted of 71 patients with acute myocardial infarction, admitted to coronary units. Patients were evaluated on two occasions: after their second bed bath and after their second shower bath. A Semantic Differential Scale was constructed and validated prior to data collection.ResultsThe perception of patients receiving shower baths was significantly more positive than those of patients receiving bed baths (<0·0001). The only variable that interfered with the general perception of patients was prior hospitalisation (p = 0·0468). Patients who previously experienced a hospitalisation had a less positive perception, concerning both the bed and shower baths, than those who were hospitalised for the first time.ConclusionThe perceptions of patients receiving bed baths were less positive than those of patients receiving shower baths.Relevance to clinical practiceThe perceptions of patients receiving baths are very important to guiding nursing care and developing strategies to minimise patient dissatisfaction.
Spiritual support for people living with HIV/AIDS: A Brazilian explorative, descriptive study
Authors: Caixeta Camila Roberto da Costa Borges , Nascimento Lucila Castanheira , Pedro Iara Cristina da Silva , Rocha Semiramis Melani Melo 
Published: November 2012

AbstractIn this exploratory and descriptive research, we identified the meaning of religion and spirituality in the experience of patients at a public health service for treatment of HIV/AIDS in a Brazilian upcountry town. Eight participants were selected through theoretical sampling. Data were collected through semistructured interviews, and analyzed by means of qualitative content analysis. The emerging themes were religion: a path to support, and God is everything. Religion, as a path that leads patients to different sources of support, included exploration of different churches, acknowledgment of guilt, and finding strength to cope with the disease, rationalization of the disease process, meeting other churchgoers, and finding God and faith. God, an important source of support, was present in prayers, in the belief in healing through faith, and in the feeling of comfort and relief. Because spirituality and religion were seen as important sources of support, in this study we that health professionals include these aspects in care planning.
Effect of cognitive behavior therapy on sleep disorder in Parkinson's disease in China: A pilot study
Authors: Yang Hualu , Petrini Marcia 
Published: November 2012

AbstractIn this study, we established design feasibility and evaluated the effects of cognitive behavior therapy provided to individuals with Parkinson's disease. A single‐group interrupted time series design was used in this pilot study. Analyses were conducted on 22 participants, who provided data at pretest, post‐test, and 3 month follow up. At each time point, participants completed a sleep diary and Parkinson's disease sleep scale. There was a significant difference between pretest and post‐test (P < 0.01). The results suggests that cognitive behavior therapy facilitates improvement of sleep disorders in patients with Parkinson's disease, and provides important information necessary to design more definitive studies in the future.
Psychometric properties of the Turkish version of the Fraboni Scale of Ageism
Authors: Kutlu Yasemin , Kucuk Leyla , Yildiz Findik Ummu 
Published: November 2012

AbstractIn this study, the reliability, validity, and psychometric properties of theTurkish version of theFraboniScale ofAgeism were assessed. The psychometric properties of the scale were studied through a descriptive and correlational design. The study sample consisted of 231 healthy people living in the Marmara region ofTurkey. In order to obtain three sets of data, a questionnaire was designed containing demographic questions and the Scale. The content validity index for the full scale was 0.98. The α coefficient for 25 items was 0.84, and the split‐half reliability of theFraboniScale ofAgeism was 0.81. The three factors represented 38.31% of the variance. In this study, we concluded that the Turkish version of theFraboniScale ofAgeism is a suitable instrument for measuring ageism in theTurkish population.
Life orientation in Finnish family caregivers' of persons with Alzheimer's disease: A diary study
Authors: Välimäki Tarja , Vehviläinen‐Julkunen Katri , Pietilä Anna‐Maija , Koivisto Anne 
Published: November 2012

AbstractFamily caregivers provide the majority of home care of people with Alzheimer's disease. In this study, we discuss family caregivers' life orientation and changes in life orientation during the first year after the diagnosis of Alzheimer's disease. Family caregivers' unstructured diaries (n = 83), of the first six months after diagnosis (years 2002–2004), were analyzed using qualitative content analysis. Two core themes emerged from the data analysis: the meaning of the onset of Alzheimer's disease for the lives of family caregivers, and restructuring life in its entirety. Family caregivers face challenges in their life orientation after the onset of their family members' Alzheimer's disease. Their personal milieu, familial cohesion, and conception of the future consequentially change. They face multiple challenges in the process of becoming caregivers. In this study, it was revealed that the process starts before the diagnosis of Alzheimer's disease and has an impact on their future. We conclude that family caregivers' well‐being should be assessed at the time of the diagnosis of Alzheimer's disease.
Patients' experiences of a nurse‐led rheumatology clinic in Sweden: A qualitative study
Authors: Larsson Ingrid , Bergman Stefan , Fridlund Bengt , Arvidsson Barbro 
Published: November 2012

AbstractIn this study, patients' experiences of a nurse‐led rheumatology clinic for those undergoing biological therapy are discussed. The study had an explorative design, based on a qualitative content analysis with an inductive approach. Strategic sampling was used in order to achieve variations in experiences of a nurse‐led clinic. Interviews were conducted with 20 participants, and the analysis resulted in the theme “the nurse‐led rheumatology clinic provided added value to patient care”. The participants' experiences of the encounter with the nurse led to a sense of security (due to competence and accessibility), familiarity (due to confirmation and sensitivity), and participation (due to exchange of information and involvement). Replacing every second visit to a rheumatologist with one to a nurse added value to the rheumatology care, making it more complete. Nurses and rheumatologists complemented each other, as they approached patients from different perspectives. This study suggests that a nurse‐led rheumatology clinic adds value to the quality of care for patients in rheumatology units.
Local recurrence after retropubic radical prostatectomy for prostate cancer does not exclusively occur at the anastomotic site
Authors: Nguyen Daniel P. , Giannarini Gianluca , Seiler Roland , Schiller Rike , Thoeny Harriet C. , Thalmann George N. , Studer Urs E. 
Published: November 2012

What's known on the subject? and What does the study add?
Local recurrence after radical prostatectomy (RP) for clinically organ‐confined prostate cancer is largely assumed to occur at the anastomotic site, as reflected in European and North American guidelines for adjuvant and salvage radiotherapy after RP. However, the exact site of local recurrence often remains undetermined.
The present study shows that roughly one out of five patients with local recurrence after RP has histologically confirmed tumour deposits at the resection site of the vas deferens, clearly above the anastomotic site. This should be considered when offering ‘blind’ radiotherapy to the anastomotic site in patients with biochemical recurrence alone.
Objective
To determine the anatomical pattern of local recurrence and the corresponding clinical and pathological variables of patients treated with retropubic radical prostatectomy (RRP).
Patients and Methods
In all, 41 patients with biopsy confirmed local recurrence after extended pelvic lymph node dissection and RRP performed between January 1992 and December 2009 at a single tertiary referral academic centre were retrospectively studied.
The site of local recurrence as assessed on computed tomography or magnetic resonance imaging was reviewed. Two sites were identified: the vesicourethral anastomotic site and the cranial resection margin of the surgical bed, where the vas deferens was transected and clipped.
Age and serum prostate‐specific antigen (PSA) level at RRP, pathological tumour and nodal stage, Gleason score, tumour location, surgical margin status, age and serum PSA level at the time of local recurrence, and time to diagnosis of local recurrence were assessed for the two sites and compared with the chi‐square or Wilcoxon rank sum tests as appropriate.
Results
Local recurrence occurred at the anastomotic site in 31/41 (76%) patients and at the resection site of the vas deferens in nine of 41 (22%) patients. One patient had distinct lesions at both sites.
There was no significant difference in any of the clinical and pathological variables between patients with local recurrence in the former and latter site.
Conclusion
Most local recurrences after RRP occur exclusively at the anastomotic site. However, 22% of locally recurrent cases had tumour at the resection site of the vas deferens. This should be taken into account when considering adjuvant or salvage radiation therapy.
Job satisfaction among immigrant nurses in Israel and the United States of America
Authors: Itzhaki M. , Ea E. , Ehrenfeld M. , Fitzpatrick J.J. 
Published: November 2012

ITZHAKI M., EA E., EHRENFELD M. & FITZPATRICK J.J. (2013) Job satisfaction among immigrant nurses in Israel and the United States of America. International Nursing Review60, 122–128Aim:  The aim of this study is to examine perceptions of job satisfaction among immigrant registered nurses (RNs) in Israel and the USA.Background:  Former Soviet Union (FSU) RNs in Israel and Filipino RNs in the USA make up the majority of the immigrant nursing workforce in their host countries. However, little is known about their perception of job satisfaction.Methods:  Data were gathered using the Index of Work Satisfaction Scale among 71 FSU RNs recruited from three different courses in baccalaureate and master's degree programmes at a central Israeli university, and 96 Filipino RNs attending a national convention hosted by the Philippine Nurses Association of America. The required sample size was obtained by means of the WINPEPI COMPARE2 program, used to determine power and sample size for comparisons of two groups in cross‐sectional designs.Findings:  The findings show that FSU RNs perceived pay and professional status as important, although they were least satisfied with pay. For Filipino RNs, organizational policies and interactions were most important and they were least satisfied by task requirements. Although the average length of residence in the host country was similar in the two samples, significant differences were found between FSU and Filipino RNs in selected demographic variables and components of job satisfaction.Conclusions:  Different characteristics of immigrant RNs affect their distinct perceptions of job satisfaction. As successful adjustment of international immigrant RNs to their workplace could enhance perceptions of job satisfaction, nursing managers should support professional advancement of immigrant RNs through mentorship and educational programmes. There is a need to conduct longitudinal studies among international immigrant RNs in order to better understand changes in their job satisfaction over time and contributing factors.Study Limitations:  Generalization of the findings is limited, because a convenience sample was used to recruit FSU and Filipino immigrant RNs.
Black Hats and Smooth Hands: Elite Status, Environmentalism, and Work among the Ranchers of Acre, Brazil
Authors: Hoelle Jeffrey 
Published: November 2012

AbstractCattle ranchers are often presented as the wealthy, violent, and environmentally destructive villains of Amazonia. Ranchers in the state of Acre, Brazil, are viewed in a particularly negative light, due to their perceived association with the assassination of “rainforest martyr” Chico Mendes in 1988. The objective of this paper is to increase our understanding of this enigmatic, powerful group through an ethnographic description of ranchers in relation to features of their villain label: elite status and environmental destruction. Drawing on 18 months of fieldwork with Acrean ranchers and other rural groups, I analyze the ways in which the ranchers conform to and challenge classification as an elite group in relation to economic and political power, describe how rancher status is constructed and expressed in social situations, and compare the extent to which other rural social groups agree with perceptions of the ranchers. Understanding the ranchers' perspective, especially with regard to environmental debates, requires an examination of how they perceive their work in relation to history and ideology, and how they have adapted the term to defend their interests and engage current political debates centered on environmental preservation.
Nothing to Learn? Labor Learning in California's Farmwork
Authors: Hernández Romero Manuel Adrián 
Published: November 2012

AbstractBecause of a perceived simplicity of its tasks and the recurrent presence of migrants in it, the agricultural labor force in California has been characterized as easily replaceable, composed of transitory unskilled workers. However, the increasing settlement of farmworkers demands new approaches. Based on anthropological fieldwork conducted in California's Central Valley among farmworkers employed in orange and table grape production, this essay describes some informal labor learning processes and everyday practices of decentralized labor management in order to explore how they are related to modern fresh‐food agro‐industry, proposing that both elements are of significant importance to the creation of a workforce tailored to fulfill the requirements of the production of high‐value crops. The effect of the learning processes in the emerging of new working and life trajectories is also addressed, questioning whether the new context includes the possibility of long careers in farmwork.
Solidarity in Deed: Poor People's Organizations, Unions, and the Politics of Antipoverty Work in Ontario
Authors: Coulter Kendra 
Published: November 2012

AbstractThis article explores the possibilities and challenges of building working‐class solidarity by offering an anthropological perspective on the relationships between poor workers’ organizations and formal trade unions in Ontario, Canada. I examine two community‐based, poor people's organizations, ACORN Canada and the Ontario Coalition Against Poverty, in order to document their recent struggles and examine the nature of their linkages with labor unions. The intersections of poor workers’ organizations and unions illustrate key ways solidarity can be and is being put into practice, but also suggest the need for broadening and deepening how solidarity is understood and pursued given the material conditions of poverty and poor people, and the current cultural and ideological terrain.
Place, storylines and the social practices of literacy
Authors: Somerville Margaret 
Published: November 2012

AbstractHow can literacies and literacy pedagogies better connect to the places and communities of children's lives? In this paper, I draw on the feminist poststructural concept of ‘storylines’ to analyse three stories of literacy learning to understand how different literacy practices and pedagogies function to produce different literate subjects. In order to think through a different conceptualisation of language and literacy in its relation to place, I explore the intersection of feminist poststructural and Australian Indigenous concepts of ‘storylines’. ‘Storyline’ within each knowledge framework is understood as the skeleton of a significant cultural narrative structure that informs patterns of thought and action. Australian Indigenous storylines, however, are ontologically and epistemologically connected to the land as walking trails that link the places where significant events in the creation stories of the ancestors took place. Each of these places is a site where stories are performed for the well‐being of country and its people. In taking up this doubled meaning of storylines, I explore the potential of different social practices of literacy to connect children to their local places and communities.
Students using multimodal literacies to surface micronarratives of United States immigration
Authors: Ghiso María Paula , Low David E. 
Published: November 2012

AbstractThis article explores how immigrant students in the United States utilise multimodal literacy practices to complicate dominant narratives of American national identity – narratives of facile assimilation, meritocracy and linear trajectories. Such ideologies can be explicitly evident in curricular materials or can be woven more implicitly into school literacy practices that privilege individual achievement, devalue cultural ways of knowing, and operate on a paradigm of remediation. Within this educational backdrop, we report on a practitioner research study that invited students in a summer school programme for English Language Learners to share their experiences in multiple formats and media, including comics, and to draw on their cultural and linguistic heritages as sources of knowledge. We feature comics created by two students in the programme (an 8‐year‐old girl of Indian heritage and a 16‐year‐old boy from Vietnam) to understand the potential of visual texts to articulate micronarratives of immigration. We emphasise how students blend semiotic resources in order to represent the complexity of their experiences, convey cultural hybridity and resist singular narratives.
Evaluation of serovar‐independentELISAantigens ofActinobacillus pleuropneumoniaein pigs following vaccination or experimental challenge with respiratory pathogens and naturalA. pleuropneumoniaeserovar 1 challenge
Authors: Eamens GJ , Gonsalves JR , Whittington A‐M , Turner B 
Published: November 2012

ObjectiveTo compare the sensitivity and cross‐reactivity of six serological enzyme‐linked immunosorbent assays (ELISAs) based on serovar‐independent antigens ofActinobacillus pleuropneumoniae(App).DesignAn experimental pig trial using direct or natural challenge withApp and direct challenge or vaccination using other common respiratory pathogens.ProcedureA 39‐kDaouter membrane protein antigen and five recombinant antigens from theApxIVAgene ofApp were evaluated. The latter were derived from theApxIVA Nterminus (ApxIVA‐N,ApxIVA‐NP,ApxIVA‐NPS) orCterminus (ApxIVA‐C,ApxIVA‐CP). Pigs were sampled after direct challenge withApp,Pasteurella multocidaorHaemophilus parasuis, after vaccination with these organisms and after naturalApp infection. Clinical and necropsy findings were evaluated.ResultsThe 39‐kDa ELISAhad high sensitivity, but cross‐reactivity, followingP. multocidachallenge.ELISAs usingApxIVA Nterminus antigens were clearly more sensitive thanCterminus antigens for detection ofApp‐induced disease. Although affinity‐purifiedApxIVA‐NPantigen detected marginally more diseased pigs than the ‐Nand ‐NPS ELISAs, these assays only detected 41–47% of 17 pigs with lung lesions and microbiological evidence ofApp based on sampling up to 4–5 weeks after natural (13 pigs) or 5 weeks after directApp serovar 1 challenge (4 pigs).ConclusionsThe 39‐kDa ELISAreadily detectsApp exposure and infection, but is adversely affected byP. multocidainfection.ApxIVA‐N‐basedELISAs can be used to evaluate theApp status of commercial herds, but a proportion of infected and diseased animals are seronegative at 1 month after likely exposure to aerosol transmission ofApp from clinical cases.