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Solberg MA, Schlegel EC, Spurlock EJ, Blair LM, Nowak AL. Fostering Early Career Nursing Faculty Support in the Academy: The Power of "Academic Therapy". Nurse Educ 2024; 49:E97-E98. [PMID: 37585482 DOI: 10.1097/nne.0000000000001504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/18/2023]
Affiliation(s)
- Marvin A Solberg
- Author Affiliations: Assistant Professor (Drs Solberg and Blair), Wayne State University College of Nursing, Detroit, Michigan; Assistant Professor (Dr Schlegel), Michigan State University College of Nursing, East Lansing; Postdoctoral Research Fellow (Dr Spurlock), The Ohio State University College of Nursing, Columbus; and Assistant Professor (Dr Nowak), Loyola University Marcella Niehoff School of Nursing, Chicago, Illinois
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Schlegel EC, Pickler RH, Tate JA, Williams KP, Smith LH. The EMeRGE theory of emerging adult-aged women's sexual and reproductive health self-management: A grounded theory study. J Adv Nurs 2024; 80:510-525. [PMID: 37533185 PMCID: PMC10834842 DOI: 10.1111/jan.15814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Revised: 06/26/2023] [Accepted: 07/20/2023] [Indexed: 08/04/2023]
Abstract
AIMS To explore how emerging adult-aged women self-manage their sexual and reproductive health and to generate a grounded theory of these self-management processes. DESIGN Grounded theory methods using a constructivist approach. METHODS Between September 2019 and September 2020, 18- to 25-years-old women (n = 13) were recruited from a 4-year university, a 2-year community college, and neighbourhoods surrounding the institutions of higher education. Individual interviews were transcribed verbatim and qualitatively analysed using a constant comparative method and inductive coding. RESULTS The theory purports that core processes of sexual and reproductive health self-management used by the women in this study included both passive and (re)active processes. These processes expanded upon and/or maintained the women's accessible sexual and reproductive health knowledge, behaviour and beliefs, defined as the sexual and reproductive health repertoire. The processes appeared to be cyclical and were often initiated by a catalysing event or catalyst and resulted in conversations with confidantes, or trusted individuals. A catalyst was either resolved or normalized by expanding or maintaining the sexual and reproductive health repertoire. CONCLUSION The resulting theory, EMeRGE Theory, offers insight into the complex and cyclical processes emerging adult-aged women use to simultaneously develop and adapt their foundational sexual and reproductive health knowledge, behaviours and beliefs. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE This explication of emerging adult-aged women's sexual and reproductive health self-management processes can be used by nurses and nurse researchers to better address this population's unique health needs. IMPACT The EMeRGE Theory provides valuable guidance for future exploratory and intervention research aimed at improving the health and well-being of emerging adult-aged women. REPORTING METHOD The authors adhered to the Consolidated Criteria for Reporting Qualitative studies (COREQ) in preparation of this publication. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.
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Affiliation(s)
- Emma C Schlegel
- Center for Nursing Research, Scholarship and Innovation, College of Nursing, Michigan State University, East Lansing, Michigan, USA
- Martha S. Pitzer Center for Women, Children and Youth, College of Nursing, The Ohio State University, Columbus, Ohio, USA
| | - Rita H Pickler
- Martha S. Pitzer Center for Women, Children and Youth, College of Nursing, The Ohio State University, Columbus, Ohio, USA
| | - Judith A Tate
- Center for Aging, Self-Management and Complex Care, College of Nursing, The Ohio State University, Columbus, Ohio, USA
| | - Karen Patricia Williams
- Martha S. Pitzer Center for Women, Children and Youth, College of Nursing, The Ohio State University, Columbus, Ohio, USA
| | - Laureen H Smith
- Martha S. Pitzer Center for Women, Children and Youth, College of Nursing, The Ohio State University, Columbus, Ohio, USA
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Solberg MA, Blair LM, Schlegel EC, Kurzer JAMJ. Health Disparities Among Sexual and Gender Minorities With Adverse Childhood Experiences: Insights From the 2021 Behavioral Risk Factor Surveillance System Data. Am J Public Health 2023; 113:1343-1351. [PMID: 37939340 PMCID: PMC10632852 DOI: 10.2105/ajph.2023.307420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2023]
Abstract
Objectives. To identify the prevalence of adverse childhood experiences (ACEs) among sexual or gender minorities (SGMs) and examine the impact of ACEs on their health. Methods. We analyzed 2021 Behavioral Risk Factor Surveillance System (BRFSS) data. Respondents from Arkansas, Iowa, Mississippi, Nevada, and Wisconsin completed modules on 10 individual ACEs, sexual orientation and gender identity, and health. Results. Among the 38 483 eligible respondents, 2329 (6.1%) identified as an SGM. SGMs reported higher ACE prevalence than did their non-SGM counterparts. ACEs partially attenuated relationships between SGMs and a higher risk for depression, cardiovascular disease, chronic kidney disease, electronic nicotine delivery system use, and cannabis use. Conclusions. Evaluating and better understanding the ACE and health outcome relationship among SGMs should be prioritized. Targeted interventions are needed to mitigate the impact of ACE-associated sequelae in this population. (Am J Public Health. 2023;113(12):1343-1351. https://doi.org/10.2105/AJPH.2023.307420).
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Affiliation(s)
- Marvin A Solberg
- Marvin A. Solberg and Lisa M. Blair are assistant professors with the College of Nursing, Wayne State University, Detroit, MI. Emma C. Schlegel is an assistant professor with the College of Nursing, Michigan State University, East Lansing. Julie A. M. J. Kurzer is a PhD student with the College of Nursing, Wayne State University
| | - Lisa M Blair
- Marvin A. Solberg and Lisa M. Blair are assistant professors with the College of Nursing, Wayne State University, Detroit, MI. Emma C. Schlegel is an assistant professor with the College of Nursing, Michigan State University, East Lansing. Julie A. M. J. Kurzer is a PhD student with the College of Nursing, Wayne State University
| | - Emma C Schlegel
- Marvin A. Solberg and Lisa M. Blair are assistant professors with the College of Nursing, Wayne State University, Detroit, MI. Emma C. Schlegel is an assistant professor with the College of Nursing, Michigan State University, East Lansing. Julie A. M. J. Kurzer is a PhD student with the College of Nursing, Wayne State University
| | - Julie A M J Kurzer
- Marvin A. Solberg and Lisa M. Blair are assistant professors with the College of Nursing, Wayne State University, Detroit, MI. Emma C. Schlegel is an assistant professor with the College of Nursing, Michigan State University, East Lansing. Julie A. M. J. Kurzer is a PhD student with the College of Nursing, Wayne State University
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Schlegel EC, Pickler RH, Tate JA, Alexander KA, Williams KP, Smith LH. 'Taking Care': A qualitative study of emerging adult-aged women's sexual and reproductive health definitions. Sex Reprod Healthc 2023; 37:100877. [PMID: 37399761 PMCID: PMC10530474 DOI: 10.1016/j.srhc.2023.100877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 05/01/2023] [Accepted: 06/08/2023] [Indexed: 07/05/2023]
Abstract
OBJECTIVE Emerging adult-aged (EA;18-25 years) women have disproportionately high rates of unintended pregnancy and sexually transmitted infections compared to other women of reproductive age. Little is known about how EA women define and prioritize various aspects of sexual and reproductive health. The purpose of this study was to identify EA women determined definitions of sexual and reproductive health. METHODS Between September 2019 and September 2020, 13 women were interviewed about their sexual and reproductive health. Interview transcripts were used to conduct qualitative content analysis. RESULTS Definitions provided by participants were grouped according to three distinct thematic categories, Being Safe, Healthcare as a Tool, and Mind-Body Connection. Being Safe included using condoms and taking steps to prevent sexually transmitted infections. Healthcare as a Tool referred to utilization of healthcare services (e.g., an annual exam) to manage sexual and reproductive health. Mind-Body Connection included acknowledgement of both the physical and mental aspects of sexual and reproductive health, as well as awareness of physical and emotional discomfort related to it. These categories highlight EA women's holistic definitions of sexual and reproductive health. CONCLUSIONS Healthcare providers and researchers can use the holistic sexual and reproductive health definitions endorsed by EA women in this study as a starting point for creating and delivering sexual and reproductive healthcare and counseling that is developmentally appropriate and sensitive to population-specific needs.
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Affiliation(s)
- Emma C Schlegel
- Center for Nursing Research, Scholarship and Innovation, College of Nursing, Michigan State University, East Lansing, MI, USA; Martha S. Pitzer Center for Women, Children and Youth, College of Nursing, The Ohio State University, Columbus, OH, USA.
| | - Rita H Pickler
- Martha S. Pitzer Center for Women, Children and Youth, College of Nursing, The Ohio State University, Columbus, OH, USA
| | - Judith A Tate
- Center for Aging, Self-Management and Complex Care, College of Nursing, The Ohio State University, Columbus, OH, USA
| | | | - Karen Patricia Williams
- Martha S. Pitzer Center for Women, Children and Youth, College of Nursing, The Ohio State University, Columbus, OH, USA
| | - Laureen H Smith
- Martha S. Pitzer Center for Women, Children and Youth, College of Nursing, The Ohio State University, Columbus, OH, USA
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Pageau LM, Ng TJ, Ling J, Given BA, Robbins LB, Deka P, Schlegel EC. Associations between hair cortisol and blood pressure: a systematic review and meta-analysis. J Hypertens 2023; 41:875-887. [PMID: 37016924 DOI: 10.1097/hjh.0000000000003412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/06/2023]
Abstract
OBJECTIVE Stress is widely considered to be a risk factor for high blood pressure (BP), but evidence on the associations between biomarkers of chronic stress and BP is inconsistent. This systematic review and meta-analysis assessed the current state of the science on relationships between measures of cortisol concentration reflecting chronic stress exposure [hair cortisol concentration (HCC), nail cortisol concentration)] and BP. METHODS PubMed, Cumulative Index to Nursing and Allied Health Literature, Web of Science, Cochrane Library, and Embase were searched. Random effects models were used to assess the pooled effect size. Exploratory moderation analysis was performed. RESULTS Out of 34 014 identified, 16 articles met eligibility criteria and were included in the review, while 14 were included in the meta-analysis. No articles were reported on the association between nail cortisol concentration and BP. Small, positive associations were observed between HCC and SBP [ r = 0.19 (95% confidence interval (CI): 0.08-0.29)] and HCC and DBP [ r = 0.13 (95% CI: 0.04-0.22)]. Cortisol analysis method was identified as a significant moderator of the association between HCC and DBP. HCC was largely, positively associated with hypertension status [odds ratio = 3.23 (95% CI: 2.55-4.09), P < 0.001]. CONCLUSIONS Current evidence suggests that higher HCC may be associated with elevated BP and a potential risk factor for hypertension. However, results should be interpreted with caution because HCC can be affected by hair color, hair care products, and analytic methods. Given the limitations of studies included in this review, further research is needed.
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Affiliation(s)
- Lauren M Pageau
- College of Nursing, Michigan State University College of Nursing, East Lansing, Michigan, USA
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Sherman J, Kalvas LB, Schlegel EC. Navigating the turbulent seas: Experiences of peer mentorship on the journey to becoming a nurse scholar. Nurse Educ Today 2023; 121:105694. [PMID: 36535122 PMCID: PMC9916728 DOI: 10.1016/j.nedt.2022.105694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 11/16/2022] [Accepted: 12/06/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND Peer mentorship is a vital component of doctoral education; however, few studies describe peer mentorship in Doctor of Philosophy in Nursing (PhDN) programs. OBJECTIVES Explore characteristics, benefits, and challenges of peer mentorship experienced by PhD-N students. DESIGN An electronic survey was sent to PhD-N program administrators at member institutions of the American Association of Colleges of Nursing in the United States. Contacts were asked to distribute the survey to current and recently graduated PhD-N students. Descriptive statistics were used to analyze participant demographics. Thematic analysis was used to analyze survey responses. RESULTS Respondents (n = 213) provided perspectives from every PhD-N program phase, with 43.3 % (n = 91) pre-candidacy, 41.0 % (n = 86) candidacy, and 15.7 % (n = 33) recently graduated students. A total of 55.2 % (n = 117) received some form of peer mentorship. Thematic analysis revealed three peer mentorship levels (map, compass, first mate) representing varying degrees of emotional investment. Peer mentorship benefits included feeling connected to peers and the institution, strengthening research skills, and feeling supported. Barriers to peer mentorship include lack of time and institutional support, fear of burdening others, and poorly matched mentors. CONCLUSION Given that peer mentorship recipients reported feeling supported and less isolated, academic institutions should build a culture that promotes and supports peer mentorship. Future research should examine peer mentorship effects on PhD-N students' mental health, academic success, and faculty transition.
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Affiliation(s)
- Jessica Sherman
- Martha S. Pitzer Center for Women, Children, and Youth, College of Nursing, The Ohio State University, 1577 Neil Avenue, Columbus, OH 43210, USA
| | - Laura Beth Kalvas
- Office of Research Administration, College of Medicine, The Ohio State University, 395 West 12th Ave, Columbus, OH 43210, USA
| | - Emma C Schlegel
- Center for Nursing Research, Scholarship and Innovation, College of Nursing, Michigan State University, 1355 Bogue Street, East Lansing, MI 48823, USA.
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Mammen JR, McGovern CM, Schoonmaker JD, Philibert A, Schlegel EC, Arcoleo K. A multilevel perspective on goals, barriers, and facilitators of school-based asthma management. J Asthma 2022; 59:2461-2474. [PMID: 34962442 PMCID: PMC9239742 DOI: 10.1080/02770903.2021.2018704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Revised: 12/09/2021] [Accepted: 12/11/2021] [Indexed: 10/19/2022]
Abstract
BACKGROUND School based asthma care is being increasingly used to combat uncontrolled pediatric asthma. OBJECTIVE The purpose of these secondary analyses was to explore multi-level perspectives regarding school-based asthma medical management for inner city, school-aged children with poor asthma control. METHODS Sixty-six participants from two large U.S. urban school districts and key stakeholders participated in 1:1 interviews and focus groups. Participants were selected from across the asthma care community (children/caregivers, school personnel, nurses, pharmacists, healthcare providers, and administrators/insurers). Qualitative and descriptive techniques were used to analyze data. RESULTS Goals: Children/caregivers prioritized living a normal active life with few asthma worries. Other stakeholders prioritized reducing student's asthma related emergency room visits and lost learning time. Facilitators: Continuity of care, strong relationships between care community members, and incentivizers were commonly suggested facilitators. School-based asthma management was viewed as a strong facilitator, particularly in the presence of a full-time school nurse. Barriers: Four themes were identified. (1) Greater systems and policy support for asthma management is needed in general, and at school in particular. (2) Overburdened families and systems often operate in crisis-mode, and asthma management is often not a priority until crisis is reached. (3) Discordance and distrust between members of the asthma care community can hinder shared asthma management. (4) Better communication is needed at all levels to improve care. CONCLUSION Moving away from a crisis-based approach to asthma management for high-risk children will require increased systemic support for proactive asthma care and optimized communication within the asthma care community. Supplemental data for this article is available online at https://dx.doi.org/10.1080/02770903.2021.2018704.
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Affiliation(s)
| | | | | | - Ashley Philibert
- College of Nursing, University of Rhode Island, Kingston, RI, USA
| | | | - Kimberly Arcoleo
- College of Nursing, University of Rhode Island, Kingston, RI, USA
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Schlegel EC, Kalvas LB, Sherman JP, Holod AF, Ko E, Cistone N, Miller E, Sealschott SD, Nowak AL. PhD student perspectives on maintaining and formalizing peer mentorship during the COVID-19 pandemic. J Prof Nurs 2022; 41:65-74. [PMID: 35803661 PMCID: PMC9067914 DOI: 10.1016/j.profnurs.2022.04.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Revised: 04/19/2022] [Accepted: 04/22/2022] [Indexed: 11/26/2022]
Abstract
Mentorship is important for doctoral education and development. Students in Doctor of Philosophy (PhD) in Nursing programs traditionally receive formal mentorship from more experienced faculty mentors, creating a top-down, mentor-mentee relationship. Peer mentorship, characterized by a mentor-mentee relationship between peers in similar career stages, provides unique opportunities for career development and socialization. The emergence of the COVID-19 pandemic limited in-person interactions and introduced new, complex challenges to peer mentorship. The authors, current and recently graduated PhD in Nursing students, were forced to create new ways of connecting with peers and sought to explore how other PhD in Nursing students experienced and maintained peer mentorship in their respective programs during the pandemic. In this article, the authors share their personal experiences with peer mentorship during the pandemic, their process of creating a formal peer mentor model, and findings from a national, cross-sectional survey on COVID-related, peer mentorship experiences among PhD in Nursing students from other academic institutions. Most respondents were able to maintain peer mentorship throughout the pandemic, however, less than half reported receiving faculty support to do so. Recommendations for PhD in Nursing program administrators are provided, based on the experiences of the authors and survey results from PhD in Nursing students across the United States.
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Affiliation(s)
- Emma C Schlegel
- College of Nursing, Michigan State University, 1355 Bogue Street, East Lansing, MI 48823, USA; Martha S. Pitzer Center for Women, Children and Youth, College of Nursing, The Ohio State University, 1585 Neil Avenue, Columbus, OH 43210, USA.
| | - Laura Beth Kalvas
- Martha S. Pitzer Center for Women, Children and Youth, College of Nursing, The Ohio State University, 1585 Neil Avenue, Columbus, OH 43210, USA
| | - Jessica P Sherman
- Martha S. Pitzer Center for Women, Children and Youth, College of Nursing, The Ohio State University, 1585 Neil Avenue, Columbus, OH 43210, USA
| | - Alicia F Holod
- Martha S. Pitzer Center for Women, Children and Youth, College of Nursing, The Ohio State University, 1585 Neil Avenue, Columbus, OH 43210, USA
| | - Eunjung Ko
- Center for Healthy Aging, Self-Management and Complex Care, College of Nursing, The Ohio State University, 1585 Neil Avenue, Columbus, OH 43210, USA
| | - Nicole Cistone
- Martha S. Pitzer Center for Women, Children and Youth, College of Nursing, The Ohio State University, 1585 Neil Avenue, Columbus, OH 43210, USA
| | - Emika Miller
- Martha S. Pitzer Center for Women, Children and Youth, College of Nursing, The Ohio State University, 1585 Neil Avenue, Columbus, OH 43210, USA
| | - Stephanie D Sealschott
- Martha S. Pitzer Center for Women, Children and Youth, College of Nursing, The Ohio State University, 1585 Neil Avenue, Columbus, OH 43210, USA
| | - Alexandra L Nowak
- Martha S. Pitzer Center for Women, Children and Youth, College of Nursing, The Ohio State University, 1585 Neil Avenue, Columbus, OH 43210, USA; School of Nursing, Columbia University, 560 W 168(th) Street, New York, NY, 10032, USA
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Schlegel EC, Tate JA, Pickler RH, Smith LH. Practical strategies for qualitative inquiry in a virtual world. J Adv Nurs 2021; 77:4035-4044. [PMID: 34346514 DOI: 10.1111/jan.15000] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 06/24/2021] [Accepted: 07/24/2021] [Indexed: 11/27/2022]
Abstract
AIM The aim of this article is to provide practical strategies for maintaining methodological rigour in executing a virtual qualitative study. Strategies are based on evidence from existing research about virtual qualitative methods and on the strategies used by the authors to convert a planned in-person qualitative, grounded theory study to an entirely virtual grounded theory study during the COVID-19 pandemic. The study began in-person in September 2019 and was converted to virtual in March 2020. Virtual data collection was completed in September 2020. DESIGN This article provides a case exemplar of virtual adaptations made to a study underway when the pandemic rendered all in-person research impractical and potentially dangerous. DATA SOURCES The strategies discussed are based on our own experiences and the supporting theoretical assumptions of qualitative research, specifically grounded theory methods. IMPLICATIONS FOR NURSING Nursing scholars conducting qualitative inquiry may find these strategies helpful in continuing research activities during periods of limited access to the phenomena or persons of interest. Furthermore, these strategies allow nursing scholars to conduct rigorous, in-depth research without geographical limitations, providing greater possibilities for international collaborations and cross-institution research. CONCLUSION Despite novel challenges, methodological adaptations that are carefully planned and purposeful allow qualitative and non-qualitative scholars to continue research activities in a fully virtual manner. IMPACT This case exemplar and discussion provide practical strategies for qualitative scholars to consider while planning new studies or converting an in-person study to a virtual one. Despite the in-person nature of in-depth qualitative inquiry, a historic pandemic and a changing research environment require qualitative researchers to adapt to virtual methods while still conducting high quality, methodologically rigorous research. Qualitative scholars can use the strategies presented here to continue rigorous qualitative inquiry despite limited access to phenomena or persons.
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Affiliation(s)
- Emma C Schlegel
- College of Nursing, The Ohio State University, Columbus, Ohio, USA.,Martha S. Pitzer Center for Women, Children and Youth, The Ohio State University, Columbus, Ohio, USA
| | - Judith A Tate
- College of Nursing, The Ohio State University, Columbus, Ohio, USA.,Center for Healthy Aging, Self-Management and Complex Care, The Ohio State University, Columbus, Ohio, USA
| | - Rita H Pickler
- College of Nursing, The Ohio State University, Columbus, Ohio, USA.,Martha S. Pitzer Center for Women, Children and Youth, The Ohio State University, Columbus, Ohio, USA
| | - Laureen H Smith
- College of Nursing, The Ohio State University, Columbus, Ohio, USA.,Martha S. Pitzer Center for Women, Children and Youth, The Ohio State University, Columbus, Ohio, USA
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Rose KM, Coop Gordon K, Schlegel EC, Mccall M, Gao Y, Ma M, Lenger KA, Ko E, Wright KD, Wang H, Stankovic J. Smarthealth technology study protocol to improve relationships between older adults with dementia and family caregivers. J Adv Nurs 2021; 77:2519-2529. [PMID: 33576064 DOI: 10.1111/jan.14714] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Accepted: 11/16/2020] [Indexed: 11/27/2022]
Abstract
AIM The aim of this study is to develop a Smarthealth system of monitoring, modelling, and interactive recommendation solutions (for caregivers) for in-home dementia patient care that focuses on caregiver-patient relationships. DESIGN This descriptive study employs a single-group, non-randomized trial to examine functionality, effectiveness, feasibility, and acceptability of the novel Smarthealth system. METHODS Thirty persons with Alzheimer's Disease or related dementia and their family caregivers (N = 30 dyads) will receive and install Smarthealth technology in their home. There will be a 1-month observation phase for collecting baseline mood states and a 2-month implementation phase when caregivers will receive stress management techniques for each detected, negative mood state. Caregivers will report technique implementation and usefulness, sent via Ecological Momentary Assessment system to the study-provided smartphone. Caregivers will provide daily, self-reported mood and health ratings. Instruments measuring caregiver assessment of disruptive behaviours and their effect on caregivers; caregiver depressive symptoms, anxiety and stress; caregiver strain; and family functioning will be completed at baseline and 3 months. The study received funding in 2018 and ethics board approval in 2019. DISCUSSION This study will develop and test novel in-home technology to improve family caregiving relationships. Results from this study will help develop and improve the Smarthealth recommendation system and determine its usefulness, feasibility, and acceptability for persons with dementia and their family caregiver. IMPACT The Smarthealth technology discussed will provide in-home stress reduction resources at a time when older adults may be experiencing increasingly high rates of isolation and anxiety and caregiver dyads may be experiencing high levels of relationship strain. TRIAL REGISTRATION This study was registered with Clinical Trials.gov (Identifier NCT04536701).
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Affiliation(s)
- Karen M Rose
- College of Nursing, The Ohio State University, Columbus, OH, USA
| | | | - Emma C Schlegel
- College of Nursing, The Ohio State University, Columbus, OH, USA
| | - Matthew Mccall
- Department of Psychology, University of Tennessee-Knoxville, Knoxville, TN, USA
| | - Ye Gao
- School of Engineering and Applied Science, Computer Science, University of Virginia, Charlottesville, VA, USA
| | - Meiyi Ma
- School of Engineering and Applied Science, Computer Science, University of Virginia, Charlottesville, VA, USA
| | - Katherine A Lenger
- Department of Psychology, University of Tennessee-Knoxville, Knoxville, TN, USA
| | - Eunjung Ko
- College of Nursing, The Ohio State University, Columbus, OH, USA
| | - Kathy D Wright
- College of Nursing, The Ohio State University, Columbus, OH, USA.,Discovery Themes-Prevention and Treatment of Chronic Brain Injury Institute, The Ohio State University, Columbus, OH, USA
| | - Hongning Wang
- School of Engineering and Applied Science, Computer Science, University of Virginia, Charlottesville, VA, USA
| | - John Stankovic
- School of Engineering and Applied Science, Computer Science, University of Virginia, Charlottesville, VA, USA
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Schlegel EC, Smith LH. Improving Research, Policy, and Practice to Address Women's Sexual and Reproductive Health Care Needs During Emerging Adulthood. Nurs Womens Health 2021; 25:10-20. [PMID: 33453156 PMCID: PMC8549865 DOI: 10.1016/j.nwh.2020.11.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Revised: 08/11/2020] [Accepted: 10/01/2020] [Indexed: 11/24/2022]
Abstract
Women in the period of emerging adulthood (18-25 years of age) have the greatest rates of unintended pregnancy and sexually transmitted infections. Despite this disproportionate risk, women's sexual and reproductive health needs during emerging adulthood are poorly understood. As a result, few age-specific policies or person-centered practice guidelines are available to reduce sexual risk. In this commentary we explore the unique characteristics of emerging adulthood that contribute to greater sexual and reproductive health risks for women. Current evidence on sexual and reproductive health outcomes of women during emerging adulthood and limited practice guidelines are discussed. Recommendations for health care providers, especially nurses, for guiding personalized care for women in emerging adulthood are discussed.
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Bates RA, Blair LM, Schlegel EC, McGovern CM, Nist MD, Sealschott S, Arcoleo K. Nursing Across the Lifespan: Implications of Lifecourse Theory for Nursing Research. J Pediatr Health Care 2018; 32:92-97. [PMID: 28888348 PMCID: PMC5726902 DOI: 10.1016/j.pedhc.2017.07.006] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2017] [Revised: 07/08/2017] [Accepted: 07/24/2017] [Indexed: 11/26/2022]
Abstract
Despite the lifecourse focus of nursing clinical care, nursing research largely remains cross-sectional or process-oriented within silos determined by patient characteristics such as age, acuity, or disease process. Incorporating interdisciplinary lifecourse theory into pediatric nursing research provides the opportunity to expand nursing theories and research beyond practice, age, and disease silos. One such theory is the Lifecourse Health Development (LCHD) framework. LCHD takes a more expansive view of health development from preconception through old age based on the premise that health is a consequence of transactions between genetic, biological, behavioral, social, and economic contexts that change as a child develops over time (Halfon & Hochstein, 2002). LCHD also explains how intergenerational influences and prevention during early life help predict health development and disease over the lifespan. The preventive and lifecourse focus of LCHD is well-aligned with the lifespan wellness foci of pediatric nurses. The purpose of this article is to introduce pediatric nurse researchers to LCHD and discuss proposed augmentations and implications related to expanding LCHD into pediatric nursing research.
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