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The number of single-parent families has increased dramatically in the United States. The purpose of this study was to explore the types of family rituals present in single-parent families and their meaning within the family context. Little is known about family rituals in single-parent families, and therefore grounded theory was the qualitative research method used for this study. Unstructured face-to-face interviews were used to obtain data from a theoretical sample of seven single parents. Data analysis appropriate to the grounded theory method was utilized to identify a core variable and an emerging theory. Six types of rituals: connection, spiritual, love, recreation, celebration, and evolving were found to be used by these single-parent families as a way to facilitate family cohesion and instill family values. Applicability of the findings of this study are beneficial for nurses working with clients with diverse, changing, and complex social situations such as the single-parent family. © 2004 Sage Publications.

Purpose: To investigate the attitudes, beliefs, and concerns of pregnant and postpartum adolescents regarding breastfeeding. Study Design and Methods: Audiotaped focus groups of low-income, largely minority pregnant and postpartum adolescents were conducted and transcripts analyzed using content analysis techniques. Findings: Major themes identified were in the area of beliefs, such as They say it's healthy, or It hurts; attitudes, such as breastfeeding is the mother's choice and The baby comes first; and concerns such as privacy, and Breastfeeding leads to dependency. Clinical Implications: Adolescents can be encouraged to breastfeed, but require appropriate education beyond what they have heard from others. Myths such as pain during breastfeeding need to be addressed. Since teens want to learn but not be told what to do, active learning strategies such as guided Internet searches could be helpful to guide them into discovery of the benefits of breastfeeding. Since all the teens in this study felt that the baby comes first, emphasizing the benefits of breastfeeding for the baby should predominate educational efforts. Concerns related to physical exposure while breastfeeding can be addressed antenatally through discussing creative strategies to maintain modesty. This study suggests that, in the postpartum hospital setting, adopting a sensitive, initially hands-off' approach to supporting breastfeeding might be more well-accepted than tactile assistance, and that following the initial establishment of a milk supply, various levels of breastfeeding exclusivity should be considered as potentially acceptable infant feeding patterns.

Purpose: The purpose of this qualitative descriptive study was to explore the medication-taking experiences of undergraduate college students prescribed short-term antibiotic therapies and to describe factors influencing their adherence. Data sources: Thirty-four undergraduate students prescribed antibiotics for treatment of an acute infectious illness at a large university health center were recruited to participate in this study. Semistructured telephone interviews were conducted after students finished their course of treatment. Qualitative descriptive content analysis was used to analyze the transcripts typed from the audio-taped phone interviews. Conclusions: The main theme that emerged from the data was antibiotic-taking self-management. Most participants were able to adapt medication regimens into their daily routines, and used events in their day and specific reminder strategies to help them to remember to take their medications. This occurred despite an ever-changing class and work schedule and being prescribed complex, lengthy antibiotic regimens. Most dosing errors occurred during times when schedules changed or students were off campus during weekends or college breaks. A small number of students discontinued therapy early because of side effects or forgetfulness. Implications for practice: By understanding factors that influence antibiotic adherence from a college student perspective, healthcare providers can suggest strategies to promote adherence that are tailored to the specific needs of this unique population. © 2006 American Academy of Nurse Practitioners.

What is known on the subject?: The loss of a parent for an adult can be devastating and can impact other relationships. The adult, in absence of parental love and support, may question their own identity. What this paper adds to existing knowledge?: A narrative is used to explain the adults’ experience of parental death and their new identity of being orphaned. What are the implications for practice?: Increased awareness for adults grieving the loss of a parent(s), as to the normalcy of feeling orphaned Adults grieving the death of a parent(s) are provided resources and support in addressing their grieving process. Abstract: Introduction When a parent dies during their child's adulthood, the life of the adult is altered as the familiarity of parental love and safety changes. The isolation and loneliness penetrates deeply as the orphaned adult must now navigate their world in absence of the most significant people in their lives, their parents. Aim To assist persons affected by parental death in understanding the normalcy of feeling orphaned while grieving. Method The use of a personal narrative to provide mental health support to others. Results The resumption of a routine that existed before parental death is possible, but takes time. Intermittent periods of grief can occur throughout one's life. Discussion When grief interrupts one's ability to function daily and the affected adult has relationships impacted by their parent's death, it is recommended that the adult seek mental health treatment. Implications for Practice Narratives can be used with persons affected by parental loss, to provide an example of normal versus complicated grieving and identify when mental health treatment is needed. © 2020 John Wiley & Sons Ltd

Retention and development of ethnically diverse nursing students may be more likely to occur when nursing faculty receive training on factors that can impact academic success. By understanding complex school system dynamics in low-income areas, cultural, linguistic, gender, age, religion, and ethnic differences, students’ strengths can be readily recognized, embraced, and encouraged by nursing faculty. When the necessity of equity and diversity is recognized within nursing education, this may potentially translate to retention and completion of nursing programs by nursing students from diverse backgrounds, thereby increasing diversity within the nursing profession. © 2020 Organization for Associate Degree Nursing

Background: The National Science and Technology Council developed a 5-year plan in 2013 to ensure that science, technology, engineering, and mathematics (STEM) experienced sustained growth within the United States (US). Nursing is comprised of multiple sciences that include chemistry, physics, biology, microbiology, anatomy and physiology, pharmacology, and the social and behavioral sciences of sociology, developmental lifespan psychology, and psychology. Science, technology, engineering, and math constitute the traditional STEM acronym. Nursing programs graduate nurses with both the rigorous academic coursework and diverse clinical skills necessary to provide patient care. These skills employed by nurses in the clinical setting can serve as the basis for the inclusion of the nursing profession as a STEM-designated profession by the federal government and educational institutions within the US. Problem: Currently, the US government does not acknowledge the profession of nursing as a STEM-designated profession. Acknowledgment of nursing as a STEM profession could potentially make more funding available for nursing education within the US and address nursing shortages both in clinical and academic settings. As well as position professional nurses for careers not only within the health sector but that of business and industry because of nurses’ STEM knowledge. Hence, enhancing the growth of STEM within the US and creating global market economic competitiveness with new innovation development. Approach: In the practice of nursing, nurses apply the sciences, math, and innovative technology in the assessments, diagnoses, and planning of patients’ care. Nurses implement scientifically-based interventions to treat illness and sustain human life and to ultimately evaluate the outcomes of the care provided to patients. Outcomes: Methodologies of evaluation of outcomes of patient care status post nursing interventions (ie, administration of intravenous antibiotics to treat pneumonia) are based upon rationales that have been derived from evidenced-based practice and nursing research; both originating from applied STEM knowledge. Conclusion: The formal designation by the US federal government, for nursing to be recognized as a STEM profession, can increase funding to the nursing profession and enhance the diversity of employment opportunities for nurses in industry and business. Thereby potentially decreasing nursing shortages and bringing national and worldwide recognition to nursing in both academia, industry, business, and clinical settings, as a profession contributing to the science of improvement of the health of all people through STEM knowledge. © 2019 The Authors. Nursing Forum published by Wiley Periodicals, Inc.

School nurses are involved in a complex framework of interactions with students, other professionals, parents, and administrators. Trust between nurse and student is critical for interaction effectiveness. The goal of this study was to understand through phenomenology the process of engendering trust in school nurse-high school student interactions. The qualitative approach explored school nurse perceptions of experiences interacting with students, yielding insights into nurse- and setting-based factors contributing to the development of trust. Subthemes within these included key behaviors and attributes enhancing trust engenderment in school nurse-student interactions. Study findings were well supported by the existing nursing and psychological research literature. Nurses that purposefully strive to develop trust in young people will maximize adolescent health results.

Patients with cancer tend to suffer sleep-wake disturbances at a higher rate than the general population. Insomnia and fatigue should be regarded as a significant patient safety issue, as poor sleep can elevate patients' risks of falls, motor vehicle accidents, and acute infectious illnesses. To alleviate those risks, oncology nurses should be familiar with effective evidence-based practices for assessing and improving patients' sleep quality.

This article describes the development process for creating a digital educational mini game prototype designed to provide practice opportunities for learning fundamental principles of arterial blood gases. Mini games generally take less than an hour to play and focus on specific subject matter. An interdisciplinary team of faculty from two universities mentored student game developers to design a digital educational mini game prototype. Sixteen accelerated bachelor of science in nursing students collaborated with game development students and playtested the game prototype during the last semester of their senior year in nursing school. Playtesting is a form of feedback that supports an iterative design process that is critical to game development. A 10-question survey was coupled with group discussions addressing five broad themes of an archetypical digital educational mini game to yield feedback on game design, play, and content. Four rounds of playtesting and incorporating feedback supported the iterative process. Accelerated bachelor of science in nursing student playtester feedback suggests that the digital educational mini game prototype has potential for offering an engaging, playful game experience that will support securing the fundamental principles of arterial blood gases. Next steps are to test the digital educational mini game for teaching and learning effectiveness. (C) 2016 Elsevier Inc. All rights reserved.

Error disclosure and apology are evolving concerns for advanced practice nurses who have increased exposure to liability. Error disclosure is required by regulatory agencies and the American Nurses Association Code of Ethics for Nurses, yet barriers to disclosure exist and nurse practitioners may not be aware of state apology laws that protect some statements from use in civil lawsuits for negligence or malpractice. Two law cases that apply apology laws are reviewed to illustrate these protections. Best practices for error disclosure are presented, and nurse educators are urged to include error disclosure content in nurse practitioner curricula as part of safety and quality education.

Health disparities, especially among minorities, persist; obesity is a national concern; and the combined effect can be significant for families and populations. In an effort to address obesity at an early age, the National Association of Hispanic Nurses (NAHN), developed the Muevete USA project. Muevete USA (from the Spanish verb for to move) features five lesson plans on healthy lifestyles for children and their families. This article describes Muevete USA, the partnership with a local school of nursing, the implementation of the program at the local level and the emerging program and student outcomes of a successful partnership.

The shortage of school nurses, school nurses covering multiple buildings, and the expanded role of the school nurse has called for innovative ideas to meet the growing health care needs of youth. Partnering with local schools of nursing may be a welcomed strategy. This brief article will share the benefits of hosting student nurses as well as identify ways to begin these partnerships. © 2016 The Author(s).