Pub Date : 2002-06-01DOI: 10.1097/01.JNR.0000347590.36144.BD
Jing-Jy Wang, Chi-Hui Kao Lo, Kuei‐Min Chen, Jane Lee Hsieh, Y. Ku
Using problem solving strategies in professional nursing concepts course (PS-PNC) was a newly developed core course in a two-year baccalaureate nursing program in an institute of technology. The purpose of this study was to evaluate the efficacy of problem solving strategies used in this new course to improve students clinical problem solving abilities. Prior to the PS-PNC, 12 faculty who participated in the teaching received complete training, and then continued to receive supervision and to conduct group discussions during the whole period of the PS-PNC implementation. A one- group posttest design with repeated measures was used. In total 49 nursing students from one class agreed to be recruited as the study subjects. The PS-PNC was performed separately in three semesters. After each class learning, students would start their clinical practice, were advised by the same faculty group who participated in the PS-PNC, and were asked to submit three written nursing process recordings during each clinic. Assignments from the three practices were named post-test I, II, and III sequentially, and provided the data for this study. A coding strategy was developed by the investigators. Then, data were collected and analyzed by four selected faculty who had been involved in the PS- PNC. The overall score of problem solving indicated that the three post-tests significantly increased, meaning those students clinical problem solving ability improved. However, data on the sub-concepts of problem solving on nursing assessment, nursing diagnosis, nursing intervention, and nursing evaluation showed no constant improvement. It is inferred that teaching of professional nursing concepts utilizing problem-solving strategies may be useful for future nursing students but dignified control should be strengthened.
{"title":"The efficacy of problem solving strategies utilized in professional nursing concepts course to improve problem solving abilities in students enrolled in a two-year baccalaureate nursing program.","authors":"Jing-Jy Wang, Chi-Hui Kao Lo, Kuei‐Min Chen, Jane Lee Hsieh, Y. Ku","doi":"10.1097/01.JNR.0000347590.36144.BD","DOIUrl":"https://doi.org/10.1097/01.JNR.0000347590.36144.BD","url":null,"abstract":"Using problem solving strategies in professional nursing concepts course (PS-PNC) was a newly developed core course in a two-year baccalaureate nursing program in an institute of technology. The purpose of this study was to evaluate the efficacy of problem solving strategies used in this new course to improve students clinical problem solving abilities. Prior to the PS-PNC, 12 faculty who participated in the teaching received complete training, and then continued to receive supervision and to conduct group discussions during the whole period of the PS-PNC implementation. A one- group posttest design with repeated measures was used. In total 49 nursing students from one class agreed to be recruited as the study subjects. The PS-PNC was performed separately in three semesters. After each class learning, students would start their clinical practice, were advised by the same faculty group who participated in the PS-PNC, and were asked to submit three written nursing process recordings during each clinic. Assignments from the three practices were named post-test I, II, and III sequentially, and provided the data for this study. A coding strategy was developed by the investigators. Then, data were collected and analyzed by four selected faculty who had been involved in the PS- PNC. The overall score of problem solving indicated that the three post-tests significantly increased, meaning those students clinical problem solving ability improved. However, data on the sub-concepts of problem solving on nursing assessment, nursing diagnosis, nursing intervention, and nursing evaluation showed no constant improvement. It is inferred that teaching of professional nursing concepts utilizing problem-solving strategies may be useful for future nursing students but dignified control should be strengthened.","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2002-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74725514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-06-01DOI: 10.1097/01.JNR.0000347588.90402.38
Chih-Ling Huang
Effective partnerships were established between a community health management center, a county health bureau and a university nursing program. A health fair was undertaken to heighten public health awareness through the collaboration of these various agencies. In this research, formative, process, and summative evaluations were conducted to determine the benefits of partnerships. Elements evaluated included the planning process, health fair relevancy, integration of community resources, participants satisfaction and knowledge acquisition, and partnership satisfaction. The samples of this study included (1) 529 adult participants who completed the on-site evaluation questionnaires; (2) 1,090 child participants who returned gift-reward cards; (3) 114 partners who gave written feedback on their satisfaction; and (4) 57 third-year and 16 fourth-year undergraduate nursing student participants. Data was collected from the evidence report of the Department of Health, the project proposal, activity protocols, meeting records, the project final report, students term papers, and questionnaires. The chief administrator of the County Health Bureau was very impressed with the creative exhibits in the fair and, therefore, invited a coalition to continue further workshops. Seventeen educational exhibits, two dance programs and two drama programs related to health issues were demonstrated in the fair. Resources from community organizations were successfully integrated and allocated. Community participants expressed satisfaction with the fair and anticipated similar activities in the future. Participants revealed more than 80% accuracy in health knowledge quizzes. The senior nursing students highlighted their interaction with the community, community health nurses, and health volunteers. Community-based health promotion and nursing education can be successfully connected when various disciplines and sectors form effective partnerships.
{"title":"Health promotion and partnerships: collaboration of a community health management center, county health bureau, and university nursing program.","authors":"Chih-Ling Huang","doi":"10.1097/01.JNR.0000347588.90402.38","DOIUrl":"https://doi.org/10.1097/01.JNR.0000347588.90402.38","url":null,"abstract":"Effective partnerships were established between a community health management center, a county health bureau and a university nursing program. A health fair was undertaken to heighten public health awareness through the collaboration of these various agencies. In this research, formative, process, and summative evaluations were conducted to determine the benefits of partnerships. Elements evaluated included the planning process, health fair relevancy, integration of community resources, participants satisfaction and knowledge acquisition, and partnership satisfaction. The samples of this study included (1) 529 adult participants who completed the on-site evaluation questionnaires; (2) 1,090 child participants who returned gift-reward cards; (3) 114 partners who gave written feedback on their satisfaction; and (4) 57 third-year and 16 fourth-year undergraduate nursing student participants. Data was collected from the evidence report of the Department of Health, the project proposal, activity protocols, meeting records, the project final report, students term papers, and questionnaires. The chief administrator of the County Health Bureau was very impressed with the creative exhibits in the fair and, therefore, invited a coalition to continue further workshops. Seventeen educational exhibits, two dance programs and two drama programs related to health issues were demonstrated in the fair. Resources from community organizations were successfully integrated and allocated. Community participants expressed satisfaction with the fair and anticipated similar activities in the future. Participants revealed more than 80% accuracy in health knowledge quizzes. The senior nursing students highlighted their interaction with the community, community health nurses, and health volunteers. Community-based health promotion and nursing education can be successfully connected when various disciplines and sectors form effective partnerships.","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2002-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90412083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-06-01DOI: 10.1097/01.JNR.0000347593.20897.2E
Hsing-Mei Chen, Y. Chao
The purpose of this study was to investigate the quality of life (QOL) in patients before and after permanent pacemaker implantation. A follow-up study design was adopted and purposive sampling was applied to recruit subjects from two medical centers in Taipei City. Subjects were interviewed before pacemaker implantation. Follow-up interviews were conducted at second, fourth, and sixth month after pacemaker implantation. There were 42 subjects enrolled in this study. These subjects had moderate QOL (62.4 +/- 15.9 on a scale of 97) before pacemaker implantation and the QOL improved significantly after pacemaker implantation(p <.05). The QOL improvement reached a peak at the end of the fourth month and the scores decreased at the end of the sixth month vs. the fourth month (p <.05). They had significant improvement in general well-being, sleeping, appetite, physical activity, and physical symptoms (p <.05), but not in cognitive function, social participation, work capability and sexual function (p >.05). Subjects with spouses as their main caregivers had significantly better improvement in QOL after pacemaker implantation. Subjects perceptions of distress from arrhythmia were the most significant determinant in their QOL pre and post pacemaker implantation. The findings suggest that aggressively resolving arrhythmia distress is important for improving QOL.
{"title":"Change in quality of life in patients with permanent cardiac pacemakers: a six-month follow-up study.","authors":"Hsing-Mei Chen, Y. Chao","doi":"10.1097/01.JNR.0000347593.20897.2E","DOIUrl":"https://doi.org/10.1097/01.JNR.0000347593.20897.2E","url":null,"abstract":"The purpose of this study was to investigate the quality of life (QOL) in patients before and after permanent pacemaker implantation. A follow-up study design was adopted and purposive sampling was applied to recruit subjects from two medical centers in Taipei City. Subjects were interviewed before pacemaker implantation. Follow-up interviews were conducted at second, fourth, and sixth month after pacemaker implantation. There were 42 subjects enrolled in this study. These subjects had moderate QOL (62.4 +/- 15.9 on a scale of 97) before pacemaker implantation and the QOL improved significantly after pacemaker implantation(p <.05). The QOL improvement reached a peak at the end of the fourth month and the scores decreased at the end of the sixth month vs. the fourth month (p <.05). They had significant improvement in general well-being, sleeping, appetite, physical activity, and physical symptoms (p <.05), but not in cognitive function, social participation, work capability and sexual function (p >.05). Subjects with spouses as their main caregivers had significantly better improvement in QOL after pacemaker implantation. Subjects perceptions of distress from arrhythmia were the most significant determinant in their QOL pre and post pacemaker implantation. The findings suggest that aggressively resolving arrhythmia distress is important for improving QOL.","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2002-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76659118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-06-01DOI: 10.1097/01.JNR.0000347591.43768.9D
M. Yen, Ching-Huey Chen, Shieu-Ming Chou
Nurses constantly face the need to provide patient care, both physical and psychological, within the health care arena. Nursing staff must have an understanding of the concerns and experiences of hospitalization, and the sensitivity to elicit the patient s own private language of health care needs. The purpose of the study was to examine the concerns of health care needs from patients point of view. The specific objective was to understand the experiences of hospitalized patients. The grounded theory method was applied for this purpose with major assumptions from the symbolic interaction perspective. Twelve subjects were recruited from medical and surgical units at a teaching hospital using purposive sampling, and were interviewed. Data were in the form of transcripts from tapes, field notes, and analytic and process memos. The constant comparative technique was utilized to discover the core themes that would explain most of the variation and integrate the data, codes and memos. Three coding processes, open coding, axial coding, and selective coding, were employed. Six aspects were generated from the results of the study to describe patients concerns. The hospitalized experience was depicted as searching for certain aspects of health care needs including focus on the physical condition, promptness and effectiveness of nursing services, health professionals caring attitudes when giving service and their responsibility, food preparation, environment, and medical expenses.
{"title":"Concerns of hospitalized care from patients perspectives.","authors":"M. Yen, Ching-Huey Chen, Shieu-Ming Chou","doi":"10.1097/01.JNR.0000347591.43768.9D","DOIUrl":"https://doi.org/10.1097/01.JNR.0000347591.43768.9D","url":null,"abstract":"Nurses constantly face the need to provide patient care, both physical and psychological, within the health care arena. Nursing staff must have an understanding of the concerns and experiences of hospitalization, and the sensitivity to elicit the patient s own private language of health care needs. The purpose of the study was to examine the concerns of health care needs from patients point of view. The specific objective was to understand the experiences of hospitalized patients. The grounded theory method was applied for this purpose with major assumptions from the symbolic interaction perspective. Twelve subjects were recruited from medical and surgical units at a teaching hospital using purposive sampling, and were interviewed. Data were in the form of transcripts from tapes, field notes, and analytic and process memos. The constant comparative technique was utilized to discover the core themes that would explain most of the variation and integrate the data, codes and memos. Three coding processes, open coding, axial coding, and selective coding, were employed. Six aspects were generated from the results of the study to describe patients concerns. The hospitalized experience was depicted as searching for certain aspects of health care needs including focus on the physical condition, promptness and effectiveness of nursing services, health professionals caring attitudes when giving service and their responsibility, food preparation, environment, and medical expenses.","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2002-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86194547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-06-01DOI: 10.1097/01.JNR.0000347589.98025.63
Y. Ku, Chi-Hui Kao Lo, Jing-Jy Wang, Jane Lee Hsieh, Kuei‐Min Chen
Because of changes in the medical environment, nurses must maintain the ability of divergent thinking to solve the health problems of patients. However, many nurses whose work in clinical practice has become routine have lost the ability of creativity. To cultivate nurses creativity should be a goal of nursing education. The purpose of this study is to evaluate a nursing concepts teaching protocol by utilizing teaching strategies directed toward creativity to promote creativity in two-year RN-BSN students. This study design is a time series and one group experiment utilizing multiple instances of treatment. Teaching strategies for creativity were applied to a teaching unit and 52 two-year RN-BSN students were tested for creativity before the end of each semester. This study was conducted from March, 1999 to May, 2000, but only 30 students completed all tests and reached a 58% return rate. Torrance s (1974) definitions of creativity includ fluency, flexibility, and uniqueness were followed and the instrument, a questionnaire on Creativity in the application of the Nursing Process Tool (CNPT), was designed based on Emerson (1988). The content validity of Chinese-version CNPT was.79. The inter-coder reliability between two researchers was.84 following a coding guide that ten nursing education experts had established. The results indicated that 30 two-year RN-BSN students had improved fluency and flexibility. The improvements reached a significant level after the third semester. Only uniqueness declined. It is suggested that nursing faculty apply teaching strategies uniqueness more often in a teaching protocol of nursing concepts. By utilizing teaching strategies of creativity in a teaching protocol of nursing concepts, it is expected that two-year RN-BSN students can acquire characteristics of creativity for problem-solving skills in clinical settings.
{"title":"The effectiveness of teaching strategies for creativity in a nursing concepts teaching protocol on the creative thinking of two-year RN-BSN students.","authors":"Y. Ku, Chi-Hui Kao Lo, Jing-Jy Wang, Jane Lee Hsieh, Kuei‐Min Chen","doi":"10.1097/01.JNR.0000347589.98025.63","DOIUrl":"https://doi.org/10.1097/01.JNR.0000347589.98025.63","url":null,"abstract":"Because of changes in the medical environment, nurses must maintain the ability of divergent thinking to solve the health problems of patients. However, many nurses whose work in clinical practice has become routine have lost the ability of creativity. To cultivate nurses creativity should be a goal of nursing education. The purpose of this study is to evaluate a nursing concepts teaching protocol by utilizing teaching strategies directed toward creativity to promote creativity in two-year RN-BSN students. This study design is a time series and one group experiment utilizing multiple instances of treatment. Teaching strategies for creativity were applied to a teaching unit and 52 two-year RN-BSN students were tested for creativity before the end of each semester. This study was conducted from March, 1999 to May, 2000, but only 30 students completed all tests and reached a 58% return rate. Torrance s (1974) definitions of creativity includ fluency, flexibility, and uniqueness were followed and the instrument, a questionnaire on Creativity in the application of the Nursing Process Tool (CNPT), was designed based on Emerson (1988). The content validity of Chinese-version CNPT was.79. The inter-coder reliability between two researchers was.84 following a coding guide that ten nursing education experts had established. The results indicated that 30 two-year RN-BSN students had improved fluency and flexibility. The improvements reached a significant level after the third semester. Only uniqueness declined. It is suggested that nursing faculty apply teaching strategies uniqueness more often in a teaching protocol of nursing concepts. By utilizing teaching strategies of creativity in a teaching protocol of nursing concepts, it is expected that two-year RN-BSN students can acquire characteristics of creativity for problem-solving skills in clinical settings.","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2002-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86924143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-03-01DOI: 10.1097/01.JNR.0000347582.54962.04
Yu-fang Lin, Hsin-Hsin Chung
The purpose of this research was to explore parenting stress and parents' willingness to accept treatment in relation to the behavioral problems of children with Attention-Deficit Hyperactive Disorder (ADHD). A total of 100 subjects, either fathers or mothers of children with ADHD, were recruited by convenience sampling from southern Taiwan. The results of this research were: (1) the standardized score for parents' perception of the behavioral problems of their ADHD children was 67.09. (2) The standardized score for parents perception of parenting stress was 62.00. (3) The parents who were most willing to accept treatment were those in the parent training group. (4) The behavioral problems of ADHD children were significantly related to parenting stress (p .001). (5) ADHD children's behavioral problems and parental self-awareness of psychological and emotional problems were the two variables most influential on parenting stress, and recognition of the pathological cause was the most influential factor in willingness to accept treatment. Through this research we also found that the parents hoped that a parent training group would be established. Therefore, nursing personnel can try to develop parent training groups in order to relieve parents' parenting stress.
{"title":"Parenting stress and parents' willingness to accept treatment in relation to behavioral problems of children with attention-deficit hyperactive disorder.","authors":"Yu-fang Lin, Hsin-Hsin Chung","doi":"10.1097/01.JNR.0000347582.54962.04","DOIUrl":"https://doi.org/10.1097/01.JNR.0000347582.54962.04","url":null,"abstract":"The purpose of this research was to explore parenting stress and parents' willingness to accept treatment in relation to the behavioral problems of children with Attention-Deficit Hyperactive Disorder (ADHD). A total of 100 subjects, either fathers or mothers of children with ADHD, were recruited by convenience sampling from southern Taiwan. The results of this research were: (1) the standardized score for parents' perception of the behavioral problems of their ADHD children was 67.09. (2) The standardized score for parents perception of parenting stress was 62.00. (3) The parents who were most willing to accept treatment were those in the parent training group. (4) The behavioral problems of ADHD children were significantly related to parenting stress (p .001). (5) ADHD children's behavioral problems and parental self-awareness of psychological and emotional problems were the two variables most influential on parenting stress, and recognition of the pathological cause was the most influential factor in willingness to accept treatment. Through this research we also found that the parents hoped that a parent training group would be established. Therefore, nursing personnel can try to develop parent training groups in order to relieve parents' parenting stress.","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74628957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-03-01DOI: 10.1097/01.jnr.0000347581.77833.35
Hsiao-Ti Chen, I. Li
A study of cross-sectional design was used to understand the level of risk perceived by home health care nurses in Taiwan and its correlators. A total of 413 self-administrated structured questionnaires were sent by mail. 300 responses were received, with 258 valid ones. The response rate was 72.6%. The 90 occupational hazards fell into six risk factors: "professional", "traffic", "geographical", "clients' condition and interaction among clients and families", "law" and "organization". The highest scores among the six factors were associated with "law", "clients' condition and interaction among clients and families", and "organization". Marital status and home health care training were significant variables related to the level of risk perceived. Respondents who were married or had home health care training had higher level of risk perceived in the six risk factors than those who were not married or without any training. The variable of years of experience in home health care had a significantly negative correlation with both level of risk perceived for the factors "professional" and "clients' condition and interaction among clients and families". There was a significant positive correlation between the number of visits made by respondents and level of risk perceived for the traffic and geographical factors. There was no statistically significant correlation between the demographics of respondents and level of risk perceived in law. The variables educational level, whether received home health care training, and whether obtained training certificate showed no significant difference in six levels of risk perceived by respondents. The study proposed several suggestions for practice, education, policy and future study.
{"title":"Perception of risk by home health care nurses in Taiwan.","authors":"Hsiao-Ti Chen, I. Li","doi":"10.1097/01.jnr.0000347581.77833.35","DOIUrl":"https://doi.org/10.1097/01.jnr.0000347581.77833.35","url":null,"abstract":"A study of cross-sectional design was used to understand the level of risk perceived by home health care nurses in Taiwan and its correlators. A total of 413 self-administrated structured questionnaires were sent by mail. 300 responses were received, with 258 valid ones. The response rate was 72.6%. The 90 occupational hazards fell into six risk factors: \"professional\", \"traffic\", \"geographical\", \"clients' condition and interaction among clients and families\", \"law\" and \"organization\". The highest scores among the six factors were associated with \"law\", \"clients' condition and interaction among clients and families\", and \"organization\". Marital status and home health care training were significant variables related to the level of risk perceived. Respondents who were married or had home health care training had higher level of risk perceived in the six risk factors than those who were not married or without any training. The variable of years of experience in home health care had a significantly negative correlation with both level of risk perceived for the factors \"professional\" and \"clients' condition and interaction among clients and families\". There was a significant positive correlation between the number of visits made by respondents and level of risk perceived for the traffic and geographical factors. There was no statistically significant correlation between the demographics of respondents and level of risk perceived in law. The variables educational level, whether received home health care training, and whether obtained training certificate showed no significant difference in six levels of risk perceived by respondents. The study proposed several suggestions for practice, education, policy and future study.","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79477244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-03-01DOI: 10.1097/01.JNR.0000347583.62586.5A
Tsu-Yin Wu, N. Pender, Ke-Ping A. Yang
The purpose of this paper is to present a comparative analysis of the determinants of physical activity among adolescents in Taiwan and in the United States. Pender's Health Promotion Model (HPM) served as the theoretical framework for both studies (Pender, 1996). The major determinants of health behavior in the HPM are perceived benefits, perceived barriers, self-efficacy, activity-related affect, interpersonal influences, situational influences, commitment to a plan of action, and immediate competing demands. In Taiwan, 969 middle school students (55% males; 45% females) from Taipei provided data for the study. In the United States, the sample was collected from 286 late elementary and middle school students (48% males; 52% females). Results showed the gender differences in activity levels were apparent in the youths from both countries. In both Taiwanese and American youths, boys were more active than girls. Cross-cultural differences in the importance of barriers to physical activity emerged. Among Taiwanese adolescents, barriers did not emerge as a significant direct predictor of physical activity as they did among US adolescents. Perceived efficacy directly predicted physical activity among Taiwanese youths while it indirectly predicted physical activity and appeared to be mediated by beliefs regarding exercise benefits and barriers among American youths. In addition, the paths of effect for interpersonal influences were different when Taiwanese and US youths were compared. The findings from this paper have important and culturally-relevant information that can inform future physical activity intervention studies with diverse adolescents.
{"title":"Promoting physical activity among Taiwanese and American adolescents.","authors":"Tsu-Yin Wu, N. Pender, Ke-Ping A. Yang","doi":"10.1097/01.JNR.0000347583.62586.5A","DOIUrl":"https://doi.org/10.1097/01.JNR.0000347583.62586.5A","url":null,"abstract":"The purpose of this paper is to present a comparative analysis of the determinants of physical activity among adolescents in Taiwan and in the United States. Pender's Health Promotion Model (HPM) served as the theoretical framework for both studies (Pender, 1996). The major determinants of health behavior in the HPM are perceived benefits, perceived barriers, self-efficacy, activity-related affect, interpersonal influences, situational influences, commitment to a plan of action, and immediate competing demands. In Taiwan, 969 middle school students (55% males; 45% females) from Taipei provided data for the study. In the United States, the sample was collected from 286 late elementary and middle school students (48% males; 52% females). Results showed the gender differences in activity levels were apparent in the youths from both countries. In both Taiwanese and American youths, boys were more active than girls. Cross-cultural differences in the importance of barriers to physical activity emerged. Among Taiwanese adolescents, barriers did not emerge as a significant direct predictor of physical activity as they did among US adolescents. Perceived efficacy directly predicted physical activity among Taiwanese youths while it indirectly predicted physical activity and appeared to be mediated by beliefs regarding exercise benefits and barriers among American youths. In addition, the paths of effect for interpersonal influences were different when Taiwanese and US youths were compared. The findings from this paper have important and culturally-relevant information that can inform future physical activity intervention studies with diverse adolescents.","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91544446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-03-01DOI: 10.1097/01.JNR.0000347584.00705.B8
Wan-Ping Lee, Li-Wei Lin, S. Yeh, Rosa Huang Liu, Cheun-Fen Tseng
This study correlates serum vitamin D levels to related hormones and dietary intakes among 57 elderly Chinese above the age of 65 who were living in the same community in rural Southern Taiwan (Pingtung) and who had no conditions or drug intake known to interfere with the metabolism of vitamin D. Demographic characteristics, past medical history, medications, and dietary intake were collected via questionnaires. Venous blood samples were collected for analyses of serum 25-hydroxyvitamin D (25(OH)D), parathyroid hormone (PTH) and calcium levels. Our results showed subjects in this study to have normal mean values of serum 25(OH)D, PTH and calcium levels. The mean serum 25(OH)D level was 36.21 (+/- 6.37) ng/ml, the mean serum PTH level 29.24 (+/- 18.62) pg/ml and the mean serum calcium level 9.14 (+/- 0.52) mg/dl. While the mean serum 25(OH)D and calcium values were not found to be significantly different between men and women, the mean serum PTH level was significantly higher in women (33.42 +/- 20.00 pg/ml) than in men (23.07 +/- 14.66 pg/ml) (p <.05), and serum PTH levels were significantly negatively correlated to serum calcium (r = -.33, p <.05) but not 25(OH)D (r = -.21). A higher intake of calcium was significantly associated with higher serum calcium levels (r =.29, p <.05), but not with serum 25(OH)D levels. Results from this study suggested that the elderly people living in Pingtung, a particularly sunny region, had normal serum 25(OH)D levels. The fact that the elderly women studied had higher serum PTH levels and that these levels were negatively correlated to serum calcium levels suggests that a higher PTH level in the elderly women may be related to susceptibility for osteoporosis. In an effort to provide optimal nursing care for the elderly by minimizing hip fractures and related morbidity, further nursing studies are needed to study the effects of the environment, dietary intake and bone metabolism.
{"title":"Correlations among serum calcium, vitamin D and parathyroid hormone levels in the elderly in southern Taiwan.","authors":"Wan-Ping Lee, Li-Wei Lin, S. Yeh, Rosa Huang Liu, Cheun-Fen Tseng","doi":"10.1097/01.JNR.0000347584.00705.B8","DOIUrl":"https://doi.org/10.1097/01.JNR.0000347584.00705.B8","url":null,"abstract":"This study correlates serum vitamin D levels to related hormones and dietary intakes among 57 elderly Chinese above the age of 65 who were living in the same community in rural Southern Taiwan (Pingtung) and who had no conditions or drug intake known to interfere with the metabolism of vitamin D. Demographic characteristics, past medical history, medications, and dietary intake were collected via questionnaires. Venous blood samples were collected for analyses of serum 25-hydroxyvitamin D (25(OH)D), parathyroid hormone (PTH) and calcium levels. Our results showed subjects in this study to have normal mean values of serum 25(OH)D, PTH and calcium levels. The mean serum 25(OH)D level was 36.21 (+/- 6.37) ng/ml, the mean serum PTH level 29.24 (+/- 18.62) pg/ml and the mean serum calcium level 9.14 (+/- 0.52) mg/dl. While the mean serum 25(OH)D and calcium values were not found to be significantly different between men and women, the mean serum PTH level was significantly higher in women (33.42 +/- 20.00 pg/ml) than in men (23.07 +/- 14.66 pg/ml) (p <.05), and serum PTH levels were significantly negatively correlated to serum calcium (r = -.33, p <.05) but not 25(OH)D (r = -.21). A higher intake of calcium was significantly associated with higher serum calcium levels (r =.29, p <.05), but not with serum 25(OH)D levels. Results from this study suggested that the elderly people living in Pingtung, a particularly sunny region, had normal serum 25(OH)D levels. The fact that the elderly women studied had higher serum PTH levels and that these levels were negatively correlated to serum calcium levels suggests that a higher PTH level in the elderly women may be related to susceptibility for osteoporosis. In an effort to provide optimal nursing care for the elderly by minimizing hip fractures and related morbidity, further nursing studies are needed to study the effects of the environment, dietary intake and bone metabolism.","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86087392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-03-01DOI: 10.1097/01.JNR.0000347579.32092.8D
Mei-Yen Chen, Jenny C Liao
This survey by correlation study with partial qualitative design examined the effect of attendance at breakfast with school achievement in 710 first-year nursing students at a nursing institute in Northern Taiwan. Dietary attendance cards were scanned by computer before each meal. Since the school is located at a geographically isolated suburban area, this program was compulsory for all first-year nursing students and was included in the tuition fee. Comparison of attendance at breakfast over the four-month semester (from September 1999 to January 2000) and final semester class ranking showed a lower attending rate of breakfast (attendance at breakfast equal to or under 60% of mean times in a 4-month semester) was significantly associated with lower scores on tests in six individual classes and a class rank; while a higher frequency of breakfast attendance (attendance at breakfast equal to or over 85% of mean times in a 4-month semester) was significantly associated with higher scores on tests in six individual classes and a higher class rank (p <.001). To determine the relationships between frequency of attending breakfast and practicing health promotion behaviors, the Chinese Health Promoting Scale was used. We also found that those who skipped breakfast frequently had more negative health promotion behaviors than those who attended breakfast more regularly (p <.001). These results indicate that school achievement is negatively affected when nursing students omit breakfast. The research outcome supports the importance of breakfast in school achievement.
{"title":"Relationship between attendance at breakfast and school achievement among nursing students.","authors":"Mei-Yen Chen, Jenny C Liao","doi":"10.1097/01.JNR.0000347579.32092.8D","DOIUrl":"https://doi.org/10.1097/01.JNR.0000347579.32092.8D","url":null,"abstract":"This survey by correlation study with partial qualitative design examined the effect of attendance at breakfast with school achievement in 710 first-year nursing students at a nursing institute in Northern Taiwan. Dietary attendance cards were scanned by computer before each meal. Since the school is located at a geographically isolated suburban area, this program was compulsory for all first-year nursing students and was included in the tuition fee. Comparison of attendance at breakfast over the four-month semester (from September 1999 to January 2000) and final semester class ranking showed a lower attending rate of breakfast (attendance at breakfast equal to or under 60% of mean times in a 4-month semester) was significantly associated with lower scores on tests in six individual classes and a class rank; while a higher frequency of breakfast attendance (attendance at breakfast equal to or over 85% of mean times in a 4-month semester) was significantly associated with higher scores on tests in six individual classes and a higher class rank (p <.001). To determine the relationships between frequency of attending breakfast and practicing health promotion behaviors, the Chinese Health Promoting Scale was used. We also found that those who skipped breakfast frequently had more negative health promotion behaviors than those who attended breakfast more regularly (p <.001). These results indicate that school achievement is negatively affected when nursing students omit breakfast. The research outcome supports the importance of breakfast in school achievement.","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82143287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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