Sjogren’s Syndrome: Recognizing and Treating an Autoimmune Disease

Sjogren\u27s syndrome, one of the most common autoimmune diseases, is characterized by cell-mediated lymphocytic infiltration of the exocrine glands, particularly the salivary and lacrimal glands. It receives little attention in the literature, and frequently goes unrecognized until progressive changes are apparent. This article aids nurse practitioners in diagnosing the disorder in its earliest stages and in initiating proper treatment

Practical Approaches to Treating Patients with Bipolar Disorder

Many patients present to a primary care setting with symptoms of a mood disorder. These symptoms may be indicative of an anxiety disorder or a depressive disorder, but they may also represent bipolar disorder, which is more common than many practitioners think. Correctly diagnosing bipolar disorder can be complex, because patients tend to seek treatment when they are experiencing the symptoms of depression or anxiety rather than mania or hypomania. Comorbid disorders such as substance abuse and anxiety disorders may complicate the clinical presentation. Failing to correctly diagnose bipolar disorder can have serious consequences in terms of patients\u27 morbidity and mortality, quality of life, and financial costs

Emotional Intelligence and Spiritual Well-Being

Understanding factors that influence spiritual well-being may improve nurses’ spiritual caregiving. This study examined relationships between emotional intelligence (EI) and spiritual well-being (SWB) in undergraduate and graduate nursing students. Using the Mayer–Salovey–Caruso Emotional Intelligence Test (MSCEIT) and the Spiritual Well-Being Scale (SWBS), relationships were found between managing emotion and spiritual well-being, and managing emotion and existential well-being. Implications for education and practice are discussed

Factors Related to Academic Success Among Nursing Students: A Descriptive Correlational Research Study

Background:The current rise in employment is improving forecasts for the future supply of registered nurses; however sizeable shortages are still projected. With the intention of improving academic success in nursing students, related factors need to be better understood. Objectives: The purpose of the correlational study was to describe the relationship between emotional intelligence, psychological empowerment, resilience, spiritual well-being, and academic success in undergraduate and graduate nursing students. Design/setting: A descriptive correlational design was utilized. The study was set in a private Catholic university. Participants: There were 124 participants. There were 59% undergraduate and 41% graduate students. Methods: Background data, in addition to the Spreitzer Psychological Empowerment Scale, the Wagnild and Young Resilience Scale, and the Spiritual Well-Being Scale and the Mayer –Salovey–Caruso Emotional Intelligence Test, was collected from students who met study criteria. Results: In a combined sample, academic success was correlated with overall spiritual well-being, empowerment and resilience. Although academic success was not correlated with overall emotional intelligence, it was correlated with the emotional intelligence branch four (managing emotions) score.When undergraduate and graduate students were considered separately, only one correlation was found to be significantly related to academic success in the undergraduate sample, namely, emotional intelligence branch one (perceiving emotions). When examining the data from just graduate level nurses, significant relationshipswere found between total emotional intelligence with academic success, resilience with academic success, and psychological empowerment with academic success. Conclusion: The significant relationship between psychological empowerment, resilience, spiritual well-being and academic success in this study supports the statements in the literature that these concepts may play an important role in persistence through the challenges of nursing education. Research is needed to examine if strategies to enhance empowerment, resilience, and spiritual well-being can increase academic success in a test-retest design

Implementation and Evaluation of a Physical Activity and Dietary Program in Federal Incarcerated Females

The purpose of this 3-month quasi-experimental pilot study was to examine the effect of a physical activity and dietary education program on body mass index (BMI) and resilience. Participants were given data-storing pedometers to record their physical activity, attended classes on healthy eating, and used portion control tools from http://ChooseMyPlate.gov . MyPlate usage and commissary purchases were collected weekly. BMI and resilience scores were measured at baseline, 6 weeks, and 12 weeks. Twenty-nine female prisoners completed the study. There was a statistically significant reduction in BMI after 12 weeks (χ2 = 7.56, p = .023) and resilience levels increased but did not reach statistical significance (χ2 = 1.66, p = .437). A physical activity and dietary intervention delivered by a correctional health nurse practitioner was an efficacious approach to reducing BMI and improving resilience among female prisoners

Family-Focused Clinical Practice: Considerations for the Nurse Practitioner

As nurse practioners we interface with the patient at the point of care and often neglect the individual in the context of a family unit. It is our moral and ethical obligation to consider the health of families throughout their life cycle

Professional Employment: Preparing for Licensure, Certification, and Credentialing

Nurse Practitioner Certification: National board certification in your specialty area is a mark of excellence and establishes that a new graduate NP has met the educational criteria and clinical competencies to work as a safe and prudent clinician. This chapter will help the new graduate understand the steps needed to prepare them for certification and state licensure. There is much confusion among healthcare providers, insurance companies, and consumers regarding the role of the NP and the rigorous practice requirements needed to attain and maintain certification and licensure

Family-Focused Clinical Practice: Considerations for the Nurse Practitioner

As nurse practitioners we interface with the patient at point of care and often neglect to consider the individual in the context of a family unit. It is imperative that we consider family background, structure, and level of function when caring for the individual patient. The information that we glean from the patient will have a significant affect on the health and well-being of the patient, and it has the potential to improve the health of the family unit when the nurse practitioner collaborates with and involves the family in the framework of the treatment plan