Querying Rural Content Experts Using an Online Questionnaire

Purpose: Obtaining feedback from rural content experts is critical in developing valid and reliable instruments to advance the science of rural health. However, traditional methods, i.e., focus groups are impractical due to location and distance. Using an online questionnaire combined with telephone and email contacts to obtain content experts’ feedback is discussed. Item statement analysis and efficiency and effectiveness of the process are presented.Methods: The process included the development of an online questionnaire, asking experts to rate 51 item statement for their relevancy, sufficiency of description, and clarity and readability. To increase the response rate, a series of four contacts (one telephone and three email) were planned and implemented. An item content validity index (I-CVI) was calculated for all items.Results: Distribution of the online questionnaire to rural content experts separated by geographic distance was efficient and effective in gathering feedback on item statements for content validity. Content experts completed the questionnaire in less than one hour suggesting the overall efficiency of the process; an 84% response rate supports process effectiveness. Following I-CVI evaluation, item statements were reduced from 51 to 24. The analysis resulted in retaining, with or without revision, 47% of the item statements. Conclusions: The online questionnaire and four-contact strategy were effective in gathering input from a representative sample of rural content experts separated by great distances; thereby, strengthening the content validity of the item statements. The process demonstrates new opportunities for using online technologies to reach rural content experts

Familiarity in Rural Life: Protocol for a Scoping Review and Concept Analysis

Background: Familiarity is a concept often used in literature but is not well defined or understood. As a key concept in rural nursing theory, the conceptual understanding of familiarity is currently incomplete. The findings from this scoping review will inform a concept analysis using Walker and Avant’s method and to identify and define the missing key components of familiarity. Objective: The objective of this scoping review is to examine and analyze what is known in the existing literature about the concept of familiarity. Methods: The Joanna Briggs Institute scoping review framework guided the identification of literature published from 2016 to 2022 on familiarity. Following the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) reporting standard, the familiarity scoping review is registered on Open Science Framework (registration digital object identifier: 10.17605/OSF.IO/ZB8VF). A total of 8 databases, including PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature) Plus with full text, APA PsychInfo, Communication Source, EBSCO MegaFILE, Medline, Nursing & Allied Health Database, and ScienceDirect, will be searched for 22 search terms. Covidence software will be used to manage the scoping review with each citation independently reviewed by 2 research team members for eligibility. Eligibility will be determined using a 2-level process. Each title and abstract will be screened for eligibility; for citations deemed eligible, a full-text article review will be conducted. The scoping review is expected to locate a large body of literature, and eligibility criteria will be refined during the title and abstract screening process. In addition, reference list scanning will be performed to locate relevant literature. Results: Familiarity data will be collected beginning October 2021 with anticipated completion in March 2022. Dissemination of findings will occur through scholarly presentations and in rural-focused and nursing publications in 2022 or 2023. The findings from this review will further the understanding of familiarity and how it affects rural life and nursing practice. Conclusions: This review will support a full understanding and add clarity to the concept of familiarity as a component of rural life. These new insights will advance the understanding of how familiarity influences rural health care practice. The concept analysis will provide theoretical support for rural nursing theory and promote an understanding of the interrelationships of rural concepts

Promoting Undergraduate Research in Minnesota: A Luoma Leadership Academy Project

As participants in the 2011-2012 class of the Luoma Leadership Academy, the authors comprised an action team charged to investigate how undergraduate research is currently incorporated into collegiate studies in Minnesota. We developed a survey that was delivered to Deans at all Minnesota State Colleges and Universities (MnSCU) institutions using the MnSCU Deans listserv. Respondents to the survey represented all 7 universities and all 30 of the community colleges. This suggests that the findings of our action project have real generalization within the system and potentially similar public systems of higher education in other states. We offer data-driven recommendations and conclude with leadership lessons learned

Ambulatory Care Registered Nurse Performance Measurement

Executive Summary: On March 1-2, 2010, a state-of-the-science invitational conference titled Ambulatory Care Registered Nurse Performance Measurement was held to focus on measuring quality at the RN provider level in ambulatory care. The conference was devoted to ambulatory care RN performance measurement and quality of health care. The specific emphasis was on formulating a research agenda and developing a strategy to study the testable components of the RN role related to care coordination and care transitions, improving patient outcomes, decreasing health care costs, and promoting sustainable system change

IQuaD dental trial; improving the quality of dentistry : a multicentre randomised controlled trial comparing oral hygiene advice and periodontal instrumentation for the prevention and management of periodontal disease in dentate adults attending dental primary care

Peer reviewedPublisher PD

New genetic loci link adipose and insulin biology to body fat distribution.

Body fat distribution is a heritable trait and a well-established predictor of adverse metabolic outcomes, independent of overall adiposity. To increase our understanding of the genetic basis of body fat distribution and its molecular links to cardiometabolic traits, here we conduct genome-wide association meta-analyses of traits related to waist and hip circumferences in up to 224,459 individuals. We identify 49 loci (33 new) associated with waist-to-hip ratio adjusted for body mass index (BMI), and an additional 19 loci newly associated with related waist and hip circumference measures (P < 5 × 10(-8)). In total, 20 of the 49 waist-to-hip ratio adjusted for BMI loci show significant sexual dimorphism, 19 of which display a stronger effect in women. The identified loci were enriched for genes expressed in adipose tissue and for putative regulatory elements in adipocytes. Pathway analyses implicated adipogenesis, angiogenesis, transcriptional regulation and insulin resistance as processes affecting fat distribution, providing insight into potential pathophysiological mechanisms

Exploring the Relationship of Secondary Traumatic Stress and Lack of Anonymity in nurses

Objective: The purpose of the study was to determine the relationship, differences, and association between lack of anonymity and secondary traumatic stress in nurses from different population densities (metropolitan, micropolitan, and rural). Background: Lack of anonymity was identified as a concept in rural nursing theory that affects nurses. Secondary traumatic stress exists in nursing practice, causing psychological distress. In literature, demographic characteristics are linked to the risk of developing secondary traumatic stress. Methods: The study used a descriptive, correlational study design, using random sampling of nurses from metropolitan, micropolitan, and rural counties in Minnesota. Participants completed the Lack of Anonymity Instrument (LOAN-10©), Compassion Fatigue Short Scale-Adapted (CF-SS-A), and demographic data instruments. Social cognitive theory and rural nursing theory provided a framework for the study. Results: The data revealed that there was a significant difference in lack of anonymity among nurses from different population densities, with rural nurses having higher levels of lack of anonymity than metropolitan nurses. This finding supports theoretical statement three of rural nursing theory. While less prevalent, lack of anonymity was present among nurses in metropolitan areas, supporting literature that smaller communities develop within large metropolitan areas. Nurses reported a mixture of lack of anonymity, and anonymity, revealing the paradoxical nature of lack of anonymity and supporting literature suggesting that environmental context acts as a determinate of lack of anonymity. Secondary traumatic stress was present in 39% of the total sample. Lack of anonymity and secondary traumatic stress are unrelated in nurses from different population densities. Thus, rural nurses experience secondary traumatic stress similar to metropolitan nurses. The amount of variance of secondary traumatic stress explained by lack of anonymity was small (1.6%). Population density did not appear to predict lack of anonymity and secondary traumatic stress. Conclusions: The findings from the study advance the understanding of the relationship of lack of anonymity and secondary traumatic stress on nurses in different population densities. New knowledge of lack of anonymity as a concept of theoretical statement three in rural nursing theory was found

Concept Analysis: Lack of Anonymity

AIM: To re-examine and expand understanding of the concept \u27lack of anonymity\u27 as a component of rural nursing theory. BACKGROUND: Early healthcare literature reports lack of anonymity as part of social and working environments, particularly rural nursing. Rural nursing theory included the first published concept analysis on lack of anonymity but lacked empirical referents. Workforce, societal and rural healthcare changes support an updated analysis. To further understand lack of anonymity, its present day use and applicability to diverse environments, research from multiple disciplines was reviewed. DESIGN: Concept analysis. DATA SOURCES: A literature search using eight terms in eleven databases was conducted of literature published between 2008-2013. METHOD: Walker and Avant\u27s concept analysis methodology guided the analysis. RESULTS: The previous concept analysis is supported in part by current literature. The defining attributes, \u27identifiable\u27, \u27establishing boundaries for public and private self and interconnectedness\u27 in a community were updated. Updated antecedents include: (i) environmental context; (ii) opportunities to become visible; (iii) developing relationships and (iv) unconscious or limited awareness of public or personal privacy. Consequences are: (i) familiarity; (ii) visibility; (iii) awareness of privacy and (iv) manage or balance of lack of anonymity. Cases were constructed and empirical referents identified. CONCLUSION: The concept of lack of anonymity was updated; portions of the original definition remain unchanged. Empirical referents reveal the defining attributes in daily life and may guide future research on the effect of lack of anonymity on nursing practice. This analysis advances the conceptual understanding of rural nursing theory

Rural Nursing, Fifth Edition: Concepts, Theory, and Practice

Marilyn A. Swan and Barbara B. Hobbs co-authored chapter 6, Lack of Anonymity: Changes for the 21st Century. K.M. Reeder, Victoria Britson, and Mary Kay Nissen co-authored chapter 11 Telehealth in Rural Nursing Practice. The newly revised fifth edition of this authoritative classic continues to be the only text to focus specifically on rural nursing concepts, theory, research, practice, education, public health, and healthcare delivery from a national and international perspective. Updated with 22 new chapters, these additions expand upon the rural nursing theory base and research. Content delves into the life of rural nurses, addressing their unique day-to-day challenges of living without anonymity, often acting as the sole healthcare provider, and establishing self-reliance as a nurse generalist. New chapters provide information on unique populations, such as veterans and Native Americans, as well as specific types of care, such as palliative nursing, bereavement support, substance abuse treatment, and much more.https://openprairie.sdstate.edu/con_books/1002/thumbnail.jp