Needs assessment of nurse researchers through a research lifecycle framework

Objective: Health sciences librarian roles are evolving to better meet the needs of faculty. This study explores nursing faculty needs at the University of British Columbia through the research lifecycle framework of planning, conducting, disseminating, and assessing the impact of their research. Methods: A mixed methods survey study with Likert scale, multiple-choice, or ordinal ranking-scale questions and six open-response questions was conducted. The format was a web-based Qualtrics survey; participants had approximately three weeks to respond. Results: Nursing faculty identified the dissemination phase as benefiting most from library support prioritizing reference management and archiving research data as the top needs in that phase. Assessing impact skills such as citation analysis and Altmetrics training was ranked second. The Planning phase was ranked third with systematic review and literature review support most needed. The Conducting phase was identified as the phase where they needed the least support. Conclusion: Understanding the needs of researchers and enhancing scholar productivity is vital to offering responsive library research services. Across the research lifecycle, nursing faculty identified reference management, data management, metrics evaluation, systematic reviews, and literature reviews as the key areas for which they need support

Family history of mood disorder and characteristics of major depressive disorder: A STAR*D (sequenced treatment alternatives to relieve depression) study

Wstęp. Klinicyści rutynowo pytają pacjentów z depresją o występowanie chorób psychicznych w rodzinie. Nie wiadomo jednak, czy pacjenci, w których rodzinie występowały tego typu schorzenia różnią się od osób z negatywnym wywiadem rodzinnym w tym kierunku. W badaniu porównano cechy demograficzne i kliniczne dużej grupy pacjentów ambulatoryjnych zgłaszających się do lekarza z powodu depresji bez objawów psychotycznych. Pacjenci udzielili informacji na temat krewnych pierwszego stopnia chorujących na depresję lub chorobę afektywną dwubiegunową. Metody. Osoby poddane badaniu rekrutowano do wieloośrodkowego badania klinicznego - Sekwencyjne Alternatywy Terapeutyczne w Leczeniu Depresji (STAR*D, Sequenced Treatment Alternatives to Relieve Depression). Oceniono różnice w cechach klinicznych i demograficznych u pacjentów z dodatnim i ujemnym wywiadem rodzinnym w kierunku zaburzeń afektywnych, po skorygowaniu ich pod względem wieku, płci, rasy i grupy etnicznej. Wyniki. Wśród pacjentów z dodatnim wywiadem rodzinnym w kierunku zaburzeń afektywnych (n = 2265; 56,5%) przeważały kobiety; depresja rozpoczęła się u nich wcześniej niż u pacjentów z ujemnym wywiadem rodzinnym w kierunku zaburzeń afektywnych (n = 1740; 43,5%). Nie znaleziono znaczących różnic w zakresie objawów depresyjnych, nasilenia depresji, jej nawrotowości, podtypów choroby, czy też funkcjonowania w ciągu dnia. Wnioski. Kobiety 2-krotnie częściej niż mężczyźni zgłaszały występowanie zaburzeń afektywnych w rodzinie, dodatni wywiad rodzinny wiązał się z wcześniejszym wystąpieniem choroby u probanta. Młody wiek w chwili zachorowania na depresję wydaje się charakteryzować rodzinny (a co za tym idzie uwarunkowany genetycznie) podtyp depresji, co jest zgodne z wynikami wcześniejszych badań.Introduction. Clinicians routinely ask patients with major depressive disorder (MDD) about their family history. It is unknown, however, if patients who report a positive family history differ from those who do not. This study compared the demographic and clinical features of a large cohort of treatment-seeking outpatients with nonpsychotic MDD who reported that they did or did not have at least one firstdegree relative who had either MDD or bipolar disorder. Methods. Subjects were recruited for the STAR*D multicenter trial. Differences in demographic and clinical features for patients with and without a family history of mood disorders were assessed after correcting for age, sex, race, and ethnicity. Results. Patients with a family history of mood disorder (n = 2265; 56.5%) were more frequently women and had an earlier age of onset of depression, as compared to those without such a history (n = 1740; 43.5%). No meaningful differences were found in depressive symptoms, severity, recurrence, depressive subtype, or daily function. Conclusions. Women were twice as likely as men to report a positive family history of mood disorder, and a positive family history was associated with younger age of onset of MDD in the proband. Consistent with prior research, early age of onset appears to define a familial and, by extension, genetic subtype of major depressive disorder

Association of Accelerometry-Measured Physical Activity and Cardiovascular Events in Mobility-Limited Older Adults: The LIFE (Lifestyle Interventions and Independence for Elders) Study.

BACKGROUND:Data are sparse regarding the value of physical activity (PA) surveillance among older adults-particularly among those with mobility limitations. The objective of this study was to examine longitudinal associations between objectively measured daily PA and the incidence of cardiovascular events among older adults in the LIFE (Lifestyle Interventions and Independence for Elders) study. METHODS AND RESULTS:Cardiovascular events were adjudicated based on medical records review, and cardiovascular risk factors were controlled for in the analysis. Home-based activity data were collected by hip-worn accelerometers at baseline and at 6, 12, and 24 months postrandomization to either a physical activity or health education intervention. LIFE study participants (n=1590; age 78.9±5.2 [SD] years; 67.2% women) at baseline had an 11% lower incidence of experiencing a subsequent cardiovascular event per 500 steps taken per day based on activity data (hazard ratio, 0.89; 95% confidence interval, 0.84-0.96; P=0.001). At baseline, every 30 minutes spent performing activities ≥500 counts per minute (hazard ratio, 0.75; confidence interval, 0.65-0.89 [P=0.001]) were also associated with a lower incidence of cardiovascular events. Throughout follow-up (6, 12, and 24 months), both the number of steps per day (per 500 steps; hazard ratio, 0.90, confidence interval, 0.85-0.96 [P=0.001]) and duration of activity ≥500 counts per minute (per 30 minutes; hazard ratio, 0.76; confidence interval, 0.63-0.90 [P=0.002]) were significantly associated with lower cardiovascular event rates. CONCLUSIONS:Objective measurements of physical activity via accelerometry were associated with cardiovascular events among older adults with limited mobility (summary score >10 on the Short Physical Performance Battery) both using baseline and longitudinal data. CLINICAL TRIAL REGISTRATION:URL: http://www.clinicaltrials.gov. Unique identifier: NCT01072500

La satisfaction des patients et de leur famille vis-à-vis de l’information relative au cancer : une recension des écrits

Les individus et les familles qui font face à l’expérience du cancer ont des besoins d’apprentissage à la fois nombreux et variés. L’enseignement relatif au cancer constitue un aspect important de leurs soins. Pourtant, au cours des trois dernières décennies, il est régulièrement question, dans la littérature, de l’insatisfaction d’un grand nombre de patients et de proches vis-à-vis de l’enseignement qui leur est fourni dans ce domaine. Cet article examine les écrits relatifs à un aspect de la satisfaction vis-à-vis de l’enseignement lié au cancer et à la satisfaction des patients et des proches vis-à-vis de l’information liée au cancer, et ce, en fonction de facteurs liés aux patients, aux prestataires et à l’information. Les lacunes au niveau des recherches sont dégagées et discutées dans le cadre des recommandations pour de futurs travaux de recherche. Cet article se termine par des applications à la pratique clinique

Patient and family satisfaction with cancer-related information: A review of the literature

Individuals and families confronted with cancer experience many and varied educational needs. Cancer education is an important aspect of their care. Yet, over the past three decades, the literature has consistently identified that many patients and family members are dissatisfied with cancer education. This paper examines the literature relevant to one aspect of satisfaction with cancer education, patient and family member satisfaction with cancer-related information, according to patient, provider, and information factors. Gaps in the research are identified and discussed in relation to future research recommendations. The paper concludes with applications to clinical practice

Older Adults’ Risk Practices From Hospital to Home : A Discourse Analysis

Purpose: To understand risk-related practices of older adults returning home post-hospitalization. Research Design: Qualitative methods informed by critical discourse theory, designed to uncover linkages between broader social practices and peoples’ talk and stories, were used. Methods: Eight older adults, screened as high-risk from an inpatient cardiology unit, and six partners were interviewed face-to-face within three weeks of discharge. A discourse analysis of participants’ accounts of risk was conducted: the cultural and social understandings or conceptual frameworks used to understand risk were identified. Results: Ableism, a discourse in our society that privileges abledness, was found to permeate the data. Participants underscored that being abled was normal and being disabled was abnormal. Ableism, as a discourse or conceptual framework, compelled participants to appear and act abled, or to perform “compulsory abledness”. That, in turn, produced their responses to risk: a pressure to preserve ableist identities created internal and external tensions related to objects and situations of risk, and forced participants to use strategies to diminish and minimize risk. Participants created a new response – a position of “liminality,” or in-between – where their accounts portrayed them as neither abled nor disabled. This discourse of liminality allowed them to reconcile tensions associated with risk. Implications: Critical discourse analysis sheds new light on older adults risk practices. This approach challenges accepted ways of acting and thinking about what constitutes risk and produces possibilities for alternate ways of representing the same reality.Health and Social Development, Faculty of (Okanagan)Non UBCNursing, School of (Okanagan)Social Work, School of (Okanagan)ReviewedFacultyUnknow

New graduate nurse transition programs: Relationships with bullying and access to support

New graduate nurses are often targets of bullying and horizontal violence. The support offered by new graduate nurse transition programs may moderate the effects of bullying and limit its negative impact on new graduate nurse transition. This study examined the relationships between access to support, workplace bullying and new graduate nurse transition within the context of new graduate transition programs. As part of a mixed methods study, an online survey was administered to new graduates (N = 245) approximately a year from starting employment. Bullied new graduate nurses were less able to access support when needed and had poorer transition experiences than their non-bullied peers. Participation in a formal transition program improved access to support and transition for bullied new graduate nurses. People supports within transition programs positively influenced the new graduate nurse transition experience. Formal transition programs provide support that attenuates the impact of bullying on new graduate nurses and improves transition.Health and Social Development, Faculty of (Okanagan)Library, UBCNursing, School of (Okanagan)ReviewedFacult

Diversity of Atrial Fibrillation Journeys

Rationale, Aims, Objectives: Atrial fibrillation (AF) is a serious chronic heart condition characterized by an irregular, rapid heartbeat and unpredictable course. Patients with AF often struggle with managing the impact of the disease on daily activities. Afflicted rural dwelling patients face added challenges including inequities in health services and a lack of cardiac specialty services. AF patient journeys through the health care system have not been well documented but offer a valuable tool for improving patient management and outcomes. The purpose of this study was to document individual AF patient journey of rural living older adults. Method: This study used a 6-month longitudinal design to examine the rural health-care experiences of 10 AF patients. AF patient journeys were mapped using information gathered through interviews, written logs, photographs, and an electronic health record review. Thematic analysis was used in clustering common features of the health care journeys of older adult patients with AF and a typology developed to describe them. Results: Each patient’s journey with AF was unique. Symptom and disease severity, health service utilization, and needs emerged as differentiating features in the identification of three journey types: 1) Stable, 2) Chronically Unstable, and 3) Acute Crisis. Conclusions: These journey types provide a valuable tool to assess patient needs at any point in the AF trajectory and to address salient risks that accompany each type to improve management of the increasing number of persons suffering from AF.Health and Social Development, Faculty of (Okanagan)Nursing, School of (Okanagan)ReviewedFacult