http://hdl.handle.net/2027.42/60933 http://deepblue.lib.umich.edu/retrieve/219388 http://hdl.handle.net/2027.42/60933 Search the Channel search http://deepblue.lib.umich.edu/simple-search http://hdl.handle.net/2027.42/56001 Title: Description of an advanced practice nursing consultative model to reduce restrictive siderail use in nursing homes<br/><br/>Authors: Wagner, Laura M.; Capezuti, Elizabeth; Brush, Barbara; Boltz, Marie; Renz, Susan; Talerico, Karen A.<br/><br/>Abstract: Researchers have demonstrated that the use of physical restraints in nursing homes can be reduced, particularly where advanced practice nurses (APNs) are utilized. We examined the link between APN practice, siderail reduction, and the costs of siderail alternatives in 273 residents in four Philadelphia nursing homes. The majority of participants were cognitively and physically impaired with multiple co-morbidities. APNs recommended a total of 1,275 siderail-alternative interventions aimed at reducing fall risk. The median cost of siderail alternatives to prevent falls per resident was $135. Residents with a fall history experienced a significantly higher cost of recommendation compared to non-fallers. Findings suggest that an APN consultation model can effectively be implemented through comprehensive, individualized assessment without incurring substantial costs to the nursing home. © 2007 Wiley Periodicals, Inc. Res Nurs Health 30: 131–140, 2007 http://hdl.handle.net/2027.42/55961 Title: A family-based model to predict fear of recurrence for cancer survivors and their caregivers<br/><br/>Authors: Mellon, Suzanne; Kershaw, Trace S.; Northouse, Laurel L.; Freeman-Gibb, Laurie<br/><br/>Abstract: Although fear of cancer recurrence is a great concern among survivors and their families, few studies have examined predictors of fear of recurrence. The purpose of this study was to identify factors associated with fear of recurrence in a population-based sample ( N = 246) and determine if survivors and family caregivers influenced one another's fear of recurrence. A family framework guided the study and analyses included multilevel modeling using the Actor-Partner Interdependence Model. Results indicated that survivors and family caregivers influenced each other's fear of recurrence and that caregivers had significantly more fear of recurrence than survivors. More family stressors, less positive meaning of the illness, and age were related to elevated fear of cancer recurrence for both survivors and caregivers. Copyright © 2006 John Wiley & Sons, Ltd. http://hdl.handle.net/2027.42/55904 Title: Identity impairment and the eating disorders: content and organization of the self-concept in women with anorexia nervosa and bulimia nervosa<br/><br/>Authors: Stein, Karen Farchaus; Corte, Colleen<br/><br/>Abstract: Objective The cognitive model of the self-concept was used to test the theoretical proposition that disturbances in overall identity development are a core vulnerability that lead to formation of a fat body weight self-definition and eating disorder symptomatology. Method Structural properties of the self-concept, availability in memory of a fat body weight self-schema, and eating disordered attitudes and behaviours were measured in women with anorexia nervosa (AN) ( n  = 26), bulimia nervosa (BN) ( n  = 53) and controls ( n  = 32). Results Women with (AN) and (BN) had fewer positive and more negative and highly interrelated self-schemas compared to controls, and women with BN showed information processing evidence of a fat self-schema available in memory. These self-concept properties predicted eating disordered attitudes and behaviour. Discussion Disturbances in the overall collection of identities—an impoverished self—is an important contributor to eating disorder symptomatology. The development of new positive selves may be an important factor in recovery. Copyright © 2006 John Wiley & Sons, Ltd and Eating Disorders Association. http://hdl.handle.net/2027.42/55229 Title: Research with families facing cancer: The challenges of accrual and retention<br/><br/>Authors: Northouse, Laurel L.; Rosset, Tansey; Phillips, Laurel; Mood, Darlene; Schafenacker, Ann; Kershaw, Trace<br/><br/>Abstract: The purposes of this article are: (a) to describe and analyze the accrual and retention patterns in a longitudinal randomized clinical trial with prostate cancer patients and their partners, and (b) to discuss strategies that were used to overcome challenges in conducting this family-based study. Initially, 429 dyads were referred to the study. Of these, 166 were not enrolled due to refusal ( n  = 120) or ineligibility ( n  = 46), 21 of whom did not meet one or more of the inclusion criteria, and 25 of whom could not be reached within the 2-month window of eligibility. Of the 383 eligible dyads, 263 dyads were enrolled (enrollment rate of 68.7%). Accrual and retention patterns differed by research site, referral procedures, and phase of prostate cancer. The retention rate was very good with the majority of dyads ( n  = 218) completing all three follow-up assessments at 4, 8, and 12 months (82.9%). © 2006 Wiley Periodicals, Inc. Res Nurs Health 29:199–211, 2006