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Biomedical subjects

D Morrison-Beedy

Publications and source records attributed to D Morrison-Beedy.

12 recordsLinked to original sources

Maximizing results with focus groups: moderator and analysis issues.

Focus groups can be used to gather rich, detailed descriptions of shared individual experiences and beliefs. Group process enhances the richness of the data obtained via this method. Nurses are skilled in gathering detailed and often sensitive information and applying therapeutic communication and interviewing techniques within groups. They can take advantage of these skills by using focus groups to collect qualitative data. To maximize the collection of high-quality data, pay specific attention to the selection and training of the moderator, the development of the interview guide, and the analysis that addresses intragroup and intergroup processes.

Data Interpretation, Statistical↗

HIV risk behavior and psychological correlates among native American women: an exploratory investigation.

Native American women are at increased risk for HIV infection, but few studies have studied this threat. To address this gap in the literature, we assessed HIV risk behavior and explored the hypothesized psychological antecedents of risk behavior in 53 Native American women. Survey results indicated that women's HIV-related knowledge was incomplete and many women still held misconceptions about HIV. One third of the sample reported having two to five sexual partners in the past 5 years, and 30% of the women reported alcohol use prior to sexual intercourse. Women who were classified at higher risk, that is, who did not use condoms consistently, felt less vulnerable to HIV and were less ready to change their risky sexual behaviors compared with their lower-risk counterparts. These findings indicate that Native American women are at risk for HIV infection and can no longer be neglected by those seeking to prevent HIV infections. Culturally congruent and gender-specific interventions that provide information and behavioral skills to Native American women as well as increase their motivation to adopt safer sexual behaviors are needed.

Adolescent↗

Psychiatric outpatients report their experiences as participants in a randomized clinical trial.

We conducted exit interviews with 45 outpatients with severe and persistent mental illness (SPMI) who had participated in a randomized clinical trial. The interviews followed a semistructured format and were audiotaped for later transcription and rating by two independent raters. Content analyses of the interviews revealed that most participants evaluated their experiences quite favorably. For example, most noted that the assessment process was thought-provoking and motivational and that the intervention groups led to increased self-confidence and new friendships. Although a few participants noted that the assessment contained sensitive material, all appreciated the frequent reminders that information disclosed was strictly confidential. These results indicate that persons living with a SPMI often enjoy participating in behavioral research, which can yield immediate benefits to patient-participants. Exit interview research such as this can help investigators to understand reasons for consent and participation, to identify needs for protocol modifications, and to facilitate the integration of evidence-based interventions into the mental health care systems.

Adult↗

Women's voices reflecting changed expectations for pregnancy after perinatal loss.

PURPOSE: To describe women's experiences of pregnancy after loss and their long-term effects of perinatal loss. DESIGN: Phenomenology. METHODS: Three focus groups were conducted in fall 1996 with a total of 21 women. These women varied in their obstetrical and loss histories. The time since their losses ranged from 34 years ago to the previous year. Data analysis was guided by Colaizzi's procedural steps. FINDINGS: Women's stories portrayed perinatal loss as a life-altering event. Women did not feel emotionally safe in their pregnancies after loss and were afraid that those babies too would die. Despite the differences in their obstetrical and loss histories and time since loss, similarities in their responses to pregnancy far outweighed their differences. These commonalities contained in six themes: (a) dealing with uncertainty, (b) wondering if the baby is healthy, (c) waiting to lose the baby, (d) holding back their emotions, (e) acknowledging that loss happened and that it can happen again, and (f) changing self. CONCLUSIONS: This study indicated many common concerns and experiences among women in response to perinatal loss and subsequent pregnancies. Variations were not linked to the number or gestational age of the losses. Care providers should acknowledge women's past losses, address their concerns during a current pregnancy, and recognize the potentially life-long effect perinatal loss may have on these women.

Abortion, Spontaneous↗

Correlates of HIV risk appraisal in women.

This study examined the relationship of safer sex behavior practices, knowledge of acquired immunodeficiency syndrome (AIDS), social norms, and familiarity with persons infected with the human immunodeficiency virus (HIV) with HIV risk appraisal in women. Risk appraisal was measured by perceived susceptibility and seriousness of AIDS. The AIDS Risk Reduction Model was used to construct a salient framework for this descriptive, correlational survey in which 208 urban women of mixed ethnicity residing in areas with high rates of sexually transmitted diseases/AIDS participated. Behavior, knowledge, and social norms, contributed significant amounts of variance to perceived susceptibility but none of the independent variables contributed significant amounts of variance in perceived seriousness. Overall findings indicate that risk behaviors are commonly reported. AIDS knowledge is incomplete, and denial of risk is pronounced.

Acquired Immunodeficiency Syndrome↗

Sexual assessment and the aging female.

Due to an increasing population of elders, more women are in need of geriatric gynecologic care. Many of these women are capable of being active sexual partners throughout their lifetimes. However, there are a number of factors that can influence sexual relationships, including personal and societal values, the normal physiologic changes associated with aging and the availability of a sexual partner. Obtaining accurate histories and appropriate physical data regarding sexual functioning are important. Measures that will aid the collection of a complete database, along with pertinent physical assessment, are discussed. Options for treatment and education of the elderly woman in the area of sexual needs are presented to assist health care providers in their role as sex educators and counselors for older women.

Aged↗

Mentoring students and junior faculty in faculty research: a win-win scenario.

The concept of mentoring in nursing has focused primarily on moving novice nurses to a more advanced level of expertise in the clinical setting. With the growing emphasis on expanding evidence-based practice in nursing, however, mentoring within the context of research is becoming increasingly important. This article describes the many reciprocal benefits of research mentoring for students, junior faculty, and senior faculty researchers as well as for colleges of nursing and nursing science. Suggestions for implementing processes that facilitate successful mentoring within a research setting also are offered.

Career Mobility↗

The cookie experiment revisited: broadened dimensions for teaching nursing research.

Nurse educators face the ongoing challenge of presenting increasingly complex nursing research methods to undergraduate and graduate students. The cookie experiment, a unique teaching strategy developed more than a decade ago by Thiel, has been refined and expanded to include hands-on quantitative and qualitative components while also serving as a way to lessen students'phobias about research. This creative and effective teaching strategy provides a user-friendly format that can be adapted as needed to present both basic and complex research concepts. The authors present this teaching strategy and discuss its applicability to undergraduate and graduate courses.

Attitude of Health Personnel↗

HIV prevention in single, urban women: condom-use readiness.

OBJECTIVE: To understand women's readiness to use condoms and their perceived pros and cons for condom use. DESIGN: Comparative, descriptive design guided by the Transtheoretical Model. SETTING: Data were collected at two urban primary health care centers in western New York. PARTICIPANTS: 364 single urban women with steady (main) or other (casual, concurrent, multiple, new) sexual partners. Most participants were young (mean age of 27 years), economically disadvantaged women of color. MAIN OUTCOME MEASURES: Each participant completed an anonymous questionnaire that included items for the stage of change algorithm, decisional balance of the pros and cons of condom use, sexual history, and HIV risk information. RESULTS: Most women were in the early stages of change (not intending to use condoms), but those with other partners were further along in the stages of change for condom use than those with steady partners. The pros or advantages of condom use differed for these women depending on partner type. The change in the balance between the pros and cons occurred as theoretically predicted for women with steady and other partners. CONCLUSION: Effectiveness of HIV prevention interventions for women may be enhanced if they are tailored to both readiness to change and partner type.

Adolescent↗

The nurse clinician as research participant recruiter: experience from a longitudinal intervention study.

One of the most critical phases involved in carrying out a research project is participant recruitment. Recruitment into clinical trials and health programs is a primary public health challenge, particularly among adolescents. Special skills and abilities are needed to successfully recruit participants from this developmental age group. This paper describes the similarities found between the recruitment process developed for a randomized controlled trial with adolescents and the steps of the nursing process, and demonstrates that knowledge of the nursing process can assist in successfully recruiting individuals for a research study. Even without research training, clinical nurses can play a significant role in research studies because of their skills and experiences with the nursing process. Thus, nurse scientists and clinicians can work together successfully to conduct research studies and health projects that involve challenging recruitment efforts.

Adolescent↗