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Biomedical subjects

Jennifer Leeman

Publications and source records attributed to Jennifer Leeman.

8 recordsLinked to original sources

Improving nursing practice and patient care: building capacity with appreciative inquiry.

Appreciative inquiry is a philosophy and methodology for promoting positive organizational change. Nursing leaders at 6 community hospitals are partnering with the authors on a project that uses appreciative inquiry to improve communication and collaboration, to increase nurse involvement in decision making, and to enhance cultural awareness and sensitivity. In this article, the authors describe appreciative inquiry, how hospitals are using it, and the initial lessons learned.

Communication↗

An evaluation of how well research reports facilitate the use of findings in practice.

PURPOSE: To analyze how research is reported in journal publications as a potential barrier to use of research findings in practice. DESIGN: Content analysis of 46 reports of diabetes self-management interventions published between 1993 and 2004. METHODS: Data were extracted from the publications using a coding scheme based on concepts from Rogers' theory of the diffusion of innovations. FINDINGS: Authors provided only some of the information potential users need to progress through Roger's stages of adopting an intervention and implementing it in practice. Authors provided only limited information on the target population; frequency, number, and duration of patient contacts; expertise and training required to deliver the intervention; intervention protocol; and the process of adapting and implementing interventions in practice settings. CONCLUSIONS: To close the gap between research and practice, authors should offer more information to help readers decide whether and how to adopt and implement interventions.

Diffusion of Innovation↗

Symptom-focused management for African American women with Type 2 diabetes: a pilot study.

The purpose of this pilot study was to test the effectiveness of an in-home, nurse-delivered, symptom-focused teaching/counseling intervention with older rural African American women who have type 2 diabetes. Forty-one participants were randomly assigned to either the intervention or the comparison group. Participants in the intervention showed statistically significant improvement in their medication, diet, home glucose monitoring self-care practices, perceptions of quality of life, and distress from symptoms. Both groups evidenced improvement of HbA(1c) levels. The intervention group achieved greater improvement, but the difference was not statistically significant. Participant satisfaction was high. Further studies should look into the cost of the intervention, as compared with that of usual care, and its long-term effects.

Adult↗

Building a research program focused on vulnerable people.

The center is playing an important role in facilitating research by providing resources and an interchange of ideas to help researchers target the methodological and conceptual issues with which they are currently faced in working with elder, young, poor, rural, and minority participants. Through activities and collaborations, the center can advance the science beyond what individual studies can provide and continue to build our knowledge of the prevention and management of chronic illness in vulnerable people. The center is ideally positioned to explore interventions that draw on nursing's historic role in the care of the chronically ill while also addressing the health needs of the most vulnerable people in the state and in the Southeast.

Chronic Disease↗

An enriched research experience for minority undergraduates--a step toward increasing the number of minority nurse researchers.

This article describes a partnership between a research-intensive university and a historical minority-serving institution to create a year-long Research Enrichment and Apprenticeship Program for 9 undergraduate minority nursing students. The apprenticeship program provides undergraduate students an opportunity to directly experience nursing research and has the long-term goal of increasing the number of racial and ethnic minority researchers in nursing.

Education, Nursing, Baccalaureate↗

Interventions to improve diabetes self-management: utility and relevance for practice.

PURPOSE: The purpose of this study was to review publications of research on diabetes self-management interventions and assess whether the interventions are relevant for practice. METHODS: A content analysis was performed on research reports published between 1993 and 2004 of interventions designed to improve patients' diabetes self-management. Information was abstracted relevant to the intervention's generalizability to other settings and its compatibility and feasibility in practice. RESULTS: Publications included only limited information relevant to an intervention's generalizability across populations and settings. Many of the interventions tested were not designed to be compatible with the realities of current practice or to be delivered in the settings in which most diabetes care is provided. Many of the interventions were very complex, requiring multiple delivery modes and contacts, proactive scheduling, and coordination across disciplines. CONCLUSIONS: In view of the prevalence of diabetes, it is critical that effective self-management interventions be adopted and implemented. Interventions need to be designed so that their findings have greater relevance and utility for practice and can be generalized across practice settings.

Diabetes Mellitus↗