ANS. Advances in nursing science
-
Randomized Controlled Trial
A randomized controlled trial of an automated telephone intervention to improve glycemic control in type 2 diabetes.
A randomized controlled trial was conducted to evaluate the impact of an automated telephone intervention on glycemic control in patients with type 2 diabetes. One hundred twenty participants were randomly assigned to a treatment group that received a daily, automated telephone message regarding diabetes or to a control group that received usual care. The treatment group demonstrated a significant improvement in the frequency of self-monitoring of blood glucose levels compared with the control group (P < .001). A favorable trend in positive attitudes toward diabetes and a reduction in perceived monitoring and exercise barriers were seen in the intervention group compared with the control group.
-
In this ethnography, I explored the impact of an HIV/AIDS education program on the lives of 24 Ugandan nurses and nurse-midwives. Nurses who previously had viewed themselves simply as providers of advice and sympathy now saw themselves as more holistic, collaborative caregivers. They voiced an increased awareness of their role as leaders and advocates in the community with respect to policy. The education program had positive and synergistic effects on the nurses' professional practice, communication and problem-solving skills, confidence, and engagement in political and social change activities.
-
Gender-based violence persists in postconflict settings. Implementing an ethnographic study with Congolese refugees in Rwanda, we investigated community perspectives on justice and human rights. ⋯ Men described gender similarities while women emphasized gender differences in human rights. Ecological perspectives and rights-based approaches to achieving social justice seem warranted.
-
Although environment is a core concept in nursing, it has had little theoretical or empirical attention, especially related to healing. This article explores the following aspects of the meaning of healing as they relate to environment as place: (a) healing is grounded in suffering; (b) healing is active and requires presence of the patient and the nurse; and (c) healing is private, spiritual, and profound. Home is explored as a place for healing. The article explores implications for the study of meaning of home, when home is not a place for healing, and future directions for theory and research.
-
Millions of youth in the United States are involved in some aspects of bullying behavior. Increasing rates of youth violence, including horrific violent school events, have brought national attention upon the phenomenon. Bullying is a broad construct that covers a wide variety of behaviors from name calling to physical abuse, and it is associated with serious negative health outcomes. Sexual bullying appears to be antecedent to more severe forms of relationship violence, and it is proposed as a conceptual link between bullying and more advanced forms of sexualized violence, such as teen dating violence and adult forms of intimate partner violence.