10 results on '"Thomas Templin"'
Search Results
2. Measuring African American Women's Trust in Provider During Pregnancy
- Author
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Thomas Templin, Rosalind M. Peters, Ramona Benkert, and Andrea E. Cassidy-Bushrow
- Subjects
African american ,medicine.medical_specialty ,Pregnancy ,business.industry ,media_common.quotation_subject ,Ethnic group ,medicine.disease ,Racism ,Structural equation modeling ,Confirmatory factor analysis ,Health equity ,Family medicine ,Scale (social sciences) ,medicine ,business ,health care economics and organizations ,General Nursing ,media_common - Abstract
Significant racial disparities exist in pregnancy outcomes, but few researchers have examined the relationship between trust in providers and pregnancy outcomes. The Trust in Physician Scale (TPS), the most widely used tool, has not been tested in pregnancy. We assessed the psychometric properties of the TPS and identified correlates of trust in 189 pregnant African American women. Evidence supports internal consistency reliability (>.85) and internal structure of the TPS (CFI = .97; RMSEA = .05; χ(2) (42) = 65.93, p = .001), but TPS scores did not predict pregnancy outcomes. African American women reported a high level of trust in obstetric providers. Trust did not differ by provider type (physician or midwife) but was related to the women's history of perceived racism and strength of ethnic identity.
- Published
- 2014
3. Testing a multi-group model of culturally competent behaviors among underrepresented nurse practitioners
- Author
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Stephanie Myers Schim, Thomas Templin, Ardith Z. Doorenbos, Sue Ellen Bell, and Ramona Benkert
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Adult ,Male ,Gerontology ,Attitude of Health Personnel ,media_common.quotation_subject ,Article ,Structural equation modeling ,Developmental psychology ,Life Change Events ,Health care rationing ,Diversity training ,Social Desirability ,Surveys and Questionnaires ,Cultural diversity ,Humans ,Medicine ,Nurse Practitioners ,Cultural Competency ,General Nursing ,Aged ,media_common ,Health Care Rationing ,business.industry ,Cultural Diversity ,Middle Aged ,respiratory system ,Health equity ,Cross-Sectional Studies ,Workforce ,Female ,business ,human activities ,Cultural competence ,Diversity (politics) - Abstract
Diversifying the health professional workforce and enhancing cultural competence are recommended for decreasing health disparities. We tested a structural equation model of the predictors of culturally competent behaviors in a mailed survey of three groups of underrepresented nurse practitioners (n = 474). Our model had good fit and accounted for 29% of the variance in culturally competent behaviors. Life experiences with diversity had direct effects on awareness/sensitivity and behaviors, and diversity training had a direct effect on behaviors. Cultural awareness/sensitivity mediated the relationship between life experiences with diversity and culturally competent behaviors; all paths remained after controlling for covariates. For unique experiences that contribute to workplace diversity, life experiences with diversity, and diversity training are important for culturally competent behaviors. © 2011 Wiley Periodicals, Inc. Res Nurs Health 34:327–341, 2011
- Published
- 2011
4. The impact of vascular leg disorders on physical activity in methadone-maintained adults
- Author
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Thomas J. Birk, Robert S. Kirsner, Thomas Templin, and Barbara Pieper
- Subjects
medicine.medical_specialty ,business.industry ,Vascular disease ,Public health ,Physical exercise ,Affect (psychology) ,medicine.disease ,Substance abuse ,Active living ,Physical therapy ,Medicine ,Exercise physiology ,business ,human activities ,General Nursing ,Methadone ,medicine.drug - Abstract
Chronic venous disorders (CVD) and peripheral arterial disease (PAD) may affect diverse physical activity domains. How CVD and PAD and other relevant variables affect physical activity was examined in 569 opioid-addicted adults. Both CVD and PAD were significantly inversely related to daily walking, sports, and active living. Effects remained significant in the latent variable regression after controlling covariates. Overall activity was very low; most participants walked less than a half mile daily and rarely engaged in sports. Motivation for physical activity was the strongest predictor (β = .55) of daily physical activity. Health-care professionals promoting physical activity for injection users should consider the vascular health of their legs and motivational variables in addition to general health. © 2010 Wiley Periodicals, Inc. Res Nurs Health 33:426–440, 2010
- Published
- 2010
5. Measuring blood pressure knowledge and self-care behaviors of African Americans
- Author
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Rosalind M. Peters and Thomas Templin
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African american ,medicine.medical_specialty ,business.industry ,Positive correlation ,Structural equation modeling ,Surgery ,Blood pressure ,Scale (social sciences) ,Bipolar scale ,medicine ,Self care ,business ,General Nursing ,Reliability (statistics) ,Clinical psychology - Abstract
The purpose of this study was to develop and conduct preliminary psychometric assessment of instruments measuring knowledge and self-care practices regarding behaviors needed for blood pressure (BP) control among African Americans. Items were empirically derived and scored on a 7-point, bipolar scale. The instruments were evaluated in a sample of 306 community-dwelling African Americans. Results revealed acceptable reliability and validity of the BP Knowledge Scale. Results for the BP Self-Care Scale were mixed. A structural equation model of these scales, recorded BP, and covariates fit well. There was an unexpected positive correlation between self-care and BP suggesting a potential bi-directional relationship. The scales demonstrated acceptable psychometric properties and, with minor revisions, may have clinical utility as measures of BP knowledge and self-care.
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- 2008
6. Psychometric evaluation of the arabic language version of the profile of Mood States
- Author
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Thomas Templin, Karen J. Aroian, Charles L. Wells, Anahid Kulwicki, and Eleni A. Kaskiri
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Adult ,Michigan ,Psychometrics ,Arabic ,Concurrent validity ,Mothers ,Sample (statistics) ,Profile of mood states ,Islam ,Developmental psychology ,Middle East ,Humans ,General Nursing ,Reliability (statistics) ,Psychiatric Status Rating Scales ,Parenting ,Reproducibility of Results ,Cultural Diversity ,Emigration and Immigration ,Translating ,language.human_language ,Arabs ,Affect ,Distress ,Mood ,language ,Female ,Factor Analysis, Statistical ,Psychology - Abstract
We estimated the psychometrics of the parent and a short form of the Arabic language version of the Profile of Mood States (POMS). A sample of 537 Arab immigrants completed the POMS and a battery of other measures. Data analyses included confirmatory factor analyses and tests of reliability and concurrent validity. The fit of the proposed factor structure was acceptable if 14 pairs of error terms were allowed to correlate, but a better fit was obtained by creating a short form. The short form demonstrated good reliability and concurrent validity, but some factors were highly correlated. High factor correlations were not explainable by group differences in education or level of distress.
- Published
- 2007
7. Predicting success using individualized scheduled toileting for memory-impaired elders at home
- Author
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Thomas Templin and Mary Marmoll Jirovec
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Gerontology ,medicine.medical_specialty ,Design analysis ,business.industry ,Functional incontinence ,Urinary incontinence ,Cognition ,Occupational training ,Discriminant function analysis ,Toileting ,medicine ,Physical therapy ,Cognitively impaired ,medicine.symptom ,business ,General Nursing - Abstract
The purpose of this research was to evaluate the effectiveness of an individualized scheduled toileting (IST) program on incontinent, memory-impaired elders being cared for at home. Using a 2 x 2 mixed design analysis of variance (group by time), 118 patients were randomly assigned to experimental or control groups. Caregivers in the experimental group were taught the IST procedure. Urinary incontinence (UI) was measured at baseline and at 6 months. Weeklong voiding records were kept by caregivers and were used to calculate the percentage of times the incontinence occurred. UI significantly decreased in the experimental group, whereas in the control group it did not. The baseline cognitive ability, mobility, and consistency of implementing IST were entered into a discriminant function equation and significantly predicted patients who would improve with IST. Cognitive ability was the best predictor, with mobility also emerging as a meaningful predictor. Candidates for IST should be selected based on elders' cognitive ability and their ability to cooperate with toileting. Moderately cognitively impaired elders and ones able to cooperate with toileting protocols are prime candidates for IST.
- Published
- 2001
8. Chronic venous insufficiency in persons with a history of injection drug use
- Author
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Thomas Templin and Barbara Pieper
- Subjects
Adult ,Male ,Michigan ,medicine.medical_specialty ,Chronic venous insufficiency ,Deep vein ,Population ,Severity of Illness Index ,Surveys and Questionnaires ,Internal medicine ,Severity of illness ,Humans ,Medicine ,Substance Abuse, Intravenous ,education ,General Nursing ,Aged ,education.field_of_study ,Groin ,business.industry ,Vascular disease ,Middle Aged ,medicine.disease ,Thrombosis ,Surgery ,body regions ,Cross-Sectional Studies ,medicine.anatomical_structure ,Venous Insufficiency ,Cellulitis ,Chronic Disease ,Female ,Substance Abuse Treatment Centers ,business - Abstract
Persons with a history of injection drug use have many risk factors for the development of chronic venous insufficiency (CVI), yet this phenomenon has not been studied systematically in this population. Persons (N = 204) with a history of injection drug use who were in enrolled in a treatment center were examined for clinical manifestations of CVI. The CVI clinical classification was graded on a 7-point scale for each leg. Most participants (n = 179, 87.7%) exhibited clinical evidence of CVI. Significant predictors of CVI clinical manifestations were leg infections/cellulitis (rho =.53); years injection in the veins of the groin, legs, and feet (rho =.47); deep vein thrombosis (rho =.37); and total years injection heroin (rho =.27). There was a linear functional relationship between years of injection drug use and the CVI clinical classification, but only when the injections were in the veins of the groin, legs, or feet; otherwise, the specific mechanisms of this relationship were not evident. The findings indicate that CVI is a common occurrence in persons who have injected drugs.
- Published
- 2001
9. Important Attributes of Quality Health Care: Consumer Perspectives
- Author
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Marilyn H. Oermann and Thomas Templin
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Adult ,Male ,District nurse ,medicine.medical_specialty ,Health Status ,Midwestern United States ,Nursing care ,Patient Education as Topic ,Nursing ,Health care ,medicine ,Humans ,Nurse education ,Unlicensed assistive personnel ,General Nursing ,Primary nursing ,Aged ,Quality Indicators, Health Care ,Aged, 80 and over ,business.industry ,Middle Aged ,Patient Satisfaction ,Nursing care quality ,Family medicine ,Female ,Nursing Care ,business ,Health care quality - Abstract
Purpose: Despite extensive research on defining and measuring health care quality, little attention has been given to consumers' perspectives of high-quality health care. The purposes of this study were to (a) identify the importance to consumers of attributes of health care quality and nursing care quality, and (b) examine the relationship of consumer perspectives to health status and selected demographic variables. Design: Exploratory. Consumers (N = 239) were recruited from waiting rooms of clinics and in neighborhoods of a large metropolitan area in the Midwestern United States that included both urban and suburban populations. Methods: Participants completed the Quality Health Care Questionnaire (QHCQ) and the SF-36 Health Survey. On the QHCQ, they rated the importance of 27 attributes of health care and nursing care quality. The SF-36 is a 36-item instrument for measuring health status in eight general areas. Findings: The most important indicators of high-quality nursing care to consumers were: being cared for by nurses who are up-to-date and well informed; being able to communicate with the nurse; spending enough time with the nurse and not feeling rushed during the visit; having a nurse teach about the illness, medications, treatments, and staying healthy; and being able to call a nurse with questions. The lowest-rated item was having an opportunity to be cared for by nurse practitioners. Ratings differed by race, age, years of education, income, and health status. Conclusions: The importance that consumers place on teaching by the nurse was emphasized, particularly among people with less education, low income levels, and chronic illnesses.
- Published
- 2000
10. Couples' adjustment to breast cancer and benign breast disease: a longitudinal analysis
- Author
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Marilyn T. Oberst, Laurel L. Northouse, Darlene W. Mood, and Thomas Templin
- Subjects
Analysis of covariance ,medicine.medical_specialty ,Experimental and Cognitive Psychology ,medicine.disease ,Psychiatry and Mental health ,Distress ,Social support ,Breast cancer ,Oncology ,Scale (social sciences) ,Beck Hopelessness Scale ,medicine ,Breast disease ,Psychology ,Psychiatry ,Psychosocial ,Clinical psychology - Abstract
A comprehensive comparison of couples' adjustment to benign (n = 73 couples) and malignant breast disease (n = 58 couples) at the time of diagnosis and at two follow-up assessments at 60 days and 1 year is reported. Specific objectives were to: (a) compare the concurrent stress, resources, appraisal, and patterns of adjustment of couples in the benign and malignant groups; (b) compare the psychosocial responses of patients versus spouses; and (c) determine the amount of correspondence in levels of adjustment reported by patients and their husbands over time. Multiple instruments with reported reliability and validity were used to measure study variables: Smilkstein Stress Scale, Dyadic Adjustment Scale, Family APGAR, Social Support Questionnaire, Mishel Uncertainty in Illness Scale, Beck Hopelessness Scale, Brief Symptom Inventory, and Psychosocial Adjustment to Illness Scale. Mixed design analyses of covariance (ANCOVA) were used to assess differences between and among couples and examine changes in study variables over time. Significant differences were found in the resources, appraisal, and patterns of adjustment reported by couples in the benign and malignant groups. Couples facing breast cancer reported greater decreases in their marital and family functioning, more uncertain appraisals, and more adjustment problems associated with the illness. In addition, there was a high degree of correspondence between the levels of adjustment reported by women with breast cancer and their husbands over time. Couples who reported high distress or a high number of role problems at diagnosis were likely to remain highly distressed at 60 days and 1 year. Study findings underscore the importance of assisting couples, not just patients, to manage the adjustment difficulties associated with breast cancer.
- Published
- 1998
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