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Nurse scholar Karen J. Foli has had an unconventional trajectory. She has written everything from mysteries to thrillers to peer-reviewed journal manuscripts and Food and Drug Administration documents. She conceptualized and disseminated two middle-range theories, one surrounding parental postadoption depression and one surrounding nurses' psychological trauma. Foli's research has revealed a new type of nurse-specific trauma, insufficient resource trauma, which calls for efforts at the organizational level. Winner of several book of the year awards, she is now working on a third middle-range theory. Dr. Foli shares her journey and encourages nurses to give theory a shot. [ABSTRACT FROM AUTHOR]

Background: Supporting resilience for nursing student success is critical to future health care. This study explored the meaning and process of resilience among Generation Z traditional baccalaureate nursing students. Method: Using a qualitative hermeneutical phenomenology approach, 13 Generation Z nursing students with the lived experience of resilience were surveyed and interviewed. Results were analyzed interpretively. Results: Themes of resilience among Generation Z nursing students were identified relative to study questions. Identified themes included "Maneuvering the Murky Water" and "This Can Either Ruin Me or I Can Keep Moving With It," as well as a resilience process within the context of nursing education. Open-response data provided further reflective insights on resilience and recommendations for resilience in nursing education programs. Conclusion: Supporting resilience begins with understanding students' individual and generational perspective. Future nursing education research should include innovative interventions wherein the perspectives of Generation Z students are central to design. [J Nurs Educ. 2024;63(7):460–469.] [ABSTRACT FROM AUTHOR]

Introduction: During the COVID-19 pandemic, nurses have faced various nurse-specific traumas in their workplaces, but there is limited understanding of the resulting outcomes and factors that contribute to them. Objective: To address this gap, the study employed the middle-range theory of nurses' psychological trauma (NPT) to examine these relationships among frontline nurses working in critical care areas. Methods: In a quantitative cross-sectional study, the study compared nurses identified as probable cases of posttraumatic stress disorder (PTSD) with those identified as not probable cases. The study investigated the nurse-specific traumas they experienced, their individual personality traits, and the buffers they possessed. The study also sought to identify specific types of nurse-specific traumas that could be associated with negative outcomes, such as alcohol and drug use. Results: It was found that PTSD-probable nurses reported higher levels of trauma from disasters and system/medically induced trauma compared to not-probable nurses. They also experienced more nonwork-related humankind traumas and displayed lower resilience. Furthermore, PTSD-probable nurses identified with trait urgency and trait avoidance motivation. Additionally, trauma from disasters was associated with alcohol use. Conclusion: The study highlights the elevated levels of trauma, lower resilience, and specific psychological traits associated with PTSD-probable nurses, emphasizing the need for targeted interventions and support to mitigate the negative outcomes experienced by frontline nurses. [ABSTRACT FROM AUTHOR]

Abstract AIM The purpose of this study was to determine leadership behaviors developed by nursing students and peers before and after a service-learning experience. BACKGROUND Nurses have been called to [...]

INTRODUCTION: In 2018, nearly 20% of Americans aged 12 years and older reported using illicit substances, with higher rates in rural areas. Federally Qualified Health Centers (FQHCs) provide health care to one in five rural Americans. However, estimates suggest that only 13.6% of patients in rural FQHCs receive substance use (SU) screening compared with 42.6% of patients in urban FQHCs. AIMS: This quality improvement (QI) project aimed to improve patient quality and safety and meet Health Resources and Services Administration reporting requirements. These aims were achieved through the design and implementation of a new SU screening protocol in four FQHCs in rural Indiana. METHOD: Deming's plan–do–study–act model was used to implement QI interventions to increase SU screening rates. A new SU screening tool, the National Institute on Drug Abuse –Modified Alcohol, Smoking, and Substance Involvement Screening Testwas implemented, and staff were trained on its use. the screening, brief intervention, and referral to treatment model was used as a guiding framework. Outcome measures included a comparison of SU screening rates from the first quarter of 2019 to the first quarter of 2020, as well a pretest–posttest designed to measure staff knowledge and attitudes regarding SU. RESULTS: Baseline SU screening rate in 2019 was 0.87%. This increased to 24.8% by March 2020. Additionally, posttest results demonstrated improvement from staff on all indices, and an approval rating of 77% of the new SU screening practices. CONCLUSIONS: This project demonstrated that a low-cost QI intervention can increase SU screening rates in rural FQHCs, as well as improve staff knowledge and attitudes regarding SU. [ABSTRACT FROM AUTHOR]

Despite understanding of the negative outcomes for children in a household with a depressed parent, fathers who experience postadoption depression have not been studied. This exploratory study describes adoption professionals' [...]

To authenticate to the full-text of this article, please visit this link: http://dx.doi.org/10.1111/j.1744-6155.2009.00219.x Byline: Karen J. Foli (1), Hala Elsisy (2) Keywords: Attention deficit hyperactivity disorders; auditory decoding; auditory perception; central auditory processing disorders; pediatric nursing Abstract: PURPOSE. This discussion presents central auditory processing disorders to pediatric nurses who can influence decisions, educate parents and children, and advocate for children and families in the healthcare and educational settings. CONCLUSIONS. Nurses' understanding of central auditory processing disorders and their signs and symptoms may help prevent misdiagnosis or underdiagnosis in the pediatric population. PRACTICE IMPLICATIONS. The common indicators of central auditory processing disorders often mimic other childhood disorders such as attention deficit hyperactivity disorder. Testing for central auditory processing disorders is optimized when children are on the appropriate medication at the time of testing. Author Affiliation: (1)School of Nursing (2)Department of Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, Indiana, USA Article History: First received January 26, 2009; Final revision received July 31, 2009; Accepted for publication August 19, 2009. Article note: kfoli@purdue.edu or elsisy@purdue.edu, with a copy to the Editor: roxie.foster@UCDenver.edu

Purpose: Information about nontraditional (kinship, foster, and adoptive) families is typically scattered or overlooked both in nursing education and nursing practice settings. Using a nursing‐centric, population‐focused lens, the current state of nontraditional families in the United States is briefly described. An overview of the challenges and psychological dynamics involved when a nonbiological parent assumes the role of caregiver is provided. Conclusion: Based on the 2010 Census findings and other indicators, we now understand that nontraditional families and their children make up a considerable portion of the population. Nurses, regardless of level of practice, have the potential to positively impact health outcomes of nontraditional parents and their children. Knowledge of the formation and needs of nontraditional families can inform, and improve, culturally safe, trauma‐informed nursing care. Practice implications: This discussion is a first step in appreciating the formation of nontraditional families and the importance of trauma‐informed, unbiased, nonstereotypic discourse in nursing care. By describing the heterogeneity of how families are built through kinship care, foster placements, and adoptive homes, nurses' assessments and interventions will be informed and through a lens of the high potential for past traumas. With this foundational knowledge, nurses interfacing with nontraditional families are better prepared to provide much needed support and relevant care for this unique population. [ABSTRACT FROM AUTHOR]

Background: Guided reflection during a debriefing after the simulation is a critical component of learning and is essential for clinical judgment development. However, the literature describing student-centered reflection during debriefing is only beginning to emerge. Purpose: This study aimed to explore concordance between student-centered reflection concept characteristics and describe students' experiences related to reflection during an optimal simulation debriefing. Methods: This was a descriptive, mixed-methods study. Results: Quantitative responses (N = 175; 67% response rate) confirmed participants' concordance with student-centered reflection concept analysis attributes, antecedents, and consequences. Analysis of open-ended questions highlighted internal and external factors influencing students' reflections. A recurring theme was the importance of faculty and peers in creating a safe, supportive environment for reflections. Conclusions: Findings support the concordance of student-centered reflection and provide valuable insights into the internal and external factors influencing this reflection. [ABSTRACT FROM AUTHOR]