Biomedical subjects

Kay Savik

Publications and source records attributed to Kay Savik.

42 records · Page 3Linked to original sources

PubMedDate not supplied

Correlates of caregiver burden after coronary artery bypass surgery.

BACKGROUND: Coronary artery bypass (CAB) patients often rely on spouses for care and assistance during recovery after surgery. Caregiving can be stressful and meaningful depending upon the interplay of many factors not completely understood. These factors may affect the spouse caregiver's health-related quality of life (HRQL), which may impact ability to care for the CAB patient. OBJECTIVE: To investigate patient-spouse caregiver relationship and role variables associated with caregiver burden during the first year after CAB surgery. METHODS: Using a cross-sectional design, a convenience sample of CAB spouses was recruited at 3, 6, or 12 months. Spouses (n = 166) completed a survey that included perceptions of patient health status, caregiver burden and other caregiving variables, and caregiver HRQL. RESULTS: Higher burden scores were associated with patient's gender (female), poorer patient health status, lower caregiver mental HRQL, increased personal gain, and increased caregiver competence. These correlates explained 38% of the variance in caregiver burden. DISCUSSION: Only poorer patient health status and lower caregiver mental HRQL were supported by previous research in this population. Positive relationships between burden and caregiver competence and personal gain may be a reflection that spouse caregivers were invested and working hard. They felt satisfied from enhancement of self but were burdened from their caregiving role, providing support for a previously described two-domain caregiving model. Caregiver screening is essential to identify spouses at high risk for negative outcomes. Longitudinal research is needed to identify the correlates and predictors most likely to influence burden and caregiver gain over time, and to more fully understand caregiving in the CAB population.

Aged↗

PubMedDate not supplied

Writing a grant proposal--part 2: research methods--part 2.

As part of a Spotlight series on grant writing by members of the Center for Clinical Investigation of the Wound Ostomy and Continence Nursing (WOCN) Society, this article completes an explanation about writing the Methods section of a grant proposal. The aim of this series is to enhance the skills of WOC nurses to increase submissions of high-quality grants related to WOC nursing science and success in garnering funding, particularly from foundation grants, such as that of the WOCN. In this article, writing about the sample and setting, power analysis, sampling and recruitment procedures, implementation and data collection procedures, statistical analysis plan, and ethical considerations are described.

Data Collection↗

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Reporting P values.

Explore the source record for details and available documents.

Bias↗

PubMedDate not supplied

Perioperative factors that affect long-term adjustment to an incontinent ostomy.

PURPOSE: We sought to identify perioperative factors associated with long-term adjustment to an incontinent ostomy. METHODOLOGY: The Ostomy Adjustment Scale (OAS), a demographic form, and a $5 gift certificate were mailed to 200 ostomates. Associations between items from the Survey of Perioperative Factors of Ostomy Adjustment, demographic forms, and total OAS scores were assessed using bivariate and multiple linear regression analysis. RESULTS: The survey response rate was 74%. About half (70/146, 49%) of the respondents were women, 99% (144/145) were Caucasian, and 74% (109/146) were married. Their mean age was 65+/-14 years. Fifty-six percent (79/141) of the respondents had an ileostomy, 28% (39/141) had a colostomy, and 15% (21/141) had a urostomy. The mean OAS score for all the respondents was 159.5+/-26.2, indicating a good overall adjustment to an incontinent ostomy. In bivariate analyses, the factor associated with a lower OAS score indicating poorer adjustment was distress related to affording and obtaining ostomy supplies. The more helpful the ostomates found the preoperative education provided by a wound, ostomy, and continence specialist nurse, the better was their adjustment as indicated by a higher OAS score. Having ongoing/recurrent illness and having an ostomy created by a specialty surgeon were also associated with better adjustment. When multiple factors were considered in a stepwise regression analysis, adjustment was lowered by distress about obtaining ostomy supplies. Adjustment was improved when preoperative education provided by a wound, ostomy, and continence specialist nurse was considered helpful for the ongoing/ recurrent illness. CONCLUSION: Many ostomates have a good long-term adjustment to ostomy surgery and value education provided by a wound, ostomy, and continence nurse. Perioperative patient education and addressing patient distress over obtaining supplies are areas that can benefit from wound, ostomy, and continence nurse intervention.

Activities of Daily Living↗

PubMedDate not supplied

Development of the public health nursing competency instrument.

This paper describes the development and initial testing of an instrument to measure population-based public health nursing competencies. Although multiple lists of public health competencies exist, literature review did not elicit a valid instrument that could measure changes in public health nursing competency over time. The public health nursing competency instrument, consisting of 195 measurable activities organized in the framework of the nursing process, was developed. Competency scores of practicing public health nurses significantly increased after a continuing education series, and the instrument was confirmed by experts to be a valid reflection of public health nursing practice. The time required for instrument development exceeded expectations because of the multiple stages of delineating competencies and validating data with national experts.

Clinical Competence↗

PubMedDate not supplied

Cardiovascular risk factors among Native American women Inter-Tribal Heart Project participants.

OBJECTIVE: To examine cardiovascular disease risk factors among adult Native American women Inter-Tribal Heart Project participants. DESIGN: A secondary analysis used controllable risk factors identified by the American Heart Association as the framework to examine cardiovascular disease risk factors in this population. SETTING: Three Native American Reservations in Minnesota and Wisconsin. PARTICIPANTS: 866 adult Native American women who participated in the Inter-Tribal Heart Project cardiovascular health research study. MAIN OUTCOME MEASURES: Descriptive, correlational, bivariate, and multivariate analysis provided findings on cardiovascular disease risk factors in this population. RESULTS: Cardiovascular disease risk factors are high among this population. For every additional risk factor, the odds of self-reported cardiovascular disease increases 1.2 times (95% confidence interval: 1.1-1.3). Participants who self-reported cardiovascular disease were older, less educated, employed less, and reported more Indian ancestry (higher blood quantum) and had higher prevalence rates of diabetes, higher systolic blood pressure, and body mass index in comparison to women who self-reported an absence of cardiovascular disease. CONCLUSIONS: A key to decreasing cardiovascular disease lies in preventing and controlling cardiovascular disease risk factors with concerted efforts specific to the culture and life ways of the Native American woman.

Adult↗