Bronwynne Evans

Bronwynne Evans
Arizona State University | ASU

About

78
Publications
18,275
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
1,580
Citations

Publications

Publications (78)
Article
Full-text available
Studies primarily involving single health professions programs suggest that holistic review in admissions can increase underrepresented minority (URM) representation among admitted students. However, data showing little improvement in the overall proportion of URMs in many health professions, despite widespread use of holistic review, suggest that...
Article
Aging adults depend on complex treatment plans to manage chronic conditions, yet little is known about their ability to perform the sophisticated behaviors required of technologically engaged patients. This qualitative descriptive study describes engagement with the plan of care. Forty chronically ill adults participated in this study, which involv...
Article
Palliative and end-of-life care (PEOLC) in Mexican American (MA) caregiving families remains unexplored. Its onset was uncovered in our mixed methods, multisite, interdisciplinary, qualitative descriptive study of 116 caregivers, most of whom had provided long-term informal home care for chronically ill, disabled older family members. This subanaly...
Article
Purpose: Specific stressors associated with caregiving in Mexican American (MA) families are not well documented, yet caregiving issues are paramount because informal care for parents is central to their culture. Although MA families who band together to provide care for one member are not unique, the literature does not describe the phenomenon of...
Research
Full-text available
This documentary film produced by Bronwynne Evans, RN, PhD and Beth Marks, RN, PhD chronicles the experience of a nursing student who entered a baccalaureate program using a wheelchair. The 23 minute film provides a forum for the voices of nursing students, faculty, administrators, and agency nursing staff to discuss trials and triumphs encountered...
Article
Full-text available
Objective: The purpose of this methodology paper is to describe an approach to qualitative design known as qualitative descriptive that is well suited to junior health sciences researchers because it can be used with a variety of theoretical approaches, sampling techniques, and data collection strategies. Background: It is often difficult for ju...
Article
Full-text available
This report extends knowledge about the informal caregiving trajectory in Mexican American (MA) families, constituting the second known empirical study of the emerging phenomenon of personal care by (MA) sons for their aging mothers, previously reported by our research team. It uses life course perspective (LCP) to compare caregiving patterns over...
Article
Full-text available
This mixed methods, multi-site, National Institute of Nursing Research (NINR)-funded, interdisciplinary, descriptive study aimed to identify expressions of worry in qualitative data obtained from caregiving Mexican American (MA) families assisting older adults. The purpose of this portion of the inquiry was to determine how worry is expressed, what...
Article
Full-text available
Perimenopausal obesity is a particular problem in Gulf Cooperation Council Countries (GCC). His study examined the culturally specific views of perimenopausal GCC women of the causes and processes of midlife weight gain using a qualitative descriptive design with semistructured interviewing and content analysis. Constructs derived from the health b...
Conference Paper
Full-text available
Purposes/Aims. Few studies explore the burden associated with caregiving in Mexican American (MA) families and the allied concept of “worry” is mentioned only incidentally in extant literature. The purpose of this presentation is to explore caregiver expressions of “worry” identified in our descriptive, multi-site, longitudinal, mixed methods study...
Article
Although health disparities are well documented, the extent to which they affect end-of-life care is unknown. Limited research funding leads to sparse and often contradictory palliative care literature, with few studies on causal mechanisms. This article explores the psychosocial, cultural, and spiritual health disparities existing in palliative an...
Article
Full-text available
La familia drives elder care in Mexican-American (MA) families, but nursing home placement can result from day-to-day caregiving demands that increase caregiver difficulty with activities of daily living (ADLs). Using life course perspective, this article describes the initial data wave of 31 MA caregivers from a descriptive, longitudinal, mixed-me...
Conference Paper
Purposes The purpose of this presentation is to explore the challenges and effective strategies for recruitment of African American (AA) post-caregivers to participate in research studies. Background There are over 40 million older adults (65 years and older) in the US. Most of them rely on their family caregivers for 80% of their care, yet w...
Conference Paper
INTERVIEWS VS INSTRUMENTS: ASSESSING ADL ABILITY IN MEXICAN AMERICAN CAREGIVERS Purposes/Aims. Because informal care for parents is imperative for Mexican American (MA) families, caregivers are gravely concerned by their own declines in activities of daily living (ADLs). They know their functional abilities are the key to continuing this commit...
Article
Full-text available
There is a growing acceptance of the utility of mixed methods in health sciences but there is no widely accepted set of ideas in regard to use of a conceptual or theoretical framework to guide inquiry. Few mixed methods health science articles report the use of such a framework. Lack of available conceptual maps provided by theoretical frameworks,...
Article
Full-text available
We know little about Mexican-American (MA) family adaptation to critical events in the informal caregiving experience but, in these days of economic and social turmoil, sons must sometimes step up to provide personal care for their aging mothers. This article compares two empirically real cases of MA males who provided such care, in lieu of a femal...
Conference Paper
Purposes/Aims. The purpose of this symposium is to demonstrate the worth of an a priori theoretical framework as an organizing structure for conceptualizing our work, accomplishing study aims by successfully navigating through intricate mixed method designs, integrating or linking concepts at the level of data analysis and interpretation, and openi...
Conference Paper
Purposes/Aims. There is little conceptual or empirical work on choice of design in mixed methods (MM) studies and no widely accepted ideas about using a theoretical framework to guide inquiry or a set of conventions to integrate data analysis. A recent critical review of health science literature for the last 5 years revealed that many MM studies d...
Conference Paper
Purposes/Aims. The purpose of this presentation is to review the effects on nursing research of an immigration bill (Senate Bill 1070) recently passed by the Arizona State legislature. Using Momento Crucial, a mixed methods study funded by NINR to explore transitions in the caregiving trajectory of Mexican-American (MA) families, we will explore SB...
Conference Paper
Purposes/Aims. This presentation will describe how a theoretical framework, life course perspective (LCP), guides examination of psychological and physical distress patterns (burden, strain, depression, worry, vigilance, well being, ADLs, and IADLs) in relation to cultural and contextual factors that impact Mexican American (MA) caregivers (CGs)....
Conference Paper
Purposes/Aims. Our research has uncovered a virtually undescribed phenomenon, that of personal care by Mexican-American (MA) sons for their aging mothers, which signals a significant caregiving trend in MA families. The purpose of this presentation is to describe how two empirically real cases of MA males came to provide personal care for their agi...
Article
This chapter will examine the concerns of Hispanic and American Indian (AI) nursing students as they progress through the upper division of a baccalaureate nursing curriculum while participating in a Nursing Workforce Diversity Grant program. Exploration of these diverse student experiences began with the production of a recruitment film, based on...
Conference Paper
Purposes/Aims. The purpose of this mixed methods presentation is to describe the use of body maps as a case-oriented adjunct to variable-oriented measures of caregiver stress and strain in a stratified purposive sample of Mexican-American caregivers in Arizona. Rationale/Conceptual Basis/Background. Stress and strain interact in a devastating cycle...
Article
Although little is known about nutrition care for Hispanic older adults in nursing homes, soon at least 4.5 million will reside there because of chronic disease. The purpose of this pilot study was to test the internal consistency reliability of a food and food service satisfaction instrument, the Food Expectations-Long Term Care Spanish (FoodEx-LT...
Presentation
Full-text available
This documentary film produced by Bronwynne Evans, RN, PhD and Beth Marks, RN, PhD chronicles the experience of a nursing student who entered a baccalaureate program using a wheelchair. The 23 minute film provides a forum for the voices of nursing students, faculty, administrators, and agency nursing staff to discuss trials and triumphs encountered...
Article
Family caregivers of older adults with significant cognitive and/or physical impairment are at increased risk for both psychiatric and physical morbidity. This article examines the research literature dedicated to the development of effective interventions to reduce distress and enhance well-being for these caregivers. Using a recent empirically ba...
Conference Paper
PURPOSE: The purpose of this study was to explore Latino views of dementia-related research through a series of focus groups targeting Latino community service providers and Latino families affected by dementia. This work extends previous work in this area by focusing on challenges faced by researchers even after incorporating strategies identified...
Article
Full-text available
The purpose of this article is to describe nutritional problems that may be predictive of poor resident outcomes in nursing homes. In a recent study, seven resident-focused problems or categories that may affect malnutrition and/or food intake were identified (Crogan and Alvine, 2006; Crogan et al., 2007). Regression analysis found that three of se...
Article
Full-text available
Research on caregiving of elders in Mexican American families is urgently needed. We know little about family caregivers, family transitions in relation to the caregiving role, reciprocal impact of caregivers and care recipients on one another, adaptive strategies, positive benefits of caregiving (caregiver gain), specific caregiving burdens, or su...
Article
Full-text available
This authors examined the utility of the Mini-Mental State Examination (MMSE) in a pilot study to measure cognitive function in older Mexican American nursing home residents. Many of the lessons learned are transferable to the community: Cognitive screening instruments must be carefully examined for validity and utility, they may need to be adminis...
Article
Hispanic/Latino and American Indian students receiving services from a 3-year Nursing Workforce Diversity Grant called ALCANCE responded every semester to a semistructured interview protocol about their program experiences. Eighteen Anglo student volunteers also participated in one such interview. Comparison of the transcribed interview sets using...
Article
This article compares the educational and social backgrounds of Anglo students with those of Hispanic/Latino and American Indian students receiving stipends and other services from a Nursing Workforce Diversity Grant to determine the possible effects of such backgrounds on success in a baccalaureate nursing program. Stipend recipients provided base...
Article
Full-text available
The prevalence of depression in nursing home residents is three to five times higher than in older adults from the community.1 Depression is thought to be related to the gloomy institutionalized environment and an assortment of losses, including those associated with function, independence, social roles, friends and relatives, and past leisure acti...
Article
Full-text available
To develop a nurse-led storytelling intervention for patients with cancer and implement the intervention using trained oncology nurses. Descriptive pilot project using qualitative methods to assess implementation of an intervention tool kit, with investigators blinded to control and intervention group membership. Local regional medical center in th...
Article
Full-text available
To evaluate symptom reports and the impact of a nurse-led storytelling intervention in a supportive group setting on mood, stress level, coping with stress, pain, self-efficacy, and satisfaction with life in patients with cancer. Descriptive pilot project using a pretest/post-test control group. Local regional medical center in the Pacific Northwes...
Article
Thirteen percent of Hispanic households provide care to an adult aged 50 or older, but given their dramatic population growth, an increasingly large number of families will soon be placed in a caregiving role. The purpose of this study was to determine whether Hispanic caregivers could be accessed through local provider groups, with the goal of gen...
Article
This article reports the perceptions of Hispanic/Latino and American Indian students concerning the influence of a Nursing Workforce Diversity Grant (ALCANCE) on their educational experiences in a baccalaureate nursing program. The grant provided an educational pipeline for these students, supporting them financially, personally, and academically f...
Article
By 2030, at least 4.5 million U.S. Hispanics will require nursing home care due to dementia and chronic disease. Despite the significance of nutrition's role in elder health, malnutrition has not been studied in controlled empirical investigations of such residents. A valid instrument for measuring food and food service satisfaction for Spanish-spe...
Article
Clostridium difficile is currently recognized as the most common cause of nosocomial infectious diarrhea in the nursing home setting. Data from the Centers for Disease Control and Prevention confirm that the incidence of C. difficile has doubled in recent years and accounts for approximately 3 million cases of diarrhea and colitis each year. Overal...
Article
Lack of nursing home resident satisfaction with meals often results in reduced food intake, leading to poor nutritional status, weight loss, functional decline, and depression. The purpose of this article is to describe the development and initial testing of the 28-item revised Food Expectations-Long-Term Care (FoodEx-LTC) questionnaire with a conv...
Article
Lack of nursing home resident satisfaction with meals often results in reduced food intake, leading to poor nutritional status, weight loss, functional decline, and depression. The purpose of this article is to describe the development and initial testing of the 28-item revised Food Expectations-Long-Term Care (FoodEx-LTC) questionnaire with a conv...
Article
By 2030, one-quarter of the U.S. Hispanic population will be aged 80 or over. At least 4.5 million of them will require long-term care, most probably in nursing homes. Although Hispanic families traditionally care for elders at home despite their declining cognitive and physical function, family ability to provide such care is eroding due to accult...
Article
Qualitative research allows students to explore the complex experiences of health and illness and examine assumptions related to class, race, gender, and ethnicity. Faculty who teach qualitative research can promote culturally congruent nursing practice, and students can learn how such practice is grounded in research. The experiential approach tak...
Article
The purpose of this article is to report the results of a comparison between the educational climate of a baccalaureate nursing program and that of a Nursing Workforce Diversity Grant. Fifteen Hispanic/Latino and American Indian upper-division baccalaureate nursing students completed 37 questionnaires. A 76-item questionnaire was designed to measur...
Article
This article reports on the content validation of eight quantitative instruments developed to evaluate the interventions and outcomes for a Nursing Workforce Diversity Grant. During the expert review phase of the content validation process, response patterns to certain instrument items differed, effectively separating the reviewers into two groups....
Article
Full-text available
Food that reflects our family backgrounds is a source of comfort that can play an important part in recovery from illness or adaptation to the nursing home, especially for older individuals. However, no studies could be found that explored residents' perspectives on how their food and food service preferences are, or are not, met in nursing homes....
Article
This paper reviews organizational factors that potentially affect food quality and food service in the nursing home. A model is proposed for assessing the influence of organizational technology on resident satisfaction with food and food service from the resident's perspective. Findings from an exploratory phenomenological case study applying the m...
Article
Full-text available
Background. Undernutrition occurs in approximately 2 of every 5 nursing home residents, negatively influencing their health and quality of life. The purposes of this study were to collect data about institutional meal preparation and food service practices that promote or retard adequate nutritional intake and to evaluate residents' food and food s...
Article
Full-text available
The purpose of this project was to examine the effect of Narrative Pedagogy in nursing education on students' ability to move toward cognitive and ethical maturity and thereby increase their autonomy in nursing practice. Students taking a class using Narrative Pedagogy demonstrated "entry" and "exit" mean scores that showed marginal and statistical...
Article
Inadequate food intake leading to malnutrition impacts up to 85% of nursing home residents. Malnutrition can result in compromised quality of life and lead to chronic disability, functional decline, increased health care utilization and costs, and death. This article examines organizational structure (Perrow, 1979) and person-environment fit (Lawto...
Article
To increase work force diversity and decrease health disparities, students of color must be successful in nursing programs. Unfortunately, the literature describes numerous barriers to these students' success, originating in both the socioeconomic and cultural environment in which they live and work, and in schools of nursing. In this study, seven...
Article
Inadequate food intake leading to malnutrition impacts up to 85% of nursing home residents. Malnutrition can result in compromised quality of life and lead to chronic disability, functional decline, increased health care utilization and costs, and death. This article examines organizational structure (Perrow, 1979) and person-environment fit (Lawto...
Article
Full-text available
Malnutrition impacts the quality of life and general health of many older persons living in our nation's 20,000 nursing homes (1). Despite the urgency of this issue, no instrument that measures resident satisfaction with food and food service was found in an extensive literature search. The purpose of this article is to describe the development and...
Article
Eight instruments to evaluate grant interventions aimed at increasing recruitment and retention of Hispanic/Latino and American Indian nurses were developed for a Nursing Workforce Diversity Grant. This article compares expert reviewer responses during content validation of these instruments with (a) current literature and (b) seven filmed interval...
Article
Full-text available
The meaning of food to nursing home residents is explored to examine residents' perspectives related to nursing home food and food service, and to identify strategies for improving food and food service in nursing homes. An interpretive phenomenological approach was used to uncover meaning in a series of "tell me a story" interviews about food and...
Article
This article reports on the use of qualitative research methodology in producing a 23-minute recruitment film to attract Hispanic/Latino and American Indian students into a baccalaureate nursing program. The research question addressed in this pilot project was, "What is the meaning of the educational experience to Hispanic/Latino and American Indi...
Article
This article describes problems experienced by one nurse educator in a long-term care (LTC) setting and the educator’s and staff’s responses to these difficulties; it also identifies strategies for collaborative problem-solving. This collaboration is intended to enhance student learning and ultimately encourage students to turn to gerontologic care...
Article
Quality food and food service are integral to quality of life for older adults in nursing homes. The purposes of this article are to examine residents' perspectives about quality dining in nursing homes and to describe implications for practice. Tape-recorded interviews were completed with 20 nursing home residents who told stories about their food...
Article
This article is a part of a larger study that identified nutrition education needs for nurses and nursing assistants that resulted in an educational intervention. The purpose of this article is to introduce newly developed evidence-based dining room guidelines. These guidelines can be used as a part of nursing homes' quality improvement programs to...
Article
This study tested an evidence-based nutrition education program for licensed nurses working in nursing homes who scored an average of 56% on a pretest. Posttest scores averaged 66%, demonstrating a continuing deficit of basic nutritional knowledge despite the educational intervention. Statistical analysis revealed that less experienced nurses score...
Article
A survey reveals ways to prevent malnutrition in nursing home residents.
Article
This article describes how story was used to teach cultural assessment to baccalaureate nursing students enrolled in clinicals in long-term care facilities. Class sessions focused on learning to elicit and listen to patients' stories and use story as an assessment tool in clinical practice. With their peers, students learned to listen in a nonjudgm...
Article
This article describes ten dining room problems, identified in a nursing home study, that needed quality improvement, as well as six quality practices suggested for implementation. These six quality practices provide the basis for an excellent eating experience characterized by a home-like atmosphere, high levels of staff-resident interaction, and...
Article
IN NURSING EDUCATION, we voice commitment to two main epistemological domains: behaviorism and personal meaning. The former domain provides the dominant frame of reference in our classrooms, while the latter is rarely used.The struggle between the two creates conflict for those thoughtful nurse educators who believe that learning is not necessarily...
Article
Discusses the educational needs of American Indian women, highlighting the difficulties that they encounter in traditional postsecondary education and their unique learning abilities. Suggests that the community ethos of American Indian culture needs to be transported to the classroom through the implementation of cooperative educational practices....
Article
Thesis (Ph. D.)--University of Washington, 1994. Vita. Includes bibliographical references (leaves [292]-301).

Network

Cited By