Jane Dimmitt Champion

• University of Texas at Austin

Background Prematurity represents a critical health disparity. It is important to note that late preterm (LPT) infants comprise the majority of preterm births, yet they are the least studied within the premature population. Evidence-based practice guidelines are now a decade old, indicating the potential need for review and revision. Objectives Th...

Although alcohol use disorder (AUD) is associated with a high disease burden due to medical consequences, people with AUD often do not receive appropriate treatment or community health service support. Peer-support services, intended to bridge the gap between patients with AUD and mental health providers have produced successful results. However, t...

This study sought to examine the association between male-to-female physical, psychological, and sexual violence and controlling behaviors of male partners. Further, the moderating effect of insecure attachment style on this association was examined in the context of South Korea. Existing national data collected from a representative Korean sample...

The goal of this research was to determine the personal, interpersonal, and sociocultural predictors of condom use among rural Indigenous adolescents. Predictor variables were selected from Bandura’s Social Cognitive Theory and Leininger’s Transcultural Theory. The sample consisted of 419 Nahuas adolescents randomly selected from the total number o...

Technology-facilitated sexual violence (TFSV) is an emerging form of gender-based violence. An understanding regarding the circumstance of TFSV and related health outcomes is limited. This qualitative study analyzed postings from an anonymous Korean website on which women suffering from TFSV freely posted messages asking for help and voicing concer...

The goal was to determine the personal, interpersonal, and sociocultural predictors of condom use among rural indigenous adolescents. Predictor variables were selected from Bandura's Social Cognitive Theory and Leininger's Transcultural Theory. The sample consisted of 419 Nahuas adolescents randomly selected from the total number of neighborhood bl...

Behavioral and psychological symptoms of dementia (BPSD) are a worldwide problem. Estimates indicate approximately 96% of persons with dementia (PWD) exhibit BPSD that are directly associated with long-term care (LTC) placement and approximately one half of these persons experience symptoms classified as severe. BPSD are associated with lost days o...

A Traditional Partera refers to a woman who assists, by traditional practices, women during gestation, birth, and reproductive life, aside of the formal health care system. Their practice, Traditional Partería, is considered a key ancestral cultural component in marginalized communities in Colombia. A comprehensive description of the essence of Col...

Background: Intimate partner femicide (IPF) is a severe form of violence perpetrated against women in intimate relationships. The purpose of this integrative literature review was to identify studies of IPF in South Korea. Methods: A web-based literature search was performed in six databases: PubMed, CINAHL, PsycINFO, MEDLINE, SocINDEX, and RISS...

Background Nursing education has undergone restructuring in clinical and academic settings. Challenges facing nursing programs and academic educators include limited and varied clinical experiences in maternal-newborn and pediatric settings, contributing to low national benchmark exam scores. Sample Six student cohorts enrolled in a traditional un...

The prevalence of Gambling Disorder among Koreans suggests that it is relatively higher than other countries. This study explored gambling-related crimes and related mental health care needs of those with Gambling Disorder on a case-by-case basis. Participants (n = 6) included men attending Gamblers Anonymous in South Korea with gambling debts and...

Aim: To identify practices, beliefs, and potential gaps in knowledge about partería tradicional in Latin America. Background/introduction: Partería tradicional (lay midwifery) refers to ancestral knowledge used by laypersons, mainly parteras tradicionales (lay midwives), to provide health care to women and children. This care, initiated prior to...

Objective: Studies indicate inhaled isopropyl alcohol (IIA) is effective or superior to ondansetron for adult patients. Although quick-acting and low cost, it cannot be assumed this remedy is suitable for adoption in all settings. We explored how an innovative antiemetic remedy studied in the United States translates to a sub-Saharan Africa clinic...

Objective: To analyze the concept Art of Caring and expand its conceptualization in the Nursing discipline. Methods: A conceptual analysis in Spanish and English was developed based on the steps proposed by Walker and Avant. Findings: Five principal historical stages of development of the concept were identified. Attributes, antecedents, conseque...

Doulas have fundamentally improved the health-care experience of pregnant women internationally. Women who recognize the importance of not being alone during pregnancy have embraced this role for centuries. However, less is known about doulas practicing in countries experiencing health inequities like Colombia. Miller's methodology and Atkinson's i...

Human papillomavirus (HPV) is a primary cause of cervical cancer. Multiple strains of HPV lead to cervical intraepithelial injuries that later progress to cervical cancer. The purpose of this study was to assess attitudes toward and acceptability of self-sampling among Mexican women who have HPV. Methods The descriptive, cross-sectional design inc...

Women have been the major victims of the Colombian armed conflict for more than 50 years. Nowadays, when the country faces an aftermath focused on reconciliation, understanding women's experiences during the conflict is key to providing them tools for social justice and effective fulfilling of their needs. This qualitative synthesis of literature i...

Purpose Children with Down syndrome (DS) have a unique developmental profile with an increased risk for co-morbid neurodevelopmental diagnoses, including autism spectrum disorder (ASD), anxiety, and attention deficit/hyperactivity disorder (ADHD), among others. A delay in a diagnosis of these conditions can impact the health and psychosocial wellbe...

Background and Purpose Curbside consultation (CC), defined as pursuing information or recommendation regarding patient care, without request for formal consultation is a favored information source for nurse practitioners (NPs) when making clinical decisions in practice settings. Research and education concerning CC among NPs is lacking. The purpose...

The objective of this descriptive, cross-sectional study was to describe curbside consultation, a bidirectional informal discussion with a colleague “expert” concerning patient care, among nurse practitioners. Curbside consultations are valuable, yet little is known about this process use for nurse practitioners. A national convenience sample was r...

Nurse practitioners utilize curbside consultation, an interprofessional collaboration communication process in which one clinician seeks advice from another, in clinical decision-making practices. Nevertheless, this process is not well-understood. A qualitative design with individual open-ended interviews was used to explore the phenomenon of curbs...

Background: Transgender people face a multitude of health care access barriers that create wide disparities in health. Transgender people have more untreated acute and chronic conditions than the cisgender population. Purpose: The purpose of this study was to describe positive and negative experiences of transgender people when accessing health...

Background and purpose: Disaster management experts around the world agree that nurses play a vital role in disaster preparation, response, and recovery. The Joint Commission on Accreditation of Health care Organizations requires biannual disaster drills for accredited facilities, and there are numerous training resources and educational materials...

Perinatal depression is estimated to affect one in seven pregnant women. As such, social support has been shown to impact the mental health of women during the perinatal period. The purpose of this qualitative descriptive study was to examine the types of social support received by pregnant and parenting Mexican-American adolescent mothers and thei...

Background The parental role is key for the prevention of human papillomavirus (HPV) in adolescents; however, there are factors that can facilitate or inhibit its performance. For this reason, the purpose of this study was to determine the factors that influence the role of parents for prevention of HPV in their adolescent children. Method A descr...

Purpose Assess outcomes of depression screening among adolescents accessing pediatric primary care-based services. These findings will contribute to development of clinical protocols for depression screening and intervention in primary care settings. Design and methods Retrospective chart review conducted via electronic medical records at a pediat...

Paternal perinatal depression can occur in approximately one out of ten fathers. However, research within this population is limited. A previous systematic review suggested that United States had higher rates of paternal perinatal depression compared to other countries. Therefore, this systematic review identified psychosocial factors for depressio...

Background: It is challenging for nursing home (NH) staff to manage non-cognitive neuropsychiatric symptoms (NPS) of dementia. There is a need for an assessment of staff knowledge regarding non-pharmacological approaches to manage NPS of dementia. This assessment will inform development of policies/procedures to assist NH staff for management of pr...

Background: Curbside or informal consultations between clinicians regarding patient care occur frequently in clinical practice. Evaluation of curbside consultation (CC) among nurse practitioners (NPs) is limited. Purpose: To develop an understanding of NP perceptions of the CC process. Methodological orientation: A qualitative descriptive desi...

It is human nature to perceive things differently and subsequently to define those differences as either good or bad. How does this dichotomous way of thinking affect an educators approach to culturally responsive teaching, specifically when teaching sexuality education? Drawing from interviews of 10 sexuality educators who received above average i...

Background Internationally, approximately one out of every ten new HIV infections has previously been attributed to intravenous drug use (IVDU). PrEP compliance among people with intravenous drug use (PWID) may decrease new HIV infection. This study assessed perceptions of PrEP, risk for contracting HIV, and potential compliance with PrEP among PWI...

For a growing number of persons with dementia (PWDs), advance care planning (ACP) can help families make important end-of-life (EOL) care decisions that reflect PWDs' values and preferences. The current exploratory study aimed to understand advance directive planning and decision making among PWDs and caregivers. A survey was conducted with a conve...

Purpose: Human papillomavirus (HPV) causes morbidity and mortality worldwide. Evidence-based models addressing health for women who have HPV may prevent development of cervical cancer (CC). We applied Meleis' transition model to identify barriers and facilitators influencing CC protective behavior for women with HPV. Method: Descriptive, correla...

Introduction: Gestational diabetes mellitus (GDM) among women living along the U.S.-Mexico border are approximately twice that of the general population of pregnant U.S. women. This study compared outcomes for Hispanic pregnant women diagnosed and treated for GDM (i.e., two abnormal 3-hour oral glucose tolerance tests [OGTT]) with those who were s...

African-American adolescents with mental health disorders are more likely to experience higher rates of depressive moods but are less likely to utilize mental health resources. Mental healthcare providers inform caregivers of adolescents with mental health issues about appropriate resources to facilitate appropriate treatment decisions. Although we...

An understanding of romantic relationships among adolescent Mexican-American females is lacking yet needed to provide culturally appropriate sexual health interventions. Although explored among other populations, romantic relationships among adolescents in rural settings is under-studied. This study explores romantic relationships for rural Mexican...

Protocols are required for antibiotic use for treatment of urinary tract infections (UTIs) in long-term care facilities (LTCFs). This project assessed antibiotic prescribing practices for UTI in three LTCFs to elucidate practice and its relationship to protocols in these settings. A retrospective chart review of UTI cases occurring between February...

Knowledge gaps exist in the decision making of rural family caregivers of persons with advanced Alzheimer’s disease and related dementias (ADRD). This study aimed to understand the roles of basic human values and preferences for information in caregivers’ decision making, and caregivers’ perceptions of mobile technology as a way to receive desired...

BACKGROUND Mobile health (mHealth) technology holds promise for promoting health education and reducing health disparities and inequalities in underserved populations. However, little research has been done to develop mHealth interventions for family caregivers of persons with dementia, particularly those in rural Hispanic communities, who often se...

Background Mobile health (mHealth) technology holds promise for promoting health education and reducing health disparities and inequalities in underserved populations. However, little research has been done to develop mHealth interventions for family caregivers of people with dementia, particularly those in rural Hispanic communities, who often ser...

HIV treatment retention remains a significant public health concern. Our qualitative analysis used emergent data from a larger HIV treatment study to explore clinician perspectives on prescribing opioids to incentivize retention in HIV care. Data from individual interviews with 29 HIV and substance use clinicians were analyzed using thematic analys...

Introduction: The Contraceptive Behavior Scale requires adaptation for use by health professionals among Mexican heterosexual populations of reproductive age. Methods: Cross-sectional, descriptive, correlational design assessed adaptation of the Contraceptive Behavior Scale. Results: Six hundred Mexican men and women of reproductive age (18-35...

Objectives To investigate existing knowledge in the literature about end-of-life decision making by family caregivers of persons with dementia, focusing on decision aids for caregivers of persons with advanced dementia, and to identify gaps in the literature that can guide future research. Methods A literature review through systematic searches in...

Introduction: Adolescents may be infected with human papillomavirus (HPV) during their first sexual relationship. Persistent infections in adulthood may result in associated cancers among both women and men. This study explored condom use action plans, its influence on sexual activity in adolescents, and associated HPV protective behavior. Method...

An assessment of post-master's Doctor of Nurse Practice (DNP) education on clinical practice outcomes for master's-prepared advanced practice registered nurses (APRNs) may inform DNP program development and practice. Electronic survey assessment of DNP-APRN perceptions of clinical competency after completion of post-master's DNP education indicated...

Our purpose was to assess radiologic imaging content in family nurse practitioner (FNP) curricula and FNP perspectives concerning practice needs. Anonymous, 5-item, Web-based surveys were distributed to FNP program directors (n = 21) That included items concerned FNP radiologic imaging needs in primary care. Anonymous 13-item Web-based surveys were...

Due to limited oncology education in many graduate nursing programs, oncology advanced practice registered nurses (APRNs) often serve as preceptors for APRNs new to oncology. A needs assessment surveying familiarity, perceived importance, and perceived confidence with preceptor competencies among APRNs at a comprehensive cancer center found that 75...

Background and purpose: This systematic review explores relationships between advanced practice registered nurses' (APRN) job satisfaction and intent to leave. There exists a dearth of APRN providers compared with the ever-growing need for their services. Furthermore, the organizational costs associated with the APRN turnover are extremely high. I...

Can basic human values be used to predict end‐of‐life (EOL) decision making? Millions of Americans suffer from Alzheimer's Disease and Related Dementias (ADRD), yet many ADRD patients do not have advance directives, leaving their loved ones unprepared to make decisions on their behalves. Since EOL care preferences are often treated as a taboo topic...

Background: Psychological distress in the form of depression and/or anxiety has been found to be common among university students, especially in females. Roughly one in five of Icelandic female university students exhibit elevated psychological distress, yet less than 30% of them do receive professional mental health care. To ameliorate the psychol...

Purpose: Implementation of routine Patient Health Questionnaires (PHQ-9) screening among adolescents aged 12-18year, accessing school-based pediatric primary care clinic services for identification of adolescents at potential risk for Major Depressive disorder (MDD). Design and methods: Retrospective chart review (N=256 cases) documented PHQ-9 d...

A case study is presented, exemplifying the multitude of psychosocial, cultural and situational factors potentially impacting health promotion behaviors among Mexican women.

Purpose: Point-of-care information needs for nurse practitioners are tremendous. A phenomenon often referred to as curbside consultation (CC) with colleagues is an information source for point-of-care clinical decision making. This literature review was conducted to describe: (a) characteristics of CC, (b) consistency of CC definition, and (c) att...

According to the United States (U.S.) Census Bureau, Hispanics are the fastest growing ethnic minority in the U.S. As such, Hispanic females have the highest birth rate (35 per 1000) among adolescents between the ages of 15 and 19 years. Despite high fertility rates, there is limited mental health information among Hispanic adolescents during the p...

Purpose: Assess perceptions of parental monitoring and sexual communication for sexual health promotion among adolescents who are Mexican. Design and methods: Adolescents (N=153, n=85 females, n=68 males) between 14years (n=80) and 15 years (n=73) were recruited at a public high school in Monterrey in the state of Nuevo Leon, Mexico. All partici...

Perinatal depression is a health concern among pregnant and postpartum adolescents as it may negatively impact fetal development and result in complications such as preterm delivery, low infant birth weight, and poor maternal-infant attachment. The purpose of this systematic review is to examine psychosocial risk factors for depression among adoles...

Aim Development of a Spanish Version Contraceptive Self-efficacy Scale for use among heterosexual Mexican populations of reproductive age inclusive of 18–35 years. Background Methods of family planning have decreased in Mexico which may lead to an increase in unintended pregnancies. Contraceptive self-efficacy is considered a predictor and precurs...

Background: Psychological distress negatively impacts fetal development and may result in complications such as preterm delivery, low infant birth weight, and poor maternal-infant attachment during the postpartum period. Female adolescents may be experiencing environmental and psychosocial stressors during the pre- and postnatal periods that may p...

Background: Family planning has become increasingly important as a fundamental component of sexual health and as such is offered via public health systems worldwide. Identification of barriers to use of family planning methods among heterosexual couples living in Mexico is indicated to facilitate access to family planning methods. Methods: Barri...

Introduction: Unintentional falls and injuries is a major problem among older adults and the fourth cause of death in the United States. A previous fall event doubles the risk of recurrence and lessens the person's quality of life. Hispanic older adults have higher rates of disability and lower independent functioning due to poor medical health an...

Psychological distress, defined as depression, anxiety, and insomnia in this study, can occur following the birth of a baby as new mothers, in addition to marked physiological changes, are faced with adapting to new roles and responsibilities. We investigated the cooccurrence of stress, depression, anxiety, and insomnia in mothers during the postpa...

Introduction: Mental health literacy is a critical component of adolescent health enabling recognition, management, and prevention of psychological distress. Adolescents engaging in risk behaviors and experiencing interpersonal violence, substance use, and pregnancy are at high risk for psychological distress. Method: Secondary analysis of data...

Design and methods: Dominican-American adolescents (N=25) were recruited in a pediatric clinic in New York City which primarily serves a Dominican population. Eligibility criteria included age 13-21years, self-identifying as Dominican ethnicity, and able to speak and read English. They completed a questionnaire, with demographic questions and ques...

Objective: To describe the meaning of body weight among rural Mexican-American adolescents (RMAA) and an influential person (IP) of their social network. Design and sample: This is qualitative descriptive study. Convenience sampling was used to recruit RMAA seeking care at a rural primary care-based clinic. Content analysis was used to identify...

It is essential to identify protective factors during adolescence due to its high incidence on risk behaviors. One of these factors is to have a life project that influences adolescent decision-making. The concept of life project has mainly been linked to teen pregnancy, depression and suicide; however, some authors agree that the concept is not cl...

The HIV testing, disclosure, and sexual practices of ethnic minority men suggest that addressing sexual risk behavior and the underlying reasons for not receiving HIV testing or disclosing HIV-infection status - unique to differing populations - would improve public health interventions. Descriptive behaviors and underlying perspectives reported in...

Purpose: Assess the context of psychological distress, violence, and substance use among African- and Mexican-American adolescent women with a history of STI, violence, or high sexual risk behavior. These adolescents experience multiple health disparities, limited access to care, and are at particularly high risk of adverse sexual health outcomes....

To explore the nature and prevalence of nurse practitioner (NP) overtime, work hours, and their relationship to practice within NP work conditions. A secondary analysis of data extracted from the 2012 National Sample Survey of Nurse Practitioners. The focus in this study was on data from NPs in active practice in clinical settings. The final analyt...

Sexually transmitted infections including human immunodeficiency virus are international public health concerns. Heterosexual women who are in steady relationships have been described as a particularly vulnerable population at risk for sexually transmitted infections acquired from their male partners. In this pilot study, we describe associations i...

Background: Primary care-based interventions for sexual health promotion and reduction of sexual risk behavior, substance use, psychological distress, unintended pregnancy, violence, sexually transmitted infection/human immunodeficiency virus (STI) and obesity may reduce health disparities among ethnic minority adolescent women, a particularly vuln...

This is a pilot study regarding the use of mobile technology and short message service (SMS) for diet and exercise among rural Mexican American adolescents (RMAA). Authors used convenience sampling to recruit RMAA seeking care at a rural healthcare clinic and conducted three focus groups (n=12). Content analysis was used to identify categories and...

Understanding the context of anal sex behavior among ethnic minority adolescent women has public health implications for behavioral sexual health promotion and risk reduction interventions. African-American (n = 94) and Mexican-American (n = 465) women (14-18 years of age) enrolled in a clinical trial completed semi-structured interviews to assess...

Obesity impacts the physical and psychological health of children and adolescents, and is a risk factor for development of episodic and chronic illness. Rural Mexican-American adolescents are at risk for obesity and associated chronic illnesses.The study used a retrospective chart review of data collected routinely in a rural health clinic setting...

Background: Understanding of the context of anal sex behavior among Black and Hispanic adolescent women with a history of sexually transmitted infection (STI/HIV) has public health implications for health promotion and risk reduction behavioral interventions. Methods: African-American (n=94, 16.8%) and Mexican-American (n=465, 83.2%) women (14-18 y...

Aims: Evaluate depressive symptoms and substance use among Mexican (MA) and African (AA)-American adolescent women and identify factors associated with substance use to inform development of community-based interventions for high risk adolescents. Methods: AA (n=94, 16.8%) and MA (n=465, 83.2%) women (14-18 years) with histories of sexually transmi...

To report a retrospective analysis of data routinely collected in the course of healthcare services at a rural health clinic and to assess obesity incidence and associated interventions among rural Mexican-American adolescents. Two hundred and twelve charts reviewed; 98 (46.2%) males and 114 (53.8%) females. Data extracted included Medicaid exams c...

This study shows that increased understanding of psychological distress, more positive and balanced thinking, and emotional and behavioural control may help female students reduce or prevent elevated psychological distress during stressful times. The most beneficial components of this brief cognitive behavioural group therapy, delivered in four ses...

This quality improvement initiative was designed to increase clinical prevention performance rates in 11 Austin Regional Clinic primary care facilities as part of an accountable care initiative. The initiative was conducted between January 2011 and December 2011. The principal interventions included implementation of a care coordinator and care gap...

Although information is available for prevention of sexually transmitted infection (STI/HIV), adolescents continue to engage in high risk sexual behavior particularly ethnic minority adolescent women with histories of STI or abuse. A description therefore of STI/HIV knowledge and sexual risk behavior among these women is indicated for modification...

Background Understanding of the context of anal sex behaviour among Black and Hispanic adolescent women with a history of sexually transmitted infection (STI/HIV) has public health implications for health promotion and risk reduction behavioural interventions. Methods African-American (n = 94, 16.8%) and Mexican-American (n = 465, 83.2%) women (14–...

Background Evaluate depressive symptoms and substance use among high risk Mexican (MA) and African (AA)-American adolescent women and identify factors associated with substance use to inform development of community-based interventions for high risk adolescents. Methods AA (n = 94, 16.8%) and MA (n = 465, 83.2%) women (14–18 years) with histories o...

A study of a brief cognitive behavioral group therapy intervention for psychologically distressed Icelandic female university students was conducted using a pre-post test quasi-experimental design with intervention and control group conditions. Students were randomly allocated to control and intervention group conditions (n = 30). The intervention...

This paper describes the process of English-Spanish translation and adaptation of the "Woman Abuse Screen" for use in research. The original screen was initially translated into Spanish by two bilingual translatorsinterpreters, followed by a content review conducted by experts to ensure that the screen included relevant aspects of the conceptualiza...

This paper describes the process of English-Spanish translation and adaptation of the "Woman Abuse Screen" for use in research. The original screen was initially translated into Spanish by two bilingual translators-interpreters, followed by a content review conducted by experts to ensure that the screen included relevant aspects of the conceptualiz...

Aims: Describe STI/HIV knowledge and associated sexual risk behaviors among African (AA) and Mexican MA)-American adolescent women for translation of HIV/STI risk reduction interventions for utilization within community health care settings. Methods: AA (n=94, 16.8%) and MA (n=465, 83.2%) women (14-18 years) with histories of STI/HIV and abuse were...

The purpose of this study was to describe nursing home resident symptomatology and medical diagnoses associated with nursing home to hospital transfers. A retrospective chart review of documented transfers was conducted at a 120-bed, nonprofit urban Continuing Care Retirement Center nursing home facility located in the southwestern United States. T...

Purpose: To describe the lived experience of women diagnosed with ovarian cancer using individual interviews. Data sources: Eleven women who had been diagnosed with ovarian cancer within the past five years were interviewed with open-ended guiding questions. The narrative responses were analyzed for constitutive patterns and relational themes ac...

Cognitive behavioral interventions for sexual risk reduction have been less successful among ethnic minority adolescent women with histories of abuse and sexually transmitted infections (STI) than among other adolescent populations. African American and Mexican American adolescent women (ages 14-18 years, n = 548) self-reported sexual partner relat...

This is a case study about an 87-year-old Mexican American partera and her stories about her life and practice on the Texas-Mexico border from the 1930s until 1995. These stories describe strong and competent women who rode horses to remote areas to help with many deliveries of babies throughout their lives. Sra. B, the lay midwife agreed to be int...

Screening, treatment, and counseling for sexually transmitted infections requires a thorough assessment of psychosocial, behavioral, cultural, and clinical factors. This article offers a summary of the most recent CDC data, prevention guidelines, and steps to implementing current evidence into clinical practice.