Mark Parshall

University of New Mexico | UNM · College of Nursing

Background: Comprehensive sexual health education (SHE) reduces risky sexual behavior and increases protective behavior in adolescents. It is important to understand how professionals responsible for implementing SHE policy interpret state and local policy and what influences their commitment to formal SHE policy implementation. Methods: This de...

Introduction New Mexico, a state with a high incidence of opioid overdose deaths, requires certified nurse‐midwives (CNMs) who prescribe controlled substances to use the statewide Prescription Monitoring Program (PMP). This study examined how frequently CNMs who practice in New Mexico and prescribe controlled substances use the PMP and the purposes...

Introduction: Perceptions of stigma and barriers associated with seeking mental health services have been described in past research with military service members who reported or screened positively for mental health concerns or who reported an intention to seek care. The reported influence of stronger perceptions of stigma on treatment seeking ha...

Background Academic-military research collaborations are desirable for many reasons; however, little guidance in the literature exists to help researchers understand collaboration requirements. Purpose To describe the process for establishing academic-military research collaborations. Method Specific collaboration requirements researchers must be...

Introduction: Assessment of dialysis-related symptoms is not currently a requirement for hemodialysis (HD) providers in the United States. The purpose of this study was to describe patients' perspectives on symptoms associated with end-stage chronic kidney disease treated with thrice-weekly, in-center HD. Methods: We performed a qualitative stud...

Problem: The aim of this concept analysis is to clarify military service members' stigma associated with seeking mental health services (MHS). Since 2001, over 2 million military service members have been deployed for or assigned to support military operations. Many service members develop a mental health concern during or after a deployment. Alth...

Background: Stigma may deter military service members from seeking mental health (MH) services. Previously, substantial proportions of U.S. Air Force (USAF) registered nurses and medical technicians reported concerns about stigma with accessing MH services; in particular, that unit members might lose confidence in them or perceive them as weak, un...

Background: Personal growth has not been studied extensively in heart failure (HF). Objectives: To characterize personal growth in HF and its relationships with symptom burden, uncertainty, and demographic and clinical factors. Methods: Associations among personal growth, uncertainty, symptom burden, and clinical and demographic variables were...

Ethnic minority patients receive lower priority triage assignments in Veteran's Affairs (VA) emergency departments (EDs) compared to White patients, but it is currently unknown whether this disparity arises from generalized biases across the triage assessment process or from differences in how objective and/or subjective institution-level or person...

Background The goal of these analyses was to determine whether there were systematic differences in Emergency Severity Index (ESI) scores, which are intended to determine priority of treatment and anticipate resource needs, across categories of race and ethnicity, after accounting for patient-presenting vital signs and examiner characteristics, and...

There is growing awareness that dyspnoea, like pain, is a multidimensional experience, but measurement instruments have not kept pace. The Multidimensional Dyspnea Profile (MDP) assesses overall breathing discomfort, sensory qualities, and emotional responses in laboratory and clinical settings. Here we provide the MDP, review published evidence re...

We investigated perceptions of stigma and barriers associated with accessing mental health services among active component U.S. Air Force officer and enlisted nursing personnel (N = 211). The Britt and Hoge et al Stigma scale and Hoge et al Barriers to Care scale were administered via an anonymous, online survey. Stigma items pertained to concerns...

Purpose: The purpose of this study was to explore the influence of traditional Buddhist spiritual beliefs and practices on coping with chronic illness. Design: The study was a descriptive ethnography. Participant observation and semistructured interviews were used with 45 Sri Lankan Buddhist nuns with a chronic illness and 20 secondary informant...

Statistics estimated from a 2 × 2 contingency table, such as sensitivity, specificity, and likelihood ratios, are usually presented in contexts of diagnostic decision making or evaluation of screening tests. However, their use is not restricted to those contexts. The purpose of this article is to summarize for clinicians and researchers in nursing...

Background Dyspnea is among the most common reasons for emergency department (ED) visits by patients with cardiopulmonary disease who are commonly asked to recall the symptoms that prompted them to come to the ED. The reliability of recalled dyspnea has not been systematically investigated in ED patients. Methods Patients with chronic or acute car...

Table A1. Principal components analysis with varimax rotation for MDP recall ratings. Table A2 Percentiles of within-subjects differences.

This poster portrays an ethnographic research design that aims to explore the role of Buddhist spiritual practice in the chronically ill. Chronic illness has gained vast territory and adapting to a chronic condition has become a reality for many. Several conceptual frameworks, based on the coping theory of Lazarus and Folkman (1984), have guided un...

Dyspnea is a common, distressing symptom of cardiopulmonary and neuromuscular diseases. Since the ATS published a consensus statement on dyspnea in 1999, there has been enormous growth in knowledge about the neurophysiology of dyspnea and increasing interest in dyspnea as a patient-reported outcome. The purpose of this document is to update the 199...

Most measures of dyspnea assess a single aspect (intensity or distress) of the symptom. We developed the Multidimensional Dyspnea Profile (MDP) to measure qualities and intensities of the sensory dimension and components of the affective dimension. The MDP is not indexed to a particular activity and can be applied at rest, during exertion, or durin...

The purpose of this study was to validate a 3-factor measurement model of dyspnea sensory quality (WORK-EFFORT, TIGHTNESS, SMOTHERING-AIR HUNGER) originally derived in patients with exacerbated chronic obstructive pulmonary disease. In this validation study, adult patients with heart failure were enrolled after hospital admission (median hospital d...

With a prevalence of 5 800 000 (≈2% of the entire populace) in 2009 and an estimated yearly incidence of 550 000, the burden of heart failure (HF) in the United States is tremendous.1 Although HF is largely a condition defined by chronic debility, virtually all patients experience, at some point, acute symptoms that trigger a visit to the emergency...

We evaluated whether any short-form health survey [36 items] (SF-36) domain scale or component scores would predict exacerbations of chronic obstructive pulmonary disease (COPD) during a 1-year period. In this prospective longitudinal study, the sample included 127 patients with spirometrically confirmed COPD who completed baseline assessments and...

The study objective was to validate among patients with chronic obstructive pulmonary disease (COPD) clinical predictors of emergency department (ED) disposition (admission vs discharge) found in a previous study. We hypothesized that the initial heart rate (HR) at presentation and the number of nebulizer treatments would predict visit disposition...

Background Recruiting workers in small construction companies and securing their participation in voluntary safety programs or safety research poses unique challenges. Worker turnover and worksite changes contribute to difficulties in locating and enrolling participants. Economic pressures and time demands potentially threaten ongoing participation...

Traditionally, the difference between pretest and posttest scores is used as an estimate of change. This can be problematic when repeated self-report measures are used to assess change resulting from interventions intended to change beliefs, behaviors, attitudes, or values about health or safety. If the intervention is effective, participants may a...

Back- and fall-related injuries occur frequently in construction and are costly in terms of workers' compensation claims and lost productivity. Interventions are needed that address the susceptibility to these injuries. The purpose of this study was to develop and test a safety training intervention for small construction companies (</=10 employees...

The purpose of this study was to evaluate the reliability, content validity, and factor structure of dyspnea sensory quality descriptor ratings in emergency department (ED) patients with exacerbated chronic obstructive pulmonary disease (COPD). During an ED visit 104 patients with COPD rated the intensity of 16 dyspnea sensory quality descriptors (...

This study was conducted to develop a detailed profile of patients who come to the emergency department for heart failure treatment. Patient interviews were supplemented by medical record reviews in a convenience sample of 57 participants. A structured interview guide included data concerning patient characteristics and ED treatment. Participants u...

Dyspnea is the most common symptom among patients with heart failure (HF) who present to the emergency department (ED), but it is not clear which dimensions of the symptom prompt ED visits, or whether dyspnea characteristics are related to visit disposition. The goal of this study was to explore the influence of dyspnea duration, distress, and inte...

Sensory qualities of dyspnea are known to differ by diagnosis. Less is known about whether sensory qualities vary with changes in health status in a given diagnosis. The goal of this study was to evaluate the reliability, validity, and factor structure of dyspnea sensory quality descriptors in patients with heart failure (HF) treated in an emergenc...

In the literature on focus groups, far more attention has been devoted to how groups are organized and conducted than to issues of analysis. Although exploitation of group dynamics is touted as a virtue of focus groups, there is very little guidance in the literature with respect to how differences between group and individual discourse impact the...

Dyspnea is among the most common reasons for emergency department (ED) visits, yet little is known about how it is associated with visit characteristics and disposition or about how such associations differ across diagnoses. To characterize ED visits for chronic cardiorespiratory diseases in which dyspnea is a prominent symptom. Visit demographics...

Farm owner-operators and workers tend to make safety decisions from a subjective cost/benefit perspective. Our research has supported that farmworkers do not recognize the direct and indirect costs associated with work-related injury and thus are not making safety decisions on an accurate basis. We have developed two injury prevention interventions...