Papers by Maryalice Jordan-marsh
Cancer Epidemiology, Biomarkers & Prevention
Since the mid-1990s, a significant scientific literature has evolved regarding the mental/physica... more Since the mid-1990s, a significant scientific literature has evolved regarding the mental/physical health outcomes from the use of what we now refer to as Clinical Virtual Reality (VR). While the preponderance of clinical work with VR has focused on building immersive virtual worlds for treating anxiety disorders with exposure therapy, providing distracting immersive experiences for acute pain management, and supporting physical rehabilitation with game-based interactive content, there are other emerging areas that have extended the impact of VR in healthcare. One such area involves the recent technological advances that have led to the evolution of intelligent virtual human (VH) agents. VH representations can now be designed to perceive and act in a 3D virtual world, engage in face-to-face spoken dialogues with real users, and in some cases, can exhibit human-like emotional reactions. We have reported positive outcomes from studies using VHs in the role of virtual patients for trai...
We investigated why some low income, predominantly immigrant seniors (n =91) choose to enroll in ... more We investigated why some low income, predominantly immigrant seniors (n =91) choose to enroll in free training and start to use computers and the Internet, yet others choose not to enroll. The study was conducted in collaboration with a senior center in downtown Los Angeles that provides free Internet access and training to its seniors. The results suggest that psychological variables (e.g., computer anxiety, computer self-efficacy, and aging anxiety) are stronger predictors of older adults’ enrollment than their age or actual experience in using computers. We discuss ways to motivate seniors to participate in computer training by reducing potential barriers. Low-income Minority Senior 4 Low-income Minority Seniors’ Enrollment in a Cyber café: Psychological Barriers to Crossing the Digital Divide Internet use holds many attractions for seniors (Seals, Clanton, Agarwal, Doswell, & Thomas, 2008), such as increased autonomy (Chaffin & Harlow, 2005; McConatha, McConatha, Deander, & Derm...
Critical Care Nurse, 2002
The use of standardized tools is of growing value as the healthcare research community responds t... more The use of standardized tools is of growing value as the healthcare research community responds to a “tsunami of enthusiasm” for evidence-based practice. Evidence-based practice refers to healthcare practices based on scientific data that are reliable enough that researchers can replicate the data. Nurses, medical providers, researchers, and administrators share a desire to have patients’ care supported by persuasive evidence that the care given produces the desired therapeutic outcome. In the critical care setting, physicians, nurse faculty investigators, or others often ask nurses to participate in research studies. In these situations, a nurse’s role might be limited to that of data collector, using a protocol provided by someone
Western Journal of Nursing Research, 1983
The Seventh Annual Symposium on Computer Applications in Medical Care, 1983. Proceedings.
This pilot study investigated differences in nursing expectations regarding the use of computers ... more This pilot study investigated differences in nursing expectations regarding the use of computers between two groups of nurses. Twenty-six volunteers from two groups identified as pace-setters (Group A) and middle-majority (Group B) completed investigator-constructed questionnaires. Results indicated that Group A in general had more positive responses than Group B. Differences were seen between the two groups with respect to their willingness to interact with computers in order to accomplish 9 common nursing activities. The nature of activities that either group was willing to accomplish by computers suggests needs in nursing education and practice.
Objective: Engage healthcare professionals and website bloggers in order to enhance awareness and... more Objective: Engage healthcare professionals and website bloggers in order to enhance awareness and increase the vaccination rate for all girls and women eligible for HPV vaccine. Background: HPV vaccines can deter the viral infection which causes 70% of cervical cancer. However, barriers to acceptance range from lack of awareness of availability and benefits, to moral concerns about implications for sexual behavior. Communication to address these barriers requires creativity. This study analyzed a case in which HPV vaccine communication occurred organically on a social media site. Methods: Observations were collected from the Chinese microblog SinaWeibo to discern whether health topics were posted. Descriptive statistics on the number of followers, gender ratio, and qualitative methods were applied to analyze microblog conversation patterns and possible influences on replies. Results: The comparison of followers’ blog entries shows that attention paid to healthcare is relatively less...
Journal of occupational medicine. : official publication of the Industrial Medical Association, 1987
A synthesis of health promotion and health protection is becoming a national and international pr... more A synthesis of health promotion and health protection is becoming a national and international priority. A national survey based on a random sample of occupational health professionals was conducted. Results are presented for objectives and activities in three categories: administrative, health education, and integrative. Respondents (N = 385) were grouped by discipline: nurse, health educator, physician, industrial hygienist, and "other." The groups were markedly different in their choice of "most important" educational program objective (knowledge, attitude, or behavior change). Integrative activities (synthesizing health promotion and protection) were most strongly correlated with heavy involvement in administrative and health education activities. Support of unions, employees, and managers for both health protection and health promotion was also correlated with integrative activities. Differences among disciplines indicate a need for convincing some currently...
Journal of Gerontological Nursing, 2005
Assessing social support or social capital is receiving renewed attention in health care. A searc... more Assessing social support or social capital is receiving renewed attention in health care. A search of the nursing literature revealed limited attention to a potential resource in the care of older adults-fictive kin. Transdisciplinary searches indicated that "fictive kin" or "chosen kin" are increasingly important as family size shrinks and older adults live longer lives. Fictive kin are common across cultural groups and some have designated special names for these quasi-family members. The purpose of this article is to advance the concept of fictive kin as a resource for older adults and to provide strategies to promote engagement of fictive kin in health care planning by nurses.
Journal of gerontological social work, 2015
Page 1. HEALTH TECHNOLOGY LITERACY AT dscp| ryF mw k F c 0 |edP Muryo|iceJ d M h 9 Page 2. HEALTH... more Page 1. HEALTH TECHNOLOGY LITERACY AT dscp| ryF mw k F c 0 |edP Muryo|iceJ d M h 9 Page 2. HEALTH TECHNOLCDGY LITERACY ork A Trc1nsc|iscip|inc1ry Fr mew F0 0 r Consumer-Oriented Pro|c'r|c 3% §_w_;% __/ Z" ;A%W M9 i \_i / Mc1ryo||ce Jordan Marsh Page ...
Western Journal of Nursing Research, 1981
Research on Social Work Practice, 2007
Objective: Approved versions of the SF-36 Version 1.0 are used for limited-English-speaking indiv... more Objective: Approved versions of the SF-36 Version 1.0 are used for limited-English-speaking individuals whose primary languages are Korean, Chinese, and Spanish to test the respective translations for use among immigrants to the United States. Method: Surveys are completed by an older adult and a nominated adult family caregiver (N = 132). Results: Adequate internal consistency and validity are found for Chinese and Spanish with the exception of the Social Functioning (Spanish) and Vitality (Chinese) Scales. The Korean version has reliability and validity issues. Comparisons are made with English language norms and studies that use translations in Spanish and Chinese. No comparative data for Korean Americans are found. Recommendations are made for reading reports of and using SF-36 translations. Conclusion: Paying attention to options in use of translations of the SF-36 in Chinese and Spanish improves the relevance of findings to research and practice.
Research on Social Work Practice, 2007
Research in Nursing & Health, 1994
Public Health Nursing, 1988
The purpose of the study was to validate an instrument that measures health counseling practices ... more The purpose of the study was to validate an instrument that measures health counseling practices of occupational health nurses. The measure, the health habits counseling questionnaire (HHCQ), was derived from a model of physician counseling practices. The health habits included smoking, alcohol, weight management, and exercise. Safety at work was added for this random sample of California occupational health nurses. Reliability was comparable to original findings for a random sample of physicians drawn from the roster of a western medical society. The validity of the hypothesized global constructs of aggressiveness and indications was not supported. Physicians in the normative sample were more likely to use primary prevention as an indication for counseling. Overall, occupational health nurses and medical society physician members were similar on many aspects of their counseling, although some significant differences did exist.
Journal of Pediatric Nursing, 2004
Objective: To improve acute pain management for children with systematic assessment and appropria... more Objective: To improve acute pain management for children with systematic assessment and appropriate analgesia. Design: An action research design was used; pre-post data were collected during a four-phase intervention. The intervention was a social ecological approach to changing pain assessment and prescription practices. Setting: A university-affiliated public hospital in the greater Los Angeles area. Participants: An interdisciplinary team of clinicians and hospital administrators were engaged in implementing new pain management procedures for children with postoperative and procedural pain. Interventions: We implemented the Poker Chip Tool as a standard pain assessment tool, changed policy to make morphine drug of choice for acute postoperative pain, provided extensive educational activities, and conducted weekly rounds with anesthesiologist/ intensivist, nurses, pharmacist, and child life specialist. Role modeling by leaders was used to build skill in interdisciplinary collaboration for staff. We promoted the initiative as an activity of the medical center strategic plan. Efforts were linked to national shifts in pain management through guideline review and use of a visiting expert. Outcome measures: Charts were audited for assessment of pain intensity. Doses dispensed by pharmacy were used as a proxy measure of analgesia administered to children to establish change in pattern of analgesic use. Results: In Phase I: 54% of charts audited had documentation of pain intensity. This rate climbed to Phase II, 93% of the audited charts at full implementation and stabilized at 84% at the project conclusion. Record of doses of analgesia dispensed demonstrated a shift from reliance on meperidine to morphine and acetaminophen with codeine. The relative rates demonstrated a 100% increase in acetaminophen with codeine distributed from the beginning of the study to full implementation of the project (2 ϭ 9.01, df ϭ 1, p Ͻ 0.002). The relative rate for meperidine demonstrated a 250% decrease (2 ϭ 12.26, df ϭ 1, p Ͻ 0.0004), and the relative rate for morphine exhibited a 455% increase (2 ϭ 209.20, df ϭ 1, p Ͻ 0.0001). By the final phase (IV: Evaluation), meperidine was only 1% of the analgesia dispensed. Morphine doses that were initially 35% climbed to 62% at the close of the study. Acetaminophen with codeine shifted correspondingly from 24% to 36%. Anecdotal reports suggested that skills in assessment and building collaboration generalized to other patient care situations. Conclusions: Using a social ecology approach that focused simultaneously on the environment (ward, medical center, and national scene) and relationships among the clinical team improved pain management practices. These changes took place over 2 years and were sustained 2 years after the intense intervention.
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Papers by Maryalice Jordan-marsh