Papers by Rachel Schiffman
BMC Geriatrics
Background Despite the known benefits of non-sedentary behavior, physical activity, and protein a... more Background Despite the known benefits of non-sedentary behavior, physical activity, and protein and caloric intake to health and muscle mass, strength, and function, many older adults do not meet physical activity and dietary recommendations. A better understanding of the factors associated with sedentary behavior, physical activity and dietary self-management behaviors, and muscle outcomes (muscle mass, strength, and function) is needed, particularly among continuing care retirement community residents. The objective of this study was to examine the factors associated with sedentary behavior, physical activity and dietary self-management behaviors, and muscle outcomes among continuing care retirement community residents. It also aimed to determine whether sedentary behavior and physical activity and dietary self-management behaviors mediate the relationships between self-efficacy, goal congruence, aging expectations, social support, and muscle outcomes. Methods A sample of 105 cont...
Bookmarks Related papers MentionsView impact
Bookmarks Related papers MentionsView impact
Contemporary Clinical Trials Communications, 2020
Bookmarks Related papers MentionsView impact
Research in Nursing & Health, 2020
Bookmarks Related papers MentionsView impact
Innovation in Aging, 2019
Poor muscle function is a major source of disability among older adults and leads to negative hea... more Poor muscle function is a major source of disability among older adults and leads to negative health outcomes including falls and fractures, exacerbating healthcare cost. This study was undertaken to understand: a) the characteristics of muscle function; and b) the relationship of self-management process variables (expectations regarding aging, goal congruence, and self-efficacy for physical activity) and physical activity self-management behavior to muscle function in a sample of older adults (N = 65) 75-93 years of age living in Continuing Care Retirement Communities. Using a descriptive correlational design, muscle function was measured with the Short Physical Performance Battery (SPPB) test and physical activity level with ActiGraph GT3X. Questionnaires included Expectations Regarding Aging and goal congruence scales and Physical Activity Assessment Inventory to assess self-efficacy. Pain was assessed by the PROMIS Pain Intensity 3a. Most participants (77%) performed poorly on t...
Bookmarks Related papers MentionsView impact
SAGE Open Medicine, 2019
Objective: Newly hired nurses who do not transition well often leave their first nursing position... more Objective: Newly hired nurses who do not transition well often leave their first nursing position or nursing prematurely, at great cost to themselves, the profession, hiring organizations and patients. The purpose of this secondary analysis study was to better understand the transition experience of new graduate nurses and experienced nurses as they moved to a new setting in nursing, and the preceptor’s role in that transition. Methods: Schlossberg’s Transition Theory provided the framework for the secondary analysis of a large qualitative data set that were collected from 118 newly hired nurses who were predominantly female and Caucasian with the majority being under the age of 30 years and having less than 1-year experience. The data available for secondary analysis included all transcripts from the original study. Results: Two main themes were identified: Institutional Support and Sense of Self. Discussion: Preceptors are critical early in the transition and the newly hired nurse...
Bookmarks Related papers MentionsView impact
Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, 2018
Biomarkers as common data elements (CDEs) are important for the characterization of biobehavioral... more Biomarkers as common data elements (CDEs) are important for the characterization of biobehavioral symptoms given that once a biologic moderator or mediator is identified, biologically based strategies can be investigated for treatment efforts. Just as a symptom inventory reflects a symptom experience, a biomarker is an indicator of the symptom, though not the symptom per se. The purposes of this position paper are to (a) identify a "minimum set" of biomarkers for consideration as CDEs in symptom and self-management science, specifically biochemical biomarkers; (b) evaluate the benefits and limitations of such a limited array of biomarkers with implications for symptom science; (c) propose a strategy for the collection of the endorsed minimum set of biologic samples to be employed as CDEs for symptom science; and (d) conceptualize this minimum set of biomarkers consistent with National Institute of Nursing Research (NINR) symptoms of fatigue, depression, cognition, pain, an...
Bookmarks Related papers MentionsView impact
Journal of pediatric nursing
This study explored the sequential relationships of parent perceptions of the quality of their di... more This study explored the sequential relationships of parent perceptions of the quality of their discharge teaching and nurse and parent perceptions of discharge readiness to post-discharge outcomes (parental post-discharge coping difficulty, readmission and emergency department visits). In this secondary analysis of data from a longitudinal pilot study of family self-management discharge preparation, the correlational design used regression modeling with data from a convenience sample of 194 parents from two clinical units at a Midwest pediatric hospital. Data were collected on the day of discharge (Quality of Discharge Teaching Scale; Readiness for Hospital Discharge Scale), at 3weeks post-discharge (Post-Discharge Coping Difficulty Scale), and from electronic records (readmission, ED visits). Parent-reported quality of discharge teaching delivery (the way nurses teach), but not the amount of content, was positively associated with parent perception (B=0.54) and nurse assessment (B=...
Bookmarks Related papers MentionsView impact
Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, 2017
Parents of hospitalized children, especially parents of children with complex and chronic health ... more Parents of hospitalized children, especially parents of children with complex and chronic health conditions, report not being adequately prepared for self-management of their child's care at home after discharge. No theory-based discharge intervention exists to guide pediatric nurses' preparation of parents for discharge. To develop a theory-based conversation guide to optimize nurses' preparation of parents for discharge and self-management of their child at home following hospitalization. Two frameworks and one method influenced the development of the intervention: the Individual and Family Self-Management Theory, Tanner's Model of Clinical Judgment, and the Teach-Back method. A team of nurse scientists, nursing leaders, nurse administrators, and clinical nurses developed and field tested the electronic version of a nine-domain conversation guide for use in acute care pediatric hospitals. The theory-based intervention operationalized self-management concepts, added...
Bookmarks Related papers MentionsView impact
Journal of Nursing Scholarship, 2015
Bookmarks Related papers MentionsView impact
MCN, The American Journal of Maternal/Child Nursing, 2004
Bookmarks Related papers MentionsView impact
Infant Mental Health Journal, 2015
Bookmarks Related papers MentionsView impact
Outcomes management for nursing practice
This study was designed to describe adequacy and satisfaction with prenatal care in a group of ru... more This study was designed to describe adequacy and satisfaction with prenatal care in a group of rural low-income women (n = 60) and to determine whether either was correlated with birth outcomes. Despite less than adequate prenatal care in 50% of the women, they were satisfied with their care, and outcomes for infants were good. When compared with women who received adequate prenatal care, there were no differences between the two groups. Tailoring prenatal care to individual needs, including care provided by certified nurse midwives with fewer prenatal visits, could be cost-effective without sacrificing quality. It is time to reexamine the recommended prenatal visit structure and care delivery in this country.
Bookmarks Related papers MentionsView impact
Nursing Outlook, 2014
Bookmarks Related papers MentionsView impact
Santé mentale au Québec, 2001
Résumé Vingt-neuf parents à faible revenu et leurs nourrissons ont participé à une recherche expl... more Résumé Vingt-neuf parents à faible revenu et leurs nourrissons ont participé à une recherche exploratoire portant sur les interactions parent-nourrisson et décrivant le niveau d'interactions, les similarités et les différences au sein des dyades mère-nourrisson et père-nourrisson. L'échelle de mesure Nursing Child Assessment Teaching Scale, un instrument d'observation standardisé de 73 items, a été utilisée pour mesurer les interactions. Les résultats ont montré que bien que la majorité (69%) des dyades parent-nourrisson n'ont pas démontré de comportements interactifs à risque, près de 31% de l'échantillon étaient désorganisés dans leurs interactions. De plus, les résultats ont démontré que bien que les deux parents étaient sensibles et répondaient aux signaux de leurs nourrissons, les mères étaient plus aptes que les pères à répondre à la détresse de leurs nourrissons alors que les nourrissons étaient plus clairs et répondaient mieux aux pères qu'aux mères. ...
Bookmarks Related papers MentionsView impact
Nursing Research, 1982
Bookmarks Related papers MentionsView impact
Nursing Inquiry, 2004
Researchers have documented negative physical and emotional consequences for both family caregive... more Researchers have documented negative physical and emotional consequences for both family caregivers of persons with cancer as well as caregivers of persons with a neurologic disorder. However, there is a unique subset of caregivers who must provide care for someone who may suffer from both a short, terminal trajectory of disease, as well as neurological and neuropsychiatric sequelae - the caregiver of a person with a primary malignant brain tumor. The purpose of this article was to describe a conceptual framework for providing care for a person with a primary malignant brain tumor. The demands of this particular care situation are described, as well as potential resources available to the caregiver to meet those demands. Finally, the stress response that results from the balance between care demands and caregiver resources is illustrated. Development of a conceptual framework for this caregiving population is the first step in assisting nurses to identify factors that place caregivers of persons with a primary malignant brain tumor at risk for negative consequences, and to design interventions to improve caregiver health.
Bookmarks Related papers MentionsView impact
NHSA Dialog: A Research-to-Practice Journal for the Early Intervention Field, 2002
... Rachel F. Schiffman, College of Nursing, Michigan State University; Hiram E. Fitzgerald, Depa... more ... Rachel F. Schiffman, College of Nursing, Michigan State University; Hiram E. Fitzgerald, Department of Psychology, Office of the Assistant Provost for ... side-in order to recognize our shared view (Bartunek & Louis, 1996; Clift, Veal, Holland, Johnson, & McCarthy, 1995; Todd ...
Bookmarks Related papers MentionsView impact
Journal of Pediatric Nursing, 2010
Bookmarks Related papers MentionsView impact
Journal of Pediatric Nursing, 2006
Bookmarks Related papers MentionsView impact
Uploads
Papers by Rachel Schiffman