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Fostering Interdisciplinary Research
Heitkemper, Margaret M. The Research Institute of Nursing Science Seoul Na 2007 간호학의 지평 Vol.4 No.1
Today interdisciplinary collaboration is an important component of clinical research. This paper focuses on how the University of Washington School of Nursing (UW-SON) Center for Women's Health and Gender Research (CWHGR) facilitated and sustained interdisciplinary research. The CWHGR funded by National Institutes of Nursing Research has been an important resource for the UW-SON since its inception in 1989. The CWHGR encourages interdisciplinary collaborative research by providing small grant funds, mentoring faculty and pre- and postdoctoral fellows, providing consultation to researchers in other disciplines, and creating a model of biobehavioral and sociocultural research collaboration that facilitates interdisciplinary research. A brief overview of the UW-SON CWHGR is provided as well as identification of barriers to interdisciplinary research.
The Past and Future of Nursing Research
Margaret M. Heitkemper 한국간호과학회 2007 Asian Nursing Research Vol.1 No.1
The past three decades have witnessed a remarkable growth in nursing science development. In both Korea and the United States, nurse scientists are poised to address important issues related to the prevention and management of significant health care problems. The need for greater nursing science development in the areas of self management, genetics, geriatrics, health promotion across the lifespan, technology, and mental health are briefly highlighted. Future research efforts will be enhanced by interdisciplinary collaboration and the creation of international nursing research centers. At the same time, we need to remain cognizant of the importance of mentoring future nurse scientists.
( Monica E Jarrett ),( Kevin C Cain ),( Pamela G Barney ),( Robert L Burr ),( Bruce D Naliboff ),( Robert Shulman ),( Jasmine Zia ),( Margaret M Heitkemper ) 대한소화기기능성질환·운동학회 2016 Journal of Neurogastroenterology and Motility (JNM Vol.22 No.1
Background/Aims To determine if potential biomarkers can be used to identify subgroups of people with irritable bowel syndrome (IBS) who will benefit the most or the least from a comprehensive self-management (CSM) intervention. Methods In a two-armed randomized controlled trial a CSM (n = 46) was compared to a usual care (n = 46) group with follow-up at 3 and 6 months post randomization. Biomarkers obtained at baseline included heart rate variability, salivary cortisol, interleukin-10 produced by unstimulated peripheral blood mononuclear cells, and lactulose/mannitol ratio. Linear mixed models were used to test whether these biomarkers predicted improvements in the primary outcomes including daily abdominal pain, Gastrointestinal Symptom score and IBS-specific quality of life. Results The nurse-delivered 8-session CSM intervention is more effective than usual care in reducing abdominal pain, reducing Gastrointestinal Symptom score, and enhancing quality of life. Participants with lower nighttime high frequency heart rate variability (vagal modulation) and increased low frequency/high frequency ratio (sympathovagal balance) had less benefit from CSM on abdominal pain. Salivary cortisol, IL-10, and lactulose/mannitol ratio were not statistically significant in predicting CSM benefit. Baseline symptom severity interacts with treatment, namely the benefit of CSM is greater in those with higher baseline symptoms. Conclusions Cognitively-focused therapies may be less effective in reducing abdominal pain in IBS patients with higher sympathetic tone. Whether this a centrally-mediated patient characteristic or related to heightened arousal remains to be determined. (J Neurogastroenterol Motil 2016;22:102-111)
Self-Help Education as Outreach Program for Osteoarthritis Patients in Rural Korea
Lee, Kyung Sook,So, Ae young,Jennie C. De Gagne,Choi, Jung sook,Lee, Eun Hee,Suh, Gil hee,Choi, Sun ha,Margaret M. Heitkemper 대한근관절건강학회 2011 근관절건강학회지 Vol.18 No.2
Purpose: This study was done to determine if osteoarthritis (OA) patients living in rural Korea would have a benefit from a structured group program focused on self-help strategies. Methods: A hundred and twenty-six patients with OA were recruited from nine Primary Health Care Posts. The experimental group received a 6-week self-help education program while the control group received usual care. T-tests and c2-tests were used to determine the homogeneity between the experimental and control groups. Independent sample t-tests were performed to determine the effect of the treatment program. To guard against such likelihood, the level of significance of t-test was determined by Bonferroni correction within the study constructs. When significant group differences were found in study variables at baseline, analysis of covariances (ANCOVAs) were used for group comparisons of outcome variables. Results: The experimental group reported more significant improvement in fatigue, difficulty with physical activity, depression, quality of life, self-efficacy, and health behaviors than did the control group. The experimental group also showed improvements in range of motion and muscle strength as compared to the control group. Conclusion: A self-help group education program was an effective and powerful strategy to promote physical and psychosocial health in OA patients