Exploring Parents' Intentions to Monitor and Mediate Adolescent Social Media Use and Implications for School Nurses.

Social media may promote health and social connectedness, but its misuse and frequency of use may pose risks. Social media use during adolescence requires parental monitoring and mediation to mitigate potentially harmful effects such as depression, anxiety, and risk-taking behaviors. While parents and health care professionals convey concern surrounding exposure to inappropriate content, prolonged screen time, and cyberbullying, appropriate social media monitoring remains challenging. The purpose of this study was to explore parental monitoring and mediation of social media use in adolescents. Online recruitment yielded a nationwide sample (n = 836) of parents of adolescents. The results of the online survey indicated that parents are concerned about adolescent social media use and endorse positive attitudes toward monitoring. Yet parents perceived little control over monitoring. Findings from this study support the school nurse in promoting healthy social media use, media literacy among parents and adolescents, and the use of screening tools.

Be the Change: An Interprofessional Team-Based Health Advocacy Summit.

In a complex health care environment, nursing and health care professional graduates should be able to understand and collaboratively advocate for health policy benefitting patients, families, and communities. This study explored the effectiveness of interprofessional team-based learning to improve political astuteness in undergraduate health profession students. This engaging method may prove to enhance health care professionals' likelihood of understanding, involvement, and influencing health policy in the future.

Effectiveness of simulation-based orientation of baccalaureate nursing students preparing for their first clinical experience.

This study evaluated the effectiveness of a 2-day, simulation-based orientation for baccalaureate nursing students preparing to begin their first clinical experience. Students were recruited for participation in the study from a clinical foundation course. Actors (standardized patients) provided students with the chance to engage with simulated real patients in realistic clinical situations prior to entering the clinical setting. Students' perceived stress, knowledge acquisition, anxiety, self-confidence, and satisfaction with the orientation process were assessed. Findings indicated a statistically significant increase in knowledge of and confidence in skills needed when first entering the clinical setting and a decrease in anxiety following the orientation activity. Students had a positive attitude about interaction with real patients, faculty, and other students during the experience. Improved self-confidence and satisfaction were reported as a result of participation in simulation-based orientation.

Analysis of after-action reporting by deployed nurses.

The purpose of this study was to explore the nature of information in after-action reports in terms of nursing practice and the utility of using after-action reports in a feedback loop to improve nursing training. This was a three-phase, mixed-method, qualitative study, using focus groups, phone surveys, and e-mail surveys to collect data. The sample consisted of 72 military nurses (Air Force, Navy, and Army) deployed in the last 4 years. The process of after-action reporting is unknown to the majority of nurse corps officers. Topics of concern in after-actions reporting included supplies, psychosocial issues, personnel, communications, logistics, and after-actions reporting process. Traditional written after-actions reporting has not provided an adequate feedback loop. Alternative methods suggested included "hot wash" meetings, online submissions, e-mail contributions, and verbal debriefings. After-actions reporting could yield an excellent wealth of information, if reported in a timely and detailed manner, for nursing leaders.

Cardiovascular risks in a military health care beneficiary population with high blood pressure.

Prevention strategies for coronary artery disease among hypertensive patients require assessment of other modifiable risk factors in the target population. In this article, we describe the prevalence of other cardiovascular risk factors in military beneficiaries with high blood pressure (HBP). Baseline data from an ongoing randomized clinical trial designed to test effectiveness of a comprehensive HBP intervention are used in the analysis. A total of 147 beneficiaries from a military health system participated in this study. Findings indicate that the rate of HBP control in this sample was suboptimal (32%: blood pressure < 140/90). Other prevalent cardiovascular risk factors include high cholesterol, obesity, and diabetes. Many of these patients (31.3%) are also in the moderate-to-high danger level of developing coronary artery disease in the near future. These findings warrant a regular assessment of cardiovascular risk factors and rigorous behavioral interventions for all beneficiaries of the military health care system.