Cheryl A. Krause-Parello

The Mediating Effect of Pet Attachment Support Between Loneliness and General Health in Older Females Living in the Community

The relationship between loneliness and general health was investigated in 159 older females living in the community. Pet attachment support, a variable tested as a mediator of this relationship, was examined also. Participants completed the Revised UCLA Loneliness Scale, a Pet Attachment scale, and the Psychological General Well-Being Schedule: general health subscale. A negative relationship between loneliness and general health decreased when controlling for pet attachment support as a coping mechanism. The findings from this study support that pet attachment support has a mediating effect on the relationship between loneliness and general health in this sample of older females. Implications for community health nurses and public policy are discussed. This study was funded in part by Sigma Theta Tau International, Honor Society of Nursing, Kean Universitys Chapter, Lambda Iota.

School nurses in New Jersey: a quantitative inquiry on roles and responsibilities.

PURPOSE This study examined types of chronic diseases present and nursing procedures administered in school, health promotion and disease prevention efforts, collaborative efforts, perception of school nursing activities, documentation media of school nursing activities, and student academic outcomes. DESIGN AND METHODS A nonexperimental research design was employed. The sample (N= 63) was practicing school nurses in New Jersey public schools. RESULTS The increased numbers of students with chronic illnesses in mainstream classrooms have increased the roles and responsibilities of school nurses. PRACTICE IMPLICATIONS School nurses can use the findings as a framework to articulate their roles and responsibilities.

Forensic Interviews for Child Sexual Abuse Allegations: An Investigation into the Effects of Animal-Assisted Intervention on Stress Biomarkers

The use of therapy animals during forensic interviews for child sexual abuse allegations is a recommendation by the Therapy Animals Supporting Kids Program to help ease children’s discomfort during the forensic interview process. Based on this recommendation, this study incorporated a certified therapy canine into the forensic interview process for child sexual abuse allegations. This study investigated changes in salivary cortisol, immunoglobulin A, blood pressure, and heart rate as a result of forensic interview phenomenon (e.g., outcry) incorporating animal-assisted intervention versus a control condition in children (N = 42) interviewed for alleged child sexual abuse. The results supported significantly greater heart rate values for the control group (n = 23) who experienced sexual contact and/or indecency than the experience of aggravated sexual assault compared to no difference in HR for the intervention group (n = 19). The results suggest that the presence of the canine in the forensic interview may have acted as a buffer or safeguard for the children when disclosing details of sexual abuse. In the intervention group, children’s HR was lower at the start of the forensic interview compared to the control group. Finding an effect of having a certified handler–canine team available during the forensic interview on physiological measures of stress has real-world value for children, child welfare personnel, and clinical therapists. It is suggested that animal-assisted intervention be expanded to children facing other types of trauma and to treatment programs for child survivors of sexual abuse.

The Effects of an Animal-Assisted Intervention on Salivary Alpha-Amylase, Salivary Immunoglobulin A, and Heart Rate during Forensic Interviews in Child Sexual Abuse Cases

ABSTRACT Animal-assisted invention (AAI) in gaining attention as a therapeutic modality; however, the effect of it has not been well studied in the child welfare system. The purpose of this study was to examine the effects of AAI on stress indicators (as measured by salivary alpha-amylase (sAA), immunoglobulin A (IgA), and heart rate) in children undergoing forensic interviews for alleged sexual abuse. A repeated measures design was used in this study. Upon receiving signed, informed consents and assents, children were enrolled in the study. Children (n = 42), whose ages ranged from 5 to 14 years (M = 8.91, SD = 2.33), were assigned to either the intervention condition (n = 19; AAI during forensic interview) or the control condition (n = 23; standard practice forensic interview). Each childs parent/guardian completed a demographic form, and saliva samples and heart rate measures were obtained from each child before and after the forensic interview. Mixed linear models were tested, with the level of significance set at p ≤ 0.05. There was an interactive effect regarding the duration of the interview and the presence of the dog on sAA after the forensic interview (p = 0.047). There also was a significant interaction between age and length of interview (p = 0.01). Salivary immunoglobulin A tended to be lower (p = 0.055) when the therapy dog was present during the forensic interview. Results further indicated that the drop in heart rate was greater in longer interviews and with older children (p = 0.02) when the dog was present. Individuals working in child welfare systems can use the results of this study to advocate for the use of therapy dogs as a therapeutic intervention. More research is needed to further examine the relationships among AAI, salivary biomarkers, and stress responses in children to improve child welfare.

Human-canine interaction: exploring stress indicator response patterns of salivary cortisol and immunoglobulin A.

A repeated measures design was used to analyze the effect of a canine interaction on salivary cortisol and immunoglobulin A (IgA) in 33 adults; 16 were pet owners and 17 were non-pet owners. Cortisol and IgA levels before and after a canine interaction (experimental) or viewing a canine movie (control) were measured by enzyme-linked immunosorbent assay and spectrophotometer. Data show a significant interaction effect for salivary cortisol in non-pet owners (p = 0.003). Changes in IgA levels were not significant. The findings suggested that interaction with canines may help reduce the biological effects of stress that influences human health. Further studies with larger sample sizes are necessary to support these results.

School Nursing in a Contemporary Society: What are the Roles and Responsibilities?

The foundation studies cited in this manuscript was funded by the American Federation of Teachers (AFT) Healthcare. This study was funded by Kean Universitys Release Time for Research (RTR) Award and the manuscript developed through Kean Universitys Center for Nursing Research, The principal investigator wishes to thank the school nurses who participated in this research as well research assistants Kimika Samms (second author) and Michelle Proudfoot (graduate assistant).

Situational Factors Related to Loneliness and Loss Over Time Among Older Pet Owners

Loneliness occurs in people of all ages but can be particularly debilitating in older adults. In this population, there are many factors that enter into the loneliness–loss pathway. The purpose of this study was to examine the interrelations of situational factors, coping, and pet attachment that affect loneliness in 191 older adults who experienced loss over time. Data showed that loneliness was lower among study participants who lived in 55 and over residences than private residences, those who experienced loneliness due to loss, those who reported lower coping, and those who reported higher pet attachment. The results of this study suggest that nurses working with this population need to evaluate loneliness by means of situational factors such as living arrangements. Nurses should also examine the effects of loss over time and discuss coping mechanisms, including the benefit of pet relationships in this vulnerable population. Implications for nursing are addressed.

Military veterans and canine assistance for post-traumatic stress disorder: a narrative review of the literature

BACKGROUND Veterans with post-traumatic stress disorder (PTSD) are a vulnerable population at high risk for depression, isolation, and suicide. A substantial body of anecdotal evidence exists supporting the use of canines as an effective adjunct treatment for this population. However, a comprehensive review of its use based on scientific literature has thus far not been conducted. METHODS A narrative literature review was conducted to examine the current state of the science on canine assistance for veterans diagnosed with PTSD in order to synthesize current empirical knowledge on the subject. Articles were retrieved among the small body of recent literature using computerized database searches. Inclusion criteria included peer-reviewed journal publications published through October 1st, 2015. Only originally published articles that examined the outcomes of canine assistance on veterans with PTSD were examined. Additionally, each included article was specific to veterans, dogs, and, PTSD in combination rather than article that discuss the concepts separately. Exclusion criteria included symposia and conference material, dissertations, media articles, and no mention of canines as a treatment modality. 563 articles were retrieved; 6 met the criteria. When evaluating data, information and themes were extracted into an Excel table; this table was employed in the synthesis of information into manuscript form. RESULTS The following themes were explored within the selected publications: What is Canine Assistance; Why Use Canine Assistance for PTSD in Veterans; Concerns; and Future Directions. The literature endorsed canine assistance for PTSD in veterans as a promising modality. Authors also raised concerns about lack of protocols, cost and availability barriers, and animal welfare calling for additional, rigorous research to advance its use as a treatment for veterans with PTSD. CONCLUSIONS PTSD continues to pose significant psychological, health, and welfare challenges to veterans and the multi-disciplinary providers who treat them. Analysis of this literature should expand knowledge and outline future directions for healthcare professions and improve health and wellness for veterans with PTSD through the use of canine assistance.

Setting nursing science priorities to meet contemporary health care needs

Setting nursing science priorities to meet contemporary health care needs Holli A. DeVon, PhD, RN, FAHA, FAAN*, Marti Rice, PhD, RN, FAAN, Rita H. Pickler, PhD, RN, FAAN, Cheryl A. Krause-Parello, PhD, RN, FAAN, Therese S. Richmond, PhD, CRNP, FAAN University of Illinois at Chicago, College of Nursing, Chicago, IL University of Alabama at Birmingham, School of Nursing, Birmingham, AL The Ohio State University, College of Nursing, Columbus, OH University of Colorado, College of Nursing, Denver, CO University of Pennsylvania, School of Nursing, Philadelphia, PA

Developing a center for nursing research: An influence on nursing education and research through mentorship

Nursing research, education, and mentoring are effective strategies to enhance and generate nursing knowledge. In order to explore new opportunities using an international and interdisciplinary approach, a Center for Nursing Research (CNR) was developed at Kean University a public institution for higher education in the United States. At the CNR, nursing professionals and students collaborate in all aspects of nursing education and the research process from a global perspective and across disciplines. The advancement of knowledge and understanding is of absolute importance to the field of nursing and other collaborative fields. The CNR functions to educate nursing faculty and students through scholarly activities with an ongoing commitment to nursing education and research. Mentorship in nursing education and research fosters professional, scholarly, and personal growth for both the mentor and mentee. The CNR serves as a model vehicle of applied, functional mentoring strategies and provides the venue to allow the mentor and mentee to collaborate in all aspects of nursing education and research.