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  1. Article ; Online: Improving Research, Policy, and Practice to Address Women's Sexual and Reproductive Health Care Needs During Emerging Adulthood.

    Schlegel, Emma C / Smith, Laureen H

    Nursing for women's health

    2021  Volume 25, Issue 1, Page(s) 10–20

    Abstract: Women in the period of emerging adulthood (18-25 years of age) have the greatest rates of unintended pregnancy and sexually transmitted infections. Despite this disproportionate risk, women's sexual and reproductive health needs during emerging adulthood ...

    Abstract Women in the period of emerging adulthood (18-25 years of age) have the greatest rates of unintended pregnancy and sexually transmitted infections. Despite this disproportionate risk, women's sexual and reproductive health needs during emerging adulthood are poorly understood. As a result, few age-specific policies or person-centered practice guidelines are available to reduce sexual risk. In this commentary we explore the unique characteristics of emerging adulthood that contribute to greater sexual and reproductive health risks for women. Current evidence on sexual and reproductive health outcomes of women during emerging adulthood and limited practice guidelines are discussed. Recommendations for health care providers, especially nurses, for guiding personalized care for women in emerging adulthood are discussed.
    MeSH term(s) Adolescent ; Adult ; Female ; Health Policy ; Humans ; Nurse's Role ; Pregnancy ; Reproductive Health ; Sexual Behavior ; Sexual Health ; Women's Health ; Young Adult
    Language English
    Publishing date 2021-01-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2275619-X
    ISSN 1751-486X ; 1751-4851
    ISSN (online) 1751-486X
    ISSN 1751-4851
    DOI 10.1016/j.nwh.2020.11.009
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  2. Article ; Online: Navigating the turbulent seas: Experiences of peer mentorship on the journey to becoming a nurse scholar.

    Sherman, Jessica / Kalvas, Laura Beth / Schlegel, Emma C

    Nurse education today

    2022  Volume 121, Page(s) 105694

    Abstract: Background: Peer mentorship is a vital component of doctoral education; however, few studies describe peer mentorship in Doctor of Philosophy in Nursing (PhDN) programs.: Objectives: Explore characteristics, benefits, and challenges of peer ... ...

    Abstract Background: Peer mentorship is a vital component of doctoral education; however, few studies describe peer mentorship in Doctor of Philosophy in Nursing (PhDN) programs.
    Objectives: Explore characteristics, benefits, and challenges of peer mentorship experienced by PhD-N students.
    Design: An electronic survey was sent to PhD-N program administrators at member institutions of the American Association of Colleges of Nursing in the United States. Contacts were asked to distribute the survey to current and recently graduated PhD-N students. Descriptive statistics were used to analyze participant demographics. Thematic analysis was used to analyze survey responses.
    Results: Respondents (n = 213) provided perspectives from every PhD-N program phase, with 43.3 % (n = 91) pre-candidacy, 41.0 % (n = 86) candidacy, and 15.7 % (n = 33) recently graduated students. A total of 55.2 % (n = 117) received some form of peer mentorship. Thematic analysis revealed three peer mentorship levels (map, compass, first mate) representing varying degrees of emotional investment. Peer mentorship benefits included feeling connected to peers and the institution, strengthening research skills, and feeling supported. Barriers to peer mentorship include lack of time and institutional support, fear of burdening others, and poorly matched mentors.
    Conclusion: Given that peer mentorship recipients reported feeling supported and less isolated, academic institutions should build a culture that promotes and supports peer mentorship. Future research should examine peer mentorship effects on PhD-N students' mental health, academic success, and faculty transition.
    MeSH term(s) Humans ; United States ; Mentors/psychology ; Peer Group ; Mentoring ; Faculty, Nursing ; Students, Nursing/psychology
    Language English
    Publishing date 2022-12-13
    Publishing country Scotland
    Document type Journal Article
    ZDB-ID 1062570-7
    ISSN 1532-2793 ; 0260-6917
    ISSN (online) 1532-2793
    ISSN 0260-6917
    DOI 10.1016/j.nedt.2022.105694
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  3. Article ; Online: Fostering Early Career Nursing Faculty Support in the Academy: The Power of "Academic Therapy".

    Solberg, Marvin A / Schlegel, Emma C / Spurlock, Elizabeth J / Blair, Lisa M / Nowak, Alexandra L

    Nurse educator

    2023  Volume 49, Issue 2, Page(s) E97–E98

    MeSH term(s) Humans ; Faculty, Nursing ; Nursing Education Research ; Mentors ; Faculty, Medical ; Career Mobility
    Language English
    Publishing date 2023-08-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1034267-9
    ISSN 1538-9855 ; 0363-3624
    ISSN (online) 1538-9855
    ISSN 0363-3624
    DOI 10.1097/NNE.0000000000001504
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  4. Article ; Online: Health Disparities Among Sexual and Gender Minorities With Adverse Childhood Experiences: Insights From the 2021 Behavioral Risk Factor Surveillance System Data.

    Solberg, Marvin A / Blair, Lisa M / Schlegel, Emma C / Kurzer, Julie A M J

    American journal of public health

    2023  Volume 113, Issue 12, Page(s) 1343–1351

    Abstract: Objectives. ...

    Abstract Objectives.
    MeSH term(s) Humans ; Male ; Female ; Behavioral Risk Factor Surveillance System ; Gender Identity ; Sexual Behavior ; Sexual and Gender Minorities ; Adverse Childhood Experiences
    Language English
    Publishing date 2023-11-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 121100-6
    ISSN 1541-0048 ; 0090-0036 ; 0002-9572
    ISSN (online) 1541-0048
    ISSN 0090-0036 ; 0002-9572
    DOI 10.2105/AJPH.2023.307420
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  5. Article ; Online: The EMeRGE theory of emerging adult-aged women's sexual and reproductive health self-management: A grounded theory study.

    Schlegel, Emma C / Pickler, Rita H / Tate, Judith A / Williams, Karen Patricia / Smith, Laureen H

    Journal of advanced nursing

    2023  Volume 80, Issue 2, Page(s) 510–525

    Abstract: Aims: To explore how emerging adult-aged women self-manage their sexual and reproductive health and to generate a grounded theory of these self-management processes.: Design: Grounded theory methods using a constructivist approach.: Methods: ... ...

    Abstract Aims: To explore how emerging adult-aged women self-manage their sexual and reproductive health and to generate a grounded theory of these self-management processes.
    Design: Grounded theory methods using a constructivist approach.
    Methods: Between September 2019 and September 2020, 18- to 25-years-old women (n = 13) were recruited from a 4-year university, a 2-year community college, and neighbourhoods surrounding the institutions of higher education. Individual interviews were transcribed verbatim and qualitatively analysed using a constant comparative method and inductive coding.
    Results: The theory purports that core processes of sexual and reproductive health self-management used by the women in this study included both passive and (re)active processes. These processes expanded upon and/or maintained the women's accessible sexual and reproductive health knowledge, behaviour and beliefs, defined as the sexual and reproductive health repertoire. The processes appeared to be cyclical and were often initiated by a catalysing event or catalyst and resulted in conversations with confidantes, or trusted individuals. A catalyst was either resolved or normalized by expanding or maintaining the sexual and reproductive health repertoire.
    Conclusion: The resulting theory, EMeRGE Theory, offers insight into the complex and cyclical processes emerging adult-aged women use to simultaneously develop and adapt their foundational sexual and reproductive health knowledge, behaviours and beliefs.
    Implications for the profession and/or patient care: This explication of emerging adult-aged women's sexual and reproductive health self-management processes can be used by nurses and nurse researchers to better address this population's unique health needs.
    Impact: The EMeRGE Theory provides valuable guidance for future exploratory and intervention research aimed at improving the health and well-being of emerging adult-aged women.
    Reporting method: The authors adhered to the Consolidated Criteria for Reporting Qualitative studies (COREQ) in preparation of this publication.
    Patient or public contribution: No patient or public contribution.
    MeSH term(s) Adult ; Humans ; Female ; Aged ; Adolescent ; Young Adult ; Reproductive Health ; Grounded Theory ; Sexual Behavior ; Reproduction ; Qualitative Research ; Women's Health
    Language English
    Publishing date 2023-08-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 197634-5
    ISSN 1365-2648 ; 0309-2402
    ISSN (online) 1365-2648
    ISSN 0309-2402
    DOI 10.1111/jan.15814
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  6. Article ; Online: Practical strategies for qualitative inquiry in a virtual world.

    Schlegel, Emma C / Tate, Judith A / Pickler, Rita H / Smith, Laureen H

    Journal of advanced nursing

    2021  Volume 77, Issue 10, Page(s) 4035–4044

    Abstract: Aim: The aim of this article is to provide practical strategies for maintaining methodological rigour in executing a virtual qualitative study. Strategies are based on evidence from existing research about virtual qualitative methods and on the ... ...

    Abstract Aim: The aim of this article is to provide practical strategies for maintaining methodological rigour in executing a virtual qualitative study. Strategies are based on evidence from existing research about virtual qualitative methods and on the strategies used by the authors to convert a planned in-person qualitative, grounded theory study to an entirely virtual grounded theory study during the COVID-19 pandemic. The study began in-person in September 2019 and was converted to virtual in March 2020. Virtual data collection was completed in September 2020.
    Design: This article provides a case exemplar of virtual adaptations made to a study underway when the pandemic rendered all in-person research impractical and potentially dangerous.
    Data sources: The strategies discussed are based on our own experiences and the supporting theoretical assumptions of qualitative research, specifically grounded theory methods.
    Implications for nursing: Nursing scholars conducting qualitative inquiry may find these strategies helpful in continuing research activities during periods of limited access to the phenomena or persons of interest. Furthermore, these strategies allow nursing scholars to conduct rigorous, in-depth research without geographical limitations, providing greater possibilities for international collaborations and cross-institution research.
    Conclusion: Despite novel challenges, methodological adaptations that are carefully planned and purposeful allow qualitative and non-qualitative scholars to continue research activities in a fully virtual manner.
    Impact: This case exemplar and discussion provide practical strategies for qualitative scholars to consider while planning new studies or converting an in-person study to a virtual one. Despite the in-person nature of in-depth qualitative inquiry, a historic pandemic and a changing research environment require qualitative researchers to adapt to virtual methods while still conducting high quality, methodologically rigorous research. Qualitative scholars can use the strategies presented here to continue rigorous qualitative inquiry despite limited access to phenomena or persons.
    MeSH term(s) COVID-19 ; Grounded Theory ; Humans ; Pandemics ; Qualitative Research ; SARS-CoV-2
    Language English
    Publishing date 2021-08-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 197634-5
    ISSN 1365-2648 ; 0309-2402
    ISSN (online) 1365-2648
    ISSN 0309-2402
    DOI 10.1111/jan.15000
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  7. Article ; Online: Associations between hair cortisol and blood pressure: a systematic review and meta-analysis.

    Pageau, Lauren M / Ng, Teresa J / Ling, Jiying / Given, Barbara A / Robbins, Lorraine B / Deka, Pallav / Schlegel, Emma C

    Journal of hypertension

    2023  Volume 41, Issue 6, Page(s) 875–887

    Abstract: Objective: Stress is widely considered to be a risk factor for high blood pressure (BP), but evidence on the associations between biomarkers of chronic stress and BP is inconsistent. This systematic review and meta-analysis assessed the current state of ...

    Abstract Objective: Stress is widely considered to be a risk factor for high blood pressure (BP), but evidence on the associations between biomarkers of chronic stress and BP is inconsistent. This systematic review and meta-analysis assessed the current state of the science on relationships between measures of cortisol concentration reflecting chronic stress exposure [hair cortisol concentration (HCC), nail cortisol concentration)] and BP.
    Methods: PubMed, Cumulative Index to Nursing and Allied Health Literature, Web of Science, Cochrane Library, and Embase were searched. Random effects models were used to assess the pooled effect size. Exploratory moderation analysis was performed.
    Results: Out of 34 014 identified, 16 articles met eligibility criteria and were included in the review, while 14 were included in the meta-analysis. No articles were reported on the association between nail cortisol concentration and BP. Small, positive associations were observed between HCC and SBP [ r  = 0.19 (95% confidence interval (CI): 0.08-0.29)] and HCC and DBP [ r  = 0.13 (95% CI: 0.04-0.22)]. Cortisol analysis method was identified as a significant moderator of the association between HCC and DBP. HCC was largely, positively associated with hypertension status [odds ratio = 3.23 (95% CI: 2.55-4.09), P  < 0.001].
    Conclusions: Current evidence suggests that higher HCC may be associated with elevated BP and a potential risk factor for hypertension. However, results should be interpreted with caution because HCC can be affected by hair color, hair care products, and analytic methods. Given the limitations of studies included in this review, further research is needed.
    MeSH term(s) Humans ; Blood Pressure ; Hydrocortisone ; Hypertension ; Risk Factors ; Hair/chemistry
    Chemical Substances Hydrocortisone (WI4X0X7BPJ)
    Language English
    Publishing date 2023-03-28
    Publishing country Netherlands
    Document type Meta-Analysis ; Systematic Review ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 605532-1
    ISSN 1473-5598 ; 0263-6352 ; 0952-1178
    ISSN (online) 1473-5598
    ISSN 0263-6352 ; 0952-1178
    DOI 10.1097/HJH.0000000000003412
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  8. Article ; Online: 'Taking Care': A qualitative study of emerging adult-aged women's sexual and reproductive health definitions.

    Schlegel, Emma C / Pickler, Rita H / Tate, Judith A / Alexander, Kamila A / Williams, Karen Patricia / Smith, Laureen H

    Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives

    2023  Volume 37, Page(s) 100877

    Abstract: Objective: Emerging adult-aged (EA;18-25 years) women have disproportionately high rates of unintended pregnancy and sexually transmitted infections compared to other women of reproductive age. Little is known about how EA women define and prioritize ... ...

    Abstract Objective: Emerging adult-aged (EA;18-25 years) women have disproportionately high rates of unintended pregnancy and sexually transmitted infections compared to other women of reproductive age. Little is known about how EA women define and prioritize various aspects of sexual and reproductive health. The purpose of this study was to identify EA women determined definitions of sexual and reproductive health.
    Methods: Between September 2019 and September 2020, 13 women were interviewed about their sexual and reproductive health. Interview transcripts were used to conduct qualitative content analysis.
    Results: Definitions provided by participants were grouped according to three distinct thematic categories, Being Safe, Healthcare as a Tool, and Mind-Body Connection. Being Safe included using condoms and taking steps to prevent sexually transmitted infections. Healthcare as a Tool referred to utilization of healthcare services (e.g., an annual exam) to manage sexual and reproductive health. Mind-Body Connection included acknowledgement of both the physical and mental aspects of sexual and reproductive health, as well as awareness of physical and emotional discomfort related to it. These categories highlight EA women's holistic definitions of sexual and reproductive health.
    Conclusions: Healthcare providers and researchers can use the holistic sexual and reproductive health definitions endorsed by EA women in this study as a starting point for creating and delivering sexual and reproductive healthcare and counseling that is developmentally appropriate and sensitive to population-specific needs.
    MeSH term(s) Pregnancy ; Adult ; Female ; Humans ; Reproductive Health ; Sexual Behavior ; Women's Health ; Sexually Transmitted Diseases/prevention & control ; Condoms
    Language English
    Publishing date 2023-06-12
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2541869-5
    ISSN 1877-5764 ; 1877-5756
    ISSN (online) 1877-5764
    ISSN 1877-5756
    DOI 10.1016/j.srhc.2023.100877
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  9. Article ; Online: A multilevel perspective on goals, barriers, and facilitators of school-based asthma management.

    Mammen, Jennifer R / McGovern, Colleen M / Schoonmaker, Judith D / Philibert, Ashley / Schlegel, Emma C / Arcoleo, Kimberly

    The Journal of asthma : official journal of the Association for the Care of Asthma

    2021  Volume 59, Issue 12, Page(s) 2461–2474

    Abstract: Background: School based asthma care is being increasingly used to combat uncontrolled pediatric asthma.: Objective: The purpose of these secondary analyses was to explore multi-level perspectives regarding school-based asthma medical management for ... ...

    Abstract Background: School based asthma care is being increasingly used to combat uncontrolled pediatric asthma.
    Objective: The purpose of these secondary analyses was to explore multi-level perspectives regarding school-based asthma medical management for inner city, school-aged children with poor asthma control.
    Methods: Sixty-six participants from two large U.S. urban school districts and key stakeholders participated in 1:1 interviews and focus groups. Participants were selected from across the asthma care community (children/caregivers, school personnel, nurses, pharmacists, healthcare providers, and administrators/insurers). Qualitative and descriptive techniques were used to analyze data.
    Results: Goals
    Conclusion: Moving away from a crisis-based approach to asthma management for high-risk children will require increased systemic support for proactive asthma care and optimized communication within the asthma care community.
    Supplemental data for this article is available online at https://dx.doi.org/10.1080/02770903.2021.2018704.
    MeSH term(s) Humans ; Child ; Asthma/therapy ; Goals ; Schools ; Focus Groups ; Caregivers
    Language English
    Publishing date 2021-12-28
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 603816-5
    ISSN 1532-4303 ; 0277-0903
    ISSN (online) 1532-4303
    ISSN 0277-0903
    DOI 10.1080/02770903.2021.2018704
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  10. Article ; Online: PhD student perspectives on maintaining and formalizing peer mentorship during the COVID-19 pandemic.

    Schlegel, Emma C / Kalvas, Laura Beth / Sherman, Jessica P / Holod, Alicia F / Ko, Eunjung / Cistone, Nicole / Miller, Emika / Sealschott, Stephanie D / Nowak, Alexandra L

    Journal of professional nursing : official journal of the American Association of Colleges of Nursing

    2022  Volume 41, Page(s) 65–74

    Abstract: Mentorship is important for doctoral education and development. Students in Doctor of Philosophy (PhD) in Nursing programs traditionally receive formal mentorship from more experienced faculty mentors, creating a top-down, mentor-mentee relationship. ... ...

    Abstract Mentorship is important for doctoral education and development. Students in Doctor of Philosophy (PhD) in Nursing programs traditionally receive formal mentorship from more experienced faculty mentors, creating a top-down, mentor-mentee relationship. Peer mentorship, characterized by a mentor-mentee relationship between peers in similar career stages, provides unique opportunities for career development and socialization. The emergence of the COVID-19 pandemic limited in-person interactions and introduced new, complex challenges to peer mentorship. The authors, current and recently graduated PhD in Nursing students, were forced to create new ways of connecting with peers and sought to explore how other PhD in Nursing students experienced and maintained peer mentorship in their respective programs during the pandemic. In this article, the authors share their personal experiences with peer mentorship during the pandemic, their process of creating a formal peer mentor model, and findings from a national, cross-sectional survey on COVID-related, peer mentorship experiences among PhD in Nursing students from other academic institutions. Most respondents were able to maintain peer mentorship throughout the pandemic, however, less than half reported receiving faculty support to do so. Recommendations for PhD in Nursing program administrators are provided, based on the experiences of the authors and survey results from PhD in Nursing students across the United States.
    MeSH term(s) COVID-19 ; Cross-Sectional Studies ; Humans ; Mentors ; Pandemics ; Students, Nursing ; United States
    Language English
    Publishing date 2022-05-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632951-2
    ISSN 1532-8481 ; 8755-7223
    ISSN (online) 1532-8481
    ISSN 8755-7223
    DOI 10.1016/j.profnurs.2022.04.010
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