Findings advance knowledge about antecedents and consequences of work related nurse fatigue and provide an evidence-based research writing and research model that can be tested in future studies to reduce nurse fatigue and improve patient outcomes. Carolyn Jenkins, DrPH, research writing, FAAN, Chairman of the Advisory CommitteeThe purpose of this methodological qualitative study was to examine sources of researches writing in comprehension, response categories and within-language cultural variations that may influence validity and reliability of two existing diabetes-specific Health Related Quality of Life (HRQOL) instruments, research writing, The Audit of Diabetes Dependent Quality of Life (ADDQoL) survey and the Diabetes Quality of Life Brief Clinical Inventory (DQOL-B). Using cognitive interviewing (CI) methods, semi-structured interviews, consisting of survey questionnaires and verbal researches writing, were conducted with a purposive sample of 15 older African American adults who were diagnosed with type 2 diabetes. Each respondent was interviewed twice for a total of 30 interviews. Data underwent content analysis. The sample had a mean age of 72 years. Sixty percent were high school graduates. Health literacy results indicated marginal levels of health literacy. Interview data showed most observed problems with the HRQOL questionnaires were related to comprehension difficulties.

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