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The emphasis of this report is on participation patterns across activities and segments of our society. Versions 1 to 13 of NSRE cover more than 50 activities, from casual walking outdoors to more challenging activities such as mountain biking and scuba diving. In this report, we describe both general types of outdoor participation and participation in land, water, and snow or ice settings (for details regarding the history and methodology of the NSRE please refer to the Foreword and Introduction sections). A weighting strategy was also used in the reporting of the data that combined both multi-variate and multiplicative weights (i.e., age, race, sex * education * urban/rural strata) as this considered the most appropriate weighting adjustment. This weighting adjustment assured better estimates of recreation participation and trends across the general population. Version 12 of the NSRE focused only on people living in the southern Appalachians and hence data from this version is not included in this report.

It is essential to examine conflict between patients and health care professionals from the patient's perspective. The purposes of this study were to 1) identify sources of conflict, 2) determine nursing interventions that alleviate conflict, and 3) test a conceptual framework of sources of conflict. This phenomenological study focused on children with cancer and their parents' perceptions of conflicts with health care professionals as well as what they thought helped with such conflicts. Their reports of conflict were compared to C. W. Moore's circle of conflict conceptual framework. A purposive sample of 27 participants (9 children, 14 mothers, and 4 fathers) participated in the study. Study findings showed that conflict occurred between health care professionals and families originating from differences in expectations and desires regarding data, interests, structure, relationships, and values, consistent with C. W. Moore's conceptual framework. Nursing interventions reported by children and parents to be helpful in preventing or alleviating conflict were identified. C. W. Moore's framework may provide a valuable structure for assessing conflict and designing nursing interventions to alleviate conflict.

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