Digital Commons Network^™

Developing An Electronic Health Record Training Program For New Employees, Crystal D. Figlietti

Doctor of Nursing Practice (DNP) Projects

In May 2015, an electronic health record (EHR) was implemented at an urban, long-term care facility. This facility is part of the county Department of Public Health (DPH) and was one of the last locations to implement the designated EHR system. The unique nature of the facility compared to the smaller, health care centers within the DPH network necessitated development of a customized training and onboarding program for new employees. It was not possible to duplicate an existing training program. The registered nurse (RN) informaticist assigned to the EHR used data from nursing staff surveys and information collected through a …

Impact Of Conflict On Medical Education: A Cross-Sectional Survey Of Students And Institutions In Iraq, Ashton Barnett-Vanes, Sondus Hassounah, Marwan Shawki, Omar Abdulkadir Ismail, Chi Fung, Tara Kedia, Salman Rawaf, Azeem Majeed

Dartmouth Scholarship

Objective: This study surveyed all Iraqi medical schools and a cross-section of Iraqi medical students regarding their institutional and student experiences of medical education amidst ongoing conflict. The objective was to better understand the current resources and challenges facing medical schools, and the impacts of conflict on the training landscape and student experience, to provide evidence for further research and policy development. Setting: Deans of all Iraqi medical schools registered in the World Directory of Medical Schools were invited to participate in a survey electronically. Medical students from three Iraqi medical schools were invited to participate in a survey electronically. …

Bias In The Eyes Of Resident Physicians, Abel H. Irena, Kern A. Reid, Richard Battiola, Anthony Cáceres

Journal of Patient-Centered Research and Reviews

Background: The utilization of patient characteristics can allow health care providers to arrive at diagnosis or decide on treatment options; however, the subjective nature of patient characterization can negatively affect patient care. A 2003 Institute of Medicine report, called Unequal Treatment, recognized that bias or stereotyping may affect provider-patient communication or the care offered.

Purpose: To investigate residents’ recognition of bias in an inpatient care setting.

Methods: In order to explore the topic of bias among providers, we elected to indirectly assess its recognition among providers by asking their opinion in an anonymous manner about their fellow residents. This, we …

Are There Advantages To Hiring In-House Training Program Graduates?, Jessica J.F. Kram, Dennis J. Baumgardner

Journal of Patient-Centered Research and Reviews

Background: Several studies have compared international graduates on measures of performance, quality and satisfaction. No studies have compared internally versus externally hired graduates in relation to these measures.

Purpose: To identify if there is a difference in hiring patterns and care management (CM)/patient satisfaction (PS) scores between internal and external graduate hires.

Methods: We conducted a quality improvement study on graduates hired by Aurora Health Care from Jan. 1, 2006, to Dec. 14, 2015. CM scores were determined based on hire date. PS scores were calculated based on the calendar year, regardless of exact hire date. PS scales for scoring …

Reducing Disparities By Way Of A Cancer Disparities Research Training Program, Lee S. Caplan, Tabia H. Akintobi, Tandeca K. Gordon, Tiffany Zellner, Selina A. Smith, Daniel S. Blumenthal

Journal of Health Disparities Research and Practice

Background: For minority populations, there is a continuing disparity in the burden of death and illness from cancer. Research to address this disparity should be conducted by investigators who can best understand and address the needs of culturally diverse communities. However, minorities are under-represented in health-related research. The goal of this project was to develop and evaluate an approach to motivating and preparing master’s degree students for careers dedicated to cancer disparities research.

Method: A Cancer Disparities Research Training Program (CDRTP) was initiated in 2010. The program consists of coursework, practicum experiences, and research opportunities. Assessment of the curriculum is …

Training African Refugee Interpreters For Health Related Research, Terri Soelberg, Michal Temkin-Martínez, Mikal Smith, Pamela Springer

English Literature Faculty Publications and Presentations

This paper describes an approach to training African refugee interpreters for their role in health-related research. A study was proposed to evaluate the self-reported health of African Refugees in Boise, Idaho. Collaboration with a community advisory board revealed that targeted communities had members who spoke at least one of five main languages, many of whom had limited access to formal education. Interpreters were recruited from the refugee communities, and had either worked for and/or received training through one of two local hospitals. Few of the interpreters had experience serving in that role in the context of a research study. A …

The Effect Of A Seven-Week Exercise Program On Golf Swing Performance And Musculoskeletal Measures, Mico H. Olivier, Sean A. Horan, Kerrie A. Evans, Justin W. L. Keogh

Justin Keogh

As most golf exercise studies have shown improved golf performance as a result of two or three sessions per week, the present study investigated the effects of a supervised exercise session performed once a week for seven weeks on golf swing variables and musculoskeletal screening measures. Professional Golfers Association of Australia International Golf Institute student golfers (n = 43) with a mean ± standard deviation handicap of 8.6 ± 8.3 participated in the study. Each golfer performed 10 musculoskeletal tests and a standardised 60-shot golf performance test (TrackMan, Vedbaek, Denmark) on separate days before and after the seven-week program. Significant …

Effects Of Pediatric Emergence Delirium Education On Analgesic Administration By Pacu Nurses, Melinda C. Nwanganga

Evidence-Based Practice Project Reports

Emergence delirium (ED) is a behavioral disturbance as a result of general anesthesia that commonly occurs in pediatric patients. Adverse effects of ED lead to a complicated recovery from anesthesia due to the risk of self-inflicted injury of patients, the disturbance of surgical incisions, the development of postoperative maladaptive behaviors, and the increased use of sedatives and analgesics resulting in prolonged recovery time and delayed discharge from the post-anesthesia care unit (PACU). Due to the multiple ramifications of ED, appropriate care is needed to promote a safe recovery from anesthesia and an optimum perioperative experience for these patients. As PACU …

A Comparison Of Fitness Scores Between Injured And Uninjured Police Cadets., J. Jay Dawes, Robin Orr, Rodney Pope, Craig Elder

Rodney P Pope

Purpose: The purpose of this investigation was to determine whether there were significant mean score differences on selected fitness tests between cadets who sustained an injury while attending a 27-week state patrol training academy and their uninjured counterparts. Methods: Archival data for eighty-one cadets from two 27-week state patrol training cohorts were utilized for this analysis. This data was collected as part of the agency’s normal training academy fitness assessment prior to commencement of training. The data included self-reported age (yrs); height (in) and weight (lbs); and push-up, sit-up, vertical jump and 20 meter multi-stage fitness test (20m-MSFT) scores. Injury …

A Comparison Of Fitness Scores Between Injured And Uninjured Police Cadets., J. Jay Dawes, Robin Orr, Rodney Pope, Craig Elder

Rob Marc Orr

Purpose: The purpose of this investigation was to determine whether there were significant mean score differences on selected fitness tests between cadets who sustained an injury while attending a 27-week state patrol training academy and their uninjured counterparts. Methods: Archival data for eighty-one cadets from two 27-week state patrol training cohorts were utilized for this analysis. This data was collected as part of the agency’s normal training academy fitness assessment prior to commencement of training. The data included self-reported age (yrs); height (in) and weight (lbs); and push-up, sit-up, vertical jump and 20 meter multi-stage fitness test (20m-MSFT) scores. Injury …

12-Day Adventure Run-Hike Training At Altitude Improves Sea Level 5km Performance, Andrew M. Jones

All NMU Master's Theses

Elite and recreational endurance athletes routinely seek strategies to enhance sea level (SL) performance. Altitude (ALT) training continues to be an appealing approach. The primary purpose of this study was to measure the effect of a 12-day adventure running camp at ALT on 5 km time trial (TT) performance at SL. Secondarily, we explored changes in select metabolic and blood variables. We hypothesized an improvement in TT at SL. A group of five well-trained individuals (2 females) volunteered. TT, maximal oxygen uptake (VO₂max), running economy (RE), and a complete blood count (CBC) were measured at SL before and …

Evaluating Video Modeling To Teach Caregivers To Conduct Paired-Stimulus Preference Assessments, Cristina Diane Andersen

USF Tampa Graduate Theses and Dissertations

Stimulus preference assessments have been shown to identify stimuli that are likely to function as reinforcers for individuals with disabilities. It is important to identify these stimuli to increase the effectiveness of interventions. The ability to conduct a stimulus preference assessment is a skill that parents and caregivers should have. Research on training preference assessments is limited to staff, teachers, and students. The following study evaluated the effectiveness of video modeling to teach caregivers to conduct paired stimulus preference assessments. The results showed that video modeling was effective and that the results maintained during a one week follow up.

Residents’ Perception On The Need For Clinical Leadership Training At The Aga Khan University, Nairobi, Lance Mayabi

Theses & Dissertations

Background:The healthcare environment is becoming increasingly complex with physicians undertaking more leadership roles. The majority of physicians are not prepared to take up these roles, despite evolving evidence that good clinical leadership yields better clinical outcomes for both patients and healthcare organizations. Further, few residency programs explicitly embed leadership training for their students despite their positions at the forefront of healthcare delivery. This deficit ultimately leaves a multilevel healthcare “leadership” gap in a sector that depends heavily on the education process to improve clinical outcomes.

A pre-study survey of residency graduates at the Aga Khan University, Nairobi (AKU,N) undertaken …

The Effects Of Continuing Education On Nurse Knowledge Of Safe Haven Laws In Illinois, Lindsay Thiemkey Gordon

Evidence-Based Practice Project Reports

Illegal and often fatal infant abandonment is a pervasive public health crisis. Safe Haven Laws (SHLs) help to prevent illegal infant abandonment by allowing specific professionals, including nurses, to accept unharmed newborns within statutorily defined parameters. SHLs have existed for nearly two decades, yet many healthcare workers are not knowledgeable about these laws: this implies that initial efforts to educate healthcare workers about SHLs have been ineffective. Continuing education supports lifelong learning which is a basic tenet of nursing practice. The purpose of this evidence-based practice (EBP) project was to teach nurses about SHLs through evidence-based continuing education. Literature firmly …

Physical Activity And Health: “What Is Old Is New Again”, Andrew P. Hills, Steven J. Street, Nuala Byrne

Nuala Byrne

Much recent interest has focused on the relationship between physical activity and health and supported with an abundance of scientific evidence. However, the concept of Exercise is Medicine™copromoted by the American College of Sports Medicine and American Medical Association and similar august bodies worldwide is far from new— the importance of exercise for health has been reported for centuries. Participation in regular physical activity and exercise provides numerous benefits for health with such benefits typically varying according to the volume completed as reflected by intensity, duration, and frequency. Evidence suggests a dose–response relationship such that being active, even to a …

Athletes Who Train On Unstable Compared To Stable Surfaces Exhibit Unique Postural Control Strategies In Response To Balance Perturbations, D. S. Blaise Williams Iii, Nicholas G. Murray, Douglas W. Powell

Department of Health Sciences and Kinesiology Faculty Publications

Background

Athletes have been shown to exhibit better balance compared to non-athletes (NON). However, few studies have investigated how the surface on which athletes train affects the strategies adopted to maintain balance. Two distinct athlete groups who experience different types of sport-specific balance training are stable surface athletes (SSA) such as basketball players and those who train on unstable surfaces (USA) such as surfers. The purpose of this study was to investigate the effects of training surface on dynamic balance in athletes compared to NON.

Methods

Eight NON, eight SSA, and eight USA performed five 20-s trials in each of …

Cross-Platform Normalization Of Microarray And Rna-Seq Data For Machine Learning Applications, Jeffrey A. Thompson, Jie Tan, Casey S. Greene

Dartmouth Scholarship

Large, publicly available gene expression datasets are often analyzed with the aid of machine learning algorithms. Although RNA-seq is increasingly the technology of choice, a wealth of expression data already exist in the form of microarray data. If machine learning models built from legacy data can be applied to RNA-seq data, larger, more diverse training datasets can be created and validation can be performed on newly generated data. We developed Training Distribution Matching (TDM), which transforms RNA-seq data for use with models constructed from legacy platforms. We evaluated TDM, as well as quantile normalization, nonparanormal transformation, and a simple log …

Irish Healthcare Staff - Smoking, Training And Activity In Treatment Of Tobacco Dependence - An Online Survey, Sheila Keogan

Other Resources

INTRODUCTION Ireland has strong tobacco control legislation but must get smokers to stop if the national plan of having a smoking prevalence of 5% by the year 2025 is possible. Involving all healthcare staff in this effort is regarded as important. We surveyed the present situation. METHODS An online survey was conducted of 1257 healthcare staff; 520 nurses, 440 doctors, 297 dentists in 2014. The sample was accessed with the help of the Irish Nurses and Midwifes Organisation (INMO), Irish Medical Organisation (IMO) and the Irish Dental Association (IDA). The questionnaire addressed individual smoking habits and attitudes, training and practice …

Estimation Of Simulated Blood Loss By Orthopaedic Residents Before And After Brief Training, Jeffrey T. Jobe, Erika L. Garbrecht, Heather M. Menzer, Richard A. Miller

UNM Orthopaedic Research Journal

Background: Accurate estimation of blood loss (EBL) may be helpful for patient safety during certain operative procedures; however, medical students and residents are rarely instructed in EBL. In a series of two tests, we attempted to reveal any significant improvement in accuracy of EBL after a brief training session.

Methods: Fourteen orthopaedic residents were recruited. Participants estimated the amounts of simulated blood before and after a training session that involved a visual of 110 cm3 of the spilled fluid. Three volumes of 50, 237, and 531 cm3 of simulated blood were spilled on a lap sponge, blanket, and trash bag, …

Relationship Between Nurse Training And Physical Restraints In Nursing Homes, Terah Tessier

Walden Dissertations and Doctoral Studies

According to the Centers for Medicare and Medicaid Services (CMS), approximately 1.3 million U.S. residents are residing in nursing homes. CMS enforced regulations in the Nursing Home Reform Act. Training in the use of restraints in nursing homes is monitored through the CMS standards. The purpose of this study was to determine whether there was a correlation between training standards of health care practitioners and their use of restraints in nursing homes based on the patterns of citations by RNs and CNAs. Data were collected from Kansas, Louisiana, and Ohio within the CMS Nursing Home Data Compendium. The key research …

Development Of A Guide To Successful Onboarding Of New Nurse Graduates, Jacquelyn Estelle Young

Walden Dissertations and Doctoral Studies

The literature indicates that serving as a preceptor for new nurse graduates can be challenging and stressful without proper training in this role. Many organizations appoint preceptors without providing training and support for the role, which negatively impacts both the new nurse and the preceptor. Evidence shows that a preceptor workshop can cultivate the knowledge and skills needed to train and precept new nurse graduates. Further, there is evidence that preceptorship programs ease new graduates' transition to practice, increase employee satisfaction, and improve the quality of care provided to clients. The purpose of this developmental project was to develop a …

Improving The Charge Nurse's Leadership Role: A Collaborative Learning Forum, Felicia Katherine Pryby

Walden Dissertations and Doctoral Studies

Staff nurses are frequently placed in charge nurse positions without the necessary formal training. The long-term goal of this project was to develop a curriculum for a formal institutional leadership workshop for the charge nurses at the practicum site. The Johns Hopkins Nursing Evidence-Based Practice model and Lewin's change theory were used to guide the development and implementation of the workshop. Data were collected using a focus group approach with 4 novice and 5 expert medical-surgical charge nurses. The short-term goal of the project was to understand the charge nurses' perceptions of leadership and the challenges as a front-line leader. …

Experiences Of Heterosexual-Identified Counselors-In-Training With Lesbian, Gay, And Bisexual Couples In Relation To Perceived Training And Self-Efficacy, Melissa Lee-Tammeus Lee-Tammeus

Walden Dissertations and Doctoral Studies

Research has indicated that lesbian, gay, and/or bisexual (LGB) couples seek mental health counseling far more than heterosexual couples. Using identity development theory and family-of-choice frameworks, a review of the literature revealed that there are a multitude of considerations in working with LGB couples. The use of self-determination theory and social cognitive theory also uncovered many considerations for counselors and counselors-in-training. The purpose of the current study was to add to the lacking empirical data regarding counselors-in-training by exploring their experiences in working with LGB couples. More specifically, this study aimed to understand perceptions regarding the educational training and self-efficacy …

Best Practices For Controlling Tuberculosis - Training In Correctional Facilities: A Mixed Methods Evaluation, Ellen Reynolds Murray

Walden Dissertations and Doctoral Studies

According to the literature, identifying and treating tuberculosis (TB) in correctional facilities have been problematic for the inmates and also for the communities into which inmates are released. The importance of training those who can identify this disease early into incarceration is vital to halt the transmission. Although some training has been done by public health authorities for corrections, there is little to no evaluation of such training. The aim of this mixed methods retrospective study was to evaluate the effectiveness of a training to control TB in correctional facilities. The Southeastern National Tuberculosis Center (SNTC) conducted 12 trainings between …

Sexual Attraction In The Therapy Room: An Exploration Of Licensed Marriage And Family Therapists’ Experiences And Training, Rafiah Prince

Department of Family Therapy Dissertations and Applied Clinical Projects

The client-therapist relationship is an essential part of therapy and is central in helping clients achieve therapeutic goals as the joining process facilitates the change process. However, in an effort to create a space for change, there is a possibility that professional boundaries may become blurred wherein a client may express a sexual attraction toward their therapist. To explore this phenomenon, the researcher employed convergent parallel mixed method design to explore the experiences of Licensed Marriage and Family Therapists (LMFTs) who have experienced sexual attraction from their clients. The study was conducted online through a secure forum. Implications for clients, …

Effectiveness Of A Critical Care Nurse Residency Program, Pam Redman

Walden Dissertations and Doctoral Studies

The importance of nurse residency programs is addressed in the literature; however, a review of residency program outcomes and effectiveness is needed. Guided by Roy's adaptation model and Deming's plan-do-check-act model, the purpose of this quality improvement project was to assess the current state of a longstanding critical care nurse residency program in meeting organizational goals and objectives and to recommend modifications to the program related to external factors, internal challenges, and educational deficits of nurses entering the program. A review of the evidence-based literature and feedback from focus groups of leadership stakeholders were used to develop recommendations for residency …

Effects Of Controlled-Whole Body Vibration Training In Improving Disability Status And Functional Mobility Among People With Multiple Sclerosis, Edson F. Estrada

Open Access Theses & Dissertations

Multiple Sclerosis (MS) is a neurological disease that affects the central nervous system. The most common symptoms of MS are loss of mobility and thus restricted independence. The purpose of this study was to inspect the effects of an 8-week CWBV training course in modifying the disability status and functional mobility among people with MS (PwMS). Twenty-five participants diagnosed with MS (mean ± SD age: 50.3 ± 14.1 years; body height: 165.4 ± 9.2 cm; body mass: 73.9 ± 14.1 kg; disease duration: 15.3 ± 10.5 years; 18 females) participated in this study to experience an 8-week training intervention on …

Tuberculosis First (Field Investigator Response And Surveillance Training), Center For Leadership In Public Health Practice

Preparedness and Emergency Response Learning Center

• Develop interviewing and communication skills needed to assist in eliciting health information to assist in a tuberculosis disease outbreak investigation.
  • Course skills are adaptable to other health settings.
• Review fundamentals of nonverbal and verbal communication.
• Understand fundamentals of Interviewing Techniques:
  • Concepts of Bias.
  • Importance of Identifying Unusual Occurrences.
  • Importance of Maintaining Cultural Sensitivity, Confidentiality and Ethics during interviewing.

Tuberculosis: Fundamentals And Response Planning, Center For Leadership In Public Health Practice

Preparedness and Emergency Response Learning Center

• Brief History of Tuberculosis and Current Epidemiology
• Tuberculosis Transmission and Pathogenesis
• Latent Tuberculosis Infection
• Drug Resistant Tuberculosis
• Methods for Detecting Tuberculosis Infection-U.S.
• Diagnosis of Tuberculosis Disease
• Reporting a Tuberculosis Case
• Tuberculosis Contact Investigation
• Core Steps of a Tuberculosis Outbreak Investigation

Providing Hands-On Training With Bioinformatics Databases: A Collaboration Between Vcu Libraries & Wright Center For Clinical And Translational Research, Karen H. Gau, Julie A. Arendt, Amy Olex, Aaron R. Wolen

VCU Libraries Faculty and Staff Presentations

Background
With the goal of increasing specialized services for researchers, Virginia Commonwealth University (VCU) Libraries sent its basic science librarians to an intensive training on bioinformatics databases, “A Librarian’s Guide to NCBI.” VCU’s Wright Center for Clinical and Translational Research (Wright CCTR) was expanding the educational component of its bioinformatics support around the same time. This year, the librarians partnered with the Wright CCTR to offer an introductory bioinformatics database workshop introducing researchers to genetic/genomic databases.

Methods
For one week in June, sessions were conducted introducing up to 30 faculty and staff to The Cancer Genome Atlas and NCBI’s Gene, …