Medicine and Health Sciences Commons^™

Competence And Care: Signature Pedagogies In Nursing Education, Thomas Long, Karen Breitkreuz, Desiree Diaz, John Mcnulty, Arthur Engler, Carol Polifroni, Jennifer Telford

John K. McNulty

A registered nurse should exercise sound, compassionate clinical judgment; demonstrate deep and broad knowledge of health and illness; and be a technically skilled health care provider, who works effectively with patients and families in a complex medical, ethical, legal, and professional landscape. The nursing profession has periodically reflected on the nature of nursing education and has proposed new directions in the teaching of nursing. The Goldmark Report (1923), funded by the Rockefeller Foundation, paved the way for college- and university-based nursing programs; prompted by the success for the World War II cadet nurse program, the Montag Report (1951) initiated the …

Developing Ambulatory Care Registered Nurse Competencies For Care Coordination And Transition Management, Sheila Haas, Beth Ann Swan, Traci Haynes

Sheila A. Haas, PhD, NP, FAAN

The need for care coordination and management of transitions between Patient-Centered Medical Home providers, outpatient and community settings, including the Accountable Care Organization is often overlooked, episodic, and accountability for coordinating care and managing transitions between providers and services is lacking.

Health Care Reform: Current Updates And Future Initiatives For Ambulatory Care Nursing, Beth Ann Swan, Phd, Crnp, Faan, Sheila Haas, Phd, Np, Faan

Sheila A. Haas, PhD, NP, FAAN

Executive Summary: While the signing of the Patient Protection and Affordable Care Act was a historical event marking the beginning of health care reform in the United States, it signaled the start of a golden age for ambulatory care nursing. Ambulatory care RNs are well-positioned to fully participate in health care reform initiatives. RNs are well-positioned to lead, facilitate, and/or participate in all patient care medical homes' and accountable care organizations'quality and safety initiatives through enhanced use of major ambulatory care RN role dimensions such as advocacy, telehealth, patient education, care coordination and transitional care, and community outreach. RNs are …

Improvement In Emotional Eating Associated With An Enhanced Body Image In Obese Women: Mediation By Weight-Management Treatments' Effects On Self-Efficacy To Resist Emotional Cues To Eating, James Annesi, Nicole Mareno

Nicole Mareno

Indirect Effects Of Exercise On Emotional Eating Through Psychological Predictors Of Weight Loss In Women, James Annesi, Nicole Mareno

Nicole Mareno

Effects Of An After-School Care-Administered Physical Activity And Nutrition Protocol On Body Mass Index, Fitness Levels, And Targeted Psychological Factors In 5-To 8-Year-Olds, James Annesi, Alice Smith, Stephanie Walsh, Nicole Mareno, Kathleen Smith

Nicole Mareno

Nclex Readiness-Remediation Across The Curriculum: Begin With The End In Mind, Beth Kaskel, Nila Reimer, Cheryl Rockwell, Becky Salmon

Cheryl Lynn Rockwell

Nursing faculty are sometimes challenged when leading students to successful completion of nursing exams including the NCLEX. It is essential that faculty identify specific learning barriers for students who are challenged with nursing exams. Nursing faculty have reported various methods of remediation to enhance students’ readiness for taking nursing exams in preparation for the NCLEX. Although test review sessions, guided imagery, and assessments of learning styles are common strategies reported by faculty to provide remediation for students who are preparing for nursing exams, the literature reveals minimal evidence to support these strategies. Nursing faculty at IPFW have expanded on common …

A Comparison Of Skills Competency Test Scores Among Philippine-Educated Nursing Students After An Intensive Medical-Surgical Course, Margaret Fink, Debbie Daunt, Patricia Harris, Barbara Mccamish

Patricia Harris

Objective: This study examined the effect of a 10-week intensive medical-surgical course on ability to perform 16 common, acute care skills among Philippine educated nursing students seeking licensure in California. The aims of the study were to (1) determine competency in performing skills at the start of the medical-surgical course and (2) evaluate the effectiveness of the medical-surgical course in improving skill competency. Methods: Twenty-three Philippine educated nursing students participated in a 4-hour skills competency test procedure that involved 4 patient care stations and 16 common acute care skills. During the last week of the 10-week medical-surgical course that included …

Transcultural Self-Efficacy Perceptions Of Baccalaureate Nursing Students, Margaret Halter, Faye Grund, Mark Fridline, Sharon See, Lisa Young, Carol Reece

Mark Fridline PhD

Addressing the health care needs of a 21st-century nation that is experiencing increased diversity and disparity will require new models of educating future providers. The cultural competence and confidence model was the guiding framework in a study evaluating the influence of cultural educational offerings on the transcultural self-efficacy (TSE) perceptions in baccalaureate nursing students. The Transcultural Self-Efficacy Tool was used to measure perceived TSE in a pretest (N = 260), posttest (N = 236) study over an academic year. Significant changes were demonstrated in overall self-efficacy and on the cognitive, practical, and affective subscales. A classification and regression …

Using Lean Methodology To Decrease Wasted Rn Time In Seeking Supplies In Emergency Departments, David Richardson, Valerie Rupp, Kayla Long, Megan Urquhart, Erin Ricart, Lindsay Newcomb, Paul Myers, Bryan Kane

Bryan G Kane MD

No abstract provided.

Implementation Of A Rapid Assessment Unit (Intake Team): Impact On Ed Length Of Stay., Richard Mackenzie, David Burmeister, Jennifer Brown, Melissa Teitsworth, Christopher J Kita, Megan Dambach, Shaheen Shamji, Marna Greenberg

Marna R Greenberg DO, MPH, FACEP

No abstract provided.

Psychosocial Predictors Of Emotional Eating And Their Weight-Loss Treatment-Induced Changes In Women With Obesity, James Annesi, Nicole Mareno, Kristin Mcewen

Nicole Mareno

Genomics And Autism Spectrum Disorder, Norah Johnson

Norah L Johnson

Purpose: To present the current state of the evidence regarding translation of genetics (the study of single genes) and genomics (the study of all genes and gene-gene or gene-environment interactions) into health care of children with autism spectrum disorder (ASD).

Methods: This article presents an overview of ASD as an international health challenge, the emerging science related to broad diagnostic criteria, and the role of the nurse in research, education, and practice.

Findings: Much progress is being made in the understanding of genetics and genomics of ASD. Environmental factors are thought to contribute to the risk of developing ASD by …

Lack Of Father Involvement In Research On Children With Autism Spectrum Disorder: Maternal Parenting Stress And Family Functioning, Norah Johnson

Norah L Johnson

Autism Spectrum Disorder (ASD) has an estimated prevalence of greater than 1% of people in the US. Caring for children with ASD is stressful and challenging for parents. The purpose of the study is to understand the ramifications of the findings of a spouse/father's lack of participation for a study focused on stress and family functioning that attempted to recruit both parents of a child with ASD. The Kruskal-Wallis test compared medians of three groups of mothers of children with ASD in order to assess differences in parenting stress and family functioning discrepancy depending on their marital status and spouse …

Children With Developmental Disabilities At A Pediatric Hospital: Staff Education To Prevent And Manage Challenging Behaviors, Norah Johnson, Joel Lashley, Alice Stoneck, Annette Bonjour

Norah L Johnson

Children with developmental disabilities may get frustrated in unpredictable hospital environments. Frustration may escalate to challenging behaviors, which are a safety concern and may contribute to staff and patient injuries, use of restraints, and procedure delay or cancelations. The purpose of this article was to describe a pilot staff education program on preventing and managing challenging behaviors of children with developmental disabilities at a pediatric hospital. The 2-hour-long education (1 hour on-line and 1 hour instructor led) content focused on family-centered care and communication skills, including verbal judo™ modified for use in the health care setting. Participants in the instructor-led …

Social Script Ipad Application Versus Usual Care Before Undergoing Medical Imaging: Two Case Studies Of Children With Autism, Norah Johnson, Octavia Bree

Norah L Johnson

Autism spectrum disorders (ASDs) are neurodevelopmental disorders of socialization, communication, and repetitive behaviors. Children with ASD have underlying anxiety leading to challenging behaviors in unfamiliar situations. The anxiety impacts timely completion of an imaging procedure. The purpose of the case study was to describe the process of the social script intervention delivered using the iPad application on parent and child anxiety, child behaviors, and imaging procedure length between two parent and child dyads. The case study of two parent-child dyads demonstrated the process for comparing the social script intervention iPad app for preparing for imaging versus usual care. Parent anxiety …

Effects On Resilience Of Caregivers Of Persons With Autism Spectrum Disorder: The Role Of Positive Cognitions, Abir Bekhet, Norah Johnson, Jaclene Zauszniewski

Norah L Johnson

BACKGROUND: Approximately 2.8 million people in the United States are diagnosed with autism spectrum disorder (ASD). Family caregivers manage many aspects of their care, which is demanding, overwhelming, and can affect their mental health. OBJECTIVE: This study examined the effects of caregiver burden (risk factor) and positive cognitions (protective factors) on resourcefulness(resilience indicator) in 95 caregivers of persons with ASD. DESIGN: Descriptive, correlational, and cross-sectional. RESULTS: Positive cognitions explained 32% of the variance in resourcefulness, F(1, 93) = 44.49, p < .001, and as positive cognitions increased, caregivers’ resourcefulness increased. A substantial drop in the beta weight of caregiver burden from B = −.36 to −.04 when positive cognitions was entered the equation suggested that positive cognitions mediated the effect …

Autism Spectrum Disorder: Parenting Stress, Family Functioning And Health-Related Quality Of Life, Norah Johnson, Marilyn Frenn, Suzanne Feetham, Pippa Simpson

Norah L Johnson

The prevalence of Autism Spectrum Disorder (ASD) is 1 in 110 persons in the U.S. Both parents of children with ASD are under stress that may impact their health-related quality of life (HRQL) (physical and mental health). The purpose of the current study was to explore the relationship of parenting stress, support from family functioning and the HRQL (physical and mental health) of both parents. Female (n = 64) and male (n = 64) parents of children with ASD completed Web-based surveys examining parenting stress, family functioning, and physical and mental health. Results of a Wilcoxon signed-ranks test showed that …

Resilience In Family Members Of Persons With Autism Spectrum Disorder: A Review Of The Literature, Abir Bekhet, Norah Johnson, Jaclene Zauszniewski

Norah L Johnson

Worldwide, caregivers find caring for children with Autism Spectrum Disorder (ASD) challenging. Family members must manage many aspects of care giving, which is demanding, overwhelming, and can affect the family members’ mental health. However learning how to be resilient may help family members overcome the stress and burden associated with caring for a person with ASD. A search was completed in Medline, PsycINFO, Proquest, Web of Science, and CINAHL using the key words “autism,” “caregivers,” “mothers,” and “fathers,” alone and in combination. Inclusion criteria were English language articles reporting studies with samples of children with ASD, as distinct from children …

Attributed Meanings And Strategies To Prevent Challenging Behaviors Of Hospitalized Children With Autism: Two Perspectives, Norah Johnson, Abir Bekhet, Karen Robinson, Dana Rodriguez

Norah L Johnson

Introduction

Understanding is limited of the meaning attributed to behaviors of children with autism spectrum disorder and strategies used to prevent challenging behaviors in the context of hospitalization.

Methods

This qualitative study consisted of two focus groups (n = 10; five mothers and five health care providers [HCPs]). Transcripts were analyzed using the qualitative method of narrative inquiry.

Results

The meaning attributed to behaviors by the mothers and the HCPs differed. The mothers attributed behaviors to the child's communication of frustration, hyperactivity, and self-calming. The HCPs attributed challenging behaviors to self-stimulation and child aggression. Strategies to prevent behaviors also …

Effect Of A Social Script Ipad Application For Children With Autism Going To Imaging, Norah Johnson, Octavia Bree, Erin Lalley, Kelly Rettler, Pam Grande, Md Gani, Sheikh Ahamed

Norah L Johnson

This randomized controlled trial feasibility study tested the effectiveness of an iPad® application (app) social script intervention for children with autism spectrum disorder (ASD) going to imaging and their parent (n = 32 parent/child dyads). Parents of the children exposed to the app (n = 16) had lower state anxiety compared to the parents whose children were not exposed to the app (n = 16) (effect size 0.33). Children exposed to the app had fewer externalized challenging behaviors than the control group (effect size 0.56). The results demonstrate feasibility and efficacy of the intervention. Further study of the iPad app …

Fostering Ambulation For A Preschool Child With Rett Syndrome: A Case Report, Catherine Schaefer-Campion, Norah Johnson

Norah L Johnson

Children with Rett Syndrome (RS) have neuromotor impairments that impact their mobility. Poor hand function among children with RS limits the selection of an assistive device for ambulation. Purpose: The purpose of this case report is to describe the process of selecting an assistive device for a child with RS to promote ambulation. Method: This single subject case reports on a 5-year-old girl with RS at a suburban mid-western early childhood special education setting. Results: The child in this case was able to walk the farthest distances with a metal toy shopping cart and then with an anterior facing four-wheeled …

The Journey Through Nursing Doctoral Education: An Inside Story, Nila Reimer

Nila Reimer

Students who gain new knowledge by integrating scholarliness and stewardship for the nursing profession possess key ambitions for succeeding in nursing doctoral education. In this narrative inquiry, a student reflects on themes of scholarly integration, intellectual community, and stewardship that are embedded in the values and attitudes evidenced in the culture of a Doctor of Philosophy in nursing program. The doctoral student’s personal reflection demonstrates professional growth during the experience of nursing doctoral education. This inquiry provides guidance for other students as they embark on their journey toward scholarly development and stewardship during their doctoral education experience.

Engaging Teens And Parents In Collaborative Practice: Perspectives On Diabetes Self-Management, Susan Sullivan-Bolyai, Carol Bova, Kimberley Johnson, Karen Cullen, Carol Jaffarian, Diane Quinn, Edwin Aroke, Sybil Crawford, Mary Lee, Olga Gupta

Mary M. Lee

PURPOSE: The purpose of this exploratory focus group study was to describe the perspectives of teens and their parents about self-management knowledge, behaviors (including division of labor associated with T1D management), and resources used to manage T1D. The overall goal is to use this information to develop a teen-family transition clinic.

METHODS: The self and family management behaviors framework undergirded the separate teen-parent focus groups that were conducted concurrently. Note-based qualitative content analysis was used, resulting in several important messages. RESULTS: From the teens' perspective there was variation in interest in learning more about T1D and management. Those teens who …

Evidence-Based Hiv Pilot Program For Chinese College Students: Differences By Gender, Wei-Chen Tung, Teresa Serratt, Minggen Lu

Teresa Serratt

This study explored gender differences in the effectiveness of the translated VOICES (Video Opportunities for Condom Education and Safer Sex) intervention on the condom use intention, perceived benefits and barriers to condom use, condom use self-efficacy, and HIV/ AIDS knowledge among Chinese students in a US university. We utilized a pretest/post-test quasi-experimental design and recruited 67 Chinese students at the local university. Participants viewed a 20-min video with Chinese subtitles, attended one 25-min small group discussion and condom interactive educational activity. Female participants showed significantly greater mean scores of perceived benefits and condom use self-efficacy, in comparison with male participants. …

Interactive Video Gaming Maintains Vo2 & Hr At Current Recommended Exercise Intensities For Cardiovascular Fitness, Michael Jarrett, Shaelee Allen, Jacob Barkley, Janet Dufek, Paul Hafen, Krystina Moschella, James Navalta, Robert Rietjens, Richard Tandy, Antonio Santo

Jacob E Barkley

The purpose of this study was to determine the energy cost of playing select games on the Nintendo Wii for 30 contiguous minutes and whether or not the physical interaction of the participant with the gaming system and subsequent physiologic intensity diminishes with playing time.

Association Of A Behaviorally Based High School Health Education Curriculum With Increased Exercise, James Annesi, John Trinity, Nicole Mareno, Stephanie Walsh

Nicole Mareno

The Relationship Of Metabolic Syndrome And Health-Promoting Lifestyle Profiles Of Latinos In The Northwest, Leonie Sutherland, Shawn Simonson, Dawn Weiler, Janet Reis, Amara Channel

Dawn Weiler

Latinos are at elevated risk for metabolic syndrome (MetS), a cluster of metabolic factors predictive of cardiovascular disease and diabetes. This study summarizes the association of MetS risk factors with self-reported health behaviors for 225 low-income, Northwest Latino men and women according to age and gender. The Health-Promoting Lifestyle Profile II (HPLP II) in English and Spanish was used to measure the extent to which participants engaged in health-promoting behavior. Biophysical measures included body composition, blood pressure, and fasting venous blood analysis. Men had significantly higher triglycerides, blood glucose, and systolic and diastolic blood pressure readings. Both men and women …

Levels Of Empathy In Healthcare Profession Students, Noel Kerr, Ashley Tegge, '15

Noël M Kerr PhD, RN, CMSRN

No abstract provided.

When Nurses Become The "Second" Victim, Jackie Jones, Linda Treiber

Linda A. Treiber

Purpose: Well-intentioned, conscientious nurses make medication errors. The subsequent feelings of guilt, remorse, and loss of personal and professional self-esteem these nurses experience are well documented. In this paper, we analyze the concept of "second victim" within the context of medication administration errors. We also examine factors that contribute to nurses becoming second victims after making an error. Practice implications: Implications for nurses and nursing practice include nurses being given a greater degree of authority in designing the nursing work environment. Implications for nurses and nursing practice are presented. Conclusion: Further study is needed to more fully understand this phenomenon …