Medicine and Health Sciences Commons^™

Nursing Homes In The Mountain West, 2023, Annie Vong, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet presents nursing home data in the Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah. Data from a September 2023 ProPublica publication titled, “Nursing Home Inspect” are presented including the total number of nursing homes, homes with serious deficiencies, homes with infection related deficiencies, the amount nursing homes paid in penalties and the number of payment suspensions for nursing homes in the Mountain West.

Births In The Mountain West, 2016-2020, Corryn Richardson, Hira Ahmed, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet examines state-level data on births and health indicators from the National Center for Health Statistics (NCHS), a government health statistics unit of the Center for Disease Control and Prevention (CDC). This fact sheet presents data related to births in the Mountain West states of Arizona, Colorado, New Mexico, Nevada, and Utah.

Synergistic Effects Of Incident Diabetes Between Snoring, Family History Of Diabetes, And Obesity, Yoo-Jeong Jeon, Seung Ku Lee, Jin-Young Kim, Chol Shin

Nursing Faculty Publications

Objective: The general public recognizes the connections between obesity, family history of diabetes (FHD), and diabetes, but remains unaware of synergistic effects that occur due to their combination. In this study, we investigate the synergistic effects of event diabetes between snoring, FHD, and obesity. Materials and Methods: Study subjects were selected among participants in the Korean Genome and Epidemiology Study Ansan- Ansung cohort, an ongoing prospective population-based study. Ansan-Ansung cohort initiated in 2001 and 2002 and has been followed biennially. At baseline, the initial cohort of 10.030 subjects, aged 40 to 69 years. A total of 5.759 participants were included …

Serum Micronutrient Status, Sleep Quality And Neurobehavioral Function Among Early Adolescents, Xiaopeng Ji, Charlene W. Compher, Sharon Y. Irving, Jinyoung Kim, David F. Dinges, Jianghong Liu

Nursing Faculty Publications

Objective: To examine associations between serum micronutrients and neurobehavioral function and the mediating role of sleep quality in early adolescents. Design: In this cross-sectional study, peripheral blood samples were analyzed for iron and zinc levels. The Pittsburgh Sleep Quality Index and Penn Computerized Neurocognitive Battery were used to assess sleep quality and neurobehavioral function, respectively. The generalized linear regressions (bootstrap) were performed to estimate the associations. Setting: Jintan, China Participants: 226 adolescents (106 females) from the Jintan Child Cohort study. Results: Adolescents with low iron (< 75 ug/dl) (OR=1.29, p=0.04) and low zinc (< 70 ug/dl) (OR=1.58, p0.05). Conclusion: Iron and zinc deficiencies may possibly be associated with poor sleep and neurobehavioral function among early adolescents. Poor sleep may partially mediate the relationship between micronutrients and neurobehavioral function.

Healthcare-Seeking Behaviours In College Students And Young Adults: A Review, Dieu-My T. Tran, Angela Silvestri-Elmore

Nursing Faculty Publications

Background/aims: To review the literature on college students’ healthcare-seeking behaviours to uncover the current evidence and promote better healthcare-seeking behaviours and essentially better health outcomes in young adults. Methods: The researchers conducted an extensive literature review using CINAHL, Cochrane, PubMed, EBSCOhost and Google Scholar in the years 2018 and 2019. The search was limited to the past 18 years (2000–2018) and to studies reported in the English language focused on the general healthcare-seeking behaviour of college students. The search was also extended to young adults (aged 18–39 years). Results: A total of 56 articles were identified for abstract review and …

Long-Term Impact Of Mild Traumatic Brain Injuries On Multiple Functional Outcomes And Epigenetics: A Pilot Study With College Students, Hyunhwa Lee, Sungchul Lee, Ipuna Black, Laura Salado, Jonica Estrada, Katrina Isla

Nursing Faculty Publications

People who suffer a mild traumatic brain injury (mTBI) have heterogeneous symptoms and disease trajectories, which make it difficult to precisely assess long-term complications. This pilot study assessed and compared deficits in cognitive, psychosocial, visual functions, and balance performance between college students with and without histories of mTBI. Global DNA methylation ratio (5-mC%) in blood was also compared as a peripheral epigenetic marker. Twenty-five volunteers participated, including 14 healthy controls (64.3% females; mean age of 22.0) and 11 mTBI cases (27.3% females; mean age of 28.7 years) who self-reported mTBI history (63.6% multiple; 2.5 ± 1.29 injuries) with 7.1 years …

An Actigraphy-Based Validation Study Of The Sleep Disorder Inventory In The Nursing Home, Gunnhild J. Hjetland, Inger Hilde Nordhus, Ståle Pallesen, Jeffrey Cummings, Rochelle E. Tractenberg, Eirunn Thun, Eirin Kolberg, Elisabeth Flo

School of Medicine Faculty Publications

Background: Disrupted sleep is common among nursing home patients with dementia and is associated with increased agitation, depression, and cognitive impairment. Detecting and treating sleep problems in this population are therefore of great importance, albeit challenging. Systematic observation and objective recordings of sleep are time-consuming and resource intensive and self-report is often unreliable. Commonly used proxy-rated scales contain few sleep items, which affects the reliability of the raters' reports. The present study aimed to adapt the proxy-rated Sleep Disorder Inventory (SDI) to a nursing home context and validate it against actigraphy. Methods: Cross-sectional study of 69 nursing home patients, 68% …

Geospatial Variation In Caesarean Delivery, Jennifer Vanderlaan, Johnathan A. Edwards, Anne Dunlop

Nursing Faculty Publications

Aim: The purpose of this study was to evaluate the variation in caesarean delivery rates across counties in Georgia and to determine whether county-level characteristics were associated with clusters. Design: This was a retrospective, observational study.

Methods: Rates of primary and repeat caesarean by maternal county of residence were calculated for 2008 through 2012. Global Moran's I (Spatial Autocorrelation) was used to identify geographic clustering. Characteristics of high and low-rate counties were compared using student's t test and chi squared test.

Results: Spatial analysis of both primary and repeat caesarean rate identified the presence of clusters (Moran's I = 0.375; …

Methodology For Sampling Women At High Maternal Risk In Administrative Data, Jennifer Vanderlaan, Anne Dunlop, Roger Rochat, Bryan Williams, Susan E. Shapiro

Nursing Faculty Publications

Background: In population level studies, the conventional practice of categorizing women into low and high maternal risk samples relies upon ascertaining the presence of various comorbid conditions in administrative data. Two problems with the conventional method include variability in the recommended comorbidities to consider and inability to distinguish between maternal and fetal risks. High maternal risk sample selection may be improved by using the Obstetric Comorbidity Index (OCI), a system of risk scoring based on weighting comorbidities associated with maternal end organ damage. The purpose of this study was to compare the net benefit of using OCI risk scoring vs …

Cultural Factors Affecting Resilience Of Filipino Immigrant Women, Andrew Reyes

Nursing Faculty Publications

This presentation describes the results of a descriptive study exploring the relationship between resilience, acculturative stress, and cultural family beliefs about disclosing mental health problems among Filipino immigrant women living in the United States.

Using Cluster Analysis To Identify Subgroups Of College Students At Increased Risk For Cardiovascular Disease, Dieu-My Tran, Kevin A. Kupzyk, Lani M. Zimmerman

Nursing Faculty Publications

Background and Purpose: To examine the co-occurrence of cardiovascular risk factors and cluster subgroups of college students for cardiovascular risks. Methods: A cross sectional descriptive study was conducted using co-occurrence patterns and hierarchical clustering analysis in 158 college students. Results: The top co-occurring cardiovascular risk factors were overweight/obese and hypertension (10.8%, n = 17). Of the total 34 risk factors that co-occurred, 30 of them involved being overweight/obese. A six-cluster-solution was obtained, two clusters displayed elevated levels of lifetime and 30-year cardiovascular disease risks. Conclusions: The hierarchical cluster analysis identified that single White males with a family history of heart …

A Multicomponent Intervention Helped Reducing Sugar-Sweetened Beverage Intake In Economically Disadvantaged Hispanic Children, Du Feng, Huaxin Song, M. Christina Esperat, Ipuna Black

Nursing Faculty Publications

This study aimed to examine the effect of a multicomponent intervention program on consumption of sugar-sweetened beverages (SSBs), and lifestyle factors associated with SSB intake, in Hispanic children from low-income families.

Low Back Pain In Student Nurses: Literature Review And Prospective Cohort Study, Nancy Menzel, Du Feng, Jessica Doolen

Nursing Faculty Publications

There is consensus that registered nurses worldwide have a high prevalence of work-related musculoskeletal disorders, particularly of the back. Patient handling activities such as lifting present the highest risk of injury, activities that begin in nursing school. A literature review identified 21 studies of back pain in nursing students, indicating a wide range of prevalence rates. A prospective cohort study of nursing students in a United States baccalaureate program followed 119 students who completed the Nordic Musculoskeletal Questionnaire upon beginning the 16 month upper division major and then a year later. There was no statistically significant change in low back …

Improving Capstone Papers For Baccalaureate Nursing Students: With An Evidence-Based Partnership Between A Health Sciences Librarian And A Nurse Educator, Xan Goodman, Cheryl Perna, Pamela Marie Juniel, Rachelle Weigel

Library Faculty Presentations

This presentation will describe a partnership between a nursing faculty member and a health sciences librarian to improve capstone papers submitted by Baccalaureate Nursing students in the last semester of their program.

Academic health sciences librarians will find the description of partnering and applying evidence-based librarianship in the classroom informative, specifically for academic librarians who struggle with the question of, should librarians teach APA? This project involved: an instruction intervention, developing a rubric, scoring capstone papers and developing supplementary materials to support the capstone assignment.

The nursing faculty member noticed that the APA errors in capstone papers were egregious. To …

Do Modifiable Cardiovascular Risk Factors Differ By Rural Classification In Women Who Enroll In A Weight Loss Intervention?, Dieu-My Tran, Carol H. Pullen, Lani M. Zimmerman Patricia, A. Hageman University Of Nebraska

Nursing Faculty Publications

PURPOSE: If clinicians and researchers are aware of specific cardiovascular risks associated with women's rural status, whether it be large or small/isolated rural areas, it may help in developing more relevant rural resources. The purpose of this study was to examine whether there were differences in modifiable cardiovascular risk factors of overweight and obese rural women living in large or small/isolated rural areas. SAMPLE: This secondary analysis examined baseline cross-sectional data from the "Web-based Weight Loss and Weight Maintenance Intervention for Older Rural Women" clinical trial. Analysis included data from 299 rural Midwestern women, ages 40-69 years with a baseline …

Effectiveness Of A Poverty Simulation In Second Life®: Changing Nursing Student Attitudes Toward Poor People, Nancy Menzel, Laura Helen Willson, Jessica Doolen

Nursing Faculty Publications

Social justice is a fundamental value of the nursing profession, challenging educators to instill this professional value when caring for the poor. This randomized controlled trial examined whether an interactive virtual poverty simulation created in Second Life^® would improve nursing students’ empathy with and attributions for people living in poverty, compared to a self-study module. We created a multi-user virtual environment populated with families and individual avatars that represented the demographics contributing to poverty and vulnerability. Participants (N = 51 baccalaureate nursing students) were randomly assigned to either Intervention or Control groups and completed the modified Attitudes toward …

Hispanic Construction Workers And Assertiveness Training, Pramen Shrestha, Nancy Menzel

Nursing Faculty Publications

BACKGROUND: Hispanic (Latino) construction workers experience disparities in occupational death and injury rates in the United States. The cultural value of respect for those in authority may hinder these workers from requesting safe working conditions from supervisors.

OBJECTIVE: To evaluate whether Hispanic construction workers in Las Vegas, Nevada found assertiveness training more useful than non-Hispanic trainees and whether or not they practiced this behavior at work after the training.

METHODS: An assertiveness training simulation was part of fall prevention classes offered to area construction workers. Eight weeks after the training, participants were interviewed by telephone about class topics they found …

Chd Knowledge And Risk Factors Among Filipino-Americans Connected To Primary Care Services, Alona Dalusung-Angosta

Nursing Faculty Presentations

Problem:

Despite growing numbers of FAs in the U.S. and high CHD prevalence, only limited studies are available in the the literature.

Contributing factors?

• Lack of knowledge
• Sociodemographic (SD)/Socioeconomic (SE) variables

Structured Algorithm For Error Reduction In Chemotherapy Administration, Marianne Bundalian Tejada

Nursing Faculty Presentations

Purpose. To develop an evidence-based structured algorithm tool that might be used by nursing leaders at a cancer center to decrease chemotherapy medication errors.

Background. In spite of available technology and known factors resulting in medication errors, chemotherapy errors remain the major cause of iatrogenic patient morbidity in hospitals (Gilbar, 2001; Heidt et al., 2001 ). A major risk factor for chemotherapy errors is lack of standardization in administration (ordering, dispensing, administration, monitoring). Failure to identify necessary staff skills/aptitude required to prevent errors may also be problematic.

Significance. Use of the developed algorithm may lead to development of evidence-based strategies …

Coronary Heart Disease Knowledge And Risk Factors Among Filipino-Americans Connected To Primary Care Services, Alona N. Dalusung-Angosta

Nursing Faculty Publications

Coronary heart disease (CHD) is the leading cause of death of Filipino-Americans (FAs). Despite the growing numbers of FAs in the United States, little is known about their CHD knowledge and risk factors.

The purposes of this study were to examine the baseline knowledge and risk factors of CHD among FAs and to describe the relationships between knowledge, sociodemographic, and socioeconomic characteristic variables of FAs between the ages of 35-75 years.

The study sample consisted of 120 FAs (N = 120) who were connected to primary care services. Data were collected from three primary care clinics in Las Vegas, …

Raising Brn: Growth Of A Journal, Carolyn B. Yucha, Marnie E. Wiss

Nursing Faculty Publications

It is unbelievable how quickly time flies when you’re having fun. We have now been editing BRN for 8.5 years, and we are still speaking to one another! Over this time, numerous changes have occurred in our editorial procedures. We started our editing positions working in adjoining offices at the University of Florida, yelling back and forth to one another; we now work 2,200 miles from each other, communicating on a regular basis via e-mail. We started off using a homemade database combined with a complicated e-mail filing system; we now use ScholarOne’s Manuscript Central, a web-based system easily accessible …

2009- 2010 Unlv Mcnair Journal, Kathleen Bell, Danetta Bradley, Vacheral M. Carter, Nydia Diaz, Kathryn E. English, Sarah Harrison, Michelle Israel, Christina Macke, Erica Orozco, Pilar Palos, Sandra Ramos, Soraya A. Silverman, Susan Taylor, Sajar Camara, William Mccurdy, Yvonne C. Morris, Maxym V. Myroshnychenko, Ricardo Rios, Monique Sulls, Bremen Vance, Barbara Wallen

McNair Journal

Journal articles based on research conducted by undergraduate students in the McNair Scholars Program

Table of Contents

Biography of Dr. Ronald E. McNair

Statements:

Dr. Neal J. Smatresk, UNLV President

Dr. Juanita P. Fain, Vice President of Student Affairs

Dr. William W. Sullivan, Associate Vice President for Retention and Outreach

Mr. Keith Rogers, Deputy Executive Director of the Center for Academic Enrichment and Outreach

McNair Scholars Institute Staff

Leveraging Higher Salaries For Nursing Faculty, Carolyn B. Yucha, Rosemary Witt

Nursing Faculty Publications

The nursing faculty pay scale at the University of Nevada, Las Vegas, has increased significantly over the past 5 years. This increase was driven by a number of factors: (a) the rapidly expanding population in Nevada, (b) the nursing shortage and the Nevada legislative mandate to double nursing enrollment in state schools, (c) the national nursing faculty shortage, and (d) the opening of private nursing schools in Nevada. This article describes how, given these factors, the faculty members were able to leverage a pay scale that is finally competitive with clinical appointments.

Student Stress And Academic Performance: Home Hospital Program, Carolyn B. Yucha, Susan Kowalski, Chad L. Cross

Nursing Faculty Publications

The purpose of this study was to evaluate whether nursing students assigned to a home hospital experience less stress and improved academic performance. Students were assigned to a home hospital clinical placement (n = 78) or a control clinical placement (n = 79). Stress was measured using the Student Nurse Stress Index (SNSI) and Spielberger’s State Anxiety Inventory. Academic performance included score on the RN CAT, a standardized mock NCLEX-RN®-type test; nursing grade point average; and first attempt pass-fail on the NCLEX-RN. There were no statistically significant differences between the two groups for age, gender, marital status, ethnicity, or score …

Unlv Magazine, Holly Ivy De Vore, Tony Allen, Barbara Cloud, Erin O'Donnell, Matthew K. Jacobsen, Gian Galassi, Michelle Mouton, Afsha Bawany, Shane Bevell

UNLV Magazine

No abstract provided.

A Program To Change The Approach To Care Of Children With Asthma In The Primary Care Setting Did Not Reduce Rates Of Hospital Admissions: Lessons Learned From A Descriptive Study, Sheniz Moonie, Robert C. Strunk, Mario Castro

Environmental & Occupational Health Faculty Publications

Asthma is a critical global health issue. It affects people of all ages in countries throughout the world. The prevalence of asthma is increasing in most countries among young children who also represent the greatest proportion of health care utilization. Outpatient asthma-treatment programs managed by chest physicians or allergists have reduced hospitalizations, yet programs in pediatric offices have not successfully impacted hospitalizations. The Community Asthma Program (CAP) was designed to support pediatrician use of clinical guidelines in their everyday office practice. The goal was to reduce asthma hospitalizations by 15 percent from selected pediatric practices. A study was done in …

Comparing Net And Eri Standardized Exam Scores Between Baccaulureate Graduates Who Pass Or Fail The Nclex-Rn, Mary D. Bondmass, Sheniz Moonie, Susan Kowalski

Environmental & Occupational Health Faculty Publications

In the United States, nursing programs are commonly evaluated by their graduates success on the National Council Licensure Examination for Registered Nurses (NCLEX-RN). The purpose of this paper is to describe a change in NCLEX-RN success rates following the addition of standardized exams throughout our program's curriculum, and to compare these exam scores between graduates who pass NCLEX-RN and those who do not. Our results indicate an 8.5% change (p < 0.000) in the NCLEX-RN pass rate from our previous 5-year mean pass rate, and significant differences in standardized test scores for those who pass the NCLEX-RN compared to those who do not (p < 0.03). We conclude that our selected standardized exam scores are able to significantly identify graduates who are more likely to pass NCLEX-RN than not.

Effectiveness Of An Evidence-Based Curriculum Module In Nursing Schools: Targeting Safe Patient Handling And Movement, Nancy Menzel, Audrey L. Nelson, Thomas R. Waters, Nancy Hughes, Pamela C. Hagan, Gail Powell-Cope, Viviam Thompson

Nursing Faculty Publications

Nursing schools in the United States have not been teaching evidence-based practices for safe patient handling, putting their graduates at risk for musculoskeletal disorders (MSDs). The specific aim of this study was to translate research related to safe patient handling into the curricula of nursing schools and evaluate the impact on nurse educators and students' intentions to use safe patient handling techniques. Nurse educators at 26 nursing schools received curricular materials and training; nursing students received the evidence-based curriculum module. There were three control sites. Questionnaires were used to collect data on knowledge, attitudes, and beliefs about safe patient handling …

Unlv Magazine, Carol C. Harter, Karen Sharp, Gian Galassi, Tony Allen, Jennifer Lawson, Shane Bevell, Lori Bachand, Regina Vaccari, Pete Codella, Cate Weeks, Erin O'Donnell, Diane Russell, Phil Hagen

UNLV Magazine

No abstract provided.

Effects Of Sodium Intake, Furosemide, And Infusion Of Atrial Natriuretic Peptide On The Urinary And Metabolic Clearances Of Arginine Vasopressin In Normal Subjects, Arnold M. Moses, Carol Jones, Carolyn B. Yucha

Nursing Faculty Publications

Arginine vasopressin (AVP) and atrial natriuretic peptide (ANP) have important influences on water and electrolyte metabolism, and studies on the interactions between these hormones may have important implications. We have investigated the effects of sodium intake, furosemide, and infusion of ANP on the urinary and metabolic (nonurinary) clearances of AVP in hydrated normal subjects. On a high sodium diet there was an increase in urine volume, sodium excretion, osmolal clearance, plasma ANP concentration, and urinary clearance and fractional excretion of AVP, with a decrease in PRA. The infusion of furosemide increased urine volume, sodium excretion, osmolal clearance, and PRA, but …