Medicine and Health Sciences Commons^™

Whs Guidelines For The Treatment Of Pressure Ulcers: 2023 Update, Lisa J. Gould, Jenny Alderden, Rummana Aslam, Adrian Barbul, Kath M. Bogie, Mohamed El Masry, Letitia Y. Graves, E. Foy White-Chu, Amany Ahmed, Kerriann Boanca, Jessica Brash, Katie R. Brooks, Wendy Cockron, Susan M. Kennerly, Aaron K. Livingston, Jeni Page, Catherine Stephens, Velena West, Tracey L. Yap

Nursing Faculty Publications and Presentations

The major populations at risk for developing pressure ulcers are older adults who have multiple risk factors that increase their vulnerability, people who are critically ill and those with spinal cord injury/disease. The reported prevalence of pressure ulcers in the United States is 2.5 million. However, this estimate is derived from acute care facilities and does not include people who are living at home or in nursing facilities. Despite the implementation of hospital and facility-based preventive measures, the incidence of pressure ulcers has not decreased in decades. In addition to the burden of pain, infection and death, it is estimated …

Affective Domain Development In Virtual Education: Visual Thinking Strategies And Art Pedagogy, Jayne Josephsen

Nursing Faculty Publications and Presentations

Development of the affective domain is linked to increasing self-awareness of internal dialogue, such as biases and assumptions, which can affect the ability of nurses to engage in person-centered care and meet the identified patient outcomes. Through visual thinking strategies (VTS) paired with art-based pedagogy to examine grief, loss, and bereavement concepts in a hospice and palliative care nursing virtual education course, affective domain development was advanced. Foundational to this virtual educational intervention was using the VTS framework of questions and pairing them with art-based pedagogy promoting open-ended interpretation and response to the art presented. This assisted the students in …

Impact Of Strokes: The Burden Of Care, Post-Cva Fatigue & Caregiver Role Strain, Tanya G. Schlemmer

Nursing Faculty Publications and Presentations

Strokes and cerebral vascular accidents (CVAs) and related disease events are an unfortunate circumstance that inflicts individuals around the world and impacts people every day as individuals and their caregivers. The consequences of these strokes or CVA events are life-changing for all those involved. As a result of long-term disability related to strokes, the caregiver may undergo many emotional, psychological, and physical factors that impact their daily lives. There is a relatively short period of time to react to the necessary change and as a result there may be differences in coping associated with these unexpected health circumstances. Many stoke …

Toward An Evidence-Based Framework To Guide Health Care Responses For Patients Impacted By Human Trafficking: Evaluation Of The Heal Trafficking Protocol Toolkit, Susie B. Baldwin, Cathy L. Miller, Beth J. Maclin, Sacha Williams, Hanni Stoklosa

Nursing Faculty Publications and Presentations

Trafficked persons seek health care during exploitation, but few health professionals know how to respond appropriately, and few institutions have protocols to guide this response. Currently, no empirically tested framework exists to guide protocol development for human trafficking response protocols in health care settings. Our aim was to empirically evaluate the HEAL Trafficking Protocol Toolkit's usability and effectiveness through cross-sectional survey methodology. We invited users who downloaded the free Toolkit from January 2017 through January 2018 to participate in an electronic survey and conducted descriptive quantitative and qualitative thematic analyses. Survey respondents were professionally and geographically diverse. Eighty-four percent who …

Scoping Review: Positive And Negative Impact Of Technology On Clinicians, Susan Mcbride, Gregory L. Alexander, Marianne Baernholdt, Margaret Vugrin, Beth Epstein

Nursing Faculty Publications and Presentations

Background: Unnecessary electronic health record (EHRs) documentation burden and usability issues have negatively impacted clinician well-being (e.g., burnout and moral distress). Purpose: This scoping review was conducted by members from three expert panels of the American Academy of Nurses to generate consensus on the evidence of both positive and negative impact of EHRs on clinicians. Methods: The scoping review was conducted based on Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) Extension for Scoping Reviews guidelines. Results: The scoping review captured 1,886 publications screened against title and abstract 1,431 excluded, examined 448 in a full-text review, excluded 347 with …

Connecting Contemporary Trauma Care To Florence Nightingale's Visionary Work, Lynn Stover Nichols, Michael T. Hyde, Michael Mosley, Melanie Gibbons Hallman

Nursing Faculty Publications and Presentations

The impact of Florence Nightingale's visionary work continues to influence the delivery of nursing care in the contemporary emergency department (ED). Her foundational work in the Crimean War resulted in data-based recommendations for using the environment to promote healing and wellness among sick and wounded British soldiers. She advocated for attention to environmental details, including ventilation, air, warmth, drainage, cleanliness, natural light, and low noise levels. These important environmental concepts play a significant role in the nursing management of trauma patients in today's ED. This article features an application of Nightingale's environmental concepts to a trauma patient case exemplar and …

Dorsogluteal Intramuscular Injection Depth Needed To Reach Muscle Tissue According To Body Mass Index And Gender: A Systematic Review, Pamela Strohfus, Sara Palma, Chelsea Tindell Wallace

Nursing Faculty Publications and Presentations

Aims and objective(s)

The objective of this systematic review was to determine the needle length required to reach the dorsogluteal muscle based on body mass index and sex. Our aim was to provide evidence-based recommendations to current intramuscular injection guidelines from the result(s) of this review.

Background

Studies worldwide are documenting reduced medication effectiveness due to improperly placed dorsogluteal intramuscular injections because of incorrect needle length, wrong site selection and/or obesity. Current intramuscular injection guidelines lack specific instructions according to weight or sex. While there are similar concerns with other injectable sites, this review focuses solely on adult dorsogluteal intramuscular …

Exploring Feasibility Of Mhealth To Manage Hypertension In Rural Black Older Adults: A Convergent Parallel Mixed Method Study, Danice B. Greer, Willie M. Abel

Nursing Faculty Publications and Presentations

Objective: The purpose of this study was to explore perceived ease of use, usability, and the feasibility of using mobile health applications to manage hypertension self-care in rural Black older adults with hypertension.

Methods: A convergent parallel mixed method design was used to study a purposeful sample of 30 Black older adults (29 females, 1 male) from rural East Texas. Quantitative data included demographic characteristics and measured blood pressure, height, and weight, along with questionnaires: the Hill-Bone Compliance to High Blood Pressure Therapy Scale, the Krousel-Wood Medication Adherence Scale-4, and the Technology Acceptance Model Questionnaire (adapted). Qualitative data …

Paro As A Biofeedback Medical Device For Mental Health In The Covid-19 Era, Takanori Shibata, Lillian Hung, Sandra Petersen, Kate Darling, Kaoru Inoue, Katharine Martyn, Yoko Hori, Geoffrey Lane, Davis Park, Ruth Mizoguchi, Chihiro Takano, Sarah Harper, George W. Leeson, Joseph F. Coughlin

Nursing Faculty Publications and Presentations

The COVID-19 pandemic is spreading across the globe, and it could take years for society to fully recover. Personal protective equipment (PPE), various hygiene measures, and social distancing have been implemented to reduce "human to human" contact, which is an essential part of outbreak prevention. The pressure of the pandemic combined with decreased communication and social contact have taken a toll on the mental health of many individuals, especially with respect to anxiety and depression. Effective use of robots and technology as a substitute for--or in coordination with--traditional medicine could play a valuable role in reducing psychological distress now more …

Planting Seeds Of Reflective Practice, Sarah Llewellyn

Nursing Faculty Publications and Presentations

Planting Seeds of Reflective Practice

I am SMART
I am CAPABLE
I am HARDWORKING
I am CARING
But, I am HUMAN
I will not stress over the things I cannot control
I will work hard in nursing school not for the “A”, but for my future patients
I will remain focused on my goals, not on any setbacks or challenges I may face
I believe in myself and [redacted] believes in me, too

COVID-19 has forced educators to redesign courses for different delivery modalities. While this originally caused chaos for many faculty members, the continued need for flexibility has provided …

Managerial Competence Of First-Line Nurse Managers In Public Hospitals In Indonesia, Joko Gunawan, Yupin Aungsuroch, Mary L. Fisher, Anna M. Mcdaniel, Colleen Marzilli

Nursing Faculty Publications and Presentations

Purpose: Working as a first-line nurse manager requires high managerial competence as an essential component in the delivery of health care. Therefore, factors that influence managerial competence warrant examination. The aim of this study was to identify factors associated with managerial competence of the first-line nurse managers using the best-fit model of human resource management framework. Methods: A cross-sectional study was conducted. A total of 247 first-line nurse managers from 18 public hospitals in Indonesia participated. Data on managerial competence and its related factors were collected via validated questionnaires. Results: The five factors of managerial competence were identified - performance …

Caring For Vulnerable Populations During A Pandemic: Literature Review, Jennifer L. Marsh, Marilyn O'Mallon, Steven Stockdale, Danita R. Potter

Nursing Faculty Publications and Presentations

Vulnerable populations account for a substantial proportion of the United States population. The current COVID-19 pandemic has highlighted the elderly and those with underlying health issues as having the highest risk of mortality. This literature review utilizes a matrix approach to explore the challenges to providing care for the vulnerable elderly, those with underlying health issues, with disabilities, with low income or homelessness, and those with mental health concerns in these extreme times. Appropriate care for vulnerable populations in times of crisis requires focus and planning in critical areas. This article discusses the critical areas of communications and trust, policies …

Awareness Of Dying And Conflict Resolution: Texas Asian Perspectives, Gloria Duke, Charlotte Wood, Lobsang Tenzing

Nursing Faculty Publications and Presentations

Individuals in the end-of-life (EOL) period may not be fully aware of their prognosis or know they are facing a terminal illness. As Asian beliefs and cultural tendencies intersect with Western values, health care practitioners may find their assumptions about disclosing an EOL prognosis differs from patients and their family members. Disagreements among family members regarding the disclosure of EOL to their terminally ill loved one can result in conflict--making difficult and sensitive times more burdensome. Little scientific evidence is known about first generation Asians who live in the United States (US) regarding their practices with disclosing EOL and how …

No Longer Expert: A Meta-Synthesis Describing The Transition From Clinician To Academic, Jane S. Grassley, Pamela K. Strohfus, Andrea C. Lambe

Nursing Faculty Publications and Presentations

Background: Recruitment of nurse clinicians into academic nursing has been important in addressing the faculty shortage. A description of their experiences as novice faculty could provide insights into easing their transition and improving faculty retention. Method: A systematic review of existing qualitative evidence was conducted to describe how nurses experience the transition from clinical practice to nursing academic. Criteria established by the Joanna Briggs Institute guided the review. Results: The meta-synthesis of the 12 selected qualitative studies yielded 11 themes and four meta-themes, which included: Unprepared, No Longer an Expert, In Search of Mentoring, and Beginning to Thrive. Conclusion: The …

Nurse Practitioner Occupational Burnout: A Focus On The Variables And Themes, Tanya G. Schlemmer

Nursing Faculty Publications and Presentations

Purpose: The prevalence of occupational burnout is high amongst service professionals and the nursing profession is no different. The rate of occupational burnout amongst nursing professionals and medical professionals is high. The themes or impact of occupational burnout amongst Nurse Practitioners is not well described in the literature. Herein this article describes the investigation into the issue of nurse practitioners and occupational burnout.

Data Sources: Scientific literature review, CINHAHL Complete and other online literature databases and resources. A State of the Science systematic review was conducted to further examine this issue to identify the prevalence of the problem amongst nurse …

The Influence Of Undergraduate Research Assistant Experiences On Future Nursing Roles, Kelsy Mitchell, Julie Rekiere, Jane S. Grassley

Nursing Faculty Publications and Presentations

Undergraduate nursing students have difficulty comprehending the relevance of research to their future as nurses. Working as an undergraduate research assistant may provide opportunities to develop an appreciation of research. The purpose of this study was to explore former undergraduate research assistants' perceptions of their experience and its effects on their practice as professional nurses. This study used a qualitative descriptive design. Seven former undergraduate research assistants were interviewed. Interview transcripts were analyzed for themes using content analysis. Data analysis yielded three main themes: immersion in the research process, empowered to practice evidence-based nursing, and future …

Risk Factors For Falls In Homebound Community-Dwelling Older Adults, Yunchuan (Lucy) Zhao, Jenny Alderden, Bonnie Lind, Jennifer Stibrany

Nursing Faculty Publications and Presentations

Objective: To examine risk factors associated with falls among homebound community-dwelling older adults, a vulnerable population often possessing functional disabilities and chronic conditions.

Design and Sample: The study was a cross-sectional study utilizing round 6 data of the National Health and Aging Trend Study (NHATS). Descriptive statistics and multiple logistic regression analyses were conducted. A total of 1,356 homebound community-dwelling older adults aged 65 and above participated in the NHATS.

Measures: The outcome variable was falls within the last month reported in NHATS. Independent variables were selected based on the NHATS disability conceptual model and literature review, including personal conditions, …

Parent Supervision Attributes Profile Questionnaire (Psapq) For Young Children: Psychometric Properties Of The Chinese Version, Jun Yang, Shih-Yu Lee, Yuqiu Zhou, Yuxia Cui, Yongkui Han, Hongling Song, Hui Zhang

Nursing Faculty Publications and Presentations

Background: In China, thousands of children die from unintentional injury each year: the incidence rate of injury is from 19.4 to 64.3% which is the leading cause of mortality for children. An important factor to injury may be inadequate supervision. Thus, a linguistic and culturally appropriated, validated instrument to measure the supervision of children in Chinese primary caregiver is important and necessary. The purpose of this study was to translate and test the psychometric properties of the Chinese version of the Parent Supervision Attributes Profile Questionnaire (C-PSAPQ). Methods: This is a two-phase study. In phase I, the C-PSAPQ was produced …

Know Thy Student: Using A Graduate Student Learning Assessment Questionnaire, Melinda Hermanns, Danice B. Greer

Nursing Faculty Publications and Presentations

Background: Creating an online learning environment for today’s adult learner that is engaging and conducive to meeting the various needs can be a challenge for any educator, new or seasoned. Understanding the students’ perspectives of what they need from faculty to be successful is underexplored. Therefore, the purpose of this study was to describe the students’ perspectives of their learning needs and motivation as reported in a faculty developed Graduate Student Learning Assessment Questionnaire (GSLAQ).

Methods: A cross-sectional descriptive survey design was employed and consisted of 120 non-traditional adult learners in graduate nursing school. The demographics are as follows: 100 …

Engaging Older Adults With Parkinson’S Disease In Physical Activity Using Technology: A Feasibility Study, Melinda Hermanns, Barbara K. Haas

Nursing Faculty Publications and Presentations

Parkinson’s disease (PD), a progressive neurodegenerative disorder, presents unique and daily challenges. Living with PD may limit one’s physical activity and negatively affect quality of life (QOL). No studies were identified that utilized online technology to promote health in this population. The purposes of this study were to (a) assess the feasibility of an intervention that requires wearing a physical activity tracker and participating in an online support group, and (b) examine the effect of this intervention on the self-efficacy for physical activity and QOL of older adults with PD. A 12-week longitudinal pretest/posttest design was used to assess physical …

Diverse Stakeholder Perspectives On Rural Health Care Reform In A U.S. State That Rejected The Affordable Care Act: A Case Study, Molly Vaughan Prengaman, Dorinda L. Welle, Nancy Ridenour, Keith J. Mueller

Nursing Faculty Publications and Presentations

Purpose: This case study identifies rural health care stakeholder perspectives on the Affordable Care Act (ACA) and describes the health policy context in Idaho, the only state in the United States to reject Medicaid expansion yet develop a state-run health insurance exchange. Sample: The sample included 20 rural health care stakeholders, including clinicians, elected officials, state agency administrators, health care facility administrators, and interest group leaders. Method: A single-case study of stakeholder perspectives on the ACA and rural health care access in Idaho was conducted from 2014 to 2016. Data sources include qualitative interviews with 20 rural health care stakeholders …

Impact Of Tai Chi On Peripheral Neuropathy Revisited: A Mixed-Methods Study, Melinda Hermanns, Barbara K. Haas, Linda Rath, Brittany Murley, Arturo A. Arce-Esquivel, Joyce Ballard, Yong T. Wang

Nursing Faculty Publications and Presentations

Exercise may be beneficial to older persons living with peripheral neuropathy (PN), but maintaining an exercise program is challenging. After participating in a 12-week tai chi (TC) study, 12 participants requested classes continue. A mixed-methods design was used to explore long-term engagement of older persons with bilateral PN enrolled in a TC class for 18 months beyond the original 3-month study. Pre- and posttest measures of functional status and quality of life (QOL) were conducted. Focus groups were held after 18 months of twice-weekly classes. Psychosocial support was critical to participants’ long-term commitment to exercise. Participants reported, and objective assessments …

Cognitive Load Measurement, Worked-Out Modeling, And Simulation, Jayne Josephsen

Nursing Faculty Publications and Presentations

Using a cognitive load theory framework, this study investigated implementation of a worked-out modeling (WOM) prebriefing intervention on postsimulation knowledge acquisition and cognitive load experienced. A quasi-experimental quantitative design was used with a convenience sample of 61 senior-level nursing students who had previously participated in a simulation. The treatment group received the WOM intervention before simulation participation, and the control group received the usual presimulation interventions. A presimulation and postsimulation knowledge survey and a cognitive load measurement tool were administered after the simulation. Data indicated increased knowledge related to falls and situation, background, assessment, and recommendation in the treatment group …

Implementation Of Motivational Interviewing Training In An Undergraduate Nursing Curriculum: Identifying Adolescents At Risk For Substance Use, Denise Seigart, Max Veltman, Janet Willhaus, Colene Letterle

Nursing Faculty Publications and Presentations

Motivational interviewing (MI) has been increasingly utilized by health care practitioners for many years. MI has been practiced by social workers, nurses, physicians, psychologists, substance use counselors, and many other health care practitioners. Unfortunately, many health care practitioners do not have adequate training in motivational interviewing, and therefore feel ill equipped to utilize this approach when faced with clients who are in need of assessment and coaching. This paper discusses our experiences with a pilot project to implement MI training within an Adolescent SBIRT (Screening, Brief Intervention, Referral to Treatment) content addition to the undergraduate nursing curriculum. It includes discussion …

Education For Wic Peer Counselors About Breastfeeding The Late Preterm Infant, Cindi Faith Bennett, Cynthia Galloway, Jane S. Grassley

Nursing Faculty Publications and Presentations

Mothers of late preterm infants need ongoing support because they often find establishing breastfeeding (BF) to be complex and difficult. Special Supplemental Nutrition Program for Women, Infants and Children peer counselors provide BF information and emotional support to new mothers in many communities. However, their current training does not include education about BF for the late preterm infant. The purpose of this report is to present important information about BF and the late preterm infant that can enhance peer counselors' ability to offer appropriate support. The effect of this education on outcomes such as BF rates, maternal self-efficacy, infant …

College Student Sleep, Christine S. Gipson, Susan Bartos

Nursing Faculty Publications and Presentations

A position paper on college student sleeping habits.

Using An "Escape Room" Toolbox Approach To Enhance Pharmacology Education, Melinda Hermanns, Belinda Deal, Ann M. C, Shawn Hillhouse, J. Brian Opella, Casey Faigle, Robert H. Campbell Iv

Nursing Faculty Publications and Presentations

Background: Faculty are encouraged to use a variety of teaching/learning strategies to engage nursing students. While simulation and games are now common, there were no reports in the nursing literature using an “escape room” concept. Escape rooms use an entertainment approach as teams engage in critical thinking to solve puzzles and find clues to escape a room. In the classroom setting, this concept is modified to solve a mystery by finding various objects through a series of puzzles to locate clues. Some of these games involve finding numerical clues to open locks on a box, such as a toolbox. The …

Self-Care Management Strategies Used By Black Women Who Self-Report Consistent Adherence To Antihypertensive Medication, Willie M. Abel, Jessica S. Joyner, Judith B. Cornelius, Danice B. Greer

Nursing Faculty Publications and Presentations

Background: Black women in the USA have the highest prevalence rate of hypertension (HTN) contributing to a higher risk of organ damage and death. Research has focused primarily on poorly controlled HTN, negative belief systems, and nonadherence factors that hinder blood pressure control. No known research studies underscore predominantly Black women who report consistent adherence to their antihypertensive medication-taking. The purpose of this study was to describe self-care management strategies used by Black women who self-report consistent adherence to their antihypertensive medication and to determine the existence of further participation in lifestyle modifications, such as eating a healthy diet and …

Risk Factors For Pressure Injuries Among Critical Care Patients: A Systematic Review, Jenny Alderden, June Rondinelli, Ginette Pepper, Mollie Cummins, Joanne Whitney

Nursing Faculty Publications and Presentations

Objective: To identify risk factors independently predictive of pressure injury (also known as pressure ulcer) development among critical-care patients.

Design: We undertook a systematic review of primary research based on standardized criteria set forth by the Institute of Medicine.

Data sources: We searched the following databases: CINAHL (EBSCOhost), the Cochrane Library (Wilson), Dissertations & Theses Global (ProQuest), PubMed (National Library of Medicine), and Scopus. There was no language restriction.

Method: A research librarian coordinated the search strategy. Articles that potentially met inclusion criteria were screened by two investigators. Among the articles that met selection criteria, one …

Triggers And Their Influence On Health Behaviors, Christine S. Gipson

Nursing Faculty Publications and Presentations

This article provides a conceptual definition of the concept trigger within the context of health behaviors and applies it to the highly significant health issue of obesity. Healthy behaviors are essential to life and happiness, but they do not just happen. They are triggered, and an inner drive keeps them alive. To help patients gain and retain optimal health, nurses must understand the triggers of healthy behaviors. Walker and Avant’s (2011) method of concept analysis is used as the basis for defining the concept of trigger. The antecedents, defining attributes, and consequences of trigger are identified. Findings suggest that nurses …