Medicine and Health Sciences Commons^™

Designing A Simulation For Student Evaluation Using Scriven's Key Evaluation Checklist, Shelly Jensen Reed

Faculty Publications

Human patient simulation use has increased dramatically in nursing education over the past 10 years, with many benefits. One advantage is that it allows students to learn by practicing skills in a risk-free environment, with immediate faculty feedback. Another benefit is that it prepares and ensures the competence of student nurses, leading to improved patient safety outcomes. Student opinions gathered in a survey of nursing schools and simulator centers favored use of competency evaluation using simulation in at least some circumstances. As little research concerning use of simulation to evaluate student competency can be found, an established guide such as …

Acoustic And Spectral Patterns In Young Children's Stop Consonant Productions, Shawn L. Nissen, Robert Allen Fox

Faculty Publications

The aim of this study was to examine the acoustic and spectral patterns of stop articulation in the speech of pre-pubescent children. A set of voiceless stop consonants, /ptk/, produced by a group of adults and typically developing children 3-5 years of age were examined in terms of multiple acoustic and spectral parameters. Findings indicated that, with the exception of spectral kurtosis, the acoustic and spectral characteristics of the stop productions varied significantly as a function of place of articulation and vowel context. Sex-specific differences in spectral slope, mean, and skewness were found for the 5-year-old and adult speakers. Such …

Student Satisfaction With Simulation Experiences, Angeline Abdo, Patricia K. Ravert

Faculty Publications

Background: Some nursing schools use patient simulators to simulate patient scenarios.

Methods: Nursing students participated in five sessions using a patient simulator and then completed a questionnaire related to their experiences.

Results: Participants felt the experiences recreated real-life situations, tested their clinical decision-making, prepared them for the “real-life” clinical setting, and increased their confidence when in the clinical setting.

Conclusions: Patient simulator experiences enhance learning. Further research regarding student perceptions and instrument validation would contribute to an increased understanding of the use of patient simulators in nursing education.

Oncology Nurses' Perceptions Of Obstacles And Supportive Behaviors At The End Of Life, Renea L. Beckstrand, Josie Moore, Lynn Callister, A. Elaine Bond

Faculty Publications

Purpose/Objectives: To determine the magnitude of selected obstacles and supportive behaviors in providing end-of-life (EOL) care to patients with cancer as perceived by oncology nurses.

Design: Cross-sectional survey.

Setting: National survey sample.

Sample: A geographically dispersed national random sample of 1,000 Oncology Nursing Society members who had cared for inpatient patients with cancer, could read English, and had experience in EOL care.

Methods: Eligible respondents received a 68-item questionnaire in the mail adapted from previous studies and were asked to rate the size of obstacles and supportive behavior items in caring for patients with cancer at the EOL.

Main Research …

Developing And Implementing A Simulation Program: Baccalaureate Nursing Education, Patricia K. Ravert

Faculty Publications

Brigham Young University (BYU) is a private university (owned by the Church of Jesus Christ of Latter-day Saints), established in 1875. The main campus is located in Provo, Utah, 45 miles south of Salt Lake City at the base of the Wasatch Mountains and serves approximately 33,000 students. The College of Nursing (CON) was founded in 1952. The CON offers two programs, the undergraduate Bachelor of Science and the Master of Science; the latter program prepares family nurse practitioners. The CON programs are approved by the Utah State Board of Nursing and are accredited by the National League for Nursing …

The Case Of The Silent Crippler, Amanda Orme, Karlen E. (Beth) Luthy

Faculty Publications

Thirteen-year-old “Stephanie” has been complaining of bilateral leg pain and increasing lower extremity weakness. Stephanie's teacher recently approached her parents to inform them of concerns that Stephanie is walking differently and seems off balance at school.

Successfully Incorporating Writing Across The Curriculum With Advanced Writing In Nursing, Karlen E. Luthy, Neil E. Peterson, Jane H. Lassetter, Lynn C. Callister

Faculty Publications

The purpose of this article is to explain the concepts of Writing Across the Curriculum, Writing in the Disciplines, and Writing to Learn, and to describe the incorporation of advanced writing into a baccalaureate nursing program and provide suggestions for accessing resources and promoting success. The goals of incorporating Writing Across the Curriculum, Writing in the Disciplines, and Writing to Learn concepts into nursing curriculum are to assist nursing students to achieve competence in clinically relevant writing assignments; to demonstrate critical thinking and communication skills, both oral and written; to execute useful literature searches; to read and understand research reports; …

Older Adults With Traumatic Rib Fractures: An Evidence-Based Approach To Their Care, Blaine A. Winters

Faculty Publications

It is expected that over the next decade the population of older adults in the United States will increase dramatically. As the older adult population increases, the number of older adults involved in traumatic accidents is also expected to climb. The older population is at na increased risk for complications and poor outcomes following trauma. Practitioners caring for these older adults will need to use evidence-based practice guidelines in an attempt to improve outcomes. This article provides a clinical guideline for the assessment and management of pain in older adults with traumatic rib fractures, and an approach for pain assessment, …

Nps' Perceptions Of Disaster Preparedness Education: Quantitative Survey Research, Milada Tichy, A. Elaine Bond, Renea L. Beckstrand, Barbara Heise

Faculty Publications

Nurse practitioners need to be effective in responding to large-scale natural and man-made disasters. However, disaster core competencies for NPs are largely nonexistent. The purpose of this study was to assess NPs' level of disaster preparedness and determine how NPs acquired knowledge about disaster preparation. Findings suggest that a consistent national NP curriculum for disaster preparedness, including communication with other disaster agencies, is needed. With proper education, NPs can play a major role in disaster management.

Understanding Why Professional Nurses Work, Patricia Rushton, Dennis L. Eggett

Faculty Publications

The project studied factors impacting professional registered nurses in maintaining active employment. Participants chose to enter the nursing profession to provide service. They were motivated to stay in the nursing profession in an employed situation to 1) provide financial support of themselves and their families,and 2) from a desire to serve. Respect as individuals was motivation to do their best work. The results of the study reinforce the desire of the nursing profession to serve its clients and patients. The results demonstrate the committment of registered nurses to the nursing profession. They also demonstrate the desire of professional nurses to …

Effects Of Oral Magnesium Supplementation On Insulin Resistance And Type 2 Diabetes Mellitus, Renea L. Beckstrand, Loandra Berg

Faculty Publications

The purpose of this study was to examine the relationship of magnesium levels related to insulin resistance and type 2 diabetes mellitus. Diabetes is a metabolic disease in which the body does not produce or correctly use insulin to maintain proper levels of glucose in the blood resulting in serious health consequences. Diabetes is a major factor in coronary heart disease, stroke as well as blindness, kidney failure, and non-traumatic amputations due to disruption of the microvascular system (Schulze & Hu, 2005). The Center for Disease Control reported in 2007: 23.6 million people in the United States (7.8% of the …

Life Experiences Of Women With Cerebral Palsy Who Have Experienced Mistreatment, Catherine Coverston, Donna S. Freeborn, Barbara L. Mandleco, Mary Ann Curry, Kathleen A. Knafl

Faculty Publications

The purpose of this study was to describe the life experiences of women with cerebral palsy who have experienced mistreatment and also describe how these women understand the meaning of their disability and mistreatment experiences relative to gender, culture, social class, and power.

Apgar Scores And Oxygenation Levels: A Comparison Of Vaginal And Cesarean Section Modes Of Delivery, Allison Holt, Patricia K. Ravert

Faculty Publications

The purpose of this study was to compare Apgar scores and oxygenation levels (two measures of birth outcomes) of well infants born by Cesarean section (c-section) to those delivered vaginally.

Relationship Found Between Parenting Styles And Sibling Relationships In Families Raising A Child With A Disability, Corinne Jackman, Barbara L. Mandleco

Faculty Publications

The purpose of this study was to examine parental perceptions of parenting styles and sibling relationships according to parent gender, sibling gender, and type of disability. Additionally, the purpose was to determine if there is a linkage between parenting styles and sibling relationships.

Engaging Students In The Fundamental Skill Lab: Scenario Based Simulations, Deborah O. Himes, Patricia K. Ravert, Colleen R. Tingey

Faculty Publications

Aims of this study: Students will be actively engaged in the basic nursing skills lab and develop critical nursing behaviors including:

- Assessment/ Intervention/ Evaluation

- Critical Thinking/ Clinical Decision Making

- Direct Patient Care

- Communication/ Collaboration

- Professional Behaviors.

Students will also remember more of what they learn through story-telling (patient cases) and role-playing. They will come prepared to perform as a nurse in lab.

Cultivating An Understanding Of U.S. Veterans: Our Honored Patients, Tausha Allen, Kent D. Blad, Jennifer Bloomfield, Rachel Dudley, Kelsie Egan, Ron S. Ulberg

Faculty Publications

As nursing students, we specifically chose to devote our time to learning how to better care for the veteran population. We worked with veterans as we traveled to Washington, D.C. and completed clinical experiences in Utah. These experiences greatly altered our perspective toward the armed forces and our appreciation for our nation’s freedom.

Care Of The Dying Child: Pediatric Icu Nurses’ Perceptions Of Obstacles And Supportive Behaviors In End-Of-Life Care, Renea L. Beckstrand, Lynn Clark Callister, Barbara L. Mandleco, Nicole L. Rawle

Faculty Publications

Each year 55,000 children die in the United States. The vast majority of children’s deaths, 75 – 85%, occur in hospital settings with most in pediatric intensive care units. Oftentimes, a nurse is at the bedside of the dying child. Determining the barriers and supportive behaviors in pediatric end-of-life (EOL) care is needed.

Psychometric Properties Of The Self-Assessment Of The Interpersonal Relationship Scale, Karen S. Dearing, Sheryl Steadman

Faculty Publications

The nurse-patient relationship is the basis of psychiatric nursing. The use of self defines nursing as an interactive, exploratory, caring, and health promoting process. No tool has been developed to determine specific areas for competency building using the principles of developing an interpersonal relationship. The specific aims of the study were two-fold: establish the reliability and validity of the Self-Assessment of the Interpersonal Relationship Scale (SAIRS) and determine the ability of SAIRS to measure student nurses development of interpersonal competencies with patients.

Oncology Nurses’ Perceptions Of Obstacles And Supportive Behaviors In End-Of-Life Care, Renea L. Beckstrand, A. Elaine Bond, Lynn Clark Callister, Josie Moore

Faculty Publications

Cancer accounts for one in four deaths in the United States. Oncology nurses care for dying patients on a daily basis. Research on specific obstacles that impede and supportive behaviors that help the delivery of end-of-life (EOL) care is limited.

Laryngeal Level Amplitude Modulation In Vibrato, Christopher Dromey, Lorie Reese, J. Arden Hopkin

Faculty Publications

Objectives: The goal of this investigation was to test a new methodology for measuring amplitude modulation (AM) at the level of the vocal folds during vibrato in trained singers, because previous research has suggested that AM arises in large part as an acoustic epiphenomenon through an interaction of the harmonics in the laryngeal source with the resonances of the vocal tract as the fundamental frequency oscillates.
Study Design: A within-subjects model was used to compare vocal activity across three pitch and three loudness conditions.
Methods: Seventeen female singers with a range of training and experience were recorded with a microphone …

Intra-Speaker Variability In Palatometric Measures Of Consonant Articulation, Christopher Dromey, Marybeth Sanders

Faculty Publications

Electropalatometry is a useful clinical and research tool for measuring linguapalatal contact. The goal of this study was to examine intra-speaker variability in performance. Twenty individuals spoke VCV nonsense words using a schwa in the initial position, the 15 palatal consonants, and three corner vowels, /ɑ/, /i/, /u/. A variability index was created to examine speaker consistency.
Different aspects of articulation (i.e. place, manner, voicing, coarticulation) were compared. Significant differences for variability were found for place of articulation in the /i/ vowel context and for manner of articulation in the /ɑ/ vowel context. Also for the /ɑ/ vowel, significant differences …

Comparison Of Debriefing Methods Following Simulation, Shelly J. Reed, Patricia K. Ravert

Faculty Publications

The purpose of this study was to examine and compare the student nurse experience between three debriefing methods: oral discussion, journaling, and blogging.

Glimpse Into Simulation And Critical Thinking: A Pilot Study Comparing Utah And Ecuador, Katrina Duncan, Patricia K. Ravert

Faculty Publications

Classroom learning is practiced and applied through simulation, which can help develop critical thinking and clinical judgment skills imperative in clinical settings for both students and new nurse graduates. Simulation is well developed in the United States but is in early stages of use and development in South America.

A Semester Of Global Health & Human Diversity Among United States Veterans In Rural Utah, Kent D. Blad, Janelle Jackson, Petr Ruda, Angelynn Singley, Paula; Ulberg, Ron S.; Speirs, Ron S. Ulberg

Faculty Publications

Patients and health care providers in rural communities face a unique combination of factors which create disparities in healthcare when compared with urban areas, such as economic factors, cultural values, reduced rates of formal education, lack of recognition by legislators, and isolation. There are more veterans per capita in rural than in urban areas. Health care for the rural population is coupled with the unique challenges of caring for veterans. Because of this, we chose to devote a semester to the study of improving health care to the rural veteran population.

The Incidence Of Postpartum Depression Among Hispanic Women, Renea L. Beckstrand, Ana C. Birkhead, Lynn Clark Callister, Nissa Lucero, Glauco Souza

Faculty Publications

There is a lack of sufficient knowledge concerning the prevalence of postpartum depression (PPD) among Hispanic women. The purpose of this quantitative descriptive study was to evaluate the incidence of PPD among Hispanic women.

Fiber’S Impact On High-Sensitivity C-Reactive Protein Levels In Cardiovascular Disease, Renea L. Beckstrand, Jennifer L. Butcher

Faculty Publications

The purpose of this study was to determine if increased dietary or supplemental intake of fiber slows or prevents inflammation as evidenced by hs-CRP values.