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Interprofessional Collaboration And Interprofessional Education, Marcia R. Gardner Ph.D., Rn, Cpnp, Cpn Jul 2015

Interprofessional Collaboration And Interprofessional Education, Marcia R. Gardner Ph.D., Rn, Cpnp, Cpn

Faculty Works: NUR (2010-2023)

The recent re-affirmation of the Affordable Care Act (ACA) by the U.S. Supreme Court reassures many of us that we are moving in the direction of better access to health care in the U.S. Whether there is adequate access to the highest quality and safest health care is a different question. What else is needed to grow and solidify quality and safety in health care? The U.S. Institute of Medicine,1,2 emphasized the need for more, and more effective, interprofessional collaboration to achieve improved healthcare quality and safety standards. According to the Interprofessional Education Collaborative (IPEC) expert panel, representing nursing, medicine, …


The Health-Related Quality Of Life In Mothers Of Surviving Deaf Blind Adult Children With Congenital Rubella Syndrome In The United States, Normadeane Armstrong Ph.D, A.N.P. May 2015

The Health-Related Quality Of Life In Mothers Of Surviving Deaf Blind Adult Children With Congenital Rubella Syndrome In The United States, Normadeane Armstrong Ph.D, A.N.P.

Faculty Works: NUR (2010-2023)

The purpose of this study was to determine the health related quality of life (HRQOL) of mothers of surviving deaf-blind adult children with congenital rubella syndrome (CRS) and the relationship of factors that influence it. This study uses a cross sectional design with all of the study participants having surviving CRS children born from the 1963-1965 epidemic. Analysis revealed: 1). Maternal CSI scores were significantly associated with the HRQOL F (13, 273) = 67.175 p< .001. Mothers who experienced high levels of caregiver stress had a poorer overall quality of life than those with lower levels of stress. 2).The deaf-blind adult child’s with CRS functional ability was significantly associated with the maternal HRQOL F (22, 263) = 17.03 p< .001. Mothers of adult deaf blind children needing care had poorer overall quality of life than those more independent. 3). Communication methods were significantly associated with the HRQOL. Communication with Sign Language (M= 80.39, SD= 20.8) demonstrated better overall maternal HRQOL scores than those with gestures (M= 31.49, SD= 32.57), F (8, 277) = 17.471, p < .001. 4). 4). Behaviors were significantly associated with the HRQOL with the largest difference between adult- children demonstrating no apparent behavior (M= 89.77, SD= 11.7) to those presenting aggressive behavior (M= 30.95, SD= 30.37), F (7, 279) =21.130 p < .001. As the prevalence of children with disabilities continues to increase, so does the demand for professionals who understand the unique needs of caregivers. Professionals must understand the impact special needs have on the mother and by extension, the family, and be able to provide the care and resources needed to support the continued care.