Medicine and Health Sciences Commons^™

Evaluations Of The Effectiveness Of A Web-Based Graduate Epidemiology Course, Molly A. Rose, Anthony J. Frisby, Michael D. Hamlin, Susan S. Jones

Anthony J Frisby, PhD

An online epidemiology course was developed, implemented, and evaluated for graduate nursing students through the collaborative efforts of nursing faculty and information, education, and instructional design staff of the library at a health sciences university. This epidemiology course is a core curriculum course for graduate nursing students. The course was piloted with 14 students (one student in Romania); the initial online offering ran concurrently with a traditional classroom section. Extensive evaluation data were collected and analyzed to compare the effectiveness of the classroom and distance-learning formats. Areas of evaluation included objective measures, such as midterm and final examination scores and …

Are Adolescents Smoking Identities Valid Descriptors Of Their Smoking Behaviour? (2008), Chizimuzo T.C. Okoli, Chris G. Richardson, Pamela A. Ratner, Joy L. Johnson

Chizimuzo T.C. Okoli

Background

•Smoking identities represent psychosocial constructions of how adolescents who smoke perceive themselves in relation to their smoking behaviour

•These smoking identities converge (or diverge) with established taxonomies used to describe youth smoking behaviour

•The purpose of this study is to examine the validity of adolescents’ ‘smoking identities’ by comparing them to established smoking behaviour categorizations and perceived addiction to tobacco

Action Required: Revisiting Better Practices In Smoking Cessation Interventions For Pregnant Girls And Women (2008), Chizimuzo T.C. Okoli, Lorraine Greaves, Joan Bottorff, Lenora Marcellus, Charmaine Enns, Richard Stanwick

Chizimuzo T.C. Okoli

Background

•Despite considerable efforts by health care professionals, and an overall reduction in smoking prevalence, it is estimated that approximately 20% to 30% of pregnant women still smoke during pregnancy

•To date, smoking cessation interventions to reduce smoking during pregnancy and postpartum have been relatively unsuccessful. Despite the influx of research examining smoking and pregnancy over the last five years, the prevalence of smoking among pregnant and postpartum women has only slightly decreased

•Advice to quit smoking by health care providers, is associated with increased smoking cessation attempts in the general population. Also, studies have shown that smoking cessation interventions …

Retrospective Efficacy Of The Marquette Model Of Natural Family Planning, Richard Fehring, Mary Schneider, Mary Barron

Richard J Fehring

No abstract provided.

Secondary Prevention For Acute Coronary Syndrome In Rural South Australia: Are Drugs Best? What About The Rest?, Tracey Wachtel, Angela Kucia, Jennene Greenhill

Angela Kucia

Acute coronary syndrome (ACS) is a major cause of morbidity and mortality worldwide. Current Australian clinical guidelines recommend all patients with ACS receive comprehensive secondary prevention services to address this burden. Optimal patient outcomes rely on the timely and effective implementation of proven therapies and for secondary prevention to be successful, pharmcological interventions must be combined with cardiovascular disease (CVD) risk factor identification and management. The ability to implement clinical guidelines is also reliant on available resources, yet many rural populations in Australia do not have access to structured secondary prevention services, and the level of support available to them …

A Grass-Roots Approach To Develop A Hispanic Wellness Curriculum In Rural Idaho, Dawn Weiler

Dawn Weiler

The Idaho Partnership for Hispanic Health (IPHH) is a community-based participatory research project focused on identifying the health condition of greatest concern to SW Idaho Hispanics and pilot testing an intervention and its effectiveness. The partnership includes two educational institutions, two Hispanic organizations, and a community non-profit organization. Following the completion of the first two phases of the project (community partnership and community advisory board (CAB) development, and quantitative and qualitative community assessment) the IPHH implemented phase three, intervention development and testing.

Variability In The Hormonally Estimated Fertile Phase Of The Menstrual Cycle, Richard Fehring, Mary Schneider

Richard J Fehring

The purpose of this study was to determine the variability in length of the fertile phase of the menstrual cycle with 140 participants who produced 1,060 cycles with an electronic hormonal fertility monitor. The length of the fertile phase, as defined by the first day with a threshold level of urinary E3G and ending with a second day above a threshold of LH, varied from <1 to >7 days, with the most frequent length being 3 days.

Facilitators Of Mentoring Among Nurse Educators, Bridget Roberts, B. Foley, K. Halcomb, Connie Hubbard

Bridget R. Roberts

No abstract provided.

Family-Based Weight Management With Latino Mothers And Children, Kathy James, Cynthia Connelly, Elaine Rutkowski, Darlene Mcpherson, Luz Garcia, Nicole Mareno, Dorothy Zirkle

Nicole Mareno

Childhood Sexual Abuse In Black Men Who Have Sex With Men: Results From Three Qualitative Studies., Sheldon Fields

Sheldon D. Fields

This report describes the high prevalence and context of childhood sexual abuse (CSA) among Black men who have sex with men (MSM) across 3 independent qualitative studies. Semistructured one-on-one interviews were conducted with 87 Black MSM across 3 cities (Rochester, NY, n = 28; Lexington, KY /Atlanta, GA, n = 30; and Atlanta, GA, n = 29). A combined CSA prevalence of 32% (28/87) was found among the 3 samples, despite variation in geographic location, mean age, and sexual identification. Common themes emerging across the 3 samples included prolonged and repeated abuse by a close male relative; blaming of same-sex …

Unsafe Sexual Behaviors Among Hiv-Positive Men In Kathmandu Valley, Nepal, Krishna Poudel, Shinji Nakahara, Kalpana Poudel-Tandukar, Junko Yasuoka, Masamine Jimba

Kalpana Poudel-Tandukar

Thinking And Doing: Incorporating Critical Thinking Activities Into The 120 Hour Clinic, Bridget Roberts

Bridget R. Roberts

No abstract provided.

Poster Presentation: The Effect Of A Code Blue Algorithm On Undergraduate Nursing Students Skills Performance (Poster), Luanne Linnard-Palmer

Luanne Linnard-Palmer

Peripheral Neuropathy Associated With Novel Therapies In Patients With Multiple Myeloma: Consensus Statement Of The Imf Nurse Leadership Board, Joseph D. Tariman Phd

Joseph D Tariman PhD, RN, ANP-BC, FAAN

No abstract provided.

Is Reporting On Interventions A Weak Link In Understanding How And Why They Work? A Preliminary Exploration Using Community Heart Health Exemplars, Barbara Riley, Joanne Macdonald, Omaima Mansi, Anita Kothari, Donna Kurtz, Linda Vontettenborn, Nancy Edwards

Anita Kothari

Background: The persistent gap between research and practice compromises the impact of multi-level and multi-strategy community health interventions. Part of the problem is a limited understanding of how and why interventions produce change in population health outcomes. Systematic investigation of these intervention processes across studies requires sufficient reporting about interventions. Guided by a set of best processes related to the design, implementation, and evaluation of community health interventions, this article presents preliminary findings of intervention reporting in the published literature using community heart health exemplars as case examples.

Methods: The process to assess intervention reporting involved three steps: selection of …

Skills Lab Vs. Simulation Lab: A Comparison Of Two Approaches For Teacing Intravenous Push Medication Administration (Poster), Margaret Fink

Margaret Fink

Skills Lab Vs. Simulation Lab: A Comparison Of Two Approaches For Teacing Intravenous Push Medication Administration, Margaret Fink

Margaret Fink

Breast Brachytherapy Outcomes Evaluation, Margaret S. Pierce

Margaret S Pierce

No abstract provided.

A Partnership Of A Catholic Faith-Based Health System, Nursing And Traditional American Indian Medicine Practitioners, Ann Hubbert

Ann Hubbert

The paper presents a historically unique partnership between an American Southwestern, Catholic faith-based, urban hospital and a program it sponsored on the spirituality of American Indian Traditional Indian Medicine (TIM) by a Comanche medicine man. A discussion is offered on the cultural partnerships, experiences and benefits achieved through the cultural accommodations of these spiritual beliefs and practices within this healthcare system. The theory of Culture Care Diversity and Universality (Culture Care Theory), including the Sunrise Enabler, is applied in discussion of these past experiences to explore the relationships among and between the participating cultures. The intent of the partnerships within …

Improving Activity Levels In Clients With Metabolic Syndrome, Sharon Strang

Sharon L. Strang

No abstract provided.

Developmental Disabilities: Improving Competence In Care Using Virtual Patients, Ida Slusher

Ida Slusher

Nurse practitioners (NPs) have an increasingly important role in health care provision in the United States. However, most nurses report that they receive little or no clinical training in the area of developmental disabilities. A core development team consisting of NP faculty members from three universities, one physician assistant faculty member, the parents of children with developmental disabilities, and educational specialists developed two multimedia interactive pediatric instructional modules in CD-ROM format: one involving a child with Down syndrome and the other, an infant born at 26 weeks gestation. Participants were required to make decisions about proper clinical interaction throughout the …

Continuous St/T Wave Monitoring During An Acute Coronary Syndrome Presentation In Patients With The Coronary Slow Flow Phenomenon (Csfp), Natalie Cutri, Angela Kucia, John F. Beltrame

Angela Kucia

The coronary slow flow phenomenon (CSFP) is a coronary microvascular disorder that typically presents as an acute coronary syndrome and is characterised by delayed vessel opification on angiography in the absence of obstructive coronary artery disease. This study compared the frequency of the ST segment (STs) and T wave (TW) change during continuous ST/T wave monitoring in healthy controls and patients with the CSFP.

The Effects Of Positional Changes On T Wave Amplitude In Healthy Subjects, Natalie Cutri, John F. Beltrame, Angela M. Kucia

Angela Kucia

ST segment (STs) and T wave (Tw) changes are markers of myocardial ischaemia. However, STs changes have been reported with changes in body position. The effect of body position on Tw changes is unknown and the objective of this study.

Risk And Protection For Hiv/Aids In Hispanic, Black, And White Adolescents, T. Robin Bartlett, Raymond Buck, Mona Shattell

Mona Shattell

African Americans and Hispanics are disproportionately affected by HIV/AIDS in the US. HIV infection is often acquired during adolescence, a time when risky sexual behaviors are at their peak. This study explored relationships among selected risk factors, protective factors, and risky sexual behaviors among African American, Hispanic, and white adolescents, from a sample of adolescents from The National Longitudinal Study of Adolescent Health. African Americans and Hispanics were more likely to have sexual intercourse without the use of birth control than whites. African Americans were more likely to have sexual behavior with multiple sexual partners than either Hispanics or whites. …

Mental Health Service Needs Of A Latino Population: A Community-Based Participatory Research Project, Mona Shattell, Desmina Hamilton, Sharon Starr, Courtney Jenkins, Norma Hinderliter

Mona Shattell

Community-based participatory research bridges the gap between academic researchers and the real-life issues of communities and offers promise for addressing racial and ethnic disparities in mental health care. The purpose of this community-based participatory research was to identify factors that affect access, use, and perception of mental health services by a Latino population at individual, organizational, and community levels. Individual level factors included health beliefs about mental illness and care, suspicions of providers, financial concerns, and culturally determined gender roles. Organizational factors included problems with access to care related to cost, lack of bilingual providers and culturally competent care; and …

How Patients And Nurses Experience The Acute Care Psychiatric Environment, Mona Shattell, Melanie Andes, Sandra Thomas

Mona Shattell

The concept of the therapeutic milieu was developed when patients’ hospitalizations were long, medications were few, and one-to-one nurse-patient interactions were the norm. However, it is not clear how the notion of “therapeutic milieu” is experienced in American acute psychiatric environments today. This phenomenological study explored the experience of patients and nurses in an acute care psychiatric unit in the United States (US), by asking them, “What stands out to you about this psychiatric hospital environment?” Three figural themes emerged, contextualized by time, which was a source of stress to both groups: for patients there was boredom, and for nurses, …

Healing Scents: An Overview Of Clinical Aromatherapy For Emotional Distress, Andrea Butje, Elizabeth Repede, Mona Shattell

Mona Shattell

Individuals in emotional distress are often treated with psychotherapeutic agents, but other treatment options exist (Hogan & Shattell, 2007). One safe and effective adjunct for the prevention and treatment of emotional distress is aromatherapy (Field et al., 2005; Kuroda et al., 2005; Lemon, 2004), the therapeutic use of inhaled essential oils. Aromatherapy is one of the fastest growing modalities in complementary and alternative medicine (CAM) in the United States (U.S.) (d’Angelo, 2002), but research on aromatherapy is relatively scant and few nursing programs offer courses in aromatherapy. This article describes the physiological effects of scent, reviews the research on aromatherapy, …

Dispelling Desperation In Pre-Licensure Nursing Education, Mona Shattell, Katherine Smith, Emily Eddins, Cheryl Mcneill

Mona Shattell

No abstract provided.

“I Have Always Felt Different:” The Experience Of Childhood Ad/Hd, Mona Shattell, T. Robin Bartlett, Tracie Rowe

Mona Shattell

Childhood attention-deficit/hyperactivity disorder (AD/HD) is one of the most important psychiatric problems of our time. This study examined the experience of childhood AD/HD within the contexts that are most significant to this age group – home, school, and friendships. The sample included 16 college-enrolled young adults (ages 18 - 25) with a self-reported history of AD/HD. Participants revealed feelings of difference, misunderstanding, and struggle in all areas of their lives (home, school, and friendships). Nurses can use these findings to improve the care and long-term outcomes of children diagnosed with AD/HD.

Smoking Bans In Acute Care Psychiatric Settings: A Machiavellian Smoke Screen?, Mona Shattell, Melanie Andes

Mona Shattell

No abstract provided.