Medicine and Health Sciences Commons^™

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, …

Chhs December/January E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, College Of Health And Human Services

College of Health & Human Services Publications

No abstract provided.

Stamping Out Electrosurgery Smoke, Kay Ball

Nursing Faculty Scholarship

Did you know that perioperative nurses have twice the incidence of some respiratory problems as compared to the general population? This information surprised me too when the data from my doctoral research revealed this startling and unsettling fact.....What are we breathing in the OR?

Using No-Show Modeling To Improve Clinic Performance, Laura P. Sands, Joanne K Daggy, Mark Lawley, Deanna Willis, Debra Thayer, Christopher Suelzer, Po-Ching C. Delaurentis, Ayten Turkan, Santanu Chakraborty

School of Nursing Faculty Publications

‘No-shows’ or missed appointments result in under-utilized clinic capacity. We develop a logistic regression model using electronic medical records to estimate patients’ no-show probabilities and illustrate the use of the estimates in creating clinic schedules that maximize clinic capacity utilization while maintaining small patient waiting times and clinic overtime costs. This study used information on scheduled outpatient appointments collected over a three-year period at a Veterans Affairs medical center. The call-in process for 400 clinic days was simulated and for each day two schedules were created: the traditional method that assigned one patient per appointment slot, and the proposed method …

The Association Of Religiosity, Sexual Education, And Parental Factors With Risky Sexual Behaviors Among Adolescents And Young Adults, Kristin Haglund, Richard Fehring

College of Nursing Faculty Research and Publications

This study examined the association of religiosity, sexual education and family structure with risky sexual behaviors among adolescents and young adults. The nationally representative sample, from the 2002 National Survey of Family Growth, included 3,168 women and men ages 15–21 years. Those who viewed religion as very important, had frequent church attendance, and held religious sexual attitudes were 27–54% less likely to have had sex and had significantly fewer sex partners than peers. Participants whose formal and parental sexual education included abstinence and those from two-parent families were 15% less likely to have had sex and had fewer partners.

Ua61/1 Wku Nursing Class 2010, Wku Nursing

WKU Archives Records

Members of the 2010 nursing class: Laura Abernathy, Michelle Allison, Jana Anderson, Tanya Atkinson, Denise Bunner, Mollie Carter, Jared Crocker, Brittany Davidson, Laura Deaton, Drew Frey, Erin Garner, Brian Gaskins, Angie Gipson, Brianna Glover-Motley, Jeanette Granese, Jennifer Green, Lindsay Green, Erick Greer, Crystal Heady, Myranda Holder, Kelly Irvin, Katherine Kerr, Dawn Kimberlin, Wendi King, Amanda Lamb, Jody Lee, Angela Legge, Rebecca Lock, Tiffany McMinoway, Joe Middleton, Sherry Moore, Amber Nagornay, Renae Neldlinger, Laura Nuestro, Blair Ramsey, Heather Rasmussen, Lora Ray, Justin Reed, Kristin Richardson, Jacqui Rock, Regina Salai, Shelby Scillian, Sydney Scillian, Michael Sticar(?), Rachel Sither, Amanda Smith-Gaspar, Sarah Somers, …

Further Validation Of The Body-Mind-Spirit Wellness Behavior And Characteristic Inventory For College Students, Nicole Mareno, Kathy Shadle James

Faculty and Research Publications

Health promotion is a vital component of college health programs. College health professionals are challenged to find cost-effective, comprehensive measures to assess wellness and risk behaviors. Hettler’s 1979 Six Dimension of Wellness Model guided this inquiry. Physical, emotional, intellectual, occupational, social, and spiritual wellness dimensions were measured by the Body-Mind-Spirit Wellness Behavior and Characteristic Inventory (BMS-WBCI). This study aimed to further validate the BMS-WBCI by reporting reliability as internal consistency of the scale when used to measure wellness in a sample of college students. A descriptive cross-sectional design was utilized. A convenience sample of 106 college students from a small, …

Psychometric Properties Of The Arabic Version Of The Depressive Cognition Scale In First-Year Adolescent Egyptian Nursing Students, Abir K. Bekhet, Jaclene Zauszniewski

College of Nursing Faculty Research and Publications

Background: Identifying depressive cognitions in adolescent nursing students can be an important step to prevent the development of clinical depression, which is positively associated with suicide. Purpose: This study focused on the psychometric testing of the Arabic version of the Depressive Cognition Scale (A-DCS) among 170 first-year adolescent Egyptian nursing students. Methods: The questionnaire was assessed for internal consistency, homogeneity, and construct validity using factor analysis and convergent validity. Results: Cronbach's alpha for (A-DCS) was .86. The homogeneity of the instrument was supported by item-to-total correlations between .30 and .70. Factor extraction generated only one factor with eigenvalues greater than …

Resilience In Family Members Of Persons With Serious Mental Illness, Jaclene Zauszniewski, Abir K. Bekhet, M. Jane Suresky

College of Nursing Faculty Research and Publications

This integrative review summarizes current research on resilience in adult family members who have a relative with a diagnosed mental disorder that is considered serious. Within the context of resilience theory, studies identifying risk/vulnerability and positive/protective factors in family members are summarized, and studies examining seven indicators of resilience, including acceptance, hardiness, hope, mastery, self-efficacy, sense of coherence, and resourcefulness, are described. Implications for clinical practice and recommendations for future research are presented.

Anencephaly: Concepts Of Personhood, Ethical Questions, And Nursing Care, Jessica L. Ryskamp

Senior Honors Theses

Anencephaly is a neural tube defect that severely limits the lifespan of affected infants. While these infants have no higher brain function, they are still persons, and should be given the same moral and ethical considerations as healthy infants. With this in mind, organ donation procedures should follow the same guidelines that apply to other donors. Because a large part of nursing care for anencephalic infants is palliative care, nurses need appropriate training to care effectively for both the infant and the family, providing for physical, emotional, psychological, and spiritual needs.

A New Life For The Care Plan?, Laura K. Heermann Langford, Ann Tinker, Marc-Aurel Martial

Faculty Publications

The current hot topic within clinical informatics is meaningful use and incentive payments defined under the Health Information Technology for Economic and Clinical Health (HITECH) Act's electronic health record (EHR) incentive program. This recent legislation calls for healthcare providers to meet a set of minimum requirements using a certified EHR. The point of this government program is to support the widespread adoption of the EHR. The program lays out an overall plan that incentivizes hospitals and providers to implement, adopt, and "meaningfully" use an EHR. The incentive program starts with basic data entry and exchange in a standardized manner, with …

Newbery Award Winning Books 1975–2009: How Do They Portray Disabilities?, Melissa Leininger, Tina Taylor, Mary Anne Prater, Melissa Allen Heath

Faculty Publications

Newbery books represent quality literature that has a profound social-emotional impact on its readers, yet these books have not been systematically evaluated for their portrayal of characters with disabilities. Thirty-one Newbery Award and Honor books from 1975–2009 were identified and portrayed 41 main or supporting characters with disabilities. These books were evaluated using the Rating Scale for Quality Characterizations of Individuals with Disabilities in Children’s Literature. Results indicate the representation of Newbery characters with disabilities is not proportionate to the current U.S. population of students with disabilities. Further, racial representation portrayed in these books is not representative of the diverse …

Infant Pain Management, Breanne Ziraldo

Senior Honors Theses

Emphasis on infant pain management has recently become prominent in the medical field. Though it was once thought that infants do not feel pain or remember pain, this thinking has changed due to recent research on the subject. This research has found that infants’ underdeveloped nervous systems actually leads to increased pain rather than decreased pain as previously thought. Research has also found that there are long-term developmental risks associated with prolonged or unmanaged pain in infancy. However, this has not been applied to clinical practice. Studies show that infants are still being under-medicated, if medicated at all, for painful …

Predicting Intentions To Continue Exclusive Breastfeeding For 6 Months: A Comparison Among Racial/Ethnic Groups, Yeon Bai, Shahla M. Wunderlich, Alyce D. Fly

Department of Nutrition and Food Studies Scholarship and Creative Works

The purpose of this study was to explore how mothers of different races/ethnicities make decisions to continue exclusive breastfeeding (EBF) for 6 months under the Theory of Planned Behavior. Participants were recruited from hospitals and WIC clinics in Central Indiana and Southern New Jersey from 2008 to 2009. Mothers (N = 236: 93 non-Hispanic African American, 72 non-Hispanic white, 71 Hispanic/Latina) completed a self-administered questionnaire that measured theoretical constructs and beliefs related to their intention to practice EBF for 6 months. Intentions to continue EBF for 6 months were similar (P = 0.15) across racial/ethnic groups. Significant proportions of the …

Subglottic Secretion Aspiration In The Prevention Of Ventilator-Associated Pneumonia: A Review Of The Literature., Rachel Scherzer

Jefferson Hospital Staff Papers and Presentations

Ventilator-associated pneumonia is a common nosocomial infection that results in both negative patient outcomes and increased health care costs. Recently, many efforts have been targeted at ventilator-associated pneumonia prevention, including the practice of subglottic secretion aspiration. Six randomized control studies examining the effectiveness of subglottic secretion aspiration in the prevention of ventilator-associated pneumonia were reviewed for this article. Results consistently show that subglottic secretion aspiration significantly reduces the incidence of ventilator-associated pneumonia in a variety of patient populations. Despite these findings, this practice is limited in clinical settings. This clinical practice should be implemented in individuals requiring mechanical ventilation to …

Knowledge, Attitudes, And Practice Behaviors Of Oncology Advanced Practice Nurses Regarding Advanced Care Planning For Patients With Cancer., Guiyun Zhou, Dnp, Crnp, Aocns, Jill C Stoltzfus, Phd, Arlene D Houldin, Phd, Pmhcns-Bc, Susan M Parks, Md, Beth Ann Swan, Phd, Crnp, Faan

College of Nursing Faculty Papers & Presentations

Purpose/Objectives: To establish initial reliability and validity of a Web-based survey focused on oncology advanced practice nurses' (APNs') knowledge, attitudes, and practice behaviors regarding advanced care planning, and to obtain preliminary understanding of APNs' knowledge, attitudes, and practice behaviors and perceived barriers to advanced care planning.

Design: Descriptive, cross-sectional, pilot survey study.

Setting: The eastern United States.Sample: 300 oncology APNs.Methods: Guided by the Theory of Planned Behavior, a knowledge, attitudes, and practice behaviors survey was developed and reviewed for content validity. The survey was distributed to 300 APNs via e-mail and sent again to the 89 APNs who responded to …

From B17 Bomber To Bedside: Using A Bundle Methodology To Enhance Quality, Kim Jordan Mha, Bsn, Rn, Ne-Bc, Carolyn L. Davidson Phd, Rn, Ccrn, Fnp-Bc, Debra Peter Msn, Rn-Bc, Kim Holleran Bsn, Rn, Cmsrn

Patient Care Services / Nursing

No abstract provided.

Critical Illness Myopathy, Salima Moez Meherali, Yasmin Parpio, Tazeen Ali

School of Nursing & Midwifery

Critical illness myopathy (CIM) is a syndrome of widespread muscle weakness and neurological dysfunction which can develop in critically ill patients receiving intensive care. CIM are often distinguished largely on the basis of specialized electrophysiologic testing or muscle and nerve biopsy and its causes are unknown, though they are thought to be a possible neurological manifestation of systemic inflammatory response syndrome usually developing in patients after a brief period of stay in the Intensive Care Unit (ICU). This case report aims to analyze the Clinical feature, diagnosis and treatment of CIM of 60 years old male case with Chronic Obstructive …

Reducing Mislabeled Specimen Through Lean Processes., Kay Ruachfuss Msn, Rn

Patient Care Services / Nursing

No abstract provided.

Technology-Enhanced Practice For Patients With Chronic Cardiac Disease: Home Implementation And Evaluation, Patricia Flatley Brennan, Gail Casper, Laura Burke, Kathy Johnson, Roger L. Brown, Rupa Valdez, Margaret Sebern, Oscar Perez, Billie Sturgeon

College of Nursing Faculty Research and Publications

Objective: This 3-year field experiment engaged 60 nurses and 282 patients in the design and evaluation of an innovative home-care nursing model, referred to as technology-enhanced practice (TEP).

Methods: Nurses using TEP augmented the usual care with a web-based resource (HeartCareII) that provided patients with self-management information, self-monitoring tools, and messaging services.

Results: Patients exposed to TEP demonstrated better quality of life and self-management of chronic heart disease during the first 4 weeks, and were no more likely than patients in usual care to make unplanned visits to a clinician or hospital. Both groups demonstrated the same long-term symptom management …

Barcoding In The Ed: Who Said It Couldn’T Be Done?, Neil Kocher Rn, Cen, Charlotte Buckenmyer Rn, Ms, Susan Teti Bsn, Rn, Tara Lynne Sell Bsn, Rn., Diane Haines Msn, Rn, Cen, Neil Kocher, Peggy Borton

Department of Emergency Medicine

No abstract provided.

Pressure Ulcers And Nutritional Deficits In Elderly Long-Term Care Patients : Effects Of A Comprehensive Nutritional Program On Pressure Ulcer Healing, Length Of Hospital Stay And Charges To Patients, Beverlin Allen

FIU Electronic Theses and Dissertations

The elderly are at the highest risk of developing pressure ulcers that result in prolonged hospitalization, high health care costs, increased mortality, and decreased quality of life. The burden of pressure ulcers will intensify because of a rapidly increasing elderly population in the United States (US). Poor nutrition is a major predictor of pressure ulcer formation. The purpose of this study was to examine the effects of a comprehensive, interdisciplinary nutritional protocol on: 1) pressure ulcer wound healing 2) length of hospital stays, and 3) charges for pressure ulcer management. Using a pre-intervention/post intervention quasi-experimental design the study sample was …

How To Organizationally Embed The Magnet Culture, Rachel Behrendt, Dnp, Rn, Acons, Donna Molyneaux Phd, Rn

College of Nursing Faculty Papers & Presentations

PowerPoint presentation given at 2010 National Magnet Conference in Phoenix Arizona.

Current State And Future Of Nursing Research At Lvhn., Anne Panik Ms, Rn, Nea-Bc, Deborah Swavely Dnp, Rn

Patient Care Services / Nursing

No abstract provided.

Qualitative Methods In Action., Lynn M. Deitrick Rn, Phd, Vera Brancato Rn, Ed. D.

Patient Care Services / Nursing

No abstract provided.

Critiquing Evidence., Carolyn L. Davidson Rn, Phd, Mae Ann Pasquale Phd, Msn, Rn, Linda M. Schwartz Mde, Ahip, Cm

Patient Care Services / Nursing

No abstract provided.

Yourname In The Masthead-Yes, You Can Write For Publication!., Kim S. Hitchings Msn, Rn, Nea-Bc

Patient Care Services / Nursing

No abstract provided.

Basic Principles For Successful Grant Writing., Mary Ellen Herzog Me D, Cfre, Cgms

Patient Care Services / Nursing

No abstract provided.

Ambulatory Care Registered Nurse Performance Measurement, Beth Ann Swan, Phd, Crnp, Faan, Sheila A. Hass, Phd, Rn, Faan, Marilyn Chow, Dnsc, Rn, Faan

College of Nursing Faculty Papers & Presentations

Executive Summary:

On March 1-2, 2010, a state-of-the-science invitational conference titled "Ambulatory Care Registered Nurse Performance Measurement" was held to focus on measuring quality at the RN provider level in ambulatory care.

The conference was devoted to ambulatory care RN performance measurement and quality of health care.

The specific emphasis was on formulating a research agenda and developing a strategy to study the testable components of the RN role related to care coordination and care transitions, improving patient outcomes, decreasing health care costs, and promoting sustainable system change.

The Accuracy Of Referral For Portable Lipid Analyzers In An Old Order Mennonite Population, Maria E. Main, M. Susan Jones, Cathy H. Abell

Nursing Faculty Publications

The primary purposes of this study were to: 1) examine the accuracy for referral of two portable lipid analyzers (PLAs) in an old order Mennonite population through a comparison to a national standardized reference laboratory, 2) examine the relationship of total cholesterol values with other known cardiovascular risk factors, and 3) foster the continued participatory model of health care service in this community. The self-selected sample was composed of 42 adult members of an old order Mennonite community residing in south central Kentucky. A descriptive correlational design was used in this study. There were clinically relevant variations in the total …