Medicine and Health Sciences Commons^™

Results Of The National Council Of State Boards Of Nursing National Simulation Survey: Part Ii, Suzan Kardong-Edgren, Janet Willhaus, Deborah Bennett, Jennifer Hayden

Janet Willhaus

Background: The purpose of this article is to report additional data gathered during the National Council of State Boards of Nursing 2010 nationwide simulation survey of 1,729 nursing programs in the United States. It serves as a companion article to the initial survey data reported by Hayden in 2010.

Method: All prelicensure nursing programs in the United States were mailed the survey; 62% of programs (N ¼ 1,060) receiving the survey responded. This article presents respondents’ answers to an additional eight questions about a program’s use of simulation and thoughts on various aspects of simulation, not reported in the first …

Northwest Latinos' Health Promotion Lifestyle Profiles According To Diabetes Risk Status, Leonie Sutherland, Dawn Weiler, Laura Bond, Shawn Simonson, Janet Reis

Dawn Weiler

A sample of 225 low income and low education, middle aged Latinos with concern about diabetes and living in a mid-size Idaho city volunteered for a physical assessment for risk status for the disease. The health promoting lifestyles of Latino congregants were measured using the Health Promoting Lifestyle Profile II. Diabetes risk was measured by clinically standard glycated hemoglobin readings. From no risk for the disease to full blown diabetes as determined by glycated hemoglobin levels, the respondents reported engaging in basically the same levels of physical activity, monitoring of nutrition and use of health care services thus evidencing no …

Living With Significant Other Is Associated With Lower Risk For Emergency Readmission After Unstable Angina & Non-St Elevation Myocardial Infarction. [Abstract], Patricia Harris, Barbara J. Drew

Patricia Harris

Creating Technology-Enhanced Practice: A University-Home Care-Corporate Alliance, Patricia Brennan, Laura Burke, Gail Casper, Margaret Sebern, Carolyn Krause, Susan Kossman, Delores Severtson, Judy Murphy

Margaret Sebern

Insuring full benefit of consumer health informatics innovations requires integrating the technology into nursing practice, yet many valuable innovations are developed in research projects and never reach full integration. To avoid this outcome, a team of researchers partnered with a home care agency’s staff and patients and their corporate parent’s Information Systems and Research group to create a Technology-Enhanced Practice (TEP) designed to enhance care of home bound patients and their family care givers. The technology core of TEP, the HeartCare2 web site, was built in a collaborative process and deployed within the existing patient portal of the clinical partner. …

Psychometric Evaluation Of The Shared Care Instrument In A Sample Of Home Health Care Family Dyads, Margaret Sebern

Margaret Sebern

Researchers have studied negative effects of caregiving on a family caregiver; however, less is known about positive aspects of exchanging assistance for both members of a family caregiving dyad. In a previous naturalistic inquiry the author indentified a basis for studying caregiving interactions was a construct called shared care. The three components of shared care identified in the naturalistic inquiry were communication, decision making, and reciprocity. The Shared Care Instrument (SCI) was developed to measure the construct. The purpose of this study was to assess the psychometric properties of the SCI, and to assess its construct and criterion-related validity. A …

Living With Significant Other Is Associated With Lower Risk For Emergency Readmission After Unstable Angina & Non-St Elevation Myocardial Infarction [Poster 12064], Patricia Harris, Barbara J. Drew

Patricia Harris

Using Problem-Based Learning Scenarios To Prepare Nursing Students To Address Incivility, Cynthia Clark, Sara Ahten, Rosemary Macy

Sara M. Ahten

Introduction: Incivility may be a problem for nursing students as they progress through their nursing education and enter the workplace. Nursing faculty are challenged to construct meaningful learning experiences to address the problem and consequences of incivility. Method: A problem-based learning scenario and Kirkpatrick’s model for evaluation were used to address incivility and the ‘‘reality shock’’ between what students learn about the practice of nursing and the interactions they may experience in the workplace. Results: Students expressed a favorable reaction to the scenario and reported being better prepared to address incivility in the workplace. Conclusions: Problem-based learning scenarios are an …

Cyber-Bullying And Incivility In The Online Learning Environment, Part 1: Addressing Faculty And Student Perceptions, Cynthia Clark, Loredana Werth, Sara Ahten

Sara M. Ahten

Online learning has created another potential avenue for incivility. Cyber-bullying, a form of incivility that occurs in an electronic environment, includes posting rumors or misinformation, gossiping, or publishing materials that defame and humiliate others. This is the first of 2 articles detailing a study to empirically measure nursing faculty and student perceptions of incivility in an online learning environment (OLE). In this article, the authors discuss the quantitative results including the types and frequency of uncivil behaviors and the extent to which they are perceived to be a problem in online courses. Part 2 in the September/October issue will describe …

Community-Based Fitsteps For Life Exercise Program For Persons With Cancer: 5-Year Evaluation, Barbara K. Haas, Gary Kimmel, Belinda Deal, Melinda Hermanns

Barbara Haas

Engaging Learners: Challenges, Strategies, And Classroom Assessment, Sarah Beckman, S Boxley-Harges

Sarah J. Beckman

Challenges of engaging students on real world culturally sensitive topics in a general education transcultural course are the essence of this presentation. Strategies used to create a safe environment in which students are free to state beliefs and opinions also hold students accountable to listen and respect other viewpoints. To this end, utilization of ground rules on civility, evidence-based teaching principles, and classroom assessment findings will be explored in relation to selection of teaching methods.

Milwaukee Police Department Retirees: Cardiovascular Disease Risk And Morbidity Among Aging Law Enforcement Officers, Sandra Ramey, Nancy Downing, W. Franke

Nancy R Downing

This study explored the self-reported prevalence of cardiovascular disease (CVD) and accompanying risk factors among 165 male retirees 43 years and older (M = 56.2, SD = 7.1) from the Milwaukee Police Department (MPD) compared to 671 individuals of similar age and income who responded to the 2005 Wisconsin Behavioral Risk Factor Surveillance System (BRFSS). CVD and other risk factors were more prevalent in the MPD retirees than the general population (CVD 15.2% vs. 9.5%, p = .036; hypertension 51.5% vs. 36.2%, p = .001; hypercholesterolemia 62.4% vs. 44.4%, p = .001; overweight and obesity 85.1% vs. 74.7%, p = …

Simulation For High-Stakes Evaluation: Letter To The Editor, Mary Rizzolo, Janet Willhaus

Janet Willhaus

No abstract provided.

Cyber-Bullying And Incivility In An Online Learning Environment, Part 2: Promoting Student Success In The Virtual Classroom, Cynthia Clark, Sara Ahten, Loredana Werth

Sara M. Ahten

The appeal of online learning has increased dramatically among nurses who are pursuing higher-education opportunities. However, online learning has created potential avenues for uncivil behaviors that can affect student satisfaction, performance, and retention. This is the second of 2 articles detailing a study to empirically measure nursing faculty and student perceptions of an online learning environment (OLE). Part 1, in the July/August 2012 issue, described the quantitative results including the types and frequency of uncivil behaviors and the extent to which they are perceived to be a problem in online courses. In this portion of the study, the authors discuss …

De”Myth”Ifying Mental Health – Findings From A Community University Research Alliance (Cura), Rick Csiernik, Cheryl Forchuk, Mark Speechley, Catherine Ward-Griffin

Rick Csiernik

Many myths exist regarding mental illness and those with mental health issues. Under the auspices of a Community-University Research Alliance on Housing and Mental Health, a partnership between academics, community health and social service agencies and representatives of consumer-survivor groups, fourteen consumer-survivor and eight family member focus groups were held throughout Southwestern Ontario. Individual interviews were also conducted with 150 male and 150 female community-based mental health system consumer-survivors living in a variety of housing environments in London, Ontario. The findings dispute beliefs around four myths: that people with mental health problems are a homogenous population, which was highlighted by …

Psychiatric Crisis Services In Three Communities, Cheryl Forchuk, Elsabeth Jensen, Mary-Lou Martin, Rick Csiernik, Heather Atyeo

Rick Csiernik

This study compared communities with three models of crisis service: (a) police as part of a specialized mental health team, (b) mental health worker as part of a specialized police team, and (c) informal relationship between police and mental health crisis service. Rural and urban areas were examined and compared. Data included focus groups and participant observation. Analysis revealed that while all communities valued their crisis services, all identified limitations in responsiveness, access, and systems-related issues. Quick access to psychiatric beds was important to services. Rural communities had no public transportation, and an important police role was safe transportation. In …

Rethinking Notions Of Diversity In The Context Of Homelessness, Rick Csiernik, Carolyne Gorlick, Helene Berman, Cheryl Forchuk, Susan Ray, Elsabeth Jensen, Libbey Joplin

Rick Csiernik

No abstract provided.

Exploring Differences Between Community-Based Women And Men With A History Of Mental Illness, Cheryl Forchuk, Elsabeth Jensen, Rick Csiernik, Catherine Ward-Griffin, Susan Ray, Phyllis Montgomery, Linda Wan

Rick Csiernik

Relatively little is understood concerning the role of gender in persons with a history of mental illness residing in the community. This paper aims to explore gender's effect using data from the Community Research University Alliance project entitled, Mental Health and Housing. The primary five-year longitudinal study examined housing situations for psychiatric consumer/survivors in a mid-size, central Canadian region in an effort to improve the number and quality of appropriate housing situations. Data from 887 subjects in the original research underwent secondary analysis with particular relevance to differences between gender and indicators of health status including psychiatric history, levels of …

Developing And Testing An Intervention To Prevent Homelessness Among Individuals Discharged From Psychiatric Wards To Shelters And ‘No Fixed Address’, Cheryl Forchuk, S. Macclure, M. Van Beers, C. Smith, Rick Csiernik, J. Hoch, E. Jensen

Rick Csiernik

Shelter data in a recent study revealed discharges from psychiatric facilities to shelters or the street occurred at least 194 times in 2002 in London, Ontario, Canada. This problem must be addressed to reduce the disastrous effects of such discharge, including re-hospitalization and prolonged homelessness. An intervention was developed and tested to prevent homelessness associated with discharge directly to no fixed address. A total of 14 participants at-risk of being discharged without housing were enrolled, with half randomized into the intervention group. The intervention group was provided with immediate assistance in accessing housing and assistance in paying their first and …

Diversity And Homelessness: Minorities And Psychiatric Survivors, Cheryl Forchuk, Elsabeth Jensen, Rick Csiernik, Carolyn Gorlick, Susan Ray, Helene Berman, Pamela Mckane, Libbey Joplin

Rick Csiernik

No abstract provided.

Gaining Ground, Losing Ground: The Paradoxes Of Rural Homelessness, Cheryl Forchuk, Phyllis Montgomery, Helene Berman, Catherine Ward-Griffin, Rick Csiernik, Carolyn Gorlick, Elsabeth Jensen, Patrick Riesterer

Rick Csiernik

The study examined rural housing and homelessness issues and looked at similarities and differences between rural and urban areas. It involved a secondary analysis of focus group data collected in a 2001-06 Community University Research Alliance study of mental health and housing. The findings highlight concerns regarding the lack of services, which can precipitate a move from a rural to an urban community. Inadequate transportation services often posed a challenge to rural residents attempting to access services. Many participants preferred rural living but felt they had to choose between residing where they wanted to and having access to essential services. …

Housing, Income Support And Mental Health: Points Of Disconnection, Cheryl Forchuk, Libbey Joplin, Ruth Schofield, Rick Csiernik, Carolyne Gorlick, Katherine Turner

Rick Csiernik

There exists a disconnection between evolving policies in the policy arenas of mental health, housing, and income support in Canada. One of the complexities associated with analysing the intersection of these policies is that federal, provincial, and municipal level policies are involved. Canada is one of the few developed countries without a national mental health policy and because of the federal policy reforms of the 1970s, the provincial governments now oversee the process of deinstitutionalization from the hospital to the community level. During this same period the availability of affordable housing has decreased as responsibility for social housing has been …

Hiv Rages Among Black Gay Men, Sheldon Fields

Sheldon D. Fields

No abstract provided.

Development And Pilot Test Of Pictograph-Enhanced Breast Healthcare Instructions For Community-Residing Immigrant Women, Jeungok Choi

Jeungok Choi

Current written text-based health-care instructions are not suitable for presenting lengthy, complex breast health-care instructions and are difficult for immigrant women with limited literacy skills. The aims of this study were to develop breast health-care instructions enhanced by pictographs (simple line drawings representing health-care actions) and pilot test the instructions in a sample of six immigrant women with limited literacy skills. Based on the Mayer's Cognitive Theory of Multimedia Learning, pictographs were developed in addition to low-literacy text. The text and the pictographs were then pilot tested with six immigrant women in community health centres for clarity, comprehension and acceptability …

The Impact Of Household Investments On Early Child Neurodevelopment And On Racial And Socioeconomic Developmental Gaps: Evidence From South America, Ann Mccarthy

Ann Marie McCarthy

This paper assesses the effects of household investments through child educating activities on child neurodevelopment between the ages of 3 and 24 months, and evaluates whether investments explain racial and socioeconomic developmental gaps in South America. Quantile regression is used to evaluate the heterogeneity in investment effects by unobserved developmental endowments. The study finds large positive investment effects on early child neurodevelopment, with generally larger effects among children with low developmental endowments (children at the left margin of the development distribution). Investments explain part of the observed racial gaps and the whole socioeconomic developmental gap. Investments may compensate for low …

Researcher And Institutional Review Board Chair Perspectives On Incidental Findings In Genomic Research, Janet Williams, Sandra Daack-Hirsch, Martha Driessnack, Nancy Downing, L. Shinkunas, D. Brandt, C. Simon

Sandra Daack-Hirsch

Aims: Genomic research can produce findings unrelated to a study's aims. The purpose of this study was to examine researcher and Institutional Review Board (IRB) chair perspectives on genomic incidental findings (GIFs). Methods: Nineteen genomic researchers and 34 IRB chairs from 42 institutions participated in semi-structured telephone interviews. Researchers and chairs described GIFs within their respective roles. Few had direct experience with disclosure of GIFs. Researchers favored policies where a case by case determination regarding whether GIF disclosure would be offered after discovery, whereas IRB chairs preferred policies where procedures for disclosure would be determined prior to approval of the …

Nurse Practitioners Tackling More "Doctor" Tasks, Sheldon Fields

Sheldon D. Fields

No abstract provided.

Teaching Students To Become Active In Public Policy, Patricia Thomas, Carol Shelton

Patricia Thomas

Nurses as professionals and as individual consumers are affected by health policy and bear a responsibility for participating in the health arena. Nursing's growing recognition of the importance of public policy issues is increasingly being translated into action by various groups within the profession. Persuading student nurses of the importance of health policy provides a special challenge to faculty. A clinical practicum was designed that requires senior baccalaureate students in various community settings to identify, analyze, and challenge health policy issues. The course design, integration into the curriculum, and evaluation can be models for faculty considering the challenge of stimulating …

Teaching Students To Use An Online Index, Patricia Thomas

Patricia Thomas

Technology has, and should, change the way we teach, and a wide variety of Internet teaching methods are used.� The purpose of this activity is to introduce RN-to-BS students to online nurising indexes.

Traumatic Brain Injury Awareness: Educational Techniques, Victoria Folse, Katherine Racanelli, '12

Victoria N. Folse

No abstract provided.

What Nurses Should Know About Natural Family Planning, A. Trent, M. Clark

M. Kathleen Clark

No abstract provided.