Digital Commons Network^™

Integrated Care: Transforming Beginning Teachers And Students With Ebd, Amy V. Flagler

International Christian Community of Teacher Educators Journal

This research examined the experiences and self-efficacy of beginning teachers who work with students with emotional and behavioral disorders (EBD) in the general education classroom. Supported by the work of Bandura (1977, 1997) on teacher self-efficacy and Noddings (2013) on the ethic of care, this qualitative case study implemented semi-structured interviews to gather data on beginning teachers’ confidence and struggles in meeting the needs of students with EBD. The findings revealed beginning teachers of students with EBD are caregivers in need of specific care to meet both their own needs and those of their students. Implications for educator preparation providers …

Telling Our Story: From Change Resistance To Readiness, Nancyruth Leibold, Mary Bemker

Leadership Connection

Stories, transformational leadership, and change in the workplace intersect in this presentation! Change in the workplace is a challenging process. The use of stories or narratives by transformational nurse leaders is a positive strategy to promote the change process. A surgical nursing change project narrative is included.

Peer Mentoring: A Key To Success In Online Graduate Nursing Education, Mary Bemker, Nancyruth Leibold

Leadership Connection

Peer mentoring can create a relationship the positively impacts academic achievement, leadership skills and student retention. This form of connection is especially important in the online environment. The presentation will focus on the key aspects of implementing a peer leadership program with graduate level nursing students; best practices are included.

Uncertainty In Illness And Health Literacy In Pancreatic Cancer Patients, Rae Brana Reynolds, Geri Wood, Terri S. Armstrong, Nikhil S. Padhye, Matthew Katz

Leadership Connection

Neither uncertainty nor health literacy has been studied with a focus on pancreatic cancer patients whose complicated and challenging illness experiences predispose to uncertainty and require proficient health literacy to manage effectively. This study evaluated the relationship between uncertainty and health literacy along with their predictors in pancreatic cancer patients.

The Experience Of Mothers' Post-Nicu Discharge In Caring For Infants Dependent On Medical Technology, Michelle C. Norton, Anne M. Krouse

Leadership Connection

A qualitative descriptive design was implemented to conduct in-depth interviews with mothers about their experience in the immediate post discharge period from the Neonatal Intensive Care Unit when their infant was discharged dependent on medical technology such as oxygen via nasal cannula, feeding tube, tracheostomy or mechanical ventilation.

The Effect Of Kinship Foster Care Compared To Non-Kinship Foster Care On Resiliency, Alyssa Brynn Bergthold, Heidi Marie Vizino

Leadership Connection

This literature review evaluated the effect of foster home placement type on foster child resilience. Existing literature was evaluated and synthesized to compare the negative and positive effects of both kinship and non-kinship foster care on various indicators of child resilience including behavior, mental health, financial resources, and placement stability.

Student Hotspotting: An Opportunity For Student Nurses To Work With High-Utilizers On Interprofessional Teams, Colin Mcnamara, Michael Arenson, Jennifer R. Dyson, Madeleine Rutledge, Sindhuja Surapaneni

Leadership Connection

Healthcare costs are driven largely by a group of high-utilizers who constitute 5% of the population but account for about 50% of expenditures. A Grady Hospital-based intervention was created to engage Atlanta's high-utilizers with teams of interprofessional students in addressing non-medical concerns that contribute to frequent utilization.

Literature Review: Combining Interface Pressure Measurements With An Air Cushion To Prevent Pressure Ulcers, Donnalee A. Pollack, Marco Brotto

Leadership Connection

Patients with a spinal cord injury (SCI) have a higher risk to develop a pressure ulcer during a hospital stay. Combining real time pressure interface measurements with an alternating air-pressure seat cushion may be a feasible and superior option to decrease the development of pressure ulcers in SCI patients.

Feasibility Of Sampling Hair For Cortisol Analysis In High-Risk Mothers And Their Toddlers, Randi A. Bates, Pamela J. Salsberry, Jaclyn M. Dynia

Leadership Connection

This poster presents the feasibility and methods of sampling hair for cortisol concentration in high-risk mother-toddler dyads. We approached 142 low-income, urban-dwelling mothers living in the Midwest for consent to cut approximately 150 hairs from the posterior vertex of the scalp from themselves and their toddler; 94 dyads participated.

Evaluation Of A Clean Delivery Kit Intervention In Preventing Umbilical Cord Infections In Monrovia, Liberia, Wendy Post, Odel Fayiah, Charlene Denyse Whitaker-Brown, Sharon Davies, Catherine Cooper

Leadership Connection

The project's objective was to evaluate the effectiveness, impact, and rate of infant umbilical cord infection when community health care workers/ midwives utilized clean delivery kits in under-resourced areas of Monrovia, Liberia. A descriptive-exploratory design study was conducted to determine the rate of kit utilization,infection rate; with retrospective chart review.

Challenges To Managing Diabetes Among American Indians: Preliminary Findings From A Focus Group Study, Ilse E. Velazquez, Lisa Scarton, Latoya O'Neal, Diana Wilkie

Leadership Connection

The immense disparity in the rates of Type 2 Diabetes (T2D) related complications among the American Indian (AI) population, has been connected to the unsuccessful management of T2D. Need for family involvement and multigenerational participation are major factors in effective control and prevention of T2D in AI adults and youth.

Logistic Regression Of Admissions Data To Identify Predictors Of Success In A Bsn Program, Mary P. Bennett

Leadership Connection

Session presented on Monday, September 19, 2016:

Retrospective analysis demonstrated that use of this model would have eliminated 38.75% of the students who were ultimately not successful in the nursing program, while only eliminating 19% of the students who were ultimately successful.

Situational Teaching In Nursing Effectiveness Of Workplace Violence Prevention, Jin-Lain Ming, Hei-Mei Huang, Shiao-Pei Hung

Leadership Connection

Session presented on Monday, September 19, 2016:

Workplace violence (WPV) is a serious issue in nursing in the healthcare setting. Healthcare workers are nearly four times more likely to be injured and require time away from work as a result of workplace violence (WPV) than all workers in the private sector combined. Prevention focused education is an important strategy to reduce the risk of violence. Patient violence against nurses in their work environments is a widespread global concern. A high prevalence of violent events impacts the well-being of nurses and may also impair overall ward climate. However, it has been …

Perinatal Ptsd: A Concept Analysis, Julie A. Vignato

Leadership Connection

Session presented on Sunday, September 18, 2016: Aim: To report an analysis of the concept of Posttraumatic Stress Disorder (PTSD) in the perinatal population. Background: The prevalence of PTSD in the perinatal period is rising with 9% of the U.S. perinatal population diagnosed with the disorder and an additional 18% being at risk for the condition. Left untreated, adverse maternal child outcomes result in increased morbidity, mortality, and healthcare costs. Design: Concept Analysis. Data Sources: The databases of CINAHL, Medline, PsychInfo, Academic Search Premier, and PsychINFO for articles published between 2004 and 2014, written in English, and using the terms …

Neurobiology Of Sexual Assault, Erin Misch, Denise Saint Arnault

Leadership Connection

Session presented on Sunday, September 18, 2016:

Sexual assault is a widespread problem. Nationally 19.3% of all women have reported being raped and 43.9% of all women have reported sexual assault other than rape (however, it is estimated that only 16% of these incidences are reported to law enforcement). A literature review was conducted and the goal of this research is to apply neurobiological theory of tonic immobility to understand underreporting of sexual assault. Tonic immobility (AKA 'rape-induced paralysis') is defined as an uncontrollable mammalian response in fearful and inescapable dangerous situations. Driven by the reptilian brain, this is a …

Heart Failure Readmission: From The Eyes Of A Patient, Allison M. Sadowsky

Leadership Connection

Session presented on Sunday, September 18, 2016:

The purpose of this study was to explore perceptions of patients, who have congestive heart failure and who had a recent admission to the acute care setting, regarding factors that influenced their readmissions to the acute care setting, as well as to identify if there are areas of teaching that needed to be increased in emphasis or added to patient education to decrease future readmissions. The sample consisted of seven patients who had a readmission to the acute care setting and had a diagnosis of acute congestive heart failure. This qualitative study utilized …

Preparing For A Future, Arahany Vasquez

Leadership Connection

Session presented on Thursday, September 25, 2014:

Millions of women suffer every year worldwide as a result of health, economic, developmental problems related to pregnancy and thereafter most suffer from lack of programs that are vital in creating a healthier relationship, family unit and neighborhoods. U.S women are among the highest impacted in particular those living in risk populations. For women who are marginalized or living in poverty areas with most significant health disparities, the risks are particularly critical. Fortunately we are able to offer some of the best care and resources throughout the world here at home, for those …

Intimate Partner Violence And Failure To Thrive In Children: A Literature Review, Pamela C. Kimeto

Leadership Connection

Session presented on Friday, September 26, 2014:

Failure to thrive is best described as inadequate growth or the inability to maintain growth, usually in early childhood. It is a sign of under nutrition (Gahagen, 2006; Levy, A., Levy, A., & Zangeten, 2009). In the United States, FTT is seen in 5-10% in primary care settings and in 3-5% in hospital settings (Cole & Lanham, 2011; Daniel, Kleis & Cemeroglu, 2008). Traditionally, the causes of FTT were subdivided into organic (medical) and nonorganic (social or environmental). There is increasing recognition that in many children the cause is multifactorial and includes biologic, …

Impact Of Individual And Neighborhood Factors On Cardiovascular Risk In White Hispanic Women And Men Compared To White Non-Hispanic Women And Wen, Tanya Marie Cohn

Leadership Connection

Session presented on Friday, September 26, 2014:

Cardiovascular disease (CVD) is the leading cause of mortality for adults in the United States regardless of ethnicity. Yet, cardiac and noncardiac-related risk factors vary by ethnicity, as does mortality rate. Specifically, Hispanics in the United States have a higher prevalence of risk factors compared to non-Hispanic Whites, but lower overall cardiovascular-related mortality rate (Daviglus et al., 2012). This unexplained difference in risk versus mortality argues the need for the ability to accurately assess cardiovascular risk in order to provide appropriate treatment plans, medication, and behavioral interventions. This disparity suggest that other factors …

Epigenetics For Breast Cancer Prevention: A Family Case-Control Study, Mildred C. Gonzales

Leadership Connection

Session presented on Friday, September 26, 2014:

Background: Breast cancer (BC) is the most common malignancy and second leading cause of cancer death among women. Epidemiological studies have documented that environmental carcinogens and unhealthy behaviors increase the risk of BC. This area of epigenetic interactions warrants further examination as it may provide promising behavioral interventions to effectively improve health of families in various communities. Purpose: The major purpose of this study is to provide foundation for evidence-based prevention strategies to enhance quality of care for women with BC and their families through examination of epigenetic pathways. This study will examine …

Development Of Middle Range Theory To Guide Practice In A Nurse-Led Symptom Evaluation And Management Clinic, Savita Devi Sukha, Allison Gilmer, Sr. Callista Roy

Leadership Connection

Session presented on Friday, September 26, 2014:

Purpose: To develop a middle range theory (MRT) of symptom management to guide the assessment and management of patients in a nurse-led symptom management clinic in the NIH (National Institutes of Health) campus. Specific aims Phase I are: 1) to identify and retrieve the studies that relate to the 5 cardinal symptoms of chronic conditions; 2) to analyze and critique the studies to create a MRT; and 3) to select major concepts to create a schema of the MRT.

Methods: The literature review was carried out to identify publications for the years 2001-2014 …

Community Gardens' Role In Pediatric Nutrition, Erick Von Ahn

Leadership Connection

According to the Centers for Disease Control and Prevention (CDC) obesity rates have climbed over the past 30 years. Currently, one-third of children in the U.S. are overweight or obese (U.S. Department of Health and Human Services, 2014). The likelihood of being obese as an adult is 70% higher for obese children (Obesity Action Coalition, 2014). Pediatric obesity increases the risks for cardiovascular disease, diabetes, asthma, gastrointestinal inflammatory pathologies, cancer, premature menarche, psychiatric and social pathologies (U.S. Department of Health and Human Services, 2014; Ohio Department of Health, 2008; Allison & Hyde, 2013; McIntyre, 2011; Wiskin, Owens, Cornelious, Wooton & …

The Millennium Development Goals: Incorporated Into Clinical Practice, Nancy C. Sharts-Hopko

Leadership Connection

Session presented on Thursday, September 20, 2012: This session will highlight role that clinical nurses pay in advancing the United Nations' Millennium Development Goals and the activities undertaken by nurses in clinical settings to advance these goals.

Lifelong Leadership: Making An Impact Through Service Learning, L. B. Wong, Safiya George Dalmida

Leadership Connection

This presentation will highlight the benefits of service learning to the personal leadership journey and provide resources for participating in service learning opportunities.

Disaster Nursing: From Headline To Frontline, Cynthia Vlasich, K. Joanne Mcglown

Leadership Connection

LEARNING OBJECTIVES By the end of this presentation, the learner will be able to …. • Describe the global frequency, severity and impact of disasters. • Identify potential roles for nurses in the US Federal response system. • Outline various ways in which nurses may enter the disaster response system. • Describe initial expectations of disaster nurses as part of an effective disaster response.

No Champion For Children: Tennessee's Rule 40a And The Appointment Of Guardians Ad Litem In Custody Proceedings, Austin Elizabeth Kupke

Tennessee Journal of Law and Policy

No abstract provided.

Precursors To Violence: Identifying, De-Escalating, And Reducing Women’S Risks, Laura Cox Dzurec, Cheri Clancy, Jacquelyn C. Campbell

Sigma Global Initiatives

Sigma Theta Tau International selected the Review Theme in which one of the agreed conclusions of the sixtieth session state the Commission on the Status of Women strongly condemns all forms of violence against all women and girls. Our topic empowers those who may be affected by violence so they may recognize the risk factors and take proactive actions to potentially avoid the escalation of these behaviors. As we are providing practical applications to workplace, home, and social setting incivility, bullying, and violence, we expect attendees to become more educated about how to recognize, understand the behavior of, and de-escalate …

End-Of-Life Care For Hispanics In The United States, Rebecca Zarate

Family Perspectives

No abstract provided.

Adapting An Evidence-Based Insomnia Practice Guideline For Use In A University Healthcare Setting, Maria M. Denny

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

Recent evidence-based practice guidelines (EBPGs) recommend cognitive-behavioral therapy for insomnia (CBT-I) as first-line treatment for adults with chronic insomnia, with pharmacotherapy as a secondary option. Pharmacotherapy is often used in primary care settings, which have limited access to specialty CBT-I services. Proven lower-intensity CBT-I components and delivery modes can be customized for primary care.The purpose of this DNP project was to adapt an insomnia EBPG for use at a university health service with integrated primary care and mental health resources. The integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework guided this project, involving primary care and mental …

Impact Of Teaching Breathing Techniques On Patient Health Outcomes: A Systematic Review, Kathleen Benjamin Rickard, Jennifer Reich, Dorothy J. Dunn

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

The United States has some of the most expensive health care world wide, with an increase in chronic illness, poorer outcomes, and fragmentation of care. Patients seek integrative or alternative methods of care in order to participate and improve their own health outcomes. Promoting cost effective, useful, and safe tools for patients to learn during an office visit allows patients to participate in their own care for improved health. The clinical question for this systematic review is: What is the evidence for teaching breathing techniques in primary care to improve health outcomes? Evidence in the literature shows that while breath …