Digital Commons Network^™

Identifying And Accommodating Education/Research Barriers Of Rural Nursing Staff In The Mississippi River Delta, L. Todd Hammon

Leadership Connection

Session presented on Sunday, September 18, 2016:

The purpose of this study was to identify by survey, what education and research barriers exist for operating room and post anesthesia care nursing staff in the rural hospitals of the Mississippi River Delta.

Barriers Of Contact Isolation Precautions: Healthcare Professional's Perceptions And Patient's Experiences, Samantha Kelsey Barber

Leadership Connection

Session presented on Sunday, September 18, 2016:

The main objective of this research review was to explore the lived experiences of patients under source contact isolation precautions and the perceptions and suggestions of healthcare workers interacting with patients under source isolation conditions. Patients and healthcare workers were interviewed over a period of time that allowed for the elaboration of personal feelings and perceptions to be articulated. The general consensus for both groups was deemed negative and the researchers were able to determine that one of the contributing factors was a lack of guiding knowledge in the form of an evidence …

Structure And Process For Interdisciplinary Education, Janet Haggerty Davis

Leadership Connection

Session presented on Friday, September 26, 2014: Purpose: Due to the complexity of our current and emerging health care system, emphasis is increasingly being placed on the need for student education in interdisciplinary health care teams. The World Health Organization (WHO) defines interdisciplinary education as "when students from two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes." Models for interdisciplinary education have been developed and some institutions have provided interdisciplinary education using case-based scenarios. The WHO proposes that interprofessional education is a necessary step in preparing a collaborative ready healthcare …

Translating And Piloting A Community Based Diabetes Prevention Intervention For Vietnamese-Americans, Taylor Annabel Fischer, Cindy Cao, Tam Nguyen

Leadership Connection

Session presented on Friday, September 26, 2014:

Diabetes is a serious chronic medical condition that has well-established links to devastating health outcomes including heart disease, stroke, and peripheral vascular disease. A large multicenter randomized clinical control trial (n=3,234) called the Diabetes Prevention Program has demonstrated that a lifestyle intervention focused on modest weight loss through dietary changes and increased physical activity can reduce the development of diabetes by 58%. However efforts to translate these findings to understudied and underserved minority populations, such as Vietnamese Americans, are lacking. Work in this area is important because the diets and cultural norms among …

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 …

End Of Life In African American Older Adults: An Integrative Literature Review, Karen O. Moss, Karen M. Rose

Leadership Connection

Session presented on Friday, September 26, 2014:

End-of-life care in the United States is described as deficient and fragmented. Minority populations engage in end-of-life planning less frequently than Caucasians. African Americans represent the second largest minority group in the United States with its older adult population projected to increase by 114% by 2030. The Patient-Self Determination Act of 1990 requires Medicare and Medicaid funded healthcare organizations to empower patients to refuse or accept medical care and execute advance directives. The Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT) confirmed substantial shortcomings of healthcare for seriously …

Breast Cancer Related Lymphedema: An Algorithm For Self-Care, Paula D. Tedin-Moschovas

Leadership Connection

Session presented on Thursday, September 25, 2014:

In 2013, there were 2.8 million breast cancer survivors in America and Armer, et al, (2008) reveal that 20-40% will develop breast cancer-related lymphedema (BCRL). BCRL is an accumulation of lymph fluid in the interstitial spaces, of the arm or chest wall, where normal lymphatic flow has been disrupted by axillary node dissection, mastectomy, radiation or chemotherapy. Once lymphedema (LE) develops it becomes a chronic condition requiring medical and therapeutic support. The purpose of this scholarly activity is to create then study an algorithm to assist the patient in self-care. Knowledgeable nurses, physicians …

Panel Discussion 2: Litigation For Change, Jacqueline Dixon, Dean Rivkin, Robert Schwartz

Tennessee Journal of Law and Policy

No abstract provided.

The Mental Health Literacy Of Ncaa College Coaches: Knowledge, Beliefs, And Resources, Lauren Beasley, Steven Hoffman, Jackson Sears

Journal of Issues in Intercollegiate Athletics

National Collegiate Athletic Association (NCAA) college athletes in the United States (U.S.) are at risk for diminished mental health, and stigma may be a barrier to these athletes seeking professional mental health care. Coaches can create a team environment that prioritizes athlete mental health and destigmatizes help-seeking; however, this requires coaches to have appropriate mental health knowledge, operationalized as mental health literacy (MHL). Therefore, the purpose of this exploratory study was to explore three different constructs of MHL of NCAA coaches across Divisions I, II, and III. The Multicomponent Mental Health Literacy Scale (MMHLS), which measures MHL within three domains—knowledge, …

Impact Of Equine Programs To Treat Autism On Caregiver Stress, Jennifer May

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

When a child is diagnosed with autism spectrum disorder (ASD), caregivers must navigate a complicated maze of information while experiencing their own emotional journey. Maladaptive behaviors seen in children with ASD can make daily routine tasks difficult to complete and attribute to higher levels of caregiver stress. Complementary and alternative medicine (CAM) approaches in treating ASD are gaining interest as caregivers are becoming involved in care planning. Equine programs are becoming increasingly popular options to treat maladaptive behaviors associated with ASD. The purpose of this project was to evaluate if equine programs in the Phoenix, Arizona area used to treat …

Recommendations For Promoting Culturally And Resource Appropriate Care For Native American (Na) Patients At Flagstaff Medical Center (Fmc), Aura Leaf Kaila Edmondson

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

Flagstaff Medical Center (FMC) is a primary referral center for its surrounding Native American (NA) communities. As such, FMC has a unique patient population with distinctive needs related to culture and available resources. This executive summary explores the provision of quality care to NA populations by discussing the execution of a clinician focused education needs assessment, implementation of an education program based upon this data, and synthesis of the experience to provide institutional recommendations for ongoing efforts to optimize the care of NA patients from a cultural and resource perspective.

The Effects Of Racial Battle Fatigue In Students Of Color: Increasing Awareness And Improving Coping Skills, Meyokia Smith

Group: Nebraska Methodist College

Students of color who attend predominately white institutions have reported experiencing racism, discrimination, or racial microaggression which has led to physiological, psychological, or behavioral stress responses coined as racial battle fatigue (RBF), a newer term describing these effects. This project sought to understand students of color's experiences of RBF through a focus support group while formulating coping mechanisms to assist students of color who may face RBF to build resiliency. The focus support group discussion concentrated on three main themes: Racial Battle Fatigue Awareness, Racial Battle Fatigue Experience, and Coping and Racial Battle Fatigue. Results from this study sought to …

Determining The Impact Of Using A Social Determinants Of Health Screening Tool In Identifying Unmet Needs, Barriers To Care, And Basic Awareness Of Social Resources, Maelene Schuhmacher-Omar, Kari Wade

Group: Nebraska Methodist College

The purpose of this project was to determine if conducting a short, social determinants of health (SDOH) assessment identified one or more unmet needs, one or more barriers to care, and to assess basic awareness of social resources. Conditions affecting people where they work and live have a strong influence on health outcomes. Social complexity, meaning having one or more unmet need, is directly related to poorer health outcomes. Individuals marginalized by poor social capital, health inequities and ongoing disparities, especially those in low income populations, experience higher morbidity and mortality. These unmet needs also affect the shared-decision making process …

Postpartum Depression Screening In The Neonatal Intensive Care Unit, Angela Zavala, Tara Whitmire

Group: Nebraska Methodist College

Background and Review of Literature: Postpartum depression (PPD) is recognized as a maternal mental health condition that can occur during pregnancy or in the postpartum period. Mothers of infants hospitalized in the neonatal intensive care unit (NICU) are at a particularly increased risk for developing PPD. Risk factors are multifactorial and if undiagnosed can lead to serious consequences for mother, infant and the family unit.

Purpose: The purpose of this project was: 1) to assess the incidence of PPD with interval screening compared to one-time screening in NICU mothers using the Edinburgh Postnatal Depression Scale (EPDS), and 2) to determine …

Reducing Readmissions Through Medication Reconciliation Program In Primary Care, Joseph Anthony Anthone, Tara Whitmire

Group: Nebraska Methodist College

Background: Hospital readmissions are a major expenditure within our healthcare system. Poor medication adherence and literacy greatly increases the risk of readmission. To combat this problem insurance payors incentivize prompt and effective post discharge medication reconciliation and education.

Objective: To develop and implement a protocol in a primary care clinic utilizing a proven medication assessment tool to improve patient understanding resulting in improved readmission outcomes, medication literacy, and self-management regarding patient medication adherence.

Methods: The project was conducted in two parts over a six month time frame. Initially, data was collected using web-based insurance portals for a two months for …

Food Insecurity Screening Among Hospitalized Older Adults With Cardiovascular Disease, Claire Montoya

Group: Nebraska Methodist College

Objective: To implement a food insecurity (FI) screening process using the HVS^TM for adults age 60 and older on an inpatient cardiac unit. The intent was to better understand the prevalence of FI, to evaluate current nutrition resource use, and to assess for any significant relationship between resource use and FI screening result among this specific patient population.

Methods: Screenings were administered by registered nurses on the cardiac unit to any adult age 60 or older admitted to the unit. Screening forms consisted of the two-item HVS^TM and a third question screening for use of nutrition resources (SNAP, …

A Peer Support Program For Adolescents With Type 1 Diabetes, Amber A. Fuller

Group: Nebraska Methodist College

Type 1 diabetes mellitus (T1D) is a chronic condition impacting young children and subsequently follows them throughout life. The disease causes the body to lose the ability to produce insulin resulting in elevated blood sugar levels causing a cascade of detrimental complications. As children navigate through the different phases of life, especially during adolescence, the challenges of self-management of this disease can become difficult. In research, peer support programs have shown to be an effective method to approaching this challenge. This quality improvement project focused on the T1D adolescent population and created, implemented, and evaluated a peer support program, called …

Npwh Position Statement: Eliminating Preventable Maternal Deaths, National Association Of Nurse Practitioners In Women's Health

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

The National Association of Nurse Practitioners in Women's Health (NPWH) supports coordinated and collaborative efforts at federal, state, local, and professional organization levels to eliminate preventable maternal deaths. For 2011-2015, the pregnancy-related mortality ratio (PRMR) in the United States was 17.2 deaths per 100,000 live births. This statistic translates to an average of 700 women dying of pregnancy-related complications each year, a rate that remains higher than that of any other resource-rich country. The CDC estimates that 3 in 5 pregnancy-related deaths in the U.S. are preventable. NPWH advocates for legislation, policies, and initiatives that promote access to care, establishment …

Extensions Of King: Measurable Outcomes And Expanded Nursing Process, Mary B. Killeen

Group: King International Nursing Group

This presentation provided a review of King Theoretical concepts and relevance to nursing outcomes thereby expanding the nursing process to include a theoretical foundation.

Internalized Racism And Mental Health: The Moderating Role Of Collective Racial Self-Esteem, Steven M. Sanders, Tiffany R. Williams, April T. Berry, Claudia Garcia-Aguilera, Kiera Robinson, Reniece Martin, Paigean Jones

Psychological Sciences and Counseling Faculty Research

Internalized racism is the internalization of beliefs about racism and colonization that contribute to the acceptance of negative messaging or stereotypical misrepresentations that inform perceptions about worth and ability. Internalized racism is associated with psychological distress in racially diverse people. Collective racial self-esteem is a potential protective factor that can serve as a moderator in reducing distress and facilitating psychological well-being. The sample for the present study consisted of 526 participants who self-identified as African American, Asian American/Pacific Islander, Latinx American, or American of Arab or Middle Eastern descent. The researchers used regression with the Process macro to investigate the …

First_Page Settings Order Article Reprints Open Accessarticle Internalized Racism And Mental Health: The Moderating Role Of Collective Racial Self-Esteem, Steven M. Sanders, Tiffany R. Williams, April T. Berry, Claudia Garcia-Aguilera, Kiera Robinson, Reniece Martin, Paigean Jones

Psychological Sciences and Counseling Faculty Research

Internalized racism is the internalization of beliefs about racism and colonization that contribute to the acceptance of negative messaging or stereotypical misrepresentations that inform perceptions about worth and ability. Internalized racism is associated with psychological distress in racially diverse people. Collective racial self-esteem is a potential protective factor that can serve as a moderator in reducing distress and facilitating psychological well-being. The sample for the present study consisted of 526 participants who self-identified as African American, Asian American/Pacific Islander, Latinx American, or American of Arab or Middle Eastern descent. The researchers used regression with the Process macro to investigate the …

University Of Dayton Roadmap To The Mcat: Tracking Mcat Content In Your Natural And Behavioral Science Courses, University Of Dayton

Pre-Health Resource Center Campus Communications

No abstract provided.

Housing And Children’S Social Care In England: Learning From Embedded Research, Thomas El-Hoss, Felicity Thomas, Felix Gradinger, Susanne Hughes

Peninsula Medical School

The UK housing crisis is having a detrimental impact on the lives of families. However, in England the links between housing and Children’s Social Care remain poorly understood. This paper draws upon 24 months of embedded research within Torbay Council, a Local Authority with comparatively high rates of children in care and acute housing challenges. It includes qualitative data from interviews/focus groups with parents (n = 66); Children’s Services professionals (n = 7), the housing department (n = 2); housing association (n = 2); and staff/volunteers from voluntary and community Sector organisations (n = 28). This study shows that housing …

Implementation Science And Pediatric Diabetes: A Scoping Review Of The State Of The Literature And Recommendations For Future Research, Julia Price, Jaclynn Hawkins, Daniel J. Amante, Richard James, Debra Haire-Joshu

Department of Medicine Faculty Papers

PURPOSE OF REVIEW: This scoping review aimed to identify implementation science (IS) research in pediatric diabetes, report integration of IS theory and terminology, and offer guidance for future research.

RECENT FINDINGS: Of 23 papers identified, 19 were published since 2017 and 21 focused on type 1 diabetes. Most involved medical evidence-based practices (EBPs; n = 15), whereas fewer focused on psychosocial (n = 7) and diabetes education (n = 2). The majority either identified barriers and facilitators of implementing an EBP (n = 11) or were implementation trials (n = 11). Fewer studies documented gaps in EBP implementation in standard …

Which Way? Experiences Of Aboriginal And Torres Strait Islander People Who Are Deaf Or Hard Of Hearing Attaining Supports To Meet Their Interwoven Socio-Cultural, Health And Disability-Related Needs And Aspirations Within The Context Of Australia’S National Disability Insurance Scheme, Jody Barney, Alexandra Devine, Damien Howard, Marie Huska, Hannah Lack, Yeokyung Kim, Yi Yang, George Disney, Peter Summers, Ashley Mcallister

Journal of the Australian Indigenous HealthInfoNet

The life experiences of Aboriginal and Torres Strait Islander people who are Deaf or Hard of Hearing are often more complex than for Aboriginal and Torres Strait Islander people who are hearing, or non-Aboriginal Australians who are Deaf or Hard of Hearing. In turn, this can make engaging with and benefiting from policies and programs such as Australia’s National Disability Insurance Scheme (NDIS) more complex, particularly for individuals living in remote settings. To understand more about these complexities, yarnings were held with 15 Aboriginal and Torres Strait Islander NDIS participants who are Deaf or Hard of Hearing living in rural …

Intra-Professional Collaborative Practice Among Nurses, Registered Nurses' Association Of Ontario

General Submissions: Clinical Settings Materials

The purpose of this best practice guideline (BPG) is to strengthen collaborative practice among nurses, because effective collaborative practice is essential for working in health-care organizations.

In this guideline, there is a focus on collaborative practice amongst three types of nursing professionals:

• registered nurse (RN),
• registered practical nurse (RPN)
• nurse practitioner (NP)

The guideline explores what fosters healthy work environments for these groups of nurses (being aware that collaboration must align with the needs of the patient or client).

For more information including supplementary documentation and available translations, visit https://rnao.ca/bpg/guidelines/intra-professional-collaborative-practice-among-nurses

Reducing Food Insecurity In Pediatric Patients And Families, Alexandra Yusah Cramer

General Submissions: Clinical Settings Materials

This pilot was designed to evaluate the feasibility of implementing food insecurity interventions on our pediatric general surgery and orthopedic inpatient unit.

Professionalism In Nursing, Registered Nurses' Association Of Ontario

General Submissions: Clinical Settings Materials

This Best Practice Guideline (BPG) focuses on professionalism, which is essential for healthy work environments for nurses. A healthy work environment for nurses is a practice setting that maximizes the health and well being of nurses, quality patient outcomes and organizational performance. Professionalism in nursing is an essential ingredient in achieving a healthy work environment and is enabled by the context of practice.

Preventing And Mitigating Nurse Fatigue In Health Care, Registered Nurses' Association Of Ontario

General Submissions: Clinical Settings Materials

This best practice guideline has been developed to identify and describe:

• practices that result in preventing and mitigating fatigue for nurses and other health-care professionals
• system resources that support practices to prevent fatigue
• organizational culture, values and resources that support effective practices to prevent fatigue
• personal resources that can be used to prevent or mitigate fatigue
• anticipated outcomes when fatigue is effectively managed

Managing & Mitigating Conflict In Health-Care Teams, Registered Nurses' Association Of Ontario

General Submissions: Clinical Settings Materials

This Best Practice Guideline (BPG) focuses on nurses, Health-care teams and processes that foster healthy work environments. The focus for the development of this guideline was managing and mitigating interpersonal conflict among healthcare teams with the view that while some conflict is preventable, healthy conflict can also be beneficial. For the purpose of this document, conflict is defined as a dynamic process occurring between interdependent individuals and/or groups as they experience negative emotional reactions to perceived disagreements and interference with the attainment of their goals (Barki & Hartwick, 2004)