Medicine and Health Sciences Commons^™

Nurse Residency Program: Is This Worth My Time?, Gracie Puls, Sydney Wellspeak, Ashley Ernle, Cheryl Mcgee, Sarah Glor

Nursing Research and EBP Day 2023

Question: The purpose of this evidence-based practice project was to determine in new graduate nurses, how does Nurse Residency Program versus traditional orientation effect confidence and competence in high risk/low volume procedures.

Hypothesis: It was hypothesized that Nurse Residency Program was superior to traditional orientation for improving confidence and competence in high risk/low volume procedures.

Methods: A literature review was conducted using CINAHL with key words “orientation”, “Nurse Residency Program”, “confidence”, “competence”, and “transition”.

Results: The results of the literature search identified two studies that utilized quantitative strategies and found statistically significant results favoring Nurse Residency Programs over orientation alone. …

Are Non-Slip Socks The Best Way To Prevent Falls?, Grace Buonaugurio, Gabriella Coraggioso, Yana Gerasimovich, Alysia Negron, Zara Reilly

Nursing Research and EBP Day 2023

The purpose of this Evidence Based Research Project was to examine if the common fall prevention intervention of patients wearing non-slip socks while in the hospital the most beneficial way to prevent inpatient falls? It was hypothesized that in hospitalized adults over the age of 65 the use of non-slip socks compared to other footwear would not decrease the risk of falls. To test this hypothesis, a literature review was conducted, and articles related to the specific intervention of non-slip socks on the hospitalized older adult and its effect on falls were reviewed.

Previous studies have associated mobilization in foot …

Restraint Free In 2023, Lindsey Alfred, Kalani Dancoe, Tawo Ewa, Xiomara Figueroa, Willow Finch, Yusnavys Alfonso Flores, Jessica Jones, Kerry Lefebvre, Beka Naylor, Alyssa Umbrino, Jarvis Mcgrath, Elizabeth Duxbury

Nursing Research and EBP Day 2023

This EBP project evaluated if in hospitalized adult patients on Sands 800 does the use of a restraint management bundle decrease the use of restraints during the inpatient admission compared to current restraint practices. In the SICU, restraint usage is an initial response instead of last intervention. This culture of care concerns nurses and providers. It was hypothesized that decrease restraint usage and time in restraints will allow the patient to remain safer by evaluating usage of restraint alternatives, cost savings, patient mobility, and clinical staff understanding of appropriate restraint usage.

The SICU was educated on the least restrictive device, …

Evidence-Based Practice Liaisons: Supporting Ebp Across The Health System, Tami Hartzell, Susan Stell

Nursing Research and EBP Day 2023

The Evidence-Based Liaison Council was formed to sustain evidence-based practice (EBP) at Rochester Regional Health and to support an EBP culture using the Advancing Research and Clinical Practice through Close Collaboration Model (ARCC) (Melnyk & Fineout-Overholt, 2005). Committee members include nursing representatives from a variety of clinical settings and hospitals as well as interdisciplinary team members committed to using and bringing evidence-based practice to the bedside.

This poster highlights how EBP facilitates value-added care, improves clinician satisfaction, and enhances the patient experience. Sharing our accomplishments demonstrates the ways in which the Council has contributed to increasing nurses’ knowledge and use …

Virtual Distractions From Reality, Mary Grace Nichols, Meghan Guzda, Meghan Dougherty, Louise Toepper, Bailey Hernandez

Nursing Research and EBP Day 2023

Patients in the pediatric emergency room are subject to many painful, stressful, and scary procedures which can lead to a frightened, nervous and uncooperative child. These same procedures can contribute to parental stress and lead to staff dissatisfaction as well. While the literature revealed a plethora of distraction techniques that are implemented in pediatric patients, our project explored studies that implemented virtual reality as a distraction technique across different ages and procedures.

Based on the evidence that was identified, a grant was recently obtained to implement virtual reality into our pediatric emergency department at Rochester General Hospital and we are …

Pre-Visit Planning In Primary Care, Suzanne Allman, Melissa Tillman, Breanne Thielges, Melissa Diaz, John Frewing, Susan Bopp, Ozlem Kadar

Nursing Research and EBP Day 2023

Pre-visit planning is the process of collecting and organizing data prior to a patient appointment. The pre-visit planning process requires a team member to call the patient a week before the appointment through the use of a questionnaire form. This helps identify incomplete tests, screenings, immunizations and referrals that are currently outstanding. The pre-visit process results in scheduling needed appointments and lab work as well as gathering necessary information from the patient to streamline their upcoming visit. The use of pre-visit planning may result in improved patient satisfaction and decreased physician time with each patient visit.

Re-Evaluating Mobilization Practices And Their Impact On Hapis, Erin Christopher, Mary Prochaska, Luna Pierre, Lindsay Santucci, Kenny Van Ryn, Francheska Santiago

Nursing Research and EBP Day 2023

Hospital acquired pressure injuries (HAPIs) contribute to longer length of stay, poor clinical outcomes and increased healthcare costs.

A literature review showed that the implementation of visual cues to identify patients who require assistance with mobility and positioning in addition to the implementation of scheduled turn teams could have a positive health impact for the patients at RGH and reduce HAPIs incidence. Research suggests that educating unlicensed staff to recognize patient Braden Scale scores and to provide daily care based on risk factors for skin breakdown may lead to improved clinical outcomes.

The Big Picture: Use Of Photography As Standard Documentation, Megan Tebo, Rhianon Lester

Nursing Research and EBP Day 2023

Photos of surgical wounds when included in documentation can assist the clinician in providing appropriate care and help engage the patient in their care. Incorporating photos into documentation provides a consistent timeline of wound changes and can help the clinician identify issues in a timely manner and may provide a method to involve the patient in their care. An additional benefit of wound photos is the prevention of potential legal issues as it demonstrates that the quality of care received is appropriate. If medical malpractice were to result, photos add to proper documentation.

When the decision is made to include …

Nurse Led Mobility/Exercise Program, Elizabeth Schneider, Sarah Koopman, Marissa Sharp, Victoria Dempsey, Elizabeth Rudy, Melissa Combs, Dena Chapman

Nursing Research and EBP Day 2023

Question: Can an individualized nurse led exercise/mobility program in hospitalized elderly, age 75 and older prevent functional decline, decrease LOS and prevent institutionalization to SNF?

Hypothesis: Current practice is one mobility champion for 3 or 4 inpatient medical surgical units to ambulate or mobilize patients in a 262/300 bed hospital (NWH/CSH). No formal exercise program is in place unless there is an order for PT. This current practice leaves elderly age 75 and older at risk for functional decline and adverse outcomes. It was hypothesized that a nurse driven mobility program in the patients care plan for mobile, non- mobile …

Postoperative Deep Vein Thrombosis Prevention, Jaidin Degraw, Carrie Elliott, Cailey Jeffery, Melina Leone, Amber Mallory

Nursing Research and EBP Day 2023

The prevention of deep vein thrombosis (DVT) remains a primary concern for providers. While prophylactic heparin has been routinely prescribed, other forms of prevention such as early ambulation and pneumatic compression are now being used. This project sought to identify which method of DVT prophylaxis is more effective in providing safe patient care and reducing hospital stay. Based on the literature that was reviewed, the use of dual prophylactic measures may be more beneficial than a single preventative measure. As always, more research is warranted.

Effects Of Running On Femoral Articular Cartilage Thickness For Anterior Cruciate Ligament Reconstruction Patients And Non-Aclr Control Subjects, Aubree L. Remmel, Hyunwook Lee, Minsub Oh, Seunguk Han, Steven P. Allen, Garritt L. Page, Dustin A. Bruening, Robert D. Hyldahl, J. Ty Hopkins, Matthew K. Seeley

International Journal of Exercise Science: Conference Proceedings

Anterior cruciate ligament reconstruction (ACLR) patients are more likely to develop posttraumatic knee osteoarthritis than non-ACLR counterparts. The effect of running on femoral articular cartilage thickness is unclear. PURPOSE: The purpose of this study was to compare how 30 minutes of running influences femoral articular cartilage thickness for ACLR patients and non-ACLR control subjects. We hypothesized that running would deform the femoral articular cartilage more for the ACLR patients than for the control subjects. METHODS: We recruited 20 individuals with primary unilateral ACLR and 20 matched non-ACLR controls. ACLR patients and control subjects were matched based upon age, gender, BMI, …

Influence Of Air Resistance On Ground Reaction Forces During Treadmill Running, Jared Steele, Iain Hunter

International Journal of Exercise Science: Conference Proceedings

INTRODUCTION: Running is fundamentally driven by forces applied to the ground, eliciting ground reaction forces (GRFs) which accelerate the runner. These GRFs are divided into vertical, anteroposterior, and mediolateral components. As running speed alters, so do the patterns of these forces. By juxtaposing these GRF patterns with metabolic data, we can discern how movement patterns adapt across different running conditions. One of the key distinctions between treadmill and overground running is the influence of air resistance. METHODS: The study involved twenty-four active male runners experienced in achieving a sub-17-minute-5km or equivalent performance. The main objective was to examine the influence …

Environmental Heat Stress And Physiological Heat Strain In Construction Workers During Work In The Summer, Jonathan Specht, Erica Tourula, M. Jo Hite, Serena Garcia, Charlie Walker, Hillary Yoder, Zachary Schlader, Fabiano Amorim

International Journal of Exercise Science: Conference Proceedings

Construction workers are thirteen times more likely to die from heat-related illnesses compared to the general population. This elevaled risk results from both metabolic heat production due to the physical demands of construction work associated with high environmental heat stress. However, it is important to recognize that the magnitude of heat stress experienced varies across job types withing the construction industry reflecting the diversity of tasks performed. In addition, environmental heat stress can significantly vary for workers based on whether they operate in covered or uncovered work areas, creating varying levels of heat sttres, particularly during during summer months. Notably, …

Physical Function In Young And Older Adult Active Pickleball Players, Leighanne T. Paulson, Eric Martin, Kent J. Adams Facsm, Marcus M. Lawrence

International Journal of Exercise Science: Conference Proceedings

Limited information exists on pickleball’s impact on physical function in adults, especially older adults (65+ years), despite reported health benefits. PURPOSE: This study evaluated the physical function of active older adult (OA) female and male recreational pickleball players via handgrip strength and fatigue, 6-minute walk distance (6MWD) test, as well as the short physical performance battery (SPPB) compared to sex-matched young adult (YA) controls. METHODS: Thirty YA (18-26 years; n=15 female/male) participants and 27 OA (65-89 years; n=13 female, n=15 male) participants who played pickleball at least three times per week were assessed for physical function outcomes of …

Effects Of Aerobic Exercise On Individulas With Down Syndrome Via Telerehabilitation, Zeel K. Patel Miss, Isha Gautami, Namrata Jain, Jacob Hinkel-Lipsker Professor

International Journal of Exercise Science: Conference Proceedings

BACKGROUND: Most of the children and adolescents with Down’s syndrome (DS) have poor aerobic capacity, physical fitness and demonstrate diminished cognitive abilities. Recent studies suggest that increased physical activity may prove to be important for maintaining components of cognition, including memory along with physical fitness.

In addition, there is interest among practitioners in determining the efficacy of virtual exercise classes, which can be more convenient for clients. However, it is unknown whether group exercise classes delivered over videoconferencing achieve desired outcomes—particularly in special populations such as those with DS.

PURPOSE: The purpose of this study is to evaluate the effect …

The Risk Of Bias In Validity And Reliability Studies Testing Physiological Variables Using Consumer-Grade Wearable Technology: A Systematic Review And Wear-Bot Analysis, Bryson Carrier, Jennifer Bunn, Joel D. Reece, Charli D. Aguilar, Chris Eschbach, James W. Navalta

International Journal of Exercise Science: Conference Proceedings

INTRODUCTION: Wearable technology is a quickly evolving field, and new devices with new features to measure/estimate physiological variables are being released constantly. Despite their use, the validity of the devices are largely unknown to the users or researchers, and the quality of the studies that do test validity and reliability vary widely. PURPOSE: Therefore, the purpose of this systematic review was to review the current validity and reliability literature concerning consumer-grade wearable technology measurements/estimates of physiological variables during exercise. Additionally, we sought to perform risk of bias assessments utilizing the novel WEArable technology Risk of Bias and Objectivity Tool (WEAR-BOT). …

The Effect Of Ibuprofen On Thermoregulatory Responses And Gastrointestinal Distress To Exercise In Hot Environments, Alyssa Bailly, Jonathan Specht, Serena Garcia, Steven Klepacz, Suzana Andrade De Oliveira, David Lucero, Fabiano Amorim

International Journal of Exercise Science: Conference Proceedings

Ibuprofen, a commonly used nonsteroidal anti-inflammatory drug (NSAID) among athletes to alleviate pain and inflammation during exercise, is hypothesized to mitigate exercise-induced increases core temperature (Tc) and improve heat tolerance during exercise in hot environments. However, its prophylactic use specially during exercise associated with heat stress may lead to harmful effects specifically inducing gastrointestinal complications such upper-GI bleeding. PURPOSE: To investigate the effect of ibuprofen on thermoregulatory responses and the occurrence of gastrointestinal symptoms to exercise in a hot environment. METHODS: In a double-blind, randomized, counterbalanced cross-over design, 6 endurance trained males and females (n=12) completed 60-minutes of treadmill running …

Heat Strain In Road Construction Workers During The Summer, An Observational Study, Serena Garcia

International Journal of Exercise Science: Conference Proceedings

Road construction workers perform physically demanding, typically including building frames, laying concrete and asphalt, and operating heavy machinery. These activities result in high metabolic demands, leading to significant internal heat production. When combined with environmental heat stress during warmer periods of the year, road construction workers may experience substantial heat strain, making them susceptible to heat-related illnesses and ultimately heat-related deaths. In fact, construction workers are 13 times more likely to die from heat related illness compared to other occupations. Despite these statistics, no studies have assessed heat strain in road construction workers during the summer. PURPOSE: To quantify …

Effects Of Biodensity Training On Bone Adaptations In Young Women: A Pilot Study, Carolina M. Garcia, Auguste Torres, Braulio Cazarez, Rosalinda Escobar-Prado, Maurice Cruz, Zhaojing Chen

International Journal of Exercise Science: Conference Proceedings

Osteopenia and osteoporosis are a major public health issue in the United States, and current research suggests that moderate to high intensity resistance training is the most effective type of exercise for maintaining bone mineral density (BMD). Sclerostin is a protein secreted by osteocytes which potently inhibits bone formation by binding to the LRP4 in Wnt/β-catenin signaling. BioDensity is a novel resistance training machine that consists of four exercises performed for five seconds each, which applies mechanical loading to the bone and provides a quicker alternative to traditional resistance training. PURPOSE: To examine the effects of 12 weeks of …

Repeated, Short Cold-Water Immersions Are Sufficient To Habituate To The Cold, But Do Not Lead To Adaptations During Exercise In Normobaric Hypoxia, Geoffrey T. Dorsett, Trevor L. Gillum

International Journal of Exercise Science: Conference Proceedings

Cold and hypoxia naturally exist together, yet it is unknown if habituation to the cold can lead to improved exercise in hypoxia. PURPOSE: To assess the effects of repeated cold-water immersions (CWI) on pulmonary, metabolic, and sympathoadrenal responses to graded exercise in hypoxia. METHODS: 16 (2 female) participants (age: 21.2 ± 1.3 years; body fat: 12.3 ± 7.7 %; body surface area 1.87 ± 0.16 m², VO_2peak: 48.7 ± 7.9 mL/kg/min) underwent 6 CWI in 12.0 ± 1.2° C. Each CWI was 5 minutes, twice daily, separated by ≥4 hours, for 3 consecutive days, …

Femoral Articular Cartilage Quality, But Not Thickness, Is Decreased For Anterior Cruciate Ligament Reconstruction Patients Relative To Control, Dallin Clinger, Hyunwook Lee, Seunguk Han, Minsub Oh, Steven P. Allen, Garritt L. Page, Dustin A. Bruening, Robert D. Hyldahl, J. Ty Hopkins Facsm, Matthew K. Seeley Facsm

International Journal of Exercise Science: Conference Proceedings

Anterior cruciate ligament reconstruction (ACLR) patients are at risk of developing posttraumatic knee osteoarthritis (OA). The etiology of posttraumatic knee OA is complex, potentially involving biomechanical and biochemical factors. Changes in femoral cartilage thickness and composition are associated with knee OA, while current research is ambiguous on cartilage in ACLR patients. PURPOSE: This study aimed to compare femoral cartilage thickness and T2 relaxation time (a compositional measure) between ACLR patients and healthy controls in a resting state. We hypothesized that ACLR patients would exhibit thinner femoral cartilage and increased T2 relaxation times. METHODS: Twenty ACLR patients (6-24 months post-surgery) and …

2023 Graduate Research Day Agenda (Pdf), Graduate Studies

Dr. Joseph M. Moerschbaecher, III Graduate Research Day

The 2nd Annual Dr. Joseph Moerschbaecher, III Graduate Research Day Agenda (PDF)

Informative Material For Patient Empowerment In Sensitive Situations, Iris Reychav, Lin Zhu, Avi Parush, Roger Mchaney, Daphne R. Raban, Amy Lauren Shapira, Rami Moshonov

Patient Experience Journal

Women diagnosed with HPV face a hard-to-understand disease that may impact their psychological and physical health and may pose challenges communicating with healthcare providers in sensitive settings. We posit patient empowerment through targeted educational materials can improve sensitive communication and lead to better health outcomes. This study measured the impact of a patient-empowerment process used in a gynecology clinic for HPV patients to improve sensitive communication during medical-related meetings and on subsequent patient empowerment outcomes. The empowerment process was based on expert-vetted informative material made accessible in the physician’s waiting room on tablet devices. Communication between physicians and patients was …

Medicine And Kindness, A Glorious Concurrence?, Araya Gautam

Patient Experience Journal

This article unfolds the journey of a 28-year-old junior doctor entangled in the throes of a pernicious anemia diagnosis during her travels abroad, a scenario exacerbated by the grip of a COVID-19 lockdown. Adrift without medical insurance and distant from her family, she found herself under the care of a compassionate on-call resident, emphasizing the crucial role of kindness and compassion in her predicament. Her treatment regimen encompassed a series of CBC tests meticulously tracking cobalamin and ferritin levels, complemented by extensive examinations for iron deficiency and a regimen of vital vitamin B12 injections, all carried out under vigilant scrutiny …

Graduate Medical Education – A Look Back, Vicki Hamm

Graduate Medical Education Research Journal

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Social Determinants May Limit The Success Of Pcsk9 Inhibitors, An Effective Treatment For Hyperlipidemia In Statin-Intolerant Patients, Abigail C. Kuplicki

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report using:

Moriarty PM, Thompson PD, Cannon CP, et al. Efficacy and safety of alirocumab vs ezetimibe in statin-intolerant patients, with a statin rechallenge arm: The ODYSSEY ALTERNATIVE randomized trial. J. Clin. Lipidol. 2015;9(6):758-769. https://doi.org/10.1016/j.jacl.2015.08.006

for a statin-intolerant patient with hyperlipidemia.

Renal Disease Rehabilitation And Delaying Dialysis, Spencer Brown, Natalie Sterner

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report using:

Greenwood SA, Koufaki P, Mercer TH, et al. Effect of exercise training on estimated GFR, vascular health, and cardiorespiratory fitness in patients with CKD: a pilot randomized controlled trial. Am J Kidney Dis. 2015;65(3):425-434. https://doi.org/10.1053/j.ajkd.2014.07.015

for a patient with non-dialysis CKD interested in slowing the progression toward necessary dialysis.

Slow Surgical Correction Affects More Than Just The Bowels, Emilia M. Clementi

Clinical Research in Practice: The Journal of Team Hippocrates

Reflection on how delayed colostomy reversal affects a patient's mental and physical well-being.

The Effect Of Nursing Education On The Utilization Of Kangaroo Mother Care And Weight Gain Of Preterm And Low Birth Weight Infants, Jhenalynn Valete

Nursing | Student Research Posters

Kangaroo Mother Care (KMC), often referred to as skin-to-skin contact, is an intervention for preterm and low birth weight infants, involving the practice of the mother or caregiver holding the newborn against their bare chest (Cleveland Clinic, 2023). This is a cost-effective and natural way to enhance health outcomes such as temperature regulation, weight gain, respiratory function, pain mitigation, and facilitation of breastfeeding for the neonate (Jefferies et al., 2012).

Nursing staff may have limited knowledge regarding KMC which creates challenges in effectively educating parents. This information prompts the following question: “Can Nurse Education about the Importance of Kangaroo Mother …

Dean's Research Newsletter, November 2023, Neil W. Schluger

SOM Dean's Research Newsletter

No abstract provided.