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Full-Text Articles in Medicine and Health Sciences

Aortic Stenosis Poster.Pptx, Katonya Lawson Jul 2019

Aortic Stenosis Poster.Pptx, Katonya Lawson

Katonya Lawson

Aortic stenosis is the narrowing of the aortic valve secondary to calcification and fibrosis. It is the most common valve disorder and the second most frequent reason for cardiac surgery. As the elderly population increases, the number of patients presenting with aortic stenosis will increase. RNs and APRNs need to be aware of the pathophysiology and clinical manifestations of aortic stenosis because the disease can progress quickly and be fatal if mismanaged. Patients with aortic stenosis have an increased risk of morbidity and mortality during the peri-operative period during non-cardiac surgery. Therefore, CRNAs must remain vigilant when caring for this …

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Advocate Aurora Apc Grand Rounds Dm Pharm Update 7 2019 Chojnacki.Pptx, Carl Chojnacki Jul 2019

Advocate Aurora Apc Grand Rounds Dm Pharm Update 7 2019 Chojnacki.Pptx, Carl Chojnacki

Carl Chojnacki, MBA, MSN, APNP, ANP-BC, AWLS

This is a discussion regarding new recommendations for use of GLP 1 RA and SGLT2i agents for patients with diabetes mellitus type 2. Information includes benefits for cardiac and renal outcomes with these agents.

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Poster Presentation Sud 2.Pptx, Denise Ikeda May 2019

Poster Presentation Sud 2.Pptx, Denise Ikeda

Denise Ikeda

This poster displays the process used to improve the microsystem in a case management department to reduce 30 - day readmissions in a 205 bed hospital in Northern California

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Posterpresentationgreen.Pptx, Michele Green Dec 2018

Posterpresentationgreen.Pptx, Michele Green

Michele Green

No abstract provided.

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Translating Capable To Micapable In A State Waiver Program: Community Aging In Place For Better Elderly Living, Sandra Spoelstra Nov 2015

Translating Capable To Micapable In A State Waiver Program: Community Aging In Place For Better Elderly Living, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Poster Presentation

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Nclex Readiness-Remediation Across The Curriculum: Begin With The End In Mind, Beth L. Kaskel Dr., Nila Reimer, Cheryl Lynn Rockwell, Becky A. Salmon Oct 2015

Nclex Readiness-Remediation Across The Curriculum: Begin With The End In Mind, Beth L. Kaskel Dr., Nila Reimer, Cheryl Lynn Rockwell, Becky A. Salmon

Becky A Salmon

Nursing faculty are sometimes challenged when leading students to successful completion of nursing exams including the NCLEX. It is essential that faculty identify specific learning barriers for students who are challenged with nursing exams. Nursing faculty have reported various methods of remediation to enhance students’ readiness for taking nursing exams in preparation for the NCLEX. Although test review sessions, guided imagery, and assessments of learning styles are common strategies reported by faculty to provide remediation for students who are preparing for nursing exams, the literature reveals minimal evidence to support these strategies. Nursing faculty at IPFW have expanded on common …

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Nclex Readiness-Remediation Across The Curriculum: Begin With The End In Mind, Beth L. Kaskel Dr., Nila Reimer, Cheryl Lynn Rockwell, Becky A. Salmon Oct 2015

Nclex Readiness-Remediation Across The Curriculum: Begin With The End In Mind, Beth L. Kaskel Dr., Nila Reimer, Cheryl Lynn Rockwell, Becky A. Salmon

Dr. Beth L. Kaskel

Nursing faculty are sometimes challenged when leading students to successful completion of nursing exams including the NCLEX. It is essential that faculty identify specific learning barriers for students who are challenged with nursing exams. Nursing faculty have reported various methods of remediation to enhance students’ readiness for taking nursing exams in preparation for the NCLEX. Although test review sessions, guided imagery, and assessments of learning styles are common strategies reported by faculty to provide remediation for students who are preparing for nursing exams, the literature reveals minimal evidence to support these strategies. Nursing faculty at IPFW have expanded on common …

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Nclex Readiness-Remediation Across The Curriculum: Begin With The End In Mind, Beth L. Kaskel Dr., Nila Reimer, Cheryl Lynn Rockwell, Becky A. Salmon Oct 2015

Nclex Readiness-Remediation Across The Curriculum: Begin With The End In Mind, Beth L. Kaskel Dr., Nila Reimer, Cheryl Lynn Rockwell, Becky A. Salmon

Nila Reimer

Nursing faculty are sometimes challenged when leading students to successful completion of nursing exams including the NCLEX. It is essential that faculty identify specific learning barriers for students who are challenged with nursing exams. Nursing faculty have reported various methods of remediation to enhance students’ readiness for taking nursing exams in preparation for the NCLEX. Although test review sessions, guided imagery, and assessments of learning styles are common strategies reported by faculty to provide remediation for students who are preparing for nursing exams, the literature reveals minimal evidence to support these strategies. Nursing faculty at IPFW have expanded on common …

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Formulating A Best Practice Statement For Prison Parenting Programs, Christine Beatriz, Donna M. Zucker Rn, Phd, Faan Apr 2015

Formulating A Best Practice Statement For Prison Parenting Programs, Christine Beatriz, Donna M. Zucker Rn, Phd, Faan

Donna M. Zucker

Formulating a Best Practice Statement for Prison Parenting Programs Purpose: The purpose of this undergraduate honors project was to critically analyze available research on parenting, parenting education, incarcerated parents, and outcomes for the children of incarcerated parents, and make recommendations to a correctional facility for best practices. Background: Over 1.7 million American children have one or more incarcerated parents. These children are at high risk of depression, aggression, and intergenerational incarceration. Many incarcerated men have a limited understanding of parenting and fatherhood. While countless correctional facilities nationally have educational parenting programs, these programs are mainly unstandardized, and their efficacy is …

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Student Perspectives Of Service Learning With Older Adults, Karen Brown, Carol Bashford Apr 2015

Student Perspectives Of Service Learning With Older Adults, Karen Brown, Carol Bashford

Karen Brown

The presenters will describe the findings of a mixed-methods research study designed to explore students’ perspectives of skills and knowledge gained through engaging with older adults with physical and/or cognitive limitations living in a continuing care retirement community (CCRC). Participants in the study included students enrolled as juniors and seniors in a baccalaureate nursing program. Community partnerships with several CCRCs provided the opportunities for students to interact with elders. During the service-learning course, students developed and implemented evidence-based health promotion activities directed towards enhancing the elders’ cognitive, physical, and psychosocial functioning. Additionally, students were paired, one-to-one, with an elder-partner in …

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Feasibility Of A Text Messaging Intervention To Promote Symptom Management And Medication Adherence For Patients Prescribed Oral Anti-Cancer Agents, Sandra Spoelstra Dec 2014

Feasibility Of A Text Messaging Intervention To Promote Symptom Management And Medication Adherence For Patients Prescribed Oral Anti-Cancer Agents, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Significance: When taking oral anti-cancer agents (OAs), patients need to manage symptoms so that they do not become so severe that it leads to reducing or stopping the medication, rendering the cancer treatment ineffective.
 
Problem & Purpose: Cancer rates are increasing, as is the number of cancer patients treated with OAs. Therapeutic effect of the cancer treatment may depend on medication adherence. The purpose of this paper is to report on proof-of-concept and preliminary efficacy of a mHealth intervention using text messages to improve symptom management and medication adherence among cancer patients prescribed OAs.
 
Framework: Principles of Self-Efficacy …

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Proof-Of-Concept And Preliminary Efficacy Of A Sms Text Messaging Intervention To Promote Symptom Management And Medication Adherence For Patients Prescribed Oral Anti-Cancer Agents: A Randomized Controlled Trial, Sandra Spoelstra Dec 2014

Proof-Of-Concept And Preliminary Efficacy Of A Sms Text Messaging Intervention To Promote Symptom Management And Medication Adherence For Patients Prescribed Oral Anti-Cancer Agents: A Randomized Controlled Trial, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Significance: Cancer rates are increasing, as is the number of cancer patients treated with oral anti-cancer agents (OAs). Therapeutic effects may depend on medication adherence. The purpose of this study was to determine proof-of-concept of SMS text messaging intervention among cancer patients prescribed OAs and examined preliminary efficacy of SMS for symptom management and OA adherence.
 
Conceptual Framework: Self-Efficacy Theory directed heightening self-efficacy to promote adherence and symptom management.
 
Method:Patients (N=80) enrolled inalongitudinal randomized controlled trial at two community cancer centers and a large specialty pharmacy. Data on adherence and symptoms were collected weekly …

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Assessment And Measurement Of Medication Adherence: Ons Pep Oral Anti-Cancer Agents, Sandra Spoelstra Dec 2014

Assessment And Measurement Of Medication Adherence: Ons Pep Oral Anti-Cancer Agents, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Significance: Oral anti-cancer agent (OA) adherence is often sub-optimal and may influence cancer treatment success. Clinicians are challenged to find ways to assess and measure adherence to OAs.
 
Problem & Purpose: When assessing and measuring OA adherence, it is essential to evaluate the timing, dosage, frequency, and duration of the regimen. The purpose of this paper is to report on the Oncology Nursing Society (ONS) Putting Evidence Into Practice (PEP) initiative to examine tools to assess and measure medication adherence.
 
Framework: Not applicable.
 
Methods: A review of the literature on tools using MEDLINE, the National Library of …

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Ons Pep Putting Evidence Into Practice: Evidence-Based Interventions For Oral Anti-Cancer Agents, Sandra Spoelstra Dec 2014

Ons Pep Putting Evidence Into Practice: Evidence-Based Interventions For Oral Anti-Cancer Agents, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Significance: Adherence to oral anti-cancer agents is a significant clinical problem among patients who are very sick with a life threatening disease and may have a substantial impact on treatment success or failure.
 
Problem & Purpose: The limited evidence available suggests that adherence to oral anti-cancer agents is a significant clinical problem and may have a substantial impact on treatment success or failure. The purpose of this paper is to report on the Oncology Nursing Society (ONS) Putting Evidence Into Practice (PEP) initiative, a comprehensive examination of the current literature was conducted to identify effective interventions for patients prescribed …

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Feasibility Of A Text Messaging Intervention To Promote Symptom Management And Medication Adherence For Patients Prescribed Oral Anti-Cancer Agents, Sandra Spoelstra Dec 2014

Feasibility Of A Text Messaging Intervention To Promote Symptom Management And Medication Adherence For Patients Prescribed Oral Anti-Cancer Agents, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Significance: When taking oral anti-cancer agents (OAs), patients need to manage symptoms so that they do not become so severe that it leads to reducing or stopping the medication, rendering the cancer treatment ineffective.
 
Problem & Purpose: Cancer rates are increasing, as is the number of cancer patients treated with OAs. Therapeutic effect of the cancer treatment may depend on medication adherence. The purpose of this paper is to report on proof-of-concept and preliminary efficacy of a mHealth intervention using text messages to improve symptom management and medication adherence among cancer patients prescribed OAs.
 
Framework: Principles of Self-Efficacy …

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Avatars: Bringing Case-Studies To Life, Rachel A. Ramsey, Cheryl Rockwell Dec 2014

Avatars: Bringing Case-Studies To Life, Rachel A. Ramsey, Cheryl Rockwell

Rachel A. Ramsey

No abstract provided.

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Acceptability And Preliminary Efficacy Of A Sms Text Message Intervention In Older Cancer Patients, Sandra Spoelstra Nov 2014

Acceptability And Preliminary Efficacy Of A Sms Text Message Intervention In Older Cancer Patients, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Symposium Presentation

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Perinatal Palliative Care: A Primary Year In Review, Jennifer Jonely Oct 2014

Perinatal Palliative Care: A Primary Year In Review, Jennifer Jonely

Jennifer Jonely

Program evaluation is a major focus for the intersection of clinical care and fiscal responsibility. Collection of data over the first year of existence for a new program showed that needs were met for this health system. This data can be used by others to anticipate and gauge productivity and utilization for end of life care in the perinatal arena. Continued data collection is ongoing and shows even further growth of the service.

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Nurse Residency Programs, Carol Crosby Sep 2014

Nurse Residency Programs, Carol Crosby

Carol Crosby

No abstract provided.

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“Young People These Days, Are Not Like We Used To Be ... #11;Or Are They?”, Harry B. Mayr Sep 2014

“Young People These Days, Are Not Like We Used To Be ... #11;Or Are They?”, Harry B. Mayr

harry b mayr

No abstract provided.

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The Effect Of A Learning Environment Using An Electronic Health Record (Ehr) On Undergraduate Nursing Students' Behavioral Intention (Bi) To Use An Ehr, Carol S. Sternberger, Judith Warren Jul 2014

The Effect Of A Learning Environment Using An Electronic Health Record (Ehr) On Undergraduate Nursing Students' Behavioral Intention (Bi) To Use An Ehr, Carol S. Sternberger, Judith Warren

Carol S Sternberger

No abstract provided.

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Students' Perceptions Of Clinical Reasoning Development, Rebecca S. Jensen Jun 2014

Students' Perceptions Of Clinical Reasoning Development, Rebecca S. Jensen

Rebecca S Jensen

Scores on a survey measuring students’ perceptions of clinical reasoning skills were compared across a curriculum and across programs to determine if differences existed. Scores increased significantly from beginning to end of the curriculum; differences between programs, associate (AS) and baccalaureate (BS), were realized; and the survey discriminated among students in three different programs: AS, BS, and registered nurse to BS.

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Nursing Student's Clinical Reasoning During Simulation, Rebecca S. Jensen Jun 2014

Nursing Student's Clinical Reasoning During Simulation, Rebecca S. Jensen

Rebecca S Jensen

Statement of problem While debriefing is considered essential for student understanding of the concepts embedded in a simulation, the measurement of clinical reasoning before and after debriefing has been minimally published. Students typically rate their performance as better than ratings by faculty, and the largest disparity is between self and faculty ratings for poorer performing students (Davis et al., 2006). Debriefing may be a method of attenuating students’ self-assessment by explicating their actions and reasoning during the simulation (Dreifuerst, 2012).

Hypotheses

  1. There will be no difference in student self-ratings and lab personnel ratings of student performance during simulation using the …

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The Symptom Experience While Taking Oral Anti-Cancer Medication (Chemotherapy Or Targeted Agents), Sandra Spoelstra Dec 2013

The Symptom Experience While Taking Oral Anti-Cancer Medication (Chemotherapy Or Targeted Agents), Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Background: Over 50-oral agents are on the market, and within three years, 25% of treatment will be in pill form, shifting the responsibility for symptom management to the patients. Symptoms need to be managed so they do not become so severe that it leads to reducing or stopping the medication, potentially rendering the cancer treatment ineffective. A gap in the literature exists, with no studies reporting the symptom experience of patients taking oral agents. Prior to developing interventions for patients at home setting on oral agents, we need to determine if symptoms are similar to those treated with IV chemotherapy. …

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Symptom Attribution Of Older Cancer Patients With Comorbid Conditions During Chemotherapy Treatment, Sandra Spoelstra Dec 2013

Symptom Attribution Of Older Cancer Patients With Comorbid Conditions During Chemotherapy Treatment, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Background:Over  60% of those who are diagnosed with cancer are older adults, and 75% have comorbid conditions. 15% of cancer treatment is now in pill form; and it is expected to grow to 25% within 3-years.  Having comorbid conditions in addition to cancer may exacerbate symptom severity. As a consequence of these symptoms, some patients adjust, interrupt, or stop dosages of the oral agent, which may affect cancer treatment.
                                                                                                                               
Purpose: This study describes the attribution of symptoms (fatigue, pain, numbness/tingling, sleep disturbance, diarrhea, distress, swelling in hands/feet, lack of appetite, constipation, shortness of breath, redness/swelling/pain in hands or …

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Acceptability And Preliminary Efficacy Of A Sms Text Message Intervention In Older Cancer Patients, Sandra Spoelstra Dec 2013

Acceptability And Preliminary Efficacy Of A Sms Text Message Intervention In Older Cancer Patients, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

With 68% of adults owning cell phones, text messaging (herein, SMS) may be a means to prompt self-management. A 10-week trial of a 4-week SMS intervention enrolled 80 patients from 2 cancer centers and a specialty pharmacy. Regarding acceptability, 56.3% (80/142) of eligible consented. Mean age of consented was 58.5 (range 39-82); eligible not consented 57.24 (range 32-92); and ineligible 63.6 (range 26-82). Of 142 approached, consent rate according to age was: 60% (27 of 45) for those 65+; 53% (35 of 66) for those 50-64; and 58.1% (18 of 31) for those <50. Females represented 59% (n=47) of consented, …

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Translating Evidence-Based Care In A State Waiver Program To Reduce Transitions, Sandra Spoelstra Dec 2013

Translating Evidence-Based Care In A State Waiver Program To Reduce Transitions, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Disability reflects a gap between an individual’s abilities and the environment in which they function, and is the primary modifiable factor in preventing institutionalization. We report on a pilot study testing dissemination and implementation of a proven intervention, intervening directly on pain, medication management, strength and balance, depression and the home environment, in the State of Michigan waiver program to reduce re-institutionalization. We are enrolling 20 clients who were hospitalized or nursing home within the past 14-days, and providing the intervention plus usual waiver services. We will compare those 20 to a match (age, race, gender) cohort from 2012 who …

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Feasibility Of Text Messaging To Improve Oral Anti-Cancer Adherence In Older Cancer Patients, Sandra Spoelstra Dec 2012

Feasibility Of Text Messaging To Improve Oral Anti-Cancer Adherence In Older Cancer Patients, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

BACKGROUND
More than 50 oral chemotherapy agents in pill form are on the market, with projections that in 3 years, 25% of cancer treatment will be in pill form.  For oral agents to achieve a therapeutically effective level for cancer treatment, patients must strictly adhere to the regimen. However, adherence is often less than 80%, which may be inadequate for treating the cancer. There are more than 285 million wireless subscribers in the US with an estimated 67.5% of adults owning cell phones and 98% of those phones having text messaging capability. A recent review of 12 trials on interventions …

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Motivational Interviewing & Cognitive Behavioral Therapy To Promote Adherence In Cancer Patients Taking Oral Agent Medications: An Integrative Review, Sandra Spoelstra Dec 2012

Motivational Interviewing & Cognitive Behavioral Therapy To Promote Adherence In Cancer Patients Taking Oral Agent Medications: An Integrative Review, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Significance: Patients with cancer miss as much as one-third of the prescribed doses of oral anti-cancer agents required for treatment of their disease.
Problem & Purpose: This shift in treatment results in care at home, placing responsibility on patients. This review will discuss the foundation for developing a combined motivational interviewing (MI) and brief cognitive behavioral therapy (CBT) intervention and will examine evidence on MI/CBT interventions that improved adherence.
Framework: Not applicable.
Methods: Whittemore and Knafl’s review method was used, identifying studies via a search in CINAHL and PubMed using key words of MI/CBT; and reviewing of references.
Findings: 2822 …

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Symptom Severity, Symptom Attribution, And Preference For Assistance While Taking Chemotherapy Or Targeted Agents, Sandra Spoelstra Dec 2012

Symptom Severity, Symptom Attribution, And Preference For Assistance While Taking Chemotherapy Or Targeted Agents, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Significance: When taking oral agents, patients need to manage symptoms so that they do not become so severe that it leads to decreased function and difficulty with activities of daily living, and reducing or stopping the medication, rendering the cancer treatment ineffective.
 
Problem & Purpose: Over fifty oral anti-cancer agents are currently on the market, and within three years, 25% of treatment will be delivered in pill form, shifting treatment to the responsibility of patients. This study describes symptoms from oral agents, attribution of symptoms, and preference for assistance. 
 
Framework: Not applicable.
 
Methods: Thirty cancer patients taking …

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