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Nursing

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Selected Works

2014

Articles 1 - 12 of 12

Full-Text Articles in Medicine and Health Sciences

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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