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Mentoring Geriatric Nurse Scientists, Educators, Clinicians, And Leaders In The John A. Hartford Foundation Centers For Geriatric Nursing Excellence, Meridean Maas, N. Strumpf, C. Beck, D. Jennings, D. Messecar, Elizabeth Swanson Nov 2011

Mentoring Geriatric Nurse Scientists, Educators, Clinicians, And Leaders In The John A. Hartford Foundation Centers For Geriatric Nursing Excellence, Meridean Maas, N. Strumpf, C. Beck, D. Jennings, D. Messecar, Elizabeth Swanson

Elizabeth A. Swanson

No abstract provided.


Gerontology Coursework In Undergraduate Nursing Programs In The United States, K. Gulp, K. Herr, L. Kelley, Meridean Maas, D. Schutte, Janet Specht, Elizabeth Swanson Nov 2011

Gerontology Coursework In Undergraduate Nursing Programs In The United States, K. Gulp, K. Herr, L. Kelley, Meridean Maas, D. Schutte, Janet Specht, Elizabeth Swanson

Elizabeth A. Swanson

No abstract provided.


Extending Influence In Gerontological Nursing Through Partnerships: Experiences From The John A. Hartford Foundation Centers Of Geriatric Nursing Excellence, H. Young, Elizabeth Swanson, K. Richards, M. Wallhagen, P. Archbold, M. Spool, M. Flaherty-Robb Nov 2011

Extending Influence In Gerontological Nursing Through Partnerships: Experiences From The John A. Hartford Foundation Centers Of Geriatric Nursing Excellence, H. Young, Elizabeth Swanson, K. Richards, M. Wallhagen, P. Archbold, M. Spool, M. Flaherty-Robb

Elizabeth A. Swanson

No abstract provided.


An Approach To Managing Latex Allergy In The Health Care Worker, B. Muller, Victoria Steelman, P. Hartley, T. Casale Nov 2011

An Approach To Managing Latex Allergy In The Health Care Worker, B. Muller, Victoria Steelman, P. Hartley, T. Casale

Victoria J. Steelman

IgE-mediated sensitivity (true allergy) to latex occurs in well-defined groups. The common feature is a high degree of repeated exposure to latex. Approximately one percent of the total U.S. population and five to 17 percent of health care workers are affected. The objective of this article is to provide a rational approach to managing latex allergy in health care workers. Information is provided on the basis of a review of recent literature (primarily since 1986) and on the basis of work by the University of Iowa Hospitals and Clinics Multidisciplinary Latex Allergy Committee. This article summarizes a proactive, hospital-wide approach …


Creutzfeldt-Jakob Disease: Decontamination Issues, Victoria Steelman Nov 2011

Creutzfeldt-Jakob Disease: Decontamination Issues, Victoria Steelman

Victoria J. Steelman

No abstract provided.


Clinical Issues. Vessels For Transplantation; Corrugated Packaging; Hand Sanitizers; Student Visitors In The Or; Aseptic Technique, B. Denholm, Victoria Steelman, R. Conner Nov 2011

Clinical Issues. Vessels For Transplantation; Corrugated Packaging; Hand Sanitizers; Student Visitors In The Or; Aseptic Technique, B. Denholm, Victoria Steelman, R. Conner

Victoria J. Steelman

No abstract provided.


Latex Allergy: Implications For The Nurse Anesthetist, Victoria Steelman Nov 2011

Latex Allergy: Implications For The Nurse Anesthetist, Victoria Steelman

Victoria J. Steelman

No abstract provided.


The Advanced Practice Nurse: An Essential Part Of The Perioperative Leadership Team, Victoria Steelman Nov 2011

The Advanced Practice Nurse: An Essential Part Of The Perioperative Leadership Team, Victoria Steelman

Victoria J. Steelman

No abstract provided.


Young Nurse Clinician Programs: Geriatric, Pediatric, And Community Health, Mary Berg, S. Lehmann, Paula Mobily Oct 2011

Young Nurse Clinician Programs: Geriatric, Pediatric, And Community Health, Mary Berg, S. Lehmann, Paula Mobily

Paula Mobily

In most nursing programs, limited options exist beyond the required nursing curricula for students to continue career growth in a nursing specialty area at the undergraduate level. The authors describe the Young Nurse Clinician Programs, an innovative approach that provides individualized educational opportunities to select nursing students to promote leadership and foster interest in geriatric, pediatric, and community health nursing.


Geriatric Mental Health: Staff Stress On An Alzheimer's Unit, Paula Mobily, Meridean Maas, Kathleen Buckwalter, Lisa Skemp Kelley Oct 2011

Geriatric Mental Health: Staff Stress On An Alzheimer's Unit, Paula Mobily, Meridean Maas, Kathleen Buckwalter, Lisa Skemp Kelley

Paula Mobily

Nurses who work with patients with Alzheimer's disease (AD) are especially vulnerable to the effects of stress and burnout. Many are poorly trained to cope with the emotional and behavioral problems of these residents and are repeatedly frustrated by their inability to manage these recurrent problems. Specialized care units (SCUs) reduced stress in the areas of staff knowledge, abilities, and resources. The SCU was designed specifically to provide the special environmental structures, support, and service systems required for the care of persons with AD that would enhance functioning and decrease associated behavioral problems. Support groups can assist nurses to recognize …


Practice Concepts. Unit-Based Acute Confusion Resource Nurse: An Educational Program To Train Staff Nurses, C. Rapp, L. Onega, Toni Tripp-Reimer, N. Morrow-Howell, Paula Mobily, B. Wakefield, M. Kundrat, J. Akins, K. Wadle, J. Mentes, Kennith Culp, J. Meyer, J. Waterman Oct 2011

Practice Concepts. Unit-Based Acute Confusion Resource Nurse: An Educational Program To Train Staff Nurses, C. Rapp, L. Onega, Toni Tripp-Reimer, N. Morrow-Howell, Paula Mobily, B. Wakefield, M. Kundrat, J. Akins, K. Wadle, J. Mentes, Kennith Culp, J. Meyer, J. Waterman

Paula Mobily

No abstract provided.


Strength Training And Falls Among Older Adults: A Community-Based Tr Intervention, K. Mobily, Paula Mobily, R. Raimondi, K. Walter, L. Rubenstein Oct 2011

Strength Training And Falls Among Older Adults: A Community-Based Tr Intervention, K. Mobily, Paula Mobily, R. Raimondi, K. Walter, L. Rubenstein

Paula Mobily

The purpose of this study was to determine the effectiveness of a community-based strength training program for older adults in decreasing falls. Subjects who completed a strength training program and an age and gender matched comparison group of older adults who did not participate in the strength training program were questioned about falls during the preceding year. Functional fitness measures for coordination, balance, and strength significantly improved in strength training subjects after completion of a six week program. Furthermore, after controlling for gender effects, the findings revealed that the strength training group reported significantly fewer falls in the preceding year …


Training Of Acute Confusion Resource Nurses: Knowledge, Perceived Confidence, And Role, C. Rapp, L. Onega, Toni Tripp-Reimer, Paula Mobily, B. Wakefield, M. Kundrat, J. Akins, K. Wadle, J. Mentes, Kennith Culp, J. Meyer, J. Waterman Oct 2011

Training Of Acute Confusion Resource Nurses: Knowledge, Perceived Confidence, And Role, C. Rapp, L. Onega, Toni Tripp-Reimer, Paula Mobily, B. Wakefield, M. Kundrat, J. Akins, K. Wadle, J. Mentes, Kennith Culp, J. Meyer, J. Waterman

Paula Mobily

Most nurses function as generalists; however, some function in "expert" roles based on informal training as Resource Nurses. Training usually focuses on assessment and management of a specific problem, with the goal of creating a readily available "expert" for every unit. The primary activity of the Resource Nurse is to provide expert care, education, and consultation for patients, families, and staff. The Iowa-Veterans Affairs Nursing Research Consortium (IVANRC) addressed the need to manage acutely confused/delirious clients by training staff nurse volunteers (N = 129) from all units of the four Iowa Veterans Affairs facilities to act as unit-based acute confusion …


Unit-Based Acute Confusion Resource Nurse: An Educational Program To Train Staff Nurses, C. Rapp, L. Onega, Toni Tripp-Reimer, Paula Mobily, B. Wakefield, M. Kundrat, J. Akins, K. Wadle, J. Mentes, Kennith Culp, J. Meyer, J. Waterman Oct 2011

Unit-Based Acute Confusion Resource Nurse: An Educational Program To Train Staff Nurses, C. Rapp, L. Onega, Toni Tripp-Reimer, Paula Mobily, B. Wakefield, M. Kundrat, J. Akins, K. Wadle, J. Mentes, Kennith Culp, J. Meyer, J. Waterman

Paula Mobily

Despite the high prevalence of acute confusion among elders and the importance of its early detection, there are few reports of systematic efforts to increase staff competence. This article describes the development and evaluation of an 8-hour educational program designed to prepare staff nurses to perform in a new role, the unit-based acute confusion Resource Nurse (ACRN). Pre- and posttest scores were obtained for the 80 registered nurses who participated in the program. Paired t tests showed that knowledge and confidence significantly increased for participants as a result of their participation in the educational program. This program can serve as …


An Examination Of Role Strain For University Nurse Faculty And Its Relation To Socialization Experiences And Personal Characteristics, Paula Mobily Oct 2011

An Examination Of Role Strain For University Nurse Faculty And Its Relation To Socialization Experiences And Personal Characteristics, Paula Mobily

Paula Mobily

The purpose of this study is to describe the degree of perceived role strain and the major sources of role strain in nurse faculty employed in major universities; and to explore the relationship between selected socialization experiences and personal characteristics and the degree of role strain experienced. The sample (N = 102) was comprised of full-time tenure track nurse faculty employed in major universities that offered National League for Nursing-accredited undergraduate and graduate programs in nursing, and were located in institutions classified as Research Universities I by the Carnegie Council on Policy Studies in Higher Education (1987). The majority of …


Geriatric Mental Health: Chronic Pain And Depression, Keela Herr, Paula Mobily Oct 2011

Geriatric Mental Health: Chronic Pain And Depression, Keela Herr, Paula Mobily

Paula Mobily

Psychological factors, including depression, are often involved in the development and continuation of chronic pain problems. Increased understanding of the role of depression in the etiology and maintenance of chronic pain can improve assessment and intervention for the elderly with chronic pain complaints. It is often impossible to determine whether the stress of living with chronic pain has caused the elder to become depressed or whether a depressive disorder is the cause of the pain experience. It is important to remember that the elderly's depression and chronic pain may be unrelated. Nurses must consider the possibility of both pain and …


Infant And Preschool Well-Child Care: Master's- And Nonmaster's-Prepared Pediatric Nurse Practitioners, J. Glascock, C. Webster-Stratton, Ann Mccarthy Oct 2011

Infant And Preschool Well-Child Care: Master's- And Nonmaster's-Prepared Pediatric Nurse Practitioners, J. Glascock, C. Webster-Stratton, Ann Mccarthy

Ann Marie McCarthy

The nursing and medical literature reveals considerable debate over whether graduate or continuing education is the appropriate level for nurse practitioner preparation. These arguments have been rhetorical since the research literature lacks data on the scope of practice of master's- and nonmaster's-prepared nurse practitioners. The purpose of this study was to examine possible differences between the two types of practitioners in one area--well-child care provided by pediatric nurse practitioners (PNPs). A total of 236 master's- and nonmaster's-prepared PNPs completed a background questionnaire and checklists of nursing activities involving infant and preschool well-child care. Analysis of study results showed that master's …


Risk Factors And Outcomes Associated With Hospital Admission For Dehydration, B. Wakefield, J. Mentes, J. Holman, Kennith Culp Oct 2011

Risk Factors And Outcomes Associated With Hospital Admission For Dehydration, B. Wakefield, J. Mentes, J. Holman, Kennith Culp

Kennith R. Culp

The hospital admission rate for dehydration is one of the Agency for Healthcare Research and Quality Prevention's Quality Indicators, which are considered screening tools for potential quality issues. Thus, admission for dehydration may reflect the quality of care provided in community settings. Using a case-control design, this study estimated the incidence, risk factors, and outcomes of dehydration in adults admitted to the hospital. The overall prevalence rate for three International Classification of Diseases codes for dehydration at admission was 0.55%. Cases and controls differed significantly on a number of clinical variables at admission, including weight, body mass index, pulse, blood …


Training Of Acute Confusion Resource Nurses: Knowledge, Perceived Confidence, And Role, C. Rapp, L. Onega, Toni Tripp-Reimer, Paula Mobily, B. Wakefield, M. Kundrat, J. Akins, K. Wadle, J. Mentes, Kennith Culp, J. Meyer, J. Waterman Oct 2011

Training Of Acute Confusion Resource Nurses: Knowledge, Perceived Confidence, And Role, C. Rapp, L. Onega, Toni Tripp-Reimer, Paula Mobily, B. Wakefield, M. Kundrat, J. Akins, K. Wadle, J. Mentes, Kennith Culp, J. Meyer, J. Waterman

Kennith R. Culp

Most nurses function as generalists; however, some function in "expert" roles based on informal training as Resource Nurses. Training usually focuses on assessment and management of a specific problem, with the goal of creating a readily available "expert" for every unit. The primary activity of the Resource Nurse is to provide expert care, education, and consultation for patients, families, and staff. The Iowa-Veterans Affairs Nursing Research Consortium (IVANRC) addressed the need to manage acutely confused/delirious clients by training staff nurse volunteers (N = 129) from all units of the four Iowa Veterans Affairs facilities to act as unit-based acute confusion …


Unit-Based Acute Confusion Resource Nurse: An Educational Program To Train Staff Nurses, C. Rapp, L. Onega, Toni Tripp-Reimer, Paula Mobily, B. Wakefield, M. Kundrat, J. Akins, K. Wadle, J. Mentes, Kennith Culp, J. Meyer, J. Waterman Oct 2011

Unit-Based Acute Confusion Resource Nurse: An Educational Program To Train Staff Nurses, C. Rapp, L. Onega, Toni Tripp-Reimer, Paula Mobily, B. Wakefield, M. Kundrat, J. Akins, K. Wadle, J. Mentes, Kennith Culp, J. Meyer, J. Waterman

Kennith R. Culp

Despite the high prevalence of acute confusion among elders and the importance of its early detection, there are few reports of systematic efforts to increase staff competence. This article describes the development and evaluation of an 8-hour educational program designed to prepare staff nurses to perform in a new role, the unit-based acute confusion Resource Nurse (ACRN). Pre- and posttest scores were obtained for the 80 registered nurses who participated in the program. Paired t tests showed that knowledge and confidence significantly increased for participants as a result of their participation in the educational program. This program can serve as …


The Importance Of Agrinursing... September Issue Of The Aaohn Journal, Vol. 52, No. 9, Kennith Culp Oct 2011

The Importance Of Agrinursing... September Issue Of The Aaohn Journal, Vol. 52, No. 9, Kennith Culp

Kennith R. Culp

No abstract provided.


Ask The Expert: Latest Developments In Advanced Nursing Practice, Patricia Clinton Oct 2011

Ask The Expert: Latest Developments In Advanced Nursing Practice, Patricia Clinton

Patricia K. Clinton

No abstract provided.


Facts And Fallacies: The Practice Doctorate, A. Sperhac, Patricia Clinton Oct 2011

Facts And Fallacies: The Practice Doctorate, A. Sperhac, Patricia Clinton

Patricia K. Clinton

In the past year there has been continued discussion within professional organizations regarding the emergence of the practice doctorate. This in turn has caused concerns among some nurse practitioners. The purpose of this article is to provide an overview of the practice doctorate, current progress and development of the concept, and the potential impact on practicing pediatric and other nurse practitioners.


Doctorate Of Nursing Practice: Blueprint For Excellence, A. Sperhac, Patricia Clinton Oct 2011

Doctorate Of Nursing Practice: Blueprint For Excellence, A. Sperhac, Patricia Clinton

Patricia K. Clinton

A great deal of work has been done during the past several years since the American Association of Colleges of Nursing voted in October 2004 to move advanced practice nursing to the doctoral level by 2015. Following the approval, task forces were formed to address curriculum issues and the strategies for transitioning advanced practice nursing education from the master's level to the doctorate of nursing practice (DNP). The DNP curriculum contains content on leadership, management, and other topics that are needed to address some of the issues in the health care system that traditionally have not been included in most …


National Agenda For Advanced Practice Nursing: The Practice Doctorate, Patricia Clinton, A. Sperhac Oct 2011

National Agenda For Advanced Practice Nursing: The Practice Doctorate, Patricia Clinton, A. Sperhac

Patricia K. Clinton

The purpose of this article was to provide the background and rationale for the practice doctorate in nursing. The American Association of Colleges of Nursing's Position Statement on the Practice Doctorate in Nursing, approved in October 2004, will be discussed. Outlined are some of the changes that will be needed in education, regulation, and advanced practice. Common questions and concerns that advanced practice nurses have, including titling, salary, and transitioning to the doctor of nursing practice degree, will be addressed.


The Dnp And Unintended Consequences: An Opportunity For Dialogue, Patricia Clinton, A. Sperhac Oct 2011

The Dnp And Unintended Consequences: An Opportunity For Dialogue, Patricia Clinton, A. Sperhac

Patricia K. Clinton

No abstract provided.


President's Message. A Rose By Any Other Name.., Patricia Clinton Oct 2011

President's Message. A Rose By Any Other Name.., Patricia Clinton

Patricia K. Clinton

No abstract provided.


Imagination Column. On Fireflies And Stars: Envisioning Luminescent Beacons For Advancing Nursing And Rogerian Science, Howard Butcher Oct 2011

Imagination Column. On Fireflies And Stars: Envisioning Luminescent Beacons For Advancing Nursing And Rogerian Science, Howard Butcher

Howard K. Butcher

No abstract provided.


Reenvisioning Gerontological Mental Health Nursing Education: A Commentary, Howard Butcher Oct 2011

Reenvisioning Gerontological Mental Health Nursing Education: A Commentary, Howard Butcher

Howard K. Butcher

Reenvisioning gerontological mental health nursing begins with reinterpreting the meaning of aging and radically transforming the curriculum of the subspecialty. The commentary suggests 11 specific recommendations that expand on Morris and Mentes's article as a way of reenvisioning and rerooting gerontological mental health nursing. Among the recommendations are renaming the subspecialty "gerontological mental health nursing" as a means to more appropriately reflect the multidisciplinary focus and mental health perspective, placing an equal emphasis on positive aspects of healthy aging, developing a standardized model curriculum, increasing the number of programs offering specialization in gerontological mental health nursing, and reinvigorating continuing education …


Young Nurse Clinician Programs: Geriatric, Pediatric, And Community Health, Mary Berg, S. Lehmann, Paula Mobily Oct 2011

Young Nurse Clinician Programs: Geriatric, Pediatric, And Community Health, Mary Berg, S. Lehmann, Paula Mobily

Mary Berg

In most nursing programs, limited options exist beyond the required nursing curricula for students to continue career growth in a nursing specialty area at the undergraduate level. The authors describe the Young Nurse Clinician Programs, an innovative approach that provides individualized educational opportunities to select nursing students to promote leadership and foster interest in geriatric, pediatric, and community health nursing.