Medicine and Health Sciences Commons^™

Challenges To Diabetes Self-Management For Adults With Type 2 Diabetes In Low-Resource Settings In Mexico City: A Qualitative Descriptive Study, Robin Whittemore, Mireya Vilar-Compte, Selene De La Cerda, Denise Marron, Rosabelle Conover, Roberta Delvy, Annel Lozano-Marrufo, Rafael Pérez-Escamilla

Department of Public Health Scholarship and Creative Works

Background: The prevalence of type 2 diabetes (T2D) in Mexico is one of the highest in the world, with high morbidity and mortality, and difficulty meeting glycemic targets. The purpose of this study was to identify the challenges for T2D self-management as perceived by both adults with T2D and health care providers in primary health clinics from Seguro Popular in Mexico City.

Methods: This was a qualitative descriptive study conducted in three Seguro Popular primary care clinics in Mexico City using convenience sampling. Semi-structured interviews were conducted with participants and data were analyzed using a content analysis approach.

Results: The …

Ethical Patient Care Overview For Doctoral Nursing Students, Courtney Reinisch

School of Nursing Faculty Scholarship and Creative Works

No abstract provided.

Low- And Lower Middle-Income Countries Advanced Practice Nurses: An Integrative Review, A. Scanlon, M. Murphy, Janice Smolowitz, V. Lewis

School of Nursing Faculty Scholarship and Creative Works

Aim: To review published literature descriptions of advanced practice nurses’ roles in low- and lower middle-income countries. Background: Advanced practice nurse roles have the potential to address insufficient healthcare resources in low- and lower middle-income countries. Introduction: This integrative review highlights advanced practice nurses’ roles in the delivery of healthcare services in low- and lower middle-income countries. Methods: Three electronic databases PubMed, CINAHL complete and ProQuest Health & Medicine were searched. No limits by year or language were set. The names for low- and lower middle-income countries and combinations ‘related to advanced practice nurses’ titles were used to identify papers. …

Six Creative Ways To Implement Interprofessional Education (Ipe) And Practice - Without An Academic Medical Center On Campus, Courtney Reinisch

School of Nursing Faculty Scholarship and Creative Works

It seems logical that health professionals should be taught how to respectfully and effectively communicate across professional lines. However, coordinating this type of academic experience has its challenges. Associate Professor & Undergraduate Program Director at Montclair State University, Courtney Reinisch, shares her experiences with creating opportunities for interprofessional education and partnerships on campus.

Transprofessional Education – An Asynchronous Approach, Courtney Reinisch

School of Nursing Faculty Scholarship and Creative Works

Creating an opportunity inter-professional educational for nursing students involves challenges in logistics and resources.

Rn To Bsn Education For Future Nurse Leaders, Janice Smolowitz, Courtney Reinisch

School of Nursing Faculty Scholarship and Creative Works

No abstract provided.

Innovations In Rn To Bsn Education Through Inter-Professional Partnership, Courtney Reinisch, Janice Smolowitz

School of Nursing Faculty Scholarship and Creative Works

No abstract provided.

Innovations In Rn To Bsn Education Through Inter-Professional Partnership, Courtney Reinisch, Janice Smolowitz

School of Nursing Faculty Scholarship and Creative Works

No abstract provided.

Diabetes Self-Management Education In The Home, Courtney Reinisch, Diane Lavelle, Joanah Zeitoun, Marianne Stern

School of Nursing Faculty Scholarship and Creative Works

Purpose: Diabetes self-management education and home visits have been found to improve clinical outcomes in individuals living with diabetes. The purpose of this pilot project was to evaluate the feasibility and effectiveness of conducting self-management education in patients' homes.
Methods: Baseline biometric data was collected from a cohort of adult patients with diabetes. Home visits to 19 patients were conducted by doctoral students from Rutgers University School of Nursing. The visits included knowledge assessment, review of foods in the home, diabetes self-management education, and teaching the proper use of monitoring tools such as the glucometer and blood pressure monitor. Biomarkers …

Breastfeeding: The Illusion Of Choice, Yeon Bai, Lauren Dinour

Department of Nutrition and Food Studies Scholarship and Creative Works

Background

Breastfeeding is frequently described as a woman's decision, yet this choice is often illusionary owing to suboptimal social and structural supports. Despite the passage of the Patient Protection and Affordable Care Act (2010) that requires all qualifying employers to provide mothers “reasonable” break time and a private, non-bathroom space to express breast milk, the majority of women in the United States still do not have access to both accommodations.

The Problem

At least three issues may be influencing this suboptimal implementation at workplaces: 1) federal law does not address lactation space functionality and accessibility, 2) federal law only …

Breastfeeding Initiation And Continuation By Employment Status Among Korean Women, Yeon Bai, Nam Mi Kang, Jung Eun Lee, Theo Van Achterberg, Taisun Hyun

Department of Nutrition and Food Studies Scholarship and Creative Works

The objective of this study was to examine the factors associated with the initiation and continuation of breastfeeding among Korean women in relation to their employment status. Data were collected using a web-based self-administered questionnaire from 1,031 Korean mothers living in Seoul with babies younger than 24 months. Demographic characteristics, education on breastfeeding, rooming in, breastfeeding during a hospital stay, and breastfeeding knowledge were examined. Multivariate logistic regression analyses were performed to identify factors associated with initiation and continuation at 1, 6 and 12 months according to mothers' employment status. Breastfeeding initiation rates were similar regardless of mothers' employment status. …

Role Of The Registered Nurse In Primary Health Caremeeting Health Care Needs In The 21st Century, Janice Smolowitz, Elizabeth Speakman, Danuta Wojnar, Ellen Marie Whelan, Suzan Ulrich, Carolyn Hayes, Laura Wood

School of Nursing Faculty Scholarship and Creative Works

There is widespread interest in the redesign of primary health care practice models to increase access to quality health care. Registered nurses (RNs) are well positioned to assume direct care and leadership roles based on their understanding of patient, family, and system priorities. This project identified 16 exemplar primary health care practices that used RNs to the full extent of their scope of practice in team-based care. Interviews were conducted with practice representatives. RN activities were performed within three general contexts: episodic and preventive care, chronic disease management, and practice operations. RNs performed nine general functions in these contexts including …

Building Framework For Nursing Scholarship: Guidelines For Appointment And Promotion, Judy Honig, Janice Smolowitz, Elaine Larson

School of Nursing Faculty Scholarship and Creative Works

As nursing academia responds to shifts in nursing education-the emergence of clinically focused doctoral degrees and an emphasis on evidence-based practice, comparative effectiveness, and translational research, nursing scholarship is undergoing transformation.This article outlines guidelines for appointment and promotion that incorporate the academic tripartite and are relevant for all faculty. A clear and equitable pathway for professorial advancement for the both the clinician and research faculty is delineated. Without such clarity and equity, the unique contributions of clinical and research scholars and the synergy that results from these distinctions will not be garnered. Although there is significant overlap in the criteria, …

Prevalence Of High-Risk Human Papilloma Virus Among Women With Hepatitis C Virus Before Liver Transplantation, P. A. Tarallo, Janice Smolowitz, D. Carriero, J. Tarallo, A. Siegel, H. Jia, J. C. Emond

School of Nursing Faculty Scholarship and Creative Works

Background: We sought to assess the prevalence and risk factors for high-risk human papillomavirus (HPV) infection among female liver transplant (LT) candidates. Traditional health screening before LT listing has included Pap smear and is typically carried out by the patient's local provider. The prevalence of high-risk HPV in this population has not been studied. Methods: With Institutional Review Board approval, 62 LT candidates received a liquid-based Pap smear with high-risk HPV testing as part of their pre-transplant evaluation by a single provider. Clinical variables included age, ethnicity, insurance status, prior Pap smear, and HPV results, HPV risk factors including age …

Alternative Hospital Gift Bags And Breastfeeding Exclusivity, Yeon Bai, Shahla M. Wunderlich, Rickie Kashdan

Department of Nutrition and Food Studies Scholarship and Creative Works

The type of gift bags given to new mothers at the time of discharge from the hospital can influence their confidence in breastfeeding. Most hospitals in the US continue to distribute commercial gift bags containing formula samples despite the reported negative influence of commercial bags on the duration of breastfeeding. This study compared breastfeeding outcomes in women receiving three different kinds of gift bags at discharge. A prospective intervention study was conducted during the 2009-2010 in New Jersey. Three breastfeeding cohorts were recruited and assigned to three groups: COMMERCIAL received discharge bags containing formula samples, BF-INFO received breastfeeding information and …

Patient Hand Hygiene Practices In Surgical Patients, Laura L. Ardizzone, Janice Smolowitz, Nancy Kline, Bridgette Thom, Elaine L. Larson

School of Nursing Faculty Scholarship and Creative Works

Background: Little is known about the hand hygiene practices of surgical patients. Most of the research has been directed at the health care worker, and this may discount the role that hand hygiene of the surgical patient might play in surgical site infections. Methods: A quasiexperimental, pretest/post-test study was conducted in which patients (n = 72) and nurses (n = 42) were interviewed to examine perceptions and knowledge about patient hand hygiene. Concurrently, observations were conducted to determine whether surgical patients were offered assistance by the nursing staff. Following an initial observation period, nursing staff received an educational session regarding …

Predicting Intentions To Continue Exclusive Breastfeeding For 6 Months: A Comparison Among Racial/Ethnic Groups, Yeon Bai, Shahla M. Wunderlich, Alyce D. Fly

Department of Nutrition and Food Studies Scholarship and Creative Works

The purpose of this study was to explore how mothers of different races/ethnicities make decisions to continue exclusive breastfeeding (EBF) for 6 months under the Theory of Planned Behavior. Participants were recruited from hospitals and WIC clinics in Central Indiana and Southern New Jersey from 2008 to 2009. Mothers (N = 236: 93 non-Hispanic African American, 72 non-Hispanic white, 71 Hispanic/Latina) completed a self-administered questionnaire that measured theoretical constructs and beliefs related to their intention to practice EBF for 6 months. Intentions to continue EBF for 6 months were similar (P = 0.15) across racial/ethnic groups. Significant proportions of the …

Everything's Better In Moderation: Young Women's Gender Role Attitudes And Risky Sexual Behavior, Tamara Leech

Department of Public Health Scholarship and Creative Works

Purpose This study examines the association between gender role attitudes and risky sexual behavior among young women. Previous studies have posed seemingly contradictory arguments: that either traditional attitudes or egalitarian attitudes are associated with riskier behavior. Methods Data are based on the children of the National Longitudinal Survey of Youth, representing 520 sexually active 18–19-year-old women. Propensity radius matching was used to assess differences in rates of multiple sexual partners and sex outside of a committed relationship. Results Relative to moderate gender role attitudes, both egalitarian gender role attitudes and traditional gender role attitudes are associated with higher rates of …

A Pilot Study Of Bibliotherapy To Reduce Alcohol Problems Among Patients In A Hospital Trauma Center, Paul Amrhein, Timothy Apodaca, William R. Miller, Carol R. Schermer

Department of Psychology Faculty Scholarship and Creative Works

Because alcohol use plays a major role in many injuries that require hospital care, there is increasing interest in developing interventions to address alcohol problems among emergency department and trauma center patients. The aim of the current study was to extend past research on brief interventions by investigating the use of a self-help manual to treat problem drinkers in a hospital trauma center. Forty injured patients who were either intoxicated at the time of injury or screened positive for harmful drinking were randomly assigned to receive either a brief assessment and a self-help booklet with no more than 5 minutes …

Organizational Climate And Intensive Care Unit Nurses' Intention To Leave, Patricia W. Stone, Elaine L. Larson, Cathy Mooney-Kane, Janice Smolowitz, Susan X. Lin, Andrew W. Dick

School of Nursing Faculty Scholarship and Creative Works

The purposes of this study were to a) estimate the incidence of intensive care units nurses' intention to leave due to working conditions; and b) identify factors predicting this phenomenon. Design: Cross-sectional design. Setting: Hospitals and critical care units. Subjects: Registered nurses (RNs) employed in adult intensive care units. Interventions: Organizational climate, nurse demographics, intention to leave, and reason for intending to leave were collected using a self-report survey. Measurements and Main Results: Nurses were categorized into two groups: a) those intending to leave due to working conditions; and b) others (e.g., those not leaving or retirees). The measure of …

The Percentage Of Beds Designated For Medicaid In American Nursing Homes And Nurse Staffing Ratios, Christopher Donoghue

Department of Sociology Faculty Scholarship and Creative Works

Previous analyses of the inverse relationship between a nursing home's Medicaid census and its quality of care have been based on samples limited to specific geographic regions, for-profit entities, or only skilled care facilities. The present study uses national-level data from the 1999 National Nursing Home Survey to examine the association between the proportion of beds designated for Medicaid residents and nurse staffing ratios. The results indicate that homes which designate a higher proportion of their beds for Medicaid recipients maintain lower ratios of registered nurses and nurse's aides to residents, even when key facility characteristics are controlled. It was …

Roller Coaster Marathon: Being A Live Liver Donor, Charlotte C. Cabello, Janice Smolowitz

School of Nursing Faculty Scholarship and Creative Works

The purpose of this phenomenological study was to examine the meaning of being a live liver donor. Six people between ages 27 and 53 years participated. A qualitative, in-depth, semistructured interview format was used to explore donors' thoughts and feelings about being an organ donor. Five themes were identified: (1) no turning back-how do I live without you? (2) roller coaster marathon, (3) donor network, (4) the scar, and (5) reflections-time to think. At the center of the experience was the donor's commitment to the recipient. Once donors began the process, they were determined to see it through. The process …

Validation Of A Short Questionnaire To Assess Mothers’ Perception Of Workplace Breastfeeding Support, Yeon Bai, C-Y Joanne Peng, Alyce D. Fly

Department of Nutrition and Food Studies Scholarship and Creative Works

The purpose of this study was to create and establish the validity of a short questionnaire to measure mothers' perceived support for breastfeeding from the workplace. The items in the workplace breastfeeding support scale (WBSS) were derived from a literature review. The scale was self-administered in central Indiana during the fall of 2005 to a convenience sample of 66 volunteers who were primiparous, 6 to 12 months postpartum, worked outside the home and had initiated breastfeeding prior to the survey. Internal consistency (α) and split-half reliability (r) test and factor analysis were done to establish reliability and construct …

Voluntary And Involuntary Nursing Home Staff Turnover, Christopher Donoghue, Nicholas G. Castle

Department of Sociology Faculty Scholarship and Creative Works

The goal of this study was to identify nursing home characteristics that have differential associations to voluntary and involuntary turnover among formal caregivers (i.e., registered nurses, licensed practical nurses, and nurse aides). Primary data from 354 facilities from four states were merged with data from the 2004 Online Survey, Certification and Recording system. Multinomial logistic regression analyses were conducted to determine whether organizational characteristics were related to a greater probability of high or low levels of voluntary and involuntary turnover among formal caregivers. The analysis revealed that a higher ratio of nurses to beds, a smaller number of quality-of-care deficiencies, …

Organizations As Evil Structures, Cary Federman, Dave Holmes

Department of Justice Studies Faculty Scholarship and Creative Works

Nursing practice in forensic psychiatry opens new horizons in nursing. This complex, professional, nursing practice involves the coupling of two contradictory socioprofessional mandates: to punish and to provide care. The purpose of this chapter is to present nursing practice in a disciplinary setting as a problem of governance. A Foucauldian perspective allows us to understand the way forensic psychiatric nursing is involved in the governance of mentally ill criminals through a vast array of power techniques (sovereign, disciplinary, and pastoral), which posit nurses as “subjects of power.” These nurses are also “objects of power” in that nursing practice is constrained …

Diabetes Care Processes And Outcomes In Patients Treated By Nurse Practitioners Or Physicians, Elizabeth R. Lenz, Mary O.Neil Mundinger, Sarah C. Hopkins, Susan X. Lin, Janice Smolowitz

School of Nursing Faculty Scholarship and Creative Works

PURPOSE the purpose of this study was to compare selected diabetes care processes and outcomes of nurse practitioners (NPs) and physicians (MDs) in the primary care of adults with type 2 diabetes. METHODS Adults with type 2 diabetes and no regular source of primary care were enrolled from the emergency room and randomized to an NP or MD practice. Chart reviews were conducted to assess processes of care; patient interviews and hemoglobin Al C (Al C) testing were performed to measure patient outcomes. RESULTS NPs were more likely than MDs to document provision of general diabetes education and education about …