Medicine and Health Sciences Commons^™

Effects Of Intermittent Pneumatic Compression On Delayed Onset Muscle Soreness (Doms) In Long Distance Runners, Shane N. Draper, Emily L. Kullman, Kenneth E. Sparks, Kathleen Little, Joan Thoman

Nursing Faculty Publications

© 2020, Western Kentucky University. All rights reserved. The purpose of this study was to observe the effectiveness of intermittent pneumatic compression (IPC) on reducing C-reactive protein (CRP) and DOMS after long distance running. Ten distance runners, five males and five females, ages 20-53 years performed two 20mile runs at 70% VO2 max. Each run was followed by either no treatment (control) or IPC treatment for five consecutive days. For the IPC run, participants were treated for one hour immediately following the run and daily for five more days thereafter. On control runs, participants did not receive any treatment. Serum …

Clustered Pain Procedures In Skin-To-Skin Contact (Ssc) Position For Full Term Newborns, Raouth R. Kostandy, Susan M. Ludington-Hoe

Nursing Faculty Publications

As a part of their routine care, full term newborns face many painful procedures immediately after birth and during the first couple days of life. Skin-to-Skin Contact (SSC) has been recommended as a non-pharmacological pain management intervention in newborns. However, the use of SSC in labor and delivery rooms as well as in postnatal units and nurseries is limited due to the discomfort that the nurses and phlebotomists themselves experience during positioning the newborns and themselves to complete these routine procedures. The objective of this paper is to describe a step-by-step procedure that was developed and used in a randomized …

Nursing Students' Perceptions On Characteristics Of An Effective Clinical Instructor, Joan Niederriter, David Eyth, Joan Thoman

Nursing Faculty Publications

Purpose: To identify characteristics and teaching techniques of effective clinical instructors that can be utilized or implemented to improve the student nurse clinical experience.

Background: The clinical instructor is an integral part of a quality clinical experience. They help students transfer didactic information to the practice setting. The clinical nursing experience is a vital component in the developmental process of the nursing student. Research has been done on this subject, but gaps remain. The need for a more in-depth understanding of students' perceptions of the characteristics and teaching techniques that best aid their comprehension and learning will help instructors to …

Kangaroo Care (Skin-To-Skin) For Clustered Pain Procedures: Case Study, Raouth R. Kostandy, Susan M. Ludington-Hoe

Nursing Faculty Publications

Background: Pain management for term newborns undergoing clustered painful procedures has not been tested. Kangaroo Care (chest-to-chest, skin-to-skin position of infant on mother) effectively reduces pain of single procedures, but its effect on pain from clustered procedures is not known. Aim: The aim was to test Kangaroo Care’s effect on pain in one term infant who received clustered painful procedures while determining feasibility of the Kangaroo Care intervention. Design, Setting, and Participant: A case study design was used with one healthy term newborn who received two heel sticks and one injection in one session in the mother’s postpartum room. Method: …

Nurses' Spiritual Care Practices: Becoming Less Religious?, Cheryl Delgado

Nursing Faculty Publications

Research indicates that nurses do not consistently provide spiritual care, feel ill equipped to do so, and there is a lack of information as to the type of spiritual care practices nurses use. This exploratory descriptive study surveyed nurses (N = 123) about their spiritual care practices and perceptions of effectiveness, followed by qualitative interviews with volunteers (n = 5) from the surveyed group. The nurses favored spiritual interventions that are not overtly religious, but conveyed concern and support, such as listening and providing comforting touch.

Predictors Of Stress And Coping Strategies Of Us Accelerated Vs. Generic Baccalaureate Nursing Students: An Embedded Mixed Methods Study, Linda Wolf, Andrea Warner Stidham, Ratchneewan Ross

Nursing Faculty Publications

Background:Stress is an inevitable part of life and is especially pervasive in the lives of nursing students. Identifying the predictors of stress as well as coping strategies used can allow for the implementation of appropriate coping interventions to assist in the management of stress in nursing students. Mixed methods research that has been undertaken to gain an understanding about student stress, especially juxtaposing generic versus accelerated nursing students could not be identified. Objectives: (1) Identify predictors of stress between accelerated and generic Baccalaureate Nursing (BSN) students; and (2) Describe stressors and coping strategies used by accelerated students in comparison with …

Online Learning: Advantages And Challenges In Implementing An Effective Practicum Experience, Maureen M. Mitchell, Cheryl Delgado

Nursing Faculty Publications

Executing an effective clinical practicum experience for distance learners requires systems to be in place to ensure that all students receive a quality clinical experience and meet course and program objectives. Key to achieving these successful outcomes is recognizing and overcoming the challenges involved in designing graduate practica for Master of Science in nursing candidates. A systematic approach is presented for consideration.

Caregivers’ Incongruence: Emotional Strain In Caring For Persons With Stroke, Linda L. Pierce, Teresa L. Thompson, Amy L. Govoni, Victoria Steiner

Nursing Faculty Publications

Purpose:Guided by Friedemann's framework, the purpose of this study was to examine the dimensions of new family caregivers’ emotional strain in caring for persons with stroke. Method: Seventy-three caregivers who were new to that role participated in an interview every 2 weeks for a year as part of a NIH project. Of these caregivers, 36 participants were randomly assigned and had access to a Web-based intervention and its e-mail discussion. In this secondary data analysis, 2,148 e-mail discussion messages plus 2,455 narrative interview entries were used to examine dimensions of caregivers’ emotional strain. Rigorous content analysis was applied to these …

Cultural Competancy In Nursing Education, Linda Eileen Wolf, Cheryl Delgado

Nursing Faculty Publications

No abstract provided.

Evaluation Of A Cultural Competancy Program, Cheryl Delgado, Linda Eileen Wolf

Nursing Faculty Publications

No abstract provided.

Stressors And Supports For Baccalaureate Nursing Students Completing An Accelerated Program, Marilyn L. Weitzel, Cheryl P. Mccahon

Nursing Faculty Publications

This study examined stressors and resources for nursing students in an accelerated program. The research questions asked what the stressors and coping strategies are for accelerated option students. It also asked which learning strategies help or hinder accelerated option students in meeting the program objectives. The sample included students from an accelerated nursing program in an urban Midwestern university school of nursing. Participants completed a quantitative questionnaire and an interview. Findings suggested that nearly half of the students preferred the lecture format for classroom presentations. Clinical experiences were perceived as the most important component of the program. Resources included peers, …

Sense Of Coherence, Spirituality, Stress And Quality Of Life In Chronic Illness, Cheryl Delgado

Nursing Faculty Publications

No abstract provided.

Holistic Nursing: Preface, Noreen Frisch

Nursing Faculty Publications

Evidence is all the rage in nursing these days, and the evidence-based practice (EBP) movement seems well-nigh unstoppable. Anyway, who would want to stop progress toward clinical care based on proven best practices? Many years ago, the nurse-scientist Dr. Norma Matheny reminded us how difficult it is to get any intervention/activity out of nursing practice once nurses are used to performing the activity. Nurses seem to be trapped in “we've always done it this way” kind of thinking, even when new knowledge shows a practice to be obsolete (or, worse, dangerous). Then, there is the equally daunting challenge of getting …

The Concept Of Population Health Within The Nursing Profession, Sharon Radzyminski

Nursing Faculty Publications

Population health is a concept that has been developed over several centuries by many disciplines. Over time various aspects of the concept have dominated as issues related to behaviors and beliefs surrounding health practices have emerged. This has created a cadre of terms that are often used interchageably but have different meanings among various disciplines. This paper will review the concept of population health within the discipline of nursing and discuss its relationship with public health, community health, and population-focused care.

Neurobehavioral Functioning And Breastfeeding Behavior In The Newborn, Sharon Radzyminski

Nursing Faculty Publications

Objective: To determine whether central nervous system functioning has an effect on the normal, term infant's ability to breastfeed in the first day following birth. Design: Breastfeeding behaviors and neurobehaviors were evaluated at birth and at 24 hrs of age in two groups of neonates. One group of neonates was born to mothers who received epidural analgesia during labor, and one group was born to mothers who received no pain medication. Breastfeeding behavior was evaluated using the Preterm Infant Breastfeeding Behavior Scale, and the infant's neurobehaviors were evaluated using the Neurologic and Adaptive Capacity Score. Participants: Fifty-six breastfeeding mother-newborn dyads. …

Advances In Graduate Nursing Education: Beyond The Advanced Practice Nurse, Sharon Radzyminski

Nursing Faculty Publications

Historically, graduate education in nursing has been primarily concerned with the clinical role. In recent years it has been suggested that graduate education needs to consider alternate programs of study that prepare nurses for clinical leadership that are distinct from management and advanced practice roles. Graduate education is needed that focuses on the skills required to coordinate care and implement outcome-based practice and quality improvement strategies. Two models are currently being proposed that meet these objectives. The first is the population health nurse expert that functions on the macrosystems approach and the second is the clinical nurse leader which is …

Evaluation Of Needle Exchange Programs, Cheryl Delgado

Nursing Faculty Publications

Needle exchange programs exist in every major population area in the United States and in many other countries. Some operate legally under emergency health decrees issued by local departments of health, with the stated intention of risk reduction through the removal of used injection equipment from use by injection drug users. It is theorized that this results in a reduced transmission of human immunodeficiency virus, hepatitis, and, possibly, other blood-borne diseases. Needle exchange programs also offer access to drug treatment programs for the participants. It is a difficult but necessary task to evaluate these programs. This article examines examples of …

Technology In Nursing Education, Cheryl Delgado

Nursing Faculty Publications

Before writing this article, a computerized literature search was clone using online library services, articles were printed from e-journals. and a word-processing program was accessed on a lap-top personal computer. Such use of technology is well established and pervasive in higher education. It is so common as to be often transparent. For the past 30 years. the world has been host to a phenomenon the RAND organization calls the "information revolution." The United States has been a leader in developing and absorbing the new technologies into the patterns of everyday life. Most Americans. if they think about it at all. …

Standards Of Holistic Nursing Practice As Guidelines For Quality Undergraduate Nursing Curricula, Noreen Cavan Frisch

Nursing Faculty Publications

The accreditation criteria of the Commission for Collegiate Nursing Education (CCNE) direct faculty to select nationally developed standards for professional practice to guide curricula and to articulate curriculum outcomes. Recently, the CCNE proposed that all undergraduate programs should adopt the American Association of Colleges of Nursing (AACN) Essentials of Baccalaureate Education as one set of national standards for undergraduate and prelicensure programs. Standards of Holistic Nursing Practice, developed by the American Holistic Nurses’ Association, is an additional set of standards that assists in defining quality for undergraduate nursing education. Standards of Holistic Nursing shares major concepts with Essentials; however, it …

The Effect Of Ultra Low Dose Epidural Analgesia On Newborn Breastfeeding Behaviors, Sharon Radzyminski

Nursing Faculty Publications

Objective: To determine whether a difference in breastfeeding behaviors could be observed between newborns whose mothers received epidural analgesia for labor pain relief and those newborns whose mothers received no pain medication in labor. Design: There were two groups of neonates in this study. One group was born to mothers who received epidural analgesia, and one group was born to mothers who received no pain medication for labor. Both groups were observed for initial breastfeeding behaviors using the Premature Infant Breastfeeding Behavior Scale following birth and at 24 hours. Central nervous system functioning in the newborn was measured with the …

A Peer-Reviewed Program For Senior Proficiencies, Cheryl Delgado, Bonnie Mack

Nursing Faculty Publications

Many nursing program require a review and retest of skilled procedures before graduation. In this way the nursing school takes steps to ensure a competent graduate practitioner. At Cleveland State University this testing is known as Senior Proficiencies, and is done in the spring semester of senior year. In the past, this has been a time-consuming task for nursing resource laboratory personnel and a stressful event for students. In their course evaluations many students expressed concern and dissatisfaction regarding their infrequently used skills and the stress associated with the retesting. The skills evaluation was a negative experience for both faculty …

Competent And Safe Practices: A Profile Of Disciplined Registered Nurses, Cheryl Delgado

Nursing Faculty Publications

Nurses are monitored by state boards of nursing to answer the public demand For safe and competent practitioners. Initial competency is determined by successful completion of the NCLEX examination, and continued competency in most states is assured through continuing education requirements. Thus established, the right to practice nursing may be revoked or restricted if an individual is found to be in violation of the state Nurse Practice Act or convicted of certain state and federal laws. Grounds for disciplinary actions include fraud, criminal act...., substance abuse, mental incompetence, unprofessional actions incompetent acts of care, negligence, and other willful misconduct such …

Defining Risk In Home Visiting, Mary Agnes Kendra, Valerie D. George

Nursing Faculty Publications

Risks associated with home visiting have been acknowledged in the nursing literature since the 19th century, yet there is not a well-defined body of literature on this subject. This void in the literature needs to be addressed in view of the current emphasis on practice in the community and the increase in the number of nurses and other health professionals that are new to the field who currently make visits. This article explores how different disciplines define risk and risk taking, identifies attributes of those who become involved in risk situations, and proposes the Cognitive-Perceptual Model of Risk in Home …

Characteristics Of Nursing Doctoral Programs In The United States, Melanie Mcewen, Gregory A. Bechtel

Nursing Faculty Publications

The expansive growth of doctoral programs in the United States has necessitated a need to determine demographic attributes of the academic program, characteristics of the students, admission criteria, and curriculum patterns. Seventy-eight doctoral programs were sent a researcher-designed survey and 48 (62 per cent) responded. Results show an increasing shift away from clinical doctorates to the research doctorate, although few differences exist within the research focus of doctoral nursing programs. Consistent with previous reports in the literature, curricula are fairly standard and few differences were noted based on a number of criteria including geographic location, type of degree granted, Carnegie …

Educational Mobility, American Association Of Colleges Of Nursing, Cynthia E. Kielinen, Joan L. Creasia, Timothy M. Gaspar, Karen L. Miller, Christine Talmadge

Nursing Faculty Publications

No abstract provided.

Review Of Strengthening Departmental Leadership: A Team-Building Guide For Chairs In Colleges And Universities, Timothy M. Gaspar

Nursing Faculty Publications

No abstract provided.

First-Line Nurse Administrators In Academe: How Are They Prepared, What Do They Do, And Will They Stay In Their Jobs?, Joy C. Princeton, Timothy M. Gaspar

Nursing Faculty Publications

This article examines the role characteristics, responsibilities, and anticipated career patterns of first-line nurse administrators employed in university-based nursing education programs throughout the nation. First-line administration is the first level on the administrative ladder, and these administrators are most frequently entitied department chairpersons; division, program, and level directors; or coordinators. This was an exploratory and descriptive research project, and the questions addressed were (1) How are first-line nurse administrators in academe formally educated and informally prepared for their administrative role? (2) What are the administrative competencies important for this administrative role? (3) What strains, conflicts, and work overload are associated …