Medicine and Health Sciences Commons^™

Parent Health-Related Quality Of Life For Infants With Congenital Anomalies Receiving Neonatal Intensive Care, Krishna Acharya, Erin Rholl, Kathryn J. Malin, Margaret Malnory, Jonathan Leuthner, Steven R. Leuthner, Joanne Lagatta

College of Nursing Faculty Research and Publications

Objective

To examine factors associated with parent quality of life during and after neonatal intensive care unit (NICU) discharge among parents of infants with congenital anomalies admitted to the NICU.

Study design

This secondary analysis of 2 prospective cohort studies between 2016 and 2020 at a level IV NICU included parents of infants with major congenital anomalies receiving NICU care. The primary outcomes were parent health-related quality of life (HRQL) during the NICU stay and at 3 months post-NICU discharge.

Results

A total of 166 parent–infant dyads were enrolled in the study, 124 of which completed the 3-month follow-up interview. …

Neoadjuvant Chemotherapy Is Associated With Improved Outcomes In Patients With Stage 1a And 1b Pancreatic Cancer Undergoing Surgery: An Ncdb Study, Noah Rozich, Maharaj Singh, Isaac Kriley, James L. Weese, Aaron Chevinsky, Wesley A. Papenfuss, Geoffrey Bellini

College of Nursing Faculty Research and Publications

Background: The use of neoadjuvant chemotherapy (NAC) for pancreatic ductal adenocarcinoma (PDAC) has shown clear advantages in locally advanced and borderline resectable disease. The benefit in upfront resectable PDAC is debated. Moreover, in early clinical stages IA/IB, potential benefits including improved R0 resection rate, decreased tumor upstaging, and survival, are not clear. We hypothesize that NAC will be associated with improved outcomes and survival compared to adjuvant therapy in patients with clinical stage IA/IB PDAC. Methods: The National Cancer Database (NCDB) PUFs (2004-2017) were used to perform a retrospective review of patients with clinical stage IA or IB PDAC undergoing …

Emollients To Prevent Eczema In High-Risk Infants: An Integrative Review, Julie Armstrong, Nicole K. Rosinski, Alissa V. Fial, Selorm Ansah, Kristin Haglund

Library Faculty Research and Publications

The purpose of this integrative review was to assess the research on topical emollients to prevent atopic dermatitis (AD) also known as eczema, in infants at high risk for this condition. Atopic dermatitis is a common chronic inflammatory skin disorder. Skin barrier dysfunction plays a prominent role in its development. Topical emollients have been hypothesized to enhance the skin barrier and prevent AD.

Methods:

Searches were conducted in September 2021 in PubMed, CINAHL, Cochrane Library, and Web of Science using key word search terms dermatitis, atopic, emollients, petrolatum, and infant, newborn. Inclusion criteria were articles written in English …

More Than A Meme: The Dunning-Kruger Effect As An Opportunity For Positive Change In Nursing Education, Cynthia Sherraden Bradley, Kristina Dreifuerst, Brandon Kyle Johnson, Ann Loomis

College of Nursing Faculty Research and Publications

The Dunning–Kruger Effect (DKE) describes the cognitive bias in which novices tend to overestimate performance or competence while experts tend to underestimate. Those who are lacking in competence do not have the skills to accurately recognize deficient performance. Subjective assessment is used widely in simulation learning and in nursing curricula, yet often without expert feedback and reflective discussions, which can result in mistakes being overlooked and encoded, which could subsequently result in clinical errors. The prevalence of DKE should not be interpreted solely as a deprecation of the use of subjective measures, but rather as an indicator of the need …

Helping Nurses Identify And Report Sentinel Injuries Of Child Abuse In Infants, Elizabeth Cleek, Joan P. Totka, Lynn K. Sheets, Joshua P. Mersky, Kristin Haglund

College of Nursing Faculty Research and Publications

Sentinel injuries (SIs) are some of the earliest and most readily identifiable red flags of child abuse. SIs are unexpected bruising or intra-oral injuries in pre-mobile infants and highly correlated with child abuse. However, SIs are not always recognized and reported as red flags of child abuse. Infants are left at risk for continued harm when SIs are not identified and reported. Although increasing nurses' knowledge of SIs is important, child abuse researchers and behavioral theorists have identified that knowledge alone does not predict nurses' behaviors when identifying and reporting suspected child abuse. Other predictors may include implicit biases, interpersonal …

Economic Impression Of On-Farm Research For Sustainable Crop Production, Milk Yield, And Livelihood Options In Semi-Arid Regions Of Central India, Sunil Kumar, Purushottam Sharma, Prabhu Govindasamy, Maharaj Singh, Sant Kumar, Hanamant M. Halli, Bishwa Bhaskar Choudhary, Muthukumar Bagavathiannan

College of Nursing Faculty Research and Publications

Farming system research (FSR) is on-farm research that brings cutting-edge agricultural technologies to growers to enhance farm production, family income, and livelihood status. In 2007, an on-farm study was started on FSR in central India, and the effect was assessed after 5 yr (2012–2013) of implementation by comparing adopters and nonadopters of FSR-based promoted technologies. Further, in 2018–2019, the status of adoption of introduced technologies was also assessed. The study revealed that improved practices such as pre-sowing irrigation, high-yielding varieties, and crop protection measures collectively improved the system productivity of the adopters by 28%; the improved productivity was mainly due …

Engagement Of Families In The Care Of Hospitalized Pediatric Patients: A Scoping Review, Teresa Jerofke-Owen, Natalie S. Mcandrew, Karen Gralton, Joan P. Totka, Marianne E. Weiss, Alissa V. Fial, Kathleen J. Sawin

College of Nursing Faculty Research and Publications

This scoping review was conducted to examine the range, nature, and extent of the published family engagement literature specific to the pediatric acute care setting to highlight future research and practice development opportunities. Included studies (N = 247) revealed global relevance. Engagement strategies ranged from more passive such as allowing/encouraging families to be present at the bedside to more active strategies aimed at promoting mutual and reciprocal nurse–patient interactions. Family engagement is distinguished by a mutually beneficial partnership of families with health care team members and care organizations. Future research in the area of family engagement in pediatric nursing …

Beliefs About Safe Traffic Behaviors Among Male High School Students In Hamadan, Iran: A Qualitative Study Based On The Theory Of Planned Behavior, Vahid Ranaei, Alireza Sahab Jahanlu, Laleh Hassani, Ghodratollah Roshanaei, Kristin Haglund, Jagnoor Jagnoor, Forouzan Rezapur Shahkolaei

College of Nursing Faculty Research and Publications

Road traffic injuries are public health challenges with heavy economic and social burdens. Road traffic injuries are common in developing countries and occur disproportionately with adolescents. This study aimed to elicit beliefs about traffic behaviors based on the theory of planned behavior among male high school students in Hamadan, Iran. We used a constructivist-interpretive qualitative design with directional content analysis. Interviews were conducted with 19 adolescent males in Hamadan, Iran. Analysis revealed that theory of planned behavior fit well to explain how perceptions, attitudes, and beliefs influenced traffic behaviors. Perceived subjective norms in the forms of parental encouragement, traffic rules …

Developing Situation Awareness In Simulation Prebriefing, Amanda L. Potter, Kristina Dreifuerst, Aimee A. Woda

College of Nursing Faculty Research and Publications

BACKGROUND:

Prebriefing before simulation is a recommended practice that increases learner satisfaction and improves performance. Promoting situation awareness through prebriefing facilitates optimal learning outcomes.

METHOD:

Endsley's Model of Situation Awareness is applied to the cognitive work of nursing practice that occurs during the prebriefing phase of simulation. Perceiving, comprehending, and projecting about elements of a situation lead to clinical judgement, reasoning, decision making, and ultimately nursing actions.

RESULTS:

Developing situation awareness in prebriefing is a supported process that connects learners' prior knowledge and experience with the needed knowledge, skills, and abilities in the simulation environment. These mental models become the …

Nonlinear Association Of Nurse Staffing And Readmissions Uncovered In Machine Learning Analysis, Olga Yakusheva, James Bang, Ronda G. Hughes, Kathleen L. Bobay, Linda L. Costa, Marianne Weiss

College of Nursing Faculty Research and Publications

Objective: Several studies of nurse staffing and patient outcomes found a curvilinear or U-shaped relationship, with benefits from additional nurse staffing diminishing or reversing at high staffing levels. This study examined potential diminishing returns to nurse staffing and the existence of a "tipping point" or the level of staffing after which higher nurse staffing no longer improves and may worsen readmissions.

Data Sources/Study Setting: The Readiness Evaluation And Discharge Interventions (READI) study database of over 130,000 adult (18+) inpatient discharges from 62 medical, surgical, and medical-surgical (noncritical care) units from 31 United States (US) hospitals during October 2014-March 2017.

Study …

A Scoping Review Of The Experiences Of Adolescents And Young Adults In The Icu, Their Family Members, And Their Health Care Team, Natalie S. Mcandrew, Jeanne Erickson, Jill L. Guttormson, Alexandrea Bear, Sean Marks, Jayshil Patel, Eric Harding

College of Nursing Faculty Research and Publications

No abstract provided.

Pandemic Visitor Policies: Parent Reactions And Policy Implications, Ashlee J. Vance, Kathryn J. Malin, Annella Benjamin, Clayton J. Shuman, Tiffany A. Moore, Deena K. Costa

College of Nursing Faculty Research and Publications

No abstract provided.

Association Of Geriatric Emergency Department Post-Discharge Referral Order And Follow-Up With Healthcare Utilization, Michelle Simpson, Clinton Sergi, Aaron Malsch, Suzanne Ryer, Christopher Rubach, Maharaj Singh

College of Nursing Faculty Research and Publications

Background

Compared with younger adults who receive care in the emergency department (ED), older patients who are discharged home have greater risk of adverse health outcomes. Connecting older adults with outpatient care following ED discharge are among the guidelines of the Geriatric Emergency Department (GED). The objective of this study was to examine the association between referral order placed during the ED visit for older adults and post-discharge follow-up to the outcomes of 72-h ED revisit, 30-day ED revisit, and 30-day all cause and unplanned hospital admission.

Methods

We conducted a retrospective cohort study. Ten accredited GEDs within one midwestern …

Parent Physical Activity: A Systematic Review Of The Literature And Recommendations For Parents Of Children With Autism Spectrum Disorder, Norah L. Johnson, Abir K. Bekhet, Rachel Sawdy, Emily Zint, June Wang, Sylvia Pena, Hannah Zurcher, Nina Enea

College of Nursing Faculty Research and Publications

Background: The aims of this review were to describe exercise interventions, facilitators, and barriers to physical activity for parents of children with autism spectrum disorder.

Methods: A systematic review of the literature, appraising the validity of each article with Melnyk and Fineout-Overholt’s level of evidence, from different databases CINAHL, Cochrane, PsycINFO, PubMed, ProQuest, and Web of Science between 2000 and 2020 was conducted. As the initial search revealed no articles on exercise interventions and only 2 articles with children with autism spectrum disorder, the aim was widened to all parents of children.

Results: Forty-five articles were identified on barriers to …

Multisite Effectiveness Study Of The Marquette Method Of Natural Family Planning Program, Qiyan Mu, Richard J. Fehring, Thomas Bouchard

College of Nursing Faculty Research and Publications

Women of reproductive age need reliable and effective family planning methods to manage their fertility. Natural family planning (NFP) methods or fertility awareness-based methods (FABMs) have been increasingly used by women due to their health benefits. Nevertheless, effectiveness of these natural methods remains inconsistent, and these methods are difficult for healthcare providers to implement in their clinical practice. The purpose of this study is to evaluate the effectiveness of the Marquette Model NFP system to avoid pregnancy for women at multiple teaching sites using twelve months of retrospectively collected teaching data. Survival analysis (Kaplan–Meier) was used to determine typical unintended …

Unseen, Unheard: A Qualitative Analysis Of Women’S Experiences Of Exclusively Expressing Breast Milk, Lisa A. Anders, Karen Marie Robinson, Jennifer M. Ohlendorf, Lisa Hanson

College of Nursing Faculty Research and Publications

Background

Breast milk feeding has numerous benefits for women and infants. Positive maternal experiences with breast milk feeding impacts exclusivity, duration, and maternal mental health. Most research focuses on women feeding directly at the breast. Some women elect to feed exclusively expressed milk to their healthy, term infants rather than feed directly at the breast. Little is known about what constitutes a positive experience among this population. Therefore, the aim of this study was to explore women’s experiences of exclusive expression (EE).

Methods

Interviews were conducted via Microsoft Teams to collect qualitative data from a purposive sample of 21 women …

Comprehensive Onboarding And Orientation To Support Newly Hired Faculty In A Nursing Program, Kylateia Farrar-Stern, Michele Sheridan Malin, Amber Young-Brice

College of Nursing Faculty Research and Publications

Background:

Nursing programs are challenged with retaining nurse faculty due to many complex factors, one being the problem of suboptimal transition to the role.

Purpose:

The purpose of this project was to assess the impact of an onboarding and orientation program, the Teaching Excellence Program (TEP), on the transition of newly hired nurse faculty.

Methods:

Program assessment data, including quantitative and qualitative measures of 14 participants' needs and experiences, were collected over one academic year.

Results:

A Wilcoxon signed-rank test found no discernible difference between the preprogram and postprogram survey responses. Qualitatively, participants reported positive experiences with the TEP, highlighting …

Satisfaction And Effectiveness Of Opioid Pain Management Among Adults With Cystic Fibrosis: A Mixed Methods Study, Sarah Allgood, Jessica L. Zemlak, Elisabeth Dellon, Siddhartha G. Kapnadak, Jessica Goggin, Noah Lechtzin

College of Nursing Faculty Research and Publications

Background

Chronic pain is common among people living with cystic fibrosis (CF) and associated with worse clinical outcomes. Despite this, little is known about how pain is managed and how opioids are used to treat pain. The purpose of this convergent mixed methods study was to examine self-reported satisfaction and effectiveness of pain management strategies among a sample of adults with CF who are prescribed opioids.

Methods

We developed an online survey querying 4 domains - demographics, pain characteristics, pain communication, and management strategies. This was distributed nationally to adults with CF (n=48) via various online platforms. We obtained quantitative …

Parents’ Pandemic Nicu Experience In The United States: A Qualitative Study, Ashlee J. Vance, Kathryn J. Malin, Jacquelyn Miller, Clayton J. Shuman, Tiffany A. Moore, Annella Benjamin

College of Nursing Faculty Research and Publications

Background

Prior to the COVID-19 pandemic, parents of infants in the Neonatal Intensive Care Unit (NICU) frequently reported high levels of stress, uncertainty, and decreased parenting confidence. Early research has demonstrated that parents have had less access to their infants in the hospital due to restrictions on parental presence secondary to the pandemic. It is unknown how parents have perceived their experiences in the NICU since the beginning of the COVID-19 pandemic. The purpose of this study was to describe the lived experience of parents who had an infant in the NICU in the context of the COVID-19 pandemic to …

Comparing Interprofessional Socialization In Mixed-Discipline And Nursing Student-Only Cohorts, Kara Groom, Marilyn Frenn, Susan Breakwell, Timothy Melchert, Mauricio Garnier-Villarreal

College of Nursing Faculty Research and Publications

Background

A challenge to substantiating the value of interprofessional education (IPE) has been the limited number of studies that assess the effectiveness of IPE interventions compared with education interventions in which professions were learning separately from one another.

Purpose

The purpose was to compare interprofessional socialization (IS) in mixed-discipline and single-discipline–only student cohorts to determine if mixed-discipline cohorts demonstrate greater improvement in IS compared with single-discipline cohorts.

Methods

Interprofessional socialization was measured using the Interprofessional Socialization and Valuing Scale in 166 university students who completed a semester-long online palliative care course.

Results

Statistically significant increases in IS were seen with …

Interpersonal Violence And Contraceptive Method Use By Women Sex Workers, Jessica L. Zemlak, Rebecca Hamilton White, Danielle Friedman Nestadt, Kamila A. Alexander, Ju Nyeong Park, Susan G. Sherman

College of Nursing Faculty Research and Publications

Objective

More than one-half of women sex workers (sex workers) in the United States experience interpersonal violence, defined as physical or sexual violence, by sexual partners, including clients or intimate partners. Women experiencing interpersonal violence by intimate partners often choose hidden, woman-controlled contraception (e.g., intrauterine devices, pills, or sterilization) because fear of violence can impede condom negotiation. Yet, little is known about how interpersonal violence relates to contraception among sex workers who may have different sexual partner perpetrators (clients and intimate partners). The purpose of this study was to examine associations between interpersonal violence perpetrated by clients or intimate partners …

Complementary And Alternative Medicine Mind-Body Approaches Used Among Racially And Ethnically Diverse Adolescents, Dora L. Clayton-Jones, Lee Za Ong, Mauricio Garnier-Villarreal, Lori Vick, Rachel Sawdy, Safiya George, Kristin Haglund

College of Nursing Faculty Research and Publications

Purpose

The aim of this paper is to examine complementary and alternative medicine (CAM) use among racially and ethnically diverse adolescents. Greater understanding of CAM use among this group is warranted to better inform health care providers in delivering a culturally relevant health promotion approach.

Design and methods

A secondary data analysis was conducted using the 2012 Child Complementary and Alternative Medicine Supplement of the National Health Interview Survey (CAM-NHIS) data, which was collected from a national sample of adolescents aged 12–17 years. A logistic regression test was employed to investigate the predictors associated with CAM use among racially and …

Community Engaged Scholarship Competency Assessment Rubric, Kristin Haglund, Kimberly Jenson Bohat, Dan Bergen

College of Nursing Faculty Research and Publications

This is a rubric that was presented on October 29, 2021 at the 2021 International Association for Research on Service-Learning and Community Engagement Virtual Gathering.

Telehealth And The Psychiatric Mental Health Nurse Practitioner: Beyond The Covid-19 Pandemic, Jessica L. Zemlak, Patty Wilson, Brigit Vangraafeiland, Tamar Rodney

College of Nursing Faculty Research and Publications

Objective:

Examine the advantages, disadvantages, and challenges of telehealth for the psychiatric mental health nurse practitioner (PMHNP) in practice and student education. Describe areas for future research and policy development regarding telehealth in PMHNP practice and training during and beyond the COVID-19 pandemic.

Methods:

Review current evidence, standards of practice, and education for the PMHNP.

Results:

Recent rapid pandemic-related shifts in utilization of telehealth for clinical practice and student education have highlighted the advantages, disadvantages, and areas in need of additional study.

Conclusions:

Postpandemic telehealth care delivery will likely persist or expand. PMHNPs must advocate for high practice and education …

Examining The Course Of Transitions From Hospital To Home-Based Palliative Care: A Mixed Methods Study, Stephanie Saunders, Marianne Weiss, Chris Meaney, Tieghan Killackey, Jaymie Varenbut, Emily Lovrics, Natalie Ernecoff, Amy T. Hsu, Maya Stern, Ramona Mahtani, Kirsten Wentlandt, Sarina R. Isenberg

College of Nursing Faculty Research and Publications

Background:

Hospital-to-home transitions in palliative care are fraught with challenges. To assess transitions researchers have used patient reported outcome measures and qualitative data to give unique insights into a phenomenon. Few measures examine care setting transitions in palliative care, yet domains identified in other populations are likely relevant for patients receiving palliative care.

Aim:

Gain insight into how patients experience three domains, discharge readiness, transition quality, and discharge-coping, during hospital-to-home transitions.

Design:

Longitudinal, convergent parallel mixed methods study design with two data collection visits: in-hospital before and 3–4 weeks after discharge. Participants completed scales assessing discharge readiness, transition quality, and …

Medical Device-Related Pressure Injuries Associated With Electroencephalogram Leads In A Tertiary Care Children’S Hospital: A Retrospective Chart Review, Christine A. Schindler, Rebekah Barrette, Aaron Sandock, Evelyn M. Kuhn

College of Nursing Faculty Research and Publications

BACKGROUND: Medical device-related pressure injuries (MDRPIs) present a substantial safety risk for children who are hospitalized. PURPOSE: This study aimed to describe patient and clinical characteristics of children who develop MDRPIs related to electroencephalogram (EEG) leads, determine risk factors associated with their development, and determine if there are common risk factors that can lead to actionable strategies to reduce MDRPIs related to EEG leads. METHODS: A retrospective review was completed of the electronic health records of all 3136 children who had EEG lead placements between January 1, 2014, and April 16, 2018, at a large tertiary care children’s hospital. Data …

Mixed Methods Study Of Nurse Assessment Of Patient Preferences For Engagement During Hospitalization, Teresa Jerofke-Owen, Alexandria Zielinski, Roger L. Brown

College of Nursing Faculty Research and Publications

Background

Global healthcare initiatives emphasize the importance of engaging patients in their healthcare to improve patients’ experience and outcomes. Assessing patient preferences for engagement is critical, as there are many ways patients can engage in their care and preferences vary across individuals.

Objective

The primary purpose of this study was to evaluate the effect of implementation of the Patient Preferences for Engagement Tool 13-Item Short Form (PPET13) during hospitalization on patient and nurse experience of engagement. Readmissions and emergency department (ED) usage within 30 days postdischarge were also examined.

Methods

The mixed methods study was conducted within two medical units …

Promoting Patient Engagement: A Scoping Review Of Actions That Align With The Interactive Care Model, Georgia Tobiano, Teresa Jerofke-Owen, Andrea P. Marshall

College of Nursing Faculty Research and Publications

Background

Conceptual clarity for the term patient engagement is growing. However, there is variability in patient engagement in healthcare, which could be due to the absence of models to guide practice or a myriad of organisational, nurse and patient factors. The recently developed ‘Interactive Care Model’ provides guidance on how to genuinely promote individualised patient engagement. An understanding of how to action this model in nursing is required.

Aims

The aim of this scoping review was to examine actions in the published scientific literature that align with the Interactive Care Model, in the context of nursing care of hospitalised patients. …

Acute Care Pediatric Nurse Practitioners As Leaders: Perceptions, Self-Identity, And Role Congruity, Katie Mcdermott, Christine A. Schindler, Krisjon R. Olson, Tara L. Petersen

College of Nursing Faculty Research and Publications

Introduction

This study aimed to gain an understanding of practicing acute care pediatric nurse practitioners’ (AC-PNPs’) perceptions of themselves as leaders in both clinical and professional contexts.

Method

This qualitative study was conducted at a midwestern quaternary care children's hospital. Cultural domain analysis, semistructured interviews, and free listing techniques were employed to identify areas of consensus and variation among a convenience sample of AC-PNPs.

Results

Findings demonstrated the AC-PNPs have a limited self-view of leadership.

Discussion

Nurse practitioners need additional leadership capacity and capability building during graduate education, the transition to practice, and throughout their careers.

Impacts Of Neonatal Hospitalization On Families During The 2019 Coronavirus Pandemic, Ashlee J. Vance, Kathryn J. Malin, Bingxin Chen, Clayton J. Shuman, Tiffany A. Moore

College of Nursing Faculty Research and Publications

Objective Limited data are available regarding family and financial well-being among parents whose infants were hospitalized during the 2019 coronavirus (COVID-19) pandemic. The study objective was to evaluate the family and financial well-being of parents whose infants were hospitalized in the neonatal intensive care unit (NICU) during COVID-19.

Study Design Parents were recruited for this online, cross-sectional survey via support groups on social media. Data collection was completed between May 18, 2020 and July 31, 2020. The final sample consisted of 178 parents, who had an infant hospitalized in an NICU between February 1, 2020 and July 31, 2020. The …