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Full-Text Articles in Medicine and Health Sciences

Six Creative Ways To Implement Interprofessional Education (Ipe) And Practice - Without An Academic Medical Center On Campus, Courtney Reinisch Mar 2019

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

Courtney Reinisch

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.


Know Thy Student: Using A Graduate Student Learning Assessment Questionnaire, Melinda Hermanns, Danice B. Greer Mar 2019

Know Thy Student: Using A Graduate Student Learning Assessment Questionnaire, Melinda Hermanns, Danice B. Greer

Melinda Hermanns, PhD, RN, BC, CNE, PN/FCN

Background: Creating an online learning environment for today’s adult learner that is engaging and conducive to meeting the various needs can be a challenge for any educator, new or seasoned. Understanding the students’ perspectives of what they need from faculty to be successful is underexplored. Therefore, the purpose of this study was to describe the students’ perspectives of their learning needs and motivation as reported in a faculty developed Graduate Student Learning Assessment Questionnaire (GSLAQ).

Methods: A cross-sectional descriptive survey design was employed and consisted of 120 non-traditional adult learners in graduate nursing school. The demographics are as follows: 100 …


Engaging Older Adults With Parkinson's Disease In Physical Activity Using Technology, Melinda Hermanns Mar 2019

Engaging Older Adults With Parkinson's Disease In Physical Activity Using Technology, Melinda Hermanns

Melinda Hermanns, PhD, RN, BC, CNE, PN/FCN

A presentation on a feasibility study at the Beta Alpha Chapter of Sigma Theta Tau, in March 2017.


Know Thy Student: Using A Graduate Student Learning Assessment Questionnaire, Melinda Hermanns, Danice B. Greer Mar 2019

Know Thy Student: Using A Graduate Student Learning Assessment Questionnaire, Melinda Hermanns, Danice B. Greer

Danice Greer

Background: Creating an online learning environment for today’s adult learner that is engaging and conducive to meeting the various needs can be a challenge for any educator, new or seasoned. Understanding the students’ perspectives of what they need from faculty to be successful is underexplored. Therefore, the purpose of this study was to describe the students’ perspectives of their learning needs and motivation as reported in a faculty developed Graduate Student Learning Assessment Questionnaire (GSLAQ).

Methods: A cross-sectional descriptive survey design was employed and consisted of 120 non-traditional adult learners in graduate nursing school. The demographics are as follows: 100 …


Religious/Spiritual Coping In Older African American Women, Danice B. Greer, Willie M. Abel Mar 2019

Religious/Spiritual Coping In Older African American Women, Danice B. Greer, Willie M. Abel

Danice Greer

The purpose of this study was to identify religious/spiritual coping behaviors of African American women with hypertension (HTN) and explore how religious/spiritual coping influences adherence to high blood pressure (HBP) therapy in older African American women. A mixed-method research design guided this study. Twenty African American women with primary HTN were enrolled in this study using a mixed methods concurrent triangulation design. Data collection included physiologic, descriptive, and sociodemographic data. Adherence was measured using the Hill-Bone Compliance to High Blood Pressure Therapy scale (Kim, Hill, Bone, & Levine, 2000), and religious/spiritual coping was evaluated with the Brief Religious/Spiritual Coping scale. …


Perceived Family Support And Antiretroviral Adherence In Hiv-Positive Individuals: Results From A Community-Based Positive Living With Hiv Study, Krishna Poudel, David Buchanan, Rachel Amiya, Kalpana Poudel-Tandukar Mar 2019

Perceived Family Support And Antiretroviral Adherence In Hiv-Positive Individuals: Results From A Community-Based Positive Living With Hiv Study, Krishna Poudel, David Buchanan, Rachel Amiya, Kalpana Poudel-Tandukar

Krishna C. Poudel

The purpose of this study was to examine the association between perceived family support, either positive or negative, and adherence to antiretroviral medication regimens among HIV-positive individuals in the Kathmandu Valley, Nepal. We measured past 3-month antiretroviral adherence among 233 HIV-positive individuals, in relation to perceived family support, both positive (in terms of emotional and instrumental support) and negative (in the form of negative interactions), using the 10-item Nepali Family Support and Difficulty Scale. Medium and high levels of perceived emotional support from family were associated with reduced risk of antiretroviral nonadherence, compared with low levels of perceived emotional support …


Screening, Brief Intervention And Referral To Treatment (Sbirt): Process Improvement In A Nurse-Managed Clinic Serving The Homeless, Ryan Kerrins, Ryan Kerrins, Jean Hemphill Phd Mar 2019

Screening, Brief Intervention And Referral To Treatment (Sbirt): Process Improvement In A Nurse-Managed Clinic Serving The Homeless, Ryan Kerrins, Ryan Kerrins, Jean Hemphill Phd

Ryan Kerrins

Purpose

The Johnson City Downtown Day Center (JCDDC) provides integrated inter-professional primary care, mental health, and social work case management services to homeless and under-served persons who have difficulty accessing traditional systems.  Because of the exponential rise in substance abuse in the Appalachian region, the JCDDC providers and staff initiated SBIRT as recommended standard of care, as endorsed by SAMHSA, United States Public Health Services Task Force, and the National Institute on Alcohol Abuse and Alcoholism. The JCDDC has two mechanisms by which patients can choose to participate in substance abuse treatment: SMART Recovery, and psychiatric nurse practitioner (NP) referrals. …


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Aliza Ann

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Indoleamine 2,3-Dioxygenase Activity Increases Nad+ Production In Ifn-Γ–Stimulated Human Primary Mononuclear Cells, Ross Grant Mar 2019

Indoleamine 2,3-Dioxygenase Activity Increases Nad+ Production In Ifn-Γ–Stimulated Human Primary Mononuclear Cells, Ross Grant

Ross Grant

IFN-γ activation of mononuclear phagocytes significantly increases indoleamine 2,3-dioxygenase (IDO) and flux through the kynurenine pathway (KP). However, the effect of IDO on NAD+ synthesis, the end product of KP metabolism, is unknown. To investigate this, primary human peripheral blood mononuclear cells were cultured up to 10 days and activated with IFN-γ in the presence or absence of a poly(ADP-ribose) polymerase (PARP) inhibitor. Day 10 macrophages had significantly higher NAD+ levels compared with monocytes. IFN-γ activation of macrophages resulted in the highest induction of IDO but decreased intracellular NAD+ concentrations at both 24 and 48 hours. However, IFN-γ activation of …


High Protein Intake Is Associated With Low Plasma Nad+ Levels In A Healthy Human Cohort, Neda Seyedsadjadi, Jade Berg, Ayse A. Bilgin, Nady Braidy, Chris Salonikas, Ross Grant Mar 2019

High Protein Intake Is Associated With Low Plasma Nad+ Levels In A Healthy Human Cohort, Neda Seyedsadjadi, Jade Berg, Ayse A. Bilgin, Nady Braidy, Chris Salonikas, Ross Grant

Ross Grant

High protein intake and reduced levels of the essential pyridine nucleotide nicotinamide adenine dinucleotide (NAD+) have both been independently associated with promotion of the ageing phenotype. However, it has not yet been shown whether these two independent observations are biochemically linked. To investigate this possibility, we used a cross-sectional study design of 100 apparently healthy middle-aged males (n = 48) and females, in which we assessed average dietary intakes of multiple components using a validated questionnaire. We also analysed fasting blood levels of urea, NAD+ and its metabolites, and inflammation-linked biomarkers, including interleukin-6 (IL-6), Kynurenine (Kyn), and …


A Pilot Study Providing Evidence For A Relationship Between A Composite Lifestyle Score And Risk Of Higher Carotid Intima-Media Thickness: Is There A Link To Oxidative Stress?, Neda Seyedsadjadi, Jade Berg, Ayse A. Bilgin, Ross Grant Mar 2019

A Pilot Study Providing Evidence For A Relationship Between A Composite Lifestyle Score And Risk Of Higher Carotid Intima-Media Thickness: Is There A Link To Oxidative Stress?, Neda Seyedsadjadi, Jade Berg, Ayse A. Bilgin, Ross Grant

Ross Grant

Lifestyle behaviours have been closely linked to the progressive cell damage associated with oxidative stress (OS) and the development of cardiovascular disease (CVD). Early detection of lifestyle-linked OS may therefore be useful in the early identification of prodromal disease. To test this hypothesis, this study assessed the relationship between a comprehensive redox balance lifestyle score (RBLS) and carotid intima-media thickness (CIMT), a recognized marker for CVD, and plasma biomarkers of OS. In a cross-sectional study design, 100 apparently healthy middle-aged participants were asked to complete a comprehensive lifestyle questionnaire, followed by DXA scanning, CIMT ultrasonography, and blood collection. The RBLS …


Statins Do Not Impair Whole-Body Fat Oxidation During Moderate-Intensity Exercise In Dyslipidemic Adults, Maria A. Matuszek, Ross Grant Mar 2019

Statins Do Not Impair Whole-Body Fat Oxidation During Moderate-Intensity Exercise In Dyslipidemic Adults, Maria A. Matuszek, Ross Grant

Ross Grant

Objectives:

Some lipid-lowering agents, for example, nicotinic acid and fibrates, decrease an individual’s ability to oxidise fat during exercise. However, it is unclear whether statins affect whole-body fat oxidation during exercise in patients. This study investigated whether fatty acid oxidation is impaired in a dyslipidemic population, while walking at a moderate intensity.

Methods:

Patients (n=16), walked for 45 minutes on a treadmill at 50% of their estimated VO2max, in the absence and presence of their prescribed statin. Fat oxidation was investigated by examining respiratory data, and circulating plasma glycerol and free fatty acids.

Results:

Analysis of respiratory data indicated a …


How To Measure Success, Deborah Eldredge, Mary Waldo Jan 2019

How To Measure Success, Deborah Eldredge, Mary Waldo

Mary Waldo, PhD, RN, APRN, GCNS-BC, CPHQ

No abstract provided.


Risk Factors For Readmission In Patients With Heart Failure, Nancy Hart, Ofelia Udarbe, Mary Waldo Jan 2019

Risk Factors For Readmission In Patients With Heart Failure, Nancy Hart, Ofelia Udarbe, Mary Waldo

Mary Waldo, PhD, RN, APRN, GCNS-BC, CPHQ

No abstract provided.


Improving Hbpc Utilization, Janet Freeman Dec 2018

Improving Hbpc Utilization, Janet Freeman

Janet Freeman

No abstract provided.


Examining Barriers To Nurse Mandated Reporting Of Child Abuse: An Integrative Literature Review, Michele Green Dec 2018

Examining Barriers To Nurse Mandated Reporting Of Child Abuse: An Integrative Literature Review, Michele Green

Michele Green

MENP Fall cohort 2017 Poster Presentation Green


Abstract, Examining Barriers To Nurse Mandated Reporting Of Child Abuse: An Integrative Literature Review, Michele Green Dec 2018

Abstract, Examining Barriers To Nurse Mandated Reporting Of Child Abuse: An Integrative Literature Review, Michele Green

Michele Green

No abstract provided.


Posterpresentationgreen.Pptx, Michele Green Dec 2018

Posterpresentationgreen.Pptx, Michele Green

Michele Green

No abstract provided.


Lactulose_Management_Of_Minimal_Hepatic.13.Pdf, Donna M. Zucker Rn, Phd, Faan, Rhoda Redulla Dnp Dec 2018

Lactulose_Management_Of_Minimal_Hepatic.13.Pdf, Donna M. Zucker Rn, Phd, Faan, Rhoda Redulla Dnp

Donna M. Zucker


Minimal hepatic encephalopathy has been shown to increase risk of involvement in road traffic accidents and alter
quality of life. This systematic review focused on the role of nonabsorbable disaccharides for the management of minimal hepatic encephalopathy. Randomized clinical trials that evaluated medical management of minimal hepatic encephalopathy were considered for inclusion. Individual studies compared lactulose with usual care and lactulose with probiotics and l-ornithine-l-aspartate. The outcome for examination was the neuropsychiatric test for cognitive function. Search strategies outlined by the Johanna Briggs Institute were used, and articles and references of selected articles were reviewed according to that methodology. Meta-analyses …


Hospital Nurse Burnout: A Continuing Problem, David P. Paul Iii, Lama Bakhamis, Harlan M. Smith Ii, Alberto Coustasse Nov 2018

Hospital Nurse Burnout: A Continuing Problem, David P. Paul Iii, Lama Bakhamis, Harlan M. Smith Ii, Alberto Coustasse

Alberto Coustasse, DrPH, MD, MBA, MPH

RNs are a critically important component of the U.S. healthcare system. RN burnout – the feeling of exhaustion from working long hours without rest – is a real concern, having been reported in many hospitals. We examine the background, causes and consequences of burnout among RNs in U.S. hospitals, in order to identify solutions to this problem. Findings indicate that Burnout Syndrome in RNs can be analyzed in terms of four clusters of characteristics: individual, management, organizational, and work. The consequences of burnout include increased RN turnover rates, poor job performance, and threats to patient safety. RN burnout in hospitals …


Implementation Of Motivational Interviewing Training In An Undergraduate Nursing Curriculum: Identifying Adolescents At Risk For Substance Use, Denise Seigart, Max Veltman, Janet Willhaus, Colene Letterle Nov 2018

Implementation Of Motivational Interviewing Training In An Undergraduate Nursing Curriculum: Identifying Adolescents At Risk For Substance Use, Denise Seigart, Max Veltman, Janet Willhaus, Colene Letterle

Janet Willhaus

Motivational interviewing (MI) has been increasingly utilized by health care practitioners for many years. MI has been practiced by social workers, nurses, physicians, psychologists, substance use counselors, and many other health care practitioners. Unfortunately, many health care practitioners do not have adequate training in motivational interviewing, and therefore feel ill equipped to utilize this approach when faced with clients who are in need of assessment and coaching. This paper discusses our experiences with a pilot project to implement MI training within an Adolescent SBIRT (Screening, Brief Intervention, Referral to Treatment) content addition to the undergraduate nursing curriculum. It includes discussion …


Current Trends And Practices Of Intensive Care Unit Visitations., Geraldine Fike, Alham Abuatiq, Allan W. Stoner, Dawn Blue Nov 2018

Current Trends And Practices Of Intensive Care Unit Visitations., Geraldine Fike, Alham Abuatiq, Allan W. Stoner, Dawn Blue

Dr. Alham Abuatiq

No abstract provided.


Development And Testing Of A Pre-Discharge Medication Management Course For Patients With Catastrophic Injuries And Their Family Caregivers, Tiffany Lecroy, Tolu O. Oyesanya Oct 2018

Development And Testing Of A Pre-Discharge Medication Management Course For Patients With Catastrophic Injuries And Their Family Caregivers, Tiffany Lecroy, Tolu O. Oyesanya

Tiffany LeCroy

Background:
  • A priority of recovery after a catastrophic injury, such as ABI or SCI, is independence in management of the condition, including medication management.
  • Research shows that after discharge from inpatient rehabilitation, patients with ABI and SCI and their family caregivers have difficulty managing the patient’s medication.
  • Medication adherence is consistently a major clinical problem for patients with ABI and SCI, with poor adherence being linked to readmissions and suboptimal outcomes.
Purpose of Study:
The purpose of this study was to develop and test the efficacy of a pre-discharge course designed to increase perceived knowledge and perceived confidence for post-discharge …


Intraoperative Ketamine Administration: An Adjunctive Therapy That Reduces Postoperative Pain For Patients Undergoing Spinal Surgery, Brittany Pierce Sep 2018

Intraoperative Ketamine Administration: An Adjunctive Therapy That Reduces Postoperative Pain For Patients Undergoing Spinal Surgery, Brittany Pierce

Brittany Pierce

No abstract provided.


Coping Strategies For Recovering Alcoholics And Addicts To Prevent Relapse, Heather Carr, Kristan Rigdon, Margaret Price, Hannah Fortner, Adam Herring Aug 2018

Coping Strategies For Recovering Alcoholics And Addicts To Prevent Relapse, Heather Carr, Kristan Rigdon, Margaret Price, Hannah Fortner, Adam Herring

Heather Carr

Purpose: Alcohol and drug addiction is a global concern with relapse rates between 65 and 70 percent among alcohol and opioid dependent individuals.  Recovery is a lifelong process, which an individual must work at maintaining daily. In conjunction with extensive inpatient and outpatient treatment, each individual is given a variety of coping strategies to facilitate sobriety maintenance.  This study aimed to identify effective coping strategies for prevention of relapse and increase the effectiveness of treatment.  Methods: A survey of 23-item questionnaire, consisting of both qualitative and quantitative origins, was distributed to a convenience sample of 250 of …


Project 2018.Docx, Xin Zeng Aug 2018

Project 2018.Docx, Xin Zeng

xin zeng

No abstract provided.


What's Trending In Infection Control? Scoping And Narrative Reviews, Brett G. Mitchell, Dayna Petrie, Lindsay Morton, Stephanie Dancer Aug 2018

What's Trending In Infection Control? Scoping And Narrative Reviews, Brett G. Mitchell, Dayna Petrie, Lindsay Morton, Stephanie Dancer

Lindsay Morton

Objective.

To explore the trends in infection control peer-reviewed journals, mainstream media, and blogs written by infection control professionals

Design.

Narrative and scoping reviews methods. Narrative and scoping reviews were performed to identify trending infection prevention and control topics from international journals, national news websites, newspapers, and so-called grey literature throughout 2015. Data were analysed using word frequencies and results are displayed in word clouds.

Results.

For 2015, our search identified 6 news websites with a total of published 116 articles, 71 articles from selected newspapers, and 214 publications from infection control websites. In total, 1,059 journal articles …


N5330 18 Moore A Poster.Pdf, Amanda Moore Jul 2018

N5330 18 Moore A Poster.Pdf, Amanda Moore

Amanda Moore

No abstract provided.


Nurses' Spiritual Care Practices: Assessment, Type, Frequency, And Correlates, Iris Mamier Jun 2018

Nurses' Spiritual Care Practices: Assessment, Type, Frequency, And Correlates, Iris Mamier

Iris Mamier, PhD

This descriptive, correlational study described the type, frequency, and correlates of nurses' spiritual care practices (quantitative) and their experiences with the sacred at work (qualitative). A convenience sample of 554 (24%) of the Registered Nurses employed at a western United States faith-based tertiary care health system participated in this online survey. Nurses' spiritual care practices were assessed using the 17-item Nurses' Spiritual Care Practice Questionnaire (NSCQ). Factorial validity and reliability of the pilot NSCQ were established. Spiritual care practices most frequently endorsed were assessing patients' spiritual beliefs pertaining to health and listening to patients' stories of illness and their spiritual …


Lymphedema Techniques To Manage Edema After Sci: A Retrospective Analysis, Rebecca Hammad, Catherine Furbish, W. Mark Sweatman, Edelle Field-Fote Jun 2018

Lymphedema Techniques To Manage Edema After Sci: A Retrospective Analysis, Rebecca Hammad, Catherine Furbish, W. Mark Sweatman, Edelle Field-Fote

Rebecca Hammad

Study design:
Retrospective analysis of treatment data for a cohort of clients with spinal cord injury (SCI) who received therapy for management of edema.

Objective:
To evaluate the safety, feasibility, and benefit of a modified lymphedema treatment approach for treatment of chronic lower extremity edema in persons with SCI.

Setting:
A specialty rehabilitation hospital in Atlanta, GA, USA.

Methods:
Certified lymphedema therapists with experience in SCI rehabilitation modified standard complete decongestive therapy (CDT) techniques to accommodate sensory and motor impairments and ensure skin safety. Therapists applied the modified CDT (mCDT) approach as part of treatment in 59 adults with SCI …