Medicine and Health Sciences Commons^™

Shifting The Load: Improving Bioscience Performance In Undergraduate Nurses Through Student Focused Learning, Angela Owens, Tracey Moroney

Angela Owens

Competence And Care: Signature Pedagogies In Nursing Education, Thomas Long, Karen Breitkreuz, Desiree Diaz, John Mcnulty, Arthur Engler, Carol Polifroni, Jennifer Telford

John K. McNulty

A registered nurse should exercise sound, compassionate clinical judgment; demonstrate deep and broad knowledge of health and illness; and be a technically skilled health care provider, who works effectively with patients and families in a complex medical, ethical, legal, and professional landscape. The nursing profession has periodically reflected on the nature of nursing education and has proposed new directions in the teaching of nursing. The Goldmark Report (1923), funded by the Rockefeller Foundation, paved the way for college- and university-based nursing programs; prompted by the success for the World War II cadet nurse program, the Montag Report (1951) initiated the …

Developing Ambulatory Care Registered Nurse Competencies For Care Coordination And Transition Management, Sheila Haas, Beth Ann Swan, Traci Haynes

Sheila A. Haas, PhD, NP, FAAN

The need for care coordination and management of transitions between Patient-Centered Medical Home providers, outpatient and community settings, including the Accountable Care Organization is often overlooked, episodic, and accountability for coordinating care and managing transitions between providers and services is lacking.

Health Care Reform: Current Updates And Future Initiatives For Ambulatory Care Nursing, Beth Ann Swan, Phd, Crnp, Faan, Sheila Haas, Phd, Np, Faan

Sheila A. Haas, PhD, NP, FAAN

Executive Summary: While the signing of the Patient Protection and Affordable Care Act was a historical event marking the beginning of health care reform in the United States, it signaled the start of a golden age for ambulatory care nursing. Ambulatory care RNs are well-positioned to fully participate in health care reform initiatives. RNs are well-positioned to lead, facilitate, and/or participate in all patient care medical homes' and accountable care organizations'quality and safety initiatives through enhanced use of major ambulatory care RN role dimensions such as advocacy, telehealth, patient education, care coordination and transitional care, and community outreach. RNs are …

Redesigning Web-Based Courses For Nurse Educators. Fully Online? Hybrid?, Elaine Barber Parker, Maureen E. Wassef, Judith Abbate

Elaine Parker

Background: Schools of nursing are experiencing faculty shortages which limit student admissions. The additional time and effort needed to gain competency as an academic nurse educator is one reason for this shortage. Nurse educator web-based courses offer increased flexibility in time management as well as reduced commuting time, however not all nurses embrace the online learning environment. Aim: Expand access to two web-based nurse educator courses at the University of Massachusetts Worcester by offering nurses the choice, within a single course, of completing either a hybrid or fully online course. N620: Teaching and Curriculum DevelopmentN623: Identifying and Measuring Outcomes Research …

Redesigning Web-Based Courses For Nurse Educators. Fully Online? Hybrid?, Elaine Barber Parker, Maureen E. Wassef, Judith Abbate

Elaine Parker

Background:
Schools of nursing are experiencing faculty shortages which limit student admissions. The additional time and effort needed to gain competency as an academic nurse educator is one reason for this shortage. Nurse educator web-based courses offer increased flexibility in time management as well as reduced commuting time, however not all nurses embrace the online learning environment.

Aim:
Expand access to two web-based nurse educator courses at the University of Massachusetts Worcester by offering nurses the choice, within a single course, of completing either a hybrid or fully online course.

N620: Teaching and Curriculum Development
N623: Identifying and Measuring Outcomes …

A Parallel-Group Randomized Controlled Trial Of The Boa®-Constricting Iv Band, Richard N. Bradley

Richard N Bradley

Background. Few studies have demonstrated the ideal technique for placement of peripheral venous access.

Objectives. The purpose of this study was to conduct a randomized, controlled trial to determine if there was a difference in success rates for establishing peripheral intravenous lines (IVs) when using the BOA® Constricting Band (BOA) compared to a standard elastic tourniquet.

Methods. Eligible participants were paramedics working in the out-of-hospital setting and nurses working in a trauma center. The intervention group intended to use the BOA® for all IV attempts, while the control group intended to use standard elastic tourniquets. The primary outcome was success …

Promoting Access To Care, Patient–Provider Communication, And Adherence In Underserved Populations, Tammy Toscos, B Doebbeling, P Dechant

Tammy R Toscos

No abstract provided.

Redesigning Healthcare Systems For Improved Access To Care For Underserved Patients, Tammy Toscos, A Turkcan, E Dogar, B Doebbeling

Tammy R Toscos

No abstract provided.

Best Intentions: Health Monitoring Technology And Children, Tammy Toscos, K Connelly, Y Rogers

Tammy R Toscos

No abstract provided.

Designing For Positive Health Affect: Decoupling Negative Emotion And Health Monitoring Technologies, Tammy R. Toscos, Kay Connelly, Yvonne Rogers

Tammy R Toscos

Through various health-focused technology projects, we discovered that the emotional response to technology was related to uptake and sustained use of health monitoring technologies. In this paper we present a case study of how we synthesized constructs of social cognitive theory, technology as experience, and diabetes management guidelines as a framework for making design recommendations for blood glucose monitoring technology that address the emotional response of users. We suggest applying this theoretical lens for design may help attend to emotional responses of users in an effort to decouple strong negative emotions that are paired to health monitoring technologies that provide …

Patient-Centered Appointment Scheduling Using Agent-Based Simulation, Tammy Toscos, Ayten Turkcan, Brad Doebbeling

Tammy R Toscos

Enhanced access and continuity are key components of patient-centered care. Existing studies show that several interventions such as providing same day appointments, walk-in services, after-hours care, and group appointments, have been used to redesign the healthcare systems for improved access to primary care. However, an intervention focusing on a single component of care delivery (i.e. improving access to acute care) might have a negative impact other components of the system (i.e. reduced continuity of care for chronic patients). Therefore, primary care clinics should consider implementing multiple interventions tailored for their patient population needs. We collected rapid ethnography and observations to …

Incorporating The Proposed New Qsen Competencies Into A Graduate Informatics Course: A Collaborative Experience, Tammy Toscos, B Vottero

Tammy R Toscos

Advance practice nurses are knowledge workers, capable of synthesizing data from health information systems and translating it into knowledge and actions that lead to the provision of safe and high quality patient care. The interdependent relationship between technology and quality issues that exists in the modern healthcare environment has challenged nursing faculty to design curricula that will produce graduates who are not simply competent users of technology, but more importantly, are empowered to become members of interdisciplinary teams responsible for the effective design and implementation health information systems. The Quality and Safety Education in Nursing (QSEN) initiative is addressing the …

Reducing High-Risk Alcohol Behaviors, Janette Neuman

Janette S. Jones

Clinical question: Does a theoretically supported, evidence-based alcohol risk reduction intervention implemented in a college health setting by an advanced practice nurse demonstrate improved alcohol related health outcomes for a Midwestern university campus? Answers to this question are discussed as obtained through implementation of a translational research project in 2011 on the campus of Indiana University-Purdue University Fort Wayne.

Cervical Screening: Assessing Patient Anxiety, Janette Jones

Janette S. Jones

Severe stress reactions in female patients presenting for annual pelvic examination may occur for a variety of reasons, including previous sexual assault, post-traumatic stress disorder, and /or intimate partner violence. The clinician's approach to care delivery is critical for establishing trusting relationships with female patients exhibiting these types of reactions. A case study is used to describe assessment and communication techniques to improve care delivery.

How Substance Abuse Impacts Pain Management In Acute Care, Dawn Dunn, Janette Neuman

Janette S. Jones

Article includes a review of evidence-based interventions useful for assessing and managing pain in patients with histories of substance abuse.

Screening For High-Risk Alcohol Use On Campus - A Translational Research Project, Janette Neuman

Janette S. Jones

High-risk alcohol use occurs on college campuses across the United States. A 2008 Core Alcohol and Drug Survey performed on the campus of Indiana University-Purdue University Fort Wayne (IPFW) in northeast Indiana, found an annual prevalence rate of alcohol consumption by students of 82.3%. A commitment to reduce high-risk alcohol use by IPFW students is supported by IPFW leadership in congruence with Healthy Campus objectives. A translational research project using the Alcohol Use Disorders Identification Test (AUDIT) was implemented at IPFW’s nurse-managed health and wellness clinic in order to increase student awareness of high-risk drinking behaviors, administer risk-reducing interventions, and …

Annual Examination And The Overly Anxious Patient, Janette Jones

Janette S. Jones

Varying degrees of nervousness may be found in patients presenting for gynecologic examination. It is the clinician's role to distinguish typical (expected) anxiety from that which is considered excessive. Extreme stress reactions may occur from a variety of reasons including prior sexual assault, post-traumatic stress disorder, and/or intimate partner violence. Approach to care delivery is critical for establishing a trusting relationship. Case study format will be used to discuss stress-reducing techniques during annual examinations.

Health Care Access For Hoosiers, Janette Neuman

Janette S. Jones

A variety of barriers contribute to delays in accessing health care in Indiana. Medically underserved areas and health professional shortage areas further potentiate barriers creating additional delays. Reduction in barriers to access is critical for promoting optimal health for Hoosiers. Advanced practice nurses may be the answer for reducing access dilemmas by developing nurse-managed health centers and by maintaining active employment in Indiana's Community Health Centers.

Improvement In Emotional Eating Associated With An Enhanced Body Image In Obese Women: Mediation By Weight-Management Treatments' Effects On Self-Efficacy To Resist Emotional Cues To Eating, James Annesi, Nicole Mareno

Nicole Mareno

Indirect Effects Of Exercise On Emotional Eating Through Psychological Predictors Of Weight Loss In Women, James Annesi, Nicole Mareno

Nicole Mareno

Effects Of An After-School Care-Administered Physical Activity And Nutrition Protocol On Body Mass Index, Fitness Levels, And Targeted Psychological Factors In 5-To 8-Year-Olds, James Annesi, Alice Smith, Stephanie Walsh, Nicole Mareno, Kathleen Smith

Nicole Mareno

Translating Capable To Micapable In A State Waiver Program: Community Aging In Place For Better Elderly Living, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

A Transformative Experience For Occupational Therapy Students In A Simulated Learning Environment, Kitsum Li, Barbara Mccamish

Kitsum Li

Simulation is being integrated into nursing and medical curriculum nationally and it is well integrated into the Nursing program at Dominican University of California, However, use of simulation in allied health professionals is only an emerging practice. The aim of this program is to integrate simulation into the OT curriculum in order to facilitate the development of therapy foundation skill.

Perceived Family Support And Antiretroviral Adherence In Hiv-Positive Individuals: Results From A Community-Based Positive Living With Hiv Study (International Quarterly Of Community Health Education), Krishna C. Poudel, David R. Buchanan, Rachel Amiya, Kalpana Poudel-Tandukar

Kalpana Poudel-Tandukar

Nclex Readiness-Remediation Across The Curriculum: Begin With The End In Mind, Beth L. Kaskel Dr., Nila Reimer, Cheryl Lynn Rockwell, Becky A. Salmon

Becky A Salmon

Nursing faculty are sometimes challenged when leading students to successful completion of nursing exams including the NCLEX. It is essential that faculty identify specific learning barriers for students who are challenged with nursing exams. Nursing faculty have reported various methods of remediation to enhance students’ readiness for taking nursing exams in preparation for the NCLEX. Although test review sessions, guided imagery, and assessments of learning styles are common strategies reported by faculty to provide remediation for students who are preparing for nursing exams, the literature reveals minimal evidence to support these strategies. Nursing faculty at IPFW have expanded on common …

Nclex Readiness-Remediation Across The Curriculum: Begin With The End In Mind, Beth L. Kaskel Dr., Nila Reimer, Cheryl Lynn Rockwell, Becky A. Salmon

Dr. Beth L. Kaskel

Nursing faculty are sometimes challenged when leading students to successful completion of nursing exams including the NCLEX. It is essential that faculty identify specific learning barriers for students who are challenged with nursing exams. Nursing faculty have reported various methods of remediation to enhance students’ readiness for taking nursing exams in preparation for the NCLEX. Although test review sessions, guided imagery, and assessments of learning styles are common strategies reported by faculty to provide remediation for students who are preparing for nursing exams, the literature reveals minimal evidence to support these strategies. Nursing faculty at IPFW have expanded on common …

Nclex Readiness-Remediation Across The Curriculum: Begin With The End In Mind, Beth L. Kaskel Dr., Nila Reimer, Cheryl Lynn Rockwell, Becky A. Salmon

Nila Reimer

Nursing faculty are sometimes challenged when leading students to successful completion of nursing exams including the NCLEX. It is essential that faculty identify specific learning barriers for students who are challenged with nursing exams. Nursing faculty have reported various methods of remediation to enhance students’ readiness for taking nursing exams in preparation for the NCLEX. Although test review sessions, guided imagery, and assessments of learning styles are common strategies reported by faculty to provide remediation for students who are preparing for nursing exams, the literature reveals minimal evidence to support these strategies. Nursing faculty at IPFW have expanded on common …

Nclex Readiness-Remediation Across The Curriculum: Begin With The End In Mind, Beth Kaskel, Nila Reimer, Cheryl Rockwell, Becky Salmon

Cheryl Lynn Rockwell

Nursing faculty are sometimes challenged when leading students to successful completion of nursing exams including the NCLEX. It is essential that faculty identify specific learning barriers for students who are challenged with nursing exams. Nursing faculty have reported various methods of remediation to enhance students’ readiness for taking nursing exams in preparation for the NCLEX. Although test review sessions, guided imagery, and assessments of learning styles are common strategies reported by faculty to provide remediation for students who are preparing for nursing exams, the literature reveals minimal evidence to support these strategies. Nursing faculty at IPFW have expanded on common …

The Journey Through Doctoral Education, Nila Reimer

Nila Reimer

Students who gain new knowledge by integrating scholarliness and stewardship for the nursing profession possess key ambitions for succeeding in nursing doctoral education. In this narrative inquiry, a student reflects on themes of scholarly integration, intellectual community, and stewardship that are embedded in the values and attitudes evidenced in the culture of a Doctor of Philosophy in nursing program. The doctoral student’s personal reflection demonstrates professional growth during the experience of nursing doctoral education. This inquiry provides guidance for other students as they embark on their journey toward scholarly development and stewardship during their doctoral education experience.