Medicine and Health Sciences Commons^™

Growing Ambulatory Care Nurse Leaders In A Multigenerational Workforce, Beth Swan, Phd, Crnp, Faan

College of Nursing Faculty Papers & Presentations

Executive Summary:

Ambulatory care faces challenges in sustaining a nursing workforce in the future as newly licensed nurses are heavily recruited to inpatient settings and retirements will impact ambulatory care sooner than other areas.

Building a diverse team by recruiting nurses of different ages (generations) and skills may result in a more successful and robust organization.

Knowledge about generational characteristics and preferences will aid nurse leaders and recruiters in attracting high-quality, talented nurses.

Nurses of Generations X and Y can increase their likelihood of success in ambulatory care by better understanding intergenerational issues.

Comparing Perceptions Of The Nursing Profession Among Associate And Baccalaureate Nursing Students And Registered Nurses, Sherry R. Lovan

Nursing Faculty Publications

The inconsistencies between the perception of the profession of nursing and the reality of practice can lead to problems in student attrition or result in disillusionment with a career in nursing after a new graduate enters practice. With the nursing shortage reaching critical levels, it is important to examine possible discrepancies that exist and address strategies to reduce them.

For this study, a quantitative design was selected to explore how the perception of the nursing profession compared among first-semester associate degree nursing students, first-semester baccalaureate nursing students, and registered nurses. A convenience sample N = 238 included 69 ADN students, …

Are Your Ors Smoke Free?, Kay Ball

Nursing Faculty Scholarship

Are your ORs smoke free? They should be. Here's expert advice to overcome the 3 obstacles you're likely to encounter.

How Important Is Patient Privacy? A Reflection, Salima Farooq, Yasmin Parpio, Tazeen Saeed Ali

School of Nursing & Midwifery

Privacy is a basic human right; however, a patient's right to privacy is often violated because health care providers do not fulfill their ethical and professional responsibilities. There is an immediate need to preserve patients' privacy by health care professionals; a standardized policy on patients' privacy is important. This paper aims to analyze the significance of patents' privacy in health care. A case scenario of a pregnant woman from an antenatal setting has been integrated to support the concept of privacy in promoting and advocating patients' right.

A Descriptive Review Of Health Care Providers Perspective On Stigmatization Of Hiv/Aids Patients: United States And South Africa, Ana I. Fonseca

Honors Projects

Compares the issue of social stigma affecting people with HIV/AIDS in the United State and in South Africa. Posits that stigma is more of an interpersonal problem in the United States, while it is a huge barrier to access to care in South Africa. Data was compiled through personal conversations and experiences in South Africa during June 2009, interviews with health professional and community members in Rhode Island during the fall of 2009, and reading of the professional literature.

From Means To Ends: Artificial Nutrition And Hydration, Cheryl Monturo, Kevin Hook

Nursing Faculty Publications

No abstract provided.

The Professional Portfolio: An Evidence-Based Assessment Method, Michelle Byrne, Kathryn Schroeter, Shannon Carter, Julie Mower

College of Nursing Faculty Research and Publications

Competency assessment is critical for a myriad of disciplines, including medicine, law, education, and nursing. Many nurse managers and educators are responsible for nursing competency assessment, and assessment results are often used for annual reviews, promotions, and satisfying accrediting agencies' requirements. Credentialing bodies continually seek methods to measure and document the continuing competence of licensees or certificants. Many methods and frameworks for continued competency assessment exist. The portfolio process is one method to validate personal and professional accomplishments in an interactive, multidimensional manner. This article illustrates how portfolios can be used to assess competence. One specialty nursing certification board's process …

Effects On Resilience Of Women Family Caregivers Of Adults With Serious Mental Illness: The Role Of Positive Cognitions, Jaclene A. Zauszniewski, Abir K. Bekhet, M. Jane Suresky

College of Nursing Faculty Research and Publications

This study examined the effects of risk and protective factors on resilience in 60 women family members of adults with serious mental illness. Both the risk factors constituting caregiver burden (strain, stigma, client dependence, and family disruption) and protective factors, including eight positive cognitions were found to predict two indicators of resilience: resourcefulness and sense of coherence. The effects of caregiver burden on resourcefulness and sense of coherence were mediated by positive cognitions, lending support to resilience theory and suggesting the need to develop interventions to encourage positive thinking among women caregivers of adults with mental illness.

Ua61/1 Wku Nursing Class 2009, Wku Nursing

WKU Archives Records

Members of the 2009 nursing class: Aleia Bow, Mallori Carter, Courtney Garmon, Valerie Geralds, Marguerite McBride, Crystal Reynolds, Leslie Richardson, Casey Sacia and Emily Tabor-Taylor.

Finding Solutions To Language Barriers Between Nurses And Their Clients, Tammy Poisson

Honors Projects

Explores perceptions of current registered nurses' encounters with limited English proficiency (LEP) Spanish speaking clients, negative outcomes related to LEP perceived by these nurses, and suggestions offered by these RNs for innovative interventions that would lessen language barriers. Describes an exploratory study conducted via a survey of nurses working in urban health clinics within Rhode Island and discusses microscopic and macroscopic nursing implications related to language barriers between nurses and their clients.

Parental Perceptions Of Body Mass Index Referrals And Overweight School-Age Children, Misty Schwartz

Department of Educational Administration: Dissertations, Theses, and Student Research

It is well documented that there is a worldwide epidemic of obesity in children. To address obesity in children, emphasis must be on factors within family, school, and community environments. Although most parents and school officials are aware of the problem of overweight children, there is little data available to guide decision making about the acceptability of school-based Body Mass Index (BMI) screening and referral programs. As states mandate BMI screening and referral, parental insight is essential to determine the efficiency and effectiveness of BMI notification.

The purpose of this multiple case study was to explore the perceptions of parents …

Current Substance Use Behavior Among Severely Mentally Ill Individuals Diagnosed With Hiv And Hcv, Michelle Hampton, Linda Chafetz, Carmen Portillo

Faculty Publications

BACKGROUND: Infection with HIV and HCV is higher among severely mentally ill (SMI) individuals than the general population. The literature addressing prevention focuses primarily on sexual risk, though substance-related risk is significant. Insufficient data is available about substance use behavior in this population to formulate effective secondary prevention interventions. METHODS: This cross-sectional study was a secondary analysis of a RCT. Subjects reporting a diagnosis of HIV/HCV (reporters) were compared to non-reporters. Data were extracted from interviews that included the Addiction Severity Index (ASI). Data were analyzed using logistic regression. RESULTS: Of 275 subjects, 64(23.3%) reported a HIV/HCV diagnosis. Compared to …

Quantitative And Qualitative Findings And Implications Of An Intercultural Sensitivity Assessment Among Employees At A Large Health System, Jarret R. Patton Md, Jay Baglia Phd, Lynn M. Deitrick Rn, Phd, Anthony Nerino Ma, Eric J. Gertner Md, Mph, Judith Sabino Mph, Mary Kay Grim Bs, Debbie Salas-Lopez Md, Mph

Department of Pediatrics

Tuesday, November 10, 2009: 2:45 PM Jarret R. Patton, MD , Department of Pediatrics, Lehigh Valley Health Network, Allentown, PA Jay Baglia, PhD , Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA Lynn M. Deitrick, RN, PhD , Department of Community Health, Health Studies and Education, Lehigh Valley Health Network, Allentown, PA Anthony Nerino, MA , Department of Community Health, Health Studies and Education, Lehigh Valley Health Network, Allentown, PA Eric J. Gertner, MD, MPH , Department of Medicine, Lehigh Valley Health Network, Allentown, PA Judith N. Sabino, MPH , Cultural Awareness, Lehigh Valley Health Network, Allentown, PA …

No Powerpoint? Whatever Loys Your Krathong ..., Kimberly D. Acquaviva

National Collaborative on Aging Faculty Publications

The author discusses her experiences teaching a workshop on writing for publication to medicine, nursing and public health faculty in Thailand, without using PowerPoint.

Child Labour: A Public Health Issue, Saleema A. Gulzar, Samina Vertejee, Laila Pirani

School of Nursing & Midwifery

Child labour is a global practice and has many negative outcomes. According to International Labour Organization, child labour is the important source of child exploitation and child abuse in the world today. The Human Rights Commission of Pakistan has estimated the number of Pakistani working children to be around 11-12 millions, out of which, at least, half the children are under the age of ten years. It portrays the society's attitude towards child care. It is therefore, essential to break this vicious cycle and hence, enable the society to produce healthy citizens. This article analyzes the determinants of child labour …

How To Select The Correct Education Strategy: When Not To Go Online, Carol Klingbeil, Norah L. Johnson, Joan P. Totka, Lynn Doyle

College of Nursing Faculty Research and Publications

Screening for intimate partner violence is an important injury prevention strategy. Nurses who develop staff education, to promote screening, need to select a method that is sensitive to learners. Online learning, although convenient, is not well suited to sensitive topics such as screening for intimate partner violence. The purpose of this article is to describe a curriculum for intimate partner violence screening based on self-efficacy theory, which includes a hospital-produced video, a role play, and a discussion.

Perceptions Of Education, Engineering, And Nursing Faculty Members Regarding Their Role In Helping Students Develop Professional Behavior, Sandra Nadelson, Louis Nadelson, Richard Osguthorpe

Nursing Faculty Publications and Presentations

In conducting this study, we used qualitative and quantitative research techniques to determine faculty members’ perceptions of (a) their role in teaching professional behavior, (b) the professional behaviors that are most important for students to develop, and (c) the methods used to help education, engineering, and nursing students develop professional behavior. Differences were identified between the three groups of faculty members. Overall, results indicated the majority of educators believed they had a role in teaching students professional behavior. However, most faculty members did not acknowledge specific coursework or methods employed to help students develop professional behavior, suggesting instead they tried …

Current Medical Research Winter 2008–Spring 2009, Richard Fehring

College of Nursing Faculty Research and Publications

Note that the “Current Medical Research” feature focuses on issues relevant to natural family planning and the beginning of life. This piece is complemented by medical reviews published in The National Catholic Bioethics Quarterly, which focus more on other areas of general medical interest including end-of-life issues.—Ed.

A Critical Appraisal Of Guidelines For Antenatal Care: Components Of Care And Priorities In Prenatal Education, Lisa Hanson, Leona Vandevusse, Joyce Roberts, Amanda Forristal

College of Nursing Faculty Research and Publications

There are a variety of published prenatal care (PNC) guidelines that claim a scientific basis for the information included. Four sets of PNC guidelines published between 2005 and 2009 were examined and critiqued. The recommendations for assessment procedures, laboratory testing, and education/counseling topics were analyzed within and between these guidelines. The PNC components were synthesized to provide an organized, comprehensive appendix that can guide providers of antepartum care. The appendix may be used to locate which guidelines addressed which topics to assist practitioners to identify evidence sources. The suggested timing for introducing and reinforcing specific topics is also presented in …

The Calling Of Nursing, Christoffer H. Grundmann

Theology Faculty Presentations

(excerpt) "Baffled by the broad variety and diversity of nursing and unable to discover one single common thread of thought and discussion in the literature, I got desperate and finally turned to Dean Brown for help, hoping to get some viable direction. And, indeed, I did, yet of course not the way I expected. When I asked her if she would be so kind as to name me the standard instruction textbook used for nursing education and practice, she unhesitatingly replied: 'There isn’t one. Because there are so many content areas in nursing, there is no one text that is …

Toward Evidence-Based Teaching: Evaluating The Effectiveness Of Two Teaching Strategies In An Associate Degree Nursing Program, Lori S. Lauver, Phd, Rn, Margaret M. West, Phd, Rn, Timothy B. Campbell, Msn, Crnp, Jennifer Herrold, Msn, Crnp, G. C, Wood, Ms

College of Nursing Faculty Papers & Presentations

The need for evidence based teaching has become an important ideology for nurse educators who are frequently encouraged to expand their teaching strategies based on recent advances in technology and student learning styles. Traditional lecture is often preferred by students, yet the literature encourages case study methodology for the development of critical thinking. A pilot study was conducted comparing learning outcomes using two different teaching strategies: lecture and case study instruction. Recommendations for using case study as a teaching methodology are offered.

The Use Of Remote Monitoring For Internal Cardioverter Defibrillators (Icds): The Infusion Of Information Technology And Medicine, Susan Shirato, Msn, Rn, Ccrn

College of Nursing Faculty Papers & Presentations

The clinical use of automated implantable cardioverter defibrillators (AICDs) has been rapidly increasing since the results of several randomized trials confirmed the efficacy of AICDs in the secondary and primary prevention of sudden cardiac death. Patients with AICDs require high-quality care and intense follow-up to ensure safe and effective device performance. According to international guidelines these patients should be followed at 1- to 4 month intervals, depending on the device model and the patient’s clinical status (Schoenfeld, 2004). Given the expanding indications for use and the complexity of these devices, there is an urgent need to develop new means of …

Investigation Of The Effects Of A Violence Prevention Program In Reducing Kindergarten-Aged Children's Self-Reported Aggresive Behaviors, David Jack, Phd, Rn, Cpn, Cne

College of Nursing Faculty Papers & Presentations

The purpose of this study was to explore the effective of a violence prevention program on reducing self-reported acts of aggressive behaviors in kindergarten-aged children. Aggression and violence are health concerns that can have a negative impact on an individual's sense of well-being.

Education Is The Key To The Prevention Of Lawnmower Accidents, Sherry R. Lovan

Nursing Faculty Publications

No abstract provided.

Animal-Assisted Therapy As A Pain Relief Intervention For Children, Carie Braun, T. Stangler, J. Narveson, S. Pettingel

Nursing Faculty Publications

Animal-assisted therapy (AAT) is a healing modality involving a patient, an animal therapist, and handler with a goal of achieving a specified therapeutic outcome. Despite the myriad of studies documenting the benefits of AAT, no studies have yet determined the impact of animals on alleviation of pain in children. Therefore, a quasi-experimental intervention design was used to capture the change in pain and vital signs with (n = 18) or without (n = 39) AAT in children ages 3–17 in one acute care pediatric setting. The AAT intervention group experienced a significant reduction in pain level compared to …

Youtube And Other Web 2.0 Applications For Nursing Education, Margaret M. Hansen Edd, Msn, Rn, Scott Erdley

Nursing and Health Professions Faculty Research and Publications

Web 2.0 applications, such as the popular YouTube™ online video network, may enhance health care students' learning and retention while providing connections with peers and faculty. Today's students are consumers of popular social networking tools, such as "Facebook" and "MySpace," as well as the personal video sharing site, YouTube™. Furthermore, novel cellular 1 phones, such as Apple Computer's© iPhone and the innovative Palm phone, have the capacity to i show You Tube videos, which are now literally a "touch" away from viewing. The authors set out to I explain Web 2.0 applications and the impact on health care students' education, …

A Model Of Palliative Care For Heart Failure, Judith E. Hupcey, Janice Penrod, Kimberly Fenstermacher

Nursing (Graduate) Educator Scholarship

The heart failure illness trajectory is both complex and unpredictable, which makes providing palliative care services to patients with heart failure a challenge. As a result, although services are needed, few tend to be offered beyond basic medical management. The traditional model of palliative care is typically based on palliative care being considered a system of care delivery most appropriate for patients with a predictable illness/death trajectory, such as terminal cancer. This type of model, which is based on the ability to predict the course of a terminal disease, does not fit the heart failure trajectory. In this article, we …

Rain Rhythms: Fall 2009 - Summer 2010, College Of Nursing & Professional Disciplines

RAIN Rhythms

No abstract provided.

Designing A Simulation For Student Evaluation Using Scriven's Key Evaluation Checklist, Shelly Jensen Reed

Faculty Publications

Human patient simulation use has increased dramatically in nursing education over the past 10 years, with many benefits. One advantage is that it allows students to learn by practicing skills in a risk-free environment, with immediate faculty feedback. Another benefit is that it prepares and ensures the competence of student nurses, leading to improved patient safety outcomes. Student opinions gathered in a survey of nursing schools and simulator centers favored use of competency evaluation using simulation in at least some circumstances. As little research concerning use of simulation to evaluate student competency can be found, an established guide such as …

Delirium Screening: From Research To Point Of Care, Beth Ann Swan, Phd, Crnp, Faan, Sheena Ahlawat, Mph, Christopher N. Sciamanna, Md, Phd

College of Nursing Faculty Papers & Presentations

Delirium is a serious public health problem among older adults and is one of the most common cognitive disorders affecting postoperative older adults. Delirium is a treatable illness that disproportionately places postoperative older adults at increased risk for functional and cognitive decline, as well as increased morbidity and mortality. More than 50 percent of postoperative patients develop delirium during hospitalization. Epidemiologic and clinical studies over the past two decades have provided ample evidence that delirium in hospitalized older adults is under-recognized by nurses and physicians, often leading to untoward events that the safety and well-being of hospitalized older adults.