Medicine and Health Sciences Commons^™

A Survey Of Concerns In End-Of-Life Care: Perspective From Pakistan, Ariba Khan, Maharaj Singh, Sarah Saeed, Arif Siddiqui, Zeba Aziz, Michael Malone

College of Nursing Faculty Research and Publications

Personalized health care that incorporates advance care planning and aligns treatment with patient-centered goals can improve the quality of life of dying individuals and reduce stress, anxiety, and depression in surviving relatives. Although several prognostication indices that address all-cause mortality have been developed for use in elderly inpatients, none have been integrated into the electronic health record (EHR) to automatically identify high-risk individuals and used during interdisciplinary team rounds to identify vulnerable hospitalized adults.3 At Aurora Health Care in Milwaukee, Wisconsin, an automated alert for serious medical illnesses has been programmed into the EHR. Built on previous findings,the alert …

Can The Electronic Health Record Identify Vulnerable Older Adults In Need Of A Palliative Care Assessment In The Hospital Setting?, James D. Hocker, Ariba Khan, Maharaj Singh, Mary Hook, Michelle Simpson, Aaron Malsch, Marsha Vollbrecht, Michael Malone

College of Nursing Faculty Research and Publications

Personalized health care that incorporates advance care planning and aligns treatment with patient-centered goals can improve the quality of life of dying individuals and reduce stress, anxiety, and depression in surviving relatives.1, 2 Although several prognostication indices that address all-cause mortality have been developed for use in elderly inpatients, none have been integrated into the electronic health record (EHR) to automatically identify high-risk individuals and used during interdisciplinary team rounds to identify vulnerable hospitalized adults.3 At Aurora Health Care in Milwaukee, Wisconsin, an automated alert for serious medical illnesses has been programmed into the EHR. Built on previous findings,4 the …

Psychometric Properties Of The Family Caregiver Delirium Knowledge Questionnaire, Margaret J. Bull, Jennifer M. Sjostedt, Lesley Boaz, Debra L. Oswald

College of Nursing Faculty Research and Publications

A valid, reliable measure of family caregivers’ knowledge about delirium was not located in the literature; such an instrument is essential to assess learning needs and outcomes of education provided. The purpose of the current study was to (a) develop a family Caregiver Delirium Knowledge Questionnaire (CDKQ) based on the Symptom Interpretation Model; and (b) establish validity and reliability of the measure. The 19-item CDKQ was developed and administered to 164 family caregivers for community-dwelling older adults. Descriptive statistics were examined for all variables. Psychometric testing included confirmatory factor analysis, item-to-total correlations, and internal consistency reliability. A three-factor model provided …

Educating Future Nursing Scientists: Recommendations For Integrating Omics Content In Phd Programs, Margaret M. Heitkemper, Donna O. Mccarthy, Cindy M. Anderson, Elizabeth J. Corwin, Sandra Daack-Hirsch, Susan G. Dorsey, Katherine E. Gregory, Maureen W. Groer, Susan J. Henly, Timothy Landers, Debra E. Lyon, Jacquelyn Y. Taylor, Joachim Voss

College of Nursing Faculty Research and Publications

Preparing the next generation of nursing scientists to conduct high-impact, competitive, sustainable, innovative, and interdisciplinary programs of research requires that the curricula for PhD programs keep pace with emerging areas of knowledge and health care/biomedical science. A field of inquiry that holds great potential to influence our understanding of the underlying biology and mechanisms of health and disease is omics. For the purpose of this article, omics refers to genomics, transcriptomics, proteomics, epigenomics, exposomics, microbiomics, and metabolomics. Traditionally, most PhD programs in schools of nursing do not incorporate this content into their core curricula. As part of the Council for …

Integrating Emerging Areas Of Nursing Science Into Phd Programs, Susan J. Henly, Donna O. Mccarthy, Jean F. Wyman, Patricia W. Stone, Nancy S. Redeker, Ann Marie Mccarthy, Jacqueline Dunbar-Jacob, Marita Titler, Shirley M. Moore, Margaret M. Heitkemper, Yvette P. Conley

College of Nursing Faculty Research and Publications

The Council for the Advancement of Nursing Science aims to “facilitate and recognize life-long nursing science career development” as an important part of its mission. In light of fast-paced advances in science and technology that are inspiring new questions and methods of investigation in the health sciences, the Council for the Advancement of Nursing Science convened the Idea Festival for Nursing Science Education and appointed the Idea Festival Advisory Committee to stimulate dialogue about linking PhD education with a renewed vision for preparation of the next generation of nursing scientists. Building on the 2010 American Association of Colleges of Nursing …

Emerging Areas Of Nursing Science And Phd Education For The 21St Century: Response To Commentaries, Susan J. Henly, Donna O. Mccarthy, Jean F. Wyman, Anna C. Alt-White, Patricia W. Stone, Ann Marie Mccarthy, Nancy S. Redeker, Jacqueline Dunbar-Jacob, Marita Titler, Marita G. Titler, Yvette P. Conley, Margaret M. Heitkemper, Shirley M. Moore

College of Nursing Faculty Research and Publications

We respond to commentaries from the American Academy of Nursing, the American Association of Colleges of Nursing, and the National Institute of Nursing Research on our thoughts about integrating emerging areas of science into nursing PhD programs. We identify areas of agreement and focus our response on cross-cutting issues arising from cautions about the unique focus of nursing science and how best to proceed with incorporation of emerging areas of science into nursing PhD programs.

Weight Loss Intervention Efficacy Among Black Women, Callie Chiroff, Kristin Haglund

College of Nursing Faculty Research and Publications

Obesity is a complex disease state that has challenged the health of Americans and has become a main concentration in health care. The highest rates of obesity are observed among black women. The purpose of this evidence-based review was to find evidence that specifically examined black women to determine if participation in weight loss interventions led to successful weight loss compared with usual care and control groups. Twelve experimental studies and 4 systematic reviews revealed that interventions contributed to successful weight loss among black women with obesity. However, maintenance of weight loss is an ongoing challenge.

Reproductive Health Problems And Health Seeking Behaviour Among Adolescent Girls Of Udupi District, Karnataka, Swetha Pavithran Ms, Yashoda S Ms, Sangeetha Priyadarshini Ms, Baby S. Nayak Dr

Manipal Journal of Nursing and Health Sciences

Introduction: Adolescence is the period of transition from childhood to adulthood. This transition phase makes them vulnerable to a large variety of morbidities among adolescent girls. Reproductive tract infections (RTIs) are one of the most prevalent health morbidities among women throughout the world especially in developing countries. Objective: To identify the reproductive health problems and health seeking behaviour among adolescent girls in Udupi district, Karnataka. Methods: Cross sectional study was conducted to determine the reproductive health problems and health seeking behaviour of 400 adolescent girls between 14-18 years age group. A valid pre-tested, reliable reproductive health problems assessment scale and …

Effectiveness Of Interactive Session On Prevention Of Adolescent Suicide, Sara Varughese Ms, Linu Sara George Dr, Prima J J D'Souza Ms

Manipal Journal of Nursing and Health Sciences

Background: Suicide is the second leading cause of death among Indian adolescents. The school personnel play an important role in the prevention of adolescent suicides. Aims and objectives: The study aimed at assessing the knowledge on prevention of adolescent suicide as measured by a knowledge questionnaire and determine the effectiveness of an interactive session in terms of gain in knowledge scores. Materials and methods: The study comprised 68 high school teachers conveniently selected from eight English medium high schools of Udupi Taluk. One group pre-test post-test design was used. The pre-test on prevention of suicide was conducted on the first …

Anxiety And Coping Mechanisms Among Hiv Positive Patients, Sreelekshmi R Ms

Manipal Journal of Nursing and Health Sciences

Introduction: HIV or human immunodeficiency virus infection breaks down body’s immune system. In India HIV infection is associated with stigma and open discrimination.This chronic illness can have much deleterious effect on the patients’ physiological and psychological status. Thus, identification of anxiety and different coping strategies adopted by these patients are of prime importance. Methods: A descriptive survey was carried out to collect data from150 HIV positive patients who were on antiretroviral therapy through simple random sample technique (lottery method); the state anxiety inventory and Dr Kiran Rao’s coping checklist were used for collecting data. Result: Findings of the study showed …

Need Based Instructional Program On Care Competency Of Informal Care Givers For Chronic Renal Failure Patients At Home, Mukesh Kumar Mr, Rajesh Kumar Sharma Mr, Mahalingam

Manipal Journal of Nursing and Health Sciences

Introduction: Majority of patients with Chronic Renal Failure (CRF), Chronic Kidney Disease (CKD) and End Stage Renal Disease (ESRD) depends on their family and friends, to manage their chronic illness throughout the course of illness. Appropriate home care of CKD can help to prevent or delay the progression of illness. Methods: A pre-experimental study with quantitative approach was undertaken on 45 care givers of CKD patients with the objective to study the improvement in competency regarding home care through administration of an instructional programme and information booklet. The program and the booklet consisted information on nutritional management, rest and exercises, …

Parents’ Attitude Regarding Freedom Of Adolescents, Kiranpreet Kaur Ms, Balwinder Kaur Ms, Rupinder Kaur Ms

Manipal Journal of Nursing and Health Sciences

Introduction: Adolescence is the stage in which the rapid changes take place. The individual’s holistic development (physical, mental, social, moral and spiritual) takes place and they undergo revolutionary changes also, such changes during adolescence are more rapid than during infancy and childhood. As these changes take place, human personality develops into different and supplementary dimensions. As many of the parents unlike to lack their control over them therefore, they fail to assess these changes and generally show indifference, which will create lot of difficulties for their adolescence. Objective: The main objective of the study is to assess the attitude regarding …

Complementary Therapies For Patients Undergoing Cardiac Surgery: An Evidence Based Literature Review, Ramesh C Mr, Baby S. Nayak Dr, Vasudev Baburaya Pai Dr, Nitin T. Patil Dr

Manipal Journal of Nursing and Health Sciences

Background: Cardiovascular diseases (CVD) are increasing rapidly and have become a major health problem worldwide. India, a developing country, is facing the same issue now and has the epidemic of coronary artery disease (CAD). Stress and poor lifestyle habits are identified as well-known risk factors contributing to the development of CVD in many patients. Patients with cardiovascular disease who do not respond to routine medical treatment will have to go through cardiovascular surgeries. Purpose: To identify various complementary therapies and update their clinical effectiveness among patients following cardiac surgery. Methods: We searched PubMed, Medline, CINAHL, Science Direct, Google Scholar, Scopus, …

Satisfaction On Healthcare Services Among People Living With Non-Communicable Diseases, Anju Rose Ms, Shashidhara Y. N Mr, Manjula Upendra Ms

Manipal Journal of Nursing and Health Sciences

Introduction: Community satisfaction towards an institution depends on its quality of care which decides the continuity in using their services. Objectives: To assess the satisfaction of people living with non-communicable diseases on healthcare services as measured by a rating scale and find the association between satisfaction on healthcare services and selected variables. Methods: A descriptive survey was conducted among 200 subjects from selected villages of Udupi District selected through non probability purposive sampling technique. These patients were suffering from asthma, hypertension, diabetes mellitus or both hypertension and diabetes mellitus. Satisfaction was measured by a three point rating scale through structured …

The Flame, 2014-2015, Mennonite College Of Nursing

The Flame (1985-present)

The Flame is a newsletter of Illinois State University's Mennonite College of Nursing

Message, H Vinod Bhat Dr

Manipal Journal of Nursing and Health Sciences

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Effect Of Auditory Cues On Gait Among Patients With Parkinson’S Disease In South India, Lekshmi Mohan Ms, Asha Sasikumar Ms, Thomas Iype, Babu P. K

Manipal Journal of Nursing and Health Sciences

Introduction: In Parkinson’s disease there is defective internal rhythm generation. There is some evidence that it can be overcome with external rhythmic cues. Objective: Evaluate the effect of auditory cues on gait among patients with Parkinson’s disease. Methodology: Experimental – One group pretest post-test design was adopted. The study was conducted on 30 patients with Parkinson’s disease attended the Department of Neurology, Medical College Hospital, Thiruvananthapuram. Samples were selected consecutively. Researcher collected data from the subjects using a semi structured interview schedule and Dynamic Gait Index Scale. The intervention was practice of gait listening to auditory cues by an electronic …

Materno Foetal Physiological Parameters In Sitting And Left Lateral Position During Non - Stress Test (Nst) Monitoring In Pregnancy: A Cross Over Study, Rachel Samuel Ms, Sushmitha Karkada Ms, Sweety Fermamdes Ms, Parvathi Bhat Dr

Manipal Journal of Nursing and Health Sciences

Introduction: The main goal of foetal observation is a healthy new born with a mother who is healthy. The non-stress test (NST) is a primary foetal surveillance tool. This study aimed to compare the maternal physiological parameters of antenatal women during NST monitoring between sitting and left lateral position and also to determine the foetal physiological parameters during NST monitoring in sitting position and left lateral position. Methods: The study was cross over design. The antenatal women between 34 to 40 weeks of gestation were randomly given the position as Group-A or Group-B position strategy. The setting of the study …

Awareness On Health And Social Welfare Benefits Among Beedi Workers – A Community Survey, Sudina M Ms, Ansuya B Ms, Alma Juliet Lakra Ms

Manipal Journal of Nursing and Health Sciences

Introduction: Beedi rolling is the major occupation of the women and children residing in many villages in the country providing employment to about 4.2 million beedi workers with the highest number in MadhyaPradesh (18.3%), followed by Andhra Pradesh (14.4%) and Tamil Nadu(13.8%). The beedi workers’ welfare fund consists of combination of schemes to improve the living conditions of beedi workers and their families. The study aimed at identifying awareness regarding these benefits among the beedi workers of the selected villages in Karnataka. Material and Methods: A descriptive study design was carried out among conveniently selected two hundred women between 20 …

Pulmonary Hydatid Cyst: A Case Report, Prima J J D'Souza Ms, Ganesh Kamath Dr, Leena Sequeira Ms

Manipal Journal of Nursing and Health Sciences

Hydatid disease is caused by Echinococcus granulosus parasite. It affects most commonly the liver, followed by the lungs. Symptoms are not specific and can be produced by the mass effect or cyst complications. Early identification and treatment of the condition prevents mortality. We report a case of pulmonary hydatid cyst, where the patient presented with symptoms of fever, cough with expectoration, weight loss and dyspnoea. Final diagnosis was done based on chest radiography and Tomography scan findings and was successfully treated with right middle lobectomy and anti-helminthic drugs

Thyroid Ectopia Mimicking A Thyroglossal Duct Cyst (Tdc): A Case Report, Vijay Kumar Dr, Santhosh Prabhu Dr, Sundeep P. T Dr, Sonia R B D'Souza Dr

Manipal Journal of Nursing and Health Sciences

Thyroid Ectopia is a developmental defect which occurs during the stage of early embryogenesis of the Thyroid gland. A frequent presentation is around the course of the thyroglossal duct in the neck, a normal path of thyroid gland descent. If Thyroid Ectopia is mistaken for a Thyroglossal Duct Cyst and is removed unintentionally, it would cause hypothyroidism. We report a case of Thyroid Ectopia mimicking a Thyroglossal Duct Cyst in a five year old child who had subclinical hypothyroidism and having regular, long-term follow up and treated with Thyroid supplement

Discovering Self: Childbearing Adolescents' Maternal Identity, Janelle L. B. Macintosh, Lynn Clark Callister

Faculty Publications

Purpose: Adolescent pregnancy and motherhood have long been a topic of interest for many healthcare professionals. However, there are limited data on how childbearing adolescents incorporate motherhood identity into their sense of self. The purpose of this study was to explore how childbearing adolescents perceive motherhood as becoming part of their personal identity.

Study Design: This qualitative study using ethnographic data collection involved 7 months of observation, interaction, and interviews.

Methods: Data were collected from nine expectant adolescents during in-depth interviews. All participants were patients at a teen mother and child clinic staffed by certified nurse midwives and a pediatrician. …

Promoting Self-Transcendence And Well-Being In Community-Dwelling Older Adults : A Pilot Study Of A Psychoeducational Intervention., Valerie Lander Mccarthy, Jiying Ling, Sharon Bowland, Lynne A. Hall, Jennifer Connelly

Faculty and Staff Scholarship

Self-transcendence changes how older adults perceive themselves, their relationships with others, the material world, and the metaphysical or spiritual dimension. It is associated with multiple indicators of well-being. The purpose of this pilot study (N = 20) was to examine the feasibility and effectiveness of a psychoeducational intervention to increase self-transcendence and well-being of older adults. Data were analyzed using generalized estimating equations. All variables trended in the directions hypothesized. Self-transcendence increased in the intervention group and decreased in the control group but not significantly. The group × time interaction for life satisfaction was significant (z = 2.89, …

Emerging Areas Of Science: Recommendations For Nursing Science Education From The Council For The Advancement Of Nursing Science Idea Festival, Susan J. Henly, Donna O. Mccarthy, Jean F. Wyman, Margaret M. Heitkemper, Nancy S. Redeker, Marita Titler, Ann Marie Mccarthy, Patricia W. Stone, Shirley M. Moore, Anna C. Alt-White, Yvette P. Conley

College of Nursing Faculty Research and Publications

The Council for the Advancement of Nursing Science aims to “facilitate and recognize life-long nursing science career development” as an important part of its mission. In light of fast-paced advances in science and technology that are inspiring new questions and methods of investigation in the health sciences, the Council for the Advancement of Nursing Science convened the Idea Festival for Nursing Science Education and appointed the Idea Festival Advisory Committee (IFAC) to stimulate dialogue about linking PhD education with a renewed vision for preparation of the next generation of nursing scientists. Building on the 2005 National Research Council report Advancing …

Improving Healthcare Outcomes And Accessibility In The Us: The Advanced Practice Nurse, Andra Hanlon

Faculty Articles

No abstract provided.

Development And Piloting Of A Treatment Foster Care Program For Older Youth With Psychiatric Problems, J Curtis Mcmillen, Sarah Carter Narendorf, Debra Robinson, Judy Havlicek, Nicole Fedoravicius, Julie E. Bertram, David Mcnelly

Educator Preparation & Leadership Faculty Works

Background

Older youth in out-of-home care often live in restrictive settings and face psychiatric issues without sufficient family support. This paper reports on the development and piloting of a manualized treatment foster care program designed to step down older youth with high psychiatric needs from residential programs to treatment foster care homes.

Methods

A team of researchers and agency partners set out to develop a treatment foster care model for older youth based on Multi-dimensional Treatment Foster Care (MTFC). After matching youth by mental health condition and determining for whom randomization would be allowed, 14 youth were randomized to treatment …

An Assessment Of Current Palliative Care Beliefs And Knowledge: The Primary Palliative Care Providers' Perspective, Yvonne Patten, Maria M. Ojeda, Carolyn Lindgren

All Publications

No abstract provided.

Investigating The Scholar Nurse Partner Effect On The Novice Nurse, Gisell Gonzalvo, Vanessa Collazo, Steve Lewis, Aubrey Florom-Smith

All Publications

No abstract provided.

The Family Caregiver's Experience: Examining The Positive And Negative Aspects Of Compassion Satisfaction And Compassion Fatigue Using A Stress Process Model, Susan Lynch

Nursing ETDs

Family caregivers significantly contribute to the provision of health care for their family members. This complex care can result in stress that may lead to both positive and negative consequences for the caregiver. Current literature tends to focus on negative consequences such as caregiver burden. Therefore, compassion fatigue and compassion satisfaction are proposed as concepts that may better reflect the family caregiving experience. Compassion fatigue is comprised of two components; burnout and secondary traumatic stress. The purpose of this study was to examine the concept of compassion fatigue and compassion satisfaction among family caregivers and to explore the relationship between …

Nutrition Support Nursing Handoff: A Computerized Template, Suzanne L. Bundrick

Theses and Graduate Projects

At a large Midwest private nutrition support practice, a manual reporting tool has been the communication practice used in daily handoff practices. For patients who require consultation from the Nutrition Support Consulting Service, accurate communication of the nutrition plan of care among members of the health care team is a critical element of patient care and safety. Because communication errors are a leading cause of sentinel events for patients, having a safe transfer of care from nurse to nurse each day is imperative. A nutrition support computerized handoff template not only creates continuity of care among team members, it also …