Medicine and Health Sciences Commons^™

Maternal Characteristics And Clinical Diagnoses Influence Obstetrical Outcomes In Indonesia, Asri Adisasmita, Carl V. Smith, Ayman A.E. El-Mohandes, Poppy Elvira Deviany, Judith J. Ryon, Michele Kiely, Quail Rogers-Bloch, Reginald F. Gipson

Publications and Research

This Indonesian study evaluates associations between near-miss status/death with maternal demographic, health care characteristics, and obstetrical complications, comparing results using retrospective and prospective data. The main outcome measures were obstetric conditions and socio-economic factors to predict near-miss/death. We abstracted all obstetric admissions (1,358 retrospective and 1,240 prospective) from two district hospitals in East Java, Indonesia between 4/1/2009 and 5/15/2010. Prospective data added socio-economic status, access to care and referral patterns. Reduced logistic models were constructed, and multivariate analyses used to assess association of risk variables to outcome. Using multivariate analysis, variables associated with risk of near-miss/death include postpartum hemorrhage (retrospective …

School Of Nursing News, Georgia Southern University

Nursing: News & Publications (2013-2023)

• Visiting Faculty Lecture: Dr. Kit Chesla, The Thrill of Discovery: Qualitative Research Approaches

“We Have Been Working Overnight Without Sleeping”: Traditional Birth Attendants’ Practices And Perceptions Of Post-Partum Care Services In Rural Tanzania, Gladys R. Mahiti, Angwara D. Kiwara, Columba Mbekenga, Anna-Karin Hurtig, Isabel Goicolea

School of Nursing & Midwifery, East Africa

Background: In many low-income countries, formal post-partum care utilization is much lower than that of skilled delivery and antenatal care. While Traditional Birth Attendants (TBAs) might play a role in post-partum care, research exploring their attitudes and practices during this period is scarce. Therefore, the aim of this study was to explore TBAs’ practices and perceptions in post-partum care in rural Tanzania.

Methods: Qualitative in-depth interview data were collected from eight untrained and three trained TBAs. Additionally, five multiparous women who were clients of untrained TBAs were also interviewed. Interviews were conducted in February 2013. Data were digitally recorded and …

Chhs February 2015 E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

Long Term Care Nurses' Knowledge And Perceived Competency Of Palliative Care, Carol Evans

Doctor of Nursing Practice Technical Reports

Background: Palliative care is considered a right for human beings. By 2040, it is estimated that 40% of the 65 years of age and older population in the United States will die in long term care (LTC) facilities. Because of the chronicity of the geriatric population’s medical conditions, the patients may require end-of-life (EOL) care. Numerous LTC facilities are located in rural areas which may create a disparity in the provision of quality EOL care.

Methods: A quantitative descriptive cross-sectional design was utilized. The purpose of this study was to examine rural and urban nurses’ knowledge of palliative care and …

Polio - An Endemic Disease In Pakistan: Literature Review, Savera Aziz Ali, Nadir Suhail, Hunaina Hadi, Mohsina Hussain, Marium Manji, Jaweria Bano, Abdul Salam, Sajida Naseer, Sumera Aziz Ali

School of Nursing & Midwifery

Poliomyelitis is a highly contagious and incurable disease, which mainly affects children under five years of age leading to irreversible paralysis and possibly death. For decades, both private and government organizations have been putting efforts through their partnership to eradicate polio completely from the different parts of the globe and as a result of those efforts there are left only three countries which are currently polio endemic. Since Pakistan is one of those three countries which still remain polio endemic along with Afghanistan and Nigeria, it is significant to address this issue and work on the preventive measures to control …

Heart Failure In Hispanic Americans: Improving Cultural Awareness, Kenneth D. Melton, Karen J. Fell, Karen S. Yehle, Rosanne R. Griggs

School of Nursing Faculty Publications

Hispanic Americans are the largest and fastest growing ethnic group in the United States. Hispanic Americans have high rates of heart failure (HF) risk factors, such as hypertension, diabetes mellitus, obesity, obstructive sleep disorders, and dyslipidemia. Certain unique HF risk factors prominent among Hispanic Americans are uncommon in the general population, such as younger onset of valvular disease and Chagas disease. Advanced practice nurses providing care to Hispanic Americans have an ethical obligation to provide culturally competent care and assist these patients in overcoming barriers to health care so that they can effectively manage their HF.

Search Strategies Used By Older Adults In A Virtual Reality Place Learning Task, Rebecca L. Davis, Catherine Weisbeck

Peer Reviewed Articles

Purpose of the study: Older adults often have problems finding their way in novel environments such as senior living residences and hospitals. The purpose of this study was to examine the types of self-reported search strategies and cues that older adults use to find their way in a virtual maze

Design and Methods: Healthy, independently living older adults (n = 129) aged 55–96 were tested in a virtual maze task over a period of 3 days in which they had to repeatedly find their way to a specified goal. They were interviewed about their strategies on days 1 and 3. …

Rural Emergency Nurses' End-Of-Life Care Obstacles Experiences: Stories From The Last Frontier, Jonathan Rohwer

Theses and Dissertations

Introduction: Rural emergency nurses face unique obstacles to providing quality end-of-life (EOL) care. Stories provided by emergency nurses embody their most difficult EOL care obstacles. Methods: A questionnaire was sent to 53 rural hospitals. Respondents were asked to share stories that epitomized the obstacles faced while providing EOL care in the rural emergency setting. Results: The lack of an ideal death (nurse personally knows the patient, issues with family members, and unknown patient wishes) was the top obstacle. Other reported obstacles were insufficient ED staff and power struggles between nurses and physicians. Discussion: Rural emergency nurses often provide EOL care …

The Stethoscoop, February 2015, Mennonite College Of Nursing

The Stethoscoop (2013-2017)

The Stethoscoop is the newsletter for Mennonite College of Nursing students.

Managing Opportunities And Challenges Of Co-Authorship, Vicki S. Conn, Sandra Ward, Linda Herrick, Robert V. Topp, Gregory L. Alexander, Cindy M. Anderson, Carol E. Smith, Lazelle E. Benefield, Barbara Given, Marita Titler, Janet L. Larson, Nancy L. Fahrenwald, Marlene Z. Cohen, Sharlene Georgesen

College of Nursing Faculty Research and Publications

Research with the largest impact on practice and science is often conducted by teams with diverse substantive, clinical, and methodological expertise. Team and interdisciplinary research has created authorship groups with varied expertise and expectations. Co-authorship among team members presents many opportunities and challenges. Intentional planning, clear expectations, sensitivity to differing disciplinary perspectives, attention to power differentials, effective communication, timelines, attention to published guidelines, and documentation of progress will contribute to successful co-authorship. Both novice and seasoned authors will find the strategies identified by the Western Journal of Nursing Research Editorial Board useful for building positive co-authorship experiences.

Pediatric Solid Organ Transplant Recipients: Transition To Home And Chronic Illness Care, Stacee M. Lerret, Marianne E. Weiss, Gail Stendahl, Shelley Chapman, Jerome Menendez, Laurel Williams, Michelle L. Nadler, Katie Neighbors, Katie Amsden, Yumei Cao, Melodee Nugent, Estella M. Alonso, Pippa Simpson

College of Nursing Faculty Research and Publications

Pediatric SOT recipients are medically fragile and present with complex care issues requiring high-level management at home. Parents of hospitalized children have reported inadequate preparation for discharge, resulting in problems transitioning from hospital to home and independently self-managing their child's complex care needs. The aim of this study was to investigate factors associated with the transition from hospital to home and chronic illness care for parents of heart, kidney, liver, lung, or multivisceral recipients. Fifty-one parents from five pediatric transplant centers completed questionnaires on the day of hospital discharge and telephone interviews at three wk, three months, and six months …

Establishing Policy Foundations And Regulatory Systems To Enhance Nursing Practice In The United Arab Emirates, Sharon Brownie, Lyndal H. Hunter, Salah Aqtash, Gary E. Day

School of Nursing & Midwifery, East Africa

In 2009, the United Arab Emirates (UAE) established a Nursing and Midwifery Council with a mandate to develop standards for the registration and regulation of nursing and midwifery and to strengthen the nursing and midwifery workforce. Priorities included workforce Emiratization and the development of regulatory standards to support advanced and speciality nursing practice and new models of care—particularly for the management of noncommunicable diseases. This article provides background, context for, and best practice inputs to the effort to provide one unified framework of nursing regulation and licensure across the whole of the UAE. This article is intended for nurse leaders, …

No Rush To Motherhood: The Lived Experience Of African American Never Pregnant Sexually Active Female Teens, Monique Jenkins

Dissertations, Theses, and Capstone Projects

The purpose of this study was to explore the experiences of sexually active never pregnant African American female adolescents living in an underserved neighborhood including discussions on their thoughts about ways other teens can similarly avoid pregnancy. The study was conducted using a Hermeneutic phenomenological qualitative approach as described and outlined by Merleau-Ponty as well as the van Manen technique to analyze data obtained in this study. This study contributes to the nursing literature and was conducted to understand the essence and meaning of pregnancy avoidance as experienced by sexually active, never pregnant African American female teens within the context …

Retrospective Electronic Health Record Review Of Preoperative Screening Of Candidates For Total Joint Replacement, Jill Ann Rude

Dissertations

Advanced practice nurses (APNs) play an important role in preoperative screening. The purpose of this project was to determine the effectiveness of pre-operative screening criterion established February 2012 for patients greater than 40 years old who underwent total knee or hip replacement surgery. Of the 1850 electronic health records reviewed, 1065 (57.6%) total knee and total hip replacement surgeries took place before and 785 (42.4%) took place after screening criteria were implemented. Before implementation of screening criteria 53 (4.98%) patients experienced critical changes (code blue or critical assessment team call); after the implementation of screening 30 (3.82%) patients experienced critical …

Boarding Patients Who Require Involuntary Mental Health Examinations In Florida, Laura H. Brennaman

Nursing ETDs

This study addressed the gaps in knowledge about psychiatric boarding with the aims of (a) determining the extent of psychiatric boarding in Florida hospitals for individuals meeting criteria for involuntary psychiatric examination and (b) explaining what health services system resources and individual patient determinants contribute to psychiatric boarding. Individuals who go to general hospital emergency departments (EDs) in need of involuntary mental health examinations sometimes must wait in EDs for admission to inpatient units because of the critical shortage of inpatient or crisis mental health services. The process of keeping patients in the ED who are waiting 4 hours or …

Connecting Gender, Race, Class, And Immigration Status To Disease Management, Marie-Anne S. Rosemberg Phd, Mn, Rn, Jenny Hsin-Chun Tsai Phd, Arnp, Pmhcns-Bc

Journal of Health Disparities Research and Practice

Objective: Chronic diseases are the leading causes of death in the United States. Chronic disease management occurs within all aspects of an individual’s life, including the workplace. Though the social constructs of gender, race, class, and immigration status within the workplace have been considered, their connection to disease management among workers has been less explicitly explored. Using a sample of immigrant hotel housekeepers, we explored the connections between these four social constructs and hypertension management.

Methods: This qualitative research study was guided by critical ethnography methodology. Twenty-seven hotel room cleaners and four housemen were recruited (N = 31) and …

Development Of An Index To Predict Risk Of Nursing Home Placement For Home And Community-Based Waiver Participants, Sandra L. Spoelstra, Charles W. Given

Peer Reviewed Articles

Nursing home placement (NHP) is costly, and the majority of older adults prefer to remain living in the community. The purpose of this research was to examine NHP among a cohort of participants in a home and community-based waiver program during 2002 to 2007 to develop a risk model for predicting who may transition to a nursing home. Methods: This longitudinal study was conducted on data from the minimum data set-home for care linked with medicaid claim files and death certificates. The sample included 6525 participants who had two assessments and survived through 2007 or had NHP. A risk index …

Client Perceptions Of The Mental Health Engagement Network: A Secondary Analysis Of An Intervention Using Smartphones And Desktop Devices For Individuals Experiencing Mood Or Psychotic Disorders In Canada, Cheryl Forchuk, Lorie Donelle Phd, Rn, Fcan, Paige Ethridge, Laura Warner

Publications

BACKGROUND: The use of innovative technologies in mental health care has the potential to improve system efficiency, enhance quality of care, and increase patient engagement. The Mental Health Engagement Network (MHEN) project developed, delivered, and evaluated an interactive Web-based personal health record, the Lawson SMART Record (LSR), to assist mental health clients in managing their care and connecting with their care providers. This paper presents a secondary analysis of data collected in the MHEN project regarding clients' perceptions of technology and the use of these technologies in their care.

OBJECTIVE: We aimed to answer six questions: (1) What is the …

Uncovering The Concealed Part Of Motherhood-Postpartum Depression In Mothers, Hunaina Hadi, Shamsa Hadi

School of Nursing & Midwifery

Introduction: Motherhood is the most pleasing experience of a woman's life. Birth of a child gives birth to new hopes and ambitions. But Post-partum Depression is a condition when this blessing turns into curse. It can affect the mother, the partner and the child and can even lead to infanticide as well as maternal death, often by suicide.

Method: A qualitative systematic review was conducted through electronic medium to explore the relevant literature. Various databases i.e. Pubmed, Google search engines, Science Direct, JPMA, the Cumulative Index to Nursing and Allied Health Literature CINHAL and SAGA were used. Manual search was …

Reasons For And Reservations About Research Participation In Acutely Injured Adults, Elliane Irani

Faculty Scholarship

Purpose: The purpose of this study was to explore the reasons adult patients seeking emergency department care for minor injuries agree to participate in clinical research and to identify their reservations about participating in a research study. Design and Methods: This is a secondary analysis of data from a longitudinal cohort study of 275 adults who sought emergency department care for physical injury and were followed over 12 months. At the final interview, participants were asked open-ended short-answer questions about their perception of participating in the study. Free text responses were analyzed using conventional content analysis. Findings: The final sample …

Online Nursing Program Ranked In Top 25, Lucero Castellanos-Guirre

Andrews Agenda: Campus News

The Andrews University School of Health Professions’ online Master of Science in Nursing program was ranked among the top 25 programs of its kind, ranked by BestColleges.com at number 15.

The Impact Of Dentures On The Nutritional Health Of The Elderly, Michelle Gellar, Daniel Alter

Publications and Research

No abstract provided.

The Dominican Charism In Health Care: Who Do We Really Care About, Bro. Ignatius Perkins, O.P.

Faculty Conference Presentations

Bro. Ignatius Perkins, O.P., St. Catherine of Siena Chair in Health Care Ethics presented to the Pontifical Faculty of the Immaculate Conception, Washington, DC, January 9, 2015

Development Of Clinical Judgement For Hispanic And Non-Hispanic Nursing Students: A Comparison Of Traditional And Simulated Clinical Experiences, Eve Marie Rodriguez

Nursing Theses and Dissertations

A mixed method design evaluating for differences in students development of clinical judgment based on clinical experiences. Traditional, combination, and high fidelity simulation clinical experiences were compared. Weekly evaluations based on the Lasater Clinical Judgment Rubric were compared. Students participated in focus interviews at the completion of the study to determine perceptions of the clinical experience in terms of clinical judgment development. There were no differences based on qualitative and quantitative measures. Students in all three groups increased in clinical judgment scores and reported satisfaction in the individual clinical experience.

Child Sex Trafficking-Recognition, Intervention, And Referral: An Educational Framework To Guide Health Care Provider Practice, Cathy L. Miller

Nursing Theses and Dissertations

Awareness of the plight of children and adolescents who are sexually exploited and trafficked for financial gain has gradually garnered the attention of the public, law enforcement, and health care providers. The discussion is slowly changing to recognize these exploited children and adolescents as victims and not criminals. Marginalization of this population is slowly changing to advocacy. However, with awareness comes responsibility for the health care system to provide improved recognition, intervention, and referral of this population. Increased health care provider responsibility demands a scientifically based framework to guide the development of health care provider education programs. To date, there …

Management Of Bipolar I Depression: Clinical Utility Of Lurasidone, Lillian Jan Findlay, Peggy El-Mallakh, Rif S. El-Mallakh

Nursing Faculty Publications

Lurasidone is a benzisothiazol derivative second-generation antipsychotic. It has been approved in the United States and Europe for treatment of acute schizophrenia and bipolar depression. In type I bipolar subjects, treatment with lurasidone monotherapy of adjunctive therapy to lithium or valproic acid with doses of 20 to 120 mg once daily with food, results in statistically and clinically significant reduction of depressive symptoms. Patients experience relatively few side effects, which include somnolence, akathisia, nausea, and other gastrointestinal upset. Dopamine related side effects, such as Parkinsonism and elevated prolactin, are rare and mild. Longer term safety data obtained in 6 months …

Case Report: Bicornuate Uterus – A Precipitator Of Maternal Morbidity, Merlin Mary James

Journal of Asian Midwives (JAM)

This case report concerns a woman diagnosed with a bicornuate uterus with ovarian torsion. She had been married for seven years and had conceived three times, giving birth to two live babies and had onespontaneous abortion. She was presently admitted to the hospital with complaints of pain in the left iliac fossa,which she had had for two hours before admission along with vomiting, severe bleeding, and burning micturition.During the abdominal examination, left iliac tenderness was present. During the speculum examination, cervical erosions were seen and discharge was present. A vaginal examination revealed a normal sized uterus and the left fornix …

National Skills Training Centre In India, Manju Chhugani, Ashin Merlin

Journal of Asian Midwives (JAM)

A key determinant which can ensure the quality of healthcare in public health institutions is the skill set of the individuals providing service delivery. Health professionals possess the skills and the expertise in this respect; however, they fail to utilize these optimally. This is because there is a disconnect between their knowledge and practice, it is now imperative tobridge the gap between basic education and clinical practice. The creation of skill labs is one way in which this gap can be addressed. Though India has seen a decline inboth the Maternal and Infant Mortality Rates, significant changes are yet to …

Factors Affecting The Midwifery-Led Service Provider Model In Pakistan, Surriya Shahnaz, Rafat Jan, Arusa Lakhani, Rozina Sikandar

Journal of Asian Midwives (JAM)

Background: Pakistan has a high rate of maternal and infant mortality, and a shortage of skilled birth attendants (SBAs). Many efforts have been made through the health sector and the international agencies to resolve the problem of both a high Infant Mortality Rate (IMR) and Maternal Mortality Ratio (MMR), but the desired outcomes have not been achieved so far. Literature shows that midwifery plays a significant role in the reduction of MMR and IMR in other parts of the world, and the implementation of a Midwifery-led Service Provider Model could help reduce these rates in Pakistan. This study aims to …