Medicine and Health Sciences Commons^™

Optimizing Npo Times In Infant Outpatient Surgical Patients, Julie Colangelo Ward

DNP Projects

Background: All patients are standardly kept NPO prior to surgery to minimize aspiration risks. Increased NPO times for infants has been found to lead to patient distress, hemodynamic instability, ketoacidosis and acid-base imbalances. Optimizing NPO times for young pediatric patients helps to decrease fasting times, which minimizes the safety concerns listed above.

Objectives: The objective of this project was to implement specific education instructions to parents of infants during the pre-operative phone calls and confirm their understanding of this education through the teach-back method.

Methods: The intervention for this project added educational instructions with a teach-back question into the verbal …

Predictors Of Early Heart Failure Rehospitalization Among Older Adults With Preserved And Reduced Ejection Fraction: A Review And Derivation Of A Conceptual Model, Carolyn B. Sue-Ling Phd, Rn, Mpa, Nalini Jairath

Publications

BACKGROUND: Heart failure (HF) is prevalent among older adults who suffer with either heart failure preserved ejection fraction (HFpEF) or heart failure reduced ejection fraction (HFrEF) and have a high rate of early HF rehospitalization. Preventing early rehospitalization is complex because of major differences between the two subtypes of HF as well as inadequate predictive models to identify key contributing factors. OBJECTIVE: To present research addressing relationships between selected clinical, hemodynamic, social factors, and early (≤ 60-day) HF rehospitalization in older adults with HFpEF and HFrEF, derive a conceptual model of predictors of rehospitalization, and understand to what extent the …

Interprofessional Collaborative Attitudes: Comparing Social Work Learners To Their Medicine And Nursing Peers, Joseph Bartholomew, Marcia Mount French, Hea-Won Kim

Florida Public Health Review

Interprofessional learning activities in higher education aim to unite healthcare professionals in their future practice, thus reducing duplication and fragmentation of services. This study uses a social learning perspective to examine advanced practice medicine, nursing, and social work learners’ attitudes toward interprofessional education and collaborative practice activities within their university programs. The authors used a cross-sectional design to administer a questionnaire that included the Interprofessional Attitudes Scale (IPAS) to 151 advanced practice health care learners (internal medicine residents, nurse practitioner students, master’s-level social work students). Findings indicated significant differences in three subsections of the IPAS. Social work learners possessed a …

Implementation Of Evidence-Based Multiple Focus Integrated Intensified Tb Screening To End Tb (Exit-Tb) Package In East Africa: A Qualitative Study, Kahabi Isangula, Doreen Philbert, Florence Ngari, Tigest Ajeme, Godfather Kimaro, Getnet Yimer, Nicholaus P. Mnyambwa, Winters Muttamba, Irene Najjingo, Aman Wilfred

School of Nursing & Midwifery, East Africa

Introduction Tuberculosis (TB) remains a major cause of morbidity and mortality, especially in sub-Saharan Africa. We qualitatively evaluated the implementation of an Evidence-Based Multiple Focus Integrated Intensified TB Screening package (EXIT-TB) in the East African region, aimed at increasing TB case detection and number of patients receiving care.

Objective We present the accounts of participants from Tanzania, Kenya, Uganda, and Ethiopia regarding the implementation of EXIT-TB, and suggestions for scaling up.

Methods A qualitative descriptive design was used to gather insights from purposefully selected healthcare workers, community health workers, and other stakeholders. A total of 27, 13, 14, and 19 …

Listen To Me - An Invitation To Care And To Heal: Celebrating Diversity, Honoring Equity, Promoting Inclusion, Bro. Ignatius Perkins, O.P.

Faculty Conference Presentations

No abstract provided.

Addressing A Lack Of Education Surrounding Fentanyl Use And Recovery, Nicole Sala, Luciana Gonzalez, Caroline Dorvilien, Teo Keilwitz, Maddy Terhune, Portia Forson

Nursing Leadership in Community Engagement Projects

Nursing Leadership Executive Summary: Addressing a Lack of Education Surrounding Fentanyl Use and Recovery

Our project focused on assisting a nonprofit organization who exists to serve the most vulnerable of families in the Seattle area. They offer a number of programs including a mobile outreach team that seeks to bring resources to families, a program for families which provides the opportunity for new mothers to bond with their newborn, and another program which assists families with medically fragile children to find healthcare resources, and more. Our team was made up of six students from the Lydia Green Nursing Program at …

A Randomized Clinical Trial Of A Mobile Application That Supports Family Caregiver Participation In Icu Care, Breanna D. Hetland, Christina Bach, Jessica Castner, Erin Grotts, Mary Beth Happ, Jennifer M. Heusinkvelt, Kevin A. Kupzyk, Bunny J. Pozehl, Ellie Rubenfeld, Abigail Wawers

Posters and Presentations: College of Nursing

No abstract provided.

Navigating Midwifery Solidarity: A Feminist Participatory Action Research Framework, Katherine Buchanan, Elizabeth Newnham, Sadie Geraghty, Lisa Whitehead

Research outputs 2022 to 2026

Background:

A core aspect of midwifery philosophy is the optimisation of normal physiology; however, this has been challenged as a radical idea in the medicalisation of birth. Research has demonstrated the benefits of midwifery in improving outcomes for both mothers and babies. The understanding of midwifery benefits fails to reach wider sociocultural contexts as births becomes more medicalised. Midwifery research requires an action arm, to help translate theory to practice and mobilise midwives in solidarity with women towards action and change.

Aim:

The aim of this article is to describe a Feminist Participatory Action Research (FPAR) by establishing the philosophical …

Venous Leg Ulcers: An Analysis Of Nursing Knowledge, Shelia Moore-Miller

Electronic Theses and Dissertations

This project evaluated the knowledge level of wound center nursing staff on venous leg ulcer etiology and treatments after an educational intervention. To determine the effectiveness of the educational intervention, participants completed a pretest and posttest evaluation. Venous leg ulcers (VLUs) are chronic lower extremity ulcers affecting older Americans. VLUs are painful and negatively affect activities of daily living. Inadequate VLU treatment can become an infectious process that can ultimately threaten limb existence. A quantitative, quasi-experimental study was conducted over three weeks in a hospital-based wound care center in central Florida. The theoretical framework applied to this project is Lydia …

Burnout In Medical Assistants In Primary Care: Can Mindfulness Be A Solution?, Natalee D. Calais

Electronic Theses and Dissertations

Burnout is described as feelings associated with emotional exhaustion, depersonalization of patients, and a loss of sense of personal accomplishment and it is unique to healthcare workers. Current research highlights this condition among physicians, nurses, and mid-level providers; however, insufficient research exists regarding the effects of burnout on medical assistants. Research led to mindfulness as a possible solution defined as an intentional regulation of attention and awareness of the present moment. This project sought to see if mindfulness practices could be utilized to mitigate the effects of burnout in medical assistants. It was hypothesized that mindfulness could be a solution. …

Perioperative Pain Control: Evaluating Best Practices In Perioperative Pain Measures, Lisa M. Malakowsky

Doctor of Nursing Practice Projects

Background

Postoperative pain is contributing to the nation's opioid epidemic. Pain is an unpleasant sensation felt by the patient. When it is experienced postoperatively, it is a result of the surgical process. Patients up to 80% worldwide state that their pain is not controlled to their satisfaction. When postoperative pain is not treated adequately, it can contribute to chronic pain.

Purpose

Perioperative pain assessment and treatment policy at a rural critical access hospital and compare it to evidence-based guidelines for best practice. The project assessed the patient's pain treatment effectiveness compared to the pain management policy by using the CDC …

Effects Of Hope Intervention On Hope And Quality Of Life In Senior People Who Live Alone, Sophia Abraham

Doctor of Nursing Practice Projects

Background

In the United States, there is a growing number of seniors who frequently present with increased risk for reduced hope and quality of life (QOL). Quality of life in the senior population is a world-wide concern and it is believed to be directly associated with their well-being. Senior people living alone experience a higher degree of depression, reduced hope, isolation, falls, and increased mortality. The literature indicates that there is a significant relationship between the level of hope and QOL. Hope is an inner source that plays a vital part in how an individual think and behaves. Hope shapes …

A National, Electronic Health Record-Based Study Of Perinatal Hemorrhagic And Ischemic Stroke, Stuart Fraser, Samantha M Levy, Yashar Talebi, Sean I Savitz, Alicia Zha, Gen Zhu, Hulin Wu

Faculty, Staff and Student Publications

BACKGROUND: Perinatal stroke occurs in approximately 1 in 1100 live births. Large electronic health record (EHR) data can provide information on exposures associated with perinatal stroke in a larger number of patients than is achievable through traditional clinical studies. The objective of this study is to assess prevalence and odds ratios of known and theorized comorbidities with perinatal ischemic and hemorrhagic stroke.

METHODS: The data for patients aged 0-28 days with a diagnosis of either ischemic or hemorrhagic stroke were extracted from the Cerner Health Facts Electronic Medical Record (EMR) database. Incidence of birth demographics and perinatal complications were recorded. …

Improving Inclusion For Children With Special Health Care Needs In Childcare Settings: Results From A Statewide Survey Of Childcare Professionals, Kim Whitmore, Norah L. Johnson, Seeun Park, Salma Salama, Rachel J. Sobiesk

College of Nursing Faculty Research and Publications

Introduction: Families of children with special health care needs (CSHCN) routinely struggle to find suitable childcare. These families value childcare capable of supporting their child's needs, known as inclusive care, that requires trustworthy staff trained to safely care for CSHCN.

Method: This study aimed to understand the training, experience, confidence, and perceived barriers to providing inclusive care for CSHCN from the perspective of childcare providers and directors. Childcare providers (n = 263) and directors (n = 418) responded to a statewide survey in Wisconsin in 2019.

Results: Results show that both childcare providers and directors perceive that the …

Comparing Experiences Of Women Who Were Direct Breastfeeding And Women Who Used Expressed Breast Milk To Feed Their Infants, Lisa A. Anders, Karen Robinson, Jennifer M. Ohlendorf, Lisa Hanson

College of Nursing Faculty Research and Publications

Purpose:

To provide understanding about feeding experiences of women who provide breast milk through direct breastfeeding and exclusive expression and to compare these experiences.

Study Design and Methods:

A qualitative study was conducted to gather experiences from the perspectives of women who had given birth to a healthy, term infant within the past 12 months and exclusively fed breast milk for at least 2 weeks. The sample was recruited from motherhood and breastfeeding support groups on Facebook. Groups had state- or national-based memberships. Interviews were examined for themes that were compared between feeding groups using thematic analysis.

Results:

Fifteen new …

Engagement In Online Communities By New Mothers In Recovery From Opioid Use Disorder, Nicole M. Mattson, Jennifer M. Ohlendorf

College of Nursing Faculty Research and Publications

Purpose:

The purpose of this study was to examine the role of engagement with online communities by women using medication-assisted treatment (MAT) to manage recovery from opioid use disorder (OUD) during pregnancy and the first year after birth.

Study Design and Methods:

Ten participants were identified through purposive sampling for this secondary data analysis as part of a larger grounded theory study about ways women using MAT for recovery from OUD meet the needs of their mother–infant dyad. Inclusion criteria included: English-speaking, 18 years of age or older, living in the United States, within the first year after birth, using …

Botulinum Neurotoxin A4 Has A 1000-Fold Reduced Potency Due To Three Single Amino Acid Alterations In The Protein Receptor Binding Domain, William H. Tepp, Marite Bradshaw, Alexander P. Gardner, Rebecca L. Kaufman, Joseph T. Barbieri, Sabine Pellett

College of Nursing Faculty Research and Publications

Botulinum neurotoxin subtype A4 (BoNT/A4) is ~1000-fold less potent than BoNT/A1. This study addresses the basis for low BoNT/A4 potency. Utilizing BoNT/A1-A4 and BoNT/A4-A1 Light Chain-Heavy Chain (LC-HC) chimeras, HC-A4 was responsible for low BoNT/A4 potency. Earlier studies showed BoNT/A1-receptor binding domain (Hcc) bound a β-strand peptide (556–564) and glycan-N⁵⁵⁹ within Luminal Domain 4 (LD4) of SV2C, the BoNT/A protein receptor. Relative to BoNT/A1, the Hcc of BoNT/A4 possesses two amino acid variants (D¹¹⁴¹ and N¹¹⁴²) within the β-peptide binding interface and one amino acid variant (R¹²⁹²) located near the SV2C glycan-N⁵⁵⁹. …

Best Practices For Improving Blended Learning In Nigeria: Critical Reflections On The Breast Cancer Clinical Pathway Development Course, Peace I. Egharevba, Kelechi Eguzo, Enyichukwu M. Anya, Nuhu Tumba, Kingsley Nnah, Chukwuemeka Oluoha, Precious Mbaraonye

Journal of Graduate Education Research

Although cancer clinical pathways (CPs) are standardized care plans for the treatment of specific cancers, they are not commonly used in Nigerian hospitals. Many Nigerian clinicians do not have the requisite skill for developing and implementing the use of CPs. Critical reflections provide an important perspective in the philosophy, design, implementation, and outcome of interventions. This paper critically reflects on the design and implementation of a multidisciplinary, blended learning (i.e. online and in-person) course which sought to improve the competence of local doctors, nurses, and allied students in developing clinical pathways. Reflective feedback was obtained from a mix of project …

4 Eyes On Skin: A Standardized Electronic Documentation Of 2 Rn Skin Assessment To Reduce Hospital-Acquired Pressure Injuries On A Progressive Care Unit, Jerome Codilla, Jamie Mae Yema

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Stand By Me: Using An Enhanced Recovery After Surgery (Eras) Checklist To Guide Early Mobility Of Postoperative Craniotomy Patients On A Progressive Care Unit, Jerome Codilla, Alyssa Mooney, Joanna Arraiza, Sohl Chapman, Nkiru Chukwudi, Ronald Rosales

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Creation And Implementation Of A Trauma Informed Care Safety Tool In An Inpatient Mental Health Unit, Katie Rhea, Jeremy Williams, Teresa Rangel

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Certification Champion Pilot Project To Increase Rn Specialty Certification Rates, Ari Meyers, Trisha Saul

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Improve Exclusive Breastfeeding Rates Through Early Breastfeeding Initiation, Camille Chua, Beverly Holland

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Enhancing Critical Appraisal Of Literature Through A Virtual Nursing Journal Club, Sherri Mendelson, Kevin Brandini

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Innovative Approach To Evaluate And Address Acute Care Nurse Educational Needs, Carsen Mcguire, Teresa Rangel

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Professional Identity Perceptions Among Acute Care, Patient Facing Nurses, Rosemary Timmerman, Teresa Rangel, Crystal Billings, Tullamora T. Landis

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Fast 5: A Frontline Nurse Designed Tool To Predict Inpatient Fall Risk, Dawn Gadwa, Crystal Billings, Shih-Ting Chiu

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Emergency Department Throughput: The Impact Of Vertical Care, Marc Wirtz

Providence Nursing Research Conference 2023 – Present

References

Garrett JS, Berry C, Wong H, Qin H, Kline JA. The effect of vertical split-flow patient management on emergency department throughput and efficiency. Am J Emerg Med. 2018 Sep;36(9):1581-1584. doi: 10.1016/j.ajem.2018.01.035. Epub 2018 Jan 11. PMID: 29352674.

Hsieh A, Arena A, Oraha A, Cotarelo A, McLean M, Hsieh A, Hsieh A, Chen I, Mok N, Milizia R. Implementation of Vertical Split Flow Model for Patient Throughput at a Community Hospital Emergency Department. J Emerg Med. 2023 Jan 12:S0736-4679(22)00570-4. doi: 10.1016/j.jemermed.2022.10.007. Epub ahead of print. PMID: 36641257.

Effect Of Mindfulness Training On Nicu Nurses’ Professional Quality Of Life, Susan Egami, Martha Highfield, Sherri Mendelson

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Increase The Quietness Of Hospital Environment Top Box Score To 59% With The Stretch Goal Of 67% By 01/2023, Rosemarie B. Navarro, Damira Arya

Providence Nursing Research Conference 2023 – Present

No abstract provided.