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Full-Text Articles in Medicine and Health Sciences

Implementing Evidence-Based Practices: Considerations For The Hospice Setting, S. Sanders, Melissa Lehan Mackin, J. Reyes, Keela Herr, M. Titler, P. Fine, C. Forcucci Dec 2011

Implementing Evidence-Based Practices: Considerations For The Hospice Setting, S. Sanders, Melissa Lehan Mackin, J. Reyes, Keela Herr, M. Titler, P. Fine, C. Forcucci

Melissa Lehan Mackin

No abstract provided.


Emergency Contraception In Iowa Pharmacies Before And After Over-The-Counter Approval, Melissa Lehan Mackin, M. Clark Dec 2011

Emergency Contraception In Iowa Pharmacies Before And After Over-The-Counter Approval, Melissa Lehan Mackin, M. Clark

Melissa Lehan Mackin

ABSTRACT Objectives: To compare availability of emergency contraception in Iowa pharmacies, before and after the U.S. Food and Drug Administration (FDA) approved over-the-counter sales and identify reasons why over-the-counter, emergency contraception might still not be available in some Iowa pharmacies. Design and Sample: Secondary analysis of data collected for an existing, descriptive study. A total of 906 pharmacies were identified; 405 (56.8%) pharmacies participated before, and 308 (43.2%) after the FDA policy change. Measures: Data collected via a scripted telephone survey. Results: After the FDA changed its policy and allowed over-the-counter sales of emergency contraception, the percentage of Iowa pharmacies …


Research Participation By Older Adults At End Of Life: Barriers And Solutions, Melissa Lehan Mackin, Keela Herr, K. Bergen-Jackson, P. Fine, C. Forcucci, S. Sanders Dec 2011

Research Participation By Older Adults At End Of Life: Barriers And Solutions, Melissa Lehan Mackin, Keela Herr, K. Bergen-Jackson, P. Fine, C. Forcucci, S. Sanders

Melissa Lehan Mackin

The purpose of this article is to elaborate on barriers to research participation by older adults at end of life. We focus on the hospice setting and classify barriers to research participation into six domains: societal attitudes toward death, research procedures, health care organizations, agency staff, patients' families and caregivers, and patient characteristics. We characterize particular participation issues, uncertainties in participation for individuals with advanced illness, and infringements on patient self-determination, as well as potential solutions to these research challenges. Our observation of the complex palliative context includes the realization that a singular change will not have large enough impact …


The Keys To Creative Caring., Melissa Lehan Mackin, S. Baumler, B. Bezoni, D. Keiffer Dec 2011

The Keys To Creative Caring., Melissa Lehan Mackin, S. Baumler, B. Bezoni, D. Keiffer

Melissa Lehan Mackin

No abstract provided.


Engaging Racial Autoethnography As A Teaching Tool For Womanist Inquiry, Janette Taylor, Melissa Lehan Mackin, A. Oldenburg Dec 2011

Engaging Racial Autoethnography As A Teaching Tool For Womanist Inquiry, Janette Taylor, Melissa Lehan Mackin, A. Oldenburg

Melissa Lehan Mackin

Racial autobiography, self-narratives on how one learned about the idea of race, has been underutilized as a tool to familiarize and orient students in the process of critical inquiry for nursing research. The aims of this article are to explore how racial autoethnography: (1) repositions students to effect an epistemological change, (2) challenges dominant ideology, and (3) functions as a link between the student and critical theories for use in nursing research. Students engage in and share reflective narrative about a variety of instructional materials used in the course. Reflective narratives are presented in a framework that addresses white racial …


Fall Prevention Practices In Adult Medical-Surgical Nursing Units Described By Nurse Managers, L. Shever, M. Titler, Melissa Lehan Mackin, A. Kueny Dec 2011

Fall Prevention Practices In Adult Medical-Surgical Nursing Units Described By Nurse Managers, L. Shever, M. Titler, Melissa Lehan Mackin, A. Kueny

Melissa Lehan Mackin

The purpose of this article was to describe nursing practices (e.g., assessment, interventions) around fall prevention, as perceived by nurse managers in adult, medical-surgical nursing units. One hundred forty nurse managers from 51 hospitals from across the United States participated. Descriptive frequencies are used to describe nurse manager responses. The most commonly used fall risk assessment tool was the Morse Fall Risk Assessment Tool (40%). The most common fall prevention interventions included bed alarms (90%), rounds (70%), sitters (68%), and relocating the patient closer to the nurses' station (56%). Twenty-nine percent of nurse managers identified physical restraints as an intervention …