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Full-Text Articles in Medicine and Health Sciences
Building Organizational Capacity For Evidence-Based Practice, S. Shapiro, N. Donaldson, J. Stotts, Stephanie Gilbertson-White
Building Organizational Capacity For Evidence-Based Practice, S. Shapiro, N. Donaldson, J. Stotts, Stephanie Gilbertson-White
Stephanie Gilbertson-White
No abstract provided.
Friends Of Nursing: A Community Of Caring To Promote Excellence In Nursing Practice, Education, And Research, Kim S. Hitchings Msn, Rn, Nea-Bc, Terry Capuano Rn, Svp, Clinical Services, Mary Ellen Herzog Med, Cfre, Cgms
Friends Of Nursing: A Community Of Caring To Promote Excellence In Nursing Practice, Education, And Research, Kim S. Hitchings Msn, Rn, Nea-Bc, Terry Capuano Rn, Svp, Clinical Services, Mary Ellen Herzog Med, Cfre, Cgms
Terry A Capuano MBA, MSN, RN, FACHE, NE-BC
More than 25 years ago, the name "Friends of Nursing" was adopted by an academic, community Magnet(®) hospital to signify a model for community support of nursing. From inception, the intent was to recruit philanthropic dollars to promote recognition of and excellence in nursing practice, education, and research. Although philanthropy in health care settings is common, what is unique about this program is the long-standing, dedicated conceptual framework for nursing philanthropy and the very significant number of philanthropic dollars from literally thousands of donors to support a diverse range of activities to affect and advance the professional excellence of nurses …
Nursing Libguide, Sandra Barclay
Nursing Libguide, Sandra Barclay
Sandra Barclay
LibGuide to resources on Nursing in the Horace W. Sturgis Library. Includes nursing & medical databases, health care sites, GaIN, sources of statistics, relevant books and eBooks, videos, how to cite your sources, and more.
Moving Beyond The Therapeutic Relationship: A Selective Review Of Intimacy In The Sexual Health Encounter In Nursing Practice, Leigh East, Marie Hutchinson
Moving Beyond The Therapeutic Relationship: A Selective Review Of Intimacy In The Sexual Health Encounter In Nursing Practice, Leigh East, Marie Hutchinson
Associate Professor Marie Hutchinson
Aims and objectives For the purposes of this study, a selective review of the literature was undertaken with the aim of examining nurses' preparedness to engage in intimate interactions within the context of sexual health care. Kirk's (2007) model of interactional intimacy is used as a lens to examine the literature. Background The provision of sexual health care is often a neglected area of nursing care despite being recognised as a component of holistic nursing practice. Despite theoretical discussion about various forms of intimacy and intimate care, there has been little examination of the interface between intimacy and sexual health …
Practice Nurses Experiences Of Mentoring Undergraduate Nursing Students In Australian General Practice, Elizabeth J. Halcomb, Kathleen Peters, Susan Mcinnes
Practice Nurses Experiences Of Mentoring Undergraduate Nursing Students In Australian General Practice, Elizabeth J. Halcomb, Kathleen Peters, Susan Mcinnes
Elizabeth Jane Halcomb Professor
Internationally, the delivery of health services has shifted from secondary to primary care, necessitating an exponential growth of the nursing workforce and expansion of the nursing role in general practice. This growth, and the subsequent need to develop this workforce, has created a need to expose undergraduate nurses to general practice nursing as a viable career option. Concurrently, universities are struggling to find sufficient clinical places for their undergraduate students to gain clinical experience. It is logical, therefore, to increase the number of undergraduate nursing student placements in general practice. Through qualitative research methods, this paper seeks to explore the …
Casualisation Of The Teaching Workforce: Implications For Nursing Education, Elizabeth J. Halcomb, Sharon Andrew, Kath Peters, Yenna Salamonson, Debra Jackson
Casualisation Of The Teaching Workforce: Implications For Nursing Education, Elizabeth J. Halcomb, Sharon Andrew, Kath Peters, Yenna Salamonson, Debra Jackson
Elizabeth Jane Halcomb Professor
Internationally, nursing faculty shortages have been reported and there is a potential for them to worsen into the next decade as existing faculty age. To, in part, address this issue, across disciplines there is clearly an international trend towards the increasing casualisation of the higher education workforce. Despite the potential impact of this two-tiered workforce structure, there has been limited examination of the discipline specific issues related to the employment of a growing number of sessional nursing staff. This paper provides a critical review of the literature related to the employment of sessional teachers in higher education. The paper advances …
A Comparative Study Of Assessment Grading And Nursing Students' Perceptions Of Quality In Sessional And Tenured Teachers, Yenna Salamonson, Elizabeth J. Halcomb, Sharon Andrew, Kathleen Peters, Debra Jackson
A Comparative Study Of Assessment Grading And Nursing Students' Perceptions Of Quality In Sessional And Tenured Teachers, Yenna Salamonson, Elizabeth J. Halcomb, Sharon Andrew, Kathleen Peters, Debra Jackson
Elizabeth Jane Halcomb Professor
Purpose: Although the global nursing faculty shortage has led to increasing reliance upon sessional staff, limited research has explored the impact of these sessional staff on the quality of teaching in higher education. We aim to examine differences in (a) student satisfaction with sessional and tenured staff and (b) assessment scores awarded by sessional and tenured staff in students' written assignments. Design: A comparative study method was used. Participants were recruited from students enrolled in the three nursing practice subjects across the 3 years of the baccalaureate program in an Australian university during the second semester of 2008. Methods: This …
The Effect Of Music Therapy On Patients' Perception And Manifestation Of Pain, Anxiety, And Patient Satisfaction, T. Richards, J. Johnson, Amy Sparks, H. Emerson
The Effect Of Music Therapy On Patients' Perception And Manifestation Of Pain, Anxiety, And Patient Satisfaction, T. Richards, J. Johnson, Amy Sparks, H. Emerson
Amy E.T. Sparks
An extensive review and synthesis of current research was completed to identify the clinical benefit of using music therapy in the hospital setting. It demonstrated that music therapy has the potential to improve the hospital experience of patients.
Short Of Transformation: American Adn Students' Thoughts, Feelings, And Experiences Of Studying Abroad In A Low-Income Country, Cynthia Foronda, Ruth Belknap
Short Of Transformation: American Adn Students' Thoughts, Feelings, And Experiences Of Studying Abroad In A Low-Income Country, Cynthia Foronda, Ruth Belknap
Ruth A Belknap
ADN students are a large yet distinct subgroup of nursing students who require research and understanding. The purpose of this study was to describe the thoughts, feelings, and experiences of American associate degree nursing (ADN) students who participated in a short study abroad course in a low-income country. A qualitative, narrative method was used. Three categories emerged from the analysis. Participants revealed thoughts of “constant comparisons”, feelings of an “emotional journey”, and they experienced “learning”. Participants did not demonstrate perspective transformation as defined by Mezirow as participants signified no intent for social action. Several potential blocks to perspective transformation were …
The Percutaneous Endoscopic Gastrostomy Tube: A Nurse’S Guide To Peg Tubes, Shellie Simons, Ruth Remington
The Percutaneous Endoscopic Gastrostomy Tube: A Nurse’S Guide To Peg Tubes, Shellie Simons, Ruth Remington
Ruth Remington
Nurses are primarily responsible for the care and maintenance of percutaneous endoscopic gastrostomy (PEG) tubes and yet their care is not often included in nursing skills textbooks. Best practice recommendations to care for a person with a PEG tube are described.
Setting A Course: A Critical Review Of The Literature On Nurse Leadership In Australia, John Hurley, Marie Hutchinson
Setting A Course: A Critical Review Of The Literature On Nurse Leadership In Australia, John Hurley, Marie Hutchinson
Professor John Hurley
Nurse leadership capability that is constructed, nurtured and supported from pre-registration level into the mature career stages intuitively appears to offer benefit for all health stakeholders. Literature suggests such effective nurse leadership impacts positively on not only the quality of clinical care, but also the working environment in which nursing is conducted. Yet a coordinated strategic impetus to develop this leadership capability throughout the nursing profession in Australia remains elusive to quantify. Australia produces many outstanding nurse leaders despite this apparent lack of strategic direction, and yet perhaps due to this lack of cohesive direction nursing leadership is arguably not …
Effects Of Calming Music On Agitation In Nursing Home Residents, Patricia Tabloski, Ruth Remington, Leah Mckinnon-Howe
Effects Of Calming Music On Agitation In Nursing Home Residents, Patricia Tabloski, Ruth Remington, Leah Mckinnon-Howe
Ruth Remington
This article examines the use of calming music to decrease agitation in cognitively impaired nursing home residents. Calming music has been shown to be an effective, nonpharmacologic strategy to reduce agitated behavior in persons with dementia.
Efficacy Of A Vitamin/Nutriceutical Formulation For Moderate To Late Alzheimer’S Disease: A Placebo-Controlled Pilot Study, Ruth Remington, A Chan, Thomas Shea
Efficacy Of A Vitamin/Nutriceutical Formulation For Moderate To Late Alzheimer’S Disease: A Placebo-Controlled Pilot Study, Ruth Remington, A Chan, Thomas Shea
Ruth Remington
Recent studies demonstrated efficacy of a vitamin/ nutriceutical formulation (folate, vitamin B12, alpha-tocopherol, S-adenosyl methionine, N-acetyl cysteine, and acetyl-L-carnitine) for mild to moderate Alzheimer's disease. Herein, we tested the efficacy of this formulation in a small cohort of 12 institutionalized patients diagnosed with moderate-stage to later-stage Alzheimer's disease. Participants were randomly separated into treatment of placebo groups. Participants receiving the formulation demonstrated a clinically significant delay in decline in the Dementia Rating Scale and clock-drawing test as compared to those receiving placebo. Institutional caregivers reported approximately 30% improvement in the Neuropyschiatric Inventory and maintenance of performance in the Alzheimer's Disease …
Efficacy Of A Vitamin/Nutriceutical Formulation For Early-Stage Alzheimer’S Disease: A One-Year, Open-Label Pilot Study With An 11-Month Caregiver Extension, A Chan, J Paskavitz, Ruth Remington, S Rasmussen, Thomas Shea
Efficacy Of A Vitamin/Nutriceutical Formulation For Early-Stage Alzheimer’S Disease: A One-Year, Open-Label Pilot Study With An 11-Month Caregiver Extension, A Chan, J Paskavitz, Ruth Remington, S Rasmussen, Thomas Shea
Ruth Remington
No abstract provided.
Dehydration Reduction In The Community Dwelling Older Adult: Perspectives Of Community Health Care Providers, Lisa Abdallah, Ruth Remington, S Houde, L Zhan, Karen Melillo
Dehydration Reduction In The Community Dwelling Older Adult: Perspectives Of Community Health Care Providers, Lisa Abdallah, Ruth Remington, S Houde, L Zhan, Karen Melillo
Ruth Remington
Dehydration is a common problem among older adults and can negatively affect their health. This crosssectional descriptive study used survey findings and focus group interviews to investigate dehydration problems among community-dwelling older adults and to identify strategies perceived to be helpful in preventing dehydration in this population. The survey sample (n = 18) and four focus groups (n = 36) included health care providers in the northeast United States from provider agencies representing emergency care, home care, primary care, and community health care. Survey findings indicated that 89% of participantsidentify dehydration as a problem affecting older adults, and 94% noted …
Optimizing Functionality Of Clients With Age-Related Macular Degeneration, Arlene Mcgrory, Ruth Remington
Optimizing Functionality Of Clients With Age-Related Macular Degeneration, Arlene Mcgrory, Ruth Remington
Ruth Remington
Age-related macular degeneration (ARMD) is a major cause of severe vision loss and blindness among older people. This condition is progressive, incurable, and significantly compromises central vision. Rehabilitation nurses have a pivotal role in the assessment and management of clients with ARMD. An understanding of incidence and pathophysiology of ARMD, as well as health promotion and a new treatment for ARMD can help rehabilitation nurses design interventions to help clients maintain an acceptable quality of life despite declining vision.
Neuroprotective Effects Of Apples On Cognition And Alzheimer’S Disease, Ruth Remington, A Chan, F Tchantchou, D Ortiz, Thomas Shea
Neuroprotective Effects Of Apples On Cognition And Alzheimer’S Disease, Ruth Remington, A Chan, F Tchantchou, D Ortiz, Thomas Shea
Ruth Remington
Consumption of apples is known to reduce risk of some cancers, cardiovascular disease, asthma, and diabetes. Studies over the last decade reviewed herein, demonstrate that apples also provide neuroprotection, to the extent that they can impact hallmarks and some symptoms of Alzheimer’s disease (AD).
Evidence-Based Guideline: Wandering, May Futrell, Karen Melillo, Ruth Remington
Evidence-Based Guideline: Wandering, May Futrell, Karen Melillo, Ruth Remington
Ruth Remington
No abstract provided.
Effects Of Calming Music On The Level Of Agitation In Cognitively Impaired Nursing Home Residents, Patricia Tabloski, Leah Mckinnon-Howe, Ruth Remington
Effects Of Calming Music On The Level Of Agitation In Cognitively Impaired Nursing Home Residents, Patricia Tabloski, Leah Mckinnon-Howe, Ruth Remington
Ruth Remington
This study examines the use of music as a strategy to decrease agitated behavior in cognitively impaired nursing home residents. Twenty agitated subjects, 68 to 84 years of age, were exposed to 15 minutes of calming music on two occasions. Agitated behavior scores were recorded before, during and after the musical intervention using the Agitated Behavior Scale. Results indicate that a statistically significant reduction in agitated behavior occurs both during (p.
Interpreting Laboratory Values In The Rehabilitation Setting, Jane Flanagan, Karen Melillo, Lisa Abdallah, Ruth Remington
Interpreting Laboratory Values In The Rehabilitation Setting, Jane Flanagan, Karen Melillo, Lisa Abdallah, Ruth Remington
Ruth Remington
Treating patients in rehabilitation settings is becoming increasingly complex for a variety of reasons, such as the presence of several comorbid conditions, increased age, and earlier discharge from acute care facilities. As a result, careful monitoring and assessment by nurses is essential. Laboratory testing can improve the assessment when nurses are able to recognize when and what should be reported and what types of treatments may be needed. Understanding what laboratory findings should be monitored and what added assessment criteria are necessary can be daunting. Therefore, this article reviews critical laboratory and other assessment findings in light of common health …
Using Antipsychotic Drugs Safely In Older Patients, Lisa Abdallah, Jane Flanagan, Karen Melillo, Ruth Remington
Using Antipsychotic Drugs Safely In Older Patients, Lisa Abdallah, Jane Flanagan, Karen Melillo, Ruth Remington
Ruth Remington
Do you know how to monitor an older adult who's receiving an antipsychotic drug? Learn the benefits and the pitfalls so you can keep your older patients safe
Apple Juice Improved Non-Cognitive Symptoms In Moderate- To Late-Stage Alzheimer’S Disease In An Open-Label Pilot Study, Ruth Remington, A Chan, A Lepore, E Kotlya, Thomas Shea
Apple Juice Improved Non-Cognitive Symptoms In Moderate- To Late-Stage Alzheimer’S Disease In An Open-Label Pilot Study, Ruth Remington, A Chan, A Lepore, E Kotlya, Thomas Shea
Ruth Remington
Preclinical studies demonstrate that apple juice exerts multiple beneficial effects including reduction of central nervous system oxidative damage, suppression of Alzheimer's disease (AD) hallmarks, improved cognitive performance, and organized synaptic signaling. Herein, we initiated an open-label clinical trial in which 21 institutionalized individuals with moderate-to-severe AD consumed 2 4-oz glasses of apple juice daily for 1 month. Participants demonstrated no change in the Dementia Rating Scale, and institutional caregivers reported no change in Alzheimer's Disease Cooperative Study (ADCS)-Activities of Daily Living (ADL) in this brief study. However, caregivers reported an approximate 27% (P < .01) improvement in behavioral and psychotic symptoms associated with dementia as quantified by the Neuropsychiatric Inventory, with the largest changes in anxiety, agitation, and delusion. This pilot study suggests that apple juice may be a useful supplement, perhaps to augment pharmacological approaches, for attenuating the decline in mood that accompanies progression of AD, which may also reduce caregiver burden.
Patient Outcomes And Satisfaction With Care Following Palliative Care Consultation, S Parker, Ruth Remington, A Nannini, M Cifuentes
Patient Outcomes And Satisfaction With Care Following Palliative Care Consultation, S Parker, Ruth Remington, A Nannini, M Cifuentes
Ruth Remington
No abstract provided.
Alzheimer’S Disease: Are We Intervening Too Late? Yes, By Years If Not Decades, Thomas Shea, Ruth Remington
Alzheimer’S Disease: Are We Intervening Too Late? Yes, By Years If Not Decades, Thomas Shea, Ruth Remington
Ruth Remington
The ongoing debate as to whether we are or are not early enough in treatment for Alzheimer's disease presents distinct vantage points. Points expressed range from stressing the need for early preventive measures to highlighting the failure of "alternative" therapies, and concluding that we are unfortunately doing all that we can at present. Herein, we stress the worth of nutritional intervention, and review why such studies are often inherently compromised. We conclude that considerable education is needed to advance lifestyle modifications early enough to obtain their optimal effect, and instead of positioning "classical" interventions against "alternative" interventions, the combinations of …
Nutrition And Dementia: Are We Asking The Right Questions?, Thomas Shea, E Rogers, Ruth Remington
Nutrition And Dementia: Are We Asking The Right Questions?, Thomas Shea, E Rogers, Ruth Remington
Ruth Remington
Alzheimer's disease (AD) has no cure or nullifying pharmacological interventions. Nutritional supplementation represents a systemic approach that in some studies has provided benefit and has augmented pharmacological approaches. However, additional studies report no benefit of supplementation. We review herein how studies of nutrition on dementia, including those combining nutrition and dementia, are inherently compromised. We also review studies with mice, which demonstrate that nutritional supplementation can alleviate multiple genetic risk factors for AD. An individual diagnosed with AD has by definition undergone considerable cognitive decline; anticipating restoration/maintenance of cognitive performance following nutritional supplementation alone may be misdirected. Nutrition declines in …
A Comparison Of Hospice In The Us And Uk: Implications For Policy And Practice, Ruth Remington, G Wakim
A Comparison Of Hospice In The Us And Uk: Implications For Policy And Practice, Ruth Remington, G Wakim
Ruth Remington
The modern hospice movement in the United States was modeled on the specialized care for dying individuals that was championed by Dame Cicely Saunders, a social worker, nurse, and physician, in London in the 1960s. A collaboration between Saunders and Florence Wald, then at Yale University, led to the establishment of the first hospice in the United States in 1974. Despite similar foundations, the provision of hospice care differs in the United States and the United Kingdom with regard to financing and access. This article reviews these similarities and differences and discusses implications for U.S. hospice policy.
A Vitamin/Nutriceutical Formulation Improves Memory And Cognitive Performance In Community-Dwelling Adults Without Dementia, A Chan, Ruth Remington, E Kotlya, A Lepore, J Zemianek, Thomas Shea
A Vitamin/Nutriceutical Formulation Improves Memory And Cognitive Performance In Community-Dwelling Adults Without Dementia, A Chan, Ruth Remington, E Kotlya, A Lepore, J Zemianek, Thomas Shea
Ruth Remington
Adults of both genders without dementia consumed a nutriceutical formulation ("NF," consisting of folic acid, B12, Vitamin E, S-adenosylmethionine, N-acetyl cysteine and Acetyl-L-carnitine), previously shown to improve cognitive performance in Alzheimer's disease, or placebo. Participants receiving NF but not placebo improved statistically and clinically in the California Verbal Learning Test II and the Trail-Making Test. Both groups improved further during a 3-month open-label extension. Additional individuals displayed identical improvement during a separate 6-month open-label trial. Performance declined to baseline following withdrawal of NF, and statistically improved when participants resumed taking NF. Additional participants receiving NF but not placebo demonstrated improvement …
Managing Problem Behaviors Associated With Dementia, Ruth Remington, Lisa Abdallah, Karen Melillo, Jane Flanagan
Managing Problem Behaviors Associated With Dementia, Ruth Remington, Lisa Abdallah, Karen Melillo, Jane Flanagan
Ruth Remington
The older adult with dementia who exhibits problem behaviors is likely to be experiencing physical or psychological distress. Both can negatively affect the health, rehabilitation and quality of life for the older adult. Managing problem behaviors can challenge the skills of the most experienced nurse. Being able to identify the origins of these behaviors can help caregivers respond in a way that will achieve behavioral management and preserve the dignity of the older adult. This article presents some practical measures to assist nurses with minimizing the negative effects of dementia-associated problem behaviors in older adults.
Neurocognitive Diagnostic Challenges And The Dsm-5: Perspectives From The Front Lines Of Clinical Practice, Ruth Remington
Neurocognitive Diagnostic Challenges And The Dsm-5: Perspectives From The Front Lines Of Clinical Practice, Ruth Remington
Ruth Remington
The proposed changes to the DSM-IV-TR are an attempt to advance a common language to be used by clinicians and researchers in psychiatry in the United States. Any improvement brought about by these changes may be jeopardized unless the ICD-10, which is used by non-psychiatric clinicians and researchers worldwide, and the DSM resolve the differences in the definitions and diagnostic criteria of most disorders. Unless there is congruence between the two manuals, debate is therefore likely to continue in the literature as to which provider is best suited to direct the care for the person with dementia: primary care providers, …
The Clock-Drawing Test: Time For A Change?, A Chan, Ruth Remington, J Paskavitz, Thomas Shea
The Clock-Drawing Test: Time For A Change?, A Chan, Ruth Remington, J Paskavitz, Thomas Shea
Ruth Remington
Clock-drawing tests are simple and rapid screening devices for dementia. It was observed that individuals (" . . .make the clock read 12:45") or an analog prompt (" . . .quarter to 1"), whereas individuals >70 years of age showed improved performance with an analog prompt. The digital prompt has routinely been used to force participants to recode the prompt via conceptualization. Differential scoring across a range of ages has likely derived from the advent and increase of digital clocks with the younger segment of the population. This implies the need for as-yet undetermined alteration in the nature of prompts …