Medicine and Health Sciences Commons^™

Resistance To Change: A Concept Analysis, Briony Marie Dubose Rn, Mhi, Ann M. Mayo Rn, Dnsc, Faan

School of Nursing and Health Science: Faculty Scholarship

The purpose of this concept analysis is to explore the concept of resistance and provide an operational definition for nurse leaders. While resistance has been deemed a major barrier to the implementation of successful practice change in popular literature, specific evidence as to how it is a barrier within health care organizations is lacking. The Walker and Avant model of concept analysis was used to analyze the concept of resistance. Literature searches utilized the Cumulative Index for Nursing and Allied Health Literature (CINAHL), PsychARTICLES, and Google scholar. Resistance is defined as an individual's behavior in response to perceived or actual …

Achieving Access Parity For Inpatient Psychiatric Care Requires Repealing The Medicaid Institutions For Mental Disease Exclusion Rule, Briony Marie Dubose Mhi, Rn, Lss Bb, Eileen K. Fry-Bowers Phd, Jd, Rn, Cpnp, Faan

School of Nursing and Health Science: Faculty Scholarship

Approximately 3.4% of Americans have a mental health condition and suicide is the 10th leading cause of death. While the rate of mental health conditions has slightly increased for adult populations, America’s youth has experienced a significant rise in depression. From 2008 to 2017, occurrence of depression in the adolescent population increased from 8.3% to 13.3%. As adolescents mature into adults; it is likely the rate of mental health conditions for the adult population will rise as well as it is the common thread that binds the “diseases of despair”: drug abuse, alcoholism and suicide.

Arising out of the deinstitutionalization …

Sample Dnp Project Criteria, Ann M. Mayo Rn, Dnsc, Faan

School of Nursing and Health Science: Faculty Scholarship

These sample criteria for Doctorate of Nursing Practice (DNP) projects will be helpful to DNP faculty and students alike. Many nursing faculty teaching in DNP programs have never conducted an Evidence-based Practice Project and so the criteria are meant to be a guide for their learning and help to differentiate DNP projects from research. Research criteria should not be used for DNP project planning or evaluation. Students will benefit from the criteria as they plan and carry out their projects. Criteria should be supplemented by reading examples of strong EBP projects. Readers should critique such publications using the DNP criteria …

Reliability And Validity Measurement Issues: Nothing New To Clinical Nurse Specialists; But Liability Issues Too?, Ann Mayo Rn, Dnsc, Faan

School of Nursing and Health Science: Faculty Scholarship

Reliability and validity measurement issues are nothing new to clinical nurse specialists (CNS). Over the years, this journal has published a plethora of articles addressing measurement, and as students, CNSs were educated programs about the importance of reliability and validity as applied to instrument selection, usage and interpretation of scores. As a result, healthcare organizations know that their CNSs are the go-to professionals when a process or outcome needs to be measured. A recent announcement from the Montreal Cognitive Assessment (MoCA) Clinic and Institute demonstrated the importance of liability as a third element to be considered when selecting and using …

An Off-Season Brace-Free Neuromuscular Ankle Training Program Among Brace- Reliant And Nonbrace-Reliant Division Ii Female Athletes, Katelyn Koeninger, Jillian Markus, Linsey James, Kristen Thomas, Heidi Neitzke, Robert Topp, Joseph A. Brosky

School of Nursing and Health Science: Faculty Scholarship

Background: Neuromuscular training (NMT) has been shown to be effective in preventing recurrent ankle injuries. However, the NMT effect during the off-season in athletes who wear and those who do not wear an ankle brace during their sport season remains undetermined.

Purpose: The purpose of this study was to determine the effect of an off-season bracefree neuromuscular ankle training program on ankle functional ability among female athletes who wore and those who did not wear an ankle brace during the sport season.

Study Design: This study included a pre- and posttest 2-group cohort.

Methods: In this study, division II female …

The Effect Of Kinesiology Tape On Pain And Neck Range Of Motion After Cervical Manipulation, Jay Greenstein, Tracey Mcnamara, Barton Bishop, Jena Etnoyer-Slaski, Robert Topp

School of Nursing and Health Science: Faculty Scholarship

Background: Annually, 30%–50% of adults will experience some form of debilitating neck pain. One approach to treating neck pain is cervical manipulation. This treatment modality has, at times, been reported to result in a short-term increase in pain, which in turn has been linked to reduced neck range of motion (ROM). Elastic therapeutic tape (ETT) has been shown to reduce musculoskeletal pain, although limited research has been conducted to determine if ETT can mitigate pain and facilitate neck ROM following cervical manipulation.

Purpose: The purpose of this study is to compare the pain and neck ROM among patients with acute …

Adhesion Of Three Brands Of Elastic Therapeutic Tape, Robert Topp, Jena L. Slaski, Barton N. Bishop, Phil Page

School of Nursing and Health Science: Faculty Scholarship

Purpose: The purpose of this study was to compare, over a period of 5 days, the rate of adhesion of TheraBand® Kinesiology Tape (TKT) with either KT Tape® (KT) or Kinesio® Tex Gold (KTEX) under 25% elongation among healthy adults.

Methods: In this study, 2 independent cohorts of 20 healthy volunteers were randomly assigned to simultaneously receive applications of 2 brands of deidentified elastic therapeutic tape (ETT) applied to their lower back at 25% elongation. Cohort 1 received TKT and KTEX tape, whereas cohort 2 received TKT and KT. Data were collected at 1 h (D1), 3 days (D3), and …

Comparison Between Rigid Double Upright And Lace-Up Ankle Braces On Ankle Range Of Motion, Functional Performance, And User Satisfaction Of Brace Characteristics, Kristin Dierker, Elizabeth Levay, Joseph A. Brosky, Robert V. Topp

School of Nursing and Health Science: Faculty Scholarship

Background: Braces are often used before returning to activity following ankle sprains and also prophylactically in sports considered the high risk for ankle sprains. The purpose of this study was to compare range of motion (ROM) limitations, functional performance, and satisfaction of rigid double upright and lace-up braces. Subjects: In total, 30 healthy adults >18 years of age (Mean, 22.6 6 2.7 years) without lower extremity injury and involved in regular physical activity participated in this study.

Materials/Methods: Ankle ROM assessment and lower extremity performance testing (figure-of-8 hop, side hop, 6-m single-limb crossover, and square hop) was administered under the …

A Preliminary Study Into The Effect Of 2 Resistance Training Modes On Proprioception Of Subjects With Knee Osteoarthritis, Robert Topp, Matthew Pifer

School of Nursing and Health Science: Faculty Scholarship

Background: Osteoarthritis (OA) of the knee is a common health problem accompanied by pain and functional declines. Resistance training can reduce pain and functional declines and may also improve proprioception of the OA-affected knee.

Purpose: The purpose of this study was to compare changes in proprioception among adults with knee OA who underwent 16 weeks of dynamic or isometric resistance training with those in control.

Study Design: This study is a 3-group test–retest clinical trial.

Methods: In total, 69 community-dwelling subjects completed proprioception assessments of both knees at baseline and following 16 weeks of their respective intervention. At baseline, subjects …

The Short-Term Effects Of 2 Different Cryotherapy Methods On Acute And Subacute, Noncomplicated, Bilateral Neck Pain, Barton N. Bishop, Dean E. Jacks, Jay S. Greenstein, Robert Topp, Allen Huffman

School of Nursing and Health Science: Faculty Scholarship

Background: Cryotherapy has since long been used by physical therapists and chiropractors in the management of acute pain; more recently, its use has been shown to be effective in managing chronic pain. Multiple studies have shown that both ice and menthol reduce blood flow to the affected area and help control pain; however, there is limited research to determine the form of cryotherapy that works better on individual patients.

Purpose: The purpose of this study was to compare the effect of a cold pack and menthol topical gel on reports of pain among individuals with neck pain.

Methods: In this …

Biomechanics Of Lower Limbs During Walking Among Candidates For Total Knee Arthroplasty With And Without Low Back Pain, David R. Burnett, Naira N. Campbell-Kyureghyan, Robert V. Topp, Peter M. Quesada

School of Nursing and Health Science: Faculty Scholarship

The effect of joint pathologies, such as unilateral knee osteoarthritis (UKOA) or low back pain (LBP), on bilateral gait symmetry has gained increased attention during the past decade. This study is the first to compare gait patterns between patients with UKOA and LBP in combination and with UKOA only. Temporal, kinematic, and kinetic variables were measured bilaterally during gait stance phase in 31 subjects with UKOA and LBP (Group I) and 11 subjects with only UKOA (Group II). Group I patients exhibited less hip rotation in the affected limb (A) than in the nonaffected (NA) limb during walking in contrast …

Psychometric Instrumentation: Reliability And Validity Of Instruments Used For Clinical Practice, Evidence-Based Practice Projects And Research Studies, Ann Mayo Rn, Dnsc, Faan

School of Nursing and Health Science: Faculty Scholarship

Clinical Nurse Specialists and other advanced practice nurses (APNs) are relied upon for their expert data based decision-making to ensure excellent clinical practice, high quality evidence-based practice projects, and efficacious research studies. Using measurement instruments to collect data that lack reliability and validity can compromise decisionmaking leading to deleterious results for patients, nurses, and healthcare organizations. The ultimate goal is to choose reliable instruments that produce valid data so that clinical trends, project evaluations, and research findings are trustworthy. Determining the quality of a given instruments is most often done through a critique process. Critiquing potential instruments for use is …

Revisiting Vaccine Hesitancy, Barriers And Motivators To Obtaining A Flu Vaccine In A New Covid-19 Pandemic World, Ann M. Mayo Rn, Dnsc, Faan, Steffanie R. Cobler Np

School of Nursing and Health Science: Faculty Scholarship

Purpose

To describe and compare patient perceived barriers and motivators and decision-making conflict between two groups of hospitalized patients, those who receive flu vaccines and those who do not.

Data Sources

Data collection during 2003 included extracting data from databases and mailing two surveys to 436 discharged patients. One hundred eight (108) patients participated in the study.

Conclusions

Top barriers included fear of side effects from vaccine (35%) and fear of contracting the flu (30%). Top motivators for obtaining a flu vaccine included previous vaccination (93%) and provider recommendation (62%). Barriers, motivators and patient decisional conflict differed depending upon patient …