Medicine and Health Sciences Commons^™

Reforming The Veterans Health Administration-Beyond Palliation Of Symptoms, Brett P. Giroir, Md, Gail R. Wilensky, Phd

College of Nursing Faculty Papers & Presentations

The Veterans Health Administration (VHA) is one of the largest health care delivery systems in the United States, with 9.1 million enrollees, 20,000 physicians, 1600 facilities, 288,000 employees, and a $59 billion budget. In response to highly publicized concerns regarding delayed access to care, preventable deaths in patients awaiting care, and falsification of lists to make waiting times appear shorter, Congress passed and President Barack Obama signed the Veterans Access, Choice, and Accountability Act of 2014. In addition to expanding non-VHA treatment options for veterans, this law requires a comprehensive, independent assessment of 12 areas of VHA care delivery and …

Perceived Barriers To Infection Prevention And Control For Nursing Home Certified Nursing Assistants: A Qualitative Study., Jasmine Travers, Carolyn T A Herzig, Monika Pogorzelska-Maziarz, Eileen Carter, Catherine C Cohen, Patricia K Semeraro, Ragnhildur I Bjarnadottir, Patricia W Stone

College of Nursing Faculty Papers & Presentations

Healthcare-associated infections, while preventable, result in increased morbidity and mortality in nursing home (NH) residents. Frontline personnel, such as certified nursing assistants (CNAs), are crucial to successful implementation of infection prevention and control (IPC) practices. The purpose of this study was to explore barriers to implementing and maintaining IPC practices for NH CNAs as well as to describe strategies used to overcome these barriers. We conducted a multi-site qualitative study of NH personnel important to infection control. Audio-recorded interviews were transcribed verbatim and transcripts were analyzed using conventional content analysis. Five key themes emerged as perceived barriers to effective IPC …

We Can Do Better: An Argument For Improved Care Of The Opioid Addicted Mother-Infant Dyad, Michele K. Savin, Msn, Nnp-Bc

College of Nursing Faculty Papers & Presentations

As the number of addicted maternal-infant dyads increases, so does the need for nursing to expand its understanding of the addiction process and the evidencebased interventions that best serve mothers and infants. Nursing attitudes toward the opioid-addicted mother and infant dyad are influenced by knowledge deficits and communication difficulties. Care required encompasses medical, legal, social, and economic perspectives. Professionals and society at large have disagreements regarding whether to approach the phenomenon from a punitive or supportive strategy. Facilities to care for the mother-infant dyad with addiction are limited. Increasing knowledge has great potential for active understanding and ability to impact …

Understanding Infection Prevention And Control In Nursing Homes: A Qualitative Study., Patricia W. Stone, Carolyn T.A. Herzig, Monika Pogorzelska-Maziarz, Eileen Carter, Ragnhildur I. Bjarnadottir, Patricia K. Semeraro, Catherine C. Cohen, Jasmine Travers, Steven Schweon

College of Nursing Faculty Papers & Presentations

Infections have been identified as a priority issue in nursing homes (NHs). We conducted a qualitative study purposively sampling 10 NHs across the country where 6-8 employees were recruited (N = 73). Semi-structured, open-ended guides were used to conduct in-depth interviews. Data were audiotaped, transcribed and a content analysis was performed. Five themes emerged: 'Residents' Needs', 'Roles and Training' 'Using Infection Data,' 'External Resources' and 'Focus on Hand Hygiene.' Infection prevention was a priority in the NHs visited. While all sites had hand hygiene programs, other recommended areas were not a focus and many sites were not aware of available …

Health Care In The Community: Developing Academic/Practice Partnerships For Care Coordination And Managing Transitions, Mary E. Fortier, Edd, Rn, Cnl, Donna M. Fountain, Phd(C), Aprn, Phcns-Bc, Maryelena Vargas, Phd, Rn, Lisa Heelan-Fancher, Phd, Fnp-Bc, Anp-Bc, Tracy Perron, Phd, Rn, Katherine Hinic, Phd, Rn, Anp-Bc, Beth Ann Swan, Phd, Crnp, Faan

College of Nursing Faculty Papers & Presentations

Executive Summary

The delivery of health care is quickly changing from an acute care to a community-based setting.

Faculty development and mastery in the use of new technologies, such as high-definition simulation and virtual communities are crucial for effective student learning outcomes.

Students' benefit include opportunities for hands-on experience in various patient care scenarios, real-time faculty feedback regarding their critical reasoning and clinical performance, interdisciplinary collaboration, and access to a nonthreatening learning environment.

The results of this study provide some evidence of the benefits of developing faculty and nursing curricula that addresses the shift from an illness-based, acute hospital model, …

Central Line-Associated Blood Stream Infections In Pediatric Intensive Care Units: Longitudinal Trends And Compliance With Bundle Strategies., Jeffrey D. Edwards, Carolyn T. Herzig, Hangsheng Liu, Monika Pogorzelska-Maziarz, Philip Zachariah, Andrew W. Dick, Lisa Saiman, Patricia W. Stone, E. Yoko Furuya

College of Nursing Faculty Papers & Presentations

BACKGROUND: Knowing the temporal trend central line-associated bloodstream infection (CLABSI) rates among U.S. pediatric intensive care units (PICUs), the current extent of central line bundle compliance, and the impact of compliance on rates is necessary to understand what has been accomplished and can be improved in CLABSI prevention.

METHODS: This is a longitudinal study of PICUs in National Healthcare Safety Network hospitals and a cross-sectional survey of directors and managers of infection prevention and control departments regarding PICU CLABSI prevention practices, including self-reported compliance with elements of central line bundles. Associations between 2011-2012 PICU CLABSI rates and infection prevention practices …

Perceptions Of Neonatal Nurse Practitioner Role Among Nicu Nurses, Michele K. Savin, Msn, Nnp-Bc

College of Nursing Faculty Papers & Presentations

Purpose: The purpose of this project was to examine Neonatal Intensive Care Unit (NICU) nurses’ perceptions of the NNP role and barriers to entering the role.

Background: A shortage of neonatal nurse practitioners (NNPs) exists. Hiring NNPs from outside the current NICU staff has resulted in turnover and additional cost. If current nursing staff prepared as NNPs, the organization would benefit; yet few nurses have done so. Reasons that dissuade nurses from pursuing the NNP role have not been adequately examined. Knowing how nurses perceive the NNP role may help to decrease barriers and inform plans to address the problem.

A Descriptive Study Of Non Traditional School Health Delivery; Funding Sources, Outcomes And Staff Configurations, Sherri Becker, Msn, Mba, Rn, Erin D. Maughan, Phd, Ms, Rn, Aphn-Bc, June Horowitz, Phd, Rn, Faan

College of Nursing Faculty Papers & Presentations

Background:

1) The traditional funding for school nursing has been educational dollars.

2) As school district budgets tighten, the number of students with health needs continues to rise and the Affordable Care Act (ACA) puts increased emphasis on community care, new school health delivery models are emerging.

3) There is limited study in this area. Anecdotal stories of wide variability exist.

Use Of Quick Response Coding To Create Interactive Patient And Provider Resources., Jennifer L. Bellot, Phd, Rn, Cne, Kathryn Shaffer, Edd, Rn, Cne, Mary Wang, Msn, Crnp

College of Nursing Faculty Papers & Presentations

BACKGROUND: Since their creation more than 20 years ago, the proliferation of Quick Response (QR) codes has expanded tremendously. Little was found in the literature to support the innovative use of QR coding in the classroom or in health care provision. Thus, the authors created a doctoral-level practicum experience using QR coding to create interactive, individualized patient or provider resource guides.

METHOD: Short, descriptive surveys were used before and after implementation of the practicum experience to determine students' comfort level using QR technology, their knowledge base, ease of use, and overall satisfaction with the practicum.

RESULTS: Students reported high levels …