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Disaster And Emergency Communications Prior To Computers/Internet: A Review, John W. Farnham

Faculty Publications and Other Works -- Nursing

When communications are needed the most desperately and most urgently, the difficulty of effecting the desired communications increases exponentially. Recent natural disasters in different parts of the world have provided eloquent testament to this. The history of disaster or emergency communications can provide us with a foundation for understanding the problems encountered today, and can offer us insight into how we might improve the systems and processes for communications. The first applications of communication technology that allowed messages to be sent more rapidly than the fastest form of transportation were mainly military in origin. This review takes us from the …

Psychometric Evaluation Of The Shared Care Instrument In A Sample Of Home Health Care Family Dyads, Margaret Sebern

College of Nursing Faculty Research and Publications

Researchers have studied negative effects of caregiving on a family caregiver; however, less is known about positive aspects of exchanging assistance for both members of a family caregiving dyad. In a previous naturalistic inquiry the author indentified a basis for studying caregiving interactions was a construct called shared care. The three components of shared care identified in the naturalistic inquiry were communication, decision making, and reciprocity. The Shared Care Instrument (SCI) was developed to measure the construct. The purpose of this study was to assess the psychometric properties of the SCI, and to assess its construct and criterion-related validity. A …

Ua61/1 Advisory Committee Meeting Minutes, Wku Nursing

WKU Archives Records

Minutes of the WKU Nursing Advisory Committee meeting.

Nursing Education And Service Collaboration: Making A Difference In The Clinical Learning Environment, Sheri P. Palmer, Amy Harmer Cox, Lynn Clark Callister, Vickie Johnsen, Geraldine Matsumura

Faculty Publications

This article focuses on innovative collaborative steps that were identified in recent research conducted by these authors on the relationship between academia and service. These steps are currently being implemented in the hope of improving the important role that the critical environment plays in student nurses' education. Few factors in nursing education are as important as the clinical environment in which students do their training. This article elaborates on these steps and offers practical suggestions for improving the relationship between academia and service.

A Systematic Review Of Mammography Educational Interventions For Low-Income Women, Tatiana Bailey, Jorge Delva, Kimberlee A. Gretebeck, Kristine Siefert, Amid I. Ismail

College of Nursing Faculty Research and Publications

Objective

We conducted a systematic review to examine the effectiveness of educational interventions in increasing mammography screening among low-income women.

Data Sources

Bibliographic databases, including MEDLINE, The Cochrane Central Register of Controlled Trials, The Cochrane Database of Systematic Reviews, and the ISI Web of Science, were searched for relevant articles.

Study Inclusion and Exclusion Criteria

Randomized, community-based trials targeting low-income women and published between January 1980 and March 2003 were included.

Data Extraction

The search yielded 242 studies; 24 met all inclusion criteria.

Data Synthesis

Three studies used mammography vans, three used low-cost vouchers or provided free mammograms, three used …

Rain Rhythms: Fall 2005 - Spring 2006, College Of Nursing & Professional Disciplines

RAIN Rhythms

No abstract provided.

Nurses Alumni Association Bulletin, Fall 2005, Paula Levine, Elizabeth K. Prisnock, Sally H. Wagner, John J. Wagner

Nursing Alumni Bulletins

2005 - 2006 Meeting Date Calendar

2006 Annual Luncheon & Meeting Notice

Officers, Committee Chairs, Satellite and Volunteers

Bulletin Publication Committee

The President's Message

Treasurer's Report

Resume of Minutes

Office News

Committee Reports

• Relief Trust Fund
• Satellite - Harrisburg Satellite Area
• Bulletin
• Scholarship
• Nominating
• Social
• Development

Annual Giving

Janet C. Hindson Award Recipients and Nominees

Janet C. Hindson Award Qualifications

Quotes from Janet C. Hindson's Recipients Letters

Quotes from Letters on Nursing at Jefferson

Biography of Lenora Schwartz, '66

News About Graduates

Memories

Odds & Ends

How I got my Education

U.S. Cadet Nurse Corps

Normandy Nightingales Weathered War's Worst …

Cigarette Smoking Among Low-Income African Americans: A Serious Public Health Problem, Jorge Delva, Marisol Tellez, Tracy L. Finlayson, Kimberlee A. Gretebeck, Kristine Siefert, David R. Williams, Amid I. Ismail

College of Nursing Faculty Research and Publications

Background

This study examines the current prevalence of cigarette smoking and the number of cigarettes smoked in a community-based sample of 1021 low-income African-American men and women.

Methods

Participants were selected using a two-stage, area probability sample design. Data were collected in 2002–2003 in face-to-face interviews and analyzed in 2005. All data and analyses were weighted to account for the complex sampling design.

Results

Fifty-nine percent of men and 41% of women were current smokers, with younger individuals apparently initiating smoking at an earlier age than older individuals.

Conclusions

The high prevalence of cigarette use provides further evidence that the …

Shared Care, Elder And Family Member Skills Used To Manage Burden, Margaret Sebern

College of Nursing Faculty Research and Publications

Aim. The aim of this paper is to further develop the construct of Shared Care by comparing and contrasting it to related research, and to show how the construct can be used to guide research and practice.

Background. While researchers have identified negative outcomes for family caregivers caused by providing care, less is known about positive aspects of family care for both members of a family dyad. Understanding family care relationships is important to nurses because family participation in the care of chronically ill elders is necessary to achieve optimal outcomes from nursing interventions. A previous naturalistic inquiry …

Experts Recommend Strategies For Strengthening The Use Of Advanced Practice Nurses In Nursing Homes., Mathy Mezey, Sarah Greene Burger, Harrison G Bloom, Alice Bonner, Mary Bourbonniere, Barbara Bowers, Jeffrey B Burl, Elizabeth Capezuti, Diane Carter, Jacob Dimant, Sarah A Jerro, Susan C Reinhard, Marilyn Ter Maat

College of Nursing Faculty Papers & Presentations

In 2003, The John A. Hartford Foundation Institute for Geriatric Nursing, New York University Division of Nursing, convened an expert panel to explore the potential for developing recommendations for the caseloads of advanced practice nurses (APNs) in nursing homes and to provide substantive and detailed strategies to strengthen the use of APNs in nursing homes. The panel, consisting of nationally recognized experts in geriatric practice, education, research, public policy, and long-term care, developed six recommendations related to caseloads for APNs in nursing homes. The recommendations address educational preparation of APNs; average reimbursable APN visits per day; factors affecting APNs caseload …

Protocol For Determining Fertility While Breastfeeding And Not In Cycles, Richard Fehring, Mary Lee Barron, Mary Schneider

College of Nursing Faculty Research and Publications

A protocol was developed and evaluated for nonovulating breastfeeding women to determine potential fertility with an electronic hormonal fertility monitor. The amount of required abstinence (i.e., days of potential fertility) through the first menstrual cycle indicated by the fertility monitor was significantly lower (17% of the total days) compared with the amount of abstinence (50% of the total days) indicated by the self-observation of cervical mucus.

Providing End-Of-Life Care To Patients: Critical Care Nurses' Perceived Obstacles And Supportive Behaviors, Renea L. Beckstrand, Karin T. Kirchhoff

Faculty Publications

• Background Critical care nurses care for dying patients daily. The process of dying in an intensive care unit is complicated, and research on specific obstacles that impede delivery of end-of-life care and/or supportive behaviors that help in delivery of end-of-life care is limited.
• Objective To measure critical care nurses' perceptions of the intensity and frequency of occurrence of (1) obstacles to providing end-of-life care and (2) supportive behaviors that help in providing end-of-life care in the intensive care unit.
• Methods An experimental, posttest-only, control-group design was used. A national, geographically dispersed, random sample of members of the American Association of …

Basal Body Temperature Assessment: Is It Useful To Couples Seeking Pregnancy?, Mary Lee Barron, Richard Fehring

College of Nursing Faculty Research and Publications

Advanced practice nurses in primary care settings are often asked to give appropriate advice to couples seeking pregnancy. This article examines the issue of basal body temperature (BBT), a time-honored way to establish the presence of ovulatory cycles, and asks if BBT is an outdated recommendation. The article also reviews the benefits and limitations of recommending BBT to couples seeking pregnancy in light of recent fecundity research.

Measuring Nurse Workload In Ambulatory Care, Beth Ann Swan Phd, Crnp, Karen F. Griffin Msn, Rn, Cnaa

College of Nursing Faculty Papers & Presentations

Nurses and adequate nurse staffing are critical to the delivery of safe, cost-effective, and quality patient care in every health care setting.

This has been proven time and again through various research studies and recognized by various accrediting bodies such as JCAHO.

However, the information available on required or optimal ambulatory care nurse staffing is limited and varies across ambulatory care settings.

An overview of instruments for measuring nursing workload in ambulatory care, a critical prerequisite when identifying best nurse staffing models for diverse ambulatory care settings, is provided.

Impact Of An Adherence Program On The Health And Outlook Of Hiv-Infected Patients Failing Antiretroviral Therapy, Michael F. Parry, Pamela Wright, Julie G. Stewart, Gavin Mcleod, James Tucker, Amy R. Weinberg

Nursing Faculty Publications

Background: We prospectively studied the impact of an adherence counselor on the outcome of patients failing antiretroviral therapy because of nonadherence. Methods: Forty-six patients, identified as chronically nonadherent were enrolled. Individual attention was provided using the information, motivation and behavioral methodology. HIV RNA (viral load, in copies/mL), CD4 count (in cells/[mm.sup.3]), and body weight before and after the adherence counselor were measured. Qualitative outcome and patient satisfaction were assessed by deidentified third-party interviews. Results: Over half completed at least 1 year; only 8 patients were lost to follow-up. Mean CD4 counts increased significantly (P < .05) for completers at 6 and 12 months. Viral loads decreased between baseline and 6 months. Most clients reported subjective benefit from working with the adherence counselor. Conclusion: Although few clients showed complete virologic suppression, the value of an adherence counselor was validated. Longer term adherence programs should be evaluated.

Workplace Organization, Labor Process Control And Occupational Health. Ph. D. Dissertation, Linda Treiber

Faculty and Research Publications

The purpose of this research is to understand the complex relationships between working conditions and occupational health. The research draws from labor process theory that generally views worker control over the labor process as essential to non-alienated labor and from epidemiologic models of host, agent/exposure, and environment. Using General Social Survey 2002 cross sectional data, I investigate the effects of standard epidemiologic factors and worker labor process control factors in multivariate models to predict the dependent variables of workplace injury, persistent pain, exhaustion, and general health status. I suggest that labor process autonomy, social cohesion and skill utilization generally have …

Adult Suicide Attempts In Relationship To Life Experiences And Familial Tendencies, Laura S. Ford

Graduate Research Projects

The purpose of this project was to describe the variables age, gender, child or adult abuse, educational level, family history of suicide, depression, economic level as factors related to adult attempted suicides. The Lazarus framework was used to examine factors contributing to adult attempted suicide. A suicide prevention community education project was developed with Lazarus’s theory of cognition and unconscious processes in mind. Lazarus’s theory focuses on the relationship between development of coping skills learned during childhood and how a person will respond using those skills as an adult. This project explored links between child and adult abuse, education or …

Aiming For Zero Errors: Clarian’S Safe Passage Program Improves Infusion Safety, Dawn Daniels, Kathryn Rapala

College of Nursing Faculty Research and Publications

Few issues command as much attention in the healthcare industry as patient safety. As healthcare professionals and hospital administrators know, nurses are key players in patient safety programs. Nurses are at the best vantage point to see, report, and fix errors before they occur, and the high-touch nature of their jobs puts nurses in the best seat to advocate for a patient and address looming safety issues.

Hospitals across the country are recognizing nurses’ critical role in patient safety, and as a result, more nurses are being placed in pivotal care roles. Clarian Health Partners, a hospital system based in …

Adaptation To Cesarean Birth: Implementation Of An International Multisite Study, Jacqueline Fawcett, Cynthia Aber, Marianne Weiss, Susan Haussler, Sheila Taylor Myers, Charlette King, Jennifer Newton, Virginia Silva

College of Nursing Faculty Research and Publications

The purpose of this column is to describe the implementation of an international multisite Roy adaptation model-based study of women’s perceptions of and responses to cesarean birth. The need for the study arose from the concern that women’s childbearing needs may not be met to their full satisfaction, especially if the infant is born by cesarean. Serendipity and networking played a part in the selection of four study sites in the United States (Boston, Milwaukee, Norfolk, Oklahoma City) and two in other countries (Finland, Australia). Data were collected by nursing students and staff nurses. Post-hoc consideration of the diversity of …

Patient Safety. From Metaphor To Model: The Clarian Safe Passage Program, Kathryn Rapala, Karlene M. Kerfoot

College of Nursing Faculty Research and Publications

The most important stakeholders in patient safety are alert and mobilized frontline health care staff. At Clarian Health Partners, Indianapolis, IN, clinicians in the Safe Passage Program work jointly with unit staff, physicians, and other departments to continuously improve the level of patient, employee, and visitor safety. Medical error reporting at Clarian has tripled. The enthusiasm and passion of Safe Passage clinicians is both inspiring and energizing.

Personal Respiratory Protection Use Among Confinement Workers, M. Susan Jones

Nursing Faculty Publications

No abstract provided.

Mentoring Staff Members As Patient Safety Leaders: The Clarian Safe Passage Program, Kathryn Rapala

College of Nursing Faculty Research and Publications

We are at a crossroad in patient safety. Patient safety definitions, research, products, and implementation strategies have become as complex as health care itself. Almost every professional and regulatory organization now has a position or strategy to address the estimated 44,000 to 98,000 deaths per year due to health care error[1]. Memorizing and implementing the Joint Commission for Accreditation National Patient Safety Goals is not enough to establish and maintain a culture of safety. Patient safety literature offers few practical solutions on the implementation of an integrated, system wide application of patient safety approaches to clinical practice. It is our …

Improved Cancer Care Through Increased Basic Cancer Education, Patricia Rushton, Lillian Nail, Sherry Brown

Faculty Publications

Literature shows that nursing care in rural communities improves when the nurse has increased knowledge through continuing education. Specific oncology studies in areas of stress, pain assessment and documentation, and death and dying.(Hedman-1990,Camp-Sorrell-1991,Foglesong-1987,Webber-1991) demonstrate similar results. It is reasonable that continuing education in areas of the cancer process, standard therapies, and methods of symptom control would improve patient care. This project allowed nurses who had limited access to cancer education in rural areas of Utah to receive basic cancer education. The subjects of this education included: 1) the cancer process, 2) chemotherapy, 3)radiation therapy, 4) the use and care of …

Improving The Experience Of Hospitalization For Hawaiian Children On The Mainland Through Cultural Sensitivity To Hawaiian Ways Of Healing, Jane H. Lassetter, Joan H. Baldwin

Faculty Publications

The experience of hospitalization for Hawaiian children on the mainland might be improved through the understanding and development of cultural sensitivity to Hawaiian ways of healing. This article contains a selected review of the literature on meeting the cultural health care needs of Hawaiian children and their families, a discussion of some of the challenges of caring for Hawaiian children in Utah, and suggestions for practice that may improve the experience of hospitalization for Hawaiian children in general.

Exposure To Secondhand Smoke And Nicotine Dependence, Chizimuzo T.C. Okoli, Ellen J. Hahn, Steven R. Browning, Mary Kay Rayens

Nursing Presentations

Background

• Nicotine dependence (ND) : “the smoking behavior accompanied by a reluctance to quit (Khurana, Batra, Patkar, & Leone, 2003).

• The US Public Health Service Clinical Practice Guideline ‘Treating Tobacco Use and Dependence’: A chronic condition that often requires repeated interventions (Office of the Surgeon General, 2000).

• Secondhand Smoke (SHS) is a potential source of exposure to high levels of nicotine. (Dimich-Ward, Gee, Brauer, Leung,1997)

• No current studies addressing the contribution of SHS to Nicotine Dependence (ND) or smoking behaviors

Comparison Of The Faces And Numeric Pain Scales For Use In Long-Term Ventilator Patients With Chronic Pain, Diana Miller-Harvey

Graduate Research Projects

Chronic pain is a major cause of illness, disability, and is poorly understood and undertreated by health care professionals. Numerous misconceptions regarding chronic pain in older individuals has led certain health care agencies to require the use of pain scales for pain evaluation in all health care patients. yet, there is research lacking as to which pain scales are appropriate for use with chronic pain, ventilator-dependent, older individuals. The Wong-Baker Faces Scale and Numeric Pain Scale was administered to a convenience sample of male/female patients in a Southeastern, 44-bed, long-term care ventilator hospital. The purpose of this study was to …

Using A 0-10 Scale For Assessment Of Anxiety In Patients With Acute Myocardial Infarction, Maria J. De Jong, Kyungeh An, Sharon Mckinley, Bonnie J. Garvin, Lynne A. Hall, Debra K. Moser

Faculty Scholarship

Background: Patients with acute myocardial infarction (AMI) often experience anxiety, an emotion that predicts adverse physiologic outcomes. Critical care clinicians have not adopted an anxiety assessment instrument for widespread use, due in part to the unavailability of an easy to administer anxiety instrument that is not burdensome to either clinicians or critically ill patients. Objectives: To determine whether a single-item anxiety assessment instrument, the Anxiety Level Index (ALI), is a valid alternative to the State Anxiety Inventory (SAI) or the anxiety subscale of the Brief Symptom Inventory (BSI) in assessing state anxiety for patients with AMI. Methods: In this prospective …

Neurobehavioral Functioning And Breastfeeding Behavior In The Newborn, Sharon Radzyminski

Nursing Faculty Publications

Objective: To determine whether central nervous system functioning has an effect on the normal, term infant's ability to breastfeed in the first day following birth. Design: Breastfeeding behaviors and neurobehaviors were evaluated at birth and at 24 hrs of age in two groups of neonates. One group of neonates was born to mothers who received epidural analgesia during labor, and one group was born to mothers who received no pain medication. Breastfeeding behavior was evaluated using the Preterm Infant Breastfeeding Behavior Scale, and the infant's neurobehaviors were evaluated using the Neurologic and Adaptive Capacity Score. Participants: Fifty-six breastfeeding mother-newborn dyads. …

Hospital Epidemiological Surveillance During A Major Construction Project, Sherry Sexton

Graduate Research Projects

The purposes ofthis study were: a) to detennine if organism migration occurred from a construction area into other areas of the hospital-especially adjacent operating suites, b) to monitor and evaluate the incidence of construction-related surgical site infections, and c) to monitor the incidence of employee illnesses that could be construction-related. This was a descriptive correlational study and provided epidemiological data to evaluate the effectiveness of infection control measures in preventing employee or patient infections related to construction. The framework for this study was Florence Nightingale's Environmental Adaptation theory which focused on the environment and changes which could affect patient outcomes. …

Active Learning In Nursing Education, Vaunette P. Fay Phd, Nina Selz, Jan Johnson

Center for Education and Information Resources Publications

ALINE is a pedagogical model developed to aid nursing faculty transition from passive to active learning. Based on constructionist theory, ALINE serves as a tool for organizing curriculum for online and classroom based interaction and permits positioning the student as the active player and the instructor, the facilitator to nursing competency.