Medicine and Health Sciences Commons^™

Best Practices In Second Stage Labor Care: Maternal Bearing Down And Positioning, Joyce Roberts, Lisa Hanson

College of Nursing Faculty Research and Publications

Despite evidence of adverse fetal and maternal outcomes from the use of sustained Valsalva bearing down efforts, current second-stage care practices are still characterized by uniform directions to “push” forcefully upon complete dilatation of the cervix while the woman is in a supine position. Directed pushing might slightly shorten the duration of second stage labor, but can also contribute to deoxygenation of the fetus; cause damage to urinary, pelvic, and perineal structures; and challenge a woman’s confidence in her body. Research on the second stage of labor care is reviewed, with a focus on recent literature on maternal bearing down …

Restraint-Induced Corticosterone Secretion And Hypothalamic Crh Mrna Expression Are Augmented During Acute Withdrawal From Chronic Cocaine Administration, John R. Mantsch, Sarah Taves, Tayyiba Khan, Eric S. Katz, Tanveer Sajan, Lee C. Tang, William E. Cullinan, Dana R. Ziegler

Biomedical Sciences Faculty Research and Publications

Stress responses during cocaine withdrawal likely contribute to drug relapse and may be intensified as a consequence of prior cocaine use. The present study examined changes in stressor-induced activation of the hypothalamic–pituitary–adrenal (HPA) axis during acute withdrawal from chronic cocaine administration. Adult male Sprague–Dawley rats received daily administration of cocaine (30 mg/kg, i.p.) or saline for 14 days. Twenty-four hours after the last injection, rats in each group were sacrificed under stress-free conditions or following 30 min of immobilization. Plasma corticosterone (CORT) was measured in trunk-blood using radioimmunoassay, corticotropin-releasing hormone (CRH) mRNA levels in the paraventricularnucleus (PVN) of the hypothalamus …

Post‐Exercise Substrate Utilization After A High Glucose Vs. High Fructose Meal During Negative Energy Balance In The Obese, Thomas J. Tittelbach, Richard D. Mattes, Randall J. Gretebeck

College of Nursing Faculty Research and Publications

Objective: To assess the effects of negative energy balance on the metabolic response of a meal containing either glucose or fructose as the primary source of carbohydrate after exercise in obese individuals in energy balance, or negative energy balance.

Research Methods and Procedures: Fourteen adults with mean body mass index (BMI) 30.3 ± 1 kg/m², age 26 ± 2 years, and weight 93.5 ± 5.4 kg, adhered to an energy‐balanced (EB) or a negative energy‐balanced (NEB) diet for 6 days. On Day 7, subjects exercised at 70% VO_2peak for 40 minutes then consumed either high glucose …

Integrating Patient Safety Into Curriculum: The Purdue University Doctor Of Nursing Practice, Kathryn Rapala, Julie Cowan Novak

College of Nursing Faculty Research and Publications

The Institute of Medicine (IOM) reports Crossing the Quality Chasm: A New Health System for the 21st Century (2001) and To Err Is Human (2000) were tipping points in patient safety. The public reaction to these reports was significant. People paid attention. The report energized patient safety research and applications, prompting much needed research and evidence-based practice. It is difficult to find a patient safety article that does not reference at least one of these landmark reports.

These early IOM reports were a catalyst for the development of the Doctor of Nursing Practice degree at Purdue University. Subsequent healthcare summits …

Efficacy Of Cervical Mucus Observations Plus Electronic Hormonal Fertility Monitoring As A Method Of Natural Family Planning, Richard Fehring, Mary Schneider, Kathleen Raviele, Mary L. Barron

College of Nursing Faculty Research and Publications

Objective: To determine the effectiveness of an electronic hormonal fertility monitor plus cervical mucus monitoring to avoid pregnancy. Design: A 12-month prospective clinical efficacy trial. Setting and Participants: One hundred ninety five (195) women (mean age 29.8 years) seeking to avoid pregnancy with a natural method at 5 clinical sites in 4 cities. Intervention: Each participant was taught to track fertility by self-observation of cervical mucus and an electronic monitor that measures urinary levels of estrone-3-glucuronide and luteinizing hormone. Main Outcome Measures: Correct-and typical-use unintended pregnancy rates. Results: There were a total of 26 unintended pregnancies, 3 with correct use. …

Β-N-Methylamino-L-Alanine Enhances Neurotoxicity Through Multiple Mechanisms, Doug Lobner, Peachy Mae T. Piana, Abed K. Salous, Robert W. Peoples

Biomedical Sciences Faculty Research and Publications

The idea that the environmental toxin β-N-methylamino-l-alanine (BMAA) is involved in neurodegenerative diseases on Guam has risen and fallen over the years. The theory has gained greater interest with recent reports that BMAA is biomagnified, is widely distributed around the planet, and is present in the brains of Alzheimer's patients in Canada. We provide two important new findings. First, we show that BMAA at concentrations as low as 10 μM can potentiate neuronal injury induced by other insults. This is the first evidence that BMAA at concentrations below the mM range can enhance death of cortical neurons and …

Advocacy: The Tool Of A Hero, Kathryn Schroeter

College of Nursing Faculty Research and Publications

No abstract provided.

Effects Of Teaching Resourcefulness And Acceptance On Affect, Behavior, And Cognition Of Chronically Ill Elders, Jaclene Zauszniewski, Abir K. Bekhet, Chien-Yu Lai, Patricia Mcdonald, Carol M. Musil

College of Nursing Faculty Research and Publications

This clinical trial examined changes in affect, behavior, and cognition in 176 chronically ill elders who were randomly assigned to Resourcefulness Training (RT), Acceptance Training (AT), or Diversional Activities (DA). The RT group improved on affect (t(1,42) = 4.91; p < .001) and cognition (t(1,42) = 2.03; p< .05) and these effects lasted 12 weeks. The AT group improved on affect (t(1,36) = 3.08; p < .01), but this improvement did not persist. The RT and AT groups both showed positive behavior changes after six weeks. There were no changes in the DA group. The findings suggest that teaching elders resourcefulness and acceptance of chronic conditions may promote healthy functioning and improve their quality of life.

The Influence Of Religiosity On Contraceptive Use And Abortion In The United States, Richard Fehring, Jennifer Ohlendorf

College of Nursing Faculty Research and Publications

The CDC has conducted the National Survey of Family Growth (NSFG) every three to seven years between 1973 and 2002 to describe contraceptive use among women in the U.S. The data from these surveys are available to researchers to examine trends in contraceptive use and sexual behaviors. The purpose of this study was to examine data from the 2002 NSFG in order to determine the influence of religiosity on abortion and abortifacient contraceptive use, i.e., the use of the oral contraceptive pill (OC), the injected hormone Depoprovera (IC), the IUD, and hormonal emergency contraception (EC), among American women between the …

Perceived Readiness For Hospital Discharge In Adult Medical-Surgical Patients, Marianne E. Weiss, Linda B. Piacentine, Lisa Lokken, Janice Ancona, Joanne Archer, Susan Gresser, Sue Holmes Baird, Sally Toman, Anne Toy, Teri Vega-Stromberg

College of Nursing Faculty Research and Publications

Purpose: The purpose of the study was to identify predictors and outcomes of adult medical-surgical patients' perceptions of their readiness for hospital discharge.

Design: A correlational, prospective, longitudinal design with path analyses was used to explore relationships among transition theory-related variables.

Setting: Midwestern tertiary medical center.

Sample: 147 adult medical-surgical patients.

Methods: Predictor variables included patient characteristics, hospitalization factors, and nursing practices that were measured prior to hospital discharge using a study enrollment form, the Quality of Discharge Teaching Scale, and the Care Coordination Scale. Discharge readiness was measured using the Readiness for Hospital Discharge Scale administered within 4 hours …

Legislation And Policy Development, Kathryn Shisler Harrod, Lisa Hanson, Kathryn Osborne

College of Nursing Faculty Research and Publications

No abstract provided.

The Bath Environment, The Bathing Task, And The Older Adult: A Review And Future Directions For Bathing Disability Research, Susan L. Murphy, Kimberlee A. Gretebeck, Neil B. Alexander

College of Nursing Faculty Research and Publications

Purpose. To review existing research studies to identify optimal intervention strategies for remediation and prevention of bathing disability and future directions for bathing disability research.

Method. Bathing disability, defined as problems in the interaction between the person and the environment during bathing performance, is examined through a comprehensive, narrative literature review.

Results. Most studies focus on the relationship between the person and the environment (such as assistive device use and environmental hazards) while fewer studies focus on analysis of the bathing task or the interaction of the person, environment, and bathing task. Of intervention studies, most do …

Continued Professional Competence And Portfolios, Michelle Byrne, Teresa Delarose, Cecil A. King, Jane Stover Leske, Kathryn G. Sapnas, Kathryn Schroeter

College of Nursing Faculty Research and Publications

It is traditionally assumed that licensure of healthcare professionals means that they are minimally competent. Many nursing specialty organizations offer examinations and other processes for certification, suggesting that certification is associated with continued competency. Can standardized examination for certification and continuing education for recertification ensure continued competency? Continuing education and testing provide a limited picture of an individual's knowledge and/or skill acquisition in a limited area at one point in time. However, portfolios promote critical thinking, self-assessment, and individual accountability. A portfolio is a portable mechanism for evaluating competencies that may otherwise be difficult to assess. This article summarizes some …