Medicine and Health Sciences Commons^™

Avatars: Bringing Case-Studies To Life, Rachel Ramsey, Cheryl Rockwell

Cheryl Lynn Rockwell

No abstract provided.

Secrets Of Successful Short Grant Applications, Patricia Groves, Susan Rawl, Mary Wurzbach, Nancy Fahrenwald, Marlene Cohen, Donna Mccarthy, Julie Zerwic, Barbara Given, Donna Algase, Gregory Alexander, Vicki Conn

Gregory S Alexander

Nursing doctoral programs prepare students for research-focused careers within academic settings. The purpose of this Editorial Board Special Article is to provide PhD students and advisors with suggestions for making the most of their doctoral experience. Editorial Board members provide their individual insights on the skills and attributes students must acquire during the course of their doctoral education in order to succeed. The authors provide practical tips and advice on how to excel in a PhD program, including how to select an advisor and a dissertation committee, the importance of attending conferences to increase visibility and develop a network of …

Nursing Graduates' Ability To Address Incivility: Kirkpatrick's Level-3 Evaluation, Cynthia Clark, Sara Ahten, Rosemary Macy

Sara M. Ahten

Background Addressing incivility in nursing education has an important twofold purpose, to increase civility within the nursing education experience and to lay the groundwork for creating cultures of civility in professional nursing practice. Given the serious impact of incivility, it is imperative to prepare students to foster civility in their nursing practice upon graduation. Methods In a previous article, the authors described how a classroom-centered, problem-based learning (PBL) scenario, simulating a nurse-to-nurse uncivil encounter, was used to assess student learning according to Level 1 and Level 2 of Kirkpatrick's Model of Evaluation. This subsequent article presents the findings of a …

Treatment-Associated Changes In Body Composition, Health Behaviors, And Mood As Predictors Of Change In Body Satisfaction In Obese Women, James Annesi, Gisele Tennant, Nicole Mareno

Nicole Mareno

Patient Characteristics Associated With False Arrhythmia Alarms In Intensive Care [Abstract 19717], Patricia Harris, Jessica K. Zègre-Hemsey, Tina Mammone, Daniel Schindler, Xiao Hu, Yong Bai, Steven M. Paul, Barbara J. Drew

Patricia Harris

Parental Perception Of Healthy Eating And Physical Activity: Results From A Preliminary Photovoice Study, Nicole Mareno

Nicole Mareno

Proactive Policy Planning For Unexpected Student Distress During Simulation, Janet Willhaus, Mitzi Averette, Michael Gates, Janet Jackson, Susan Windnagel

Janet Willhaus

Stress reactions resulting from participation in simulation scenarios are seldom reported in the literature but are often informally discussed by simulation faculty seeking guidance to manage the occurrences. Although simulation faculty members often describe events where a single learner’s distress interrupted learning for all involved, no examples of policies to plan for this kind of occurrence are available in the simulation literature. This article offers suggested best practices for identifying and assisting students who exhibit uncontrolled stress in simulation and includes a sample policy for planning.

Social Support To Empower Parents (Step): An Intervention For Parents Of Young Children Newly Diagnosed With Type 1 Diabetes, Susan Sullivan-Bolyai, Carol Bova, Katherine Leung, Allison Trudeau, Mary Lee, Philip Gruppuso

Mary M. Lee

PURPOSE: The purpose of this study was to test the efficacy of a social support intervention with parents of children <13 years old newly diagnosed with type 1 diabetes mellitus>(T1DM).

METHODS: For this randomized, controlled clinical trial, 10 parent mentors of children diagnosed with T1DM >or=1 year and 60 parent participants were recruited from 2 pediatric diabetes centers. Mentors were trained to provide social support (home visits and phone calls) for 12 months to families in the experimental arm (32 mothers). Control group parents (28 mothers) received the phone number of an experienced parent (not trained to give social support) to call as needed.

FINDINGS: Mothers in the experimental …

Parent Mentor Perspectives On Providing Social Support To Empower Parents, Susan Sullivan-Bolyai, Mary Lee

Mary M. Lee

PURPOSE: To describe the experience of parent mentors providing a social support intervention to parents of children < 13 years old newly diagnosed with type 1 diabetes mellitus.

METHODS: Qualitative descriptive interviews were conducted with 6 parent mentors (all mothers) who provided social support to 34 mothers and 19 fathers of children newly diagnosed with type 1 diabetes mellitus over a 12-month period. The mentors were trained to provide informational, affirmational, and emotional social support through home visits, phone calls, and/or e-mail. Qualitative content analysis was used to identify themes guided by the Ireys social support framework.

FINDINGS: The parent mentors described support activities that could be categorized into the 3 …

Subtypes Of Potentially Inappropriate Medications In Older Chinese-Americans During Care Transitions: Cross Sectional Retrospective Study, Sophia Hu, Janice Foust, Marie Boltz, Elizabeth Capezuti

Janice Foust

BACKGROUND: The number of Chinese Americans is growing and nearly 20% of older Chinese-American home care patients have at least one potentially inappropriate medications (PIMs) prescribed at hospital discharge. Further examination of PIMs during care transition is warranted, especially among older Chinese-Americans.

OBJECTIVES: To describe, during care transitions from hospital to home care: (i) the subtypes of PIMs, (ii) the difference of PIM prevalence prescribed at hospital discharge as compared to home care admission, (iii) the relationship between subtypes of PIMs, and (iv) issues affecting medication reconciliation among older Chinese-Americans.

METHODS: This cross-sectional, retrospective study was conducted in a large …

Integrating Palliative Care Content Into A New Undergraduate Nursing Curriculum: The University Of Notre Dame, Australia – Sydney Experience, John M. Ramjan, Catherine M. Costa, Louise D. Hickman, Margot Kearns, Jane L. Phillips

Catherine M Costa

Background: The majority of society's deaths occur in a health care environment. Regardless of whether a death occurs in acute care, hospice, residential aged care or community settings, nurses are the health professionals that will spend the largest proportion of time with the patient who has a terminal condition and their families. As few nurses have specialist palliative care qualifications it is essential that nursing education prepares graduates to achieve the core capabilities required for the delivery of best evidenced based palliative care. This reality makes the integration of palliative care content into the undergraduate nursing curricula an important priority. …

How To Implement The Electronic Health Record In Undergraduate Nursing Education, Carol Sternberger, Linda Meyer, Tammy Toscos

Carol S Sternberger

Information literacy, evidence-based practice (EBP), and informatics are fundamental to delivering culturally competent, safe patient care. Yet most nursing schools continue to educate students in traditional ways; only a minority integrate high-fidelity simulations, require evidence-based literature to support nursing interventions, identify the five core competencies for healthcare professions delineated by the Institute of Medicine (IOM), and incorporate the electronic health record (EHR) to stimulate critical thinking and decision making. The Health Information Technology Act (2009) requires all healthcare facilities to fully adopt EHRs by 2014. This will change how nurses practice, underscoring the importance of teaching students about informatics and …

How To Implement The Electronic Health Record In Undergraduate Nursing Education, Carol Sternberger, Linda Meyer, Tammy Toscos

Tammy R Toscos

Information literacy, evidence-based practice (EBP), and informatics are fundamental to delivering culturally competent, safe patient care. Yet most nursing schools continue to educate students in traditional ways; only a minority integrate high-fidelity simulations, require evidence-based literature to support nursing interventions, identify the five core competencies for healthcare professions delineated by the Institute of Medicine (IOM), and incorporate the electronic health record (EHR) to stimulate critical thinking and decision making. The Health Information Technology Act (2009) requires all healthcare facilities to fully adopt EHRs by 2014. This will change how nurses practice, underscoring the importance of teaching students about informatics and …

The Effect Of Curricular Sequencing Of Human Patient Simulation Learning Experiences On Students’ Self-Perceptions Of Clinical Reasoning Abilities, Rebecca Jensen

Rebecca S Jensen

It is unknown whether timing of human patient simulation (HPS) in a semester, demographic (age, gender, and ethnicity), and situational (type of program and previous baccalaureate degree and experience in healthcare) variables affects students‘ perceptions of their clinical reasoning abilities. Nursing students were divided into two groups, mid and end of semester HPS experiences. Students‘ perceptions of clinical reasoning abilities were measured at Baseline (beginning of semester) and Time 2 (end of semester), along with demographic and situational variables. Dependent variable was Difference scores where Baseline scores were subtracted from Time 2 scores to reveal changes in students‘ perceptions of …

Student Evaluations Of Interprofessional Simulation, Rebecca Jensen, Deborah Poling

Rebecca S Jensen

Statement of problem While the 2010 report “The Future of Nursing: Leading Change, Advancing Health” proposes that nurses work collaboratively with other health care professionals, relatively little has been published on the use of simulation to achieve this goal in nursing and other disciplines. Student ratings of and interprofessional simulation and its effect on collaboration with other disciplines will provide valuable information on ways to improve interprofessional simulations.

Hypotheses

1. Students’ self-ratings of confidence for patient care will improve from beginning to end of the simulation.
2. Students’ self-rating of collaborative learning will improve from beginning to end of the simulation.
3. Students …

Residents' Descriptions Of What Makes Meaning In Nursing Homes, Nila Reimer

Nila Reimer

A move toward care of residents in nursing homes where they are respected and heard is finally emerging. While a focus on individualizing care for residents is now recognized, research reveals there remains a lack of understanding about what befitting care is for these residents. Two common strategies used in an attempt to determine what is meaningful for residents in nursing homes include measuring their responses to satisfaction surveys and implementing person-centered care. Although satisfaction surveys and approaches of integrating person-centered care have served as valuable methods to measure nursing home quality, these strategies have not revealed what residents consider …

Struggling To Maintain Occupation While Dealing With Risk: The Experiences Of Older Adults With Low Vision, Debbie Rudman, Suzanne Huot, Lisa Klinger, Beverly Leipert, Marlee Spafford

Lisa Klinger

The primary aim of this descriptive phenomenological study was to describe the core aspects of living with low vision in later life among older adults (aged 70 years and older) who had not accessed rehabilitation services for low vision. Thirty-four older adults from urban and rural areas participated in a semi-structured qualitative interview and a telephone follow-up. Drawing on an occupational science perspective and using Giorgi and Giorgi’s (2003) method of analysis, the essence of the experience of living with low vision was identified as struggling to maintain valued and necessary occupations while dealing with risk. Additional themes included enhanced …

When Self-Presentation Trumps Access: Why Older Adults With Low Vision Go Without Low Vision Services, Marlee Spafford, Debbie Rudman, Beverly Leipert, Lisa Klinger, Suzanne Huot

Lisa Klinger

Reasons were sought for low-vision service nonuse in a group of Canadian seniors with self-reported low vision. Audio-recorded semistructured interviews were completed with 34 seniors with low vision: age range (70 to 94 years; mean: 82 years); 16 urban dwellers (12 women); 18 rural dwellers (14 women). Qualitative content analysis and template analytic techniques were applied to transcriptions. Informant nonuse of low-vision services involved: insufficient knowledge, managing for now, and practitioner behavior (inadequate rehabilitation education and management). Underlying seniors’ attitudes that shaped their self-presentation and service nonuse included a strong need for independence, a contextualization of vision loss relative to …

An Early-Phase Translation Study Of The Ways To Enhance Children's Activity And Nutrition (We Can!) Programme For Low-Income Families, Nicole Mareno

Nicole Mareno

Family Presence During Trauma Resuscitation: Ready For Primetime?, Mae Pasquale, Michael Pasquale, Leslie Baga, Sherrine Eid, Jane Leske

Michael D Pasquale MD, FACS, FCCM

BACKGROUND: The concept of family presence during trauma resuscitation (FPTR) remains controversial. Healthcare providers have expressed concern that resuscitation of severely injured trauma patients is inappropriate for family members as they may have psychologic distress, disrupt resuscitative efforts, or misinterpret provider actions, which can ultimately impact satisfaction with care. The minimal evidence that exists is descriptive or anecdotal.

METHODS: Using a previously developed FPTR protocol, a prospective, comparative study assessing 50 adult family members, who were present (n = 25) or not present (n = 25) with their severely injured adult family member during resuscitation, was conducted. Family member anxiety …

Decreasing Central Line–Associated Bloodstream Infections In The Non-Icu Population, Alma Medina, Teresa Serratt, Michele Pelter, Tami Brancamp

Teresa Serratt

Central line–associated bloodstream infection (CLABSI) rates above the national average precipitated a quality improvement project aimed at reducing this trend. We implemented daily chlorhexidine bathing and used 4 strategies to promote a change in practice and culture in our medical/surgical units. These strategies include the following: (1) staff education, (2) leadership support, (3) resource availability, and (4) increased awareness and accountability. Since implementing these strategies, there has been a significant reduction in CLABSI rates in the medical/surgical units.

Analysis Of Patient Alarms In Adult Intensive Care Units, Patricia Harris

Patricia Harris

Long Term Stemi Outcome Data Acquisition, Tina Ruhf Rn, Orlando E. Rivera Rn, Nainesh C. Patel Md, Bruce Feldman Do, J Patrick Kleaveland Md, Mercedes Rios-Scott Bs, Kevin T. Whalen Bs, Susan Bernhard Bs, David A. Cox Md

Bruce A. Feldman DO

No abstract provided.

Differences In Emergency Physician And Nursing Tobacco And Alcohol Screening Patterns, Marna Greenberg, Aaron Love, J Li, Gina Sierzega, Charlotte Buckenmyer, Matthew Brice, Michael Weinstock

Marna R Greenberg DO, MPH, FACEP

No abstract provided.

Enforcement Of Hospital Nurse Staffing Regulations Across The United States: Progress Or Stalemate?, Teresa Serratt, Suzanne Meyer, Susan Chapman

Teresa Serratt

Enactment of hospital nurse staffing regulations was brought about by changes in the U.S. health care system that resulted in large-scale reductions in nurse staffing. These reductions came at a time when studies were highlighting inadequacies in care that caused negative patient outcomes and raised questions about the safety of hospitalized patients. Nurse staffing regulations were enacted to ensure that adequate numbers of nurses were available to provide high-quality and safe care. Although these regulations represent progress toward addressing staffing inadequacies, enforcement language is absent or weak and compliance data are either not collected or difficult to access. Explicit and …

Professionalism And Social Networking: Can Patients, Physicians, Nurses, And Supervisors All Be ‘Friends’?, Joy Peluchette, Katherine Karl, Alberto Coustasse, Philip Rutsohn, Dennis Emmett

Dennis Emmett

This study examines the use of Facebook by certified nurse anesthetist students. Our results showed that, contrary to expectations, most were neutral about faculty, physicians, and supervisors viewing their Facebook profiles but expressed concerns about patients seeing such information. Many (30%) of our respondents had observed unprofessional content posted on the social network sites of their classmates including: intoxication or substance abuse, profanity, sexually suggestive photos or comments, and negative work-related comments. A vast majority indicated they would accept a ‘friend’ request from their supervisor and a physician but not a patient. Surprisingly, about 40% had initiated a ‘friend’ request …

Emerging Care Coordination Models For Achieving Quality And Safety Outcomes For Patients And Families, Sheila Haas, Phd, Np, Faan

Sheila A. Haas, PhD, NP, FAAN

No abstract provided.

Headlines From The Nln: Nln-Jonas Scholars Present On Doctoral Education And Preparation For Teaching At National Meeting, Janet Willhaus

Janet Willhaus

In October 2013, the 2012–2013 cohort of NLN-Jonas Scholars presented findings from a research project conducted in preparation for the 2013 AACN Student Policy Summit held in Washington, DC. The five scholars asked: “How well are doctoral programs preparing nurses for the faculty roles that will be needed?”

Introduction, Sheila Haas, Phd, Np, Faan

Sheila A. Haas, PhD, NP, FAAN

No abstract provided.

Nursing Process, Sheila Haas, Phd, Np, Faan

Sheila A. Haas, PhD, NP, FAAN

No abstract provided.