Medicine and Health Sciences Commons^™

Providence Nurses: Supporting Health For A Better World, Sylvain Trepanier

2021 Providence Nurse Research Conference

Keynote speech.

Incompatibility Group I1 (Inci1) Plasmids: Their Genetics, Biology, And Public Health Relevance, Steven L. Foley, Pravin R. Kaldhone, Steven C. Ricke, Jing Han

United States Food and Drug Administration: Publications

Bacterial plasmids are extrachromosomal genetic elements that often carry antimicrobial resistance (AMR) genes and genes encoding increased virulence and can be transmissible among bacteria by conjugation. One key group of plasmids is the incompatibility group I1 (IncI1) plasmids, which have been isolated from multiple Enterobacteriaceae of food animal origin and clinically ill human patients. The IncI group of plasmids were initially characterized due to their sensitivity to the filamentous bacteriophage If1. Two prototypical IncI1 plasmids, R64 and pColIb-P9, have been extensively studied, and the plasmids consist of unique regions associated with plasmid replication, plasmid stability/maintenance, transfer machinery apparatus, single-stranded DNA …

Inpatient Registered Nursing Use Of Evidence-Based Practice Tools To Manage Withdrawal Symptoms Among Adults Hospitalized With Acute Alcohol Or Opioid Withdrawal: A Needs Assessment, Julie Baker, Teresa Bigand

2021 Providence Nurse Research Conference

Background: Patients who suffer from alcohol or opioid use disorder face unpleasant and potentially life-threatening complications related to substance withdrawal when hospitalized. Evidence suggests that the use of a standardized tool to rate withdrawal severity and direct treatment, including score-driven medication dosing to alleviate withdrawal, leads to improved clinical outcomes. However, clinical nurses working in the inpatient medical-surgical specialty in a large medical center questioned whether all nurses were effectively using evidence-based practice (EBP) tools to assess and treat alcohol or opiate withdrawal severity.

Purpose/Aims: To understand nursing practice at one hospital regarding use of ministry-specific evidence-based practice tools …

The Benefits Of Fasting For Patients Who Are Immunocompromised And Undergoing Cancer Treatment: An Integrative Research Review, Lori Burnett

2021 Providence Nurse Research Conference

Background: In the past several decades, remarkable advances in the treatment of cancer have been made. However, a gap remains regarding best practice strategies to reduce the amount of short and long-term side effects and adverse or emergent events related to cancer treatment that may negatively impact patient quality of life. Recent evidence suggests that if patients undergoing cancer treatment fast for a period of time, they may experience reduced chemotherapy-related side effects and enhanced immune potential. Weight loss and malnutrition associated with cancer treatments highlight the importance of evidence appraisal associated with fasting prior to recommending this practice …

The Impact Of Participation In A Mentored Cycling Program, Dana Bolduc

Doctor of Nursing Practice Scholarly Projects

Physical activity (PA) has the potential to have a positive impact on mental health conditions such as anxiety, depression and self-esteem. In particular, this project focused on self-esteem because low self-esteem can lead to increased risk of developing anxiety or depression. In contrast, high self-esteem can have a protective effect against anxiety and depression. Group PA programs combined with mentorship have been shown to build relationships and enhance self-esteem. The purpose of this DNP project was to determine the impact of participation in a rural midwestern, mentored cycling program on self-esteem in an at-risk adolescent population. Self-esteem was measured using …

2021-06-01_Michiganoverview_Covidstats, Michigan Department Of Health & Human Services

Cumulative Michigan COVID-19 Data

The COVID Overview page was obtained from Michigan's main COVID-19 page: https:/www.michigan.gov/coronavirus/0,9753,7-406-98163-520743--,00.html.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled. It is updated Monday - Saturday.
This report is provisional and subject to change. City of Detroit and Wayne County are reported separately. MDHHS began tracking probable cases April 5, 2020. FCI indicates federal correctional institute. MDOC indicates Michigan Department of Corrections. Diagnostic tests, including nucleic acid amplification/real-time polymerase chain reaction (NAAT/RT-PCR) and rapid virus antigen detection point of …

Increasing Nursing Leaderships’ Knowledge And Support Of Nursing Research, Marietta Sperry

2021 Providence Nurse Research Conference

Background: The lack of leadership support and research knowledge are reported barriers nurses experience in conducting hospital-based research.

Purpose/aims: The purpose was to determine if nursing leadership's knowledge and support of nursing research could be improved through an interactive intervention and to identify their research needs.

Methods/Approach: Design: A translational research study (Doctor of Nursing Practice project) utilizing the Barriers to Nurses' Participation in Research Questionnaire was conducted. Sample: The sample consisted of an even distribution of managers/assistant managers, charge nurses, and directors/chief nursing operating officers. Of the 300 email invitations, 17 nursing leaders completed the pre-test and eight completed …

Improving Discharge Times And Patient Flow, Robyn Song, Miguel Ros, August Maggio, Kim Nicole Rossillo, Jason Caberto, Soudi Bogert, Stephanie Floriano, Caroline Brandenburger, Darleen Nguyen, Jacoba Walsh, Richard Urgel, Tanya Lenhardt, Joan Aquino

2021 Providence Nurse Research Conference

Background: Delays in discharging patients can impact hospital and emergency department (ED) throughput. The complex discharge process makes it difficult to ensure that patients are set up for successful post-hospital care regimens. The focus of this project was to improve discharge times and flow throughout the hospital to align with national standards of providing the right care, in the right place, at the right time. To improve access to beds, The Joint Commission stipulates that hospitals have processes in place to support patient flow throughout the hospital and to use data to drive improvements in patient flow. Failure to regulate …

Do Compassion Rounds Improve Professional Quality Of Life For Nurses ?, Deepti Bhatnagar, Martha E.F. Highfield

2021 Providence Nurse Research Conference

Background: When RN worklife quality is positive, nurse and patient outcomes are positive (e.g, RN retention and patient satisfaction), and when worklife quality is negative, outcomes are negative (e.g., RN disengagement and errors).Yet professional quality of life(QOL)among RNs in progressive care units (PCUs) is undocumented. Stamm’s framework of compassion satisfaction and fatigue guided this study. Purpose: The purpose was to test the effect of supportive groups on professional quality of life. The hypothesis: Compassion Rounds (CR) will improve compassion satisfaction and reduce compassion fatigue among PCU RNs. Methods/ design: Using a quasi-experimental design we measured RNs’ professional QOL once …

Feasibility Of Launching A Multi-State Nursing Health Study In The Midst Of The Covid-19 Pandemic, Ross Bindler, Shaekira Niehuser, Trisha Saul, Teresa Bigand

2021 Providence Nurse Research Conference

Background: The Quadruple Aim recommends that healthcare institutions support clinician well-being as a strategy to improve patient and caregiver outcomes. During the COVID-19 global pandemic, Registered Nurses (RNs) working full-time, 12-hour shifts have reported increasing health concerns. Therefore, research documenting objective information on preventive health habits of RN’s is needed to support nursing well-being. Yet, conducting bio-behavioral research in this population, especially during the pandemic, presents with unique challenges. Purpose: The purpose of this pilot study to assess the feasibility of collecting and evaluating health data from RNs working full-time, 12-hour shifts across the United States during the COVID-19 pandemic. …

Utilizing A Social Media Platform To Increase Participation In A Virtual Journal Club, Alex Bubica, Trisha Saul

2021 Providence Nurse Research Conference

Background: A virtual journal club (VJC) is a place where nurses can read, synthesize, and discuss research and evidence-based practice articles. There is a well-known time lag of disseminating this knowledge from bench to bedside. In 2016, a 300-bed community hospital constructed a VJC to educate nurses on the latest studies. In 2016 and 2017, this VJC was used via an intranet-based platform with little success. Main barriers included (1) no access outside of work and (2) difficulty following threads leading to in-cohesive interactions. In 2018, a website was created. This platform had one fatal flaw, a multistep verification process …

The Effect Of Covid-Related Changes In Diet, Exercise, Sleep Patterns, And Mood On Stress Levels Of Rns Who Work 12-Hour Shifts During The Pandemic, Amber Norman, Trisha Saul, Ross Bindler, Teresa Bigand

2021 Providence Nurse Research Conference

Background: Registered Nurses (RNs) working 12-hour shifts are regularly exposed to high stress situations which has intensified during the COVID-19 pandemic. Chronic stress exposure may lead to changes in health habits and impact sleep, exercise or diet, augmenting risk for adverse health outcomes and taking a negative emotional toll. While nursing staff educate patients on reducing stress and engaging in health promotion behaviors, there is little research on perceived stress and relationships to COVID-related changes in sleep, diet, exercise, and mood of nurses working full-time, 12-hour shifts during the pandemic.

Purpose: The purpose of this pilot study was to gain …

Hapi- Related Bipap In Dsu, Carmyle Seville, Angelica Taneca

2021 Providence Nurse Research Conference

Background: Most medical-device related pressure injuries develop when skin or underlying tissues are subjected to a sustained pressure or shear from medical devices. Dressings have shown substantial biomechanical effectiveness in alleviating facial tissue deformations and stresses by providing localized cushioning to the tissue at risk. Our units (DSU and SDU) provide for the monitoring and care of patients with moderate or potentially severe physiologic instability requiring technical support but not necessarily artificial support such as patients on BIPAP management. In the 4 months (June-Sept 2019) before the project initiation, one patient per month had BIPAP related pressure injury.

Purpose: …

The Impact Of The Implementation Of Code-Blue Nurse Champions For Cardiac Arrest, Beverly Holland, Sherri Mendelson

2021 Providence Nurse Research Conference

Background: Delayed recognition of in-hospital cardiac arrest (IHCA) events can affect survival rates. At the project site, there was a failure to rescue in the medical-surgical population. Key elements of success include staff identifying at-risk patients combined with early interventions to prevent deterioration of cardiac arrest. Survival and favorable outcomes for IHCA (i.e., neurological sequelae) were shown to be highly dependent on several factors, such as a skilled resuscitation team, prompt initiation of cardiopulmonary resuscitation and defibrillation, and organizational structures to support resuscitation care; therefore, nurses are an integral part of an IHCA response.

Purpose / Aims: The purpose of …

How Much Is Too Much: Examining Fluid Responsiveness In Septic Patients, Natalie Kitago, Lak Tuong, Sarah Rosenberg

2021 Providence Nurse Research Conference

Background & Significance: The leading cause of death of critically ill patients is sepsis. The CDC reports that sepsis is estimated to be responsible for 1 of every 3-hospital deaths. Furthermore, in hospitals located in California for one large hospital system, a reported30.74% patients admitted to the ICU with sepsis died in the year 2017.

Purpose: The purpose of the study was to determine if utilizing non-invasive pulse contour technology (PCT) is a feasible intervention to manage fluid responsiveness and resuscitation specifically with septic patients in a community Intensive Care Unit in California. A secondary aim was to determine …

Blind Taste Testing: A Case Study Of An Emergency Room Rn With Covid-19 Anosmia & Hypogeusia (Loss Of Taste & Smell), Marietta Sperry, Kimberly Kohlieber

2021 Providence Nurse Research Conference

Background: Anosmia, or the loss of taste and smell, is an important symptom for nurses to screen for among patients, as this can result in a poor appetite which impairs healing. In the early stages of the COVID19 pandemic, anosmia was not a known symptom indicative of infection with the virus. Yet, one Registered Nurse who was working in an Emergency Room received a positive COVID test following a workplace exposure to the virus while wearing personal protective equipment, and began to complain of anosmia shortly thereafter. Because the anosmia persisted, his spouse conducted blind taste test on him …

Getting Back On Track With Cancer Prevention And Adolescent Immunizations, Sharon Humiston

Presentations

Objectives:

1.Explain why HPV vaccine is important enough to be routinely recommended for young people (i.e., HPV cancer prevention).

2. Give an HPV vaccination recommendation that is effective and succinct using the same way, same day approach to the introduction of HPV vaccine.

3. Answer the most frequently asked questions about HPV vaccine accurately and succinctly.

Commencement Program 2021 (School Of Nursing), Loma Linda University

Commencement Programs

CONTENTS

1 | Message from the President

2 | 2021 Events of Commencement

4 | University Administration

5 | Significance of Academic Regalia

6 | University History Highlights

8 | Criteria for Institutional Awards

10 | Loma Linda University Health and Loma Linda University Honorees

23 | The Program, The School Honorees, and The Speaker

25 | Candidates for Degrees

40 | Nurse's Pledge

The State Of Artificial Intelligence In Medical Imaging, Catalin Cristian Veghes

School of Professional Studies

This study explores the current state of Artificial Intelligence in medical imaging and provides an accessible assessment of how radiologists perceive the emerging technologies. Throughout the research, we analyze different aspects such as the adoption rate of Artificial Intelligence or the performance of state-of-the-art models, and we identify some of the significant barriers that prevent a wider adoption, such as the lack of collaboration between radiologists and computer scientists. Additionally, we provide a brief theoretical background that explains how deep learning works and how it can be helpful in medical imaging. We describe the architecture of a binary classifier in …

2021-06-01_Michigandaily_Covidmap, Michigan Department Of Health & Human Services

Daily Michigan COVID-19 Update

The "WHERE WE STAND WITH COVID-19" map was obtained from Michigan's main COVID-19 page: https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily at 3p.m., Monday - Saturday.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled.

The image contained a map, indicating total cases by county, and also provides statistics on Total Confirmed Cases, Total COVID-19 Deaths, Daily Confirmed Cases, and Daily COVID-19 Deaths. There …

2021-06-01_Michiganoverview_Covidcounts, Michigan Department Of Health & Human Services

Michigan COVID-19 Confirmed Cases by Date of Onset Data

Data was downloaded as an Excel spreadsheet which appeared in the Public Use Datasets section under the Cumulative Data link of Michigan's Coronavirus webpage, under the url https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173---,00.html.

Cases are aggregated by the date of onset of COVID-19 symptoms, if known, otherwise by laboratory specimen date if known, otherwise by case referral date. Deaths are aggregated by the date of death if known, otherwise by the last date of a change to the case status.

Exploring The Structural Relationships Between Course Design Factors, Learner Commitment, Self-Directed Learning, And Intentions For Further Learning In A Self-Paced Mooc, Dongho Kim, Eulho Jung, Meehyun Yoon, Yunjeong Chang, Sanghoon Park, Dongsim Kim, Fatih Demir

Public and Population Health Faculty Publications and Presentations

The open and massive characteristics of Massive Open Online Course (MOOC) lead to a lack of instructor presence, which potentially hinders learners' commitment and learning processes. As a result, the effectiveness of MOOCs is contingent upon the extent to which learners direct their own learning. However, learners' self-directed learning and commitment are largely influenced by course design factors due to lack of direct learner-instructor interactions. In order to address the current gap in the literature with regard to how course design factors influence learning processes and outcomes, this study investigated the relationships between MOOC design factors, learner commitment, self-directed learning, …

「認知障礙症照顧者的需要及社會支援」研究 = Study On The Needs And Social Support Of Caregivers For People With Dementia, Mun Yu, Vera Tang, Chak Kwan, Dickon Chan, Mei Ling Lee, Chak Lung Lam

APIAS Research Report 研究報告

香港認知障礙症(dementia)患者個案持續上升，他們大都在接受家庭成員的照顧。本研究旨在了解照顧者面對的困難及在福利服務制度以外獲得甚麼非正規支援(informal support)以協助他們應付有增無減的照顧工作。研究團隊以半結構性訪談(semi-structured interview)的方法，與18位非正規照顧者(informal caregivers)及20位服務提供者(service providers)進行深入訪談。研究發現照顧者面對的困難包括欠缺私人空間、因健康狀況差而難以獨自應付照顧工作、照顧開支帶來沉重的經濟負擔，以及照顧工作造成的心理及人際關係問題。研究結果顯示因應照顧者身處的人際網絡，他們獲得分別來自兄弟姊妹、子女、朋友、鄰里、教友、教會同工或大廈保安員提供不同的非正規支援。他們除了為照顧者提供情感支持外，也分擔了部份的照顧工作，讓照顧者得以「喘息」。部份人士更協助照顧者處理家居問題及應對突發事件，是獨力或年長的照顧者之重要支援者。研究亦發現，除了部份家人能夠分擔患者的起居生活照顧外，其他非正規支援的提供者只能提供周邊工作的支援、情感支持、以及危機應對。主要的起居生活照顧工作，仍由主要的照顧者承擔。研究團隊建議擴大照顧者津貼計劃的對象及提高津貼金額，並加強支援照顧者的服務，包括推行「長者社區保姆」及「家庭托顧」服務、加強宣傳及改善照顧者身心健康的支援服務及、為患者家人提供家庭輔導。此外，研究團隊建議提供培訓給支援人士及團體以增加對認知障礙症患者及其照顧者需要的知識及技巧，透過這些正規服務的承托，寶貴的社會資本可繼續累積及發揮社區互助精神。

2021-06-01_Michiganoverview_Covidlongtermcare, Michigan Department Of Health & Human Services

Michigan COVID-19 Long Term Care Data

The COVID Long Term Care Facilities page was obtained from Michigan's COVID-19 data page: https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173-526911--,00.html.

This report is created by the Michigan Department of Health & Human Services from data self-reported by long-term care facilities into EMResource. Data for all reporting facilities is posted weekly each Monday.

The information below represents COVID-19 data reported directly to MDHHS by licensed and operating Skilled Nursing, Home for the Aged and Adult Foster Care facilities (licensed to serve 13 or more individuals) in Michigan from January 1, 2020. All long-term care facilities additionally have an obligation to report COVID-positive residents and/or staff …

Progression Magazine, 2021 Summer, Coastal Carolina University

Progression Magazine

Magazine of the College of Science at Coastal Carolina University.

Water-Fat Magnetic Resonance Imaging Of Adipose Tissue Compartments In The Normal Third Trimester Fetus, Stephanie A Giza, Tianna L Koreman, Simran Sethi, Michael R Miller, Debbie A Penava, Genevieve D Eastabrook, Charles A Mckenzie, Barbra De Vrijer

Obstetrics & Gynaecology Publications

BACKGROUND: Assessment of fetal adipose tissue gives information about the future metabolic health of an individual, with evidence that the development of this tissue has regional heterogeneity.

OBJECTIVE: To assess differences in the proton density fat fraction (PDFF) between fetal adipose tissue compartments in the third trimester using water-fat magnetic resonance imaging (MRI).

MATERIALS AND METHODS: Water-fat MRI was performed in a 1.5-T scanner. Fetal adipose tissue was segmented into cheeks, thorax, abdomen, upper arms, forearms, thighs and lower legs. PDFF and R2* values were measured in each compartment.

RESULTS: Twenty-eight women with singleton pregnancies were imaged between 28 and …

The Time For Translation Of Mobile Brain And Body Imaging To People With Stroke Is Now, Brian Greeley, Grant Hanada, Lara A Boyd, Sue Peters

Physical Therapy Publications

No abstract provided.

Examining The Correlates Of Adolescent Food And Nutrition Knowledge, Rachel Brown, Jamie A. Seabrook, Saverio Stranges, Andrew F. Clark, Jess Haines, Colleen O’Connor, Sean Doherty, Jason A. Gilliland

Paediatrics Publications

Food literacy is a set of skills and knowledge that are integral to diet. It is common among teenagers to not have basic food literacy skills needed to consume a healthy diet. This study examined: (1) the current state of food and nutrition knowledge among adolescents 13–19 years of age in the census metropolitan area of London, ON, Canada; and (2) correlates of food knowledge and nutrition knowledge among adolescents. Data for this study were drawn from baseline youth and parent survey data collected from a larger population health intervention study. Statistical analysis of the survey data indicates that higher …

Translating Developmental Origins Of Health And Disease In Practice: Health Care Providers' Perspectives., Monica L Molinaro, Marilyn Evans, Timothy Regnault, Barbra De Vrijer

Paediatrics Publications

Currently, there is limited knowledge on how health care providers perceive and understand the Developmental Origins of Health and Disease (DOHaD), which may impact how they inform patients and their families throughout the perinatal period. This qualitative descriptive study explored if and how health care providers counsel on in utero programming and future health outcomes with parents, both preconception and during pregnancy. One-on-one, semi-structured interviews were conducted with 23 health care providers from varying health disciplines including obstetrics and gynaecology, midwifery, paediatrics, endocrinology and internal medicine. Audiotaped interviews were transcribed verbatim and analysed using inductive thematic analysis. Three themes were …

Producing Precarity: The Individualization Of Later Life Unemployment Within Employment Support Provision, Debbie Rudman, Rebecca Aldrich

Occupational Therapy Publications

There have been marked policy shifts within many nations towards ‘extended work lives’, with such shifts often underpinned by an assumption that individual aging citizens can make the responsible choice to prolong work and thereby avoid dependency on the state. However, possibilities for extended work lives are inequitably distributed, and older workers who become unemployed often face prolonged unemployment and barriers to obtaining sustainable employment. Drawing on findings from an ethnographic study addressing the negotiation of long-term unemployment in two North American cities, this article attends to how jobseekers aged 50 and older, employment support service providers, and organizational stakeholders …