Medicine and Health Sciences Commons^™

Employing Strategies To Increase Ebp Competency In Frontline Nurses While Aligning Nursing Skills With Current Evidence: A Quality Improvement Project, Stacey Spradling, Jamie Roney

2022 Providence Nurse Research Conference

Background: Clinical nurses are required to demonstrate expertise for diverse patient conditions while balancing efforts to improve both staff satisfaction and clinical outcomes. Nurse leaders must implement and measure the effectiveness of strategies to empower nurses to maintain clinical competence for themselves and their peers to ensure the highest quality of evidence-based care is delivered at the earliest patient touchpoints reliably and consistently.

Purpose: The purpose of this quality improvement project was to engage direct care nurses as skills “champions” to improve the clinical skills of nurses working in a resource pool in a large urban hospital.

Methods/Approach: Clinical …

Converting Clinical Orientation Materials From Paper To Electronic: A Quality Improvement Project, Megan Bowles, Abby Lust, Teresa Bigand

2022 Providence Nurse Research Conference

Background:

In one region including 4 hospitals, acute care nurses historically met with professional development practitioners (PDP) and received binders containing printed, specialty-specific policies and a competency checklist (required to be signed and returned to the nurse leader) upon new hire or transfer. Creating physical orientation packets is costly, time-consuming, and restricts the ability to share appropriate orientation materials in the event of a PDP sick call. Real-time communication between the orientee, preceptor, PDP, and nurse leader regarding status of the competency checklist cannot occur with a physical binder. Providing electronic onboarding materials is a potential solution.

Purpose:

To …

The Development Of Maternal Medication Assisted Treatment Learning Modules, Katie Nadalsky, Rebecca Penders

2022 Providence Nurse Research Conference

No abstract provided.

High Dose Opioid Administration For Adults Hospitalized With Acute Pancreatitis, Sharaya Hundeby, Brenda Senger, Teresa Bigand

2022 Providence Nurse Research Conference

No abstract provided.

Improving Icu Liberation Bundle Documentation, Arianna Barnes

2022 Providence Nurse Research Conference

No abstract provided.

Nurse-Led Screening, Brief Intervention, And Referral To Treatment (Sbirt) For Patients With Alcohol Use Disorder (Aud) In An Inpatient Setting, Angela Winter, Sandra Benavides-Vaello

2022 Providence Nurse Research Conference

No abstract provided.

Medication Administration Error Reporting And Just Culture: Ana And Nln Perspectives, Venisa Morgan, Janice Miles

2022 Providence Nurse Research Conference

Background: Former Vanderbilt University Medical Center nurse, RaDonda Vought, was charged with criminally negligent homicide in March 2022 for a fatal drug error. Ms. Vought’s license was revoked and she was sentenced to three years of probation.

Purpose/aim: This poster presentation aims to inform attendants of the ethical principles involved in medication administration error reporting and the concepts of a Just Culture. This poster also aims to inform attendants of the American Nurses Association’s (ANA’s) and National League for Nursing’s (NLN’s) perspectives on the RaDonda Vought case, outcomes, error reporting, and Just Culture.

Methods/Approach: A search was completed for the …

Identifying Skin Integrity Issues In The Post Anesthesia Care Unit: A Qualitative Improvement Project, Lori Patten

2022 Providence Nurse Research Conference

No abstract provided.

Will Apfel Score Awareness Among Caregivers Improve Postoperative Nausea And Vomiting (Ponv) Incidence And Management In Day Surgery?, Leni Alejo, Cherry De Guia, Cassandra Luck-Bird, Cynthia Rodriguez, Lilibeth Paloso, Gillian Ramirez, Deborah Graham

2022 Providence Nurse Research Conference

Background: Evidence supports Apfel Simplified Risk Score (SRS) as being effective in predicting postoperative nausea and vomiting (PONV) in patients following general anesthesia. Raising awareness of a person’s risk for PONV allows for prescription of antiemetics based on the Apfel SRS. Clinical Practice Guidelines (CPGs) for the management of PONV highlight first identifying patients’ risk to better manage anesthesia side effects. A team of nurses working in a tertiary hospital in Texas led a project using the Apfel SRS to improve PONV management.

Purpose: To raise awareness of patients' PONV risk perioperatively to improve patient outcomes of PONV events, prophylactic …

Assessment Of Trauma-Informed Care Knowledge Among Caregivers In An Inpatient Mental Health Unit, Katie Rhea, Loni Conley, Jeremy Williams, Kathryn Wiltfong, Teresa Bigand

2022 Providence Nurse Research Conference

Background: Research suggests exposure to traumatic events is extremely common. Furthermore, risk of developing chronic health conditions or engaging harmful behaviors such as substance use later in life increases with more frequent exposure to traumatic events, especially during childhood. Best evidence recommends delivery of health care using a Trauma Informed Care (TIC) approach to improve outcomes such as anxiety or depression. This care approach guides healthcare providers on interactions with patients centered on the tenets of (1) safety, (2) trustworthiness, (3) peer support, (4) collaboration, (5) empowerment and choice, and (6) cultural, historical, and sex issues. On one inpatient …

From Imaging To Treatment: Collaboration Optimizes Thoracic Oncology Care, Lauri Ledbeter, Kim Ward, Jana Jensen, Rebekah Hart

2022 Providence Nurse Research Conference

References

Cone, EB., Marchese, M., & Paciotti, M., Nguyen, D., Nabi, J., Cole, A., Molina, G., Molina, R., Minami, C., Mucci, L., Kibel, A. Trinha, Q. (2020). Assessment of time-to-treatment initiation and survival in a cohort of patients with common cancers. JAMA Network Open, 3(12), e2030072. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2774101

Global Cancer Observatory. (2020, December). Cancer Today: Lung. World Health Organization: International Agency for Research on Cancer. https://gco.iarc.fr/today/data/factsheets/cancers/15-Lung-fact-sheet.pdf

Hall, H., Tocock, A., Burdett, S., Fisher, D., Ricketts, W., Robson, J., Round, T., Gorolay, S., MacArthur, E., Chung, D., Janes, S., Peake, M., & Navani, N.(2021). Association between time-to-treatment and outcomes …

Podium Presentation: Differences In Exercise Patterns Among Day And Night Shift Nurses During Covid-19 Surges, Randy Sanoff, Teresa Bigand, Elena Crooks, Katie Carroll, Mary Halabi

2022 Providence Nurse Research Conference

Background: Registered nurses (RN) working in acute-care hospitals during the Covid-19 pandemic reported unprecedented stress. Walking between 7000-10,000 steps each day offers positive benefits such as improved mood, reduced stress, and reduction in overall mortality risk. Additionally, the American College of Sports Medicine’s (ACSM) Physical Activity Guidelines recommends adults should engage in 75 -150 minutes per week of moderate to intense activity for health benefits. Yet, some research suggests that number of steps taken per week decreased and time spent sedentary increased during the first year of the onset of COVID-19 compared to the year prior. Among nurses working full-time …

Podium Presentation: Improving Healthcare Provider Documentation Of Patient Gender Identity & Sexual Orientation: A Quality Improvement Project, Meghan Fitzpatrick

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Using An Existing Clinical Practice Guideline To Develop And Implement An Adult Ecmo Program During A Global Pandemic, Brandy Pitts, Midge Vaughan, Jamie Roney

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Reignite: Fighting Burnout With A Virtual Resiliency Program For Nurse Leaders, Michelle C. Stemley

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Influence Of A Formal Mentor On Hospital-Based Nurse Research Resources And Outcomes Across Providence Health System, Trisha Saul, Teresa Bigand, Marietta Sperry, Carrie Doyle, Jamie Roney, Sherri Mendelson

2022 Providence Nurse Research Conference

Background: Magnet® status is a highly sought-after award validating a healthcare organization’s commitment to a sustainable nursing culture of excellence. One requirement includes having nurses conduct a minimum of three research studies as principal investigators within each 48-month review period. Additionally, research dissemination activities such as publication of study findings are required. Because research skills are not taught in traditional prelicensure nursing programs, Magnet® research requirements have incentivized healthcare organizations in pursuit of designation to strengthen research infrastructure.

Purpose: To characterize relationships between a nurse research mentor, Magnet® designation, and nursing research-related resources in a 53-hospital health system.

Approach: Infrastructure …

Podium Presentation: Nursing And Environmental Stewardship: Exploring Nurse-Sensitive Environmental Indicators, Elizabeth Schenk, Sarah Johnson

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Millennial Hospital Nurses Experiencing High Burnout And Turnover Risk During A Pandemic, Dana N Rutledge, Elizabeth Winokur, Sarah Douville

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Broadening The Lens: How Using A Multidisciplinary Approach To Increase Cultural Competency In Nurses, Joann Long

2022 Providence Nurse Research Conference

Background: Cultural competence is central to the development of healthy nurse-patient relationships. Considered an essential standard of professional practice for nursing and multiple disciplines world-wide, the use interdisciplinary materials from anthropology, philosophy and theology broaden the lens through which students can critically think about human diversity. The online course in Cultural Diversity was revised to enhance the cultural competence of nurses enrolled in an RN-BSN program of study. Drawing on global research conducted by cultural anthropologists provides students with a global look at key cultural concepts through which national cultures may be better understood. Video interviews with nursing theorist and …

Podium Presentation: Exploring The Lived Experiences Of New Graduate Nurses During The Covid-19 Pandemic, Julie Youn

2022 Providence Nurse Research Conference

No abstract provided.

2022-06-24 Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services

Michigan COVID-19 Hospital Data

Contains the tables Statewide Hospital Capacity Report for COVID-19, COVID-19 Metrics, Statewide Hospital Available PPE Tracking for COVID-19, as well as the tables PPE Days On Hand and Patient Census.

Plcg2m28l Interacts With High Fat/High Sugar Diet To Accelerate Alzheimer's Disease-Relevant Phenotypes In Mice., Adrian L Oblak, Kevin P Kotredes, Ravi S Pandey, Alaina M Reagan, Cynthia Ingraham, Bridget Perkins, Christopher Lloyd, Deborah Baker, Peter B Lin, Disha M Soni, Andy P Tsai, Scott A Persohn, Amanda A Bedwell, Kierra Eldridge, Rachael Speedy, Jill A Meyer, Johnathan S Peters, Lucas L Figueiredo, Michael Sasner, Paul R Territo, Stacey J Sukoff Rizzo, Gregory W. Carter, Bruce T Lamb, Gareth R Howell

Faculty Research 2022

Obesity is recognized as a significant risk factor for Alzheimer's disease (AD). Studies have supported the notion that obesity accelerates AD-related pathophysiology in mouse models of AD. The majority of studies, to date, have focused on the use of early-onset AD models. Here, we evaluate the impact of genetic risk factors on late-onset AD (LOAD) in mice fed with a high fat/high sugar diet (HFD). We focused on three mouse models created through the IU/JAX/PITT MODEL-AD Center. These included a combined risk model with

Inhibitory Control Of Emotional Interference In Deaf Children: Evidence From Event-Related Potentials And Event-Related Spectral Perturbation Analysis, Qiong Chen, Junfeng Zhao, Huang Gu, Xiaoming Li Ph.D.

Faculty Publications

Background: Impairment of interference control ability may reflect a more general deficit in executive functioning, and lead to an increase in internal-externalized problems such as impulsivity, which has been reported in deaf children. However, few researches have examined the neural mechanism of this impairment.

Methods: This study applied the electroencephalogram (EEG) technique to investigate the interference control ability in 31 deaf children and 28 hearing controls with emotional face-word stroop task.

Results: Results from behavioral task showed that deaf children exhibited lower accuracy compared to hearing controls. As for EEG analysis, reduced activation of ERP components in N1 and enhanced …

Diet Recommendations For Patients With Irritable Bowel Syndrome, Tia M. Kinilau, Shawna Bajet, Erika Mccarthy, Justin Gambini

Doctor of Medical Science (DMSc)

Introduction

Irritable bowel syndrome (IBS) is a very common chronic functional gastrointestinal (GI) disease that is characterized by abdominal pain in association with defecation and change in bowel habits.1 The condition has a multifactorial and incompletely understood pathophysiology, including altered brain-gut interactions, microbiome changes, differed GI motility, psychological factors, and food hypersensitivity.2 With the heterogenicity of the disorder, there is no standardized treatment for IBS, leading its therapy to rely on symptomatic treatments.2 The influence of dietary triggers on the generation of IBS symptoms is well-known and includes different mechanisms including immune activation, mast cell inflammation, and luminal distention.2 Studies …

Student Self-Grading Form, Brett Whysel

Open Educational Resources

This is a word document that students use at the beginning, midpoint, and end of a semester to set relevant goals, measure progress towards goals, and self-grade. It is intended to build motivation, metacognition, and accountability. Instructors may use it on its own or to supplement other assessment tools, and improve the accuracy, validity, and fairness of final grades.

Diagnosis And Initial Management Of Acute Stress Disorder And Post-Traumatic Stress Disorder In The Primary Care Setting, Lindsay Leonard, Blaine Winters

Student Works

Purpose: The purpose of this paper is to equip nurse practitioners (NPs) with resources and tools that will help with the early recognition and treatment of Post-Traumatic Stress Disorder (PTSD) and Acute Stress Disorder (ASD) in patients following a traumatic accident.

Background: According to the Centers for Disease Control and Prevention (2019), trauma, or unintentional injury, is the leading cause of death for individuals under the age of 45 and the third leading cause of death for all ages of people in the United States. Patients involved in traumatic accidents often develop adverse psychological sequelae such as PTSD and ASD. …

Downregulation Of Neurofilament Light Chain Expression In Human Neuronal-Glial Cell Co-Cultures By A Microbiome-Derived Lipopolysaccharide-Induced Mirna-30b-5p, Aileen I. Pogue, Vivian R. Jaber, Nathan M. Sharfman, Yuhai Zhao, Walter J. Lukiw

School of Medicine Faculty Publications

Microbiome-derived Gram-negative bacterial lipopolysaccharide (LPS) has been shown by multiple laboratories to reside within Alzheimer's disease (AD)-affected neocortical and hippocampal neurons. LPS and other pro-inflammatory stressors strongly induce a defined set of NF-kB (p50/p65)-sensitive human microRNAs, including a brain-enriched Homo sapien microRNA-30b-5p (hsa-miRNA-30b-5p; miRNA-30b). Here we provide evidence that this neuropathology-associated miRNA, known to be upregulated in AD brain and LPS-stressed human neuronal-glial (HNG) cells in primary culture targets the neurofilament light (NF-L) chain mRNA 3'-untranslated region (3'-UTR), which is conducive to the post-transcriptional downregulation of NF-L expression observed within both AD and LPS-treated HNG cells. A deficiency of NF-L …

Criminal, Legal, And Ethical Kidney Donation And Transplantation: A Conceptual Framework To Enable Innovation, Alvin E Roth, Ignazio R Marino, Kimberly D Krawiec, Michael A Rees

Department of Surgery Faculty Papers

No abstract provided.

Examining The Relationship Between Racial Respect Among Black Early Childhood Professionals And Their Perceptions Of Black Children, Kayla Nembhard

USF Tampa Graduate Theses and Dissertations

Black children are exposed to the highest rates of negative teacher perceptions and punitive consequences. Healthy People 2020 acknowledges the significance of the first five years of child development and the various factors that promote or hinder health outcomes during this time. Furthermore, it highlights the significance of quality relationships between children and their caregivers, including their ECE teachers. Overall, Black children tend to fare better academically when they are able to engage with Black educators and other ECE professionals. However, there is recent evidence Black educators in ECE settings, specifically, also uphold racialized negative perceptions of Black students that …

Deep Learning Paradigm For Cardiovascular Disease/Stroke Risk Stratification In Parkinson's Disease Affected By Covid-19: A Narrative Review., Jasjit S Suri, Mahesh A Maindarkar, Sudip Paul, Puneet Ahluwalia, Mrinalini Bhagawati, Luca Saba, Gavino Faa, Sanjay Saxena, Inder M Singh, Paramjit S Chadha, Monika Turk, Amer Johri, Narendra N Khanna, Klaudija Viskovic, Sofia Mavrogeni, John R Laird, Martin Miner, David W Sobel, Antonella Balestrieri, Petros P Sfikakis, George Tsoulfas, Athanase D Protogerou, Durga Prasanna Misra, Vikas Agarwal, George D Kitas, Raghu Kolluri, Jagjit S Teji, Mustafa Al-Maini, Surinder K Dhanjil, Meyypan Sockalingam, Ajit Saxena, Aditya Sharma, Vijay Rathore, Mostafa Fatemi, Azra Alizad, Padukode R Krishnan, Tomaz Omerzu, Subbaram Naidu, Andrew Nicolaides, Kosmas I Paraskevas, Mannudeep Kalra, Zoltán Ruzsa, Mostafa M Fouda

Heart and Vascular Articles

Background and Motivation: Parkinson's disease (PD) is one of the most serious, non-curable, and expensive to treat. Recently, machine learning (ML) has shown to be able to predict cardiovascular/stroke risk in PD patients. The presence of COVID-19 causes the ML systems to become severely non-linear and poses challenges in cardiovascular/stroke risk stratification. Further, due to comorbidity, sample size constraints, and poor scientific and clinical validation techniques, there have been no well-explained ML paradigms. Deep neural networks are powerful learning machines that generalize non-linear conditions. This study presents a novel investigation of deep learning (DL) solutions for CVD/stroke risk prediction …