Nursing Commons^™

Incorporating Home Visits In A Primary Care Residency Clinic: The Patient And Physician Experience, Mary Caitlin St. Clair, Jessica J. F. Kram, Glenda Sundberg

Aurora Family Medicine Residents

Purpose: Home visits, once a popular but now uncommon form of health care delivery, are on the rise. Few studies have focused on the value the experience brings to resident physicians and their patients.

Methods: A 6-month pilot was conducted with 11 residents who participated in 32 home visits with 11 patients. Patient and resident experiences were captured through a survey following the home visits.

Results: In all, 100% of patients and a majority of residents were very interested in being a part of and incorporating future home visits, respectively. Every patient in the survey said that the visits resulted …

Incorporating Home Visits In A Primary Care Residency Clinic: The Patient And Physician Experience, Mary Caitlin St. Clair, Jessica J. F. Kram, Glenda Sundberg

Glenda Sundberg, FNP-CS, APNP

Purpose: Home visits, once a popular but now uncommon form of health care delivery, are on the rise. Few studies have focused on the value the experience brings to resident physicians and their patients.

Methods: A 6-month pilot was conducted with 11 residents who participated in 32 home visits with 11 patients. Patient and resident experiences were captured through a survey following the home visits.

Results: In all, 100% of patients and a majority of residents were very interested in being a part of and incorporating future home visits, respectively. Every patient in the survey said that the visits resulted …

Incorporating Home Visits In A Primary Care Residency Clinic: The Patient And Physician Experience, Mary Caitlin St. Clair, Jessica J. F. Kram, Glenda Sundberg

Jessica Kram, MPH

Purpose: Home visits, once a popular but now uncommon form of health care delivery, are on the rise. Few studies have focused on the value the experience brings to resident physicians and their patients.

Methods: A 6-month pilot was conducted with 11 residents who participated in 32 home visits with 11 patients. Patient and resident experiences were captured through a survey following the home visits.

Results: In all, 100% of patients and a majority of residents were very interested in being a part of and incorporating future home visits, respectively. Every patient in the survey said that the visits resulted …

Treatment Of Burns With Burns & Wounds (B & W) Ointment And Leaf Therapy, Maria E. Main, Deborah Williams, M. Susan Jones

Eve Main

No abstract provided.

The Accuracy Of Referral For Portable Lipid Analyzers In An Old Order Mennonite Population, Maria E. Main, M. Susan Jones, Cathy H. Abell

Eve Main

The primary purposes of this study were to: 1) examine the accuracy for referral of two portable lipid analyzers (PLAs) in an old order Mennonite population through a comparison to a national standardized reference laboratory, 2) examine the relationship of total cholesterol values with other known cardiovascular risk factors, and 3) foster the continued participatory model of health care service in this community. The self-selected sample was composed of 42 adult members of an old order Mennonite community residing in south central Kentucky. A descriptive correlational design was used in this study. There were clinically relevant variations in the total …

Impact Belize 2010 Executive Report, Ritchie D. Taylor, Jordan Norris, Molly Calico, Bernie Strenecky, Daniel Carter, Dawn Garrett Wright, Eve Main, Bonny Petty, Molly Kerby, Jill Norris

Eve Main

No abstract provided.

A Collaborative Educational Innovation In An Old Order Mennonite Community, M. Susan Jones Phd, Maria E. Main Dnp, Dawn M. Garrett Phd

Eve Main

Forming collaborative, interprofessional partnerships to facilitate the education of future healthcare providers to serve diverse cultures is an overarching goal of Area Health Education Centers (AHECs) and supported by the Institute of Medicine (IOM, 2005). This article describes the process of creating and sustaining a collaborative interprofessional health promotion and educational project with an old order Mennonite (OOM) community in south central Kentucky. This ongoing project began over a decade ago and involves the collaborative efforts of the South Central Kentucky AHEC, the School of Nursing at Western Kentucky University (WKU), a family practice residency program affiliated with the University …

A Colorectal Cancer Screening Project In An Old Order Mennonite Community: Capstone Project Technical Report, Maria Eve Main

Eve Main

The purpose of this project was to determine if colorectal cancer (CRC) screening education and community access to fecal occult blood tests (FOBT) is associated with an increase in the uptake of FOBT in an old order Mennonite community. Utilizing a modified cultural model, an educational offering on CRC screening and access to FOBT in the community was delivered to a self-selected sample of age-eligible participants. Thirty-three age eligible residents completed the CRC screening questionnaires and received education on CRC screening. Twenty-nine of the age-eligible participants were found to be at average risk and twenty-three elected to receive FOBT testing …

Child Weight And Feeding Patterns In An Old Order Mennonite Community, Dawn M. Garrett Wright, Maria E. Main, M. Susan Jones

Eve Main

Feeding practices in some religious communities may decrease childhood obesity. However, there is limited research in these communities to assess maternal perceptions of their children’s weight and feeding patterns. The purpose of this study was to ascertain Old Order Mennonite mothers’ perceptions of their children’s body weight and to examine feeding patterns for their children. Sample: Participants for this descriptive, correlational study were recruited from an Old Order Mennonite community in south central Kentucky. Sampling was achieved using a snowball sampling strategy and the use of a community insider. Methods: Body Mass Index was measured for mothers and child participants, …

Organizations As Evil Structures, Cary Federman, Dave Holmes

Cary Federman

Nursing practice in forensic psychiatry opens new horizons in nursing. This complex, professional, nursing practice involves the coupling of two contradictory socioprofessional mandates: to punish and to provide care. The purpose of this chapter is to present nursing practice in a disciplinary setting as a problem of governance. A Foucauldian perspective allows us to understand the way forensic psychiatric nursing is involved in the governance of mentally ill criminals through a vast array of power techniques (sovereign, disciplinary, and pastoral), which posit nurses as “subjects of power.” These nurses are also “objects of power” in that nursing practice is constrained …

Perceived Family Support And Antiretroviral Adherence In Hiv-Positive Individuals: Results From A Community-Based Positive Living With Hiv Study, Krishna Poudel, David Buchanan, Rachel Amiya, Kalpana Poudel-Tandukar

Krishna C. Poudel

The purpose of this study was to examine the association between perceived family support, either positive or negative, and adherence to antiretroviral medication regimens among HIV-positive individuals in the Kathmandu Valley, Nepal. We measured past 3-month antiretroviral adherence among 233 HIV-positive individuals, in relation to perceived family support, both positive (in terms of emotional and instrumental support) and negative (in the form of negative interactions), using the 10-item Nepali Family Support and Difficulty Scale. Medium and high levels of perceived emotional support from family were associated with reduced risk of antiretroviral nonadherence, compared with low levels of perceived emotional support …

After Hiv Testing: What's Next?, J.L. O'Quinn, Polly A. Hulme

Polly Hulme

Nurses and other health care providers involved in HIV testing are required to provide pre- and post-test counseling in accordance with guidelines from the Center for Disease Control (CDC, 1992). Clients who test positive are extensively counseled and educated on the nature of the virus, its modes of transmission, the need to practice "safer sex," and the obligation to advise sexual (and needle) partners (Preston, 1989). Some individuals do not inform their partners and this presents an urgent dilemma: Is a nurse bound by a client's right to privacy not to advise that client's partner of his or her HIV …

Association Of A Communication Training Program With Use Of Antipsychotics In Nursing Homes, Jennifer Tjia, Jacob N. Hunnicutt, Laurie Herndon, Carolyn R. Blanks, Kate L. Lapane, Susan Wehry

Jennifer Tjia

Importance: Off-label antipsychotic prescribing in nursing homes (NHs) is common and is associated with increased risk of mortality in older adults. Prior large-scale, controlled trials in the NH setting failed to show meaningful reductions in antipsychotic use.

Objective: To quantify the influence of a large-scale communication training program on NH antipsychotic use called OASIS.

Design, Setting, and Participants: This investigation was a quasi-experimental longitudinal study of NHs in Massachusetts enrolled in the OASIS intervention. Participants were residents living in NHs between March 1, 2011, and August 31, 2013. The data were analyzed from December 2015, to March 2016, and from …

Self Care Management In Corrections: Perspectives From Persons With An Incarceration Experience, Annette Maruca, Kimberly Dion Msn, Rn, Adrial Lobelo, Olivia Ampiah Bonney, Chunfang Chen, Kirk Sanger, Donna M. Zucker

Donna M. Zucker

Role Of Domiciliary And Family Carers In Individualised Nutrition Support For Older Adults Living In The Community, Skye Marshall, Ekta Agarwal, Adrienne Young, Liz Isenring

Liz Isenring

Role Of Domiciliary And Family Carers In Individualised Nutrition Support For Older Adults Living In The Community, Skye Marshall, Ekta Agarwal, Adrienne Young, Liz Isenring

Skye Marshall

Role Of Domiciliary And Family Carers In Individualised Nutrition Support For Older Adults Living In The Community, Skye Marshall, Ekta Agarwal, Adrienne Young, Liz Isenring

Ekta Agarwal

Future Of Nursing: Advancing Health Through Interprofessional Collaboration, Margaret A. Hadinger Edd, Ms, Mary Ellen Miller Phd, Rn, Abby S. Letcher Md, Lucy Tuton Phd

Margaret A. Hadinger, EdD, MS

No abstract provided.

Attitude Towards Research Among Undergraduate Nursing Students, Marian Tabi, Anunay Bhattacharya

Anunay Bhattacharya

Results:  Factors that affected students’ attitude towards research included ‘anticipatory anxiety taking a research course’ (p=0.005), ‘glad that research course was over’ (p=.009), and ‘research is a boring field’ (p=.040) were significant at the  = 0.05. However, students recognized the …

Perceived Family Support And Antiretroviral Adherence In Hiv-Positive Individuals: Results From A Community-Based Positive Living With Hiv Study (International Quarterly Of Community Health Education), Krishna C. Poudel, David R. Buchanan, Rachel Amiya, Kalpana Poudel-Tandukar

Kalpana Poudel-Tandukar

Serum Zinc Concentration And C-Reactive Protein In Individuals With Human Immunodeficiency Virus Infection: The Positive Living With Hiv (Polh) Study (Biological Trace Element Research), Krishna Poudel, Elizabeth Bertone-Johnson, Kalpana Poudel-Tandukar

Kalpana Poudel-Tandukar

Respect Yourself, Protect Yourself, Mary Gura, Deborah Baresic

Deborah Baresic

Women of the poor community of Cien Fuegos, Dominican Republic often use folklore or self-treatment for symptoms of vaginitis. Based on assessment of women in Cien Fuegos, an education program was developed called Respect Yourself, Protect Yourself. The need to increase empowerment and self respect was clearly evident for the women of this community. The program focuses on issues of vaginal hygiene, vaginitis, sexually transmitted infections and women's rights and self-protection. To provide sustainable education, the module will be sent to Cien Fuegos and implemented by local health providers.

Intervening At The Intersection Of Medication Adherence And Health Literacy, Jackie H. Jones, Linda A. Treiber, Matthew C. Jones

Linda A. Treiber

Hepatitis C Testing In The Birth Cohort 1945-1965. Have You Been Tested?, Donna M. Zucker Rn, Phd, Faan, Donald (Chip) E. Bailey Phd, Rn

Donna M. Zucker

No abstract provided.

Using Mobile Technology To Promote Access, Effective Patient–Provider Communication, And Adherence In Underserved Populations, Tammy R. Toscos, Brad Doebbeling

Tammy R Toscos

Federally Qualified Health Centers (FQHCs) are community based centers created to provide comprehensive primary and preventive care to individuals unable to access care in the commercial medical system (e.g. related to poverty, and/or race-ethnicity). The Affordable Care Act (ACA) proposes offering Medicaid coverage to many such individuals, thus, FQHCs should receive many new Medicaid enrollees. The ACA has triggered a number of new ideas to improve affordability, health status and patient experience, commonly known as the “triple aim.” These initiatives include quality incentive programs, payment reform, and the promotion of medical homes and accountable care organizations (ACOs). These are in …

Best Intentions: Health Monitoring Technology And Children., Tammy R. Toscos, Kay Connelly, Yvonne Rogers

Tammy R Toscos

In this paper we describe findings from two studies aimed at understanding how health monitoring technology affects the parent-child relationship, examining emotional response and barriers to using this type of technology. We present suggestions for the design of health monitoring technology intended to enhance self-care in children without creating parent-child conflict. Our recommendations integrate the study findings, developmental stage specific concerns, and prior HCI research aimed at children’s health.

Integrating An Automated Diabetes Management System Into The Family Management Of Children With Type 1 Diabetes., Tammy R. Toscos, Stephen W. Ponder, Barbara J. Anderson, Mayer B. Davidson, Martin L. Lee, Elaine Montemayor-Gonzalez, Patricia Reyes, Eric Link, Kevin L. Mcmahon

Tammy R Toscos

OBJECTIVE: The study objective was to evaluate how the use of a pervasive blood glucose monitoring (BGM) technology relates to glycemic control, report of self-care behavior, and emotional response to BGM of children with type 1 diabetes and their parents. RESEARCH DESIGN AND METHODS: Forty-eight children aged less than 12 years (mean 8.8 years) with type 1 diabetes were randomly assigned to one of two study groups, a control group (conventional care without technology) or an experimental group (conventional care with technology), and followed for 12 months. Families in the experimental group were given the Automated Diabetes Management System (ADMS), …

Perceived Family Support And Depression Among People Living With Hiv/Aids In The Kathmandu Valley, Nepal (Plos One), Sadhana Shrestha, Krishna Poudel, Kalpana Poudel-Tandukar, Jun Kobayashi, Basu Dev Pandey, Junko Yasuoka, Keiko Otsuka, Masamine Jimba

Kalpana Poudel-Tandukar

A Tool To Assess The Signs And Symptoms Of Catheter-Associated Urinary Tract Infection: Development And Reliability, Thomas Blodgett, Sue Gardner, Nicole Blodgett, Lisa Peterson, Melissa Pietraszak

Thomas Blodgett

The purpose of this pilot study was to determine the inter-rater reliability of four clinical manifestations of catheter-associated urinary tract infections (CAUTI) among hospitalized adults with short-term indwelling urinary catheters using a tool developed for this purpose: the CAUTI Assessment Profile (CAP). Study participants included 30 non-pregnant English-speaking adults, recruited from 2 community hospitals. Three nurses assessed each participant for fever, suprapubic tenderness, flank tenderness, and delirium using standardized techniques. Based on the generalized kappa statistic and 95% confidence intervals, there was evidence of strong inter-rater reliability for fever (kappa = 1.00, 0.793 – 1.207), suprapubic tenderness (kappa = 0.39, …

O Cuidador De Enfermagem E O Cuidar Em Uma Unidade De Terapia Intensiva / The Nursing Caregiver And The Caring In Intensive Care Units, Everton Alves

Everton Fernando Alves

Diversos fatores são considerados agressivos em uma Unidade de Terapia Intensiva (UTI), os quais não atingem apenas os pacientes, mas também os cuidadores de enfermagem, uma vez que estes participam desde procedimentos complexos até morte de pacientes. Dessa forma, muitos cuidadores de enfermagem passam por dificuldades em sua rotina diária que influenciam o modo de cuidar. O objetivo deste estudo foi identificar os aspectos vivenciados pelos cuidadores de enfermagem que atuam em uma UTI - Adulto. Trata-se de um estudo exploratório-descritivo, de abordagem qualitativa, desenvolvido junto a 21 cuidadores de enfermagem da UTI - Adulto de um hospital escola do …