Nursing Commons^™

Authoring Simulations For High Stakes Student Evaluation, Janet Willhaus, Gail Burleson, Janice Palaganas, Pamela Jeffries

Janet Willhaus

Although simulation methods have primarily been used for teaching in nursing education, there is a growing interest in the use of simulation for student and program evaluation. Developing simulation scenarios for high stakes evaluation differs from traditional teaching/learning scenario authorship in a number of ways. This manuscript describes the process used to write, pilot test, and revise scenarios used in the National League for Nursing High Stakes Testing feasibility study. Observations and reported differences in scenario development and facilitation may provide insight to others regarding the best use of summative simulation scenarios.

A Comunicação Da Equipe De Enfermagem Com O Paciente Em Cuidados Paliativos; The Communication Of The Nursing Team With Patients In Palliative Care, Everton Fernando Alves

Everton Fernando Alves

The article consists of a contextualized reflection on the communication in palliative care with the purpose of explaining strategies used for effective communication among the nursing, terminally ill and his family. In that sense, it was observed that for the nurse to assist the terminally ill is a difficult task, which raises sensation of sadness, frustration, impotence and even failure in the rendered attendance. This way, many professionals use denial, escaping, and the apparent coldness as defense mechanisms to cope with situation. Throughout this discussion are exposed some aspects that enable developing empathic communication skills, perceived as a task that …

Teaching Information Literacy Skills To Undergraduate Nursing Students: A Collaborative Approach, Suzanne Zentz, Kimberly Whalen

Kimberly J. Whalen

Background

An expectation of baccalaureate nursing education is to prepare nurses to implement evidenced-based practice (EBP). This expectation extends far beyond a basic understanding of the research process. BSN prepared nurses must be able to effectively and efficiently identify, analyze, and synthesize evidence (AACN, 2008). The acquisition of information literacy skills is foundational to the development of EBP.

Implementation

The study took place at a College of Nursing within a mid-sized, faith-based university located in the Midwest. Historically, students enrolled in their senior level undergraduate nursing research/EBP course underwent one library instruction session with the nursing librarian to reinforce search …

Successful Long-Term Extracorporeal Cardiopulmonary Membrane Oxygenation Without Anti-Coagulation, Janissa Nair, Dorothea T. Watson Do, Rita Pechulis Md, Fccp, Nicholas M. Rini Pa-C, Tim S. Misselbeck Md, Kenneth Miller Rrt, James K. Wu Md

James K. Wu, M.D.

No abstract provided.

Coinfection With Hepatitis C Virus Among Hiv-Positive People In The Kathmandu Valley, Nepal (Journal Of The International Association Of Providers Of Aids Care), Krishna C. Poudel, Paula H. Palmer, Masamine Jimba, Tetsuya Mizoue, Jun Kobayashi, Kalpana Poudel-Tandukar

Kalpana Poudel-Tandukar

Coinfection With Hepatitis C Virus Among Hiv-Positive People In The Kathmandu Valley, Nepal (Journal Of The International Association Of Providers Of Aids Care), Krishna C. Poudel, Paula H. Palmer, Masamine Jimba, Tetsuya Mizoue, Jun Kobayashi, Kalpana Poudel-Tandukar

Krishna C. Poudel

Friends Of Nursing: A Community Of Caring To Promote Excellence In Nursing Practice, Education, And Research, Kim S. Hitchings Msn, Rn, Nea-Bc, Terry Capuano Rn, Svp, Clinical Services, Mary Ellen Herzog Med, Cfre, Cgms

Terry A Capuano MBA, MSN, RN, FACHE, NE-BC

More than 25 years ago, the name "Friends of Nursing" was adopted by an academic, community Magnet(®) hospital to signify a model for community support of nursing. From inception, the intent was to recruit philanthropic dollars to promote recognition of and excellence in nursing practice, education, and research. Although philanthropy in health care settings is common, what is unique about this program is the long-standing, dedicated conceptual framework for nursing philanthropy and the very significant number of philanthropic dollars from literally thousands of donors to support a diverse range of activities to affect and advance the professional excellence of nurses …

Using A Research Log And Reflective Writing To Improve Ebp And Information Literacy Skills Of Bsn Students, Suzanne E. Zentz, Kimberly J. Whalen

Kimberly J. Whalen

Baccalaureate nursing educators must prepare nurses to implement evidence-based practice (EBP). BSN nurses must be able to effectively identify, analyze, and synthesize evidence (AACN, 2008). In a nursing research course, students conducted group projects which required searching for the best evidence. Project evaluations revealed that students were not searching systematically. To facilitate EBP and information literacy skill development, a collaboration between the College of Nursing and Library Services emerged. Targeted Learning Outcomes 1. Formulate a strategic search using databases and Internet resources 2. Evaluate and select the ‘best available’ evidence 3. Document systematic search (keywords, subject headings, limiters, and results) …

Using A Research Log And Reflective Writing To Improve Ebp And Information Literacy Skills Of Bsn Students, Suzanne E. Zentz, Kimberly J. Whalen

Suzanne E Zentz, DNP, RN, CNE

Baccalaureate nursing educators must prepare nurses to implement evidence-based practice (EBP). BSN nurses must be able to effectively identify, analyze, and synthesize evidence (AACN, 2008). In a nursing research course, students conducted group projects which required searching for the best evidence. Project evaluations revealed that students were not searching systematically. To facilitate EBP and information literacy skill development, a collaboration between the College of Nursing and Library Services emerged. Targeted Learning Outcomes 1. Formulate a strategic search using databases and Internet resources 2. Evaluate and select the ‘best available’ evidence 3. Document systematic search (keywords, subject headings, limiters, and results) …

Sonographic Findings In Acute Uterine Inversion, John C. Smulian Md, Mph, Joseph D. Defulvio Do, Liany C. Diven Md, Jose Luiis Terrazas Md

John C Smulian MD, MPH

We present a case of acute uterine inversion in the third stage of labor in which critical management decisions were facilitated by ultrasound imaging in the operating room. Identification of the ovary and adnexa pulled into the inclination of the inversion allowed successful diagnosis and guidance of uterine replacement.

Design, Implementation, And Evaluation Of A Bronchiolitis Clinical Pathway, Suzanne E. Zentz

Suzanne E Zentz, DNP, RN, CNE

Bronchiolitis is the most frequent cause of hospitalization in the infant population. The management of these hospitalized children varies widely and the efficacy of many routinely implemented diagnostics and therapies is not supported by evidence (Christakis et al., 2005). The purpose of this evidence-based practice project was to determine if designing, implementing, and evaluating a clinical pathway for infants and children with bronchiolitis would affect length of stay and bronchodilator,glucocorticoid, antibiotic, and CPT usage. The Iowa model of evidence-based practice to promote quality care was used as a framework to guide the project at a 227 bed non-profit facility in …

Listening Sessions With Latinas: Documenting Life Contexts And Creating Connections, Ruth Belknap, Leona Vandevusse

Ruth A Belknap

Objective: To use listening sessions with groups of Latinas to develop a contextual understanding of the lives of immigrant women to inform program development and ultimately better serve the community's needs for domestic violence services.

Design and Sample: This study was exploratory and descriptive, mixing qualitative listening sessions with quantitative methods. Seven listening group sessions were facilitated with 63 women participating.

Measures: Data included information from a short demographic questionnaire, texts of narrative from the sessions, and tallies of thematic comments made during the listening sessions.

Results: Themes derived from aggregated data from the listening sessions …

When I Was In My Home I Suffered A Lot: Mexican Women’S Descriptions Of Abuse In Family Of Origin, Ruth Belknap, Nancy Cruz

Ruth A Belknap

In this descriptive study we employ episodic narrative interviews and narrative analysis to explore experiences of abuse and violence within the families of origin of Mexican women entering adulthood. Twenty-four Mexican women, 18 years of age and about to graduate from a residential school in central Mexico, were interviewed about life in their families of origin. Participants were from several Mexican states and of low socioeconomic status. Nineteen of the participants described either witnessing or experiencing violence or abuse within their families. We present an analysis of the interviews in which violence or abuse was disclosed. Women who witnessed violence …

Short Of Transformation: American Adn Students' Thoughts, Feelings, And Experiences Of Studying Abroad In A Low-Income Country, Cynthia Foronda, Ruth Belknap

Ruth A Belknap

ADN students are a large yet distinct subgroup of nursing students who require research and understanding. The purpose of this study was to describe the thoughts, feelings, and experiences of American associate degree nursing (ADN) students who participated in a short study abroad course in a low-income country. A qualitative, narrative method was used. Three categories emerged from the analysis. Participants revealed thoughts of “constant comparisons”, feelings of an “emotional journey”, and they experienced “learning”. Participants did not demonstrate perspective transformation as defined by Mezirow as participants signified no intent for social action. Several potential blocks to perspective transformation were …

Te Contaria Mi Vida: I Would Tell You My Life, If Only You Would Ask, Ruth Belknap, Pilar Sayeed

Ruth A Belknap

Universal screening for domestic violence is recommended in many health care settings. This qualitative study was undertaken to explore the thoughts and feelings of Mexican American women regarding being asked questions about domestic violence by a health care provider. We wanted to further explore what characteristics about a nurse, or other health care provider, would give a woman confianza, the trust necessary to discuss this issue. Seven women, who self identified as abused or formerly abused, were recruited from a pool of Spanish-speaking women receiving services from a rural domestic violence agency in the midwestern United States. The researchers found …

Teaching Social Justice Using A Pedagogy Of Engagement, Ruth Belknap

Ruth A Belknap

Teaching an undergraduate level diversity course with a health focus requires specific teaching methods. A pedagogy of engagement provides an effective strategy for exploring issues of race, class, gender, and structural inequalities that underlie health disparities. Engagement learning enhances understanding of theories of oppression and liberation presented in the course and highlights social justice issues.

Southeast Asian Refugee Children: Self-Esteem As A Predictor Of Depression And Scholastic Achievement In The U.S., Patricia G. Fox, Kenneth R. Burns, Judith M. Popovich, Ruth Belknap, Marilyn Frank-Stromborg

Ruth A Belknap

The eruption of conflicts and war in this century has led to new masses of refugees and displaced persons. Globally, host countries will continue to confront issues of how to ensure the successful adaptation of refugees who typically are women and children. The United States received three major waves of Southeast Asian (SEA) refugees during the past twenty-five years. One million SEA refugees arrived in the past decade; the majority were children and adolescents. Today, there is still a lack of understanding surrounding mental health issues and their relationship to children's violence experience. We know that SEA refugee children suffered …

Crossing Borders In Search Of The Mother-Daughter Story: Interdependence Across Time And Distance, Ruth Belknap

Ruth A Belknap

Although studies have identified the importance of the mother–daughter relationship and of familism in Mexican culture, there is little in the literature about the mother–daughter experience after daughters have migrated to the United States. This study explores relationships between three daughters in America and their mothers in Mexico, and describes ways in which interdependence between mothers and daughters can be maintained when they are separated by borders and distance. Data collection included prolonged engagement with participants, field notes, and tape-recorded interviews. Narrative analysis techniques were used. Findings suggest mother–daughter interdependence remains. Some aspects may change, but the mother–daughter connection continues …

Are Informal Carers And Community Care Workers Effective In Managing Malnutrition In The Older Adult Community? A Systematic Review Of Current Evidence, Skye Marshall, Judith Bauer, Sandra Capra, Elisabeth Isenring

Skye Marshall

Before You Write: Six Keys To Success – A Pilot Online Information Literacy Course For Graduate Nursing Students, Shannon F. Johnson, Tammy Toscos

Shannon F Johnson

In this article, the authors share their experiences with the creation and implementation of an online self-paced information literacy instruction for graduate students of nursing. Before You Write: Six Keys to success is a non-credit required online course attached to the Indiana University - Purdue University Fort Wayne (IPFW) graduate nursing program. The rationale behind the creation of the course was to help graduate students recognize areas where their information literacy skills may be lacking or have become outdated and provide them with tools to increase their proficiency, while still early in their first semester of the program. It consists …

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 …

Examining The Relationship Of Accurate Esi© Triage Scores To Emergency Department Nursing Attitudes And Experience, Andrew Martin Bsn, Rn, Phrn, Cen, Anne Panik Ms, Rn, Nea-Bc, Courtney Vose Rn Msn Cen, Charlotte Buckenmyer Rn, Ms, Paul Delpais Rn Bsn Cen, Keith D. Micucci Rn Bsn Phrn Cen, Bryan G. Kane Md, Kimberly Badillo Rn, Michele Oritz Rn Bsn Cen, Cheryl Celia Rn Crnp, Michael Guelzow Bsn Cen, Eileen Bechtel Rn, Maria Cruz Rn, Nikki Hatmaker-Garris Rn, Bsn, Traci Dickson-Watner Rn. Bsn, Elizabeth Karoly Rrt Mba, Mae Ann Pasquale Phd, Msn, Rn, Carolyn L. Davidson Rn Ccrn Cprn Phd©

Bryan G Kane MD

No abstract provided.

Impact Study Of A Central Lines Simulation Training Program Using Kirkpatrick’S Four-Level Evaluation Model, James P. Orlando Edd, Andrew C. Miller Do, William Bond Md, Ms, Valerie A. Rupp Rn, Bsn, Bryan G. Kane Md, Cindy Umbrell Rn, Msn, Michael Pasquale Md

Bryan G Kane MD

No abstract provided.

Impact Of An Interprofessional Central Venous Catheter Insertion Training Program, James P. Orlando Edd, Andrew Miller Do, William Bond Md, Ms, Valerie A. Rupp Rn, Bsn, Bryan G. Kane Md, Cindy Umbrell Rn, Msn, Michael Pasquale Md, Elizabeth Verheggen Phd, Elliot J. Sussman Md, Mba

Bryan G Kane MD

No abstract provided.

Examining The Relationship Of Accurate Esi© Triage Scores To Emergency Department Nursing Attitudes And Experience, Andrew Martin Bsn, Rn, Phrn, Cen, Anne Panik Ms, Rn, Nea-Bc, Courtney Vose Rn Msn Cen, Charlotte Buckenmyer Rn, Ms, Paul Delpais Rn Bsn Cen, Keith D. Micucci Rn Bsn Phrn Cen, Bryan G. Kane Md, Kimberly Badillo Rn, Michele Oritz Rn Bsn Cen, Cheryl Celia Rn Crnp, Michael Guelzow Bsn Cen, Eileen Bechtel Rn, Maria Cruz Rn, Nikki Hatmaker-Garris Rn, Bsn, Traci Dickson-Watner Rn. Bsn, Elizabeth Karoly Rrt Mba, Mae Ann Pasquale Phd, Msn, Rn, Carolyn L. Davidson Rn Ccrn Cprn Phd©

Bryan G Kane MD

No abstract provided.

The Evolution Of A Labyrinth Walking Program In Corrections, Donna M. Zucker Rn, Phd, Faan, Lorraine Villemaire Ma, Ssj, Catherine Rigali Lpn, Kathryn Callahan Ms, Rn

Donna M. Zucker

The development and expansion of labyrinth walking in corrections has signaled a milestone in the treatment of offenders, particularly those incarcerated for substance abuse-related offenses. In this article we describe the evolution of the labyrinth walking program from its inception highlighting: curriculum development and refinement, evidence-based and program evaluation findings. Methods used in working with key stakeholders are illustrated to both implement and evaluate labyrinth walking, and to identify future directions.

Qualidade De Vida Do Cuidador De Enfermagem E Sua Relação Com O Cuidar / Quality Of Life Of The Nursing Caregiver And Its Relationship With Care, Everton Fernando Alves

Everton Fernando Alves

Objective:To identify aspects that affect the quality of life of nursing caregivers and their relationship with care in an Intensive Care Unit for Adults (A-ICU). Methods:This was a descriptive study with qualitative approach, taking as subjects 21 professionals who constitute the nursing staff of the A-ICU of a school hospital in Maringá-PR. Unstructured interview was used as a strategy to collect data, conducted between May and June 2009. Data analysis was based on the method of content analysis. The categories identified were: overlooking improvement in quality of life related to the resources in an A-ICU; the quality of life influencing …

Organizational Strategies For The Adoption Of Electronic Medical Records: Toward An Understanding Of Outcome Variation In Nursing Homes, David B. Lipsky, Ariel C. Avgar, James Ryan Lamare

David B Lipsky

[Excerpt] An important element in president-elect Obama's economic stimulus proposal is his plan to invest a significant proportion of federal dollars in installing electronic medical records (EMR) in U.S. healthcare institutions. In emphasizing the need for EMR, Obama is following the advice of numerous healthcare experts who have pointed out that the healthcare sector lags behind other industries in the use of computer technology. They believe the widespread use of EMR would help reduce medical errors, control the costs of healthcare, and lead to significant improvements in the quality of care Americans receive. In this paper we present preliminary results …

Application Of The Self Care Deficit Nursing Theory: The Community Context, Rebecca Green

Rebecca D. Green

The purpose of this article is to consider the basic tenets of Orem's Self-Care Deficit Nursing Theory in application to children with special health care needs as an aggregate in a larger community. The cases of Javon and Elizabeth are revisited and evaluated within the context of community. Orem's concept of conditioning factors is linked with the public health concepts of social determinants of health; and her concept of universal self-care requisites are interpreted within the context of the World Health Organization's definition of health. Finally, the concept of intersectionality is introduced as a linking framework for consideration of these …

Psychological Distress In African American Grandmothrs Raising Grandchildren: The Contribution Of Child Behavior Problems, Physical Health, And Family Resources, Susan Kelley, Deborah Whitley, Peter Campos

Deborah M. Whitley

Diminished psychological health has been identified among caregiving grandmothers. The intent of this investigation was to examine psychological distress levels, as well as their predictors, in a sample of 480 caregiving African American grandmothers, mean age 56 years. Almost 40% (39.8%) of participants had clinically elevated psychological distress scores. Results of hierarchical multiple regression indicated that internalizing and externalizing child behavior problems, poor grandmother physical health, younger age of grandmother, and lack of family resources predicted 31% of the variance in psychological distress. Results provide direction for nursing interventions aimed at enhancing the psychological well-being of caregiving grandmothers.