Nursing Commons^™

Quantitative And Qualitative Findings And Implications Of An Intercultural Sensitivity Assessment Among Employees At A Large Health System, Jarret R. Patton Md, Jay Baglia Phd, Lynn M. Deitrick Rn, Phd, Anthony Nerino Ma, Eric J. Gertner Md, Mph, Judith Sabino Mph, Mary Kay Grim Bs, Debbie Salas-Lopez Md, Mph

Department of Pediatrics

Tuesday, November 10, 2009: 2:45 PM Jarret R. Patton, MD , Department of Pediatrics, Lehigh Valley Health Network, Allentown, PA Jay Baglia, PhD , Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA Lynn M. Deitrick, RN, PhD , Department of Community Health, Health Studies and Education, Lehigh Valley Health Network, Allentown, PA Anthony Nerino, MA , Department of Community Health, Health Studies and Education, Lehigh Valley Health Network, Allentown, PA Eric J. Gertner, MD, MPH , Department of Medicine, Lehigh Valley Health Network, Allentown, PA Judith N. Sabino, MPH , Cultural Awareness, Lehigh Valley Health Network, Allentown, PA …

No Powerpoint? Whatever Loys Your Krathong ..., Kimberly D. Acquaviva

National Collaborative on Aging Faculty Publications

The author discusses her experiences teaching a workshop on writing for publication to medicine, nursing and public health faculty in Thailand, without using PowerPoint.

Are There Differences In The Smoking Identities Of Adolescents Boys And Girls?, Chizimuzo T.C. Okoli, Iris Torchalla, Pamela A. Ratner, Joy L. Johnson

Chizimuzo T.C. Okoli

Purpose:

To assess sex-disaggregated differences in youth characterizations of their own smoking behaviour

Background:

•Smoking identities represent psychosocial constructions of how adolescents who smoke perceive themselves in relation to their smoking behaviour (e.g, ex-smoker, social smoker, occasional smoker, e.t.c.)

•These smoking identities converge (or diverge) with established taxonomies used to describe youth smoking behaviour

•Few quantitative studies have examined differences in smoking identity between boys and girls

Is Exposure To Peer And Family Smoking Associated With Youths' Initial Smoking Experiences?, Chizimuzo T.C. Okoli, Chris G. Richardson, Joy L. Johnson

Chizimuzo T.C. Okoli

Background:

- Peers and family member’s smoking is associated with adolescent smoking.

- Sensitivity to the initial smoking experience, determined by positive (for e.g., feeling relaxed, high, and good) and/or negative (for e.g., feeling nervous, sick, coughing) symptoms upon initial smoking experimentation, is also associated with youth smoking.

- However, the effect of peer and family member’s smoking on the initial smoking experiences of adolescents has not been previously studied.

- We present the findings of a cross-sectional analysis assessing the association between exposure to smoking from peers and family members on the symptoms of the initial smoking experience of …

Child Labour: A Public Health Issue, Saleema A. Gulzar, Samina Vertejee, Laila Pirani

School of Nursing & Midwifery

Child labour is a global practice and has many negative outcomes. According to International Labour Organization, child labour is the important source of child exploitation and child abuse in the world today. The Human Rights Commission of Pakistan has estimated the number of Pakistani working children to be around 11-12 millions, out of which, at least, half the children are under the age of ten years. It portrays the society's attitude towards child care. It is therefore, essential to break this vicious cycle and hence, enable the society to produce healthy citizens. This article analyzes the determinants of child labour …

How To Select The Correct Education Strategy: When Not To Go Online, Carol Klingbeil, Norah L. Johnson, Joan P. Totka, Lynn Doyle

College of Nursing Faculty Research and Publications

Screening for intimate partner violence is an important injury prevention strategy. Nurses who develop staff education, to promote screening, need to select a method that is sensitive to learners. Online learning, although convenient, is not well suited to sensitive topics such as screening for intimate partner violence. The purpose of this article is to describe a curriculum for intimate partner violence screening based on self-efficacy theory, which includes a hospital-produced video, a role play, and a discussion.

Perceptions Of Education, Engineering, And Nursing Faculty Members Regarding Their Role In Helping Students Develop Professional Behavior, Sandra Nadelson, Louis Nadelson, Richard Osguthorpe

Nursing Faculty Publications and Presentations

In conducting this study, we used qualitative and quantitative research techniques to determine faculty members’ perceptions of (a) their role in teaching professional behavior, (b) the professional behaviors that are most important for students to develop, and (c) the methods used to help education, engineering, and nursing students develop professional behavior. Differences were identified between the three groups of faculty members. Overall, results indicated the majority of educators believed they had a role in teaching students professional behavior. However, most faculty members did not acknowledge specific coursework or methods employed to help students develop professional behavior, suggesting instead they tried …

A Critical Appraisal Of Guidelines For Antenatal Care: Components Of Care And Priorities In Prenatal Education, Lisa Hanson, Leona Vandevusse, Joyce Roberts, Amanda Forristal

College of Nursing Faculty Research and Publications

There are a variety of published prenatal care (PNC) guidelines that claim a scientific basis for the information included. Four sets of PNC guidelines published between 2005 and 2009 were examined and critiqued. The recommendations for assessment procedures, laboratory testing, and education/counseling topics were analyzed within and between these guidelines. The PNC components were synthesized to provide an organized, comprehensive appendix that can guide providers of antepartum care. The appendix may be used to locate which guidelines addressed which topics to assist practitioners to identify evidence sources. The suggested timing for introducing and reinforcing specific topics is also presented in …

Current Medical Research Winter 2008–Spring 2009, Richard Fehring

College of Nursing Faculty Research and Publications

Note that the “Current Medical Research” feature focuses on issues relevant to natural family planning and the beginning of life. This piece is complemented by medical reviews published in The National Catholic Bioethics Quarterly, which focus more on other areas of general medical interest including end-of-life issues.—Ed.

A Survey Of Stroke Nurses’ Knowledge Of Secondary Prevention Lifestyle Issues, Maggie Lawrence, Susan Kerr, Hazel Watson, Jennie Jackson, Margaret Brownlee

Dr. Maggie Lawrence

Nurses have an important role to play in providing information and advice on lifestyle risk factors for recurrent stroke. However, patients report receiving little or no lifestyle information. This study aimed to explore stroke nurses' knowledge and practice in relation to the provision of secondary prevention lifestyle information following stroke. Cross-sectional survey methods were used. Participants were members of the Scottish Stroke Nurse Forum (n=97). A self-completed questionnaire was used to collect the data, with descriptive statistics summarizing the results.

The Calling Of Nursing, Christoffer H. Grundmann

Theology Faculty Presentations

(excerpt) "Baffled by the broad variety and diversity of nursing and unable to discover one single common thread of thought and discussion in the literature, I got desperate and finally turned to Dean Brown for help, hoping to get some viable direction. And, indeed, I did, yet of course not the way I expected. When I asked her if she would be so kind as to name me the standard instruction textbook used for nursing education and practice, she unhesitatingly replied: 'There isn’t one. Because there are so many content areas in nursing, there is no one text that is …

Invisible Motherhood: A Heideggerain Hermeneutical Analysis Of Motherhood Among Three Generations Of African American Women, Katherine Ferrell Fouquier

Nursing Dissertations (PhD)

The mothering role of African American women has largely been ignored in the literature. Contemporary research on the construct of becoming a mother has focused on upper middle class, White women who are partnered. When African American women are included in research, they are often poor, single, teenage mothers and their experiences have not been described within the context of the African American worldview. Hermeneutic phenomenology from an afrocentric feminist perspective is the methodological approach used in this study to provide insight, analysis, and understanding of the experiences of three generations of African American women in the transition to motherhood. …

The Use Of Remote Monitoring For Internal Cardioverter Defibrillators (Icds): The Infusion Of Information Technology And Medicine, Susan Shirato, Msn, Rn, Ccrn

College of Nursing Faculty Papers & Presentations

The clinical use of automated implantable cardioverter defibrillators (AICDs) has been rapidly increasing since the results of several randomized trials confirmed the efficacy of AICDs in the secondary and primary prevention of sudden cardiac death. Patients with AICDs require high-quality care and intense follow-up to ensure safe and effective device performance. According to international guidelines these patients should be followed at 1- to 4 month intervals, depending on the device model and the patient’s clinical status (Schoenfeld, 2004). Given the expanding indications for use and the complexity of these devices, there is an urgent need to develop new means of …

Education Is The Key To The Prevention Of Lawnmower Accidents, Sherry R. Lovan

Nursing Faculty Publications

No abstract provided.

Animal-Assisted Therapy As A Pain Relief Intervention For Children, Carie Braun, T. Stangler, J. Narveson, S. Pettingel

Nursing Faculty Publications

Animal-assisted therapy (AAT) is a healing modality involving a patient, an animal therapist, and handler with a goal of achieving a specified therapeutic outcome. Despite the myriad of studies documenting the benefits of AAT, no studies have yet determined the impact of animals on alleviation of pain in children. Therefore, a quasi-experimental intervention design was used to capture the change in pain and vital signs with (n = 18) or without (n = 39) AAT in children ages 3–17 in one acute care pediatric setting. The AAT intervention group experienced a significant reduction in pain level compared to …

Youtube And Other Web 2.0 Applications For Nursing Education, Margaret M. Hansen Edd, Msn, Rn, Scott Erdley

Nursing and Health Professions Faculty Research and Publications

Web 2.0 applications, such as the popular YouTube™ online video network, may enhance health care students' learning and retention while providing connections with peers and faculty. Today's students are consumers of popular social networking tools, such as "Facebook" and "MySpace," as well as the personal video sharing site, YouTube™. Furthermore, novel cellular 1 phones, such as Apple Computer's© iPhone and the innovative Palm phone, have the capacity to i show You Tube videos, which are now literally a "touch" away from viewing. The authors set out to I explain Web 2.0 applications and the impact on health care students' education, …

A Model Of Palliative Care For Heart Failure, Judith E. Hupcey, Janice Penrod, Kimberly Fenstermacher

Nursing (Graduate) Educator Scholarship

The heart failure illness trajectory is both complex and unpredictable, which makes providing palliative care services to patients with heart failure a challenge. As a result, although services are needed, few tend to be offered beyond basic medical management. The traditional model of palliative care is typically based on palliative care being considered a system of care delivery most appropriate for patients with a predictable illness/death trajectory, such as terminal cancer. This type of model, which is based on the ability to predict the course of a terminal disease, does not fit the heart failure trajectory. In this article, we …

Rain Rhythms: Fall 2009 - Summer 2010, College Of Nursing & Professional Disciplines

RAIN Rhythms

No abstract provided.

Promoting The Self-Regulation Of Clinical Reasoning Skills In Nursing Students, Ruthanne Kuiper, Daniel J. Pesut, Donald D. Kautz

RuthAnne Kuiper

Abstract: Aim: The purpose of this paper is to describe the research surrounding the theories and models the authors united to describe the essential components of clinical reasoning in nursing practice education. The research was conducted with nursing students in health care settings through the application of teaching and learning strategies with the Self-Regulated Learning Model (SRL) and the Outcome-Present-State-Test (OPT) Model of Reflective Clinical Reasoning. Standardized nursing languages provided the content and clinical vocabulary for the clinical reasoning task.

Materials and Methods: This descriptive study described the application of the OPT model of clinical reasoning, use of nursing language …

A Summary Of The Guidance Relating To Four Lifestyle Risk Factors For Recurrent Stroke: Tobacco Use, Alcohol Consumption, Diet And Physical Activity, Maggie Lawrence, Susan Kerr, Hazel Watson, Jennie Jackson, Margaret Brownlee

Dr. Maggie Lawrence

Stroke is a major cause of mortality, disability and family disruption; yet prevalence continues to rise despite advances in prevention and treatment. Many risk factors for stroke are modifi able, including life style behaviours, i.e. tobacco and alcohol use, diet and physical activity. Patterns that infl uence lifestyle behaviour are believed to be embedded in family life. Primary and secondary prevention of stroke are important health promotion issues. The objective of this study was to summarize government recommendations and contemporary evidence-based guidelines regarding four lifestyle risk factors for recurrent stroke.

Assessing Secondhand Tobacco Smoke Exposure Among Persons With Severe And Persistent Mental Illness, Chizimuzo T.C. Okoli, Joy L. Johnson, Leslie Malchy

Chizimuzo T.C. Okoli

Background

• Secondhand tobacco smoke (SHS) exposure increases the risk for cancer, respiratory illness, and cardiovascular disease.

• Individuals with severe and persistent mental illness (SPMI) have a higher smoking prevalence than the general population, placing them at increased risk for related morbidity and mortality.

• Given the higher smoking prevalence in this population, the risk for SHS exposure among smokers and nonsmokers with SPMI should be an issue of concern. Yet, SHS exposure in this population is understudied.

• The purpose of our study was to examine the correlates of SHS exposure in this population. Our specific aims were …

Contextual Factors Influencing The Acute Care Registered Nurse's Response To Clinical Alarms, Kathleen Mary Stacy Phd

Dissertations

Nurses are faced with a multitude of clinical alarms on a daily basis. There is an inherent expectation that upon hearing an alarm the nurse will immediately respond to assess the situation and initiate appropriate action to correct the problem. Yet this does not always occur. Issues with alarm responsiveness can pose a serious threat to patient safety. The purpose of this qualitative study was to develop a broader understanding of the contextual factors that influenced the acute care nurse's response to clinical alarms. This study used an interpretive phenomenological methodology to study the lived experiences of the nurses who …

Investigation Of The Effects Of A Violence Prevention Program In Reducing Kindergarten-Aged Children's Self-Reported Aggresive Behaviors, David Jack, Phd, Rn, Cpn, Cne

College of Nursing Faculty Papers & Presentations

The purpose of this study was to explore the effective of a violence prevention program on reducing self-reported acts of aggressive behaviors in kindergarten-aged children. Aggression and violence are health concerns that can have a negative impact on an individual's sense of well-being.

Toward Evidence-Based Teaching: Evaluating The Effectiveness Of Two Teaching Strategies In An Associate Degree Nursing Program, Lori S. Lauver, Phd, Rn, Margaret M. West, Phd, Rn, Timothy B. Campbell, Msn, Crnp, Jennifer Herrold, Msn, Crnp, G. C, Wood, Ms

College of Nursing Faculty Papers & Presentations

The need for evidence based teaching has become an important ideology for nurse educators who are frequently encouraged to expand their teaching strategies based on recent advances in technology and student learning styles. Traditional lecture is often preferred by students, yet the literature encourages case study methodology for the development of critical thinking. A pilot study was conducted comparing learning outcomes using two different teaching strategies: lecture and case study instruction. Recommendations for using case study as a teaching methodology are offered.

Oncology Nurses' Perceptions Of Self-Compassion: A Pilot Study, Miriam R. Lindell

Theses and Graduate Projects

Oncology nurses face extraordinary stressors in their work. If this stress becomes prolonged, these nurses are at risk for burnout and compassion fatigue. One effective way for nurses to manage stress is to care for themselves, body, mind, and spirit. The concept of self-compassion reflects a meaningful approach to self-care. This pilot study explored the perception'of self-compassion by hospital based oncology nurses. A convenience sample of 37 oncology nurses was surveyed using four demographic questions and the Self-Compassion Scale by Kristin Neff. The results demonstrated positive correlation between years of nursing experience and years of oncology nursing experience with common …

Nurses' Experiences With The Disclosure Of Errors To Patients, Debbie Greene

Nursing Dissertations (PhD)

The 1999 Institute of Medicine report, To Err is Human, raised awareness about the multitude of errors that occur in healthcare. Frequently, errors are not disclosed to patients or their families. While several studies have examined patient and physician perspectives on disclosure, limited research on nurse perspectives exist. In hospitals, nurses are often the last line of defense before errors reach the patient. Because nurses are often present when errors occur, nurses’ experiences with disclosure are integral to understanding the issues that surround the disclosure of errors. The purpose of this study was to gain an understanding of nurse experiences …

Transformational Nursing Simulation: Bringing Life To Inanimate Objects For The Purpose Of Educating And Re-Igniting Passion, Pamela A. Torkkola

Theses and Graduate Projects

A transformational nursing simulation program that incorporates a holistic approach in caring for the caregiver is the focus for a Master's Field Project paper. As an alternative to the construction of a generic nursing simulation center that is limited to the education of knowledge and skills, a larger vision centered in Margaret Newman's nursing theory, Health as Expanding Consciousness is proposed. Business models, an incremental approach and practical suggestions are offered in support of healthcare organizations working toward a Center for Nursing Arts and Sciences in times of economic challenge.

Designing A Simulation For Student Evaluation Using Scriven's Key Evaluation Checklist, Shelly Jensen Reed

Faculty Publications

Human patient simulation use has increased dramatically in nursing education over the past 10 years, with many benefits. One advantage is that it allows students to learn by practicing skills in a risk-free environment, with immediate faculty feedback. Another benefit is that it prepares and ensures the competence of student nurses, leading to improved patient safety outcomes. Student opinions gathered in a survey of nursing schools and simulator centers favored use of competency evaluation using simulation in at least some circumstances. As little research concerning use of simulation to evaluate student competency can be found, an established guide such as …

Evaluation Of Laparoscopic Appendectomy Vs. Open Appendectomy: A Retrospective Study At Aga Khan University Hospital, Karachi, Pakistan, Yasmin Vellani, Shaheena Bhatti, Ghina Shamsi, Yasmin Parpio, Tazeen Saeed Ali

School of Nursing & Midwifery

OBJECTIVE: To compare open and laparoscopic appendectomies and to evaluate the level of efficacy of both types of appendectomy performed at Aga Khan University Hospital (AKUH).

METHODS: Based on this strong study rationale, a clinical audit of patient's records was performed to evaluate the significance of this technique as a treatment modality. The study population comprised of patients with appendicitis admitted in the Department of Surgery from January 2004 to December 2004. The patients' charts were reviewed to ascertain whether the procedure was done as an acute case or as an elective procedure. The predictor variables explored in this study …

Exploring The Stress Response In New Army Nurses, Laureen Otto

Theses and Dissertations

The study of stress is limited in professional nursing, but it is nearly non-existent in professional military nursing. The purpose of this study was to explore the relationships among psychological, environmental, biological and demographic factors of stress in new Army nurses during the Army Medical Department’s 8-week Officer Basic Leadership Course (OBLC). Using a descriptive prospective, correlational repeated measures design, 33 study participants completed two psychological stress measures (Perceived Stress Scale [PSS] and the Impact of Event Scale – Revised[IES-R]), an environmental measure (Life Experiences Survey [LES]), a biologic measure (salivary cortisol) and a demographic questionnaire at three different time …