Nursing Commons^™

Impact Of Covid-19 On Intensive Care Unit Nurse Duty Of Care And Professional Roles: A Qualitative Content Analysis, Jacqueline Christianson, Jill L. Guttormson, Natalie S. Mcandrew, Kelly Calkins

College of Nursing Faculty Research and Publications

Background

Nurse duty of care, the balance between nursing occupational obligations to provide care, the personal costs for providing such care, and the reward for providing care, has been significantly altered by the COVID-19 pandemic. ICU nurses are increasingly burdened with higher personal costs to fulfill their jobs, but little additional reward for continuing to provide care.

Objectives

The purpose of this study was to examine the impact of the COVID-19 pandemic on the duty of care balance among ICU nurses who manage COVID-19 patients.

Design

This was a descriptive qualitative study using semi-structured interviews.

Methods

Nurses were recruited for …

Effect Of Naloxegol On Opioid-Induced Esophageal Motility Disorder, Crista Ulteig, Kristin Ciezki, Megan Jacobson, Maharaj Singh, Tarun Sharma

College of Nursing Faculty Research and Publications

Opioid effects on lower gastrointestinal motility are well documented, and increasing attention is being paid to their effect on esophageal motility. Naloxegol is a µ-opioid receptor antagonist that is used for opioid-induced constipation, but its impact on esophageal motility has not been well documented. We report a case series of 3 patients with coexisting esophageal dysmotility and constipation on chronic opioids that improved both symptoms after starting naloxegol. Based on these observational studies, we propose that formal studies be conducted to assess the effect of naloxegol on opioid-induced esophageal dysmotility.

Inequalities In Prevalence Of Birth By Caesarean Section In Ghana From 1998-2014, Joshua Okyere, Henry Ofori Duah, Abdul-Aziz Seidu, Bright Opoku Ahinkorah, Eugene Budu

College of Nursing Faculty Research and Publications

Background

Caesarean section (CS) is an intervention to reduce maternal and perinatal mortality, for complicated pregnancy and labour. We analysed trends in the prevalence of birth by CS in Ghana from 1998 to 2014.

Methods

Using the World Health Organization’s (WHO) Health Equity Assessment Toolkit (HEAT) software, data from the 1998-2014 Ghana Demographic and Health Surveys (GDHS) were analysed with respect of inequality in birth by CS. First, we disaggregated birth by CS by four equity stratifiers: wealth index, education, residence, and region. Second, we measured inequality through simple unweighted measures (Difference (D) and Ratio (R)) and complex weighted measures …

Bullying And Truancy Amongst School-Going Adolescents In Timor-Leste: Results From The 2015 Global School-Based Health Survey, Derrick Nyantakyi Owusu, Kenneth Owusu Ansah, Nutifafa Eugene Yaw Dey, Henry Ofori Duah, Pascal Agbadi

College of Nursing Faculty Research and Publications

Introduction

Studies in Southeast Asia found that bullying commonly occurred among students, and it has a detrimental impact on their school attendance. However, there is a paucity of literature in Timor-Leste on the association between bullying and truancy. Therefore, this study examined the association between bullying and truancy among Timor-Leste school-going adolescents.

Methods

We used the 2015 Timor-Leste Global School-based Student Health Survey (GSHS) dataset to examine our hypothesis in logistic regression models for both full adolescents (N = 3609) and gender stratified samples. The models further controlled for other sociodemographic variables. Statistical significance was pegged at p ≤ …

Epidemiology And Characteristics Of Chronic Pancreatitis—Do The East And West Meet?, Nikita Desai, Tarun Kaura, Maharaj Singh, Field F. Willingham, Surinder Rana, Saurabh Chawla

College of Nursing Faculty Research and Publications

Background and Aims

Previous large studies on the epidemiology and clinical profile of chronic pancreatitis have suggested significant differences in presentation and management in the eastern and western hemispheres. The aim of this systematic review was to compare large multicenter studies across different geographic regions of the world to detect meaningful differences in the presentation and management of this poorly understood disease.

Methods

We identified 237 manuscripts through a comprehensive literature review aiming to identify multicenter studies enrolling more than 200 patients to limit reporting biases. After rigorous screening, 12 studies were included for the final analysis. The Asian studies …

Unseen, Unheard: A Qualitative Analysis Of Women’S Experiences Of Exclusively Expressing Breast Milk, Lisa A. Anders, Karen Marie Robinson, Jennifer M. Ohlendorf, Lisa Hanson

College of Nursing Faculty Research and Publications

Background

Breast milk feeding has numerous benefits for women and infants. Positive maternal experiences with breast milk feeding impacts exclusivity, duration, and maternal mental health. Most research focuses on women feeding directly at the breast. Some women elect to feed exclusively expressed milk to their healthy, term infants rather than feed directly at the breast. Little is known about what constitutes a positive experience among this population. Therefore, the aim of this study was to explore women’s experiences of exclusive expression (EE).

Methods

Interviews were conducted via Microsoft Teams to collect qualitative data from a purposive sample of 21 women …

Comprehensive Onboarding And Orientation To Support Newly Hired Faculty In A Nursing Program, Kylateia Farrar-Stern, Michele Sheridan Malin, Amber Young-Brice

College of Nursing Faculty Research and Publications

Background:

Nursing programs are challenged with retaining nurse faculty due to many complex factors, one being the problem of suboptimal transition to the role.

Purpose:

The purpose of this project was to assess the impact of an onboarding and orientation program, the Teaching Excellence Program (TEP), on the transition of newly hired nurse faculty.

Methods:

Program assessment data, including quantitative and qualitative measures of 14 participants' needs and experiences, were collected over one academic year.

Results:

A Wilcoxon signed-rank test found no discernible difference between the preprogram and postprogram survey responses. Qualitatively, participants reported positive experiences with the TEP, highlighting …

Satisfaction And Effectiveness Of Opioid Pain Management Among Adults With Cystic Fibrosis: A Mixed Methods Study, Sarah Allgood, Jessica L. Zemlak, Elisabeth Dellon, Siddhartha G. Kapnadak, Jessica Goggin, Noah Lechtzin

College of Nursing Faculty Research and Publications

Background

Chronic pain is common among people living with cystic fibrosis (CF) and associated with worse clinical outcomes. Despite this, little is known about how pain is managed and how opioids are used to treat pain. The purpose of this convergent mixed methods study was to examine self-reported satisfaction and effectiveness of pain management strategies among a sample of adults with CF who are prescribed opioids.

Methods

We developed an online survey querying 4 domains - demographics, pain characteristics, pain communication, and management strategies. This was distributed nationally to adults with CF (n=48) via various online platforms. We obtained quantitative …

Relationship Between Mothers’/Caregivers’ Reported Learning Difficulty And Internalizing Symptoms (Anxiety And Depression) Of Children Aged 5–17 Years In Ghana, Queen Angela Norman, Nutifafa Eugene Yaw Dey, Kenneth Owusu Ansah, Francis Arthur-Holmes, Henry Ofori Duah, Pascal Agbadi

College of Nursing Faculty Research and Publications

Studies have reported different factors associated with anxiety and depression among children and adolescents. However, studies examining the relationship between learning difficulties and internalizing symptoms of Ghanaian children is scarce. The only study available found that 152 students with learning difficulties who visited a psychology clinic for psychological assessment had high levels of stress and anxiety (Asare & Danquah, 2016). While the study provided preliminary evidence of the relationship between learning difficulties and internalizing symptoms, it had some methodological challenges. For instance, the study used a relatively smaller sample size and subsampled children in Accra. Our study used a nationally …

Parents’ Pandemic Nicu Experience In The United States: A Qualitative Study, Ashlee J. Vance, Kathryn J. Malin, Jacquelyn Miller, Clayton J. Shuman, Tiffany A. Moore, Annella Benjamin

College of Nursing Faculty Research and Publications

Background

Prior to the COVID-19 pandemic, parents of infants in the Neonatal Intensive Care Unit (NICU) frequently reported high levels of stress, uncertainty, and decreased parenting confidence. Early research has demonstrated that parents have had less access to their infants in the hospital due to restrictions on parental presence secondary to the pandemic. It is unknown how parents have perceived their experiences in the NICU since the beginning of the COVID-19 pandemic. The purpose of this study was to describe the lived experience of parents who had an infant in the NICU in the context of the COVID-19 pandemic to …

Comparing Interprofessional Socialization In Mixed-Discipline And Nursing Student-Only Cohorts, Kara Groom, Marilyn Frenn, Susan Breakwell, Timothy Melchert, Mauricio Garnier-Villarreal

College of Nursing Faculty Research and Publications

Background

A challenge to substantiating the value of interprofessional education (IPE) has been the limited number of studies that assess the effectiveness of IPE interventions compared with education interventions in which professions were learning separately from one another.

Purpose

The purpose was to compare interprofessional socialization (IS) in mixed-discipline and single-discipline–only student cohorts to determine if mixed-discipline cohorts demonstrate greater improvement in IS compared with single-discipline cohorts.

Methods

Interprofessional socialization was measured using the Interprofessional Socialization and Valuing Scale in 166 university students who completed a semester-long online palliative care course.

Results

Statistically significant increases in IS were seen with …

Complete (Communication Plan Early Through End Of Life): Development Of A Research Program To Diminish Suffering For Children At End Of Life, Verna L. Hendricks-Ferguson, Amy R. Newman, Katharine E. Brock, Joan E. Haase, Jennifer L. Raybin, Shermini Saini, Karen M. Moody

College of Nursing Faculty Research and Publications

While overall survival has improved significantly for children with cancer over the past 75 years, cancer remains the leading cause of death from disease among children and adolescents. Further, despite the many advances in medical and nursing care, children with cancer still experience significant physical and emotional suffering over the course of their illness, especially at the end of life (EOL). Children endure significant rates of high-intensity medical interventions (e.g., intubation, intensive care unit admission) at the EOL despite many parents, adolescents, and young adult patients identifying home as their preferred location of death. Hospice care has the potential to …

Prevalence And Sociodemographic Factors Associated With Vision Difficulties In Ghana, Gambia, And Togo: A Multi-Country Analysis Of Recent Multiple Indicator Cluster Surveys, Abdul-Aziz Seidu, Pascal Agbadi, Precious Adade Duodu, Nutifaga Eugene Yaw Dey, Henry Ofori Duah, Bright Opoku Ahinkorah

College of Nursing Faculty Research and Publications

Background

The sense of sight is one of the important human sensory abilities that is required for independent functioning and survival. The highest burden of sight-related problems is recorded in low-and middle-income countries, especially in sub-Saharan Africa. Despite the burden, nationally representative analyses to understand the prevalence and determinants of vision difficulties are hard to find. Therefore, this study addressed this knowledge gap by estimating the prevalence of vision difficulties and its correlates in gender-stratified models in three West African countries: Ghana, Gambia, and Togo.

Methods

The study used the most recent Multiple Indicator Cluster Surveys of Ghana (2017–2018), Gambia …

Comorbid Patterns Of Anaemia And Diarrhoea Among Children Aged Under 5 Years In Ghana: A Multivariate Complex Sample Logistic Regression Analysis And Spatial Mapping Visualisation, Henry Ofori Duah, Charles Enyaah Amankwa, Emmanuel Brenyah Adomako, Benson Owusu, Pascal Agbadi

College of Nursing Faculty Research and Publications

Background

Anaemia and diarrhoea are known independent causes of under-five morbidity and mortality. This study sought to investigate predictors of comorbid patterns of anaemia and diarrhoea using the 2014 Ghana Demographic and Health Survey (GDHS). Methods

The study employed analysis of secondary data from the 2014 GDHS. We performed a multivariate complex sample logistic regression and spatial analysis. Results

The weighted prevalence of comorbid anaemia and diarrhoea was 9.28% with the highest burden (16.45%) found in the Upper West region. Independent predictors (risk factors) of comorbid patterns of anaemia and diarrhoea were children aged 6–23 mo (OR=2.17, 95% CI 1.42 …

Can You Hear Us Now? The Impact Of Health-Care Utilization By Rare Disease Patients In The United States, Angela A. Navarrete-Opazo, Maharaj Singh, Ainslie Tisdale, Christine M. Cutillo, Sheldon R. Garrison

College of Nursing Faculty Research and Publications

Purpose

The vast majority of rare diseases (RDs) are complex, disabling, and life-threatening conditions with a genetic origin. RD patients face significant health challenges and limited treatments, yet the extent of their impact within health care is not well known. One direct method to gauge the disease burden of RDs is their overall cost and utilization within health-care systems.

Methods

The 2016 Healthcare Cost and Utilization Project (HCUP) databases were used to extract health-care utilization data using International Classification of Diseases, Tenth Revision (ICD-10) codes.

Results

Of 35.6 million national hospital weighted discharges in the HCUP Nationwide Inpatient Sample, 32% …

Complementary And Alternative Medicine Mind-Body Approaches Used Among Racially And Ethnically Diverse Adolescents, Dora L. Clayton-Jones, Lee Za Ong, Mauricio Garnier-Villarreal, Lori Vick, Rachel Sawdy, Safiya George, Kristin Haglund

College of Nursing Faculty Research and Publications

Purpose

The aim of this paper is to examine complementary and alternative medicine (CAM) use among racially and ethnically diverse adolescents. Greater understanding of CAM use among this group is warranted to better inform health care providers in delivering a culturally relevant health promotion approach.

Design and methods

A secondary data analysis was conducted using the 2012 Child Complementary and Alternative Medicine Supplement of the National Health Interview Survey (CAM-NHIS) data, which was collected from a national sample of adolescents aged 12–17 years. A logistic regression test was employed to investigate the predictors associated with CAM use among racially and …

Interpersonal Violence And Contraceptive Method Use By Women Sex Workers, Jessica L. Zemlak, Rebecca Hamilton White, Danielle Friedman Nestadt, Kamila A. Alexander, Ju Nyeong Park, Susan G. Sherman

College of Nursing Faculty Research and Publications

Objective

More than one-half of women sex workers (sex workers) in the United States experience interpersonal violence, defined as physical or sexual violence, by sexual partners, including clients or intimate partners. Women experiencing interpersonal violence by intimate partners often choose hidden, woman-controlled contraception (e.g., intrauterine devices, pills, or sterilization) because fear of violence can impede condom negotiation. Yet, little is known about how interpersonal violence relates to contraception among sex workers who may have different sexual partner perpetrators (clients and intimate partners). The purpose of this study was to examine associations between interpersonal violence perpetrated by clients or intimate partners …

Community Engaged Scholarship Competency Assessment Rubric, Kristin Haglund, Kimberly Jenson Bohat, Dan Bergen

College of Nursing Faculty Research and Publications

This is a rubric that was presented on October 29, 2021 at the 2021 International Association for Research on Service-Learning and Community Engagement Virtual Gathering.

Processes Used By Mothers In Opioid Recovery To Manage The Needs Of The Maternal-Infant Dyad: A Grounded Theory Study, Nicole M. Mattson

Dissertations (1934 -)

Maternal opioid use during pregnancy and the postpartum period has significant impact on the mother and infant. Maternal well-being and early maternal-infant contact can impact the early attachment and bonding of the dyad. Additionally, the stigma surrounding opioid use in pregnancy can have detrimental effects on the dyad during pregnancy and in the postpartum period. Theory driven nursing interventions to promote mother-infant dyadic care for pairs impacted by maternal opioid use disorder (OUD) are needed. First, it was necessary to understand the current processes used by mothers with OUD to manage the unique needs of their dyad. The purpose of …

An Integrative Literature Review And Critical Reflection Of Intersectionality Theory, Ashley Ruiz, Jeneile Luebke, Katie Klein, Kaylen M. Moore, Michael Gonzalez, Anne Dressel, Lucy Mkandawire-Valhmu

College of Nursing Faculty Research and Publications

Intersectionality theory has been used by nursing scholars to offer insight into how multiple systems of oppression mutually interact to impact health and to examine how multiple social modes of existence shape individual and group experiences of health inequality. The application of intersectionality theory, however, requires a reflexive critical lens to more effectively inform nursing science and practice. We draw on a comprehensive integrative literature review to offer a critical reflection by considering the semantic and structural consistency, generalizability, simplicity and complexity, and the utility and value of intersectionality theory to nursing science and practice. If nurses are to effectively …

Resolution Of Two Steps In Botulinum Neurotoxin Serotype A1 Light Chain Localization To The Intracellular Plasma Membrane, Alexander Gardner, William H. Tepp, Marite Bradshaw, Joseph T. Barbieri, Sabine Pellett

College of Nursing Faculty Research and Publications

Botulinum neurotoxin serotype A (BoNT/A) is the most potent protein toxin to humans. BoNT/A light chain (LC/A) cleavage of the membrane-bound SNAP-25 has been well-characterized, but how LC/A traffics to the plasma membrane to target SNAP-25 is unknown. Of the eight BoNT/A subtypes (A1–A8), LC/A3 has a unique short duration of action and low potency that correlate to the intracellular steady state of LC/A, where LC/A1 is associated with the plasma membrane and LC/A3 is present in the cytosol. Steady-state and live imaging of LC/A3-A1 chimeras identified a two-step process where the LC/A N terminus bound intracellular vesicles, which facilitated …

Telehealth And The Psychiatric Mental Health Nurse Practitioner: Beyond The Covid-19 Pandemic, Jessica L. Zemlak, Patty Wilson, Brigit Vangraafeiland, Tamar Rodney

College of Nursing Faculty Research and Publications

Objective:

Examine the advantages, disadvantages, and challenges of telehealth for the psychiatric mental health nurse practitioner (PMHNP) in practice and student education. Describe areas for future research and policy development regarding telehealth in PMHNP practice and training during and beyond the COVID-19 pandemic.

Methods:

Review current evidence, standards of practice, and education for the PMHNP.

Results:

Recent rapid pandemic-related shifts in utilization of telehealth for clinical practice and student education have highlighted the advantages, disadvantages, and areas in need of additional study.

Conclusions:

Postpandemic telehealth care delivery will likely persist or expand. PMHNPs must advocate for high practice and education …

Examining The Course Of Transitions From Hospital To Home-Based Palliative Care: A Mixed Methods Study, Stephanie Saunders, Marianne E. Weiss, Chris Meaney, Tieghan Killackey, Jaymie Varenbut, Emily Lovrics, Natalie Ernecoff, Amy T. Hsu, Maya Stern, Ramona Mahtani, Kirsten Wentlandt, Sarina R. Isenberg

College of Nursing Faculty Research and Publications

Background:

Hospital-to-home transitions in palliative care are fraught with challenges. To assess transitions researchers have used patient reported outcome measures and qualitative data to give unique insights into a phenomenon. Few measures examine care setting transitions in palliative care, yet domains identified in other populations are likely relevant for patients receiving palliative care.

Aim:

Gain insight into how patients experience three domains, discharge readiness, transition quality, and discharge-coping, during hospital-to-home transitions.

Design:

Longitudinal, convergent parallel mixed methods study design with two data collection visits: in-hospital before and 3–4 weeks after discharge. Participants completed scales assessing discharge readiness, transition quality, and …

Medical Device-Related Pressure Injuries Associated With Electroencephalogram Leads In A Tertiary Care Children’S Hospital: A Retrospective Chart Review, Christine A. Schindler, Rebekah Barrette, Aaron Sandock, Evelyn M. Kuhn

College of Nursing Faculty Research and Publications

BACKGROUND: Medical device-related pressure injuries (MDRPIs) present a substantial safety risk for children who are hospitalized. PURPOSE: This study aimed to describe patient and clinical characteristics of children who develop MDRPIs related to electroencephalogram (EEG) leads, determine risk factors associated with their development, and determine if there are common risk factors that can lead to actionable strategies to reduce MDRPIs related to EEG leads. METHODS: A retrospective review was completed of the electronic health records of all 3136 children who had EEG lead placements between January 1, 2014, and April 16, 2018, at a large tertiary care children’s hospital. Data …

Promoting Patient Engagement: A Scoping Review Of Actions That Align With The Interactive Care Model, Georgia Tobiano, Teresa Jerofke-Owen, Andrea P. Marshall

College of Nursing Faculty Research and Publications

Background

Conceptual clarity for the term patient engagement is growing. However, there is variability in patient engagement in healthcare, which could be due to the absence of models to guide practice or a myriad of organisational, nurse and patient factors. The recently developed ‘Interactive Care Model’ provides guidance on how to genuinely promote individualised patient engagement. An understanding of how to action this model in nursing is required.

Aims

The aim of this scoping review was to examine actions in the published scientific literature that align with the Interactive Care Model, in the context of nursing care of hospitalised patients. …

A Predictive Model, And Predictors Of Under-Five Child Malaria Prevalence In Ghana: How Do Lasso, Ridge And Elastic Net Regression Approaches Compare?, Justice Moses K. Aheto, Henry Ofori Duah, Pascal Agbadi, Emmanuel Kweku Nakua

College of Nursing Faculty Research and Publications

Malaria is among the leading causes of mortality and morbidity among children in Ghana. Therefore, identifying the predictors of malaria prevalence in children under-five is among the priorities of the global health agenda. In Ghana, the paradigm shifts from using traditional statistics to machine learning techniques to identifying predictors of malaria prevalence are scarce. Thus, the present study used machine learning techniques to identify variables to build the best fitting predictive model of malaria prevalence in Ghana. We analysed the data on 2867 under-five children with malaria RDT results from the 2019 Ghana Malaria Indicator Survey. LASSO, Ridge, and Elastic …

Colorectal Cancer In 18- To 49-Year-Olds: Rising Rates, Presentation, And Outcome In A Large Integrated Health System, Nimish Vakil, Kristin Ciezki, Maharaj Singh

College of Nursing Faculty Research and Publications

Background and Aims

Colorectal cancer (CRC) rates are increasing in young people, and new guidelines recommend screening should begin at age 45 years. We aimed to evaluate CRC detection rates in a large integrated healthcare system to assess treatment outcomes in younger CRC patients and to determine factors that could aid in identifying these individuals.

Methods

We analyzed confirmed cases of CRC using a cancer database spanning from 1985 to 2017 from a large integrated healthcare system composed of 15 hospitals, 150 outpatient clinics, and 20 outpatient oncology clinics. Three cohorts were evaluated (18-44 years, 45-49 years, and ≥50 years). …

Acute Care Pediatric Nurse Practitioners As Leaders: Perceptions, Self-Identity, And Role Congruity, Katie Mcdermott, Christine A. Schindler, Krisjon R. Olson, Tara L. Petersen

College of Nursing Faculty Research and Publications

Introduction

This study aimed to gain an understanding of practicing acute care pediatric nurse practitioners’ (AC-PNPs’) perceptions of themselves as leaders in both clinical and professional contexts.

Method

This qualitative study was conducted at a midwestern quaternary care children's hospital. Cultural domain analysis, semistructured interviews, and free listing techniques were employed to identify areas of consensus and variation among a convenience sample of AC-PNPs.

Results

Findings demonstrated the AC-PNPs have a limited self-view of leadership.

Discussion

Nurse practitioners need additional leadership capacity and capability building during graduate education, the transition to practice, and throughout their careers.

Impacts Of Neonatal Hospitalization On Families During The 2019 Coronavirus Pandemic, Ashlee J. Vance, Kathryn J. Malin, Bingxin Chen, Clayton J. Shuman, Tiffany A. Moore

College of Nursing Faculty Research and Publications

Objective Limited data are available regarding family and financial well-being among parents whose infants were hospitalized during the 2019 coronavirus (COVID-19) pandemic. The study objective was to evaluate the family and financial well-being of parents whose infants were hospitalized in the neonatal intensive care unit (NICU) during COVID-19.

Study Design Parents were recruited for this online, cross-sectional survey via support groups on social media. Data collection was completed between May 18, 2020 and July 31, 2020. The final sample consisted of 178 parents, who had an infant hospitalized in an NICU between February 1, 2020 and July 31, 2020. The …

Mixed Methods Study Of Nurse Assessment Of Patient Preferences For Engagement During Hospitalization, Teresa Jerofke-Owen, Alexandria Zielinski, Roger L. Brown

College of Nursing Faculty Research and Publications

Background

Global healthcare initiatives emphasize the importance of engaging patients in their healthcare to improve patients’ experience and outcomes. Assessing patient preferences for engagement is critical, as there are many ways patients can engage in their care and preferences vary across individuals.

Objective

The primary purpose of this study was to evaluate the effect of implementation of the Patient Preferences for Engagement Tool 13-Item Short Form (PPET13) during hospitalization on patient and nurse experience of engagement. Readmissions and emergency department (ED) usage within 30 days postdischarge were also examined.

Methods

The mixed methods study was conducted within two medical units …