Nursing Commons^™

The Mediating Role Of Pain Catastrophizing On The Association Between Depression And Pain Severity And Interference Among Elderly Asian Immigrants With Chronic Pain, Hee Jun Kim, Hyunjeong Park, Hee-Soon Juon

Department of Medical Oncology Faculty Papers

Purpose: The association between depression and chronic pain is well established. However, few studies have examined the pathways from depression to chronic pain. The present cross-cultural study aimed to test the mediating effects of pain catastrophizing on associations between depression and chronic pain (eg, pain severity, pain intensity) among Korean American elderly.

Patients and Methods: A total of 132 elderly Korean Americans with chronic pain were recruited from elderly daycare centers and Korean ethnic churches in the community. For mediation analyses, structural equation modeling with full information maximum likelihood estimation method was used. The bias-corrected bootstrap confidence interval (CI) method …

Racial Disparities In Post-Acute Home Health Care Referral And Utilization Among Older Adults With Diabetes, Jamie Smith, Olga Jarrín, Haiqun Lin, Tina Dharamdasani, Jennifer Tsui, Charlotte Thomas-Hawkins

College of Nursing Faculty Papers & Presentations

Racial and ethnic disparities exist in diabetes prevalence, health services utilization, and outcomes including disabling and life-threatening complications among patients with diabetes. Home health care may especially benefit older adults with diabetes through individualized education, advocacy, care coordination, and psychosocial support for patients and their caregivers. The purpose of this study was to examine the association between race/ethnicity and hospital discharge to home health care and subsequent utilization of home health care among a cohort of adults (age 50 and older) who experienced a diabetes-related hospitalization. The study was limited to patients who were continuously enrolled in Medicare for at …

Assessing Civility At An Academic Health Science Center: Implications For Employee Satisfaction And Well-Being., Lisa A Campbell, Jenna R Lafreniere, Mhd Hasan Almekdash, David D Perlmutter, Huaxin Song, Patricia J Kelly, Rohali Keesari, Kay Leigh Shannon

College of Nursing Faculty Papers & Presentations

Incivilities are pervasive among workers in healthcare institutions. Previously identified effects include deterioration of employee physical and mental health, absenteeism, burnout, and turnover, as well as reduced patient safety and quality of care. This study documented factors related to organizational civility at an academic health sciences center (AHSC) as the basis for future intervention work. We used a cross-sectional research design to conduct an online survey at four of five campuses of an AHSC. Using the Organizational Civility Scale (OCS), we assessed differences across gender, race (White and non-White) and job type (faculty or staff) in the eleven subscales (frequency …

Infusing Interprofessional Education Core Competencies And Collaborative Practice Into Standards-Driven Curricula, Paula S. Currie, Phd, Ccc-Slp, Luanne Billingsley, Dnp, Mba, Aprn, Acns-Bc, Ryan Green, Phd, Atc, Ralph Wood, Phd, Ches

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

One challenge facing healthcare training programs is balancing the need to provide students with interprofessional education (IPE) and collaborative practice (CP) opportunities in the context of highly prescribed standards-driven curricula (e.g. nursing and speech-language pathology). An infusion-based approach is an option for institutions and standards-driven programs that do not have specific IPE/CP courses or open electives in their curriculum.

Ensuring Racial Equity In Midwifery Education Programs: Beginning Steps For Midwifery Education., Ronnie Lichtman, Jennifer Woo, Pamela Reis, Carrie S. Klima, Dana Perlman

College of Health Professions Faculty Papers

No abstract provided.

Increasing Out Of Bed The Day Of Surgery Documentation For Post-Op Total Hip & Knee Replacements, Alexis Wyeth, Megan Lofink

Abington Jefferson Health Nurse Residency Posters

No abstract provided.

Falls Prevention On An Observation Unit, Robert Rubino, Niveka Cason

Abington Jefferson Health Nurse Residency Posters

No abstract provided.

Nurse Education And Enteral Feedings In Mechanically Ventilated Patients, Georgina Campbell, John Durison, Daniel Russo

Abington Jefferson Health Nurse Residency Posters

No abstract provided.

Fall Reduction Utilizing Continuous Video Monitoring, Jesse Miller

Abington Jefferson Health Nurse Residency Posters

No abstract provided.

Sepsis Education On 5 Beurger, Kevin Galm, Christina Layton, Nicole Camut, Joseph Seo

Abington Jefferson Health Nurse Residency Posters

No abstract provided.

Redesigning Nursing Education To Build Healthier Communities: An Innovative Cross-Sector Collaboration., Beth Ann Swan, Peggy Hilden, Nikki West, Garrett Chan, Kathryn Shaffer, Judith G Berg, Mary Dickow, Deloras Jones

College of Nursing Faculty Papers & Presentations

Today's health care environment requires registered nurses to be prepared for an array of practice settings, providing care outside the hospital and directly in the community. There is increasing focus on wellness, prevention, access to care, and mental health services for an aging and more diverse population. To improve alignment of education with increasingly complex needs, donor-advised funding supported four prelicensure nursing schools to transform their curricula. Selected schools were guided through a curriculum redesign process emphasizing community and continuum of care. This innovation was consistent with meeting challenges to realize the Institute of Medicine's 2011 Future of Nursing recommendations.

Identified Gaps And Opportunities In Perinatal Healthcare Delivery For Women In Treatment For Opioid Use Disorder., Karen Alexander, Vanessa Short, Megan Gannon, Neera Goyal, Madeline Naegle, Diane J Abatemarco

College of Nursing Faculty Papers & Presentations

Pregnancy and the delivery of an infant mark a unique time of engagement in healthcare for women in treatment for opioid use disorder (OUD). The American College of Obstetrics and Gynecology calls for a comprehensive approach to perinatal healthcare delivery for pregnant women with OUD in order to facilitate improved health outcomes and increase patient-provider collaboration. Yet, there is little knowledge regarding the perceptions of women with OUD regarding the current delivery of healthcare which could inform a personalized, tailored approach to perinatal healthcare delivery. Methods: Four focus groups consisting of 22 women with OUD were conducted, transcribed, and analysed …

Nursing And Provider Safety Checklist For Covid-19 Patients, Michele Decastro, Msn, Crnp, Jennifer Zak, Bs, Rn, Pccn, Andrew Thum, Msn, Ml, Rn-Cc, Ccctm, Kristine Meagher, Rn, Msn, Acns-Bc

Health Equity and Quality Improvement (HEQI) Summit

What's the Problem?

As increasing numbers of Covid-19 patients were admitted to the hospital, multiple Med-Surg and Telemetry units were needed to provide care. All healthcare providers noted difficulty in communicating patient plans of care across multiple units and multiple teams. Providers, Clinical Nurses, and Nursing leadership all noted differences in processes for care and communication among units and teams.

Shedding Light On Endometriosis: Patient And Provider Perspectives On A Challenging Disease, Madalene Zale, Emily Lambert, Marianna Lanoue, Amy E. Leader

College of Nursing Faculty Papers & Presentations

Background: Endometriosis is a serious yet understudied medical condition impacting millions of women worldwide.

Methods: This mixed methods study aimed to understand health care provider perceptions and patient experiences with endometriosis in the United States. Providers were surveyed to assess their understanding of disease prevalence. A subset of providers also participated in short, open-ended interviews about treating patients who have or are suspected to have endometriosis. Interviews were also conducted with women diagnosed with endometriosis to understand their experiences with the disease. Means and frequencies were calculated for survey data; interviews were transcribed and separately analyzed by two coders using …

Nursing Care Variation Reduction For The Short Procedure Unit, Monica Young, Eugene Taglienti, Jillian Conroy, Jason Smith, Christine Behr, Darren Horne

Department of Nursing Posters

The desired outcome of this project was to develop and implement a process to assign and delegate nurse assignments in a systematic approach to hold staff accountable and ensure patients are appropriately prepped for their procedure in a timely and safe manner

Goals

• Reduce SPU RN Care Time
• Increase % of patients ready for holding area on time

Assessing Knowledge And Perspectives Of Pediatric Nurse Practitioners Students After Receiving Trauma Informed Care Training, Laura Roettger, Phd, Crnp, Jane Tobias, Dnp, Crnp

College of Nursing Posters

PNP students showed improved understanding and comfort level in caring and managing children exposed to adverse childhood experiences following two TIC learning sessions.

Future Implications

• TIC education should be integrated into curriculum.
• Interprofessional collaboration among students improves knowledge base and understanding of TIC

Care Coordination: Roles Of Registered Nurses Across The Care Continuum, Beth Ann Swan, Sheila Haas, Anne T. Jessie

College of Nursing Faculty Papers & Presentations

Lack of coordination leads to health care that is fragmented, inconsistent, and poorly planned. Conversely, effective care coordination supports achieving the Quadruple Aim. Care coordination, roles of RNs in care coordination, and implications for healthcare delivery are explored.

Generational Differences In Nursing Influencing Job Satisfaction, Sarah Carter, Rn, Capa, Maryjo Marino Hertzog, Rn, Bsn, Capa, Demetrius Trihoulis, Rn, Viktor Hum, Rn

Jefferson Health - Northeast Posters (formerly Aria Health Posters)

Purpose

A generation is defined as a group of individuals who are roughly the same age, and who experience and are influenced by the same set of significant historical events during key developmental periods in their lives.

With multiple Nursing generations working together in the heath care setting identifying and understanding generational differences that influence job satisfaction will help to promote a healthy work environment and a sustainable work force.

Does Having A Nurse Navigator Vs. Not Having A Nurse Navigator Decrease The Cost Of Healthcare In Patients With A Sepsis Diagnosis?, Marybeth Forward, Rn, Amanda Kuzewycz, Bsn, Rn-Bc, Sandra Little, Msn, Rn, Anne Lyons, Bsn, Rn-Bc, Kelly Panei, Bsn, Rn, Pccn, Diane Yaple, Ms, Lpc

Jefferson Health - Northeast Posters (formerly Aria Health Posters)

Purpose

The nurse navigator facilitates the care of a patient with the diagnosis of sepsis across the healthcare continuum. This includes:

• Promoting optimal outcomes
• Preventing readmissions
• Patient education
• Decreasing length of stay in skilled nursing facilities

The coordination of transition of care starts from the time of admission through the 90 day post acute period.

Nurses Alumni Association Bulletin, Fall 2019, Susan Albrecht Curcio

Nursing Alumni Bulletins

2019–2020 Meeting Dates Calendar

2020 Annual Luncheon and Meeting Notice

Officers for 2019–2020

President’s Message

Treasurer’s Report

Resume of Minutes

Office News

Committee Reports

• Social
• Relief Trust Fund
• Central Pennsylvania Satellite Group
• Scholarship
• By-Laws
• Nominating
• Bulletin

Jefferson Office of Alumni Relations

Annual Giving

In Honor of and in Memory of

Janet C. Hindson Award

• Janet C. Hindson Award Winner

Pearls of Wisdom

The History of the Jefferson Cap

A Nurses’ Cape Finds a Home

Happy Birthday – to Be 80 or More

Flower Thank You Notes

Annual Luncheon

• Photos
• Annual Luncheon Comments
• 1970 – 50th Anniversary Class List

In Memoriam …

Reflux, Apnea And The Impact On Discharge, Michele Savin, Dnp, Nnp-Bc, Kaitlin Kenaley, Md, Maureen Moffet, Msn, Rula Nassar, Md

College of Nursing Posters

Decisions made about timing of discharge can be subjective. Definitions of significant bradycardia are multiple, and interventions are variable.

This necessitates an informed discussion with parents about the natural course of apnea, bradycardia and reflux.

The physiology of gastroesophageal reflux and respiratory control have intermingled confounding variables.

Critical thinking is required to educate and support families, however a paucity of research exists. Risks and benefits of pharmacologic and nonpharmacologic interventions should be evaluated.

Nurses need increased confidence in understanding how to approach the preterm infant with apnea and/or reflux as well as how to interact with families to support discharge …

Experiential Learning And Injury Prevention: A Win-Win, Christine Mckeever, Msn, Rn, Julia Ward, Phd, Rn, Anita Fennessey, Drnp, Rn, Cne, Kathryn M. Shaffer, Edd, Rn, Msn, Cne

College of Nursing Posters

Purpose

Experiential learning opportunities help prepare students for patients in crisis management

Harm reduction by ensuring students become certified in the Stop the Bleed Campaign & Opioid Overdose Narcan Prevention

Effect On Nurse And Patient Experience: Overnight Use Of Blue-Depleted Illumination, Lorenzo Albala, Timothy Bober, Graham Hale, Benjamin Warfield, Micaela Langille Collins, Zachary Merritt, Eric Steimetz, Shmuel Nadler, Yair Lev, John Hanifin

Department of Neurology Faculty Papers

Background

Typical hospital lighting is rich in blue-wavelength emission, which can create unwanted circadian disruption in patients when exposed at night. Despite a growing body of evidence regarding the effects of poor sleep on health outcomes, physiologically neutral technologies have not been widely implemented in the US healthcare system.

Objective

The authors sought to determine if rechargeable, proximity-sensing, blue-depleted lighting pods that provide wireless task lighting can make overnight hospital care more efficient for providers and less disruptive to patients.

Design

Non-randomised, controlled interventional trial in an intermediate-acuity unit at a large urban medical centre.

Methods

Night-time healthcare providers abstained …

Rural Hospital Nursing Skill Mix And Work Environment Associated With Frequency Of Adverse Events., Jessica G. Smith, Colin M. Plover, Moira C. Mcchesney, Eileen T. Lake

College of Population Health Faculty Papers

Introduction: Though rural hospitals serve about one fifth of the United States (U.S.), few studies have investigated relationships among nursing resources and rural hospital adverse events.

Objectives: The purpose was to determine relationships among nursing skill mix (proportion of Registered Nurses (RNs) to all nursing staff), the work environment and adverse events (medication errors, patient falls with injury, pressure ulcers, and urinary tract infections) in rural hospitals.

Methods: Using a cross-sectional design, nurse survey data from a large study examining nurse organizational factors, patient safety, and quality from four U.S. states were linked to the 2006 American Hospital Association data. …

Felty Syndrome, Dorothea Frederick, Dnp, Fnp-C

College of Nursing Posters

Take home point: It is important to remember that the diagnosis of FS may be masked in patients who present with infection, since active bacterial infection raises the WBC count to normal or slightly elevated – the neutropenia reappears shortly after successful treatment (Kay, 2017).

Evidence Based Solutions: Creating Specialty Units, Jacqueline Adams, Msn, Rn, Corln, Ccctm, Megan Bagonis, Rn, Bsn, Michelle Lewandowski, Rn, Bsn, Mha

Department of Nursing Posters

Purpose

To describe how the development of a specialty Ear, Nose, and Throat (ENT) care unit staffed by experienced ENT nurses positively influences quality outcomes, patient experience, ICU admissions, and readmission and LOS rates in a large, urban, academic medical center.

Developing A Business Case For The Care Coordination And Transition Management Model: Need, Metrics, And Measures, Sheila Haas, Phd, Rn, Faan, Regina Conway-Phillips, Phd, Rn, Beth Ann Swan, Phd, Crnp, Faan, Laura De La Pena, Msn, Rnc, C-Efm, Rachel Start, Msn, Rn, Ne-Bc, Diane Storer Brown, Phd, Rn, Cphq, Fnahq, Faan

College of Nursing Faculty Papers & Presentations

In this descriptive qualitative study, nurse and healthcare leaders' experiences, perceptions of care coordination and transition management (CCTM®), and insights as to how to foster adoption of the CCTM RN role in nursing education, practice across the continuum, and policy were explored. Twenty-five barriers to recognition and adoption of CCTM RN practice across the continuum were identified and categorized. Implications of these findings, recommendations for adoption of CCTM RN practice across the care continuum, and strategies for reimbursement policies are discussed.

The Effect Of A Didactic Educational Program With Practical Application On Nursing Knowledge And Empowerment In Antibiotic Stewardship, Eleanor Fitzpatrick, Rn, Msn, Ag-Cns, Acnp, Ccrn

College of Nursing Posters

• Antimicrobial use is a crucial element of patient care but their overuse and misuse have detrimental effects including the growing problem of antimicrobial resistance (AMR).
• Nurse empowerment and engagement has resulted in improvements in many quality initiatives including enhanced patient safety in the areas of Central Line Associated Bloodstream Infections (CLABSI), Catheter-Associated Urinary Tract Infections (CAUTI) and pressure injuries (Carter, 2016).
• Enhancing nurse empowerment in AS may be effective in reducing antibiotic misuse.
• The purpose of this study is to implement an educational program engaging nurses in AS activities and determining the effect of this educational intervention on the knowledge …

Optimizing Strategies For Care Coordination And Transition Management: Recommendations For Nursing Education, Beth Ann Swan, Regina Conway-Phillips, Sheila Haas, Laura De La Pena

College of Nursing Faculty Papers & Presentations

The purpose of this descriptive qualitative study was to explore nurse and healthcare leaders' experiences and perceptions of care coordination and transition management (CCTM®). Four barriers emerged that added insight into the lack of adopting and integrating CCTM knowledge, skills, and attitudes in nursing education in the following categories: curriculum redesign, silos of care settings and care providers, knowledge gap, and faculty development/resistance. Recommendations and implications for education, for both nursing students and practicing nurses, are described.

Rotating Shifts Vs. Fixed Schedules, Sara Vallett, Ba, Bsn, Rn, Dilek Reisoglu, Bs, Bsn, Rn

College of Nursing Posters

Purpose

• This EBP project seeks to examine the literature and nurses’ perceptions related to rotating shifts, especially the impact of quick returns on nurses and possible solutions.
• Nurses struggle to manage rotating shifts with quick turnaround between shifts. Quick returns defined as returning to work a different shift within 24 hrs

PICO question: What effect does rotating shifts with (quick returns) have on clinical nurses?