Nursing Commons^™

Comparison Of Newest Vital Sign And Brief Health Literacy Screen Scores In A Large, Urban Hispanic Cohort, Adriana Arcia, Anthony T. Pho, Maichou Lou, Suzanna Bakken

School of Nursing and Health Science: Faculty Scholarship

Objective

Prior studies comparing subjective and objective health literacy measures have yielded inconsistent results. Our aim was to examine the concordance between Newest Vital Sign (NVS) and Brief Health Literacy Screen (BHLS) scores in a large cohort of English- and Spanish-speaking urban Hispanic adults.

Methods

Item means, standard deviations, corrected-item total correlations, Cronbach’s alpha, and Spearman correlations and area under receiver operating characteristic (AUROC) curve analysis were used to compare NVS and BHLS items and total scores.

Results

N = 2988 (n = 1259 English; n = 1729 Spanish). Scores on both measures demonstrated good internal consistency (NVS: α …

Seeing Things The Same Way: Perspectives And Lessons Learned From Research-Design Collaborations, Sabrina Mangal, Lauren Berger, Jean-Marie Bruzzese, Alexandra De La Cruz, Maichou Lor, Imama A. Naqvi, Eugenio Solis De Ovando, Nicole Spiegel-Gotsch, Samantha Stonbraker, Adriana Arcia

School of Nursing and Health Science: Faculty Scholarship

Information visualizations are increasingly being developed by informatics researchers to communicate health information to lay audiences. For high-quality results, it is advisable to collaborate with creative professionals such as graphic designers, illustrators, or user interface/user experience designers. However, such collaborations are often a novel experience for both parties, each of which may be unfamiliar with the needs and processes of the other. We have coalesced our experiences from both the research and design perspectives to offer practical guidance in hopes of promoting the success of future collaborations. We offer suggestions for determining design needs, communicating with design professionals, and carrying …

Yoga Plus Mantram Repetition To Reduce Chronic Pain In Veterans With Post-Traumatic Stress Disorder: A Feasibility Trial, Erik J. Groessel, Carol Hafey, Adhana Mccarthy, Rahil M. Hernandez, Miguel Prado-Nava, Danielle Casteel, Symone Mckinnon, Douglas G. Chang, Catherine R. Ayers, Thomas R. Rutledge, Ariel J. Lang, Jill E. Bormann

School of Nursing and Health Science: Faculty Scholarship

Background

Veterans with post-traumatic stress disorder (PTSD) are more likely to report chronic pain than veterans without PTSD. Yoga has been shown to reduce both chronic pain and PTSD symptoms in clinical trials. The goal of our study was to assess the feasibility and acceptability of conducting a randomized controlled trial (RCT) that combined yoga and mantram repetition (Yoga + MR) into one program for military veterans with both chronic pain and PTSD.

Methods

In this feasibility RCT, 27 veterans were randomized to either Yoga + MR or a relaxation intervention. Due to the COVID-19 pandemic, in-person recruitment, assessments, and …

Current State And Future Recommendations For Faculty In Phd In Nursing Programs, Marion E. Broome, Jane M. Georges, Joan Vitello-Cicciu, Cynthia A. Leaver, Rick García

School of Nursing and Health Science: Faculty Scholarship

In 2020 the American Association of Colleges of Nursing (AACN) Board of Directors appointed a 9-member task force to revise AACN's 2010 position statement, The Research-Focused Doctoral Program in Nursing: Pathways to Excellence, with the goal of developing a vision for research-focused doctoral programs and graduates. This resulted in 70 recommendations in a new AACN position statement, The Research-Focused Doctoral Program in Nursing: Pathways to Excellence (2022). The new document is based on a review of the literature from 2010 to 2021 and 2 inaugural surveys sent to deans and PhD students in nursing. The new The Research-Focused Doctoral …

“A Patient Should Not Have To Ask”: Women’S Experiences Of Patient Education About Preconception Care For Type 2 Diabetes, Laura E. Britton, Adriana Arcia, Guneet Kaur, Oluwatomisin Sontan, Cassondra J. Marshall, Maureen George

School of Nursing and Health Science: Faculty Scholarship

Objectives

Method

Results

Understanding The Barriers To Covid-19 Vaccine Among Hispanic/Latinx Communities, Razel Bacuetes Milo, Claudia Aguayo, Allison Rae Chico, José Andrés Rozo, Iris Vásquez, Patricia Calero, Joseph Burkhard

School of Nursing and Health Science: Faculty Scholarship

Objective:

Methods:

Results:

Patient-Specific Predictors Of Surgical Delay In A Large Tertiary-Care Hospital Operating Room, Natalie Myers, Sarah E. Giron, Ruth A. Bush, Joseph F. Burkard

School of Nursing and Health Science: Faculty Scholarship

Purpose

Design

Methods

Findings

Nurses And Respiratory Therapists Lived Experience During Covid-19 Pandemic: A Qualitative Study, Razel Bacuetes Milo, Elvira Gómez, Carol Suarez, Patricia Calero, Cynthia Connelly

School of Nursing and Health Science: Faculty Scholarship

Introduction

Nurses and respiratory therapists working on the frontline during the pandemic surge were short-staffed and worked extended hours while adding new tasks to already demanding workloads. As the world watched news covering COVID-19's effect, nurses and respiratory therapists lived through the daily stress of treating each patient with care, dignity, and compassion. Limited studies have focused on this population, which is vital to providing care and saving lives; research is needed to understand nurses’ and respiratory therapists’ experiences during the COVID-19 pandemic.

Objective

The study aimed to understand nurses’ and respiratory therapists’ experiences during the COVID-19 pandemic.

Methods

A …

The Lived Experience Of Military Women With Chronic Pain: A Phenomenological Study, Sandra W. Peppard, Joseph Burkard, Jane Georges, Judy Dye

School of Nursing and Health Science: Faculty Scholarship

Introduction

Chronic pain, a persistent or recurrent pain lasting more than 3 months, is a widespread problem among military women due to combat-related injuries and post-deployment stressors. Risk factors associated with chronic pain include gender, mental health, post-traumatic stress disorder, and prior physical or military sexual trauma. The most common prevalence of chronic pain is musculoskeletal (e.g., low back and neck), migraine, osteoarthritis, and fibromyalgia. Following deployment, 25% of military women are at risk for chronic pain. Military women are prescribed opioids for pain at a higher rate than men and are at risk for prescription opioid addiction. The unique …

Barriers To And Facilitators Of Military Spouses’ Recovery From Perinatal Mental Health Disorders: A Qualitative Study, My Hanh (Theresa) Nguyen, Semira Semino-Asaro, Alison M. Reminick, Amber T. Rukaj, Cynthia D. Connelly

School of Nursing and Health Science: Faculty Scholarship

Introduction: Perinatal mental health disorders (PMHDs) are a common complication of child-bearing, affecting approximately 1 in 7 U.S. mothers. An expanding literature has examined how PMHDs afect military families; however, little is known about military spouses’ experiences in accessing and engaging in treatment for PMHDs. Te purpose of this qualitative study was to gain a better understanding of the barriers to and facilitators of accessing, engaging, and progressing in treatment and recovery among a sample of U.S. military spouses with PMHDs. Methods: Military spouses (N = 12) were recruited from a maternal mental health clinic at an academic …

Emerging Adults Reflect After Completing A Long-Distance Running Program: Were Program Goals Met?, Elaine M. Rutkowski, Patricia Calero, Cynthia D. Connelly

School of Nursing and Health Science: Faculty Scholarship

Objective:To examine the potential sustained effects of WeROCK, a structured middle school-based marathon training program, on participants’ reported levels of wellness promotion, physical activity, and self-efficacy as they enter early adulthood. Design and Methods: A retrospective descriptive mixed methods design. Sample included emerging adults (N=57) who were past middle school participants in WeROCK Orange County, CA. Data were collected via online questionnaires. Results: Physical activity contributed to the positive wellbeing for participants in this sample; Physical activity was satisfying, inspirational, and enjoyable; school was considered important; Approximately 77% of participants engaged in a high or moderate levels …

Use Of Sequential Organ Failure Assessment Among Intensive Care Unit Patients With Septic Shock, Ahlam Aluneizi, Eman Aluneizi, Caroline Etland

School of Nursing and Health Science: Faculty Scholarship

Purpose: Sepsis is a significant cause of mortality in modern intensive care units (ICUs). At Sharp Grossmont Hospital (SGH), sepsis cases increased the patient mortality rate in comparison to other Sharp facilities. Currently, no tools are utilized to identify septic patients at SGH. The study aimed to find out the impact of early consultation of advanced illness management (AIM) and goals of care conversations (GOCC) on reducing the length of stay (LOS) among septic shock patients.

Methodology: Descriptive data were attained based on Electronic Medical Records (EMR) of 39 septic shock patients form which ICU nurses utilize to calculate Sequential …

What Has Philosophy Ever Done For Nursing: A Discursive Shift From Margins To Mainstream, Jane M. Georges

School of Nursing and Health Science: Faculty Scholarship

This paper is a personal dialogue of maneuvering the landscape of scholarship in the United States as a nurse faculty. The principal thesis of this paper is that a discursive shift from margins to mainstream literature has occurred within nursing discourse during the past 20 years as the result of a growing body of work by nurse philosophers. I utilize my own work in nursing philosophy as an exemplar and provide a narrative situated in a feminist-critical paradigm. This paper: (1) presents a historical background through a critical-feminist lens of the discursive shift using my own work and lived experiences …

A Systematic Review Of Interventional Trials Reporting Relationships Between Silent Mantram Repetition And Health In Adults, Jennifer M. Hulett, Michelle Corona, Brooke M. Hartman, Jill E. Bormann

School of Nursing and Health Science: Faculty Scholarship

No abstract provided.

Improving Patient-Reported Outcomes In Stroke Care Using Remote Blood Pressure Monitoring And Telehealth, Imama Naqvi, Kevin Strobino, Hanlin Li, Kevin Schmitt, Yuliya Barratt, Stephen A. Ferrara, Amna Hasni, Kenrick D. Cato, Mark G. Weiner, Mitchell S. V. Elkind, Ian M. Kronish, Adriana Arcia

School of Nursing and Health Science: Faculty Scholarship

Background Inequities in health care access leads to suboptimal medication adherence and blood pressure (BP) control. Informatics-based approaches may deliver equitable care and enhance self-management. Patient-reported outcomes (PROs) complement clinical measures to assess the impact of illness on patients' well-being in poststroke care.

Objectives The aim of this study was to determine the feasibility of incorporating PROs into Telehealth After Stroke Care (TASC) and to explore the effect of this team-based remote BP monitoring program on psychological distress and quality of life in an underserved urban setting.

Methods Patients discharged home from a Comprehensive Stroke Center were randomized to TASC …

Surgical Team Structure: How Familiarity And Team Size Influence Communication Effectiveness In Military Surgical Teams, Christopher H. Stucky, Felichism W. Kabo, Marla J. De Jong, Sherita L. House, Joshua A. Wymer

School of Nursing and Health Science: Faculty Scholarship

Introduction

Preventable patient harm has persisted in health care despite recent advances to reduce errors. There is increasing recognition that non-technical skills, including communication and relationships, greatly impact interprofessional team performance and health care quality. Team familiarity and size are critical structural components that potentially influence information flow, communication, and efficiency. Methods

In this exploratory, prospective, cross-sectional study, we investigated the key structural components of surgical teams and identified how surgical team structure shapes communication effectiveness. Using total population sampling, we recruited surgical clinicians who provide direct patient care at a 138-bed military medical center. We used statistical modeling to …

The Gendered Profession: Resuscitating The Value Of The Male Nurse In The Pre-Health Undergraduate Eye, Madolyn Dolce, Anne Koenig Phd

Creative Collaborations: Annual Showcase of Undergraduate Research

Background

Gender Gap: Women represent 88.5% of registered nurses in the U.S. (U.S. Bureau of Labor Statistics, 2021)

• Nurses have been devalued and degraded socially, professionally, and economically, especially with COVID-19 (National Nurses United, 2020).
• Reflects gender roles and societal perceptions of women as “lesser” and thus nursing is avoided by men.

Role/Goal Congruence Theory

• According to role congruence theory, social roles direct individuals on their life path, most notably in their career choices (Diekman & Eagly, 2008).
• Goal congruence theory suggests men and women tend to chase careers that align with agentic or communal goals, respectively (Diekman et al., …

Patient Perception Of Intensive Care Unit Discomfort, Essa Hakamy

Dissertations

Background: Discomfort has a significant effect on patient health and well-being; however, the symptoms are often difficult to address in ICU. Most patients in ICU are unable to communicate, making it difficult for physicians and nurses to distinguish between pain and discomfort. For example, artificial airways and assisted ventilation prevent patients from communicating. Patients may also have difficulty communicating due to delirium, fatigue, sedation, or neurological disease. Rationale: Discomfort has a considerable influence on patient health outcomes and well-being if not identified and addressed. Researchers have not explicitly explored discomfort apart from pain, which underscores the importance of studying the …

Adults With Preexisting Diagnosis Of Heart Failure In The Environment Of Coronavirus Disease 2019, Ronald Phillips

Dissertations

Background: Heart disease continues to be the leading cause of death among adults in the United States and other industrialized countries. Heart failure (HF) is a form of heart disease and has become an epidemic with complications and medical care costs increasing at an alarming rate. HF affects more than 5.7 million adults in the United States with an incidence between 550,000 to 670,000 annually, primarily affecting females, African Americans, and adults aged 55 years and older. HF is also associated with a high rate of mortality, estimated to increase, with a risk rate of 13%, 32%, and 64% among …

Implementation Of The Blunt Tip Cannula For Dermal Fillers To Decrease Adverse Events Intra And Post Treatment, Natalie Drone

Doctor of Nursing Practice Final Manuscripts

Abstract Title: Decreasing Adverse Events by Implementing Blunt Tip Cannula in the Administration of Dermal Fillers Intra and Post Treatment

Background: Dermal filler administration has become one of the most popular cosmetic procedures since dermal fillers were FDA approved in 1981. Although decreasing adverse events in dermal filler administration is a primary concern, aesthetic providers strive to provide patients with the most comfortable treatment experience possible without compromising aesthetic outcomes. Evidence has suggested that blunt tip cannulas provide a more comfortable delivery of dermal fillers and a lower risk of adverse events when compared with the standard practice …

Correlates Of Health Literacy And Perceptions Of Burden Among Caregivers Of Persons Diagnosed With Chronic Illnesses, Mubarak Aldawsare

Dissertations

Background/Rationale: Greater attention is needed on factors effectively supporting caregivers because poor well-being of caregivers can hamper overall patient outcomes. Lack of awareness of caregiver burden has implications for healthcare systems globally. Caregivers may encounter various levels of burden as a result of providing long-term care to individuals diagnosed with one or more chronic illnesses. Caregivers with inadequate health literacy are more likely to experience feelings of uncertainty, and as a result, caregiver burden. Little is known about the impact of the health literacy of caregivers on the level of burden when providing care to individuals with complex care …

Phenomenological Study Of The Lived Experience Of New Graduate Nurses Caring For Hospitalized Patients Living With Dementia, Geline Buenconsejo

Dissertations

Title. Phenomenological Study of the Lived Experience of New Graduate Nurses Caring for Hospitalized Patients Living with Dementia.

Purpose. This study explored new graduate nurses’ lived experiences in caring for hospitalized patients living with dementia.

Background. The first twelve months of transitioning from student to professional nurse in acute care settings are the most stressful, emotionally challenging, and mentally exhausting for new nurses striving to apply newly acquired skills into practice. Some of the most challenging patients for nurses to care for are hospitalized patients living with dementia (PtLWD). With the projected increase in the number of patients with dementia …

Implementing Adverse Childhood Experience Screening In An Intensive Outpatient Mental Health Program, Bryan Amaro

Doctor of Nursing Practice Final Manuscripts

Adverse Childhood Experiences (ACES) are linked to damaging events which happen to people when we are young (0-18). ACEs are connected to a phenomenon known as the toxic stress response which can later become the root etiology for many mental health, substance abuse and chronic medical health complications our society faces. ACEs affect all populations and do not discriminate across socioeconomic, racial, ethnic, gender, or geographic lines. Roughly two thirds of Americans have experienced at least one ACE. This project seeks to perform ACE screening at an Intensive Outpatient behavioral health center by screening for ACEs upon all admissions into …

Effects Of Telephone Follow-Up On Medication Adherence And Rapid Readmission Among Discharged Adults With Schizophrenia Spectrum Disorders (Ssds), Romilynn Danko, Madalyn Cosensci

Doctor of Nursing Practice Final Manuscripts

High rates of 30-day readmission after acute care discharge are a big concern for patients with psychiatric disorders. These high rates not only reflect poor patient outcomes, but also result in higher hospital costs. For adults with schizophrenia spectrum disorders (SSDs), a review of current research shows that non-adherence to medication has been significantly associated with rapid readmissions and that using an intervention such as follow-up telephone calls after discharge can help prevent readmission through increased medication adherence. Using the Iowa model framework as a guide, the purpose of this evidence-based practice project was to pilot a post discharge procedure …

Screening For Childbirth-Related Posttraumatic Stress Disorder Using The City Birth Trauma Scale: A Pilot Project, Meredith Kazato

Doctor of Nursing Practice Final Manuscripts

Purpose: The purpose of this project is to identify birthing people with childbirth-related posttraumatic stress disorder (CB-PTSD) symptoms using the City Birth Trauma Scale (CBTS). Once identified, at risk birthing people will receive verbal education about CB-PTSD and a social work consultation, if necessary.

Background: A birth is deemed traumatic, and thus fulfills one of eight criteria of posttraumatic stress disorder (PTSD), when during labor, delivery, and/or immediately postpartum, the birthing person perceives themselves and/or their baby’s life to be in danger and/or are at risk of being critically injured. These events include but are not limited to emergency cesarean …

Fall Risk Assessment And Intervention To Reduce Fall-Related Injuries And Hospitalization In Older Adults, Pittawat Emerson

Doctor of Nursing Practice Final Manuscripts

Falls among older adults is a major issue that has become a leading cause of injuries and deaths. This study is an evaluation of fall-risk assessment using the Stopping Elderly Accidents, Deaths & Injuries (STEADI) tool and physical activity intervention in older adults aged 65 and above during their annual wellness visits to reduce fall-related injuries and hospitalizations. The results showed a reduction of fall-related injuries by up to 11.8% after the 12-week intervention. Patients with moderate-to-high fall risk saw a decrease in injury by 12.9%. Patients with moderate-to-high fall risk scores saw a decrease by 12.9%, from 25.9% to …

Increasing Covid-19 Vaccine Awareness Among Hispanic Families: A Policy Perspective, Allison Chico, Iris Vazquez, Claudia Aguayo, Jose Andres Rozo

Doctor of Nursing Practice Final Manuscripts

COVID-19 disproportionally affected Hispanic/Latinx populations exacerbating systemic health inequities. In San Diego County, 44.7% of COVID-19 cases are among Hispanic/Latinxs compared to 31.1% Whites. Community-centered, culturally tailored vaccine programs are essential to close the gap in COVID-19 disparities. This health policy project aimed to explore barriers to COVID-19 vaccination across Hispanics/Latinx in San Diego, communicate findings and seek assistance from elected officials, and collaborate with a community-based organization to provide vaccines utilizing the PRECEDE-PROCEED model. Our project utilized a multicomponent approach. We conducted a screening of 200 participants to identify common barriers for vaccine hesitancy among Hispanics/Latinx individuals across San …

Screening For Suicide Risk In The Outpatient Electroconvulsive Therapy Population, Cerah Nagata

Doctor of Nursing Practice Final Manuscripts

TITLE: Screening for suicide risk in the outpatient electroconvulsive therapy population

BACKGROUND: Reducing risk for suicide continues to be a national hospital patient safety goal. Suicide is the 10th leading cause of death in the United States and suicide rates have increased 33% in the last decade. It has been found that 83% of those who die by suicide received healthcare services in their last year of life, thus healthcare providers are uniquely suited to play a role in identifying suicidality. The Columbia-Suicide Severity Rating Scale (C-SSRS) is a validated tool developed by Columbia University, University of Pennsylvania, and the …

Improving Vaccination Rates Through Community Partnership, Marissa Marquez

Doctor of Nursing Practice Final Manuscripts

IMPROVING VACCINATION RATES THROUGH COMMUNITY PARTNERSHIP

by

Marissa Marquez, DNP Student, FNP-C, MSN, MBA, RN, BSN

Clinical Mentor: Jill Milton, MSN, FNP-C

Joseph Burkard, DNSc, CRNA, AACN Health Policy Fellow

Purpose: The purpose of the quality improvement project is to improve the vaccination rates and vaccine series completion rates of school age children at Rosa Parks Elementary school through a targeted educational intervention.

Background: Under immunization among school-aged children is an ongoing challenge. Low rates of immunization can cause outbreaks of communicable disease, leading to preventable injury, loss of life, and burden to the healthcare system. Among other …

Implementation Of Surgical Education Video To Burn Patients Before The Informed Consent Process, Brian Piatkowski

Doctor of Nursing Practice Final Manuscripts

Purpose: Before the initiation of this evidence-based Doctor of Nursing Practice (DNP) project, a systematic review of literature set forth by other researchers regarding the informed consent process was done. The literature showed patient satisfaction scores increased, while anxiety decreased regarding surgical procedures after using a multimedia educational tool. The first goal of the project was to determine any gaps in knowledge of the burn surgical patient population. The second goal of the project was to determine gaps in knowledge and comfort levels with providers obtaining informed consent. The third goal was to determine the efficacy of implementing a surgical …