Nursing Commons^™

Social And Psychological Factors Associated With Health Care Transition For Young Adults Living With Sickle Cell Disease, Dora L. Clayton-Jones, Nadine Matthie, Marsha Treadwell, Joshua Field, Amy Mager, Rachel Sawdy, Safiya George Dalmida, Cynthia Leonard, Kathryn L. Koch, Kristin Haglund

College of Nursing Faculty Research and Publications

Introduction: Due to advances in disease management, mortality rates in children with sickle cell disease (SCD) have decreased. However, mortality rates for young adults (YA) increased, and understanding of social and psychological factors is critical. The aim of this study was to explore factors associated with health care transition experiences for YA with SCD.

Method: This was a qualitative descriptive study. A 45-minute semistructured interview was conducted with 13 YA (M = 21.5 years, SD = 1.73).

Results: Results suggest that social and psychological factors and self-management experiences influence health care transition. Eight themes emerged: “need for accessible support”; “early …

The Nurse’S Role In Prognosis-Related Communication In Pediatric Oncology Nursing Practice, Amy Rose Newman, Lauri Linder, Kristin Haglund

College of Nursing Faculty Research and Publications

The experiences of pediatric oncology nurses with prognosis-related communication (PRC) remain largely unknown. The purpose of this article is to report results of focus groups wherein 15 pediatric oncology nurses from three Midwestern pediatric cancer programs provided descriptions of PRC and how they experience PRC within their daily practice. Data from focus groups were analyzed via an interpretive descriptive approach, which resulted in three themes: (1) nurses’ operational definition of PRC, (2) nurses’ roles in PRC, and (3) nurses’ preparation for engagement in PRC. From discussions within the focus groups, nurses recognized that PRC occurs across a continuum. Nurses distinguished …

Effects Of Women’S Weight Changes On Adverse Outcomes In A Second Pregnancy, Marianne E. Weiss, Olga Yakusheva, Kandice A. Kapinos

College of Nursing Faculty Research and Publications

Objective

To estimate the effects of women’s weight changes in four sequential perinatal periods across first and second pregnancies (pregravid, first gestation, interpregnancy, second gestation) on adverse maternal and neonatal outcomes in the second pregnancy while accounting for interdependencies in weight across the four periods (Aim 1) and to test the influence of the sequential path of weight changes through the four perinatal periods of risk on maternal and neonatal outcomes in the second pregnancy (Aim 2).

Design

Secondary data analysis.

Setting

Thirty-one Wisconsin hospitals.

Sample

Women with 24,795 linked records from first and second births from 2006 through 2013. …

Efficacy Of Natural Family Planning Methods, Richard J. Fehring

College of Nursing Faculty Research and Publications

No abstract provided.

Advanced Practice Providers: How Do We Improve Their Organizational Engagement?, Molly Condit, Paula Hafeman

College of Nursing Faculty Research and Publications

Advanced practice providers (APPs) are integral members of the multidisciplinary health care team, providing access to high quality and cost-effective patient care. Despite the consistent increase in demand for APPs, these practitioners often lack role clarity, frequently resulting in poor job satisfaction and retention. Establishing an advanced practice provider council within organizations is a positive step in providing APPs with a platform for increasing their visibility, peer support, and decision-making power, thereby improving their engagement within the organization.

Exploration Of Mindfulness Among Ethnic Minority Undergraduate Nursing Students, Amber Young-Brice, Kristina Dreifuerst

College of Nursing Faculty Research and Publications

Background

Meeting projected needs for ethnically diverse nurses depends on a strong pipeline of diverse students within nursing programs. Colleges assume students readily navigate the university; however, this may not be the reality especially among ethnic minority students.

Purpose

The purpose was to explore the concept of mindfulness among ethnic minority nursing students. Exploring mindfulness, and a lack thereof, may provide strategies for overcoming challenges ethnic minority students experience in prelicensure nursing programs.

Methods

A qualitative study using thematic analysis of semistructured in-depth interviews was conducted with 20 ethnic minority undergraduate nursing students.

Results

Themes that emerged reveal positive associations …

Racism, Bias, And Discrimination As Modifiable Barriers To Breastfeeding For African American Women: A Scoping Review Of The Literature, Karen Marie Robinson, Alissa Fial, Lisa Hanson

College of Nursing Faculty Research and Publications

Introduction

Although breastfeeding has been shown to improve health outcomes for infants, African American women initiate and continue breastfeeding at lower rates than women from other racial groups. This scoping review was conducted to assess the effect racism, bias, and discrimination have on breastfeeding care, support, and outcomes for African American women.

Methods

A scoping review was performed of the literature published between January 2010 through December 2019 using databases MEDLINE via PubMed, CINAHL, Cochrane Library, PsycINFO, and Sociological Abstracts. Studies that examined racism, bias, or discrimination with breastfeeding as an outcome were included. After a review of titles and …

Time To Move: Shifting The Icu Paradigm To Improve Outcomes For Survivors Of Critical Illness, Jill L. Guttormson, Natalie S. Mcandrew

College of Nursing Faculty Research and Publications

No abstract provided.

Priority Symptoms, Causes, And Self-Management Strategies Reported By Ayas With Cancer, Lauri Linder, Kristin Stegenga, Jeanne Erickson, Suzanne Ameringer, Amy Rose Newman, Yin-Shun Chiu, Catherine Fiona Macpherson

College of Nursing Faculty Research and Publications

Context

Cancer and symptom experiences of adolescents and young adults (AYAs) with cancer can be highly variable, creating challenges for clinicians and researchers who seek to optimize AYAs' health outcomes. Understanding the heuristics AYAs use to designate priority symptoms can provide insight into the meaning they assign to their symptoms and self-management behaviors.

Objectives

This study described the frequency and characteristics of priority symptoms. It qualitatively explored reasons for a symptom's designation as a priority symptom, perceived causes of priority symptoms, and strategies AYAs use to manage priority symptoms.

Methods

Participants in this single-group, longitudinal study reported symptoms using a …

Exploration Of Mindfulness Among Ethnic Minority Undergraduate Nursing Students, Amber Young-Brice, Kristina Dreifuerst

College of Nursing Faculty Research and Publications

Background. Meeting projected needs for ethnically diverse nurses depends on a strong pipeline of diverse students within nursing programs. Colleges assume students readily navigate the university; however, this may not be the reality especially among ethnic minority students.

Purpose. The purpose was to explore the concept of mindfulness among ethnic minority nursing students. Exploring mindfulness, and a lack thereof, may provide strategies for overcoming challenges ethnic minority students experience in prelicensure nursing programs.

Methods. A qualitative study using thematic analysis of semistructured in-depth interviews was conducted with 20 ethnic minority undergraduate nursing students.

Results. Themes that emerged reveal positive associations …

Long-Term Health-Related Quality Of Life Of Adult Patients Treated With Extracorporeal Membrane Oxygenation (Ecmo): An Integrative Review, Krista A. Knudson, Carolina M. Gustafson, Lois S. Sadler, Robin Whittemore, Nancy S. Redeker, Laura K. Andrews, Abeel A. Mangi, Marjorie Funk

College of Nursing Faculty Research and Publications

Background: Extracorporeal membarane oxygenation (ECMO), a rescue  treatment for patients with severe pulmonary and/or cardiac dysfunction, is increasingly being used worldwide. A better understanding of long-term health-related quality of life (HRQOL) is needed.

Objective: To synthesize research on long-term (at least 6 months post-ECMO) HRQOL of adults treated with ECMO.

Methods: In this integrative review, we searched 3 electronic databases and did a hand search of relevant journals for articles published 2000–2019, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

Results: Thirty-one studies, representing 913 patients treated with ECMO, were included. Long-term HRQOL was slightly …

Impact Of An Electronic Best-Practice Advisory In Combination With Prescriber Education On Antibiotic Prescribing For Ambulatory Adults With Acute, Uncomplicated Bronchitis Within A Large Integrated Health System, Courtney M. Pagels, Thomas J. Dilworth, Lynne Fehrenbacher, Maharaj Singh, Charles F. Brummitt

College of Nursing Faculty Research and Publications

Objective: To determine the impact of a passive, prescriber-directed, electronic best-practice advisory coupled with prescriber education on the rate of antibiotic prescribing for acute, uncomplicated bronchitis in ambulatory adults across a large health system. Design: This study was a quasi-experiment examining antibiotic prescribing for ambulatory adults with acute bronchitis from January 1, 2016 through December 31, 2018. The intervention was implemented in December 2016 for emergency departments and urgent care clinics followed by ambulatory clinics in September 2017. Setting: Outpatient settings across a health system, including 15 emergency departments, >30 urgent care clinics, and >150 ambulatory clinics. Participants: All adults …

Encephalopathic Presentation Of West Nile Virus Neuroinvasive Disease Confounded By Concomitant History Of Acute Alcohol Withdrawal, Alyssa Profita, Kristin Haglund

College of Nursing Faculty Research and Publications

West Nile neuroinvasive disease (WNND) is a rare and severe manifestation of West Nile virus (WNV) infection that occurs in less than 1% of infected persons. It should be considered in patients who present with fever, neurological symptoms, and a history of recent outdoor activity where mosquitoes were active. This article highlights a case of a 55-year-old man whose history and symptoms of WNND were confounded with an alternate diagnosis, acute alcohol withdrawal. An overview of WNV infections, and important historical clues and objective findings characteristic of neuroinvasive disease, is discussed to increase readers' knowledge of WNV and awareness of …

Outcomes Of An Interdisciplinary Work Rehabilitation Program, Mitchell R. Voss

College of Nursing Faculty Research and Publications

BACKGROUND: Work rehabilitation programs were developed to help workers with an injury return to work (RTW). While studies have examined intervention characteristics, prognostic factors, and disability level, there is little or no research examining interdisciplinary interventions, lifting capacity/strength and the level of a patient’s RTW status (e.g., not working, new job, or ongoing restrictions) at the time of discharge. OBJECTIVE: To evaluate outcomes (RTW status and lifting capacity/strength changes) of an interdisciplinary work rehabilitation program and examine whether time off work prior to the program and type of injury were related to RTW status and strength changes. METHODS: A retrospective …

Preventing Delirium Takes A Village: Systematic Review And Meta-Analysis Of Delirium Preventive Models Of Care, Ariba Khan, Olga Boukrina, Mooyeon Oh-Park, Nina A. Flanagan, Maharaj Singh, K Oldham

College of Nursing Faculty Research and Publications

BACKGROUND

Each hospital day of delirium incurs greater healthcare costs, higher levels of care, greater staff burden, and higher complication rates. Accordingly, administrators are incentivized to identify models of care that reduce delirium rates and associated costs.

PURPOSE

We present a systematic review and meta-analysis of delirium prevention models of care.

DATA SOURCES

Ovid MEDLINE, CINAHL, Cochrane Database of Systematic Reviews, EMBASE, and PsycINFO.

STUDY SELECTION

Eligible models of care were defined as provider-oriented interventions involving revision of professional roles, multidisciplinary teams, and service integration. Included studies implemented multidomain, multicomponent interventions, used a validated delirium instrument, and enrolled a control …

Does A Professional Code Of Ethics Matter?, Kathryn Schroeter

College of Nursing Faculty Research and Publications

No abstract provided.

Individual Nurse Productivity In Preparing Patients For Discharge Is Associated With Patient Likelihood Of 30-Day Return To Hospital, Olga Yakusheva, Marianne E. Weiss, Kathleen L. Bobay, Linda L. Costa, Ronda G. Hughes, Morris Hamilton, James Bang, Peter I. Buerhaus

College of Nursing Faculty Research and Publications

Objective:

Applied to value-based health care, the economic term “individual productivity” refers to the quality of an outcome attributable through a care process to an individual clinician. This study aimed to (1) estimate and describe the discharge preparation productivities of individual acute care nurses and (2) examine the association between the discharge preparation productivity of the discharging nurse and the patient’s likelihood of a 30-day return to hospital [readmission and emergency department (ED) visits].

Research Design:

Secondary analysis of patient-nurse data from a cluster-randomized multisite study of patient discharge readiness and readmission. Patients reported discharge readiness scores; postdischarge outcomes and …

Creation And Implementation Of A Pediatric Advanced Practice Nurse Critical Care Fellowship Program, Bonnie Stojadinovic, Christine A. Schindler, Margaret Faut Callahan, Maureen O'Brien, Tom B. Rice, Theresa Mikhailov

College of Nursing Faculty Research and Publications

Advanced practice registered nurses (APRNs) who begin their careers in the pediatric intensive care unit (PICU) may be challenged in this practice environment. Inadequate prior experience as a staff nurse, limited opportunities for clinical placements in the PICU during graduate education, and being in a fast-paced, high-acuity practice environment without prior exposure to critically ill children are practice challenges in the PICU setting. The goal of postgraduate education training programs (fellowship programs) for the acute care pediatric nurse practitioner (ACPNP) is to prepare students to become beginner practitioners who can function effectively in the acute care setting within a few …

The Impact Of Simulation On Knowledge And Performance Gain Regarding Diabetic Patient Care, Aimee A. Woda, Jamie Hansen, Kristina Dreifuerst, Polly Anderson, Theresa Marie Hardy, Mauricio Garnier-Villarreal

College of Nursing Faculty Research and Publications

Background

It is essential that nurses be prepared to provide quality care for patients with diabetes, a common condition today. The purpose of this study was to evaluate the impact of a high-fidelity simulation on traditional prelicensure nursing students' knowledge and performance related to care of the diabetic patient.

Methods

This multisite, multimeasure study used a purposive, quasiexperimental [sic] pretest-posttest design.

Results

Simulation positively impacted performance change scores. Pretest scores were positively associated with simulation scores and posttest scores.

Conclusions

The findings from this study support the use of high-fidelity simulation to improve care of the diabetic patient.

Healthcare Quality Improvement: Then And Now, Patricia S. Schroeder, Lenard L. Parisi, Rhonda Foster

College of Nursing Faculty Research and Publications

No abstract provided.

Cross-Cultural Adaptation And Psychometrics Properties Of The Arabic Version Of The Positive Thinking Skills Scale, Abir K. Bekhet, Veronica Nakhla, Isis Emile Gohar, Rawan Oudeh, Mary Gergis, Nadia Malik

College of Nursing Faculty Research and Publications

Background

Identifying depressive cognitions in first-generation Middle Eastern immigrants (FGMEI) can be an important step to prevent the development of clinical depression.

Purpose

This study focused on the cross-cultural equivalence and psychometric testing of the Arabic version of the Positive Thinking Skills Scale (A-PTSS) among 100 FGMEI.

Methods

Content/face validity of the measure was conducted. Internal consistency, homogeneity, dimensionality and construct validity were assessed.

Results

Cronbach’s alpha for (A-PTSS) was .89. Factor extraction generated only one factor, which is consistent with the English version. The A-PTSS total score had a strong positive correlation with the positive cognition scores (r …

The Bundled Hospital Elder Life Program—Help And Help In Home Care—And Its Association With Clinical Outcomes Among Older Adults Discharged To Home Healthcare, Michelle Simpson, Jonny Macias Tejada, Amy Driscoll, Maharaj Singh, Matthew Klein, Michael Malone

College of Nursing Faculty Research and Publications

OBJECTIVES To describe the Bundled Hospital Elder Life Program (HELP and HELP in Home Care), an adaptation of HELP, and examine the association of 30-day all-cause unplanned hospital readmission risk among older adults discharged to home care with and without Bundled HELP. DESIGN Matched case-control study. SETTING Two medical-surgical units within two midwestern rural hospitals and patient homes (home health). PARTICIPANTS Hospitalized patients, aged 65 years and older, discharged to home healthcare with and without Bundled HELP exposure between January 1, 2015, and September 30, 2017. Each case (Bundled HELP, n = 148) was matched to a control (non-Bundled HELP, …

Regulation Of Simulation Use In United States Prelicensure Nursing Programs, Cynthia Sherraden Bradley, Brandon Kyle Johnson, Kristina Dreifuerst, Patti White, Susan Kata Conde, Colleen H. Meakim, Kim Curry-Lourenco, Reba Moyer Childress

College of Nursing Faculty Research and Publications

Background

Simulation usage has proliferated throughout nursing education. Although nursing programs have sought integration of simulation to substitute traditional clinical learning hours, the variability of regulations between states raises questions about consistency of learner outcomes.

Methods

The Boards of Nursing (BONs) of the United States and the District of Columbia were queried by internet, phone, and email to discover regulations and guidelines for the use of simulation in nursing education.

Results

More than half of the BONs reported regulations for simulation use, but they varied greatly. Some had regulations defining a percentage of traditional clinical hours that could be replaced …

Use Of The Spiritual Development Framework In Conducting Spirituality And Health Research With Adolescents, Dora L. Clayton-Jones, Kristin Haglund, Jame Schaefer, Harold C. Koenig, Safiya George Dalmida

College of Nursing Faculty Research and Publications

Spirituality is considered a universal phenomenon, but research addressing the spiritual needs of adolescents in the context of health and illness is limited. The aim of this article is to provide a description of how the spiritual development framework (SDF) was used in conducting research with adolescents. An exemplar of a qualitative descriptive study is provided to demonstrate applicability of the SDF. The SDF was used as a guiding theoretical framework in conducting research with adolescents living with sickle cell disease. The SDF is culturally applicable and methodologically appropriate. Additional research applying the SDF is warranted.

Ethics At Work: What Nurses Really Do On The Job, Kathryn Schroeter

College of Nursing Faculty Research and Publications

No abstract provided.

Differential Placing Of Flexion Creases Contributes To Sex Differences In The Second-To-Fourth Digit Ratio (2d:4d), Sanjay Kumar, Martin Voracek, Maharaj Singh

College of Nursing Faculty Research and Publications

The present research examined whether differential placing of the basal flexion creases contributes to the occurrence of sex differences in digit ratio (2D:4D) derived from palmar digit lengths. The ratio of palmar-to-dorsal digit length, a measure of the placing of the basal flexion crease in the finger, was derived for the digits 2 and 4 of the right hand in two independent samples (Study I: N = 100; Study II: N = 200), in accordance with discovery-replication sample approach. The results show that men have lower palmar-to-dorsal digit ratios than women, and this effect is significantly stronger for digit 2 …

The Benefits And Burdens Of Pediatric Palliative Care And End-Of-Life Research: A Systematic Review, Meaghann S. Weaver, Kim Mooney-Doyle, Katherine Patterson Kelly, Kathleen Montgomery, Amy Rose Newman, Christine A. Fortney, Cynthia J. Bell, Jessica L. Spruit, Melissa Kurtz Uveges, Lori Wiener, Cynthia M. Schmidt, Vannessa N. Madrigal, Pamela S. Hinds

College of Nursing Faculty Research and Publications

Objective: The aim of this study is to report the benefits and burdens of palliative research participation on children, siblings, parents, clinicians, and researchers.

Background: Pediatric palliative care requires research to mature the science and improve interventions. A tension exists between the desire to enhance palliative and end-of-life care for children and their families and the need to protect these potentially vulnerable populations from untoward burdens.

Methods: Systematic review followed PRISMA guidelines with prepared protocol registered as PROSPERO #CRD42018087304. MEDLINE, CINAHL, PsycINFO, EMBASE, Scopus, and The Cochrane Library were searched (2000–2017). English-language studies depicting the benefits or burdens of palliative …

Positive Thinking Training Intervention: Assessing Critical Parameters From First Generation Middle Eastern Immigrants Perspectives, Abir K. Bekhet, Karen Nakhla

College of Nursing Faculty Research and Publications

Few resources are available to help first generation middle- eastern immigrants (FGMEI) manage their problems and their challenging situations that may impact their physical and psychological well-being. Positive thinking training is an intervention designed to help FGMEI improve their ability to deal with these problems. The purpose of this pilot study was to evaluate the six intervention parameters of an in-person face- to- face positive thinking training intervention (PTTI). Twenty FGMEI participated in this pilot intervention that included (a) participating in a four weeks face to face intervention sessions (one and half hour per session). (b) completing two questionnaires over …

Doctoral Education And Preparation For Nursing Faculty Roles, Angela M. Mcnelis, Kristina Dreifuerst, Rhonda Schwindt

College of Nursing Faculty Research and Publications

Background

Despite increased enrollment in doctoral programs and the encouraging numbers of graduates intending to pursue faculty positions, lack of adequate preparedness to assume the faculty role may adversely impact retention and consequently undermine efforts to reduce the shortage.

Purpose

Understanding doctoral nursing students’ and recent graduates’ expectations of their educational experience related to preparation for an academic career is needed to inform curricular revisions and advise guidance to ensure role readiness.

Methods

A secondary analysis of 24 interviews with current PhD and doctor of nursing practice (DNP) students and recent graduates from both degree programs was performed to gain …

Pilot Evaluation Of A New Urine Progesterone Test To Confirm Ovulation In Women Using A Fertility Monitor, Thomas Bouchard, Richard J. Fehring, Mary Schneider

College of Nursing Faculty Research and Publications

Background

Progesterone rises ~24–36 h after ovulation. Past studies using ultrasound-confirmed ovulation have shown that three consecutive tests with a threshold of 5μg/mL of urine progesterone (pregnanediol-3-glucuronide, PDG), taken after the luteinizing hormone (LH) surge, confirmed ovulation with 100% specificity.

Purpose

The purpose of this study was to a evaluate a new urine PDG self-test to retrospectively confirm ovulation in women who were monitoring ovulation using a hormonal fertility monitor.

Methods

Thirteen women of reproductive age were recruited to test urine PDG while using their home hormonal fertility monitor. The monitor measured the rise in estrogen (estrone-3-glucuronide, E3G) and LH …