Nursing Commons^™

Sedentary Behavior Research Network (Sbrn) – Terminology Consensus Project Process And Outcome, Mark S. Tremblay, Salomé Aubert, Joel D. Barnes, Travis J. Saunders, Valerie Carson, Amy E. Latimer-Cheung, Sabastien F.M. Chastin, Teatske M. Altenburg, Mai J.M. Chinapaw, Neil E. Peterson

Faculty Publications

Background

The prominence of sedentary behavior research in health science has grown rapidly. With this growth there is increasing urgency for clear, common and accepted terminology and definitions. Such standardization is difficult to achieve, especially across multi-disciplinary researchers, practitioners, and industries. The Sedentary Behavior Research Network (SBRN) undertook a Terminology Consensus Project to address this need.

Method

First, a literature review was completed to identify key terms in sedentary behavior research. These key terms were then reviewed and modified by a Steering Committee formed by SBRN. Next, SBRN members were invited to contribute to this project and interested participants reviewed …

Rural Emergency Nurses’ Suggestions For Improving End-Of-Life Care, Renea L. Beckstrand, Kelly E. Smith, Karlen E. (Bethy) Luthy, Janelle L. B. Macintosh

Faculty Publications

Introduction: Many patient visits to emergency departments result in the patient dying or being pronounced dead on arrival. The numbers of deaths in emergency departments are likely to increase as a significant portion of the U.S. population ages. Consequently, emergency nurses face many obstacles to providing quality end-of-life (EOL) care when death occurs. The purpose of this study was to identify suggestions that emergency nurses have to improve EOL care, specifically in rural emergency departments.

Methods: A 57-item questionnaire was sent to 53 rural hospitals in 4 states in the Intermountain West, plus Alaska. One item asked nurses to identify …

Global Immunizations: Health Promotion And Disease Prevention Worldwide, Janelle L. B. Macintosh, Lacey M. Eden, Karlen E. Luthy, Aimee E. Schouten

Faculty Publications

Background: Immunizations are one of the most important health interventions of the 20th century, yet people in many areas of the world do not receive adequate immunizations. Approximately 3 million people worldwide die every year from vaccine-preventable diseases; about half of these deaths are young children and infants. Global travel is more common; diseases that were once localized now can be found in communities around the world.

Problems: Multiple barriers to immunizations have been identified. Healthcare access, cost, and perceptions of safety and trust in healthcare are factors that have depressed global immunization rates.

Interventions: Several global organizations have focused …

Using Patient-Centered Care After A Prenatal Diagnosis Of Trisomy 18 Or Trisomy 13: A Review, Shelly Haug, Mitchell Goldstein, Denise Cummins, Elba Fayard, Allen Merritt

Faculty Publications

IMPORTANCE Patient-centered care (PCC) has been advocated by the Institute of Medicine to improve health care in the United States. Four concepts of PCC align with clinical ethics principles and are associated with enhanced patient/parent satisfaction. These concepts are dignity and respect, information sharing, participation, and collaboration. The objective of this article is to use the PCC approach as a framework for an extensive literature review evaluating the current status of counseling regarding prenatal diagnosis of trisomy 18 (T18) or trisomy 13 (T13) and to advocate PCC in the care of these infants.

OBSERVATIONS Extensive availability of prenatal screening and …

Long-Term Effects On Nursing Alumni: Assessing A Course In Public And Global Health, Sheri P. Palmer, Karen Lundberg, Karen De La Cruz, Cheryl A. Corbett, Sondra Heatson, Shelly Reed, Mary Williams

Faculty Publications

The impact of a cultural awareness course among nursing students may affect the particular person for years to come. Cultural awareness can be taught via many methods, often requiring study abroad and/or extreme investment of time, money and effort. There is little research on sustained effects on nursing alumni from such a course. The purpose of this descriptive survey study was to determine the long term outcomes of a cultural awareness course and 2) compare the long term effects between alumni who went abroad and those who chose to complete the course locally. One hundred and twenty-one nursing alumni completed …

Eliciting The Functional Processes Of Apologizing For Errors In Health Care: Developing An Explanatory Model Of Apology, Marie M. Prothero, Janice M. Morse

Faculty Publications

The purpose of this article was to analyze the concept development of apology in the context of errors in health care, the administrative response, policy and format/process of the subsequent apology. Using pragmatic utility and a systematic review of the literature, 29 articles and one book provided attributes involved in apologizing. Analytic questions were developed to guide the data synthesis and types of apologies used in different circumstances identified. The antecedents of apologizing, and the attributes and outcomes were identified. A model was constructed illustrating the components of a complete apology, other types of apologies, and ramifications/outcomes of each. Clinical …

Differentiating Between Lactose Intolerance, Celiac Disease, And Irritable Bowel Syndrome-Diarrhea, Karlen E. (Beth) Luthy, Sophia G. Larimer, Donna S. Freeborn

Faculty Publications

The purpose of this article is to assist nurse practitioners (NPs) and other primary care providers in differentiating between lactose intolerance, celiac disease, and diarrhea-predominant irritable bowel syndrome in adults. Based on subtle characteristics gathered from the history and physical examination, the NP’s examination and approach to testing will help distinguish between the 3 conditions. NPs should use a sequential process of examination and testing to distinguish gastrointestinal disorders that share common symptoms. A best practice algorithm is provided.

Critical Care Nurses' Perceptions Of End-Of-Life Care Obstacles: Comparative 17-Year Data, Renea L. Beckstrand, Nicole Lamoreaux, Karlen E. Luthy, Janelle L. B. Macintosh

Faculty Publications

Background: Nurses working in intensive care units (ICUs) frequently care for patients and their families at the end of life (EOL). Providing high-quality EOL care is important for both patients and families, yet ICU nurses face many obstacles that hinder EOL care. Researchers have identified various ICU nurse-perceived obstacles, but no studies have been found addressing the progress that has been made for the last 17 years.

Objective: The aims of this study were to determine the most common and current obstacles in EOL care as perceived by ICU nurses and then to evaluate whether meaningful changes have occurred since …

Comparison Of Testosterone Replacement Therapy Medications For Treatment Of Hypogonadism, Karlen Beth Luthy, Chris Williams, Donna S. Freeborn, Aaron Cook

Faculty Publications

Testosterone replacement therapy (TRT) is one treatment option for men with hypogonadism. When TRT is prescribed, effectiveness, patient compliance, cost, and potential side effects should be considered and utilized to develop an individualized treatment plan. Depo-testosterone is the most cost-efficient TRT option and is only administered every 2 weeks which may improve patient compliance, although the dose interval can be adjusted to once per week. Androderm is the most efficacious TRT medication, with up to 92% of patients reaching normal testosterone levels. Testim and Vogelxo have the fewest reported side effects. We recommend depo-testosterone as a first line treatment option.

Organizational Learning In A Cardiac Intensive Care Unit: A Learning History, Bret Lyman, Kalene M. Ethington, Carly King, Jonathan D. Jacobs, Hayley Lundeen

Faculty Publications

Introduction: Providing high-quality care to every patient is challenging, particularly in critical care units (CCUs). However, this standard can be achieved through organizational learning. Unfortunately, the process of organizational learning in CCUs is not well understood.

Objective: The objective of this study is to describe the developmental progression of a cardiac intensive care unit (CICU) to reach its current state of reliably excellent clinical performance.

Methods: The method selected for this study was a learning history. A total of 43 individuals with experience working on the CICU participated in small group interviews. Participants included nurses, surgeons, unit clerks, administrators, nursing …

Honoring Motherhood: The Meaning Of Childbirth For Tongan Women, Shelly J. Reed, Lynn Clark Callister, 'Ana Kavaefiafi, Cheryl A. Corbett, Debra Edmunds

Faculty Publications

Purpose: The purpose of this ethnographic study was to describe the meaning of childbirth for Tongan women.

Study Design and Methods: In this qualitative descriptive study, 38 Tongan women, 18 from Tonga and 20 from the United States, who had given birth in the past year were invited to share their perceptions of childbirth. Themes were generated collaboratively by the research team.

Findings: The overarching theme was honoring motherhood; other themes include using strength to facilitate an unmedicated vaginal birth, describing the spiritual dimensions of birth, adhering to cultural practices associated with childbearing, and the influence of the concept of …

Global Perinatal Nursing Research: Sustainable Development Goals Update, Lynn Clark Callister, Cheryl A. Corbett

Faculty Publications

Global health experts suggest that there is an urgent need for research supporting healthcare for childbearing women that is both respectful and evidence-based beyond “too little, too late and too much too soon.” The purpose of this editorial is to describe global perinatal research priorities, provide examples of global collaborative networking and research, identify global perinatal nursing research priorities, and describe exemplary global maternal health nursing research.

The Meaning Of Giving Birth: Voices Of Hmong Women Living In Vietnam, Cheryl A. Corbett, Lynn Clark Callister, Jamie Peterson Gettys, Jacob R. Hickman

Faculty Publications

Increasing knowledge about the sociocultural context of birth is essential to promote culturally sensitive nursing care. This qualitative study provides an ethnographic view of the perspectives of birthing of Hmong mothers living in the highlands of Vietnam. Unique cultural beliefs exist in Hmong culture about the spiritual and physical wold as well as ritual practices associated with childbearing. This includes variations of ancestor worship, reincarnation, and healing practices by shamans. Traditionally, Hmong families take an active role in childbirth with birth frequently occurring in the home. Situated within a large collaborative anthropology project, a convenience sample of 8 Hmong women, …

Variation In Type And Frequency Of Diagnostic Imaging During Trauma Care Across Multiple Time Points By Patient Insurance Type, Nathaniel Bell, Laura Repáraz, William R. Fry, R Stephen Smith, Alejandro Luis

Faculty Publications

BACKGROUND:

Research has shown that uninsured patients receive fewer radiographic studies during trauma care, but less is known as to whether differences in care are present among other insurance groups or across different time points during hospitalization. Our objective was to examine the number of radiographic studies administered to a cohort of trauma patients over the entire hospital stay as well as during the first 24-hours of care.

METHODS:

Patient data were obtained from an American College of Surgeons (ACS) verified Level I Trauma Center between January 1, 2011 and December 31, 2012. We used negative binomial regression to construct …

Chronic Disease Self-Management And Behavior Change Attitudes In Older Adults: A Mixed-Method Feasibility Study, Kimberly A. Sell, Elaine J. Amella, Martina Mueller, Jeannette Andrews Phd, Rn, Faan, Joy Wachs

Faculty Publications

The population of older adults with chronic disease is increasing, yet little is known about their perception of chronic disease and self-management. To develop successful and sustainable chronic disease self-management interventions in the older adult population, health care providers must first understand older adults’ attitudes toward health status and behavior change. This pilot study was conducted to determine the feasibility of the study design. The purpose of this pilot study was to assess the appropriateness of using a mixed-methods research design to investigate Appalachian older adult’s attitude toward the chronic disease experience and health behavior change. A convergent, parallel mixed-method …

Breast Cancer Risk Assessment: Calculating Lifetime Risk Using The Tyrer-Cuzick Model, Deborah O. Himes Phd, Aprn-Bc, Beth E. Luthy, Aubri E. Root, Amanda Gammon

Faculty Publications

One size does not fit all for breast cancer screening. Early detection and prevention are most effective for those most at risk. Several United States organizations recommend offering annual screening breast magnetic resonance imaging in addition to mammography for women with > 20% lifetime risk for breast cancer using models that take extensive family history into account. The purpose of this article is to help nurse practitioners make critical decisions about breast cancer screening and referrals to genetic services for women based on their lifetime risk for breast cancer. This article reviews several software-based risk assessment models and provides instructions for …

Vaccination Policies Of Utah Family Practice Clinics, Karlen Beth Luthy, Levi R. Kohler, Janelle L B Macintosh, Lacey M. Eden, Renea L. Beckstrand, Emily L. Wright, Katherine Edmonds

Faculty Publications

Background and Purpose: The purpose of this study was to collect information regarding healthcare worker (HCW) vaccination policies in Utah family practice clinics. Methods: The study was conducted in Utah family practice clinics in the most densely populated counties in the state and was a cross-sectional descriptive design. Data were collected from 155 family practice clinic managers. Analyses included frequencies and percentages for quantitative items and a content analysis for open-ended items. Conclusions: HCWs are employed in environments where infectious diseases can be easily spread from person to person, thus, vaccinations can be instrumental in protecting the health of HCWs …

Nursing Informatics Research And Emerging Trends In 2015, Jane M. Carrington, Victoria Tiase, Nicolette Estrada, Kimberly D. Shea, Katherine M. Dudding, Brooke A. Finley, Christine Nibbelink, Ryan Jay Rasmussen, Monte L. Roberts

Faculty Publications

This article presents the annual project where we search the literature to learn the advances made in nursing informatics research. The Nursing Informatics Year in Review project originated with the American Medical Informatics Association (AMIA)-Nursing Informatics Work Group (NIWG) as a regular presentation at the AMIA-NIWG Sunday meeting. This article reports on the findings from project year four, 2015, that was presented at the AMIA-NIWG meeting in San Francisco, CA, in November 2015. As with prior years of this project, we have read articles that have contributed to further development of the science. This article presents the results from our …

Vaccination Perceptions Of Urban School Employees, Janelle L. B. Macintosh, Karlen E. Luthy, Katreena C. Merrill, Renea L. Beckstrand, Lacey M. Eden, Emily L. Wright

Faculty Publications

The purpose of this study was to explore public school employee perceptions regarding vaccinations. Employees from 1 urban school district in Utah responded to the School Employees' Perception of Immunizations Questionnaire. Lack of perceived efficacy was the most common explanation for lack of seasonal influenza vaccine. Being unsure of need was the most common reason participants were unvaccinated for measles, mumps, and rubella. The most common reason for rejecting a mandatory vaccine policy was a perceived violation of personal freedoms. Nurse practitioners can positively influence the health of public school employees by ensuring they are properly vaccinated.

Promoting Adult Pertussis Vaccination In The Workplace, Karlen Beth Luthy, Jennifer L. Bainum, Renea L. Beckstrand, Janelle L B Macintosh, Lacey M. Eden, Brooke Saunders

Faculty Publications

Vaccines are an important disease prevention strategy among individuals of all age groups. Despite the success of vaccinations in preventing communicable diseases, adults, in particular, often have sub-optimal vaccination rates. Consequently, some vaccine-preventable diseases, such as pertussis, are still on the rise in the United States despite the availability of the Tdap vaccine. As most adults can be found in the workplace, occupational and environmental health nurses are in a unique position to encourage employers to promote adequate Tdap vaccination among their employees. As specific resources regarding Tdap vaccination are lacking, the Pertussis Prevention Toolkit was developed to help occupational …

Factors Leading To Rapid Response Team Interventions In Adult Medical-Surgical Patients, Christine Tarver, Diane Stuenkel

Faculty Publications

The effectiveness of a Rapid Response Team Intervention (RRTI) in preventing transfer to a higher level of care and decreasing in-hospital mortality has not been firmly established. This retrospective exploratory study examined differences between medical-surgical patients who had an RRTI and those who did not. Results yielded 5 statistically significant differences (P

Breast Cancer Risk Perceptions Among Relatives Of Women With Uninformative Negative Brca1/2 Test Results: The Moderating Effect Of The Amount Of Shared Information, Deborah O. Himes Msn, Aprn-Bc, Margaret F. Clayton, Gary W. Donaldson, Lee Ellington, Saundra S. Buys, Anita Y. Kinney

Faculty Publications

The most common result of BRCA1/2 mutation testing when performed in a family without a previously identified mutation is an uninformative negative test result. Women in these families may have an increased risk for breast cancer because of mutations in non-BRCA breast cancer predisposition genes, including moderate- or low-risk genes, or shared environmental factors. Genetic counselors often encourage counselees to share information with family members, however it is unclear how much information counselees share and the impact that shared information may have on accuracy of risk perception in family members. We evaluated 85 sisters and daughters of women who received …

Evaluating An Online Family Assessment Activity: A Focus On Diversity And Health Promotion, Paul Smith, Melissa Jones

Faculty Publications

This article describes the development, implementation and evaluation of a family assessment activity that was designed for a transition course in an RN-BSN program. The family assessment activity emphasized diversity and health promotion as key curricular concepts highlighted through the use of constructivist teaching strategies in the online classroom. The activity was developed and implemented by utilizing the Family Health Systems (FHS) approach to family assessment and Healthy People 2020 as a framework for family health promotion. The activity was evaluated through faculty observation and student feedback which is discussed in the article.

Service Learning Enhances Conceptual Learning In A Rn To Bsn Program, Henny Breen, Melissa Robinson

Faculty Publications

A qualitative study using transcript analysis was conducted to examine the effectiveness of service learning in enhancing conceptual learning in RN to BSN students. As part of their capstone course in an online program, students engaged in 64 hours of service learning in their local community. The transcripts of asynchronous discussions and journal entries formed the data for analysis. The findings illustrated that the student’s conceptual understanding was enhanced from the service learning experience. Further, the students demonstrated higher-level thinking by linking concepts that could be applied to nursing practice. Service learning reinforced the community-based philosophy of the School of …

Reliability Of The American Community Survey For Unintentional Drowning And Submersion Injury Surveillance: A Comprehensive Assessment Of 10 Socioeconomic Indicators Derived From The 2006-2013 Annual And Multi-Year Data Cycles, Nathaniel Bell, Bo Cai

Faculty Publications

BACKGROUND: Our objective was to evaluate the reliability and predictability of ten socioeconomic indicators obtained from the 2006-2013 annual and multi-year ACS data cycles for unintentional drowning and submersion injury surveillance.

METHODS: Each indicator was evaluated using its margin of error and coefficient of variation. For the multi-year data cycles we calculated the frequency that estimates for the same geographic areas from consecutive surveys were statistically significantly different. Relative risk estimates of drowning-related deaths were constructed using the National Center for Health Statistics compressed mortality file. All analyses were derived using census counties.

RESULTS: Five of the …

Evaluation Of Vaccination Policies Among Outpatient Oncology Clinics In Utah: A Pilot Study, Karlen Beth Luthy, Sarah L. Stocksdale, Janelle L B Macintosh, Lacey M. Eden, Renea L. Beckstrand, Katherine Edmonds

Faculty Publications

Background: In Utah, all major hospital facilities have employee vaccination policies. However, the presence of health care worker vaccination policies in the Utah outpatient oncology setting was unknown.

Objectives: The objectives were to identify Utah oncology outpatient employee vaccination policies and to identify what consequences, if any, were present for unvaccinated employees.

Methods: This was a cross-sectional, descriptive study design in which clinic managers from outpatient oncology clinics in Utah were asked, via questionnaire, to describe the clinic’s employee vaccination policy and the consequences for refusing the policy.

Findings: Most vaccination policies applied to employees primarily assigned to work in …

Understanding Anterior Knee Pain: Patellofemoral Pain Syndrome, Craig Nuttall, Blaine A. Winters

Faculty Publications

Patellofemoral pain syndrome (PFPS) is 1 of the most common causes of anterior knee pain and should be included in the differential diagnosis for anterior knee pain in every patient. PFPS is characterized as an overuse injury. The exact mechanism of injury is still under investigation, but it is believed to stem from maltracking of the patella. PFPS commonly presents in adults who complain of anterior knee pain with activity. This pain can lead to significant disability. When treated appropriately, disability and chronicity can be avoided or reduced.

Evaluation And Management Of Spinal Column Fractures In Adults, Blaine A. Winters, Craig Nuttall

Faculty Publications

Nurse practitioners working in many settings are faced with the challenge of diagnosing and managing patients with potential or actual spinal column fractures. In this article we provide nurse practitioners with the knowledge necessary to evaluate for and diagnose spinal column fractures in adults. We also provide guidelines for the appropriate management of injuries and identify when referral is recommended.

Neurobiology Of Trauma, Julie L. Valentine, Linda Mabey, Leslie Miles

Faculty Publications

• The neurobiology of trauma can affect the functioning of the brain with lasting consequences.
• The body's hormonal response to trauma affects the encoding of memory.
• Acute stress disorder (ASD) can result following trauma and can develop into post-traumatic stress disorder (PTSD) if symptoms last for more than 1 month.
• Trauma can cause immediate symptoms, such as tonic immobility and dissociation, and may lead to chronic symptoms oof depression and anxiety.
• Exposure to trauma can cause physical health problems.
• Evidence-based psychotherapy treatment options following traumatic exposure are available.
• Providing compassionate, nonjudgmental care to victims of trauma helps their healing process.

Nurses …

Validation Of Accelerometer Thresholds And Inclinometry For Measurement Of Sedentary Behavior In Young Adult University Students, Neil E. Peterson, John R. Sirard, Pamela A. Kulbok, Mark D. Deboer, Jeanne M. Erickson

Faculty Publications

Sedentary behavior (SB) is a major contributing factor to obesity and significant morbidity and mortality in adolescence and into adulthood, yet measuring SB is difficult. The purpose of this study was to assess the degree of construct validity of the ActiGraph GT3X+ inclinometer function and accelerometry metrics in objectively measuring SB and physical activity in young adult university students while performing semi-structured activities: lying, sitting, reading, playing seated video gaming, video watching, seated conversation, standing, stationary biking, and walking. These nine activities were objectively assessed using inclinometry and four output metrics from the ActiGraph based on the axis used to …