Nursing Commons^™

Mandalas In The Nursing Classroom, Audrey C. Tolouian

Nursing Faculty Publications

No abstract provided.

Nurse Manager Communication And Outcomes For Nursing: An Integrative Review, Karen Fowler, Leslie K. Robbins, Angela Lucero

Nursing Faculty Publications

Aim: To evaluate literature on the importance of good communication between managers and nurses, and its influence on nurses and patient care.

Background: In the nursing scenario, concepts such as engagement and job satisfaction are tied to manager communication and influence the care provided (Kunie et al., 2017). It is crucial to recognize the importance of manager communication on the nurses and patient care. The evaluation was guided by this question: in the review of post-2014 quantitative studies, is there evidence that nurse managers with high communication competence have better patient/staff outcomes than those with lower competencies?

Evaluation: We evaluated …

Are Office Hours Obsolete?, Karen Fowler

Nursing Faculty Publications

Office hours are a higher-education tradition. Unchanged for past-decades, the upheaval due to the COVID pandemic, transitioned office hours in many institutions from face-to-face to virtual and other formats. Historically office hours are a resource underused by students. Faculty-student interactions are considered a high-impact activity aimed at promoting student success. One purpose of office hours is to increase student access to faculty. It is time to revitalize and revamp this tradition. Increasing student engagement, clarifying course requirements, and role modeling professional behavior are potential goals for office hours and student-faculty interactions. To meet these goals, faculty will need to undertake …

Association Of Cardiovascular Health And Epigenetic Age Acceleration, Tess D. Pottinger, Sadiya S. Khan, Yinan Zheng, Wei Zhang, Hilary A. Tindle, Matthew Allison, Gretchen Wells, Aladdin H. Shadyab, Rami Nassir, Lisa Warsinger Martin, Joann E. Manson, Donald M. Lloyd-Jones, Philip Greenland, Andrea A. Baccarelli, Eric A. Whitsel, Lifang Hou

Nursing Faculty Publications

BACKGROUND: Cardiovascular health (CVH) has been defined by the American Heart Association (AHA) as the presence of the "Life's Simple 7" ideal lifestyle and clinical factors. CVH is known to predict longevity and freedom from cardiovascular disease, the leading cause of death for women in the United States. DNA methylation markers of aging have been aggregated into a composite epigenetic age score, which is associated with cardiovascular morbidity and mortality. However, it is unknown whether poor CVH is associated with acceleration of aging as measured by DNA methylation markers in epigenetic age.

METHODS AND RESULTS: We performed a cross-sectional analysis …

Implementation And Sustainment Strategies For Open Visitation In The Intensive Care Unit: A Multicentre Qualitative Study, Kerry A. Milner, Suzanne Marmo, Susan A. Goncalves

Nursing Faculty Publications

Objective

Open visitation in adult intensive care units has been associated with improved family and patient outcomes. However, worldwide adoption of this practice has been slow and reasons for this are unclear. This study documents barriers and strategies for implementing and sustaining open visitation in adult intensive care units in the United States experienced by nursing leadership.

Research design

Qualitative approach using grounded theory.

Participants

Nurse leaders in adult intensive care units with open visitation.

Setting

Magnet® or Pathway to Excellence® designated hospitals in the United States.

Methods

Semi structured interviews were conducted with 19 nurse leaders from 15 geographically …

Relationship Between Negative Emotions And Perceived Support Among Parents Of Hospitalized, Critically Ill Children., Brad E Phillips, Laurie A. Theeke, Katie M Sarosi

Nursing Faculty Publications

Objectives: The purpose of this study was to describe relationships between negative emotions and perceived emotional support in parents of children admitted to the pediatric intensive care unit (PICU).

Methods: This cross-sectional descriptive study conducted face-to-face interviews between January 2019 and January 2020. Study variables included depression (PHQ-9 Scale), anxiety (Emotional Distress-Anxiety-Short Form 8a), anger (Emotional Distress-Anger-Short Form 5a), fear (Fear-Affect Computerized Adaptive Test), somatic fear (Fear-Somatic Arousal-Fixed Form), loneliness (Revised 20-item UCLA Loneliness Scale), and perceived emotional support (Emotional Support-Fixed Form).

Results: Eighty parents reported symptoms of depression 8.00(4.00, 13.75), anxiety (23.43 ± 7.80), anger (13.40 ± 5.46), fear …

A Pilot One Group Feasibility, Acceptability, And Initial Efficacy Trial Of Listen For Loneliness In Lonely Stroke Survivors., Laurie A. Theeke, Jennifer A Mallow, Elliott Theeke

Nursing Faculty Publications

Loneliness is a prevalent problem for adult stroke survivors, and a known contributor to hypertension, secondary stroke, functional decline, poorer quality of life, and mortality in older adults. LISTEN (Loneliness Intervention using Story Theory to Enhance Nursing-sensitive outcomes), a theoretically based behavioral health intervention designed to target loneliness, in a sample of lonely survivors of ischemic stroke.

Association Of The Magnitude Of Nurses With The Use Of Health Information Exchanges: Analyzing The National Health Insurance Claim Data Of Hospitals And Clinics In Korea, Young-Taek Park, Yeon Sook Kim, Yun-Jung Heo, Jae-Ho Lee, Hyejung Chang

Nursing Faculty Publications

Background

Many features of health care organizations (HCOs) have been identified to be associated with health information exchange (HIE), but subcategories of organizational factors focusing on nurse workforces still need to be identified. The objective of this study is to investigate the association of number of nurses with HIE use in Korea.

Methods

This study had a retrospective study design and used health insurance claim data from June 1, 2016 to June 30, 2018. The unit of analysis was the HCO, and any health insurance claims having HIE were counted by HCO. There were a total of 1490 HCOs having …

Community Engagement: Moving From The Classroom To Interprofessional Education Collaboration, Melissa Wholeben, Sarah Yvonne Jimenez, Carla Ellis

Nursing Faculty Publications

In a dynamic, rapidly evolving global health care environment, it is vital that educators create arenas of learning that give students opportunities to put into action health concepts they have learned in the classroom and to actively engage in their communities. With limited clinical sites, it has become necessary to think outside the box for potential community opportunities. One baccalaureate nursing program has moved students from planning mock health fairs to collaborating with community partners to host large public health fairs with wide reach. Community outreach efforts have expanded to include interprofessional collaborations with students of other health care disciplines …

A Simulated Reality For Patient Care: An Alternative To The Social Distancing Barriers Of Covid-19, Melissa Wholeben

Nursing Faculty Publications

At present, the conditions brought about by the COVID-19 pandemic affects the consistency, quality, and amount of exposure prelicensing nursing students have to hands-on clinical experiences. Hospitals and other health care organizations are limiting or prohibiting student nurse clinical participation within their environments to comply with communicable disease policies and protect student and patient health. This contributes to an atmosphere in which entry-level nursing students may come into the workforce lacking a sound experiential base obtained in a clinical setting due to social distancing and other pandemic restrictions. Due to decreasing hands-on clinical experiences, it is important to fashion a …

Prospective Evaluation Of Association Between Negative Emotions And Heart Failure Symptom Severity, Kyoung Suk Lee, Terry A. Lennie, Debra K. Moser

Nursing Faculty Publications

Background: Prior studies of symptoms in heart failure (HF) were largely cross-sectional and symptoms were measured using retrospective recall. Because negative emotions influence information processing, retrospective symptom reports by patients with depressive symptoms and anxiety may be biased. The purpose of this study was to determine whether there are differences in patterns of symptom changes, measured prospectively, over 15 days by levels of depressive symptoms and anxiety.

Methods: HF patients (N=52) rated daily symptom severity for shortness of breath (SOB), fatigue, sleep disturbance, and edema over 15 days on a 10-point visual analogue scale. Patients were grouped into higher vs …

High School Students As Citizen Scientists To Decrease Radon Exposure, Ellen J. Hahn, Craig Wilmhoff, Mary Kay Rayens, Nicholas B. Conley, Emily Morris, Angela Larck, Trista Allen, Susan M. Pinney

Nursing Faculty Publications

Residents in rural Kentucky (KY) and suburban Ohio (OH) expressed concerns about radon exposure and lung cancer. Although 85% of lung cancer cases are caused by tobacco smoke, radon exposure accounts for 10–15% of lung cancer cases. Academic and community members from the University of KY and the University of Cincinnati developed and pilot-tested a family-centered, youth-engaged home radon testing toolkit. The radon toolkit included radon information, and how to test, interpret, and report back findings. We educated youth as citizen scientists and their teachers in human subjects protection and home radon testing using the toolkit in the classroom. Youth …

Behavioral And Enhanced Perinatal Intervention (B-Epic): A Randomized Trial Targeting Tobacco Use Among Opioid Dependent Pregnant Women, Amanda Fallin-Bennett, Michelle R. Lofwall, Teresa M. Waters, Paul Nuzzo, Janine Barnett, Letitia Ducas, Andrea Mccubbin, Niraj R. Chavan, Lisa Blair, Kristin Ashford

Nursing Faculty Publications

Background

Opioid use during pregnancy is a significant public health issue. The standard of care for treating opioid use disorder during pregnancy includes medications for opioid disorder (MOUD). However, tobacco use often goes unaddressed among pregnant women on MOUD. In 2018, our team received a National Institute on Drug Abuse (NIDA) funded R34 to conduct a three year-randomized trial to test the feasibility of a novel tobacco intervention for pregnant women receiving MOUD.

Aims

The aims of this study are: (1) to determine the impact of the B-EPIC intervention on maternal tobacco use and stage of change; (2) to determine …

The Development Of An Innovative Mentorship Experience For An Online Rn-To-Bsn Program, Melissa Wholeben, Gloria Mckee, Audrey Tolouian, Diane Rankin

Nursing Faculty Publications

The Institute of Medicine, Carnegie Foundation and the American Association of Colleges of Nursing (AACN) initially accelerated the movement to increase the number of Baccalaureate (BSN) prepared nurses in the workforce. Research demonstrated lower mortality rates, fewer medication errors and positive outcomes linked to nurses prepared at the BSN and higher levels. The purpose of this article is to describe the steps utilized in the development of an innovative mentorship project that provides mentored clinical practice experiences to students enrolled in an RN-to-BSN program delivered 100% online. This mentorship project was developed with two main aims in mind: 1) To …

Herbal Medicines In The Treatment Of Coronavirus Disease 2019 (Covid-19), Audrey C. Tolouian, Maryam Khosravian, Hedieh Ragati Haghi, Alireza Bolourian, Zahra Mojtahedi, Masoumeh Asgharpour, Amirhesam Alirezaei

Nursing Faculty Publications

Coronavirus disease 2019 (COVID-19), caused by a novel coronavirus, started in livestock within the markets of Wuhan, China and was consequently spread around the world. The virus has been rapidly spread worldwide due to the outbreak. COVID-19 is the third serious coronavirus outbreak in less than 20 years after Severe Acute Respiratory Syndrome (SARS) in 2003 and Middle East Respiratory Syndrome (MERS) in 2012. The novel virus has a nucleotide identity closer to that of the SARS coronavirus than that of the MERS coronavirus. Since there is still no vaccine, the main ways to improve personal immunity against this disease …

From Twisting To Settling Down As A Nurse In China: A Qualitative Study Of The Commitment To Nursing As A Career, Jiao Ye, Aimei Mao, Jialin Wang, Chizimuzo T. C. Okoli, Yuan Zhang, Huiqiong Shuai, Min Lin, Bo Chen, Linli Zhuang

Nursing Faculty Publications

Background

The nurse workforce shortage, partially caused by high work turnover, is an important factor influencing the quality of patient care. Because previous studies concerning Chinese nurse work turnover were predominantly quantitative, they lacked insight into the challenges faced by nurses as they transition from university to their career. A successful transition can result in new nurses’ commitment to the career. As such, this study sought to understand how new nurses commit to the career, and focused on identifying facilitators and barriers to such commitment.

Methods

This was a qualitative study using a grounded theory design. Through purposive sampling, clinical …

The Pandemic Need For Mindfulness, Audrey C. Tolouian, Melissa Wholeben

Nursing Faculty Publications

In a trauma facility, it is important that there be training for the healthcare providers that gives them tools to manage their internal reactions to the day-to-day events, as well as create a safe space and encourage a sense of community. For healthcare workers in high-trauma areas- such as the new COVID-19 units, post-traumatic stress syndrome (PTSD) has been on the rise, in 2011, 14% of nurses were diagnosed, in 2019 an estimated 40% of nurses suffer from the disorder. With the small amount of 18% of nurses feeling they are prepared with proficient self-care skills to manage the effects …

Lung Cancer And Kidney Injury: An Updated Review, Bhargav Patel, Mohammad Ebrahimi Kalan, Maryam Khosravian, Audrey C. Tolouian, Ramin Tolouian, Mahnaz Aboufazeli, Masoumeh Asgharpour, Amirhesam Alirezaei

Nursing Faculty Publications

Lung cancer is the leading cause of cancer deaths worldwide, accounting for an estimated 1.8 million deaths. Lung cancer is also the most common primary cancer leading to soft tissue (ST) metastasis. Renal disease may occur as a direct or indirect consequence of the cancer itself (e.g., postrenal obstruction, compression, or infiltration), its treatment (e.g., radiotherapy or chemotherapy), or its related complications (e.g., opportunistic infection). Existing evidence shows that the most frequent primary solid tumor responsible for renal metastasis is pulmonary carcinoma, followed by gastric, breast, soft tissue, and thyroid carcinomas. Chronic kidney disease is a potential risk factor in …

Educational Needs Associated With The Level Of Complication And Comparative Risk Perceptions In People With Type 2 Diabetes, Youngji Hwang, Dongsuk Lee, Yeon Sook Kim

Nursing Faculty Publications

Objectives: This study aimed to identify the educational needs of people with type 2 diabetes according to risk perceptions and the level of severity of complications. Methods: There were 177 study participants who were outpatients of the internal medicine department at a university hospital located in the Republic of Korea, who consented to participate in the survey from December 10, 2016 to February 10, 2017. The data were analyzed using descriptive statistics, Pearson correlation, ANOVA with post-hoc comparison, and multiple regression analysis. Type 2 diabetes complications were classified into 3 groups: no complications, common complications, and severe complications. …

When Mistakes Happen: Using Aone Principles Of A Healthful Practice Environment, Karen Fowler

Nursing Faculty Publications

Whether medical errors will occur is not the question. When and to what degree of harm will the patient, nursing staff, and organization experience is a more valid question. The nurse leader’s ability to navigate staff through the aftermath of a negative patient event has far-reaching consequences. Errors impact the organization financially and reputationally, and can have devastating results for the nursing staff. This paper explores the use of AONL’s 9 elements of a healthful practice environment. These elements offer structure and guidance for the nurse leader to mindfully lead the nursing staff through a difficult situation while enhancing staff …

Generational Differences In Faculty And Student Comfort With Technology Use, Amanda Culp-Roche, Debra Hampton, Angie Hensley, Jessica L. Wilson, Amanda Thaxton-Wiggins, Jo Ann Otts, Sharon Fruh, Debra K. Moser

Nursing Faculty Publications

Background: Navigating through online education courses continues to be a struggle for some nursing students. At the same time, integrating technology into online courses can be difficult for nursing faculty.

Purpose: The purpose of this study was to assess faculty technology integration practices, student attitudes about technology use, and generational differences related to faculty and student technology use.

Methods: A descriptive cross-sectional survey design was used to obtain data for this study.

Results: Integration of technology into online courses and student attitudes about technology use were not significantly different by generation. Faculty and students from the Baby Boomer and Generation …

Taking Time To Enjoy Some Coffee! Adding Mindfulness To The Curriculum, Audrey C. Tolouian

Nursing Faculty Publications

No abstract provided.

Covid-19: Outcomes For Trauma-Impacted Nurses And Nursing Students, Karen Fowler, Melissa Wholeben

Nursing Faculty Publications

No abstract provided.

Longitudinal Evaluation Of The Effects Of Illness Perceptions And Beliefs About Cardiac Rehabilitation On Quality Of Life Of Patients With Coronary Artery Disease And Their Caregivers, Patricia Thomson, Neil J. Angus, Federico Andreis, Gordon F. Rushworth, Andrea R. Mohan, Misook L. Chung, Stephen J. Leslie

Nursing Faculty Publications

Background

Patients’ negative illness perceptions and beliefs about cardiac rehabilitation (CR) can influence uptake and adherence to CR. Little is known about the interpartner influence of these antecedent variables on quality of life of patients with coronary artery disease (CAD) and their family caregivers. The aims of the study were: 1) to assess differences in illness perceptions, beliefs about CR and quality of life between patients with CAD and their family caregivers upon entry to a CR programme and at 6 months follow-up; and 2) to examine whether patients’ and caregivers’ perceptions of the patient’s illness and beliefs about CR …

Crisis Standards Of Care And Covid-19, Sharon L. Farra, Sherrill Jeanne Smith, Laura M. Luehrmann, Craig Woolley

Nursing Faculty Publications

This is the sixth installment in the Shelter in Place (SiP) Lecture series. This installment deals with the impact and implications of the Shelter in Place order on differing populations. It discusses the details of Crisis Standards of Care from development to implementation.

Renal Transplantation In A Patient With Mhy9-Related Disease; A Case Report, Sepideh Zununi Vahed, Bahram Niknafs, Hamid Noshad, Ramin Tolouian, Mohammadali Mohajel Shoja, Audrey C. Tolouian, Mohammadreza Ardalan

Nursing Faculty Publications

MYH9-related diseases (MYH9-RD) are clinically represented by thrombocytopenia, large platelets, proteinuria and various degrees of renal dysfunction. We present a 25-year-old male with thrombocytopenia, large platelets, renal dysfunction and proteinuria. Gene sequencing of whole exons of MYH9 gene confirmed the diagnosis of MYH9-related disorder and revealed single nucleotide polymorphisms (SNPs) in the introns 13 (rs3752462) and 14 (rs2413396) and a mutation in exon 26 of MYH9 gene. Our result supported the possibility of non-coding SNPs involvement in the pathogenicity of the MYH9-RD disease and successful renal transplant in this patient.

The Footprint Of Androgen Sensitive Serine Protease (Tmprss2) In Gender Mortality With Covid-19, Sepideh Zununi Vahed, Shahram Ghiyasvand, Ramin Tolouian, Hamid Noshad, Audrey C. Tolouian, Mohammadali Mohajel Shoja, Mohammadreza Ardalan

Nursing Faculty Publications

Male gender is an obvious risk factor for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and mortality rate is higher in men than women. Undoubtedly, gender-related behavioral factors, such as higher amounts of smoking, alcohol consumption, and biological differences in immune systems could make males more vulnerable. The role of androgen-responsive elements (AREs) of transmembrane serine proteases type II (TMPRSS2) gene as one of the major players of male dominancy in severe COVID-19 infection has been under appreciated and needs to be clarified.

The Impact Of Metformin In Chronic Kidney Disease-Mineral And Bone Disorder, Rohollah Masumi, Ramin Tolouian, Audrey C. Tolouian, Leila Mohmoodnia

Nursing Faculty Publications

Chronic kidney disease-mineral and bone disorder (CKD-MBD) is a disorder of mineral and bone metabolism due to chronic kidney disease (CKD). Bone disease and mortality are more common in patients with CKD. In addition of antidiabetic properties of metformin (MET), it possesses anti-inflammatory, anti-fibrotic properties and increases the markers of osteogenic effects. Therefore, it improves bone quality and decreases the risk of fractures in patients with type 2 diabetes. Metformin can also inhibit arterial calcification, maintain calcium-phosphorus balance, decrease cellular infiltration, fibrosis, and inflammation in kidney. Based on evidence, the prevalence of lactic acidosis due to metformin in patients with …

Herbal Antioxidants And Renal Ischemic-Reperfusion Injury; An Updated Review, Masoumeh Asgharpour, Audrey C. Tolouian, Lakkakula Vks Bhaskar, Ramin Tolouian, Nilofar Massoudi

Nursing Faculty Publications

Renal ischemia-reperfusion (RIR) is a pathological condition due to transient restriction of blood flow to the kidneys, which is followed by the subsequent recovery of perfusion and re-oxygenation. RIR injury contributes to the progression of renal dysfunction including acute kidney injury (AKI) in native and renal allograft transplant. The generation of reactive oxygen species (ROS) during oxidative stress contributes to the occurrence of RIR. Hence, the use of antioxidant compounds can improve oxidative stress due to RIR. This review highlights herbal antioxidant efficacy against RIR injury. The findings of this study indicate that antioxidant compounds with herbal origin could reduce …

Healthcare Educational Practices On Stigmatism Of Chronic Illness: A Qualitative Narrative Study, Audrey C. Tolouian

Nursing Faculty Publications

The problem is the identified stigma related to certain diseases affecting the quality of care provided by healthcare workers. Somatic diseases or those with vague signs and symptoms are subject to various stigmas. Due to the lack of a known cause of fibromyalgia, the disease is subject to stigma. The purpose of this qualitative narrative study was to bring awareness to healthcare educators about the potential impact of stigma. Educators may transfer stigma to their students, which may affect the quality of care. The research question guiding this study was, “How might healthcare educators’ perceptions of chronic illness transfer to …