Nursing Commons^™

Resourcefulness In African American And Caucasian American Caregivers Of Persons With Dementia: Associations With Perceived Burden, Depression, Anxiety, Positive Cognitions, And Psychological Well-Being, Abir K. Bekhet

College of Nursing Faculty Research and Publications

Purpose

Providing care to persons with dementia can have negative effects on caregivers' physical and psychological well-being. This secondary analysis explored relationships among perceived burden, depression, anxiety, resourcefulness, and psychological well-being in 28 African American (AA) and 45 Caucasian American (CA) caregivers of persons with dementia.

Design and Methods

Descriptive, cross-sectional design was used to examine the hypothesized relationships in a sample of 73 caregivers.

Findings

CAs reported greater burden (t = −3.68, p < .001), more anxiety (t = −2.66, p < .01), depression (t = −2.21, p < .05), and hostility (t = −2.30, p < .05) than AAs. AAs reported higher scores than CAs on resourcefulness, positive cognitions, and psychological well-being.

Practice Implications

The study findings provided directions for the development of resourcefulness interventions …

Bidirectional Psychoneuroimmune Interactions In The Early Postpartum Period Influence Risk Of Postpartum Depression, Elizabeth J. Corwin, Kathleen Pajer, Sudeshna Paul, Nancy Lowe, Mary Weber, Donna O. Mccarthy

College of Nursing Faculty Research and Publications

More than 500,000 U.S. women develop postpartum depression (PPD) annually. Although psychosocial risks are known, the underlying biology remains unclear. Dysregulation of the immune inflammatory response and the hypothalamic–pituitary–adrenal (HPA) axis are associated with depression in other populations. While significant research on the contribution of these systems to the development of PPD has been conducted, results have been inconclusive. This is partly because few studies have focused on whether disruption in the bidirectional and dynamic interaction between the inflammatory response and the HPA axis together influence PPD. In this study, we tested the hypothesis that disruption in the inflammatory-HPA axis …

Collaborating With Businesses To Support And Sustain Research, Susan Diemert Moch, Debra A. Jansen, Rosemary A. Jadack, Phil Page, Richard Topp

College of Nursing Faculty Research and Publications

Financial assistance is necessary for sustaining research at universities. Business collaborations are a potential means for obtaining these funds. To secure funding, understanding the process for obtaining these business funds is important for nursing faculty members. Although faculty rarely request funding from businesses, they are often in a position to solicit financial support due to existing relationships with clinical agency administrators, staff, and community leaders. The economic support received from businesses provides outcomes in nursing research, research education, academic–service partnerships, and client health care. This article describes the steps and processes involved in successfully obtaining research funding from businesses. In …

Conducting Research With Community Groups, Mary Molewyk Doornbos, Adejoke Ayoola, Gail Landheer Zandee, Robert V. Topp

College of Nursing Faculty Research and Publications

Nurse scientists are increasingly recognizing the necessity of conducting research with community groups to effectively address complex health problems and successfully translate scientific advancements into the community. While several barriers to conducting research with community groups exist, community based participatory research (CBPR) has the potential to mitigate these barriers. CBPR has been employed in programs of research that respond in culturally sensitive ways to identify community needs and thereby address current health disparities. This manuscript presents case studies that demonstrate how CBPR principles guided the development of: (a) a healthy body weight program for urban, underserved African-American women, (b) a …

Managing Delirium In Hospitalized Older Adults, Margaret J. Bull

College of Nursing Faculty Research and Publications

Consequences of delirium for older adults may include increased mortality, functional decline, nursing home placement, and decreased quality of life. Longer duration of delirium is linked to poorer health outcomes among older adults, underscoring the need for early detection and intervention.

Delirium also exacts a high economic price. Estimated annual U.S. healthcare expenditures range from $143 to $152 billion, with increased hospital stays contributing heavily. Delirium can be frightening for both patients and for family members who observe it in their loved ones. As a nurse, you can play a key role in identifying risk factors, detecting symptoms early, implementing …

Models Of Discharge Care In Magnet® Hospitals, Kathleen Bobay, Sarah J. Bahr, Marianne E. Weiss, Ronda G. Hughes, Linda L. Costa

College of Nursing Faculty Research and Publications

Objective: The aim of this article is to describe how the discharge preparation process is operationalized in Magnet® hospitals.

Background: Nationally, there are intensive efforts toward improving discharge transitions and reducing readmissions. Discharge preparation is a core hospital function, yet there are few reports of operational models.

Methods: This was a descriptive, Web-based survey of 32 Magnet hospitals (64 units) participating in the Readiness Evaluation and Discharge Interventions study.

Results: Most hospitals have adopted 1 or more national readmission reduction initiatives. Most unit models include several discharge preparation roles; RN case managers, and discharging RNs lead …

An Environmental Clinical Experience In A Rn-Bs Program, Michelle Gellar

Publications and Research

No abstract provided.

Promoting Resilience For Hiv Prevention In Female Sex Workers In Hong Kong: A Randomised Controlled Trial, Winnie W-Y Yuen, William C-W Wong, Catherine S-K Tang, Eleanor Holroyd, Agnes F-Y Tiwari, Daniel Y-T Fong, Weng Y. Chin

School of Nursing & Midwifery, East Africa

Background: Female sex workers are considered a reservoir of HIV and their psychological health has a role to play in HIV infections. In China, commercial sex workers were reported to account for nearly 50% of heterosexual transmission of HIV. Therefore, HIV prevention targeted at mental health could be an innovative strategy in controlling the infection. We aimed to provide an evidence-based resilience-promoting intervention targeting mental health and ultimately safe sexual practices of female sex workers.

Methods: This randomised controlled trial was done at three Hong Kong non-governmental organisations, namely Action for REACH OUT, JJJ Association, and the Society of …

Effects Of Spiritual Care Education On Pediatric Nurses' Knowledge, Attitudes, And Competence, Cheryl Lynn Petersen

Dissertations (1934 -)

Holistic nursing care embraces the physical, psychological, and spiritual needs of the patient and family, thereby providing support and reducing suffering. Nurses’ spiritual care can improve the well-being and quality of life of children with cancer by assisting them to find meaning in their lives. At the end of life, spiritual care assists children in coping with their diagnosis, suffering, and losses. There are distinct deficiencies in education that lead nurses to feel unprepared to provide spiritual care to children. This study employed a prospective, longitudinal design to evaluate the potential effects of an online spiritual care educational program on …

Protecting Ourselves From Harm: Voices Of Aging Farmers, Deborah B. Reed, Deborah T. Claunch

Nursing Faculty Publications

Senior farmers suffer the highest fatality risk of any age group in agriculture. The purpose of this exploratory study was to develop a "voice" for senior farmers by examining aging farmers' and their families' perspectives of farm work, associated injury risks, and methods to decrease those risks. Focus groups and personal interviews were used to collect data from 81 participants across seven U.S. states. The findings reflect the collective and verified voice of the study group. The Health Belief Model was applied and revealed differences between farmers and their family members; however, the need and desire to continue self-directed work …

Caregivers Of Underserved Minority Populations: Views And Opinions Of The Role Of Schools In Bmi Screening, Education And Communication, Lori Keough Phd, M.Ed, Fnp-Bc

Journal of Health Disparities Research and Practice

A pilot study exploring caregiver views of the role of schools in students’ health.

Abstract

To date, 20 states in theUnited Statesrequire school-based body mass index (BMI) screening for school-aged populations and for some the requirements include caregiver notification of the findings. Few studies have provided empirical data indicating whether or not caregivers accept or act on BMI communication from schools. Therefore, an exploratory pilot study was conducted in a culturally diverse urban school district to determine how a required (BMI) screening and notification were viewed by caregivers. Most caregivers reported that they felt schools did not have a role …

Accelerating Curriculum Design: "A Love It, Don't Leave It" Approach To Creative Process And Idealized Design, Mary Bouchaud, Phd, Rn, Angela Gerolamo, Phd, Aprn, Bcps, Beth Ann Swan, Phd, Crnp, Faan, Kathleen Black, Phd, Rnc, Karen Alexander, Msn, Rn, Ccrn, Jennifer L. Bellot, Phd, Mhsa, Cne, Denise Brown, Msn, Rnc, Susan Egger, Phd, Rn, Rachel Scherzer, Msn, Rn, Ccrn, Kathy Shaffer, Edd, Rn, Cne, Catherine Levonian, Phd, Rn, Dori Sullivan, Phd, Rn, Ne-Bc, Cphq, Faan

College of Nursing Posters

Purpose and Background:

The Institute of Medicine’s (IOM) report (2010) on the “Future of Nursing” emphasized the need for nurses to lead health care change. One of the key messages in this report is a call to action for nursing schools to re-envision nursing education that focuses on a population-based perspective and emerging roles for nurses across the care continuum. With an evolving focus on primary and community-based care rather than acute care, and recognition of the importance of coordinating care and managing transitions across providers and settings of care, registered nurses now and in the future will need to …

The Use Of Narrative Pedagogy And Unfolding Case “Ivan” To Promote Interprofessional Collaboration And Education Among Nursing And Radiology Students, Mary Bouchaud, Phd, Rn, Elizabeth Speakman, Edd, Rn, Anef, Fnap

College of Nursing Posters

Purpose:

Nursing students are unfamiliar with roles and responsibilities of their healthcare colleagues and how partnering with them can impact patient health outcomes. Many are unaware of how an interprofessional healthcare team contributes to preventing and resolving healthcare issues affecting care transition from tertiary settings back to the community. Case “Ivan” is a real lived experience that was shared to prepare nursing and allied health students for interprofessional, patient-centered care practice.

Poster presented at:

NLN Education Summit, 2015:Bridging Practice and Education, Las Vegas, Nevada, September 30, 2015-October 2, 2015.

Testing Peplau's Theory Of Interpersonal Relations In Nursing Using Data From Patient Experience Surveys, Thomas Arthur Hagerty

Dissertations, Theses, and Capstone Projects

Patients' experiences in hospitals are important indicators of quality. Patients' opinions about their experiences in hospitals are significantly associated with their opinions of those hospitals' nursing services. Nurses in the US have traditionally focused on patients' experiences, and Peplau's (1952/1991) theory of interpersonal relations is early evidence of that focus. This study tested Peplau's (1952/1991) theory of interpersonal relations in nursing using confirmatory factor analysis (CFA) on data from 12,436 patient experience surveys. Two hypotheses were supported: (a) patient experience data (i.e. responses on the Consumer Assessment of Healthcare Providers and Systems - Hospital [HCAHPS] survey) collected from patients in …

Promoting Children's Adherence To Asthma Self-Management, Demetrius Abshire

Kaleidoscope

Asthma is the most common chronic childhood condition, affecting about nine million children in the United States. Despite effective treatments available to children and their families, adherence to asthma self-management is low. This paper identifies barriers to asthma-self-management and discusses effective education and behavioral strategies to promote self-management in children with asthma. Implications specific to the profession of nursing are incorporated throughout the discussion. In addition to practical nursing interventions in clinic and hospital settings, areas of future nursing research are addressed.

Exercise And Hospitalized Leukemia Patients, Anne Delengowski, Rn, Msn, Aocn, Justine O'Connor, Rn, Msn, Ocn, Megan Stinsman, Rn, Bsn, Ocn, Kate Mchenry, Rn, Bsn, Ocn, Kaitlin Mostak, Rn, Bsn, Joann Silcox, Rn, Msn, Colleen Sweeney, Rn, Christine Muldoon, Rn, Bsn, Ocn, Lauren Gilbride, Rn, Bsn

Department of Nursing papers and presentations

Objective:

The purpose of this study was to determine if patients in a structured, monitored walking program experienced less symptom distress than patients receiving the usual standard of care during induction chemotherapy.

Modified Early Warning Score (Mews) Value In The Intensive Care Unit, Anne Rabert Mhsa, Rn, Ccrn, Ne-Bc

Patient Care Services / Nursing

No abstract provided.

Fostering The Development Of Emotional Intelligence Among Health Science Students: Empowering Students To Impact Institutional Culture, Julia Ward, Phd, Rn, Mary Hanson-Zalot, Msn, Rn, Aocn, Collleen Dempsey, Ms, Rt(R)

College of Nursing Posters

Objectives:

Identify challenges of navigating institutional culture for students interacting in a variety of clinical settings

Discuss the importance of integrating concepts of emotional intelligence throughout curricular plans of study

Consider contemporary research findings in the health science literature regarding emotional intelligence among students.

Rural Emergency Nurses’ End-Of-Life Care Obstacle Experiences: Stories From The Last Frontier, Renea L. Beckstrand, Jonathan Rohwer, Karlen E. Luthy, Janelle L. B. Macintosh, Ryan J. Rasmussen

Faculty Publications

Introduction: Rural emergency nurses face unique obstacles to providing quality end-of-life (EOL) care. Stories provided by emergency nurses embody their most difficult EOL care obstacles.

Methods: A questionnaire was sent to 53 rural hospitals. Respondents were asked to share stories that epitomized the obstacles faced while providing EOL care in the rural emergency setting.

Results: The lack of an ideal death (eg, the nurse personally knows the patient, issues with family members, and unknown patient wishes) was the top obstacle. Other reported obstacles were insufficient ED staff and power struggles between nurses and physicians.

Discussion: Rural emergency nurses often provide …

A Pilot Study Of Demographic And Dopaminergic Genetic Contributions To Weight Change In Kidney Transplant Recipients, Ansley Stanfill, Donna Hathaway, Ann Cashion, Ramin Homayouni, Patricia Cowan, Carol Thompson, Behrouz Madahian, Yvette Conley

Nursing Faculty Publications

Kidney transplant recipients often experience a significant amount of weight gain in the first year post-transplantation. While demographic factors such as age, race, and sex have been associated with weight gain in this population, these factors do not explain all of the variability seen. A number of studies have suggested that genetics also plays a critical role in weight changes. Recently, alterations in the activity of the neurotransmitter dopamine have been associated with weight change, and gene expression studies in kidney transplant recipients have supported this association. The purpose of this pilot study is to first examine the feasibility and …

Embracing A Shared Governance Model To Improve Your Practice, Sharon Pustilnik Rn, Bs, Heather Painter Rn, Alyssa Soltis Rn

Patient Care Services / Nursing

No abstract provided.

Thermal Burns And Smoke Inhalation Injuries, Anna Cox

The Kabod

In this pathophysiology paper, the reader is presented with a profile of an elderly patient who recently suffered thermal burns and smoke inhalation injuries as a result of a nursing home fire. This patient’s severe burns were classified as deep partial-thickness and full-thickness and her total body surface area (TBSA) of burns was over 15%. This paper details the different types of burns, the varying clinical manifestations of thermal burns, smoke inhalation injuries, laboratory values associated with burns, and the multitude of treatment necessary for each stage of burn management. Wound healing is described as well as potential risks and …

Addressing Parental Vaccination Questions In The School Setting: An Integrative Literature Review, Karlen Beth Luthy, Jana Burningham, Lacey M. Eden, Janelle L B Macintosh, Renea L. Beckstrand

Faculty Publications

School nurses work in a unique environment with key opportunities to address parental concerns and questions regarding their child’s health. A common concern for parents during school enrollment is childhood vaccination safety and efficacy. As public health leaders, school nurses are well respected among parents, therefore school nurses are in a prime position to educate parents and promote childhood vaccinations while also dispelling common vaccination myths. The purpose of this integrative literature review is to synthesize evidence-based answers to common parental questions regarding childhood vaccinations.

Qualitative Analysis Of Student Perceptions Of Bachelor Of Science-To-Doctor Of Philosophy In Nursing Programs, Neil E. Peterson, Karen O. Moss, Gwyneth R. Milbrath, Jane R. Von Gaudecker, Eunhee Park, Mihee Chung

Faculty Publications

Background: To address the shortage of PhD-prepared nursing faculty, universities in the United States of America offer direct entry BSN-to-PhD nursing programs. Little research has been done to explore students’ perceptions of these programs and formally evaluate the successes and opportunities for growth of this academic track. Methods: Focusing on the perceptions and experiential reflection of BSN-to-PhD education, a survey with open-ended questions was distributed among voluntary participants who are current BSN-to-PhD students or recent graduates (years) from various universities in the country. Textual data were analyzed using a qualitative descriptive approach with thematic analysis. Results: This article elaborates on …

Nurse Internship In Washington. A Rehab Nurse Perspective., Tina Roma Fisher Msn, Rn, Crrn

Patient Care Services / Nursing

No abstract provided.

A Home-Based Comprehensive Care Model In Patients With Multiple Sclerosis: A Study Pre-Protocol., Lufei Young, Kathleen Healey, Mary Charlton, Kendra Schmid, Rana Zabad, Rebecca Wester

Journal Articles: College of Nursing

Background Disability is prevalent in individuals with multiple sclerosis (MS), leading to difficulty in care access, significant caregiver burden, immense challenges in self-care and great societal burden. Without highly coordinated, competent and accessible care, individuals living with progressive MS experience psychological distress, poor quality of life, suffer from life-threatening complications, and have frequent but avoidable healthcare utilizations. Unfortunately, current healthcare delivery models present severe limitations in providing easily accessible, patient-centered, coordinated comprehensive care to those with progressive MS. We propose a home-based comprehensive care model (MAHA) to address the unmet needs, challenges, and avoidable complications in individuals with progressive MS …

A Comparison Of Quality Of Life Between Intense And Non-Intense Treatment For Patients With Acute Myeloid Leukemia And High-Risk Myelodysplastic Syndrome, Sara Marie Tinsley

USF Tampa Graduate Theses and Dissertations

Acute myeloid leukemia (AML) and high-risk myelodysplastic syndrome (MDS) are hematologic malignancies that occur most frequently in the sixth and seventh decades of life. Both disorders are associated with a poor prognosis, with median survival of one year or less. An overall five-year survival rate for both disorders, regardless of treatment, is less than 10%. A primary goal of treatment is to improve quality of life (QOL) because cure is improbable. The purpose of this longitudinal cohort study was to compare QOL between groups, intensive, non-intensive therapy, and supportive care. The sample consisted of 85 patients with high risk MDS …

Vitamin B12: Identification And Treatment Of Deficiencies, Max Mitchell, Donna S. Freeborn

Student Works

Vitamin B₁₂ is essential for the proper functioning of all cells. A deficiency can cause serious hematologic and neurologic damage. Groups at high risk for developing vitamin B₁₂ deficiency include the elderly, vegetarians, pregnant women, persons with pernicious anemia, and patients with a history of gastrointestinal (GI) surgery. The purpose of this article is to increase awareness of vitamin B₁₂ deficiency and discuss its pathophysiology, symptoms, diagnostic testing, and management

Reforming The Veterans Health Administration-Beyond Palliation Of Symptoms, Brett P. Giroir, Md, Gail R. Wilensky, Phd

College of Nursing Faculty Papers & Presentations

The Veterans Health Administration (VHA) is one of the largest health care delivery systems in the United States, with 9.1 million enrollees, 20,000 physicians, 1600 facilities, 288,000 employees, and a $59 billion budget. In response to highly publicized concerns regarding delayed access to care, preventable deaths in patients awaiting care, and falsification of lists to make waiting times appear shorter, Congress passed and President Barack Obama signed the Veterans Access, Choice, and Accountability Act of 2014. In addition to expanding non-VHA treatment options for veterans, this law requires a comprehensive, independent assessment of 12 areas of VHA care delivery and …

An Evidence Based Education For Registered Nurses Working In A Delirium Room, Sheila M. Wiegman

Nursing Capstones

No abstract provided.