Open Access. Powered by Scholars. Published by Universities.®

Nursing Commons

Open Access. Powered by Scholars. Published by Universities.®

2025

Discipline
Institution
Keyword
Publication
Publication Type
File Type

Articles 2641 - 2670 of 2678

Full-Text Articles in Nursing

Aboriginal, Torres Strait Islander And Māori Nursing And Midwifery Academic Workforce Across Australia And Aotearoa New Zealand, Ann Bonner, Linda Deravin, Jan Dewar, Moira Williamson, Kerri Gillespie, Cheryl Atherfold, Karen Nightingale, Caryn West, Karen Strickland Jan 2025

Aboriginal, Torres Strait Islander And Māori Nursing And Midwifery Academic Workforce Across Australia And Aotearoa New Zealand, Ann Bonner, Linda Deravin, Jan Dewar, Moira Williamson, Kerri Gillespie, Cheryl Atherfold, Karen Nightingale, Caryn West, Karen Strickland

Research outputs 2022 to 2026

Background: Promoting a representative and supportive industry for Aboriginal, Torres Strait Islander and Māori nursing and midwifery academic staff is a key tenet of Australian and Aotearoa New Zealand universities, and fundamental to strengthening the health workforce. Surprisingly, information about this workforce is unknown. Aim: The aim of the study was to gain an understanding of the Aboriginal, Torres Strait Islander and Māori nursing and midwifery academic workforce. Methods: A cross-sectional study was conducted using an online survey of organisations that provide accredited nursing and midwifery education within Australia and Aotearoa New Zealand. Demographic, academic and employment information relating to …


The Accidental School Nurse: How Australian Registered Nurses Enter School Nursing, Anita Moyes, Susan Karemba Jan 2025

The Accidental School Nurse: How Australian Registered Nurses Enter School Nursing, Anita Moyes, Susan Karemba

Research outputs 2022 to 2026

Australia has a long history of school nursing and a strong orientation to formal educational pathways for nursing specialization. Despite this, pathways for becoming a school nurse are lacking, and how Australian nurses became a school nurse is unclear. The aim of this study was to gain insight into this issue. Semi-structured interviews were conducted with 45 Australian school nurses. Data was analyzed using inductive content analysis. Findings identified that Australian school nurses typically became a school nurse by accident, not design. They entered school nursing having already had a long and diverse clinical career and were drawn to school …


Senior Registered Nurses' Organisational Communication Satisfaction, Job Satisfaction, Burnout, And Intention To Stay: A Cross-Sectional Study Of Two Healthcare Groups, Gemma Doleman, Kaoru Nosaka, Annemarie De Leo Jan 2025

Senior Registered Nurses' Organisational Communication Satisfaction, Job Satisfaction, Burnout, And Intention To Stay: A Cross-Sectional Study Of Two Healthcare Groups, Gemma Doleman, Kaoru Nosaka, Annemarie De Leo

Research outputs 2022 to 2026

Aim: To explore organisational communication satisfaction and its impact on senior registered nurses' job satisfaction, burnout, and intention to stay. Design: A cross-sectional design using surveys. The study was conducted with senior registered nurses across two healthcare groups in Western Australia. Results: One hundred seventy-four usable surveys were returned. The results of this study indicated that those with higher communication satisfaction levels were more likely to have higher levels of job satisfaction. Senior registered nurses who intended to leave their jobs had a higher risk of emotional exhaustion and depersonalisation, which may result in higher rates of burnout compared to …


Nursing Simulation For Pediatric Communication: An Integrative Literature Review, Jayla R. Call Jan 2025

Nursing Simulation For Pediatric Communication: An Integrative Literature Review, Jayla R. Call

Honors Undergraduate Theses

The aim of this thesis is to explore literature focused on enhancing nursing students' communication skills with pediatric patients through simulation. Effective communication is key to building rapport and trust, which are essential for improving patient outcomes. However, nursing students may experience anxiety when interacting with pediatric patients due to limited training in communication techniques. Simulation offers a valuable opportunity for students to practice and refine their skills in a risk-free environment, allowing them to build confidence and competence. An integrative literature review was conducted, utilizing three databases and PRISMA guidelines (Page et al., 2021) to gather relevant studies for …


Examining The Best Dietary And Lifestyle Interventions To Prevent Hyperinsulinemia And Insulin Resistance In Women With Polycystic Ovarian Syndrome, Erica C. Morman Jan 2025

Examining The Best Dietary And Lifestyle Interventions To Prevent Hyperinsulinemia And Insulin Resistance In Women With Polycystic Ovarian Syndrome, Erica C. Morman

Honors Undergraduate Theses

Polycystic Ovarian Syndrome (PCOS) is a complex reproductive and metabolic disorder that affects up to 15% of women, contributing to insulin resistance, hyperinsulinemia, risk for developing type 2 diabetes. The interconnected hormonal and metabolic disruptions in PCOS create a feedback loop that exacerbates symptoms, making dietary and exercise interventions critical in its management. This literature review evaluates the efficacy of various dietary interventions including the ketogenic diet, high-protein diet, low-carbohydrate diet, and high-fiber diet, as well as exercise interventions such as high-intensity interval training (HIIT), resistance training, and moderate-intensity aerobic exercise. Results found that modifying carbohydrate intake, and increasing fiber …


The Association Between Implicit Bias From Healthcare Providers And Postpartum Depression Among Black Women., Chelsea T. Costa Jan 2025

The Association Between Implicit Bias From Healthcare Providers And Postpartum Depression Among Black Women., Chelsea T. Costa

Honors Undergraduate Theses

Postpartum depression is one of the most common issues that women face after birth. Many different factors can contribute to the development of postpartum depression, including perinatal complications, prenatal depression, or social factors. One of the social factors that Black women, specifically, face leading to postpartum depression is discrimination. The purpose of this literature review is to identify research that focuses on whether implicit bias and discrimination by healthcare providers contributes to postpartum depression among Black women. A literature review was conducted using databases including CINHAL Plus Text, CINHAL ULTIMATE, Medline, and APA Psycinfo, with terms that included “healthcare provider* …


Cognitive Impairment And Depression In Hispanic And Non-Hispanic White Low-Income Older Adults A Cross-Sectional Study, Cecil Latta Jan 2025

Cognitive Impairment And Depression In Hispanic And Non-Hispanic White Low-Income Older Adults A Cross-Sectional Study, Cecil Latta

Honors Undergraduate Theses

Hispanic older adults represent a growing population in the United States and may be disproportionately affected by cognitive impairment and depression. We theorize that cognitive impairment would be more prevalent in the older Hispanic community and would affect the levels of depression in both Hispanic and non-Hispanic Whites older adults. This cross-sectional study examined the association between cognitive impairment and depression in 157 older adults, including Hispanic (n = 91, 57.96%, age: M = 76.4, SD = 6.8) and non-Hispanic White (n = 66, 42.04%, age: M = 76.2, SD = 6.5). We used the Memory Impairment Screen to assess …


Addressing Barriers In The Primary Prevention Of Hypertension In Black People, Makalah Pierre Rn Bsn Jan 2025

Addressing Barriers In The Primary Prevention Of Hypertension In Black People, Makalah Pierre Rn Bsn

Honors Undergraduate Theses

Hypertension is a significant health concern among minority groups, and the black population is most at risk (Abrahamowicz et al., 2023). The black population experience higher prevalence rates of hypertension compared to other racial groups and are more likely to experience hypertension-related problems, including cardiovascular disease (CVD) and chronic kidney disease (CKD).  This literature review explores various nursing interventions aimed at preventing hypertension within this population. In this review, the term “black people or persons” is a broad term used to describe both African Americans and people of Afro-Caribbean decent. This includes various backgrounds such as Haitian, Jamaican, or otherwise …


The Effectiveness Of Trauma-Informed Care Education On The Self-Efficacy Of Pediatric Nurses: An Integrative Literature Review, Mackenzi N. King Jan 2025

The Effectiveness Of Trauma-Informed Care Education On The Self-Efficacy Of Pediatric Nurses: An Integrative Literature Review, Mackenzi N. King

Honors Undergraduate Theses

Pediatric nurses often care for patients who have experienced various forms of trauma, including medical traumatic stress, abusive head trauma, child maltreatment, and sex trafficking. Trauma-informed care (TIC) is a clinical approach that acknowledges the psychological and physical effects of trauma, supports the identification of trauma survivors, and seeks to prevent re-traumatization during healthcare encounters. Research has highlighted the need to improve nurses' self-efficacy in delivering TIC effectively. This integrative literature review explores the impact of TIC training on pediatric nurses’ knowledge, confidence, and competence in providing TIC. A comprehensive literature search was conducted using CINAHL Ultimate, APA PsychInfo, and …


Family Perceptions Of End-Of-Life Care For Terminally Ill Individuals In The Intensive Care Unit, Yunju Kim Jan 2025

Family Perceptions Of End-Of-Life Care For Terminally Ill Individuals In The Intensive Care Unit, Yunju Kim

Honors Undergraduate Theses

The Intensive Care Unit (ICU) provides specialized care for critically ill individuals, but despite aggressive treatments, the risk of mortality remains high. Transitioning from life-saving interventions to end-of-life care (EoLC) can be emotionally challenging for families and the healthcare team. Fear of EoLC can lead to a continuation of futile treatments, leading to ethical conflicts, emotional distress, and unnecessary suffering. The primary purpose of this literature review is to explore incongruencies in family expectations for EoLC in terminally ill individuals in the ICU in the transition of care from life-saving measures to EoLC. The secondary purpose of this literature review …


The Effects Of Nurse-Led Physical Activity On The Aging Population, Kaitlyn P. Carruba Jan 2025

The Effects Of Nurse-Led Physical Activity On The Aging Population, Kaitlyn P. Carruba

Honors Undergraduate Theses

The aging population in the United States is increasing in proportion, yet older adults' physical activity levels have not increased much. The lack of physical activity leads to numerous health complications, such as an increased risk for cardiovascular disease, increased risk for falls and fractures, as well as lead to obesity and diabetes. Unfortunately, few healthcare facilities monitor or audit physical activity. Older adults are frequently placed on fall risk precautions, which heavily encourages a sedentary hospital stay. This commonly leads to older adults with declining abilities to accomplish their activities of daily living (ADLs) after hospitalization. Nurses, spending the …


Improving Safe And Effective Management Of Pain At Home, Alayna V. Olivarez Jan 2025

Improving Safe And Effective Management Of Pain At Home, Alayna V. Olivarez

Honors Undergraduate Theses

Pain is the most common clinical symptom in individuals with a cancer diagnosis. Additionally, home is the preferred place for cancer care which introduces numerous challenges for cancer pain management. The primary purpose of this literature review is to identify support interventions to enhance pain control, prevent exacerbations in pain, and optimize quality of life in individuals with cancer transitioning from the acute care setting to home. The secondary purpose of this review is to analyze patient-specific barriers influencing self-efficacy of pain management and overall health outcomes in the target population. A systematic literature search was conducted using CINAHL, EBSCOhost, …


Implementing Holograms To Perform Cognitive Health History Screenings, Franchesca I. Gonzalez Jan 2025

Implementing Holograms To Perform Cognitive Health History Screenings, Franchesca I. Gonzalez

Honors Undergraduate Theses

Marginalized populations, defined as a group of individuals who experience systematic disadvantages due to various social identity factors (Oxford Review, n.d.), experience uneven barriers to cognitive and mental health assessments, including socioeconomic, linguistic, and educational inequities, that contribute to misdiagnosis (Petersen et al., 2018, Saeed & Masters, 2021). This study investigates the feasibility of hologram-based patient simulations as an educational intervention for undergraduate nursing and graduate Nurse Practitioner students. Culturally representative, three-dimensional holographic patients were created to replicate complex geriatric encounters and facilitate cognitive health screenings. Established assessment tools, including the Mini-Mental Status Examination, Patient Health Questionnaire 2 and Patient …


Emotions And Cognition, Krystal D. Becks Jan 2025

Emotions And Cognition, Krystal D. Becks

Theses and Dissertations

Background: Cognitive functioning is linked to emotional processes, with this relationship shaped by various biological (e.g., age, sex, diseases, and genetics), psychological (e.g., emotional well-being, coping strategies, mental health), and sociological (e.g., income and education) factors. Understanding these interactions is critical for advancing research on cognitive-emotional health across diverse populations. Purpose: To examine the relationship between positive and negative emotions and cognitive functioning among healthy adults. Methods: This was a cross-sectional analysis of data from the Aging Brain Cohort (ABC) study (n=434). The independent variables were subsets from the NIH toolbox emotional battery. The dependent variables were from the NIH …


Effectiveness And Safety Of Intravenous Iron Therapy In Outpatient Obstetrical Clinic For Treatment Of Iron-Deficiency Anemia During Pregnancy, Ellen M. Murrin, Olivia S. Lebeau, Lillian Singer, Mark A. Kassab, Peyton Kalan, Julie Costanzo, Scott A. Sullivan, George L. Maxwell, George R. Saade, Antonio F. Saad Jan 2025

Effectiveness And Safety Of Intravenous Iron Therapy In Outpatient Obstetrical Clinic For Treatment Of Iron-Deficiency Anemia During Pregnancy, Ellen M. Murrin, Olivia S. Lebeau, Lillian Singer, Mark A. Kassab, Peyton Kalan, Julie Costanzo, Scott A. Sullivan, George L. Maxwell, George R. Saade, Antonio F. Saad

Department of Obstetrics & Gynecology Faculty Publications

Background

Iron-deficiency anemia (IDA) affects over one-third of pregnant patients globally, contributing to severe maternal morbidity and adverse neonatal outcomes. Oral iron supplementation, while cost-effective, is limited by poor absorption, significant gastrointestinal side effects, and poor adherence. The use of intravenous (IV) iron addresses many of these concerns, including eliminating GI side effects and the need for daily therapy. However, administration of IV iron in pregnant patients is typically restricted to specialized infusion centers or hospitals due to concerns about acute side effects, cost, resource utilization, the need for fetal heart rate monitoring, and extended infusion times.

Methods

This descriptive …


The Efficacy Of Physical Activity Or Exercise Among Individuals With Cerebral Palsy: An Umbrella Review Of Systematic Reviews, Majed M. Alhumaid, Faris Yahya I. Asiri, Mohamed A. Said, Justin A. Haegele Jan 2025

The Efficacy Of Physical Activity Or Exercise Among Individuals With Cerebral Palsy: An Umbrella Review Of Systematic Reviews, Majed M. Alhumaid, Faris Yahya I. Asiri, Mohamed A. Said, Justin A. Haegele

Human Movement Studies & Special Education Faculty Publications

Introduction

Cerebral palsy (CP) is the most common childhood disability, affecting 1.5-3 per 1000 live births. Physical exercises have been shown to improve muscle and limb outcomes in CP. This systematic review critically appraises existing systematic reviews on the effects of physical activity and exercise on physical, functional, and psychosocial outcomes in individuals with CP compared to those without.

Methods

Using a PICO framework, the question was: In patients with CP, do physical activity and exercise improve muscle- and limb-related outcomes compared to no intervention or usual care? PubMed, Cochrane, ISI Web of Science, and Embase were searched for systematic …


Critical Care Advanced Practice Providers As Partners In Advancing Pediatric Intensive Care Unit Nursing Knowledge: A Needs Assessment., Mary Seidl, Meghan Roller, Whitney Seul, Laura Rose, Christine A. Schindler Jan 2025

Critical Care Advanced Practice Providers As Partners In Advancing Pediatric Intensive Care Unit Nursing Knowledge: A Needs Assessment., Mary Seidl, Meghan Roller, Whitney Seul, Laura Rose, Christine A. Schindler

College of Nursing Faculty Research and Publications

Background

Critical care advanced practice providers (APPs) are frontline providers in many pediatric intensive care units (PICUs). From 2020 to 2022, there was a significant downward shift in nursing experience level in the PICU at the authors’ institution. APPs may help provide additional in situ education.

Methods

Data were collected using role-specific needs assessment of PICU nursing staff and providers, assessing concept related to knowledge and job stress.

Results

Findings overwhelmingly demonstrated desire for more APP-led education. Overall, 27% of nurse respondents strongly agreed that current knowledge was adequate to provide safe and best care for their patients, and 47% …


ปัจจัยคัดสรรที่สัมพันธ์กับพฤติกรรมการใช้สารเสพติดของผู้ใช้สารเสพติด หลายชนิดร่วมกันในภาคใต้ของประเทศไทย, เตชินี สิทธิอำนวย Jan 2025

ปัจจัยคัดสรรที่สัมพันธ์กับพฤติกรรมการใช้สารเสพติดของผู้ใช้สารเสพติด หลายชนิดร่วมกันในภาคใต้ของประเทศไทย, เตชินี สิทธิอำนวย

Chulalongkorn University Theses and Dissertations (Chula ETD)

การวิจัยครั้งนี้เป็นการวิจัยเชิงบรรยาย มีวัตถุประสงค์เพื่อศึกษา 1) สถานการณ์และรูปแบบการใช้สารเสพติดร่วมของผู้ใช้สารเสพติดที่รับการบำบัดสารเสพติดในโรงพยาบาลรัฐบาลในเขต ภาคใต้ และ 2) เพื่อศึกษาความสัมพันธ์ระหว่างปัจจัยคัดสรร ได้แก่ อายุ เพศ อาชีพ ระดับการศึกษา สถานภาพสมรส อายุที่เริ่มใช้สารเสพติด ระยะเวลาการใช้สารเสพติด การดื่มแอลกอฮอล์ การสูบบุหรี่ ภาวะซึมเศร้า ความวิตกกังวลขณะปัจจุบัน การวิตกกังวลประจำบุคคล การเผชิญความเครียดด้านการมุ่งแก้สาเหตุปัญหา การเผชิญความเครียดด้านการจัดการกับอารมณ์ และสัมพันธภาพในครอบครัว กับพฤติกรรมการใช้สารเสพติดของผู้ใช้สารเสพติดหลายชนิดร่วมกันในภาคใต้ กลุ่มตัวอย่างเพื่อตอบวัตถุประสงค์วิจัยข้อ 1 คือ ผู้ใช้สารเสพติด จำนวน 111 คน และกลุ่มตัวอย่างเพื่อตอบวัตถุประสงค์วิจัยข้อ 2 คือ ผู้ใช้สารเสพติดหลายชนิดร่วมกัน จำนวน 211 คน ทั้งเพศชายและหญิง ที่มีอายุ 20 – 59 ปี ที่ได้รับการคัดเลือกตามเกณฑ์คุณสมบัติที่กำหนดไว้ ซึ่งเข้ารับการบำบัดรักษายาเสพติดแบบผู้ป่วยนอก โรงพยาบาลรัฐบาลในเขตภาคใต้ ได้แก่ โรงพยาบาลธัญญารักษ์สงขลา โรงพยาบาลมหาราช นครศรีธรรมราช โรงพยาบาลสิชล และโรงพยาบาลพระพรหม จังหวัดนครศรีธรรมราช เครื่องมือที่ใช้ในการวิจัยมี 5 ชุด คือ 1) แบบสอบถามข้อมูลส่วนบุคคล 2) แบบสอบถามพฤติกรรมการใช้สารเสพติด 3) แบบประเมินภาวะซึมเศร้า 9Q 4) แบบวัดความวิตกกังวล STAI 5) แบบวัดการเผชิญความเครียต และ 6) แบบสอบถามสัมพันธภาพในครอบครัว สถิติที่ใช้ในการวิเคราะห์ ข้อมูลได้แก่ การแจกแจงความถี่ ร้อยละ ส่วนเบี่ยงเบนมาตรฐาน สถิติไคสแคว์ และค่าสัมประสิทธิ์สหสัมพันธ์เพียร์สันผลการวิจัยพบว่า 1. จากผลการศึกษาสถานการณ์และรูปแบบการใช้สารเสพติดในภาคใต้ พบว่า ผู้ใช้สารเสพติดเพียงชนิดเดียวมีเพียง 23 คน (ร้อยละ 20.7) และผู้ใช้สารเสพติดส่วนใหญ่มีพฤติกรรมการใช้สารเสพติดหลายชนิดร่วมกัน 88 คน (ร้อยละ 79.3) จำแนกเป็นใช้สารเสพติดสองชนิดร่วมกัน 76 คน (ร้อยละ 68.5) และใช้สารเสพติดสามชนิดร่วมกัน …


Community Health Worker-Delivered Tobacco Cessation In A Small Rural County, Ellen J. Hahn, Amanda Bucher, Amanda T. Wiggins, Kathy Rademacher, Whitney Beckett, Leeann Taylor, Audrey Darville, Jean Edward Jan 2025

Community Health Worker-Delivered Tobacco Cessation In A Small Rural County, Ellen J. Hahn, Amanda Bucher, Amanda T. Wiggins, Kathy Rademacher, Whitney Beckett, Leeann Taylor, Audrey Darville, Jean Edward

BREATHE Faculty Publications

Purpose: We evaluated a Community Health Worker (CHW)-Tobacco Treatment Specialist (TTS) model for delivering tailored tobacco treatment counseling and support in a rural, low-resourced county.

Methods: This was an exploratory, prospective study of people 18 years or older who used any tobacco product including e-cigarettes or vapes in the past 30 days. The CHW assessed tobacco use, secondhand smoke exposure, and quit history; and collected an expired breath carbon monoxide sample and a brief health history before providing 4–6 in-person or phone-based sessions involving tailored tobacco treatment counseling and support. The CHW connected participants to a prescriber at a federally …


Implementing And Evaluating A Pilot Interprofessional Training Program To Engage Health Care Teams In Cost Of Care Conversations, Jean Edward, Kimberly D. Northrip, Mary Kay Rayens, Julia Costich, Andrea Welker, Rachel O’Farrell, John A. D'Orazio Jan 2025

Implementing And Evaluating A Pilot Interprofessional Training Program To Engage Health Care Teams In Cost Of Care Conversations, Jean Edward, Kimberly D. Northrip, Mary Kay Rayens, Julia Costich, Andrea Welker, Rachel O’Farrell, John A. D'Orazio

Nursing Faculty Publications

Introduction: This study evaluated the impact of Financial and Insurance Navigation Assistance-Training – a pilot interprofessional training program to facilitate cost of care (CoC) conversations and address health-harming social determinants of health in a pediatric hematology–oncology clinic.

Methods: A pre–post study design was used to evaluate the impact of Financial and Insurance Navigation Assistance-Training on an interprofessional health care team's (clinicians, social workers, financial navigator, and legal advocates) knowledge, attitudes, and behaviors related to CoC conversations and screening, referring, and collaborating with interprofessional team members. Data were collected …


Diet Quality Mediates The Relationship Between Chronic Stress And Inflammation In Patients With Metabolic Syndrome, Junghee Kang, Debra K. Moser, Terry A. Lennie, Misook L. Chung, D. Travis Thomas, Martha J. Biddle Jan 2025

Diet Quality Mediates The Relationship Between Chronic Stress And Inflammation In Patients With Metabolic Syndrome, Junghee Kang, Debra K. Moser, Terry A. Lennie, Misook L. Chung, D. Travis Thomas, Martha J. Biddle

Nursing Faculty Publications

Background 

Chronic stress is associated with promotion of inflammation and development of metabolic syndrome, as well as deterioration of diet quality. Inflammation can be modified by changes in dietary intake.

Objective 

The aim of this study was to test the hypothesis that diet quality mediates the relationship of chronic stress with inflammation in patients with metabolic syndrome.

Methods 

Participants with metabolic syndrome (n = 73, 62 ± 12 years old, 71% female) completed questionnaires on chronic stress (Perceived Stress Scale-10) and diet quality (Healthy Eating Index-2020). The Perceived Stress Scale-10 was dichotomized. The Healthy Eating Index-2020 score was used as …


Championing Reproductive And Perinatal Health With The Recovery Community: Improving Access To Healthcare And Health Promotion Resources To Support Recovery, Hartley C. Feld, Alex Elswick, Jeremy Byard, Whitney Beckett, Amanda Fallin-Bennett Jan 2025

Championing Reproductive And Perinatal Health With The Recovery Community: Improving Access To Healthcare And Health Promotion Resources To Support Recovery, Hartley C. Feld, Alex Elswick, Jeremy Byard, Whitney Beckett, Amanda Fallin-Bennett

Nursing Faculty Publications

Peer recovery support services are instrumental in the promotion of long-term recovery primarily by focusing on building the recovery capital of people with substance use disorders. Women may have specific health-related needs that are not generally part of recovery support staff training. Our team co-created a model by training people with lived experience as coaches to promote the health of women with SUD during the critical period of their reproductive years when mortality from overdose risk is high and can be compounded by issues surrounding pregnancy. We explored the outcomes of a small pilot test of this model to promote …


Evaluating Potential Determinants Of Health System Implementation Of A Virtual Oncology Financial And Legal Navigation Intervention To Address Cancer-Related Financial Toxicity, Jean Edward, Haafsah Fariduddin, Mackenzie Caldwell, Lori P Eisele, Joanna Doran, Monica Bryant, John A. D'Orazio, Anne E. Ray, Kimberly D. Northrip Jan 2025

Evaluating Potential Determinants Of Health System Implementation Of A Virtual Oncology Financial And Legal Navigation Intervention To Address Cancer-Related Financial Toxicity, Jean Edward, Haafsah Fariduddin, Mackenzie Caldwell, Lori P Eisele, Joanna Doran, Monica Bryant, John A. D'Orazio, Anne E. Ray, Kimberly D. Northrip

Nursing Faculty Publications

Background

Integration of comprehensive oncology financial and legal navigation (OFLN) programs within health systems are needed to address cancer-related financial toxicity, however, implementation challenges exist.

Objectives

The aim of this study was to assess contextual factors that may influence implementation of a virtual OFLN intervention within a pediatric and adolescent and young adult oncology clinic and to inform necessary modifications to the proposed implementation strategies, pathways, and workflows.

Methods

We conducted 18 key informant interviews with healthcare team members, patients and caregivers. Data collection and analysis were guided by the Consolidated Framework for Implementation Research (CFIR) to provide a structured …


Degree Of Rurality Moderates The Association Of Sedentary Time With Cognitive Function In Rural Patients With Cardiac Diseases And Depressive Symptoms, Chin-Yen Lin, Jia-Rong Wu, Geunyeong Cha, Junghee Kang, Martha J. Biddle, Misook L. Chung, Ashmita Thapa, Mary Kay Rayens, Linda Gibson-Young, Debra K. Moser Jan 2025

Degree Of Rurality Moderates The Association Of Sedentary Time With Cognitive Function In Rural Patients With Cardiac Diseases And Depressive Symptoms, Chin-Yen Lin, Jia-Rong Wu, Geunyeong Cha, Junghee Kang, Martha J. Biddle, Misook L. Chung, Ashmita Thapa, Mary Kay Rayens, Linda Gibson-Young, Debra K. Moser

Nursing Faculty Publications

Background: Prolonged sedentary time has been linked to impaired cognitive outcomes. However, the impact of sedentary time on cognitive function at different degrees of rurality is not yet well understood in patients with cardiac diseases and depressive symptoms.

Purpose: To determine whether degree of rurality moderates the relationship between sedentary time and cognitive function.

Methods: This study includes 135 coronary heart disease or heart failure patients, primarily residing in rural Kentucky, including Appalachian areas, United States. Sedentary time was measured by the average daily sedentary time (in minutes) using accelerometry (ActiGraph). Cognitive function was assessed using the Montreal Cognitive Assessment-Blind. …


Challenges And Lessons Learned While Conducting A Diabetes Prevention Program Among Black Churches During The Covid-19 Pandemic, Erika R. Karle, Destiny Cozart, Bassema Abu Farsakh, Victor Afolayan, Treasure Ebikwo, Maranda Brooks, Lovoria B. Williams Jan 2025

Challenges And Lessons Learned While Conducting A Diabetes Prevention Program Among Black Churches During The Covid-19 Pandemic, Erika R. Karle, Destiny Cozart, Bassema Abu Farsakh, Victor Afolayan, Treasure Ebikwo, Maranda Brooks, Lovoria B. Williams

Nursing Faculty Publications

We share our experiences conducting a 5-year randomized controlled diabetes prevention project among 20 Black churches in central Kentucky during the COVID-19 pandemic and offer strategies to inform future church-based interventions. Researchers have long recognized the potential to reach Black adults in church settings for health promotion interventions and have implemented trials within this socially rich setting. However, there is a dearth of literature that describes the challenges and lessons learned while conducting these trials. We describe the challenges we experienced and the strategies we used to overcome them to successfully conduct the trial. During the study, we maintained detailed …


Hpv Self-Sampling Promotion Among African American (Aa) And Sub-Saharan African (Sai) Immigrant Women: Adaptation And Usability Testing, Adebola Adegboyega, Gia Mudd-Martin, Nancy Schoenberg, Mark Dignan Jan 2025

Hpv Self-Sampling Promotion Among African American (Aa) And Sub-Saharan African (Sai) Immigrant Women: Adaptation And Usability Testing, Adebola Adegboyega, Gia Mudd-Martin, Nancy Schoenberg, Mark Dignan

Nursing Faculty Publications

Background: Cervical cancer (CC) rates have declined nationally but rates remain high in Black women with most cases occurring among unscreened and under-screened women. This paper describes the adaptation, acceptability, and useability of an education intervention, “Health is Wealth: A Cervical Health Intervention”, to promote cervical screening and reduce perceived barriers to CC screening among two subgroups of Black women: African American (AA) and sub-Saharan African immigrant (SAI) women.

Methods: In this paper, we describe the process of adapting the Health is Wealth intervention using the Barrera and Castro adaptation framework. The iterative adaptation process included formative focus groups (n …


Improving Lung Cancer Education And Screening Navigation Skills Among Hbcu Health Trainees: A Pilot Study Of Program Connect, Shanada Monestime, Erika L. Thompson, Monica Wilson, Tamara Mccants, Lovoria B. Williams Jan 2025

Improving Lung Cancer Education And Screening Navigation Skills Among Hbcu Health Trainees: A Pilot Study Of Program Connect, Shanada Monestime, Erika L. Thompson, Monica Wilson, Tamara Mccants, Lovoria B. Williams

Nursing Faculty Publications

Lung cancer is the leading cause of cancer death, disproportionately affecting Black communities due to delayed diagnoses and low screening rates. While these disparities persist, few educational interventions aim to equip health professional trainees—particularly those at Historically Black Colleges and Universities (HBCUs)—with the knowledge and confidence to address them. Empowering providers early in their training through culturally tailored education may help build a more prepared, equity-focused workforce. The purpose of this project was to evaluate a culturally tailored lung cancer education program, Program CONNECT, for health professional trainees at HBCUs. Program CONNECT was implemented in regions where lung cancer mortality …


A Nurse-Led Transitional Care Intervention To Prevent Readmissions In A Low-Income-Serving Urban U.S. Hospital, Melissa Scollan-Koliopoulos Jan 2025

A Nurse-Led Transitional Care Intervention To Prevent Readmissions In A Low-Income-Serving Urban U.S. Hospital, Melissa Scollan-Koliopoulos

Nursing Faculty Publications

Background: Diabetes-related hospital readmissions within 30-days are costly and an indicator of suboptimal care resolution. Nurse-led transitional care interventions may improve glucose control and reduce emergency department recidivism following hospital discharge in very low-income populations.

Methods: An intention-to-treat design with randomization of participants (n = 108) compared conventional care to transitional care coordination that included diabetes specialty appointments, monthly support tele-phone calls, medication management, and tailored diabetes self-management education. Both the control and intervention group received a diabetes specialist and primary care appointment.

Results: There was a significant difference between the control and intervention groups (P = 0.018) from base-line …


Understanding Emergency Department Utilization By African Americans For Routine Diabetes Care: Are We Asking The Right Cultural Questions?, Melissa Scollan-Koliopoulos Jan 2025

Understanding Emergency Department Utilization By African Americans For Routine Diabetes Care: Are We Asking The Right Cultural Questions?, Melissa Scollan-Koliopoulos

Nursing Faculty Publications

Introduction: The emergency department is a source of routine care for many African Americans. Afrocentric cultural characteristics may serve as a better proxy than race for understanding preferences for emergency department use over primary care for diabetes management. Methods: A literature review was conducted including key terms related to transitional healthcare, emergency department recidivism, Afrocentric cultural characteristics, racism and health disparities, and diabetes in African Americans. An example of tailoring talking points using Afrocentric cultural characteristics is proposed using Jone’s TRIOS Model, a Afrocentric Self-enhancing and Protective Theory. Results: The literature includes evidence to support a complex explanation for emergency …


Librarian Partnerships In Dnp Education, Kerry A. Milner, Roy Brown, Janene Batten, Tami A. Hartzell, Ellen Fineout-Overholt Jan 2025

Librarian Partnerships In Dnp Education, Kerry A. Milner, Roy Brown, Janene Batten, Tami A. Hartzell, Ellen Fineout-Overholt

Nursing Faculty Publications

This is the sixth article in a new series designed to provide readers with insight into educating nurses about evidence-based decision-making (EBDM). It builds on AJN's award-winning previous series—Evidence-Based Practice, Step by Step and EBP 2.0: Implementing and Sustaining Change (to access both series, go to https://links.lww.com/AJN/A133). This follow-up series on EBDM will address how to teach and facilitate learning about the evidence-based practice (EBP) and quality improvement (QI) processes, and how they impact health care quality. This series is relevant for all nurses interested in EBP and QI, especially DNP faculty and students. The brief case scenario …