Health and Medical Administration Commons^™

Improving Retention Rates Of New Graduate Nurses, Rebekah B. Littlefield, Courtney Kelsey, Sophia Howrey

Non-Thesis Student Work

The purpose of this project is to explore if pairing (P) new grad nurses (I) with a similar personality nurse preceptor (C) as compared to a randomly assigned nurse preceptor (O) improves retention rates (T) over a 24-month period? Nursing has been recognized as a highly stressful profession that can lead to early career burnout. New nurses have reported an intention to leave the profession due to high-stress levels from unrealistic career expectations. Studies have shown that having a supported, planned, and consistent residency program for new nurses will increase retention of the nurses at the beginning of their careers. …

Key Healthcare Providers’ Perspectives On The Implementation Of Senior-Friendly Emergency Department Care In Quebec, Deniz Cetin-Sahin, Francine Ducharme, Jane Mccusker, Mona Magalhaes, Nathalie Veillette, Paul-André Lachance, Sylvie Cossette, Alain Vadeboncoeur, Rick Mah, T.T. Minh Vu, Simon Berthelot

Journal of Geriatric Emergency Medicine

Background: Senior-friendly emergency department (ED) care is emerging to address large numbers of older adults in healthcare and implementation is variable.

Objectives: We aimed to explore key healthcare providers’ perspectives on factors affecting implementation of senior-friendly ED care during the first five years of the Senior-Friendly Hospital Initiative in the Province of Quebec, Canada.

Methods: We conducted a descriptive qualitative study of four urban EDs. Key healthcare providers involved in care within the ED or after discharge to the community were purposefully selected. Semi-structured telephone interviews were conducted in participants’ preferred language, English or French. Recorded interviews were transcribed. A …

Associations Between Faculty Vitality And Burnout In The Covid-19 Era: The Experience Of One Institution, Megan Ferriby Ferber, Tina H. Chen, Patrice L. Vallot, Jane Mchowat, Cindy C. Bitter

Journal of Wellness

Introduction: Faculty vitality is the ideal synergy between engaged faculty and mission-driven institutions that generates a fruitful environment for academic productivity, career satisfaction, and fulfillment of shared goals. The COVID-19 pandemic has introduced unprecedented disruptions to faculty vitality, with profound perturbations to individual and institutional support networks. However, the extent of this impact is unclear, as are strategies to mitigate loss of faculty vitality and prevent burnout.

Methods: We developed a survey instrument to evaluate the impact of COVID-19 on faculty vitality and burnout at a mid-sized, Midwestern academic institution affiliated with a university hospital. Survey items focused on individual …

The Development And Implementation Of Evidence-Based Preanesthesia Assessment Tools For Lvad Patients Undergoing Non-Cardiac Procedures, Tracey Rooney, Casey Weimer, Eileen Giardino, Kerry Shanklin, Pete Pelletier, Audrey Rosenblatt

Journal of Nursing & Interprofessional Leadership in Quality & Safety

Abstract

A university-affiliated tertiary medical center with a newly developed Advanced Heart Failure and Mechanical Circulatory Support program identified the need to implement a more systematic approach to the preanesthesia assessment process for patients with a Left Ventricular Assist Device (LVAD) undergoing noncardiac procedures and standardized guidelines to determine the best blood pressure monitoring system for patients with an LVAD during these noncardiac procedures. A multidisciplinary panel of clinical experts developed an LVAD Preanesthesia Toolkit using standard recommendations identified via evidence-based literature and expert opinion. The Toolkit included an LVAD Preanesthesia Assessment (VaPA) tool and an LVAD Blood Pressure Monitoring …

Men In Nursing: Implications For The Profession And Broader Workforce Trends, David K. Palmer, Nancy Stuart, Michelle Fleig-Palmer

Mountain Plains Business Conference

Typically,nursing has been considered a gendered profession dominated by women. As traditionally blue-collar, male-dominated occupations such as assembly-line work have declined,the percentage of men in the nursing profession has increased to 12%. This is not a recent phenomenon;a significant percentage of men served as nurses up through the 1800’s.

In this analysis of men serving in the nursing workforce, we begin with a historical review and then discuss implications for the nursing profession, e.g., recruitment,education,practice, retention,and culture, as well as implications for the broader labor market, e.g., compensation trends by industry and gender

Mobile Health Software Platform Implementation To Improve Pediatric Remote Patient Monitoring Outcomes, Lori A. Erickson, Amy Ricketts, Jenny Marshall, Krista Nelson, Peter Churchill, Dawn Wolff, Robert W. Steele

Posters

Background: Children’s High Acuity Monitoring Program (CHAMP®) is a software platform for pediatric remote patient monitoring. It is used with a proactive, personalized, pediatric care model providing a link for communication with a specialized healthcare team to patients and families in their homes. Successful implementation since 2014 includes: adoption at 12 pediatric hospitals and over 870 infants with a survival of 96.5% (down from 20% in 2012). This work led our team to engage leadership to discuss a remote patient monitoring department with new monitoring devices and expanded access to pediatric conditions.

Methods: Strategic Planning and Innovation facilitated navigation of …

10-11-22 Hsc Committee Agenda Revised, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

Reducing The Stigma Of Nurses In Recovery: Substance Use Disorder And Alternative-To-Discipline Program Education For Nurses, Daniel Paul Del Toro, Pamela Hardesty

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

Decades of previous studies suggest that approximately 10-15% of all actively licensed nurses in the United States may be impaired by or in recovery from alcohol or other drug addiction. As a result of the COVID-19 pandemic, medical professionals are experiencing unprecedented amounts of stress, fatigue and emotional distress that when coupled with poor coping mechanisms and easily accessible addictive substances may result in an increased risk for developing substance use disorder. By providing education to nurses regarding substance use disorder (SUD) and alternative to discipline programs (ADP), previous studies have shown that the risk of nurses developing SUD can …

Improving Human Papillomavirus Vaccination Rates In Adolescents: A Quality Improvement Project, Keylea Marenda Harrison, Allyson Neal, Katie Ingram-Willard

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

Abstract

Objective: The purpose of this quality improvement (QI) project was to implement an evidence-based intervention to improve the HPV vaccine series completion rates in the pediatric primary care setting. The goal of the project was to increase HPV series completion rates in adolescents aged 11 to 12 by 10% within 3 months of implementation of the intervention.

Methods: A multicomponent intervention was implemented at a pediatric primary care office that included a chart review of 11- and 12-year-old adolescents who had received their first and second dose of the HPV vaccine from June 2019 to June 2020 and patients …

News From The Graduate School- Allied Health Fall 2022, Otterbein Office Of Graduate Programs

Graduate School

Newsletter that provides updates from the Graduate School and the Allied Health Program.

Emergency Medicine Provider Comfort With Physician Orders For Life Sustaining Treatment (Polst) Advanced Directive, Katherine Briggie, Kaitlin Sweeney, Shannon Findlay, Hao Wang, Juan Pagan-Ferrer, Dan Miller, Sangil Lee

Journal of Geriatric Emergency Medicine

Background

Emergency departments (ED) across the United States see many patients with advanced disease nearing the end of life. ED providers make many important decisions that impact a patient’s hospital course, including resuscitation decisions. When patients’ preferences are not known, treatment in the ED frequently defaults to maximally aggressive care. The Physician Orders for Life Sustaining Treatment (POLST) form has been shown to lead to more goal-concordant care for these patients by providing detailed instructions regarding end-of-life interventions, made by the patient and/or medical decision maker.

Methods

In this needs assessment study, we aimed to determine the level of awareness …

The Effect Of The Care Transitions Intervention On Ed Revisits And Outpatient Clinic Follow-Up Among Older Adults Who Live Alone, Clara V. Kuranz, Rebecca K. Green, Angela Gifford, Gwen C. Jacobsohn, Thomas V. Caprio, Amy L. Cochran, Jeremy T. Cushman, Courtney M.C. Jones, Amy J. H. Kind, Michael Lohmeier, Manish N. Shah

Journal of Geriatric Emergency Medicine

INTRODUCTION: Older adults frequently return to an emergency department (ED) within 30 days of an initial visit. In this study, we examined the effectiveness of an adapted Care Transitions Intervention (CTI) at reducing risk of ED revisits within 30 days for older adults who live alone. We also explored the interaction between receiving help with healthcare needs and receiving the CTI on the risk of 30-day ED revisits.

METHODS: We conducted a subgroup analysis of community-dwelling older (age≥60 years) ED patients who reported living alone as part of a randomized controlled trial of CTI effectiveness following discharge home from one …

Recommendations For Medical And Mental Health Care In Assisted Living Based On An Expert Delphi Consensus Panel A Consensus Statement, Sheryl Zimmerman, Philip D. Sloane, Christopher J. Wretman, Kevin Cao, Johanna Silbersack, Paula Carder, Kali S. Thomas, Josh Allen, Kim Butrum, Multiple Additional Authors

Institute on Aging Publications

Importance Assisted living (AL) is the largest provider of residential long-term care in the US, and the morbidity of AL residents has been rising. However, AL is not a health care setting, and concern has been growing about residents’ medical and mental health needs. No guidance exists to inform this care.

Objective To identify consensus recommendations for medical and mental health care in AL and determine whether they are pragmatic.

Evidence Review A Delphi consensus statement study was conducted in 2021; as a separate effort, the extent to which the recommendations are reflected in practice was examined in data obtained …

10-11-22 Hsc Committee Notice, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

Remote Job Application Simulation Using Technology In Athletic Training Students: A Preliminary Teaching Technique, Kevin M. Schroeder, Jamie Mansell, Dani Moffit

Internet Journal of Allied Health Sciences and Practice

While athletic training students go through extensive preparations for engaging with patient populations as healthcare providers, less time is spent on preparing athletic training students on how to secure employment after graduation. Without proper employment skills development, securing employment can pose a challenge for the athletic training student trying to enter the workforce. These skills include developing cover letters and resumes, and remote interviewing skills. Purpose: The purpose of this paper is to explore the preparations, execution, and lessons learned from a simulated, remote job application and interview process for athletic training students. Methods: This educational technique was performed using …

Research To Accelerate Practice Change In Geriatric Emergency Medicine, Susan Hastings

Journal of Geriatric Emergency Medicine

This is the Keynote Address for the First American Geriatrics Society Geriatric Emergency Department Special Interest Group

09-23-22 Hsc Committee Special Meeting Agenda, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

Research Hotspots And Evolution On Hierarchical Diagnosis And Treatment System In China, Qinde Wu

General Practice in China

Background The hierarchical diagnosis and treatment system has become the top priority of deepening medical reform at present, and it is particularly important to understand its research hotspots and evolution.ObjectiveTo systematically summarize the development trend and evolution process of hierarchical diagnosis and treatment system in China and grasp its knowledge base, research hotspots and development trends, in order to provide scientific reference for subsequent research.Methods China National Knowledge Infrastructure(CNKI) database was used as the data source and "hierarchical diagnosis" "hierarchical treatment" "ladder network of medical prevention" "hierarchical medical system and division of labor in blocks" "hierarchical medical and service system …

Criteria For Setting Fever Sentinel Clinics In Primary Health Care Institutions: An Inductive Summary Based On Expert Discussions, Yunyun Yan, Tengyang Fan, Haitang Wang, Jianmin Zhang, Zhaohui Du, Xiaoming Sun

General Practice in China

Background Many countries have carried out sentinel surveillance programs to monitor infectious diseases. As containing COVID-19 has become normalized，the Department of Primary Health of the National Health Commission of the People's Republic of China recommends primary healthcare institutions to set up a fever sentinel surveillance clinic. Objective To develop a set of nationwide used standards for the establishment of a fever sentinel surveillance clinic in primary healthcare institutions with regional differences in healthcare level and medical resources taken into account，to surveil and contain possible regional epidemiology of COVID-19 and other infectious diseases in autumn and winter in China. Methods We …

Reflections And Recommendations On Setting Up Fever Sentinel Surveillance Clinic In Primary Healthcare Institutions, Yi Ren, Yanli Liu, Li Ma

General Practice in China

In the system of public health emergency preparedness network，primary care plays an important role as the "bottom of the net". Establishing fever sentinel surveillance clinics in primary healthcare institutions is conducive to the realization of early detection，diagnosis，and isolation and timely reporting of public health emergencies，thus controlling the spread of an epidemic.Currently，China is stepping up efforts to construct fever sentinel surveillance clinics and fever clinics in primary healthcare institutions，but the construction standards and functions of such clinics are still preliminary exploration. According to the requirements of relevant regulations，the minimum standards of fever sentinel clinics in primary healthcare institutions should include three …