Nursing Commons^™

Intraosseous Vascular Access For Alert Patients, Stacie Hunsaker

Faculty Publications

Nurses are often faced with the challenge of starting an IV line in a patient who is dehydrated, has suffered trauma, or is in shock. Even the efforts of the most skilled clinician may fail, while valuable time is lost. Intraosseous access is a rapid, safe, and effective route for delivering fluids and medications, and is recommended by numerous professional and specialty organizations for both pediatric and adult patients. Yet many clinicians remain unaware of the procedure. This article outlines the procedure and devices used, describes support for use in the literature, and discusses various considerations and nursing implications.

Executive Summary: Randomized Comparison Of Two Internet-Supported Methods Of Natural Family Planning, Richard J. Fehring, Mary Schneider

Randomized Comparison of Two Internet-Supported Methods of Natural Family Planning

Only 0.2% of US women use modern methods of natural family planning, i.e., the basal body temperature and the cervical mucus methods of natural family planning (NFP). The reason that such few women use NFP methods is because they are often ineffective, they are difficult to use, there is lack of access to properly trained NFP teachers, a lack of motivation to use a behavioral method, and health professionals are reluctant to prescribe NFP methods. One way to potentially increase the use of NFP methods is to provide easy access to an effective but simplified NFP method that uses a …

Influence Of Motivation On The Efficacy Of Natural Family Planning, Richard J. Fehring, Mary Schneider, Mary Lee Barron, Jessica E. Pruszynski

Randomized Comparison of Two Internet-Supported Methods of Natural Family Planning

Purpose: Mutual motivation is recognized as essential for effective behavioral methods of family planning. Few studies have studied this factor in family planning efficacy. The purpose of this study was to determine the influence of mutual motivation on unintended pregnancy rates of couples who used natural family planning (NFP) methods to avoid pregnancy.

Study Design and Methods: Using an online taught NFP method, 358women and ( their male partners) indicated “how much” and “how hard” they wished to avoid pregnancy on a scale of 0-10 before each menstrual cycle charted over 12 month of use. This motivation scale is used …

Embracing A Competency-Based Specialty Curriculum For Community-Based Nursing Roles, Pamela F. Levin, Susan M. Swider, Susan Breakwell, Julia M. Cowell, Virginia Reising

College of Nursing Faculty Research and Publications

The Quad Council competencies for public health nursing (PHN) provide guidance in developing curricula at both the generalist and specialist level. However, these competencies are based on nursing roles in traditional public health agencies and community/public health is defined more broadly than official agency practice. The question arises as to whether community-based specialties require largely the same knowledge and skill set as PHN. The purpose of the competency cross-mapping project reported here was to (a) assess the intersection of the Quad Council competencies with four community-based specialties and (b) ensure the appropriateness of a Quad Council-based curriculum to prepare graduates …

Attributed Meanings And Strategies To Prevent Challenging Behaviors Of Hospitalized Children With Autism: Two Perspectives, Norah L. Johnson, Abir K. Bekhet, Karen Marie Robinson, Dana Rodriguez

College of Nursing Faculty Research and Publications

Introduction

Understanding is limited of the meaning attributed to behaviors of children with autism spectrum disorder and strategies used to prevent challenging behaviors in the context of hospitalization.

Methods

This qualitative study consisted of two focus groups (n = 10; five mothers and five health care providers [HCPs]). Transcripts were analyzed using the qualitative method of narrative inquiry.

Results

The meaning attributed to behaviors by the mothers and the HCPs differed. The mothers attributed behaviors to the child's communication of frustration, hyperactivity, and self-calming. The HCPs attributed challenging behaviors to self-stimulation and child aggression. Strategies to prevent behaviors also …

New Instruments To Evaluate Geriatric Nurse Practitioners Incorporation Of Spiritual Care Into Practice, Barbara Vincensi

Faculty Presentations

No abstract provided.

Staying Connected: Increases Scholarly Productivity Through Peer Mentorship, Melinda Hermanns

Nursing Faculty Publications and Presentations

A presentation for the Sigma Theta Tau International 41st Biennial Convention in Indianapolis, Indiana, in November, 2013.

A Measure Of Nephrology Nurse Perceptions Toward Advance Care Planning: Validation Of The Nephrn Perceptions Toward Advance Care Planning Instrument, Mary S. Haras

Theses and Dissertations

This dissertation is a report of a three-phase quantitative research study that included the development and testing of an instrument to examine the perceptions of nephrology nurses toward advance care planning for persons with chronic kidney disease. Phase 1 began with the identification of the dimensions of advance care planning and creation of an item pool for the instrument. The instrument was distributed to five content experts for evaluation and comments of inclusiveness to measure perceptions toward advance care planning. In Phase 2 the item pool was pilot tested in a convenience sample of 50 nephrology nurses. Exploratory factor analysis …

Investigating Infection Control Behavior In Nurses: Impact Of Computer Charting, Elizabeth L. Beam, Shawn Gibbs

Posters and Presentations: College of Nursing

In a small mixed methods study, nursing behaviors related to infection control were evaluated as nurses participated in a video recorded patient care simulation. The scenario asked the nurse to care for a patient in both airborne and contact isolation precautions with small high definition cameras mounted in a real hospital room. The patient was simulated by a live actor with an artificial intravenous line. The simulation scenario asked the nurse to assess their patient and give them some pain medication. The simulation experience was followed by a Think Aloud session while participants watched their individual simulation performance. The session …

A Transformative Experience For Occupational Therapy Students In A Simulated Learning Environment, Kitsum Li, Barbara Mccamish

Collected Faculty Scholarship

Simulation is being integrated into nursing and medical curriculum nationally and it is well integrated into the Nursing program at Dominican University of California, However, use of simulation in allied health professionals is only an emerging practice. The aim of this program is to integrate simulation into the OT curriculum in order to facilitate the development of therapy foundation skill.

Cholera Vaccination Campaign Contributes To Improved Knowledge Regarding Cholera And Improved Practice Relevant To Waterborne Disease In Rural Haiti, Omowunmi Aibana, Molly F Franke, Jessica E Teng, Johanne Hilaire, Max Raymond, Louise C Ivers

Faculty, Staff and Student Publications

BACKGROUND: Haiti's cholera epidemic has been devastating partly due to underlying weak infrastructure and limited clean water and sanitation. A comprehensive approach to cholera control is crucial, yet some have argued that oral cholera vaccination (OCV) might result in reduced hygiene practice among recipients. We evaluated the impact of an OCV campaign on knowledge and health practice in rural Haiti.

METHODOLOGY/PRINCIPAL FINDINGS: We administered baseline surveys on knowledge and practice relevant to cholera and waterborne disease to every 10th household during a census in rural Haiti in February 2012 (N = 811). An OCV campaign occurred from May-June 2012 after …

Intraosseous Vascular Access For Alert Patients, Stacie Hunsaker

Faculty Publications

Nurses are often faced with the challenge of starting an IV line in a patient who is dehydrated, has suffered trauma, or is in shock. Even the efforts of the most skilled clinician may fail, while valuable time is lost. Intraosseous access is a rapid, safe, and effective route for delivering fluids and medications, and is recommended by numerous professional and specialty organizations for both pediatric and adult patients. Yet many clinicians remain unaware of the procedure. This article outlines the procedure and devices used, describes support for use in the literature, and discusses various considerations and nursing implications.

Preventing Maternal And Early Childhood Obesity: The Fetal Flaw In Australian Perinatal Care, Margaret R. Miller, Lydia A. Hearn, Paige Van Der Plight, Jane Willcox, Karen Campbell

Research outputs 2013

Almost half of Australian women of child-bearing age are overweight or obese, with a rate of 30–50% reported in early pregnancy. Maternal adiposity is a costly challenge for Australian obstetric care, with associated serious maternal and neonatal complications. Excess gestational weight gain is an important predictor of offspring adiposity into adulthood and higher maternal weight later in life. Current public health and perinatal care approaches in Australia do not adequately address excess perinatal maternal weight or gestational weight gain. This paper argues that the failure of primary health-care providers to offer systematic advice and support regarding women’s weight and related …

Ebp Fellows²: A Model For Sharing Science In The Oncology Setting And Beyond..., Elena Brinker Rn, Laura Herbener Rn, Ocn

Patient Care Services / Nursing

No abstract provided.

Investigating Infection Control Behavior In Nurses: Determinants Of Donning And Doffing Behaviors, Elizabeth L. Beam, Shawn Gibbs

Posters and Presentations: College of Nursing

In a small mixed methods study, nursing behaviors related to infection control were evaluated as nurses participated in a video recorded patient care simulation. The scenario asked the nurse to care for a patient in both airborne and contact isolation precautions with small high definition cameras mounted in a real hospital room. The patient was simulated by a live actor with an artificial intravenous line. The simulation scenario asked the nurse to assess their patient and give them some pain medication. The simulation experience was followed by a Think Aloud session while participants watched their individual simulation performance. The session …

Engaging Robotic Care Teams Across The Perioperative Continuum, Stephanie E. Nelson Rn, Cnor

Patient Care Services / Nursing

No abstract provided.

Effects Of Acculturation On Mammography Utilization Among Korean American Women, Jungeun K. Kim Phd

Dissertations

The purpose of this study was to examine the relationship between acculturation and mammography utilization among Korean American (KA) women. The specific aims of this study were to determine the differences in demographic characteristics, perceived health beliefs, self-efficacy, and knowledge of breast cancer, and mammogram history among the four cultural groups (American identity, Bicultural, Korean identity, and Marginality) of KA women, and to examine the effects of the level of acculturation on the likelihood of getting a mammogram. Breast cancer remains the most commonly diagnosed cancer among KA women. However, KA women consistently have lower screening rates for breast cancer. …

The Reality Of Disaster: An Educational Template That Brings Community Into The Classroom, Mary T. Bouchaud Phd, Msn, Cns, Rn, Crrn, Edward H. Jasper Md

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Nurses’ Self-Report Of Behavior Changes Following Needlestick Or Other Sharp Instrument Injuries, Lucille Christensen Woolston, Dr. Renea L. Beckstrand

Journal of Undergraduate Research

My research questions regarded needlestick and sharp instrument injuries, how many were reported, and what behavior changes have been made following the injury. I approached nurse managers at Utah Valley Regional Medical Center and gave surveys to nurses in staff meetings. I received results that I expected. I found most injuries that are not reported are clean injuries and so the staff feels the injuries are not worth reporting.

Parent And Child Perceptions Of Clinical Trials, Jaclyn F. Wood, Dr. Barbara Mandleco

Journal of Undergraduate Research

The purpose of this research project was to determine parental perceptions surrounding the involvement of their children in a clinical trial. A secondary purpose was to talk to the children and obtain their perceptions surrounding their own involvement in the clinical trial. For this ORCA funded project I analyzed interviews with the parents to find out their perceptions. In a future project (for which I will be applying for an ORCA grant) I hope to analyze interviews with the children and gain their insight into their involvement in the clinical trial.