Recent Submissions

  • Non-invasive Biomarkers to Detect Acute Kidney Injury in Premature Infants

    Marin, Terri; Williams, Bryan; Bhatia, Jatinda; Sharma, Ashok; Mundy, Cynthia; Cockfield, Christy; College of Nursing; Department of Pediatrics: Neonatology; Department of Population Health Science; Department of Obstetrics and Gynecology; et al.
  • SF12v2 Health Scores for African Americans in a Cluster-randomized Community Trial

    Joshua, Thomas V.; Gavin, Jane T.; Marion, Lucy; Williams, Lovoria B.; College of Nursing

    Jones-Asgill, Michael; Department of Kinesiology and Health Science; College of Nursing; Langley-Brady, Dawn; Augusta University (2019-02-13)
    Every 65 seconds, someone in the U.S develops Alzheimer's dementia. Alzheimer's is a chronic brain disorder affecting approximately five million Americans. Alzheimer's is an irreversible form of dementia that progressively worsens memory and simple cognitive abilities. There is no known cure for Alzheimer's. Current treatment includes pharmacological and non-pharmacological approaches (e.g. aromatherapy). Aromatherapy is the use of essential oils from aromatic plants and is being explored in cognition studies.Piper nigrum or black pepper has cognitive-enhancing properties. The purpose of this project was to review the literature regarding the use of black pepper in Alzheimer's. PubMed, CINAHL, Ovid Medicine, and ProQuest databases were searched for peer-reviewed journal articles written in English and published since 2014 with the following keywords: Cognitive, essential oil,Piper nigrum, aromatherapy and Alzheimer's. Nine articles were found that met the literature review criteria three animal and six human studies. These studies established the effectiveness of black pepper essential oil for both improving function and reducing cognitive decline. These studies may open doors for aromatherapy research in Alzheimer's. Despite efficacy, the preferred administration method (inhalation or topical) is unclear.Piper nigrum essential oil can potentially change Alzheimer's patients disease trajectory and should be further studied.

    Nelson, Brenda; College of Science and Mathematics; College of Nursing; Langley-Brady, Dawn; Augusta University (2019-02-13)
    Dysmenorrhea effects 20% of women causing missed school and work days and interferes with daily life. Dysmenorrhea is caused by menstrual uterine contractions which may result in pain, nausea, vomiting and headaches. Many women utilize pharmacological symptom management, but experience side effects such as edema, libido reduction and increased symptom severity. Aromatherapy is a holistic non-pharmacological approach to symptom reduction. Aromatherapy is the use of essential oils via inhalation or topical application to relieve pain, stress and more.� The purpose of this project is to review the literature surrounding�Lavandula angustifolia�(lavender) and dysmenorrhea to give a foundation for future research. PubMed, TRIP, and Cochrane Library databases were searched for peer-reviewed journals articles in English and published within the last 10 years with the following keywords: dysmenorrhea, lavender, aromatherapy and human. The literature review resulted in six articles meeting inclusion criteria. These articles established the effectiveness of lavender in reducing dysmenorrhea pain in the first three days of menstruation, through inhalation and abdominal application. Lavender essential oil is also effective in reducing nausea and headaches resulting in an alternative for women experiencing dysmenorrhea. Aromatherapy has fewer risks than pharmacological and surgical approaches to dysmenorrhea management and should be studied further.
  • Role of Aging in the Expression of Pain-related Depression of Nesting in Mice

    McPherson, Sarah; Department of Physiological and Technological Nursing (Augusta University, 2018-05)
  • Relationships among Health Literacy, Self-Care, and Hospital Readmission Status in African American Adults with Heart Failure

    Sarfo, Robert; Department of Physiological and Technological Nursing (5/22/2018)
    Approximately six million adults are diagnosed with heart failure (HF) yearly in the U.S., with one million subsequent hospitalizations. Of these, 25%-30% are readmitted within 30 to 90 days of initial discharge. Little is known about relationships among health literacy (HL), self-care and 30-day hospital readmission status in adult African Americans (AAs) with HF. The primary purpose of this study was to explore relationships among HL, baseline self-care maintenance (BSCM), and 30-day hospital readmission status in adult AAs with HF. Two secondary purposes were to determine whether BSCM mediated the relationship between HL and readmission status and whether there was a moderating effect of age, gender, education, insurance status and perceived social support (PSS), on the relationships of HL with BSCM and readmission status. Using a one-month prospective cohort design, HL, BSCM, PSS, basic conditioning factors, and 30-day readmission status were measured in participants from two large hospitals in the Central Savannah River Area in Georgia. Statistical analyses included logistic regression, Pearson product-moment correlation, chi-square tests of independence, and mediation and moderation analyses. Eighty-nine participants were enrolled in this study. Most participants (71.9%) were male, and their mean age was 53.25 years (Standard Deviation, SD = 12.74; range 25-88 years). Of the 89 participants, 28.1% experienced at least one readmission within 30 days of discharge. The following findings have p values < .05. BSCM varied significantly with HL (X2 = 6.97 (degrees of freedom, df = 2, sample size (N) = 89)). Higher PSS was significantly associated with higher BSCM (r = .29). HL was significantly correlated with age (r = -.62). The influence of age on the relationship between HL and readmission status was significant (b = .005). Elderly patients (> 65 years) scoring high on HL had a higher probability of readmission, and younger patients (< 40 years) scoring low on HL had a higher probability of readmission. Post hoc analysis showed that lower ejection fraction predicted readmissions (odds ratio = 3.1, 95% confidence interval = 1.03 - 9.05) after controlling for the other predictors. The findings provide a basis for further research to better understand the impact of HL, self-care maintenance, and other patient characteristics on readmission of AAs with HF.
  • Female Teens Step It Up with the Fitbit Zip: A Randomized Controlled Pilot Study

    Linck, Donna Teresa; Department of Physiological & Technological Nursing (5/22/2018)
    Physical inactivity is a global pandemic. Six percent of all deaths globally (approximately 3.2 million people) are the result of insufficient physical activity, and 80% of adolescents worldwide do not get the recommended levels of daily physical activity. Depression is a major cause of disability worldwide and is a significant disease of burden for most age groups. Female adolescents are more than twice as likely to experience depressive symptoms as their male counterparts. The primary purpose of this randomized controlled pilot study was to determine if the use of electronic activity monitors, specifically Fitbit Zips, and daily step goals would increase physical activity participation in female adolescents. The secondary purpose was to determine if participation in a 12-week intervention using Fitbit Zips together with step goals would reduce depressive symptoms in female adolescents. The tertiary purpose was to determine the feasibility of recruiting and retaining female adolescents (80% or more) in the study and having them adhere to the research protocol. There were no available research studies examining physical activity and depressive symptoms in female adolescents using Fitbit Zips as an intervention to increase physical activity and decrease depressive symptoms. A convenience sample of 44 female adolescents from two church youth groups in the southeastern United States participated in the study. The mean age of the participants was 16.6 years. Psychosocial variables such as self-efficacy, social support, and commitment to a plan of action were assessed. Using mixed model analysis, no significant differences (p = .678) were found between the experimental (Fitbit-E) and control groups (Fitbit-C) on average median steps per day. The Fitbit-C group had 6,088.3 (SE = 668.6) average median steps per day at baseline, but only had 2,783.7 (SE = 698) average median steps per day at posttest. The Fitbit-E group had a lesser decline with 6,279.1 (SE = 661) average median steps per day at baseline and 4,339.4 (SE = 728) average median steps per day at posttest. Both groups’ depression scores, as measured by the CES-D, decreased from pretest to posttest, indicating an improvement in depressive symptoms. However, the difference between the two groups on depression scores was not statistically significant (p = .425). Post hoc pairwise comparisons yielded statistically significant decreases in depression scores for the Fitbit-C group (p = .002) and for the Fitbit-E group (p < .001) from pretest to posttest. Additionally, 42 out of 44 participants (95%) completed final CES-D surveys, and 35 out of 44 (79.5%) had some final step count data at post-test. Therefore, it was feasible to recruit and retain 80% of the participants in this RCT pilot study, and they did adhere to the protocol. This study helps bring to light the importance of promoting physical activity and assessing for depressive symptoms in the female adolescent population. Although there were no significant differences between the experimental and control groups on depressive symptoms for the 12-week intervention period, within each group there were significant decreases in depressive symptoms. The results from this study provide the groundwork to further investigate the impact of EAMs on physical activity and depressive symptoms in female adolescents.
  • Role of Aging in The Expression of Pain-related Depression of Nesting in Mice

    McPherson, Sarah; Patton, Tadd; Hunter, Lance; Department of Psychological Sciences; Miller, Laurence; Department of Psychological Sciences; Augusta University (2018-02-12)
    Pain stimulates some behaviors (e.g. flinching, vocalization), and depresses others (e.g. locomotor activity, social interactions). Pain-related depression of behavior is a key diagnostic criteria and treatment target in clinical settings, but preclinical research has primarily focused on pain-related stimulation of behavior. The present study aims to improve understanding of the impact of aging on pain-related depression of behavior by examining pain-related depression of nesting behavior in male ICR mice. The mice are placed in a cage containing nesting material, and the rate of consolidation of that material is determinedwith a schedule of data collection intervals. The impact of pain stimuli and analgesic drugs on nesting behavior are then determined. Previous studies have shown that physiologically-relevant pain stimuli depress nesting behavior, and clinically-relevant analgesics block pain-related depression of nesting. The present study will examine the role of aging as a determinant of the expression of pain-related depression of behavior by comparing pain-related depression of nesting by three age groups.
  • Vitamin D Moderators and Supplementation Outcomes

    Havens, Robyn Lynn; Department of Physiological and Technological Nursing (2017)
    Abstract Robyn L. Havens Vitamin D Moderators and Supplementation Outcomes (Under the direction of Dr. Elizabeth NeSmith) Vitamin D insufficiency is a global health concern affecting approximately 1 billion people, including about one third of the American population. Vitamin D insufficiency promotes the development of chronic diseases. The people most at risk for developing chronic diseases from vitamin D insufficiency are those individuals in the vulnerable populations who experience poor health outcomes. Currently, researchers and clinicians disagree as to the recommended daily allowance and therapeutic range supporting sufficient serum vitamin D concentrations. To provide data to resolve this disagreement, the objectives of this secondary analysis were to determine if age, sex, and body mass index were moderators of serum vitamin D concentration and if varying dosages of vitamin D supplementation affected serum interleukin-6 concentrations. The data records of 60 healthy male and female African American participants were examined who were aged 13-45 years, categorized as overweight or obese, and exhibited a baseline serum vitamin D concentration ≤ 50 nmol/L. The participants were randomized into four treatment groups for the original study: 1) a control group that received a placebo; (2) a group that received monthly supervised doses of 18,000 IU (equivalent to 600 IU/day); (3) a group that received monthly supervised doses of 60,000 IU (equivalent to 2,000 IU/day); and (4) a group that received monthly supervised doses of 120,000 IU (equivalent to 4,000 IU/day). After 16 weeks of vitamin D supplementation, the only statistically significant interaction found was with sex as a moderating variable despite the small sample size of men. No other significant interactions were found, including no interaction with vitamin D supplementation and interleukin-6. Despite lacking statistical significance, the data results suggested that the 2,000 or 4,000 IU/day dosages of vitamin D supplementation was needed for the overweight/obese African American participants to achieve a sufficient serum vitamin D concentration > 50 nmol/L as recommended in the 2011 Institute of Medicine report. These results also suggest that the overweight/obese, African American adolescents and adults needed much more vitamin D supplementation than the 600 IU/day recommended by National Institute of Health researchers. Lastly, the findings suggest that the national clinical guidelines published by the Endocrine Society may warrant revision to at least 2,000 IU/day to be effective for individuals in vulnerable populations. Future research is needed to further elucidate the role vitamin D plays in maintaining overall good health and the benefits of vitamin D supplementation. Keywords: vitamin D, vitamin D insufficiency, vitamin D supplementation, age, sex, body mass index, interleukin-6, vulnerable populations conceptual model
  • Early adolescents' physical activity and nutrition beliefs and behaviors in an urban cluster in the southeastern United States

    Hawks, Miranda R.; Department of Physiological and Technological Nursing (2016)
    Obesity in early adolescents is a significant public health problem that has adverse health consequences, to include increasing the risk of developing type two diabetes and hypertension. Factors such as the environment, nutrition, and physical activity contribute to obesity in early adolescents. The purpose of this ethnographic study was to explore the physical activity and nutrition beliefs and behaviors of early adolescents in an urban cluster in the southeastern part of the United States. The researcher recruited early adolescents at a community organization and collected data using three ethnographic methods: semi-structured interviewing, participant observation, and collection of artifacts. Data were analyzed using constant comparative analysis to shed light on the meaning of early adolescents’ communications about their physical activity and nutrition beliefs and behaviors. Themes that emerged from data analysis included recognizing benefits of physical activity and healthy eating, family influences, connecting with the community, peer influences, electronic media influences, and developing a sense of self. This study contributes to nursing science in three ways. First, all early adolescents recognized both physical activity and healthy eating as beneficial for promoting their health and improving the quality of their lives. Second, early adolescents described their mothers as the most influential family member for both their physical activity and healthy eating behaviors. Third, the community organization was identified as the main facilitator of early adolescents’ physical activities within their immediate environment outside their home. These findings explain three different points of entry that the nursing community can use, separately or together, for their health promotion strategies to encourage physical activity and healthy eating among early adolescents.

    Gollan, Srisuda Siera; Department of Physiological and Technological Nursing (9/15/2017)
    The objective of pre-hospital trauma care is ensuring that the most severely injured persons are transported to the facility best suited to meet their complex needs (Fitzharris, Stevenson, Middleton, & Sinclair, 2011; Hoff, Tinkoff, Lucke, & Lehr, 1992; Leach et al., 2008; Sasser et al., 2012). To support pre-hospital decision making regarding trauma triage destination determinations, the Guidelines for Field Triage of Injured Patients decision scheme (FTDS) was developed as an algorithmic decision tool (Sasser et al., 2012). The purpose of this study was to examine pre-hospital trauma triage transport decision making by EMS providers from multiple perspectives. This study used a concurrent mixed methods triangulation design (QUAL+QUANT). Mixed methods included: (1) Grounded theory methodology to describe a model of decision making used by EMS providers to make trauma triage determinations and (2) quantitative analysis of secondary data to determine how the FTDS criteria are utilized by EMS providers. The FTDS criteria were also examined relative to trauma outcomes: level of trauma team activation (TTA), patient disposition when leaving the emergency department (ED), and the injury severity score (ISS). A model of Interpreting Trauma into Action was elucidated to describe the processes used by EMS providers. Pre-hospital providers based their trauma transport decisions on the perceived patient level of injury severity. The FTDS criteria were not explicitly used in this study region, but were interwoven into practice through employer policies and other training. The convergence of these findings indicated congruence between the model and trauma outcomes. The quantitative data indicated relationships (p<.05) between 12 of the 29 FTDS criteria and trauma outcomes. Both sources of evidence supported the relationships between the model of Interpreting Trauma into Action, the FTDS criteria, and specific trauma outcomes.
  • Topical Hyssopus officinalis (hyssop) essential oil for the reduction in terminal respiratory secretions

    Langley-Brady, Dawn; Department of Physiological & Technological Nursing (The International Clinical Aromatherapy Network, 2015)
    Purpose: Terminal respiratory secretions (TRS) occur in up to 90 percent of all dying persons and are often distressing to caregivers. Unfortunately, current pharmacological approaches to reduce TRS are often ineffective. The purpose of this project was to review the literature for ascertaining the effectiveness of topically applied Hyssopus officinalis (hyssop) essential oil for TRS reduction in patients at end-of-life. Methods: A literature search was conducted for peer-reviewed journal articles with the keywords: human, essential oil, hyssop and its chemical constituents, death rattle, TRS, and end-of-life, resulting in a combined 245,067 articles. A filtering-down approach was used to narrow articles by respiratory, human, clinical trial and topical. Results: The literature review found insufficient information regarding topically applied Hyssopus officinalis (hyssop) essential oil for reduction of TRS in patients at end-of-life. No studies were found assessing any essential oil efficacy for TRS. Several studies of pharmacological approaches to TRS management were found; however, none demonstrated efficacy. Conclusion: The TRS-reducing efficacy of topical Hyssopus officinalis (hyssop) essential oil has not been previously investigated, but has been demonstrated in home hospice use. This literature review provides a foundation for future research investigating topically applied Hyssopus officinalis (hyssop) essential oil for TRS reduction in patients at end-of-life.
  • Exploration of Two Methodologies for Measuring Clinical Judgment in Baccalaureate Nursing Students.

    Call, Marlene W.; Department of Physiological and Technological Nursing (5/8/2017)
    Introduction: Senior nursing students need a requisite level of preparedness to safely care for an acutely ill, complex patient once they graduate and become independent clinicians. This level of preparedness may be evaluated by measuring clinical judgment (CJ) with the Lasater Clinical Judgment Rubric (LCJR). The LCJR contains 11 indicators that represent the actions and behaviors necessary for demonstrating CJ. Two methods of simulation, high fidelity patient simulation (HFPS) and objective structured clinical examination (OSCE), replicate the healthcare environment so students may safely demonstrate clinical skills without harming an actual patient. The purposes of this study were to 1) explore the use of the LCJR in the OSCE setting, and 2) elicit and compare the number of LCJR indicators that occur in the HFPS and OSCE settings for senior baccalaureate nursing students. Two research questions were explored: 1) comparing the representation of indicators between the OSCE and a single HFPS and question 2) comparing the representation of indicators between the OSCE and two HFPSs. Methods: This study used a two group, randomized crossover design with 23 senior nursing students in their last semester of a Bachelor of Science in Nursing program (n = 11; n = 12). Each participant performed patient care during two HFPS scenarios and 12 OSCE stations, followed by a written debriefing. Clinical performances were video recorded for each participant. CJ was evaluated by the reviewing the video recordings and counting the number of times an LCJR indicator occurred during the HFPS and OSCE settings. Counts for each indicator in each setting were established for the OSCE by adding indicator counts for each and for the HFPS by adding each indicator for the two scenarios. Comparisons of the OSCE to individual HFPSs as well as the combined HFPS means were performed using paired t-tests with an alpha value of 0.05. Results: The mean number of times that the LCJR indicators occurred in the OSCE setting was significantly higher (p < 0.05) than in either individual HFPS setting, indicating that the OSCE setting provided more opportunities for measuring CJ than a single HFPS setting. When comparing the OSCE to the combined HFPSs setting the mean counts of LCJR Indicators 3, 4, 5, 7, and 9 were higher in the OSCE, while counts for LCJR Indicators 2, 6, and 8 were higher in the combined HFPS settings. Indicators 3, 5, and 7 count means were more than five counts higher, indicating a likely impact on the accuracy of CJ scores regarding those indicators and a more favorable environment to measure those indicators within the OSCE setting. Participants reflected on their simulation experiences by answering written questions during the debriefing sessions to measure Indicators 10 and 11. Opportunities to measure Indicator 10 were similar between the two settings, while Indicator 11 occurred more in the students’ written OSCE debriefing than in HFPS debriefing. No variability existed with Indicators 10 and 11, thus statistical significance could not be determined. Conclusions: The overall higher mean count of LCJR opportunities in the OSCE setting suggests that OSCE provides a comparable number opportunities to measure CJ of senior nursing students. While previous research has validated the use of the LCJR tool in the HFPS setting, the results of this study suggest that the LCJR may be used in the OSCE setting and be similarly suitable. The OSCE uses less faculty resources than HFPS and thus may be a more cost-effective mode for evaluating CJ. However, additional research is needed to establish the validity and feasibility of using the LCJR tool in the OSCE setting to measure CJ in senior nursing students prior to graduation.
  • Effect of mentoring relationships on professional socialzation of the pre-licensure clinical nurse leader graduate

    Gazaway, Shena Borders; Department of Physiological and Technological Nursing (5/8/2017)
    The professional socialization of a nurse begins during their education experience and continues throughout their career as they acquire new roles and responsibilities. For pre-licensure clinical nurse leader graduates (PLCNLGs), the challenge is to meld the ideals learned during their education experience with the protocols and regulations necessary to practice successfully in their first professional nursing position. While all novice nurses experience difficulty with professional socialization, PLCNLGs have an additional stressor due to the prevailing belief that a Master’s-prepared nurse should be an expert nurse clinician before assuming the title of Clinical Nurse Leader. No matter their educational program, early professional socialization helps all newly licensed nurses, identify with the profession and provide a philosophical foundation with which to build a dynamic career. Mentoring is a low-cost strategy that may help achieve early professional socialization. Mentors provide the necessary support, career lifeline, and professional guidance during the PLCNLG’s transition from student to independent clinician. A positive mentoring relationship creates a trusted partner and confidant who eases the negative feelings associated with this transition process. Nursing research is needed to establish the best mentoring strategy to support the PLCNLG’s professionalism and career trajectory since differences exist in the foundation underlying each mentoring relationship. This study used a mixed methods longitudinal design with two instruments, the Nurses Professional Values Scale-Revised (NPVS-R) and the Nurses Role Conceptions Instrument (NRCI), plus focus groups to examine the impact formal and informal mentoring relationships had on the professional socialization of PLCNLGs. Participants were recruited from the pre-licensure Clinical Nurse Leader program nursing program of a large university located in the southeastern portion of the United States. Phase I data collection took place on campus just before graduation (n=69), nine months later the participants were approached to participate in the Phase II portion of data collection. A final sample of 22 participants completed Phase II with six of them participating in the focus groups. Using a one-way ANOVA, statistically significant differences were not found between the types of mentoring (formal, informal, both, none) and NPVS-R or NRCI bureaucratic and professional role orientation. However, a significant difference was seen with the service role discrepancy and mentoring relationship. Focus group results led to the development of a conceptual model which supports the manner in which mentoring impacted the professional socialization process of PLCNLGs. The integrated quantitative and qualitative results provided evidence that participants were greatly impacted by mentoring relationships. These relationships were established on trust and with people who were willing to help them grow in their nursing role. Participants reported increased confidence, comfort, and competence in their nursing role due to the actions of their mentors. The results of this study added critical knowledge regarding the professional socialization process from the perspective of the PLCNLG. The mixed method integrated approach highlighted how mentoring impacted this socialization process when quantitative analysis did not produce statistically significant results. Nurse executives and leaders should use this research to establish goals for employing mentors and successfully cultivating best practice for pairing mentors and mentees to decrease PLCNLG employment dissatisfaction and turnover.
  • Perceptions of Nurses Regarding a Nurse Residency Program

    Shaver, Chelsey; Department of Physiological and Technological Nursing (2016-03)
    Background: The turnover rate among newly licensed registered nurses (NLRNs) is a healthcare issue with reported rates as high as 61% within the first year of practicing. Job satisfaction and organizational factors impact retention rates per recent studies. Purpose: The purpose of this study was to evaluate the perceptions of a nurse residency program (NRP) among newly licensed registered nurses (NLRNs) related to job satisfaction and retention. Methods: The Casey-Fink Graduate Nurse Experience survey was used to evaluate satisfaction of a NRP among NLRNs. This survey was distributed to 72 of the 88 nurse residents after they completed the nurse residency program on the NRU. Forty-three surveys were returned and 38 were included in the study. Results: The turnover rate of the 88 NLRNs who started the NRP was 8% after 20 months. Respondents reported overall satisfaction with the NRP in areas of skill level, job stress, work relationships and the organization. Areas noted for improvement included increased preparation for workload management and increased skill practice in code responses, IV insertion, and tracheostomy management. Conclusion/Recommendations for Practice: By improving job satisfaction, this NRP assisted the facility in maintaining turnover rates lower than those reported by evidence-based research. Participants reported more time on their home units would improve acclamation to workload management, though a tiered, increased patient load with increased acuity.
  • Reducing Tobacco Dependence: Evaluation of Tobacco Cessation Education on a Stroke Unit

    Cook-McKnight, Crystal; Department of Physiological and Technological Nursing (2016-03)
    Background: Tobacco use is the number one preventable cause of morbidity and mortality in the United States.It is a leading cause of cerebrovascular disease, and tobacco users are three times more likely to have a stroke compared to non-tobacco users. Georgia is among the highest rates of tobacco use and stroke in the U.S. Evidence based tobacco cessation interventions are available; however, they are are underutilized by clinicians. Purpose: The purpose of this project was to evaluate if a brief educational intervention related to tobacco cesssation interventions compared to the current practice impacted the attitudes, beliefs, intentions and knowledge of tobacco cessation counseling of healthcare professionals on a stroke unit.Methods: A 45 minute presentation based on a guideline with the most current recommendations was provided to clinicians on a stroke unit. A pre-post survey evaluated the knowledge, attitudes, beliefs and intentions of 29 nurses and a respiratory therapist related to tobacco cessation interventions in a tertiary care hospital in Georgia.Results:Tobacco counseling and treatment knowledge increased significantly from pre- to post-training. Average correct answers post survey was 76% versus the pre survey of 24%. Attitudes, beliefs and intentions were moderately correlated to improved self confidence. Conclusion: Overall, healthcare professionals exhibited improved tobacco cessation knowledge. Attitudes, beliefs and intentions were moderately impacted.
  • An examination of telenursing: Description of the professional role and predictors of role stress, role ambiguity and role conflict

    Schlachta-Fairchild, Loretta M.; Department of Physiological and Technological Nursing (2000-11-07)
    Telenursing is the use of telehealth technology to deliver nursing care and conduct nursing practice (Schlachta & Sparks, 1999). In response to the rapid adoption of telemedicine technology in healthcare organizations, telenursing is emerging as a new role, promoting discussion of licensure, malpractice, and credentialing issues within nursing. Rule stress associated with new nursing roles such as telenursing impacts individual patients and the larger healthcare organization ,causing turnover, burnout, loss of continuity of care and loss of operation expertise. As with many emerging technologies, nurses assume increasingly complex roles and responsibilities. As telemedicine proliferates, the role of nurses in participating in and improving the telemedicine process will take on more prominence. It is important to identify issues related to use and integration of telemedicine into nurses' roles to minimize role stress, encourage telenursing participation and position nursing practice to take advantage of telemedicine technologies. Using the portion of Role Theory, that relates to the impact of Role Set upon Role Strain, as a framework this was a descriptive research study that identified a current population of 796 telenurses in the U.S. , representing 40 states. From this population, 196 telenurses participated in a telephonic or an online, web-based survey during Summer 2000. The purposes were to 1) Describe a) telenurses' professional role(s) and characteristics and b) U.S. strategies for nursing competence and patient safety 2) Measure telenurses' work satisfaction and its components, and role stress and its components 3) Predict the relationship between the components of work satisfaction, individual and professional role characteristics, and role stress, role ambiguity and role conflict. Findings of the Telenursing Role Study indicated that the typical Y2K telenurse is 46 years old, has work 21 years in nursing and >6 months in her telenursing position. She has a 27% chance of being an advanced practice nurse, and has at least a baccalaureate degree, and likely a graduate degree. The typical telenurse is white, female, married, and has children. She works full-time in telenursing and makes just over $49,000 per year. Telenurses work in over 29 practice settings, including web portals, private companies and for telemedicine equipment vendors. They have a host of unique, new titles such as Bioengineering Clinical Nurse Specialist, Telehealth Project Director and Consumer Information Nurse. Telenurses experience less than average role stress, role ambiguity and role conflict. They also have the same work satisfaction as other hospital-based nurses. The most important factor contributing to telenurses' work satisfaction is autonomy. Findings of regression analysis were that education level and level of work satisfaction both predict role stress and role ambiguity in telenurses. Higher education levels of telenurses are associate with high role stress and role ambiguity. Higher levels of work satisfaction of telenurses are associate with lower role stress and role ambiguity. Role ambiguity, level of education and work satisfaction are significant predictors of role conflict in telenurses.
  • Self-care and Cultural Meanings of Mothering in African American Women with HIV/AIDS

    Shambley-Ebron, Donna; Department of Physiological and Technological Nursing (2003-11)
    African American women as a marginalized group in American society daily face obstacles related to race, gender, and culture. The stigma of HIV/AIDS compounds the problems and issues that African American women face as they ' manage their illness, childrearing, and other responsibilities of daily living. Within the last twenty years, HIV/AIDS has undergone a transformation, with a shift in the population most affected by HIV/AIDS. Women of color and their children have become the most rapidly growing group of people living with HIV/AIDS. This study will explore how core cultural values influence the self care activities and personal meaning of mothering among African American women who are HIV- positive. An Africana Womanist framework in conjunction with critical social theory will be used to guide and analyze this study. Knowledge generated from this research study will lead to the development of culturally appropriate theory development, and has the potential for developing empowering and liberating resistance patterns in young African American women.
  • Screening for Circadian Rhythm of Core Body Temperature in Spinal Cord Injured Patients

    Secrest, Janet A.; Department of Physiological and Technological Nursing (1987-10)
    The purpose of this study was to describe the pattern of core body temperature in spinal cord injured patients. The research question was: Is there a circadian rhythm for core body temperature in spinal cord injured patients? Subjects included 19 in patients with traumatic spinal cord transections at or above the fourth thoracic segment. Oral temperatures were monitored every four hours for a 48-hour period using an electronic thermometer. The range of individual subjects temperature ranges were 1.1 to 5.2 degrees F. The group pattern of mean temperatures from Day 1 was similar to that of Day 2.A significant difference was found between the time periods (p = .038). The higher temperatures occurred in the evening, and the lower temperatures in the morning. The finding of a circadian rhythm for core body temperature was unexpected in spinal cord injured subjects.
  • The Relationship Among Structure, Technology, Autonomy, Decision Making, Nurse Characteristics and the Decision to Call a Resuscitation Code on the Patient Who Needs Cardiopulmonary Resuscitation

    Russell, Katherine S.; Department of Physiological and Technological Nursing (1997-08)
    In this study, the relationship among nursing unit structure, technology, autonomy, decision making, nurse characteristics and the timeliness of calling a resuscitation code was explored. The conceptual framework of the study was The Structural Interaction Model for Health Care Behavior (Colgrove, 1992), a model that combined and synthesized concepts from organizational theory, quality care, and patient-centered care.The hypothesized relationships were investigated using multivariate logistic regression and multiple regression analysis. A sample of 127 registered nurses and 127 patient resuscitation events from one hospital was used in the study. Nurses' perception of nursing unit structure, technology, autonomy and decision making were measured using four instruments. Nurse characteristics were obtained from the nurse demographic tool. Data required to stage the timeliness of calling a resuscitation code (early versus not early) was obtained from the patient's hospital record. Testing of the analytical model resulted in beginning support for elements that may contribute to the timeliness of calling a resuscitation code for the patient who may need cardiopulmonary resuscitation. These relationships pointed to the impact of structural factors and professional factors on the timeliness of calling a code. The findings were nurses with a baccalaureate degree or higher were more likely to call an early code as were nurses with less than a baccalaureate degree. Moreover, nurses that practiced on a unite with a more flexible nursing unit structure

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