• A Hospital Pastoral Care Program to Improve Advance Care Planning Discussion in Patients with Heart Failure

      Crew, Deborah; Young, Lufei; Flowers, William; Dunlap, Stephanie; Schafer, Pascha; Weintraub, Neil; Augusta University Medical Center; College of Nursing (2020-10-08)
      Heart failure (HF) is a chronic disease associated with poor quality of life (QoL), high rates of readmission and high inpatient cost (Sadeghi et al., 2016). Advance care planning (ACP) improves quality of life, and reduces readmission and its associated cost (Schichtel et al., 2020). The uncertain trajectory of HF makes it difficult to find the ‘right time’ to initiate ACP communication, hindering patients, caregivers and health care providers to plan and prepare for the future care (Ahluwalia, S. C., & Enguidanos, S., 2015). Hospitalization experience makes HF patients and caregivers more receptive and desire to discuss end of life care. Therefor, hospitalization may provide a timely opportunity to initiate ACP discussion and palliative care before discharge (Schichte et al., 2020). The goal of this project is to assess the completion rates of ACP discussion and documentation among hospitalized HF patients and identify barriers to initiate ACP communication.
    • 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.
    • The Use of Games as Pedagogical Adjuncts in Nursing Education

      Merriweather, Jeanette; Wright, Stephanie; College of Nursing (Georgia Health Science University, 2012)
      The use of games as a pedagogical strategy to promote active learning in the classroom and clinical area is an idea whose time has come (Skiba, 2008). Current evidence strongly suggests that innovative teaching strategies improve learning outcomes. Although lecture format is the traditional method of teaching that delivers a large amount of information in a short period of time, it has not shown to produce widespread critical thinking in the classroom setting (Blakely, Skirton, Cooper, Allum & Nelmes, 2008). Among the many reasons for using gaming as an instructional strategy is that it allows students to engage in active learning, critical thinking, problem solving and enjoy the value of fun in learning. When the process of learning is perceived as fun, students may experience less stress and anxiety. Information that might be considered dry and boring can be delivered in an atmosphere that is stimulating, enjoyable, and conducive to learning (Royse & Newton, 2007).
    • Circle of excellence. Does regular rounding by nursing associates boost patient satisfaction?

      Bourgault, Annette M.; King, MM; Hart, Peggy; Campbell, MJ; Swartz, S; Lou, M; Department of Physiological and Technological Nursing (Lippincott, Williams & Wilkins;Medical College of Georgia, 2008-11)
    • 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
    • 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.