College of Nursing

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A case study: Multidisciplinary faculty members’ study abroad experiences in a nursing course
(Open Journals in Education, 2023) Talleff, Jennifer L.; Espinoza, Luis Enrique; Ollive, Madison
This case study explores the lived experience of three faculty from different disciplines engaged in an experiential undergraduate nursing study abroad (SA) course, which is largely absent from the literature. This research found specific personal and professional transformative effects of multidisciplinary SA involvement of faculty. Considerations for faculty planning to engage in multidisciplinary SA will be identified, including impacts of faculty dynamics and physical and psychological demands. These findings further highlight, document, and contribute to the growing literature related to the experiential impacts of SA on faculty professional development.
A helping hand: A school nurse offers a desperate young mother compassion
(Lippincott, 2023) Brooks, Andrea Nicole
I remember going to my first year of high school feeling hungry, isolated, and afraid. At lunchtime, the smells of the food in the cafeteria were overwhelmingly enticing. It only made my stomach hurt more, knowing I didn't have the money to purchase any food for myself or my unborn child. My parents had employed the tactic of starvation to try to convince me to abort my baby. I started going to my school nurse during lunch so that I could lie down on one of the cots and avoid the fragrant smells of food. After lunch was over, I'd tell the nurse I felt better and return to class. Once a few days of this had passed, she asked me what was going on.
A shared mental model for teaching and assessing examination of the hand, wrist, and elbow in "The Training Rheum" Continuing Professional Development Program
(2019) Battistone, Michael J.; Jonas, Beth L.; Bahr, Janet L.; Chrostowski, Susan; Dua, Anisha B.; Torralba, Karina D.; Konopasky, Abigail; Meyer, Holly S.; Barker, Andrea M.
An increasing number of nurse practitioners (NPs) and physician assistants (PAs) are pursuing careers in rheumatology. To serve their educational interests, the Association of Rheumatology Professionals, the American College of Rheumatology and the American Association of Physician Assistants created “The Training Rheum”, a 3-day continuing professional development (CPD) course. This program includes instruction in physical exam skills of the hand, wrist, and elbow, reinforced through low-stakes, formative assessment.
Abstract WP374: A nurse dyad model for collaborative action planning and goal attainment to support patient self-management of stroke risk factors
(American Heart Association, 2018) Kimmel, Barbara; Burns, Joyce; George, Shila; Roux, Kelly; Mbue, Ngozi; Shegog, Ross; Anderson, Jane
Background and Purpose: Patient self-management (SM) of stroke risk factors is critical to prevent second stroke. Development of an action plan to reach behavior goals is established for chronic disease SM. In collaborative planning, patients identify a goal and then a healthcare provider helps develop action plan to attain the goal. We pilot-tested a model where nurses in stroke ward and in primary care worked as dyads to support stroke patients in setting goals. Nurses have been identified as front line health care providers for patient education and SM support. We conducted an IRB approved pilot of a nurse dyad model to determine feasibility of coaching patients in goal-setting and the Goal Attainment Measure for Stroke (GAM-S).
Academic success of undergraduate nursing students
(Elsevier, 2018) Denham, Sharon A.; Tietze, Mari; Allam, Zoheb; Talleff, Jennifer; Schrum, Nola; Wang, Tao
Defining students' academic success can be challenging when perceptions about the qualities that define it differ. Little is known about these perceptions when it comes to nursing students and particularly when English is a second language (ESL). Larger numbers of international and ESL students are gaining entrance into nursing education programs. The study purpose was to identify ways undergraduate nursing students and particularly ESL students self-report academic success. Study findings showed statistically significant findings for perceived student success when students had a prior degree, they were at a higher academic course level in their program, and believed they communicated adequately. Faculty roles that affect students' perceptions of their academic success are described and areas where actions can be taken are suggested.
An accent modification program
(Elsevier, 2017) Freysteinson, Wyona M.; Adams, Joshua; Cesario, Sandra; Belay, Hanna A.; Clutter, Paula; Du, Jinlan; Duson, Betty M.; Goff, Marilyn; McWilliams, Lenora; Nurse, Rachelle; Allam, Zoheb
Communication remains a key element in promoting patient safety and satisfaction. Healthcare organizations have focused on improving communication through technology and patient-centered care. One communication challenge that merits further investigation is the problematic communication that occurs when a healthcare provider speaks with an accent that makes it difficult for others to understand. A one-group pretest-posttest study examined the perceptions of 27 individuals - nursing students, health care administration students and registered nurses - who participated in a 12-week accent modification program. Self-esteem, communication competence and communication apprehension were measured before and after the intervention. There was a statistically significant increase in self-perceived self-esteem and several communication competence items. Implications for education and practice suggest that schools of nursing and healthcare organizations consider implementing accent modification programs. A key implication for future research is to determine the existence of a link between patient safety and satisfaction and the presence of strong accents among nurses and other health care workers.
Accreditation of transition to practice programs: Assessing the value and impact
(Lippincott, Williams & Wilkins, 2019) Church, Cory D.; Cosme, Sheri; O'Brien, Morgan
Accreditation of transition to practice (TTP) programs are rapidly increasing. A review was completed on 13 TTP programs, accredited by the American Nurses Credentialing Center Practice Transition Accreditation Program. The review found six benefits of TTP accreditation that can translate into value for organizations. Nursing professional development practitioners should seek accreditation for TTP programs to elevate the potential for funding from national agencies.
Adherence to antiretroviral therapy and the associated factors among people living with HIV/AIDS in Northern Peru: A cross-sectional study
(BMC, 2019-08-28) Leyva-Moral, Juan M.; Loayza-Enriquez, Blanca K.; Palmieri, Patrick A.; Guevara-Vasquez, Genesis M.; Elias-Bravo, Ursula E.; Edwards, Joan; Feijoo-Cid, María; Davila-Olano, Lucy Y.; Rodriguez-Llanos, Juan R.; Leon-Jimenez, Franco E.
Background There are approximately 72,000 people living with HIV/AIDS (PLHIV) in Peru. Non-adherence to antiretroviral therapy (ART) is the most important factor for therapeutic failure and the development of resistance. Peru has achieved moderate progress in meeting the 90-90-90 targets, but only 60% of PLHIV receiving ART are virally suppressed. The purpose of this study was to understand ART adherence in the Peruvian context, including developing sociodemographic and clinical profiles, evaluating the clinical management strategies, and analyzing the relationships between the variables and adherence of PLHIV managed at a regional HIV clinic in Lambayeque Province (Northern Peru).
The ADIPS pilot national diabetes in pregnancy benchmarking programme
(MDPI, 2021) Immanuel, Jincy; Flack, Jeff; Wong, Vincent W.; Yuen, Lili; Eagleton, Carl; Graham, Dorothy; Lagstrom, Janet; Wolmarans, Louise; Martin, Michele; Cheung, Ngai Wah; Padmanabhan, Suja; Rudland, Victoria; Ross, Glynis; Moses, Robert G; Maple-Brown, Louise; Fulcher, Ian; Chemmanam, Julie; Nolan, Christopher J.; Oats, Jeremy J. N.; Sweeting, Arianne; Simmons, David
Background: To test the feasibility of benchmarking the care of women with pregnancies complicated by hyperglycaemia. Methods: A retrospective audit of volunteer diabetes services in Australia and New Zealand involving singleton pregnancies resulting in live births between 2014 and 2020. Ranges are shown and compared across services. Results: The audit included 10,144 pregnancies (gestational diabetes mellitus (GDM) = 8696; type 1 diabetes (T1D) = 435; type 2 diabetes (T2D) = 1013) from 11 diabetes services. Among women with GDM, diet alone was used in 39.4% (ranging among centres from 28.8–57.3%), metformin alone in 18.8% (0.4–43.7%), and metformin and insulin in 10.1% (1.5–23.4%); when compared between sites, all p < 0.001. Birth was by elective caesarean in 12.1% (3.6–23.7%) or emergency caesarean in 9.5% (3.5–21.2%) (all p < 0.001). Preterm births (<37 weeks) ranged from 3.7% to 9.4% (p < 0.05), large for gestational age 10.3–26.7% (p < 0.001), admission to special care nursery 16.7–25.0% (p < 0.001), and neonatal hypoglycaemia (<2.6 mmol/L) 6.0–27.0% (p < 0.001). Many women with T1D and T2D had limited pregnancy planning including first trimester hyperglycaemia (HbA1c > 6.5% (48 mmol/mol)), 78.4% and 54.6%, respectively (p < 0.001). Conclusion: Management of maternal hyperglycaemia and pregnancy outcomes varied significantly. The maintenance and extension of this benchmarking service provides opportunities to identify policy and clinical approaches to improve pregnancy outcomes among women with hyperglycaemia in pregnancy.
The amputee experience of viewing self in a mirror [poster abstract]
(Elsevier, 2015) Freysteinson, Wyona; Denika, Douglas; Thomas, Lisa W.; Sebastian-Deutsch, Amy; Reeves, Kristin; Celia, Tania
Objective(s): To generate a description of the mirror experience following limb amputation and appropriate clinical and educational interventions.
Arriving at readiness: how women deal with sexual assault
(1997-08-30) Symes, Lene; Ragsdale, Diane; Young, Anne
Few sexual assault survivors seek the resources developed to help them with recovery from emotional consequences of sexual assault. A lack of knowledge of helpseeking endeavors hampers nurses' efforts to develop strategies for delivering care to survivors. The purpose of this study was to discover the evolving behaviors and processes as women survivors seek help. Using the methods of grounded theory, the process model Arriving at Readiness was developed from data collected during semistructured interviews with eleven women survivors of sexual assault and three other expert informants. Arriving at Readiness illustrates a differing, often lengthy, and potentially beneficial process women survivors of sexual assault follow to heal. Many survivors keep silent to avoid the risk of further hurt unless a Triggering Experience occurs. Responses to calls for help are harming or helping. Hanning responses may begin a cycle of increasingly more dangerous behaviors. Nurses should develop and test protocols that support survivors through the process of arriving at readiness. Education programs are needed to disseminate information about behaviors that may indicate sexual assault and about sources of help for survivors.
Associations between pregnancy-related symptoms, serum 25(OH)d, and physical quality of life in pregnant women
(MDPI, 2022) Woo, Jennifer; Penckofer, Susan; Fagan, Marcus; Giurgescu, Carmen
Vitamin D deficiency has been associated with pregnancy-related symptoms including fatigue, poor sleep quality, and musculoskeletal pain. Pregnant Black and Hispanic women are more likely to have vitamin D deficiency compared with pregnant non-Hispanic White women. Data are limited on the association of vitamin D deficiency with quality of life (QOL) among pregnant women. This study examined the association of serum 25(OH)D and pregnancy-related symptoms with QOL among pregnant predominantly minority women. Using a cross-sectional design, 119 pregnant Black and Hispanic women completed surveys and had blood drawn for serum 25(OH)D levels between 24–32 weeks gestation. Hierarchical regression analysis indicated that total pregnancy-related symptoms and serum 25(OH)D level were significant predictors of QOL, while controlling for covariates. Higher total pregnancy-related symptoms and lower serum 25(OH)D predicted poorer physical QOL. Screening for pregnancy-related symptoms and vitamin D levels among childbearing women might be important nursing interventions to improve physical QOL.
Autoimmune work-up and laboratory monitoring for primary care
(Association of Oklahoma Nurse Practitioners, 2022) Quisenberry, Susan; Chrostowski, Susan
AWHONN Insights Podcast: Virtual Nursing Education: Innovation for the New Normal
(Association of Women’s Health, Obstetric and Neonatal Nurses, 2020) Edwards, Joan
With no end in sight for the COVID-19 pandemic, educators of all backgrounds are striving to find virtual and innovative teaching solutions for their students. In the realm of nursing education, there are a few caveats; nurse educators must now find ways to capture the in-person clinical experience in a virtual format while adhering to the specific didactic and clinical competency requirements set by their respective state boards. On this episode, we will dig deeper into the ups and downs of virtual experiential education with Dr. Joan Edwards, former AWHONN President, Professor at Texas Woman’s University and Director of its Center for Global Nursing, Diego Rivas, a student of Dr. Edwards, and Barry Dye, their former patient. Dr. Edwards, Diego, and Barry will share the ways in which they’ve had to navigate this new normal from the teacher, learner, and patient perspectives.
Benefits of insoles with real-time alert and foot self-care education in improving offloading and adherence to prescribed footwear in patients with diabetes mellitus: Study protocol for a single-blinded randomized clinical trial PREPRINT (Version 1)
(Research Square, 2022) Mbue, Ngozi D.; Wang, Wanyi; Najafi, Bijan
Unprotected plantar pressure contributes to the development of diabetic foot ulcers (DFU) in people with diabetes and loss of plantar sensation. Recently, smart footwear device is proposed to empower patients at risk in avoiding harmful weight-bearing physical activities such as prolonged standing which may lead to local plantar ischemia and ultimately a DFU. However, there is little progress in the education of at-risk to be engaged in daily using of these smart footwear devices as well as adherence to diabetic footwear. The aim of this study is to examine whether an integration of smart insoles with an alert (smart watch) and foot self-care education may sustain adherence to prescribed footwear and change patients’ behavior to avoid harmful physical activities such as prolonged standing posture.
Building community-engaged multidisciplinary partnerships to improve medication management in elderly patients with multiple chronic conditions
(Advocate Aurora Health, 2021) Poon, Ivy O.; Skelton, Felicia; Bean, Lena R.; Guinn, Dominique; Jemerson, Terica L.; Mbue, Ngozi D.; Charles, Creaque V.; Ndefo, Uche Anadu
Purpose: Many studies in preventing adverse drug events have been researcher-driven, yet few have engaged patients in the development of a project. This project aims to engage minority elderly patients with multiple chronic conditions in the development of research questions and strategies to improve medication safety.
Characteristics of immigrant abused women who apply for legal status
(2014-04-04) Nava, Angeles; McFarlane, Judith M.; Maddoux, John; Montalvo-Liendo, Nora; Gilroy, Heidi; Cesario, Sandra
Background: Intimate partner violence and undocumented migration are social and health global issues affecting the wellbeing of women. Purpose: To document the characteristics of undocumented abused women associated with application for legal status and provide evidence for programs to enable abused, immigrant women to obtain legal status. Methods: This study is part of a 7 year prospective study investigating outcomes of 300 abused women who seek help for the first time from safe shelters or the justice system. After informed consent was obtained, women who were English or Spanish speaking, at least 18 year of age, had at least one child between 18 months and 15 years, and who were seeking help for abuse for the first time were entered in the study. For this paper, entry and 16 month follow up data of a subsample of 107 women who reported to be undocumented immigrants and experiencing intimate partner abuse is presented. In addition to demographic information, the interview included the Severity of Violence Against Women Scale, Danger Assessment, Brief Symptom Inventory, Safety Behavior Checklist, Acculturation for Hispanics instrument, Post-Traumatic Stress Disorders, General Self-Efficacy, Koci Marginality Index, and Norbeck Social Support measures. Results: There was a significant relationship between acculturation and whether or not a woman had applied for legal status, U = 257, z = -2.61, p = .009. No significant differences were found in the remaining demographic and outcome measures as a function of having applied for legal status Conclusion: It is important to improve paths and eliminate barriers for undocumented women living with violence to facilitate their legal status. In conclusion, understanding the needs of abused immigrant women will help to develop programs and implement policies to ensure the safety and well-being of these women.
Chronic foot pain and foot solutions in adults from different professions: The I-Corps-National Science Foundation Foot Health Survey PREPRINT (VERSION 2)
(Research Square, 2021) Mbue, Ngozi; Wang, Wanyi; Rosario, Martin
Background: Chronic foot pain (CFP) is a major contributor to sick leave and early retirement among individuals in all professions, especially those whose jobs require prolonged standing, lifting and walking. Current treatment modalities are inadequate in managing CFP. Hence, there is a significant need for new treatment options to manage chronic foot pain. The objectives of this study are i) explore the current state of chronic foot pain; ii) investigate current solutions and treatment options; and iii) explore opportunities for future inventions to address chronic foot pain.
Clinical competence, satisfaction, and confidence of prelicensure nursing students following video prebriefing in a women’s health simulation
(Elsevier, 2023) Kubin, Laura; Fogg, Niki; Talleff, Jennifer; Merritt, Linda
The purpose of this study was to examine the effects of video prebriefing with expert modeling on prelicensure student nurses' clinical competency, self-confidence, and satisfaction with learning in simulation. Expert modeling videos were shown to intervention groups before simulation compared to groups receiving standard prebriefing. Students who received video prebriefing reported increased self-confidence compared to those who received standard prebriefing. No significant difference existed in clinical competency between groups.
Comparing intravenous insertion instructional methods with haptic simulators
(Hindawi, 2017-01) McWilliams, Lenora A.; Malecha, Ann
Objective. The objective of this review was to compare traditional intravenous (IV) insertion instructional methods with the use of haptic IV simulators. Design. An integrative research design was used to analyze the current literature. Data Sources. A search was conducted using key words intravenous (IV) insertion or cannulation or venipuncture and simulation from 2000 to 2015 in the English language. The databases included Academic Search Complete, CINAHL Complete, Education Resource Information Center, and Medline. Review Methods. Whittemore and Knafl’s (2005) strategies were used to critique the articles for themes and similarities. Results. Comparisons of outcomes between traditional IV instructional methods and the use of haptic IV simulators continue to show various results. Positive results indicate that the use of the haptic IV simulator decreases both band constriction and total procedure time.While students are satisfied with practicing on the haptic simulators, they still desire faculty involvement. Conclusion. Combining the haptic IV simulator with practical experience on the IV arm may be the best practice for learning IV insertion. Research employing active learning strategies while using a haptic IV simulator during the learning process may reduce cost and faculty time.

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