Jennifer Saylor

Attitudes of Nurse and Physician trainees towards an interprofessional simulated education experience on Pain Assessment and Management

Abstract An interprofessional group of educators from multiple institutions piloted a simulation-based learning experience focusing on acute pain management. The participants in the program were resident physicians–novice nurse dyads, and medical student–nursing student dyads from large universities and a magnet health care system. Each dyad was challenged to assess and manage acute pain in a simulated hospitalized patient using effective collaboration skills. The simulations included pre-debriefing, simulation, and a debriefing session. Participants completed pre- and post-surveys measuring confidence in pain management and attitudes toward physician–nurse collaboration. There was a significant positive shift in the confidence of the learners’ ability to assess and manage acute pain in a hospitalized patient after the simulation and debriefing (23.2% strongly agreed versus 7% at baseline). Participants’ attitudes regarding education to enhance interprofessional collaboration improved after the simulation experience (83.9% strongly agreed versus 73.7% at baseline). Based on these encouraging findings, we are extending this interprofessional experience to a larger group of learners with the same targeted dyads.

Navigating complex sample analysis using national survey data.

Background:The National Center for Health Statistics conducts the National Health and Nutrition Examination Survey and other national surveys with probability-based complex sample designs. Goals of national surveys are to provide valid data for the population of the United States. Analyses of data from population surveys present unique challenges in the research process but are valuable avenues to study the health of the United States population. Objective:The aim of this study was to demonstrate the importance of using complex data analysis techniques for data obtained with complex multistage sampling design and provide an example of analysis using the SPSS Complex Samples procedure. Methods:Illustration of challenges and solutions specific to secondary data analysis of national databases are described using the National Health and Nutrition Examination Survey as the exemplar. Results:Oversampling of small or sensitive groups provides necessary estimates of variability within small groups. Use of weights without complex samples accurately estimates population means and frequency from the sample after accounting for over- or undersampling of specific groups. Weighting alone leads to inappropriate population estimates of variability, because they are computed as if the measures were from the entire population rather than a sample in the data set. The SPSS Complex Samples procedure allows inclusion of all sampling design elements, stratification, clusters, and weights. Discussion:Use of national data sets allows use of extensive, expensive, and well-documented survey data for exploratory questions but limits analysis to those variables included in the data set. The large sample permits examination of multiple predictors and interactive relationships. Merging data files, availability of data in several waves of surveys, and complex sampling are techniques used to provide a representative sample but present unique challenges. In sophisticated data analysis techniques, use of these data is optimized.

Interprofessional Education Using a Palliative Care Simulation.

This quasi-experimental pretest-posttest study measured self-efficacy, attitudes toward physician-nurse collaboration, and interprofessional competencies as outcomes of a palliative care simulation. Based on experience level, teams of participants, 1 consisting of nursing/medical students and the other of nursing/medical health care professionals, completed a palliative care simulation as part of their education. Self-efficacy and attitudes toward physician-nurse collaboration were measured before and after simulation. Interprofessional competency was measured during the simulation. The results revealed a significant improvement in the previously mentioned measures, and interprofessional competency scores varied by profession and evaluator.

Psychological impact of implantable cardioverter defibrillator on their recipients.

This 12-month longitudinal prospective study tracked the depression and anxiety levels of implantable cardioverter defibrillator recipients after implantation of the device. Depression and anxiety levels dropped significantly over time. These findings suggest that interventions should be implemented early because the needs are greatest in the first few weeks after device implantation.

Risk factor clusters for metabolic syndrome in coronary heart disease: state of the science.

Metabolic syndrome, defined as a cluster of obesity, hypertension, dyslipidemia, and insulin resistance/glucose intolerance, has been identified as a major risk factor for coronary heart disease in women. Nurses should increase their awareness of metabolic syndrome to help identify and treat the current estimated 47 million US residents who have metabolic syndrome.

Biopsychosocial Contributors to Metabolic Syndrome: A Secondary Analysis of 2007-2010 National Health and Nutrition Examination Survey Data.

BackgroundMetabolic syndrome (MetS) is a medical disorder that encompasses obesity, hypertension, dyslipidemia, and insulin resistance and increases the risk of type 2 diabetes, cardiovascular disease, and mortality. ObjectivesA secondary data analysis was conducted using the National Health and Nutrition Examination Survey 2007–2010 data to evaluate the association of biopsychosocial factors with MetS among U.S. adults. MethodsComplex samples logistic regression models were used to estimate a parsimonious model, including contributions of biomedical, biosocial, and psychosocial factors to MetS. ResultsAccording to the studys representative sample, more than 47 million Americans had MetS. Using the biopsychosocial model, the effects of biosocial and psychosocial variables, including education, smoking, low exercise, and depression, were independent predictors of MetS after controlling for the contributions of age, gender, and race. DiscussionThere is a need for large-scale, longitudinal, and interventional studies to evaluate and alter these potential risk factors, thus reducing MetS.

Psychosocial Educational Needs of College Students Newly Diagnosed With Type 1 Diabetes

Little is known about the psychosocial and educational needs of young adults with a new diagnosis of type 1 diabetes. since the prevalence of type 2 diabetes (29.1 million) is substantially greater than type 1 diabetes (1.25 million) in the United states, more focus has been on type 2 diabetes for the young adult population. Although typically type 1 diabetes is diagnosed during childhood, some clinicians have noticed an increasing number of young adults being diagnosed with this condition. All of the estimated 20 000 newly diagnosed patients with type 1 diabetes in the United states (centers for Disease control and Prevention) need education about the multiple facets of diabetes management. Beyond adapting to managing diabetes, emerging young adults are in a critical time of transition and adapting to multiple life changes. health care professionals have little evidence to guide them in providing resources for the psychosocial and educational needs of these newly diagnosed young adults. in addition, it is not clear how to manage this condition during the transition period from adolescence to young adult. Because of this need, the purpose of this article is to: (1) describe experiences of a young adult newly diagnosed with type 1 diabetes during the college years, (2) highlight potential initial psychosocial and educational needs related to the experience of being diagnosed, and (3) discuss ongoing needs based on what is known about this age group.

Development of a Clinical Competency Checklist for Care of Patients Experiencing Substance Withdrawal Delirium or Delirium: Use of a Delphi Technique and Expert Panel

Health care providers are challenged by the presentation and management of inpatients experiencing substance withdrawal delirium (SWD) and delirium. The current Delphi study used an expert panel to develop a clinical competency checklist for nurse and physician educator use in teaching health care providers about the initial care of patients with SWD or delirium. The checklist includes categories of patient safety, history and information gathering, physical examination and assessment, treatment plan, and patient/family-centered care.

Maternal Experiences of Transitioning Their Emerging Adult With Type 1 Diabetes to College

Purpose The purpose of this study was to gain a deeper understanding about mothers’ experiences of transitioning their emerging adult with type 1 diabetes mellitus to college. Methods A descriptive, qualitative study was conducted with 9 mothers of high school seniors with type 1 diabetes (T1DM) using semi-structured questions via recorded telephone interviews. Results Among the 9 participants, 8 had daughters, and 1 had a son. The thematic analysis resulted in 4 themes: (1) concern for health and safety at college, (2) evolving roles of the parent and emerging adult dyad, (3) communication dynamics, and (4) social support systems. Conclusions Results indicate that mothers of emerging adults with T1DM experience heightened levels of concern during the college transition. These concerns are above and beyond those that are experienced by mothers of emerging adults without T1DM. Findings indicated that increasing levels of support for both parents as well as emerging adults with T1DM during the college transition may serve to decrease maternal stress and enhance the development of preparedness for diabetes self-management. Recommendations for diabetes educators in clinical practice include a family-centered approach focusing on the transition before the late adolescent period, interventions from colleges to promote a smooth transition, and interventions that address concerns of both the emerging adult with T1DM and the parent. Further research is necessary to identify barriers and facilitators to support parent/emerging adult dyads during the college transition period.

Positive Health Benefits of Peer Support and Connections for College Students With Type 1 Diabetes Mellitus

Purpose The purpose of this study is to examine the characteristics and health outcomes of college students with type 1 diabetes mellitus (T1DM) as it relates to membership in a local university-based diabetes student organization. Methods This descriptive, correlational research design is a secondary analysis of data. The sample consisted of nationally representative young adults in college (n = 317) between 18 and 30 years of age who were diagnosed with T1DM. Data were collected during April 2017 using a secure electronic diabetes management survey to inquire about self-reported barriers to diabetes management, hypoglycemia, and diabetic ketoacidosis of members of a diabetes organization. Results Students were evenly distributed from freshman to senior year of college with a slight decrease at the graduate level. Students who were affiliated members of a student-led diabetes student organization were less likely to report increased levels of isolation, depressive symptoms, and anxiety related to their diabetes than were general members. Conclusion Participation in a university-based diabetes student organization on campus and connecting with other college students with diabetes may have health benefits. In conclusion, the current study underscores the potential importance of peer-led, diabetes-specific support for adolescents emerging into adulthood.