NUR Faculty Scholarship

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Now showing 1 - 5 of 158
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    Standardized Calcium Replacement in Massive Transfusion: A Quality Improvement Project
    (NLM (Medline), 2023-09) Laing, Marisa L.; Burtch, Kimberly; Storrer, Angie; McCoy, Cameron
    BACKGROUND: Hypocalcemia is common in trauma patients receiving massive transfusion protocol and often leads to worsening coagulopathies. Despite the identified problem and recommendations for replacement, few institutions have implemented a standardized calcium replacement protocol. OBJECTIVE: This study aims to assess whether a revised massive transfusion protocol, including standardized calcium replacement, increases the incidence of calcium administration in trauma patients receiving massive transfusion protocol. METHODS: This quality improvement project used a retrospective pre-/postdesign to study the revision of the current facility's massive transfusion protocol to include calcium replacement and ionized calcium monitoring at an urban Level I academic trauma center. Pre- and postintervention data were collected from January 2022 through October 2022 to determine the number of times massive transfusion protocol was ordered, ionized calcium monitoring, and calcium administration rates. Feedback regarding the protocol was collected throughout the monitoring period and was utilized in the final analysis. RESULTS: A total of 40 patients received massive transfusion protocol, preintervention, 18 of 23 (78%) received calcium supplementation, postintervention, 15 of 16 (98%) were treated. The majority of protocol activations occurred in the trauma bay (79%) and postintervention; ionized calcium monitoring dropped by 14%. CONCLUSION: This study found that the addition of standardized calcium replacement improved administration rates of calcium in this patient population. Ongoing research will ensure the recommended changes improve the identified shortcomings and that patients maintain adequate ionized calcium levels with the current dosing parameters.
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    Electronic monitoring of mom's schedule (eMOMS™): A qualitative study of experiences in a lifestyle change program with lactation support
    (SAGE Publications Inc., 2023-07-18) Jacobson, Lisette T.; Bakhache, Natalie; Dowling, Jolynn; Okut, Hayrettin; Zackula, Rosey; Robbins, David C.; Stern, Judy E.; Grainger, David A.; Befort, Christie
    Purpose: To elicit feedback from participants who completed the eMOMS™ study, a feasibility randomized controlled trial (NCT04021602), on their perceptions of program strengths and weaknesses. Study Design: Qualitative - Semi-structured, telephone interview guide using open-ended questions. Setting: Rural Great Plains state, United States. Participants: Of 26 individuals who completed the eMOMS™ study, 24 consented to an interview. Method: Interviews were completed between October 2020 and May 2021. Audio-recordings were transcribed verbatim and organized in Microsoft 365. Data were analyzed using an exploratory, inductive thematic analysis. Results: Participants' mean age was 27.5 ((± 5.4) years and mean pre-pregnancy BMI was 29.5 kg/m2 (± 2.7). The majority (71%) were non-Hispanic White and 54% had a high school education/some college. Based on specific areas of inquiry, the following themes emerged: convenience of online program access using Facebook, importance of health coach's support and online interaction, positivity toward improving one's health, increased consciousness of health behaviors, diverse lactation educational needs, importance of educational materials on depression, and grief over the loss of birth expectations during COVID-19. Conclusion: Findings suggest participants' perceived value of a lifestyle change program coupled with lactation education and support delivered using social media. Findings inform future studies to further adapt lifestyle change programs. Copyright The Author(s) 2023.
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    Transition from practice to teaching: The advice I wish I received
    (SLACK Incorporated, 2023-01-01) Ward, Maggie
    [No abstract available]
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    Farmers’ Market Voucher Initiative to Improve Diabetes Control in Older Adults
    (Elsevier, 2022-02-08) Harris, Jacqulene Pick; Bett, Carol; McCleary-Jones, Voncella
    This pilot study investigated reported fruit and vegetable consumption and diabetic control for older patients with a diagnoses of diabetes and food insecurity at a rural Midwestern Federally Qualified Health Center. Vouchers ($40 per month for 3 months) were provided for fruits and vegetables at a local farmers’ market during a 12-week program (June 2020-August 2020). Data revealed a statistically significant increase in reported green vegetable consumption and farmers’ market visits postintervention. There was not a significant change in hemoglobin A1c, body mass index, or other reported produce consumption.
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    Dental caries are associated with anemia in pediatric patients: A systematic literature review
    (Association of Schools of Allied Health Professions, 2021-03-01) Delimont, Nicole; Carlson, Brandi N.; Nickel, Sarah M.
    BACKGROUND: Dental caries (cavities) and anemia are among the most common chronic diseases seen by health professionals and experienced globally. However, the quality, and current evidence linking pediatric dental caries to anemia, is not well established. Moreover, it is not well known whether anemia seen with dental caries is due to iron deficiency or other causes. OBJECTIVE: This systematic literature review was designed to analyze the relationship between anemia and pediatric dental caries and examine the strength of evidence in current research. METHODS: Articles were sourced from PubMed, the American Dental Association database, American Dental Hygienist's Association database, Science Direct, Cochrane Library, CINAHL, Google Scholar, and Medline ProQuest. Outcomes were pooled for statistical effect size. RESULTS: Nineteen articles were selected from 351 identified. There was a 4.5-fold incidence in anemia diagnosis among children with, compared to without, dental caries. While ferritin and mean corpuscular volume were not significantly different among children with and without dental caries, the average serum iron was nearly 30 μg/dL greater in caries-free children, suggesting that iron deficiency may be more common among children with caries. Studies in the future may benefit from methodological improvements and more specific study questions to further investigate this question.