Browsing by Author Affiliations "Kent State University, Kent, Ohio, USA"
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- ItemAdequacy of sample workplace bullying policy: Results of a mixed-methods systematic review(2013-10-22) Dzurec, Laura Cox; Fitzgerald, Shawn M.; Bromley, Gail E.; Meyers, Timothy W.; Karpinski, Aryn C.; Kent State University, Kent, Ohio, USA; Non-member
Session presented on: Wednesday, July 24, 2013:
Purpose: Integrated findings from studies of bully, victim, and administrator experiences in regard to workplace bullying (WPB) demonstrate the intricacy of the essential milieu of WPB and highlight complexities of effective intervention. The purpose of this study was to assess congruence between guidelines and obligations stated in workplace bullying policies established in 21 US states, and themes depicting victim experiences emerging from a mixed-methods systematic review of WPB research. The investigators' collective expertise in four disciplines served to strengthen analysis of the research question: How adequate are guidelines and obligations of WPB policies, in light of themes emerging from a mixed-methods systematic review of relevant WPB studies?
Methods: The investigators employed a mixed-methods review using a multi-step process to structure their approach. Common themes emerging from existing, state-level WPB policies provided search terms for this study. Two teams worked simultaneously to search, screen, and map findings of studies focusing on WPB; one team analyzed quantitative study findings while the other used hermeneutics to assess themes emerging from qualitative studies. Finally, we integrated qualitative and quantitative findings to generate interpretive themes. Findings of our mixed-methods analyses maximize the strengths of both qualitative and quantitative findings, facilitating critical understanding of proposed, policy-based WPB interventions from the points of view of the people the interventions target.
Results: Analyses demonstrate that: 1) WPB victims describe significant difficulty reporting experiences to supervisors; 2) numerous instruments are available to characterize the emotional response profile of WPB victims; 3) workplace administrators' communications may provide limited support for reporting workplace victims; and 4) statements from proposed legislation in 21 US states address remedies for WPB across a range of adequacy.
Conclusion: Findings from this mixed-methods review provide rich, thematic insights into ways to strengthen WPB intervention policy, adding to conclusions from the Cochrane review of intervention studies related to WPB.
- ItemFamily visitation in the adult ICUYurkovich, Ashley N.; Tapocsi, Allison J.; Brots, Kristen; Lesnick, Mackenzie; Warner, Adam; Kent State University, Kent, Ohio, USA; Delta Xi
Undergraduate research assignment exploring how patient health status is affected by family visitation. Current practice restricts family visitation in adult ICUs due to concerns of infection, safety, and exhaustion. The question of the benefits outweighing preconceived cons from family presence within the adult intensive care unit.
- ItemFinding our voice through interdisciplinary policy teams: Strategies for compelling changeSmith, Yvonne M.; Cleveland, Kimberly A.; Kent State University, Kent, Ohio, USA; Delta Xi
Policy teams provide opportunities for faculty to understand issues, engage students and drive policy discussions. Speakers will discuss three policy team initiatives, benefits, member roles, and barriers to faculty and student involvement. These policy team examples occurred in an academic setting, but the principles are applicable to non-academic setting.
- ItemMissing nursing care data that represents disruption to the neutral thermal environment of premature neonates(2016-09-26) Lewis, Lory A.; Kent State University, Kent, Ohio, USA; Delta Xi
Session presented on Monday, September 19, 2016:
Standardized documentation of nursing care is necessary to describe key components of the care process. The EHR provides a vehicle for nurses to record provision of care that mirrors workflow and care patterns for classifying and quantifying procedures that disrupt the NTE of PNs while in the NICU.
- ItemA model for falls with major injury in nursing home residents(2016-09-26) Ha, Soon Young; Vermeersch, Patricia; Kent State University, Kent, Ohio, USA; Delta Xi
Session presented on Sunday, September 18, 2016:
Background: The combination of more elderly living longer and needing more supportive care means the absolute proportion of older adults in nursing homes is likely to rise. Nursing home residents are more likely to fall as compared to community dwelling older adults. Consequently, the absolute number of falls among nursing home residents will also increase with a concurrent rise in falls with major injury 4: bone fractures, joint dislocations, closed head injuries with altered consciousness, and/or subdural hematoma. 5 The increased falls with major injury will negatively impact the physical and psychological health of older adults and will expand health care spending. 6 There is a significant gap in research on falls with major injury among nursing home residents. Previous research is inconsistent and conflicting in defining and determining risk factors for falls with major injury.
Purpose: The purpose of this study is to identify intrinsic and extrinsic factors from the Long-Term Care Minimum Data Set (MDS) 3.0 for 2014 associated with major injury falls in elderly nursing home residents and use these to develop a parsimonious explanatory model of falls with major injury. Specific Aims: The aims of the study are to answer the following questions. In elderly nursing home residents: (Q1) What are the intrinsic and extrinsic factors that contribute to falls with major injury?; (Q2) Do these factors interact and if so, how do they interact?; (Q3) Which factors and/or interactions of these factors are most useful for explaining who will have a major injury upon falling?
Methods Design: The study design is an exploratory, retrospective, and secondary analysis of the MDS 3.0 for 2014. The national MDS 3.0 dataset from the Chronic Conditions Data Warehouse contains about 1.4 million beneficiaries. According to Senior Health Informatics Analyst, D. Messenger (written communication, May 2016), each beneficiary carries a maximum 655 variables.
Sample and Setting: The sample is approximately 594,000 through 712,000 Medicare and Medicaid certified nursing home residents in the United States who fell in 2014. Sample size is estimated based on the literature. 7-8 Inclusion criteria are (1) age 65 years and over; and (2) had at least one fall in 2014. Exclusion criterion: a movement disorder diagnosis (e.g., Parkinson's disease, multiple sclerosis). Variables: Intrinsic factors include: age, gender, race/ethnicity, marital status, vision, hearing, cognitive pattern, mood, behavior, functional status, bladder and bowel continence, diagnoses, pain management, fall history, swallowing and nutritional status, and skin condition. Extrinsic factors include: mobility devices, corrective lenses, hearing aid, medication category, polypharmacy, and length of stay. The outcome or dependent variable is fall with major injury (yes or no).
Analysis: After data cleaning, at least two subsets will be created by randomly splitting the dataset of eligible beneficiaries. One data set will be used to answer the research questions and the other(s) will be used to test the explanatory model for cross-validation. Q1 will be addressed using descriptive analysis to compare intrinsic/extrinsic factors of beneficiaries with no major injury versus major injury. Next, assumptions for logistic regression and the strength of association between each independent variable and dependent variable (falls with major injury) will be examined. Q2 will be addressed using multiple logistic regression to examine the strength of association between interaction of factors and dependent variable (falls with major injury). Q3 will be addressed using multiple logistic regression to develop a model for falls with major injury by using only statistically and/or clinically significant factors found from simple logistic and multiple logistic regression. The final step in this study will be to test the model on the other dataset created.
References 1. Douglas AH, Paul DP. Healthcare rationing and cost control: perspectives on the American health care system. In: Proceedings of the 2005 Midwest Business Administration Association Conference; 2005;21-32. 2. Harris-Kojetin L, Sengupta M, Park-Lee E, et al. Long-term care services in the United States: 2013 overview. Hyattsville, MD: U.S. Department of Health and Human Services Centers for Disease Control and Prevention, National Center for Health Statistics; 2013. Series 3(7). 3. Baranzini F, Diurni M, Ceccon F, et al. Fall-related injuries in a nursing home setting: is polypharmacy a risk factor? BMC Health Services Research. 2009;9(228). doi:10.1186/1472-6963-9-228 4. Van Doorn C, Gruber-Baldini AL, Zimmerman S, et al. Dementia as a risk factor for falls and fall injuries among nursing home residents. J Am Geriatr Soc. 2003;51:1213-1218. doi:10.1046/j.1532-5415.2003.51404.x 5. Long-term care facility resident assessment instrument 3.0 user's manual version 1.13. Baltimore, MD: Department of Health and Human Services Centers for Medicare & Medicaid Services; 2015. Retrieved from https://www.cms.gov/Medicare/Quality-Initiatives-Patient- Assessment-Instruments/NursingHomeQualityInits/Downloads/MDS-30-RAI-Manual- V113.pdf 6. Abrahamsen B, van Staa T, Ariely R, et al. Excess mortality following hip fracture: a systematic epidemiological review. Osteoporos Int, 2009;20(10):1633-1650. doi:10.1007/s00198-009-0920-3. 7. MDS 3.0 frequency report. Baltimore, MD: Centers for Medicare and Medicaid Services; 2012. Retrieved from https://www.cms.gov/Research-Statistics-Data-and- Systems/Computer-Data-and-Systems/Minimum-Data-Set-3-0-Public-Reports/Minimum- Data-Set-3-0-frequency-report.html 8. Hill-Westmoreland EE, Gruber-Baladini AL. (2005). Falls documentation in nursing homes: agreement between the minimum data set and chart abstractions of medical and nursing documentation. J Am Geriatr Soc. 2005;53(2):268-273. doi:10.1111/j.1532- 5415.2005.53113.x
- ItemNeonatal nursing care disruptions to the thermal environment of premature neonatesLewis, Lory A.; Kent State University, Kent, Ohio, USA; Non-member
Subject Population: The study describes neonatal nurses’ perceptions of frequency, duration, and depth of their care for premature neonates (PN) housed in incubators. This study was the first step in a comprehensive study of care disruptions to the thermal environment (TE) of these vulnerable patients.
Research Design: A cross-sectional survey design was used to address these study aims: 1) describe the frequency, duration, and method of delivery of care and procedures by neonatal nurses that disrupt the TE of PNs; 2) explore differences in frequency, duration, and method of delivery of NICU nursing care procedures that disrupt the TE of PNs according to the nurses’ personal and professional characteristics; and 3) assess the psychometric properties (frequency, duration, etc.) of the instrument used to measure the concept of disruptions to the TE of PNs. Instrument: Nursing Care in the Thermal Environment of Premature Neonates Questionnaire consists of 51 items divided across 6 content domains identified in a previous study via comprehensive literature review and neonatal nurses.
Procedure: Prospective survey data was email for the recruitment procedure. A total of 14,000 National Association of Neonatal Nurses (NANN) and Academy of Neonatal Nurses (ANN) were invited to participate, yielding a sample size of 400 participants.
Results: There was a discrepancy in the respondents ability or accuracy of reporting their actions. These results varied quite significantly from disruption to disruption and question to question, with some appearing to provide quite drastic results. This indicates that additional means are required to provide consistent and accurate descriptions of nursing care provided in the incubator of preterm infants. In person observational studies and the use of more precise monitoring devices that measure these disruptions are needed.
- ItemRasch analysis of the Pain Catastrophizing Scale (PCS) in the context of workplace bullying for a sample of nursing faculty from Midwest U.S. universities(2012-9-12) Karpinski, Aryn C.; Meyers, Timothy W.; Dzurec, Laura Cox; Bromley, Gail E.; Fitzgerald, Shawn M.; Kent State University, Kent, Ohio, USA; Non-member
Purpose: Workplace bullying is a major impediment to successful team relationships and job satisfaction in workplace environments, contributing to individual and interpersonal stress, tension, and burnout. Additionally, bullying affects worker productivity, especially in workplaces concerned with healthcare and healthcare education (Abe et al., 2010; Allan et al., 2009; Hutchinson et al., 2006; Randle, 2003). Authors investigated the psychometric properties of the Pain Catastrophizing Scale (PCS) using Rasch Analysis in the context of workplace bullying. Catastrophization is a 'tendency to focus on and exaggerate the threat value of painful stimuli and negatively evaluate (one's) own ability to deal with pain' (Keefe et al., 2002, p. 2). Methods: One hundred fifty-four nursing faculty from Midwest US universities participated in this study. Bullying catastrophization was measured using the PCS, a 13-item instrument with items scored from 0 (Not at all) to 4 (All the time). Results: Data were analyzed using Rasch Analysis (i.e., Rating Scale Model), which produces an interval scale that arranges items according to how likely they are to be endorsed (i.e., item difficulty). Rasch Analysis is also used to diagnose problematic items in a survey. Person/Item Separation and Person/Item Reliability were high (i.e., > 1.00 and > .84, respectively; Coefficient Alpha = .97). The response scale from 0 to 4 was used as expected, with each step logit position increasing across the theta continuum. Finally, items 7, 10, 11, and 13 had high standardized fit statistics (i.e., > + 1.96). Conclusion: Examining the psychometric properties of the PCS in the context of workplace bullying supports utilization of a brief measure to gauge workplace climate as related to bullying in support of its diagnosis and potentially remedying problems before they become major impediments to productivity and individual well-being.
- ItemResearch literacy in nursing: Engaging graduate nursing students into clinical research through publicationDowell, Jo A.; Kent State University, Kent, Ohio, USA; Non-member
Historically, nurses in clinical environments have not taken an interest in research. One reason may relate to clinical journals. The purpose of this study is to explore how graduate students knowledge and awareness of evidence-based practice may have an influence on their views of nursing research using a "Walk-Back" strategy.
- ItemSocial support and intimate partner violence interaction effects on quality of life among Thai womenPhuangkhem, Wimonthip; Ross, Ratchneewan; Kent State University, Kent, Ohio, USA; Delta Xi
Intimate partner violence (IPV) can impact women's quality of life (QOL). Family and friend support was found to alleviate the adverse effect of IPV. However, little is known about the interaction effects of such support and IPV on QOL in Thai women. Findings from this study can inform nursing interventions.
- ItemTeaching financial literacy: Preparing future nurse executives(2016-09-16) Cleveland, Kimberly A.; Smith, Yvonne M.; Kent State University, Kent, Ohio, USA; Iota Psi
Session presented on Monday, September 19, 2016:
Faculty teaching in a graduate level nursing and health care management program in a major Midwest university discovered a significant gap between the finance course and the competencies expected of practicing nurse executives. Feedback from students and faculty revealed concerns about the depth and breadth of knowledge gained from the nursing finance course and students' abilities to apply financial concepts in other courses and in the practice environment. Many students struggled with course assignments in elective business courses with intense finance foci. Further, students and faculty expressed an interest in moving the course from a face-to-face traditional classroom learning environment to distance delivery. In response to these concerns, a three-credit hour, 15-week course was designed to increase the financial literacy of students enrolled in nursing and health care management. The course was offered 100% online with both synchronous and asynchronous learning activities to increase faculty and student presence, promote student engagement, and support active learning. Competencies identified by the American Organization of Nurse Executives and the Essentials of Master's Education in Nursing presented by the American Association of Colleges of Nursing guided this course redesign. The role of the graduate prepared nurse leader requires the ability to integrate and communicate regulatory, budgetary and business planning language and skills. Talley (2013) concluded: 'Today's health care professional is increasingly impacted in numerous and profound ways by health care reform. Patient safety priorities, quality outcome initiatives, and financial accountability are more imperative than ever' (p. 82). As such, familiarity with basic language and tools of regulatory, budget and planning concepts is quintessential to the nurse executive's success and job satisfaction. The course addressed three sections of study: the regulatory, financial and policy foundation of healthcare finance, health care accounting/budgeting principles and financial planning for health care projects. The course design encouraged group interaction using the language and tools of the current health care executive through web-based discussions, spreadsheet exchange and presentation. Content was presented online using videos, PowerPoint, discussions, web resources, literature reviews, and self-assessments. Students also learned to effectively use and integrate technology such as PowerPoint for slide presentations and Excel for budget preparation. In section one, students were introduced to the regulatory, financial and health policy effects of the Affordable Care Act. Students applied this information via an integrated scholarly paper that analyzed a financial regulation of interest. Students became proficient in the use of financial, policy and applicable legal language through self-paced quizzes and discussion boards. In section two, students acquired budgeting and variance reporting skills through the introduction of theory via reading, case study analysis, completion of spread sheets, discussion of variance reporting and budget formation. Students became proficient with the elements of accounting, variance analysis and budget completion via on line discussion boar interaction with the faculty and students and self paced quizzes. The budget component of the course culminated with students preparing a fifteen-minute presentation on their prepared budget. The presentation was given in an on line virtual class room and integrated utilization of PowerPoint and Excel. In section three, students were introduced to health care financial planning, research and market projection via the completion of a health care related business plan. This capstone project provided for students to synthesize and integrate theory and concepts in health policy/regulatory, accounting/budgeting, and financial/population forecasting into a guided format written business plan that was presented in using Blackboard Collaborate. Student feedback has been overwhelmingly positive with 100% of participants responding that they learned valuable information from this course. 100% of the students passed the course with a B or higher. 91% earned an A. 100% of students taking the Budget and Fiscal Management Course concurrently with their Management Practicum utilized concepts of the Budget and Fiscal Course to reinforce professional journal writing for their management practicum. These students additionally choose practicum projects linking quality metrics to financial impact. Students felt as though they were well prepared for current and future work experience. They provided strong positive comments on course evaluations as well as extemporaneous correspondence with the faculty coordinator regarding their satisfaction with the course. One student opined, 'This course flowed very well and was set up for maximum learning. The business proposal was a wonderful idea. The assignments all connected and will make a great template for future proposals.' Students' preceptors agreed that providing the introduction of these concepts prepared students to 'hit the ground running' and ask provocative financial questions. Students who had not been in entry-level management roles prior to taking the course recommended a slower pace and exposure to an increased number of guided case study materials to enhance learning. This feedback provided faculty with information to integrate further case study analysis into the Health Care Management Practicum the following semester in order to achieve confidence with demonstrating value-based care through the utilization of balanced score cards and budget justification. References: American Association of Colleges of Nursing (2011) Essentials of master's education in nursing. Retrieved from http://www.aacn.nche.edu/education-resources/MastersEssentials11.pdf American Organization of Nurse Executives (n.d.) Nurse leader competencies. Retrieved from http://www.aone.org/resources/nurse-leader-competencies.shtml Dunham-Taylor, J., & Pinczuk, J.Z. (2015). Financial management for nursemanagers: Merging the heart with the dollar (3rd ed.). Boston, MA: Jones and BartlettPublishers. Omoike, O., Stratton, K.M., Brooks, B.A., Ohlson, S., & Storfjell, J.L. (2011). Advancing nursing leadership: A model for program implementation and measurement. Nursing Administration Quarterly, 35(4), 323-332. doi: 10.1097/NAQ.0b013e31822f1529 Pizzi, R. (2011). Improving relationships: Finance and nursing workforce. Healthcare Finance. Retrieved from http://www.healthcarefinancenews.com/news/improving-relationships-finance-and-nursing-workforce Rosenthal, N. & Stilgenbauer, D. (2015). Demystifying finance in perioperative nursing. OR Nurse, 9(2), 10-14. doi: 10.1097/01.ORN.0000460907.96093.39 Sanford, K.D. (2011). A case for nursing leadership development. Healthcare Financial Management, 65(3), 100 - 106. Smith, Y. & Caplin, M. (2012). Teaching the literacy of professionalism: When clinical skills are not enough. Nurse Educator 37(3), 121-125. Talley, L.B., Thorgrimson, D.H. & Robinson, N.C. (2013). Financial literacy as an essential element in nursing management practice. Nursing Economics, 31(2), 77-82. White, K.R. & Griffith, J.R. (2010, reprinted 2014). The well-managed healthcare organization.(7th ed.). Chicago: Health Administration Press.
- ItemTransgender individuals and osteoporosis prevention(Lippincott, Williams & Wilkins, 2017-07) Sedlak, Carol A.; Roller, Cynthia G.; van Dulmen, Manfred H. M.; Alharbi, Momood A.; Sanata, Jessica D.; Leifson, Marci A.; Veney, Amy J.; Alhawatmeh, Hossam; Doheny, Margaret O'Bryan; Kent State University, Kent, Ohio, USA; Delta Xi
BACKGROUND: Risk behaviors and hormone use place transgender individuals (TIs) in jeopardy for osteoporosis. PURPOSE: The purpose of this study was to expand the science about the knowledge, health beliefs, and osteoporosis (OP) preventing behaviors of TIs.
METHODS: This was a mixed-methods pilot study of a convenience sample of 31 TIs 30 years and older. Participants completed an online Osteoporosis Bone Health Survey. Fifteen participants were randomly selected for an interview to describe their perceptions of bone health.
RESULTS: Transgender individuals performed poorly on the knowledge measure. There were no significant findings for osteoporosis health beliefs. Participants' daily dietary dairy calcium intake was 800 mg and daily walking activity was 17 minutes. Perceptions of bone health revealed two essential elements, knowing and doing.
CONCLUSION: Determining TIs' bone health perception is important because of their unique healthcare issues. Healthcare providers need to be aware of TIs' bone health needs to help enhance TIs' OP knowledge, health beliefs, and preventing behaviors.
- ItemThe trifecta: The integration of policy, financial, and legal literacy to prepare nurse executivesCleveland, Kimberly A.; Smith, Yvonne M.; Kent State University, Kent, Ohio, USA; Delta Xi
This presentation will discuss benefits of an integrated graduate-level nursing health care management curriculum. Benefits of a health law course in combination with a policy focused budget and fiscal management course will assist learners in identifying methods to enhance nurse executive competency in finance, legal and policy processes and lexicon.
- ItemYour health - Don’t leave it to luck: Analyzing nursing students' perceptions of self-carePaul, Jessica Jane; Kent State University, Kent, Ohio, USA; Delta Xi
A look at Kent State nursing students' perceptions of self-care before and after a health focused event based on the ANA's Healthy Nurse Healthy Nation Grand Challenge initiative.