The Duke Activity Status Index (DASI) in Rural Rocky Mountain Women: Tailoring the Evidence-Based Perspective

2.50
Hdl Handle:
http://hdl.handle.net/10755/154094
Type:
Presentation
Title:
The Duke Activity Status Index (DASI) in Rural Rocky Mountain Women: Tailoring the Evidence-Based Perspective
Abstract:
The Duke Activity Status Index (DASI) in Rural Rocky Mountain Women: Tailoring the Evidence-Based Perspective
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Kidner, Maria, FNP-BC, MSN
P.I. Institution Name:Internal Medicine Group
Title:Clinical Practitioner
Co-Authors:Janice Unruh Davidson, PhD, INS, RN, CNAA, FNP-BC, FAANP
[Evidence-based Practice Session - Paper or Poster Presentation] Rural women frequently underestimate their health risks and symptoms, yet they are commonly at risk for cardiac disease. Moreover, rural women are not often tested for functional capacity because they tend to present later in the disease process due to: poor detection, poor utilization of healthcare services, or lack of provider knowledge, resulting in poor outcomes and increased mortality. When these problems are combined with the geographical challenges of rural healthcare, having a valid and reliable tool for such women could augment the capability of rural providers to provide population-specific evidence-based practice, leading to enhanced decision-making regarding testing, risk-stratification, and treatment outcomes. Objectives: The purpose of this study was to describe the level of cardiac functional capacity using the Duke Activity Status Index (DASI) and exercise treadmill test (ETT) metabolic equivalents (METs) calculations in rural women of the Rocky Mountain region of the United States for validation of the DASI and tailoring of population-specific evidence-based practice. Design and Methods: This paper is the result of a descriptive-correlational study that utilized evidence-based practice methodology to generate the research questions and level of scientific inquiry for the purpose of the study. Population, Sampling and Setting: The population of interest was rural Rocky Mountain women who had been previously referred for an ETT to a selected specialty practice located in Cheyenne, Wyoming. Findings and Conclusions: Results of the study indicate a statistically significant relationship between the findings of previous research involving the DASI and current research supporting the validity of the DASI in rural women from the Rocky Mountain region. Implications and Recommendations: Implications for advanced nursing practice are drawn as they relate to furthering best practices of advanced practice nurses from a population-specific perspective. Recommendations for further research and those effective evidence-based practice strategies regarding population-specific cardiac care are proposed.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Duke Activity Status Index (DASI) in Rural Rocky Mountain Women: Tailoring the Evidence-Based Perspectiveen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154094-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Duke Activity Status Index (DASI) in Rural Rocky Mountain Women: Tailoring the Evidence-Based Perspective</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kidner, Maria, FNP-BC, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Internal Medicine Group</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Practitioner</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mkidner@millect.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Janice Unruh Davidson, PhD, INS, RN, CNAA, FNP-BC, FAANP</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based Practice Session - Paper or Poster Presentation] Rural women frequently underestimate their health risks and symptoms, yet they are commonly at risk for cardiac disease. Moreover, rural women are not often tested for functional capacity because they tend to present later in the disease process due to: poor detection, poor utilization of healthcare services, or lack of provider knowledge, resulting in poor outcomes and increased mortality. When these problems are combined with the geographical challenges of rural healthcare, having a valid and reliable tool for such women could augment the capability of rural providers to provide population-specific evidence-based practice, leading to enhanced decision-making regarding testing, risk-stratification, and treatment outcomes. Objectives: The purpose of this study was to describe the level of cardiac functional capacity using the Duke Activity Status Index (DASI) and exercise treadmill test (ETT) metabolic equivalents (METs) calculations in rural women of the Rocky Mountain region of the United States for validation of the DASI and tailoring of population-specific evidence-based practice. Design and Methods: This paper is the result of a descriptive-correlational study that utilized evidence-based practice methodology to generate the research questions and level of scientific inquiry for the purpose of the study. Population, Sampling and Setting: The population of interest was rural Rocky Mountain women who had been previously referred for an ETT to a selected specialty practice located in Cheyenne, Wyoming. Findings and Conclusions: Results of the study indicate a statistically significant relationship between the findings of previous research involving the DASI and current research supporting the validity of the DASI in rural women from the Rocky Mountain region. Implications and Recommendations: Implications for advanced nursing practice are drawn as they relate to furthering best practices of advanced practice nurses from a population-specific perspective. Recommendations for further research and those effective evidence-based practice strategies regarding population-specific cardiac care are proposed.</td></tr></table>en_GB
dc.date.available2011-10-26T12:44:23Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:44:23Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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