Parkview Health Research Repository
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Implementation of the National Institutes of Stroke Scale (NIHSS) in a Cardiovascular Intensive Care for Post Carotid Intervention Patients
Get PDFPoster addresses following problem: Post carotid intervention patients in the Cardiovascular Intensive Care Unit (CVICU) were not routinely assessed with the NIHSS.
Change in process implemented through improvement protocol.
APRN Implications: Improved collaboration between nursing and the medical team
Safety of 10,000 Unit Unfractionated Heparin Boluses for Acute Myocardial Infarction in the Emergency Department
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The purpose of this retrospective chart-review study is to evaluate the safety and efficacy of a 10,000 unit unfractionated heparin bolus in the emergency department prior to PCI. • The primary objective was percentage of ACT values within goal range of 250-300 seconds. • Secondary objectives included major bleeding rate, weight-based UFH bolus dose in comparison to guideline recommended bolus dose, percentage of initial ACT values within goal range, protamine use, and need for additional UFH boluses
Comparison of Clinical Pharmacist Versus Nurse Led Medicare Annual Wellness Visits in the Primary Care Clinic Setting
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Objective: To characterize the impact of a primary care pharmacist completing Medicare Annual Wellness Visits by determining:
• Primary: The rate of overall care gap closure by pharmacist-led versus nurse-led visits.
• Secondary: The percentage of recommended care gap opportunities during pharmacist-led versus nurse-led visits and the number of pharmacist made medication interventions during AWVs
Partners with lower relationship commitment are more likely to use technology during couple leisure time
Get PDFThe constant availability of digital devices can create opportunities for digital connection or distraction in couple relationships. Prior research has investigated the effects of personal technology use during shared couple time, but how the relational process of commitment may be tied to personal technology use during shared couple time is not yet fully understood. In the current study, we examined whether individuals’ level of relationship commitment would be associated with their likelihood of using technology while with their partner during shared leisure time in a sample of 1065 adult participants. Participants (Mean age = 35.73 years) from across the U.S. who were in a current relationship (62% married) completed an online survey. Nearly all the participants reported that individual use of technology during couple leisure occurred “sometimes” or more often. The most common ways technology was used alone were to use the internet and check for phone notifications. Finally, a linear regression model revealed that individual use of technology during shared leisure time was more common among less committed individuals. Although we cannot assume causation, the current results support that levels of commitment to a relationship may influence technology behaviors in the presence of one’s partner. Additionally, prior research has shown that technology use during shared couple time may result in perceptions of technoference, phubbing, and lower relationship satisfaction. Therefore, individuals may wish to limit technological behaviors that could be viewed by a partner as interfering with their time spent together. The field would continue to benefit from more research to understand the potentially complex links between relationship feelings, such as commitment, and technology use behaviors in relationships
Evaluation of standardized psychological screening for pediatric inpatients.
Get PDFObjective: This study aimed to examine the efficacy of a psychological screening tool for hospitalized pediatric patients to identify those at high risk for adjustment difficulties and optimize referrals to pediatric behavioral health (BH) providers. Specifically, this study evaluated the PROMIS® Parent Proxy 25 to capture the psychosocial needs of the inpatient pediatric population admitted to the general medicine floor in a free standing children’s hospital. Methods: The PROMIS® Parent Proxy 25 was administered to parents of children ages 5 to 17 (N = 128). Chart review was used to group children into those who did or did not receive BH consultation during their admission. Results: Results indicate that the PROMIS® Parent Proxy Anxiety and Depression scales consistently differentiated between children’s consultation status while also indicating a notable level of unmet need in children who did not receive BH consultation. Examination of patterns of scale elevations also provides further information to guide consultations to BH services. Conclusions: Results suggest that the PROMIS® Parent Proxy 25 may be a useful screening tool to determine pediatric patients who need BH referrals. Parental responses to the screener may also be used by CL services to identify patients with BH needs, which would enhance medical provider assessment of patient needs and factors impacting patient functioning
Golden Hour Education, Standardization, and Team Dynamics: A Literature Review.
No full textThe golden hour is the critically important first 60 minutes in an extremely low birth weight neonate\u27s life that can impact both short- and long-term outcomes. The golden hour concept involves several competing stabilization priorities that should be conducted systematically by highly specialized health care providers in both the hospital and transport settings for improvement in patient outcomes. Current literature supports utilizing an experienced team in the golden hour process to improve patient outcomes through standardization, improved efficiency, and positive team dynamics. Although a variety of teaching methods exist to train individuals in the care of extremely low birth weight infants, the literature supports the incorporation of low- or high-fidelity simulation-based training. In addition, initial and ongoing educational requirements of individuals caring for a golden hour-eligible infant in the immediate post-delivery phase, as well as ongoing care in the days and weeks to follow, are justified. Instituting standard golden hour educational requirements on an ongoing basis provides improved efficiency in team function and patient outcomes. The goal of this literature review was to determine whether implementation of golden hour response teams in both the inpatient and transport setting has shown improved outcomes and should be considered for neonatal intensive care units admitting or transporting golden hour eligible infants
Interrogating Human-centered Data Science: Taking Stock of Opportunities and Limitations. In CHI Conference on Human Factors in Computing Systems Extended Abstracts
No full textCHI EA \u2722: Extended Abstracts of the 2022 CHI Conference on Human Factors in Computing Systems
https://doi.org/10.1145/3491101.3503740
Data science has become an important topic for the CHI conference and community, as shown by many papers and a series of workshops. Previous workshops have taken a critical view of data science from an HCI perspective, working toward a more human–centered treatment of the work of data science and the people who perform the many activities of data science. However, those approaches have not thoroughly examined their own grounds of criticism. In this workshop, we deepen that critical view by turning a reflective lens on the HCI work itself that addresses data science. We invite new perspectives from the diverse research and practice traditions in the broader CHI community, and we hope to co-create a new research agenda that addresses both data science and human-centered approaches to data science
No evidence support for intake/output documentation
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Objective: Upon the change of Dekalb hospital as a Parkview hospital, adoption of policies and standards were in process. • The standard of care for intake/output (I/O) documentation was found to be every 8 hours at defined time periods of 6am, 2pm and 10pm in the hospital setting. • The reality of nursing practice with electronic documentation facilitates ‘real-time’ documentation of I/O, so the question was raised as to why should we wait until 6a, 2pm, and 10pm do document I/O?
The purpose of this project was to determine best practice for documentation of I/Os comparing the current standard of q8hours (6am, 2pm and 10pm) to a more realistic measure of every 12 hours
Structured exposure in an unstructured setting: Case study of parental exposure intervention to increase parental mastery of medical care during inpatient hospitalization.
No full textObjective: Parental stress can have an impact on health outcomes of chronically ill children (Cousino & Hazen, 2013). Pediatric psychologists are well suited to address these issues with understanding of empirically supported treatments, impact of mental health on medical care behaviors, and parent–child interactions (Ernst et al., 2015). Use of empirically supported treatments, such as graduated exposure therapy (ET), within an uncontrolled environment such as an inpatient setting can be challenging. This case study illustrates adaptation of ET in an inpatient setting to address parental mastery of medical care. Method: ET was implemented with a mother of an infant with a newly placed tracheostomy to reduce her severe anxiety that was preventing her from interacting with her infant or engaging in medical care necessary for hospital discharge. Results: Through 31 exposure sessions, the patient’s mother met all four treatment targets: daily tracheostomy care, stoma desensitization, tracheostomy tube changes, and suctioning. Self-reported distress data were presented for each exposure. Conclusions: Use of ET with a clear treatment plan and coordinated multidisciplinary inpatient team efforts can successfully reduce severe parental anxiety that is impeding medical care, hindering parent–child interaction, and interfering with parental ability to care for a child with complex medical needs. This article discusses multiple factors that are unique to the inpatient setting and the target behaviors for consideration
Social media activity: its impact on career-related perceptions
No full textThe purpose of this exploratory study is to examine individual perceptions about the impact that social media use has on career satisfaction and perceived career benefits. We examined whether informal online learning through “typical” types of social media behaviors (e.g. liking a post or messaging another user) and “networking” types of social media behaviors (e.g. endorsing another user, writing recommendations, going “live,” or looking for a job) impacted career-related perceptions.
Design/methodology/approach: In this study, we analyzed Amazon Mechanical Turk survey data gathered from adult participants (n = 475). We focused our inquiry specifically on two social media sites, Facebook and LinkedIn. We asked participants about their social media use and behaviors, as well as their perceptions of career satisfaction and career benefits related to social media.
Findings: We found that both typical and networking types of social media behaviors positively predicted the “knowing whom” career competency (defined as career relevant networks and contacts that individuals use to develop their careers) and career satisfaction. Only networking behaviors were positively associated with perceived career benefits of social media use. We further found that LinkedIn users’ career satisfaction was lower compared to non-LinkedIn users.
Originality/value: This study adds to the small, but growing body of career research focusing on social capital and social media. Our results suggest that informal online learning via social media may have a positive impact on employees’ career-related perceptions