Parkview Health Research Repository
Not a member yet
774 research outputs found
Sort by
The use of cryotherapy to prevent paclitaxel-induced peripheral neuropathy and nail changes in women with breast cancer
Get PDFTo assess the efficacy of cryotherapy to prevent paclitaxel-induced peripheral neuropathy and nail changes in women with breast cancer.
PI: Nancy Ehmke MN, RN, AOCN
Contact: [email protected]
Comparative Evaluation of Fluidized Positioners and Wedges on Turning Effectiveness
Get PDFThe objective of this study is to compare turning effectiveness of two products currently in use in the ICU: fluidized positioners and wedges. Turning effectiveness will be determined by degree of turn achieved and the ability of the product to maintain this turn for 2 hours.
PI: Jennifer Rechter MSN, RN, AG-CNS
Contact: [email protected]
Technology and workflow recommendations to improve use of guideline directed medical therapy for heart failure with reduced ejection fraction.
No full textBACKGROUND: Optimal use of Guideline Directed Medical Therapy (GDMT) is the cornerstone of reducing mortality and morbidity in heart failure patients with reduced ejection fraction (HFrEF). Interventions targeted at increasing GDMT use are necessary to improve outcomes. Integration of a pharmacist in specialty clinics may improve GDMT use; However, the potential benefit may be underrealized due to constraints in technology use and workflow.
PROJECT INTENT: To understand existing processes and explore workflow optimization opportunities to enhance use of GDMT prescription for patients with HFrEF.
METHODOLOGY: Teams of 2 researchers performed contextual inquiry4 during in-situ, 2-hour observations with 5 physicians, 3 nurse practitioners and 1 pharmacist, with attention to workflow during patient visits and interaction with a mock patient record (with HFrEF) in the EHR.
RESULTS: Proposed solutions based on the following identified challenges (see figures): 1) communication gaps, 2) unorganized data, 3) variable workflow, which contribute to redundancy in workflow.
CONCLUSIONS: Workflow standardization and EHR documentation should be optimized together for process improvement. The design and workflow recommendations could be applied to care plans for other conditions and clinical domains
An evaluation of the medical management received in the institutional setting during cardiac arrest at a community hospital
No full text2020 ASHP Midyear Clinical Meeting / Virtual Meeting / Poster # SP-501
Objective: To evaluate the medical management patients receive in the institutional setting during cardiac arrest compared to the 2019 American Heart Association (AHA) advanced cardiac life support (ACLS) treatment algorithm
Characterization of antibiotic use and culture data in COVID-19 pandemic patients
No full textPoster Presentation
2020 ASHP Midyear Clinical Meeting / Virtual / Poster # RP-609
Objective: The objective of this study was to identify the prevalence of bacterial, viral, or fungal coinfections and to describe the empiric antimicrobial regimens in patients with confirmed COVID-19
The Role of Parent Self-Regulation in Youth Type 1 Diabetes Management.
Get PDFPURPOSE OF REVIEW: Youth with strong self-regulation (SR), or the ability to manage thoughts, emotions, and behaviors, engage in more effective type 1 diabetes (T1D) management. However, while parent support and engagement are critical to ensuring positive youth T1D outcomes, it is rarely considered that parents\u27 SR may also influence youth T1D management. If this is the case, novel interventions to improve parents\u27 SR or ensure adequate support for parents with SR challenges offer great potential to improve family functioning and youth T1D management.
RECENT FINDINGS: Theoretical and preliminary empirical evidence suggests that parental SR impacts family processes that support youth T1D treatment regimen adherence. Furthermore, parent and youth SR likely interact, with high parent SR enhancing the positive effects of high youth SR or compensating for low youth SR. Continued research is needed to better understand the ways in which parent SR matters to youth T1D management and identify how to support improvements in T1D management among families of parents with low SR
Problematic phone use, depression, and technology interference among mothers.
No full textAbstract
In this study, we examined problematic mobile phone use, depression, and technology interference among 223 mothers of children aged 1 to 5, who were recruited from Amazon’s mTurk. As an extension of previous work on the topic, we also examined the time mothers reported spending in each of the parenting domains. Most mothers (76.7%–100%) reported that they engaged in the measured parenting activities with their children, and many (41.9%–71.8%) reported that technology interfered with those activities. Maternal depression was positively related to time spent with children during mealtime and joint technology use (e.g., TV viewing), and it was also related to technology interference in playtime and in doing chores with the child. Meanwhile, problematic phone use was positively related to time spent with children during meals, but it was significantly and positively related to technology interference in 9 of 11 parenting domains (e.g., playtime, mealtime, and playtime excursions). Finally, maternal depression was associated with problematic phone usage, which in turn was associated with technology interference in parenting Impact Statement
Public Policy Relevance Statement—Our results highlight the potential need for (a) health care screening for maternal problematic mobile phone use alongside traditional maternal depression screens, and (b) policy recommendations aimed at parents’ and caregivers’ own use of media when interacting with children. These changes to health care and policy may help circumvent the potential negative issues (e.g., children’s negative, provocative behaviors and less sensitive parenting) that may result from technology interference in parentin
Patient ergonomics: 10-year mapping review of patient-centered human factors.
No full textPatient ergonomics is the application of human factors or related disciplines to study and improve patients\u27 and other non-professionals\u27 performance of effortful work activities in pursuit of health goals. We performed a mapping review of 212 full-text patient ergonomics publications in two conference proceedings, 2007-2017. The review revealed a robust and growing body of literature on patient ergonomics, particularly in the areas of aging and chronic disease, tools and technologies, and evaluations of patient-centered interventions on outcomes such as usability, user acceptance, and performance. Findings highlighted gaps deserving future research, including research with understudied populations such as children, informal caregivers, networks and collectives (groups), and marginalized populations; on topics such as health promotion and transitions of care; and using longitudinal and experimental study designs. The growth of patient-centeredness in general and of patient ergonomics in particular compel other more focused reviews, new primary research, and developing a roadmap for future patient ergonomics research
Assessment in Pediatric Psychology Consultation-Liaison
No full textPart of the Issues in Clinical Child Psychology book series (ICCP) Abstract
Assessment is a fundamental component of pediatric psychology practice that requires flexibility in its application to consultation-liaison (CL) services. In contrast to comprehensive psychological evaluations, assessment in the CL context focuses on specific behaviors/symptoms related to the referral question, with the intent of enhancing formulations, guiding intervention, and informing treatment planning. This chapter describes specific applications of psychological assessment to the pediatric CL setting. Tables are provided as a reference guide for commonly used assessment tools. Special considerations for assessment in a pediatric CL context include time to administer, score, and interpret assessments; billing processes; follow-up and coordination with medical providers; and referrals for comprehensive psychological evaluations. A case illustration is provided demonstrating the value of psychological assessment for a child experiencing challenges with health behaviors, mood concerns, and adherence to medical recommendations
Center for Healthcare Innovation: Developing New Clinical Solutions
No full textThe Parkview Mirro Center for Research and Innovation goal is to foster innovation in healthcare with an idea that its most significant innovation should result in commercialized products of global significance, to perform research that documents the improvements resulting from innovative approaches to patient care and to be a Midwestern center of clinical excellence in learning through simulation.
As the largest employer in northeast Indiana, Parkview is also invested in cultivating the economic development of new companies in the healthcare sector. The staff at the Innovation Center works with local entrepreneurs and Parkview coworkers to develop their designs, test their products and grow their brand. Using a multi-disciplinary team approach, Parkview\u27s Innovation Center brings together innovation, simulation and research to produce transformative solutions in healthcare. Video Innovative Solutions to COVID-19 Supply Demands here: https://www.parkview.com/locations/mirro-center-for-research-and-innovation/center-for-healthcare-innovatio