Parkview Health Research Repository
Not a member yet
774 research outputs found
Sort by
GROUP4Good: Exploring Positive Impacts of GROUP Research
No full textGROUP \u2720: Companion Proceedings of the 2020 ACM International Conference on Supporting Group Work
In conducting research, one typically considers the potential harms associated with the research and how to minimize or mitigate the negative impacts thus leaving less time to consider designing for optimized benefits. The definition of positive impact relies heavily on the situational power structures, culture, and social norms of the given community. This workshop will give researchers across the GROUP community the opportunity to explore how we might design or use technologies to maximize wider societal benefits.
Free Full Text Available through Lin
Design Opportunities and Challenges for App-Based Telemental Health Technologies for Teens and Young Adults
No full textPervasiveHealth \u2720: Proceedings of the 14th EAI International Conference on Pervasive Computing Technologies for Healthcare.
Telemental health (TMH) technologies allow for mental health services to be delivered regardless of geolocation or time, and a new wave of mobile app-based TMH resources hold particular promise for engaging the mental health issues associated with teens and young adults. However, very little is known about how communities currently use or view TMH tools, how these technologies represent their values, and what they see as opportunities for community-based TMH use. In this study, we explored the potential for TMH tools to meet the mental health needs of youth. We present the results of a series of focus groups with teens, young adults, parents, clinicians, and educators to understand their unique perspectives on the challenges and opportunities for using TMH tools in times of stress and crisis. This paper provides a multi-stakeholder analysis of TMH issues surrounding their integration into everyday life and a set of socio-technical design considerations for the next generation of community-based TMH technologies
Daily technoference, technology use during couple leisure time, and relationship quality
No full textThe landscape of couple leisure time has shifted to include and, in some relationships, rely upon technology use. Technology has the potential to intrude upon face-to-face interactions and quality time together—i.e., technoference, phubbing. However, it is also likely that couples engage in shared technology use, which could lead to bonding. In the current work, we examined one’s own, one’s partner’s, and shared technology use during couple time across 10 days and the potential impacts on couple-time satisfaction, conflict, and relationship quality. We utilized data from 145 couples who completed a baseline online survey and 10 days of daily online surveys concerning leisure time spent together with their partner and their technology use. Multilevel mediational modeling revealed within-person associations between own and partner technology use with daily leisure satisfaction and leisure conflict. Small, but significant within-person indirect effects on daily relationship quality through leisure satisfaction and conflict were also found for own and partner technology use. In other words, results implied a pathway where technology use impacts one’s satisfaction with and conflict during time spent together, and then this (dis)satisfaction and conflict impacts daily relationship quality. Although shared technology use was also a significant predictor, its effects were not robust
Young Children and Screens During COVID-19: Virtual Workshop
No full textYoung Children and Screens during COVID-19. Invited Brandon T. McDaniel, PhD to serve on expert panel (sponsored by the Children and Screens Institute) and discussed issues with screens and young children with audience of over 500 parents and professionals (via Zoom) from 8 countries
Summary:
During the pandemic, is it okay to give my one-year-old a digital device? In place of Pre-K, should I allow my toddler to play online educational video games? How long should I allow my young child to use digital devices? Children and Screens’ Ask the Experts workshop, “Young Children and Screens During COVID-19,” held on April 28, 2020 helps parents make healthy choices for young children’s development and wellbeing during the pandemic. 524 participants registered for this virtual workshop featuring top researchers and clinicians. Children and Screens: Institute of Digital Media and Child Development is the nation’s leading interdisciplinary nonprofit supporting and advancing evidence-based scientific research on technology’s impacts on child health and well-being.
Moderator:
Dimitri A. Christakis, MD, MPH, Editor-in-Chief, JAMA Pediatrics; Director of the Center for Child Health, Behavior and Development, Seattle Children’s Research Institute;
George Adkins Professor of Pediatrics, Adjunct Professor of Psychiatry, and Adjunct Professor of Health Services, University of Washington School of Medicine.
Distinguished Experts:
John S. Hutton, MS, MD, FAAP, Attending Physician, Division of General & Community Pediatrics; Director, Reading & Literacy Discovery Center; Affiliated Faculty, Every Child Succeeds, Cincinnati Children\u27s Hospital; Assistant Professor, University of Cincinnati, Department of Pediatrics
Brandon T. McDaniel, PhD, Research Scientist, Health Services & Informatics Research, Parkview Mirro Center for Research & Innovation
Ellen Wartella, PhD, Sheik Hamad bin Kalifa Al-thani Professor of Communication Studies; Professor of Psychology; Professor of Human Development and Social Policy; Professor of Medical Social Sciences; Director of the Center on Media and Human Development, Northwestern Universit
National Survey of Feeding Tube Verification Practices: An Urgent Call for Auscultation Deimplementation.
No full textBACKGROUND: Harm events such as pneumothoraces and pneumonia continue to be associated with feeding tube insertion. Most bedside verification methods are not accurate to discriminate pulmonary from gastrointestinal system. Evidence-based clinical practice guidelines do not support auscultation of feeding tubes in adults, yet auscultation is the most common method used.
OBJECTIVES: Our survey assessed national feeding tube verification practices used by critical care nurses, including progress in auscultation method deimplementation, and stylet reinsertion and cleansing practices.
METHODS: A national survey of 408 critical care nurses was performed.
RESULTS: The majority performed auscultation (311 of 408 [76%]) to verify feeding tube placement. In the final multivariable model, nursing education, facility type, observation of colleagues performing auscultation, and awareness of an institutional policy were associated with auscultation of feeding tubes. Thirty-five percent used enteral access devices to verify initial feeding tube placement. Stylet cleansing methods were variable; 38% of reinserted stylets were not cleansed.
DISCUSSION: Minimal progress has been made in deimplementation of auscultation in the past 7 years despite passive knowledge dissemination in research articles, clinical practice guidelines, and procedure manuals. Although pH measure is used as a first-line feeding tube verification method in the United Kingdom, it is rarely used in the United States. Clinical practice guidelines should be updated to incorporate new research on enteral access systems.
CONCLUSIONS: Tradition-based practices such as auscultation and certain stylet cleansing methods should be deimplemented. A focused interdisciplinary, multifaceted program is needed to deimplement auscultation practice for adult feeding tubes
A Randomized Control Trial to Compare NPO status against a Specialized Pre-Cardiac Cath Diet
Get PDFThe purpose of this research study is to identify best practice for NPO status prior to a cardiac catheterization through a comparative evaluation. This prospective, randomized control study will evaluate current standard of care NPO guidelines and a specialized pre-cardiac catheterization diet in low-medium risk patients undergoing elective cardiac catheterization.
PI: Carri Woods MBA, MSN, RN; Michelle Wood MSN, RN-BC
Contact: [email protected]; [email protected]
Evaluation of prone positioning in non-intubated patients on improvement in oxygenation
Get PDFThe purpose of awake prone positioning is to improve oxygenation by reducing lung ventilation/perfusion mismatch, promote recruitment of non-aerated dorsal lung regions to optimize ventilations (to prevent intubations).
PI: Jan Powers PhD, RN, CCNS, CCRN, NE-BC, FCCM
Contact: [email protected]
Gastrointestinal Endoscopy in the Era of COVID-19
No full textCoronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), which led to a worldwide pandemic that started in early 2020. Healthcare systems across the world encountered an unprecedented surge of COVID-19 patients resulting in more than half a million deaths globally. COVID-19 has affected multiple sub-specialties and procedure-related fields, including gastroenterology. Gastrointestinal (GI) endoscopy centers are specialized units where thousands of endoscopies are performed annually. A significant proportion of these procedures are affected due to the national and regional lockdowns across the globe. To adapt to this rapidly evolving situation, endoscopy centers have undergone significant changes and have taken unprecedented precautions to avoid the transmission of the virus. However, endoscopy centers are going through financial strain due to a reduction in the number of procedures from lockdowns and fear of virus transmission. Theoretically, endoscopies could add to the disease transmission as SARS-CoV-2 has shown to be present in the GI secretions. Multiple precautions such as mandatory use of face masks, safe distancing, use of barriers between the endoscopists and patients, negative pressure rooms, extended use of personal protective equipment, and volume reduction have been taken to decrease the risk of disease transmission by these centers. Moreover, pre-endoscopy COVID-19 testing has now become the norm. In this review, we highlight the significant changes assumed by the endoscopy center. Furthermore, we discuss cost-related concerns of pre-endoscopy COVID-19 testing, the downtime and delays related to the procedures, and effects of rescheduling. As the pandemic progresses through multiple phases, endoscopy centers should use a dynamic approach to adapt and strive to provide the best patient care
Implementation of order sets for opioid alternatives in community hospital emergency departments.
No full textPURPOSE: The design and implementation of alternatives to opioids (ALTO) order sets for the treatment of acute pain in a community health system\u27s emergency departments are described.
SUMMARY: Healthcare institutions nationwide have incorporated policies and procedures to assist prescribers in the safe and effective management of pain. These adopted approaches may be targeted at mitigating opioid prescribing as well as promoting the optimization of nonopioid analgesics. Institutions that enact innovations and track outcomes may be eligible for reimbursement through the Centers for Medicare and Medicaid Services\u27 Merit-based Incentive Payment System. Emergency departments may monitor implementation progress and outcomes through participation in the American College of Emergency Physician\u27s Emergency Quality Network. Clinical pharmacists were tasked with assisting an institution\u27s emergency departments to create and implement two order sets containing ALTO analgesics and supportive medications for atraumatic headache and general acute pain management. Key steps of order set implementation included collaborative development with emergency department providers, implementation with information services, and the development of provider-focused education by project pharmacists. The implementation of ALTO order sets has set the foundation for expansion of pain control protocols and algorithms within our institution. Furthermore, the approach detailed in this article can be adapted and implemented by other healthcare systems to help reduce opioid prescribing.
CONCLUSION: The implementation of ALTO order sets within an electronic health record can encourage decreased prescribing of opioids for the treatment of acute pain, promote and optimize dosing of nonopioid analgesics, and may augment reimbursement for services in the emergency department
Evaluation of dexmedetomidine use as an adjunctive therapy in the management of alcohol withdrawal syndrome
No full text2020 ASHP Midyear Clinical Meeting / New Orleans, Louisiana / Poster # RP-606
The objective of this medication use evaluation (MUE) was to assess the utilization and outcomes associated with dexmedetomidine in the treatment of alcohol withdrawal syndrom