37 research outputs found
To Provide Higher Education Students with an Understanding of the History and Place of the Advanced Afghan Rubab
No full textAfghan rubab is widespread among the Uzbek and Tajik peoples in countries such as Afghanistan, India, Pakistan, Egypt, China, as well as in Central Asia. It is loved in the Fergana Valley, and it is difficult to determine where the Afghan rubab came from, as it is described differently in different sources. In this article, the author provides students with insights into the history and origins of the advanced «Afghan rubab»based on sources
Developmental Surveillance and Screening Practices By Pediatric Primary Care Providers
No full textThis study used a survey approach to investigate current developmental surveillance and developmental screening practices by pediatric primary care providers in a diverse New Jersey county. A total of 217 providers were contacted with a final sample size of 57 pediatric primary care respondents from 13 different municipalities. Most providers (73.7%) began developmental surveillance at the first non-hospital health supervision visit, usually at ages three to five days of life. About half (51.8%) of responding providers did surveillance and/or screening at all health encounters, while the remaining providers (48.2%) did surveillance and/or screening at only well child visits. The majority (63.6%) of providers report using a formal tool for developmental screening. There was variation in the particular developmental tool used for screening which included the use of both standardized formal and non-standardized, informal tools. Disparities in practice were associated with the patient’s type of insurance, age at surveillance and/or screening initiation, and the time frame of surveillance and screening. Implications for early intervention practice are discussed.Do not know embargo policyPeer reviewe
Rapid response teams: activating nurses’ call recognition and perceptions on team performance
No full textPurpose of the Project: The aims were to (a) examine activating nurses’ perceptions about the performance of the rapid response team (RRT), and (b) identify factors leading to call recognition at a local community hospital. The objective was to implement a RRT evaluation tool recommended by the Institute for Healthcare Improvements that documents perceptions of the activating nurses on RRT performance and factors related to call recognition among activating nurses at the selected site. Methodology: This was a quality improvement (QI) project. An RRT evaluation tool was used to collect qualitative and quantitative data from activating nurses on a non-critical care unit to evaluate the RRT program at the selected site. Descriptive statistics were used to analyze quantitative data, while a thematic analysis was conducted on the qualitative data collected. The Plan-Do-Study-Act model guided the project. Results: 22 nurses completed 25 RRT evaluation tools over 6 weeks. No statistical significance was found between shift and reason for calling. Night shift (n=16; 64%) had more RRT activations and cardiac (n=14, 56%) complaints were the highest reason for calling. Activating nurses were most satisfied with the professional response of the RRT to the activation (n=20, 80%), however, most did not find the RRT activation a learning opportunity (n=11, 44%). Thematic analysis of the qualitative data uncovered 4 themes, including (a) policy, (b) RRT interventions, (c) communication, and (d) delays in treatment. Implications for Practice: The findings from this project can inform rapid response programs to improve patient outcomes.D.N.P.Includes bibliographical reference
Implementing a determinants of health screening and referral process at an urban OBGYN clinic: a quality improvement project
No full textPurpose of Project: Social determinants of health (SDoH) are key factors influencing an individual's well-being, including where they live, learn, play, and work. This quality improvement project aimed to identify and address SDoH by implementing the HealthLeads screening tool in an OBGYN center.
Methodology: Staff received training on a simplified process to refer patients using a resource packet developed by the co-PI. The packet contained resources for eight SDoH, including food insecurity, utility disconnection, housing instability, childcare, transportation, financial hardship, health literacy, and home safety. The patient's data was gathered from the screening tool, and provider data from staff surveys using a six-question Likert-type questionnaire.
Results: A total of 61 patients were screened. Of these patients, 16% (n=10) were identified with unmet needs. A third, 30% (n=3) of cases were successfully referred to community resources. Common SDoH identified included financial issues and difficulty reading hospital materials. Most patients with unmet needs were Spanish-speaking, and all were aged 20-35, with the father of the baby being involved. Providers were pleased with the screening and referral process but suggested transitioning to an electronic process and providing the tool in additional languages to improve sustainability
Implications for Practice: Screening for SDoH during the prenatal visit is feasible and can increase the detection of unmet needs and successful referrals to community resources, resulting in more comprehensive care. Implementing a condensed packet of community resources allowed patients to quickly and efficiently access the aid they needed. Overall, this quality improvement project demonstrated the vital role of addressing social determinants of health when providing comprehensive care in an OBGYN center.D.N.P.Includes bibliographical reference
Effectiveness of workplace violence prevention against ED nurses: a mixed methods systematic review with knowledge translation
No full textPurpose of Project: This project aimed to synthesize and translate available data on the effect of workplace violence (WPV) training for ED nurses on nursing perception and confidence with handling WPV. The types of training methods we sought to compare were traditional in-person education versus simulation training.
Methods: This review systematically searched Rutgers Libraries databases CINAHL, PubMed, and MEDLINE (Ovid). Two reviewers independently assessed studies for inclusion. Data were extracted by both reviewers and discrepancies were resolved through discussion.
Results: The meta-analysis yielded four overarching findings: efficacious outcomes of in-class WPV prevention training, stronger relationships, in-class simulation offers role clarity, and participants calling for more than one training session. Quantitative nursing confidence related to the exposure of WPV prevention training was measured with pooled odds ratio using a random effects model. The overall odds of 0.31 (95% CI 0.22, 0.44; p = <0.001) was statistically significant, meaning that nurses who participated in WPV prevention training had 0.31 times the odds of having more confidence when faced with WPV compared to nurses without exposure to WPV prevention training.
Implications: Based on the findings of this review, it is recommended hospital emergency departments implement traditional classroom-style education followed by simulation training multiple times annually to improve nursing confidence with handling WPV. This review can serve as the basis of a call to action for implementation of WPV training for ED nurses at the local, state, and national level.D.N.P.Includes bibliographical reference
Pictograms to improve antihypertensive medication adherence among patients with chronic kidney disease in a clinic setting
No full textPurpose of the Project. The purpose of the project was to implement pictograms to supplement textual and verbal instructions/information among patients with CKD to improve medication adherence in a clinic setting.
Methodology. A quality improvement, practice change pilot study was conducted in a private Nephrology and Hypertension clinic. The validated Hill-Bone Scale, a medication adherence Likert type scale, was administered to assess self-reported antihypertensive medication adherence among sixty-four CKD patients. Thirteen patients were identified as non-adherent and were referred for a medication review. Pictograms were used to supplement textual and verbal medication instructions and information during medication review. The thirteen identified nonadherent patients completed the Hill-Bone Scale again at the conclusion of the study period. Related-Samples Wilcoxon Signed Rank Test was used to measure changes in adherence.
Results. The results showed an improvement in antihypertensive medication adherence among CKD patients using the pictograms.
Implications for Practice. Medication nonadherence is a global health concern among patients with chronic health conditions such as chronic kidney disease (CKD), a long-term complication of hypertension. Medication nonadherence is associated with increased mortality and morbidity, and high healthcare costs. Literature suggests that the best approach to increasing medication adherence is combining evidence-based strategies and emerging practices that use an approach that is patient-centered with emphasis on the patient's ability to understand medication information and to follow instructions not only through textual and verbal but also visual cues.
D.N.P.Includes bibliographical reference
Evaluation of the impact of temporary housing and social work assistance to address social determinants on hospital readmission rates
No full textPurpose: This project assessed the impact of a motel voucher assistance program on hospital readmission rates at 30-and 90-days after initial discharge as well as the staff’s perceived barriers to the program for improvement of patient outcomes.
Methods: This program evaluation was completed through retrospective chart reviews of patients who received the voucher in 2019 and were homeless at the time of discharge. An anonymous staff survey was distributed to clinic staff to assess program satisfaction and perceived barriers. Data was analyzed to report back to stakeholders and formal recommendations were developed.
Results: Nearly half of the patients who were homeless and provided with a motel voucher returned to the hospital within 30 days of discharge and 25% returned at both 30- and 90-days after their initial discharge. The top primary admission was cardiac related and subsequent admission or ER visit diagnosis was categorized as other. Staff identified that lack of resources and absence of a standardized workflow places the multidisciplinary care team at a disadvantage to address all the needs of homeless patients.
Implication on practice: Patients experiencing homelessness face many challenges that impact their overall health status. Advance practice providers must assess and consider the impact of SDOH on patients’ outcomes. Further interventions or programs should be evaluated to develop strategic plans to assist homeless patients.D.N.P.Includes bibliographical reference
Promoting physical activity among undergraduate nursing students during their medical-surgical rotation
No full textPurpose: Poor physical activity can often lead to chronic diseases such as obesity, diabetes mellitus, cardiovascular disease, and metabolic disorders. Busy lifestyles and high stress levels observed among undergraduate student nurses often lead to poor maintenance of one’s physical health. This apparent problem of weight gain within nursing academia prompts our exploration of potential quality improvement strategies to counter this issue in nursing health and society.
Methodology: This study aims to develop a self-care regimen that includes regular physical activity, establish the feasibility of such an intervention, and implement it among a small sample group of ten students enrolled in an RN program in New Jersey. The intervention will include periodic participant interviews, diary entries, and physical fitness measurement (weight, BMI, and waist circumference) over the course of a typical 12-week term.
Results: By the end of the study, using participant interviews as well as quantitative data, we will gain a more complete understanding of the benefits and drawbacks of officially promoting a physical fitness regimen as part of a student nurse’s coursework.
Implications for Practice: This evaluation will provide new perspective on the mental health benefits and drawbacks of taking time for promoted physical activity while enrolled in coursework and simultaneously occupied by all of life’s responsibilities. By potentially improving nurses’ physical and mental health, we can hope to also make an impact on people with whom they work everyday and the practice as a whole.DNPIncludes bibliographical reference
Effectiveness of workplace violence prevention against ED nurses: a mixed methods systematic review with knowledge translation
No full textPurpose of Project: This project aimed to synthesize and translate available data on the effect of workplace violence (WPV) training for ED nurses on nursing perception and confidence with handling WPV. The types of training methods we sought to compare were traditional in-person education versus simulation training.
Methods: This review systematically searched Rutgers Libraries databases CINAHL, PubMed, and MEDLINE (Ovid). Two reviewers independently assessed studies for inclusion. Data were extracted by both reviewers and discrepancies were resolved through discussion.
Results: The meta-analysis yielded four overarching findings: efficacious outcomes of in-class WPV prevention training, stronger relationships, in-class simulation offers role clarity, and participants calling for more than one training session. Quantitative nursing confidence related to the exposure of WPV prevention training was measured with pooled odds ratio using a random effects model. The overall odds of 0.31 (95% CI 0.22, 0.44; p = <0.001) was statistically significant, meaning that nurses who participated in WPV prevention training had 0.31 times the odds of having more confidence when faced with WPV compared to nurses without exposure to WPV prevention training.
Implications: Based on the findings of this review, it is recommended hospital emergency departments implement traditional classroom-style education followed by simulation training multiple times annually to improve nursing confidence with handling WPV. This review can serve as the basis of a call to action for implementation of WPV training for ED nurses at the local, state, and national level.D.N.P.Includes bibliographical reference
Melanoma education for nail technician
No full textPurpose of the Project: Skin cancers are treatable and curable when detected early. Cosmetologists are an untapped resource who can assist in the early detection of skin cancer. This DNP project was developed to demonstrate the usefulness of educating nail technicians about skin cancer screening and recommendations to seek healthcare providers.
Methodology: This pilot project is a quasi-experimental, one group, pretest posttest study provided an educational session for nail technicians to teach them to scan their clients for suspicious skin lesions of melanoma. Five nail technicians at a privately owned nail salon in New Jersey were recruited to participate in this study. They received a 30-minute educational session. Questionnaires were given to all participants before, immediately after and 6 weeks after the educational session to evaluate the change in their knowledge. Additionally, participants completed a client interaction log to document the results of their client skin cancer screenings and recommendations to visit healthcare providers.
Results: Five nail technicians participated in the educational intervention but only two nail technicians filled out the questionnaires. Both participants increased their knowledge on the post- test. Within the 6-week period, the two participants saw a total of 318 clients; one client (0.31%) was found to have an abnormal skin lesion.
Implications: Findings suggests that nail technicians can learn to scan their client’s skin for suspicious skin lesions as part of their normal nail services. Integrating identification of abnormal lesions into cosmetology programs will provide another opportunity to detect early stages of melanoma.D.N.P.Includes bibliographical reference
