bluuebunny/crossref_metadata_2025_split huggingface dataset:
Simulation in an Undergraduate Nursing Pharmacology Course: A Pilot Study
Authors: Tinnon Elizabeth , Newton Rebecca 
Published: October 2018

Abstract
This study examined the effectiveness of simulation as a method of teaching pharmacological concepts to nursing students; perceptions of satisfaction with simulation as a teaching strategy were also evaluated. Second-semester juniors participated in three simulations and completed the National League for Nursing Student Satisfaction and Self-Confidence in Learning Questionnaire and the Student Evaluation of Educational Quality Survey; a control group received traditional lectures. A unit exam on anticoagulant therapy content was administered to measure effectiveness. Findings support that simulation is as effective as traditional lecture for an undergraduate pharmacology course.
Using Simulation to Enhance Education in an Obstetrical Nursing Course
Authors: Gray Brooke , Cavner Jackie 
Published: October 2018

Abstract
This pilot study describes the effects of a simulation experience on students’ confidence level and performance in the clinical lab setting. Seven groups of students in an obstetrical rotation participated in a postpartum hemorrhage scenario. Roles were blindly chosen, and interventions were performed and evaluated. The confidence level of the students was assessed prior to and following the simulation. Overall confidence levels increased. The best performances included placing a Foley catheter and inserting an intravenous catheter; the worst performances were documentation and safety.
Assessment of Nursing Students’ Communication Skills
Authors: Abdrbo Amany 
Published: October 2018

Abstract
Communication is vital in all areas of nursing: prevention, treatment, therapy, rehabilitation, education, and health promotion. This descriptive, longitudinal study aimed to assess nursing students’ attitudes toward learning communication skills, perceived importance of nursing communication, and caring efficacy. A self-administered questionnaire was used with a convenience sample to collect data from nursing students and nurse interns. No significant differences over time were found for students’ attitudes toward learning communication skills or perceived importance of communication; interns reported higher scores for caring efficacy. Nursing students need to be strong communicators in clinical practice to deal with patients’ needs, anxieties, and concerns.
Evaluation of Lesbian, Gay, Bisexual, and Transgender Knowledge in Basic Obstetrical Nursing Education
Authors: Echezona-Johnson Chinazo 
Published: October 2018

Abstract

AIM
The purpose of the study was to examine how the lesbian, gay, bisexual, and transgender community (LGBT) population is represented and portrayed in mainstream obstetrical nursing courses, curricula, textbook, and syllabi.

BACKGROUND
Researchers have indicated that LGBT patients are often dissatisfied with their health care experiences because of the limited training received by nursing professionals.

METHOD
This study employed a qualitative, intrinsic case study research method. Qualitative data were collected via document reviews and unstructured interviews with open-ended questions. The data were analyzed by theme analysis and constant comparison.

RESULTS
Data analysis indicated that nurse faculty are not knowledgeable about LGBT obstetrical health issues and how to incorporate LGBT issues into the curriculum.

CONCLUSION
There is a critical need for faculty development on how to infuse information on LGBT content in obstetrics curricula.
Using Simulation and Case Studies Combined to Improve Student Knowledge: A Retrospective Study
Authors: Sarasnick Janice A. , Pyo Katrina A. , Draper Jason 
Published: October 2018

Abstract

AIM
The aim of the study was to examine effects of high-fidelity simulation and computerized case studies in an advanced medical-surgical course.

BACKGROUND
The challenges of coordinating clinical education and desire to utilize innovative methods of teaching were the impetus for course design.

METHOD
A retrospective review compared HESITM specialty exam scores for groups of the newer and former course design. In the newly configured course, students alternated weekly between simulation and computer-assisted case studies and traditional clinical experiences.

RESULTS
Quantitative methods were utilized to analyze data; HESI specialty exam scores were determined to be statistically significantly higher for the groups of the newer design model.

CONCLUSION
Incorporating case studies and high-fidelity simulation on a biweekly basis may be the reason for improved performance.
Interventions for Test Anxiety in Undergraduate Nursing Students: An Integrative Review
Authors: Brodersen Lisa D. 
Published: October 2018

Abstract

AIM
An integrative review was conducted to identify and evaluate interventions for test anxiety (TA) in undergraduate nursing students.

BACKGROUND
Test performance has a major impact on the academic success of nursing students. Therefore, testing is a source of stress and anxiety, which may impair academic performance.

METHOD
A systematic search was conducted to locate peer-reviewed literature about interventions for TA in undergraduate nursing students.

RESULTS
Review of 33 publications dated 1973 to 2014 identified 19 interventions for TA in undergraduate nursing students. Findings included experimental evidence supporting aromatherapy, music therapy, and various cognitive or behavioral interventions. Nonexperimental evidence supporting collaborative testing, crib sheets, and humorous exam items was also found.

CONCLUSION
Many interventions for mitigating TA in nursing students have been evaluated since the 1970s. Current research is needed to corroborate and strengthen the evidentiary support for existing interventions and to evaluate new interventions.
Promoting Simulation Globally: Networking with Nursing Colleagues Across Five Continents
Authors: Alfes Celeste M. , Madigan Elizabeth A. 
Published: October 2018

Abstract
Simulation education is gaining momentum internationally and may provide the opportunity to enhance clinical education while disseminating evidence-based practice standards for clinical simulation and learning. There is a need to develop a cohesive leadership group that fosters support, networking, and sharing of simulation resources globally. The Frances Payne Bolton School of Nursing at Case Western Reserve University has had the unique opportunity to establish academic exchange programs with schools of nursing across five continents. Although the joint and mutual simulation activities have been extensive, each international collaboration has also provided insight into the innovations developed by global partners.
Using YouTube in Teaching Pharmacology to Nursing Students
Authors: Zamora Zelne , Sarpy Nancy , Kittipha Panicha 
Published: October 2018

Abstract
Nursing pharmacology can pose a challenge to nursing students as they learn about different disease processes and interventions. Having students engage in their own learning process aids in the retention of information and gives positive reinforcement for exams. Using YouTube as a part of student group presentations helps students engage in the learning process and learn difficult pharmacological concepts in an alternative classroom setting.
Identifying and Describing Nurse Faculty Workload Issues: A Looming Faculty Shortage
Authors: Bittner Nancy Phoenix , Bechtel Cynthia Francis 
Published: October 2018

Abstract

AIM
The purpose of this project was to address factors contributing to the nurse faculty shortage.

BACKGROUND
There is a demonstrated need to sustain and stabilize faculty currently in the workforce to avoid exacerbating the current and future faculty shortage in nursing. Recommendations of previous studies focus on strategies for recruitment, retention, and ongoing faculty development.

METHOD
A survey was employed to identify and describe the workload of nurse faculty and identify the impact of retirement and other retention issues.

RESULTS
Findings showed an aging and nondiverse nursing faculty with increased and variable workload. There was no standard means of calculating workload. With identification of increased workload, faculty are considering retirement at a higher than projected rate.

CONCLUSION
Four primary areas to address the nursing faculty shortage include focus on diversity balance, development of collaborative positions (joint appointments), and clear identification of nursing faculty workload.
The Impact of Web-Based Video Lectures on Learning in Nursing Education: An Integrative Review
Authors: Wolf Andrew B. 
Published: October 2018

Abstract

AIM
The purpose of this review was to explore what is known about the efficacy of web-based video lectures (WBVLs).

BACKGROUND
Nurse educators have embraced innovations such as online, flipped, and blended learning. Such innovations are enhanced by WBVLs, but there has been limited research on effective design.

METHOD
A systematic search was conducted to identify studies of the efficacy of WBVL in nursing education between 2005 and 2017. An established framework was used to analyze the quality of studies.

RESULTS
Findings from 11 studies revealed that students were satisfied with WBVL as supplement to or replacement for in-person lectures. Studies were hampered by lack of theory, methodological concerns, and an absence of experimental trials.

CONCLUSION
Findings suggest that the efficacy of WBVL may be equivalent to or better than in-person lectures. Future studies should be guided by pedagogical theory and focus on comparing design practices for WBVL.
Sleep Problem Detection and Documentation in Children With Autism Spectrum Disorder and Attention-Deficit/Hyperactivity Disorder by Developmental-Behavioral Pediatricians: A DBPNet Study
Authors: Won Dana C. , Feldman Heidi M. , Huffman Lynne C. 
Published: October 2018

ABSTRACT:

Objective:
To determine the percentage of children with autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), and combined ASD + ADHD who had sleep problems documented by developmental-behavioral pediatricians at diagnostic and follow-up visits at 12 US academic medical centers comprising the Developmental-Behavioral Pediatrics Research Network (DBPNet) and to identify the predictors of sleep problem documentation.

Methods:
Developmental-behavioral pediatricians completed encounter forms that covered sociodemographic, medical, clinician, and visit factors. There was 1 dependent variable, sleep problem documentation, for which 4 definitions were developed (Model 1 = Sleep Disorder coded; Model 2 = Sleep Disorder or polysomnogram coded; Model 3 = Sleep Disorder, polysomnogram, or sleep medication coded; and Model 4 = Sleep Disorder, polysomnogram, sleep medication, or clonidine coded).

Results:
Sleep problem documentation was 14.1% for Model 1, 15.2% for Model 2, 17.3% for Model 3, and 19.7% for Model 4. All values were lower (p < 0.001) than the reported prevalence of sleep problems in these conditions. For Model 4, predictors of sleep problem documentation were age group, ethnicity, medical insurance type, and DBPNet site.

Conclusion:
Developmental-behavioral pediatricians in DBPNet under-reported sleep problems in children with ASD and ADHD. Variation among sites was substantial. Care plans for children with ASD and ADHD should specify which treating clinician(s) monitors sleep issues.
Effects of Early Parent Training on Mother-Infant Feeding Interactions
Authors: Globus Inbal , Latzer Yael , Pshetatzki Oded , Shani Levi Carmit , Shaoul Ron , Elad Iris , Rozen Geila S. 
Published: October 2018

ABSTRACT:

Objective:
This study examined whether professional behavioral and nutritional training for first-time mothers can improve feeding interaction at age 12 months.

Methods:
Participants were 128 mother-infant dyads: 86 in the intervention group and 42 in the control group. The mean mothers' age was 30 years (±2.6). The intervention group received Mother-Infant Feeding Interaction (MI-FI) training: 4 weekly workshops for mothers when infants were aged 4 to 6 months old, followed by internet-based support by a dietitian and social worker until infants reached age 12 months. The control group received municipal well-baby clinic's standard mother-infant support. We assessed the mothers' tolerance to ambiguity and feeding-related reports. Blinded coders evaluated videotaped home mealtime interactions (age 12 months) using the Chatoor Feeding Scale (CFS).

Results:
Significant intergroup differences emerged in mealtime interactions for 4 of the 5 CFS dimensions: dyadic conflict (MI-FI = 4.69 vs control = 8.38), talk and distraction (3.75 vs 4.90), struggle for control (2.30 vs 4.88), and maternal noncontingency (1.61 vs 2.75). Findings indicated significantly more positive mother-infant mealtime interactions and maternal responses to infant cues in the MI-FI group than in the control group.

Conclusion:
Very early maternal training may support the development of more positive mother-infant feeding interactions. This may contribute to preserved internal hunger and satiety cues and improved eating habits.
Recurrent Clostridium difficile infection is associated with treatment failure and prolonged illness in cancer patients
Authors: Abu-Sbeih Hamzah , Choi Kati , Tran Cynthia N. , Wang Xuemei , Lum Phillip , Shuttlesworth Gladis , Stroehlein John R. , Okhuysen Pablo C. , Wang Yinghong 
Published: October 2018

Background
Cancer patients are susceptible to recurrent Clostridium difficile infection (CDI) that is increasing globally, necessitating new approaches to prevent fatal consequences. We examined the clinical characteristics of cancer patients with recurrent CDI (RCDI).

Patients and methods
A retrospective review of cancer patients with C. difficile-positive test between January 2015 and May 2017 was carried out. CDI was defined as diarrhea and toxigenic C. difficile detection in the stool by nucleic acid amplification test and enzyme immunoassay. Patients having two CDI episodes were categorized as single recurrent CDI (SRCDI), and those having three or more CDI episodes were categorized as multiple recurrent CDI (MRCDI). Treatment failure was defined as the requirement of antimicrobial alteration or repetition.

Results
We included 170 patients having 270 CDI episodes; 85 patients had non-RCDI, and 85 had RCDI; 14 of them had MRCDI. Previous hospitalization and immunosuppressant use were more frequent in MRCDI group than in SRCDI group (P=0.009 and 0.002, respectively). Physicians treated more SRCDI episodes than MRCDI episodes with metronidazole alone (P=0.017), whereas, more MRCDI episodes needed combination antimicrobials (P=0.072). The mean duration of CDI treatment was longer in the MRCDI group than in the SRCDI group (P=0.030). MRCDI was associated with treatment failure more than SRCDI (P=0.021). The risk for a recurrent episode of CDI was increased in patients who had the following features of the first CDI episode: previous use of antibiotic, NSAID, immunosuppressant, chemotherapy, comorbidities, CDI treatment failure, and severe CDI (P<0.05).

Conclusion
Risk factors for RCDI in cancer patients are similar to those without cancer, with the exception of chemotherapy that is only given to cancer patients. Long CDI treatment and CDI treatment failure are associated with MRCDI.
Evidence for the Quadruple Aim
Authors: Rathert Cheryl , Williams Eric S. , Linhart Hillary 
Published: October 2018

Background:
Experts express concern that attaining of the Triple Aim of reducing health care costs, improving patient experiences and ultimately population health, may be compromised by high levels of burnout among physicians. Some have called for a fourth aim of improving the work environment for care providers.

Objectives:
Burnout has been linked to poor outcomes in many occupational settings. This study’s aim was to investigate linkages between physician burnout and patient outcomes through a systematic review of the literature.

Research Design:
Systematic search of 3 databases using Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. In total, 1201 articles were reviewed, and 28 were included in the final analysis. Studies needed to be empirical, measure physician burnout as a predictor, and include patient outcome measures.

Measures:
The majority of studies were cross-sectional and measured patient outcomes via physician perception self-reports (n=14). Five studies reported clinical measures (quality, errors), and 9 included patient ratings of their care.

Results:
Studies using self-reports of suboptimal quality and errors found that physicians higher in burnout consistently reported worse quality, yet studies linking burnout to independent clinical outcomes found no relationships. Similarly, burnout was related to lower patient ratings of care, but when specific behaviors were rated there was no relationship.

Conclusions:
Although the interest in burnout’s effects is strong, the lack of rigorous empirical studies examining patient outcomes is problematic. Future research should develop and test causal models to better understand which domains of patient care are influenced by physician burnout.
Assessing the Impact of Body Mass Index Information on the Performance of Risk Adjustment Models in Predicting Health Care Costs and Utilization
Authors: Kharrazi Hadi , Chang Hsien-Yen , Heins Sara E. , Weiner Jonathan P. , Gudzune Kimberly A. 
Published: October 2018

Background:
Using electronic health records (EHRs) for population risk stratification has gained attention in recent years. Compared with insurance claims, EHRs offer novel data types (eg, vital signs) that can potentially improve population-based predictive models of cost and utilization.

Objective:
To evaluate whether EHR-extracted body mass index (BMI) improves the performance of diagnosis-based models to predict concurrent and prospective health care costs and utilization.

Methods:
We used claims and EHR data over a 2-year period from a cohort of continuously insured patients (aged 20–64 y) within an integrated health system. We examined the addition of BMI to 3 diagnosis-based models of increasing comprehensiveness (ie, demographics, Charlson, and Dx-PM model of the Adjusted Clinical Group system) to predict concurrent and prospective costs and utilization, and compared the performance of models with and without BMI.

Results:
The study population included 59,849 patients, 57% female, with BMI class I, II, and III comprising 19%, 9%, and 6% of the population. Among demographic models, R
2 improvement from adding BMI ranged from 61% (ie, R
2 increased from 0.56 to 0.90) for prospective pharmacy cost to 29% (1.24–1.60) for concurrent medical cost. Adding BMI to demographic models improved the prediction of all binary service-linked outcomes (ie, hospitalization, emergency department admission, and being in top 5% total costs) with area under the curve increasing from 2% (0.602–0.617) to 7% (0.516–0.554). Adding BMI to Charlson models only improved total and medical cost predictions prospectively (13% and 15%; 4.23–4.79 and 3.30–3.79), and also improved predicting all prospective outcomes with area under the curve increasing from 3% (0.649–0.668) to 4% (0.639–0.665; and, 0.556–0.576). No improvements in prediction were seen in the most comprehensive model (ie, Dx-PM).

Discussion:
EHR-extracted BMI levels can be used to enhance predictive models of utilization especially if comprehensive diagnostic data are missing.
Interventions to Improve Maternal-Infant Relationships in Mothers With Postpartum Mood Disorders
Authors: Lindensmith Rebekah 
Published: October 2018

Abstract

Introduction:
During the postpartum period, women may have changes in their mental health and experience postpartum mood disorders. Postpartum depression (PPD) is an especially prevalent postpartum mood disorder, affecting 10% to 15% of new mothers. Although PPD has detrimental effects on women's health, it can also affect maternal–infant attachment, bonding, and interaction, which influence the maternal–infant relationship and can lead to poor outcomes for infants later in life. The purpose of this review is to identify effective strategies for improving the maternal–infant relationship for mothers with postpartum mood disorders.

Methods:
A literature search was conducted via three databases: PubMed, Cochrane Library, and Medline using key search terms. A total of 1,347 articles were scanned to determine their relevance; 19 articles were selected for review. Inclusion criteria included articles in English that focused in the postpartum period and measured outcomes related to the maternal–infant relationship.

Results:
Infant massage appears to benefit the maternal–infant relationship, whereas psychotherapy and education had mixed results. Pharmacological interventions were not found to improve maternal–infant relationships. Family involvement was shown to improve infant attachment, but not the maternal–infant relationship.

Clinical Implications:
Nurses should be aware of the importance of including interventions targeted at improving the maternal–infant relationship for women with postpartum mood disorders, especially PPD. However, data are limited, thus more research is needed to develop evidence-based strategies that can be implemented to support women experiencing postpartum mood disorders and their infants.
A 7-Day-Old Male Infant With Carbon Monoxide Poisoning Treated With Hyperbaric Oxygen
Authors: Turan Caner , Yurtseven Ali , Baki Beyter Mehmet , Saz Eylem Ulas 
Published: October 2018

Objective
Children are presented with an unknown intoxication at emergency department (ED) after carbon monoxide (CO) poisoning. Although CO poisoning is well defined in the adult literature, little information exists regarding CO poisoning in childhood, especially in infants. The only diagnostic test for CO poisoning is elevation of the carboxyhemoglobin level in the blood.

Case
We report the second youngest neonate in literature who was severely poisoned by CO and treated with hyperbaric oxygen at the ED. He present to the ED with fussiness and feeding difficulty. Upon arrival, he was lethargic, hypotonic, and crying weak. He had a high carboxyhemoglobin measurement, and the levels of cardiac markers elevated. He was treated with hyperbaric oxygen and discharged a good clinical condition.

Conclusions
If there is a baby with unexplained neurologic symptoms and signs, CO poisoning should be considered in the differential diagnosis. Early diagnosis and treatment prevent complications and sequelaes.
Seizures, Meds, and Vtach
Authors: Fitzgerald David P. , Das Srikant , Malone Matthew P. , Holland B. Shane , Schexnayder Stephen M. 
Published: October 2018

Abstract
Sudden cardiac arrest of cardiac etiology is rare in children and adolescents and most often occurs with exertion. Conversely, syncope is a common pediatric emergency department complaint but rarely is associated with a serious underlying cardiac disorder. This report describes a case of the channelopathy Brugada syndrome (BrS) as a cause of sudden cardiac arrest in a febrile preadolescent child taking medications known to affect cardiac conduction. The patient received cardiopulmonary resuscitation and was successfully defibrillated. Initial electrocardiogram (ECG) demonstrated findings consistent with BrS. Confirmatory electrophysiologic testing was performed, and an implantable cardiac defibrillator was placed. Pediatric emergency specialists must recognize both the importance of ECG in the workup of syncope and be familiar with the specific ECG findings suggestive of BrS. Ventricular arrhythmias that occur at rest should raise the suspicion of this genetic cardiac channelopathy, regardless of age.