bluuebunny/crossref_metadata_2025_split huggingface dataset:
Using the NLN/Jeffries Simulation Framework
Authors: Irwin Ruth E. 
Published: October 2018

Abstract
Literature reporting the evaluation of simulations for design characteristics is practically nonexistent. The Simulation Design Scale was used to evaluate the effect of time in simulation with 81 associate degree nursing students. Students completed the scale after participation in either a two-hour or four-hour nursing process simulation. As time in simulation increased, independent t-test results for the importance of elements were significant (p = .03): Objectives and Information (p = .002) and Fidelity (p = .017). Scenarios written by nurse educators need to be evaluated for design characteristics, and results need to be reported.
Revisiting the “Nurse Educator Self-Evaluation”
Authors: Kalb Kathleen A. , Skay Carol L. 
Published: October 2018

Abstract
Using standards of practice to prepare nurse educator students is essential to promote faculty role competence and excellence in nursing education. The purpose of this study was to determine the self-reported knowledge and skills of nurse educator students using the Nurse Educator Self-Evaluation (NESE), a researcher-developed instrument based on the National League for Nursing Core Competencies of Nurse Educators. The NESE was administered to all nurse educator students at the beginning and end of the program. Data analysis using descriptive statistics showed significantly higher scores at the end of the program compared for student knowledge and skills ratings for all task statements.
Flipped Classroom Versus Traditional Lecture
Authors: Holman Rieneke , Hanson Alexandra D. 
Published: October 2018

Abstract
Exam scores, final grade averages, and course evaluations were compared for traditional lecture and flipped classroom models in two undergraduate nursing courses. Half of the exam score averages were higher for the flipped model. Although most course evaluations indicated an insignificant preference for the traditional lecture model, students perceived several advantages of the flipped model, including enhanced instructor-student interactions, improved preparation, and increased learning. Perceived disadvantages were minor and usually included technical problems and preparation time.
Using National Measures of Patients’ Perceptions of Health Care to Design and Debrief Clinical Simulations
Authors: Eisert Shelly L. , Bartlett Ellis Rebecca J. , Geers Jennifer W. , Werskey Karen L. 
Published: October 2018

Abstract
This article describes an innovative approach to using national measures of patients' perspectives of quality health care. Nurses from a regional simulation consortium designed and executed a simulation using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey to prepare nurses to improve care and, in turn, enhance patients' perceptions of care. The consortium is currently revising the reporting mechanism to collect data about specific learning objectives based on national quality indicator benchmarks, specifically HCAHPS. This revision reflects the changing needs of health care to include quality metrics in simulation.
Benefits of Simulation and Role-Playing to Teach Performance of Functional Assessments
Authors: Trail Ross Mary Ellen , Otto Dorothy A. , Stewart Helton Anne 
Published: October 2018

Abstract
The use of simulation is an innovative teaching strategy that has proven to be valuable in nursing education. This article describes the benefits of a simulation lab involving faculty role-play to teach baccalaureate nursing students how to properly assess the functional status of older adults. Details about the simulation lab, which involved functional assessments of two elderly community-dwelling residents, are presented, along with student and faculty evaluations of this teaching modality.
Nursing Student Perceptions of Structural Empowerment
Authors: Moore Shelley C. , Ward Karen S. 
Published: October 2018

Abstract
To meet role expectations for nurses, nurses must feel empowered. Faculty contributions to the learning environment for nursing students are critical. A descriptive analysis of student perceptions of empowerment within the learning environment was conducted using a form of Kanter’s Conditions of Work Effectiveness Questionnaire; 203 participants from schools in 17 different states completed surveys. Subjects demonstrated moderate degrees of structural empowerment in their learning environment. This positive finding can be further investigated and used to fully prepare future nurses.
A Literature Review of Research on What Has Become of Accelerated Second-Degree Baccalaureate Nursing Graduates
Authors: Schwartz Joanne , Gambescia Stephen F. 
Published: October 2018

Abstract

BACKGROUND
Accelerated second-degree baccalaureate nursing (ASDBN) programs have become popular in the United States as a solution to meet the demand for BSN nurses. The research conducted on ASDBN graduates is limited and focuses on educational experience or early career outcomes, such as NCLEX-RN pass rates or first-year job performance.

AIM
This research is designed to provide a better understanding of the status of ASDBN graduates two years after completion of the BSN program.

METHOD
A literature review was conducted focusing on research into ASDBN graduates beyond their student experiences or early significant career events or outcomes.

RESULTS
Surprisingly, only two articles met the interest criteria used in this literature review.

CONCLUSION
There are clear and significant gaps in areas that examine ASDBN graduates beyond the immediate postgraduation period.
Traditional and Accelerated Baccalaureate Nursing Students’ Self-Efficacy for Interprofessional Learning
Authors: Durkin Anne E. , Feinn Richard S. 
Published: October 2018

Abstract

AIM
The aim of the study was to examine self-efficacy among traditional and accelerated nursing students with regard to interprofessional learning.

BACKGROUND
The World Health Organization and other organizations recognize the need for interprofessional education to prepare health care providers for collaborative practice. Graduates of baccalaureate nursing programs require competence in interprofessional collaboration and communication.

METHOD
Traditional (n = 239) and accelerated (n = 114) nursing students' self-efficacy was measured utilizing Mann et al.’s Self-Efficacy for Interprofessional Experiential Learning Scale.

RESULTS
Accelerated students averaged significantly higher than traditional students on the interprofessional team evaluation and feedback subscale (p = .006) and overall self-efficacy (p = .041).

CONCLUSION
Awareness of possible differences between traditional and accelerated nursing students with regard to self-efficacy may help faculty develop effective interprofessional learning experiences for students in each cohort. Although results cannot be generalized, findings from this study provide evidence to guide the selection of learning strategies.
Implementation of Best Practices in Simulation Debriefing
Authors: Rojas Deborah E. , Parker Carlo Guy , Schams Kristin Anne , McNeill Jeanette A. 
Published: October 2018

Abstract
This article describes how one school of nursing responded to the need to educate faculty in the pedagogy of simulation debriefing and how the International Association for Clinical Simulation and Learning Standard VI was implemented. Thirty faculty received training and were evaluated using the Debriefing Assessment for Simulation in Healthcare tool. Lessons learned and examples of student feedback are shared. Plans for future work are also described.
Using Active Learning to Foster Patient Safety Knowledge, Perceived Skills, and Attitudes in Baccalaureate Nursing Students
Authors: Marchi Nadine M. , Dolansky Mary 
Published: October 2018

Abstract
The purposes of this study were to evaluate safety active learning approaches with baccalaureate nursing students and to examine differences between students with and without nursing assistant experience. The approaches evaluated were patient safety modules, making a safety poster, and planning/attending a safety conference. Using a pretest/posttest design, students’ patient safety knowledge, perceived safety skills, and attitudes were evaluated with the Healthcare Professional Patient Safety Assessment Curriculum Survey (HPPSACS). Findings suggested that employment as a nurse assistant had a significant effect on posttest HPPSACS scores.
A 3D App for Teaching Nursing Students ECG Rhythm Interpretation
Authors: Holthaus Abbey , Wright Vivian H. 
Published: October 2018

Abstract
The purpose of this study was to determine the effectiveness of a three-dimensional application on nursing students’ electrocardiogram (ECG) level of knowledge as evidenced by exam performance. Nurse educators must prepare future nurses to competently identify ECG rhythms. As the current classroom environment often lacks application and practice opportunities, students may struggle with ECG rhythm identification at the bedside. An identical 10-item pretest and posttest was used for this quasiexperimental research study. Dependent t-tests and an independent t-test were used for statistical analysis.
Sitting Time: An Increasing Heath Risk Among Nurse Educators
Authors: Main M. Eve , Garrett-Wright Dawn , Sturgeon Lizbeth P. , Jones M. Susan , Blackburn Donna S. 
Published: October 2018

Abstract
Prolonged sitting time (ST) is a distinct risk factor for early mortality and cardiovascular disease. The purpose of this descriptive correlational study was to examine ST and health of Kentucky nurse educators. The written survey included demographic items, general health items, and ST. Total average ST was 10.8 hours (workdays) and 8 hours (non-workdays). There was no relationship between body mass index and ST; however, the medication used to treat hypertension and hypercholesterolemia was associated with increased ST. Nurse educators are at risk for negative health effects of prolonged ST, and effective interventions are imperative.
Nursing Doctoral Faculty Perceptions Related to the Effect of Increasing Enrollments on Productivity
Authors: Smeltzer Suzanne C. , Sharts-Hopko Nancy C. , Cantrell Mary Ann , Heverly Mary Ann , Jenkinson Amanda 
Published: October 2018

Abstract
Nursing faculty teaching in research and clinical doctoral programs participated in a national survey study to examine the impact of expanded doctoral enrollments on the doctoral faculty’s scholarly productivity. They were invited to respond to an open-ended question soliciting information not already addressed in the survey. Results of the analysis are reported here. Findings corroborated the review of literature and results of the survey and focus groups that provided the basis for the survey’s development. Current workloads may be unsustainable, jeopardizing the profession’s response to Institute of Medicine recommendations.
Exploring Nurse Faculty Incivility and Resonant Leadership
Authors: Casale Katherine R. 
Published: October 2018

Abstract

AIM
The purpose of this quantitative correlational study was to explore the relationship between the frequency of interfaculty incivility among nurses in academia and observed levels of resonant leadership of immediate supervisors.

BACKGROUND
Despite mandates to address incivility in health care, nurse faculty report high levels of horizontal incivility among their peers. No known quantitative research has measured the relationship between nurse faculty-to-faculty incivility and resonant leadership traits of leaders.

METHOD
Nursing faculty from 17 universities (n = 260) were emailed an anonymous link to answer survey questions about horizontal peer incivility and leaders’ management styles.

RESULTS
There was a significant inverse relationship (Pearson’s r, −.560) between the frequency of experienced faculty-to-faculty incivility and the level of observed resonant leadership behaviors of participants’ immediate supervisors.

CONCLUSION
Resonant supervisory behaviors inversely correlated with nurse faculty peer incivility, with potential to impact satisfaction, recruitment, and retention.
Mentoring and Development Resources Available to New Doctorally Prepared Faculty in Nursing
Authors: Agger Charlotte A. , Lynn Mary R. , Oermann Marilyn H. 
Published: October 2018

Abstract

AIM
This study examined faculty mentoring practices and strategies currently in place in nursing programs.

BACKGROUND
Mentoring is a critical component of organizations and can be especially important in times of organizational change. Schools of nursing are experiencing rapid organizational shifts with increases in retirement and the proliferation of Doctor of Nursing Practice-prepared faculty.

METHOD
Deans and department chairs of baccalaureate and higher degree programs across the United States participated in a web-based survey.

RESULTS
Results from the survey suggested that the vast majority of nursing programs had practices and strategies aimed at mentoring faculty that were based on the traditional mentor-protégé approach. Few programs differentiated their mentoring practices depending on the type of doctoral education or anticipated roles of the faculty member.

CONCLUSION
Our research highlights the fact that nursing programs still employ traditional methods of faculty mentoring. Recommendations for nursing programs are discussed.
Effectiveness of Two Varying Levels of Virtual Reality Simulation
Authors: Smith Sherrill J. , Farra Sharon L. , Ulrich Deborah L. , Hodgson Eric , Nicely Stephanie , Mickle Angelia 
Published: October 2018

Abstract

AIM
The aim of the study was to assess two levels of immersive virtual reality simulation (VRS) to teach the skill of decontamination.

BACKGROUND
Little is known about the use of VRS in providing disaster education, including retention.

METHOD
Quasiexperimental design with repeated measures, supplemented by qualitative data, using a convenience sample of senior baccalaureate nursing students (n = 197) from four Midwest campuses was used. Students were randomly assigned to a group (two levels of immersive VRS and a control group) to learn the skill of decontamination. Cognitive learning, performance, and performance time were measured pre/post and at six months.

RESULTS
Outcome measures were significant with immediate postintervention improvements and lower retention scores at six months. No significant differences were noted between groups. Students were satisfied with the VRS but found immersive VRS more interactive.

CONCLUSION
VRS provides another alternative for simulated learning experiences; best practice approaches for its use still need to be explored.
Feasibility and Outcomes Associated With the Use of 2.6-Fr Double-Lumen PICCs in Neonates
Authors: O'Malley Christine , Sriram Sudhir , White Melissa , Polinski Carol , Seng Carolyn , Schreiber Michael D. 
Published: October 2018

Background:
Low birth-weight infants' survival continues to improve and there is increased need to provide secure vascular access. This study examines safety of larger peripherally inserted central catheters (PICCs) that offer greater utility.

Purpose:
To determine feasibility of 2.6-French (Fr) double-lumen PICCs in newborns and compare noninfectious complications such as thrombus formation, catheter breakage, infiltration, and accidental dislodgment and central line–associated bloodstream infection (CLABSI) rate with that of newborn infants treated with 1.9-Fr single- and double-lumen PICCs.

Methods:
Infants requiring PICCs were admitted in our 69-bed level IV neonatal intensive care unit from September 2006 to May 2015. Two distinct groups were compared: the 1.9-Fr—(single-lumen [n = 105] and double-lumen [n = 27])—and 2.6-Fr double-lumen PICCs (n = 111). Data obtained included birth weight and weight at insertion, gestational age at birth and corrected gestation age at insertion, indication, catheter days, indication for removal, and complications: noninfectious and infectious. Univariate and multivariate statistical analysis evaluated data.

Results:
There were no differences regarding gestational age at birth and insertion and indications for placement of 2.6-Fr double-lumen (n =111) and 1.9-Fr both single- and double-lumen (n = 132) PICCs. The same was noted between the groups' complications. Noninfectious complications were more common in PICCs with peripheral tip location in all groups.

Implications for Practice:
Consider use of 2.6-Fr PICCs in a neonatal intensive care unit when the utility of blood administration and sampling is required.

Implications for Research:
Examine line migration and CLABSI associated with sampling and blood administration.
Circulating Cell-Free DNA—Diagnostic and Prognostic Applications in Personalized Cancer Therapy
Authors: Oellerich Michael , Schütz Ekkehard , Beck Julia , Walson Philip D. 
Published: October 2018

Abstract:
Genomic analyses in oncologic care allow for the development of more precise clinical laboratory tests that will be critical for personalized pharmacotherapy. Traditional biopsy-based approaches are limited by the availability of sequential tissue specimens to detect resistance. Blood-based genomic profiling (“liquid biopsy”) is useful for longitudinal monitoring of tumor genomes and can complement biopsies. Tumor-associated mutations can be identified in cell-free tumor DNA (ctDNA) from patient blood samples and used for monitoring disease activity. The US Food and Drug Administration approved a liquid biopsy test for EGFR-activating mutations in patients with non–small-cell lung cancer as a companion diagnostic for therapy selection. ctDNA also allows for the identification of mutations selected by treatment such as EGFR T790M in non–small-cell lung cancer. ctDNA can also detect mutations such as KRAS G12V in colorectal cancer and BRAF V600E/V600K in melanoma. Chromosomal aberration pattern analysis by low-coverage whole genome sequencing is a new, broader approach. Genomic imbalances detected in cell-free DNA (cfDNA) can be used to compute a copy number instability (CNI) score. In clinical studies, it was demonstrated that the change in CNI score can serve as an early predictor of therapeutic response to chemotherapy/immunotherapy of many cancer types. In multivariable models, it could be shown that the CNI score was superior to clinical parameters for prediction of overall survival in patients with head and neck cancer. There is emerging evidence for the clinical validity of ctDNA testing regarding identification of candidates for targeted therapies, prediction of therapeutic response, early detection of recurrence, resistance mutation detection, measuring genetic heterogeneity, tumor burden monitoring, and risk stratification. Improvement of sensitivity to detect tumors at very early stages is difficult due to insufficient mutant DNA fraction of ≤0.01%. Further developments will include validation in prospective multicenter interventional outcome studies and the development of digital platforms to integrate diagnostic data.
Differences in Hospitalizations Between Fee-for-Service and Medicare Advantage Beneficiaries
Authors: Ndumele Chima D. , Elliott Marc N. , Haviland Amelia M. , Burkhart Q , Orr Nate , Gaillot Sarah , Cleary Paul D. 
Published: October 2018

Background:
Previous studies found lower hospitalization rates for enrollees in Medicare Advantage (MA) plans than for beneficiaries with fee-for-service (FFS) coverage. MA enrollment is increasing, especially for those newly eligible for Medicare, but little is known about how service use in FFS or MA differs for new beneficiaries.

Objective:
To compare differences in rates of hospitalization between MA and FFS.

Research Design:
A retrospective study of hospitalization among FFS and MA respondents to the Medicare Consumer Assessment of Healthcare Providers and Systems (MCAHPS) survey. Differences in hospitalization rates were assessed using multivariable logistic regression models that controlled for patient sociodemographic and health characteristics. Models included an interaction between age and coverage type to determine whether patterns of care were distinct for enrollees recently eligible for Medicare.

Study Population:
In total, 259,335 respondents to the 2013 MCAHPS survey.

Results:
In total, 14% of FFS and 12% of MA enrollees had ≥1 hospitalization in the 6 months before survey administration. Models adjusted for enrollee demographics found that MA enrollees had 0.81 the odds of being hospitalized relative to those with FFS coverage (95% confidence interval, 0.78–0.84). Differences between groups were substantially reduced and no longer statistically significant when they were fully adjusted (adjusted odds ratio 1.01, 95% confidence interval, 0.97–1.08). Models with interactions indicated no significant age differences in the MA/FFS hospitalization gap.

Conclusion:
Differences in hospital admissions between those with MA and FFS coverage appear to be primarily related to differences in health status.
Acceptability and Feasibility of a Disease-specific Patient Portal in Adolescents With Sickle Cell Disease
Authors: Kidwell Katherine M. , Peugh James , Westcott Emilie , Nwankwo Cara , Britto Maria T. , Quinn Charles T. , Crosby Lori E. 
Published: October 2018

Objective:
To examine the acceptability, feasibility, and efficacy of a health care portal.

Observations:
Adolescents and young adults with sickle cell disease were taught how to use sickle cell disease conditions page in MyChart and completed questionnaires at baseline, postintervention (T2, 6 wk after baseline) and after 3 months (T3). In total, 44 participants (M age=18.82, SD=2.72) viewed an average of 58.07 pages from T1 to T2. The portal was highly accepted (90.32%). Efficacy data indicated that portal use was associated with improved patient-provider communication.

Conclusions:
Electronic portals are promising tools for improving medical self-management.
Perceptions of an Obstetric Clinical Rotation by Nursing Students Who Are Men
Authors: Mitra Jose Mari Lawrence , Phillips Kenneth D. , Wachs Joy E. 
Published: October 2018

Abstract

Background:
Maternity nursing is perceived as an unwelcoming specialty to many nursing students who are men. The purpose of this qualitative study was to describe the experiences of nursing students who are men at a Southeastern university before, during, and after their obstetric clinical rotations.

Methods:
Students were interviewed individually. The sessions were recorded and transcribed. The transcripts were analyzed individually and collectively by a three-person study team using existential phenomenology.

Results:
Seven nursing students who are men participated. Four major themes were discovered: preconceptions, welcoming, perceived rejection (of and by participants), and maternity unit culture. Students' perceptions appeared to be grounded in their level of comfort with maternity nursing.

Conclusions:
This study adds to the scant amount of information available about experiences of nursing students who are men during their clinical maternity nursing rotation and may help to explain why some men may feel unwelcome in women's health nursing.