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Now showing items 121-130 of 164
Interdisciplinary education: 5 A's Model for effective weight management counseling
(2016-11-07)
Purpose: To increase providers' usage of the two 'Assist' and 'Arrange' steps of the 5 A's Model in the areas of weight management action plans, dietitian referrals, and follow-up appointments. The 5 A's Behavioral Change ...
Facilitating Female Sexual Function Assessment
(2016-11-07)
Purpose: The purpose of this project was to facilitate the conversation about sexual function at the annual visit. The goal was to create an efficient, standardized way for a provider to assess the patient's concerns ...
Factors Influencing Breastfeeding Duration and Cessation Among U.S. Military Personnel: A Descriptive/Exploratory Electronic Survey
(2016-11-07)
Purpose: The primary aim of this study is to address the national public health issue of breastfeeding initiation and sustainment in relation to evidence-based practice recommendations by identifying factors associated ...
Procalcitonin as a prognostic indicator of risk for sepsis in the neonate
(2016-06-22)
Introduction. Procalcitonin (PCT) is a biomarker that rises at the onset of bacterial infection while remaining relatively low in other inflammatory processes. Diagnosing serious bacterial infection (SBI) in neonates ...
Using individual simulation to promote clinical reasoning and prioritization with undergraduate nursing students
(2016-08-11)
Background: Traditional simulations typically occur in a group setting with multiple students gathered around a simulator all trying to interact at once. This often leads to situations where few students take lead roles ...
An exercise in the provision of care for an adult patient under investigation (PUI) for Ebola: A patient care drill
(MESH Coalition, 2016-02)
In October of 2014 Indianapolis found itself, like many communities, preparing for the unknown realities of providing care to a Patient under Investigation (PUI) for Ebola Virus Disease (EVD). A group of clinical experts ...
Readiness Estimate & Deployability Index
(6/15/2016)
The Readiness Estimate & Deployability Index measures the level of individual deployment readiness among military and civilian nursing personnel for operations in austere environments such as conflicts and natural ...
Process improvement: Increasing skin-to-skin contact during a cesarean birth
(2016-02-03)
There are many documented benefits to breastfeeding not only for infants, but for mothers as well. The hospital where I’m employed, which had over 6,600 births last year, wanted to improve maternal/infant ...
Parallel and factor analysis for delimiting items in a three-dimensional construct of clarity for nurses
(2016-10-21)
Introduction: Clarity of Self, Role and System is a newly developed tool that measures clarity for patient care providers as it relates to self, role and system. The instrument is based on work by Jayne Felgen and Mary Koloroutis. The “Clarity of Self” subscale was derived from another 40-item instrument that was established by Campbell et al. (1996). The other two subscales, “Clarity of Role” and “Clarity of System,” were co-created by the authors.
Aims/Objectives: The purpose of this study is to decrease the number of items that respondents are required to respond to, while maintaining the validity of the construct.
Materials & Methods: Parallel analysis and factor analysis were performed by Healthcare Environment using SPSS software 22.0 and Brian O-Connor’s SPSS syntax.
Results/Discussion: Four items were removed from the original 29-item survey, resulting in a new 25 item instrument. It was assumed that more items would be identified as candidates for deletion. However, extensive study of the factor structure revealed this not to be possible. Rather, several items for each dimension of clarity were required to have a valid measure of clarity of self, role and system. Although the authors were disappointed that more items could not be eliminated, this study did provide rigorous analysis for discussion of the results. Most helpful was a discussion of the adequacy of this instrument to measure clarity as it was originally articulated by Felgen and Koloroutis.
Conclusion: This item reduction study did not completely provide its intent, but it did reveal that a re-specification of the measure of clarity is warranted. Items need to be added for both “Clarity of Role” and “Clarity of System.” Additionally, a new subscale for measuring clarity of self will need to be developed to more precisely measure the theory of clarity as proposed by Felgen and Koloroutis....
Readiness Estimate & Deployability Index (READI)
(6/15/2016)
The Readiness Estimate & Deployability Index (READI) measures the level of individual deployment readiness among military and civilian nurses to deploy to austere environments during conflicts or natural disasters. ...