Nursing
Permanent URI for this community
Browse
Browsing Nursing by Author "Rowe, Lynn"
Now showing 1 - 6 of 6
Results Per Page
Sort Options
Item Asynchronous Interprofessional Simulation to Promote the Role of Physical Therapy in Wound Management(2023) Lopez, Laura; Edgar, Cory; Radloff, Jennifer C.; Lowden-Stokely, Janice; Hawes, Stacey; Rowe, LynnItem Expansion of Interprofessional Education through Asynchronous and Virtual Learning Activities: A Case Report(2022) Lopez, Laura; Edgar, Cory; Radloff, Jennifer C.; Lowden-Stokely, Janice; Hawes, Stacey; Rowe, LynnInterprofessional education (IPE) is designed to prepare students for collaborative practice in a dynamic healthcare environment. Accrediting bodies, including the Commission for Accreditation of Physical Therapy Education (CAPTE), place strong emphasis on inclusion of IPE within curricula. There are no specific guidelines or minimum criteria to meet these standards, leaving programs to determine the appropriate IPE activities. Implementation of IPE remains challenging due to time constraints, busy schedules, and limited faculty resources. Therefore, IPE activities are often small-scale. The purpose of this case report is to describe the use of asynchronous and virtual activities to create a large-scale IPE event.Item Integration of Data to Establish a Standard Operating Procedure for the Diabetic Patient Undergoing Hyperbaric Oxygen Therapy(2017) Rowe, LynnPURPOSE: The purpose of this study was to describe occurrences of hypoglycemia in the diabetic population undergoing hyperbaric oxygen therapy (HBOT). We also examined 2 secondary aims: link industry standards for management of hypoglycemia in the general diabetic population to the HBOT environment; and integrate HBOT data into an electronic health record system, as patients transition across inpatient and outpatient services and settings. DESIGN: A retrospective, descriptive study. SUBJECTS AND SETTING: The study took place within a hyperbaric medicine department located in a 1393-bed acute care medical center, part of a large, multihospital system. The study sample comprised 100 diabetic patients who underwent HBOT between January 1 and May 31, 2015. Sixty-seven percent were male; the mean age of participants was 62 years (range 32-92 years). Admission status was nearly equal with 53% hospital inpatients and 47% ambulatory outpatients. Hospital protocol required all patients to have a minimal prehyperbaric blood glucose level (BGL) of 100 mg/dL. RESULTS: The incidence of hypoglycemia (defined as a BGL <100 mg/dL, 5.5 mmol/L) was 122 of 1175 treatments (10.4%). Additional analysis was based on records for 66 of the 122 incidences with evaluable data from electronic medical records. The mean BGL pre-HBOT was 177.86 mg/dL, 6.54 mmol/L (range 53-439 mg/dL, 2.94-24.36 mmol/L); the mean BGL after HBOT was 165.09 mg/dL, 9.16 mmol/L (range 56-414 mg/dL, 3.11-22.98 mmol/L). Analysis of these 66 occurrences revealed that 52 of 66 (79%) were managed with high-carbohydrate juices and snacks; 8 of 66 (12%) received oral glucagon; and 6 of 66 (9%) received glucagon and high-carbohydrate snack. We found that standard treatment protocols for hypoglycemia ranged from 70 to 100 mg/dL, 3.89 to 5.55 mmol/L, for the general population and 80 to 120 mg/dL, 4.44 to 6.66 mmol/L, for the general diabetic population. We also found that HBOT diabetic data were not fully integrated into the electronic health records across all settings. CONCLUSIONS: Hypoglycemia is prevalent during HBOT. We recommend a minimum pre-treatment serum glucose of 120 mg/dL, 6.7 mmol/L.Item Leveraging Asynchronous and Virtual Learning Activities to Facilitate Interprofessional Education(2023-03-30) Lopez, Laura; Edgar, Cory; Radloff, Jennifer C.; Lowden-Stokely, Janice; Smith, Marie A.; Rowe, LynnInterprofessional education (IPE) is designed to prepare students for collaborative practice in a dynamic healthcare environment. However, implementation of IPE remains challenging due to time constraints, busy schedules, and limited faculty resources. The purpose of this session is to describe the use of asynchronous and virtual activities to create a large-scale IPE event with participants from eight healthcare disciplines. Asynchronous activities ranged from high fidelity simulations to low fidelity inter and intra professional interactions between pairs of disciplines and case-based discussions or assignments. Virtual activities included synchronous small student lead group sessions and a large faculty lead debrief.Item Stress Resiliency Practices in Neonatal Nurses(2017) Rowe, LynnBackground: Multiple environmental changes were experienced in a large level III neonatal intensive care unit (NICU) causing a perception of work-related stress leading to high nurse turnover, decreased engagement, and decreased satisfaction. Purpose: To identify a preintervention measure of perceived stress resiliency and ranking of interpretive styles in a population of neonatal, bedside registered nurses faced with a change in the physical practice environment. Methods: A descriptive, cross-sectional, correlational design was used to measure stress resiliency. The Stress Resiliency Profile (SRP) questionnaire was administered to a convenience sample of 48 neonatal bedside nurses. The SRP identifies 3 distinct interpretive styles as constructs of stress resiliency including deficiency focusing (negative thinking), necessitating (managing forced change), and skill recognition. Statistical analysis was used to describe associations between ages, years of experience, and resiliency. Results: Results showed skill recognition to be significantly lower than expected in participants 40 years and older. Also, participants with greater than 5 years of NICU experience revealed low to moderate levels of resiliency. Implications for Practice: Although skill is critical in nursing, it may not be the key factor in reducing the perception of work-related stress. Implementation of interventions targeting interpretative styles known to enhance resiliency may promote positive coping and quality change management. Implications for Research: Baseline resiliency data are necessary to guide unit leaders to manage future challenges found in evolving NICU nurse practice environments. More research is warranted to determine the generalizability of study results as healthcare organizations strive to implement best practices, control costs, and deliver safe, quality care.Item Time and Resources of Peripherally Inserted Central Catheter Insertion Procedures: A Comparison Between Blind Insertion/Chest X-ray and a Real Time Tip Navigation and Confirmation System(2017) Rowe, LynnBackground: The Sherlock 3CG™ Tip Confirmation System (TCS) provides real-time peripherally inserted central catheter (PICC) tip insertion information using passive magnetic navigation and patient cardiac electrical activity. It is an alternative tip confirmation method to fluoroscopy or chest X-ray for PICC tip insertion confirmation in adults. The purpose of this study was to evaluate time and cost of the Sherlock 3CG TCS and blind insertion with chest X-ray tip confirmation (BI/CXR) for PICC insertions. Methods: A cross-sectional, observational Time and Motion study was conducted. Data were collected at four hospitals in the US. Two hospitals used Sherlock 3CG TCS and two hospitals used BI/CXR to place/confirm successful PICC tip location. Researchers observed PICC insertions, collecting data from the beginning (ie, PICC kit opening) to catheter tip confirmation (ie, released for intravenous [IV] therapy). An economic model was developed to project outcomes for a larger population. Results: A total of 120 subjects were enrolled, with 60 subjects enrolled in each arm and 30 enrolled at each of the four US hospitals. The mean time from initiation of the PICC procedure to the time to release for IV therapy was 33.93 minutes in the Sherlock 3CG arm and 176.32 minutes in the BI/CXR arm (p < 0.001). No malpositions were observed for PICC insertions using the Sherlock 3CG TCS, while 20% of subjects in the BI/CXR arm had a malposition. BI/CXR subjects had significantly more total malpositions (mean 0.23 vs. 0, p < 0.001). For a hypothetical population of 1,000 annual patients, adoption of Sherlock 3CG TCS was predicted to be cost saving compared with BI/CXR in all three analysis years. Conclusion: The results from this study demonstrate that Sherlock 3CG TCS, when compared with BI/CXR, is a superior alternative with regard to time to release subject to therapy, malposition rates, and minimization of X-ray exposure.