Browsing by Author "Hernandez, Angelica C."

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    Session 1: Nurse Leaders Virtual Summit
    (2022-05) Hernandez, Angelica C.
    This session features Kenneth Dion, PhD, MBA, MSN, RN, FAAN. Dr. Dion is the Assistant Dean for Business Innovation and Strategic Relationships at the Johns Hopkins School of Nursing and is a 40-year veteran of the health care industry. He is a nurse entrepreneur, inventor, and scholar, and is the current President of Sigma Theta Tau International. The remaining speakers are scholars from Sigma’s Nightingale Challenge, Experienced Academic Leadership Academy, and New Academic Leadership Academy. Learning Outcomes: Characterize at least two leadership traits of nursing leaders. Identify where you are in your personal nursing leadership journey.
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    The Relationship Between Patients Experience of Nurse Caring and Patients’ Readiness to Transition from the Hospital to Home/Other Care Setting
    (2022) Hernandez, Angelica C.
    Quality nursing care has significant impact on patient outcomes. There are many factors that can affect quality nursing care like staffing shortages when the caring demands are high, which can affect patient care. Even though there are existing healthcare policies, evidence-based practices and incentives for healthcare settings who perform and meet the healthcare benchmarks, the United States healthcare performance is poor. The researcher aimed to conduct a study to understand the relationship between patients experience of nurse caring and patients’ readiness to transition from the hospital to home or other care settings. In addition, the predictors among the patients’ characteristics of patients’ readiness to transition from the hospital to home or other care settings were examined too. The research study was grounded in the Quality Caring Model (Duffy, 2018). Descriptive correlational research design was used in the study to examine the relationship between patients experience of nurse caring and patients’ readiness to transition from the hospital to home or other care settings. The study was conducted on one medical-surgical unit in an urban medical center in South Florida during a global pandemic. There were 103 participants who answered the demographic data survey, Caring Assessment Tool-V (CAT-V) and Readiness for Hospital Discharge Scale-Adult Form (RHDS-Adult Form). Descriptive and inferential statistics were conducted using SPSS version 28. Based on data analysis, there was a significant relationship between patients experience of nurse caring and patients’ readiness to transition from the hospital to home or other care settings (p=<.05). Therefore, patients with positive experiences of nurse caring will be more likely to transition from the hospital to home or other care settings. In addition, among the patient characteristics, the marital status could predict patients’ readiness (knowledge, coping ability and expected support subscales) to transition from the hospital to home or other care settings. Therefore, paying attention to the value of support systems of the patients will determine the readiness of the patients to go home or to be discharged to other care settings (p=<.05). The limitations of the study were low generalizability, inability to recruit 135 participants and selection bias (threat to internal validity).
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    What the American Journal of Critical Care Junior Peer Reviewers Were Reading during the First Year of the Program: Caring for Patients with Covid-19
    (2022) Hernandez, Angelica C.
    The Junior Peer Reviewer program of the American Journal of Critical Care provides mentorship in the peer review process to novice reviewers. The program includes discussion sessions in which participants review articles published in other journals to practice and improve their critical appraisal skills. The articles reviewed during the first year of the program focused on caring for patients with COVID-19. The global pandemic has placed a heavy burden on nursing practice. Prone positioning of patients with acute respiratory failure is likely to improve their outcomes. Hospitals caring for patients needing prolonged ventilation should use evidence-based, standardized care practices to reduce mortality. The burden on uncompensated caregivers of COVID-19 survivors is also high, and such caregivers are likely to require assistance with their efforts. Reviewing these articles was helpful for building the peer review skills of program participants and identifying actionable research to improve the lives of critically ill patients.
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    What the American Journal of Critical Care Junior Peer Reviewers Were Reading during Year 2 of the Program
    (2022) Hernandez, Angelica C.
    The American Journal of Critical Care’s Junior Peer Reviewer program aims to mentor novice reviewers in the peer review process. To grow their critical appraisal skills, the participants take part in discussion sessions in which they review articles published in other journals. Here we summarize the articles reviewed during the second year of the program, which again focused on the care of critically ill patients with COVID-19. This article aims to share these reviews and the reviewers’ thoughts regarding the relevance, design, and applicability of the findings from the selected studies. High rates of delirium associated with COVID-19 may be impacted by optimizing sedation strategies and allowing safe family visitation. Current methodology in crisis standards of care may result in inequity and further research is needed. The use of extracorporeal carbon dioxide removal to facilitate super low tidal volume ventilation does not improve 90-day mortality outcomes. Continued research to better understand the natural history of COVID-19 and interventions useful for improving outcomes is imperative.
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