The Effect of Nursing Moral Distress on Intent to Leave Employment.

Objective: This study explored the impact of moral distress (MD) and respondent characteristics on intent to leave employment.

Background: Managing patient care, within organizational constraints, may create physical discomfort or mental peace disturbances such as MD, negatively impacting RN retention.

Methods: Responses from 948 RNs were collected using an anonymous online survey.

Innovative Projects: A Unique Approach to Telehealth Education.

During the COVID-19 pandemic, telehealth utilization grew astronomically, encouraging more institutions of higher education to become innovative and proactive in preparing health care providers to deliver high-quality telehealth care. Telehealth can be creatively implemented throughout health care curricula given the appropriate guidance and tools. This article speaks to the development of student telehealth projects as part of the work of a national taskforce funded by the Health Resources and Services Administration and charged with the development of a telehealth toolkit.

A Randomized Trial Comparing Standard Treatment and Stress-Relieving Therapies to Improve Irritable Bowel Syndrome Symptoms.

Background: Abdominal pain is stressful, accounting for a large proportion of emergency and primary care visits. Clinical workups for irritable bowel syndrome (IBS) are often without abnormal findings and symptoms can be severe, diminishing patients' IBS-related quality of life (IBS-QOL).

Purpose: The efficacy of stress-relieving therapies to manage IBS symptoms was explored.

Telehealth Policy and the Advanced Practice Nurse.

Telehealth is an efficient and effective method of care delivery used by advance practice registered nurses (APRNs) nationally, especially in the wake of the coronavirus disease 2019 pandemic. With the ever-changing rules and regulations governing telehealth practice, the APRN may struggle to keep abreast. Telehealth is governed by legislation and regulation in addition to telehealth-specific laws.

Examining Health-Seeking Behaviors of Korean Immigrant Women.

Objective: To identify specific factors that potentially influence the willingness of Korean immigrant women to seek preventive health care.

Design: A descriptive cross-sectional correlational pilot study examining health-seeking behaviors of Korean immigrant women.

Setting: Participants were recruited from multiple sites, including Korean churches, small businesses, e-mail, and social media.

The Association of Skin Cancer Prevention Knowledge, Sun-Protective Attitudes, and Sun-Protective Behaviors in a Navy Population.

Introduction: U.S. Navy service members are primarily between the ages of 18 and 30 years and often required to be outside for extended periods of time in geographical locations with increased and often unfamiliar ultraviolet indexes that collectively increase their risk for skin cancer.

Telehealth Competencies: Leveled for Continuous Advanced Practice Nurse Development.

Background: The COVID-19 pandemic spurred a rapid uptake of telehealth utilization, with advanced practice registered nurses (APRNs) at the forefront of telehealth care delivery. To advance training of nurse practitioners and support curricular development, essential APRN student competencies in telehealth were developed.

Problem: Although telehealth competencies have been developed, little is understood about their evaluation across the curricula.

The Impact of Robotic Companion Pets on Depression and Loneliness for Older Adults with Dementia During the COVID-19 Pandemic.

Differences in depression and loneliness, during the COVID-19 pandemic, for older adults with mild to moderate dementia living in residential care after interacting with a robotic companion dog or cat were explored. Experiences of family members and professional caregivers were also examined. This study used a mixed research design with pre- and post-questionnaires on depression and loneliness.

Telehealth Competencies for Nursing Education and Practice: The Four P's of Telehealth.

Background: Telehealth is a rapidly growing health care delivery modality with advanced practice nurses as key providers. This growth has occurred without critical consideration of provider training. Training requires the development of competencies situated within a framework.

Telehealth Education: An Interprofessional Online Immersion Experience in Response to COVID-19.

Background: In March 2020, due to the COVID-19 pandemic, universities halted in-person education and health care pivoted to telehealth delivery models. This article describes a nurse-led educational program that transitioned to fully online delivery to prepare interprofessional teams of health care students to use telehealth during the pandemic and beyond.

Method: Participants included 67 students from seven professions.

Preparing students to be ready for practice: An innovative approach to teaching advanced physical assessment skills online.

Distance graduate nursing education has been expanding. Although many didactic courses are taught through an online platform, there are often challenges to providing skill-based courses, such as advanced physical assessment, through an online format. To prepare and assess advanced practice nursing students on their clinical knowledge and physical assessment skills, an online course was developed using multisource feedback and videography.

Telehealth Etiquette Training: A Guideline for Preparing Interprofessional Teams for Successful Encounters.

Background: Telehealth technologies have increased in many health care settings. However, much of the training that occurs regarding telehealth is vendor driven. Training that is typically offered focuses on technical aspects of using telehealth equipment, legal issues, and reimbursement.

Interdisciplinary Rounds on a Hospitalist Service: Impact on Palliative Care Measures, Quality, and Utilization Outcomes.

Background: Despite growth in service availability, palliative care (PC) referrals are often underutilized or delayed, which may compromise patient outcomes.

Local Problem: Underutilized or delayed PC referrals among hospitalized adults prompted this project aimed at improving PC measures, quality, and utilization outcomes.

Methods: Data extracted from the electronic medical record were used to identify needed improvements in PC.

A Workshop for Addressing the Impact of the Imposter Syndrome on Clinical Nurse Specialists.

Purpose: The imposter syndrome creates feelings of self-doubt in individuals, which can result in emotional paralysis preventing them from achieving their fullest potential. Clinical nurse specialists are not immune to this phenomenon. The purpose of this article is to describe an educational program designed to assist healthcare professionals, including clinical nurse specialist students, in identifying, understanding, and addressing imposter syndrome.

A Technology Intervention for Nurses Engaged in Preventing Catheter-Associated Urinary Tract Infections.

Catheter-associated urinary tract infections account for 40% of healthcare-acquired infections. This study explored the addition of cloud-based software technology to an established nursing quality improvement program to reduce catheter-associated urinary tract infections. Unit-based nurse champions evaluated peers' evidence-based catheter-associated urinary tract infection prevention practices using manual, paper-based feedback.

How to Prepare Interprofessional Teams in Two Weeks: An Innovative Education Program Nested in Telehealth.

Problem: Preparing health professional students for interprofessional collaborative practice, especially at a distance where provider shortages prevail remains difficult.

Approach: A two-week interprofessional education (IPE) immersion experience preparing students from 11 disciplines and four universities was implemented. Week-one, using online technology, students develop/present an interprofessional careplan for a complex patient.

Telehealth and eHealth in nurse practitioner training: current perspectives.

Telehealth is becoming a vital process for providing access to cost-effective quality care to patients at a distance. As such, it is important for nurse practitioners, often the primary providers for rural and disadvantaged populations, to develop the knowledge, skills, and attitudes needed to utilize telehealth technologies in practice. In reviewing the literature, very little information was found on programs that addressed nurse practitioner training in telehealth.

Interprofessional team performance, optimized.

Enhance development with behavioral profiles.

An Interprofessional Virtual Healthcare Neighborhood: Effect on Self-Efficacy and Sleep Among Caregivers of Older Adults With Dementia.

An Interprofessional Virtual Healthcare Neighborhood (VHN) was designed to deliver information, peer support, and professional guidance to caregivers of individuals with dementia. The VHN was also enhanced with an actigraphy band to monitor caregivers' sleep. The study sample comprised two groups (N = 28): caregivers participating in the VHN and those receiving usual care.

Factors That Influence Women to Disclose Sexual Assault History to Health Care Providers.

Objective: To examine women's experiences with sexual assault screening by health care professionals and identify factors that influence women to disclose their sexual assault history to providers.

Design: Cross-sectional descriptive survey with correlational analysis.

Setting: On-line survey distributed nationally.

The Noncompete Clause and the Nurse Anesthetist: An Assessment of Knowledge, Perception, and Experience.

Economic pressures and the challenge to maintain competitive advantage have resulted in many healthcare entities requiring their practitioners to contractually enter into noncompete clauses (NCCs). Many student registered nurse anesthetists (SRNAs) and Certified Registered Nurse Anesthetists (CRNAs) are unaware of NCCs in employee contracts. An anonymous, web-based questionnaire regarding NCCs was distributed to SRNAs and CRNAs nationwide.

Barriers in asthma care for pediatric patients in primary care.

Introduction: There are many barriers to treating children with asthma. Barriers limit access with subsequent disturbances in quality outcomes. This study explored the difference in quality outcomes, utilization outcomes, parental knowledge, and barriers to care between children who had controlled versus uncontrolled asthma.

Telehealth: preparing advanced practice nurses to address healthcare needs in rural and underserved populations.

Healthcare is being confronted with questions on how to deliver quality, affordable, and timely care to patients, especially those in rural areas, in systems already burdened by the lack of providers. Advanced Practice Registered Nurses (APRNs) have been challenged to lead this movement in providing care to these populations through the use of technologies, specifically telehealth. Unfortunately, APRNs have limited exposure to telehealth during their educational experience, thereby limiting their understanding and comfort with telehealth.

Predictors of self-efficacy for sleep in primary care.

Aims And Objectives: To identify factors impacting self-efficacy for sleep. Specifically, the aims were to examine associations between self-efficacy for sleep and (1) socio-demographic variables and (2) potential predictors including sleep severity, depression, dysfunctional beliefs about sleep, quality of life/health status and insomnia treatment acceptability for behavioural treatment.

Background: Between 50 and 70 million Americans experience insomnia.