Publications by authors named "Cynthia Clark"
Background: Professional identity in nursing (PIN) is a multifaceted construct that evolves throughout one's nursing career. As new knowledge about PIN emerges, the influence of diversity, equity, inclusion, and belonging (DEIB) becomes increasingly vital in shaping a nurse's identity.
Method: Bronfenbrenner's ecological systems theory is used to illustrate the complex, reciprocal, and intersecting influences of DEIB in the transformational process of becoming a nurse.
Objective: to analyze the psychometric properties of the Incivility in Nursing Education - Revised Survey - Brazilian version with undergraduate nursing students.
Method: methodological study conducted in a nursing school in São Paulo state. It is the analysis of the psychometric properties (reliability and construct validity) of the items in the INE-R survey - Brazilian version.
Background: Professional identity is a relatively new concept in the nursing and health care literature. Using the definition of Professional Identity in Nursing (PIN) as its main construct, the authors developed and tested the second iteration of the Professional Identity in Nursing Scale (PINS 2.0) used to measure PIN from two perspectives, self and environment.
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- Upper-extremity impairment after stroke poses significant treatment challenges, prompting the exploration of neuromodulation therapies like deep brain stimulation.
- In a phase I trial involving 12 patients with long-term upper-extremity impairment, deep brain stimulation was applied to the cerebellar dentate nucleus in conjunction with physical rehabilitation, showing promising results without major side effects.
- Participants experienced significant improvements in motor function, as measured by the Upper-Extremity Fugl-Meyer Assessment, with gains linked to cortical reorganization in the brain, indicating that this treatment may enhance recovery and warrant further research.
The popularity of plant-based and vegan diets has grown in recent years. While following a vegan diet has been associated with various health benefits, the intake of certain vitamins and minerals including vitamins B12 and D, calcium, and iron, are likely to be inadequate in an exclusively plant-based diet. Low nutrient intake over time can lead to nutritional deficiencies and potentially increased risk of adverse health outcomes.
View Article and Find Full Text PDFBackground: Trauma-informed teaching and learning (TITL) considers the effect of trauma on learners stemming from sources such as political tensions, racial and gender inequities, health disparities, poverty, community violence, bullying, and most recently, the coronavirus disease 2019 (COVID-19) pandemic.
Method: TITL is an inclusive, learner-centered teaching methodology that has evolved during the past two decades to become more relevant in times of crisis. The foundation for effective TITL practice is the educator's grasp of how trauma affects learner behavior, performance, relationships, and coping.
Background And Aims: Mental health institutions and community organizations have had difficulty recruiting patients and caregivers onto their Patient, Family, and Community Advisory Committees (PFACs). Previous research has focused on barriers and enablers of engaging patients and caregivers who have advisory experience. This study acknowledges the experiential difference between patients and caregivers by focusing only on caregivers; further, we compare the barriers and enablers between advising versus non-advising caregivers of loved ones with mental illness.
View Article and Find Full Text PDFBackground: Workplace incivility poses a threat to patient safety. This intervention pilot study used simulation and biomarker data with newly graduated nurses to explore the impact of incivility on patient care and tested whether cognitive rehearsal could mitigate the effects of workplace incivility.
Method: A clinical scenario and script were used by actors to deliver either an uncivil or a hurried but not uncivil handoff report to participants before they conducted a focused patient assessment and administered medications to a standardized patient.
Background: Nurses have an ethical obligation to create cultures of civility, treat others with respect and dignity, and foster healthy, inclusive work environments that protect worker and patient safety.
Purpose: Because concepts are known to change over time, this concept analysis compares the original concept of civility published in 2008 with the current concept analysis of civility.
Methods: The Walker and Avant method of concept analysis was utilized.
Background: Establishing a professional identity in nursing is integral to professional development, yet this area of inquiry remains understudied.
Purpose: This segment of a multiphased national study measured nursing faculty's perceived level of importance regarding key components of professional identity in nursing using the newly developed Professional Identity in Nursing Survey (PINS).
Methods: Fifty subject matter experts from nursing education, practice, and regulation utilized the DeVellis scale development process to develop the PINS over the course of 2 years.
Background: Men comprise the minority of entry-level baccalaureate nursing students and are at increased risk of experiencing gender-associated incivility.
Problem: Uncivil peer-to-peer behavior can negatively affect students' mental and physical well-being, and learning experience. Nursing faculty must be able to identify and address gender-associated incivility among students.
Background: Mastering clinical judgment (CJ) skills is an essential competency for nurses in all health care environments.
Problem: Complexities of the health environment combined with the intricacies of nursing practice can pose potential risks to client safety.
Approach: Over a 2-year period, a 3-phased approach using (1) survey results from nurses in education and practice, (2) discussion forums, and (3) a series of think tanks that comprised nurse educators resulted in the development of the Guide for CJ.
Background: Incivility among nursing faculty and administrators lowers morale, damages relationships, and threatens workplace health and productivity.
Purpose: This national study examined nursing faculty and administrators' perceptions of civility and incivility in nursing education, ways to address the problem, and psychometric properties of the Workplace Incivility/Civility Survey (WICS).
Methods: A convergent mixed-methodological study was used to conduct the study.
Calcific aortic valve disease (CAVD) is a deadly disease that is rising in prevalence due to population aging. While the disease is complex and poorly understood, one well-documented driver of valvulopathy is serotonin agonism. Both serotonin overexpression, as seen with carcinoid tumors and drug-related agonism, such as with Fenfluramine use, are linked with various diseases of the valves.
View Article and Find Full Text PDFBackground: The detrimental impact of incivility in health care is well documented. Nursing students and new graduate nurses are particularly vulnerable to its effects. Evidence-based civility education strategies are urgently needed to address incivility, which can protect patient safety.
View Article and Find Full Text PDFBackground: Incivility and disrespect in health care weaken teamwork and collaboration, diminish communication, and can impact an individual's ability and willingness to speak up and advocate for patient care.
Problem: Evidence-based teaching strategies are needed to prepare nursing students to address incivility in academic and practice settings.
Approach: The authors describe a virtual learning experience designed to prepare students to prevent and address incivility in academic and health care environments and report preliminary assessment data from student users.
Over one million Americans experience myocardial infarction (MI) annually, and the resulting scar and subsequent cardiac fibrosis gives rise to heart failure. A specialized cell-cell adhesion protein, cadherin-11 (CDH11), contributes to inflammation and fibrosis in rheumatoid arthritis, pulmonary fibrosis, and aortic valve calcification but has not been studied in myocardium after MI. MI was induced by ligation of the left anterior descending artery in mice with either heterozygous or homozygous knockout of CDH11, wild-type mice receiving bone marrow transplants from Cdh11-deficient animals, and wild-type mice treated with a functional blocking antibody against CDH11 (SYN0012).
View Article and Find Full Text PDFBackground: Civility, psychological safety, and effective stress management are essential for meaningful learning conversations.
Problem: Incivility triggers fear and humiliation, impairs clinical judgment and learning, reduces psychological safety, and increases cognitive load. These factors converge to make learners less likely to incorporate feedback, speak up when there is a problem, and discuss practice errors and patient safety issues.
. The recovery of motor function following stroke is largely dependent on motor learning-related neuroplasticity. It has been hypothesized that intensive aerobic exercise (AE) training as an antecedent to motor task practice may prime the central nervous system to optimize motor recovery poststroke.
View Article and Find Full Text PDFRationale: Pulmonary arterial hypertension is a deadly disease of the pulmonary vasculature for which no disease-modifying therapies exist. Small-vessel stiffening and remodeling are fundamental pathological features of pulmonary arterial hypertension that occur early and drive further endovascular cell dysfunction. Bone marrow (BM)-derived proangiogenic cells (PACs), a specialized heterogeneous subpopulation of myeloid lineage cells, are thought to play an important role in pathogenesis.
View Article and Find Full Text PDFObjective: The aim of this project was to determine the effects of lower extremity aerobic exercise coupled with upper extremity repetitive task practice (RTP) on health-related quality of life (HRQOL) and depressive symptomology in individuals with chronic stroke.
Design: Secondary analysis of data from 2 randomized controlled trials.
Setting: Research laboratory.