Publications by authors named "Julie A Kruse"

The second victim experience is defined as a healthcare professional who is traumatized by adverse events that have occurred to the patient, the first victim. This traumatization can cause a range of symptoms such as guilt, anxiety, disturbed sleep, and decreased job satisfaction. The purposes of this study were to understand certified registered nurse anesthetists' (CRNAs') second victim distress, perceived support, and the impact of the second victim experience on absenteeism and turnover intention.

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Background: Teaching health concepts using a variety of strategies has been shown to enhance students' critical thinking skills and learning outcomes. Educational strategies highlighting the effects of social determinants of health (SDOH) on communities and populations are considered essential nursing curricula by the American Association of Colleges of Nursing.

Method: A public service announcement (PSA) assignment was developed and implemented for a community nursing course with approximately 100 students.

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Background: Although efforts have been made to improve and integrate an HIV curriculum in schools of nursing, little has been done to standardize the integration of competencies related to HIV care in primary care nurse practitioner (NP) programs.

Purpose: The purpose of this study was to understand the effect of integrating the 6 core competencies from the National HIV Curriculum (NHC) on NP students' perceived knowledge about HIV care.

Method: This was a quasi-experimental study with a pre/posttest design that measured NP students' self-perceived knowledge of the 6 core competencies from the NHC.

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Background: Poverty is a reality for many individuals and families. Unless one has lived in a poverty situation, it can be difficult to understand the challenges people face.

Methods: This study was a quasi-experimental study with a pre- and post-test design (36 select-items from four-established instruments) that measured students' self-perceived knowledge, skills, and attitudes towards people living in poverty.

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Reflecting on history of medicine and nursing in the Holocaust scaffolds professional identity formation. Students grapple with 1) nurses' active participation in identifying/killing patients with mental and physical disabilities, camouflaged as "euthanasia" or "mercy killing" of German citizens and others, preceding mass murder of Jews and others at death camps; 2) involvement in unethical, cruel experiments; 3) resistance narratives; and 4) relevance for contemporary nursing. Impact of a seminar/colloquium on historical knowledge and personal/professional relevance included reported increased historical awareness/knowledge and themes of nurse as patient advocate/judicious obedience, importance of ethics/values adherence, and value of art/reflective writing for processing experience.

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Background: Just culture is essential for quality improvement and patient safety.

Method: This descriptive study measured perceptions of just culture among nursing students and faculty using the Just Culture Assessment Tool for Nursing Education (JCAT-NE).

Results: There were no significant differences in JCAT-NE scores for students ( = 133.

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Background: The thoughts, feelings, and attitudes health care professionals unconsciously have about patients can negatively impact patients' health outcomes. Systematic reviews related to implicit bias in health care providers have uncovered negative implicit bias towards older adults, people of color, people with disabilities, psychiatric patients, patients who are obese, people of low socioeconomic status, and women. Implicit bias impacts the quality, safety, and competence of care delivered; interactions between patients and providers; and patient approval of treatment recommendations.

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Background: An escalating nursing shortage brought attention to nursing student retention and success including graduation and licensure.

Purpose: The purpose of this Health Resources and Services Administration (HRSA) project, Realizing Educational Attainment and Careers in Healthcare (REACH), was to increase nursing progression and graduation rates for undergraduate nursing students from diverse and/or under-resourced backgrounds.

Methods: REACH goals focused on four levels: 1) Individual: Neutralize the impact of economic-environmental factors that are barriers for diverse and under-resourced populations to pursue a BSN, 2) Group: Bridge gaps within a social determinants framework to achieve progression and graduation, 3) Institutional: Broaden the cultural competence of faculty on campus and 4) Community: Expand the knowledge and skills of the social determinants of health and cultural competence for nurses within the largest nursing employer in the community.

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Nursing faculty members at one midwestern college provided a professional development opportunity for baccalaureate nursing students by organizing a trip to a nursing association conference (ie, the AORN Global Surgical Conference & Expo). Preconference and postconference survey results showed a statistically significant increase in sense-of-belonging scores; and the eta-squared statistic (0.14) indicated a large effect size, suggesting the students' conference attendance enhanced their sense of belonging to the profession.

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Background: Within the United States, there are individuals who retain the traditions and beliefs of cultural groups that vary from the general majority population. Both healthcare providers and researchers have reported that many individuals who live in but are less affiliated with the dominant culture tend to have less positive health outcomes.

Objective: The purpose of this study is to use factor analysis to assess the psychometric properties of Mood's 18-item Strength of Cultural Affiliation Scale (SCAS).

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Purpose: To extend testing of a relational theory that a low sense of belonging, delayed or impaired bonding, and loneliness are salient risk factors for postpartum depression (PPD) in women.

Methods: Data for this theory-testing analysis came from a larger prospective longitudinal cohort study and included women who were retained to the end of the study at the 6 week postpartum interview (=564). Structural equation modeling was used to test the "fit" of the model and determine significance of direct and indirect paths.

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Objective: Key variables that have influenced depression in previous research were examined in this study including adult attachment, perceived social support, sense of belonging, conflict in relationships, and loneliness for their relationships in a relational model for depression with U.S. Navy recruits in basic training.

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Purpose: Health care professional education programs in the United States have been charged to devise strategies to increase the racial and ethnic diversity of the workforce (Health Resources and Services Administration, Nursing Workforce Diversity (NWD) http://bhpr.hrsa.gov/nursing/grants/nwd.

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Aim: To test alternatives to the current research and clinical practice of assuming that married or partnered status is a proxy for positive social support.

Background: Having a partner is assumed to relate to better health status via the intermediary process of social support. However, women's health research indicates that having a partner is not always associated with positive social support.

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Background: Responsiveness to changing photoperiods from summer to winter seasons is an important but variable physiological trait in most temperate-zone mammals. Variation may be due to disorders of melatonin secretion or excretion, or to differences in physiological responses to similar patterns of melatonin secretion and excretion. One potential cause of nonphotoresponsiveness is a failure to secrete or metabolize melatonin in a pattern that reflects photoperiod length.

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