Publications by authors named "Karen L Breda"

This article describes an 8-week pilot project implementing virtual reality (VR) technology as a stress relief intervention for nurses at a rural hospital. It highlights how VR allowed nurses to temporarily disconnect from their stressful work environment and experience calming virtual scenarios during break times.

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Self-management of chronic diseases, which increase with age, is vital. This article discusses the benefits of chronic disease self-management and how nurses and other healthcare professionals can provide supportive care. It also presents an evidence-based intervention project that promoted chronic disease self-management among community-dwelling older adults.

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Providing end-of-life (EOL) care to pediatric patients and their families is challenging. Newly licensed nurses, especially those working with the hematology/oncology population, have little to no experience providing the specialized care needed for the dying child. An evidence-based continuing professional development activity provided a novel approach to improve the knowledge, attitudes, and comfort levels of nurse residents related to pediatric EOL care.

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Background: Early identification of sepsis among neurosurgical critical care patients is a significant challenge because of the many possible confounding variables that lead to altered mental status in this specific patient population. Nurses' knowledge, attitudes, confidence, and practices related to the early identification and management of sepsis are crucial to patients' survival.

Method: This evidence-based intervention project implemented continuing education for neurosurgical critical care nurses on the early signs and symptoms of sepsis and the management of sepsis according to the Surviving Sepsis Campaign (SSC) Guidelines.

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Aim: Frontline health care workers (FHCWs) have endured a range of adverse mental health outcomes during the COVID-19 pandemic. Despite the widespread availability and ease-of-use of self-help mobile mental health apps, little is known about the feasibility of implementing such tools among COVID-19 FHCWs in real-world nursing settings.

Methods: This quality improvement project evaluated the feasibility of implementing the COVID Coach app among COVID-19 FHCWs in a skilled nursing facility.

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The inclusion of the "gender identity" field in the Brazilian violence surveillance system, although representing a step forward, still has limitations that may compromise epidemiological data validity. Existing response options for victims' identities do not adequately cover the diversity of this analysis category, resulting in classification biases. Additionally, the absence of options for cisgender identities reflects an approach that naturalizes these identities, while trans identities are considered deviant and subject to surveillance.

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Background: In the emergency department, bedside whiteboards are used to help improve communication, teamwork, and collaboration among health care providers. In addition, previous studies have shown that whiteboards aid the patient with the identification of their health care providers, plan of care, expected length of stay, and overall patient satisfaction.

Purpose: This evidence-based evaluation project assessed the perceptions of emergency department health care providers on their awareness of the effectiveness of bedside whiteboards, whether there are challenges with using them, and whether they are being updated and used consistently.

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Background: Health care personnel (HCP) worldwide are at-risk for contracting the novel Coronavirus disease (COVID-19). Among health care personnel, nurses are at a particularly high risk due to the physical proximity and duration of time spent providing direct care. Documenting accurate rates of COVID-19 infection and deaths among nurses worldwide has been problematic, and many countries such as the USA have no systematic mechanism for collecting this information.

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