Assessing Clinical Nurse Educators' Perceptions of Factors Influencing Evidence-Based Nursing Policy Implementation Within a Large Pediatric Healthcare System.

Aim: To identify barriers and facilitators to implementation of new evidence-based nursing policies among nurse educators.

Background: Evidence-based practice promotes safe patient care through the combination of the best available research, clinical expertise and patient preferences. Policies are utilised by nursing to drive patient care and thus should be evidence-based.

Using an organizational framework to drive change in nursing education: An action plan for nurse leaders.

Background: Organizational change within nursing schools that supports growth of students, faculty, and staff from underrepresented groups occurs through purposeful strategies and commitments to building capacity for the spectra and richness of diverse perspectives.

Purpose: To evaluate framework-guided initiatives, our organization implemented to advance diversity, equity, and inclusion to achieve inclusive excellence in nursing education and leadership.

Methods: Framework-guided initiatives include a standardized diversity education model, hiring bias mitigation strategies, equitable spending, partnerships for student and faculty recruitment, and restructuring committees to include diverse perspectives.

Implementing Cognitive Rehearsal Training With Nursing Students to Counter Incivility in the Clinical Setting as Students and New Nurses: A Sequential Mixed-Methods Study.

Incivility is prevalent in the clinical workplace and can lead to reduced self-confidence, adverse health effects, and negative implications for patient care. Cognitive rehearsal training (CRT) serves as a mental plan that individuals can use to counter incivility. This mixed-methods study examined select outcomes related to experiencing incivility for nursing students before and after receiving CRT and early into their professional practice.

The nurse-led equitable learning framework for training programs: A framework to grow, bolster and diversify the nursing and public health workforce.

Background: Addressing threats to the nursing and public health workforce, while also strengthening the skills of current and future workers, requires programmatic solutions. Training programs should be guided by frameworks, which leverage nursing expertise and leadership, partnerships, and integrate ongoing evaluation.

Purpose Statement: This article provides a replicable framework to grow, bolster, and diversify the nursing and public health workforces, known as the Nurse-led Equitable Learning (NEL) Framework for Training Programs.

Associations between TCA cycle plasma metabolites and fatigue in black females with systemic lupus erythematosus: An untargeted metabolomics pilot study.

Objective: In this pilot study, we used untargeted metabolomics to identify biochemical mechanisms or biomarkers potentially underlying SLE-related fatigue.

Methods: Metabolon conducted untargeted metabolomic plasma profiling using ultrahigh performance liquid chromatography/tandem mass spectrometry on plasma samples of 23 Black females with systemic lupus erythematosus (SLE) and 21 no SLE controls. Fatigue phenotypes of general fatigue, physical fatigue, mental fatigue, reduced activity, and reduced motivation were measured with the reliable and valid Multidimensional Fatigue Inventory (MFI).

Emerging Adults with Diabetes in Safety-Net Care: Self-Management Influences and Patient-Provider Interactions.

Emerging adults with diabetes, particularly in underserved communities, represent a growing but less studied population whose needs may differ from older adults. This study investigated perspectives of underserved emerging adults regarding diabetes self-management influences and provider interactions. Focus groups and interviews with emerging adults in a safety-net health care setting were conducted to identify perspectives regarding self-management influences and patient-provider interactions.

Integrating the Social Determinants of Health Into Prelicensure Nursing Pharmacology.

Background: Nursing organizations have called for the incorporation of social determinants of health (SDOH) throughout nursing school curricula. Guidance is needed regarding best practices to integrate SDOH into pharmacology courses in prelicensure nursing programs.

Method: Using Emory University's School of Nursing SDOH framework to guide curriculum innovation, pharmacology faculty identified three pharmacology-centric SDOH topics: race-based medicine and pharmacogenomics, pharmacy deserts, and lack of diversity in clinical trials.

Diabetes Care Provider Perceptions Regarding Emerging Adults' Diabetes Self-Management Influences and Patient-Provider Visit Interactions Within a Safety-Net Hospital.

The increasing number of emerging adults with diabetes (EAWD) being cared for in adult health care settings requires a better understanding of the needs of EAWD and their interactions with adult health care providers (HCPs). This article describes findings from interviews with endocrinologists and diabetes nurses from a safety-net health care system to investigate HCPs' perspectives regarding influences on EAWD self-management and HCP interactions with EAWD. HCPs frequently perceived lower EAWD engagement in diabetes management, which was complicated by barriers such as the emotional burden of diabetes, busy lives and multiple responsibilities, and limited access to resources; however, HCPs valued the role of information and communication at visits in tailoring care for EAWD.

Development and Validation of Dementia Care Content in Nursing Curricula Instrument-Revised.

Understanding the extent to which dementia care content is integrated into curricula is vital to prepare the nursing workforce to provide quality dementia care. To revise and examine the content validity of the Dementia Care Content in Nursing Curricula Instrument (DCCNCI), an instrument for assessing dementia care content in prelicensure nursing curricula. We generated additional items and refined the original DCCNCI.

Body Image, Depression Symptoms, and Health-Related Quality of Life in Black Women With Systemic Lupus Erythematosus.

Objective: To examine relationships among body image, depression symptoms, and quality of life in Black women with systemic lupus erythematosus (SLE).

Design: Descriptive, correlational design.

Setting/sample: Using social media advertising, we recruited Black women with self-reported SLE to complete a web-based survey.

Adaptation of Metabolomics and Microbiomic Research Protocols During the COVID-19 Pandemic.

Background: When the COVID-19 pandemic hit in 2020, researchers in the P30 Center for the Study of Symptom Science, Metabolomics, and Multiple Chronic Conditions at Emory University's Nell Hodgson Woodruff School of Nursing faced major challenges in recruitment and data collection because of limited access to the clinic and community facilities and the risk of COVID-19 exposure associated with in-person study contact.

Objectives: The purpose of this article is to (a) describe how a cadre of pilot/supplement principal investigators adapted their studies to allow for safe and trustworthy data collection during the COVID-19 pandemic (March 2020 through date of publication) and (b) discuss steps that facilitated the technical aspects of remote data collection, especially involving biological specimens.

Results: Four pilot studies and two administrative supplements within the center-all at different stages of execution-adopted various alternative remote recruitment, enrollment, and data and specimen collection approaches to continue their research endeavors in a way that maximized the safety of both the research participants and the research teams.

Strategies for successful promotion for clinical track nursing faculty.

Successful promotion of faculty yields multiple benefits including career advancement, recognition for productivity and contributions to the organization, and an increase in financial compensation for the individual. In academic settings, particularly in research intensive institutions, time and resources often are focused on supporting tenure track faculty to be successful in obtaining promotion and tenure. Although most nursing programs have substantial numbers of clinical track faculty (CTF), there may be less emphasis around planning and resources for performing activities that will lead to successful promotion for nontenure track faculty.

Metabolomics Research Conducted by Nurse Scientists: A Systematic Scoping Review.

Metabolomics, one of the newest omics, allows for investigation of holistic responses of living systems to myriad biological, behavioral, and environmental factors. Researcher use metabolomics to examine the underlying mechanisms of clinically observed phenotypes. However, these methods are complex, potentially impeding their uptake by scientists.

Using Deliberate Practice and Simulation for Psychomotor Skill Competency Acquisition and Retention: A Mixed-Methods Study.

Background: Quality, safe patient care is dependent on graduates who are proficient in the psychomotor skills of nursing. Competent skill acquisition and retention are key to reducing skill-based errors and reducing the risk of adverse patient events.

Purpose: The purpose of this study was to explore the effect of deliberate practice combined with skill practice during high-fidelity simulation (HFS) scenarios on urinary catheter insertion skill competency and retention in prelicensure nursing students.

A mixed-methods study of coping and depression in adolescent girls with polycystic ovary syndrome.

Background And Purpose: Polycystic ovary syndrome (PCOS) is a complex metabolic disorder associated with clinical manifestations that could be psychologically distressing to adolescent girls considering the concern of body image during the developmental stage of adolescence. Poor psychological functioning is related to increased mortality, higher health care costs, and negative health outcomes. Coping has been identified as impacting health and adaptation to illness; therefore, the purpose was to examine coping and depression in adolescent girls with PCOS.

Predicting student attrition using social determinants: Implications for a diverse nursing workforce.

Background: Attrition of academically qualified nursing students affects the size of the nursing workforce. A better understanding of the multifaceted predictive factors of attrition is needed to inform targeted interventions to promote program progression and maintain an adequate nursing workforce.

Purpose: The purpose of this study was to identify demographic, academic, and social determinant factors associated with attrition at the end of the first semester in an upper-division baccalaureate nursing program.

A Randomized Clinical Trial of the Effect of an Angina Self-Management Intervention on Health Outcomes of Patients With Coronary Heart Disease.

Purpose: The aim of this study was to test the effect of a psychoeducational intervention to enhance angina pectoris (AP) symptom self-management.

Design: A two-group, single-blind, randomized controlled trial.

Methods: Following institutional review board approval, a convenience sample of cardiac inpatients was recruited.

A qualitative study of nuisance bleeding and medication-related beliefs with dual antiplatelet drug therapy.

Objectives: The purpose of this qualitative study was to explore perceptions of nuisance bleeding and medication-related beliefs among adults taking dual antiplatelet drug therapy.

Methods: We conducted qualitative telephone interviews with 34 community-dwelling adults with cardiovascular disease.

Results: Using qualitative content analysis, we identified 4 dominant themes: nuisance bruising, nuisance bleeding, importance of medication adherence, and duration of therapy.

An Adaptation of the Original Fresno Test to Measure Evidence-Based Practice Competence in Pediatric Bedside Nurses.

Purpose: Instruments used to assess evidence-based practice (EBP) competence in nurses have been subjective, unreliable, or invalid. The Fresno test was identified as the only instrument to measure all the steps of EBP with supportive reliability and validity data. However, the items and psychometric properties of the original Fresno test are only relevant to measure EBP with medical residents.

A Factor Analysis of the Perceived Value of Certification Tool for Nurse Educators: Evidence for Construct Validity.

Aim: The purpose of this study was to examine construct validity of the Perceived Value of Certification Tool for Nurse Educators (PVCT-NE).

Background: Preliminary testing of the PVCT-NE demonstrated content validity and strong evidence of internal consistency reliability. Construct validity evidence for the tool is lacking.

What Is the Value of Nurse Educator Certification? A Comparison Study of Certified and Noncertified Nurse Educators.

Aim: The purpose of this study was to examine differences in how certified nurse educators and noncertified nurse educators valued nurse educator certification.

Background: No studies have investigated the differences in perceptions of certified and noncertified nurse educators. Understanding these differences may influence how the nursing profession recognizes and promotes excellence within the academic nursing specialty.

Dementia Care Content in Prelicensure Nursing Curricula: A Pilot Mixed-Methods Study.

Background: Having a nursing workforce equipped to provide quality care for patients living with dementia is essential. The purpose of this study was to investigate how undergraduate nursing programs integration of dementia care content into their curricula.

Method: Using sequential explanatory mixed methods, a stratified sample of 137 representatives of programs in 11 states with dense elderly populations completed a quantitative survey.

Time-Motion Analysis of Nurses Utilizing Insulin Pen Devices Compared to Vial and Syringe in an Inpatient Setting.

Objective: To compare the time taken and steps completed by nurses in the process of insulin preparation and administration using the pen device compared to the vial and syringe method.

Methods: Observational and exploratory study utilizing a time-motion analysis of nurses' administration of insulin using the pen versus vial and syringe delivery methods. Nurses were observed, video-recorded, and timed during insulin preparation and administration using each delivery method.