Conducting original research in the school setting advances our understanding of diverse, vulnerable youth with the objective of improving future outcomes through evidence-based health initiatives. School-based research may involve formal collaboration and partnership with school personnel or may be conducted through use of school facilities, site location, or access to participant recruitment. Despite the recognized benefits of school-based research, the school setting presents many unique challenges to the nurse researcher, including obtaining site access and facilitating the implementation of the research study. Traditional nursing research textbooks and training describe research methods, ethics, and applications well. However, these resources provide little information on gaining access to research settings including community settings such as schools. The purpose of this article is to describe researcher experiences in the school setting and identify lessons learned for conducting school-based research. We provide guidance with examples illustrating real-world experiences with access to and completion of research in the elementary and high-school setting. Five lessons learned that support school-based research are identified: 1) do your homework, 2) cultivate relationships, 3) be well prepared and remain flexible, 4) follow the rules, and 5) find ways to give back.
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http://dx.doi.org/10.1891/CN-2022-0001 | DOI Listing |
JAMA Cardiol
January 2025
Department of Emergency Medicine, Rush University Medical Center, Chicago, Illinois.
Importance: Lung ultrasound (LUS) aids in the diagnosis of patients with dyspnea, including those with cardiogenic pulmonary edema, but requires technical proficiency for image acquisition. Previous research has demonstrated the effectiveness of artificial intelligence (AI) in guiding novice users to acquire high-quality cardiac ultrasound images, suggesting its potential for broader use in LUS.
Objective: To evaluate the ability of AI to guide acquisition of diagnostic-quality LUS images by trained health care professionals (THCPs).
JAMA Surg
January 2025
Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Importance: Surgeon stress can influence technical and nontechnical skills, but the consequences for patient outcomes remain unknown.
Objective: To investigate whether surgeon physiological stress, as assessed by sympathovagal balance, is associated with postoperative complications.
Design, Setting, And Participants: This multicenter prospective cohort study included 14 surgical departments involving 7 specialties within 4 university hospitals in Lyon, France.
JAMA Dermatol
January 2025
Harvard Medical School, Boston, Massachusetts.
Importance: Isotretinoin is the only medical acne treatment capable of inducing acne remission; however, some patients experience acne relapse and require retrials of isotretinoin. There is a need to understand who is most at risk and how daily dose and cumulative dosage can influence outcomes.
Objective: To assess rates of acne relapse and isotretinoin retrial and to identify associated factors among patients with acne who received an isotretinoin treatment course.
Importance: Routine preoperative blood tests and electrocardiograms before low-risk surgery do not prevent adverse events or change management but waste resources and can cause patient harm. Given this, multispecialty organizations recommend against routine testing before low-risk surgery.
Objective: To determine whether a multicomponent deimplementation strategy (the intervention) would reduce low-value preoperative testing before low-risk general surgery operations.
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