Increasing Cultural Awareness in the Advanced Nursing Practice Program Through Active Learning.

As student cultural diversity increases in higher education, educators must implement bias-free evaluations and active learning activities. The objective structured clinical examination (OSCE), an active learning strategy where simulated patients role-play specific clinical scenarios, can be part of the advanced nursing practice (ANP) educational program for either formative or summative competencies evaluation. This article describes active learning and theatrical techniques used in a grant-funded workshop to increase cultural awareness among ANP students, nurse educators, and simulated patients.

Escape the Anxiety: An Interactive Dosage Calculations Escape Room as a Contextualized Math Review.

An innovative teaching strategy was designed to prepare undergraduate nursing students for their dosage calculations assessment. An interactive virtual escape room presented students with the opportunity to help discharge their patient from the hospital. Within Google Forms, nurse educators created a branching storyline where the answers selected determined the path the students would take to meet the learning objectives.

Awareness of Disease Status Among Patients With Cancer: An Integrative Review.

Background: As the quality of cancer care improves, oncology patients face a rapidly increasing number of treatment options. Thus, it is vital that they are full and active partners in the treatment decision-making process. Awareness of disease status has been investigated in the literature; it has been inconsistently conceptualized and operationalized.

Beliefs and willingness towards participating in genetic testing for depression in low-income and racial/ethnic minority mothers at-risk.

Purpose: To identify mothers' salient normative, behavioral and control beliefs and willingness towards participating in genetic salivary testing for depression.

Design: A qualitative, descriptive design was employed. 41 multi-ethnic mothers completed surveys that underwent directed content analysis according to The Theory of Planned Behavior.

Effects of End-of-Life Communication Knowledge, Attitudes, and Perceived Behavioral Control on End-of-Life Communication Behaviors Among Nephrology Nurse Practitioners.

The scope of end-of-life communication is not well known among nephrology advanced practice nurses (APNs). Guided by the Theory of Planned Behavior, the study aimed to examine the independent effects of knowledge, attitude, and perceived behavioral control on the engagement of APNs in end-of-life communication and the mediating and moderating effects of attitude and perceived behavioral control on the relationships between knowledge and end-of-life communication. A theoretically derived 17-item survey measuring the concepts was administered to a convenience sample of 127 APNs.

Developing and validating a prediction model for lymphedema detection in breast cancer survivors.

Purpose: Early detection and intervention of lymphedema is essential for improving the quality of life of breast cancer survivors. Previous studies have shown that patients have symptoms such as arm tightness and arm heaviness before experiencing obvious limb swelling. Thus, this study aimed to develop a symptom-warning model for the early detection of breast cancer-related lymphedema.

The effect of data aggregation on estimations of nurse staffing and patient outcomes.

Objective: To examine how estimates of the association between nurse staffing and patient length of stay (LOS) change with data aggregation over varying time periods and settings, and statistical controls for unobserved heterogeneity.

Data Sources/study Setting: Longitudinal secondary data from October 2002 to September 2006 for 215 intensive care units and 438 general acute care units at 143 facilities in the Veterans Affairs (VA) health care system.

Research Design: This retrospective observational study used unit-level panel data to analyze the association between nurse staffing and LOS.

Socio-Demographic and Coping Correlates and Predictors of Depressive Symptoms Among Low-Income and Ethnic Minority Mothers At-Risk.

This study identified coping and sociodemographic correlates and predictors of depressive symptoms in mothers at risk for clinical depression. A descriptive, cross-sectional design was employed. A convenience sample of 88 low-income or ethnic-minority mothers aged 21 to 45 completed a depression scale, demographic data sheet, and responded to an open-ended question.

Development of the Clients' Perceptions of Providers' Cultural Competency Instrument.

Introduction: This study developed and validated the Clients' Perceptions of Providers' Cultural Competency instrument.

Method: A sequential exploratory mixed design identified three constructs derived from the studies of Leininger and others. Constructs were compared with publications on cultural competency.

Design and Implementation of an Innovative Undergraduate Pediatric Clinical Experience With Teenagers of Mexican Heritage.

This article describes an innovative community-based pediatric clinical rotation for undergraduate nursing students. Students were charged with conducting interactive educational sessions on health-related topics of interest to participants in a six-week summer day camp for adolescents of Mexican heritage. At the completion of the experience, students identified social determinants of health that impacted the health of the community and the impact of the experience on their nursing practice.

Nursing Students' Perceptions of Just Culture in Nursing Programs: A Multisite Study.

Background: While just culture is embraced in the clinical setting, just culture has not been systematically incorporated into nursing education.

Purpose: The purpose of this study was to assess prelicensure nursing student perceptions of just culture in academia.

Methods: Following a quantitative, descriptive design, the Just Culture Assessment Tool for Nursing Education (JCAT-NE) was used to measure just culture across multiple (N = 15) nursing programs.

The Perfect Storm: Stakeholder Perspectives on Factors Contributing to Hospital Admissions for Patients Undergoing Maintenance Hemodialysis.

Patients living with end stage renal disease (ESRD) who are undergoing hemodialysis experience frequent hospitalizations associated with complications of care and exacerbations of illness. Efforts to reduce hospitalizations have had limited success. The purpose of this study was to explore why hospitalizations occur from the perspectives of patients undergoing hemodialysis treatment, their caregivers, and health care providers.

Fitness and Quality of Life Outcomes of Cancer Survivor Participants in a Community Exercise Program.

Exercise is recommended for cancer survivors, as it mitigates treatment side effects and improves overall wellness. Therefore, survivors attend community-based exercise programs and report positive results, but published evaluations of outcomes of these programs are scarce in the literature. The objective of this study is to validate the anecdotal reports of the physical fitness and quality of life benefits of the LIVESTRONG at the YMCA program.

Using an Evidence-Based Approach for Assessing and Identifying Delirium Among Medical-Surgical Patients in the Acute Care Setting.

The scholarship of the doctor of nursing practice (DNP) is crucial in the use of evidence-based practice to address clinical gaps in practice. The Confusion Assessment Method (CAM) is a literature supported tool for the assessment of delirium. Registered nurses (RNs) were educated on the application of the CAM for their patients.