Paying It Forward: Nursing Students Give Back Through Continuing Education.

As nurses experience higher work demands, finding the time and resources to complete continuing education activities can be challenging. In this innovative activity, baccalaureate nursing students offered a potential solution by developing educational posters for their clinical partners. Bridging theory and practice, this approach enhanced relationships between students and bedside nurses, promoted collaborative learning, and fostered knowledge exchange within the clinical setting.

Perspectives on the Dementia Public Health Exposome.

Dementia is a public health concern in the aging population with an estimated 55 million people impacted globally. Public health initiatives that focus on minimizing dementia risk factors may support efforts to reduce the incidence of dementia in at-risk populations. Exposomics considers both modifiable and non-modifiable risk factors for disease, including genetic changes with age and lifetime exposures to environmental, social, and behavioral risk factors.

Why Voting and Voter Disenfranchisement Matter to Health.

Nurses can play a crucial role as trusted advocates.

Reducing 30-day Acute Care Readmissions for Heart Failure Patients Through Implementation of a Discharge Bundle.

Purpose: Hospital readmissions have been a long-standing problem in the American health care system. Despite many efforts, programs, papers, and interventions identified and studied, 14% of all adult admissions result in a readmission. Readmissions are mostly considered preventable and are considered an indicator of care quality for a hospital.

Barriers and Facilitators Experienced by Undergraduate Nursing Faculty Teaching Clinical Judgment: A Qualitative Study.

Background: Clinical judgment is declining in new graduate nurses, which affects patient safety and is therefore tested on the Next Generation NCLEX. There is limited research describing barriers and facilitators impacting nursing faculty's experiences teaching clinical judgment.

Aims: The purpose of this study was to explore barriers and facilitators affecting undergraduate nursing faculty's clinical judgment teaching methods.

Educational Needs of Rural Students Interested in the Nursing Profession.

This study aimed to uncover the educational requirements of minority rural students who aspire to pursue a career in nursing. To achieve this goal, focus groups and interviews were organized for middle school students (seventh to ninth grade) and community members with a stake in education. The outcomes of these discussions revealed crucial themes: limited knowledge of educational pathways, constraints posed by limited community resources, and a strong yearning for a mentorship program that is both informative and interactive.

Implementation of an Innovative Learning Experience to Address Vaccine Hesitancy.

The COVID-19 pandemic and subsequent vaccine hesitancy highlighted the need for additional learning experiences for nursing students to address person-centered care and communication. This project aimed to employ a three-step service-learning experience consisting of town hall meetings, motivational interviewing training, and rural health fairs to address vaccine hesitancy in communities surrounding the college. Evaluation of the project revealed satisfaction and increased confidence among participating nursing students.

Critical care nurse leaders' moral distress: A qualitative descriptive study.

Background: Unit-based critical care nurse leaders (UBCCNL) play a role in exemplifying ethical leadership, addressing moral distress, and mitigating contributing factors to moral distress on their units. Despite several studies examining the experience of moral distress by bedside nurses, knowledge is limited regarding the UBCCNL's experience.

Research Aim: The aim of this study was to gain a deeper understanding of the lived experiences of Alabama UBCCNLs regarding how they experience, cope with, and address moral distress.

Critical care nurse leaders addressing moral distress: A qualitative study.

Background: Moral distress (MD) occurs when clinicians are constrained from taking what they believe to be ethically appropriate actions. When unattended, MD may result in moral injury and/or suffering. Literature surrounding how unit-based critical care nurse leaders address MD in practice is limited.

Incorporating Omics and Precision Health in a Nursing PhD Program: The Perspectives of Student Nurse Scientists.

To engage in innovative and novel precision health and omics research, nurse scientists need to be knowledgeable about the genetic, behavioral, and environmental factors that impact health outcomes. This article illustrates the benefits of a nursing omics PhD curriculum at a state university. The purpose is to provide students' perspectives and research interests that were inspired by the omics and precision health curriculum.

Social and structural determinants of recovery: The impact of race.

Relapse rates for substance use disorders (SUDs) after treatment are as high as 50%. Evidence suggests that social and structural determinants of recovery influence these outcomes. Important domains to consider include economic stability, educational access and quality, healthcare access and quality, neighborhood and built environment, and social and community context are the major domains of social determinants of health.

Development of a Primary Palliative Nursing Care Competence Model and Assessment Tool: A Mixed-Methods Study.

Aim: The purpose of this study was to develop a new primary palliative nursing care (PPNC) competence model and assessment tool.

Background: Consensus guidelines, a national position statement, and new nursing program accreditation standards require nurses to be educated in providing PPNC. A means to assess PPNC competence for prelicensure nursing students and entry-level nurses is needed.

Model Integration: Can Understanding Biopsychosocial Gut-Brain Axis Mechanistic Pathways Improve our Clinical Reasoning in Primary Care?

Introduction: Most NPs practice in primary care settings. Cognitive tools to inform and advance NP understanding of biopsychosocial mechanisms can support early recognition, interdisciplinary collaboration, interventions, and prevention of negative outcomes.

Theory And Methods: We describe the development of a model to support NP consideration of gut-brain axis (GBA) evidence-based pathways, contributing variables, and related health outcomes.

Resilience among nurses in long term care and rehabilitation settings.

Background: Nurses practicing in long-term care or rehabilitation settings face unique challenges from prolonged or repeated exposure to stressors, given their extended time with patients. This puts them at risk for compassion fatigue, burnout, and secondary traumatic stress, which can lead to decreased resilience and sleep problems.

Aim: The aim of this study was to examine relationships among resilience, professional quality of life, sleep, and demographics in nurses working in long-term care or rehabilitation settings, and to investigate whether demographics, professional quality of life, and sleep quality are significant predictors of nurses' resilience.

COVID-19 and opioid use disorder: Expanding treatment access in rural settings.

Substance use treatment inequities among rural populations are well documented and the COVID-19 pandemic has exacerbated these inequalities, forcing healthcare providers to be creative in the delivery of treatment. Systematic reviews on the use of telehealth to treat patients with substance use disorder indicate that it is a promising alternative to in-person services. This article examines the evidence supporting the use of telehealth in treating patients with opioid use disorder and explores other promising options that can help overcome pandemic-related barriers to treatment.

Tolvaptan for Autosomal Dominant Polycystic Kidney Disease: Pharmacokinetics and Implications for Practice.

Autosomal dominant polycystic kidney disease (ADPKD) is incurable and occurs once in every 1,000 births. Confirmation of AKPKD is made through imaging and a positive family history. Symptoms typically appear in mid-life and include kidney, side, and/or back pain related to the rupture of kidney cysts, renal stones, infection, pressure of cysts against other organs, and stretching of the renal capsule.

A Portal Adoption Program to Enhance Patient Satisfaction in Primary Care.

Patient engagement technologies have become a focal point for defining quality in government and medical practice arenas. Patient portals are recognized as a promising mechanism to foster patient engagement and, as such, have become embedded in major healthcare reform initiatives. Despite sweeping implementation endeavors, portal adoption rates among patients remain low and create a significant gap in quality-based reimbursement.

A Hospital-Level Intervention to Improve Outcomes of Opioid Exposed Newborns.

Purpose: The purpose of this quality improvement project was to determine if non-pharmacologic strategies such as a rooming-in approach to care for newborns at risk of developing neonatal abstinence syndrome (NAS) would reduce total length of stay (LOS) and reduce the need for pharmacologic treatment.

Design And Methods: This was a quality improvement project utilizing a retrospective chart review. Records of newborns with in-utero methadone or buprenorphine exposure were reviewed who were born between January 2016-July 2017 and July 2017-August 2018 at Wellspan Health York Hospital.

Using precision medicine to individualize healthcare.

The Precision Medicine Initiative (PMI) is a government initiative to encourage individualized care. This article provides a snapshot of precision medicine and its implications for patients and study participants, as well as the PMI and the role of nurses as educated patient advocates.

Role Modeling in Simulation as an Inductive Classroom Learning Strategy for Nursing Education.

Simulation provides a safe, controlled environment for learning. Using faculty-led role modeling during simulation as a classroom learning experience provides an opportunity for both inductive and reflective learning. Role modeling occurs when a behavior or skill is demonstrated and then duplicated by an observer.

Implementation of an Obstructive Sleep Apnea Screening Program at an Overseas Military Hospital.

Anesthesia providers and surgeons do poorly at consistently identifying patients with obstructive sleep apnea (OSA) without use of screening tools. Aims of this evidence-based-practice project were to determine whether educating nurses about OSA and incorporating the STOP-BANG Questionnaire into preoperative forms was associated with an increased identification of patients with suspected OSA and an increased frequency of nurse-generated anesthesia consultation for OSA. A retrospective chart review of 100 consecutive records over a 1-month period using the STOP-BANG Questionnaire criteria was completed before and after implementation of the education and screening program at US Naval Hospital Okinawa, Japan.

WHERE Are the Faculty? Fulfilling the Traditional Faculty Role at a Distance.

Innovative approaches are needed to retain seasoned nursing faculty. Technology provides opportunities for faculty to fulfill the traditional roles of teaching, research, and service from a site removed from the traditional campus. The purpose of this article is to encourage faculty and administrators in traditional, land-based colleges and universities to thoughtfully consider the advantages and challenges of the remote worksite for faculty based on the experience of one faculty.