Creating a Public Service Announcement as a Teaching Strategy to Advocate for Populations at Risk due to Climate Change.

The 2022 National League for Nursing Vision Statement, Climate Change and Health, identified gaps in nursing education regarding the issue of climate change and its impact on at-risk populations. Our innovative teaching strategy requires nursing students to use clinical judgment to synthesize ideas and communicate the health risks of climate change for population at risk in a brief video or public service announcement. This teaching strategy can prepare nursing students to advocate for population health.

Metered-Dose Inhaler Versus Nebulizer Treatment for Acute Asthma Exacerbation: A Process Evaluation.

The prevalence of childhood asthma in the United States is 6.5%. During the COVID-19 pandemic, a Federally Qualified Health Center (FQHC) implemented metered-dose inhalers (MDIs) with spacers instead of nebulized albuterol to reduce aerosolization of pathogens and reduce costs.

Generational Differences in Nurses' Intention to Leave.

There are many studies about nurses' intention to leave their jobs and contributing factors. However, there is a lack of research about generational differences in nurses' intention to leave. This evidence may help with workforce planning and targeting specific generations of nurses with retention interventions.

Lessons from Fukushima: Potassium Iodide After a Nuclear Disaster.

The release of radioactive iodine after a nuclear disaster, such as those that occurred at the Fukushima Daiichi Nuclear Power Plant in Japan 10 years ago and Three Mile Island in Pennsylvania in 1979, increases thyroid cancer risk among people who are exposed. Certain populations are especially vulnerable, including pregnant and breastfeeding women, children, and neonates. Potassium iodide (KI) can effectively block radioactive iodine from being absorbed by the thyroid gland if taken immediately after a radiation release.

Affiliate Faculty in Nursing Clinical Education: Student and Faculty Perceptions.

Background: Academic-practice relationships can be integral in advancing high-quality education for prelicensure nursing students. In a midwestern city, the academic health center and school of nursing developed the affiliate faculty model, a viable and sustainable model for clinical education.

Purpose: This study explores the efficacy of the affiliate faculty model as reported by prelicensure nursing students and affiliate faculty over a 7-year period.

Effect of a Longitudinal Interprofessional Education Passport Program on Nursing Students' Attitudes Toward Interprofessional Practice.

To meet the demands of complex health care systems with multiple professions, it is recommended that nursing students have interprofessional educational experiences throughout the curriculum. We assessed longitudinal changes in nursing students' attitudes toward interprofessional collaboration in the context of an Interprofessional Education Passport Program. Students were surveyed using the Interprofessional Attitudes Scale at the beginning and end of the two-year curriculum.

Clearing Away Past Wreckage: A Constructivist Grounded Theory of Identity and Mental Health Access by Female Veterans.

Women Veterans are the largest veteran population yet have significant mental health disparities, greater than both civilian women and veteran men. This article used constructivist grounded theory methods to explore the experiences of women Veterans that led to mental health outpatient service use. Twelve women Veterans revealed meaningful stories on their experiences of trauma and their use of mental health services.

Health Information Technology Scholars Program: From Implementation to Outcomes.

Aim: This article reports the development, implementation, and outcomes of the Health Information Technology Scholars (HITS) program.

Background: HITS is one of nine faculty development collaborative projects funded by the Health Resource Service Administration to integrate information and other technologies in nursing education and practice.

Method: In addition to evaluating the content and context of the program, the evaluation includes descriptive statistics, goal attainment scaling, diffusion of innovation index, utilization of knowledge survey, and exemplars from scholars.

The Ongoing Controversy: Crystalloids Versus Colloids.

There is still much debate over the optimal fluid to use for resuscitation. Different studies have indicated either crystalloid or colloid is the ideal intravenous solution to administer, based on mortality or various physiological parameters. Older studies found differences between crystalloids and colloids.

A Collaborative Step-Wise Process to Implementing an Innovative Clinic for Adult Survivors of Childhood Cancer.

With a 5 year survival rate of approximately 80%, there is an increasing number of childhood cancer survivors in the United States. Childhood cancer survivors are at an increased risk for physical and psychosocial health problems many years after treatment. Long-term follow-up care should include education, development of individualized follow up plans and screening for health problems in accordance with the Children's Oncology Group survivor guidelines.

The Impact of Long-Term Home Parenteral Nutrition on the Patient and the Family: Achieving Normalcy in Life.

Home parenteral nutrition (HPN) is a technologically complex, life-sustaining therapy for individuals who have intestinal failure. Accepting an invasive lifelong therapy like HPN is challenging for patients and their family caregivers. There is a desire to maintain a sense of normalcy in life and to carry on as usual.

Head-of-bed elevation and early outcomes of gastric reflux, aspiration and pressure ulcers: a feasibility study.

Background: Guidelines recommending head of bed (HOB) elevation greater than 30º to prevent ventilator-associated pneumonia conflict with guidelines to prevent pressure ulcers, which recommend HOB elevation less than 30º.

Objectives: To examine the feasibility of 45º HOB elevation and describe and compare the occurrence of reflux, aspiration, and pressure ulcer development at 30º and 45º HOB elevation.

Methods: A randomized 2-day crossover trial was conducted.

Gradually Guiding Nursing Students through Their Capstone Course: Registered Nurse Preceptors Share Their Experiences.

Professional precepted immersion courses (capstone) have become the standard as a means to prepare senior nursing students to enter the workforce. Preceptors have a significant role in developing the student nurse, yet exactly how to prepare preceptors for this role has been an ongoing discussion. This qualitative inquiry explored the educational needs of clinical registered nurse (RN) preceptors who work directly with senior nursing students in a professional precepted immersion (capstone) course.

Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: a clear and user-friendly guideline.

Rationale, Aims And Objectives: The diversity of the population worldwide suggests a great need for cross-culturally validated research instruments or scales. Researchers and clinicians must have access to reliable and valid measures of concepts of interest in their own cultures and languages to conduct cross-cultural research and/or provide quality patient care. Although there are well-established methodological approaches for translating, adapting and validating instruments or scales for use in cross-cultural health care research, a great variation in the use of these approaches continues to prevail in the health care literature.

Spirituality as a component of holistic self-care practices in human immunodeficiency virus-positive women with histories of abuse.

The purpose of this article is to articulate the need for a holistic theory of self-care for women with human immunodeficiency virus that describes and interprets spirituality as a primary component. The authors propose that by conceptualizing spirituality as integral to self-care, nurses will support and educate women with human immunodeficiency virus utilizing a holistic perspective.

Perceptions of social support from pregnant and parenting teens using community-based doulas.

Few studies have examined community-based doula care during the childbearing period. This descriptive study was designed to explore and describe the perceptions of disadvantaged pregnant and parenting teens (N = 24) who received support from culturally matched, community-based doulas. Their reported perceptions included enhanced knowledge about childbearing, support during childbirth, self-care, and early attachment to the newborn.

Psychometric properties of the Grandparent Perceptions of Family Scale (GPFS).

Background: For the majority of grandparents, rarely are their perceptions of family assessed, acknowledged, or viewed in the context of potential effect on individual and family health.

Objective: To develop and test an instrument to measure grandparent perceptions of family.

Method: An inductively derived semantic differential instrument comprising 112 items, 8 stimuli, and 27 adjective pairs within 2 domains and framed by the Becoming a Grandparent theoretical model was content validated by an expert panel, revised, and evaluated on a convenience sample of 306 community-dwelling grandparents, aged 41-92 years (M = 64, SD = 9.

Intradermal injections: traditional bevel up versus bevel down.

This study used qualitative and quantitative methods to examine differences regarding correct placement of injectate, leaking or bleeding, time to administer injection, and comfort of person administering, and receiving an intradermal injection. Each (N = 98) administered and received two injections. Subjects evaluated their comfort on a Likert scale.

Dissipating the perfect storm - responses from nursing and the health care industry to protect the public's health.

This article summarizes the major national workforce reports and references the need for a tiered and comprehensive approach to avert the imminent nursing shortage crisis. Since 2002, commendable efforts have been made to increase supply, respond to current demand, and enhance the working environment to benefit recruitment and retention. Four areas are highlighted as exemplars of effort: supply and demand; work environment; new partnerships and public/private ventures; and patient-centered and essential patient-safe care.

What constitutes advanced assessment?

As programs to prepare advanced practice nurses for primary care have flourished during the past decade, faculty aspire to teach a health assessment course that is more than a review of undergraduate work. Therefore, course faculty constructed a list of advanced assessment competencies. The purpose of this descriptive study was to validate the competencies clinical preceptors' rated as important via a mailed survey.

The Role of Nurses in Primary Care: Managing Alcohol-Abusing Patients.

Nurses work on the front lines of primary health care delivery in many settings. The unique characteristics of nursing care put nurses in an excellent position to identify, assess, counsel, and monitor clients with alcohol problems.