180 results match your criteria: "The University of North Carolina at Chapel Hill School of Nursing[Affiliation]"

Aim: To evaluate the implementation of the Transitional Care Model (TCM), an evidence-based, advanced practice registered nurse-led multi-component intervention, as part of a randomised controlled trial during the first year of the COVID-19 pandemic.

Design: Parallel convergent mixed-methods approach.

Methods: Data for this study were collected between June 2020 and February 2021.

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Assessing Doula Preparedness for Supporting Clients in a Hospital-Based Volunteer Doula Program.

J Perinat Neonatal Nurs

October 2024

Author Affiliations: University of North Carolina at Chapel Hill School of Nursing and Birth Partners Volunteer Doula Program, The University of North Carolina Health Center, Chapel Hill, North Carolina (Dr Lanning).; Birth and Postpartum Doula, Department of Anthropology, University of Alabama, Tuscaloosa, Alabama (Ms Locke); Department of Environmental Sciences and Engineering, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina (Dr Eaves); and Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina (Dr Desrosiers).

Article Synopsis
  • This evaluation aimed to measure how prepared doulas feel after completing different training programs, focusing on those trained through a hospital-based program versus nationally recognized programs.
  • The study involved a survey comparing the self-reported preparedness of volunteer doulas from both training routes, revealing similar levels of preparedness, with both groups feeling mostly ready to provide support.
  • The findings suggest that localized training can effectively prepare doulas, indicating the potential value of program evaluations to enhance training methods and increase overall readiness in the field.
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Background: Food allergy (FA) affects around 5.6 million children in the United States, conferring risk for negative impacts on growth and psychosocial functioning. While evidence suggests a higher prevalence of feeding difficulties in children with FA, the link between FA and feeding dysfunction remains unclear.

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Background: Increasing representation in clinical trials is a priority for the National Cancer Institute and Children's Oncology Group (COG). Our survey of COG-affiliated institutions revealed that many sites have insufficient processes and resources to enroll children whose parents use languages other than English (LOE). We describe reported barriers and facilitators to enrolling children in clinical trials when parents use LOE and propose opportunities for improvement.

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Aim: Present a study protocol investigating the biobehavioral efficacy of side-lying vs. supine positions on physiologic and behavioural responses of preterm infants during their transition from tube to full oral feeding, and identify associated infant characteristics.

Design: Within-subject cross-over design.

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Background: Despite the critical need for comprehensive and effective chronic pain care, delivery of such care remains challenging. Group medical visits (GMVs) offer an innovative and efficient model for providing comprehensive care for patients with chronic pain. The purpose of this systematic review was to identify barriers and facilitators (determinants) to implementing GMVs for adult patients with chronic pain.

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Second Line Therapy in Multiple Myeloma: A SEER Medicare Analysis.

Clin Lymphoma Myeloma Leuk

September 2024

UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina, USA; University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.

Article Synopsis
  • * A total of 9,822 patients were analyzed, revealing that by 2018, nearly half of the second-line therapies (2LT) included newer agents, and overall survival improved when treatments were initiated in later years.
  • * While improvements in survival were noted, the costs of 2LT increased significantly, especially for regimens with newer agents, with costs rising markedly post-2012, indicating a growing financial burden in RRMM treatment.
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Objective: This study aimed to evaluate the association between daily spiritual experiences and allostatic load (AL) trajectories in midlife African American women.

Methods: A longitudinal analysis of public-use data from 727 African American women in the Study of Women's Health Across the Nation (SWAN) was performed. We included African American women who completed the Daily Spiritual Experiences Scale at SWAN visit 4 (2000-2001) and had AL data at three or more study visits over 7 years.

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Background: Childhood obesity is an escalating crisis in the United States. Health policy may impact this epidemic which disproportionally affects underserved populations.

Aim: The aim was to use the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) framework to assess health policy impact on preventing or treating school-aged children (5 > 18 years) with obesity in underserved populations.

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Purpose: Metastatic breast cancer (MBC) patients often face substantial financial burden due to prolonged and expensive therapy. However, in-depth experiences of financial burden among MBC patients are not well understood.

Methods: Qualitative interviews were conducted to describe the experiences of financial burden for MBC patients, focusing on the drivers of financial burden, their experience using their health insurance, accessing financial assistance, and any resulting cost-coping behaviors.

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This study explored the influence of the Theory of Planned Behavior constructs on human papillomavirus (HPV) vaccine (HPVV) intentions and uptake among Hispanic parents in South Florida for their children aged 9-21. A descriptive exploratory analysis was conducted using 39 surveys completed by Hispanic parents. These surveys encompassed demographic data and questions about HPVV uptake, intention, attitudes, subjective norms, knowledge, self-efficacy, and awareness.

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Hispanic women who experience intimate partner violence (IPV) face unique disparities. They have poorer health outcomes and are less likely to seek help than their non-Hispanic counterparts. When women remain in relationships where IPV occurs and refuse to disclose or seek treatment, they may resort to self-silencing, which can also worsen health outcomes.

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Importance: Insulin is recommended for pregnant persons with preexisting type 2 diabetes or diabetes diagnosed early in pregnancy. The addition of metformin to insulin may improve neonatal outcomes.

Objective: To estimate the effect of metformin added to insulin for preexisting type 2 or diabetes diagnosed early in pregnancy on a composite adverse neonatal outcome.

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This review sought to identify and integrate available evidence on various sources of Hispanic women's well-being following intimate partner violence (IPV). The review was conducted using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Four peer-reviewed databases were reviewed for studies published between 2007 and 2022.

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The objective of this paper is to report on the effectiveness of a mental health addition to a national nurse-delivered home visiting program. The methods are as follows: analysis of pre/post-launch of the standard Mental Health Intervention and comparison of 356 teams randomized to standard versus enhanced implementation. Stepwise regression controlled for significant client characteristics that were related to relevant outcomes.

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Anticoagulation for Stroke Prevention in Atrial Fibrillation.

Nurs Clin North Am

September 2023

The University of North Carolina at Chapel Hill School of Nursing, 7460 Carrington Hall, Chapel Hill, NC 27599, USA. Electronic address:

Cardioembolic stroke from atrial fibrillation causes substantial death and disability in the United States. Treatment with oral anticoagulants provides safe and effective stroke prevention for high-risk patients. This article reviews strategies for the use of anticoagulation and highlights the nurse's role in patient education.

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Innovative Projects: A Unique Approach to Telehealth Education.

Nurs Educ Perspect

December 2024

About the Authors Anka Roberto, DNP, MPH, MSN, PMHNP-BC, APRN, is an assistant professor, University of North Carolina Wilmington School of Nursing, Wilmington, North Carolina. Jenny O'Rourke, PhD, APRN, is an associate professor, Loyola University Chicago Marcelle Neihoff School of Nursing, Maywood, Illinois. Saif Khairat, PhD, MPH, is an associate professor, University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, North Carolina. Tina Gustin, DNP, MSN, CNS, is an associate professor, Old Dominion University School of Nursing, Norfolk, Virginia. Carolyn Rutledge, PhD, FNP-BC, is a professor, associate chair of nursing, and DNP Program director, Old Dominion University School of Nursing. This project was supported by a grant from the Health Resources and Service Administration to Dr. Jenny O'Rourke. For more information, contact Dr. Roberto at .

During the COVID-19 pandemic, telehealth utilization grew astronomically, encouraging more institutions of higher education to become innovative and proactive in preparing health care providers to deliver high-quality telehealth care. Telehealth can be creatively implemented throughout health care curricula given the appropriate guidance and tools. This article speaks to the development of student telehealth projects as part of the work of a national taskforce funded by the Health Resources and Services Administration and charged with the development of a telehealth toolkit.

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Objectives: A shorter reproductive period, a marker of estrogen exposure, has been related to cognitive impairment among older (>65 years) non-Hispanic White women. We explored whether reproductive period duration, age at menarche, and age at menopause are related to cognitive function among postmenopausal Hispanic/Latina women.

Methods: This cross-sectional analysis used baseline (Visit 1: 2008-2011) data from 3630 postmenopausal women in the Hispanic Community Health Study/Study of Latinos.

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Background: Transgender and non-binary (trans*) individuals face disproportionately high rates of sexual violence yet experience discrimination at rape crisis centers (RCCs). Sexual assault nurse examiners (SANEs) who receive targeted education are better equipped to care for the trans* community.

Aims: This quality improvement project aimed to increase SANEs' self-perceived competence in caring for trans* assault survivors.

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Chronic diseases (CDs) are increasingly common among the aging population. Some evidence suggests that older Hispanic women ages 50 years and older (OHW) are at an increased risk for CDs and poorer outcomes than other groups. This study investigated the preliminary efficacy of ActuaYa, a culturally tailored CD prevention and health promotion intervention for OHW.

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