A Strategy to Enhance Student Experiences in Public Health Emergency Preparedness and Response: Medical Reserve Corps Nursing Student Summer Externship.

Development of the public health nursing workforce is crucial to advancing our nation's health. Many organizations, including the American Association of Colleges of Nursing, Centers for Disease Control and Prevention, and the US Department of Health and Human Services, have identified the need for strengthening academia's connection to public health and tailoring experiences to enhance workforce competency. The Oklahoma Medical Reserve Corps (OKMRC) Nursing Student Summer Externship was developed as a strategy to provide nursing students with strengthened knowledge and skills in disaster response through a structured summer volunteer experience with nurse educators within the OKMRC.

Effectiveness of Delayed Cord Clamping in Reducing Postdelivery Complications in Preterm Infants: A Systematic Review.

This systematic review evaluates the effectiveness of delayed cord clamping in preterm infants on reducing postdelivery complications of anemia, hemodynamic instability, and the development of intraventricular hemorrhages. Interventions included varying durations of delayed cord clamping with and without cord milking as compared with immediate cord clamping, shorter delays in cord clamping, and delayed cord clamping without cord milking. A comprehensive search of randomized controlled trials, observational, cohort, and before-after studies was conducted between 1946 and 2015 in the electronic databases of Ovid MEDLINE, Embase, and Google Scholar.

Use of a 90-minute protocol to evaluate patients presenting to the emergency department with chest pain: a case study.

Frustration with emergency department wait times may contribute to patient delays in seeking care for subsequent episodes of chest pain and lower patient satisfaction ratings. In response to patient feedback and the dissemination of new knowledge, the existing emergency chest pain protocol was updated to include point-of-care laboratory testing and evaluation at baseline and 90 minutes. A case study was utilized to illustrate implementation of this protocol in the management of a patient presenting to the emergency department with chest pain.

Caregivers of children with a disorder of sex development: associations between parenting capacities and psychological distress.

Objective: Caregivers of children with a disorder of sex development (DSD) are at increased risk for maladaptive parenting capacities, such as high levels of parental overprotection and perceived vulnerability of their child, in addition to parenting stress. The current study aims to examine whether there are relationships between these parenting capacities and psychological distress, including depressive and anxious symptoms.

Patients And Methods: Participants included 134 caregivers of 90 children with a DSD.

Managing fever and febrile symptoms in HIV: evidence-based approaches.

Fever remains a common symptom for persons living with HIV (PLWH) despite improving overall health and survival rates. Elevated body temperatures are among the classic symptoms of primary HIV infection and are later harbingers of opportunistic infections. Therapeutic agents, including antiretrovirals, antifungals, interleukins, interferon, and blood products, can produce fever.

Health promotion for the oldest of old people.

Aim: The aim of this study was to explore the factors that contribute to health promotion in the oldest old and the barriers that prevent it.

Method: A non-random sample (n = 52) of people aged 80 and older participated in a descriptive correlational study. Respondents completed a series of two Likert-type questionnaires.

Parenting characteristics of female caregivers of children affected by chronic endocrine conditions: a comparison between disorders of sex development and type 1 diabetes mellitus.

Rearing a child with a chronic illness is stressful and can potentially affect parenting style, which may result in poorer outcomes for children. The purpose of this study was to compare parenting characteristics of female caregivers rearing children with a disorder of sex development (DSD) to female caregivers rearing children with type 1 diabetes mellitus (T1DM). Caregivers of both groups were matched according to age and compared on measures of stress and parenting practices.

Health literacy and its association with diabetes knowledge, self-efficacy and disease self-management among African Americans with diabetes mellitus.

The purpose of this descriptive correlational study was to examine health literacy and its association with diabetes knowledge, perceived self-efficacy and disease self-management among African Americans with diabetes mellitus. Fifty English-speaking, adult African American participants with diabetes mellitus were recruited from a community health center and a church located in the Midwestern United States. Data were collected at a single point in time utilizing the Rapid Estimate of Adult Literacy in Medicine (REALM), Diabetes Knowledge Test (DKT), Diabetes Self-efficacy Scale, and Summary of Diabetes Self-care Activities (SDSCA) Questionnaire.

Use of a professional organization (Council of International Neonatal Nurses) for global networking.

The article illustrates the need to belong to professional specialty organizations to foster collaborations across the globe. The Council of International Neonatal Nurses is the exemplar for this professional group. The personal journey of the author to the global community of neonatal nurses is presented.

Different worlds: a cultural perspective on nurse-physician communication.

Nurses and physicians have a unique opportunity to work together to provide quality patient care. Although numerous studies have documented the value of effective nurse-physician communication on patient outcomes and on nurse and physician satisfaction, communication between many physicians and nurses continues to be poor. A variety of reasons for this disconnect have been identified, including differences in education, role expectations, gender, and approach to practice.

The NNP/DNP shortage: transforming neonatal nurse practitioners into DNPs.

Neonatal nurse practitioners (NNPs) represent a high-demand specialty practice that is especially targeted for US secondary and tertiary care neonatal intensive care units (NICUs). NNPs make primary decisions about the caregiving of high-risk newborns at the time of admission, throughout hospitalization, at transfer, and at discharge that require an advanced knowledge base in neonatology as well as NICU clinical experience. NNPs prepared at the master's level are currently in very short supply, with some estimates suggesting that for each NNP who graduates, there are 80 positions open across the country.

Global infant mortality/morbidity: a clinical issue, a global organizational approach.

This article posits that the burden and legacy of high neonatal morbidity and mortality rates are social and economic stresses at the local, national, regional, and international levels. Furthermore, if neonatal morbidity and mortality rates are not reduced through appropriate clinical and educational means, a significant local and global consequence will be the destabilization of workforces and economies in many parts of the world. Because coordinated clinical and education efforts are required if neonatal health outcomes are to improve, and it is essential that these endeavors be led by nurses, the labor sector most likely to provide the needed care and outreach to mothers and children, a globally respected specialty nursing organization must be at the center of developing and implementing the necessary clinical and educational interventions.

Barriers and facilitators to the use of evidence-based best practices.

The continued use of healthcare interventions without an evidence base increases healthcare costs without positively impacting patient care outcomes. Reports disseminated by bodies such as the Institute of Medicine and initiatives such as the Institute for Health Care Improvement's 5 Million Lives Campaign have increased emphasis on improving outcomes. Results of a descriptive correlational study indicated that 64% of the nurses surveyed read 7 or more specialty journals, 53% read 1 or more general nursing journal, 20% did not regularly read any professional journal, and none of the nurses surveyed read a journal that was primarily dedicated to the publication of original research.

Classification of major newborn birth injuries.

A classification system of various forms of major newborn birth injuries is clearly lacking in the literature. Currently, no scales exist for distinguishing degrees, extent, or distinctions of major birth injuries. The purpose of this study was to use published and online literature to explore the timing, prediction, and outcomes of major newborn birth injuries.