173 results match your criteria: "Virginia Commonwealth University School of Nursing.[Affiliation]"

Does Hospital Accreditation or Certification Impact Patient Outcomes? Findings From a Scoping Review for Healthcare Industry Leaders.

J Nurs Adm

January 2025

Author Affiliations: Assistant Clinical Professor and Program Director (Dr Connor), Assistant Director, Clinical Core (Dr Dufour), and Assistant Director, Community Core (Dr Zadvinskis), Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing & Healthcare, The Ohio State University College of Nursing, Columbus; Director of Government Affairs and Educational Programs (Dr Waddell), Organization of Nurse Leaders MA, RI, CT, NH, VT, Boston, Massachusetts; Director of Professional Development and Nurse Scientist (Dr Powell), AtlantiCare Regional Medical Center, Atlantic City, New Jersey; Senior Vice President and Chief Nurse Executive (Dr Gorsuch), Summa Health, Akron; and Assistant Professor of Clinical Practice (Doctoral), The Ohio State University College of Nursing, Columbus; Associate Professor Research & Education Librarian, Nursing Liaison, Affiliate Faculty (Brown), Virginia Commonwealth University School of Nursing, VCU Libraries, Health Sciences Library, Richmond; and Vice President for Health Promotion, University Chief Wellness Officer, Dean and Helene Fuld Health Trust Professor of Evidence-Based Practice (Dr Melnyk), College of Nursing, and Professor of Pediatrics & Psychiatry, College of Medicine, Executive Director, the Helene Fuld Health Trust National Institute for Evidence-Based Practice; and Chief Operating Officer and Clinical Core Director (Dr Gallagher-Ford), Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing & Healthcare, The Ohio State University, College of Nursing, Columbus.

Article Synopsis
  • This scoping review analyzes existing research on the link between hospital accreditation/certification and patient outcomes, highlighting areas needing further exploration.
  • Despite efforts by accreditation organizations to enhance healthcare quality, significant health outcome issues persist in the U.S.
  • The findings reveal inconclusive evidence regarding the effectiveness of hospital accreditation on patient outcomes, with some specific exceptions; however, inconsistencies in reporting complicate the ability to draw definitive conclusions.
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Estimates of post-acute sequelae of SARS-CoV-2 infection (PASC) incidence, also known as Long COVID, have varied across studies and changed over time. We estimated PASC incidence among adult and pediatric populations in three nationwide research networks of electronic health records (EHR) participating in the RECOVER Initiative using different classification algorithms (computable phenotypes). Overall, 7% of children and 8.

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This article examines the critical role of nursing leadership in the transition of nephrology care toward value-based models, highlighting how interdisciplinary care teams and population health management strategies are instrumental in improving patient outcomes and achieving health equity in kidney care. By reviewing both historical and present value-based care models in nephrology, this article showcases the evolution of care delivery and the strategic alignment of health care practices with value-based objectives. We introduce "HEALTH" as an innovative blueprint for nephrology nursing leadership, encapsulating key strategies to enhance kidney health care within the framework of value-based models.

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Educational strategies that allow students to experience patient care in both rural and urban settings are imperative to the recruitment and retention of nurses for medically underserved populations or health professional shortage areas. Two state schools of nursing (one urban-oriented and one rural-oriented) in the Mid-Atlantic region were awarded Health Resources and Service Administration (HRSA) project funding to educate nursing students and registered nurses in community-based primary care settings. This article will discuss an innovative rural-urban baccalaureate nursing student exchange model intended to increase understanding of enhanced RN roles in community-based primary care settings.

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Aging adults experience increased health vulnerability and compromised abilities to cope with stressors, which are the clinical manifestations of frailty. Frailty is complex, and efforts to identify biomarkers to detect frailty and pre-frailty in the clinical setting are rarely reproduced across cohorts. We developed a predictive model incorporating biological and clinical frailty measures to identify robust biomarkers across data sets.

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Background: Post-intensive care syndrome (PICS) affects 25% to 50% of adults who survive an intensive care unit (ICU) stay. Although the compounding of PICS impairments (cognitive, physical, and psychological) could intensify the syndrome, research on relationships among impairments is limited, particularly in patients with delirium.

Objectives: To examine associations among PICS impairments and examine delirium status and its relationship to PICS impairments at ICU discharge and 1 month later.

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Background: Cognitive frailty, a condition characterized by physical frailty with cognitive impairment, is emerging as a determinant of adverse health outcomes in older adults. However, its prevalence and correlation with associated factors are unknown in the aging population of Korea.

Objectives: To estimate the prevalence of cognitive frailty and identify factors associated with it among older Korean adults.

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Aim: This study investigated the phenomenon of nurse loneliness as a potential contributor to burnout.

Background: Nurse wellbeing is critical for safe and efficient healthcare delivery. However, evidence indicates nurses' wellbeing is at risk.

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The Association Between Magnet ® Recognition and Patient Outcomes : A Scoping Review.

J Nurs Adm

October 2023

Author Affiliations: Clinical Assistant Professor, The Ohio State University, College of Nursing, Columbus and Program Director, Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare (Dr Connor); Clinical Assistant Professor, The Ohio State University, College of Nursing, Columbus and Academic Core Assistant Director and Evidence-Based Practice Certification Program Director, Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare (Dr Beckett); Assistant Director, Community Core, Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare (Dr Zadvinskis); Vice President for Health Promotion, University Chief Wellness Officer, Dean, The Ohio State University, College of Nursing, Columbus, Professor of Pediatrics and Psychiatry, The Ohio State University, College of Medicine, and Executive Director, Helene Fuld Health Trust National Institute for Evidence-based Practice in Nursing and Healthcare (Dr Melnyk); Statistician, The Ohio State University, College of Nursing, Columbus, and Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare (Messinger); Chief Operating Officer and Clinical Core Director, Helene Fuld Health Trust National Institute for Evidence-based Practice in Nursing and Healthcare (Dr Gallagher-Ford); and Research & Education Librarian, Nursing Liaison, and Affiliate Faculty (Brown), Virginia Commonwealth University School of Nursing, VCU Libraries, Health Sciences Library, Richmond.

Background: Previous systematic reviews have explored nurse, patient, and organizational outcomes in Magnet®-recognized hospitals compared with non-Magnet hospitals, yet these did not comprehensively review a wide variety of patient outcomes.

Aim: The purpose of this scoping review was to describe the findings from published research evaluating patient outcomes in Magnet-recognized hospitals compared with non-Magnet hospitals.

Methods: A medical librarian conducted a systematic search for published peer-reviewed, English-language literature and a search of the reference lists for retrieved publications to identify articles addressing Magnet compared with non-Magnet hospitals related to patient outcomes.

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To present the development protocol of the Edinburgh Postnatal Depression Scale-United States (EPDS-US), an adapted version of the EPDS, that is inclusive and easy to understand for U.S. populations and incorporates a trauma-informed approach to perinatal mental health (PMH).

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In 2021 the American Association of Colleges of Nursing (AACN) published new education standards for nursing programs offering degrees at the baccalaureate-level and higher. The new standards, The Essentials: Core Competencies for Professional Nursing Education (AACN, 2021), represent an educational shift and an opportunity to transform the nursing profession through a better-prepared workforce. One important new standard that must be incorporated for entry-level (Level 1) programs is preparation for practice within four spheres of care.

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Article Synopsis
  • - The RECOVER-Pediatrics study aims to investigate the prevalence and long-term effects of Long COVID (PASC) in children and young adults, addressing the need for more research in this area.
  • - The study recruits caregiver-child pairs and young adults across 100+ sites in the U.S., focusing on a diverse group of participants with and without prior SARS-CoV-2 infections, and will collect data over several years through various tiers of assessments.
  • - The ultimate goal of the study is to understand the clinical trajectory, mechanisms, and sociodemographic factors related to pediatric PASC, thereby contributing to potential treatments and public health responses.
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To evaluate the validity of the Edinburgh Postnatal Depression Scale (EPDS) for screening during the perinatal period in the United States and concerns regarding its acceptability and performance. We conducted a systematic search in OVID MEDLINE, EMBASE (OVID), Cumulative Index to Nursing and Allied Health Literature (CINAHL), and PsycInfo (EBSCO) for articles published from inception of the database through February 2023. We included primary quantitative and qualitative studies on the validation of the EPDS in the United States and identified 880 articles of which 9 met criteria for inclusion.

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Evidence-based practice improves patient outcomes and healthcare system return on investment: Findings from a scoping review.

Worldviews Evid Based Nurs

February 2023

Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing & Healthcare, College of Nursing, The Ohio State University, Columbus, Ohio, USA.

Background: Evidence-based practice and decision-making have been consistently linked to improved quality of care, patient safety, and many positive clinical outcomes in isolated reports throughout the literature. However, a comprehensive summary and review of the extent and type of evidence-based practices (EBPs) and their associated outcomes across clinical settings are lacking.

Aims: The purpose of this scoping review was to provide a thorough summary of published literature on the implementation of EBPs on patient outcomes in healthcare settings.

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Extracellular Vesicle MicroRNA in Malignant Pleural Effusion.

Genes (Basel)

November 2022

Virginia Commonwealth University Health System, Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, Richmond, VA 23298, USA.

Lung and breast cancer are the two most common causes of malignant pleural effusion (MPE). MPE diagnosis plays a crucial role in determining staging and therapeutic interventions in these cancers. However, our understanding of the pathogenesis and progression of MPE at the molecular level is limited.

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Prenatal antidepressant exposure has been associated with increased risk for neurodevelopmental disorders in childhood, including autism spectrum disorder (ASD). The current study utilized multi-cohort data from the Environmental influences on Child Health Outcomes (ECHO) program (N = 3129) to test for this association, and determine whether the association remained after adjusting for maternal prenatal depression and other potential confounders. Antidepressants and a subset of selective serotonin reuptake inhibitors (SSRIs) were examined in relation to binary (e.

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Background: Approval of simulation in substitution of traditional clinical hours increased in nursing programs during the COVID-19 pandemic, yet these temporary and inconsistent between states. Variability and a return to "pre-pandemic" limits on simulation use amplify questions about consistency of learner outcomes.

Methods: Boards of Nursing (BONs) of the United States and District of Columbia (DC) were queried to verify accuracy of simulation regulations posted on the International Nursing Association for Clinical Simulation and Learning (INACSL) regulatory map and to identify factors contributing to regulatory changes.

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The connection between loneliness and burnout in nurses: An integrative review.

Appl Nurs Res

August 2022

Virginia Commonwealth University School of Nursing, Box 980567, 1100 East Leigh Street, Richmond, VA 23298-0567, United States. Electronic address:

Nurse burnout is a threat to safe, efficient health care delivery, yet estimated rates of nurse burnout are above 40 %. A critical step in reducing burnout is identifying phenomena that are amenable to intervention. Loneliness may be one such factor, yet the relationship between loneliness and burnout is not clearly described.

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Background: Despite rapid growth in the popularity of smartwatches, evidence lacks regarding older adults' acceptance of smartwatches. Since most wearable sensors are not designed specifically for older adults, there is a need to examine wearability and usability challenges of wearable sensing devices faced by older adults to facilitate the use of objective measurements of health and mobility.

Objectives: We aimed to examine older adults' perceptions of GPS-enabled smartwatches and to identify potential barriers and facilitators of smartwatch and sensor data use.

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Objective: Tenofovir disoproxil fumarate (TDF) is a common component of antiretroviral therapy in hepatitis B virus (HBV)-HIV co-infected adults but few studies have evaluated worsening renal function and bone turnover, known effects of TDF.

Methods: Adults from eight North American sites were enrolled in this cohort study. Research assessments were conducted at entry and every 24 weeks for ≤192 weeks.

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Increased attention on home visitation as a strategy to reduce child maltreatment and increased funding to support home visitation programs has led to their rapid and widespread adoption in the United States and internationally. The rapid adoption of home visitation programs has occurred without an adequate understanding of the underlying mechanisms of influence on child maltreatment. Consequently, there is a lack of consistency in structures and processes across programs.

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Evaluation of students' knowledge, values, and experiences in a geriatrics interprofessional practice-based model.

Curr Pharm Teach Learn

December 2021

Pharmacotherapy and Outcomes Science, Virginia Commonwealth University School of Pharmacy, 410 N 12th Street, P.O. Box 980533, Richmond, VA 23298-0533, United States. Electronic address:

Background And Purpose: The objective was to evaluate (1) students' knowledge in a variety of geriatrics competencies, (2) students' attitudes toward the value of interprofessional practice, and (3) pharmacy students' experiences after an advanced pharmacy practice experience (APPE) in a practice-based interprofessional education (IPE) model.

Educational Activity And Setting: Nursing, pharmacy, social work, and health sciences programs who participated in the Richmond Health and Wellness Program (RHWP) interprofessional experience received pre- and post-surveys to assess changes in geriatrics knowledge. An adapted Attitude Toward Health Care Teams Scale (ATHCTS) was used to assess changes in students' attitudes toward the value of interprofessional teamwork.

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Neonates born to mothers taking opioids during pregnancy are at risk for neonatal opioid withdrawal syndrome (NOWS), for which there is no recognized standard approach to care. Nonpharmacologic treatment is typically used as a first-line approach for management, and pharmacologic treatment is added when clinical signs are not responding to nonpharmacologic measures alone. Although morphine and methadone are the most commonly used pharmacotherapies for NOWS, buprenorphine has emerged as a treatment option based on its pharmacologic profile and results from initial single site clinical trials.

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Article Synopsis
  • Cognitive Behavioral Therapy (CBT) is effective for treating substance use disorders (SUDs), but its application in clinical settings is limited due to barriers like time and cost; CBT4CBT is a computer-based version that can improve accessibility and quality of treatment.
  • This study assessed the feasibility of CBT4CBT as an addition to standard residential treatment for women with SUDs, comparing those using the program to those receiving traditional care with a small sample size.
  • Results indicated that women using CBT4CBT had lower relapse rates, longer times to relapse, and fewer days of substance use, suggesting its potential benefits in residential treatment, though further research is needed for confirmation.
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Home care nurses are expected to document their care delivery while in the patients' homes. Point of care documentation ensures that information in the EHR is accurate, timely, and accessible to all care team members. Standard training emphasized the features and functions of the different tabs within the electronic record.

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