Collaborative Student Leadership Conference.

In April 2008, the New Careers in Nursing (NCIN) Program launched a collaborative initiative between the American Association of Colleges of Nursing and the Robert Wood Johnson Foundation. One of the main goals of this initiative was to provide leadership development through structured activities for NCIN scholars. In order to meet this goal, 3 participating NCIN schools came together to plan and conduct a collaborative student-focused, scholar-led leadership conference for accelerated nursing students. Admittedly, collaboration among institutions of higher education is sometimes not a standard practice. Although sharing the common goal of preparing future nurses to provide high-quality care, many schools of nursing often compete for scarce resources including recruitment of faculty and students, securing clinical placements, and new graduates and alumni compete for jobs. However, there are advantages to sharing financial and intellectual resources in order to ensure a richer educational experience for NCIN scholars and for all accelerated nursing students. Using the Robert Wood Johnson Foundation monies awarded for our Legacy Project, 3 NCIN program liaisons overseeing accelerated nursing programs in Nebraska met to discuss the advantages and disadvantages related to planning and conducting a collaborative student leadership activity for NCIN scholars and their peer-accelerated nursing students. The program liaisons wanted to establish common goals for the endeavor and ensure the use of approaches that would foster leadership development of the NCIN scholars and establish mechanisms by which the group would create a collaborative environment. Although the 3 collaborating colleges were and continue to be competitors for prospective accelerated students, the benefit of collaborating on a joint leadership development project for the NCIN scholars and their peers was clear. Program liaisons recognized that this opportunity would strengthen leadership development and provide relevant experience for the NCIN scholars and result in a conference for other accelerated nursing students.

A technological life buoy: patient perceptions of the Health Buddy.

BACKGROUND: Technology in healthcare takes many forms and is growing rapidly. Few studies have considered the acceptability, benefits, and barriers perceived by clients involved in the use of technology. The purpose of this study was to discover perceptions about ease of use, efficacy, and difficulties encountered by patients who used an in-home telehealth communication device, the Health Buddy. METHODS: Thirteen participants were selected from a parent study in which they used the Health Buddy. Focus groups and individual interviews were the data collection methods. Content analysis was used to answer the research questions. RESULTS: Participants found that the Health Buddy is technologically easy to use; that it promoted, taught, and supported heart failure self-management; and that it was even a "lifesaver," but that it could be bothersome, complex, and too lengthy an intervention. CONCLUSIONS: Telehealth, a cost-effective way to promote improved health management, is suitable to most patients. Minor adjustments in management will be needed to accommodate individual preferences to increase satisfaction.

Comparison of Health Buddy with traditional approaches to heart failure management.

The purpose of this pilot study was to (a) determine the feasibility of providing a heart failure disease management program through an in-home telehealth communication device (Health Buddy) and (b) compare the effectiveness of the Health Buddy with traditional home management strategies (telephonic, home visit) in achieving selected patient outcomes (self-efficacy, functional status, depression, and health-related quality of life). Ninety participants completed the study through 2 months. Thirty percent of participants were either eliminated prior to or withdrawn after enrollment from the study based on Health Buddy issues. A mixed model ANOVA revealed those who received telephonic disease management experienced decreased confidence in their ability to manage their heart failure whereas all other groups experienced increased confidence. Further ANOVA analyses indicated improvement over time with no group differences for functional status, depression, or health-related quality of life. These findings suggest that delivering a disease management program through a telehealth communication device is feasible and may be as effective as traditional methods.

Symptom status and quality-of-life outcomes of home-based disease management program for heart failure patients.

Symptom occurrence, symptom characteristics (frequency, severity, interference with activities and enjoyment of life), and quality of life were examined in heart failure patients after release from the hospital and 2 months after enrollment in a home-based disease management program. The results provide information on the most common and distressing symptoms in a community-based heart failure population. This information may be useful in guiding assessments and designing specific nursing interventions to include in a home-based disease management program.