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1.
Geriatr Nurs ; 40(6): 553-557, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31036404

RESUMEN

Approximately 40% of older adults drink alcohol. Older adults living in community care residences are a vulnerable population at risk for alcohol use related problems especially for those age 65 years and older who are taking medications, have health problems, and have risky alcohol consumption. Screening, brief intervention, and referral to treatment (SBIRT) is an evidence-based approach for individuals at risk for alcohol use disorders. A quality improvement project evaluated SBIRT education effects on nursing staff knowledge and attitudes related to alcohol use, and resident alcohol use. The staffs' SBIRT knowledge and alcohol related attitudes increased significantly. The staff documented SBIRT intervention 231 times in three months' post training.


Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Tamizaje Masivo , Personal de Enfermería/educación , Derivación y Consulta , Instituciones Residenciales , Trastornos Relacionados con Sustancias/terapia , Adulto , Femenino , Humanos , Masculino , Mejoramiento de la Calidad
2.
Can J Nurs Res ; : 844562119840172, 2019 Apr 04.
Artículo en Inglés | MEDLINE | ID: mdl-30947519

RESUMEN

BACKGROUND: Interprofessional education strategies are becoming more prevalent as nursing schools integrate interprofessional practice activities into their curricula. PURPOSE: This paper presents the results of a federally funded project to deliver online interprofessional education to nursing students on screening for alcohol and substance use in rural areas, in which their perceptions about interprofessional education were measured. METHODS: A quasi-experimental within-subjects repeated measures design was utilized. Students in the bachelor or associate degree program were recruited from two rural nursing schools. A demographic questionnaire, Alcohol and Alcohol Problems Questionnaire, Drug and Drug Problems Questionnaire, and Interprofessional Education Perception Scale were utilized. General linear modeling was used to determine changes in these measurements over time. Data collection was performed at pretraining, posttraining, and following an online interprofessional dialogue. RESULTS: The study consisted of 89 nursing students. The participants were 87% female (n = 77/89) and 91% white (n = 81/89); their mean age was 24.9 years (standard deviation = 10.36). Analysis of evaluation questionnaires demonstrated increased levels of confidence in working with patients who consume alcohol or other drugs and on certain aspects of interprofessional education. CONCLUSION: Online interprofessional preservice education holds the potential to positively increase nursing students' confidence in working with patients and to increase their interprofessional practice.

3.
J Contin Educ Nurs ; 49(10): 467-473, 2018 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-30257030

RESUMEN

Alcohol is the third leading cause of death and a preventable risk factor contributing to more than 200 diseases and conditions. Unquestionably, health care practitioners should routinely screen and give patients brief feedback on alcohol consumption related to health outcomes; however, they rarely ask patients about alcohol use. Alcohol screening and brief intervention (SBI), a public health model of prevention and identification of at-risk alcohol use, has not been widely disseminated. The nursing profession, the largest and most trusted sector of the health care workforce, is perfectly poised to close this gap. This article describes the development of a two-university, grant-funded collaborative online educational program with unique and time-conscious simulation and testing components to increase the knowledge and skills of nurses. The goal of the program is to promote alcohol SBI as a standard of practice in all settings. J Contin Educ Nurs. 2018;49(10):467-473.


Asunto(s)
Alcoholismo/diagnóstico , Alcoholismo/enfermería , Curriculum , Diagnóstico Precoz , Educación Continua en Enfermería/organización & administración , Enfermeras Administradoras/educación , Personal de Enfermería en Hospital/educación , Adulto , Instrucción por Computador , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , Persona de Mediana Edad , Estudiantes de Enfermería , Estados Unidos
5.
Issues Ment Health Nurs ; 39(2): 151-158, 2018 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-29370546

RESUMEN

Nurses are in an ideal position to talk to their patients of reproductive age about alcohol use and encourage the prevention of alcohol-exposed pregnancies. Effective conversations can be efficiently included in the clinical encounter to identify alcohol misuse and offer appropriate follow-up. This report presents results of an environmental scan of resources relevant to nursing professionals and nurses' role in addressing alcohol misuse. Gaps in nursing education and practice guidelines with regard to defining the nursing role in preventing alcohol-exposed pregnancies were revealed. Findings identified a need to promote adoption among nurses of evidence-based preventive practices to prevent alcohol misuse.


Asunto(s)
Trastornos Relacionados con Alcohol/prevención & control , Trastornos del Espectro Alcohólico Fetal/prevención & control , Rol de la Enfermera , Actitud del Personal de Salud , Humanos
6.
J Transcult Nurs ; 29(4): 387-394, 2018 07.
Artículo en Inglés | MEDLINE | ID: mdl-28854846

RESUMEN

INTRODUCTION: Cultural competency is an integral component in undergraduate nursing education to provide patient-centered care and addressing patients' cultural differences. Students need to consider the prevalence of alcohol and other drug use/misuse in patients from all cultures. This project combines cultural competency education, simulation, and educating students to use screening, brief intervention, and referral to treatment for alcohol and other drug use. METHOD: Culturally diverse simulation scenarios were developed and used in the simulation lab with students to reduce stigma surrounding other cultures while learning an evidence-based practice to screen and intervene with patients who use/misuse substances. RESULTS: Results show students value simulation and 91% of the students felt that they were able to apply culturally competent knowledge after the simulation experience. DISCUSSION: Cultural competency principles can be embedded in teaching the broader evidence-based practice of screening, brief intervention, and referral to treatment with undergraduate students. This is a replicable teaching methodology that could be adapted in other schools of nursing.


Asunto(s)
Competencia Cultural/educación , Derivación y Consulta/normas , Entrenamiento Simulado/normas , Estudiantes de Enfermería/psicología , Trastornos Relacionados con Sustancias/terapia , Adulto , Asistencia Sanitaria Culturalmente Competente/métodos , Asistencia Sanitaria Culturalmente Competente/normas , Bachillerato en Enfermería , Femenino , Humanos , Masculino , Tamizaje Masivo/métodos , Tamizaje Masivo/normas , Entrenamiento Simulado/métodos , Entrenamiento Simulado/tendencias , Estudiantes de Enfermería/estadística & datos numéricos , Trastornos Relacionados con Sustancias/psicología , Enseñanza , Resultado del Tratamiento
7.
Int Emerg Nurs ; 33: 32-36, 2017 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-28438480

RESUMEN

Alcohol and other drug (AOD) diagnoses in the ED co-occur with injury-related presenting conditions including: falls, motor vehicle accidents, poisonings, and both intentional and unintentional injuries. Clinical attention to ED admissions resulting from hazardous AOD use can significantly improve patient care and reduce high cost utilization of ED visits and treatment. The EDRN-SBIRT project is designed to improve the knowledge and attitudes of ED nurses working in a large academic medical center to identify and address risky AOD use as it relates to an ED visit. ED nurses' knowledge and attitudes toward patients with AOD use can be improved through SBIRT education. SBIRT education can establish an evidence-based standard of nursing practice to improve healthcare outcomes, but it must be reinforced with ongoing ED review and supportive educational sessions until practice is firmly established.


Asunto(s)
Educación Continua en Enfermería/métodos , Conocimientos, Actitudes y Práctica en Salud , Rol de la Enfermera/psicología , Enfermeras y Enfermeros/normas , Adulto , Anciano , Alcoholismo/enfermería , Educación Continua en Enfermería/normas , Servicio de Urgencia en Hospital/organización & administración , Femenino , Humanos , Masculino , Persona de Mediana Edad , Enfermeras y Enfermeros/psicología , Derivación y Consulta/normas , Derivación y Consulta/tendencias , Trastornos Relacionados con Sustancias/enfermería , Triaje/métodos , Triaje/tendencias
8.
Int J Exerc Sci ; 10(8): 1130-1144, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-29399244

RESUMEN

The present investigation examined the Adult OMNI Walk-Run Scale for use by an independent observer to rate an individual's perception of exertion during intermittent treadmill walking and running. Forty (22.4 ± 2.9 yrs) recreationally active males (n = 18) and females (n = 22) completed three 5-min intermittent bouts of treadmill exercise. The exercise bouts were a level walk (LW; 4.0 km·hr-1, 0% grade), hill walk (HW; 5.6 km·hr-1, 5% grade), and run (R; 8 km·hr-1, 2.5% grade). Each bout was separated by a 5-min recovery period. RPE responses were simultaneously estimated by an observer and self-estimated by the participant during each bout using the Adult OMNI Walk-Run Scale. Session RPE responses were simultaneously estimated by the same observer and self-estimated by the participant 5-min post-exercise session. Analysis of variance indicated no significant mean differences between observer RPE and participant RPE (p > 0.05) except for males during the running bout (p < 0.05). Additionally, there were no significant mean differences between the observer RPE and the participant RPE for the session ratings (p > 0.05). Finally, strong positive correlations were found between observer and participant RPE ranging from 0.79-0.84 for exercise bouts and moderate-strong positive correlations ranging from 0.58-0.64 for the exercise session. Results support the use of the OMNI RPE Scale in a direct observation procedure to estimate exertion in female and male young adults performing intermittent treadmill walking and running. This observation-based procedure provides the practitioner with an opportunity to independently evaluate the perceptual intensity of individuals involved in aerobic exercise.

9.
Contemp Clin Trials Commun ; 8: 140-146, 2017 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-29696203

RESUMEN

Background/Aims: Cardiovascular disease (CVD) is the leading cause of death in the US. Many patients do not benefit from traditional disease management approaches to CVD risk reduction. Here we describe the rationale, development, and implementation of a multi-component behavioral intervention targeting patients who have persistently not met goals of CVD risk factor control. Methods: Informed by published evidence, relevant theoretical frameworks, stakeholder advice, and patient input, we developed a group-based intervention (Changing Results: Engage and Activate to Enhance Wellness; "CREATE Wellness") to address the complex needs of patients with elevated or unmeasured CVD-related risk factors. We are testing this intervention in a randomized trial among patients with persistent (i.e > 2 years) sub-optimal risk factor control despite being enrolled in an advanced and highly successful CVD disease management program. Results: The CREATE Wellness intervention is designed as a 3 session, group-based intervention combining proven elements of patient activation, health system engagement skills training, shared decision making, care planning, and identification of lifestyle change barriers. Our key learnings in designing the intervention included the value of multi-level stakeholder input and the importance of pragmatic skills training to address barriers to care. Conclusions: The CREATE Wellness intervention represents an evidence-based, patient-centered approach for patients not responding to traditional disease management. The trial is currently underway at three medical facilities within Kaiser Permanente Northern California and next steps include an evaluation of efficacy, adaptation for non-English speaking patient populations, and modification of the curriculum for web- or phone-based versions. ClinicalTrialsgov Identifier: NCT02302612.

10.
Issues Ment Health Nurs ; 37(9): 682-687, 2016 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-27387524

RESUMEN

Although substance use is prevalent in the United States, the majority of people who misuse substances do not receive appropriate treatment. This paper describes, (1) an interprofessional education (IPE) program for health professionals to provide Screening Brief Intervention and Referral to Treatment to rural substance use patients, and (2) compares registered nurses' [RNs] and behavioral health professionals' [BHPs] attitudes to work with those patients and their perceptions on IPE. A data analysis of 62 RNs and 36 BHPs shows statistically significant increases in both attitudes and perceptions. This paper discusses the implications of the IPE program vis-á-vis substance use treatment.

11.
J Interprof Care ; 30(4): 542-4, 2016 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-27295396

RESUMEN

Interprofessional collaborative practice expands resources in rural and underserved communities. This article explores the impact of an online education programme on the perceptions of healthcare providers about interprofessional care within alcohol and drug use screening for rural residents. Nurses, behavioural health counsellors, and public health professionals participated in an evidence-based practice (screening, brief intervention, and referral to treatment-SBIRT) model that targets individuals who use alcohol and other drugs in a risky manner. SBIRT is recommended by the United States Preventive Services Task Force as a universal, evidence-based screening tool. Online modules, case simulation practice, and interprofessional dialogues are used to deliver practice-based learning experiences. A quasi-experimental method with pre-tests and post-tests was utilised. Results indicate increased perceptions of professional competence, need for cooperation, actual cooperation, and role values pre-to-post training. Implications suggest that online interprofessional education is useful but the added component of professional dialogues regarding patient cases offers promise in promoting collaborative practice.


Asunto(s)
Conducta Cooperativa , Personal de Salud/educación , Relaciones Interprofesionales , Tamizaje Masivo , Detección de Abuso de Sustancias , Adulto , Práctica Clínica Basada en la Evidencia , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , Evaluación de Programas y Proyectos de Salud , Población Rural , Encuestas y Cuestionarios , Estados Unidos
12.
Arch Psychiatr Nurs ; 30(3): 316-21, 2016 06.
Artículo en Inglés | MEDLINE | ID: mdl-27256935

RESUMEN

OBJECTIVES: The psychological status of Chinese pregnant women who present with obstetrical complications is concerning to Chinese health professionals. This study aimed to investigate the prevalence of antenatal depression and analyzed related risk factors in a population of high-risk Chinese women. DESIGN: A large sample size, cross-sectional study. METHODS: A total of 842 pregnant women with complications completed the Chinese version of the Postpartum Depression Screen Scale (PDSS) in this cross-sectional study. t-Test, ANOVA and Binary logistic regression tests were used in data analysis of antenatal depression and risk factors. RESULTS: The prevalence of major or minor depression in high-risk Chinese pregnant women during antenatal period was 8.3% and 28.9%, respectively. Independent-sample t-test and two-way analysis of variance (ANOVA) indicated significant differences in age, education, occupation and the number of complications (P<0.05). Binary logistic regression analysis indicated a significant negative association between depression and education (P<0.01) with lower educational level (OR: 0.590; 95% CI: 0.424-0.820) associated with a higher risk for depression. A significant positive association was observed between depression and age (P<0.05) with higher age (OR: 1.338; 95% CI: 1.008-1.774) correlated with a higher risk for depression. CONCLUSIONS: Women who experienced obstetric complications presented with higher PDSS depression scores. Screening for antenatal depression in high-risk pregnant women to promote early detection of depression and reduce health risks for universal health promotion is recommended.


Asunto(s)
Depresión Posparto/diagnóstico , Trastorno Depresivo/diagnóstico , Trastorno Depresivo/epidemiología , Complicaciones del Embarazo/psicología , Adulto , Grupo de Ascendencia Continental Asiática , Estudios Transversales , Escolaridad , Femenino , Humanos , Embarazo , Prevalencia , Escalas de Valoración Psiquiátrica , Factores de Riesgo , Factores Socioeconómicos
14.
Nurse Educ ; 41(2): 66-9, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26418837

RESUMEN

The goal of this study was to improve prelicensure nursing students' attitudes toward and self-efficacy related to delivering nursing care to patients with auditory hallucinations. Based on the Hearing Voices That Are Distressing curriculum, 87 participants were instructed to complete 3 tasks while wearing headphones delivering distressing voices. Comparing presimulation and postsimulation results, this study suggests that the simulation significantly improved attitudes toward patients with auditory hallucinations; however, self-efficacy related to caring for these patients remained largely unchanged.


Asunto(s)
Bachillerato en Enfermería/métodos , Alucinaciones/enfermería , Simulación de Paciente , Enfermería Psiquiátrica/educación , Estudiantes de Enfermería/psicología , Voz , Actitud del Personal de Salud , Humanos , Investigación en Educación de Enfermería , Investigación en Evaluación de Enfermería , Investigación Metodológica en Enfermería , Autoeficacia
17.
Psychiatry Res ; 226(1): 113-9, 2015 Mar 30.
Artículo en Inglés | MEDLINE | ID: mdl-25677395

RESUMEN

The purpose of the present study was to evaluate antenatal depression screening employing two scales: the Postpartum Depression Screening Scale (PDSS) and Edinburgh Postnatal Depression Scale (EPDS) for the population of Chinese pregnant women with obstetric complications. A convenience sample of 842 Chinese pregnant women with complications participated in this study. The PDSS total score correlated strongly with the EPDS total score (r=0.652, p=0.000). Each tool performed extremely well for detecting major and major/minor depressions with PDSS resulting in a better psychometric performance than EPDS (p<0.01). If combined use, the recommended EPDS cut-off score was 8/9 for major depression, at which the sensitivity (71.6%) and specificity (87.6%) were the best, and the recommended PDSS cut-off score was 79/80 for major depression, along with its best sensitivity (86.4%) and specificity (100%). The study concluded that EPDS and PDSS appear to be reliable assessments for major and minor depression among the Chinese pregnant women with obstetric complications. Combined use of these tools should consider lower cutoff scores to reduce the misdiagnosis and improve the screening validity.


Asunto(s)
Depresión Posparto/diagnóstico , Trastorno Depresivo/diagnóstico , Tamizaje Masivo/métodos , Complicaciones del Embarazo/diagnóstico , Adulto , Grupo de Ascendencia Continental Asiática , Femenino , Humanos , Embarazo , Escalas de Valoración Psiquiátrica , Psicometría , Sensibilidad y Especificidad , Adulto Joven
18.
J Am Psychiatr Nurses Assoc ; 20(6): 389-97, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25421781

RESUMEN

BACKGROUND: Obesity is prevalent in individuals with serious mental illness (SMI). OBJECTIVE: The purpose of this study is to examine the feasibility of a telephone-delivered physical activity (PA) intervention for outpatients with serious mental illness to maintain PA and to explore the preliminary efficacy of the intervention on health status. DESIGN: This study used a randomized experimental design. The treatment group received pedometers and eight weekly phone calls; the control group received written information regarding PA. Descriptive statistics were used to analyze data collected at baseline and 8 weeks. RESULTS: Twenty-two subjects with SMI (mean age = 44.09 ± 7.6 years; 54.5% were male) were recruited and 16 subjects completed the study in 8 weeks. PA (z = -2.37, p = .02) increased in the treatment group (n = 8) whereas the control group (n = 8) maintained baseline PA level (z = -1.61, p = .11). Health outcomes were not changed (ps > .05). CONCLUSION: Telephone-delivered intervention is feasible and has the potential to improve PA in individuals with SMI.


Asunto(s)
Ejercicio , Trastornos Mentales/enfermería , Obesidad/terapia , Consulta Remota/métodos , Teléfono , Programas de Reducción de Peso/métodos , Adulto , Estudios de Factibilidad , Femenino , Estado de Salud , Humanos , Masculino , Trastornos Mentales/complicaciones , Motivación , Obesidad/complicaciones , Obesidad/enfermería , Proyectos Piloto , Consulta Remota/estadística & datos numéricos , Encuestas y Cuestionarios , Caminata/estadística & datos numéricos , Programas de Reducción de Peso/estadística & datos numéricos
19.
J Contin Educ Nurs ; 45(9): 403-8, 2014 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-25153430

RESUMEN

Educating nursing faculty about the use of an evidence-based practice to screen and intervene earlier along the continuum of alcohol and other drug use, misuse, and dependence is essential in today's health care arena. Misuse of alcohol and other drugs is a significant problem for both individual health and societal economic welfare. The purpose of this article is to describe nursing faculty buy-in for the implementation of an evidence-based addiction training program at a university-based school of nursing. Derived from an academic-community partnership, the training program results suggest implications for continuing education and curriculum innovation in schools of nursing and clinical practice. The training content presented can be used in continuing education for nursing faculty across all types of nursing school programs and professional nursing staff employed in multiple settings. The training program was funded by the Health Resources and Services Administration.


Asunto(s)
Bachillerato en Enfermería/organización & administración , Educación Continua en Enfermería/organización & administración , Docentes de Enfermería , Trastornos Relacionados con Sustancias/diagnóstico , Instrucción por Computador , Curriculum , Humanos , Pennsylvania , Derivación y Consulta
20.
J Nurses Prof Dev ; 30(4): 196-203, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25036083

RESUMEN

Direct care nurses and nurse leaders were surveyed on their perceptions of the appropriateness, importance, and use in daily practice of 10 clinical nursing competencies needed for nurses to be successful in the future. Competencies needed in the 21st century are not based entirely on task-driven motor skills because comprehensive knowledge is essential to care for complex patients. Differences identified between direct care nurses, leaders, and educational levels provide educational opportunities for both groups.


Asunto(s)
Actitud del Personal de Salud , Competencia Clínica , Enfermeras Administradoras , Enfermeras y Enfermeros , Proceso de Enfermería/normas , Adulto , Femenino , Predicción , Humanos , Masculino , Persona de Mediana Edad , Proceso de Enfermería/tendencias
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