1
|
Johnson A, Reising V, Yingling C, Diegel-Vacek L, Martin A, Corbridge S. A Correctional Facility Academic-Practice Partnership: Implementation of a Nurse-Led COVID-19 Initiative. J Correct Health Care 2022; 28:372-377. [PMID: 36367972 DOI: 10.1089/jchc.21.06.0062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
In 2020, the COVID-19 pandemic resulted in one in five individuals incarcerated in U.S. correctional institutions contracting COVID-19 and 1,700 deaths. Correctional adult transition centers house incarcerated individuals who typically do not have on-site health care access. A COVID-19 outbreak could devastate this population, who live in high-density conditions and have been documented as high risk for poor health outcomes. Owing to a robust practice partnership between a college of nursing and two adult transition centers, a nurse-led COVID-19 initiative was implemented to minimize transmission in the facilities and ensure appropriate health care referral for residents who tested positive for COVID-19. The initiative identified six residents with positive results, who were transferred to a state prison infirmary for management and to minimize risk for other residents.
Collapse
Affiliation(s)
- Amy Johnson
- Population Health Nursing Science, College of Nursing, University of Illinois at Chicago, Chicago, Illinois USA
| | - Virginia Reising
- Population Health Nursing Science, College of Nursing, University of Illinois at Chicago, Chicago, Illinois USA
| | - Charles Yingling
- Population Health Nursing Science, College of Nursing, University of Illinois at Chicago, Chicago, Illinois USA
| | - Lauren Diegel-Vacek
- Population Health Nursing Science, College of Nursing, University of Illinois at Chicago, Chicago, Illinois USA
| | | | - Susan Corbridge
- Population Health Nursing Science, College of Nursing, University of Illinois at Chicago, Chicago, Illinois USA
| |
Collapse
|
2
|
Berta M, Burt L, Carlucci M, Corbridge S. Breaking Bad News via Telehealth: Simulation Training for Nurse Practitioner Students. J Nurs Educ 2022; 61:528-532. [PMID: 36098544 DOI: 10.3928/01484834-20220705-08] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic demonstrated educators must consider students' future practice will involve patient communication via telehealth, including breaking bad news. METHOD This mixed-methods analysis was conducted among 33 nurse practitioner (NP) students at two universities. Questionnaires were analyzed before and after a simulation training session with standardized patients to determine students' perceptions, learning satisfaction, confidence, and self-rated preparedness for delivering bad news via telehealth. RESULTS Students' self-rated levels of preparedness for delivering bad news were higher after participating in the simulation. Students found the teaching methods to be effective, enjoyable, motivating, and suitable to individual learning styles. Two themes emerged that described students' perceptions of the experience: valuable simulation processes and multifaceted learning applicable to future NP practice. CONCLUSION Breaking bad news via virtual platforms is new and challenging. Findings suggest this simulation experience provided a valuable tool for augmenting didactic training for NP students. [J Nurs Educ. 2022;61(9):528-532.].
Collapse
|
3
|
Kilroy S, Corte C, Park C, Vincent C, Borgers F, Hannan M, Corbridge S. Identifying contributing factors influencing pediatric nurses' and health professionals' self-reported collaborative practice behaviors. J Pediatr Nurs 2022; 64:164-173. [PMID: 34794847 DOI: 10.1016/j.pedn.2021.10.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2021] [Revised: 10/09/2021] [Accepted: 10/21/2021] [Indexed: 10/19/2022]
Abstract
PURPOSE In this study, we examined the influence of interprofessional American Heart Association (AHA) resuscitation courses on pediatric health care professionals' (N = 218) self- reported collaborative practice behaviors (CPBs) and examined differences in CPBs between nursing, medicine, and respiratory therapy. DESIGN AND METHODS A mixed methods explanatory design was utilized with a sample of pediatric nurses, nurse practitioners, physicians, and respiratory therapists. Data were collected using the Interprofessional Collaborative Competency Attainment Survey (ICCAS) and two open-ended questions. Data analysis included: exploratory factor analysis, paired t-tests, mixed effects modeling and directed content analysis. Inferences were made across quantitative and qualitative data. RESULTS Statistically significant improvement in mean CPB scores was demonstrated by all professions (t (208) = -12.76; ρ < 0.001) immediately after the AHA courses. Qualitative responses indicated physicians identified roles and responsibilities (94%, n = 17) as the most important CPB. Communication was identified by nurses (78%, n = 76), nurse practitioners (100%, n = 11) and respiratory therapists (71%, n = 5) as most important. CONCLUSIONS Participation in an interprofessional AHA course significantly increased mean self-reported CPB scores. Changes in mean CPB scores were sustained over 6 weeks upon return to clinical practice. PRACTICE IMPLICATIONS Future research focused on CPBs of front-line health care professionals can provide an accurate portrayal of an interprofessional team and can inform how collaborative practice is established in everyday clinical practice.
Collapse
Affiliation(s)
- Susan Kilroy
- University of Illinois at Chicago, Department of Human Development Nursing Science, 845 S. Damen Ave, Chicago, IL 60612, United States of America.
| | - Colleen Corte
- University of Illinois Chicago, Department of Population Health Nursing Science, 845 S. Damen Ave, Chicago, IL 60612, United States of America.
| | - Chang Park
- University of Illinois Chicago, Department of Population Health Nursing Science, 845 S. Damen Ave, Chicago, IL 60612, United States of America.
| | - Catherine Vincent
- University of Illinois at Chicago, Department of Human Development Nursing Science, 845 S. Damen Ave, Chicago, IL 60612, United States of America.
| | - Frank Borgers
- University of Illinois Chicago, Health Policy and Administration, 1603 W. Taylor St., Chicago, IL 60608, United States of America.
| | - Mary Hannan
- University of Illinois Chicago, 1747 W Roosevelt Rd, Chicago, IL 60608, United States of America.
| | - Susan Corbridge
- University of Illinois Chicago, Department of Biobehavioral Nursing Science, 845 S. Damen Ave, Chicago, IL 60612, United States of America.
| |
Collapse
|
4
|
Pasquinelli MM, Patel D, Nguyen R, Fathi J, Khan M, Fernandez K, Bhatia Y, Corbridge S, Cadman K, Harmon V, Trosman J, Weldon C, Pappalardo AA, Nyenhuis SM. Age-based disparities in telehealth use in an urban, underserved population in cancer and pulmonary clinics: A need for policy change. J Am Assoc Nurse Pract 2022; 34:731-737. [PMID: 35353071 DOI: 10.1097/jxx.0000000000000708] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Accepted: 02/02/2022] [Indexed: 11/25/2022]
Abstract
BACKGROUND During the COVID-19 pandemic, telehealth rapidly emerged as an essential health care service and became particularly important for patients with cancer and chronic conditions. However, the benefits of telehealth have not been fully realized for some of the most vulnerable populations due to inequitable access to telehealth capable technology. PURPOSE This study aimed to assess accessibility and satisfaction with telehealth technology by vulnerable patients with cancer and pulmonary disease. METHODOLOGY A paper survey and internet-based survey were developed and administered to adult (≥18 years) cancer and pulmonary clinic patients (July 1, 2020 to October 30, 2020). RESULTS Descriptive statistics and Fisher exact test were performed. Two hundred eleven patients completed the survey. Adults ≥50 years old (older) had reduced access to smartphone video capability and internet connection compared with adults less than 50 years old (59% vs. 90%, p < .01). Older adults reported more challenges with telehealth visits compared with younger adults (50.3%, 28.6%; p < .01). No difference in access to technology and preferences for telehealth versus in-person care was found by race, gender, or education level. CONCLUSIONS Nearly all patients (95%) who had a previous experience with a telehealth visit felt confident in the quality of care they received via telehealth. Younger adults preferred video visits compared with older adults (75% vs. 50.6%, p < .01). Older adults were less likely to have access to smartphones with internet access, have more challenges with telehealth visits, and were less likely to prefer audio-video telehealth visits compared with younger adults. IMPLICATIONS Ensuring equitable access to all health care delivery modalities by telehealth, including audio-only visits for patients across the age continuum, is paramount.
Collapse
Affiliation(s)
| | - Darshil Patel
- Kiran C. Patel College of Osteopathic Medicine at Nova Southeastern University, Davie, FL
| | - Ryan Nguyen
- Department of Medicine, University of Illinois Chicago, Chicago, IL
| | - Joelle Fathi
- School of Nursing, University of Washington, Seattle, Washington
| | - Mahir Khan
- Department of Medicine, University of Illinois Chicago, Chicago, IL
| | - Katia Fernandez
- Department of Medicine, University of Illinois Chicago, Chicago, IL
| | - Yash Bhatia
- Department of Medicine, University of Illinois Chicago, Chicago, IL
| | - Susan Corbridge
- Department of Medicine, University of Illinois Chicago, Chicago, IL
| | | | - Vanessa Harmon
- Center for Lung Health, University of Illinois Chicago, Chicago, IL
| | - Julia Trosman
- The Center for Business Models in Healthcare
- Northwestern University Feinberg School of Medicine
| | - Christine Weldon
- The Center for Business Models in Healthcare
- Northwestern University Feinberg School of Medicine
| | - Andrea A Pappalardo
- Department of Medicine, University of Illinois Chicago, Chicago, IL
- Department of Pediatrics, University of Illinois at Chicago, Chicago, IL
| | | |
Collapse
|
5
|
Reising V, Diegel-Vacek L, Dadabo L, Martinez M, Moore K, Corbridge S. Closing the gap: Collaborative care addresses social determinants of health. Nurse Pract 2022; 47:41-47. [PMID: 35349517 DOI: 10.1097/01.npr.0000822572.45824.3f] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
ABSTRACT Social determinants of health have a significant impact on individual and community health outcomes. Using an integrated behavioral health model at a primary care clinic-a Federally Qualified Health Center-NPs led an interdisciplinary team to address outcome measures that are influenced by social determinants of health.
Collapse
|
6
|
Abstract
INTRODUCTION Integrated behavioral health is a model of health care that aims to meet the complex health care needs of patients in primary care settings. Collaborative Care (CC) is an evidence-based model incorporating an interdisciplinary team to improve outcomes for behavioral health disorders commonly seen by primary care providers. OBJECTIVE CC was implemented in a nurse-managed health center in a medically underserved community of Chicago with a team of family nurse practitioners, psychiatric mental health nurse practitioners, and a licensed clinical social worker. METHOD Integration of the CC model required restructuring of the patient visit, the care team, and financial operations. Weekly team meetings were held for interdisciplinary case consultation and training for the primary care team by the psychiatric nurse practitioner. The model includes suggested goals of reducing patient scores of validated depression (Patient Health Questionnaire-9) and anxiety (Generalized Anxiety Disorder-7) screening tools to a score less than 5 points or to less than 50% of original score. RESULTS During the initial year of implementation, 166 patients received care under the CC model, with 64 patients currently receiving active care. In this cohort, 22% reached suggested goals for depression and 47% for anxiety. CONCLUSIONS CC has benefits for both patients and providers. Patients receive holistic treatment of both mental and physical health needs and access to psychiatric services for medication initiation and behavioral health modalities when necessary. We observed that the CC model improved collaboration with behavioral health specialists and the competence and confidence of family nurse practitioners.
Collapse
Affiliation(s)
- Virginia Reising
- Virginia Reising, DNP, RN, PHNA-BC, University of Illinois Chicago, Chicago, IL, USA
| | - Lauren Diegel-Vacek
- Lauren Diegel-Vacek, DNP, FNP-BC, University of Illinois Chicago, Chicago, IL, USA
| | - Lisa Dadabo Msw
- Lisa Dadabo MSW, LCSW, CADC, Mile Square Health Center-Humboldt Park, Chicago, IL, USA
| | - Susan Corbridge
- Susan Corbridge, PhD, APRN, FAANP, FAAN, University of Illinois Chicago, Chicago, IL, USA
| |
Collapse
|
7
|
Burt L, Sparbel K, Corbridge S. Nurse practitioner preceptor resource needs and perceptions of institutional support. J Am Assoc Nurse Pract 2021; 34:348-356. [PMID: 34132220 DOI: 10.1097/jxx.0000000000000629] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Accepted: 05/13/2021] [Indexed: 11/26/2022]
Abstract
BACKGROUND Nurse practitioner (NP) preceptors encounter stress when balancing clinical responsibilities with mentoring. Support can decrease role stress and promote preceptor resilience. PURPOSE Characterize NP preceptor resource needs and their perception of support for the clinical preceptor role. METHODS A cross-sectional, mixed-methods study used a web-based survey to identify preceptor resource needs. A convenience sample from a large, academic Midwestern university was recruited by email, with reminder emails 1 and 2 weeks after initial invitation. Survey tools included researcher-designed questions about preceptor-desired resources, an adapted Preceptor's Perception of Support Scale, and qualitative questions of preceptor needs. Data were analyzed using descriptive statistics and qualitative thematic analysis. RESULTS Two hundred thirty-nine of 784 surveys (30.48%) were returned. Preceptors valued free mentoring resources, desired access by "smartphone app," and identified mentoring topics of interest. They perceived adequate role preparation, clearly defined roles, supportive and knowledgeable colleagues, committed supervisors, and appropriate workload. Respondents noted the following insufficiencies: time for normal duties while precepting, preceptor resources, opportunities to share with colleagues, faculty-student time, and faculty assistance to identify student's performance problems. Qualitative data highlighted faculty-preceptor communication and compensation as preceptor concerns. IMPLICATIONS FOR PRACTICE Preceptors feel a need for specific supports identified in this study. Preceptor insights inform strategies to build clinical preceptor resilience and well-being, strengthen the academic-practice partnership, and facilitate positive education outcomes. Faculty should increase communication-based support individualized to specific student needs. Resources should be developed that more fully support specific competencies and skills within NP student clinical education.
Collapse
Affiliation(s)
- Leah Burt
- Department of Biobehavioral Nursing Science, College of Nursing, University of Illinois at Chicago, Chicago, Illinois
| | - Kathleen Sparbel
- Department of Population Health Nursing Science, College of Nursing, University of Illinois at Chicago, Quad Cities Campus, Chicago, Illinois
| | - Susan Corbridge
- Department of Biobehavioral Nursing Science, College of Nursing, University of Illinois at Chicago, Chicago, Illinois
| |
Collapse
|
8
|
Burt L, Corbridge S, Corte C, Quinn L, Finnegan L, Clark L. Ways that nurse practitioner students self-explain during diagnostic reasoning. ACTA ACUST UNITED AC 2021; 9:40-49. [PMID: 33901390 DOI: 10.1515/dx-2020-0136] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Accepted: 03/02/2021] [Indexed: 01/01/2023]
Abstract
OBJECTIVES An important step in mitigating the burden of diagnostic errors is strengthening diagnostic reasoning among health care providers. A promising way forward is through self-explanation, the purposeful technique of generating self-directed explanations to process novel information while problem-solving. Self-explanation actively improves knowledge structures within learners' memories, facilitating problem-solving accuracy and acquisition of knowledge. When students self-explain, they make sense of information in a variety of unique ways, ranging from simple restatements to multidimensional thoughts. Successful problem-solvers frequently use specific, high-quality self-explanation types. The unique types of self-explanation present among nurse practitioner (NP) student diagnosticians have yet to be explored. This study explores the question: How do NP students self-explain during diagnostic reasoning? METHODS Thirty-seven Family NP students enrolled in the Doctor of Nursing Practice program at a large, Midwestern U.S. university diagnosed three written case studies while self-explaining. Dual methodology content analyses facilitated both deductive and qualitative descriptive analysis. RESULTS Categories emerged describing the unique ways that NP student diagnosticians self-explain. Nine categories of inference self-explanations included clinical and biological foci. Eight categories of non-inference self-explanations monitored students' understanding of clinical data and reflect shallow information processing. CONCLUSIONS Findings extend the understanding of self-explanation use during diagnostic reasoning by affording a glimpse into fine-grained knowledge structures of NP students. NP students apply both clinical and biological knowledge, actively improving immature knowledge structures. Future research should examine relationships between categories of self-explanation and markers of diagnostic success, a step in developing prompted self-explanation learning interventions.
Collapse
Affiliation(s)
- Leah Burt
- College of Nursing, University of Illinois at Chicago, Chicago, IL, USA
| | - Susan Corbridge
- College of Nursing, University of Illinois at Chicago, Chicago, IL, USA
| | - Colleen Corte
- College of Nursing, University of Illinois at Chicago, Chicago, IL, USA
| | - Laurie Quinn
- College of Nursing, University of Illinois at Chicago, Chicago, IL, USA
| | | | - Lou Clark
- M Simulation, University of Minnesota, Minneapolis, MN, USA
| |
Collapse
|
9
|
Burt L, Finnegan L, Schwartz A, Corte C, Quinn L, Clark L, Corbridge S. Diagnostic reasoning: relationships among expertise, accuracy, and ways that nurse practitioner students self-explain. ACTA ACUST UNITED AC 2021; 9:50-58. [PMID: 33901388 DOI: 10.1515/dx-2020-0137] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Accepted: 03/17/2021] [Indexed: 11/15/2022]
Abstract
OBJECTIVES To improve diagnostic ability, educators should employ multifocal strategies. One promising strategy is self-explanation, the purposeful technique of generating self-directed explanations during problem-solving. Students self-explain information in ways that range from simple restatements to multidimensional thoughts. Successful problem-solvers frequently use specific, high-quality self-explanation types. In a previous phase of research, unique ways that family nurse practitioner (NP) students self-explain during diagnostic reasoning were identified and described. This study aims to (a) explore relationships between ways of self-explaining and diagnostic accuracy levels and (b) compare differences between students of varying expertise in terms of ways of self-explaining and diagnostic accuracy levels. Identifying high-quality diagnostic reasoning self-explanation types may facilitate development of more refined self-explanation educational strategies. METHODS Thirty-seven family NP students enrolled in the Doctor of Nursing Practice program at a large, Midwestern university diagnosed three written case studies while self-explaining. During the quantitative phase of a content analysis, associational and comparative data analysis techniques were applied. RESULTS Expert students voiced significantly more clinical and biological inference self-explanations than did novice students. Diagnostic accuracy scores were significantly associated with biological inference scores. Clinical and biological inference scores accounted for 27% of the variance in diagnostic accuracy scores, with biological inference scores significantly influencing diagnostic accuracy scores. CONCLUSIONS Not only were biologically focused self-explanations associated with diagnostic accuracy, but also their spoken frequency influenced levels of diagnostic accuracy. Educational curricula should support students to view patient presentations in terms of underlying biology from the onset of their education.
Collapse
Affiliation(s)
- Leah Burt
- University of Illinois at Chicago College of Nursing, Chicago, IL, USA
| | | | - Alan Schwartz
- University of Illinois College of Medicine, Chicago, IL, USA
| | - Colleen Corte
- University of Illinois at Chicago College of Nursing, Chicago, IL, USA
| | - Laurie Quinn
- University of Illinois at Chicago College of Nursing, Chicago, IL, USA
| | - Lou Clark
- M Simulation, University of Minnesota, Minneapolis, MN, USA
| | - Susan Corbridge
- University of Illinois at Chicago College of Nursing, Chicago, IL, USA
| |
Collapse
|
10
|
Reising V, Alharthi A, Moore K, Corbridge S. Implementing Tablet-Based Health Education in a Community Health Center. J Nutr Educ Behav 2021; 53:363-366. [PMID: 33563564 DOI: 10.1016/j.jneb.2021.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Revised: 12/22/2020] [Accepted: 01/03/2021] [Indexed: 06/12/2023]
Affiliation(s)
| | - Abeer Alharthi
- University of Illinois at Chicago, Chicago, IL; King Saud University, Riyadh, Saudi Arabia
| | - Kelly Moore
- University of Illinois at Chicago, Chicago, IL
| | - Susan Corbridge
- College of Nursing, University of Illinois at Chicago, Chicago, IL
| |
Collapse
|
11
|
Anderson RJ, Sparbel K, Barr RN, Doerschug K, Corbridge S. Electronic Health Record Tool to Promote Team Communication and Early Patient Mobility in the Intensive Care Unit. Crit Care Nurse 2019; 38:23-34. [PMID: 30504495 DOI: 10.4037/ccn2018813] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
BACKGROUND Intensive care unit early mobility programs improve patients' outcomes while reducing costs for both patients and institutions. Inadequate interprofessional communication is a known barrier to achieving good early mobility program outcomes. Electronic health record communication tools promoting interprofessional communication have demonstrated improved patient outcomes, but have not been evaluated for mobility in the intensive care unit. OBJECTIVES To implement an early mobility collaboration program in an existing early mobility program, consisting of protocol education and an electronic health record tool designed to improve interprofessional communication and collaboration. METHODS In phase 1, staff members viewed an online educational module, the existing mobility protocol, and the "Mobility Levels" grading scale. In phase 2, an electronic health record communication tool displayed recently recorded mobility levels to all care providers. Staff knowledge of the early mobility program and perceptions of mobility-related communication were assessed by survey; patient outcomes including mobility goals, mechanical ventilation time, length of intensive care unit stay, and cost were assessed by records review. RESULTS Statistically significant increases were found for staff satisfaction with mobility-related communication (P < .001) and communication frequency (P = .02), but not for staff knowledge (P = .28). Hours to achievement of mobility goal (P = .02) and length of intensive care unit stay (P = .02) decreased significantly. Average ventilation time decreased by 27 hours. Discharge recommendations at higher functional levels increased. Total intensive care unit cost decreased significantly (-39.5%; P = .04). CONCLUSIONS Interprofessional communication and collaboration can lead to improved outcomes. Combining routine educational reviews and an electronic health record communication tool may improve patient and system outcomes for intensive care unit early mobility program patients.
Collapse
Affiliation(s)
- Robert J Anderson
- Robert J. Anderson is an advanced registered nurse practitioner in the intensive care unit, Mayo Clinic, Rochester, Minnesota. Kathleen Sparbel is Director of the College of Nursing, University of Illinois at Chicago, Quad Cities Campus, Moline, Illinois. Rhonda N. Barr is a staff physical therapist specializing in critical care in the medical intensive care unit, University of Iowa Hospitals and Clinics, Iowa City, Iowa. Kevin Doerschug is Medical Director in the medical intensive care unit at University of Iowa Hospitals and Clinics. Susan Corbridge is Associate Dean for Practice and Community Partnerships, College of Nursing, and a nurse practitioner, Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of Illinois at Chicago, Chicago, Illinois.
| | - Kathleen Sparbel
- Robert J. Anderson is an advanced registered nurse practitioner in the intensive care unit, Mayo Clinic, Rochester, Minnesota. Kathleen Sparbel is Director of the College of Nursing, University of Illinois at Chicago, Quad Cities Campus, Moline, Illinois. Rhonda N. Barr is a staff physical therapist specializing in critical care in the medical intensive care unit, University of Iowa Hospitals and Clinics, Iowa City, Iowa. Kevin Doerschug is Medical Director in the medical intensive care unit at University of Iowa Hospitals and Clinics. Susan Corbridge is Associate Dean for Practice and Community Partnerships, College of Nursing, and a nurse practitioner, Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of Illinois at Chicago, Chicago, Illinois
| | - Rhonda N Barr
- Robert J. Anderson is an advanced registered nurse practitioner in the intensive care unit, Mayo Clinic, Rochester, Minnesota. Kathleen Sparbel is Director of the College of Nursing, University of Illinois at Chicago, Quad Cities Campus, Moline, Illinois. Rhonda N. Barr is a staff physical therapist specializing in critical care in the medical intensive care unit, University of Iowa Hospitals and Clinics, Iowa City, Iowa. Kevin Doerschug is Medical Director in the medical intensive care unit at University of Iowa Hospitals and Clinics. Susan Corbridge is Associate Dean for Practice and Community Partnerships, College of Nursing, and a nurse practitioner, Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of Illinois at Chicago, Chicago, Illinois
| | - Kevin Doerschug
- Robert J. Anderson is an advanced registered nurse practitioner in the intensive care unit, Mayo Clinic, Rochester, Minnesota. Kathleen Sparbel is Director of the College of Nursing, University of Illinois at Chicago, Quad Cities Campus, Moline, Illinois. Rhonda N. Barr is a staff physical therapist specializing in critical care in the medical intensive care unit, University of Iowa Hospitals and Clinics, Iowa City, Iowa. Kevin Doerschug is Medical Director in the medical intensive care unit at University of Iowa Hospitals and Clinics. Susan Corbridge is Associate Dean for Practice and Community Partnerships, College of Nursing, and a nurse practitioner, Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of Illinois at Chicago, Chicago, Illinois
| | - Susan Corbridge
- Robert J. Anderson is an advanced registered nurse practitioner in the intensive care unit, Mayo Clinic, Rochester, Minnesota. Kathleen Sparbel is Director of the College of Nursing, University of Illinois at Chicago, Quad Cities Campus, Moline, Illinois. Rhonda N. Barr is a staff physical therapist specializing in critical care in the medical intensive care unit, University of Iowa Hospitals and Clinics, Iowa City, Iowa. Kevin Doerschug is Medical Director in the medical intensive care unit at University of Iowa Hospitals and Clinics. Susan Corbridge is Associate Dean for Practice and Community Partnerships, College of Nursing, and a nurse practitioner, Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of Illinois at Chicago, Chicago, Illinois
| |
Collapse
|
12
|
Dunn H, Quinn L, Corbridge S, Kapella M, Eldeirawi K, Steffen A, Collins E. A latent class analysis of prolonged mechanical ventilation patients at a long-term acute care hospital: Subtype differences in clinical outcomes. Heart Lung 2019; 48:215-221. [PMID: 30655004 DOI: 10.1016/j.hrtlng.2019.01.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2018] [Revised: 12/29/2018] [Accepted: 01/02/2019] [Indexed: 01/15/2023]
Abstract
RATIONALE Patients on prolonged mechanical ventilation (PMV) at Long-Term Acute Care Hospital's (LTACHs) are clinically heterogeneous making it difficult to manage care and predict clinical outcomes. OBJECTIVES Identify and describe subgroups of patients on PMV at LTACHs and examine for group differences. METHODS Latent class analysis was completed on data obtained during medical record review at Midwestern LTACH. MAIN RESULTS A three-class solution was identified. Class 1 contained young, obese patients with low clinical and co-morbid burden; Class 2 contained the oldest patients with low clinical burden but multiple co-morbid conditions; Class 3 contained patients with multiple clinical and co-morbid burdens. There were no differences in LTACH length of stay [F(2,246) = 2.243, p = 0.108] or number of ventilator days [F(2,246) = 0.641, p = 0.528]. Class 3 patients were less likely to wean from mechanical ventilation [χ2(2, N = 249) = 25.48, p < 0.001] and more likely to die [χ2(2, N = 249) = 23.68, p < 0.001]. CONCLUSION Patient subgroups can be described that predict clinical outcomes. Class 3 patients are at higher risk for poor clinical outcomes when compared to patients in Class 1 or Class 2.
Collapse
Affiliation(s)
- Heather Dunn
- The University of Iowa College of Nursing, United States.
| | - Laurie Quinn
- University of Illinois at Chicago College of Nursing, United States
| | - Susan Corbridge
- University of Illinois at Chicago College of Nursing, United States
| | - Mary Kapella
- University of Illinois at Chicago College of Nursing, United States
| | - Kamal Eldeirawi
- University of Illinois at Chicago College of Nursing, United States
| | - Alana Steffen
- University of Illinois at Chicago College of Nursing, United States
| | - Eileen Collins
- University of Illinois at Chicago College of Nursing, United States
| |
Collapse
|
13
|
Burt L, Corbridge S. Teaching Diagnostic Reasoning: A Review of Evidence-Based Interventions. Int J Nurs Educ Scholarsh 2018; 15:/j/ijnes.2018.15.issue-1/ijnes-2018-0003/ijnes-2018-0003.xml. [PMID: 30388079 DOI: 10.1515/ijnes-2018-0003] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2018] [Accepted: 08/27/2018] [Indexed: 11/15/2022]
Abstract
Problem/Background: The ability to accurately diagnose patients based on symptom profiles is a vital yet challenging skill that Nurse Practitioners (NPs) undertake frequently. PURPOSE This integrative literature review highlights a variety of evidence based, practical educational strategies that foster the development of diagnostic reasoning. METHODS An integrative literature review was conducted in order to identify original research focusing on diagnostic reasoning educational interventions. RESULTS Eighteen primary sources met inclusion and exclusion criteria. Results are synthesized in terms of sample and setting, methodological features, interventions, and outcomes. Interventions broadly fit into five educational themes: testing strategies, cognitive biases, simulation programs, course formats, and instructional approaches. DISCUSSION Interventions are simple and can be implemented in multiple educational settings. Future research should occur in populations of NP students. Validated, easy-to-use measurement tools as well as more precise diagnostic reasoning concept development should occur.
Collapse
Affiliation(s)
- Leah Burt
- Department of Biobehavioral Health Science, College of Nursing, The University of Illinois at Chicago, Chicago, IL, USA
| | - Susan Corbridge
- Department of Biobehavioral Health Science, College of Nursing, The University of Illinois at Chicago, Chicago, IL, USA
| |
Collapse
|
14
|
Smith CD, Balatbat C, Corbridge S, Dopp AL, Fried J, Harter R, Landefeld S, Martin CY, Opelka F, Sandy L, Sato L, Sinsky C. Implementing Optimal Team-Based Care to Reduce Clinician Burnout. NAM Perspect 2018. [DOI: 10.31478/201809c] [Citation(s) in RCA: 45] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
|
15
|
|
16
|
Tiffen J, Corbridge S, Shen BC, Robinson P. Patient Simulator for Teaching Heart and Lung Assessment Skills to Advanced Practice Nursing Students. Clin Simul Nurs 2011. [DOI: 10.1016/j.ecns.2009.10.003] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
17
|
Piano MR, Benowitz NL, Fitzgerald GA, Corbridge S, Heath J, Hahn E, Pechacek TF, Howard G. Impact of smokeless tobacco products on cardiovascular disease: implications for policy, prevention, and treatment: a policy statement from the American Heart Association. Circulation 2010; 122:1520-44. [PMID: 20837898 DOI: 10.1161/cir.0b013e3181f432c3] [Citation(s) in RCA: 166] [Impact Index Per Article: 11.9] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
|
18
|
Abstract
Chronic obstructive pulmonary disease is associated with a functional weakness of the inspiratory muscles. Multiple factors contribute to the decline in functional strength including hyperinflation of the chest, deterioration in nutritional status, and the indirect effects of an exacerbation. The decreased inspiratory muscle strength contributes to sensations of dyspnea and places individuals at risk for respiratory muscle fatigue. The worsening dyspnea causes individuals to reduce their physical activities and ultimately become physically deconditioned. Maximal inspiratory pressure is commonly used to measure functional strength of the inspiratory muscles, and interventions to minimize the extent of decline include inspiratory muscle training, aerobic exercise training, nutritional supplementation, and methods to prevent exacerbations. In the critical care unit, multiple comorbid conditions contribute to further decline in inspiratory muscle strength, making it important to assess respiratory muscle function regularly.
Collapse
Affiliation(s)
- Janet L Larson
- Department of Medical Surgical Nursing, College of Nursing, University of Illinois at Chicago, 60612, USA.
| | | | | |
Collapse
|
19
|
Corbridge S. Population growth and economic development. Geogr Rev (Oxf) 1989; 3:14-6. [PMID: 12316895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/19/2023]
|
20
|
|