Journal articleJournal of pediatric hematology/oncology nursing · May 2026
BackgroundThe complexity of pediatric cancer care, combined with inequitable workload distribution and varying patient acuity, can contribute to dissatisfaction and physical and emotional exhaustion among nurses. In contrast to the traditional methods of a ...
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Journal articleJournal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · December 2025
PurposeThis quality improvement project used operating room black box (ORBB) technology to evaluate adherence to liposomal bupivacaine (LB) administration protocols, specifically to identify obstacles to compliance with these protocols to mitigate ...
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Journal articleJournal of advanced nursing · November 2025
AimTo evaluate the acceptability and safety of a fluid volume assessment tool integrating clinical signs, patient-reported symptoms and bioimpedance analysis as a clinical decision aid in haemodialysis.DesignSingle-centre, 6-month clinica ...
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Journal articleAdvances in neonatal care : official journal of the National Association of Neonatal Nurses · August 2024
BackgroundIn the neonatal intensive care unit (NICU), elevated noise negatively impacts the neurodevelopmental environment, interrupts sleep, and can affect brain development in neonates. The American Academy of Pediatrics recommends that noise le ...
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Journal articleAANA journal · April 2024
This project sought to explore the experiences, self-perceived preparation, professional development needs, and preferred learning methods of certified registered nurse anesthetists (CRNAs) in a management role. A sample of 10 current chief CRNAs responded ...
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Journal articleJournal of nursing care quality · January 2024
BackgroundObesity commonly affects postsurgical pulmonary outcomes and is associated with increased oxygen usage, length of recovery and hospital stay, discharge to high levels of care, cost, morbidity, and mortality.Local problemNo stand ...
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Journal articleNeonatal network : NN · July 2023
Purposeto assess the impact of education using the implicit bias recognition and management (IBRM) teaching approach.Designlongitudinal quasi-experimental design. Surveys at baseline, immediate postimplementation, and 4-week postimplement ...
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Journal articleNurse Leader · April 1, 2023
Nursing governance councils lead to improved nurse empowerment; however, it is unknown whether using a similar structure for nurse leaders results in similar outcomes. We implemented a frontline nurse leader council to evaluate the impact on the nurse lead ...
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Journal articleHome Healthcare Now · November 1, 2022
The number of Americans receiving some level of healthcare at home is rapidly increasing, often leaving family members responsible for providing care for their loved ones. The impact on these unpaid caregivers, who must also balance the stressors of work a ...
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Journal articleMilitary medicine · September 2020
IntroductionOccupational stress can have a direct influence on worker safety and health. Navy medical professionals are known to neglect self-care, putting them at risk for deteriorations in psychological health that can lead to adverse patient ou ...
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Journal articleBMJ evidence-based medicine · August 2020
Clinical pathways have been successfully implemented in the primary care setting in New Zealand, Australia and the UK. Despite wide adoption and decreased costs, these pathways have yet to translate evidence into clinical practice while also saving provide ...
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Journal articleJournal of community health · August 2020
Approximately 4.1 million adults in the United States have past or current hepatitis C virus (HCV) infection. Despite efforts to test at least once for the 1945-1965 birth cohort population and others identified at risk, the completion of the annual risk a ...
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Journal articleSN Comprehensive Clinical Medicine · February 1, 2020
The purpose of this study was to evaluate the impact of the Malnutritional Universal Screening Tool (MUST) assessment on effects of postoperative surgical site infection (SSI) and length of hospitalization stay (LOS) for patients undergoing oncologic resec ...
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Journal articleMedsurg Nursing · January 1, 2020
Sepsis, severe sepsis, and septic shock represent progression of a single illness associated with high morbidity, mortality, and cost. This project emphasized the importance of providing medicalsurgical nurses with education on early recognition of sepsis ...
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Journal articleJournal of doctoral nursing practice · October 2019
BackgroundInsomnia is a significant problem in the U.S. military, affecting the health, resiliency, and readiness of service members (Seelig et al., 2016). Although insomnia is a common sleep disorder among active-duty personnel (Mysliwiec et al., ...
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Journal articlePediatric quality & safety · January 2019
BackgroundThe purpose of this quality improvement project was to decrease care variation regarding infliximab delivery at a pediatric inflammatory bowel disease (IBD) center. This variation was driven by differences in provider and nurse practices ...
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Journal articleJournal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · October 2018
PurposeEmergence delirium (ED) is a postoperative phenomenon characterized by agitation, confusion, and violent physical or verbal behavior that can occur after general anesthesia. Preoperative identification of patients at risk for ED may allow p ...
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Journal articleJournal of addictions nursing · April 2018
BackgroundAlcohol misuse is prevalent among college students and negatively affects their health, relationships, and academics. Alcohol misuse screening for this age group is advised but often overlooked.ObjectiveThe aim of this study was ...
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Journal articleWorkplace health & safety · October 2017
Obstructive sleep apnea (OSA) is a disorder characterized by a cessation of breathing during sleep, leading to poor sleep patterns and daytime somnolence. Daytime somnolence is of particular concern for commercial vehicle drivers, whose crash risk increase ...
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Journal articleClinical journal of oncology nursing · April 2017
BackgroundLife-threatening toxicity may result from administration of high-dose (HD) interleukin-2 (IL-2). Patients receiving HD IL-2 treatment often experience severe adverse side effects, which result in the interruption of treatment. .Obje ...
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Journal articleThe Journal of nursing administration · December 2016
PurposeThe aim of this study is to evaluate the effectiveness of a hospital-based pneumonia nurse navigator program.DesignThis study used a retrospective, formative evaluation.MethodsData of patients admitted from January 2012 th ...
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Journal articleJournal of emergency nursing · September 2016
ProblemVeterans eligible for health care in the Veterans Administration (VA) health system often receive care in community emergency Departments. In line with initiatives from Joining Forces and the American Academy of Nursing, emergency departmen ...
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Journal articleJournal of nursing care quality · April 2016
The purpose of this project was to determine the effectiveness of an advanced practice nurse-led preoperative telephone assessment in reducing day-of-surgery cancellations of patients at an ambulatory surgery center. We concluded that a good history obtain ...
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Journal articleThe Journal of nursing administration · January 2016
Bar-code medication administration (BCMA) effectiveness is contingent upon compliance with best-practice protocols. We developed a 4-phased BCMA evaluation program to evaluate the degree of integration of current evidence into BCMA policies, procedures, an ...
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Journal articleClin Transl Sci · October 2015
Researcher-initiated biobanks based at academic institutions contribute valuable biomarker and translational research advances to medicine. With many legacy banks once supported by federal funding, reductions in fiscal support threaten the future of existi ...
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Journal articlePopulation health management · October 2015
The purpose of this quality improvement project was to implement and evaluate a care delivery model integrating the registered nurse care coordinator (RNCC) into a family practice that is certified as a patient-centered medical home (PCMH) by the National ...
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Journal articleClinical journal of oncology nursing · October 2015
Evidence-based practice (EBP) is essential for quality health care, and EBP knowledge needs to be increased among nurses. Web-based courses may effectively deliver such education. In this study, data were collected about the Oncology Nursing Society web co ...
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Journal articleJournal of transcultural nursing : official journal of the Transcultural Nursing Society · September 2015
BackgroundMalnutrition is an urgent problem in the developing world, especially for children under 5 years of age. The article describes the utilization of a standard of practice designed to prevent illness in a malnourished, under-5 indigenous po ...
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Journal articleJournal for Nurse Practitioners · July 1, 2015
The purpose of this quality improvement project was to implement online education to improve preceptors' knowledge, skill, and comfort related to clinical teaching. Online modules were developed, implemented, and evaluated. Data were analyzed using descrip ...
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Journal articleAdvances in neonatal care : official journal of the National Association of Neonatal Nurses · December 2013
This article examines a quality-improvement project to reduce clinical practice variation and measure growth outcomes by standardizing the process for the provision of protein intake for premature infants weighing 1250 g or less. Eighteen infants with a bi ...
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Journal articleThe Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses · December 2013
BackgroundStroke is a leading cause of death and adult disability worldwide. North Carolina is considered to be a part of an area of the United States called the "stroke belt." Education coupled with implementation of a program that promotes prima ...
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Journal articleMilitary medicine · September 2013
This quality improvement project implemented and evaluated an evidence-based practice (EBP) program at two Army outpatient health care facilities. The EBP program consisted of five implementation strategies that aimed to inculcate EBP into organizational c ...
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Journal articleJournal for Nurse Practitioners · January 1, 2013
This quality improvement project instituted a routine depression screening using the Patient Health Questionnaire-9 for patients in a primary care practice with the goal of earlier identification and treatment of depression. A total of 115 patients were sc ...
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Journal articlePopulation health management · August 2012
Racial and income disparities persist in diabetes management in America. One third of African and Hispanic Americans with diabetes receive the recommended diabetes services (hemoglobin A1c [A1c] testing, retinal and foot examinations) shown to reduce diabe ...
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Journal articleJournal of the American Academy of Nurse Practitioners · August 2011
PurposeThe purpose of this study was to describe the cardiovascular (CV) risk profile of deployed military men who experience acute coronary syndrome (ACS).Data sourcesA retrospective record review of deployed military men who experienced ...
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Journal articleAdvances in neonatal care : official journal of the National Association of Neonatal Nurses · August 2011
Central line associated blood stream infections (CLABIs) are associated with an increase in length of stay, morbidity, hospital costs, and mortality. In 2009, CLABIs were on the increase at Covenant Healthcare's 55 bed Level III neonatal intensive care uni ...
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Journal articleJournal of community health nursing · July 2011
PurposeTo evaluate the effectiveness of blood pressure [BP] screenings through community-based health fairs. Effectiveness was measured by those with high BP readings who either made an appointment with or actually followed up with their primary c ...
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Journal articleThe Journal of cardiovascular nursing · January 2011
BackgroundAcute coronary syndromes (ACSs) occur in deployed military personnel, yet little is known about the cardiovascular (CV) risk profile of deployed US military service members who experience ACS. Stress and socioeconomic status (SES) as ris ...
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Journal articleJ Obstet Gynecol Neonatal Nurs · 2011
OBJECTIVE: To compare the emotional responses of mothers of late-preterm infants (34 0/7 to 36 6/7 weeks gestation) with those of mothers of full-term infants. DESIGN: A mixed method comparative study. SETTING: A southeastern tertiary academic medical cent ...
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Journal articleClinical Scholars Review · 2010
The goal of this project was to determine if a nurse practitioner (NP) designed and managed primary care based asthma quality improvement (QI) program titled Asthma Control and Elimination of Symptoms (ACES) could improve asthma outcomes in a high-morbidit ...
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Journal articleResearch Practitioner · September 2008
Improving our ability to translate research findings from discovery into clinical practice is a priority if we are to benefit from scientific discovery. The academic research unit serves as a catalyst for investigator-initiated and industry-initiated clini ...
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Journal articleThe Journal of cardiovascular nursing · July 2008
As the civilian population exhibits increasing trends in major cardiovascular (CV) risk factors in younger age groups, the US military is observing similar trends. These worrisome developments are seen even in young adulthood. Despite the need for a fit, c ...
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Journal articleCanadian oncology nursing journal = Revue canadienne de nursing oncologique · January 2007
A descriptive, correlational design was used to evaluate the effectiveness of a chronic cancer pain management education program. The Nurses' Knowledge and Attitude Survey Regarding Pain (NKAS) was used to evaluate the program. A convenience sample of 27 r ...
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Journal articleThe Journal of perinatal & neonatal nursing · October 2005
The developing lung is subject to events, both prenatal and postnatal, that alter the normal developmental process. The degree of insult or injury affects how the lung functions at birth and then responds to the insult throughout childhood. In this article ...
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Journal articleNursing leadership forum · January 2004
Implementing a leadership program in a distant and culturally unique country poses numerous challenges and a terrific opportunity to develop cultural awareness and competence. The political history of Cyprus provides a context for understanding the delicat ...
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Journal articleMil Med · April 2003
Overweight and obesity among soldiers and their dependents have increased over the last decade, mirroring rates in the general population. In general, few programs that result in sustained weight loss have been evaluated, although effective interventions c ...
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Journal articleAACN clinical issues · May 2000
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Airway management procedures are an integral part of caring for the newborn infant with respiratory compromise. Concomitant with these interventions are latrogenic consequences that result in varying degrees of trauma to the tracheobronchial tree. Common i ...
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Journal articleBiological research for nursing · April 2000
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In 1929, Drury and Szent-Gyorgyi described the effects of a simple extract of heart muscle and other tissues on the mammalian heart. This extract was identified as adenylic acid and found to have profound effects on the cardiovascular system. The discovery ...
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Journal articleResearch Practitioner · 2000
Nurse practitioners (NPs) are ideally suited to assume roles of principal investigators (PIs) in clinical trials. NPs are trained and authorized to perform physical examinations, make clinical assessments, diagnose and treat diseases, and prescribe drugs, ...
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Journal articleBiochimica et biophysica acta · October 1999
In order to sequence the cysteine-rich regions of pig gastric mucin (PGM), we used our previously identified pig gastric mucin clone PGM-2A to screen a pig stomach cDNA library and perform rapid amplification of cDNA ends to obtain two cysteine-rich clones ...
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Journal articleNeonatal network : NN · September 1999
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PurposeThe purpose of this study was to compare saline and heparin flushes in 24-gauge i.v. catheters.DesignA double-blind experiment in four recorded trials was conducted using a rabbit model. Twenty-four-gauge catheters were placed in b ...
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Journal articleBiophysical journal · March 1999
We present dynamic light scattering (DLS) and hydrophobic dye-binding data in an effort to elucidate a molecular mechanism for the ability of gastric mucin to form a gel at low pH, which is crucial to the barrier function of gastric mucus. DLS measurements ...
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Journal articleThe British journal of sociology · June 1998
In response to Sarah Irwin, the article develops a conflict model of inter-generational exchanges and treats generation as a neglected dimension of social stratification theory and research. Against Irwin's focus on individual attitudes from survey data to ...
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Journal articleAmerican journal of critical care : an official publication, American Association of Critical-Care Nurses · May 1998
BackgroundIntracranial hypertension occurs in response to routine procedures such as endotracheal suctioning in patients with severe head injuries. In some patients, the intracranial pressure does not immediately return to baseline levels.Obje ...
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Journal articleJournal of gerontological nursing · March 1998
The number of Special Care Units (SCUs) for people with Alzheimer's disease (AD) in nursing homes have increased dramatically in the past 10 years. Despite the rapid increase in number of SCUs and the concern that most SCUs report higher costs than traditi ...
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Journal articleHepatology (Baltimore, Md.) · January 1998
Hepatic dysfunction in cystic fibrosis (CF) has been attributed to accumulation of viscous mucoid secretions in intrahepatic bile ducts. The purpose of our study was to compare glycoconjugate secretion by intrahepatic biliary epithelial (IBE) cells derived ...
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Journal articleNursing research · July 1997
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A repeated measures randomized within-group design was used to determine the effectiveness of controlled short-duration hyperventilation (HV) in blunting the increase of intracranial pressure (ICP) during endotracheal suctioning (ETS). A multimodal continu ...
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Journal articleStudies in Health Technology and Informatics · January 1, 1997
An international nursing informatics research collaboration between Duke University Medical Center in Durham, North Carolina, USA and Allgemeine Krankenhaus Hospital in Vienna, Austria used data mining techniques called Knowledge Discovery in Databases (KD ...
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Journal articleThe Biochemical journal · May 1995
Polyclonal antibodies raised to deglycosylated pig gastric mucin were used to screen a cDNA library constructed with pig stomach mucosal mRNA. Immunocytochemistry indicated that the antibody recognizes intracellular and secreted mucin in surface mucous cel ...
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Journal articleJournal of obstetric, gynecologic, and neonatal nursing : JOGNN · May 1994
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Implementing a research project in a clinical nursing unit requires the researcher to gain cooperation and support from administration, physicians, and the nursing staff. In this article the site coordinators from the Transition of the Preterm Infant to an ...
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Journal articleNature · December 1992
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The HCl in the mammalian stomach is concentrated enough to digest the stomach itself, yet the gastric epithelium remains undamaged. One protective factor is gastric mucus, which forms a protective layer over the surface epithelium and acts as a diffusion b ...
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Journal articleHeart & lung : the journal of critical care · November 1991
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The purpose of this study was to determine the method of endotracheal suctioning (ETS) that resulted in the least compromise to the cerebrovascular status of adult patients with severe head injuries. A two-group (two vs three ETS), two-protocol (100% tidal ...
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Journal articleThe American journal of physiology · November 1991
Epithelial mucins are glycoproteins of very large molecular weight that provide viscoelastic and gel-forming properties to mucus, the jellylike protective layer covering epithelial organs. In the mammalian stomach the mucus gel layer protects the underlyin ...
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Journal articleHepatology (Baltimore, Md.) · May 1991
Alterations in the composition of bile during cholesterol gallstone formation appear to be responsible for increased release of gallbladder mucin, a potent cholesterol nucleating agent. We investigated the effects of bile salts on release of radiolabeled g ...
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Journal articlePediatric nursing · September 1990
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Artificial airways are a common treatment modality in neonatal and pediatric critical care units. Maintaining the integrity of artificial airways in infants and children requires accurate assessment of endotracheal tube (ETT) position and patency, adequacy ...
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Journal articleAACN clinical issues in critical care nursing · August 1990
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Development of the respiratory system requires the integration of anatomic, physiologic, and biochemical factors. This process is described from 5 weeks gestation until establishment of respirations after birth. ...
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Journal articlePediatrics · May 1990
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Meconium aspiration syndrome (MAS) and its associated complications are reviewed from the period before the routine use of intubation and suctioning to the present (1973 through 1987). Of the 176,790 neonates born during this period, the amniotic fluid was ...
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Journal articlePediatrics · January 1990
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To assess the role of high-frequency ventilator strategy in the propagation of airway injury, we compared the tracheobronchial histologic alterations in 20 newborn piglets ventilated for 8 hours with high-frequency flow interruption (HFFI). Ten animals wer ...
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Journal articleThe British journal of sociology · December 1989
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As a feature of social change and as an aspect of social stratification, ageing and age groups have been seriously neglected by sociological theory. This article attempts to conceptualize age groups in a multi-dimensional model of stratification which cons ...
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Journal articlePediatrics · August 1989
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It was hypothesized that diverse mechanisms may influence upper airway injury during mechanical ventilation. To assess the roles of several factors in the propagation of such injury, the tracheobronchial histologic changes in 53 newborn piglets were compar ...
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Journal articleJournal of applied physiology (Bethesda, Md. : 1985) · October 1986
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Infants with respiratory failure are frequently mechanically ventilated at rates exceeding 60 breaths/min. We analyzed the effect of ventilatory rates of 30, 60, and 90 breaths/min (inspiratory times of 0.6, 0.3, and 0.2 s, respectively) on the pressure-fl ...
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Journal articleJournal of obstetric, gynecologic, and neonatal nursing : JOGNN · July 1985
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Amniotic band syndrome results from a tear in the amnion, due to unknown etiology, which allows amniotic fluid and fetal parts to escape from the amnion into the chorion. Defects resulting from amniotic band syndrome are described. Management of the infant ...
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Journal articleThe American journal of physiology · October 1984
We studied the effects of hydrocortisone, an inhibitor of phospholipase A2, on the secretion of mucin and release of prostaglandins from guinea pig gallbladder explants. We measured mucin using [3H]glucosamine as a precursor and prostaglandins by radioimmu ...
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Journal articleThe American journal of physiology · July 1983
Mucin glycoprotein secretion from prairie dog gallbladder explants was studied in 24-h organ culture using [3H]glucosamine as a precursor. Indomethacin caused a reversible dose-dependent inhibition of both mucin release (50% inhibition between 10(-6) and 1 ...
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Journal articleHepatology (Baltimore, Md.) · March 1983
The nb/nb mouse with hereditary hemolytic anemia provides an animal model for the study of pigment gallstone disease. We measured glycoprotein synthesis and secretion in gallbladder neck and fundus of 6-month-old mice without stones, and in 12-month old mi ...
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Journal articleCritical Care Quarterly · January 1, 1979
The technical advances in monitoring the neonate have contributed to decreasing neonatal mortality and morbidity. In addition to the large expense of these monitoring systems, neonatal intensive care requires a large number of trained clinicians and hospit ...
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