Mary Thomson Champagne

Journal Article Journal 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., ... Full text Cite

Access to opportunity: The duke-east Carolina partnerships for training program

Journal Article Online Learning Journal · January 1, 2019 Duke University and East Carolina University through their Schools of Nursing and Physician Assistant Programs are in the third year of the Partnerships for Training Program (PFT). The goal of PFT is to prepare primary care providers to increase access to ... Full text Cite

High-Dose Interleukin-2: Evaluation of a Standardized Order Set for Biotherapy in an Intensive Care Unit .

Journal Article Clinical 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 ... Full text Cite

Operating Room Delays: Meaningful Use in Electronic Health Record.

Journal Article Computers, informatics, nursing : CIN · June 2016 Perioperative areas are the most costly to operate and account for more than 40% of expenses. The high costs prompted one organization to analyze surgical delays through a retrospective review of their new electronic health record. Electronic health record ... Full text Cite

Implementation of a delirium assessment protocol in an inpatient hospice setting

Journal Article Journal of Hospice and Palliative Nursing · June 1, 2016 The purpose of this quality improvement project was to improve the recognition of delirium in an inpatient hospice setting through the use of the Confusion Assessment Method (CAM) by staff nurses. After receiving education on the CAM, staff nurses used the ... Full text Cite

Intrahospital Transport of the Critically Ill Adult: A Standardized Evaluation Plan.

Journal Article Dimensions of critical care nursing : DCCN · May 2016 BackgroundIntrahospital transport of the critically ill adult carries inherent risks that can be manifested as unexpected events.ObjectiveThe aim of this study is to evaluate the implementation of a standardized evaluation plan for intrah ... Full text Cite

Transformation of Care: Integrating the Registered Nurse Care Coordinator into the Patient-Centered Medical Home.

Journal Article Population 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 ... Full text Cite

Coalition Building for Health: A Community Garden Pilot Project with Apartment Dwelling Refugees.

Journal Article Journal of community health nursing · July 2015 Refugees often experience compromised health from both pre- and post-migration stressors. Coalition theory has helped guide the development of targeted programs to address the health care needs of vulnerable populations. Using the Community Coalition Actio ... Full text Cite

Policy to practice: increased family presence and the impact on patient- and family-centered care adoption.

Journal Article The Journal of nursing administration · January 2015 ObjectiveThis quality improvement study introduced 24/7 family presence and measured its impact in 3 categories; perceptions, complaints, and patient experience scores. This article offers insight for leaders into the 1st phase of patient- and fam ... Full text Cite

Implementing evidence-based medication safety interventions on a progressive care unit.

Journal Article The American journal of nursing · November 2014 While preparing medications in complex health care environments, nurses are frequently distracted or interrupted, which can lead to medication errors that may adversely affect patient outcomes. This pilot quality improvement project, which took place in a ... Full text Cite

Calling a "condition H".

Journal Article Nursing management · December 2013 Full text Cite

The language of data: tools to translate evidence for nurses in clinical practice.

Journal Article Journal for nurses in professional development · November 2013 In clinical practice, nurses are expected to understand and implement the science that supports patient care, yet they fall short of goals to implement evidence in practice. One reason is difficulty in interpreting research results. Interpretation requires ... Full text Cite

Evaluation of a nurse-led safety program in a critical care unit.

Journal Article Journal of nursing care quality · April 2013 This implementation of a formalized safety program in a critical care unit highlights the importance of the "voice of the caregiver," as it relates to patient safety. This nurse-led program featured executive walkrounds and a multidisciplinary core team wh ... Full text Cite

Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project.

Journal Article J Nurs Care Qual · 2013 The Care Journal is a tool developed by the Josie King Foundation to promote interactive exchange among providers and patients/families. The Care Journal was implemented in a pediatric intensive care unit, and surveys were administered to assess perception ... Full text Link to item Cite

Focused anesthesia interview resource to improve efficiency and quality.

Journal Article Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses / American Society of PeriAnesthesia Nurses · December 2012 In an effort to reduce costs, many hospitals may use registered nurses (RNs) with little to no formal education or training in anesthetic or surgical risk to perform anesthesia preoperative interviews (APIs). This lack of education and training can result ... Full text Cite

Continuous intravenous insulin: An evaluation in bariatric patients outside of the intensive care unit

Journal Article Bariatric Nursing and Surgical Patient Care · December 1, 2012 Introduction: Bariatric surgery is being recommended for select patients with diabetes for improvement in glycemic control or possibly remission of diabetes. Diabetes remission does not happen immediately. In an effort to meet the changing glycemic control ... Full text Cite

Improving hypertension control in a population of low-income frail older adults: An evaluation of the just for us model

Journal Article Journal of Applied Gerontology · August 1, 2012 We evaluated hypertension management among enrollees in Just for Us (JFU)-an approach to providing coordinated, in-home care to medically fragile, low-income older or disabled adults living independently. The sample was 264 JFU patients who enrolled betwee ... Full text Cite

Utilizing a diabetic registry to manage diabetes in a low-income Asian American population.

Journal Article Population 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 ... Full text Cite

Implementation of condition help: family teaching and evaluation of family understanding.

Journal Article J Nurs Care Qual · 2012 Partnering with families to deliver safe care includes teaching how to activate the rapid response team (RRT) if their hospitalized child's condition worsens. Condition Help (Condition H) is how families call the RRT. Pediatric nurses used scripted Conditi ... Full text Link to item Cite

Diffusion of innovations in long-term care measurement battery.

Journal Article Research in gerontological nursing · January 2012 Poor understanding of factors influencing integration of new practices into long-term care (LTC) hinders timely implementation of evidence-based practices (EBPs). Using the Diffusion of Innovations (DOI) framework, a new instrument measuring staff percepti ... Full text Cite

Design, implementation, and evaluation of population-specific telehealth nursing services.

Journal Article Nursing economic$ · September 2011 An implementation project was conducted to introduce a structure for telehealth nursing practice (TNP) which would address the specific needs of complex endocrinology patients in a hospital-based clinic. Outcomes of the pilot study include analysis of 727 ... Cite

Autism spectrum disorder screening in primary care.

Journal Article Journal of developmental and behavioral pediatrics : JDBP · January 2011 ObjectivesOne in 110 children in the United States has autism spectrum disorder (ASD). Early identification and early intervention have been shown to improve outcomes for children with ASD. Although recommended, routine ASD screening at 18 and 24 ... Full text Cite

Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units.

Journal Article J Nurs Care Qual · 2011 Catheter-associated urinary tract infections account for 40% of all health care-associated infections. An evidence-based, nurse-driven daily checklist for initiation and continuance of urinary catheters was implemented in 5 adult intensive care units. Meas ... Full text Link to item Cite

Staff perception of new pain care practices in dementia care psychometric properties of the Duke Diffusion of Innovation in long-term care battery

Journal Article Alzheimer's Care Today · April 1, 2010 Approximately 80% of long-term care (LTC) residents suffer from chronic pain, and residents with dementia are at highest risk for inadequate pain control. Delayed implementation of evidence-based care practices is a key contributor to these poor outcomes. ... Full text Cite

The importance of organizational climate to training needs and outcomes in long-term care

Journal Article Alzheimer's Care Today · April 1, 2010 Efforts to improve dementia care through training occur in an organizational context that may enhance or inhibit improvement. This article used linear mixed models to examine the relationship of contextual and organizational factors to baseline knowledge, ... Full text Cite

Improving the health of the community: Duke's experience with community engagement.

Journal Article Acad Med · April 2008 Evidence is accumulating that the United States is falling behind in its potential to translate biomedical advances into practical applications for the population. Societal forces, increased awareness of health disparities, and the direction of clinical an ... Full text Link to item Cite

Just for Us: an academic medical center-community partnership to maintain the health of a frail low-income senior population.

Journal Article Gerontologist · April 2006 PURPOSE: To promote health and maintain independence, Just for Us provides financially sustainable, in-home, integrated care to medically fragile, low-income seniors and disabled adults living in subsidized housing. DESIGN AND METHODS: The program provides ... Full text Link to item Cite

Making a home in the community for the academic medical center.

Journal Article Acad Med · January 2005 Academic medical centers (AMCs) have traditionally provided primary care for low-income and other underserved populations. However, they have had difficulty developing lasting partnerships with other organizations serving the same populations. This article ... Full text Link to item Cite

Private colleges and university nursing programs in North Carolina.

Journal Article North Carolina medical journal · March 2004 Cite

Access to opportunity: The Duke-east Carolina partnerships for training program

Journal Article Journal of Asynchronous Learning Network · August 1, 2002 Duke University and East Carolina University through their Schools of Nursing and Physician Assistant Programs are in the third year of the Partnerships for Training Program (PFT). The goal of PFT is to prepare primary care providers to increase access to ... Cite

Predicting pressure ulcer risk: a multisite study of the predictive validity of the Braden Scale.

Journal Article Nursing research · September 1998 BackgroundThere have been no studies that have tested the Braden Scale for predictive validity and established cutoff points for assessing risk specific to different settings.ObjectivesTo evaluate the predictive validity of the Braden Sca ... Full text Cite

The assessment of acute confusion as part of nursing care.

Journal Article Applied nursing research : ANR · August 1997 Older adults who become acutely confused when hospitalized present challenges to nurses because of their increased care needs and risk for injury. This study evaluated the feasibility of introducing the NEECHAM Confusion Scale as part of usual nursing care ... Full text Cite

The NEECHAM Confusion Scale: construction, validation, and clinical testing.

Journal Article Nursing research · November 1996 This article reports the development of the NEECHAM Confusion Scale for rapid and unobtrusive assessment and monitoring of acute confusion. The scale was tested in two samples (N = 168 and 258, respectively) of elderly patients hospitalized for acute medic ... Full text Cite

Multi-site study of incidence of pressure ulcers and the relationship between risk level, demographic characteristics, diagnoses, and prescription of preventive interventions.

Journal Article Journal of the American Geriatrics Society · January 1996 ObjectiveTo determine the incidence of pressure ulcers in varied populations, and whether demographic characteristics (age, gender, race) and primary diagnosis are factors in pressure ulcer development when the level of risk for developing ulcers ... Full text Cite

Barriers and facilitators of research utilization. An integrative review.

Journal Article The Nursing clinics of North America · September 1995 For over 20 years, nursing literature has discussed the gap between the conduct of research and the use of its findings to improve practice. Factors relating to the nurse, the setting, the research, and the way research is presented have been identified as ... Cite

Administrators' views on barriers to research utilization.

Journal Article Applied nursing research : ANR · February 1995 Full text Cite

Research utilization: reconnecting research and practice.

Journal Article AACN clinical issues · February 1995 Barriers to the use of research in practice include problems with the availability of research, the manner in which it is presented, and the use of the research. They also include barriers in the setting and "shortcomings" of individual nurses. Most approa ... Cite

Advice on reading research: overcoming the barriers.

Journal Article Applied nursing research : ANR · November 1993 Full text Cite

Responses of schools of nursing to physically, mentally, and substance-impaired students.

Journal Article The Journal of nursing education · September 1991 Responses of schools of nursing to physically, mentally, and substance-impaired applicants and matriculating students were assessed in a 12% simple random sample (n = 132) of the 383 baccalaureate and 715 associate degree nursing schools and programs accre ... Full text Cite

Barriers to using research findings in practice: the clinician's perspective.

Journal Article Applied nursing research : ANR · May 1991 Full text Cite

BARRIERS: the barriers to research utilization scale.

Journal Article Applied nursing research : ANR · February 1991 Full text Cite

Teaching cardiovascular assessment.

Journal Article Journal of continuing education in nursing · November 1990 This article describes a learning module for teaching heart sound recognition and summarizes results of two studies testing the learning module. The module, built around a heart sound simulator, was effective with both graduate nursing students (n = 37) an ... Full text Cite

Heart sound simulation: how useful for critical care nurses?

Journal Article Heart & lung : the journal of critical care · March 1990 Forty critical care nurses participated in a 2-hour teaching program using a heart sound simulator to increase skill in recognition of heart sounds. Mean test scores increased 10 points from the pretest to the first posttest (t = 11.9, p = 0.0001), and thi ... Cite

Use of a heart sound simulator in teaching cardiac auscultation.

Journal Article Focus on critical care · December 1989 The use of a heart sound simulator in teaching recognition of heart sounds was tested in 37 graduate students. Subjects were randomly divided into two groups; one group received both auditory and tactile cues and the other group received only auditory cues ... Cite

Writing research reports for clinical audiences.

Journal Article Western journal of nursing research · October 1989 Full text Cite

Application and evaluation of dissemination model.

Journal Article Western journal of nursing research · August 1989 Full text Cite

Nutritional support in the critically ill elderly patient.

Journal Article Critical care nursing quarterly · June 1989 Optimal recovery of the critically ill elderly patient depends on an adequate nutritional state. Preventing and treating malnutrition is fundamental to the provision of good patient care, yet providing nutritional support to the critically ill elderly is c ... Full text Cite