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Michael Edward Zychowicz

Clinical Professor in the School of Nursing
School of Nursing
307 Trent Drive, Office 3213 Ipe Bldg., Durham, NC 27710
Office hours Contact the Professor to arrange and schedule office hours.  

Selected Publications


Virtual Reality Strategies for Promoting Mobility in the Intensive Care Unit: A Case Report.

Journal Article AACN advanced critical care · September 2024 Prolonged bed rest is a known contributor to muscle atrophy, weakness, and deconditioning. Early active mobilization protocols aim to combat acquired weakness and loss of function in patients in the intensive care unit. Despite these benefits, mobilization ... Full text Cite

Nicotine Screening and Cessation Education Among Patients Awaiting Total Joint Arthroplasty: A Quality Improvement Project.

Journal Article Orthopedic nursing · May 2024 Orthopedic surgical patients who use nicotine are at a high risk for postoperative complications including infection, respiratory failure, cardiac arrest, and death. Periprosthetic joint infections may result from nicotine-induced immunosuppression and mic ... Full text Cite

Splint Quality Assessment and Improvement Among Emergency Department Staff.

Journal Article Advanced emergency nursing journal · July 2023 The purpose of this quality improvement project is to assess and improve the quality of splint application in the emergency department (ED), as well as the splint application confidence level of the ED staff. Consistent and high-quality splint application ... Full text Cite

The PACT Act: Enhancing Health Care Access for Military Personnel and Veterans.

Journal Article North Carolina medical journal · July 2023 Full text Cite

Meeting the complex healthcare needs of veterans.

Journal Article The Nurse practitioner · September 2022 AbstractMore than half of US veterans seek care outside of the Veterans Health Administration. Physical and mental healthcare needs can be complicated by experiences during military service. Community clinicians can deliver more holistic and compr ... Full text Cite

The Role of Patient and Parent Education in Pediatric Cast Complications.

Journal Article Orthopedic nursing · September 2022 Cast immobilization remains the standard of care in managing pediatric fractures. Cast complications often result in emergency department visits, office calls and visits, or lasting patient morbidities that burden the healthcare institution from a time and ... Full text Cite

Implementation of a standardized robotic assistant surgical training curriculum.

Journal Article Journal of robotic surgery · August 2022 Since 2000, robotic-assisted surgery has rapidly expanded into almost every surgical sub-specialty. Despite the popularity of robotic surgery across the United States, a national consensus for standardized training and education of robotic surgeons or surg ... Full text Cite

Clinical pathways on a mobile device.

Journal Article BMJ 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 ... Full text Cite

Implementation and Evaluation of Tactical Combat Casualty Care for Army Aviators.

Journal Article Military medicine · August 2020 IntroductionThe importance of developing military strategies to decrease preventable death by mitigating hemorrhage and reducing time between the point of injury and surgical intervention on the battlefield is highlighted in previous studies. Succ ... Full text Cite

A Day in the Life: Advanced Practice Nurses Providing Care to Patients with Musculoskeletal Conditions: Preparation, Role, and Impact.

Journal Article The Nursing clinics of North America · June 2020 Nurse practitioners (NPs) play an increasingly greater role in the delivery of orthopedic patient care. NPs practice in a wide variety of orthopedic settings having a significant positive impact on orthopedic care delivery. Few formal educational outlets e ... Full text Cite

A call to action: Building evidence for use of simulation in nurse practitioner education.

Journal Article Journal of the American Association of Nurse Practitioners · November 2019 Leaders from national nursing organizations, nursing schools, and health care simulation vendors convened in early 2019 to discuss simulation in nurse practitioner (NP) education. Nurse practitioner clinical education needs a more standardized, efficient, ... Full text Cite

Multimodal Pain Management for Major Joint Replacement Surgery.

Journal Article Orthopedic nursing · March 2019 Effective pain management for orthopaedic major joint replacement is key to achieving earlier recovery, better functioning, and high rates of patient satisfaction. In an effort to decrease opioid dependency, practitioners are turning to multimodal pain man ... Full text Cite

Joint Clinical Consensus Statement of the American College of Foot and Ankle Surgeons® and the American Association of Nurse Practitioners™: Etiology, Diagnosis, and Treatment Consensus for Gouty Arthritis of the Foot and Ankle

Journal Article Journal for Nurse Practitioners · November 1, 2018 Gout is a condition that commonly affects the foot and ankle, and practitioners who treat these structures should be aware of the methods used to diagnose and treat this form of arthritis. Practitioners also need to recognize extra-articular manifestations ... Full text Cite

Joint Clinical Consensus Statement of the American College of Foot and Ankle Surgeons® and the American Association of Nurse Practitioners®: Etiology, Diagnosis, and Treatment Consensus for Gouty Arthritis of the Foot and Ankle.

Journal Article The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons · November 2018 Gout is a condition that commonly affects the foot and ankle, and practitioners who treat these structures should be aware of the methods to diagnose and treat this form of arthritis. Practitioners also need to recognize extra-articular manifestations of t ... Full text Cite

Multimodal Perioperative Analgesia Regimen to Improve Patient Outcomes After Total Knee Arthroplasty: A Multidisciplinary Quality Improvement Project.

Journal Article Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · April 2018 PurposeThe primary aim of this quality improvement project was to improve mobilization for patients after total knee arthroscopy by developing and implementing a standardized, evidence-based, multimodal analgesia regimen and patient-educational vi ... Full text Cite

Response.

Journal Article Workplace health & safety · January 2018 Full text Cite

Increasing Influenza Immunization Rates Among Retail Employees: An Evidence-Based Approach.

Journal Article Workplace health & safety · September 2017 Influenza has a significant impact on the health of Americans and the U.S. economy. Annual influenza immunization can decrease the burden of influenza-related illnesses for both employees and employers. This project evaluated a nurse practitioner-led inter ... 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

Viscosupplementation for knee osteoarthritis.

Journal Article Journal of the American Association of Nurse Practitioners · March 2014 PurposeTo provide an overview of the diagnosis and pathophysiology of osteoarthritis (OA), and to describe appropriate treatments for knee OA, with a focus on the efficacy and safety of viscosupplementation. Because nurse practitioners (NPs) can i ... Full text Cite

Improving the management of tibia stress fractures: a collaborative, outpatient clinic-based quality improvement project.

Journal Article Orthopedic nursing · March 2014 PurposeImplement and evaluate the effectiveness of the Leg Pain Screening and Referral Tool (LPS&RT) for patients presenting with lower extremity leg pain in an outpatient clinic.SampleA total of 46 patients diagnosed with tibia stress fr ... Full text Cite

Pathophysiology of heterotopic ossification.

Journal Article Orthopedic nursing · May 2013 Heterotopic ossification (HO) is a pathologic condition that leads to the development of bone within nonosseous soft tissues. A common site for HO development is at the hip. The bone that forms is believed to develop through stimulation by cellular mediato ... Full text Cite

A closer look at hand and wrist complaints.

Journal Article The Nurse practitioner · March 2013 Hand or wrist pain is a common complaint in primary care. This pain can be very disabling and can significantly impair a person's quality of life. With the appropriate clinical knowledge and skills, nurse practitioners can effectively evaluate, diagnose, a ... Full text Cite

Pre-participation physical evaluations for athletes.

Journal Article The Nurse practitioner · November 2012 The pre-participation physical evaluation helps keep athletes safe. This article discusses the essential components of the PPE history and physical. Findings that should prompt further evaluation of the athlete, including those consistent with risk for sud ... Full text Cite

The roles of self-efficacy and pretest counseling in type 2 herpes simplex virus screening in asymptomatic adults.

Journal Article Journal of the American Academy of Nurse Practitioners · May 2012 PurposeTo evaluate the role of counseling for patients undergoing screening for type 2 herpes simplex virus (HSV-2). Using pre- and post-screening questionnaires, we evaluated correlations between demographic factors, measures of self-efficacy and ... Full text Cite

Gout: no longer the disease of kings.

Journal Article Orthopedic nursing · September 2011 Once described as the disease of kings, gout has developed a much greater incidence and prevalence. The incidence of gout is on the rise predominantly in the elderly. There appears to be a greater risk of developing gout with hyperuricemia, hypertension, a ... Full text Cite

The doctor of nursing practice and nursing education: highlights, potential, and promise.

Journal Article Journal of professional nursing : official journal of the American Association of Colleges of Nursing · September 2011 The success of the doctor of nursing practice (DNP) programs have exceeded everyone's expectations and resulted in increased interest in doctoral education in nursing. A shortage of doctorally prepared nurse educators continues to plague the profession and ... Full text Cite

The current state of care in gout: Addressing the need for better understanding of an ancient disease.

Journal Article Journal of the American Academy of Nurse Practitioners · November 2010 PurposeTo enable clinicians to initiate appropriate steps for long-term management of gout, including controlling acute exacerbations and pain and sustaining target serum uric acid (SUA) levels to control hyperuricemia as the underlying metabolic ... Full text Cite

Osteoarticular manifestations of Mycobacterium tuberculosis infection.

Journal Article Orthopedic nursing · November 2010 Mycobacterium tuberculosis has affected humans for much of our existence. The incidence of global tuberculosis infection continues to rise, especially in concert with HIV coinfection. Many disease processes, such as diabetes, increase the likelihood of tub ... Full text Cite

NPs in orthopedics. One nurse practitioner's path.

Journal Article Advance for nurse practitioners · July 2010 Cite

Your first NP position.

Journal Article Advance for nurse practitioners · April 2009 Cite

Writing a physical therapy prescription. Key components for optimum outcomes.

Journal Article Advance for nurse practitioners · December 2007 Cite

Rusty hinges. Understanding osteoarthritis pain.

Journal Article Advance for nurse practitioners · September 2007 Cite

Common foot ailments you can treat yourself.

Journal Article Clinical Advisor for Nurse Practitioners · October 2006 Cite

Case study: Aching back pain in a 35-year-old man.

Journal Article The Clinical Advisor (Supplement: A Practical Approach to Pain Management: A Therapeutic Update) · 2005 Cite

Playing sports after a toe fracture.

Journal Article Advance for nurse practitioners · May 2003 Cite