This project aimed to develop and implement a nasal ventilation mask (NVM) guideline to reduce th... more This project aimed to develop and implement a nasal ventilation mask (NVM) guideline to reduce the incidence of airway obstruction in outpatients undergoing endoscopy procedures. An observational design was used to evaluate implementation of an NVM guideline as the oxygen delivery method for this patient population. An evidence-based guideline for NVM use was developed for patients with obstructive sleep apnea (OSA) and/or an elevated body mass index (BMI) above 35 kg/m² undergoing esophagogastroduodenoscopy and/or colonoscopy procedures at an outpatient endoscopy clinic. Patients receiving moderate or deep sedation for esophagogastroduodenoscopy, colonoscopy, or both procedures who had a BMI of at least 35 kg/m² and/or an OSA diagnosis were observed for oxygen desaturation, airway maneuvers, and use of airway adjuncts. Intraoperatively, the group of patients who wore an NVM compared with the group that did not wear an NVM had 3 times greater chance of having at least one occurrence...
... projective testing techniques to explore children's synaesthetic percep-tions of pain su... more ... projective testing techniques to explore children's synaesthetic percep-tions of pain such ascolor, texture, shape, pattern ... Signs of distress were rated on a 3-point scale. ... was to investigate the relationship between preparation for a painful event and a child's response to the ...
Through use of a qualitative ethological approach, observations of 17 children who were undergoin... more Through use of a qualitative ethological approach, observations of 17 children who were undergoing 44 painful procedures during cancer diagnosis or treatment were videotaped and analyzed. The children, aged 4 to 18 years, were part of a larger study testing the effectiveness of nonpharmacologic pain management techniques. Analysis of the videotaped observations revealed that several distinct patterns of conversation between caregivers, parents, and children varied greatly among situations. Both child-centered and nonchild-centered communications were demonstrated. During periods of quiet, nonchild-centered behaviors increased. As a child's distress increased, parents actively changed behaviors to redirect verbal support back to the child and to the pain control interventions. Nurses' encouraging parents to be actively involved and physically close during painful treatments may results in less distress and discomfort for the child. In addition, health care professionals need to be aware of the various patterns of child-parent-caregiver interactions and the need to stay focused on the child during painful procedures to enhance the child's ability to cope.
The purpose of this study was to describe the factors influencing the pursuit and completion of d... more The purpose of this study was to describe the factors influencing the pursuit and completion of doctoral education by nurses intending to seek or retain faculty roles. Traditionally, doctoral education evolved to focus on the preparation of nurses to conduct scientific research, primarily through the doctor of philosophy programs. Most recently, the doctor of nursing practice degree emerged and was designed for advanced practice nurses to be clinical leaders who translate research into practice and policy. Nurses who pursue doctoral education in order to assume or maintain faculty roles must choose between these degrees if they desire a doctorate within the discipline; however, factors influencing their decisions and the intended outcomes of their choice are not clear. During this study, 548 nurses (current students or recent graduates of doctoral programs) completed a comprehensive survey to generate critical evidence about the factors influencing the choices made. Principal findings are related to the issues of time, money, and program selection. These findings can be used to develop strategies to increase enrollment and, therefore, the number of doctorally prepared faculty who are specifically prepared to excel as nursing faculty.
Few studies have focused on asthma self-management in African American adolescents, a group with ... more Few studies have focused on asthma self-management in African American adolescents, a group with high rates of the disease. This study examined factors associated with asthma self-management in 133 African Americans aged 14-16years including gender, asthma impairment, prior asthma education, cognitive and emotional illness representations. Twenty-five percent of the variance in asthma self-management was explained by having attended an asthma education program, perceiving more asthma consequences (illness consequences), and reporting greater understanding of asthma as an illness (illness coherence). Findings suggest that these variables may be important targets of interventions to improve asthma self-management in African American middle adolescents.
The American Journal of Maternal/Child Nursing, 1996
... Marion Broome, PhD, FAAN, is a professor and research chair, University of Wisconsin and the ... more ... Marion Broome, PhD, FAAN, is a professor and research chair, University of Wisconsin and the Children Hospital of Wisconsin, Milwaukee. ... A typical day in the life of Michelle Jordan, RN, PhD, assistant professor, begins with her early arrival at her office, which her students ...
Young children are much more emotionally vulnerable to hospitalization than are adults. The admis... more Young children are much more emotionally vulnerable to hospitalization than are adults. The admission of a child to an intensive care unit (ICU) is stress-producing and can affect the child's ability to develop at an optimal level. This article provides the ICU nurse with a working knowledge of normal growth and developmental patterns of infants and toddlers. Internal strengths of the child, external supports, and environmental manipulation that the nurse can use to promote the critically ill child's growth and development and support the child in coping with hospitalization are presented. Discussion centers on the child experiencing an acute crisis that requires long-term intensive monitoring, rather than on the chronically ill child.
This project aimed to develop and implement a nasal ventilation mask (NVM) guideline to reduce th... more This project aimed to develop and implement a nasal ventilation mask (NVM) guideline to reduce the incidence of airway obstruction in outpatients undergoing endoscopy procedures. An observational design was used to evaluate implementation of an NVM guideline as the oxygen delivery method for this patient population. An evidence-based guideline for NVM use was developed for patients with obstructive sleep apnea (OSA) and/or an elevated body mass index (BMI) above 35 kg/m² undergoing esophagogastroduodenoscopy and/or colonoscopy procedures at an outpatient endoscopy clinic. Patients receiving moderate or deep sedation for esophagogastroduodenoscopy, colonoscopy, or both procedures who had a BMI of at least 35 kg/m² and/or an OSA diagnosis were observed for oxygen desaturation, airway maneuvers, and use of airway adjuncts. Intraoperatively, the group of patients who wore an NVM compared with the group that did not wear an NVM had 3 times greater chance of having at least one occurrence...
... projective testing techniques to explore children's synaesthetic percep-tions of pain su... more ... projective testing techniques to explore children's synaesthetic percep-tions of pain such ascolor, texture, shape, pattern ... Signs of distress were rated on a 3-point scale. ... was to investigate the relationship between preparation for a painful event and a child's response to the ...
Through use of a qualitative ethological approach, observations of 17 children who were undergoin... more Through use of a qualitative ethological approach, observations of 17 children who were undergoing 44 painful procedures during cancer diagnosis or treatment were videotaped and analyzed. The children, aged 4 to 18 years, were part of a larger study testing the effectiveness of nonpharmacologic pain management techniques. Analysis of the videotaped observations revealed that several distinct patterns of conversation between caregivers, parents, and children varied greatly among situations. Both child-centered and nonchild-centered communications were demonstrated. During periods of quiet, nonchild-centered behaviors increased. As a child's distress increased, parents actively changed behaviors to redirect verbal support back to the child and to the pain control interventions. Nurses' encouraging parents to be actively involved and physically close during painful treatments may results in less distress and discomfort for the child. In addition, health care professionals need to be aware of the various patterns of child-parent-caregiver interactions and the need to stay focused on the child during painful procedures to enhance the child's ability to cope.
The purpose of this study was to describe the factors influencing the pursuit and completion of d... more The purpose of this study was to describe the factors influencing the pursuit and completion of doctoral education by nurses intending to seek or retain faculty roles. Traditionally, doctoral education evolved to focus on the preparation of nurses to conduct scientific research, primarily through the doctor of philosophy programs. Most recently, the doctor of nursing practice degree emerged and was designed for advanced practice nurses to be clinical leaders who translate research into practice and policy. Nurses who pursue doctoral education in order to assume or maintain faculty roles must choose between these degrees if they desire a doctorate within the discipline; however, factors influencing their decisions and the intended outcomes of their choice are not clear. During this study, 548 nurses (current students or recent graduates of doctoral programs) completed a comprehensive survey to generate critical evidence about the factors influencing the choices made. Principal findings are related to the issues of time, money, and program selection. These findings can be used to develop strategies to increase enrollment and, therefore, the number of doctorally prepared faculty who are specifically prepared to excel as nursing faculty.
Few studies have focused on asthma self-management in African American adolescents, a group with ... more Few studies have focused on asthma self-management in African American adolescents, a group with high rates of the disease. This study examined factors associated with asthma self-management in 133 African Americans aged 14-16years including gender, asthma impairment, prior asthma education, cognitive and emotional illness representations. Twenty-five percent of the variance in asthma self-management was explained by having attended an asthma education program, perceiving more asthma consequences (illness consequences), and reporting greater understanding of asthma as an illness (illness coherence). Findings suggest that these variables may be important targets of interventions to improve asthma self-management in African American middle adolescents.
The American Journal of Maternal/Child Nursing, 1996
... Marion Broome, PhD, FAAN, is a professor and research chair, University of Wisconsin and the ... more ... Marion Broome, PhD, FAAN, is a professor and research chair, University of Wisconsin and the Children Hospital of Wisconsin, Milwaukee. ... A typical day in the life of Michelle Jordan, RN, PhD, assistant professor, begins with her early arrival at her office, which her students ...
Young children are much more emotionally vulnerable to hospitalization than are adults. The admis... more Young children are much more emotionally vulnerable to hospitalization than are adults. The admission of a child to an intensive care unit (ICU) is stress-producing and can affect the child's ability to develop at an optimal level. This article provides the ICU nurse with a working knowledge of normal growth and developmental patterns of infants and toddlers. Internal strengths of the child, external supports, and environmental manipulation that the nurse can use to promote the critically ill child's growth and development and support the child in coping with hospitalization are presented. Discussion centers on the child experiencing an acute crisis that requires long-term intensive monitoring, rather than on the chronically ill child.
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