ILLUSTRATIONS BY ANDY SNAIR / PHOTOS BY DANIEL MARTINEZ
This summer, a landmark publication was released by the National Academies of Sciences, Engineering, and Medicine (NASEM): “Ending Unequal Treatment: Strategies to Achieve Equitable Health Care and Optimal Health for All.” It looks at progress, or lack thereof, in U.S. health care since 2003’s “Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care” study, which Dean Emerita Martha Hill helped lead.
The new report “highlights that the persistent health differences seen in racial and ethnic minoritized populations are emblematic of injustices not only in the U.S. health care system but in society at large,” explains Vincent Guilamo-Ramos, executive director of the Institute for Policy Solutions at the Johns Hopkins School of Nursing and a member of NASEM’s Committee on Unequal Treatment Revisited: The Current State of Racial and Ethnic Disparities in Health Care.
Guilamo-Ramos and colleagues call for an investment in new models that ensure health care is delivered equitably and with a “whole person” approach that integrates social care, health promotion, and disease prevention with clinical care when needed.
“Key to this effort will be our nation’s highly skilled nursing workforce, which is instrumental to providing the kind of person-centered care that can help end health care inequities,” says Guilamo-Ramos. “At the Institute for Policy Solutions, we are determined to translate ‘Ending Unequal Treatment’ into action.”
[Learn more about the Institute for Policy Solutions.]
A Year in Publications
from the Johns Hopkins School of Nursing
Johns Hopkins School of Nursing researchers—faculty, students, and alumni—have continued to set the bar high for depth, reach, and output. Below is our annual summer list of much of that impactful work, stressing equity and community care and charting a path for future advances in health care, patient safety, and nursing education.
*Asterisk denotes lead author. (Publication synopses excerpted from reports.)
CHILDHOOD/FAMILY
“An Update on State Legislation Supporting Menstrual Hygiene Products in US Schools: A Legislative Review, Policy Report, and Recommendations for School Nurse Leadership,” Lucine Francis*, Eliana Perrin, and colleagues — Journal of School Nursing
Of 50 states and 6 territories, 21 had legislation to support menstrual products in schools, 7 had bills pending, 10 had bills failed, and 18 states had no policies introduced in the state legislature. … There is a need, especially in Republican states, to accelerate efforts to pass laws that will support menstrual product access in schools.
“School Readiness Among Children with Congenital Heart Disease Journal of School Health,” Jennifer Peterson*, Nancy Gentry Russell, and Lucine Francis — Journal of School Health
Improved survival in infants and children with congenital heart disease (CHD) has led to increasing recognition of neurodevelopmental delays and psychological comorbidities, due to multifactorial causes, common in this growing population. … School nurses are the cornerstone of developing, implementing, coordinating, and evaluating a holistic plan of care for children with CHD to promote their academic success and overall health.
“Infant Feeding Support for Pregnant and Postpartum Parents With Intellectual and Developmental Disabilities: Perspectives of WIC Staff,” Noelene Jeffers* and colleagues — Journal of Nutrition Education and Behavior
The interviews suggested the need to explore the risks and benefits of routine and compassionate processes for identifying and documenting disability, create accessible teaching materials that facilitate understanding and engagement, and educate and train staff to provide tailored support in WIC.
“Paternal Perspectives on Latino and Black Sons’ Readiness for Sex and Condom Guidance: A Mixed Methods Study,” Vincent Guilamo-Ramos*, Marco Thimm-Kaiser, Adam Benzekri, Anthony Balaguera, Susam Ramos Deulofeutt, and a colleague — Annals of Family Medicine
Fathers are influential in promoting adolescent male sexual health; however, factors that shape fathers’ decisions about when to discuss condom use with their sons remain understudied. We examined paternal perceptions of adolescent males’ readiness for sex relative to fathers providing guidance for condom use in Latino and Black families.
“Cost-Effectiveness a Parenting Skills Program Implemented in Public PreK Schools in Disadvantaged Urban Communities,” Eric Slade*, Deborah Gross, and a JHU colleague — Administration and Policy in Mental Health and Mental Health Services Research
Little is known about the cost-effectiveness of parent training programs when offered universally in U.S. elementary schools in disadvantaged urban communities. Objective: To estimate the cost-effectiveness of a universal school-based implementation study of the Chicago Parent Program.
“Exploring Racial Discrimination, Disability Discrimination, and Perception of the Future Among Black-Identifying Emerging Adults with and without Autism in the United States: A Mixed-Methods Descriptive Study,” Amber Davis*, Rebecca Wright, and colleagues — Journal of Child and Adolescent Trauma
Discrimination experienced by Black emerging adults with autism is rarely studied nor have their experiences been juxtaposed to Black emerging adults without autism. A mixed methods descriptive approach was used to describe responses to open-ended questions collected as part of a larger study of discrimination experienced by Black emerging adults with autism and Black emerging adults without autism.
“A Call to Address Teamwork and Patient Safety Culture in Hospital Maternity Units: Findings from a Survey of Maternal Healthcare Professionals in Maryland,” Kelly Bower and JHU colleagues — American Journal of Obstetrics and Gynecology MFM
Adverse maternal outcomes are largely preventable in the United States. Although the circumstances surrounding these events are complex, failures in teamwork and poor communication between healthcare professionals are frequently cited as contributing factors. Before implementing a hospital-based maternal health quality improvement initiative, we sought to assess how maternal healthcare professionals perceive teamwork and patient safety within their unit.
“Application of the Unified Theory of Behavior to Strengthen Sexual Health Discussions Between Providers And Young Patients in the United States,” Vincent Guilamo-Ramos — Perspectives on Sexual and Reproductive Health
[The Unified Theory of Behavior] may lead a healthcare provider to ask questions regarding a young patients’ motivations for having sex, which may uncover concerns and fears of relationship dissolution. This revelation could lead to a conversation about readiness to engage in sex and healthy romantic relationships.
“Advancing Adolescent and Young Adult HIV Prevention and Care and Treatment Through Use of Multi-level Theories and Frameworks: A Scoping Review and Adapted HIV Ecological Framework,” Kamila Alexander and JHU colleagues — AIDS and Behavior
While multi-level theories and frameworks have become a cornerstone in broader efforts to address HIV inequities, little is known regarding their application in adolescent and young adult (AYA) HIV research. To address this gap, we conducted a scoping review to assess the use and application of multi-level theories and frameworks in AYA HIV prevention and care and treatment empirical research.
“A Comparison of Family Management Between Families of Children with Autism Spectrum Disorder and Families of Children With Down Syndrome,” Subhash Aryal and colleagues — Journal of Pediatric Health Care
This cross-sectional study aimed to (1) compare family management between families of children with autism spectrum disorder (ASD) or Down syndrome and (2) evaluate the contribution of the child (ASD behaviors, feeding difficulties, sleep disturbances), caregiver (mental health) and family (social support) factors to the caregiver’s perceived condition management ability and effort.
“Comparison of the Effect of Direct Breastfeeding, Expressed Human Milk, and Infant Formula Feeding on Infant Weight Trajectories: A Systematic Review,” Ariana Chao and colleagues — Breastfeeding Medicine
This systematic review examined (1) weight changes among infants fed expressed human milk and (2) differences in weight change between infants fed expressed human milk and infants fed at the breast or infant formula via bottle.
“CARE4Kids Study: Endophenotypes of Persistent Post-Concussive Symptoms in Adolescents: Study Rationale and Protocol,” Jessica Gill and colleagues — Journal of Neurotrauma
This report outlines a study implemented in response to the National Institute of Neurological Diseases and Stroke call for the development and initial clinical validation of objective biological measures to predict risk of persistent post-concussive symptoms in adolescents.
“Building Family Interventions for Scalability and Impact,” Deborah Gross and colleagues — Journal of Family Nursing
“Adapting Group Care to the Postpartum Period Using a Human-Centered Design Approach in Malawi,” Ashley Gresh*, Anne Batchelder, Cori Plesko, and colleagues — BMC Health Services Research
Responsive and resilient strategies to reduce high rates of maternal and infant mortality and clinician shortages are needed in low- and middle-income countries (LMICs). Malawi has some of the highest maternal and infant mortality rates globally. … The purpose of this study was to adapt and co-design the prototype for an evidence-based group care model for the postpartum period using a human-centered design approach with key stakeholders in Malawi.
“Identifying Meaningful Indicators of Parent Engagement in Early Learning for Low-Income, Urban Families,” Deborah Gross, Kelly Bower, Lucine Francis, Kathryn Taylor, Hae-Ra Han, and colleagues — Urban Education
The purpose of this study was to identify indicators of parent engagement in early learning that would be relevant for children’s academic success; equitable for all families regardless of social, educational, or economic backgrounds; and actionable for urban school districts seeking to promote parent engagement with limited resources.
“Moving Toward Precision in Prenatal Evidence-Based Home Visiting to Achieve Good Birth Outcomes: Assessing the Alignment of Local Programs with Their National Models,” Kelly Bower and colleagues — BMC Health Services Research
The purpose of this study is to describe local programs’ risk reduction priorities, intended behavioral pathways, and expectations of home visitors; compare these local program features with those of their national model; and assess the strength of implementation systems to support staff in meeting job expectations.
“Associations Between Social Determinants of Health, Chronic Absence from School, and Teacher Ratings of Parents’ Engagement in Early Education,” Cori Plesko, Deborah Gross, and colleagues — Journal of School Nursing
Surveys were collected from 304 parents and 26 teachers from eight Baltimore City Public Schools. Results revealed that teachers’ ratings of parent engagement were consistently lower among families experiencing adverse SDOH and/or whose children were chronically absent; however, there was no significant relationship between teachers’ ratings of parent engagement and child health problems.
“Maternity Care Experiences and Breastfeeding at Discharge Among Maryland WIC Participants: A Qualitative Analysis,” JoAnne Silbert-Flagg — Birth
Breastfeeding imparts numerous health and social benefits for families. … The challenges that [participants] faced may have been resolved through available, responsive, and effective intervention. Data-driven breastfeeding education programs for hospital health professionals are critical to affect patient breastfeeding outcomes.
“Developing a Tool for Measuring Parent Knowledge and Barriers to Supportive School Integration After Diagnosis of Childhood Cancer,” Nancy Perrin and colleagues — Journal of Pediatric Hematology/Oncology Nursing
Children treated for cancer are at risk for long-term neurocognitive late effects that can impact school attainment, employment, and quality of life. Obtaining formal education support can be critical to later success but may depend upon parent knowledge and ability to access needed support.
GLOBAL
“The Crisis of Maternal and Child Health in Afghanistan,” Nancy Glass* and colleagues — Conflict and Health
The Taliban takeover in August 2021 brought global economic sanctions, economic collapse, and draconian restrictions on women’s freedom of movement, work, political participation, and education. This study examined Afghan health workers’ experiences and perceptions of availability and quality of maternal and child health care since then.
“Adapting Group Care to the Postpartum Period Using a Human-Centered Design Approach in Malawi,” Ashley Gresh*, Anne Batchelder, Nancy Glass, and colleagues — BMC Health Services Research
Responsive and resilient strategies to reduce high rates of maternal and infant mortality and clinician shortages are needed in low- and middle-income countries. Malawi has some of the highest maternal and infant mortality rates globally. Group healthcare is a service delivery model that integrates these strategies.
“Towards Advancement of Nursing in Ghana: The Role of the Ghanaian-Diaspora Nursing Alliance (G-DNA),” Thomas Hinneh*, Diana Baptiste, Ruth‐Alma Turkson‐Ocran, Matilda Decker, Jacqueline Idun, and Yvonne Commodore‐Mensah — Nursing Open
To equitably respond to the shortage of healthcare workers and address the burden of diseases, Ghana needs to train and support a strong nursing workforce with the capability to critique, evaluate and develop interventions to address the shifting healthcare needs of Ghanaians. Thus, we seek to describe the state of nursing education and practice in Ghana and highlight the role of The Ghanaian-Diaspora Nursing Alliance (G-DNA) in supporting efforts to enhance nursing education and practice to improve the health of Ghanaians. [More from Johns Hopkins Nursing magazine: “Gold Standards in Ghana.”]
“Evaluation of Implementation Outcomes of an Integrated Group Postpartum and Well-Child Care Model at Clinics in Malawi,” Ashley Gresh*, Nancy Perrin, Nicole Warren, Nancy Glass, and colleagues — BMC Pregnancy and Childbirth
Integrated group postpartum and well-child care may improve maternal and infant health outcomes. The purpose of this study was to examine implementation outcomes for this model of care.
“Needs and Unmet Needs for Support Services for Recently Pregnant Intimate Partner Violence Survivors in Ethiopia During the COVID-19 Pandemic,” Nancy Glass and colleagues — BMC Public Health
Barriers to accessing limited intimate partner violence (IPV) support services are pervasive in low- and middle-income countries, such as Ethiopia; key barriers include mistrust, stigmatization, and self-blame, and discourage women from disclosing their experiences. Infection control measures for COVID-19 have the potential to further disrupt access to IPV services.
LEADERSHIP
“Leadership in Nursing Science: Four Scholarly Journeys Rooted in Historically Black College and University Excellence,” Kamila Alexander* and colleagues — Journal of Professional Nursing
Historically Black Colleges and Universities (HBCUs) can serve as formative launch pads for nurse scientist development. However, the role of HBCUs and strategies for supporting robust educational and mentor/training opportunities for Black PhD-prepared nurse scientists require thoughtful description and application.
“Leadership Behaviors of Frontline Nurse Managers,” Jihane Frangieh* and colleagues — Journal of Nursing Administration
This study examined how frontline nurse managers perceive and experience formal and informal social support and how personal factors and social support relate to their transformational leadership behaviors.
“Meeting Our Destiny on the Road We Took to Avoid It,” Rita D’Aoust* — Journal of the American Association of Nurse Practitioners
Editorial: ChatGPT generates intuitive conversational written responses that read like human-written text on essentially any topic using large language models (LLM). The potential applications of LLM in nursing and health care education, research, and practice are promising if used properly and if associated ethical, legal, regulatory, and veracity issues are examined and addressed.
“Web of Mutuality: Relational Integrity in Critical Care Nursing,” Cynda Rushton* and colleague — AACN Advanced Critical Care
Long before the COVID-19 pandemic, relationships with patients and colleagues were the fuel that kept nurses coming back day after day. Consistently identified as the most ethical and trusted profession for more than 2 decades, nursing has enjoyed positive regard and admiration by patients for its ethical standards, reliable care, and presence. But things have changed.
“Adopting a Nurse-Led Model of Care to Advance Whole-Person Health and Health Equity Within Medicaid,” Celia Johnson*, Stephen Stafford, Vincent Guilamo-Ramos, and colleague — Nursing Outlook
Medicaid payment reforms and delivery model innovations are needed to fully transform U.S. healthcare structuring and provision. Purpose: To synthesize nurse-led models of care and their implications for improving health care access, quality, and reducing costs for Medicaid recipients.
“The Future Is Ours to Shape: Nursing Emerging from the Pandemic with Insight, Optimism and Courage,” Yvonne Commodore-Mensah, Phyllis Sharps, and colleagues — Journal of Advanced Nursing
The nursing profession must use the collective knowledge and experience from the recent pandemic to be better prepared for the next health emergency crisis. Health emergency preparedness and response is its own practice and academic discipline, to which more nurses need to sign up to and influence.
“Betrayal-Based Moral Injury and Mental Health Problems Among Healthcare and Hospital Workers Serving COVID-19 Patients,” Kathryn McDonald, Cynda Rushton, and colleagues — Journal of Trauma and Dissociation
One factor potentially driving healthcare and hospital worker declining mental health during the COVID-19 pandemic is feeling betrayed by institutional leaders, coworkers, and/or others’ pandemic-related responses and behaviors. This study investigated whether betrayal-based moral injury was associated with greater mental distress and post-traumatic stress disorder symptoms related to COVID-19.
“Care Coordination in Primary Care: Mapping the Territory,” Kathryn McDonald and colleagues — American Journal of Managed Care
An observational survey of leaders of most of the care systems in Minnesota that have implemented care coordination.
“Understanding Adaptive Leadership in the Context of Nursing Homes,” Anna Beeber and colleagues — Journal of Applied Gerontology
Nursing home staff are confronted with complex challenges. Additionally, top-down communications, despite being well-intentioned, often lead to misinterpretation and a lack of staff motivation. Nonetheless, this study found that certain staff overcome these barriers and effectively execute change initiatives by assuming adaptive leadership roles. Formal leaders have a vital role in empowering such behaviors.
PRACTICE
“A Call for Action: Need to Expand the Scope of Women’s Health Assessment,” Binu Koirala*, Patricia Davidson, and colleagues — Journal of Advanced Nursing
Researcher Binu Koirala, center, with fellow award winners Arum Lim (left) and Chitchanok Benjasirisan.
[2024 Research Award Winners.]
A key challenge for the assessment of women’s health is that self-reported data related to the biological, social and holistic health needs of women and girls are limited and often unreliable.
“Using Rapid Response System Trigger Clusters to Characterize Patterns of Clinical Deterioration Among Hospitalized Adult Patients,” Rebecca Piasecki*, Nancy Perrin, Erin Spaulding, Laura Samuel, Patricia Davidson, Cheryl Dennison Himmelfarb, and colleagues — Resuscitation
The purpose of this study was to identify Rapid Response System trigger clusters and determine their association with outcomes among hospitalized adult patients.
“Does Nurse Use of a Standardized Flowsheet to Document Communication with Advanced Providers Provide a Mechanism to Detect Pulse Oximetry Failures? A Retrospective Study of Electronic Health Record Data,” Kelly Gleason* and colleagues, International Journal of Nursing Studies https://pubmed.ncbi.nlm.nih.gov/38676990
Pulse oximetry guides clinical decisions, yet does not uniformly identify hypoxemia. This study compared nurse documentation of provider notification in cases of occult hypoxemia, normal oxygenation, and evident hypoxemia confirmed by an arterial blood gas reading.
“Satisfaction with Telehealth Care in the United States: Cross-Sectional Survey,” Erin Spaulding*, Yvonne Commodore-Mensah, Cheryl Dennison Himmelfarb, and colleagues — Telemedicine and e-Health
Among U.S. adults with a telehealth visit, the majority had an audio-video visit and were satisfied with their care. Telehealth should continue, being offered following COVID-19, as it is uniformly valued by patients.
“The Associations Between Rapid Response Systems and Their Components with Patient Outcomes: A Scoping Review,” Rebecca Piasecki*, Cheryl Dennison Himmelfarb, Kelly Gleason, and colleagues — International Journal of Nursing Studies Advances
This study explored how recent studies have examined rapid response system components in the context of relevant adverse patient outcomes, such as in-hospital cardiac arrests and hospital mortality.
“Use of the Patient Portal Among Older Adults with Diagnosed Dementia and Their Care Partners,” Kelly Gleason* and colleagues—Alzheimer’s and Dementia
Organizational initiatives should recognize and support the needs of persons with dementia and their care partners by encouraging awareness, registration, and use of proper identity credentials, including shared, or proxy, portal access.
“Transforming Moral Suffering by Cultivating Moral Resilience and Ethical Practice,” Cynda Rushton*—American Association of Critical-Care Nurses
Ethical challenges are inherent in nursing practice. They affect patients, families, teams, organizations, and nurses themselves. When ethical conflict, confusion, or uncertainty cannot be resolved, moral suffering ensues, undermining safe, high-quality patient care, teamwork, well-being and integrity. This study explores the evolution of our understanding of moral suffering—its expressions, meanings, and consequences and attempts to measure it.
“Facilitators and Barriers to Pediatric Nurse Practitioner Practice in the United States: A Systematic Review,” Lucine Francis — Journal of Pediatric Health Care
Evidence suggests modifiable factors impact pediatric nurse practitioner practice and could have important implications for child health equity. This study offers a theoretical model to guide robust research studying the PNP workforce and health equity.
“Care Partners and Consumer Health Information Technology: A Framework to Guide Systems-Level Initiatives in Support of Digital Health Equity,” Kelly Gleason and colleagues — Learning Health Systems
Consumer-oriented health information technologies (CHIT) such as the patient portal have a growing role in care delivery redesign initiatives such as the Learning Health System. Care partners commonly navigate CHIT demands alongside persons with complex health and social needs, but their role is not well specified.
“Patient Reasoning: Patients’ and Care Partners’ Perceptions of Diagnostic Accuracy in Emergency Care,” Kathryn McDonald, Kelly Gleason, and colleagues — Medical Decision Making
In the context of validating a measure of patient report specific to diagnostic accuracy in emergency department or urgent care, this study investigates patients’ and care partners’ perceptions of diagnoses as accurate and explores variations in how they reason while they assess accuracy.
“The Annual Wellness Visit Health Risk Assessment: Potential of Patient Portal-Based Completion and Patient-Oriented Education and Support,” Kelly Gleason and colleagues — Innovation in Aging
Some health systems administer Medicare Annual Wellness Visit (AWV) health risk assessments through the patient portal. Scalable opportunities from portal-based administration of risk assessments are not well understood. [The study] objective is 2-fold—to understand who receives vs. misses an AWV and health risk assessment and explore who might be missed with portal-based administration.
“How Do Patients and Care Partners Describe Diagnostic Uncertainty in an Emergency Department or Urgent Care Setting?” Kelly Gleason and colleagues — Diagnosis
Little is known about how patients perceive diagnostic uncertainty. This study sought to understand how patients and care partners perceive uncertainty in an emergency or urgent care setting, where making a final diagnosis is often not possible.
“Family-Focused Universal Substance Use Prevention in Primary Care: Advancing a Pragmatic National Healthcare Agenda,” Vincent Guilamo-Ramos and colleagues — Prevention Science
This article advances ideas presented at a National Academies of Sciences, Engineering, and Medicine workshop in 2022 that highlighted clinical practice and policy recommendations for delivering universal, family-focused substance use preventive interventions in pediatric primary care.
“Patient Reasoning: Patients’ and Care Partners’ Perceptions of Diagnostic Accuracy in Emergency Care,” Kathryn McDonald, Kelly Gleason, and colleagues — Medical Decision Making
In the context of validating a measure of patient report specific to diagnostic accuracy in emergency department or urgent care, this study investigates patients’ and care partners’ perceptions of diagnoses as accurate and explores variations in how they reason while they assess accuracy.
“Advanced Practice Nursing in Europe: Results from a Pan-European Survey of 35 Countries,” Patricia Davidson, Michelle Patch, and colleagues — Journal of Advanced Nursing
The level of education and training required to qualify and practice as an advanced practice nurse varies across European countries. Furthermore, only 11 countries reported the existence of a national legislation establishing minimum educational requirements.
“Telehealth and the Psychiatric Mental Health Nurse Practitioner: Beyond the COVID-19 Pandemic,” Patty Wilson, Brigit VanGraafeiland, Tamar Rodney, and colleagues — Journal of the American Psychiatric Nurses Association
This study examined the advantages, disadvantages, and challenges of telehealth for the psychiatric mental health nurse practitioner (PMHNP) in practice and student education. It describes areas for future research and policy development regarding telehealth in PMHNP practice and training during and beyond the COVID-19 pandemic.
“Intersectionality in Nursing Research: A Scoping Review,” Sarah Allgood — International Journal of Nursing Studies Advances
This scoping review serves to examine how intersectionality has been implemented by nurses in the peer-reviewed literature. It offers insight into how intersectionality may be incorporated to inform future nursing research and health care provision.
“The Impact of COVID-19 on Relationships Between Family/Friend Caregivers and Care Staff in Continuing Care Facilities: A Qualitative Descriptive Analysis,” Anna Beeber — BMC Nursing
The pandemic and related public health measures added a new dynamic to the relationship between caregivers and care staff in congregate care settings. While both caregivers and staff play an important role in resident quality of life and care, it is common for conflict to exist between them. These issues were amplified by pandemic restrictions, impacting not only caregivers and care staff, but also residents.
“Feasibility of a Multi-Component Strengths-Building Intervention for Caregivers of Persons with Heart Failure,” Martha Abshire Saylor, Lyndsay DeGroot, Katie Nelson, Nancy Perrin, Patricia Davidson, Sarah Szanton, and colleagues — Journal of Applied Gerontology
Caregivers of persons with heart failure (HF) navigate complex care plans, yet support strategies often focus solely on meeting the needs of patients. This study tested the feasibility and gauge initial effect size of the Caregiver Support intervention on quality of life, caregiver burden, and self-efficacy among HF caregivers.
“COVID-19 Related Negative Emotions and Emotional Suppression Are Associated with Greater Risk Perceptions Among Emergency Nurses: A Cross-Sectional Study,” Kelly Gleason and colleagues — International Journal of Nursing Studies Advances
The purpose was to investigate the relationship between nurses’ emotional experiences in response to the pandemic and their estimates of how likely they would be to experience adverse outcomes related to both patients and themselves within the next six months. Also to investigate the extent to which the use of suppression and reappraisal processes to manage emotions are associated with these risk perceptions.
“Patient and Care Partner Assessments of Diagnostic Excellence in the Emergency Department: A Cognitive Interview Study,” Kathryn McDonald, Kelly Gleason, and colleagues — International Journal of Nursing Studies Advances
Patient report is a useful tool for assessing diagnostic excellence in emergency settings. Patient and care partners describe how they assess diagnostic excellence in the emergency department.
“Understanding the Information Needs of Pharmacy Staff Using CancelRx: A Qualitative Study of the Use of Prescription E-Cancellation,” Nicole Mollenkopf and colleagues — Exploratory Research in Clinical and Social Pharmacy
This study leverages qualitative interviews with pharmacy staff to address the question: When medication changes are made by a prescriber using CancelRx, what information is needed by pharmacy staff to make correct and effective decisions in their roles in medication management?
“Defining a Taxonomy of Medicare-Funded Home-Based Clinical Care Using Claims Data,” Katherine Ornstein — BMC Health Services Research
As more Americans age in place, it is critical to understand care delivery in the home. However, data on the range of home-based services provided by Medicare is limited.
“The Validation of the Arabic Version of the Resilience Scale 14 (RS-14),” Patricia Davidson, Nancy Reynolds, and colleagues — BMC Nursing
Nurses in Lebanon are facing multiple crises. The objective of this study was to test the psychometric properties of the Arabic Resilience Scale-14 that was utilized to measure their resilience.
“SHARING Choices: Lessons Learned from a Primary-Care Focused Advance Care Planning Intervention,” Martha Abshire Saylor, Valerie Cotter, and colleagues — Journal of Pain and Symptom Management
Few advance care planning (ACP) interventions have been scaled in primary care. Best practices for delivering ACP at scale in primary care do not exist and prior efforts have excluded older adults with Alzheimer’s disease and related dementias (ADRD).
“U.S. Primary Care Provider Needs: An Analysis of Workforce Projections and Policy Implications,” Brenda Douglass and colleagues — Policy, Politics, and Nursing Practice
The utilization of nurse practitioners as primary care providers has been demonstrated to be safe and effective, with the potential to alleviate predicted shortages, improve patient care outcomes, reduce cost, and address primary inequities. But projections of their impact on the primary care workforce vary widely.
“Examining Moral Injury in Clinical Practice: A Narrative Literature Review,” Marianne Fingerhood — Nursing Ethics
Health care workers experience moral injury, a violation of their moral code due to circumstances beyond their control. It leads to medical errors, depression/anxiety, and personal and occupational dysfunction, significantly affecting job satisfaction and retention. This article aims to differentiate concepts and define causes.
“Implementation of an Evidence-Based Accidental Tracheostomy Dislodgement Bundle in a Community Hospital Critical Care Unit,” Lisa Grubb, Jeanette Nazarian, Neesha Patel, Lisa Seldon, Kristin Moore, Vinciya Pandian, and colleagues — Journal of Clinical Nursing
Tracheostomy dislodgment can lead to catastrophic neurological injury or death. A fresh tracheostomy amplifies the risk of such events, where an immature tract predisposes to false passage. Unfortunately, few resources exist to prepare health care professionals to manage this airway emergency. Aim: To create and implement an accidental tracheostomy dislodgement bundle to improve knowledge and comfort when responding to it.
“Effectiveness of Interprofessional Tracheostomy Teams: A Systematic Review,” Lisa Grubb, Vinciya Pandian, and colleagues — Journal of Clinical Nursing
Aim: To systematically locate, evaluate, and synthesize evidence regarding effectiveness of interprofessional tracheostomy teams in increasing speaking valve use and decreasing time to speech and decannulation, adverse events, lengths of stay (intensive care unit and hospital) and mortality.
AGING
“Considerations of Intersectionality for Older Adults with Palliative Care Needs in the Emergency Department: An Integrative Review,” Rebecca Wright*, Natalie Regier, Valerie Cotter, Bryan Hansen, Janiece Taylor, and colleagues — Current Geriatrics Reports
Adults 60 and older in the U.S. account for more than 20 percent of emergency department (ED) visits annually. There has been a growing focus on adapting the ED to meet the palliative care needs of older adults, but relatively little consideration has been given to older adults’ intersectional identities. This review highlights areas for future research along with recommendations for adopting an intersectional framing into commonly used methodologies.
“Insomnia and Its Non-Pharmacological Management in Older Adults,” Jing Huang*, Inga Antonsdottir, Mengchi Li, Junxin Li, and a Johns Hopkins colleague — Current Geriatrics Reports
The purpose of this review is to summarize the prevalence, risk factors, and consequences of insomnia, introduce available non-pharmacological interventions, provide implications for promoting sleep health in the older adult population, and provide guidance for clinical practice and future research.
“Home-Delivered Meals and Nursing Home Placement Among People with Self-Reported Dementia: A Pilot Pragmatic Clinical Trial,” Kali Thomas*, Katherine Ornstein, and colleagues — JAMA Network Open
Home-delivered meals promote food security and independence among homebound older adults. Objective: To assess the risk of nursing home admission within six months between homebound individuals with dementia receiving daily-delivered vs. drop-shipped frozen meals.
“Patient Portal Messages to Support an Age-Friendly Health System for Persons with Dementia,” Kelly Gleason* and colleagues — Journal of the American Geriatrics Society
Patient portal secure messaging can support age-friendly dementia care, yet little is known about care partner use of the portal and how message concerns relate to age-friendly issues. This is a two-part observational study.
“Resilient Adaptation Strategies: Unveiling Older Adults’ Coping Dynamics Amidst the COVID-19 Pandemic,” Melissa Hladek* and colleagues — Journal of Gerontological Nursing
Older adults proved highly adaptable, with life experience buffering stress and the pandemic providing a chance to reconnect with and appreciate life and nature. Findings challenge ageist stereotypes, give insight into interventional design, and highlight the importance of ensuring infrastructural and societal support.
“Patient Portal Use Among Older Adults with Dementia Diagnosis,” Kelly Gleason* and colleagues — JAMA Internal Medicine
Persons with dementia and their care partners have a range of information needs that could be addressed through the patient portal, but little is known about patient portal practices in this population. This is a cohort study of older adults’ patient portal interactions at a large academic health system by receipt and timing of dementia diagnosis.
“Identifying a National Cohort of Medicare Beneficiaries Residing in Assisted Living Settings: An Updated Method,” Kali Thomas* and colleagues — Journal of the American Medical Directors Association
Objective: Present an updated approach to identifying Medicare beneficiaries residing in licensed assisted living settings in the United States.
“A Psychosocial Goal-Setting and Manualised Support Intervention for Independence in Dementia (NIDUS-Family) Versus Goal Setting and Routine Care: A Single-Masked, Phase 3, Superiority, Randomised Controlled Trial,” Quincy Samus and colleagues — The Lancet Healthy Longevity
Although national guidelines recommend that everyone with dementia receives personalized post-diagnostic support, few do. This study investigated the effectiveness of home-based goal setting plus NIDUS-Family in supporting the attainment of goals set by people with dementia and their caregivers.
“Characteristics and End-of-Life Care Pathways of Decedents From a National Cohort of Assisted Living Residents,” Kali Thomas and colleagues — Medical Care
Assisted living (AL) is an increasingly common place of care for dying persons. This study examined the sociodemographic characteristics, comorbidities, health care utilization, and end-of-life care pathways of AL residents before death, pointing out the need to assess existing policies and processes guiding the care of the frail and vulnerable population of dying AL residents.
“Population Prevalence of Dual Sensory Loss in Community-Dwelling US Adults 71 Years and Older: Evidence from the National Health and Aging Trends Study,” Varshini Varadaraj and colleagues — Journal of the American Geriatrics Society
Policies increasing access and affordability of vision and hearing care could benefit millions of older Americans experiencing sensory loss.
“Home Care Worker Continuity in Home-Based Long-Term Care: Associated Factors and Relationships with Client Health and Well-Being,” Katherine Ornstein and colleagues — Innovation in Aging
Despite the importance of provider continuity across healthcare settings, continuity among home care workers who provide hands-on long-term care is understudied. This project describes home care worker continuity, identifies factors associated with increased continuity, and examines associations between continuity and client outcomes.
“Timed Activity to Minimize Sleep Disturbance in People with Cognitive Impairment,” Subhash Aryal — Innovation in Aging
Regulating the sleep-wake cycle through engaging cognitive, physical, and sensory-based activities delivered at strategic times may reduce sleep disturbances and be a feasible nonpharmacological treatment for sleep problems. The objective of this trial was to test the efficacy of a timed-activity intervention in improving quality of life and sleep in persons living with cognitive impairment.
“Effectiveness of a Multicomponent Exercise Intervention in Community-Dwelling Older Chinese People with Cognitive Frailty: Protocol for a Mixed-Methods Research,” Junxin Li and colleagues — Frontiers in Aging Neuroscience
Findings of this study should provide valuable insights for providers, enabling them to learn about effective strategies to improve functionality, independence, and quality of life for older adults with cognitive frailty.
“Dying with Dementia In Nursing Homes: A Population-Based Study of Decedents and Their Families,” Katherine Ornstein and colleagues— Journal of the American Geriatrics Society
Understanding the role of family availability and familial characteristics on end-of-life care outcomes for nursing home (NH) residents with dementia is an important next step to informing NH dementia care interventions and health policies.
“Electronic Wearable Device Use for Physical Activity in Older Adults: A Qualitative Study,” Sarah Szanton, Jennifer Wenzel, Junxin Li, and colleagues — Work, Aging and Retirement
Innovative solutions to help older adults increase physical activity are critically important. This qualitative study, explored older adults’ acceptance, capability, and experiences of using three types of electronic wearable devices for four to 24 weeks for self-monitoring and promoting physical activity.
“Community Paramedicine in Dementia Care,” Katherine Ornstein and colleagues — Journal of the American Geriatrics Society
Novel hospital diversion strategies are needed to support a growing number of patients with dementia living in the community. One promising model is community paramedicine (CP), which deploys paramedics to the home, who consult with a physician to assess and coordinate treatment. Future work should examine potential cost savings and use of CP in dementia care across geographic and health care settings.
“Do End-of-Life Outcomes Differ by Assisted Living Memory-Care Designation?” Kali Thomas and colleagues — Journal of the American Geriatrics Society
Residential care/assisted living is an increasingly common place of end-of-life care for persons with Alzheimer’s disease and related dementia (ADRD), who have unique care needs as their health declines. Understanding how end-of-life outcomes differ by memory care among residents with ADRD could facilitate aging/dying in place for this population.
“Leveraging Existing Datasets to Advance Family Caregiving Research: Opportunities to Measure What Matters,” Katherine Ornstein and colleagues — Journal of Aging and Social Policy
More than 17.7 million people in the U.S. care for older adults. Analyzing population datasets can increase our understanding of the needs of family caregivers of older adults. But more broad and consistent date is needed.
“The Dynamics of Social Isolation Among a National Sample of Community-Dwelling Older Adults,” Mary Louise Pomeroy, Katherine Ornstein, Thomas Cudjoe, and colleagues — Journal of the American Geriatrics Society
This study looked at changes in social isolation in older adults using nationally representative cohort data to elucidate potential differences in demographic characteristics between chronic, intermittent, and no social isolation.
“Clinical Trial Participation Predicts Improved Survival in Older Adults Receiving Allogeneic Blood and Marrow Transplant,” Melissa Hladek and colleagues — BMC Geriatrics
The same factors that influence study enrollment may also impact cancer outcomes, meaning that those who enroll in studies may already have an improved chance of cancer survival, skewing results. Results from prospective observational studies should be interpreted with the consideration that participants have an improved chance of survival at baseline
“Barriers and Facilitators to Deprescribing Before Surgery: A Qualitative Study of Providers and Older Adults,” Nancy Perrin, Janiece Taylor, Sarah Szanton, and colleagues — Geriatric Nursing
Deprescribing, the collaborative process between providers and patients to streamline medication regimen, may reduce the risk of adverse events following surgery among older adults with multimorbidity. However, barriers and facilitators to what should be a helpful process require study.
“A Study of Physical Resilience and Aging (SPRING): Conceptual Framework, Rationale, and Study Design,” Melissa Hladek and colleagues — Journal of the American Geriatrics Society
The capacity of a person to withstand clinical stressors and quickly recover or improve upon a baseline functional level is examined in adults aged 55 years and older by studying the dynamics of stress response systems. The hypothesis is that well-regulated stress response systems promote this physical resilience. The study employs dynamic stimulation tests to assess energy metabolism, the hypothalamic–pituitary–adrenal axis, the autonomic nervous system, and the innate immune system.
“End-of-Life Experiences Among ‘Kinless’ Older Adults: A Nationwide Register-Based Study,” Katherine Ornstein and colleagues — Journal of Palliative Medicine
A population of older “kinless” adults that is increasing across the globe may be at risk for lower quality end-of-life (EoL) experiences due to lack of family support, assistance, and advocacy. Objectives: To document associations between family structure and intensity of EoL experiences (i.e., visits to medicalized settings before death).
“Association of Sleep and Physical Activity Among Older Adults and the Moderation of Chronotype,” Nada Lukkahatai, Junxin Li, and colleagues — International Journal of Aging and Human Development
This study aimed to examine the associations of both subjectively and objectively measured sleep with physical activity among older adults and to explore the possible moderating role of chronotype (morning person vs. evening person) in these associations.
“Economic Analysis of the Tailored Activity Program: A Nonpharmacological Approach to Improve Quality of Life in People Living with Dementia and Their Caregivers,” Katherine Marx and colleagues — Journal of Applied Gerontology
An investigation of the costs of delivering the Tailored Activity Program (TAP) and cost savings from two perspectives (health sector and societal) for people living with dementia and their caregivers compared to attention control using data from a randomized controlled trial.
“Health Care Utilization and Costs in the Years Preceding Dementia Identification,” Katherine Ornstein and colleagues — Alzheimer’s and Dementia
This study provides evidence to suggest greater healthcare burden may exist well before clinical manifestation and identification of dementia.
“Sensory and Motor Deficits as Contributors to Early Cognitive Impairment,” Bonnie Swenor and colleagues — Alzheimer’s and Dementia
Age-related sensory and motor impairment are associated with risk of dementia. No study has examined the joint associations of multiple sensory and motor measures on prevalence of early cognitive impairment.
“Caregiver Burden and Its Limitations in Describing Black Caregivers’ Experience,” Janiece Taylor and colleagues — Current Geriatrics Reports
The literature assumes that caregivers experience burden, leaving little space for other experiences or emotions, such as joy, reward, and closeness. Black caregivers may not ascribe the same meaning to the construct of caregiver burden as other caregiver groups.
“Developmental Care Pathway for Hospitalised Infants with CHD: On Behalf of the Cardiac Newborn Neuroprotective Network, A Special Interest Group of the Cardiac Neurodevelopmental Outcome Collaborative,” Jennifer Peterson and colleagues — Cardiology in the Young
Children born with congenital heart disease (CHD) are at significant risk for neurodevelopmental delays and abnormalities. Individualized developmental care is widely recognized as best practice, yet variability in clinical practice is consistently demonstrated in units caring for infants with CHD. The Cardiac Newborn Neuroprotective Network seeks to create an evidence-based developmental care pathway.
“Qualitative Analysis of Implementation Factors of an Embedded Caregiver Support Intervention into Adult Day Services,” Katherine Marx and colleagues — Journal of Alzheimer’s Disease
For persons living with dementia, adult day services serve as an optimal access point to receive therapeutic and rehabilitative activities and a vehicle for respite/relief for dementia caregivers. This study looks to add to research on integrating caregiver interventions into home and community-based services.
“The Quantitative Impact of Visual Function on Accelerometer-measured Physical Activity in Older United States Adults: A Nationwide Cross-sectional Analysis,” Varshini Varadaraj and colleagues — Ophthalmology Science
Purpose: To explore the impact of objective vision measures on novel metrics of objectively-measured physical activity in a nationally representative sample of United States (US) older adults.
“Emergency Department Length of Stay for Older Adults With Dementia,” Eric Slade, Sarah Szanton, and colleagues — Annals of Emergency Medicine
The emergency department (ED) poses unique challenges and risks to persons living with dementia. A longer ED length of stay is associated with the risk of death, delirium, and medication errors. This study sought to determine whether ED length of stay differed by dementia status and trends in ED length of stay for persons living with dementia from 2014 to 2018.
“Social Factors and Older Adults’ Use of Wearable Activity Trackers: Before and During the First Wave of the COVID-19 Pandemic,” Mengchi Li*, Jing Huang, Chakra Budhathoki, Laura Samuel, Sarah Szanton, Junxin Li, and colleagues — Journal of Applied Gerontology
This study reported wearable activity tracker (WAT) use prevalence before and during the first wave of COVID-19 and examined social factors associated with WAT use using a nationally representative sample of 3,302 U.S. older adults. Findings suggest socioeconomic and age disparities in WAT use among older Americans.
“Vision and Hearing Difficulty and Effects of Cognitive Training in Older Adults,” Bonnie Swenor and colleagues — Alzheimer’s and Dementia: Diagnosis, Assessment and Disease Monitoring
Older adults with sensory loss have increased risk for cognitive decline; benefits of cognitive training may be greater for these individuals. Sensory loss should be considered in training design.
VIOLENCE
Researcher Jacquelyn Campbell with Domingo Emanuelli Hernandez, Puerto Rico’s secretary of justice (center), and Orville Disdier, executive director of the Puerto Rico Statistics Institute, as they sign an agreement to conduct research on the use of Campbell’s Danger Assessment.
“Firearm-Related Risks and Consequences for Immigrant Women in Abusive Relationships: Barriers to Reporting Threats to Safety and Recommendations for Safety Planning,” Bushra Sabri* and Jacquelyn Campbell — Journal of Aggression, Maltreatment and Trauma
This study aimed to understand differing consequences of partners’ firearm possession on abused women and barriers women face in reporting threats to safety. Additionally, the study explored participants’ perceptions of effective approaches to risk assessments and safety planning with women who are at-risk for being harmed by their partners’ possession of a firearm.
[In the HUB: Jacquelyn Campbell on Intimate Partner Violence.]
“Development of an HIV/STI and Partner Violence Health Promotion Intervention for Abused US Virgin Islands Women,” Kamila Alexander*, Phyllis Sharps, Jacquelyn Campbell, and colleagues — Health Promotion International
This article describes the systematic development of a theory based, culturally tailored, integrated health promotion intervention that addresses intimate partner violence and HIV among Virgin Islands women experiencing abuse.
“Gender-Based Violence Interventions in Low- and Middle-Income Countries: A Systematic Review of Interventions at Structural, Community, Interpersonal, Individual, and Multiple Levels,” Bushra Sabri* and colleagues — Trauma, Violence, and Abuse
Gender-based violence (GBV) disproportionately impacts women and girls in low- and middle-income countries (LMIC). This review described the characteristics of structural, community, interpersonal, individual, and multilevel GBV interventions in LMIC and examined components of interventions implemented at different socio-ecological levels.
“Firearms and Post-Separation Abuse: Providing Context Behind the Data on Firearms and Intimate Partner Violence,” Kathryn Spearman*, Lea Marineau, Adebola Owolabi, Kamila Alexander, and Jacquelyn Campbell — Journal of Advanced Nursing
The aim of this study is to provide insight from maternal survivors of intimate partner violence (IPV) describing their experiences with their ex-partners’ firearm ownership, access, storage and behaviors in the context of co-parenting and separation.
“The Being Safe, Health and Positively Empowered Pilot Randomized Controlled Trial: A Digital Multicomponent Intervention for Immigrant Women With Cumulative Exposures to Violence,” Bushra Sabri*, Nancy Perrin, and colleague — Cultural Diversity and Ethnic Minority Psychology
This pilot randomized controlled trial evaluated preliminary efficacy of a multicomponent digital intervention (BSHAPE) to improve health and safety outcomes for immigrant women with cumulative violence exposures, posttraumatic stress disorder and/or depression symptoms, and human immune deficiency virus (HIV) risk behaviors.
“Comparison of Different Methods of Screening to Identify Intimate Partner Violence: A Randomized Controlled Trial,” Phyllis Sharps*, Nancy Perrin, Jacquelyn Campbell, Kimberly Hill, Iye Kanu, Nancy Gentry Russell, and colleagues — Public Health Nursing
Screening for intimate partner violence in the home is often challenging due to the lack of privacy. The aim of this study was to compare two different screening methods (paper-pencil vs. tablet) for identifying intimate partner violence during perinatal home visits.
“Cumulative Violence Exposures Among Men Who Have Sex with Men Living with HIV in India: Psychosocial Correlates of HIV Care Continuum Outcomes,” Bushra Sabri*, Chakra Budhathoki, and colleagues — PLoS ONE
This study explored relationships between levels of exposures to violence and HIV care continuum and identified psychosocial correlates of HIV care continuum outcomes among those living with HIV and those with lifetime cumulative exposures to violence in both childhood and adulthood.
“Early Adolescent Development in the Face of Violence: A Systematic Review Running,”. Emma Jagasia*, India Bloom, Katie Nelson, and Jacquelyn Campbell — Child Abuse and Neglect
Objective: To synthesize existing research on the effects of violence exposure on early adolescent development (9-14 years old) and highlight areas for future research.
“Nurses’ Preparedness, Opinions, Barriers, and Facilitators in Responding to Intimate Partner Violence: A Mixed-Methods Study,” Nancy Perrin, Jennifer Wenzel, Patricia Davidson, Jacquelyn Campbell, and colleagues — Journal of Nursing Scholarship
The study aimed to examine nurses’ perceived preparedness and opinions toward intimate partner violence and to identify barriers and facilitators in responding to it.
“Promoting the Use of Evidence-Based Practice for Those Who Engage in Intimate Partner Violence,” Jacquelyn Campbell and colleague — American Journal of Preventive Medicine
Examining effective ways to prevent Intimate partner violence (IPV) escalation is such a neglected area of study that the field has almost ceased to exist. This kind of secondary prevention—to stop IPV—is what many if not most of those who are experiencing IPV desire rather than dissolution of the relationship or criminal justice actions against their partners.
“Dobbs v. Jackson Women’s Health: Undermining Public Health, Facilitating Reproductive Coercion,” Cecília Tomori and colleagues — Journal of Law, Medicine and Ethics
Dobbs furthers a long-standing ideology of individual responsibility in public health, neglecting collective responsibility for better health outcomes. Such an ideology on individual responsibility not only enables a shrinking of public health infrastructure for reproductive health, it facilitates the rise of reproductive coercion and a criminal legal response to pregnancy and abortion.
“Preventing Reproductive Coercion in Adolescence,” Kamila Alexander and colleagues — The Lancet Child and Adolescent Health
At a time when reproductive rights and bodily autonomy are under attack in many countries, and when adolescents (especially transgender and gender-diverse youth) are experiencing large barriers to health care, elucidating core characteristics of reproductive coercion, identifying harm reduction strategies, and preventing relationship abuse and reproductive coercion are of paramount importance.
“Building a Transdisciplinary Team to Prevent Intimate Partner Homicide: A Research Note,” Kathryn Spearman, Jacquelyn Campbell, and colleagues — Homicide Studies
To encourage scholars to adopt transdisciplinary practices when investigating multifaceted problems, this note employs a case study approach to detail one such effort—The Preventing and Assessing Intimate Partner Homicide Risk (PAIR) Studies. The goal of the PAIR Studies is to improve the understanding of IPH to inform the development of best practices for prevention.
“Cumulative Lifetime Violence, Gender, Social Determinants of Health and Mental Health in Canadian Men: A Latent Class Analysis,” Nancy Perrin and colleagues — Journal of Family Violence
Among men, violence is pervasive and associated with poor mental health, but little is known about which men are most vulnerable. The study’s purpose is to address this gap by exploring mental health and social determinants of health including gender role conflict in heterogenous groups of men with distinct patterns of cumulative lifetime violence as target and perpetrator.
“An Examination of the Association Between Forced Sex History and Reproductive Coercion Experiences Among Black Women Attending STD Clinics in Baltimore, MD, USA,” Andrea Cimino, Jacquelyn Campbell, and colleagues — Reproductive Health
Reproductive coercion victimization is a significant public health issue that negatively affects women’s sexual and reproductive health outcomes. Less is known about reproductive coercion perpetration. Few studies have examined these phenomena among representative samples of Black women.
“Concerned Friends of Intimate Partner Violence Survivors: Results from the myPlan Randomized Controlled Trial on College Campuses,” Nancy Perrin, Jacquelyn Campbell, Amber Clough, Rachael Turner, Nancy Glass, and colleagues — BMC Public Health
Nearly half of intimate partner violence (IPV) survivors experience their first abusive relationship at college age. Existing college campus “bystander” interventions training peers to safely intervene have been effective in sexual assault prevention; similar interventions have rarely been tested for IPV. Therefore, this study evaluated the effectiveness of an interactive, personalized safety decision and planning tool, myPlan app, on decisional conflict, decisional preparedness, confidence in intervening, supportive safety behaviors, and IPV attitudes with concerned friends of abused college women.
“Birth Control Sabotage Motivation and Measurement: A Mixed-Methods Analysis Among Latina Women. Nancy Glass, Kamila Alexander, and colleagues — Violence Against Women
Reproductive coercion (RC) is a type of intimate partner violence that includes birth control sabotage (BCS). We explored the perceived intent behind BCS to refine RC measurement, using a mixed-methods design with a clinic-based sample of Latina women. Women perceived partners used BCS for reasons beyond pregnancy promotion.
CHRONIC CARE
“Association Between the Composite Cardiovascular Risk and mHealth Use Among Adults in the 2017-2020 Health Information National Trends Survey: Cross-Sectional Study,” Yuling Chen*, Ruth-Alma Turkson-Ocran, Binu Koirala, Patricia M. Davidson, Yvonne Commodore-Mensah, and Cheryl Dennison Himmelfarb — Journal of Medical Internet Research
Numerous studies have suggested that the relationship between cardiovascular disease (CVD) risk and the usage of mobile health (mHealth) technology may vary depending on the total number of CVD risk factors present. However, whether higher CVD risk is associated with a greater likelihood of engaging in specific mHealth use among US adults is currently unknown. Objective: To assess the associations between the composite CVD risk and each component of mHealth use among U.S. adults regardless of whether they have a history of CVD or not.
“You May Delay, but Time Will Not. Beta Cells Lost Are Never Found Again: A Case for Timely Initiation of Basal Insulin in Type 2 Diabetes,” Susan Renda* and colleague — Postgraduate Medicine
Newer, longer-acting basal insulin analogs have provided insulin therapies with improved characteristics and, therefore, ease of use, and can readily be incorporated as part of routine treatment for type 2 diabetes (T2D), but evidence suggests that insulin remains underused in people with T2D. We review the barriers to initiation of basal insulin and the education needed to address these barriers, and we provide practical pointers, supported by evidence, for primary care physicians and advanced practice providers to facilitate timely initiation of basal insulin in the people with T2D who will benefit from such treatment.
“Use of Human-Centered Design Methodology to Develop a Digital Toolkit to Optimize Heart Failure Guideline-Directed Medical Therapy,” Erin Spaulding*, Yvonne Commodore-Mensah, and colleagues — Journal of Cardiovascular Nursing
Guideline-directed medical therapies (GDMT) improve quality of life and health outcomes for patients with heart failure. However, GDMT utilization is suboptimal among patients. This study aimed to engage key stakeholders in semistructured, virtual human-centered design sessions to identify challenges and inform the development of a digital toolkit aimed at optimizing GDMT.
“The Context of Caregiving in Heart Failure: A Dyadic, Mixed Methods Analysis,” Martha Abshire Saylor*, Lyndsay DeGroot, Janiece Taylor, Patricia Davidson, Sarah Szanton, and colleagues — Journal of Cardiovascular Nursing
Caregiving for persons with heart failure (HF) varies based on the individual, family, and home contexts of the dyad, yet the dyadic context of HF caregiving is poorly understood. The aim of this study was to explore dyadic perspectives on the context of caregiving for persons with HF.
“Study Protocol for Care cOORDInatioN And sympTom managEment (COORDINATE) Programme: A Feasibility Study,” Binu Koirala*, Sarah Badawi, Nancy Perrin, Cheryl, Dennison Himmelfarb, Patricia Davidson, and colleagues — BMJ Open
Sustainable approaches to support care coordination and symptom management needs of critically ill adults living with multimorbidity are needed to combat the challenges and complexity that multimorbidity presents. The study aims to test the feasibility of the Care cOORDInatioN And symptom managEment (COORDINATE) Programme.
“Advancing Cardiovascular Health Equity Globally Through Digital Technologies,” Oluwabunmi Ogungbe*, Ruth Alma Turkson-Ocran, Yvonne Commodore-Mensah, and colleagues — Journal of the American Heart Association
Cardiovascular diseases remain the leading cause of death and disability worldwide. This article discusses the importance of translating digital innovations in research-funded projects to low-resource settings globally to advance global cardiovascular health equity; plus current global cardiovascular health inequities and the digital health divide within and between countries.
“African Immigrants’ Perceptions and Attitudes Toward Cardiovascular Health,” Yvonne Commodore-Mensah*, Oluwabunmi Ogungbe, Ruth-Alma Turkson-Ocran, Jennifer Wenzel, Lisa Cooper, and colleagues—Journal of Advanced Nursing
A purposive sample of 66 African immigrants originally from Ghana, Nigeria, Liberia, and Sierra Leone completed a sociodemographic survey and participated in focus group discussions. Focus group data were analyzed using qualitative description to develop emergent themes.
“Living with Multimorbidity: A Qualitative Exploration of Shared Experiences of Patients, Family Caregivers, and Healthcare Professionals in Managing Symptoms in the United States,” Anna Peeler*, Katie Nelson, Vidisha Agrawalla, Sarah Badawi, Robyn Moore, Cheryl Dennison Himmelfarb, Patricia Davidson, Binu Koirala, and colleagues — Journal of Advanced Nursing
Objective: To elicit experiences of patients, family caregivers, and health care professionals in intermediate care units in an academic medical center in Baltimore, MD related to the challenges and intricacies of multimorbidity management to inform development of a multimorbidity symptom management toolkit.
“Mean-ing Beyond Office Blood Pressure,” Oluwabunmi Ogungbe* and colleagues — Journal of the American Heart Association
The vast majority of evidence linking blood pressure (BP) with cardiovascular disease events has been based on medical office measurements of seated, rested BP. However, there is substantial evidence that out‐of‐office BP measurements may better classify risk. Ultimately, better characterization of out‐of‐office BP with its nuances and complexities will be needed to improve limitations to current hypertension management and to achieve true precision in hypertension management outside the clinic setting.
“Blood Pressure Measurements Obtained by Community-Dwelling Adults Are Similar to Nurse-Obtained Measurements: The SMART-BP Validate Study,” Xiaoyue Liu*, Sarah E Slone, Yuling Chen, Abeer Alharthi, Johnitta Amihere, Sharon Moyo-Songonuga, Tynetta Lane, Yechiam Ostchega, Cheryl Dennison Himmelfarb, Yvonne Commodore-Mensah, and colleagues — American Journal of Hypertension
Self-measured blood pressure (SMBP) is an effective strategy for managing and controlling hypertension. However, uncertainty regarding patients’ ability to accurately measure their blood pressure (BP) contributes to treatment inertia. Integrating SMBP training into patient encounters may result in reliable home BP measurements, improving hypertension management and clinical decision making.
“A Contemporary Review of Psychosocial Resilience in Heart Failure Using the Society to Cells Resilience Theory,” Martha Abshire Saylor*, Jessica Gill, Sarah L. Szanton, Binu Koirala, and colleagues — Current Geriatrics Reports
Psychosocial resilience in heart failure is an emerging and multifaceted field, with complex processes, but additional studies are needed to examine structural influences on resilience. Current findings unveil essential future directions for resilience theory development and research.
“Shared Decision-Making in Cardiovascular Risk Factor Management: A Systematic Review and Meta-Analysis,” Sabrina Elias*, Yuling Chen, Xiaoyue Liu, Sarah Slone, Ruth-Alma Turkson-Ocran, Oluwabunmi Ogungbe, Sabena Thomas, Samuel Byiringiro, Binu Koirala, Diana Baptiste, Nicole Mollenkopf, Yvonne Commodore-Mensah, Cheryl Dennison Himmelfarb, and colleagues — JAMA Network Open
Objective: To assess the extent to which shared decision-making (SDM) is used in interventions aimed to enhance the management of cardiovascular risk factors and to explore the association of SDM with decisional outcomes, cardiovascular risk factors, and health behaviors.
“Feasibility of DNA Methylation Age as a Biomarker of Symptoms and Resilience among Cancer Survivors with Multiple Chronic Conditions,” Nada Lukkahatai*, Jessica Gill, Junxin Li, and colleagues — Biomedicines
Participants in the intervention group tended to have a decrease in DNA methylation age and age acceleration after completing an exercise program. The change in DNA methylation age was significantly correlated with the change in resilience score. The preliminary results suggest that DNA methylation age can be a potential biomarker for improving resilience.
“Strategies for Improving Enrollment of Diverse Populations with a Focus on Lipid-Lowering Clinical Trials,” Oluwabunmi Ogungbe*, Hailey Miller, Yvonne Commodore-Mensah, Cheryl Dennison Himmelfarb, and colleagues — Current Cardiology Reports
Researchers review under-representation of key demographic groups in cardiovascular clinical trials, focusing on lipid-lowering trials and outline multilevel strategies to recruit and retain diverse populations for these trials.
“Analysis of Action Planning, Achievement and Life Purpose Statements in an Intervention to Support Caregivers of Persons with Heart Failure,” Martha Abshire Saylor*, Janiece Taylor, Sarah Szanton, and colleagues — Heart and Lung
Caregivers of persons living with heart failure experience uncertainty related to heart failure trajectory and caregiving demands. Caregiver Support is a nurse-led intervention consisting of a well-being assessment, development of a life purpose statement, and action planning related to self-care and support for caregivers. The goal of this study was to describe the caregivers’ action plans, action plan achievement, and life purpose statements.
“Heterogeneity in the Prevalence of Cardiovascular Risk Factors by Ethnicity and Birthplace Among Asian Subgroups: Evidence From the 2010 to 2018 National Health Interview Survey,” Arum Lim*, Sabrina Elias, Chitchanok Benjasirisan, Samuel Byiringiro, Yuling Chen, Ruth Alma Turkson-Ocran, Cheryl Dennison Himmelfarb, Yvonne Commodore Mensah, and Binu Koirala — Journal of the American Heart Association
Asians in the U.S. have sociodemographic and health characteristics that might affect cardiovascular disease (CVD) risk by ethnicity and birthplace. However, they are often studied as a monolithic group. This research examined heterogeneity in risk factors on the basis of birthplace among the three largest Asian subgroups (Chinese, Asian Indian, Filipino) compared with U.S.-born, non-Hispanic white adults.
“The Chronic Nature of Smoking and Vaping: A Comprehensive Analysis,” Brenda Douglass and colleagues — Journal for Nurse Practitioners
Smoking accounts for more than 16 million Americans living with chronic diseases. Through an in-depth exploration of the physiologic and psychological mechanisms involved, this report underscores the urgency of addressing the public health implications of these habits.
“2024 Heart Disease and Stroke Statistics: A Report of US and Global Data from the American Heart Association,” Yvonne Commodore-Mensah and colleagues — Circulation
The American Heart Association Heart Disease and Stroke Statistical Update presents the latest data on a range of major clinical heart and circulatory disease conditions (including stroke, brain health, complications of pregnancy, kidney disease, congenital heart disease, rhythm disorders, sudden cardiac arrest, subclinical atherosclerosis, coronary heart disease, cardiomyopathy, heart failure, valvular disease, venous thromboembolism, and peripheral artery disease) and the associated outcomes (including quality of care, procedures, and economic costs).
“Accurate Blood Pressure Measurement Is a Necessary but Insufficient Step to Diagnose and Control Hypertension,” Yvonne Commodore-Mensah and colleague — Circulation: Cardiovascular Quality and Outcomes
Hypertension places over 10 million Americans at increased risk of cardiovascular disease and stroke. Numerous factors such as treatment inertia or failure to diagnose hypertension cause inadequate blood pressure (BP) control. Few studies have addressed whether the use of a validated diagnostic instrument and ensuring provider review of screening results in increased diagnosis of hypertension and improved BP control.
“Identification of Fatigue Subtypes and Their Correlates in Prevalent Heart Failure: A Secondary Analysis of the Atherosclerosis Risk in Communities Study,” Martha Abshire Saylor, Sarah Szanton, Cheryl Dennison Himmelfarb, and colleagues — Circulation: Cardiovascular Quality and Outcomes
Among patients with heart failure (HF), fatigue is common and linked to quality of life and functional status. Unique subtypes of fatigue may require differential assessment and treatment to improve outcomes. This study worked to identify fatigue subtypes in persons with prevalent HF in the ARIC study (Atherosclerosis Risk in Communities) and describe the distribution of characteristics across subtypes.
“Dropout From Exercise Trials Among Cancer Survivors: An Individual Patient Data Meta-Analysis from the POLARIS Study,” Jennifer Wenzel and colleagues — Scandinavian Journal of Medicine and Science in Sports
The number of randomized controlled trials (RCTs) on the effects of exercise among cancer survivors has increased in recent years; however, participants dropping out of the trials are rarely described. This study assessed which combinations of participant and exercise program characteristics were associated with dropout from the exercise arms of RCTs among cancer survivors.
“Association of Blood Biomarkers of Inflammation with Acute Concussion in Collegiate Athletes and Military Service Academy Cadets,” Jessica Gill and colleagues — Neurology
The objective was to characterize the acute effects of concussion on serum interleukin (IL)-6 and IL-1 receptor antagonist (RA) and five additional inflammatory markers in athletes and military service academy members and to determine whether these markers aid in discrimination of concussed participants from controls.
“Disruption of Diabetes and Hypertension Care During the COVID-19 Pandemic and Recovery Approaches in the Latin America and Caribbean Region: A Scoping Review Protocol,” Oluwabunmi Ogungbe and colleagues — BMJ Open
This review examined the impact of pandemic disruptions of diabetes and hypertension care services and the evidence for interventions to mitigate or reverse pandemic disruptions in the Latin America and Caribbean region.
“Rationale and Design of the mTECH-Rehab Randomized Controlled Trial: Impact of a Mobile Technology Enabled Corrie Cardiac Rehabilitation Program on Functional Status and Cardiovascular Health,” Erin Spaulding, Yvonne Commodore-Mensah, and colleagues — Journal of the American Heart Association
Cardiac rehabilitation (CR) is traditionally provided in-center, which limits access and engagement, most notably among underrepresented racial and ethnic groups due to barriers including cost, scheduling, and transportation access. This study is designed to evaluate the Corrie Hybrid CR, a technology-based, multicomponent health equity-focused intervention as an alternative to traditional in-center CR.
“Promising Impact of Telenovela Intervention for Caregivers of Hospice Patients: A Pilot Study,” Martha Abshire Saylor, Chakra Budhathoki, and colleagues — American Journal of Hospice and Palliative Medicine
Hospice family caregivers (HFCGs) are at risk of developing distress and anxiety. NOVELA is a four-chapter telenovela-style educational video to support topics related to hospice caregiving. Telehealth visits are scheduled in four weekly sessions consisting of a chapter and subsequent discussion with an interventionist. This feasibility pilot study tested NOVELA’s effect to change HFCGs’ outcomes.
“Effectiveness of Long-Term Opioid Therapy for Chronic Low Back Pain,” Subhash Aryal and colleagues — Journal of the American Board of Family Medicine
Clinical trials generally have not assessed efficacy of long-term opioid therapy (LTOT) beyond six months because of methodological barriers and ethical concerns. This study aimed to safely measure the effectiveness for up to 12 months.
“Challenge of Optimizing Medical Therapy in Heart Failure: Unlocking the Potential of Digital Health and Patient Engagement,” Erin Spaulding and colleagues — Journal of the American Heart Association
Heart Failure remote monitoring programs have traditionally focused on lifestyle management, monitoring for signs of decompensation and diuretic adjustment rather than optimization of guideline‐directed medical therapy (GDMT). The impact of such programs on clinical outcomes has been inconsistent. Given the clinical benefit of guideline‐directed medical therapy GDMT, focusing digital health interventions on medication optimization may improve their overall impact.
“Employee Cardiometabolic Risk Following a Cluster-Randomized Workplace Intervention from the Work, Family and Health Network, 2009-2013,” Ginger Hanson and colleagues — American Journal of Public Health
Objective. To examine whether workplace interventions to increase workplace flexibility and supervisor support and decrease work–family conflict can reduce cardiometabolic risk.
“Optimizing Cancer Survivorship in Primary Care: Patient Experiences from the Johns Hopkins Primary Care for Cancer Survivors clinic,” Jennifer Wenzel and colleagues — Journal of Cancer Survivorship
The optimal delivery of survivorship care, particularly within primary care, remains poorly understood. The Johns Hopkins Primary Care for Cancer Survivors (PCCS) clinic was established in 2015 to address care challenges unique to cancer survivors. To better understand PCCS clinic care, researchers interviewed patients about their perception of care delivery, survivorship care, and care coordination.
“Cerebral Palsy Pain Instruments: Recommended Tools for Clinical Research Studies by the National Institute of Neurological Disorders and Stroke Cerebral Palsy Common Data Elements Project,” Elaine Stashinko and colleagues — Developmental Medicine and Child Neurology
This study describes the process of updating the cerebral palsy common data elements, specifically identifying tools that capture the impact of chronic pain on children’s functioning.
“Symptom Characteristics, Perceived Causal Attributions, and Contextual Factors Influencing Self-care Behaviors: An Ecological Daily Assessment Study of Adults with Chronic Illness,” . (2024). Subhash Aryal and colleagues — Patient Education and Counseling
Insights into how symptoms influence self-care can guide patient education and improve symptom control. This study examined symptom characteristics, causal attributions, and contextual factors influencing self-care of adults with arthritis, asthma, chronic obstructive pulmonary disease, diabetes, or heart failure.
“Implementing an Evidence-Based Guideline to Decrease Opioids After Cardiac Surgery,” Rita D’Aoust, Deborah Baker, and colleagues — Journal of the American Association of Nurse Practitioners
Deaths related to overdoses continue growing in the U.S. Overprescription of opioids after surgical procedures may contribute to this problem. Interventions: Changes in guidelines, modification of order sets, creation of dashboards, and education to providers to increase prescription of acetaminophen and decrease opioid prescription before and after discharge.
NUTRITION and OBESITY
“Food Insecurity Gaps in the Supplemental Nutrition Assistance Program Based on Disability Status,” Laura Samuel*, Sarah Szanton, Bonnie Swenor, and colleagues — Disability and Health Journal
This article aims to examine the role of SNAP with regard to food insecurity disparities based on disability status.
“Enteral Nutrition Optimization Program for Children Undergoing Blood & Marrow Transplantation: A Quality Improvement Project,” Jessica Murphy*, Brigit VanGraafeiland, and colleagues — Journal of Pediatric Nursing
Malnutrition in children and young adults undergoing blood and marrow transplantation increases morbidity and mortality. Addressing this via optimization of enteral nutrition can potentially improve outcomes.
“Food Security to Medication Adherence-Connecting Needs,” Oluwabunmi Ogungbe*, Aisha Ellis, and colleague — JAMA Network Open
Individuals facing food insecurity often struggle to adhere to medical treatments yet shoulder undue blame for circumstances outside their control. Rather than judging individuals, addressing systemic barriers that limit basic health care access and nutrition could alleviate disproportionate disease burdens, especially among underserved populations.
“A Randomized Controlled Trial Examining the Effects of Behavioral Weight Loss Treatment on Hippocampal Volume and Neurocognition,” Ariana Chao* and colleagues — Physiology and Behavior
Obesity in midlife is an established risk factor for dementia. In middle-aged adults, elevated body mass index is associated with lower neurocognition and smaller hippocampal volumes. The purpose of this study was to evaluate whether behavioral weight loss, compared to wait list control, improved hippocampal volume and neurocognition.
“Weight Gain Prevention Outcomes from a Pragmatic Digital Health Intervention with Community Health Center Patients: Randomized Controlled Trial,” Hailey Miller* and colleagues — Journal of Medical Internet Research
Given the often-limited weight management resources available to patients in primary care settings serving vulnerable patients, evaluating interventions with pragmatic designs may help inform the design of comprehensive obesity care delivered in primary care.
“Benefits Managers’ Attitudes Toward Obesity Treatment Coverage,” Ariana Chao and colleagues — Obesity Research and Clinical Practice
Limited access to treatments works against efforts to reduce obesity prevalence. A major barrier to treatment access is a lack of insurance coverage. This study focused on an important population of stakeholders: benefits managers.
“Experiences with Recruitment and Retention of Adolescents and Emerging Adults in a Weight Loss Intervention Trial,” Hailey Miller and colleagues — Clinical Trials
Adolescent and emerging adult recruitment into clinical trials can be particularly challenging, especially when targeting underrepresented groups. This study aimed to determine the most successful recruitment strategies.
“The Role of Lifestyle Modification with Second-Generation Anti-obesity Medications: Comparisons, Questions, and Clinical Opportunities,” Ariana Chao and colleagues — Current Obesity Reports
This review examines lifestyle modification for obesity management with the goal of identifying treatment components that could support the use of a new generation of anti-obesity medications.
“ ‘We Bleed for Our Community’: A Qualitative Exploration of the Implementation of a Pragmatic Weight Gain Prevention Trial from the Perspectives of Community Health Center Professionals,” Hailey Miller and colleagues — BMC Public Health
Clinical trial implementation continues to shift toward pragmatic design, with the goal of increasing future adoption in clinical practice. Yet, few pragmatic trials within clinical settings have qualitatively assessed stakeholder input, especially from those most impacted by research implementation and outcomes, i.e., providers and staff.
“Tirzepatide After Intensive Lifestyle Intervention in Adults with Overweight or Obesity: the SURMOUNT-3 Phase 3 Trial,” Ariana Chao and colleagues — Nature Medicine
Studying the effects of tirzepatide, a glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1 receptor agonist, on weight reduction after successful intensive lifestyle intervention.
“Reducing Dietary Sodium Intake Among Young Adults in Ghana: A Call to Action,” Yvonne Commodore-Mensah and colleagues — Nutrients
The factors contributing to the increasing burden of cardiovascular disease and excessive sodium consumption are multi-faceted and multi-level, including individual lifestyle, neighborhood and built environments, and socioeconomic and health policies.
“The 10-Year Effects of Intensive Lifestyle Intervention on Kidney Outcomes,” Ariana Chao and colleagues — Kidney Medicine
Limited data exist on longitudinal kidney outcomes after nonsurgical obesity treatments. This study investigated the effects of intensive lifestyle intervention on kidney function over 10 years.
EDUCATION
A lesson on CPR in the Sims Lab.
[Visit the Center for Simulation & Immersive Learning.]
“Using Simulation to Teach Gender-Affirming Care Concepts in Nursing Education,” Amanda Rohde* and Colleen King Goode — Journal of Nursing Education
Lack of training and implicit bias are significant contributors to discrimination, thus interacting with transgender and gender-nonconforming individuals during clinical experiences may be challenging. Simulation can increase student confidence and competence.
“Analysis of Education and Previous Nursing Experience of Certified PNPs in the United States,” Shawna Mudd*, Kristen Brown, Deborah Busch, and colleagues — Journal of Pediatric Nursing
Educational programs to prepare nurse practitioners (NPs) were historically built upon foundational nursing experience. Originally prepared as certificate programs in 1965, the educational requirements for nurse practitioners (NPs) rapidly shifted from certificate programs to the Master’s degree. As Doctor of Nursing Practice (DNP) degree programs increase in number, it is unknown whether this foundational nursing experience has changed, or if it differs by certification type for pediatric nurse practitioners.
“Development of an Integrated Telehealth Primary Care and Mental Health Training Program for Nurse Practitioner Students: Review of the Literature,” Ashley Fenton*, Leigh Montejo, Katherine Humphrey, Emma Mangano, Nancy Gentry Russell, and Marianne Fingerhood — Journal for Nurse Practitioners
A review of the literature to determine the best education practices for an integrated telehealth primary care and mental health training program for NP students. Four themes highlighted: confidence and competency, collaboration and consultation, applicability to practice, and technology use.
“Professional Identity in Nursing: Why It Is Important in Graduate Education,” Brenda Douglass* and colleagues — Journal of Professional Nursing
This article aims to illustrate how faculty educate graduate nursing students in the development of professional identity using a conceptual framework to achieve competencies outlined in The Essentials (AACN, 2021).
“Symptom Profile Characterization Using the Beck Anxiety Inventory Among Undergraduates in the United States,” Shae Crosby*, Chloe Kwon, and Tamar Rodney — Journal of the American Psychiatric Nurses Association
This study examines the variety of anxiety symptoms manifested among U.S. university students and the impact of symptom typology on seeking treatment.
“LGBTQI+ Representation in Pre-Licensure Nursing Textbooks: A Qualitative Descriptive Analysis,” Meredith Klepper*, Angie Deng, Carissa Lawrence, Catherine Ling, Kelly Bower, and colleagues — Nurse Education Today
Nursing schools are well-positioned to increase comfort with LGBTQI+ content as part of pre-licensure curricula. This article presents a systematic evaluation of LGBTQI+ content in nursing pre-licensure textbooks and the nature and quality of the representations.
“Caring: The Heart of Online Nursing Education — An Integrative Review,” Jihane Frangieh*, Victoria Hughes, and colleague — Journal of Professional Nursing
The aim of this integrative review is to analyze existing research and gain a comprehensive understanding of the factors that promote a sense of Caring in online nursing education programs.
“Supporting Advanced Practice Nursing Clinical Instructors with a Multimedia Guidebook,” Leigh Montejo* and Ashley Fenton — Journal for Nurse Practitioners
Clinical instructors (CIs) in advanced practice nursing need to be competent clinicians and educators and understand the academic programs and clinical processes. CIs were asked to interact with an evidence-based multimedia guidebook and complete a survey to measure their acquisition of knowledge after the interaction.
“Professionalism in Pre-Licensure Nursing Education: Core Values, Didactic Coursework and Clinical Training,” Tamar Rodney, Emma Mangano, Diana Baptiste, and colleague — Journal of Clinical Nursing
Aim: To discuss professionalism for pre-licensure nursing students and identify recommendations for inclusion in core values, didactic coursework and clinical training.
“Health Care Simulation in Person and at a Distance: A Systematic Review,” Kristen Brown and colleagues — Simulation in Healthcare
Positive and negative aspects of mixed-distance simulation formats, a description of the most frequent configurations related to delivery, terminology challenges, as well as future directions including the need for faculty development, methodological rigor, and reporting details.
“Promoting Clinical Instructors’ Success in Advance Practice Nursing Programs,” Ashley Fenton* and Leigh Montejo — Journal for Nurse Practitioners
Advance practice nursing programs use clinical instructors (CIs) to bridge the theory-practice gap and to maintain relationships with clinical preceptors. A clear understanding and support of the CI role for advanced practice nursing is needed to promote positive program outcomes.
MENTAL HEALTH
“Telehealth and the Psychiatric Mental Health Nurse Practitioner: Beyond the COVID-19 Pandemic,” Jessica Zemlak*, Patty Wilson, Brigit VanGraafeiland, and Tamar Rodney — Journal of the American Psychiatric Nurses Association
Examined the advantages, disadvantages, and challenges of telehealth for the psychiatric mental health nurse practitioner (PMHNP) in practice and student education.
“Prevalence and Determinants of Postpartum Depression Among Adolescent and Adult Mothers in Northwest Ethiopia,” Getachew Kassa*, Anne Batchelder, and Deborah Gross — Research in Nursing and Health
Postpartum depression (PPD) is a common and often untreated mental health issue in resource-limited settings, leading to long-term consequences for families. This study examined the prevalence and determinants of PPD among adolescent and adult mothers in northwest Ethiopia.
“Addressing Suicide Risk Among Immigrant Women Survivors of Intimate Partner Violence,” Nikita Kheni*, Jennifer Lee, Chase Maselka, Bushra Sabri, and colleague — Issues in Mental Health Nursing
This study was conducted as part of the formative phase of a longitudinal research project designed to develop and evaluate a safety planning intervention for immigrant women survivors of IPV.
“Understanding Healthcare Engagement for People Who Inject Drugs,” Omeid Heidari*, Jennifer Wenzel, Tamar Rodney, and colleagues — Research in Nursing and Health
The goal of this study was to understand how people who inject drugs engage in care for their chronic health conditions and substance use treatment given the known historic and pervasive barriers.
“The Impact of Measurement-Based Care in Psychiatry: An Integrative Review,” Janine DeSimone* and Bryan Hansen — Journal of the American Psychiatric Nurses Association
Suboptimal mental health outcomes may be attributed to the lack of a systematic approach to tracking and measuring patient progress. Aim: To identify the clinical impact of using Measurement-Based Care MBC in psychiatry.
“Remote Delivery of the Cuidándome Telehealth Intervention for Self-Management of Depression and Anxiety Among Latina Immigrant Women: Randomized Controlled Trial,” Subhash Aryal and colleagues — JMIR Formative Research
Growing evidence suggests that Latina immigrant survivors of adverse childhood experiences are at increased risk for developing depression, anxiety or both. This study examined the feasibility and acceptability of a telehealth intervention—Cuidándome or, in English, “taking care of myself.”
“Sociocultural and Contextual Influences on Mental Health,” Deborah Gross, Janiece Taylor, and colleagues — Research in Nursing and Health
Guest editorial: Addressing a shared concern over the growing prevalence of mental health problems in the United States and globally.
“Mental Health Access to Care: Nurse Practitioner-Led Telehealth Practice,” Ashley Fenton*, Katherine Humphrey, Colleen King Goode, Lourdes Celius, and Amanda Rohde — Journal for Nurse Practitioners
Expansion of full practice authority for nurse practitioners (NPs), coupled with the evolving use of telemedicine, can improve access to care. This project sought to gain a better understanding of how an NP-led integrated telemedicine practice provides access to mental health care in Maryland.
EQUITY
“Planning for Implementation and Sustainability of a Community-Based Suicide Surveillance System in a Native American Community,” Teresa Brockie*, Ellie decker, and colleagues — Implementation Science Communications
This paper outlines an avenue for using culturally adapted tools to design an implementation system driven by community and cultural assets within tribal communities and for integrating program planning for sustainability early in the implementation process.
“STEM Doctorate Recipients with Disabilities Experienced Early in Life Earn Lower Salaries and Are Underrepresented Among Higher Academic Positions,” Franz Castro*, Varshini Varadaraj, Bonnie Swenor, and colleagues — Nature Human Behaviour
Data from the 2019 Survey of Doctorate Recipients show that doctorate recipients working in science, technology, engineering and mathematics (STEM) with disabilities experienced early in life (under age 25) earned less per year than non-disabled workers.
“Culturally Safe Mentoring for American Indian Nursing Students,” Michelle Kahn-John* and colleagues — Creative Nursing
An intergenerational mentoring approach that emphasizes the nursing mentors’ responsibility to support the growth and success of American Indian nursing students. This approach, drawn from the wisdom of American Indian teachings, focuses on students’ strengths and culturally based protective factors.
“Housing Instability: Exploring Socioecological Influences on the Health of Birthing People,” Kelley Robinson*, Ashley Gresh, Noelene Jeffers, Kamila Alexander, and colleague — Journal of Advanced Nursing
This study highlights critical areas for consideration when addressing social determinants for birthing people and reinforces the need for more comprehensive assessment in the prenatal setting.
“Health Service Utilization of Black Immigrant Women Residing in the United States: A Systematic Review,” Jennifer Lee*, Joyline Chepkorir, Abeer Alharthi, Nicole Warren, and colleague — Journal of Racial and Ethnic Health Disparities
A systematic review to understand the types of health services used by Black immigrant women living in the U.S. and examine barriers and motivators to using health services.
“Disparities in Influenza Vaccination for U.S. Adults with Disabilities Living in Community Settings By Race/Ethnicity, 2016-2021,” Franz Castro*, Varshini Varadaraj, Bonnie Swenor, and colleague — Disability and Health Journal
Objective: To compare the prevalence of influenza vaccination between U.S. adults with and without disabilities living in community settings, and to examine changes in influenza vaccination over time by disability status and race/ethnicity groups.
“Barriers and Facilitators to Nurses Addressing Social Needs and Associated Outcomes in the Ambulatory Setting in Adult Patients: Systematic Review,” Carolyn Jackson*, Elizabeth Hood, Julie Jenkins, and Sarah Szanton — Journal of Advanced Nursing
Limited evidence suggests that screening for social needs by nurses may impact outcomes by decreasing hospitalizations, decreasing emergency department utilization, and improving self-efficacy towards medical and social services navigation.
“Feasibility, Acceptability and Effectiveness of a Culturally Informed Intervention to Decrease Stress and Promote Well-Being in Reservation-Based Native American Head Start Teachers,” Deborah Wilson*, Adrian Ricker, Ginger Hanson, Teresa Brockie, and colleagues — BMC Public Health
Utilizing a culturally based intervention to buffer stress and support the well-being of reservation-based teachers showed promise in helping them recognize their cultural strengths, stress, and need for ongoing support. Implementation outcomes show that intervention scale-out is feasible.
“Vision Impairment and Psychosocial Function in US Adults,” Varshini Varadaraj, Bonnie Swenor, and colleagues — JAMA Ophthalmology
Objective: To provide updated national estimates on the associations of vision impairment with depressive and anxiety symptoms and social isolation in US adults 65 years and older.
“Elevating Voice and Visibility: Health Research for American Indian and Alaska Native, Asian American, and Native Hawaiian and Pacific Islander Populations in the United States,” Michelle Kahn-John and colleagues — American Journal of Public Health
Editorial: We aim to highlight the need to address historical underrepresentation of American Indian and Alaska Native, Asian American, and Native Hawaiian and Pacific Islander populations in data and scientific research to promote equitable and collaborative approaches to public health efforts and research going forward.
“VA Social Workers Identify Factors Predictive of Enrollment and Variability in Veterans’ Access to Aid and Attendance Benefits,” Kali Thomas and colleagues — Journal of Gerontological Social Work
The Aid and Attendance benefit is a cash entitlement for U.S. military veterans to obtain personal care services. Objective: Identify factors contributing to variation in enrollment across VA Medical Centers.
“How Do North Korean Refugees in South Korea Utilize Social Support to Cope with Acculturative Stress?” Jennifer Wenzel and colleagues — SSM – Mental Health
Geographic resettlement induces acculturative stress in refugees. In response, they utilize social support to deal with acculturative stress and to adapt to the host community. This study sought to understand how North Korean refugees utilize social support to reduce acculturative stress.
“A Distributional Regression Approach to Modeling the Impact of Structural and Intermediary Social Determinants on Communities Burdened By Tuberculosis in Eastern Amazonia – Brazil,” Jason Farley, Nancy Reynolds, and colleagues — Archives of Public Health
Despite being rich in natural resources, this region faces significant challenges related to poverty, inequality, and neglected diseases. The objective of this study was to use mathematical modeling to evaluate the influence of structural and intermediary determinants of health on TB.
“The Impact of Social Determinants of Health on Eye Care Utilization in a National Sample of People with Diabetes,” Varshini Varadaraj and colleagues — Ophthalmology
Evaluating and intervening upon the effects of adverse social determinants of health may be a means by which to improve eye care utilization and prevent vision loss.
Bonnie Swenor (foreground) at her installation ceremony.
[Bonnie Swenor, Inaugural Endowed Professor of Disability Health and Justice.]
“It’s Time for the NIH to Formally Designate People with Disabilities as a US Health Disparity Population,” Bonnie Swenor and colleague — Disability and Health Journal
This commentary discusses the implications of the report and recommendations of the Working Group on Diversity’s Subgroup on Individuals with Disabilities, recently endorsed by the full Advisory Committee to the Director of the National Institutes of Health.
“ ’Hang Ups, Let Downs, Bad Breaks, Setbacks’: Impact of Structural Socioeconomic Racism and Resilience on Cognitive Change Over Time for Persons Racialized as Black,” Boeun Kim, Laura Samuel, Sarah Szanton, and colleagues — Health Equity
Older adults born in places with higher state-level structural socioeconomic racism experienced a more rapid cognitive decline in later life compared to those with lower levels of exposure. In addition, participants born in places with higher levels of state-level structural socioeconomic resilience experienced slower cognitive change over time than their counterparts.
“Counting Disability in the National Health Interview Survey and Its Consequence: Comparing the American Community Survey to the Washington Group Disability Measures,” Bonnie Swenor and colleagues — Disability and Health Journal
The objective of the National Health Interview Survey (NHIS) is to provide data that can be used to monitor the health of the U.S. population. This study evaluated whether the disability questions currently used in the NHIS—the Washington Group questions—threaten the ability of this survey to fulfill its stated objective for disabled people.
“Neighborhood Segregation and Access to Live Donor Kidney Transplantation,” Sarah Szanton and colleagues — JAMA Internal Medicine
Identifying the mechanisms of structural racism, such as racial and ethnic segregation, is a crucial first step in addressing the persistent disparities in access to live donor kidney transplantation (LDKT). Objective: To assess whether segregation at the candidate’s residential neighborhood and transplant center neighborhood is associated with access to LDKT.
“Getting to the Root: Examining Within and Between Home Health Agency Inequities in Functional Improvement,” Kali Thomas — Health Services Research
Mitigating functional improvement inequities will require a diverse set of culturally appropriate and socially conscious interventions. Improving the quality of Home Health Agencies (HHAs) that serve more marginalized patients and incentivizing improved equity within HHAs are approaches that are imperative for ameliorating outcomes.
“Racial Disparities in Opioid Use and Lumbar Spine Surgery for Chronic Pain and in Pain and Function Over 3 Years: A Retrospective Cohort Study,” Subhash Aryal and colleagues — Journal of Pain
Widening racial disparities in pain and function over time indicate that new approaches to chronic pain management are needed in the United States.
INFECTIOUS DISEASE
“ ’It Was Almost Like It’s Set Up for People to Fail’ A Qualitative Analysis of Experiences and Unmet Supportive Needs of People with Long COVID,” Katherine McNabb*, Alanna Bergman, Rhonda Smith-Wright, Sarah Slone, Abeer Alharthi, Patricia M Davidson, Yvonne Commodore-Mensah, Oluwabunmi Ogungbe, and colleagues — BMC Public Health
Almost 20 percent of adults with COVID-19 develop Long COVID, leading to prolonged symptoms and disability. Understanding the supportive needs of people with Long COVID is vital to enacting effective models of care and policies. This qualitative sub-study explored the experiences of people with Long COVID and their unmet needs.
“Exploring HIV Disease Indicators at MDR-TB Treatment Initiation in South Africa,” Keri Geiger*, Amita Patil, Alanna Bergman, Chakra Budhathoki, Omeid Heidari, Kelly Lowensen, Nomusa Mthimkhulu, Katherine McNabb, Nancy Reynolds, Jason Farley, and colleagues — International Journal of Tuberculosis and Lung Disease
Understanding relationships between HIV and multidrug-resistant TB (MDR-TB) is crucial for ensuring successful MDR-TB outcomes. This study evaluated sociodemographic and clinical characteristics as correlates of antiretroviral therapy use, having an HIV viral load result, and HIV viral suppression in a cross-sectional sample of people with HIV and MDR-TB enrolled in a cluster-randomized trial of nurse case management to improve MDR-TB outcomes.
“Grassroots and Digital Outreach Strategies Raise Awareness of COVID-19 Information and Research in Baltimore City,” Hailey Miller*, Donald Young, Wura Olawole, Trinity Zhu, Samuel Byiringiro, Brittany Cook, Cheryl Dennison Himmelfarb, and colleagues — American Journal of Public Health
Using a multimodal approach facilitated dissemination of reliable information and raised awareness of research; evaluation of trust is ongoing. Robust, multimodal strategies are needed to foster trust and equity among diverse communities.
“Cutaneous Manifestations of Sexually Transmitted Infections: Human Immunodeficiency Virus,” Yen Nguyen* and Nancy Russell — Journal of the Dermatology Nurses’ Association
This article reviews the most common dermatological conditions in persons living with HIV, as well as how they typically present in clinical practice, and discusses current evidence for treatment.
[Q&A with Yen Nguyen, first official DNP-AP/PhD grad.]
“Successful Multidrug-Resistant Tuberculosis Treatment Without HIV Viral Suppression: A Missed Opportunity,” Keri Geiger*, Amita Patil, Chakra Budhathoki, Kelly Lowensen, Jason Farley, and colleagues — Journal of Acquired Immune Deficiency Syndromes
Increased pill burden and adverse treatment effects did not significantly affect HIV viral suppression while switching antiretroviral therapy to a protease inhibitor to accommodate bedaquiline or not changing ART while taking bedaquiline did, suggesting that people with HIV and multidrug-resistant tuberculosis (MDR-TB) may benefit from additional support if they must switch antiretroviral therapy.
“Hospitalisation and Mortality Among Privately Insured Individuals with COVID-19 in the United States: The Role of Intellectual Disabilities and Neurogenetic Disorders,” Amber Davis* and colleagues — Journal of Intellectual Disability Research
Individuals with intellectual disabilities and neurogenetic conditions (IDNDs) are at greater risk for comorbidities that may increase adverse outcomes when they have COVID-19. The study examined the population-level odds of hospitalisation and mortality of privately insured individuals with COVID-19 with and without IDNDs, controlling for sociodemographics and comorbid health conditions.
“Pediatric HIV Disclosure Intervention Improves Immunologic Outcome at 48 Weeks: The Sankofa Trial Experience,” Nancy Reynolds and colleagues — Journal of Acquired Immune Deficiency Syndromes
The World Health Organization recommends disclosure of HIV status to children and adolescents living with HIV. Disclosure improves adherence to antiretroviral therapy and immunologic and virologic outcomes. However, the prevalence of HIV disclosure is low in sub-Saharan Africa. This study assessed the longitudinal effect of the Sankofa Pediatric HIV disclosure intervention on outcomes in Ghana.
“Exploring the Feasibility, Acceptability and Preliminary Effects of a Nurse Delivered mHealth Intervention for Women Living with HIV In South India: A Pilot Randomized Controlled Trial,” Nancy Reynolds and colleagues—Archives of Women’s Mental Health
A standardized, nurse-delivered mobile phone intervention to improve adherence to antiretroviral treatment and clinical outcomes showed promise for women living with HIV and psychosocial vulnerabilities in rural South India.
“Prevalence of SARS-CoV-2 Infection among Children and Adults in 15 US Communities, 2021,” Jason Farley and colleagues — Emerging Infectious Diseases
Average prevalence of infection was 3 percentage points higher for Black than White persons and average vaccine willingness was 10 percentage points lower for Black than White persons and 7 percentage points lower for Black persons than for persons in other racial groups. The higher prevalence of SARS-CoV-2 infection among groups with lower vaccine willingness highlights the disparate effect of COVID-19 and its complications.
“Lessons in Resilience: Home-Based Primary Care During COVID-19,” Katherine Ornstein and colleagues — Journal of the American Geriatrics Society
A systematic review of home-based primary care (HBPC) conducted by just prior to the onset of the pandemic concluded that new care models and evidence would likely emerge to increase home-based care delivery. After three years of a public health emergency, this study reassessed the effects of COVID-19 on HBPC.
‘A Slap in the Face’: Institutional Betrayal, Burnout, and Career Choice Regret Among Frontline Health Care Workers Serving COVID-19 Patients,” Kathryn McDonald and colleagues — Journal of Traumatic Stress
To provide COVID-19 care, health care and hospital workers (HHWs) expected their institutions to support equipment and resources, ensure safety for patients and providers, and advocate for employees’ needs. Failure to do these acts has been defined as institutional betrayal. Developing strategies to prevent, address, and repair trust may be critical to prevent and reduce burnout and increase motivation to work during and after public health emergencies.
