Dissemination of scholarship across eight cohorts of doctor of nursing practice graduates. | J Clin Nurs. 2018;27: e1395–e1401
Becker KD, Johnson S, Rucker D, Finnell DS.
Dissemination of findings from evidence‐based practice is described in the American Association of the Colleges of Nursing, Doctor of Nursing Practice Essential III. Students in Doctor of Nursing Practice programmes are expected to generate deliverables (e.g., a manuscript) of evidence to improve practice or patient outcomes.
The use of U-500 insulin for patients with severe insulin resistance | The Nurse Practitioner, 42(3),12-16
Renda, S & Becker K
The purpose of this article is to describe the evaluation and management of a patient with T2DM with severe insulin resistance who is a candidate for U-500 regular concentrated insulin. This case-based approach will highlight important considerations, describe the dosing of U-500 insulin, and review potential challenges.
Interprofessional debriefing: A novel synthesis of the 3D model and systems-centered therapy. | Journal of Interprofessional Education & Practice
2016 Interprofessional education (IPE) is emerging as an important mode of health professionals' education. Defined as learners from “two or more professions learning with, from, and about each other to improve collaboration and quality of care,” IPE integrates understanding of different health care providers' roles and educational cultures with clinical care experiences. Debriefing, or facilitated reflection and discussion of these experiences, can develop learners' critical thinking, problem-solving, and interpersonal skills, potentially establishing a foundation for lifelong learning and effective interprofessional, collaborative practice. This article describes an interprofessional model of debriefing adapted from Zigmont's “3D” debriefing model with additional concepts and theory from the “System-Centered Therapy” framework of Yvonne Agazarian. A description of the model, its application to small group and simulated learning encounters, and faculty evaluation (n = 26) of the model will be described.
Associations among pain, depression and functional limitation in low-income, home-dwelling older adults: An analysis of baseline data from CAPABLE. | Geriatric Nursing
2016 A complex relationship exists between pain, depression, and functional limitation. These conditions, which substantially impact health care spending and quality of life, remain under-addressed in the current system of health care delivery, particularly among low-income and minority populations. This analysis uses baseline assessment data from CAPABLE, an ongoing randomized controlled trial (RCT), to examine associations between pain, depression, and functional limitation among a sample of low-income, community-dwelling elders with functional limitations. Linear regression revealed close associations between depression, pain, and activity of daily living (ADL) limitation. Mediation analyses indicated that depression fully mediated the relationship between pain intensity and functional limitation and partially mediated the relationship between pain interference and depression. Past research has shown that these conditions may be easily identified using validated assessment tools and effectively addressed through the introduction of interdisciplinary interventions. Several recommendations are presented for clinicians and health care organizations.
Nurse-led interventions for high blood pressure control: Implications for noncommunicable disease programs in Uganda | International Journal of Africa Nursing Sciences,
2016 The aim of the integrative review was to assemble the best available evidence for effective nurse-led care interventions for high blood pressure control (HBP) and, then seeks to identify effective evidence based strategies for adaptability in non-communicable disease programs in Uganda.
An evaluation of a worksite diabetes education program for employees with diabetes at a large academic medical center | Workplace Health and Safety,
2016 Evidence suggests that diabetes education can be delivered at the worksite to better support employees' diabetes self-management and improve productivity and health care costs. This study was conducted to address the feasibility of a diabetes worksite education program for employees at a large urban academic health care institution. The diabetes education program was delivered in the diabetes center at the institution, a resource that was previously underutilized by employees. Through collaboration with groups in the institution, 20 employees of diverse ethnicity participated in the worksite diabetes education program with positive outcomes: improved glycemic control measured (HbA1c), attainment of self-management goals, and satisfaction with the program. Work absences trended downward, but numbers of hospitalizations and emergency department visits were unchanged in the 3 months following education. Recommendations include replication of the study with more employee participation and program evaluation over a longer period of time to continue assessment of employees' educational needs.