Chronicles of health impact assessment, Nov 6, 2020
(MCPHD), created a Health Impact Assessment (HIA) Learning Collaborative. The purpose of the HIA ... more (MCPHD), created a Health Impact Assessment (HIA) Learning Collaborative. The purpose of the HIA Learning Collaborative was to strengthen the capacity of both the academic and community partners to carry out HIAs. Entities recognize the value of creating a collaborative team to assure personnel are trained and available to provide time and expertise for plan reviews, formal feedback, data reports, literature summaries, and input in potential health/social impacts related to projects, which can ensure these impacts are considered in development work. In addition, the MCPHD and IU FSHP intend to increase HIA capacity in Indiana and remain committed to including health impact data into non-health sector decision making. Methods: The group planned to meet monthly over the year with the following learning objectives. A survey was created in Survey Monkey in order to evaluate the overall HIA Learning Collaborative experience and to assess whether or not the learning objectives were met. The survey consisted of 11 questions: nine were multiple choice and two were open-ended. Results: The majority of the objectives were met. Conclusion: There is interest in conducting HIAs in the future and several ideas were generated.
Prescription drug abuse has become a top public health concern in the United States in recent yea... more Prescription drug abuse has become a top public health concern in the United States in recent years. Changes in prescribing practices and the way in which health providers manage pain resulted from national quality improvement efforts in the 1990s. The majority of efforts to reduce morbidity and mortality associated with the prescription drug abuse epidemic occur through policy initiatives at the state level. In 2011, Indiana ranked 17 th in the U.S. and had only implemented a few intervention and prevention strategies. However, through a coordinated effort within the state, Indiana has expanded Good Samaritan laws and adopted rescue drug policies. Furthermore, the nursing workforce in Indiana has played a critical role in the successful implementation of these new policies. Nurses across the state have provided education and training to first responders and lay persons. They have also consulted with law enforcement agencies and other organizations looking to fully leverage the potential of these new state policies. As a result of their versatility and clinical expertise the nursing workforce has and will continue to play a critical role in the successful implementation of state policy initiatives aimed at fighting the prescription drug abuse epidemic.
Tuberculosis (TB) is a communicable disease with Tuberculosis (TB) continues to be a major commun... more Tuberculosis (TB) is a communicable disease with Tuberculosis (TB) continues to be a major communicable worldwide health care consequences. After decades of declining incidence there was a 14% increase in the United States from disease and a significant cause of death, disability, and 1985 to 1992, although rates are now declining due to focused health care costs. It is estimated that throughout the world programs. The State of Indiana mandates continuous TB monitorthere were 90 million new TB cases from 1990 to 1999 ing by health care workers who have completed an educational and 3 million deaths each year due to TB. Geographically, course. The Indiana State Department of Health (ISDH) and the TB is concentrated in high levels in Asia, Africa, and Latin American Lung Association designed an educational program America. Immigration to the United States of those born called a Basic TB Skin Test Course, which is used by the Commuin countries with high TB prevalence has significantly nity Health Nursing faculty at Indiana University School of Nursaffected the U.S. incidence of TB (U.S. Department of ing (IUSON) in the baccalaureate curriculum to assist students Health and Human Services [USDHHS], 1995; 1998). in meeting state requirements. All students receive the didactic After decades of decreasing rates, TB has reemerged as TB content of the course in the epidemiological concepts unit. Students can elect to receive certification by attending an addia serious national problem in the United States. From 1985 tional 2-hour clinical session. Over 500 community health nursing to 1992, the number of new TB cases increased by 14%, students have completed the Basic TB Skin Test course in the from 22,201 to 25,313. Factors contributing to the increase past 5 years. The outcomes are positive for students, community, are (1) the association of TB with the HIV epidemic, (2) and public health. immigration from countries where TB is common, and (3) the transmission of TB in congregate settings, particularly
Impact Assessment and Project Appraisal, Oct 29, 2014
As Health Impact Assessment (HIA) become increasingly common in the U.S. there is growing demand ... more As Health Impact Assessment (HIA) become increasingly common in the U.S. there is growing demand for instruction beyond sho1i courses and online training. As of October 2013, there are graduate level courses that include instruction on HIA in at least 17 universities in the U.S., including 4 courses that focus explicitly on HIA. Instructors of these four courses collaborated to develop a model curriculum for teaching HIA that draws on a framework for experiential learning and on a theoretical model of curriculum formulation. This article includes an in-depth analysis of these courses and presents a model curriculum for HIA instruction during an academic quaiier or semester course in a University. This model curriculum may help faculty develop a graduate level HIA course at their institution, as well as inform public health and community design professionals interested in building capacity to conduct HIAs, and students considering taking an HIA course. International instructors could also learn from the U.S. experience, and apply the model curriculum to their setting and educational structure.
Journal for Nurses in Staff Development (jnsd), Mar 1, 2006
Using online courses is one way to simplify orientation programs and leverage educator resources.... more Using online courses is one way to simplify orientation programs and leverage educator resources. Three critical care courses were created using a distributed authoring model with geographically diverse clinical experts. A companion online orientation course prepares preceptors to assist with clinical application. Course outcomes include preparation for practice, career mobility/ advancement, and learner satisfaction.
An exploratory research study was designed to measure if student's research utilization projects ... more An exploratory research study was designed to measure if student's research utilization projects were perceived by their clinical mentors as having any impact on nursing practice on the Capstone clinical units.
Journal for Nurses in Staff Development (jnsd), May 1, 2002
This article explores the use of preceptors for a capstone course in a baccalaureate curriculum. ... more This article explores the use of preceptors for a capstone course in a baccalaureate curriculum. Nursing faculty, nursing managers, and staff educators from local hospitals developed a survey to determine the range of items that would serve as recognition or rewards for staff working in a preceptor role. The challenge was to identify rewards that are meaningful to the preceptors and financially feasible for the organization and the School of Nursing.
A new form of Excellence A familiar focus on your career Our work as nurses is a continual effort... more A new form of Excellence A familiar focus on your career Our work as nurses is a continual effort to improve. We aim to deliver better care. We strive to be better managers, teachers and mentors. We have a passion for the better idea. Review of performance data-Continuous reviews by CEOs and all staff of performance data on resident outcomes and environmental factors relative to other nursing homes in the Wellspring alliance.
Health, interprofessional practice and education, Sep 18, 2020
BACKGROUND The Peer Led Team Learning (PLTL) instructional model utilizes Peer Leaders, advanced ... more BACKGROUND The Peer Led Team Learning (PLTL) instructional model utilizes Peer Leaders, advanced students who mentor and guide student teams to collaborate on applied course concepts. PURPOSE To apply a modified PLTL model in the university's foundational, longitudinal, competency-based interprofessional education (IPE) curriculum. METHODS Twelve Peer Leaders were selected, trained, and deployed as facilitators for interprofessional teams of students during the IPE curriculum's first three large-scale learning events. Peer Leaders completed an evaluation of training, a facilitation skills survey, and participated in a semi-structured focus group interview process. RESULTS After participating in the PLTL program, Peer Leaders reported increased confidence in their interprofessional knowledge and facilitation skills. The primary challenge for Peer Leaders in facilitating teams was lack of student engagement (n=7, 58%). CONCLUSION PLTL is a feasible model for IPE settings. It has the potential to both increase facilitator capacity in interprofessional learning activities and have a positive impact on Peer Leaders.
Aim-To conduct an integrative review to examine evidence of pain and associated symptoms in adult... more Aim-To conduct an integrative review to examine evidence of pain and associated symptoms in adult (≥ 21 years of age), post-craniotomy, brain tumor patients hospitalized on intensive care units. Background-Healthcare providers believe craniotomies are less painful than other surgical procedures. Understanding how post-craniotomy pain unfolds over time will help inform patient care and aid in future research and policy development. Design-Systematic literature search to identify relevant literature. Information abstracted using the Theory of Unpleasant Symptoms' concepts of influencing factors, symptom clusters and patient performance. Inclusion criteria were indexed, peer-reviewed, full-length, English-language articles. Keywords were 'traumatic brain injury,' 'pain, post-operative,' 'brain injuries,' 'postoperative pain,' 'craniotomy,' 'decompressive craniectomy,' and 'trephining.'
Journal for Nurses in Staff Development (JNSD), 2006
Using online courses is one way to simplify orientation programs and leverage educator resources.... more Using online courses is one way to simplify orientation programs and leverage educator resources. Three critical care courses were created using a distributed authoring model with geographically diverse clinical experts. A companion online orientation course prepares preceptors to assist with clinical application. Course outcomes include preparation for practice, career mobility/ advancement, and learner satisfaction.
Living donors have contributed about 6,000 kidneys per year in the past 10 years, but more than 1... more Living donors have contributed about 6,000 kidneys per year in the past 10 years, but more than 100,000 individuals are still waiting for a kidney transplant. Living kidney donors undergo a major surgical procedure without direct medical benefit to themselves, but comprehensive follow-up information on living donors' health is unfortunately limited. Expert recommendations suggest capturing clinical information beyond traditional sources to improve surveillance of co-morbid conditions from living kidney donors. Currently the United Network for Organ Sharing is responsible for collecting and reporting follow-up data for all living donors from U.S. transplant centers. Under policy implemented in February of 2013, transplant centers must submit follow-up date for two years after donation, but current processes often yield to incomplete and untimely reporting. This dissertation uses a statewide Health Information Exchange as a new clinical data source to 1) retrospectively identify a...
Human Impact Project (HIP) has led the development of a partnership that produced the Health Equi... more Human Impact Project (HIP) has led the development of a partnership that produced the Health Equity Guide (HIPP-a 2017). This review summarizes this guide.
Impact Assessment and Project Appraisal, Oct 29, 2014
As health impact assessments (HIAs) become increasingly common in the USA, there is growing deman... more As health impact assessments (HIAs) become increasingly common in the USA, there is growing demand for instruction beyond short courses and online training. As of October 2013, there are graduate level courses that include instruction on HIA in at least 17 universities in the USA, including four courses that focus explicitly on HIA. Instructors of these four courses collaborated to develop a model curriculum for teaching HIA that draws on a framework for experiential learning and on a theoretical model of curriculum formulation. This article includes an in-depth analysis of these courses and presents a model curriculum for HIA instruction during an academic quarter or semester course in a university. This model curriculum may help faculty develop a graduate level HIA course at their institution, as well as inform public health and community design professionals interested in building capacity to conduct HIAs, and students considering taking an HIA course. International instructors could also learn from the US experience, and apply the model curriculum to their setting and educational structure.
Chronicles of health impact assessment, Nov 6, 2020
(MCPHD), created a Health Impact Assessment (HIA) Learning Collaborative. The purpose of the HIA ... more (MCPHD), created a Health Impact Assessment (HIA) Learning Collaborative. The purpose of the HIA Learning Collaborative was to strengthen the capacity of both the academic and community partners to carry out HIAs. Entities recognize the value of creating a collaborative team to assure personnel are trained and available to provide time and expertise for plan reviews, formal feedback, data reports, literature summaries, and input in potential health/social impacts related to projects, which can ensure these impacts are considered in development work. In addition, the MCPHD and IU FSHP intend to increase HIA capacity in Indiana and remain committed to including health impact data into non-health sector decision making. Methods: The group planned to meet monthly over the year with the following learning objectives. A survey was created in Survey Monkey in order to evaluate the overall HIA Learning Collaborative experience and to assess whether or not the learning objectives were met. The survey consisted of 11 questions: nine were multiple choice and two were open-ended. Results: The majority of the objectives were met. Conclusion: There is interest in conducting HIAs in the future and several ideas were generated.
Prescription drug abuse has become a top public health concern in the United States in recent yea... more Prescription drug abuse has become a top public health concern in the United States in recent years. Changes in prescribing practices and the way in which health providers manage pain resulted from national quality improvement efforts in the 1990s. The majority of efforts to reduce morbidity and mortality associated with the prescription drug abuse epidemic occur through policy initiatives at the state level. In 2011, Indiana ranked 17 th in the U.S. and had only implemented a few intervention and prevention strategies. However, through a coordinated effort within the state, Indiana has expanded Good Samaritan laws and adopted rescue drug policies. Furthermore, the nursing workforce in Indiana has played a critical role in the successful implementation of these new policies. Nurses across the state have provided education and training to first responders and lay persons. They have also consulted with law enforcement agencies and other organizations looking to fully leverage the potential of these new state policies. As a result of their versatility and clinical expertise the nursing workforce has and will continue to play a critical role in the successful implementation of state policy initiatives aimed at fighting the prescription drug abuse epidemic.
Tuberculosis (TB) is a communicable disease with Tuberculosis (TB) continues to be a major commun... more Tuberculosis (TB) is a communicable disease with Tuberculosis (TB) continues to be a major communicable worldwide health care consequences. After decades of declining incidence there was a 14% increase in the United States from disease and a significant cause of death, disability, and 1985 to 1992, although rates are now declining due to focused health care costs. It is estimated that throughout the world programs. The State of Indiana mandates continuous TB monitorthere were 90 million new TB cases from 1990 to 1999 ing by health care workers who have completed an educational and 3 million deaths each year due to TB. Geographically, course. The Indiana State Department of Health (ISDH) and the TB is concentrated in high levels in Asia, Africa, and Latin American Lung Association designed an educational program America. Immigration to the United States of those born called a Basic TB Skin Test Course, which is used by the Commuin countries with high TB prevalence has significantly nity Health Nursing faculty at Indiana University School of Nursaffected the U.S. incidence of TB (U.S. Department of ing (IUSON) in the baccalaureate curriculum to assist students Health and Human Services [USDHHS], 1995; 1998). in meeting state requirements. All students receive the didactic After decades of decreasing rates, TB has reemerged as TB content of the course in the epidemiological concepts unit. Students can elect to receive certification by attending an addia serious national problem in the United States. From 1985 tional 2-hour clinical session. Over 500 community health nursing to 1992, the number of new TB cases increased by 14%, students have completed the Basic TB Skin Test course in the from 22,201 to 25,313. Factors contributing to the increase past 5 years. The outcomes are positive for students, community, are (1) the association of TB with the HIV epidemic, (2) and public health. immigration from countries where TB is common, and (3) the transmission of TB in congregate settings, particularly
Impact Assessment and Project Appraisal, Oct 29, 2014
As Health Impact Assessment (HIA) become increasingly common in the U.S. there is growing demand ... more As Health Impact Assessment (HIA) become increasingly common in the U.S. there is growing demand for instruction beyond sho1i courses and online training. As of October 2013, there are graduate level courses that include instruction on HIA in at least 17 universities in the U.S., including 4 courses that focus explicitly on HIA. Instructors of these four courses collaborated to develop a model curriculum for teaching HIA that draws on a framework for experiential learning and on a theoretical model of curriculum formulation. This article includes an in-depth analysis of these courses and presents a model curriculum for HIA instruction during an academic quaiier or semester course in a University. This model curriculum may help faculty develop a graduate level HIA course at their institution, as well as inform public health and community design professionals interested in building capacity to conduct HIAs, and students considering taking an HIA course. International instructors could also learn from the U.S. experience, and apply the model curriculum to their setting and educational structure.
Journal for Nurses in Staff Development (jnsd), Mar 1, 2006
Using online courses is one way to simplify orientation programs and leverage educator resources.... more Using online courses is one way to simplify orientation programs and leverage educator resources. Three critical care courses were created using a distributed authoring model with geographically diverse clinical experts. A companion online orientation course prepares preceptors to assist with clinical application. Course outcomes include preparation for practice, career mobility/ advancement, and learner satisfaction.
An exploratory research study was designed to measure if student's research utilization projects ... more An exploratory research study was designed to measure if student's research utilization projects were perceived by their clinical mentors as having any impact on nursing practice on the Capstone clinical units.
Journal for Nurses in Staff Development (jnsd), May 1, 2002
This article explores the use of preceptors for a capstone course in a baccalaureate curriculum. ... more This article explores the use of preceptors for a capstone course in a baccalaureate curriculum. Nursing faculty, nursing managers, and staff educators from local hospitals developed a survey to determine the range of items that would serve as recognition or rewards for staff working in a preceptor role. The challenge was to identify rewards that are meaningful to the preceptors and financially feasible for the organization and the School of Nursing.
A new form of Excellence A familiar focus on your career Our work as nurses is a continual effort... more A new form of Excellence A familiar focus on your career Our work as nurses is a continual effort to improve. We aim to deliver better care. We strive to be better managers, teachers and mentors. We have a passion for the better idea. Review of performance data-Continuous reviews by CEOs and all staff of performance data on resident outcomes and environmental factors relative to other nursing homes in the Wellspring alliance.
Health, interprofessional practice and education, Sep 18, 2020
BACKGROUND The Peer Led Team Learning (PLTL) instructional model utilizes Peer Leaders, advanced ... more BACKGROUND The Peer Led Team Learning (PLTL) instructional model utilizes Peer Leaders, advanced students who mentor and guide student teams to collaborate on applied course concepts. PURPOSE To apply a modified PLTL model in the university's foundational, longitudinal, competency-based interprofessional education (IPE) curriculum. METHODS Twelve Peer Leaders were selected, trained, and deployed as facilitators for interprofessional teams of students during the IPE curriculum's first three large-scale learning events. Peer Leaders completed an evaluation of training, a facilitation skills survey, and participated in a semi-structured focus group interview process. RESULTS After participating in the PLTL program, Peer Leaders reported increased confidence in their interprofessional knowledge and facilitation skills. The primary challenge for Peer Leaders in facilitating teams was lack of student engagement (n=7, 58%). CONCLUSION PLTL is a feasible model for IPE settings. It has the potential to both increase facilitator capacity in interprofessional learning activities and have a positive impact on Peer Leaders.
Aim-To conduct an integrative review to examine evidence of pain and associated symptoms in adult... more Aim-To conduct an integrative review to examine evidence of pain and associated symptoms in adult (≥ 21 years of age), post-craniotomy, brain tumor patients hospitalized on intensive care units. Background-Healthcare providers believe craniotomies are less painful than other surgical procedures. Understanding how post-craniotomy pain unfolds over time will help inform patient care and aid in future research and policy development. Design-Systematic literature search to identify relevant literature. Information abstracted using the Theory of Unpleasant Symptoms' concepts of influencing factors, symptom clusters and patient performance. Inclusion criteria were indexed, peer-reviewed, full-length, English-language articles. Keywords were 'traumatic brain injury,' 'pain, post-operative,' 'brain injuries,' 'postoperative pain,' 'craniotomy,' 'decompressive craniectomy,' and 'trephining.'
Journal for Nurses in Staff Development (JNSD), 2006
Using online courses is one way to simplify orientation programs and leverage educator resources.... more Using online courses is one way to simplify orientation programs and leverage educator resources. Three critical care courses were created using a distributed authoring model with geographically diverse clinical experts. A companion online orientation course prepares preceptors to assist with clinical application. Course outcomes include preparation for practice, career mobility/ advancement, and learner satisfaction.
Living donors have contributed about 6,000 kidneys per year in the past 10 years, but more than 1... more Living donors have contributed about 6,000 kidneys per year in the past 10 years, but more than 100,000 individuals are still waiting for a kidney transplant. Living kidney donors undergo a major surgical procedure without direct medical benefit to themselves, but comprehensive follow-up information on living donors' health is unfortunately limited. Expert recommendations suggest capturing clinical information beyond traditional sources to improve surveillance of co-morbid conditions from living kidney donors. Currently the United Network for Organ Sharing is responsible for collecting and reporting follow-up data for all living donors from U.S. transplant centers. Under policy implemented in February of 2013, transplant centers must submit follow-up date for two years after donation, but current processes often yield to incomplete and untimely reporting. This dissertation uses a statewide Health Information Exchange as a new clinical data source to 1) retrospectively identify a...
Human Impact Project (HIP) has led the development of a partnership that produced the Health Equi... more Human Impact Project (HIP) has led the development of a partnership that produced the Health Equity Guide (HIPP-a 2017). This review summarizes this guide.
Impact Assessment and Project Appraisal, Oct 29, 2014
As health impact assessments (HIAs) become increasingly common in the USA, there is growing deman... more As health impact assessments (HIAs) become increasingly common in the USA, there is growing demand for instruction beyond short courses and online training. As of October 2013, there are graduate level courses that include instruction on HIA in at least 17 universities in the USA, including four courses that focus explicitly on HIA. Instructors of these four courses collaborated to develop a model curriculum for teaching HIA that draws on a framework for experiential learning and on a theoretical model of curriculum formulation. This article includes an in-depth analysis of these courses and presents a model curriculum for HIA instruction during an academic quarter or semester course in a university. This model curriculum may help faculty develop a graduate level HIA course at their institution, as well as inform public health and community design professionals interested in building capacity to conduct HIAs, and students considering taking an HIA course. International instructors could also learn from the US experience, and apply the model curriculum to their setting and educational structure.
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