Outlook Magazine, Spring 2013

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Merging human becoming theory and health coaching principles into the role of the family nurse practitioner

Family Nurse Practitioners have limited time with patients to address their health care concerns. Practitioners need to make the most of this limited time in order to promote positive patient outcomes. Health coaching is a proven method to assist others in identifying obstacles, prioritize what is important to them, leverage strengths, and in making healthy behavior changes. Drawing on evidenced-based practice in health coaching assists the Family Nurse Practitioner with making deeper connections with patients and guides in co-creating a plan that is truly patient-centered. The health coaching process is in parallel with the Human Becoming Theory by the use of presence, suspending judgement, bearing witness to patients\u27 stories, and originating results. Health coaching and Human Becoming Theoty lift up the lived experience of the patient, placing them in control, elevating their sense of agency. Blending Human Becoming Theory with hearth coaching principles serves as a foundation to create a new model of practice and a paradigm shift with how Family Nurse Practitioners interact with patients to achieve optimal patient outcomes

Property Interests in Cadaverous Organs: Changes to Ohio Anatomical Gift Law and the Erosion of Family Rights

This note examines how Ohio anatomical gift laws have been interpreted to grant a property right to the next of kin in the decedent’s cadaverous organs. Part II of this note briefly examines the origins of anatomical gift law in the United States and in Ohio. Part III examines the codification of Ohio common law and the adoption of the 1969 Uniform Anatomical Gift Act as the foundation of Ohio’s anatomical gift laws. Part IV analyzes post 1969 Ohio cases that directly or indirectly help interpret Ohio’s anatomical gift laws, with a particular focus on the legal reasoning in Brotherton II. Part V delves into the new law’s grant of property rights in cadaverous organs to the donee and criticizes the new law because of administrative and public relations problems such changes could create. Part VII proposes a legislative alternative recommending statutory recognition of the next of kin’s property rights in cadaverous organs

Hospital-Based Palliative Care Programs: Perspectives Regarding Conceptualization and Accreditation

Palliative care has been shown to improve symptoms and increase quality of life in people with a life-limiting illness. Despite growth in hospital-based palliative care programs throughout the United States, only 91 hospitals have obtained The Joint Commission’s Advanced Palliative Certification. The purpose of this descriptive study was to identify how programs that do not have The Joint Commission’s Advanced Palliative Care Certification defined and conceptualized palliative care. An additional focus was to identify the barriers these programs perceived or experienced that prevented them from obtaining the advanced palliative care certification. This research program began with an evolutionary concept analysis that identified how palliative care has changed through time. Following this was a review of existing definitions and theories of palliative care. Following a comparison of various standards for palliative care, the Trajectory of Quality Palliative Care Model was developed and used to guide this research study. Hospital-based palliative care programs listed as active on the Center to Advance Palliative Care’s (CAPC) National Palliative Care Registry were eligible. A total of 21 programs across the United States participated. Data collection was completed via phone interviews guided by the Hospital-Based Palliative Care Survey. Definitions of palliative care used by the programs within the data set were inconsistent but did follow components of the definitions used by the CAPC, National Quality Forum (NQF), National Hospice and Palliative Care Organization (NHPCO), and The Joint Commission. Findings also identified perceived barriers to achieving The Joint Commission Advanced Palliative Care Certification: (a) not meeting the seven-days-per-week and on-call criteria, (b) recruitment and retention of staff, (c) allocating funding necessary to reach minimum staffing standards, and (d) hospital staff and consumer misunderstanding about palliative care. Evidence from this study provides a basis upon which further actions can be taken to address barriers to obtaining The Joint Commission’s Advanced Palliative Care Certification. Finally, this research informs potential policy implication shifts related to education and research in palliative care along with workforce training, staffing standards, and financial resources to support high-quality palliative care

Understanding the Impact of INDOT Projects on Automotive Industry Cluster Logistics Costs: A Case Study of the Honda Plant

This study focuses on understanding the impact of INDOT projects on the Honda, Greensburg plant’s supply chain. The goal of the study was th

Southwest Research Institute assistance to NASA in biomedical areas of the technology utilization program Final report, 1 Feb. 1969 - 24 Aug. 1970

Research progress in technology transfer by NASA Biomedical Application Tea

Easing My Burden: A Grounded Theory Study of Kidney Transplant Recipients\u27 Experience with Their Transplant Coordinators

Organ transplantation holds the promise of new life or better life for thousands of Americans every year. Transplantation involves a process that stretches over time beginning at referral, moving to transplantation and long term care. The transplant coordinator is considered an integral part of this care. Transplant coordinators are considered so important to the care of these patients that transplant centers are required to have at least one transplant coordinator by federal regulations. The role of the transplant coordinator, however, is not well defined. Although many of the role dimensions attributed to transplant coordinators are consistent with nursing practice, the role has not been clearly identified as being exclusively within the domain of nursing. Research regarding the role is scarce, particularly research identifying the value of the role in promoting patient outcomes. Most glaringly absent are reports of the patients’ experience with transplant coordinators and their expectations of the coordinator. This gap in knowledge effectively silences the voice of the patient in defining the role and limits the ability to define the role using a patient-centered approach. Twelve kidney transplant recipients who received transplants at eight different transplant centers were interviewed. The participants were interviewed about their experiences and interactions with transplant coordinators. The data from these interviews were conceptualized as a Basic Social Process. Using classic grounded theory methodology, the data from these interviews were analyzed. The resultant theory was Easing My Burden. The theory explains that, for the participants, end stage renal disease represented a Basic Social Psychological Problem. The Basic Social Process between the patient and the transplant coordinators, if successful, resulted in the development of a trusting relationship which in turn, eased the patient’s psychological burden of end-stage renal failure. Findings of this study offer previously unpublished insight into the relationship between transplant recipients and their transplant coordinators. The results are useful in public policy, nursing practice, and management as well as suggesting future research

Tobacco 21 Policy Evaluation: Reducing Youth Tobacco Use Through Policy Change in Greater Cincinnati

From 2019-2022, Interact for Health partnered with the Center for Public Health Systems Science at the Brown School at Washington University in St. Louis to conduct an evaluation of policy efforts in southwest Ohio to increase the minimum legal sales age of tobacco products from 18 to 21 (known as Tobacco 21) and related enforcement strategies. Findings and lessons learned illuminate the role local laws play in protecting youth in our communities, what it takes to move through the policymaking lifecycle, and the policy's impact - including a decrease of 27% in ease-of-access to tobacco products among Cincinnati youth from 2018 to 2022