NOGARD (vol. 1, no. 1)

https://red.mnstate.edu/nogard/1000/thumbnail.jp

NOGARD (vol. 1, no. 2)

https://red.mnstate.edu/nogard/1001/thumbnail.jp

NOGARD (vol. 3, no. 3)

https://red.mnstate.edu/nogard/1002/thumbnail.jp

Use of Action Research in Nursing Education

. Purpose. The purpose of this article is to describe action research in nursing education and to propose a definition of action research for providing guidelines for research proposals and criteria for assessing potential publications for nursing higher education. Methods. The first part of this project involved a search of the literature on action research in nursing higher education from 1994 to 2013. Searches were conducted in the CINAHL and MEDLINE databases. Applying the criteria identified, 80 publications were reviewed. The second part of the project involved a literature review of action research methodology from several disciplines to assist in assessing articles in this review. Results. This article summarizes the nursing higher education literature reviewed and provides processes and content related to four topic areas in nursing higher education. The descriptions assist researchers in learning more about the complexity of both the action research process and the varied outcomes. The literature review of action research in many disciplines along with the review of action research in higher education provided a framework for developing a nursing-educationcentric definition of action research. Conclusions. Although guidelines for developing action research and criteria for publication are suggested, continued development of methods for synthesizing action research is recommended

Quality of life and psychosocial wellbeing in youth with neuromuscular disorders who are wheelchair Users: A systematic review

Objective: To investigate quality of life (QoL) and psychosocial wellbeing in youth with Neuromuscular Disorders (NMD) who are wheelchair users. Data Sources: Medline, Embase, CINAHL and PsycINFO (January 2004 to April 2016) and reference lists of retrieved full-text papers. Study Selection: Peer-reviewed studies were included when data describing self-reported QoL and psychosocial wellbeing could be separately understood for those using wheelchairs and aged 12-22 years old. 2058 records were independently screened and potentially eligible papers were obtained and examined by all reviewers. Twelve observational and three qualitative studies met the inclusion criteria. Data Extraction: Population representativeness, measurement tools and outcomes, where possible with comparison groups. Two reviewers independently appraised studies for risk of bias to internal validity and generalisability. Data Synthesis: Heterogeneity of measurement and reporting precluded meta-analysis. Data were cross-sectional only. Compared to same age typically developing peers, physical QoL was scored consistently and significantly lower in youth with NMD, whilst psychosocial QoL was not. Psychosocial QoL was highest in youth non-ambulant since early childhood and in those recruited via single tertiary specialist clinics. Mental health and social participation could not be compared to same age populations. Conclusions: Despite low physical QoL, psychosocial QoL in youth with NMD appeared comparable to same age peers. The psychosocial wellbeing of younger adolescents on degenerative disease trajectories appeared most compromised, though the longitudinal impacts of growing up with NMD on mental health and social participation are unknown. Interpretation was hampered by poor description of participant age, gender and physical ability, lack of population based recruitment strategies and inconsistent use of age appropriate measures. Understanding of self-reported QoL and psychosocial wellbeing in youth with NMD transitioning to adulthood is limited

Health Maintenance Organizations and Emergency Nursing

Recent changes in health care financing have created increased emphasis on cost-containment in hospital provided services. Health maintenance organizations promote efficient health care by offering professional services for a set, reasonable fee . Emergency Services are a target for cost-containment measures and emergency nurses often are placed in gatekeepers roles. Cost effective and appropriate decisions on use of emergency services depends upon clearly defined patient protocols, utilized by the HMO and emergency nurses. Standards of care have been established for emergency nurses and are defining components of quality of care. Issues arise when HMOs define quality in cost savings and emergency nursing define quality in patient outcomes. These issues are addressed by strategies found successful in three Milwaukee emergency departments

Analysis of Employment and Unemployment Statistics

Color poster with text, charts, and graphs describing analysis performed by Casey Kettler and Matthew Pehler, advised by Eric M. Jamelske.This project collected and analyzed data and trends on employment and unemployment for the Eau Claire Metropolitan Statistical Area as well as Wisconsin and the United States as a whole.Univerity of Wisconsin--Eau Claire Office of Research and Sponsored Programs; Chippewa Valley Center for Economic Research and Development

Nurse Practitioner’s use of Standardized Nursing Language : A Literature Review

Color poster with text, charts, and graphs.Since advance practice nurse practitioners (APRNs) primarily document using medical language (ICD-10), the nursing care APRNs provide is currently invisible and the impact on patient outcomes cannot be measured. A literature review was aimed to examine how APRNs are currently using standardized nursing language (SNL) to document their advanced practice nursing interventions in a primary care setting.University of Wisconsin--Eau Claire Office of Research and Sponsored Program

Rapid Detection and Identification of Human Adenovirus Species by Adenoplex, a Multiplex PCR-Enzyme Hybridization Assay

Human adenoviruses (AdV) have been implicated in a wide variety of diseases and are ubiquitous in populations worldwide. These agents are of concern particularly in immunocompromised patients, children, and military recruits, resulting in severe disease or death. Clinical diagnosis of AdV is usually achieved through routine viral cell culture, which can take weeks for results. Immunofluorescence and enzyme-linked immunosorbent assay-based techniques are more timely but lack sensitivity. The ability to distinguish between the six different AdV species (A to F) is diagnostically relevant, as infections with specific AdV species are often associated with unique clinical outcomes and epidemiological features. Therefore, we developed a multiplex PCR-enzyme hybridization assay, the Adenoplex, using primers to the fiber gene that can simultaneously detect all six AdV species A through F in a single test. The limit of detection (LOD) based on the viral 50% tissue culture infective dose/ml for AdV A, B, C, D, E, and F was 10(−2), 10(−1), 10(−1), 10(−2), 10(−1), and 10(−2), respectively. Similarly, the LOD for the six DNA controls ranged from 10(2) to 10(3) copies/ml. Twelve common respiratory pathogens were tested with the Adenoplex, and no cross-reactivity was observed. We also validated our assay using clinical specimens spiked with different concentrations of AdV strains of each species type and tested by multiplex PCR and culture. The results demonstrated an overall sensitivity and specificity of Adenoplex of 100%. This assay can be completed in as few as 5 h and provides a rapid, specific, and sensitive method to detect and subtype AdV species A through F