Does Capnography Monitoring Reduce the Occurrence of Code Blue?

Nursing Scholarship Symposium Event Posters.https://scholarlycommons.libraryinfo.bhs.org/nurs_presentations/1003/thumbnail.jp

Research Recruitment: A Case Study on Women with Substance Use Disorder

Women with substance use disorder may evade research participation because of individual and societal factors. Limited information exists on recruitment of women with substance use disorder. The purpose of this study was to delineate recruitment challenges among women with substance use disorder and identify successful recruitment strategies. An exploratory case study was used to examine recruitment of women with substance use disorder. This case study was informed by a pilot study in 2017-2018, where data were generated from 25 direct observations and three key informants from a drug rehabilitation treatment agency. Analysis took an explanation-building approach, which incorporated chronological field notes from direct observations, memos from key informant conversations, and the extant literature to revise our initial proposition. Macro-level contextual factors influencing recruitment were: (a) establishment of a triage system, (b) reactivation of agency ethics committee, (c) scheduled accreditation site visits, (d) varied guidelines, and (e) required treatment regimen. Recruitment may benefit from multiple sites, staff training in protocol, increased researcher presence, and the opportunity for women’s voices to be heard. This study advances knowledge of macro-level challenges faced during recruitment of women with substance use disorder in southeast USA. Indirect and direct recruitment, when combined, could maximize participation

Therapeutic Alliance: Development, Evaluation, and Application of the Kim Alliance Scale

The quality of therapeutic alliance between the patient and healthcare provider is a pivotal contributing factor toward optimal healthcare in the current context of rising healthcare costs, shorter hospital stays, and patient\u27s rights. The availability of a well-designed and sound therapeutic alliance instrument can provide understanding and insight into improving the quality of healthcare. The purpose of this study was to develop a reliable and valid therapeutic alliance instrument, to evaluate its psychometric properties, and to explore its usefulness in predicting patient satisfaction. The retroductive triangulation method provided a framework for the development of the instrument, the Kim Alliance Scale (KAS). In a preliminary psychometric testing, a sample of 68 nurses evaluated their alliance with their own healthcare providers from their experiences as patients using a 48-item KAS. The testing resulted in a 30-item KAS having a reliability alpha of 0.94. Initial support was found for convergent and divergent validity. For the subsequent study in an outpatient clinic, data were collected from 297 adult patients. An exploratory principal component factor analysis with orthogonal varimax rotation was performed. The instrument was revised further into a 28-item KAS containing five factors: bonding, connecting, partnering, goal-setting, and alienating. The multidimensionality of the KAS was supported with correlation coefficients among the five factors ranging from 0.32 to 0.67. The internal consistency reliability was estimated with Cronbach\u27s alpha of 0.94 and split-half alphas of 0.88 and 0.89. The convergent and divergent validity were supported. A combination of all the demographic variables accounted for 8% of the variance in therapeutic alliance. None of the individual demographic variables reached statistical significance in predicting therapeutic alliance. Therapeutic alliance accounted for 36.9% of variance in the 4-item General Satisfaction subscale score and 46.5% of the variance in the 18-item Patient Satisfaction with Healthcare Provider Scale score. The KAS is a promising tool for assessing the quality of the therapeutic alliance and identifying the foci for nursing interventions