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Papers by Alphonsa Rahman

Research paper thumbnail of Medical Misinformation and Healthy Information Environment: A Call to Action

The Journal for Nurse Practitioners

Research paper thumbnail of “Just-in-Time” COVID-19 Education

Journal for Nurses in Professional Development

Research paper thumbnail of The nurse attending role: An innovative nursing role for improving communication, collaboration, and patient satisfaction on medical units

Research paper thumbnail of Development of a Nursing Informatics Competency Assessment Tool (NICAT)

Development of a Nursing Informatics Competency Assessment Tool (NICAT) by Alphonsa Rahman MS, To... more Development of a Nursing Informatics Competency Assessment Tool (NICAT) by Alphonsa Rahman MS, Towson University, 2011 BSN, Notre Dame of Maryland University, 2008 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University October 2015 Abstract Nursing workforce competency in informatics is crucial to providing safe patient care, improving quality, and reducing healthcare costs. Assurance of informatics competency in a workforce with increasingly diverse educational preparations, demographics, and informatics skills poses significant challenges. The question addressed was the lack of nursing informatics competency assessment tool relevant to bedside nursing. The purpose of this project was to develop and review a new nursing informatics competency assessment tool designed to address the individual educational needs of newly hired nurses. The tool was designed to measure nurses’ competency in computer literacy, informat...

Research paper thumbnail of Critical Care Guidance for Tracheostomy Care During the COVID-19 Pandemic: A Global, Multidisciplinary Approach

American Journal of Critical Care, 2020

Purpose Critical care nurses caring for patients with a tracheostomy are at high risk because of ... more Purpose Critical care nurses caring for patients with a tracheostomy are at high risk because of the predilection of SARS-CoV-2 for respiratory and mucosal surfaces. This review identifies patient-centered practices that ensure safety and reduce risk of infection transmission to health care workers during the coronavirus disease 2019 (COVID-19) pandemic. Methods Consensus statements, guidelines, institutional recommendations, and scientific literature on COVID-19 and previous outbreaks were reviewed. A global interdisciplinary team analyzed and prioritized findings via electronic communications and video conferences to develop consensus recommendations. Results Aerosol-generating procedures are commonly performed by nurses and other health care workers, most notably during suctioning, tracheostomy tube changes, and stoma care. Patient repositioning, readjusting circuits, administering nebulized medications, and patient transport also present risks. Standard personal protective equip...

Research paper thumbnail of Hospitalists' Needs Assessment and Perceived Barriers in Wound Care Management

Journal of Wound, Ostomy & Continence Nursing, 2019

The purpose of this quality improvement (QI) project was to determine hospitalists' knowledge, pr... more The purpose of this quality improvement (QI) project was to determine hospitalists' knowledge, practices, and perspectives related to management of pressure injuries (PIs) and neuropathic/ diabetic foot complications (having a foot ulcer or subsequent development of a foot infection because of a foot ulcer). We also sought to identify resources for and knowledge-based barriers to management of these wounds. This QI effort targeted an inter-disciplinary group of 55 hospitalists in internal medicine that consisted of 8 nurse practitioners, 10 physician assistants, and 38 physicians. The site of this initiative took place at the Johns Hopkins Bayview Medical Center, a 342 bed academic hospital located in the MidAtlantic United States (Baltimore Maryland). The first phase of our QI project comprised an on-line survey to identify hospitalists' knowledge, practices, and opinions on inpatient management of PIs and diabetic foot complications. The second phase involved semi-structured focus groups attended by hospitalists to identify resource gaps and barriers inferred by survey results. Twenty-nine of 55 (52%) hospitalists responded to the survey; 72% indicated no formal training in wound care. Over 90% had little to no confidence in management of PIs and diabetic foot complications. In a separate ranking section of the survey, respondents selected lack of knowledge/confidence 12 of 29 (41.3%) and resources 9 of 29 (31.0%) as number one barriers to wound care. Managing obese patients with was identified as a second major barrier from 10 of 29 selected options (34.5%). Eighteen of 55 (33%) hospitalists attended focus group sessions acknowledging barriers to wound care that included provider education, information technology, system factors, and interprofessional engagement. Attendees welcomed additional educational and ancillary resource support.

Research paper thumbnail of Time for a Renaissance of the Clinical Nurse Specialist Role in Critical Care?

AACN Advanced Critical Care, 2019

Research paper thumbnail of “Just-in-Time” COVID-19 Education

Journal for Nurses in Professional Development

Research paper thumbnail of Medical Misinformation and Healthy Information Environment: A Call to Action

The Journal for Nurse Practitioners

Research paper thumbnail of “Just-in-Time” COVID-19 Education

Journal for Nurses in Professional Development

Research paper thumbnail of The nurse attending role: An innovative nursing role for improving communication, collaboration, and patient satisfaction on medical units

Research paper thumbnail of Development of a Nursing Informatics Competency Assessment Tool (NICAT)

Development of a Nursing Informatics Competency Assessment Tool (NICAT) by Alphonsa Rahman MS, To... more Development of a Nursing Informatics Competency Assessment Tool (NICAT) by Alphonsa Rahman MS, Towson University, 2011 BSN, Notre Dame of Maryland University, 2008 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University October 2015 Abstract Nursing workforce competency in informatics is crucial to providing safe patient care, improving quality, and reducing healthcare costs. Assurance of informatics competency in a workforce with increasingly diverse educational preparations, demographics, and informatics skills poses significant challenges. The question addressed was the lack of nursing informatics competency assessment tool relevant to bedside nursing. The purpose of this project was to develop and review a new nursing informatics competency assessment tool designed to address the individual educational needs of newly hired nurses. The tool was designed to measure nurses’ competency in computer literacy, informat...

Research paper thumbnail of Critical Care Guidance for Tracheostomy Care During the COVID-19 Pandemic: A Global, Multidisciplinary Approach

American Journal of Critical Care, 2020

Purpose Critical care nurses caring for patients with a tracheostomy are at high risk because of ... more Purpose Critical care nurses caring for patients with a tracheostomy are at high risk because of the predilection of SARS-CoV-2 for respiratory and mucosal surfaces. This review identifies patient-centered practices that ensure safety and reduce risk of infection transmission to health care workers during the coronavirus disease 2019 (COVID-19) pandemic. Methods Consensus statements, guidelines, institutional recommendations, and scientific literature on COVID-19 and previous outbreaks were reviewed. A global interdisciplinary team analyzed and prioritized findings via electronic communications and video conferences to develop consensus recommendations. Results Aerosol-generating procedures are commonly performed by nurses and other health care workers, most notably during suctioning, tracheostomy tube changes, and stoma care. Patient repositioning, readjusting circuits, administering nebulized medications, and patient transport also present risks. Standard personal protective equip...

Research paper thumbnail of Hospitalists' Needs Assessment and Perceived Barriers in Wound Care Management

Journal of Wound, Ostomy & Continence Nursing, 2019

The purpose of this quality improvement (QI) project was to determine hospitalists' knowledge, pr... more The purpose of this quality improvement (QI) project was to determine hospitalists' knowledge, practices, and perspectives related to management of pressure injuries (PIs) and neuropathic/ diabetic foot complications (having a foot ulcer or subsequent development of a foot infection because of a foot ulcer). We also sought to identify resources for and knowledge-based barriers to management of these wounds. This QI effort targeted an inter-disciplinary group of 55 hospitalists in internal medicine that consisted of 8 nurse practitioners, 10 physician assistants, and 38 physicians. The site of this initiative took place at the Johns Hopkins Bayview Medical Center, a 342 bed academic hospital located in the MidAtlantic United States (Baltimore Maryland). The first phase of our QI project comprised an on-line survey to identify hospitalists' knowledge, practices, and opinions on inpatient management of PIs and diabetic foot complications. The second phase involved semi-structured focus groups attended by hospitalists to identify resource gaps and barriers inferred by survey results. Twenty-nine of 55 (52%) hospitalists responded to the survey; 72% indicated no formal training in wound care. Over 90% had little to no confidence in management of PIs and diabetic foot complications. In a separate ranking section of the survey, respondents selected lack of knowledge/confidence 12 of 29 (41.3%) and resources 9 of 29 (31.0%) as number one barriers to wound care. Managing obese patients with was identified as a second major barrier from 10 of 29 selected options (34.5%). Eighteen of 55 (33%) hospitalists attended focus group sessions acknowledging barriers to wound care that included provider education, information technology, system factors, and interprofessional engagement. Attendees welcomed additional educational and ancillary resource support.

Research paper thumbnail of Time for a Renaissance of the Clinical Nurse Specialist Role in Critical Care?

AACN Advanced Critical Care, 2019

Research paper thumbnail of “Just-in-Time” COVID-19 Education

Journal for Nurses in Professional Development