Louise O'Keefe - Academia.edu (original) (raw)

Papers by Louise O'Keefe

44th Biennial Convention (28 October - 01 November 2017), Oct 5, 2017

Creating Healthy Work Environments, Feb 20, 2019

AAOHN Journal, Sep 25, 2015

AAOHN Journal, May 2, 2022

Background: Although studies suggest that cancer survivors face workplace obstacles, to date ther... more Background: Although studies suggest that cancer survivors face workplace obstacles, to date there has been little empirical research regarding the personal and environmental factors that can help cancer survivors adjust to work. The purpose of this study was to examine how working survivors’ resilience and job meaningfulness were related to their well-being outcomes, including lower cancer-related intrusive thoughts, fatigue, and presenteeism. Methods: We recruited 200 full-time employed cancer survivors from online participant panels using Qualtrics. Participants responded to an online survey that measured their resilience, job meaningfulness, job-related psychological distress, and well-being outcomes. We conducted descriptive statistical analysis, confirmatory factor analysis, and moderated mediated analysis to examine the psychological process in which resilience and job meaning are associated with cancer survivors’ mental health and work outcomes. Findings: The relationship between cancer survivors’ resilience and their well-being outcomes depended on job meaningfulness. For survivors whose jobs were not highly meaningful, their resilience was related to reduced job-related psychological distress, which, in turn, was related to lower intrusive thoughts, fatigue, and presenteeism. For survivors with highly meaningful jobs, they did not need to rely on resilience to protect them from workplace psychological distress and other negative outcomes. Conclusion/Application to Practice: It is important for working cancer survivors to develop resilience, especially when they do not perceive their work as highly meaningful. Successful resilience-building interventions can buffer the negative impact of low job meaningfulness and help working survivors achieve better outcomes. In addition, organizations can actively help enrich survivors’ jobs to increase perceived meaningfulness.

Workplace Health & Safety

Background: Although studies suggest that cancer survivors face workplace obstacles, to date ther... more Background: Although studies suggest that cancer survivors face workplace obstacles, to date there has been little empirical research regarding the personal and environmental factors that can help cancer survivors adjust to work. The purpose of this study was to examine how working survivors’ resilience and job meaningfulness were related to their well-being outcomes, including lower cancer-related intrusive thoughts, fatigue, and presenteeism. Methods: We recruited 200 full-time employed cancer survivors from online participant panels using Qualtrics. Participants responded to an online survey that measured their resilience, job meaningfulness, job-related psychological distress, and well-being outcomes. We conducted descriptive statistical analysis, confirmatory factor analysis, and moderated mediated analysis to examine the psychological process in which resilience and job meaning are associated with cancer survivors’ mental health and work outcomes. Findings: The relationship be...

AAOHN Journal, Apr 27, 2023

Creating Healthy Work Environments, 2019

OJIN: The Online Journal of Issues in Nursing, 2017

On-site, workplace clinics are one method to control today's healthcare costs. These clinics ... more On-site, workplace clinics are one method to control today's healthcare costs. These clinics provide preventive care and treatment to employees at their place of employment, thus increasing their attendance at work. On-site clinics are particularly beneficial for decreasing the number of off-site, health-related, patient care visits. In this article, the authors describe an on-site clinic developed on a university campus. They review the history of on-site clinics, discuss the value of these clinics, present a case study describing the development of an on-site, university-campus clinic that has had a positive financial impact. They conclude that an on-site clinic can be a positive strategy to reduce healthcare costs for both the employer and the employees while promoting the health of the employees.

Journal of Nursing Regulation

Geriatric Nursing, 2021

Evidence supporting the use of antibiotic stewardship programs (ASP) is growing in a variety of h... more Evidence supporting the use of antibiotic stewardship programs (ASP) is growing in a variety of healthcare settings for its association with improved patient outcomes, decreased resistance, and improved healthcare costs. There have been few studies supporting this evidence in long-term care facilities. This project involved a program evaluation of a long-term care facility's ASP for urinary tract infection (UTI) management. Improvement in appropriate diagnosing and antibiotic prescribing for UTI was noted, but no conclusions could be made regarding the effect on patient outcomes. The ASP was considered beneficial in this facility and highlighted areas for improvement, notably the need for sustained commitment by facility leadership and healthcare providers. Nurse practitioners are equipped with the skills necessary to assist facilities with education and implementation of systematic programs for judicious antibiotic prescribing.

Comprehensive Child and Adolescent Nursing

Attention Deficit Hyperactivity Disorder (ADHD) is the most common chronic neurobehavioral disord... more Attention Deficit Hyperactivity Disorder (ADHD) is the most common chronic neurobehavioral disorder of childhood. Research suggests increased parent-child conflict exists in families with an ADHD child. The evidence indicates links between child behavior problems and parenting practices. Behavioral Parent Training (BPT) is an evidence-based intervention recommended for the treatment of ADHD. BPT is recommended as first-line treatment in ADHD children under age six and as a combination treatment approach for children older than the age six. BPT programs have demonstrated significant improvement in frequency of the problem behaviors of inattention, hyperactivity, and impulsivity associated with ADHD. Pre- and Post-BPT Parenting Scales and Vanderbilt ADHD Diagnostic Rating Scales for Parents and Teachers were used to evaluate the efficacy of the BPT program. Percent changes for each participant pre- and post-BPT were calculated. The Parenting Scale overall score and overreactivity factor score showed significant improvement post-BPT (p = .05). Participation in a BPT program can affect parenting practices and improve outcomes for ADHD children. BPT programs are effective in reducing negative parenting practices and improving outcomes for this population.

Nursing Education Perspectives, 2018

Workplace Health & Safety, 2019

Occupational health nurses play a key role in evaluating innovative technologies that can aid in ... more Occupational health nurses play a key role in evaluating innovative technologies that can aid in providing safe and rapid care and reduce lost work time. A nurse-led employee health clinic participated in a validation study of a novel pathogen detection technique developed by GeneCapture, Inc. Their proposed portable urinary tract infection (UTI) in vitro diagnostic test was challenged with discarded, deidentified urine samples from patients presenting with typical UTI symptoms collected at two university clinics and two multiphysician practices. GeneCapture’s panel for this study was designed to rapidly identify the genetic signature of seven organisms: gram-negative Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis, and Pseudomonas aeruginosa; gram-positive Enterococcus faecalis and Staphylococcus aureus; and fungal Candida species. The results from 40 clinical samples were in 95% agreement (90% specificity, 100% sensitivity) with traditional urine culture results from ro...

Journal of the American Association of Nurse Practitioners, 2020

Journal of the American Association of Nurse Practitioners, 2015

Workplace Health & Safety

Federal practitioner : for the health care professionals of the VA, DoD, and PHS, 2017

A survey of community-based outpatient clinic health care providers suggests the need for additio... more A survey of community-based outpatient clinic health care providers suggests the need for additional education and training to increase their cultural competencies.

Federal practitioner : for the health care professionals of the VA, DoD, and PHS, 2017

Advanced practice nurses develop solutions that can improve health care access and services for t... more Advanced practice nurses develop solutions that can improve health care access and services for transgender persons in the VA.

Workplace Health & Safety, 2015

The Ebola virus disease first appeared in 1976 in the Sudan and the Democratic Republic of Congo.... more The Ebola virus disease first appeared in 1976 in the Sudan and the Democratic Republic of Congo. The most recent outbreak occurred in West Africa in March 2014 and quickly spread in surrounding countries. Ebola spreads through direct contact with the body fluids of an infected individual. The incubation period for Ebola is 2 to 21 days. Individuals are infectious when symptomatic. Identifying individuals at high risk for Ebola in the United States includes early recognition of symptoms and a history of travel to an Ebola-affected area. Multiple diagnostic tests exist and should include a complete blood count and a comprehensive metabolic profile. Standard, contact, and droplet precautions are advised when taking care of patients with Ebola. Appropriate personal protective equipment as recommended by the Centers for Disease Control and Prevention should be worn. No vaccine or antiviral drug has been approved, but vaccine trials are under way. Occupational health nurses play a key ro...

44th Biennial Convention (28 October - 01 November 2017), Oct 5, 2017

Creating Healthy Work Environments, Feb 20, 2019

AAOHN Journal, Sep 25, 2015

AAOHN Journal, May 2, 2022

Background: Although studies suggest that cancer survivors face workplace obstacles, to date ther... more Background: Although studies suggest that cancer survivors face workplace obstacles, to date there has been little empirical research regarding the personal and environmental factors that can help cancer survivors adjust to work. The purpose of this study was to examine how working survivors’ resilience and job meaningfulness were related to their well-being outcomes, including lower cancer-related intrusive thoughts, fatigue, and presenteeism. Methods: We recruited 200 full-time employed cancer survivors from online participant panels using Qualtrics. Participants responded to an online survey that measured their resilience, job meaningfulness, job-related psychological distress, and well-being outcomes. We conducted descriptive statistical analysis, confirmatory factor analysis, and moderated mediated analysis to examine the psychological process in which resilience and job meaning are associated with cancer survivors’ mental health and work outcomes. Findings: The relationship between cancer survivors’ resilience and their well-being outcomes depended on job meaningfulness. For survivors whose jobs were not highly meaningful, their resilience was related to reduced job-related psychological distress, which, in turn, was related to lower intrusive thoughts, fatigue, and presenteeism. For survivors with highly meaningful jobs, they did not need to rely on resilience to protect them from workplace psychological distress and other negative outcomes. Conclusion/Application to Practice: It is important for working cancer survivors to develop resilience, especially when they do not perceive their work as highly meaningful. Successful resilience-building interventions can buffer the negative impact of low job meaningfulness and help working survivors achieve better outcomes. In addition, organizations can actively help enrich survivors’ jobs to increase perceived meaningfulness.

Workplace Health & Safety

Background: Although studies suggest that cancer survivors face workplace obstacles, to date ther... more Background: Although studies suggest that cancer survivors face workplace obstacles, to date there has been little empirical research regarding the personal and environmental factors that can help cancer survivors adjust to work. The purpose of this study was to examine how working survivors’ resilience and job meaningfulness were related to their well-being outcomes, including lower cancer-related intrusive thoughts, fatigue, and presenteeism. Methods: We recruited 200 full-time employed cancer survivors from online participant panels using Qualtrics. Participants responded to an online survey that measured their resilience, job meaningfulness, job-related psychological distress, and well-being outcomes. We conducted descriptive statistical analysis, confirmatory factor analysis, and moderated mediated analysis to examine the psychological process in which resilience and job meaning are associated with cancer survivors’ mental health and work outcomes. Findings: The relationship be...

AAOHN Journal, Apr 27, 2023

Creating Healthy Work Environments, 2019

OJIN: The Online Journal of Issues in Nursing, 2017

On-site, workplace clinics are one method to control today's healthcare costs. These clinics ... more On-site, workplace clinics are one method to control today's healthcare costs. These clinics provide preventive care and treatment to employees at their place of employment, thus increasing their attendance at work. On-site clinics are particularly beneficial for decreasing the number of off-site, health-related, patient care visits. In this article, the authors describe an on-site clinic developed on a university campus. They review the history of on-site clinics, discuss the value of these clinics, present a case study describing the development of an on-site, university-campus clinic that has had a positive financial impact. They conclude that an on-site clinic can be a positive strategy to reduce healthcare costs for both the employer and the employees while promoting the health of the employees.

Journal of Nursing Regulation

Geriatric Nursing, 2021

Evidence supporting the use of antibiotic stewardship programs (ASP) is growing in a variety of h... more Evidence supporting the use of antibiotic stewardship programs (ASP) is growing in a variety of healthcare settings for its association with improved patient outcomes, decreased resistance, and improved healthcare costs. There have been few studies supporting this evidence in long-term care facilities. This project involved a program evaluation of a long-term care facility's ASP for urinary tract infection (UTI) management. Improvement in appropriate diagnosing and antibiotic prescribing for UTI was noted, but no conclusions could be made regarding the effect on patient outcomes. The ASP was considered beneficial in this facility and highlighted areas for improvement, notably the need for sustained commitment by facility leadership and healthcare providers. Nurse practitioners are equipped with the skills necessary to assist facilities with education and implementation of systematic programs for judicious antibiotic prescribing.

Comprehensive Child and Adolescent Nursing

Attention Deficit Hyperactivity Disorder (ADHD) is the most common chronic neurobehavioral disord... more Attention Deficit Hyperactivity Disorder (ADHD) is the most common chronic neurobehavioral disorder of childhood. Research suggests increased parent-child conflict exists in families with an ADHD child. The evidence indicates links between child behavior problems and parenting practices. Behavioral Parent Training (BPT) is an evidence-based intervention recommended for the treatment of ADHD. BPT is recommended as first-line treatment in ADHD children under age six and as a combination treatment approach for children older than the age six. BPT programs have demonstrated significant improvement in frequency of the problem behaviors of inattention, hyperactivity, and impulsivity associated with ADHD. Pre- and Post-BPT Parenting Scales and Vanderbilt ADHD Diagnostic Rating Scales for Parents and Teachers were used to evaluate the efficacy of the BPT program. Percent changes for each participant pre- and post-BPT were calculated. The Parenting Scale overall score and overreactivity factor score showed significant improvement post-BPT (p = .05). Participation in a BPT program can affect parenting practices and improve outcomes for ADHD children. BPT programs are effective in reducing negative parenting practices and improving outcomes for this population.

Nursing Education Perspectives, 2018

Workplace Health & Safety, 2019

Occupational health nurses play a key role in evaluating innovative technologies that can aid in ... more Occupational health nurses play a key role in evaluating innovative technologies that can aid in providing safe and rapid care and reduce lost work time. A nurse-led employee health clinic participated in a validation study of a novel pathogen detection technique developed by GeneCapture, Inc. Their proposed portable urinary tract infection (UTI) in vitro diagnostic test was challenged with discarded, deidentified urine samples from patients presenting with typical UTI symptoms collected at two university clinics and two multiphysician practices. GeneCapture’s panel for this study was designed to rapidly identify the genetic signature of seven organisms: gram-negative Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis, and Pseudomonas aeruginosa; gram-positive Enterococcus faecalis and Staphylococcus aureus; and fungal Candida species. The results from 40 clinical samples were in 95% agreement (90% specificity, 100% sensitivity) with traditional urine culture results from ro...

Journal of the American Association of Nurse Practitioners, 2020

Journal of the American Association of Nurse Practitioners, 2015

Workplace Health & Safety

Federal practitioner : for the health care professionals of the VA, DoD, and PHS, 2017

A survey of community-based outpatient clinic health care providers suggests the need for additio... more A survey of community-based outpatient clinic health care providers suggests the need for additional education and training to increase their cultural competencies.

Federal practitioner : for the health care professionals of the VA, DoD, and PHS, 2017

Advanced practice nurses develop solutions that can improve health care access and services for t... more Advanced practice nurses develop solutions that can improve health care access and services for transgender persons in the VA.

Workplace Health & Safety, 2015

The Ebola virus disease first appeared in 1976 in the Sudan and the Democratic Republic of Congo.... more The Ebola virus disease first appeared in 1976 in the Sudan and the Democratic Republic of Congo. The most recent outbreak occurred in West Africa in March 2014 and quickly spread in surrounding countries. Ebola spreads through direct contact with the body fluids of an infected individual. The incubation period for Ebola is 2 to 21 days. Individuals are infectious when symptomatic. Identifying individuals at high risk for Ebola in the United States includes early recognition of symptoms and a history of travel to an Ebola-affected area. Multiple diagnostic tests exist and should include a complete blood count and a comprehensive metabolic profile. Standard, contact, and droplet precautions are advised when taking care of patients with Ebola. Appropriate personal protective equipment as recommended by the Centers for Disease Control and Prevention should be worn. No vaccine or antiviral drug has been approved, but vaccine trials are under way. Occupational health nurses play a key ro...