Martha Highfield - Academia.edu (original) (raw)

Papers by Martha Highfield

PubMed, Dec 1, 1994

Why nurses neglect spiritual care issues remains unclear. Therefore, a questionnaire designed to ... more Why nurses neglect spiritual care issues remains unclear. Therefore, a questionnaire designed to assess oncology nurse clinicians' attitudes and beliefs about spiritual care was mailed to a stratified, random sample of 700 Oncology Nursing Society members within the United States. Data from the 181 respondents were analyzed using descriptive and multivariate statistics (for quantitative items) and content analysis (for essay questions). Analysis of data revealed both a positive regard for spiritual care within nursing, and relationships between beliefs and attitudes about spiritual care and self-reported spiritually, religiosity, ethnicity, work role, and education. Recommendations are for inclusion of theoretical and practical aspects of spiritual care in nursing education and for further investigation of nurses' attitudes and beliefs regarding spiritual care.

44th Biennial Convention (28 October - 01 November 2017), Sep 22, 2017

Rehabilitation Nursing, Nov 1, 2017

Purpose: To identify (1) effectiveness of current registered nurse (RN) strategies in teaching di... more Purpose: To identify (1) effectiveness of current registered nurse (RN) strategies in teaching discharge medications to cognitively challenged patients; and (2) whether errorless teaching/learning (ETL) with pictorial medication cards improves such instruction. Design: Cross-sectional, qualitative, pretest/posttest. Methods: Open-ended interviews and a class on ETL were conducted with a purposive sample of 10 expert staff RNs from rehabilitation and neurologicaltelemetry units in a 377-bed, not-for-profit hospital. Data were analyzed using content analysis. Findings: Informants reported current practices that were not adapted for the cognitively challenged population (n = 10). They also found the new ETL easy, effective, and useful in promoting safety and satisfaction, but reported that writing on the cards was too time-consuming (n = 7). Conclusions: While not generalizable, outcomes suggest value in revising and evaluating ETL with a pictorial card for teaching this population. Clinical Relevance: Discharge medication knowledge is critical to safe self-management, and using ETL with cognitively challenged persons may promote learning.

Journal for nurses in professional development, May 1, 2016

Rehabilitation Nursing, 2017

Purpose: To identify (1) effectiveness of current registered nurse (RN) strategies in teaching di... more Purpose: To identify (1) effectiveness of current registered nurse (RN) strategies in teaching discharge medications to cognitively challenged patients and (2) whether errorless teaching/learning (ETL) with pictorial medication cards improves such instruction. Design: Cross-sectional, qualitative, pretest/posttest. Methods: Open-ended interviews and a class on ETL were conducted with a purposive sample of 10 expert staff RNs from rehabilitation and neurological telemetry units in a 377-bed, not-for-profit hospital. Data were analyzed using content analysis. Findings: Informants reported current practices that were not adapted for the cognitively challenged population (n = 10). They also found the new ETL easy, effective, and useful in promoting safety and satisfaction but reported that writing on the cards was too time-consuming (n = 7). Conclusions: Although not generalizable, outcomes suggest value in revising and evaluating ETL with a pictorial card for teaching this population. ...

Nursing for Women's Health, Dec 1, 2016

Practicing registered nurses (RNs) may have little opportunity beyond orientation to review and a... more Practicing registered nurses (RNs) may have little opportunity beyond orientation to review and apply knowledge and skills related to highrisk, low-frequency obstetric complications and emergencies, such as hypertensive crises. At the same time, substantial evidence suggests that clinical scenario simulation of such cases helps both novice and experienced clinicians gain

Nurse Author & Editor, 2000

Rehabilitation Nursing, 2019

Purpose and Design: Postdischarge adverse drug events are a national issue, and effective inpatie... more Purpose and Design: Postdischarge adverse drug events are a national issue, and effective inpatient instruction may help. Therefore, this intervention study examined whether using errorless teaching/learning methods including pictorial medication cards (ETL + card) improved RN teaching and patient medication adherence among persons with cognitive challenges (PWCCs). Methods: Convenience samples of RNs and PWCCs from a 24-bed rehabilitation unit provided baseline data. RNs implemented ETL + card, and postintervention data were collected. Adapted and investigator-designed instruments had preliminary reliability/ validity. Findings: Postintervention RNs demonstrated more teaching strategies (p = .003), and teaching satisfaction rose from 0% to 50%. Minutes per teaching interaction were unchanged (p > .05). Baseline patients filled a higher number (p = .02) but a lower percentage (67%) of their prescriptions than did postintervention patients (85%). Medication dose adherence scores were unchanged (p > .05). Conclusions: ETL + card improved RN teaching and possibly patient adherence. Further study is warranted. Clinical Relevance: ETL + card may help PWCCs achieve safe medication self-management.

Advances in Neonatal Care

Nursing for Women's Health

OBJECTIVE To facilitate optimal hospital experiences and breastfeeding clinical outcomes among wo... more OBJECTIVE To facilitate optimal hospital experiences and breastfeeding clinical outcomes among women by reducing interruptions during their first 24 hours in the postpartum period. DESIGN Evidence-based practice change initiated by a registered nurse staff member. SETTING/LOCAL PROBLEM There was concern that numerous visitor and staff interruptions to women during their early postpartum hours were interfering with establishing breastfeeding and maintaining a restful environment on our 21-bed postpartum unit within a 377-bed, Magnet-recognized, religiously affiliated hospital in suburban southern California. PARTICIPANTS Medically stable women with uncomplicated childbirth during the previous 24 hours and women in the postpartum period whose responses were recorded in facility databases maintained by the departments of Lactation Services and Nursing Research. INTERVENTION/MEASUREMENTS A daily quiet time from 1:00 p.m. to 3:00 p.m. was instituted on the postpartum unit. Measurements before and after implementing quiet time included data on (a) interruptions, as the number of times someone opened or entered women's room doors; (b) exclusive breastfeeding rates; and (c) women's postdischarge reports of their hospital experiences. RESULTS After quiet time was implemented, interruptions fell from an average of 74 to an average of 37 per day (n = 21, p = .02), and the percentage of women breastfeeding rose from 34% to 48% (n = 193, p = .39). Women's ratings of unit quietness improved significantly (n = 169, p = .008) to above the benchmark, and their overall facility rating and willingness to recommend the facility remained above the benchmark on surveys from the Hospital Consumer Assessment of Healthcare Providers and Systems. CONCLUSION A daily afternoon quiet time for women in the postpartum period may reduce interruptions to women and thereby potentially increase breastfeeding rates and improve women's perceptions of their hospital experiences. Unsolicited reports from staff suggested that quiet time was well received by nurses providing postpartum care.

Nursing History Review, 2022

MARTHA ELLEN FARRAR HIGHFIELD TEXAS WOMAN'S UNIVERSITY COLLEGE OF NURSING DECEMBER 1989 Nurse... more MARTHA ELLEN FARRAR HIGHFIELD TEXAS WOMAN'S UNIVERSITY COLLEGE OF NURSING DECEMBER 1989 Nurses who are committed to care of the whole person must be knowledgeable about patients' spiritual needs. This descriptive, cross-sectional survey was designed to investigate the spiritual health of oncology patients. Parallel nurse ( i = .89) and patient (i = .77) Spiritual Health Inventories (SHI) and demographic sheets were distributed to a convenience sample of 40 nurse-inpatient pairs from two hospitals. Respondents included 23 patients with primary lung cancer and 27 Registered Nurses. Patients reported a normatively high level of spiritual health, positively related both to age (p. < .02) and physical well-being (p <. 014). Analysis of 21 matched nurse-patient SHI scores indicated that nurse respondents inaccurately assessed their patients' spiritual health. Patients and nurses ranked family members or friends and clergypersons as v Reproduced with permission of the cop...

RN Pain Communications Before and After Intensive, Peer-Delivered Education Grace Kim;Sarah McIlh... more RN Pain Communications Before and After Intensive, Peer-Delivered Education Grace Kim;Sarah McIlhenny;Martha Highfield;Samira Moughrabi; MEDSURG Nursing

Martha E. Farrar Highfield PhD RN Principal Investigator Background & Aims OB/perinatal emergenci... more Martha E. Farrar Highfield PhD RN Principal Investigator Background & Aims OB/perinatal emergencies and complications are low-volume, high risk occurrences, and research suggests that simulation helps both novice and experienced clinicians to obtain and maintain clinical competence (Argani, Eichelberger, Deering, & Satin, 2012; Committee on Patient Safety & Quality Improvement, 2011; Cooper et al., 2012; Ennen & Satin, 2010; Fuchs, Miller & Berkowitz, 2009; Gardner, Walzer, Simon, & Raemer, 2008; Jeffries, Bambini, Hensel, Moorman, & Washburn, 2009; Shekelle et al., 2013). However, much nursing simulation research occurs in academic settings that may not be transferable to practice ones; and reliable/valid, quantitative, outcome measures are needed to determine best practices (Birch et al., 2007; Brewer, 2011; Cooper et al., 2012; Gough, Hellaby, Jones, & MacKinnon, 2012; Jeffries et al., 2009). Thus, our primary aim was to answer the hypothesis of whether nurse-led simulationplus-l...

PubMed, Dec 1, 1994

Why nurses neglect spiritual care issues remains unclear. Therefore, a questionnaire designed to ... more Why nurses neglect spiritual care issues remains unclear. Therefore, a questionnaire designed to assess oncology nurse clinicians' attitudes and beliefs about spiritual care was mailed to a stratified, random sample of 700 Oncology Nursing Society members within the United States. Data from the 181 respondents were analyzed using descriptive and multivariate statistics (for quantitative items) and content analysis (for essay questions). Analysis of data revealed both a positive regard for spiritual care within nursing, and relationships between beliefs and attitudes about spiritual care and self-reported spiritually, religiosity, ethnicity, work role, and education. Recommendations are for inclusion of theoretical and practical aspects of spiritual care in nursing education and for further investigation of nurses' attitudes and beliefs regarding spiritual care.

44th Biennial Convention (28 October - 01 November 2017), Sep 22, 2017

Rehabilitation Nursing, Nov 1, 2017

Purpose: To identify (1) effectiveness of current registered nurse (RN) strategies in teaching di... more Purpose: To identify (1) effectiveness of current registered nurse (RN) strategies in teaching discharge medications to cognitively challenged patients; and (2) whether errorless teaching/learning (ETL) with pictorial medication cards improves such instruction. Design: Cross-sectional, qualitative, pretest/posttest. Methods: Open-ended interviews and a class on ETL were conducted with a purposive sample of 10 expert staff RNs from rehabilitation and neurologicaltelemetry units in a 377-bed, not-for-profit hospital. Data were analyzed using content analysis. Findings: Informants reported current practices that were not adapted for the cognitively challenged population (n = 10). They also found the new ETL easy, effective, and useful in promoting safety and satisfaction, but reported that writing on the cards was too time-consuming (n = 7). Conclusions: While not generalizable, outcomes suggest value in revising and evaluating ETL with a pictorial card for teaching this population. Clinical Relevance: Discharge medication knowledge is critical to safe self-management, and using ETL with cognitively challenged persons may promote learning.

Journal for nurses in professional development, May 1, 2016

Rehabilitation Nursing, 2017

Purpose: To identify (1) effectiveness of current registered nurse (RN) strategies in teaching di... more Purpose: To identify (1) effectiveness of current registered nurse (RN) strategies in teaching discharge medications to cognitively challenged patients and (2) whether errorless teaching/learning (ETL) with pictorial medication cards improves such instruction. Design: Cross-sectional, qualitative, pretest/posttest. Methods: Open-ended interviews and a class on ETL were conducted with a purposive sample of 10 expert staff RNs from rehabilitation and neurological telemetry units in a 377-bed, not-for-profit hospital. Data were analyzed using content analysis. Findings: Informants reported current practices that were not adapted for the cognitively challenged population (n = 10). They also found the new ETL easy, effective, and useful in promoting safety and satisfaction but reported that writing on the cards was too time-consuming (n = 7). Conclusions: Although not generalizable, outcomes suggest value in revising and evaluating ETL with a pictorial card for teaching this population. ...

Nursing for Women's Health, Dec 1, 2016

Practicing registered nurses (RNs) may have little opportunity beyond orientation to review and a... more Practicing registered nurses (RNs) may have little opportunity beyond orientation to review and apply knowledge and skills related to highrisk, low-frequency obstetric complications and emergencies, such as hypertensive crises. At the same time, substantial evidence suggests that clinical scenario simulation of such cases helps both novice and experienced clinicians gain

Nurse Author & Editor, 2000

Rehabilitation Nursing, 2019

Purpose and Design: Postdischarge adverse drug events are a national issue, and effective inpatie... more Purpose and Design: Postdischarge adverse drug events are a national issue, and effective inpatient instruction may help. Therefore, this intervention study examined whether using errorless teaching/learning methods including pictorial medication cards (ETL + card) improved RN teaching and patient medication adherence among persons with cognitive challenges (PWCCs). Methods: Convenience samples of RNs and PWCCs from a 24-bed rehabilitation unit provided baseline data. RNs implemented ETL + card, and postintervention data were collected. Adapted and investigator-designed instruments had preliminary reliability/ validity. Findings: Postintervention RNs demonstrated more teaching strategies (p = .003), and teaching satisfaction rose from 0% to 50%. Minutes per teaching interaction were unchanged (p > .05). Baseline patients filled a higher number (p = .02) but a lower percentage (67%) of their prescriptions than did postintervention patients (85%). Medication dose adherence scores were unchanged (p > .05). Conclusions: ETL + card improved RN teaching and possibly patient adherence. Further study is warranted. Clinical Relevance: ETL + card may help PWCCs achieve safe medication self-management.

Advances in Neonatal Care

Nursing for Women's Health

OBJECTIVE To facilitate optimal hospital experiences and breastfeeding clinical outcomes among wo... more OBJECTIVE To facilitate optimal hospital experiences and breastfeeding clinical outcomes among women by reducing interruptions during their first 24 hours in the postpartum period. DESIGN Evidence-based practice change initiated by a registered nurse staff member. SETTING/LOCAL PROBLEM There was concern that numerous visitor and staff interruptions to women during their early postpartum hours were interfering with establishing breastfeeding and maintaining a restful environment on our 21-bed postpartum unit within a 377-bed, Magnet-recognized, religiously affiliated hospital in suburban southern California. PARTICIPANTS Medically stable women with uncomplicated childbirth during the previous 24 hours and women in the postpartum period whose responses were recorded in facility databases maintained by the departments of Lactation Services and Nursing Research. INTERVENTION/MEASUREMENTS A daily quiet time from 1:00 p.m. to 3:00 p.m. was instituted on the postpartum unit. Measurements before and after implementing quiet time included data on (a) interruptions, as the number of times someone opened or entered women's room doors; (b) exclusive breastfeeding rates; and (c) women's postdischarge reports of their hospital experiences. RESULTS After quiet time was implemented, interruptions fell from an average of 74 to an average of 37 per day (n = 21, p = .02), and the percentage of women breastfeeding rose from 34% to 48% (n = 193, p = .39). Women's ratings of unit quietness improved significantly (n = 169, p = .008) to above the benchmark, and their overall facility rating and willingness to recommend the facility remained above the benchmark on surveys from the Hospital Consumer Assessment of Healthcare Providers and Systems. CONCLUSION A daily afternoon quiet time for women in the postpartum period may reduce interruptions to women and thereby potentially increase breastfeeding rates and improve women's perceptions of their hospital experiences. Unsolicited reports from staff suggested that quiet time was well received by nurses providing postpartum care.

Nursing History Review, 2022

MARTHA ELLEN FARRAR HIGHFIELD TEXAS WOMAN'S UNIVERSITY COLLEGE OF NURSING DECEMBER 1989 Nurse... more MARTHA ELLEN FARRAR HIGHFIELD TEXAS WOMAN'S UNIVERSITY COLLEGE OF NURSING DECEMBER 1989 Nurses who are committed to care of the whole person must be knowledgeable about patients' spiritual needs. This descriptive, cross-sectional survey was designed to investigate the spiritual health of oncology patients. Parallel nurse ( i = .89) and patient (i = .77) Spiritual Health Inventories (SHI) and demographic sheets were distributed to a convenience sample of 40 nurse-inpatient pairs from two hospitals. Respondents included 23 patients with primary lung cancer and 27 Registered Nurses. Patients reported a normatively high level of spiritual health, positively related both to age (p. < .02) and physical well-being (p <. 014). Analysis of 21 matched nurse-patient SHI scores indicated that nurse respondents inaccurately assessed their patients' spiritual health. Patients and nurses ranked family members or friends and clergypersons as v Reproduced with permission of the cop...

RN Pain Communications Before and After Intensive, Peer-Delivered Education Grace Kim;Sarah McIlh... more RN Pain Communications Before and After Intensive, Peer-Delivered Education Grace Kim;Sarah McIlhenny;Martha Highfield;Samira Moughrabi; MEDSURG Nursing

Martha E. Farrar Highfield PhD RN Principal Investigator Background & Aims OB/perinatal emergenci... more Martha E. Farrar Highfield PhD RN Principal Investigator Background & Aims OB/perinatal emergencies and complications are low-volume, high risk occurrences, and research suggests that simulation helps both novice and experienced clinicians to obtain and maintain clinical competence (Argani, Eichelberger, Deering, & Satin, 2012; Committee on Patient Safety & Quality Improvement, 2011; Cooper et al., 2012; Ennen & Satin, 2010; Fuchs, Miller & Berkowitz, 2009; Gardner, Walzer, Simon, & Raemer, 2008; Jeffries, Bambini, Hensel, Moorman, & Washburn, 2009; Shekelle et al., 2013). However, much nursing simulation research occurs in academic settings that may not be transferable to practice ones; and reliable/valid, quantitative, outcome measures are needed to determine best practices (Birch et al., 2007; Brewer, 2011; Cooper et al., 2012; Gough, Hellaby, Jones, & MacKinnon, 2012; Jeffries et al., 2009). Thus, our primary aim was to answer the hypothesis of whether nurse-led simulationplus-l...