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Research paper thumbnail of Journey to Becoming a Neonatal Nurse Practitioner: Making the Decision to Enter Graduate School

Advances in neonatal care : official journal of the National Association of Neonatal Nurses, 2016

Neonatal nurse practitioners (NNPs) play an important role in caring for premature and ill infant... more Neonatal nurse practitioners (NNPs) play an important role in caring for premature and ill infants. Currently, there is a shortage of NNPs to fill open positions. Understanding how nurses decide to become NNPs will help practicing nurse practitioners, managers, and faculty encourage and support nurses in considering the NNP role as a career choice. To describe how nurses decide to enter graduate school to become nurse practitioners. A qualitative study using semistructured interviews to explore how 11 neonatal intensive care unit nurses decided to enter graduate school to become NNPs. Key elements of specialization, discovery, career decision, and readiness were identified. Conditions leading to choosing the NNP role include working in a neonatal intensive care unit and deciding to stay in the neonatal area, discovering the NNP role, deciding to become an NNP, and readiness to enter graduate school. Important aspects of readiness are developing professional self-confidence and manag...

Research paper thumbnail of Comparison of temperature measurements by an aural infrared thermometer with measurements by traditional rectal and axillary techniques

The Journal of Pediatrics, 1993

Objective: I"o compare temperatures obtained with glass-mercury axillary and aural infrared therm... more Objective: I"o compare temperatures obtained with glass-mercury axillary and aural infrared thermometers with temperatures obtained with glass-mercury rectal thermometers.

Research paper thumbnail of Shaken baby syndrome: Identification and prevention for nurse practitioners

Journal of Pediatric Health Care, 1994

Shaken baby syndrome is a less widely recognized form of physical child abuse. It is defined as v... more Shaken baby syndrome is a less widely recognized form of physical child abuse. It is defined as vigorous manual shaking of an infant who is being held by the extremities or shoulders, leading to whiplash-induced intracranial and intraocular bleeding and no external signs of head ...

Research paper thumbnail of Hyperbilirubinemia in the term newborn

Journal of Pediatric Health Care, 1996

Research paper thumbnail of Providing better access to health care: A pediatric nurse practitioner WIC-based clinic for one-stop health care

Journal of Pediatric Health Care, 1994

The University of Texas Women, Infants, and Children (WIG) Well Child Clinic was established in J... more The University of Texas Women, Infants, and Children (WIG) Well Child Clinic was established in January 1992 to provide high-quality "user-friendly" health care to children in Houston, Texas. As the name implies, the traditional services of the WIG nutritional program are coupled with primary care to offer more comprehensive and greater access to care. The services are provided by pediatric nurse practitioners and focus on health maintenance, with an emphasis on anticipatory guidance and immunizations. Acute care and management of chronic illness are also provided. The clinic serves as a teaching site for pediatric nurse practitioner and medical students. This article addresses the rationale for and planning of a WIC-based clinic and the implementation of the plan and addresses issues concerning reproducibility in other settings. J PEDIATR HEALTH CARE. (1994).

Research paper thumbnail of Early Hospital Discharge and the Timing Of Newborn Metabolic Screening

Clinical Pediatrics, 1993

Cost containment measures have reduced dramatically the length of stay for normal newborns, in so... more Cost containment measures have reduced dramatically the length of stay for normal newborns, in some cases jeopardizing the ability to obtain appropriate newborn screens. In our hospital, we found that an unacceptable number of patients had mistakenly been screened before 24 hours of age. As pressures to shorten hospitalization increase, health-care providers must examine the impact of such changes on their ability to obtain adequate newborn screens. Potential solutions include continued vigilance in gathering specimens after 24 hours of age, interpretation of time-sensitive tests in an age-adjusted manner, and repeating newborn screens after 24 hours of age.

Research paper thumbnail of Managing urinary tract infections in children

Research paper thumbnail of The Simulated Hospital Environment: A Qualitative Study Applying Space Industry Techniques

Journal of Professional Nursing, 2015

Patterned after the integrated simulation approach utilized in the space industry, we report resu... more Patterned after the integrated simulation approach utilized in the space industry, we report results of an innovative simulation in nursing, a 96-hour continuous simulated hospital environment. Training objectives for our study emphasized the integrative and critical thinking skills needed by new graduate nurses. The purpose of this study was to determine the process for development and the experience of participating in a simulated hospital environment. We sought to (a) translate space industry-integrated simulation techniques into development of a simulated hospital environment and (b) determine the experience of participating in an integrated simulation experience among undergraduate (UG) and graduate nursing students and nursing faculty. We used a qualitative mixed-methods design. Data were collected from participant focus groups, debriefing sessions, research team field notes, and electronic health record documentation. The sample, 72 student focus group participants, consisted of 12 baccalaureate-level soon-to-graduate students and 60 graduate nurse practitioner students as patient actors and providers. Important themes emerged from the project. We were able to design a simulated hospital environment that was true to life. Notably, student knowledge-practice gap was a major theme of the study, consistent with studies of employer concerns of new graduate nurses.

Research paper thumbnail of Journey to Becoming a Neonatal Nurse Practitioner: Making the Decision to Enter Graduate School

Advances in neonatal care : official journal of the National Association of Neonatal Nurses, 2016

Neonatal nurse practitioners (NNPs) play an important role in caring for premature and ill infant... more Neonatal nurse practitioners (NNPs) play an important role in caring for premature and ill infants. Currently, there is a shortage of NNPs to fill open positions. Understanding how nurses decide to become NNPs will help practicing nurse practitioners, managers, and faculty encourage and support nurses in considering the NNP role as a career choice. To describe how nurses decide to enter graduate school to become nurse practitioners. A qualitative study using semistructured interviews to explore how 11 neonatal intensive care unit nurses decided to enter graduate school to become NNPs. Key elements of specialization, discovery, career decision, and readiness were identified. Conditions leading to choosing the NNP role include working in a neonatal intensive care unit and deciding to stay in the neonatal area, discovering the NNP role, deciding to become an NNP, and readiness to enter graduate school. Important aspects of readiness are developing professional self-confidence and manag...

Research paper thumbnail of Comparison of temperature measurements by an aural infrared thermometer with measurements by traditional rectal and axillary techniques

The Journal of Pediatrics, 1993

Objective: I"o compare temperatures obtained with glass-mercury axillary and aural infrared therm... more Objective: I"o compare temperatures obtained with glass-mercury axillary and aural infrared thermometers with temperatures obtained with glass-mercury rectal thermometers.

Research paper thumbnail of Shaken baby syndrome: Identification and prevention for nurse practitioners

Journal of Pediatric Health Care, 1994

Shaken baby syndrome is a less widely recognized form of physical child abuse. It is defined as v... more Shaken baby syndrome is a less widely recognized form of physical child abuse. It is defined as vigorous manual shaking of an infant who is being held by the extremities or shoulders, leading to whiplash-induced intracranial and intraocular bleeding and no external signs of head ...

Research paper thumbnail of Hyperbilirubinemia in the term newborn

Journal of Pediatric Health Care, 1996

Research paper thumbnail of Providing better access to health care: A pediatric nurse practitioner WIC-based clinic for one-stop health care

Journal of Pediatric Health Care, 1994

The University of Texas Women, Infants, and Children (WIG) Well Child Clinic was established in J... more The University of Texas Women, Infants, and Children (WIG) Well Child Clinic was established in January 1992 to provide high-quality "user-friendly" health care to children in Houston, Texas. As the name implies, the traditional services of the WIG nutritional program are coupled with primary care to offer more comprehensive and greater access to care. The services are provided by pediatric nurse practitioners and focus on health maintenance, with an emphasis on anticipatory guidance and immunizations. Acute care and management of chronic illness are also provided. The clinic serves as a teaching site for pediatric nurse practitioner and medical students. This article addresses the rationale for and planning of a WIC-based clinic and the implementation of the plan and addresses issues concerning reproducibility in other settings. J PEDIATR HEALTH CARE. (1994).

Research paper thumbnail of Early Hospital Discharge and the Timing Of Newborn Metabolic Screening

Clinical Pediatrics, 1993

Cost containment measures have reduced dramatically the length of stay for normal newborns, in so... more Cost containment measures have reduced dramatically the length of stay for normal newborns, in some cases jeopardizing the ability to obtain appropriate newborn screens. In our hospital, we found that an unacceptable number of patients had mistakenly been screened before 24 hours of age. As pressures to shorten hospitalization increase, health-care providers must examine the impact of such changes on their ability to obtain adequate newborn screens. Potential solutions include continued vigilance in gathering specimens after 24 hours of age, interpretation of time-sensitive tests in an age-adjusted manner, and repeating newborn screens after 24 hours of age.

Research paper thumbnail of Managing urinary tract infections in children

Research paper thumbnail of The Simulated Hospital Environment: A Qualitative Study Applying Space Industry Techniques

Journal of Professional Nursing, 2015

Patterned after the integrated simulation approach utilized in the space industry, we report resu... more Patterned after the integrated simulation approach utilized in the space industry, we report results of an innovative simulation in nursing, a 96-hour continuous simulated hospital environment. Training objectives for our study emphasized the integrative and critical thinking skills needed by new graduate nurses. The purpose of this study was to determine the process for development and the experience of participating in a simulated hospital environment. We sought to (a) translate space industry-integrated simulation techniques into development of a simulated hospital environment and (b) determine the experience of participating in an integrated simulation experience among undergraduate (UG) and graduate nursing students and nursing faculty. We used a qualitative mixed-methods design. Data were collected from participant focus groups, debriefing sessions, research team field notes, and electronic health record documentation. The sample, 72 student focus group participants, consisted of 12 baccalaureate-level soon-to-graduate students and 60 graduate nurse practitioner students as patient actors and providers. Important themes emerged from the project. We were able to design a simulated hospital environment that was true to life. Notably, student knowledge-practice gap was a major theme of the study, consistent with studies of employer concerns of new graduate nurses.