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Biomedical subjects

J A Heermann

Publications and source records attributed to J A Heermann.

15 recordsLinked to original sources
PubMed2001

Use of modified OSCEs to verify technical skill performance and competency of lay caregivers.

BACKGROUND: The demands on lay caregivers of blood and marrow stem-cell transplant recipients are complex. Effective caregiver education that clearly delineates and demonstrates what needs to be learned is needed, as well as a method to evaluate caregiver's skill-based competencies. METHOD: A pilot study was conducted to determine the feasibility of adapting objective structured clinical examinations (OSCEs) for teaching and evaluation in lay caregiver educational programs. A modified OSCE, a performance-based assessment process, with seven practice stations for the care of tunneled central lines was developed and tested with 13 laypersons. Inter-rater techniques were used to establish accuracy and reproducibility of the examination. RESULTS: Reproducibility of station scenarios and accuracy in performance evaluation were supported by an overall kappa coefficient of 0.94, indicating excellent agreement. Participants' overall mean performance scores were 80% for knowledge and 94% for skills. CONCLUSION: The use of modified OSCEs for teaching and evaluating lay caregivers' competencies for complex care demands is feasible, accurate, and warrants further investigation.

Adult↗
PubMed2000

Nurses' experiences working with families in an NICU during implementation of family-focused developmental care.

PURPOSE: To explore and describe nurses' experiences while working with parents and infants receiving family-focused developmental care (FFDC), to gain insight into the process of changing from a traditional model of care to FFDC. DESIGN: The qualitative design was based on Spradley's method. SAMPLE: Data were collected by interviewing ten nurses who worked in an NICU during a pilot study of FFDC. Transcripts were analyzed using Spradley's domain analysis. FINDINGS: Four themes describe aspects of the transition from traditional care to FFDC: (1) negative experiences of FFDC, (2) transitions central to partnering with parents, (3) positive experiences of parental participation, and (4) organizational transitions necessary for the move to a family-centered model of care. CONCLUSION: Learning to share responsibility with families will require change in the NICU culture as well as in nurses' role identity.

Caregivers↗
PubMed1999

State-of-the-art patient care. The impact of doctorally prepared clinical nurses.

Delivery of state-of-the-art patient care requires new models to foster the development of professional nurses and integrate practice, research, and education. The Chief Nursing Officer of University Hospital/Associate Dean of the College of Nursing at a tertiary health science center positioned doctorally prepared nurses in clinical practice settings to assist in actualizing a vision of state-of-the-art patient care. Strategic targets for performance improvement included building collaboration between the college and hospital, supporting advanced education for nurses, moving the nursing culture from one of co-dependence to one of professionalism, fostering research at the unit level, and capitalizing on the strengths of nurse leaders. Creating an environment where staff nurses use critical thinking skills and access their advanced practice nurse (APN) resources as they do their work has been a win-win-win situation for the patients, the hospital, and the college at the health science center.

Clinical Competence↗
PubMed1998

The Research Nurse Intern program. A model for research dissemination and utilization.

The Research Nurse Intern program at the University of Nebraska Medical Center is designed to support the development of research-based nursing practice and to foster the professional development of staff nurses. The activities of the 2-year program are based on a model that blends research dissemination and utilization with the change process. The authors' purpose is to describe a staff nurse-focused program and its successes in accomplishing these two standards of clinical nursing practice.

Clinical Nursing Research↗
PubMed1997

The effect of developmental care on preterm infant outcome.

Using a retrospective comparative design, the investigators evaluated the effects of training 10% of a nursing staff in the Neonatal Individualized Developmental Care and Assessment Program (NIDCAP) on preterm infant outcomes. A convenience sample of 25 preterm infants (< 1500 grams) cared for during the NIDCAP implementation and training period were matched by birth weight and gestational age to infants born before NIDCAP implementation. Outcome measures collected through chart review showed NIDCAP infants had significantly fewer and less severe intraventricular hemorrhages, fewer days of ventilatory support, shorter hospitalizations, and greater rate of weight gain. Findings suggest that benefits of developmental care are achievable with only a portion of the staff being NIDCAP trained.

Female↗
PubMed1996

Developing patient and family education programs for a transplant center.

Patient and family education is an important component of the organ transplant programs at the University of Nebraska Medical Center. The Medical Center is in the process of planning a new transplant center which will employ the family-centered, educationally-intensive cooperative care concept. This approach was chosen as the model for the delivery of care at the Lied Transplant Center because it emphasizes efficient, effective clinical care by requiring active participation by the family or essential other, thereby better preparing both the patient and the family for the transition to home and to the community. This article presents the evolution of patient education in our transplant programs, discusses the educational needs of transplant patients across the continuum of care, provides insight into the process of planning educational programs for the new center and provides a sample module for teaching which is based on the Cooperative Care concept.

Curriculum↗
PubMed1994

Data analysis.

Explore the source record for details and available documents.

Data Interpretation, Statistical↗
PubMed1993

Research design.

Explore the source record for details and available documents.

Humans↗
PubMed1987

Planning and evaluating a school health project.

School health projects allow school nurses to respond to requests from clients, to test new program components, and to address short-term health needs. This article discusses details of planning and evaluating projects in the school setting. Aspects of planning a project are discussed including facilitating and blocking forces, and considerations in evaluating a project are presented including types of evaluation and choosing the appropriate evaluation for a project.

Evaluation Studies as Topic↗
PubMedDate not supplied

Parental division of infant care: contextual influences and infant characteristics.

The purpose of this study was to explore the relationship of maternal employment to division of parental infant caregiving and whether infant characteristics predicted maternal and paternal caregiving during the first year. Subjects were 351 families with healthy infants from normal pregnancies. Measures included a newborn and 1-month Brazelton Neonatal Behavioral Assessment, Child Care Activities Scale at 1, 6, and 12 months, Bates Infant Characteristics Questionnaire at 6 and 12 months, and selected demographics. Mothers provided the majority of infant care though fathers' proportion increased with employment of mothers. Controlling for demographics, infant characteristics were infrequent predictors of maternal caregiving and predicted a small amount of paternal caregiving variance.

Adult↗