2023-2024 |
Assessment of Single-Item Hearing Screens that Differentiate Levels of Hearing Difficulty
Principal Investigators
Sasha Binford, PhD, MS, RN, AGCNS-BC, Clinical Nurse Specialist, Geriatrics, UCSF Health
Margaret Wallhagen, PhD, GNP-BC, AGSF, FGSA, FAAN, Professor, UCSF School of Nursing
Project Summary
Approximately 80% of individuals have audiometrically determined hearing loss by age 80. The ability to correctly hear what was said is essential to the safe delivery of healthcare, underpinning the ability to understand recommended treatment plans. One obstacle is how to effectively screen for hearing loss in a busy clinical setting and to differentiate levels of hearing loss to target appropriate resources. The proposed research study aims to assess 3 single-item hearing loss screening questions to identify a reliable, valid, and clinically feasible screen that differentiates hearing levels. Data will underpin development of strategies to assure safe patient communication in a busy clinical setting, ensuring an individual’s communication needs can be met and risks mitigated.
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2022 |
Identification of Subgroups of Oncology Patients with Distinct Difficult Intravenous Access Profiles and Associated Risk Factors
Principal Investigators
Emely Alfaro, MS, RN, CNS, OCN, Clinical Nurse Specialist, Adult Infusion Services, UCSF Health
Christine Miaskowski, PhD, RN, FAAN, Professor, Department of Physiological Nursing, UCSF School of Nursing
Project Summary
Oncology patients are at increased risk for difficult intravenous access (DIVA), defined as at least two failed attempts at venous cannulation. Identifying these patients can guide nurses to intervene early to avoid infusion-related complications; avoid unnecessary pain; decrease patient’s level of anxiety and stress; and successfully administer life-saving chemotherapy treatment. This study aims to evaluate the risk factors for DIVA in oncology patients receiving a course of chemotherapy and describe oncology nurses’ beliefs about patient-related risk factors for DIVA.
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2022 |
Feasibility and Efficacy of Enhanced Stress Resilience Training for Psychosocial and Occupational Wellbeing of Critical Care Nurses
Principal Investigators
Mya Childers, MS RN CCRN-K, 6/10 ICC unit, UCSF Health
Brian Cunningham, BSN, RN, CCRN-CSC, 6/10 ICC unit, UCSF Health
Soo-Jeong Lee, RN, PhD, FAAOHN, Associated Professor, Department of Community Health Systems, UCSF School of Nursing
Project Summary
There is an urgent need for evidence-based interventions to mitigate burnout among nurses at UCSF and nationwide. Enhanced Stress Resilience Training (ESRT) is an innovative mindfulness-based intervention tailored for clinicians in high-pressure work environments, such as surgical trainees. Using a randomized wait-list controlled trial design, this study will establish feasibility and efficacy of ESRT for critical care nurses who have been highly impacted by the COVID-19 pandemic.
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2021 |
Development of a Screening Tool Used to Identify Patients Admitted for Scheduled Surgical Procedures Who May Require Low-Dose Intravenous Ketamine to Optimize Post-Operative Pain Management in the Post-Anesthesia Care Unit
Principal Investigators
Ashley Thomas, BSN, RN, Clinical Nurse, Peri-anesthesia Services, UCSF Health
Michele M. Pelter, PhD, RN, FAHA, Associate Professor, Department of Physiological Nursing, UCSF School of Nursing
Project Summary
Patients on chronic opioid therapy presenting for scheduled surgical procedures may experience inadequately controlled pain in the post-operative period. Ketamine has been shown to decrease post-operative pain and opioid consumption, yet the key is early identification of patients and timely initiation of intravenous (IV) ketamine infusions. The goal of this study is to develop and validate a screening tool for surgical patients who would benefit from IV ketamine to optimize post-operative pain management.
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2021 |
A Novel Educational Intervention and Standardized High Frequency Percussive Ventilation Management Protocol for Neonatal and Pediatric Ground and Air Interfacility Transport: A Safety and Feasibility Study
Principal Investigators
Alison Horton, RN, MS, CPNP-AC, Neonatal and Pediatric Interfacility Transport Nurse, UCSF Health
Sandra Staveski, PhD, RN, CPNP-AC, FAAN, Assistant Professor, Department of Family Health Care Nursing, UCSF School of Nursing
Project Summary
High Frequency Percussive Ventilation (HFPV) is a rare form of ventilation available for transporting critically ill infants and children with severe acute respiratory failure to specialized pediatric centers. Interfacility transport is challenging due to a paucity of technical options, lack of personnel educated to use the equipment, and limited evidence to guide management. This study examines the feasibility of implementing a novel educational intervention and a standardized HFPV management protocol to support transport teams during interfacility transport of children requiring HFPV.
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2020 |
Preventing Delirium During Hospitalization Using a Non-Pharmacological Nursing Action Bundle
Principal Investigators
Chin-Chin Montesa, BSN, RN-BC, Clinical Nurse, 15 Long Acute Care Medicine, UCSF Health
Mijung Park, PhD, MPH, RN, Associate Professor, Department of Family Health Care Nursing, UCSF School of Nursing
Project Summary
The study's overarching goals are to (1) develop strategies for implementing the Delirium Bundle and (2) build a capacity for qualitative program evaluation among nursing staff on an acute care medicine unit.
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2020 |
Racial Health Equity in the Intensive Care Nursery
Principal Investigators
Olga Smith MS, RN, Nurse Supervisor, Center for Pregnancy Options, UCSF Health
Linda Franck PhD, RN, FAAN, Professor, Department of Family Health Care Nursing, UCSF School of Nursing
Project Summary
A growing body of research has identified racism as the leading cause of disparate outcomes between populations in healthcare. Little is known about the perceptions of racism by parents of critically ill infants in the neonatal intensive care unit (NICU) setting. This study aimed to explore the lived experiences of parents of infants receiving NICU care, and specifically how parents perceive their interactions with NICU and hospital staff, to better understand if and how racism in the NICU was experienced by parents.
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2019 |
Investigating Barriers and Facilitators of Implementing Baby Friendly Hospital Initiative: A Qualitative Study with In-Hospital Healthcare Providers
Principal Investigators
Susan McLaughlin MPH, RN, IBCLC, Intensive Care Nursery, UCSF Health
Ifeyinwa Asiodu, PhD, RN, IBCLC, Assistant Professor, Department of Family Health Care Nursing, UCSF School of Nursing
Project Summary
The overall goal of this research study was to investigate in-hospital and outpatient healthcare staff and providers’ experiences with implementation of the Ten Steps to Successful Breastfeeding and determine the degree of implementation or concerns for the recommended practices.
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