- Disaster Response and Management
- Medication Adherence and Compliance
- Adolescent Sexual and Reproductive Health
- HIV/AIDS Research and Interventions
- Nursing education and management
- COVID-19 and Mental Health
- Occupational Health and Safety Research
- Simulation-Based Education in Healthcare
- Interprofessional Education and Collaboration
- Ultrasound in Clinical Applications
- Patient Safety and Medication Errors
- Global Health Workforce Issues
- Disaster Management and Resilience
- Cultural Competency in Health Care
- Family and Patient Care in Intensive Care Units
- Heart Failure Treatment and Management
- Service-Learning and Community Engagement
- Nursing Roles and Practices
- Medical Malpractice and Liability Issues
- Food Security and Health in Diverse Populations
- Child Abuse and Trauma
- Mosquito-borne diseases and control
- Hemodynamic Monitoring and Therapy
- Hospital Admissions and Outcomes
- Skin Diseases and Diabetes
Jacksonville University
2020-2024
University of Miami
2016-2020
Centre for Nursing Innovation
2018
BackgroundStrong faculty academic human caring presence is paramount during the exponential use of asynchronous, remote learning COVID-19 pandemic.PurposeThe purpose this article to provide a holistic, theoretical foundation for evidence informed-caring pedagogical practices.MethodsWatson's (2008; 2018) Unitary Caring Science approach offers one framework advancing teaching-learning in digital age.DiscussionExamples humanize virtual classroom and or online teaching include narrative,...
Purpose: To evaluate the effectiveness of Salud, Educación, Prevención, y Autocuidad/Health, Education, Prevention and Self-care (SEPA) to increase human immunodeficiency virus (HIV)/sexually transmitted infections (STI) prevention behaviors for Hispanic women delivered in a real-world setting. Design: Randomized controlled trial. Setting: Participants were recruited from Miami Refugee Center, Florida Department Health, public locations Miami. Participants: Three hundred twenty women....
Purpose A major component of hospital stroke care involves prompt identification in admitted patients. Delays recognizing symptoms and initiating treatment for in-hospital can adversely impact patient outcomes. This quality improvement intervention used simulation together with a traditional lecture to instruct nurses at university about new protocol being implemented increase rapid recognition meet Joint Commission National Hospital Inpatient Quality Measures. The paper aims discuss these...
Scientific advances have enabled thousands of individuals to extend their lives through organ donation. Yet, shortfalls available organs persist, and in the United States die daily before they receive what might been lifesaving organs. For years, legal foundation donation has known as Dead Donor Rule, requiring death be defined for purposes by either a cardiac standard (termination heartbeat) or neurological one (cessation all brain function). In this context, solution used an increasing...
Use of bedside ultrasonography to identify life-threatening injuries for patients with blunt and penetrating trauma is the standard care in emergency department. The "FAST" examination-focused assessment sonography trauma-ultrasound scan chest abdomen allows clinicians assess critical regions free fluid without use invasive procedures as quickly often needed. In addition, has a high degree sensitivity specificity safe during pregnancy. For requiring evaluation pleura, "eFAST" (or extended...
Mental health facilities should be equipped to care for patients while preventing spread of COVID-19. Peer-reviewed literature and guidelines government organizations were reviewed guide best practices. Gunderson's five therapeutic functions a milieu are used as conceptual framework. Patients screened infection according local or national policy prior admission an inpatient mental unit. While interacting with one another in milieu, encouraged practice physical distancing hand hygiene....
Tobacco use is a major threat to public health. Current guidelines suggest that healthcare professionals in the emergency department provide routine smoking cessation screening and interventions. Evidence suggests an educational intervention among registered nurses may increase education referral for of patients who tobacco products. An module regarding counseling was provided at private hospital South Florida. A pre- postintervention self-reported survey evaluated changes asking about use;...
A critical component of doctor nursing practice (DNP) education is immersion. DNP programs require 1000 hours clinical experience to obtain the degree.Faculty struggle with providing meaningful experiences congruent role DNP.This article describes a unique immersion course joining students community health care partners provide potential transform care. are assigned system-level projects designed create organizational change.Over 4 years, opportunities more than doubled from 30 66 live...
There is disparity in the nursing work-force of minority leaders. The aim this article to describe and evaluate an innovative program designed provide mentorship increase leadership skills students.An was developed including coordination financial aid meetings, incorporating technology, enacting online preimmersion course, choosing training mentors, hosting a lunch-and-lead series, using intensive review sessions tutoring. Program evaluation data were analyzed mixed methods.All 40...
Charged with making decisions to protect and enhance patient well-being, a nurse relies on nursing judgment render effective care. Nursing is the culmination of education, experience, insight that allows nurses execute best action possible behalf patients. This concept analysis uses Walker Avant method demonstrate role in assessments interventions, delegation tasks, prioritization Nurses, other health care collaborators, recipients should be aware played by improve system.
Introduction: HIV transmission presents an ongoing risk to Hispanic women, and prevention efforts remain a priority. The use of technology prevent among women those lower socioeconomic status underscore the need for effective implementation technology. purpose this study is describe preferences predictors internet low-income women. Method: A secondary analysis was conducted using baseline data from intervention 320 parent SEPA, Salud (health), Educación (education), Promoción (promotion), y...
Background: There is a lack of diversity in the master's prepared nursing workforce. One school implemented scholarship program for students from disadvantaged backgrounds enrolled Family Nurse Practitioner and Adult Gerontology Primary tracks. Method: Awardees were required to be full-time with financial need. Each student was matched faculty member regular mentorship. Student progress evaluated every three months, follow-up 1 year after graduation. Results: A total 45 received Scholarship...
The Rapid Ultrasound for Shock and Hypotension (RUSH) examination is used patients with hypotension without clear cause or undifferentiated hypotension. In the emergency department setting, clinicians may perform RUSH to supplement physical assessment differentiate diagnosis of hypovolemic, obstructive, cardiogenic, distributive forms shock. key elements are pump, tank, pipes, meaning potentially causes examined within heart, vascular volume integrity, vessels themselves. Clinicians follow a...
To maximize healthcare efforts toward environmental sustainability while ensuring patient and community safety, a comprehensive understanding regarding solid waste properties disposal practices of care for infectious patients is needed. This observational study quantified the generated from two patientrooms in contact isolation infection with methicillin resistant Staphylococcus aureus 168 hours (7 days). A total 3,322 items amounting to approximately 65 kilograms (kg) was generated. Of...
Introduction: The increased prevalence, severity, and mortality of heart disease specifically failure among Hispanic Black populations are a concern for clinicians researchers. Additionally, patients poor socioeconomic status also have worse outcomes cardiovascular disease. To address disparities, it is necessary to the persistent lack representation in clinical research diverse populations, including individuals who low status. Method: This study was pilot randomized trial medication...
Zika has emerged as a rapidly spreading infection worldwide. Clinicians in many parts of the world must be prepared to screen for symptoms and diagnose patients with this disease. In particular, pregnant women who may have experienced exposure treated care sensitivity due serious risk pregnancy complications among those contract infection. response outbreak, patient management guidelines been established all symptomatic or potentially at Zika. globally can prepare implement such protocols...
Introduction: For the past 7 years, a nursing school has conducted biannual medical missions in virtually inaccessible area Haiti. Each mission team provides primary care, pediatric and gynecological examinations for up to 6 days impoverished island nation. Methods: To improve safety of participants engaged this humanitarian travel medicine endeavor enhance efficiency, United States National Incident Management System (NIMS) been implemented as framework. This integrated system 5 components:...
This study extended research on syndemics for women with mental disorders by including self-reported and physical health conditions. Syndemics explain complex relationships among co-occurring conditions, the social circumstances that influence their overlap. Data were from baseline assessment of a randomized trial Healthy Home, nursing home-visit intervention children. 172 adult who in or substance use treatment completed measures (in Spanish English) anxiety, depression, violence during...