A5075810912- Nursing education and management
- Family and Patient Care in Intensive Care Units
- Geriatric Care and Nursing Homes
- Nursing Roles and Practices
- Patient Safety and Medication Errors
- Sepsis Diagnosis and Treatment
- Healthcare professionals’ stress and burnout
- Health and Well-being Studies
- Resilience and Mental Health
- Global Health Workforce Issues
- Simulation-Based Education in Healthcare
- Health Sciences Research and Education
- Machine Learning in Healthcare
- Hospital Admissions and Outcomes
- Disaster Response and Management
- Global Health and Surgery
- Migraine and Headache Studies
- Workplace Health and Well-being
- Music Therapy and Health
- Phytase and its Applications
- Cardiac and Coronary Surgery Techniques
- Intensive Care Unit Cognitive Disorders
- Electronic Health Records Systems
- Scientific Computing and Data Management
- Cardiac, Anesthesia and Surgical Outcomes
Duke University Hospital
2018-2024
National Patient Safety Foundation
2024
Access to Wholistic and Productive Living Institute
2023
Duke University Health System
2022-2023
E Ink (South Korea)
2022
Kelly Services (United States)
2019
East Carolina University
2018
Duke Medical Center
2018
Rush University Medical Center
2014-2016
Candidate malaria vaccines have failed to elicit consistently protective immune responses against challenge with Plasmodium falciparum. NYVAC-Pf7, a highly attenuated vaccinia virus 7 P. falciparum genes inserted into its genome, was tested in phase I/IIa safety, immunogenicity, and efficacy vaccine trial human volunteers. Malaria the NYVAC genome encoded proteins from all stages of parasite's life cycle. Volunteers received three immunizations two different dosages NYVAC-Pf7. The safe well...
Successful integrations of machine learning into routine clinical care are exceedingly rare, and barriers to its adoption poorly characterized in the literature.This study aims report a quality improvement effort integrate deep sepsis detection management platform, Sepsis Watch, care.In 2016, multidisciplinary team consisting statisticians, data scientists, engineers, clinicians was assembled by leadership an academic health system radically improve treatment sepsis. This follows framework...
Background Bedside nurse turnover in the United States is 15.9%, representing a national challenge that has been attributed to poor work environments. Healthy environments are associated with improved satisfaction and retention as well positive patient outcomes; unhealthy have opposite effects. Objectives To implement American Association of Critical-Care Nurses (AACN) healthy environment (HWE) framework an intensive care unit evaluate staff satisfaction, turnover, tenure 2 years later....
Aims To improve predictability and accuracy of hiring using historical staffing data, quality improvement workforce engagement. Background Twenty-three per cent newly licensed nurses leave their first job within one year, costing employers $52,100 nurse replacement. Tools for anticipatory strategies are not available in the literature. Methods We used retrospective, secondary data analysis to develop a Prospective Staffing Model conduct five-year longitudinal evaluation implementation model...
Pressure injuries are associated with increased morbidity, mortality, and cost. Patients delayed sternal closure after cardiac surgery at risk of developing pressure injury because their reduced mobility inability to undergo complete skin assessment.Safe patient handling patients is challenging restrictions, leading for staff harm.An interprofessional team composed bedside nurses, ergonomic specialists, a wound ostomy continence nurse, cardiothoracic surgeons developed protocol consisting...
A new approach to selecting members for an interdisciplinary medical mission trip
Pena, Heather MSN, RN, CCRN-CSC, CPPS; Pennigar, Stephanie BSN, RN; Kester, Kelly DNP, CCRN, NE-BC Author Information
Ineffective pairings between preceptors and orientees can lead to decreased job satisfaction burnout. This article describes the results of a study using learning style assessment tool pair in an intensive care unit for newly hired registered nurses February 2017 December 2019 ( n = 173).
The purpose was to evaluate an innovative Prospective Hiring Equation determine registered nurse hiring needs.The American Organization for Nursing Leadership identifies human resource management as a competency managers, yet calculations when and how many nurses hire are not readily available.We implemented educational intervention teach mangers the Equation. We evaluated processes (adoption confidence) outcomes (vacancy rates) using pre-evaluation/postevaluation design in single cohort of...
Nationally, nurse turnover is 18.7%, and 24.1% of nurses leave their organization within a year hire. Onboarding key component nurse’s intent to stay job satisfaction. This article describes the implementation results an onboarding program in large intensive care unit.
Pena, Heather MSN, RN, CCRN-CSC, CPPS; Engel, Jill DNP, ACNP, FNP, NEA-BC, FAANP; Kester, Kelly NE-BC, CCRN; Ellis, Myra CCRN-CSC; Alexander, Allyson BS Author Information
As patients, hospitals, and the scientific community deal with rapidly evolving effects of coronavirus disease 2019 (COVID-19) pandemic, nurses have been called on to respond quickly in many roles. Direct patient care is undeniably an international, national, local priority. Yet as we deliver that care, clinical questions arise about how we, frontline caregivers a time crisis, might "do it better." For example, evidence regarding COVID-19 indicates importance frequent handwashing,...
In Brief Clinical nurse retention is a priority for nursing leaders that requires short- and long-term planning. This article provides managers with effective strategies to improve clinical by optimizing local RN staffing healthy work environments.
<sec> <title>BACKGROUND</title> Successful integrations of machine learning into routine clinical care are exceedingly rare, and barriers to its adoption poorly characterized in the literature. </sec> <title>OBJECTIVE</title> This study aims report a quality improvement effort integrate deep sepsis detection management platform, Sepsis Watch, care. <title>METHODS</title> In 2016, multidisciplinary team consisting statisticians, data scientists, engineers, clinicians was assembled by...
To explore the practices and self-confidence of nurse manager (NM) decision-making related to evaluating RN hiring needs.Evidence-based strategies sustain workforce stability were identified as a gap in literature. Locally, inconsistencies method that NMs use determine how many RNs hire at what frequency them observed, posing threat strategic planning.Using mixed-methods, qualitative descriptive design, researchers used in-depth interviews surveys assess current NM confidence needs.The...
A growing body of literature exists for physical activity (PA) participation as a risk reducing behavior after breast cancer diagnosis. The purpose this study was to describe the amount and type PA performed by survivors, American Cancer Society (ACS) guideline awareness perception. sample 89 survivors completed questionnaire about knowledge ACS prevention guidelines, perceived recurrence, usual PA. Nearly 40% participants were unsure guidelines. No difference in score (out possible 5...
Limited evidence exists concerning the role of gastrointestinal (GI) disorders and intestinal barrier function as contributors to headache occurrence. Therefore, objective this study was explore relationships between headaches, GI symptoms, gut in a largely female sample (n=69) obese (BMI, 37.6 ± 6.3 kg/m 2 , mean SD) adults, aged 45 11 years. In cross‐sectional study, 24‐hr urine collected after sugar challenge analyzed for sucralose lactulose concentrations using gas chromatography. (%...