A5091455046- Palliative Care and End-of-Life Issues
- Pain Management and Opioid Use
- Geriatric Care and Nursing Homes
- Patient Dignity and Privacy
- Pediatric Pain Management Techniques
- Childhood Cancer Survivors' Quality of Life
- Family and Patient Care in Intensive Care Units
- Interprofessional Education and Collaboration
- Patient-Provider Communication in Healthcare
- Nursing education and management
- Anesthesia and Pain Management
- Ethics in medical practice
- Health Sciences Research and Education
- Grief, Bereavement, and Mental Health
- Healthcare professionals’ stress and burnout
- Cancer survivorship and care
- Nursing Diagnosis and Documentation
- Nursing Roles and Practices
- Urinary Tract Infections Management
- Pain Management and Placebo Effect
- Dementia and Cognitive Impairment Research
- Intensive Care Unit Cognitive Disorders
- Musculoskeletal pain and rehabilitation
- Pressure Ulcer Prevention and Management
- Pelvic floor disorders treatments
University of Colorado Denver
2014-2025
Colorado College
2010-2024
University of Colorado Anschutz Medical Campus
2011-2024
Indiana University
2024
University of Maryland, Baltimore
2024
Mayo Clinic in Arizona
2024
Lifeline Hospital
2021
North Colorado Medical Center Foundation
2021
University of Colorado Hospital
2006-2019
National Institutes of Health
2019
Objectives To identify changes in nurse attitudes toward research utilization and the organization's environment preimplementation postimplementation of a multifaceted intervention to promote use practice. Background Nursing practice based on evidence has been shown positive patient outcomes. Personal characteristics such as involvement have positively correlated with utilization. Organizational culture is determinant nurses' Healthcare organizations must develop supportive an effort attract...
Graduate nurses experience role conflict and stress as they begin practice in work environments of high complexity, nurse shortages, expectations to become competent rapidly. The authors report outcomes from a study that evaluated qualitative responses the Casey-Fink Nurse Experience Survey administered graduate residents University HealthSystem Consortium/American Association Colleges Nursing postbaccalaureate residency program at 12 academic hospital sites. Qualitative analysis provided...
Older adults in nursing homes experience pain that is often underassessed and undertreated. Visual analog pain-intensity scales, recommended for widespread use adults, do not work well the older adult population. A variety of other tools are use, including Verbal Descriptor Scale, Faces Pain Scale (FPS), Numeric Rating Scale. These more acceptable to but no agreement exists about how compare resulting scores across residents. This study examined equivalency 135 home residents who reported...
Nursing students must be prepared to enter the practice environment ready competently care for patients. The purpose of this study was examine factors hypothesized influence senior nursing students' perceptions readiness and determine their level comfort performing skills independently. This also validates an investigator-developed instrument, Casey-Fink Readiness Practice Survey. Factor loading indicated four components tested by subscales in survey: clinical problem solving, learning...
Context: Specialty palliative care has been associated with cost savings at the end of life, while patient navigators have independently due to screening and treatment early in course disease. Evidence is limited regarding life. Objectives: To determine cost-effectiveness a lay navigator intervention improving outcomes for Hispanic persons serious noncancer illness. Methods: Total health expenditures last 30, 90, 180 days life were compared randomized sample 56 persons. Expenditures included...
Background: Cancer incidence in Middle Eastern countries, most categorized as low- and middle-income, is predicted to double the next 10 years, greater than any other part of world. While progress has been made cancer diagnosis/treatment, much remains be done improve palliative care for majority patients with who present advanced disease. Objective: To determine knowledge, beliefs, barriers, resources regarding services countries use findings inform future educational training activities....
Pain assessment is critical to optimal pain management interventions. While a highly subjective experience, its necessitates objective standards of care. The WILDA approach assessment-focusing on words describe pain, intensity, location, duration, and aggravating or alleviating factors-offers concise template for in patients with acute chronic pain.
Purpose: Effective pain management remains a serious problem in the nursing home setting. Barriers to achieving optimal practices include staff knowledge deficits, biases, and attitudes that influence assessment of residents' pain. Design Methods: Twelve homes participated this intervention study: six treatment control homes, divided evenly between urban rural locations. Three hundred licensed unlicensed members completed written attitude surveys at baseline, 378 after implementation....
: The aim of this study was to examine the factors affecting retention registered nurses (RNs) and validate revised Casey-Fink Nurse Retention Survey (2009).: Creating an organizational culture may reduce nurse turnover. Focusing on why leave identifying stay are essential.: A descriptive survey design gathered data from RNs with 1 or more years experience providing direct patient care employed in inpatient/ambulatory settings acute care, academic, Magnet hospital.: There were no...
<h3>Importance</h3> Strategies to increase access palliative care, particularly for racial/ethnic minorities, must maximize primary care and community-based models meet the ever-growing need in a culturally sensitive congruent manner. <h3>Objective</h3> To investigate if tailored patient navigator intervention can improve outcomes Latino adults with advanced cancer. <h3>Design, Setting, Participants</h3> The<i>Apoyo con Cariño</i>(Support With Caring) randomized clinical trial was conducted...
Critically ill intensive care unit (ICU) patients often experience pain, anxiety, panic, fear, dyspnea, and distress related to mechanical ventilation. Patients' recollections vary from having little or no memory of actual events total recall. Few studies have examined family members' memories congruence with patients' symptom report nurse observation.To describe the mechanically ventilated ICU patient.(1) explore patient distress, dyspnea following ventilation; (2) determine if there is a...
Disparities persist across the trajectory of serious illness, including at end life. Patient navigation has been shown to reduce disparities and improve outcomes for underserved populations.
To evaluate pain management satisfaction in elderly postoperative patients; to define strategies documented the medical record (MR) that predict patient satisfaction.Prospective cohort.Eight urban hospitals.Three hundred twenty-two postsurgical patients aged 65 and older.Patients were surveyed regarding with first 24 hours postsurgery survey results summarized a score. Pain variables (patient education, pharmacological nonpharmacological interventions, demographic variables, surgery...
ABSTRACT Background: Pain prevalence in nursing homes remains high, with multiple resident, staff, and physician barriers presenting serious challenges to its improvement. Aims: The study aims were (1) develop test a multifaceted, culturally competent intervention improve home pain practices; (2) knowledge attitudes about management; (3) actual practices homes; (4) policies procedures related pain. Methods: A was developed tested six Colorado homes, another serving as control sites. Both...
The very existence of hysterical psychosis as a diagnostic entity has been questioned part the general difficulty in defining both hysteria and psychosis. However, several recent investigations have documented syndrome that usually involves brief intense periods psychotic behavior, generally with graphic decompensation, severe environmental stress, rapid recompensation, individuals other features. authors assert such does exist clinical differential diagnosis can be facilitated by using...
Background: We present and describe tailored strategies to address known barriers minority participation in clinical trial research. The used allowed our team engage communities successfully recruit, enroll, retain a diverse underserved population of Latinos with advanced cancer for this trial. Methods: Participants were recruited from 3 urban 7 rural sites. identified 4 critical recruitment population: (1) mistrust; (2) language communication barriers; (3) lack access academic center; (4)...
Background: The World Health Assembly urges members to build palliative care (PC) capacity as an ethical imperative. Nurses provide PC services in a variety of settings, including the home and may be only health professional able access some disparate populations. Identifying current nursing services, resources, satisfaction barriers practice are essential global capacity. Objective: To globally examine nurses' practice, satisfaction, barriers, regarding existing provision. Design: Needs...