Browsing by Author "Cullen, Deborah L."

Now showing 1 - 7 of 7
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    Child and Infant Mortality; Risk Factors Related to SUID in Marion County
    (Office of the Vice Chancellor for Research, 2015-04-17) Oberle, Morgan R.; Elomba, Charles D.; Cullen, Deborah L.; Stiffler, Deborah J.
    Between 2003- 2012, Indiana had 434 child deaths, including 53 Sudden Unexpected Infant Death (SUID) cases. Marion County has a high rate of SUID at 14%. The purpose of our research is to identify the risk factors for suffocation and to determine if SUID can be better prevented. In a pilot exploratory study, we analyzed five de-identified Marion County SUID cases to identify the asphyxia variables. The Fetal Infant Mortality Review (FIMR) cases allowed for thematic analysis. We used a meta-aggregation program NOTARI (Narrative, opinion, text assessment, and review instrument) to focus on categorical variables. Results identified asphyxia variables such as swaddling, blanket suffocation, wedging, parents bedding, soft bedding with pillows. Common maternal variables were obesity, hypertension, and STDs. Infant variables included breathing problems and cardio-respiratory pathologies. We found four cases with documented safe sleep education. The education that parents receive on safe sleep is not a guarantee that they will practice safe sleep with their infants. The education might not be effective enough to help them comprehend its importance; therefore nurses and other healthcare professionals need to consider changing the way they educate and advocate for parents. We suggest the introduction of more primary educational programs that will help the community understand safe sleep and SUID. This intervention would help decrease the incidence of sudden unexpected infant death.
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    The Indiana University School of Nursing Clinical Faculty Mentoring Initiative
    (Office of Academic Affairs, IUPUI, 2015-02-01) Cullen, Deborah L.; McLennon, Susan M.; Shieh, Carol
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    The Indiana University School of Nursing Clinical Faculty Mentoring Initiative: One-Year Outcomes and Lessons Learned
    (Office of Academic Affairs, IUPUI, 2016-09-16) Shieh, Carol; Cullen, Deborah L.
    This poster describes the progress and lessons learned as a result of newly implemented Faculty Mentoring Program in the Indiana University School of Nursing.
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    Intervention strategies for preventing excessive gestational weight gain: systematic review and meta‐analysis
    (Wiley, 2018) Shieh, Carol; Cullen, Deborah L.; Pike, Caitlin; Pressler, Susan J.; School of Nursing
    Background Interventions relevant to energy intake to prevent excessive gestational weight gain in pregnant overweight and obese women are important but scarce. This review synthesized healthy eating and physical activity strategies and their effects on excessive gestational weight gain prevention. Methods Twenty‐three randomized controlled trials that included healthy eating and/or physical activity as an intervention in healthy pregnant overweight or obese adult women and gestational weight gain as a primary or secondary outcome were reviewed. Findings Heathy eating and/or physical activity (21 studies, n = 6,920 subjects) demonstrated 1.81 kg (95% CI: −3.47, −0.16) of gestational weight gain reduction favouring intervention. Healthy eating (−5.77 kg, 95% CI: −9.34, −2.21, p = 0.02) had a larger effect size than combined healthy eating/physical activity (−0.82 kg, 95% CI: −1.28, −0.36, p = 0.0005) in limiting gestational weight gain. Physical activity did not show a significant pooled effect. Healthy eating with prescribed daily calorie and macronutrient goals significantly limited gestational weight gain by 4.28 kg and 4.23 kg, respectively. Conclusion Healthy eating and/or physical activity are effective in gestational weight gain control. Healthy eating with calorie and macronutrient goals are especially effective in limiting excessive gestational weight gain among pregnant overweight and obese women.
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    Mentoring Nurse Faculty: Outcomes of a Three-Year Clinical Track Faculty Initiative
    (Elsevier, 2018) Shieh, Carol; Cullen, Deborah L.; School of Nursing
    Clinical track faculty often lack mentoring opportunities needed to develop their scholarship which may hinder their academic promotion. The Clinical Track Faculty Mentoring Initiative was designed to foster scholarship development and academic promotion of clinical assistant professors. Fifteen clinical assistant professors in two cohorts and their mentors participated in the Initiative. Each Cohort lasted two years with one overlapping year. Participating clinical assistant professors were required to attend five check-in meetings, a summer writing workshop, school and university promotion information sessions, and mentor-protégé meetings. Program outcomes were assessed quarterly and they included knowledge of promotion processes, mentorship quality, scholarship productivity, and academic promotion. Scores on knowledge of promotion processes and perceived mentorship quality among participating clinical assistant professors were significantly increased. Participating clinical assistant professors published, on average, 3.33 papers and delivered 6.4 presentations in two years. The Initiative demonstrated an effective mentoring program that incorporated a multimethod approach with clear program goals, strong systems support, and high mentorship quality.
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    Non-tenured Track Nursing Faculty Mentoring Initiative
    (Office of Academic Affairs, IUPUI, 2017-11-14) Cullen, Deborah L.; Shieh, Carol
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    What Are the Factors that Influence Caregiver/Parent Co-sleeping Education?
    (Office of the Vice Chancellor for Research, 2015-04-17) Williams, Katherine J.; Vodde, Cassandra R.; Hartman, Taylor D.; Stiffler, Deborah; Cullen, Deborah L.
    Background: In the United States, 13% of infants routinely co-sleep with a caregiver, and 50% of infants share a bed with a caregiver for part of the night. Co-sleeping has been identified as a risk factor for infant death by Sudden Unexplained Infant Death Syndrome (SUIDS). The purpose of this research was to carry out a systematic review for determining best practices related to education to caregivers on the risks of co-sleeping. Method: After a rigorous multi-database search, we accessed 100 research articles related to SUIDS from years 2002-2015 for inclusion for this review. A total of 20 papers related to co-sleeping and SUIDS met the inclusion criteria and were assessed for validity by a primary and secondary reviewer via standardized critical appraisal instruments from the Joanna Briggs Institute. Due to the articles’ descriptive methods, NOTARI (Narrative, Opinion, and Text Assessment and Review Instrument) was used to appraise, extract data, and thematically organize the findings resulting in meta-aggregation. Results: The data extracted included specific details for co-sleeping. We identified that a) educational, b) family dynamics, c) racial/cultural, and d) socioeconomic factors were the significant concepts that influenced the caregivers’ attitude toward co-sleeping and their likelihood to co-sleep. Heterogeneity for the study’s methods was represented in the results. Conclusions: Many caregivers and families that practice co-sleeping display resistance to education about the discontinuation of co-sleeping based on the belief that healthcare providers do not take into account the family’s personal situation. The caregivers are more likely to be receptive to advice regarding safer co-sleeping practices as opposed to omitting the practice of co-sleeping. Family-centered interventions and tailored education delivered by nurses should be identified. Caregiver safe practices for sleep, taking into account situational factors such as socioeconomic level, race, culture, and core beliefs, should be encouraged.