IU School of Nursing Works
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Item Faculty development needs and approaches to support test item writing in nursing programs: An integrative review(Lippincott, 2024) Hensel, Desiree; Moorman, Margaret; Stuffle, Megan; Holtel, ElizabethMany nursing faculty lack formal training in item writing and test construction. This integrative review synthesizes the evidence to gain a comprehensive understanding of the developmental needs and interventions employed to help nursing faculty gain skills to develop course examinations. Original research and non-research reports published since 2012 were included. Independent quality appraisals were completed based on the Johns Hopkins Nursing Evidence-based Practice Model. Data were analyzed using the constant comparison method. Nineteen reports met inclusion criteria. Themes related to test development skills were standards support practice, educational preparation, evolving technologies, and writing for clarity. Themes related to faculty development were continuous improvement, professional development plans, peer and expert collaboration, and up-to-date resources. Nursing programs need to establish methods to ensure faculty use best practices and are competent in test development. Nursing needs future research to understand optimal faculty development approaches.Item Improving pre-licensure student learning and experience with interactive online learning modules(Slack, 2024) Stuffle, MeganFundamentals of Nursing students at a large school of nursing in the Midwest reported difficulty using their course textbooks. There was also an increase in course failures and a decrease in performance on a Fundamentals of Nursing National Council Licensure Examination (NCLEX-RN®) preparatory proctored examination. A pilot project was implemented to evaluate the effectiveness of interactive, online learning modules compared to textbook readings on student performance, access and use of resources, and student experience. Following the pilot there was a significant improvement in course grades among traditional but not accelerated students using the modules compared to those using the textbook. Students reported that the modules were more engaging, cost-effective, and appealing to various learning styles. Weaknesses identified were the module lengths and technological concerns. The online, interactive modules engaged students with course materials, reduced costs, and may have changed student performance. Additional research is needed among students in other courses and programs.Item Using a strategy process framework to support the implementation of an evidence-based practice initiative to improve clinical judgment of newly hired nurses(Slack, 2022) Stuffle, Megan; Embree, JenniferEvidence-based practice (EBP) is foundational to nursing practice, but initiatives can be challenging to implement and sustain. A strategic process framework can successfully guide EBP initiatives. This column describes how nursing professional development specialists can teach nurses how to use a strategy process framework to guide an EBP initiativeItem Using the clinical judgment measurement model to promote nurse education and competency: an exemplar(Slack, 2024) Stuffle, Megan; Embree, JenniferNurses in all settings need the clinical judgment abilities to care for clients with fluid and electrolyte imbalances. An educational activity was developed using the Clinical Judgment Measurement Model to provide Nursing Professional Development Specialists with a tool to support the competency of nurses caring for these clients.Item Improving clinical judgment of newly licensed nurses with in situ and structured debriefing: an evidence-based practice project(Springer, 2024) Stuffle, MeganSound clinical judgment (CJ) is essential for providing quality patient care. Newly licensed nurses lack the previous experiences needed to inform CJ, which could result in harm. This project aimed to evaluate the effectiveness of in situ and structured debriefing on the development of CJ among newly licensed nurses during their orientation. A quasi-experimental nonequivalent control group post-test design was used to compare CJ among newly licensed nurses who used in situ and structured debriefing during their initial orientation to those who did not use debriefing methodology. CJ was improved through in situ and structured debriefing. Newly licensed nurses also perceived debriefing as valuable for analyzing their performance and developing a personal improvement plan. Conclusions: Debriefing during orientation has the potential to improve CJ among newly licensed nurses and promote patient safety. Nurse leaders must implement methods to improve CJ among newly licensed nurses to address the existing decline in competency. Given their benefits, efficiency, and cost-effectiveness, debriefing methodologies should also be considered to promote CJ development among nurses transitioning to new care environments and advanced practice roles.Item Chronic Pain in Heart Failure : An Urgent Need for Improved Characterization and Treatment(Wolters Kluwer, 2025) Smith, Asa; Pressler, SusanItem Pain, Return to Community Status, and 90-Day Mortality Among Hospitalized Patients With Heart Failure(Wolters Kluwer, 2024-07-10) Smith, Asa; Jung, Miyeon; O'Donnell, Daniel; White, Fletcher; Pressler, SusanBackground: Pain is common among patients with heart failure but has not been examined with short-term discharge outcomes. The purpose was to examine whether pain at discharge predicts return to community status and 90-day mortality among hospitalized patients with heart failure. Methods: Data from medical records of 2169 patients hospitalized with heart failure were analyzed in this retrospective cohort study. The independent variable was a diagnosis of pain at discharge. Outcomes were return to community status (yes/no) and 90-day mortality. Logistic regression was used to address aims. Covariates included age, gender, race, vital signs, comorbid symptoms, comorbid conditions, cardiac devices, and length of stay. Results: The sample had a mean age of 66.53 years, and was 57.4% AQ3 women and 55.9%Black. Of 2169 patients, 1601 (73.8%) returned to community, and 117 (5.4%) died at or before 90 days. Patients with pain returned to community less frequently (69.6%) compared with patients without pain (75. 2%), which was a statistically significant relationship (odds ratio, 0.74; 95% confidence interval, 0.57–0.97; P = .028). Other variables that predicted return to community status included age, comorbid conditions, dyspnea, fatigue, systolic blood pressure, and length of stay. Pain did not predict increased 90-day mortality. Variables that predicted mortality included age, liver disease, and systolic blood pressure. Conclusion: Patients with pain were less likely to return to community but did not have higher 90-day mortality. Pain in combination with other symptoms and comorbid conditions may play a role in mortality if acute pain versus chronic pain can be stratified in a future study.Item Developing and testing a new theoretical model of pain in heart failure(2024-11-16) Smith, Asa; Jung, Miyeon; Pressler, SusanItem Does pain predict physical function, cognitive function, activities of daily living, or health-related quality of life among adults with heart failure?(2024-11-18) Smith, Asa; Jung, Miyeon; Pressler, SusanItem PrEP Familiarity, Interest, and Usage Among 364 Black and Hispanic Adults in Indiana(Frontiers Media, 2022-05-06) Campbell, Jessica T.; Adams, Olivia R.; Bennett-Brown, Margaret; Woodward, Brennan; Gesselman, Amanda N.; Carter, Gregory; School of NursingPre-exposure prophylaxis, or PrEP, is a once-daily preventative prescription pill against HIV for adults or adolescents who have sex or inject drugs. PrEP may be especially useful among Black and Hispanic Americans, who are particularly at risk for HIV in the United States. In spite of this vulnerability, rates of PrEP use in Black and Hispanic communities are low. Here, we examined familiarity with, prior usage of, and future interest in PrEP among 364 Black and Hispanic Indiana residents. Indiana is an important context for this work, due to severe HIV outbreaks in the area over the last 8 years. Around half of all participants had never heard of PrEP, with Hispanic participants being less familiar than Black participants. Prior PrEP use was low, at around 10%, and was lower for Hispanic than Black participants. Around 21% of all participants reported interest in PrEP after learning of it in our study. Further, participants identified strategies that would make discussions about PrEP with a medical provider more comfortable. Black and Hispanic participants reported feeling the most comfortable with addressing PrEP usage with providers if: (a) the provider was the one who brought up the subject of PrEP, (b) there was written information available to the patient (i.e., brochures), and (c) the patient already knew they qualified for the prescription in terms of personal eligibility and insurance coverage. Additional provider and patient education, as well as openness on the part of the provider, can help to lessen the disparities associated with PrEP need and actual PrEP usage.