蜜桃TV

Recent Chinese immigrants in Chinatown, particularly those who immigrated at age 65 or older with low education and income levels, face a high risk of osteoporosis and low bone mineral density (BMD). Language barriers and limited access to care hinder their awareness of preventive lifestyle changes. Tailored interventions that address Chinese culture, language, and specific needs are crucial to reducing these disparities.

This pilot study will test the feasibility, acceptability and efficacy of a three-month Self-Efficacy-Enhanced Osteoporosis Prevention Educational, Nutrition/Exercise Follow-up intervention (SEOPE-NEW) program, a social ecological and self-efficacy-based intervention, aimed at improving confidence and adherence to exercise, calcium-rich diets, and medication use.
The study hypothesizes that foreign-born Chinese immigrants participating in SEOPE-NEW will demonstrate greater confidence and adherence to osteoporosis prevention behaviors at 3-, 6-, and 12- month after the initial intervention compared to an attention control group. A total of 40 participants (20 per group) from two senior housing facilities in Philadelphia will be recruited for this pilot experimental, repeated-measures study. Eligibility criteria include Chinese immigrants aged 50 and older, fluent in Mandarin or Cantonese, and meeting cognitive and physical health requirements.

The intervention group will receive supervised exercise sessions, food record reviews, and ongoing education, while the control group will attend general health education classes. Both groups will meet weekly for three months, with two sessions per week during the first two weeks. Outcomes will be assessed using mobile apps to track daily activity and diet, validated questionnaires, and BMD measurements.

Findings from this pilot study, designed to assess acceptability and feasibility, may inform the development of rigorous group interventions and culturally sensitive, language-appropriate care for vulnerable Chinese immigrant populations. This research could lay the foundation for larger longitudinal studies and external grant applications aimed at reducing osteoporosis prevalence and improving health equity in this high-risk group.

The aims of this mixed-method study are to:

Describe the evolution of infection prevention and control (IPC) programs from 2011 to 2019 and determine the effectiveness of IPC staffing, infrastructure and processes in preventing healthcare-associated infections (HAI) in acute care hospitals.
Quantify the impact of the COVID-19 pandemic on infection prevention and control departments, HAI rates and rates of antibiotic resistance in acute care hospitals.
Develop an in-depth understanding of the impact of COVID-19 on infection preventionists, IPC resources and practices in acute care hospitals.

In Aim 1, building upon our previous work, we linked hospital surveys to longitudinal National Healthcare Safety Network (NHSN) HAI and staffing data (2011-2019) to examine the effectiveness of IPC staffing, infrastructure and processes on reducing HAI. In Aim 2, we conducted a national survey of U.S. hospitals and link the survey to NHSN (2011-2022) and CMS data (2018-2022) to examine the impact of COVID-19. In Aim 3, we conducted interviews with personnel involved in infection prevention and control in 20 hospitals. Over the next year, we will be in the process of analyzing both the quantitative and qualitative data and disseminating the results of the study through posters and publications.

The emergency department (ED) is among the most at-risk settings for violence by patients and visitors against nurses and staff. Security personnel in the ED are crucial for maintaining a safe and secure environment for patients, staff, and visitors. They play a vital role in de-escalating potentially volatile situations, responding to emergencies, and protecting hospital property. Their presence helps to deter criminal activity, prevent violence, and ensure that emergency protocols are followed effectively. There is a significant literature gap regarding the specific nature and effectiveness of the collaboration between emergency nurses and security personnel, especially concerning violence prevention and de-escalation. The purpose of this study is to describe ED nurses鈥� views of security officers鈥� effectiveness during actual events of verbal and/or physical violence. 

This project aims to ask: 1) What are emergency nurses' experiences and perceptions of working with security personnel in the emergency department setting? 2) How do emergency nurses' perceptions of security personnel influence their own feelings of safety and security in the workplace? And 3) What factors do emergency nurses believe influence the effectiveness of security personnel in ensuring a safe working environment? 

Data for this project have already been collected from 24 focus groups with emergency nurses at a Level I trauma center. Analysis will use qualitative verbatim transcripts in a systematic process that identifies themes.

As the most trusted health professionals, nurses are well-positioned to lead efforts that employ a multifaceted approach to address the complex social, economic, and political factors contributing to firearm violence (Saad, 2020). Although highly educated, nurses lack fundamental knowledge, communication skills, and clinical training to adequately engage with patients and families to design and lead policy efforts. Adopting a harm prevention strategy may be a targeted approach to promote firearm safety, screen for firearm violence, and advocate for evidence-based policies to protect public health. This project employs a harm reduction model as a framework to provide nurses with actionable strategies to advocate for and implement firearm safety and mental interventions in colleges to address the urgent need to foster a culture of safety and caritas across American schools.

This research project will be focused on grant development. In our previous work, we found that Assisted Relaxation Therapy (ART) is feasible and acceptable as a treatment strategy for older adults with insomnia and mild cognitive impairment. Our next step is to propose an NIH Stage II efficacy trial of the 4-week Assisted Relaxation Therapy (ART) intervention that systematically builds on our pilot work demonstrating recruitment success, feasibility, safety, acceptability and preliminary efficacy. ART involves breath-based relaxation that promotes a reduction in anxiety/negative conditioning associated with being awake in bed and is accessible in a mobile device application. The sleep education only group represents an active control intervention that is recommended as part of the initial treatment of insomnia. We will use a randomized, two-group, parallel design of xx older adults with MCI assigned to the intervention or control condition of equivalent attention and contact. The first-year Match research assistant will be engaged in the grant writing process. 
 
Here is the citation if interested in reviewing the pilot study: McPhillips, M. V., Li, J., Petrovsky, D. V., Brewster, G. S., Ward, E. J., 3rd, Hodgson, N., & Gooneratne, N. S. (2023). Assisted Relaxation Therapy for insomnia in older adults with mild cognitive impairment: A pilot study. , 97(1), 65鈥�80.

This project will involve a literature review on mobile health clinics within nursing and medical education. The goal is to gather evidence on the benefits, challenges and implementation strategies of mobile health clinics in academic settings. Additionally, the student will assist with stakeholder engagement and planning activities that contribute to a future grant proposal. This is an opportunity to gain exposure to community health, academic research, and project development in nursing education.