Research
A PART OF ORPCS DISCOVERY NEWSLETTER
2023 Cycle I Legacy Grant Recipients
The Stanford Nurse Alumnae awards Legacy Grants to 6 recipients in Cycle I of 2023. The grants are intended to perpetuate the Stanford University School of Nursing’s tradition of excellence in nursing practice, leadership, education, and research. These grants provide up to $10,000 to advance innovative research and demonstration projects that improve health care outcomes, the patient experience, and health system efficacy.
Awardees for this year’s Cycle I include:
Recipient: Dr. Kim Pyke-Grimm
Research Project: Adolescents and Young Adults with Cancer: Their Preferred Involvement in Decision Making
Cancer is the leading cause of disease-related death in adolescents and young adults (AYAs). The purpose of this mixed-methods study is to determine AYA’s decision making preferences after cancer diagnosis using vignettes designed to assess their preferred involvement in decisions about their cancer treatment and variables associated with these treatment decision-making (TDM) preferences.
Recipient: Dr. Cassendra Munro
Research Project: Inter-Rater Reliability of a Pressure Injury Risk Assessment Scale for Perioperative Patients
The purpose of the study is to investigate the inter-rater reliability of a risk assessment scale, the Munro Perioperative Pressure Injury Risk Assessment Scale (Munro Scale) for adult patients undergoing surgery.
Recipient: Katie Guzman + Holly Aur
Research Project: Seabands as Adjuvant Treatment of Chemotherapy-induced Nausea and Vomiting in Lymphoma Patients Receiving R-EPOCH Chemotherapy
The purpose of this study is to determine if adding P6 acupressure via SeaBands® to the current standard of care will improve acute and delayed chemotherapy-induced nausea and vomiting (CINV), patients’ quality of life and ability to perform activities of daily living. Our target population will be lymphoma patients receiving the R-EPOCH treatment regimen in the inpatient, hospital setting. The results of this study will support the addition of a complementary, non-pharmacological approach for CINV management that has a low potential for harm and has the potential to greatly benefit patients.
Recipient: Charlene Platon, MS, RN, FNP-BC
Research Project: Exploring the Impact of Nurse-Led Visits in Neuroscience Clinics
The purpose of this project is to explore the perceived impact of nurse-led visits in the neuroscience clinic from the perspective of patients and family members, Registered Nurses, advanced practice providers, physicians, and surgeons. Understanding the perspective of these four distinct stakeholder groups will facilitate future refinement and implementation of nurse-led visits both within the neuroscience clinic and across ambulatory care.
Recipient: Dr. Michele Diaz Nelson
Research Project: Evaluation of Factors Related to In-Hospital Falls at Stanford Health Care: A Mixed Methods Approach
The aims of this mixed methods exploratory study are to: 1) conduct a literature review to examine evidence-based practices identified in the literature and re-examine existing hospital-based fall-related policies and procedures at Stanford Health Care (SHC) in comparison to the findings; 2) describe patient characteristics and factors associated with falls at SHC; and 3) gain insight from SHC nursing staff into their perceptions regarding facilitators and barriers to preventable in-hospital falls, and how existing fall-related policies and procedures support nursing staff clinical workflows for fall prevention.
Recipient: Dr. Vanessa Chicas
Research Project: 12-Month Evaluation of an Accessible Language Service Intervention in an Inpatient Trauma Unit
The purpose of this project is to perform a retrospective analysis to determine if an intervention to increase certified interpreter use on an acuity adaptable unit resulted in sustained use of the service and if pain reporting and management differs for patients who identified a non-English language preference on this unit compared to a unit that did not receive the intervention.
Written by: Regine Lopez, MPH
Does a combination of health coaching and self-monitoring apps have a significant effect in people with overweight and obesity?
Dr. Kyung Mi Kim, nurse scientist at the Office of Research Patient Care Research (ORPCS), along with her team performed a meta-analysis on the combined effects of self-monitoring smartphone apps and health coaching on the effectiveness on anthropometric, cardiometabolic, and lifestyle outcomes in people with overweight and obesity. The analysis was published in the Journal of Medical Internet Research in April 2023.
Key findings:
Smartphone apps with a self-monitoring patient-centered health coaching program resulted in weight loss, improvement in HbA1c levels, waist circumference, triglycerides, and total calorie consumption. In addition, smartphone apps were particularly helpful in promoting healthy eating.
The combined intervention of smartphone apps and health coaching showed superior results in reducing waist circumference (a proxy measure of visceral fat) compared to using the app alone or usual care. The author’s note that the intervention’s effects could be “influenced by personal intention, motivation, socioenvironmental resources, and interventional engagement for weight loss” as well as variations in health coaching program duration and intensity.
Conclusion:
While smartphone apps have the potential to affect obesity and overweight outcomes, using health coaching jointly with smartphone apps has shown no additional benefit compared to smartphone apps alone.
Research brief summary written by: Briana Williams