On October 22nd, the Baylor Scott & White Health North and Central Division Nursing Research

Councils engaged in a retreat to discuss a strategic plan for future research. In addition, the councils

participated in a collaborative and integration of scientific activities. With great enthusiasm, more than 40

attendees developed a new mission, vision and value statement as well as generated an integrated strategic

plan with associated tactics.

For a complete record of the retreat outcomes, please access the following link: https://eteams.mybaylor.com/council/ppractice/System-

Wide%20Partnership%20Councils/RNResearch/Shared%20Documents/Forms/AllItems.aspx?RootFolder=%2fcouncil%2fppractice%2fSystem%2

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BAYLOR SCOTT & WHITE HEALTH E-Research News

Encouraging Scientific Inquiry and Seeking Best Practice Resources

Across the North and Central Divisions

OCTOBER, 2014 VOL 14 ISSUE #13

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OCTOBER, 2014 VOL 14 ISSUE #13

North Division

Collaborative Studies*

In support of the Baylor Scott & White Health North Division Research Council, listed below is a table depicting

past and current collaborative studies. We encourage faculty, multisite and university teamwork. So, grab a colleague

and create new knowledge that supports better patient outcomes.

University/Facilities Investigators Research Title

BU Mitchell Neubert , PhD, BS

Remy Tolentino, MSN, RN, NEA-BC

Nursing Leadership Behavior and

Outcomes

UT Tyler Susan Yarbrough, PhD, RN

Michelle Marty, MSN, RN-C

Professional Values Orientation, Job

Satisfaction, Career Development and

Intent to Stay in recently-hired Nurses

UTA and UTD Mary Elizabeth Mancini, PhD, RN; Yan

Xiao, PhD; Marjorie Zielke, MBA, PhD;

Susan Houston, PhD;

Donald Kennerly, MD, PhD; Ute Fisher,

PhD; Michael Leonard, MD

Serious Gaming: Physician and Nurse

Communication

UT Southwestern Medical

School

Alicia Coleman, PhD-c

Tonda Raby, MSN,MA,RN (BUMC)

Nurses as Leadership and Attachment

Figures: Leadership Style and Attachment

Orientation Predicts Followers

Performance

BSON Linda Plank, PhD, RN

Marcella Owens, MS, RN, CMSRN, NE-BC

Practice Patterns in the Evaluation and

Management of Dementia by Primary

Care Residents, Primary Care Physicians

and

Geriatricians

BSON Claudia Bell, PhD, RN

Karen Zwerneman, MSN, RN (BUMC)

Women's recognition and interpretation of

ischemic stroke symptoms

Texas Women’s University

(Previously with the Dallas Fort

Worth Health Care Foundation)

Mari Tietze, RN, PhD

Andrew Masica, MD

Richard E. Gilder, BSN MS RN-BC

Venous Thromboembolism Continuum of

Care: A Nursing Care Delivery

Perspective

Yale, Brigham, Vanderbilt,

Mass General, University of

Michigan

Andrew Masica , MD

Sharon Gunn, MSN, MA, RN

Marygrace Leveille, PhD, RN, ACNP-BC

MIND USA –Modifying the Impact of

ICU-Associated Neurological

Dysfunction

UTD Marjorie Zielke, MBA, PhD

Susan Houston, RN, FAAN, NEA-BC, PhD

Improving ED Geriatric Patient-centered

Care with a Crowd-Sourced,

Game-Based Simulation

UNT Susan Squires, PhD

Susan Houston, RN, FAAN, NEA-BC, PhD

Elder hospitalized patients expectations

across culturally diverse populations

North Division

Collaborative Studies Continued

University/Facilities Investigators Research Title

BSON Becky Spencer, PhD, RN

Mallory Goetz, RN

Ben Rieke, SN

Nursing Intuition in Acute Physiologic

Decline: A Qualitative Description of

Critical Care Nurses’ Experiences

Baylor Scott and White -

North and Central Division,

THR, Scott and White,

Medical City Dallas

Eram Samuels, BSN, RN

Alaina Tellson, PhDc, RN

Hand hygiene and bacterial load on

jewelry

UT Tyler Sandy Petersen, PhD, RN

Susan Houston, PhD, RN

Robotic Pet Therapy and Assisted

Living Memory Care

UTA Maxine Adegbola, PhD, RN

Ruth Robert, PhD, RN

Comparison of two educational modules

and geriatric knowledge and their

perceptions of education modalities

among acute care staff nurses

Baylor Scott and White –

North Division, AHRQ

Andrew Masica, MD

Susan Smith, DNP, RN

Implementing a Bundle for Intensive

Care Unit Delirium–the IBID Project

UTA, Baylor Scott and White

– North Division

Kathy Daniel, PhD, RN

Marygrace Leveille, PhD, RN

Renal Status in CHF Patients

UTA, Baylor Scott and White

– North Division

NDNQI NDNQI Study: Dissemination and

Implementation of Evidence-Based

Methods to Measure and Improve

Pain Outcomes Phase I

NDNQI study: Dissemination and

Implementation of Evidence Based

Methods to Measure and Improve

Pain Outcomes Phase II

*Table does not reflect thesis, dissertation or Capstone projects.

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OCTOBER, 2014 VOL 14 ISSUE #13

Baylor Scott & White Health – North

Division NRC Approved Proposals

.

Attachment and Leadership in Nursing: Intervention Study

PI: Lori Ewalt-Hughes, RN

Co-PI: Caton Cadigan, MA, BSN, RN, CCRN

Nursing Intuition in Acute Physiologic Decline: A Qualitative Description of Critical Care Nurses’

Experiences Introductions

PI: Becky Spencer, PhD, RN, IBCLC

Supportive and Palliative Care

PI: Pamela Green, MSN, APRN, FNP-C

Alarm Fatigue, SN: A Nurse’s Perspective Toward the Response of Alarms

PI: Alexander Orellana

Relationships Between Opposite Strengths Patterns of Strength and Risk for Burnout and Preference

for Intervention

PI: Christy Montalvo, RN, MSN, DBA, NE-BC

Linda Tjiong, RN, MSN, DBA, NE-BC

What Effect Does the Vein Viewer Have on Successful Intravenous Catheterization Insertion

PI: Lyn Swisher, MSN, RN, MHA

Delayed Cord Clamping in Preterm Infants

PI: Arpitha Chiruvolu, MD

Genna Stone, BSN, RNC-NIC, MBA

Robotic Pet Therapy and Assisted Living Memory Care

PI: Dr. Sandra Peterson, DNP, APRN, FNP-BC, GNP-BC, PMHNP

A Retrospective survey of the Incidence of CAUTI with SCI Patients Using Bioflo Closed Drainage

Indwelling Urinary Cath

PI: Lisa Concannon, RN, MBA, CCRN

Baylor Scott & White Health – North

Division NRC Approved Proposals

Continued

.

Delaying the Bath to Increase Breast Feeding Rates in Mothers Who Vaginally Deliver Newborns at

Baylor Medical Center Irving

PI: Barbara Obot, BSN, RNC-MNN

Comparison of Two Educational Modules and Geriatric Knowledge and Their Perceptions of

Education Modalities Among Acute Care Staff Nurses

PI: Maxine Adegbola, PhD, RN, CNE, ANES

A Correlation Study of Preoperative depression and Postoperative Outcomes in Older Adult Cardiac

Surgery Patients

PI: Alaina Tellson, BSN, RN, NE-BC

OCTOBER, 2014 VOL 14 ISSUE #13

Central Division

Nurse Led Studies

There are currently 26 nurse led studies ongoing within the Central Division in various stages of

development and implementation. Seven studies have recently been presented to the Central Division EBP Nursing

Research Council and have received IRB approval and are listed in the table below.

Study Title Principal Investigator

Improving access to developmental interventions for

NICU grads: Implementation of a Developmental

Health Assessment Training Module (DHATM) for

nurse practitioners in primary care settings in Central

Texas

Martha Hemmingway, MSN, RN, NNP-BC

Is Preceptor Behavior Changed by Attending a

Preceptor Class?-

Pam Sanford, MSN, RN

Assessing Perceptions of Governance of Healthcare

Personnel Governance

Sherry Baker, MSN, RN

Nurse Communication: Can Technology Improve

Response to Call?

Consuelo Jackson, RN

The impact of a focused intervention to improve

hourly rounding

Linda Rynearson, MSN, RN

Adult Acute Care Nurse Knowledge Gaps Related to

Care of the Transplant Patient transplant survey

Beth Goodridge MSN, RN,

Nursing Students’ Experiences with Online, Face-to-

Face and Hybrid Teaching Modalities

Phyllis Hart Tipton, PhD, RN

Three studies have recently been completed and manuscripts are being developed for consideration of

publication. The following is a summary of these studies.

The Effects of a Well-Functioning Rapid Response Team (RRT) on Decreasing Cardiac Arrest Rates and

Improving 30 Day Outcomes on Codes Outside Critical Care Areas

The purpose of this retrospective study was to examine the impact a well-functioning RRT has on the

incidence of cardiac arrest outside the critical care area and the Principal Investigator was Missy Angel, RN, MSN,

FNP-C. Additional study aims were to compare 30 day outcomes and level of illness severity between a group of

patients arresting outside of critical care prior to and after a well-established RRT. The sample size consisted of 273

adult patients who had experienced a cardiac arrest and subsequently was coded outside of critical care between the

years of 2005-2008. Of these, there were 171 who had coded between 2005/06 before there was a mature RRT and

102 patients who had coded between 2007/08 when there was a well- established RRT. There were several findings

suggesting a well-established RRT can make a difference in positive patient outcomes.

OCTOBER, 2014 VOL 14 ISSUE #13

Central Division

Nurse Led Studies Continued

This included, that although the patient census had increased during the second phase of the study, 62% of

the codes occurred between the first two years of the study. Also, there was a statistically significantly lower length

of critical care stay during the years of 2007/08. The average critical care length of stay dropped to 94 hours

compared to 150.9 hours during 2005/06. Although it was not a significant finding, the total length of

hospitalization following the code dropped from 185.9 hours during 2005/06 to 148.5 in 2007/08. Additionally, the

ASA scores, which is a method of determining the acuity level of patients, were lower during the post-

implementation of the well-established RRT. Therefore, findings suggest that RRTs may be instrumental in

identifying rapidly deteriorating patients and initiating appropriate care and monitoring before a cardiac arrest.

A Comparison of Nursing Students to Nursing Staff’s Perception of the Nursing Students’ Clinical

Learning Experience

The purpose of this descriptive comparative study was to examine the psychometric properties of a 22 item

staff and 20 item student surveys and to compare students’ and staff’s attitudes and experience during the students’

clinical rotation. Tony Woodard, MSN, RN served as principal investigator. The research team developed a survey

that was completed by 76 staff and 77 student nurses. Study results included: (1) The staff survey indicated that

40% did not know the education level of students assigned to their unit and 60% believed they assisted nursing

students in meeting their objective; (2) Over 75% of the staff felt they were confident in working with students and

over 80% agreed they enjoyed teaching the basic and fine points of patient care; (3) 60% of the students felt nursing

staff were aware of their learning objectives and 74% felt nursing staff assisted them in meeting their learning

objectives (2) Only 33% of the students felt that the staff patient care assignment allowed them sufficient time to

work. Survey results suggest that although many staff do not receive formal education on how to serve as

teachers/mentors/preceptors in the clinical setting, many nursing students value them and their contribution to the

learning environment. Cronbach’s alpha results suggested both the student and staff surveys had high level of

internal consistency.

Lactation Patterns of Women Following Bariatric Surgery

A retrospective study investigated breastfeeding outcomes following bariatric surgery. The principal

investigator was Patty Caplinger, BSN, RN, and IBCLC. A chart review was conducted on 21 mothers, 20 had

Roux-en-Y Gastric Bypass and one had gastric band. The average maternal age was 31 and seven were

primagravidas. There were 26 infants, 17 males and nine females in the study. Study findings suggest that long term

exclusive breastfeeding may not be obtainable for most of this population. Additional findings suggest that infants

were not gaining weight on breastfeeding alone. A recommendation based on findings is that guidelines are needed

for women of childbearing age considering bariatric surgery and for lactating women following surgery.

OCTOBER, 2014 VOL 14 ISSUE #13

OCTOBER, 2014 VOL 14 ISSUE #13

Central Division

Nurse Led Studies Continued

Endowed Nursing Research Fund Benefit

The Evidence Based Practice Nursing (EBP) Research Council wants to thank all who participated in the

August 10 benefit at Painting with a Purpose in Temple. The benefit involved a fun event of painting together

and raised close to $500 for the Endowed Nursing Research Fund. Each year this fund benefits a selected group

of nurses from within the Baylor Scott & White Health system with funding to complete a research project.

OCTOBER, 2014 VOL 14 ISSUE #13

Important Information and

Links to Remember

Two Calls for Abstracts:

4th Annual Endowed Nursing Research Fund

Evidence Based Practice

With both abstract calls, a project team will be

selected for a $1,000 award to assist them with the

completion of their project. The deadline for

submission of abstracts is January 26, 2015.

To obtain a copy of the abstract submission

requirements or if you have any question, please

contact D’Ann Orr at 254-724-4673 or

dorr@sw.org; Phyllis Hart Tipton at 214-254-4764

or phitipton@sw.org; or Susan Houston at 214-829-

9118 or Susan.Houston@baylorhealth.edu.

Research Grant Opportunities:

http://www.nursingsociety.org/Research/Gra

nts/Pages/grantsbydate.aspx

http://www.nursingsociety.org/Research/Gra

nts/Pages/EnvironmentofCare.aspx

http://www.pcori.org/announcement/engage

ment-award-eain-research-meeting-and-

conference-support

http://www.pcori.org/announcement/engage

ment-award-knowledge-training-and-

development-and-dissemination-awards

http://www.pcori.org/announcement/limited-

pcori-funding-announcement-optimal-

maintenance-aspirin-dose-patients-coronary

http://www.pcori.org/announcement/supporti

ng-dissemination-and-implementation-

activities-pcori-pilot-projects-learning

Nursing Conferences/Conventions:

http://www.nursingsociety.org/STTIEvents/

NursingConferences/Pages/NursingConferen

ces.aspx

Baylor Scott & White Health Nursing Research Department Contacts:

Susan Houston, PhD, RN, FAAN, NEA-BC

Director of Baylor Scott & White Health Nursing Research – North Texas

2001 Bryan St. Ste. 600

Dallas, TX 75201

Cell: 912-272-9012

Susan.Houston@Baylorhealth.edu

Phyllis Hart Tipton, PHD, RN

Research Associate

Nursing Professional Development

Baylor Scott & White Health - Central Texas

MS-26-A431

2401 S. 31st St.

Temple, TX 76508

Ph: 254-724-4764

Fax: 254-724-4166

Email: phtipton@sw.org

` Keeda Diggins

Executive Assistant

2001 Bryan St. Ste. 600

Dallas, TX 75201

LaKeeda.Diggins@Baylorhealth.edu

Ph: 214-820-4173

Fax: 214-820-4170