Background and Purpose:The Resilience Scale (RS) RS-25 and shortened RS-14 have measured resilien... more Background and Purpose:The Resilience Scale (RS) RS-25 and shortened RS-14 have measured resilience but not with nurses. Our purpose was to investigate both for nurses.Methods:A random sample of 345 RNs from the North Carolina Board of Nursing completed an online questionnaire. Parallel analysis, factor analysis, and receiver operating characteristic analysis were performed.Results:Previous RS factor models had poor confirmatory factor analysis fit. Exploratory factor analysis and item analyses suggested removing items. Good fit was found for an “RS-13” using a bifactor approach. Adequate internal consistency was demonstrated (omega = 0.77–0.90). The RS-13 general factor gave similar accuracy for bullying, physical and mental quality of life, stress, and intent to leave.Conclusions:A shortened RS is comparable in reliability, construct, and convergent validity. It measures nurse resilience well.
Summary: Daily interruption of sedation is recognized as best practice for patients receiving con... more Summary: Daily interruption of sedation is recognized as best practice for patients receiving continuous sedation. This abstract reports the findings from a cross sectional research study that examined perceived barriers nurses experience in implementing this best practice in critical care settings. Learning Activity: LEARNING OBJECTIVES EXPANDED CONTENT OUTLINE The learner will be able to describe barriers that nurses in this sample reported in implementing DIS protocols. Research findings included in poster The learner will be able to discuss potential solutions to implementing best practice protocols. Recommendations will be included in the poster.
Summary: An intervention research project was conducted in which undergraduate students were taug... more Summary: An intervention research project was conducted in which undergraduate students were taught communication skills used in clinical settings, then participated in a high-fidelity simulation with an incivility component where they could use the communication skills. Students wrote reflection papers about their experience. The papers were analyzed using content analysis methodology.
The overarching purpose of the research was to examine workplace bullying among nurses who work i... more The overarching purpose of the research was to examine workplace bullying among nurses who work in North Carolina hospital. The research examines the influence of individual factors, individual characteristics and organization factors on physical health, mental health and intent to leave position in nurses who were bullied. In particular, this study explored the influence of resilience on physical health, mental health and intent to leave in nurses who have experienced bullying. In this sample, 64 of 160 (40%) of nurses experienced workplace bullying. Linear regression analysis indicated nurses who are bullied have a lower average scores in mental health measures (p<0.001), and are more likely to leave their unit (p<0.001). Multiple regression models revealed that nurses who experienced severe bullying and had high levels of resilience their intention to leave their unit was elevated as compared to others. The mediation results from the path analysis using Mplus reveled resili...
Workplace bullying has been experienced by 27% to 80% of nurses who have participated in studies.... more Workplace bullying has been experienced by 27% to 80% of nurses who have participated in studies. Bullying behaviors negatively impact the health of nurses. This study examined whether nurses’ resilience had an impact on the effects of bullying on the nurse’s health. This cross-sectional descriptive study surveyed licensed registered nurses in one state. The sample ( N = 345) was predominately female (89%) and Caucasian (84%), with an average age of 46.6 years. In this sample, 40% of nurses were bullied. Higher incidence of bullying was associated with lower physical health scores ( p = .002) and lower mental health scores ( p = .036). Nurses who are bullied at work experience lower physical and mental health, which can decrease the nurses’ quality of life and impede their ability to deliver safe, effective patient care.
Journal of psychosocial nursing and mental health services, 2015
Choking, cutting, and setting oneself on fire are just a few of the risky behaviors that the YouT... more Choking, cutting, and setting oneself on fire are just a few of the risky behaviors that the YouTube video sharing website has allowed youth around the world to view, emulate, and comment on. Some researchers contend that the viewing of videos may normalize these behaviors for youth. Disturbing current trends are explored to illustrate the darker side of YouTube. Psychiatric-mental health nurses (PMHNs) are in key positions to help parents and youth better understand the benefits and risks of social networking sites, including YouTube, and to encourage healthy and safe use of the Internet. Nursing implications are offered for PMHNs, educators, health care providers, and parents who have contact with this population. [Journal of Psychosocial Nursing and Mental Health Services, 53(10), 25-29.].
Journal for Nurses in Professional Development, 2013
This qualitative descriptive study explored nurses&amp;amp;amp;amp;#39; experience of being b... more This qualitative descriptive study explored nurses&amp;amp;amp;amp;#39; experience of being bullied and examined their coping strategies. A purposive sample of 18 registered nurses who self-identified as being targets of bullying behavior was used. The authors found that nurses used a variety of coping strategies. An understanding of these strategies can assist staff development educators to develop interventions to eliminate this pervasive problem.
The practice of tight glycemic control using an intravenous insulin infusion has been adopted in ... more The practice of tight glycemic control using an intravenous insulin infusion has been adopted in many clinical settings, and although beneficial patient outcomes have been clearly documented, the therapy poses potential risks to patient safety related to hypoglycemia and increases nursing workload. This article examines these issues through a review of current research on tight glycemic protocols. Strategies for nurse leaders are provided to improve patient safety and support bedside nurses in the administration of insulin infusion protocols. Article: The stress of critical illness often leads to hyperglycemia, even in patients without a history of diabetes, and hyperglycemia in critically ill patients has been associated with an increased infection rate and an impaired immune response.1-6 An increase in catecholamine release, hepatic gluconeogenesis, or relative insulin resistance may be the cause of hyperglycemia in critically ill patients.7 Other causes may include the use of corticoid steroids, vasopressors, or total parental nutrition.2 Certain medical conditions also increase the risk of stress-induced hyperglycemia including sepsis, acute myocardial infarction, stroke, surgery, and trauma.4
Background and Purpose:The Resilience Scale (RS) RS-25 and shortened RS-14 have measured resilien... more Background and Purpose:The Resilience Scale (RS) RS-25 and shortened RS-14 have measured resilience but not with nurses. Our purpose was to investigate both for nurses.Methods:A random sample of 345 RNs from the North Carolina Board of Nursing completed an online questionnaire. Parallel analysis, factor analysis, and receiver operating characteristic analysis were performed.Results:Previous RS factor models had poor confirmatory factor analysis fit. Exploratory factor analysis and item analyses suggested removing items. Good fit was found for an “RS-13” using a bifactor approach. Adequate internal consistency was demonstrated (omega = 0.77–0.90). The RS-13 general factor gave similar accuracy for bullying, physical and mental quality of life, stress, and intent to leave.Conclusions:A shortened RS is comparable in reliability, construct, and convergent validity. It measures nurse resilience well.
Summary: Daily interruption of sedation is recognized as best practice for patients receiving con... more Summary: Daily interruption of sedation is recognized as best practice for patients receiving continuous sedation. This abstract reports the findings from a cross sectional research study that examined perceived barriers nurses experience in implementing this best practice in critical care settings. Learning Activity: LEARNING OBJECTIVES EXPANDED CONTENT OUTLINE The learner will be able to describe barriers that nurses in this sample reported in implementing DIS protocols. Research findings included in poster The learner will be able to discuss potential solutions to implementing best practice protocols. Recommendations will be included in the poster.
Summary: An intervention research project was conducted in which undergraduate students were taug... more Summary: An intervention research project was conducted in which undergraduate students were taught communication skills used in clinical settings, then participated in a high-fidelity simulation with an incivility component where they could use the communication skills. Students wrote reflection papers about their experience. The papers were analyzed using content analysis methodology.
The overarching purpose of the research was to examine workplace bullying among nurses who work i... more The overarching purpose of the research was to examine workplace bullying among nurses who work in North Carolina hospital. The research examines the influence of individual factors, individual characteristics and organization factors on physical health, mental health and intent to leave position in nurses who were bullied. In particular, this study explored the influence of resilience on physical health, mental health and intent to leave in nurses who have experienced bullying. In this sample, 64 of 160 (40%) of nurses experienced workplace bullying. Linear regression analysis indicated nurses who are bullied have a lower average scores in mental health measures (p<0.001), and are more likely to leave their unit (p<0.001). Multiple regression models revealed that nurses who experienced severe bullying and had high levels of resilience their intention to leave their unit was elevated as compared to others. The mediation results from the path analysis using Mplus reveled resili...
Workplace bullying has been experienced by 27% to 80% of nurses who have participated in studies.... more Workplace bullying has been experienced by 27% to 80% of nurses who have participated in studies. Bullying behaviors negatively impact the health of nurses. This study examined whether nurses’ resilience had an impact on the effects of bullying on the nurse’s health. This cross-sectional descriptive study surveyed licensed registered nurses in one state. The sample ( N = 345) was predominately female (89%) and Caucasian (84%), with an average age of 46.6 years. In this sample, 40% of nurses were bullied. Higher incidence of bullying was associated with lower physical health scores ( p = .002) and lower mental health scores ( p = .036). Nurses who are bullied at work experience lower physical and mental health, which can decrease the nurses’ quality of life and impede their ability to deliver safe, effective patient care.
Journal of psychosocial nursing and mental health services, 2015
Choking, cutting, and setting oneself on fire are just a few of the risky behaviors that the YouT... more Choking, cutting, and setting oneself on fire are just a few of the risky behaviors that the YouTube video sharing website has allowed youth around the world to view, emulate, and comment on. Some researchers contend that the viewing of videos may normalize these behaviors for youth. Disturbing current trends are explored to illustrate the darker side of YouTube. Psychiatric-mental health nurses (PMHNs) are in key positions to help parents and youth better understand the benefits and risks of social networking sites, including YouTube, and to encourage healthy and safe use of the Internet. Nursing implications are offered for PMHNs, educators, health care providers, and parents who have contact with this population. [Journal of Psychosocial Nursing and Mental Health Services, 53(10), 25-29.].
Journal for Nurses in Professional Development, 2013
This qualitative descriptive study explored nurses&amp;amp;amp;amp;#39; experience of being b... more This qualitative descriptive study explored nurses&amp;amp;amp;amp;#39; experience of being bullied and examined their coping strategies. A purposive sample of 18 registered nurses who self-identified as being targets of bullying behavior was used. The authors found that nurses used a variety of coping strategies. An understanding of these strategies can assist staff development educators to develop interventions to eliminate this pervasive problem.
The practice of tight glycemic control using an intravenous insulin infusion has been adopted in ... more The practice of tight glycemic control using an intravenous insulin infusion has been adopted in many clinical settings, and although beneficial patient outcomes have been clearly documented, the therapy poses potential risks to patient safety related to hypoglycemia and increases nursing workload. This article examines these issues through a review of current research on tight glycemic protocols. Strategies for nurse leaders are provided to improve patient safety and support bedside nurses in the administration of insulin infusion protocols. Article: The stress of critical illness often leads to hyperglycemia, even in patients without a history of diabetes, and hyperglycemia in critically ill patients has been associated with an increased infection rate and an impaired immune response.1-6 An increase in catecholamine release, hepatic gluconeogenesis, or relative insulin resistance may be the cause of hyperglycemia in critically ill patients.7 Other causes may include the use of corticoid steroids, vasopressors, or total parental nutrition.2 Certain medical conditions also increase the risk of stress-induced hyperglycemia including sepsis, acute myocardial infarction, stroke, surgery, and trauma.4
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Papers by Penny Sauer