Papers by Christine Pintz
Nurse Education in Practice, 2021
Nurses, nurse practitioners, and other healthcare professionals must be prepared to care for the ... more Nurses, nurse practitioners, and other healthcare professionals must be prepared to care for the growing population of patients with multiple chronic conditions, to promote patient engagement, patient self-management, and for interprofessional collaboration. Interprofessional Care of Individuals with Multiple Chronic Conditions is an open-access eLearning course designed to prepare students with these skills. The course features multimedia presentations, interactive exercises, and an immersive "day in the life of a patient-centered medical home" in which learners make decisions, receive feedback, and experience consequences in the context of real-world video scenarios. Three hundred thirty-four nurse practitioner students participated in the educational program. To evaluate the program, we conducted a paired-samples t-test to compare scores on pre and posttest evaluation surveys. There was a significant difference in the scores for applying the Chronic Care Model t (df) = 15.99; p < 0.001, coaching for self-management t (df) = 11.04; p < 0.001 and interprofessional collaboration t (df) = 3.86; p < 0.00. The majority of students were satisfied or very satisfied with the modules. Students found the immersive video scenarios to be the best feature of the course. The course is available to assist students in gaining the ability to care for patients with chronic illnesses within interprofessional practice settings.
no: 400 Parent education on discharge instructions: A pilot study in Hyderabad, India Sandra Stav... more no: 400 Parent education on discharge instructions: A pilot study in Hyderabad, India Sandra Staveski*, Reena Paul#, Rosalind Conway#, Susan Kools* and Linda Franck* *San Francisco School of Nursing, University of California, San Francisco, California, United States of America #Innova Heart Hospital, Hyderabad, India Background/hypothesis: Everyday nurses worldwide assist patients and families in the transition from hospital to home. In economically developing countries, children with complex cardiac defects are currently receiving treatment for their chronic illness and are requiring more expanded parent education programmes to manage care after discharge. The aim of this study was to test the feasibility of training Indian nurses to conduct parent discharge teaching. The study team developed a sustainable computer-based nurse training, the PEDI programme, to increase nurses’ knowledge and support role expansion. Our secondary goal was to validate culturally relevant training mater...
Academic Medicine, 2021
The COVID-19 pandemic has sparked radical shifts in the ways that both health care and health pro... more The COVID-19 pandemic has sparked radical shifts in the ways that both health care and health professions education are delivered. Before the pandemic, some degree programs were offered fully online or in a hybrid format, but in-person learning was considered essential to the education and training of health professionals. Similarly, even as the use of telehealth was slowly expanding, most health care visits were conducted in-person. The need to maintain a safe physical distance during the pandemic rapidly increased the online provision of health care and health professions education, accelerating technology adoption in both academic and professional health care settings. Many health care professionals, educators, and patients have had to adapt to new communication modalities, often with little or no preparation. Before the pandemic, the need for cost-effective, robust methodologies to enable teaching across distances electronically was recognized. During the pandemic, online learni...
Western Journal of Nursing Research, 2021
We surveyed 181 nursing research leaders from Magnet® hospitals, using mixed methods with the onl... more We surveyed 181 nursing research leaders from Magnet® hospitals, using mixed methods with the online Hospital-Based Nursing Research Clinical and Economic Outcomes survey, to describe the clinical and economic outcomes of nursing research conducted in hospital settings. We used descriptive statistics to analyze the quantitative findings and a qualitative descriptive approach to study the open-ended responses. Most respondents reported that findings from their hospital-based studies were implemented on their units (88.2%), improved health care processes (88.2%), and reduced hospital costs (79%). Over 50% reported positive impacts on core quality measures, including improving patient/family satisfaction (76.8%), nurse satisfaction (65%), length of stay (59.1%), and infection rates (56.5%). Four themes were identified: study evaluation, improvements in care delivery/clinical outcomes, economic impact, and intrinsic and extrinsic rewards. Much of the research reported by respondents foc...
Journal of Nursing Regulation, 2018
Introduction: Standardized patient (SP) encounters support development of nurse practitioner (NP)... more Introduction: Standardized patient (SP) encounters support development of nurse practitioner (NP) students' diagnostic reasoning ability in a uniquely authentic way. Telehealth technologies present an opportunity to increase access to SP experiences. Aim: We evaluated NP students' diagnostic reasoning performance in telehealth-enabled SP encounters (TSPEs) compared to face-to-face SP encounters (FSPEs). Methods: This study used a randomized, crossover design. A convenience sample of 41 participants were assigned to one of four treatment groups: FSPE/pneumonia first, TSPE/pneumonia first, FSPE/asthma first, or TSPE/asthma first. Faculty evaluators used the Diagnostic Reasoning Assessment (DRA) to rate students' observed diagnostic reasoning performance and SOAP (subjective, objective, assessment, and plan) notes and assessed whether their diagnoses were correct. Results: There were no significant differences in students' DRA scores or ability to make the correct diagnosis between TSPE and FSPE. However, a sequence effect was noted for DRA score. Students who experienced TSPE first had significantly lower DRA scores than on their subsequent FSPE encounters. In addition, both sequence of cases and sequence of encounters had a significant effect on students' ability to make the correct diagnosis. Students who experienced either asthma or FSPE first were more likely to obtain the right diagnosis. Conclusion: This study provides evidence that students can demonstrate equivalent diagnostic reasoning in TSPEs and FSPEs. Future research should investigate the effectiveness of TSPEs in different settings to teach and assess varied clinical practice competencies with diverse groups of NP students.
Journal of Nursing Regulation, 2020
Background: Telehealth standardized patient (SP) simulations offer a means of enhancing clinical ... more Background: Telehealth standardized patient (SP) simulations offer a means of enhancing clinical education by providing nurse practitioner (NP) students with increased opportunities to interact with patients and develop a range of clinical skills, including conducting a telehealth visit, under the guidance of experienced faculty. Objective: Building on prior research comparing diagnostic reasoning outcomes in telehealth and face-to-face SP simulations, this study explored students' perceptions of the learning experience after participating in SP encounters using both modalities. Methods: Eighteen of the 41 students from the prior study participated in structured interviews. Guided by the tenets of a qualitative descriptive design, verbatim transcripts were analyzed using a thematic analysis process. Results: Three overarching themes were revealed: adapting practice strategies for telehealth encounters, inexperience with telehealth in education and practice, and the value of SP simulation for NP competency development. Lack of physical presence with the patient in the telehealth SP simulation and the need to rely on a nurse clinical presenter to conduct the physical examination affected the way students perceived and proceeded with the clinical encounter. Students' lack of familiarity and comfort with the telehealth SP simulation suggests the need for additional training to prepare them for this learning and care modality. Participants valued the opportunity to practice both clinical and telehealth skills, underscoring the importance of formative SP simulation in preparing NP students for successful transition to clinical practice. Conclusion: Our findings provide new evidence to guide nurse educators and regulators in considering this innovative teaching and learning modality to expand the use of simulation, augment clinical experiences, and better prepare future NPs for safe, effective practice in a technology-enabled healthcare system.
Journal of the American Association of Nurse Practitioners, 2019
Leaders from national nursing organizations, nursing schools, and health care simulation vendors ... more Leaders from national nursing organizations, nursing schools, and health care simulation vendors convened in early 2019 to discuss simulation in nurse practitioner (NP) education. Nurse practitioner clinical education needs a more standardized, efficient, and sustainable model to prepare NPs to provide quality care in complex health care systems. Currently, a major shortage of clinical sites and preceptors to educate students creates challenges for NP programs and nursing faculty. One strategy used by nursing programs to overcome this challenge is using simulation to provide clinical training for NP students in a safe, controlled environment. There remains, however, a lack of evidence linking these simulation experiences with clinical skills acquisition and program outcomes. Implementing competency-based education through standardized simulations has the potential to demonstrate quality, safety, and accountability across NP education programs. Ultimately, the expansion and acceptanc...
The Journal of nursing administration, Jan 6, 2018
To describe the research infrastructure, culture, and characteristics of building a nursing resea... more To describe the research infrastructure, culture, and characteristics of building a nursing research program in Magnet®-designated hospitals. Magnet recognition requires hospitals to conduct research and implement evidence-based practice (EBP). Yet, the essential characteristics of productive nursing research programs are not well described. We surveyed 181 nursing research leaders at Magnet-designated hospitals to assess the characteristics in their hospitals associated with research infrastructure, research culture, and building a nursing research program. Magnet hospitals provide most of the needed research infrastructure and have a culture that support nursing research. Higher scores for the 3 categories were found when hospitals had a nursing research director, a research department, and more than 10 nurse-led research studies in the past 5 years. While some respondents indicated their nurse executives and leaders support the enculturation of EBP and research, there continue to...
Online Learning, 2015
This article presents the quantitative findings of an exploratory mixed methods study that invest... more This article presents the quantitative findings of an exploratory mixed methods study that investigated first- and second-year online graduate master’s students’: 1) perceptions of the importance of, and satisfaction with, administrative, academic, technical, and online community supports; 2) personal factors and grit level; and 3) differences, if any, that existed among students, in these areas. Findings showed that a large majority of students rated course-level supports (e.g., instructor support, embedded help, library) as important, in contrast to supports that might be needed on rare occasions (e.g., career services, bookstore) or by fewer students (e.g., veteran and international student services, writing center). Data stratification revealed differences between white and non-white students for career and counseling services, which white students rated “unimportant” and non-white students rated “very important.” Differences in students’ perception of importance and satisfactio...
Nurse Education in Practice, 2017
The Journal of Continuing Education in Nursing, 2020
BACKGROUND This study explored the transition to practice experiences of new graduate nurses and ... more BACKGROUND This study explored the transition to practice experiences of new graduate nurses and the effects of their education on their readiness to practice. METHOD This phenomenological study used two focus groups to gain an in-depth understanding of the lived experiences of these graduate nurses during their first year of practice, their perceptions of the effectiveness of their academic experience in preparing them for professional nursing practice, and clinical agency support. RESULTS Three themes emerged from the focus group analysis: Practice Readiness, Work-Related Environmental Influences, and Being a Nurse. CONCLUSION This study provides insight into the key issues surrounding the transition process experienced by new nurses and suggests ways to educate and successfully transition them into professional practice. Information gained from this study provides a beginning evidence base for other educators in both the academic and clinical settings interested in supporting successful transition to practice for new graduate nurses. [J Contin Educ Nurs. 2020;51(9):433-440.].
Teaching and learning in medicine
Phenomenon: Systems thinking is the cornerstone of systems-based practice (SBP) and a core compet... more Phenomenon: Systems thinking is the cornerstone of systems-based practice (SBP) and a core competency in medicine and health sciences. Literature regarding how to teach or apply systems thinking in practice is limited. This study aimed to understand how educators in medicine, physical therapy, physician assistant, nursing, and speech-language pathology education programs teach and assess systems thinking and SBP. Twenty-six educators from seven different degree programs across the five professions were interviewed and program descriptions and relevant course syllabi were reviewed. Qualitative analysis was iterative and incorporated inductive and deductive methods as well as a constant comparison of units of data to identify patterns and themes. Six themes were identified: 1) participants described systems thinking as ranging across four major levels of healthcare (i.e., patient, care team, organization, and external environment); 2) participants associated systems thinking with a wi...
Topics in Advanced Practice Nursing, 2002
Topics in Advanced Practice Nursing
Lippincott's primary care practice
When prescribing medication in pregnancy, the clinician must follow some principles of prescribin... more When prescribing medication in pregnancy, the clinician must follow some principles of prescribing. These include timing of exposure, dosage, duration of use, and fetal susceptibility. The health care provider must weigh the risk of exposure to the fetus with the benefit of treatment. This article summarizes the effect of selected medications used to treat common primary care disorders. These disorders include gastrointestinal complaints, asthma and allergies, infections, diabetes, epilepsy, headache, thyroid disorders, depression, and anxiety. The use and risks associated with common medications are discussed. Although no drug can be proven completely safe, prescribing medication with a long safety record, avoiding exposure in the first trimester, avoiding multidrug regimens, and prescribing the lowest dose for the shortest duration will minimize the fetal risk.
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Papers by Christine Pintz