BACKGROUND Reconceptualized nursing education can prepare registered nurses to practice at the fu... more BACKGROUND Reconceptualized nursing education can prepare registered nurses to practice at the full scope of licensure on interprofessional teams across care continua while enhancing the quality of health care systems. PROBLEM Traditional nursing programs minimally address primary care competencies. Rapidly changing managed care models demand nurses develop knowledge, skills, and attitudes to effectively deliver population health, primary care, care coordination, and disease prevention/management services across care continua. APPROACH A faculty team built an innovative concept and competency-based accelerated bachelor of science in nursing primary care-focused curriculum integrating behavioral health, aesthetic knowing, and technology. OUTCOMES The curriculum was implemented twice, with the third cohort mid-program. Program evaluation is ongoing. CONCLUSION A paradigm shift in nursing education may improve population-based biobehavioral wellness, disease prevention, and chronic disease management. Future research should focus on how this innovative curricular approach builds essential nursing competencies and enhances digital fluency, observation, communication, empathy, and critical thinking skills.
Journal of Wound, Ostomy & Continence Nursing, 2022
The aim of this quality improvement (QI) project was to assess a shadowing experience with a cert... more The aim of this quality improvement (QI) project was to assess a shadowing experience with a certified WOC nurse (CWOCN) on 4 interprofessional collaborative practice domains: interprofessional communication, role awareness and responsibilities, teams and teamwork, and values and ethics for interprofessional practice. Forty-nine physician residents in Family and Internal Medicine participated in this project set at a health system in Chicago, Illinois. Residents spent 16 hours shadowing a CWOCN and completed the Interprofessional Education Collaborative Competency Self-Assessment Tool (IPESAT) pre- and postshadowing that measured 4 interprofessional education (IPE) domains: interprofessional communication, role awareness and responsibilities, teams and teamwork, and values and ethics for interprofessional practice. Paired t tests were performed to determine differences in IPESAT scores before and after the shadowing experience. Residents demonstrated significant improvement in their overall knowledge of IPE (P = .000) as well as knowledge within each of the 4 domains (P = .000). After the shadowing experience, the overall ranking improved by 7.5%; the greatest gain (10.8%) occurred in the teamwork domain. We found that even a comparatively brief shadowing experience with a CWOCN improved knowledge in IPE competencies. The shadowing experience is now permanently part of the Internal Medicine Residency program, and based on these IPE outcomes, other residency programs in our setting, such as the Rehabilitation and Family Medicine program, have increased their requests to shadow with the CWOCN.
The objective of this study was to investigate if Southern Texas communities were prepared in the... more The objective of this study was to investigate if Southern Texas communities were prepared in their awareness and knowledge of the coronavirus disease 2019 (COVID-19) in timed snapshots as the pandemic unfolded. Two assessment surveys were implemented utilizing the Coronavirus Awareness and Preparedness Scale (CAPS) in March and April 2020, respectively. A convenience sample of university faculty in Southern Texas was used. Responses to survey questions changed significantly in the one-month timeframe. Respondents' perception of the COVID-19 threat increased dramatically from March to April, while their perceived preparedness facing the COVID-19 also increased tremendously. The recognized benefits of mask-wearing were limited in both March and April. Males and older people aged 55 and above had significantly lower awareness of the COVID-19 in March (p< 0.05) and may need more attention at the early phases of a pandemic. The increased availability of COVID-19 information throu...
Journal for Nurses in Professional Development, 2020
Frontline nurse leaders direct staff and unit systems while ensuring that quality, safe patient c... more Frontline nurse leaders direct staff and unit systems while ensuring that quality, safe patient care is provided. It is unknown if frontline nurse leaders oriented with only on-the-job-training are competent and if a professional development program will improve their competencies. This project's purpose was to measure self-assessed competencies, using the Nurse Manager Inventory Tool, of 38 frontline nurse leaders. This project used a quasi-experimental design and utilized pre-and postsurvey for evaluation purposes of a leadership development curriculum.
In this interprofessional education Art Applications Workshop, 104 medicine, nursing and psycholo... more In this interprofessional education Art Applications Workshop, 104 medicine, nursing and psychology students apply skills developed through visual arts observations that enhance students' collaboration, communication, and observational skills to standardized patient encounters. Students observe two-dimensional images, write case reports on the paintings' subjects, and apply principles to complete assessment notes on standardized patients. This descriptive paper's goal is to disseminate this interprofessional curriculum and share experiences in implementing this workshop. Background: Visual arts education in healthcare programs expand students' visual, tactile and oral expression, especially in collaborative team settings. Methods: In session 1, student teams analyze paintings and learn visual assessment techniques. In session 2, student teams observe paintings in a museum setting and write observations in case notes. In session 3, student teams apply visual assessment techniques to standardized patient interviews, write patient histories, assessment notes, and finally, complete post-survey self-evaluations. Results: In the standardized patient assessment 73% of students made accurate diagnosis with supporting evidence in patient histories and notes. In post-survey results, 91% of students agreed/strongly agreed they improved their visual observation skills, 92% agreed/strongly agreed they improved their communication skills in listening and encouraging the ideas and opinions of other team members, 91% agreed/strongly agreed they are more confident in communicating with students from different disciplines, and 97% agreed/strongly agreed they are more confident in collaborating with students from different disciplines. Conclusions: This Workshop demonstrates enhanced self-reported perceptions of collaboration, observation, and communication skills in case notes and standardized patient assessment notes. This Art Applications Workshop's aim is for the 104 health care students from medicine, nursing and psychology, through the multi-session exercises of this workshop, to improve their self-reported observational and communication skills, build collaborative relationships, and engage faculty from diverse healthcare disciplines in reinforcing student team-building activities. These workshop activities promote Seeing is believing, but feeling is the truth. What is the most difficult of all things? What seems to you -Thomas Fuller, 17th Century to be the easiest: to see with your eyes what your eyes are looking at.
BACKGROUND Reconceptualized nursing education can prepare registered nurses to practice at the fu... more BACKGROUND Reconceptualized nursing education can prepare registered nurses to practice at the full scope of licensure on interprofessional teams across care continua while enhancing the quality of health care systems. PROBLEM Traditional nursing programs minimally address primary care competencies. Rapidly changing managed care models demand nurses develop knowledge, skills, and attitudes to effectively deliver population health, primary care, care coordination, and disease prevention/management services across care continua. APPROACH A faculty team built an innovative concept and competency-based accelerated bachelor of science in nursing primary care-focused curriculum integrating behavioral health, aesthetic knowing, and technology. OUTCOMES The curriculum was implemented twice, with the third cohort mid-program. Program evaluation is ongoing. CONCLUSION A paradigm shift in nursing education may improve population-based biobehavioral wellness, disease prevention, and chronic disease management. Future research should focus on how this innovative curricular approach builds essential nursing competencies and enhances digital fluency, observation, communication, empathy, and critical thinking skills.
Journal of Wound, Ostomy & Continence Nursing, 2022
The aim of this quality improvement (QI) project was to assess a shadowing experience with a cert... more The aim of this quality improvement (QI) project was to assess a shadowing experience with a certified WOC nurse (CWOCN) on 4 interprofessional collaborative practice domains: interprofessional communication, role awareness and responsibilities, teams and teamwork, and values and ethics for interprofessional practice. Forty-nine physician residents in Family and Internal Medicine participated in this project set at a health system in Chicago, Illinois. Residents spent 16 hours shadowing a CWOCN and completed the Interprofessional Education Collaborative Competency Self-Assessment Tool (IPESAT) pre- and postshadowing that measured 4 interprofessional education (IPE) domains: interprofessional communication, role awareness and responsibilities, teams and teamwork, and values and ethics for interprofessional practice. Paired t tests were performed to determine differences in IPESAT scores before and after the shadowing experience. Residents demonstrated significant improvement in their overall knowledge of IPE (P = .000) as well as knowledge within each of the 4 domains (P = .000). After the shadowing experience, the overall ranking improved by 7.5%; the greatest gain (10.8%) occurred in the teamwork domain. We found that even a comparatively brief shadowing experience with a CWOCN improved knowledge in IPE competencies. The shadowing experience is now permanently part of the Internal Medicine Residency program, and based on these IPE outcomes, other residency programs in our setting, such as the Rehabilitation and Family Medicine program, have increased their requests to shadow with the CWOCN.
The objective of this study was to investigate if Southern Texas communities were prepared in the... more The objective of this study was to investigate if Southern Texas communities were prepared in their awareness and knowledge of the coronavirus disease 2019 (COVID-19) in timed snapshots as the pandemic unfolded. Two assessment surveys were implemented utilizing the Coronavirus Awareness and Preparedness Scale (CAPS) in March and April 2020, respectively. A convenience sample of university faculty in Southern Texas was used. Responses to survey questions changed significantly in the one-month timeframe. Respondents' perception of the COVID-19 threat increased dramatically from March to April, while their perceived preparedness facing the COVID-19 also increased tremendously. The recognized benefits of mask-wearing were limited in both March and April. Males and older people aged 55 and above had significantly lower awareness of the COVID-19 in March (p< 0.05) and may need more attention at the early phases of a pandemic. The increased availability of COVID-19 information throu...
Journal for Nurses in Professional Development, 2020
Frontline nurse leaders direct staff and unit systems while ensuring that quality, safe patient c... more Frontline nurse leaders direct staff and unit systems while ensuring that quality, safe patient care is provided. It is unknown if frontline nurse leaders oriented with only on-the-job-training are competent and if a professional development program will improve their competencies. This project's purpose was to measure self-assessed competencies, using the Nurse Manager Inventory Tool, of 38 frontline nurse leaders. This project used a quasi-experimental design and utilized pre-and postsurvey for evaluation purposes of a leadership development curriculum.
In this interprofessional education Art Applications Workshop, 104 medicine, nursing and psycholo... more In this interprofessional education Art Applications Workshop, 104 medicine, nursing and psychology students apply skills developed through visual arts observations that enhance students' collaboration, communication, and observational skills to standardized patient encounters. Students observe two-dimensional images, write case reports on the paintings' subjects, and apply principles to complete assessment notes on standardized patients. This descriptive paper's goal is to disseminate this interprofessional curriculum and share experiences in implementing this workshop. Background: Visual arts education in healthcare programs expand students' visual, tactile and oral expression, especially in collaborative team settings. Methods: In session 1, student teams analyze paintings and learn visual assessment techniques. In session 2, student teams observe paintings in a museum setting and write observations in case notes. In session 3, student teams apply visual assessment techniques to standardized patient interviews, write patient histories, assessment notes, and finally, complete post-survey self-evaluations. Results: In the standardized patient assessment 73% of students made accurate diagnosis with supporting evidence in patient histories and notes. In post-survey results, 91% of students agreed/strongly agreed they improved their visual observation skills, 92% agreed/strongly agreed they improved their communication skills in listening and encouraging the ideas and opinions of other team members, 91% agreed/strongly agreed they are more confident in communicating with students from different disciplines, and 97% agreed/strongly agreed they are more confident in collaborating with students from different disciplines. Conclusions: This Workshop demonstrates enhanced self-reported perceptions of collaboration, observation, and communication skills in case notes and standardized patient assessment notes. This Art Applications Workshop's aim is for the 104 health care students from medicine, nursing and psychology, through the multi-session exercises of this workshop, to improve their self-reported observational and communication skills, build collaborative relationships, and engage faculty from diverse healthcare disciplines in reinforcing student team-building activities. These workshop activities promote Seeing is believing, but feeling is the truth. What is the most difficult of all things? What seems to you -Thomas Fuller, 17th Century to be the easiest: to see with your eyes what your eyes are looking at.
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Papers by Laura Monahan