Papers by Colleen O'Leary-Kelley
Critical Care Nurse, Apr 1, 2017
In critical care, malnutrition has a significant, negative impact on a patient's ability to respo... more In critical care, malnutrition has a significant, negative impact on a patient's ability to respond to medical treatment. Enteral nutrition is known to counteract the metabolic changes associated with critical illness that increase the risk for serious complications and poor clinical outcomes. Inadequate delivery of nutrition support and underfeeding persist in intensive care units despite the availability of guidelines and current research for best practice. Recent studies have shown that nutrition support protocols are effective in promoting nutritional goals in a wide variety of intensive care patients. It is essential to find approaches that enhance early delivery of enteral nutrition that meets requirements and supports improved outcomes. Nurses are in a unique position to take an active role in promoting the best nutritional outcomes for their patients by using and evaluating nutrition support protocols.
Critical Care Nurse, Aug 1, 2015
Recently released recommendations for detection and documentation of malnutrition in adults in cl... more Recently released recommendations for detection and documentation of malnutrition in adults in clinical practice define 3 types of malnutrition: starvation related, acute disease or injury related, and chronic disease related. The first 2 are more easily recognized, but the third may be more often unnoticed, particularly in obese patients. Critical care patients tend to be at high risk for malnutrition and thus require a thorough nutritional assessment. Compared with patients of earlier times, intensive care unit patients today tend to be older, have more complex medical and comorbid conditions, and often are obese. Missed or delayed detection of malnutrition in these patients may contribute to increases in hospital morbidity and longer hospital stays. Critical care nurses are in a prime position to screen patients at risk for malnutrition and to work with members of the interprofessional team in implementing nutritional intervention plans. (Critical Care Nurse. 2015;35[4]:24-31)
Simulation in healthcare : journal of the Society for Simulation in Healthcare, Dec 1, 2011
The Bay Area Simulation Collaborative (BASC), established in 2007, is a group of more than 100 sc... more The Bay Area Simulation Collaborative (BASC), established in 2007, is a group of more than 100 schools of nursing and hospitals, totaling more than 600 faculty and hospital educators, from both service and academia in the ten counties that comprise the San Francisco Bay Area. The California Institute for Nursing & Health Care leads the BASC, which was funded through a grant from the Gordon and Betty Moore Foundation. This 3-year project was designed to train and educate nursing faculty and hospital educators in the concepts of simulation. It was also designed to develop clinical simulation scenarios for use within the BASC. Finally, the project implemented a research and evaluation agenda to demonstrate that simulation makes a positive difference in the critical thinking skills of nursing students. This article will describe the evolution, purpose, and goals of the BASC and how the initial investment has been leveraged to create addition regional collaboratives in the state and ultimately, the California Simulation Alliance.
Journal for Nurses in Staff Development (jnsd), 2012
Teamwork and communication between healthcare workers are vital for patient safety in the high-ri... more Teamwork and communication between healthcare workers are vital for patient safety in the high-risk environment of health care. The purpose of this descriptive study was to measure the teamwork among members of the rapid response team (RRT) to design teamwork communication training for team members. Data were collected via live observation of RRT events and from RRT team member ratings of teamwork during events.
Clinical Simulation in Nursing, Jun 1, 2018
Background: High-fidelity simulation (sim) centers can accommodate large groups of observers thro... more Background: High-fidelity simulation (sim) centers can accommodate large groups of observers through virtual reality (VR) observation. This study compared three learning modalities: active participation, VR observation, and television (TV) observation. Method: We used Immersive Tendencies and Presence questionnaires to measure subjective presence across modalities. Using a within-subjects AeBeA design, we measured 58 subjects three times during a three-part unfolding sim. An All-Sim track (sim/sim/sim) established baseline presence of sim participants. AeBeA tracks comprise VR tracks (VR/TV/VR), which were counterbalanced by TV tracks (TV/VR/TV). Results: A two-way analysis of covariance revealed significant effect of track across scenarios. All-sim presence was greatest, followed by VR, with TV being least. Conclusion: Findings suggest that VR observation mirrors active participation more closely than does TV observation. For further investigations, we proposed presence versus learning performance as well as VR observation for sim center collaborations.
Nursing education perspectives, Jan 26, 2017
Nursing duties are often sensitive in nature and may contribute to feelings of inadequacy for stu... more Nursing duties are often sensitive in nature and may contribute to feelings of inadequacy for students, especially when providing postpartum care. Our study assessed confidence levels among 61 junior baccalaureate nursing students before and after a simulation workshop with a follow-up survey administered after completion of two full clinical days on a postpartum unit. The four-hour simulation included stations for breast, fundus, and lochia exam skills. Overall confidence and confidence in performing patient assessments were significantly increased at postsimulation and follow-up (p < .001), demonstrating the efficacy of the simulation.
Journal of Neuroscience Nursing, 2001
Journal of the Academy of Nutrition and Dietetics, 2013
Nursing Education Perspectives
Virtual reality (VR) could enable clinical simulation centers to reach the teaching capacity of t... more Virtual reality (VR) could enable clinical simulation centers to reach the teaching capacity of traditional hospital practica. This study quantitatively tests VR telepresence against two traditional simulation learning methods using a within-subject design and the Presence Questionnaire. Eight nursing students were randomly assigned and rotated through simulation participation, VR observation, and television observation conditions, completing a questionnaire after each condition. Each condition had a significant effect on presence. Simulation participation yielded the highest perceived presence, followed by VR, and lastly by television observation. This pilot study probed for effect and feedback that will inform a larger experiment.
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Papers by Colleen O'Leary-Kelley