SelectedWorks - Patricia A Higgins

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Selected Works of Patricia A Higgins

Associate Professor, Nursing

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About Patricia A Higgins

Present	Associate Professor, Nursing, Case Western Reserve University
Institution Organization Position Type Position Title Time Period to Options Current Position Affiliate my profile with this Institution
Present	Researcher, Cleveland VAMC, Geriatric Research Education and Clinical Center (GRECC)
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Nursing, Critical Care Nursing, and Geriatric Nursing

Clinical Research and Theory

Sigma Theta Tau

Epistemology
Complexity Science
Evolution, Health, Illness and Aging

Chronically Critically Ill

The theory of music, mood and movement to improve health outcomes (Patricia A Higgins and Carolyn J Murrock) Journal of Advanced Nursing (2009)

This paper presents a discussion of the development of a middle-range nursing theory of the effects of music on physical activity and improved health outcomes.Background. Due to the high rate of physical inactivity and the ...

Cornelia M. Ruland and Shirley M. Moore: peaceful end of life theory (Patricia A Higgins) Nursing Theorists and Their Work (2006)

A classic in the field of nursing theory! This renowned textbook guides the reader through in-depth descriptions and analyses of 31 specific nursing theories - many reviewed and validated by the theorists themselves - in ...

Understanding the error of our ways: mapping the concepts of validity and reliability (Patricia A Higgins and Andrew J Straub) Nursing Outlook (2006)

Clinicians increasingly desire evidence upon which to base their practice decisions. One of the difficulties in their decision-making, however, is answering the fundamental question, “How do I evaluate the relevance and applicability of the findings?” ...

Nursing theory across curricula: a status report from Midwest nursing schools (Donna L Algase, Sarah E Newton and Patricia A Higgins) Journal of Professional Nursing (2001)

This article reports on an informal survey conducted for the Theory Development Section of the Midwest Nursing Research Society. Its purposes were to describe current practices in teaching nursing theory at three levels of curricula ...

Levels of theoretical thinking in nursing (Patricia A Higgins and Shirley M Moore) Nursing Outlook (2000)

Development of a knowledge base is an iterative and ongoing process that requires periodic analysis and synthesis of an entire body of work. This article examines 4 related levels of theoretical thinking that are currently ...

Use of a verbal electronic audio reminder with a patient hand hygiene bundle to increase independent patient hand hygiene practices of older adults in an acute care setting (S C Knighton, M. Dolansky, C Warner, et al.) American Journal of Infection Control (2018)

BACKGROUND:We hypothesized that the addition of a novel verbal electronic audio reminder to an educational patient hand hygiene bundle would increase performance of self-managed patient hand hygiene.METHODS:We conducted a 2-group comparative effectiveness study randomly assigning ...

An online course improves nurses' awareness of their role as antimicrobial stewards in nursing homes (Bridget M Wilson, Sue Shick, Patricia A Higgins, et al.) American Journal of Infection Control. (2017)

BACKGROUND:To support the role of nurses as active proponents of antimicrobial stewardship in long-term care facilities, we developed an educational intervention consisting of a free online course comprised of 6 interactive modules. Here, we report ...

Erratum to: Frailty has a stronger association with inflammation than age in older veterans (P Van Epps, D Oswald, Thomas R Hornick, et al.) Immunity and Ageing (2017)

Preexisting immunity, not frailty phenotype, predicts influenza postvaccination titers among older veterans. Clinical and Vaccine Immunology (2017)

Both preexisting immunity to influenza and age have been shown to be correlates of influenza vaccine responses. Frailty, an indicator of functional impairment in older adults, was also shown in one study to predict lower ...

Results of a Veterans Affairs employee education program on antimicrobial stewardship for older adults (Barbara Heath, Jamie Bernhardt, Thomas J Michalski, et al.) American Journal of Infection Control (2016)

We describe a course in the Veterans Affairs (VA) Employee Education System designed to engage nursing staff working in VA long-term care facilities as partners in antimicrobial stewardship. We found that the course addressed an ...

Shared medical appointments: impact on clinical and quality outcomes in veterans with diabetes. (M D Harris, S Kirsh and Patricia A Higgins) Quality Management Health Care (2016)

Managing diabetes poses substantial challenges to the over 29.1 million Americans afflicted, and is financially overwhelming to the US health care system. One potential strategy is utilizing a group approach to care delivery or shared ...

Exploring family relationships through associations of comfort, relatedness states, and life closure in hospice patients: A pilot study. (Dana M Hansen, Patricia A Higgins, Camille Beckette Warner, et al.) Palliative and Support Care (2015)

Objective: Research at the end of life tends to focus on the dying patient's symptoms, often overlooking issues associated with family interactions. However, many families struggle just to maintain or initiate these valuable connections. The ...

Four moments for patient hand hygiene: a patient-centered, prvider-facilitated model to improve patient hand hygiene (V C Sunkesula, S Knighton, T F Zabarsky, et al.) Infection Control & Hospital Epidemiology (2015)

We found that a majority of hospitalized patients were aware of the importance of hand hygiene, but observations indicated that performance of hand hygiene was uncommon. An intervention in which healthcare personnel facilitated hand hygiene ...

Knowledge, beliefs, and confidence regarding infections and antimicrobial stewardship: a survey of Veterans Affairs providers who care for older adults (R L Jump, B Heath, C J Crnich, et al.) American Journal of Infection Control (2015)

We conducted an anonymous survey of providers who care for older adults from 10 Veterans Affairs long-term-care facilities to assess their knowledge, beliefs, and confidence toward treating infections and antimicrobial stewardship. The average score on ...

Hospital lighting and its association with sleep, mood and pain in medical inpatients. (E L Bernhofer, Patricia A Higgins, B J Daly, et al.) Journal of Advanced Nursing (2014)

AIMS: To describe light exposure, sleep-wake patterns, mood, pain and their relationships in adult medical inpatients. BACKGROUND: The hospital environment may contribute to patient discomfort by providing a lighting structure that interferes with circadian rhythmicity, ...

The complexity of older adults' social support networks (U Chaichanawirote and Patricia A Higgins) Research in Gerontological Nursing (2013)

The purpose of this study was to provide a detailed snapshot of the diversity of social support networks of 95 independent-living older adults (mean age = 76). Participants in the convenience sample were recruited from ...

Frailty assessment in the geriatric outpatient clinic (H Kim, Patricia A Higgins, D H Canaday, et al.) Geriatrics and Gerontology International (2013)

AIM: Frailty is a common phenomenon in geriatric patients. In the present translational research study, we assessed two frailty instruments (Fried 2001; Gill 2002), comparing the usefulness and scoring classifications for frailty screening in an ...

The complexity of older adults' social support networks (U Chaichanawirote and Patricia A Higgins) Research in gerontological nursing (2013)

The purpose of this study was to provide a detailed snapshot of the diversity of social support networks of 95 independent-living older adults (mean age = 76). Participants in the convenience sample were recruited from ...

Characterization of MHC-II antigen presentation by B cells and monocytes from older individuals (H L Clark, R Banks, L Jones, et al.) Clinical Immunology (2012)

Field measurements of light exposures and circadian disruption in two populations of older adults. (Mariana G Figueiro, Robert Hammer, Patricia A Higgins, et al.) Journal of Alzheimer's Disease (2012)

The absence of daily robust light-dark exposure patterns may contribute to sleep disturbances in persons with Alzheimer’s disease and related dementias (ADRD). Personal light-dark and activity-rest patterns were measured for healthy older adults and for ...

The oncology acuity tool: a reliable, valid method for measuring patient acuity for nurse assignment decisions (C W Brennan, B J Daly, N V Dawson, et al.) Journal of Nursing Measurement (2012)

BACKGROUND AND PURPOSE:Matching nurse assignments with patient acuity has critical implications for providing safe, effective, and efficient care. Despite this, we lack well-established methods for accurate assessment of acuity. This study aimed to evaluate the ...

The relationship between social roles and self-management behavior in women living with HIV/AIDS Womens Health Issues (2012)

Perspective: medical education research and the institutional review board: reexamining the process. (A C Johansson, S J Durning, L D Gruppen, et al.) Academic Medicine (2011)

Medical school and residency training curricula across the country have undergone extensive revisions and, much like clinical quality improvement (QI) initiatives, require assessments of new programs. Because sharing knowledge is a hallmark of academic medicine, ...

Facilitated sensemaking: a feasibility study for the provision of a family support program in the intensive care unit Critical Care Nursing Quarterly (2010)

Rest-activity and light exposure patterns in the home setting: a methodological case study (Patricia A Higgins, Thomas R Hornick and M G Figueiro) American Journal of Alzheimers Disorders and other Dementia (2010)

Background: This methodological case study describes light exposure and rest-activity patterns in an older adult with dementia and his caregiver spouse. Methods: Two devices were used to measure rest-activity and light exposure data: a wrist-worn ...