Regina M. Fink

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Graduate nurses experience stress transitioning from student to practicing professional nurse, moving from a familiar educational environment into the workforce, where expectations are to rapidly function as a competent nurse. This study identified the stresses and challenges experienced by cohorts of graduate nurses working in 6 acute care hospitals,(More)
OBJECTIVES To identify changes in nurse attitudes toward research utilization and the organization's research environment preimplementation and postimplementation of a multifaceted intervention to promote the use of research in practice. BACKGROUND Nursing practice based on research evidence has been shown to promote positive patient outcomes. Personal(More)
Older adults in nursing homes experience pain that is often underassessed and undertreated. Visual analog pain-intensity scales, recommended for widespread use in adults, do not work well in the older adult population. A variety of other tools are in use, including the Verbal Descriptor Scale, the Faces Pain Scale (FPS), and the Numeric Rating Scale. These(More)
BACKGROUND Catheter-associated urinary tract infections (CAUTIs) are common, morbid, and costly. Nearly 25% of hospitalized patients are catheterized yearly, and 10% develop urinary tract infections. Evidence-based guidelines exist for indwelling urinary catheter management but are not consistently followed. METHODS A pre/post intervention design was used(More)
OBJECTIVES To test a tool for screening the quality of nursing home (NH) pain medication prescribing. DESIGN Validity and reliability of measurement tool developed for a pre/postintervention with untreated comparison group. SETTING Six treatment NHs and six comparison NHs in rural and urban Colorado. PARTICIPANTS NH staff, physicians, and repeated 20%(More)
PURPOSE Effective pain management remains a serious problem in the nursing home setting. Barriers to achieving optimal pain practices include staff knowledge deficits, biases, and attitudes that influence assessment and management of the residents' pain. DESIGN AND METHODS Twelve nursing homes participated in this intervention study: six treatment homes(More)
Achieving optimal and safe pain-management practices in the nursing home setting continues to challenge administrators, nurses, physicians, and other health care providers. Several factors in nursing home settings complicate the conduct of clinical process improvement research. The purpose of this qualitative study was to explore the perceptions of a sample(More)
OBJECTIVES To evaluate pain management satisfaction in elderly postoperative patients; to define pain management strategies documented in the medical record (MR) that predict patient satisfaction. DESIGN Prospective cohort. SETTING Eight urban hospitals. PARTICIPANTS Three hundred twenty-two postsurgical patients aged 65 and older. MEASUREMENTS(More)
Graduate nurses experience role conflict and stress as they begin practice in work environments of high complexity, nurse shortages, and expectations to become competent rapidly. The authors report outcomes from a study that evaluated qualitative responses to the Casey-Fink Graduate Nurse Experience Survey administered to graduate nurse residents in the(More)
PURPOSE/OBJECTIVES To determine whether dry versus moist heat application to the upper extremity improves IV insertion rates. DESIGN Two-group, randomized, controlled clinical design. SETTING An academic cancer infusion center in the western United States. SAMPLE 136 hematologic outpatients with cancer or other malignancies. METHODS Participants(More)