Emory Authors: Effects of a Group-Based Online Lifestyle Medicine Intervention Among Rural Participants

“Chronic diseases impact public health by attributing to 43 million deaths globally, requiring ongoing medical treatment, limiting daily activities, and contributing to disability and rising healthcare costs. In the United States, cardiovascular disease, diabetes, and cancer are the leading causes of death, and the prevalence of these conditions is high as more than half
of adults have been diagnosed with at least one chronic disease and just under half are managing two or more.”

able 1.

Sociodemographic Characteristics.

VariableTotal Sample n = 80Control Group n = 40Intervention Group n = 40Test StatisticEffect Size
Age (M ± SD)48.44 ± 17.0345.73 ± 17.7051.15 ± 16.09t(78) = 1.43, P = .155d = 0.321
Genderχ2(1) = 0.08, P = .775φ = .032
 - Female65 (81.3%)32 (80.0%)33 (82.5%)
 - Male15 (18.8%)8 (20.0%)7 (17.5%)
Marital statusχ2(4) = 6.60, P = .158φ = .287
 - Married/Partnered35 (43.8%)12 (30.0%)23 (57.5%)
 - Not married/Have a significant other13 (16.3%)8 (20.0%)5 (12.5%)
 - Single/Other13 (16.3%)9 (22.5%)4 (10.0%)
 - Divorced/Separated17 (21.3%)10 (25.0%)7 (17.5%)
 - Widowed2 (2.5%)1 (2.5%)1 (2.5%)
Educationχ2(2) = 0.56, P = .754φ = .084
 - < HS/HS grad20 (25.0%)11 (27.5%)9 (22.5%)
 - Some college33 (41.3%)17 (42.5%)16 (40.0%)
 - College+27 (33.8%)12 (30.0%)15 (37.5%)
Raceχ2(1) = 4.01, P = .045φ = .224
 - White58 (72.5%)33 (82.5%)25 (62.5%)
 - Black/Other/Multiracial22 (27.5%)7 (17.5%)15 (37.5%)
Incomeχ2(3) = 2.87, P = .413φ = .194
 - Under $30,00036 (47.4%)21 (56.8%)15 (38.5%)
 - $30,000 – $49,99919 (25.0%)8 (21.6%)11 (28.2%)
 - $50,000 – $100,00012 (15.8%)4 (10.8%)8 (20.5%)
 - Over $100,0009 (11.8%)4 (10.8%)5 (12.8%)
Employmentχ2(3) = 1.93, P = .587φ = .155
 - Full-time job28 (35.0%)12 (30.0%)16 (40.0%)
 - Part-time job18 (22.5%)8 (20.0%)10 (25.0%)
 - Not working, or full-time homemaker18 (22.5%)11 (27.5%)7 (17.5%)
 - Retired16 (20.0%)9 (22.5%)7 (17.5%)
# Of risk factorsχ2(2) = 1.33, P = .513φ = .129
 - 1-224 (30.0%)13 (32.5%)11 (27.5%)
 - 3-425 (31.3%)14 (35.0%)11 (27.5%)
 - 5 or more31 (38.8%)13 (32.5%)18 (45.0%)
Total risk score4.10 ± 2.284.00 ± 2.444.20 ± 2.14z = 0.63, P = .527g = .086
# Of previous historyχ2(1) = 0.00, P = 1.00φ = .000
 - 1-264 (80.0%)32 (80.0%)32 (80.0%)
 - 3-616 (20.0%)8 (20.0%)8 (20.0%)
Total history score1.68 ± 0.981.63 ± 0.981.73 ± 0.99z = 0.67, P = .501g = .101
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JONA Highlights: Advancing Nursing Workforce Strategy Through a Tiered Academic Partnership Model

“The discrepancy between the supply and demand of RNs creates pressure on nursing leaders to find innovative solutions to strengthen the nursing workforce and reduce new graduate nurses’ time in orientation. In response, Memorial Hermann Health System leaders developed the Tiered Academic Partnership Model (TAPM). The model provides a strategic framework to align academic partnerships with health system nursing workforce priorities. The TAPM supports strategic, outcomes-driven partnerships between health systems and academic partners. TAPM categorizes partnerships into 3 tiers to optimize clinical placements, improve new graduate nurse readiness, and enhance conversion-to-hire rates. This scalable model fosters intentional collaboration, operational efficiency, and stronger workforce development.”

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Nursing Highlights: Analyzing the role of connection in nurse well-being

“As healthcare has become more critical and complex, so have nurses’ responsibilities,
expectations, and scopes of practice. Acute care nurses working at the bedside are subject to an immense amount of stress, anxiety, and burnout due to their work environment.
Although respect for the duties and profession of nursing has increased, the demands posed by various physical, mental, emotional, ethical, and moral challenges have also intensified. These challenges affect healthcare workers on both superficial and
systemic levels.”

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Noninvasive Oxygen Monitoring to improve patient outcomes

“The use of noninvasive ventilation (NIV) to treat acute respiratory failure is increasing NIV use decreases the rate of endotracheal intubation and mortality in patients with chronic obstructive pulmonary disease (COPD) exacerbations and reduces the rate of endotracheal intubation in patients with cardiogenic pulmonary edema. NIV is commonly used to treat acute respiratory failure on the wards. The benefits of tidal volume (Vte) reduction may be present in critically ill patients without acute respiratory distress syndrome (ARDS).However, an optimal expiratory Vte strategy in NIV for acute respiratory failure has not been well
established, except perhaps in patients with acute hypoxemic respiratory failure. Carteaux et al14 explored the feasibility of a low Vte strategy using NIV in acute hypoxemic respiratory
failure and found that higher Vte was associated with failure defined as need of intubation.”

Hayek, A. J., Scott, V., Yau, P., Zolfaghari, K., Goldwater, M., Almquist, J., Arroliga, A. C., & Ghamande, S. (2020). Bedside risk stratification for mortality in patients with acute respiratory failure treated with noninvasive ventilation. Baylor University Medical Center Proceedings, 33(2), 172–177.

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JONA Highlights: Addressing the Shortage of Academic Nurse Educators-An Opportunity for Collaboration Between Academic and Healthcare Organization Leaders.

“The nursing shortage is not new; however, it has been exacerbated by burnout, mass resignations, and alternative employment options during the COVID-19 crisis. A reported lack of academic nurse educators (ANEs) and impending shortages are predicted to have a negative impact on the nursing workforce. Academic nurse educators are licensed RNs with an advanced degree, typically a master’s in nursing, a doctorate of nursing practice, an EdD, or a PhD, and employed by a university, college, or school of nursing. The dearth of ANEs has led nursing programs to cap the number of accepted students, contributing to the nursing shortage. According to the National League for Nursing, the faculty shortage
across all nursing programs has almost doubled from 669 vacancies3 in 2019 to 1005 vacancies in 2022.”

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