Showing papers by "Daniel B. Oerther published in 2020"
10 citations
TL;DR: In this paper, a conceptual model was hypothesized using structural equation (SE) modeling and two sex-specific (female and male) datasets were subsequently generated from the data and applied to the hypothesized SE model.
9 citations
9 citations
TL;DR: An editorial offered the outright perspective that, "Florence Nightingale was the first environmental engineer" (Oerther, 2018).
Abstract: A recent editorial explored the relationship between nursing and STEM - science, technology, engineering and math - by asking and answering the question, \"Is nursing a STEM discipline?\" (Davidson, 2019). A previous editorial explored the value of including the \"art of nursing\" as part of the transition from STEM to STEAM - defined as science, technology, engineering, art and math (Yoder-Wise, 2018). And another editorial offered the outright perspective that, \"Florence Nightingale was the first environmental engineer\" (Oerther, 2018).
9 citations
TL;DR: Investigation of which maize sources exposed households to higher risk of aflatoxin exposure symptoms and what the risk factors were for each maize source, pre- and post-maize harvest suggested multiple interventions may be effective but are dependent on time of year and source of maize.
Abstract: Recent evidence supports the hypothesis that aflatoxin exposure from maize can influence malnutrition rates among children. Therefore, in Guatemala we investigated two questions; which maize source...
8 citations
6 citations
TL;DR: In this paper, the authors described the importance of educating heads, hands, and hearts in the online COVID-19 classroom and stated that "teachers of environmental engineering and science need to transmit information,...
Abstract: Previously, we described the importance of educating heads, hands, and hearts in the online COVID-19 classroom. Yes, teachers of environmental engineering and science need to transmit information, ...
6 citations
09 Feb 2020
TL;DR: Though there is advocacy for the prevention of AMR, interventions have enjoyed limited success because of primary care providers’ fears and patient's perceived demand for pills to treat all illnesses.
Abstract: Antimicrobial resistance (AMR) is a threat to public health (O'Neil, 2014; World Health Organization, 2018). AMR occurs when antimicrobial therapies become ineffective at killing infections caused by bacteria, fungi, parasites and viruses, and this leads to drug-resistant infections (World Health Organization, 2018). Drug-resistant infections are impacting all populations (Centers for Disease Control, 2018; Logan & Bonomo, 2016; World Health Organization, 2018; Zerr et al., 2014). Inappropriate use of antimicrobial therapies is believed to be a significant contributing factor to the emergence and spread of AMR (O'Neil, 2014; World Health Organization, 2018). Drug-resistance infections contribute to longer hospital stays, higher medical costs and increased incidence of morbidity (World Health Organization, 2018; Zetts, Stoesz, Smith, & Hyun, 2018). Though there is advocacy for the prevention of AMR, interventions have enjoyed limited success because of primary care providers’ fears and patient's perceived demand for pills to treat all illnesses (Martínez-González et al., 2017; Wood et al., 2012). For instance, primary care providers want to meet the patients’ need to feel satisfied with their care (Martínez-González et al., 2017; Wood et al., 2012; Zetts et al., 2018). Primary care providers also may fear that patients may become ill without the use of antimicrobial therapies (MartínezGonzález et al., 2017; Wood et al., 2012; Zetts et al., 2018). AMR needs to be combated with primary levels of prevention by nurses.
3 citations
TL;DR: As the first wave of COVID-19 cases spread around the globe in early 2020, the healthcare community adopted a medical model that emphasized the use of resources to mitigate viral spread, losing sight of the urgent need to address the ongoing opioid epidemic.
Abstract: As the first wave of COVID-19 cases spread around the globe in early 2020, the healthcare community adopted a medical model that emphasized the use of resources to mitigate viral spread (Oerther & Watson, 2020). Schools, churches, and businesses shutdown, and healthcare facilities – from outpatient clinics to inpatient elective surgeries – were closed or cancelled. Even long-term care facilities, such as nursing homes, limited access of visitors to patients in an attempt at mitigation. And for six months, the healthcare community focused almost exclusively on a medical response to COVID19, securing stockpiles of ventilators and fast-tracking vaccine development. COVID-19 is not the only illness ravaging the globe, and health care is more than a medical model emphasizing viral containment. The response to the viral pandemic shifted our focus away from a holistic view of health care, and we lost sight of the urgent need to address the ongoing opioid epidemic (Oerther & Oerther, 2019). Globally, at the national level, and in local communities across the United States (U.S.), opioid use disorder (OUD) is a fire that continues to burn out of control (Jessup et al., 2019). In 2017, there were 47,600 drug overdose deaths in the U.S. that involved any opioid (i.e., prescription opioids, heroin, and other synthetic narcotics). The total costs of the opioid epidemic in 2016 was $95.8 billion. The U.S. Government declared the opioid epidemic a public health emergency, and in 2017 The President's Commission on Combating Drug Addiction and the Opioid Crisis released its final report (Christie et al., 2017). Two of the key recommendations contained in the report, included: (a) empowering nurses to prevent addiction through community education, screening for signs of addiction, and supporting recovery, and (b) empowering advanced nurse practitioners to prescribe treatments such as buprenorphine (Christie et al., 2017).
2 citations
2 citations
TL;DR: More research is needed to provide a deeper understanding of strengths, challenges, and solutions of various immigrant groups, which can facilitate development of nursing interventions that support immigrant women and their children in the United States, and strengthen their families.
Abstract: Background Immigrant mothers are raising an increasing proportion of the population of children in the United States. Purpose The purpose of this review was to explore existing research on immigrant women's experiences of being mothers in the United States and identify key concepts, gaps in the literature, and implications for future research that builds on the strengths of immigrant women while addressing their unique challenges. Study design and methods In this scoping review, Ovid MEDLINE, CINAHL, SCOPUS, Web of Science, JUSTOR, and PsycINFO databases were searched using a combination of applicable key words. Results Twenty-two articles were selected. Few studies were identified. Analyses revealed a broad array in purpose, populations, theoretical frameworks, settings, study instruments, and practices, making comparison difficult. Although mothering is a universal experience among women who have children, little is known about the broad experiences of immigrant women from different cultures. Clinical implications Immigrant mothers are not a monolithic group. More research is needed to provide a deeper understanding of strengths, challenges, and solutions of various immigrant groups, which can facilitate development of nursing interventions that support immigrant women and their children in the United States, and strengthen their families.
22 Jan 2020
TL;DR: The ethical dilemma of prescribing antimicrobial drugs represents an ethical dilemma for nurse practitioners, since the health needs of individual patients must to be balanced against preservation of effective antimicrobial therapies and concerns for long-term prevention of AMR in communities.
Abstract: Antimicrobial resistance (AMR) is one of the most challenging worldwide health threats facing modern medicine (Centers for Disease Control, 2018; Logan & Bonomo, 2016; World Health Organization, 2018; Zerr et al., 2014). According to the World Health Organization (2018), when antimicrobial drugs are no longer effective at killing infections caused by bacteria, fungi, parasites and viruses, this is called AMR. AMR leads to drug-resistant infections (World Health Organization, 2018). Nurse practitioners need to be leaders in mitigating risks associated with antimicrobial use, including ethical dilemmas surrounding AMR (Centers for Disease Control, 2018; Logan & Bonomo, 2016; World Health Organization, 2018; Zerr et al., 2014). For instance, prescribing antimicrobial drugs represents an ethical dilemma for nurse practitioners, since the health needs of individual patients must to be balanced against preservation of effective antimicrobial therapies and concerns for long-term prevention of AMR in communities (Basu & Garg, 2018; Johnstone, 2016).