Browsing by Author "Jooste, Karen R"

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    ItemOpen Access
    A Descriptive Study of Chaplains' Code Blue Responses.
    (American journal of critical care : an official publication, American Association of Critical-Care Nurses, 2021-11) Tennyson, Carolina D; Oliver, John P; Jooste, Karen R

    Background

    Family presence during resuscitation is the compassionate practice of allowing a patient's family to witness treatment for cardiac or respiratory arrest (code blue event) when appropriate. Offering family presence during resuscitation as an interprofessional practice is consistent with patient- and family-centered care. In many institutions, the role of family facilitator is not formalized and may be performed by various staff members. At the large academic institution of this study, the family facilitator is a member of the chaplain staff.

    Objectives

    To examine the frequency of family presence during code blue events and describe the role of chaplains as family facilitators.

    Methods

    Chaplain staff documented information about their code responses daily from January 2012 through April 2020. They documented their response time, occurrence of patient death, presence of family at the event, and services they provided. A retrospective data review was performed.

    Results

    Chaplains responded to 1971 code blue pages during this time frame. Family members were present at 53% of code blue events. Chaplains provided multiple services, including crisis support, compassionate presence, spiritual care, bereavement support, staff debriefing, and prayer with and for patients, families, and staff.

    Conclusions

    Family members are frequently present during code blue events. Chaplains are available to respond to all such events and provide a variety of immediate and longitudinal services to patients, families, and members of the health care team. Their experience in crisis management, spiritual care, and bereavement support makes them ideally suited to serve as family facilitators during resuscitation events.
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    ItemOpen Access
    Implementation of a Novel Tool to Collect Milk Feeding Data on Infants in Primary Care Clinics.
    (Clinical pediatrics, 2022-06-06) Maradiaga Panayotti, Gabriela M; Miner, Dean S; Hannon, Emily A; Kay, Melissa C; Shaikh, Sophie K; Jooste, Karen R; Erickson, Elizabeth; Kovarik, Teresa; Wood, Charles T
    We aimed to capture milk feeding type in real time in a racially and socioeconomically diverse population. An electronic tool to assess milk feeding type at every medical visit for children aged 0 to 2 years was designed and incorporated into nursing workflows. The Milk Box tool was successfully added to the electronic clinical workspace of a large health system. There were eight clinics, with diverse characteristics, which incorporated the use of the Milk Box tool over 12 months. Time to 50% uptake of Milk Box varied from 3 to 5 months. Time to >80% uptake varied from 6 to 8 months. Our results show that Milk Box can be quickly incorporated into a clinical workflow when the team is given appropriate training and support. The tool also allows a primary care practice to study local breast milk consumption trends and to provide both individualized and system-level lactation support.
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    The Agitation Catch-22: Misconstruing Common Antipsychotic Side-Effects as Worsening Agitation
    (Journal of Pain and Symptom Management, 2024-05) Sokolowski, Elizabeth; Shalev, Daniel; Jooste, Karen R; Howard, Leigh; Bynum, David Z; Fisher, David; Neiman, Joseph H