Mary Ann Cantrell

Villanova University | Nova · College of Nursing

COVID-19 exacerbated burnout and mental health concerns among the healthcare workforce. Due to high work stress, demanding schedules made attuned eating behaviors a particularly challenging aspect of self-care for healthcare workers. This study aimed to examine the feasibility and acceptability of a mindfulness-based heart rate variability biofeedb...

Approximately 100,000 Americans have sickle cell disease (SCD). In the USA, the majority of patients with SCD are of African descent. Due to persistent racial and ethnic disparities in healthcare in the USA, patients with SCD experience disproportionately more health inequities because of providers’ implicit biases regarding patient race. Lack of a...

Objectives: To examine the physical, mental, and general health among young adult childhood cancer survivors (CCS). Sample & setting: This secondary analysis study used data from the Behavioral Risk Factor Surveillance System. The analytic sample included 697 young adult CCS (537 women; 160 men). Methods & variables: Chi-square tests of indepe...

Summary statement: Psychological safety in high-fidelity simulation-based experiences ensures that learners feel safe with new experiences in the service of learning. This article is a faculty reflection on breaches in the psychological safety among nursing students in 2 independent, high-fidelity simulation-based experience studies that were cond...

Aim: This article describes a quantitative simulation study protocol and identifies important methodological considerations for future high-level, rigorous quantitative simulation studies. Background: Quantitative simulation research studies have been found to be lacking in their conceptualization, study design, and measurement of outcomes, with...

The COVID-19 pandemic required schools to transition courses to an online platform. This shift to Emergency Remote Teaching (ERT) created gaps in the literature about its impact on students. The purpose of this study was to test the relationship between learner and instructional attributes and learner satisfaction with ERT. A modified version of th...

Clinical judgment among new-to-practice nurses is critical for safe patient care. The Lasater Clinical Judgment Rubric (LCJR) is a known instrument in undergraduate nursing education research. This study evaluated the internal consistency reliability and changes in the LCJR in a sample of 17 new-to-practice nurses in a simulated setting across four...

Aim: This two-group feasibility study tested the efficacy of a four-scenario simulation program to improve clinical judgment and clinical competence among graduate nurses. Background: Clinical judgment and clinical competence are underdeveloped among new-to-practice nurses. Method: Clinical judgment was compared between the intervention group...

Background The efficacy of using in-class simulations to develop clinical judgment is understudied. Methods This was a repeated measures, quasi-experimental, within-subjects one-group design study to determine if observations of in-class simulations and the primary nurse role influenced clinical judgment skills among 45 study participants. Result...

Background: mHealth apps have been not been well tested among childhood cancer survivors (CCSs) to track physical and psychosocial functioning for improved self-management of post-treatment needs. Objectives: This pilot study had 3 aims: (1) assess the usage of the Health Storylines mHealth app; (2) examine its effect in improving self-efficacy...

This analysis examines the applicability of Mastery Learning and Self-Regulation theories as a combined approach to nursing education. The conclusion may serve as a foundation for an innovative, evidence-based approach to teaching nurses resulting in improved patient care and outcomes. Mastery Learning promotes a teaching approach that supports ach...

This article provides pragmatic guidance on how to operationalize the INACSL Standards of Best Practice: Simulation. The purpose of this feasibility study was to determine content validity and intervention fidelity of three interprofessional simulations where clinical judgment is required to provide care to simulated patients. The process met all 1...

This article details the collaborative effort between a team of academic nurse educators with educators in a practice setting in the planning and implementation of a simulation-focused study to develop clinical judgment and clinical competency among new-to-practice nurses enrolled in a nurse residency program. Competing priorities between achieving...

Aim: The purpose of this article is to define clinical judgment, examine valid and reliable instruments to measure the construct, review established strategies by which to develop it, and propose key future nursing education research priorities in clinical judgment. Background: A pressing interest in prelicensure nursing students' clinical judgm...

Aim The purpose of this quasi-experimental one-group repeated measure (pre-test/post-test) study was to determine the effect of an end-of-life (EoL) simulation-based experience (SBE) on active and observer nursing students' palliative care knowledge and self-awareness. Background Baccalaureate nursing (BSN) graduates must demonstrate competence in...

Background Palliative care education and experience are needed for student competence in delivering high-quality palliative nursing care. Simulation has been linked to acquired clinical competency among pre-licensure students. A known literature gap is measurement of students' performance during end-of-life simulations. Objectives The aim of this...

Aim To report the methodological strategies used to recruit and retain pregnant adolescents into a nutrition‐focused intervention study. Background An important step to meeting the developmental and healthcare needs of pregnant adolescents is to conduct high‐quality research studies that generate reliable and accurate data. However, recruitment an...

Background There has been an exponential growth in the research base for simulated-based learning experiences (SBLE). The purpose of this paper is to present the findings of an umbrella review, an examination of published reviews, to examine the state-of-the-science in SBLE Method This project used the Joanna Briggs Institute guidelines for an umb...

The American Association of Colleges of Nursing specifies that all nurses must be prepared to deliver high-quality palliative care upon entry into practice. To achieve this aim, a clear understanding of palliative care nursing is needed. The Walker and Avant model for concept analysis was used to review and analyze relevant literature from 2000 to...

This integrative review summarized the findings from 19 studies about the known effects of simulation on nursing students' preparation for delivery of palliative care (PC), identified gaps in the literature, and provided directions for future research. Three mixed method studies, 10 quantitative studies, and 6 qualitative studies were reviewed. The...

Nursing faculty teaching in research and clinical doctoral programs participated in a national survey study to examine the impact of expanded doctoral enrollments on the doctoral faculty's scholarly productivity. They were invited to respond to an open-ended question soliciting information not already addressed in the survey. Results of the analysi...

Background Support for research strongly predicts doctoral program faculty members’ research productivity. Although academic administrators affect such support, their views of faculty members’ use of support are unknown. Purpose We examined academic administrators’ perceptions of institutional support; work-life balance; and effects of teaching do...

The health of pregnant adolescents affects the well-being of future generations. Modifying unhealthy eating patterns among pregnant adolescents is critical because of their association with risk of poor pregnancy and birth outcomes. Therefore, it is important to provide age- and developmentally appropriate nutrition education during this time. To s...

Research has shown that self-esteem and hopefulness are positively related among female childhood cancer survivors (CCS) and contribute to their health-related quality of life (HRQOL). HRQOL remains a significant outcome of treatment for CCS. This study examined the relationships among self-esteem, hopefulness, and HRQOL in young adult female CCS t...

Objectives: This literature review summarizes research relevant to the meaning of inner strength in females living with a chronic illness. This review also examined studies that have used The Inner Strength Questionnaire to examine inner strength among chronically ill females. Methods: Using the search terms inner strength and women, CINAHL, Pub...

Background and purpose: This study investigated the psychometric properties of the Work/Life Balance Self-Assessment scale among nurse faculty involved in doctoral education. Methods: A national random sample of 554 respondents completed the Work/Life Balance Self-Assessment scale, which addresses 3 factors: work interference with personal life...

Purpose: This secondary data analysis compared smoking rates, alcohol consumption, and binge drinking, and examined risk factors for engaging in these behaviors among 90 young adult-aged childhood cancer survivors (CSS) with 15,490 young adults in the general population. Methods: The sample was drawn from the National Longitudinal Study of Adole...

This article reports the findings of a study that examined the research and scholarship productivity of doctorally prepared nursing faculty teaching and mentoring doctoral students and the conflicting demands on them to maintain programs of research and scholarship. The specific aims were to (a) examine the research productivity and scholarship of...

The growing shortage of nursing faculty and the need for faculty to teach doctoral students to address the shortage call for examination of factors that may contribute to the shortage, including those that are potentially modifiable, including work-life balance.This descriptive study examined work-life balance of a national sample of nursing facult...

This study evaluated 175 senior-level undergraduate nursing students' perceptions and comfort level regarding safety principles and practices before and after participating in a safety-focused clinical simulation-based experience during their nursing leadership course. The Healthcare Professionals Patient Safety Assessment (HPPSA) was used to measu...

PurposeThis study, which is part of a larger project, was conducted to profile the nursing faculty in the United States teaching in PhD and DNP programs.DesignThis is a descriptive study. A sample of 554 nursing faculty who teach in PhD and DNP programs was recruited by email solicitation to represent all geographic regions of the United States. Da...

Approximately 43% of children in the United States (32 million) are currently living with at least 1 of 20 common chronic childhood illnesses. The most common chronic childhood illnesses are asthma, cystic fibrosis, diabetes, obesity, malnutrition, developmental disabilities, cerebral palsy, consequences of low birthweight, and mental illness. For...

Background: The psychological health of childhood cancer survivors is an essential treatment outcome. Female survivors are a subgroup of survivors with an increased risk for poor psychological outcomes. Objective: This study compared psychological distress in young adult female survivors of childhood cancer with that in young adult females in the g...

The Institute of Medicine, responding to a national health care crisis and related nursing labor force concerns, has called for an increase in the proportion of registered nurses with baccalaureate or higher degrees to 80% and a doubling of the number of nurses with doctorates by 2020. Simultaneously, large numbers of senior faculty are starting to...

This project explored the experiences of six undergraduate nursing students, three American nursing students and three nursing students from the Sultan of Oman, who participated in a faculty initiated education research project as part of their pediatric clinical practicum. Students were placed in dyads, with one American-born student and one Omani...

This focus group study was undertaken as part of a larger investigation of how the demand for increased production of nurses with doctorates affects doctoral faculty’s scholarly productivity. This study provided a basis for development of the national survey questionnaire. Two focus groups that included 29 faculty teaching in PhD and/or DNP program...

Background Debriefing is a critical component of clinical simulation, yet there are limited studies that demonstrate the outcomes of debriefing on learners' clinical judgment.Method Using the Lasater Clinical Judgment Rubric, this mixed-method study examined the effects of structured debriefing after 2 clinical simulation experiences on 86 junior-l...

To describe the challenges encountered in the recruitment and retention of a sample of older adolescent and young adult female survivors of childhood cancer for a longitudinal study testing a targeted psychosocial intervention aimed at enhancing hope. Published literature on constructing longitudinal intervention studies and strategies in the recru...

This paper describes the significant advances in the treatment of childhood cancer and supportive care that have occurred over the last several decades and details how these advances have led to improved survival and quality of life (QOL) for children with cancer through a multidisciplinary approach to care. Advances in the basic sciences, general...

The clinical teaching associate (CTA) model in which a staff nurse worked with a faculty member in the teaching of undergraduate nursing students was implemented in an acute care pediatric setting. The CTA model fostered learning outcomes by increasing opportunities for students to practice skills and by fostering positive relationships between the...

This narrative review summarizes the state of the evidence about the phenomenon of health-related quality of life (HRQOL) among survivors of childhood cancer. A major strength of the state of the evidence on the HRQOL among survivors of childhood cancer is the availability and quality of the data generated from the Childhood Cancer Survivor Study (...

To describe the meaning of being cared for and comforted by pediatric oncology nurses among a sample of childhood cancer survivors. A hermeneutic analysis was conducted to describe the meaning of the phenomenon. An oncology treatment center in the northeastern United States. 11 childhood cancer survivors. Four childhood cancer survivors participate...

In this article, we describe how young adults who are transitioning off treatment for childhood cancer and beginning early survivorship are living in what might be described as a paradox of reality. These survivors' dual reality is their experience of intense frustration with their current state of functioning, and an overwhelming relief that thera...

This paper is a report of a study to survey early childhood cancer survivors' perceived health-related quality of life and its determinants and to estimate the reliability of known psychometric scales used in the measurement of these determinants. Young adult survivors of childhood cancer are considered to be a high-risk, vulnerable population for...

The purpose of this research was to establish the feasibility of delivering the Hope Intervention Program (HIP) using a Web-based design among 6 female survivors of childhood cancer. The HIP is an 8-week program to foster and promote hope. Each session of the HIP has specific focus, goals, and activities that offer opportunities for participants to...

Background: This education-focused research project evaluated the benefit of a structured debriefing session on students' learning after the students completed three pediatric-based clinical simulations. Method: Eleven students participated in this study, in which their performance was videotaped during each simulation. They received a verbal debri...

This paper reports the development of three pediatric-based clinical simulations and students' evaluation of them as a teaching-learning experience. Students evaluated (1) perception of the design features of the simulations, (2) evaluation of the educational practices, and (3) their satisfaction and self-confidence in learning using structured mea...

This paper is a report of a study to evaluate the use of an online data collection method to survey early survivors of childhood cancer about their physical and psychosocial characteristics and health-related quality of life. A major advantage in conducting web-based nursing research is the ability to involve participants who are challenging to stu...

Pediatric oncology nursing practice must incorporate both the science and the art of the discipline to foster positive physical and psychosocial treatment outcomes for pediatric oncology patients, especially those outcomes related to their health-related quality of life. In this article, the art of nursing care is described within the context of sc...

Purpose/Objectives: To summarize the theoretical understanding and empirical measurement of health-related quality of life (HRQOL) for childhood cancer survivors and to identify determinants of HRQOL for adolescents with cancer. Data Sources: Published articles from 1985-2005. Key words included health, quality of life, childhood cancer, and surviv...

This is the third and final part of a series of articles that report the findings of a study that investigated the effects of a summer externship program on the transition into a professional role among nurses who participated in a summer nurse externship program at an acute care pediatric hospital. Specifically, this article reports the retention...

This article reports the qualitative findings from a focus group interview conducted with six currently registered nurses who participated in a summer nurse externship program. It is Part II of a three-part study that examined the influence of nurse externship programs on the transition process from graduate to professional nurse. The focus group e...

This article is Part I of a three-part series that reports the quantitative findings that investigated if an externship program had a long-term effect on new graduates' role socialization to the healthcare environment. Two groups were compared: a group of 26 registered nurses who had participated in the externship program and a matched cohort group...

To develop a predictive model of hopefulness using the variables of age, gender, and self-esteem among a sample of adolescents with cancer and a sample of healthy adolescents. Forty-five healthy adolescents were individually matched with 45 adolescents with cancer on the basis of gender and age. Of the 90 subjects included in this study, 48 were ma...

The expression of cosmid-borne Bradyrhizobium japonicum hydrogenase genes in alfalfa, clover, and soybean nodules harboring Rhizobium transconjugants was studied. Cosmid pHU52 conferred hydrogen uptake (Hup) activity in both free-living bacteria and in nodules on the different plant hosts, although in nodules the instability of the cosmid resulted...

Cosmids containing hydrogen uptake genes have previously been isolated in this laboratory. Four new cosmids that contain additional hup gene(s) have now been identified by conjugal transfer of a Rhizobium japonicum 122DES gene bank into a Tn5-generated Hup(-) mutant and screening for the acquisition of Hup activity. The newly isolated cosmids, pHU5...

Recombinant cosmids from a gene library of the DNA from Hup+ Rhizobium japonicum 122DES previously have been shown to restore hydrogenase activity when transferred by conjugation into certain Hup- mutants of R. japonicum. We generated a restriction map covering 32.2 kilobases of this cosmid DNA. At least 25.3 kilobases of the cosmid pHU1 were shown...

Thirtyfive strains of R. leguminosarum were isolated from pea plants grown at two different locations. Location “B” was a garden bed in which pea plants had been grown annually for at least 4 years. Location “W” was a meadow in which pea plants had not been grown for a number of years. The plasmid content of the isolated strains has been analyzed p...

A method has been developed for the rapid screening of Rhizobium japonicum colonies for hydrogenase activity based on their ability to reduce methylene blue in the presence of respiratory inhibitors and hydrogen. Hydrogen uptake-positive (Hup) colonies derepressed for hydrogenase activity were visualized by their localized decolorization of filter...

A gene bank of Rhizobium japonicum DNA was constructed by using the broad host range conjugative cosmid pLAFR1. Eighty-three percent of the clones in the bank contained cosmids with insert DNA averaging 22.6 kilobase pairs in length. A series of cosmids containing a hydrogen uptake (hup) gene was identified by transferring the gene bank into a H(2)...

A protein, extracted from Katahdin potato (Solanum tuberosum L. cv ;Katahdin') tubers and purified by ion exchange chromatography and gel filtration, agglutinates avirulent strains of the bacterial wilt pathogen, Pseudomonas solanacearum, but only weakly agglutinates virulent strains. The agglutinin has very low hemagglutinating activity (in contra...

Potato tubers (cv. Katahdin) contain a hydroxyproline-rich glycoprotein (HPRG) that agglutinates certain avirulent strains of the bacterial wilt pathogen, Pseudomonas solanacearum. This and similar agglutinins are thought to play an important rôle in the immobilization of incompatible bacteria in potato and tobacco tissues. The agglutinin from pota...

Modifications were made of published procedures to allow routine isolation of plasmids fromRhizobium japonicum. The plasmid profiles of a series of H2 uptake positive and H2 uptake negative strains were compared. None of the strains ofR. japonicum with high H2 uptake activities exhibited discernible plasmids, while most of the strains, with little...

A brief discussion is presented of recent information concerning (a) factors influencing extent of H2 loss during N2 fixation by legumes; (b) electron carriers involved in the oxyhydrogen reaction of Rhizobium japonicum bacteroids; and (c) progress made in evaluating H2 recycling advantages. A major factor determining whether H2 is evolved from leg...

We have developed mutants of Rhizobium japonicum which are deficient in H2 uptake capacity (Hup-) and which spontaneously revert to the parent type at a frequency consistent with that of a single-point mutation (ca. 1.0 x 10(-09)). The mutagenesis by nitrous acid and the selection of the Hup- phenotype by using penicillin and chemolithotrophy as en...

In the induction of the hypersensitive response (HR) in tobacco by Pseudomonas solanacearum, the recognition between host and pathogen is thought to involve an interaction between plant lectins and bacterial lipopolysaccharide (LPS). The LPS of a series of strains of P. solanacearum were examined to determine if there are structural differences tha...

122DESpreviously havebeenshowntorestore hydrogenase activity whentransferred byconjugation into certain Hup-mutants of R.japonicum. We generated a restriction map covering 32.2kilobases ofthis cosmid DNA.Atleast 25.3 kilobases ofthecosmid pHU1were showntohavethesame arrangement asthose inthegenome ofstrain 122DES. Analysis ofTnSinsertions into the1...