Sheila Grossman

Fairfield University · School of Nursing

Background and purpose: Nurse practitioners (NPs) are expected to fill gaps in providing primary care in the United States and need vital skills to meet the growing need for primary care providers. One necessary skill is managing "on-call" clinical questions/concerns by patients across the life span. To date, there are no published studies that ad...

There are approximately 4 million Americans diagnosed with Sjogren's Syndrome. This article discusses the epidemiology, pathophysiology, diagnostics, and implications for home care clinicians who may encounter patients with this syndrome. Chronic pain is discussed as well as interventions to manage symptoms such fatigue, dry eyes mouth and skin.

Family nurse practitioner (FNP) students must achieve basic competency in managing patients' primary care needs across the lifespan. Students in the FNP program have simulations integrated throughout their clinical theory courses to increase practice time with various patient cases. Students who received individualized faculty feedback immediately...

Heart failure affects 5.1 million Americans. It is the leading cause of hospitalization in older adults and the most common cause of readmissions, which cost approximately $12 billion annually. Readmissions can be reduced through increased nurses' knowledge in heart failure.

The DNP is a terminal degree focusing on the preparation of expert clinicians with advanced leadership, evidence-based practice, and systems management skills. An electronic clinical portfolio (e-portfolio) allows students to showcase their individual experiences, provides an objective measure of their achievement, and demonstrates integration of t...

Accurate, objective observation is a critical component of clinical diagnosis and patient management, which in turn is essential for successful diagnostic reasoning by advanced practice nurses. The purpose of this quasi-experimental study was to enhance nurse practitioner students' observation and reflective thinking skills using Looking Is Not See...

It is important for nursing programs to use culturally focused activities to increase student preparation in caring for diverse older adults in their homes. The purpose of this study was to examine strategies that promote students' reflection on cultural awareness using home care-focused case studies, simulations, and self-reflective writing activi...

Effective health care for older adults requires that providers assess and manage sexual health needs with high priority. This assessment begins with an effective sexuality assessment tool. A two-step, research approach was undertaken to develop and test the Geriatric Sexuality Inventory (GSI). Literature and expert review resulted in a 34-item inst...

This chapter presents aspects of addressing the whole student as he or she proceeds through the four year nursing curriculum. This holistic perspective enhances the awareness of nursing students. They see the significance of integrating core course material, recognizing the needs of society for health care, and drawing connections between health ca...

Undergraduate students need to gain more exposure to communicating, assessing, and planning appropriate care and evaluating outcomes of care with diverse critically ill geriatric patients. This project developed teaching strategies that facilitated additional opportunities for gaining these valuable learning experiences for students. Nurse educator...

Critical care nurses need more practice in caring for dying critically ill patients because most have had little experience. Fifty senior nursing students during their critical care nursing course participated in simulations and case study analyses regarding dying critically ill patients/families. Findings indicate that mean posttest scores from th...

Purpose: The purpose is to discuss the development and implementation of a clinical portfolio as the capstone project for Doctorate of Nursing Practice (DNP) students. Background: The evolution of practice-focused doctoral programs has created the need for educators to develop innovative final projects demonstrating integration of core doctoral c...

A School of Nursing in North America and one in Norway collaborated in examining student cultural awareness using simulation technology. Students practiced skills including cultural assessment using simulated scenarios. Scenarios were developed by project faculty, and depicted one patient with respiratory failure and the other with a systemic infec...

The scope of the clinical nurse leader (CNL) is evolving in practice across the country. The preparation of this pivotal role in a complex healthcare environment has prompted the collaboration of nurse academics, nurse administrators, and clinicians to design unique educational experiences to maximize best practice. Knowledge attained regarding hea...

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Celiac disease is an autoimmune disorder that is known specifically for causing inflammation of the mucosa in the small intestine. Through multiple diagnostic and screening tools such as small intestinal biopsy sample, serological testing, and human leukocyte antigen testing, healthcare providers can diagnose this disease that contains components r...

Learning to care for critically ill patients requires a high level of critical thinking, clinical decision-making ability, and a substantial knowledge base. At this nursing school, an elective Critical Care Nursing course for last-semester seniors was designed to include active learning strategies, focusing on the use of case studies to facilitate...

Advanced practice nurses (APRNs) have key roles in the care of patients who are nearing death and those living with a disabling chronic disease. This article describes a mixed-method formative assessment of 36 graduate nursing students' knowledge about and attitudes toward palliative care preliminary to curricular integration of the End-of-Life Nur...

The need for improved nursing knowledge about end-of-life care is well documented; however, efficient measures to evaluate knowledge attainment from end-of-life training programs are lacking. The authors tested a 50-item version of an original 109-item knowledge assessment tool developed by the End-of-Life Nursing Education Consortium. Items with h...

To provide and sustain high-quality patient care, nurses must collaborate and gain strength and vision for the future from their peers, young and old. It is known that mentoring assists all people, both mentors and mentees, to be better than what they would be by themselves. This underlying philosophy seems to improve recruitment and retention of s...

Studies indicate that nurses spend more time with patients at the end of life than any other health care discipline (K. M. Foley & H. Gelband, 2003). So it is imperative that nurses be educated so they can provide this high-quality end-of-life care. The purpose of this project was to provide a current state of end-of-life nursing education in the l...

Sheila Grossman is a contributing author. "The Older Adult in an ICU with Acute Respiratory Failure: Critical Care Nursing, Senior-Year Elective" and "Primary Care Patient with Gastrointestinal Problems: Graduate Program Advanced Physiology and Pathophysiology". Book description: This second edition of an acclaimed book for nurse educators provides...

Women with comorbidities and obesity and aging women are presenting obstetrical challenges to healthcare providers. Cardiovascular events such as myocardial infarction, spontaneous coronary artery dissection, and stroke on obstetrical units are not as rare as they may have been even 5 years ago. Early recognition and treatment of these maladies can...

Severe fatal complications such as pneumonia, cutaneous abscesses, empyema, necrotizing fasciitis, and sepsis can result from methicillin-resistant Staphylococcus aureus (MRSA) even for healthy people. An overview of managing the threat of MRSA in home care is presented. The home healthcare nurse can be proactive with MRSA infections by following a...

Nursing programs have done a commendable job keeping pace with the rapid advances in disease management. Yet, spirituality has received far less attention in nursing curricula (Keefe, 2005) and nursing students often do not have a strong foundation in this area. The purpose of this project was to integrate spirituality into the undergraduate nursin...

There are multiple gaps in providing palliative care to older adults with advanced chronic illness symptoms who never get connected to hospice or palliative care programs. Using a pre- and posttest design via a retrospective chart review, this study found the symptoms, interventions, and responses to interventions that older patients with end-stage...

Critical care nurses need to be more effective leaders and managers in healthcare. Delivering quality and cost-effective patient outcomes have become goals of all nurses. To achieve these goals, nurses must practice and attain leadership ability. This article describes a program to help nurses gain quality leadership skills.

In Crohn disease, a vigorous inflammatory cascade is caused by the overactivation of helper T-cells in the gastrointestinal system. The results of this inflammation manifest themselves as the symptoms of Crohn disease. This article describes the pathophysiology of Crohn disease as well as multiple pharmacologic and nonpharmacologic interventions th...

Critical care nurses need to be more effective leaders and managers in healthcare. Delivering quality and cost-effective patient outcomes have become goals of all nurses. To achieve these goals, nurses must practice and attain leadership ability. This article describes a program to help nurses gain quality leadership skills.

Mentoring in Nursing will help inspire a more cohesive, flexible, and empowered nursing force, whether in academia, the hospital unit, or health care facility. Featuring: Definitions and components of the mentoring process; Models and strategies: classic, multiple, and peer mentoring; precepting, coaching, or shadowing models; Mentor and mentee per...

Substantial gaps exist between the number of older adults requiring competent geriatric care and the number of nurses able to provide it. The purpose of this study was to develop, implement, and evaluate a geriatric nurse education program to ensure nurses meet the needs of the increasing elderly population. Establishing partnerships between indivi...

Based on biopsychosocial theories of aging, a tool was developed to assist nurses in conducting holistic adult admission assessments. The Adult Assessment Tool can facilitate comprehensive, best-practice decisions in caring for hospitalized middle-aged and older adults.

In response to the unprecedented rise in the U.S. older adult population, nurse educators have intensified efforts to produce graduates who are sensitive to older adults' health care concerns. Critical to accomplishing this goal is strengthening curricula to include specialized gerontological content. Although the science of gerontological nursing...

Because of the growing population of older adults in America, nursing faculty throughout the United States have been consistently challenged during the past decade to use the most appropriate methods to strengthen geriatric content in baccalaureate nursing programs. The question of whether to integrate content throughout the curriculum or offer a s...

There is a discrepancy in management of uncomplicated urinary tract infections (UTIs). Practice differs regarding diagnostics, antibiotic, and follow-up. A documented rise in drug resistant pathogens to trimethoprim- sulfamethoxazole (Bactrim) has been identified. The purpose of this study was to assess the prescriptive practice of nurse practition...

Sixty adult postoperative patients from the surgical intensive care unit with core temperatures <35.4 degrees C, as measured by a pulmonary artery catheter, were randomly assigned to one of three treatment options for hypothermia. Results of this study confirmed findings in the literature that forced warm air generated quickest rewarming times. A r...

Educators and clinicians need to incorporate the results of research into their teaching and practice because they are responsible for facilitating evidence-based practice. Advantages include blended insight for clinical relevance and theoretical conceptualization, sharing of perspectives on identification of significant findings, joint decision ma...

Critically ill patients often are malnourished and in protein catabolism, impairing their ability to heal. A transitional feeding protocol, aimed at keeping patients adequately nourished while they move from parenteral or enteral nutrition to an oral diet, can improve outcomes for surgical and medical intensive care unit patients.

Whatever your role, practice or educational environment, here are the tools and techniques you can use to realize your leadership potential, advance your career, and contribute to the future of nursing. Two noted educators in the field of leadership development use an easy-to-read, interactive approach to guide you through the process. They identif...

The mandate for self-care for holistic nurses can be satisfied with a multidimensional stress management program. This article describes a quasiexperimental pilot study that assessed the need for such a program for senior students in a baccalaureate degree nursing program. Strategies are suggested to integrate these techniques into nursing educatio...

Two groups of student nurses were given on AIDS Knowledge/Attitudes survey before different clinical experiences. Group One worked with nurses experienced in the care of persons living with AIDS (PLWA) on a high-acuity unit with many AIDS patients. The other group were precepted on a acute-care unit with no AIDS patients. Outcomes measures revealed...

Learning limit setting techniques is necessary for the entire team in order to have consistent positive patient outcomes. Team building exercises will assist in supporting restructuring of acute care units' healthcare delivery. Difficult patients need to participate in their plan of care along with representatives from each discipline. Caregiver co...

The purpose of this study was to identify patient cues that expert nurses identify as a patient moves to/from deterioration and/or recovery. The sample of 33 nurses was drawn from a medical intensive care unit (MICU). Data were collected through interviews regarding nurses' knowledge about caring for patients with acute gastrointestinal bleeding, h...

What are nurse administrators to do when their institution is in need of competent nurses to staff the ICU and the majority of applicants are either inexperienced or new graduates? Nurses from one institution grappled with this question. They decided that it was their job to teach novice nurses to make sound clinical judgments in life-threatening s...

Blood loss from diagnostic procedures in critically ill patients needs to be minimized. Traditionally, when drawing blood from arterial lines, the initial sample used to clear the line has been discarded (open method). Use of a temporary reservoir enables this discard sample to be returned to the patient (closed method). Critically ill surgical pat...

Typescript (photocopy). Abstract (3 leaves) bound with copy. Thesis (Ph. D.)--University of Connecticut, 1985. Includes bibliographical references (leaves 89-96).

Due to the physiologic effects of arsenic on all body systems, the chronic arsenic-poisoned patient is a major nursing challenge. The critical care nurse provides valuable assessment and interventions that prevent major multisystem complications from arsenic toxicity.

Sheila Grossman (with Carol Lynn Mandle) is a contributing author, "Middle Age Adult". Book description: This textbook provides comprehensive coverage of all major concepts of health promotion and disease prevention. It highlights growth and development throughout the life span, emphasizing normal development as well as the specific problems and he...

The Gerontological Nurse Certification Review is an invaluable reference and certification test review guide for nurses preparing for RN Gerontological certification. Students studying gerontology, teachers preparing gerontology classes, and RNs working with older adults will also find this a practical and useful resource. The text presents informa...

Sheila Grossman is a contributing author, "Immune Disorders and Immunologic Medications". Book description: Silvestri's Comprehensive Review for the NCLEX-RN® Examination includes the kind of questions that consistently test the critical thinking skills necessary to pass today's NCLEX exam. And, what's even better is that ALL answers include detail...

Sheila Grossman is a contributing author, "Leadership". Book description: This new edition of the award-winning guide to the web for nurses is nearly double in size and twice as useful! Expert nurses in more than 50 content areas have carefully selected and reviewed nearly 400 web sites available in their specialty areas --- resulting in an authori...

Sheila Grossman and Jean Lange are contributing authors, "Theories of aging." (pp. 50 – 75). Book description: Gerontological Nursing: Competencies for Care, Second Edition is a comprehensive and student-accessible text that offers a holistic and inter-disciplinary approach to caring for the elderly. The framework for the text is built around the C...

Sheila Grossman is a contributing author, ." Medical conditions" (Chapter 12) and "Surgical conditions "(Chapter 13) .

Sheila Grossman (with Theresa Valiga) is a contributing author, "Leadership". Book description: Advance your career to the next level of professional practice with the guidance you’ll find in the New Edition of this popular text. Here are all the concepts you need to progress from RN to BSN and beyond—from new and timely topics such as quantum phys...

Thoroughly updated with new content and wide revisions, this award-winning text provides educators and practitioners with the perspectives and skills they need to bring the next generation of educators, researchers, and clinicians to the forefront of nursing--whether in academia, the hospital or health care facility, and/or through their profession...

Sheila Grossman (with E. Gleason and C. Campbell) is a contributing author, "Minimizing diagnostic blood loss in critically ill patients", pp. 220-225. Book description: The "Key Aspects" books, each of which has won a Book-of-the-Year Award from the American Journal of Nursing, are designed to move the ideas and findings of nursing research into t...

Sheila Grossman is a contributing author, "Mentoring" and "Genetics". Book description: The Encyclopedia of Nursing Research, now thoroughly updated in a second edition, presents key terms and concepts in nursing research and with over 30% of the entries new to this edition. Written by the world's leading authorities in nursing research, this compr...

Sheila Grossman, Meredith Wallace and Jean Lange are contributing authors, "The Clinical Nurse Leader (CNL) ". Book description: This is the first book to document and analyze the development and integration of the Clinical Nurse Leader (CNL) and Doctorate of Nursing Practice (DNP) programs in graduate nursing institutions. Editors Fitzpatrick and...

Gerontological Nurse Practitioner Certification Review is the first book to provide a thorough review of test content to effectively prepare nurses to successfully pass the GNP certification exam. Contains over 200 practice questions culled from the real ANCC test outline.

Sheila Grossman and Jean Lange are contributing authors, "Theories of aging". Book description: Gerontological Nursing uses the competencies set forth by the AACN/Hartford Institute at NYU’s 2000 document, Older Adults: Recommended Baccalaureate Competencies and Curricular Guidelines for Geriatric Nursing Care, to help students provide excellent ca...

Sheila Grossman (with Theresa Valiga) is a contributing author, "Leadership". Book description: Advancing Your Career: Concepts of Professional Nursing, 3rd Edition, is designed to provide the practicing nurse with the concepts required to advance to the next level of professional practice. Using carefully constructed interactive exercises, your st...

"DA85156188." Thèse (Ph. D.)--University of Connecticut, 1985. Microfiche du manuscrit dactylographié.