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Turner, Anne McNaughton

Works: 6 works in 6 publications in 1 language and 8 library holdings
Genres: Academic theses 
Roles: Thesis advisor, Author
Publication Timeline
Publications about Anne McNaughton Turner
Publications by Anne McNaughton Turner
Most widely held works by Anne McNaughton Turner
Staff perception of a family communication facilitator intervention in the ICU a qualitative study by Abigail Howell( file )
1 edition published in 2012 in English and held by 2 libraries worldwide
Background: More than 5000 Intensive Care Units (ICU) in the United States house the most critically ill patients of our health care system. These patients are often so sick they cannot make decisions for themselves. With little warning or preparation, family members become the surrogate decision makers in high stress environments. Communication issues with hospital staff rank high among the challenges these families face, and family dissatisfaction has been associated with poor communication. Improving communication between clinicians and families using a communication facilitator-- an additional staff member trained in mediation and communication--is the subject of an ongoing clustered randomized trial, the Family Communications Study (FSC). The FCS study recognizes that a key aspect of the success of their intervention is staff acceptance of the communication facilitators as a part of the clinical team. This thesis describes themes uncovered through semi-structured interviews with physicians, nurses and social workers who were familiar with the FCS study and who could provide us with in-depth descriptions of their reactions to the intervention. Methods: Fourteen semi-structured qualitative interviews were conducted with ICU physicians, nurses, and social workers who had experience with the communication facilitator intervention to assess their awareness of, attitudes towards, and perspectives on the intervention and the role of the facilitator. We used methods based on grounded theory to analyze the data. Results: We identified the following themes: 1) Staff perception of the facilitator role as facilitating communication between family and staff; 2) Staff perception of the facilitator role as providing practical and emotional support for the family; 3) Staff perception of the facilitator role as providing practical support for the staff ; 4) Staff interest in expanding facilitators' roles and responsibilities. Conclusions: Staff from all professions expressed equal enthusiasm about the idea of a communication facilitator. The staff viewed the facilitator as more than a conduit for information exchange but also playing a supportive role for families and staff. The interviews also suggested that team dynamic is extremely important, and the minority of staff expressing negative opinions about the facilitator need to be considered if the facilitation is to work
A descriptive study with recommendations regarding adult obesity in Benton & Franklin Counties based on 2003-2010 BRFSS data by Rebecca Sutherland( file )
1 edition published in 2012 in English and held by 2 libraries worldwide
This descriptive study explored obesity rates among adult sub-population(s) when aggregated with different demographic factors in Benton and Franklin Counties in the Behavior Risk Factor Surveillance Survey (BRFSS) between 2003 and -2010. Demographic factors included were: age, gender, ethnicity, income, and education. Correlations between these demographic factors and Body Mass Index (BMI), a calculated measure of height and weight to determine physical health, were examined. Additionally, potential contributing factors which are known to be associated with BMI, specifically fruit and vegetable consumption and level of physical activity, were examined through useing of data available through the BRFSS. Findings from this analysis will help to identify sub-population group(s) with the highest obesity prevalence
From the ground up : determining the information needs and uses of public health nurses in an Oregon county health department by Anne McNaughton Turner( Archival Material )
1 edition published in 2005 in English and held by 1 library worldwide
Smoke signals : an analysis of policies to reduce hookah use among adolescents in Washington State by Molly E Buice( file )
1 edition published in 2014 in English and held by 1 library worldwide
This paper analyzes three policy options aimed at decreasing the prevalence of hookah use among youth: (1) banning commercial hookah venues in Washington State (WA); (2) increasing the minimum age for purchase, possession, and sale of tobacco products from 18 to 21 years of age; and (3) increasing the state excise tax on pipe tobacco to equal that of the state excise tax on cigarettes. These policy options were analyzed using three criteria: (a) the predicted reduction in the prevalence of hookah use among twelfth graders; (b) the fiscal impact on WA State; and (c) the political feasibility. Based on the analysis, it is recommended that WA State increase the minimum age for purchasing tobacco to 21 years of age
The effect of the patient centered medical home on cervical cancer screening rates in a navy family medicine clinic by Sara M Pope( file )
1 edition published in 2014 in English and held by 1 library worldwide
Since the introduction of cervical cancer screening tests such as the Pap smear, cervical cancer, once a common cause of cancer death in women, is now an infrequent cause of morbidity and mortality. Recognized as one of the most preventable types of female cancers, the 2008 screening rate in the US was 84.5%. The U.S. Department of Health and Human Services' Healthy People initiative aims for a 93% screening rate by 2020. It has been hypothesized that the Patient-Centered Medical Home (PCMH) can assist in achieving this critical preventive health goal.This cross-sectional study was designed to test if the implementation of the PCMH model was associated with improved cervical cancer screening rates in a Navy family medicine clinic. The primary outcome was the up-to-date cervical cancer screening rate during the specified time periods, before implementation in 2008 and after implementation of the PCMH in 2012. A secondary outcome compared the cervical cancer screening rates between active duty females in the pre- and post-implementation groups. Regression analysis was utilized to show if an association between up-to-date cervical cancer screening status and the PCMH existed. The post-PCMH group screened a higher proportion of females than the pre-PCMH group, with a statistically significant difference (75.9% vs. 83.5%, p<0.001). Among the active duty population in the two study groups, there was a small drop in screening rates in the 2012 group compared to the 2008 group, but was not statistically significant (94.3% vs 91.5%, p=0.315). Regression analysis suggests that the older the age of a woman, the stronger the effect the PCMH had on her Pap status being up-to-date. The implementation of the PCMH was associated with improved cervical cancer screening rates at a Navy family medicine clinic, and more strongly associated in women over the age of thirty-six
Mixed methods curriculum evaluation : maternity care competence by Amanda S Cuda( file )
1 edition published in 2013 in English and held by 1 library worldwide
This study aims to pilot a mixed method design for residency curriculum evaluation using the Madigan Family Medicine (FM) Residency's Maternity Care Curriculum. The actual curriculum evaluation purposes to assess the FM residency's achievement of its curriculum objectives and key components established by the 2007 and 2011 ACGME Program Requirements for FM1. It is an Institutional Review Board (IRB) exempt study approved by the Madigan Department of Clinical Investigation and the University Of Washington School Of Public Health IRB. It fulfills the requirement for Masters of Public Health thesis and master's degree. The ACGME Program Requirements are currently in the process of modification. The Madigan FM Residency leadership was concerned that residents might have difficulty achieving adequate obstetrical volume under the new requirement. This residency curriculum evaluation used a mixed methods (quantitative and qualitative) design. The quantitative method consisted of a retrospective review and analysis of previously existing data from a national database (MyEvaluations) that described the number of deliveries completed by current residents (2013-2015 graduates) and recent graduates from 2006-2012, as well as rotations completed by the 2012-2015 graduates. The "overall" and "female specific" sections on the 2007-2012 In Training Exams (ITE) were compared for significant trends. The qualitative research was accomplished through semi-structured interviews conducted from December 2012 through February 2013 with 22 current and recently graduated residents. Each interview consisted of responses to thirteen standardized questions. Interviews were audio recorded, de-identified, and transcribed. The qualitative analysis employed qualitative software for assisting with coding and identification of clusters of meaning. These clusters of meaning were then used for thematic analysis, which described the residents' experience of the curriculum, as well as their competence development in the curriculum. The overall mean spontaneous vaginal deliveries (SVD) for Graduates 2006-2013 was 63 per resident. The mean SVD was not significantly different among the graduate years (p =0.297), but the mean number of C-sections was significantly different among the graduate years (p=0.005). The FM residents graduating in 2013 completed an average of four Maternity Care rotations (one L&D in PGY1, one L&D in PGY2, one complicated OB (COB) in PGY2, and one L&D in PGY3). Overall Training Exam (ITE) scores, which were analyzed among graduate years for revealed significant differences in the 2007, 2008, and 2009, (p=0.008, 0.003, and <0.0001 respectively). When class trends were observed in the Maternity Care specific section, the scores noted on the 2011 and 2012 ITE revealed an increase in scores in both the 2013 and 2014 graduate classes, but not a difference that reached significance. Four of the five graduates from 2012 were interviewed. Zero out of the four was practicing continuity obstetrics. One out the four saw obstetric patients in clinic. The qualitative analysis described themes in Maternity Care competence in obstetrics and the residents' experience in the curriculum. The information revealed through the resident interviews and thematic analysis provided valuable insights that will help influence the ongoing evolution of the FM Program Requirements in Maternity Care for the Madigan FM Residency. A Mixed Method design provides a richer evaluation of curricula than a pure quantitative approach. The Curriculum Evaluation revealed that the numbers of deliveries and rotations (exposures) are compliant with ACGME 2007 (2011) Program Requirements. Maternity Care specific ITE scores improved over the curriculum in the cohort of residents. Perceived and measured competence was achieved by the Madigan FM residents through the current Maternity Care curriculum
Alternative Names
Turner, Anne M.
Turner, Anne M. (Anne McNaughton)
English (6)
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