WDH 2020-2021 Nursing Report - Flipbook - Page 24
New Knowledge, Innovations & Improvements
Nursing Research at WDH
Kelly Grady, PhD, RN-BC
Interim Director of Nursing Education,
Research and Innovation
Completed Research
Healthcare Experience of People Who Inject
Drugs (PWID)
Investigators: Kerry Nolte, PhD, FNP-BC, Jason Lucey,
DNP, FNP-BC, Leah Hixon, MSN, FNP, Faith Farnham,
SN, Mercedes McCoy, BSN, & Jessica Montehermoso,
BSN
WDH Investigator: Jason Lucey, DNP, FNP-BC, WDH
Emergency Department/Express Care
MGH IHP School of Nursing
Purpose: Hospitalization for injection sequela allows
opportunity to engage People Who Inject Drugs (PWID).
We aimed to understand PWID perception of healthcare
experiences.
Method: Qualitative descriptive approach and content
analysis
Results: Seventeen PWID recruited from four hospitals.
Most (ages 22-58) injected heroin/fentanyl. Participants
reported disclosing information but rarely felt
supported. Some identified nurse champions. Positive
provider themes included: 1) Built Me Up, 2) Pushed for
Me, 3) Had a Game Plan, 4) Actually Listened, 5) Gave
Me a Chance, and 6) Treated Me Like a Human. Positive
interactions reportedly led to lower anxiety, better pain
control, a sense of feeling cared for, motivation to stay
sober, connection to resources, and trust establishment.
Negative interaction themes included: 1) Just Another
Junkie, 2) Treated Like Less Than a Human, 3) Less
Freedom Than Jail, 4) Made Me Jump Through Hoops,
and 5) Luck of the Draw. Negative interactions reportedly
led to avoidance of hospitals, harm from missed
opportunities, untreated pain, and suspicion which
reduced care engagement.
Conclusions: Positive interactions were reported as
associated with improved engagement and outcomes
whereas negative interactions led to poorer outcomes.
Learning from PWID’s experiences may foster care
engagement. Future work should examine interventions
to develop provider engagement.
Dissemination: Study findings were presented at
multiple local and regional venues.
“It Was a Normal Day, Until It Wasn’t”:
A Phenomenological Study of Exposure to a
Fatal Shooting in the Workplace
WDH Investigator: Kelly Grady PhD, RN, WDH Nurse
Researcher & Kate Collopy PhD, RN, WDH Director of
Nursing Education, Research & Innovation
Purpose: In 2014, our hospital staff experienced a
tragedy when a patient in the Critical Care Unit (CCU)
was shot and killed by her husband, who then shot and
killed himself. The aim of this study was to improve the
response to and care for individuals who experience a
fatal shooting in the workplace.
Method: A phenomenological approach was used to
obtain a description of the experience. Participants were
hospital employees who had a significant connection to
the event.
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Wentworth-Douglass Hospital