Fort Smith, Canada
Fort Smith, Canada

Aurora College, formerly Arctic College, is a college in the Northwest Territories, Canada with campuses in Inuvik, Fort Smith and Yellowknife. They have learning centres in 23 communities in the NWT. The head office for Aurora College is located in Fort Smith. Wikipedia.

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Matthews E.E.,Aurora College | Aloia M.S.,National Jewish Health
Progress in Brain Research | Year: 2011

Obstructive sleep apnea-hypopnea syndrome (OSAHS) is a common sleep disorder that is characterized by repeated episodes of complete or partial cessation of breathing while sleeping. These recurrent breathing events result in fragmented sleep and recurrent hypoxemia. Distressing daytime sequelae reported by OSAHS patients include excessive daytime sleepiness, self-reported changes in mood, and cognitive problems. It has been well established that OSAHS can negatively impact functioning in multiple cognitive domains, such as attention and memory. In this chapter, neurobehavioral deficits in OSAHS are discussed, and proposed models of cognitive dysfunction are summarized. Current studies examining cognitive recovery with positive airway pressure treatment are presented. It appears that the cognitive dysfunction of OSAHS is not likely to be due to a single mediating mechanism, nor is it pervasive across all patients. Future research should attempt to identify these moderators for cognitive dysfunction in OSAHS and to highlight the mechanisms of dysfunction by cognitive domain. © 2011 Elsevier B.V.

Carrington J.M.,Aurora College | Effken J.A.,University of Arizona
CIN - Computers Informatics Nursing | Year: 2011

The purpose of this research was to compare nurses' perceptions of the strengths and limitations of the electronic health record with and without nursing languages for documenting and retrieving patient information regarding a clinical event. The effectiveness of the electronic health record to facilitate nurse-to-nurse communication is not well understood. Furthermore, little is known how nurse-to-nurse communication influences patient safety and failure-to-rescue events. This qualitative study used a descriptive design in which open-ended, semistructured interviews were conducted with 37 registered nurses. Qualitative content analysis produced 260 thematic units from which five categories emerged: usability, legibility, communication, workarounds, and collaboration. Nurses perceived aspects of usability as strengths (retrievability) and limitations (lack of efficiency and barriers) of the electronic health record. Furthermore, within the category communication, lack of relevance of the documentation was also viewed as a limitation by the nurses. Nurses suggested that they be involved in electronic health record decisions and that hospitals try to reduce the identified barriers to electronic health record use. © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins.

Yen P.Y.,Ohio State University | Sousa K.H.,Aurora College | Bakken S.,Columbia University
Journal of the American Medical Informatics Association : JAMIA | Year: 2014

In a previous study, we developed the Health Information Technology Usability Evaluation Scale (Health-ITUES), which is designed to support customization at the item level. Such customization matches the specific tasks/expectations of a health IT system while retaining comparability at the construct level, and provides evidence of its factorial validity and internal consistency reliability through exploratory factor analysis. In this study, we advanced the development of Health-ITUES to examine its construct validity and predictive validity. The health IT system studied was a web-based communication system that supported nurse staffing and scheduling. Using Health-ITUES, we conducted a cross-sectional study to evaluate users' perception toward the web-based communication system after system implementation. We examined Health-ITUES's construct validity through first and second order confirmatory factor analysis (CFA), and its predictive validity via structural equation modeling (SEM). The sample comprised 541 staff nurses in two healthcare organizations. The CFA (n=165) showed that a general usability factor accounted for 78.1%, 93.4%, 51.0%, and 39.9% of the explained variance in 'Quality of Work Life', 'Perceived Usefulness', 'Perceived Ease of Use', and 'User Control', respectively. The SEM (n=541) supported the predictive validity of Health-ITUES, explaining 64% of the variance in intention for system use. The results of CFA and SEM provide additional evidence for the construct and predictive validity of Health-ITUES. The customizability of Health-ITUES has the potential to support comparisons at the construct level, while allowing variation at the item level. We also illustrate application of Health-ITUES across stages of system development. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to

Puhan M.A.,University of Zürich | Lareau S.C.,Aurora College
Clinics in Chest Medicine | Year: 2014

The aim of this article is to appraise the quality of evidence reported for important outcomes in pulmonary rehabilitation using the approach of the Grading of Recommendations Assessment, Development and Evaluation Working Group. This appraisal was carried out by identifying Cochrane systematic reviews and systematic reviews that have been subsequently reported since the last Cochrane report. The focus of this appraisal was to determine the effectiveness of pulmonary rehabilitation programs versus control therapy in chronic obstructive pulmonary disease patients. This analysis did not evaluate other aspects of the pulmonary rehabilitation intervention. © 2014 Elsevier Inc.

Nicol N.H.,Aurora College | Nicol N.H.,Childrens Hospital Colorado | Boguniewicz M.,National Jewish Health | Strand M.,National Jewish Health | Klinnert M.D.,National Jewish Health
Journal of Allergy and Clinical Immunology: In Practice | Year: 2014

Background: Atopic dermatitis (AD) is the most common chronic, relapsing inflammatory skin disease of children and is a global public health problem. National and international AD guidelines address AD care in a stepwise fashion. Wet wrap therapy (WWT) is a therapeutic intervention for moderate-to-severe AD. Objective: This cohort study evaluated the effectiveness of WWT as part of a multidisciplinary AD treatment program toimprove disease severity. Patients treated in this unique outpatient program had moderate-to-severe AD and had multiple therapies that failed. Methods: An observational cohort study was completed. The primary outcome was improvement in AD severity as measured by SCORAD (Scoring Atopic Dermatitis). Demographics; clinical management of AD, including use of antibiotics and systemic treatments; and WWT methodology were comprehensively described. Results: Seventy-two children with a mean ± SD age of 4.6 ± 3.12 years were included. By using a paired t test, the SCORAD at admission and at discharge showed significant differences in mean ± SD values, of 49.68 ± 17.72 versus 14.83 ± 7.45, respectively (t, 18.93; df, 71; P < .001). None of these patients required systemic immunosuppressive therapy during the treatment program. By using a previously published parent-administered outcomes tool, patients were shown to maintain clinical improvement of their AD 1 month after discharge. Conclusion: To our knowledge, this study is the largest to date of WWT for pediatric patients with moderate-to-severe AD by using a validated outcomes tool. None of the patients required systemic immunosuppressive therapy, and only 31% were treated with an oral antibiotic. This study demonstrated the benefit of incorporating WWT as an acute intervention in a supervised multidisciplinary AD treatment program with lasting benefit 1 month after discontinuing this intervention. © 2014 American Academy of Allergy, Asthma & Immunology.

Mealer M.,Aurora University | Jones J.,Aurora College
Nursing Forum | Year: 2013

Purpose: This article is a report of an analysis of the concept of posttraumatic stress disorder (PTSD) and its application to the nursing population. Background: Nurses are at an increased risk for work-related stress resulting in retention issues and impaired functioning in work and home environment. The nursing discipline has been inconsistent with the concepts used to describe the distress and resultant discussions related to the comprehensive nature of the distress experienced, heavily focusing on existing medical language that emphasizes disorders and psychopathology. Review methods: Walker and Avant's strategy for concept analysis was used in this analysis. A literature review for 1994-2011 was conducted for the following keywords: secondary traumatic stress, compassion fatigue, vicarious traumatization, posttraumatic stress disorder, and nurse. Results: The concept of posttraumatic stress disorder in the nursing population is best described within the context of the Nurse as Wounded Healer theory. Essential attributes include intrusions, avoidance, and hyperarousal. The consequences include worldview changes, retention issues, sleep disruption, and social network disturbances. Conclusion: This concept analysis viewed through The Nurse as Wounded Healer lens, offers clarity to the concept of PTSD within the nursing population and identifies limitations to prior conceptualizations. © 2013 Wiley Periodicals, Inc.

Betz M.E.,Aurora University | Jones J.,Aurora College | Petroff E.,Aurora University | Schwartz R.,Aurora University
Journal of General Internal Medicine | Year: 2013

BACKGROUND: Driving for older adults is a matter of balancing independence, safety and mobility, and prematurely relinquishing the car keys can impact morbidity and mortality. Discussions about "when to hang up the keys" are difficult for clinicians, drivers, and family members, and therefore are often avoided or delayed. "Advance Driving Directives" (ADDs) may facilitate conversations between health care providers and older drivers focused on prevention and advance planning for driving cessation. OBJECTIVE: To examine clinician and older driver perspectives on ADDs and driving discussions. DESIGN: Qualitative descriptive study using iterative focus groups and interviews with clinicians and drivers. PARTICIPANTS: (1) Eight practicing internal medicine physicians, physician assistants or nurse practitioners working at three university-affiliated clinics; and (2) 33 community-dwelling current drivers aged 65 years or older. APPROACH: Theme analysis of semi-structured focus groups and interviews with clinicians and older drivers was used to explore clinician and driver perspectives on "ADDs" and driving conversations. General inductive qualitative techniques were used to identify barriers and facilitators to conversations between older drivers and their healthcare providers about driving and health. KEY RESULTS: Five dominant themes emerged: (1) clinicians usually initiate conversations, but typically not until there are "red flags;" (2) drivers are open to conversations, especially if focused on prevention rather than interventions; (3) family input influences clinicians and drivers; (4) clinical setting factors like short appointments affect conversations; and (5) both clinicians and drivers thought ADDs could be useful in some situations and recommended making general questions about driving a part of routine care. CONCLUSIONS: Clinicians and older drivers often wait to discuss driving until there are specific "red flags", but both groups support a new framework in which physicians routinely and regularly bring up driving with patients earlier in order to facilitate planning for the future. © 2013 Society of General Internal Medicine.

Kass-Wolff J.H.,Aurora College
The Nurse practitioner | Year: 2011

ABSTRACT: providers. To assist in providing women quality healthcare, recently published new guidelines help provide direction for NPs.

Agency: NSF | Branch: Continuing grant | Program: | Phase: S-STEM:SCHLR SCI TECH ENG&MATH | Award Amount: 570.00K | Year: 2015

This National Science Foundation (NSF) Scholarships in Science, Technology, Engineering, and Mathematics (S-STEM) project at the Community College of Aurora in Aurora, Colorado will provide scholarships to students enrolled full-time in STEM disciplines. Twelve scholarships will be offered at the beginning of each academic year to begin a new cohort of STEM scholars. The program includes comprehensive support and transition services, with a particular emphasis on cohort development and support. These activities will increase STEM course success, program retention, and graduation and four-year transition rates. Program graduates will contribute to the continued success of the aerospace, software, and other technology-based industries in the region. Scholarships for academically strong students, who may not otherwise be able to afford college, will increase the number of graduates prepared to support national, regional, and local companies. The success of the program will produce a well-trained workforce that will contribute to the economic growth of Colorado and the nation.

Through this S-STEM program the Community College of Aurora (CCA) will conduct a five-year effort to recruit, support, and graduate students with academic talent and demonstrated financial need. The program will provide twelve scholarships in years one and five of the program, and twenty-four in years two, three, and four. A new cohort of STEM scholars will begin at the start of each academic year. Scholarships will renew for a second year provided scholars meet academic targets and other program requirements. CCA will encourage applications from first generation, women and students from groups currently underrepresented in STEM professions. Improved retention and increased graduation rates will be achieved through comprehensive support and transition services, with a particular emphasis on CCA-based STEM faculty and cohort support. Mentoring will include regular meetings with an assigned STEM faculty mentor. Learning community activities organized around cohorts will focus on study and tutoring needs, guest lectures on STEM careers, visits to STEM companies and four-year academic programs, and other career development activities. Lessons learned and effective practices that emerge from the program evaluation will be disseminated to the STEM education community and help increase widespread understanding of the attributes and practices of successful student scholarship and support programs.

Agency: NSF | Branch: Standard Grant | Program: | Phase: ALLIANCES-MINORITY PARTICIPAT. | Award Amount: 86.82K | Year: 2016

The Louis Stokes Alliances for Minority Participation (LSAMP) program provides funding to alliances of institutions that implement comprehensive, evidence-based, and sustained approaches to broadening participation of students from racial/ethnic groups historically underrepresented in STEM (African Americans, Hispanic Americans, American Indians, Alaska Natives, Native Hawaiians, and Native Pacific Islanders) primarily at the undergraduate level. These approaches facilitate the production of well-prepared students highly-qualified and motivated to pursue graduate education or careers in STEM.

Beginning FY2016, LSAMP now accepts proposals for pre-alliance planning grants that would support the planning necessary for developing the partnerships and activities required to form new alliances (including Bridge to the Baccalaureate). The expected outcomes of these grants include: (i) commitment from institutional leaders and STEM faculty at partner institutions; (ii) evidence of cohesive partnerships between institutions; (iii) creation of a vision and/or theme for a future alliance; and (iv) comprehensive plans for alliance activities that would lead to the submission of an LSAMP (alliance) proposal.

With the ultimate goal of forming a Bridge to the Baccalaureate alliance in the Denver metropolitan area, the Community College of Aurora (lead institution) is partnering with four other community colleges in the Colorado Community College System to determine how to collectively build on the successes in STEM at the individual campuses and expand the evidence-based practices implemented at the collaborating colleges. Thus, the five partner institutions(Community College of Aurora, Arapahoe Community College, the Community College of Denver, Front Range Community College, and Red Rocks Community College) in their proposed Mapping a Pathway project will use the pre-alliance planning grant to collect baseline data, identify barriers that are inhibiting the progress and graduation of students underrepresented in STEM, analyze the recruitment and retention strategies as well as transfer processes, and evaluate institutional infrastructure for supporting alliance objectives.

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