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Article ; Online: Use of the Rasch Model for Fit Statistics and Rating Scale Diagnosis for the Student Perception Appraisal-Revised.

Hawkins, Robert J / Hawkins, Janice / Tremblay, Beth / Wiles, Lynn / Higgins, Karen

2023

Abstract: Background and Purpose: ...

Abstract	Background and Purpose:
Language	English
Publishing date	2023-11-21
Publishing country	United States
Document type	Journal Article
ZDB-ID	1180408-7
ISSN	1945-7049 ; 1061-3749
ISSN (online)	1945-7049
ISSN	1061-3749
DOI	10.1891/JNM-2022-0122
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Article ; Online: Fluoridation works: let your voice be heard.

Hawkins, Robert J

Journal (Canadian Dental Association)

2009 Volume 75, Issue 6, Page(s) 413

MeSH term(s)	Canada ; Dental Caries/prevention & control ; Fluoridation ; Humans ; Patient Advocacy ; Professional Role ; Public Opinion ; Societies, Dental ; Water Supply
Language	English
Publishing date	2009-07
Publishing country	Canada
Document type	Comment ; Editorial
ZDB-ID	604786-5
ISSN	1488-2159 ; 0709-8936 ; 0008-3372
ISSN (online)	1488-2159
ISSN	0709-8936 ; 0008-3372
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Article ; Online: An integrative review of factors related to patient satisfaction with general anesthesia care.

Hawkins, Robert J / Swanson, Barbara / Kremer, Michael J

AORN journal

2012 Volume 96, Issue 4, Page(s) 368–376

Abstract: Surgery is typically performed using one or more types of anesthesia. An important patient outcome related to the anesthetic, and a measure of quality from the patient's perspective, is patient satisfaction with anesthesia care. Currently, no ... ...

Abstract	Surgery is typically performed using one or more types of anesthesia. An important patient outcome related to the anesthetic, and a measure of quality from the patient's perspective, is patient satisfaction with anesthesia care. Currently, no psychometrically validated instruments that measure patient satisfaction with general anesthesia care are available in the United States. This integrative review focuses on identifying factors related to adult patients' satisfaction with general anesthesia care. We found the most frequently mentioned modifiable factors related to patient satisfaction were information provided and pain or discomfort. The only nonmodifiable factor with sufficient evidence to include in future studies on instrument development is the patient's age. This review provides information that can help in the design and implementation of quality improvement initiatives and in the development of an instrument to measure patient satisfaction with general anesthesia care.
MeSH term(s)	Adult ; Age Factors ; Anesthesia, General/psychology ; Anesthesia, General/standards ; Humans ; Patient Satisfaction ; Psychometrics ; Surveys and Questionnaires
Language	English
Publishing date	2012-10
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	603972-8
ISSN	1878-0369 ; 0001-2092
ISSN (online)	1878-0369
ISSN	0001-2092
DOI	10.1016/j.aorn.2012.07.015
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Article ; Online: Content validity testing of questions for a patient satisfaction with general anesthesia care instrument.

Hawkins, Robert J / Swanson, Barbara / Kremer, Michael J / Fogg, Lou

Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses

2014 Volume 29, Issue 1, Page(s) 28–35

Abstract: Introduction: Patient satisfaction with any health care experience is the result of a complex set of interactions between the patient and the health system in which care is received. Measuring patient satisfaction allows quantification of the congruence ...

Abstract	Introduction: Patient satisfaction with any health care experience is the result of a complex set of interactions between the patient and the health system in which care is received. Measuring patient satisfaction allows quantification of the congruence between the expectations of care and the care that is received. It is important to quantify satisfaction with care because it involves the patient in the care experience and decreases the potential gap between expected and actual care delivered over time. Despite the benefits of measuring satisfaction with anesthesia care, this outcome has been historically understudied possibly because of a lack of reliable tools that measure the construct. Purpose: The purpose of this study was to test the content validity of items derived from an integrated review of studies that measured patient satisfaction with anesthesia care. Methods: The content validity of the questions was tested using an expert panel. A total of 13 nurse anesthetists consented to participate in the study as expert panel members. Each expert panel member evaluated the items for content validity on a 4-point scale. Both an Individual Content Validity Index (I-CVI) and a Scale Content Validity Index (S-CVI) were calculated. Results: All I-CVI scores were greater than 0.8. The range of I-CVI was 0.833 to 1.0. The average scale Content Validity Index (S-CVI/ave) was 0.979. Conclusion: High content validity of all items was supported by an expert panel of anesthesia providers. The high level of agreement among raters related to the content of the general anesthesia statements supports progressing to the next step in instrument development.
MeSH term(s)	Anesthesia ; Humans ; Patient Satisfaction ; Perioperative Nursing
Language	English
Publishing date	2014-02
Publishing country	United States
Document type	Journal Article ; Validation Studies
ZDB-ID	1329844-6
ISSN	1532-8473 ; 0883-9433 ; 1089-9472
ISSN (online)	1532-8473
ISSN	0883-9433 ; 1089-9472
DOI	10.1016/j.jopan.2013.05.011
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Article: Genotypic distribution of an indigenous model microorganism along an estuarine gradient.

Hawkins, Robert J / Purdy, Kevin J

FEMS microbiology ecology

2007 Volume 62, Issue 2, Page(s) 187–194

Abstract: Using the genus Desulfobulbus as an indigenous model, microbial distribution along an estuarine gradient was investigated. Denaturing gradient gel electrophoresis analysis indicated a sequential change in Desulfobulbus genotypes along the estuary with ... ...

Abstract	Using the genus Desulfobulbus as an indigenous model, microbial distribution along an estuarine gradient was investigated. Denaturing gradient gel electrophoresis analysis indicated a sequential change in Desulfobulbus genotypes along the estuary with marine, brackish and freshwater genotypes detected. This differential distribution was significantly correlated with porewater concentrations of chloride, sulphate and nitrate. Temporal analysis indicated that there was a shift in the whole Desulfobulbus community towards to marine end of the estuary by the end of the winter compared with the late summer. This distribution pattern is similar to those seen with other estuarine organisms and, given the correlation with chloride and sulphate, is indicative of classic niche separation within this genus driven by gross environmental factors such as salinity. These results will help in developing a truly ecological description of microbial biodiversity.
MeSH term(s)	Chlorides/analysis ; Cluster Analysis ; DNA, Bacterial/chemistry ; DNA, Bacterial/genetics ; Electrophoresis, Polyacrylamide Gel ; Genotype ; Geologic Sediments/microbiology ; Nitrates/analysis ; Polymerase Chain Reaction ; Seasons ; Sulfates/analysis ; Sulfur-Reducing Bacteria/genetics ; Sulfur-Reducing Bacteria/growth & development ; Water Microbiology
Chemical Substances	Chlorides ; DNA, Bacterial ; Nitrates ; Sulfates
Language	English
Publishing date	2007-11
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	283722-5
ISSN	1574-6941 ; 0168-6496
ISSN (online)	1574-6941
ISSN	0168-6496
DOI	10.1111/j.1574-6941.2007.00376.x
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Article: Use of the Rasch model for initial testing of fit statistics and rating scale diagnosis for a general anesthesia satisfaction questionnaire.

Hawkins, Robert J / Kremer, Michael J / Swanson, Barbara / Fogg, Lou / Pierce, Penny / Pearson, Julie

Journal of nursing measurement

2014 Volume 22, Issue 3, Page(s) 381–403

Abstract: Background and purpose: The level of patient satisfaction is a result of a complex set of interactions between the patient and the health care provider. It is important to quantify satisfaction with care because it involves the patient in the care ... ...

Abstract	Background and purpose: The level of patient satisfaction is a result of a complex set of interactions between the patient and the health care provider. It is important to quantify satisfaction with care because it involves the patient in the care experience and decreases the potential gap between expected and actual care delivered. Methods: We tested a preliminary 23-item instrument to measure patient satisfaction with general anesthesia care. The rating scale Rasch model was chosen as the framework. Results: There were 10 items found to have sufficient evidence of stable fit statistics. Items included 2 questions related to information provided, 2 questions related to concern and kindness of the provider, and 1 question each for interpersonal skills of the provider, attention by the provider, feeling safe, well-being, privacy, and overall anesthesia satisfaction. Conclusion: Such actions as providing enough time to understand the anesthesia plan, answering questions related to the anesthetic, showing kindness and concern for the patient, displaying good interpersonal skills, providing adequate attention to the patient, providing a safe environment that maintains privacy and provides a sense of well-being are important actions that are well within the control of individual anesthesia providers and may lead to improved care from the perception of the patient.
MeSH term(s)	Adult ; Aged ; Anesthesia, General/psychology ; Anesthesia, General/statistics & numerical data ; Communication ; Empathy ; Female ; Hospitals, Military ; Humans ; Male ; Middle Aged ; Military Personnel/psychology ; Military Personnel/statistics & numerical data ; Models, Statistical ; Nurse-Patient Relations ; Patient Satisfaction/statistics & numerical data ; Physician-Patient Relations ; United States ; Young Adult
Language	English
Publishing date	2014
Publishing country	United States
Document type	Journal Article
ZDB-ID	1180408-7
ISSN	1061-3749
ISSN	1061-3749
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Article ; Online: Use of the Rasch Model for Initial Testing of Fit Statistics and Rating Scale Diagnosis for a General Anesthesia Satisfaction Questionnaire.

Hawkins, Robert J / Kremer, Michael J / Swanson, Barbara / Fogg, Lou / Pierce, Penny / Pierson, Julie

Journal of nursing measurement

2014 Volume 22, Issue 3, Page(s) 381–403

Abstract	Background and purpose: The level of patient satisfaction is a result of a complex set of interactions between the patient and the health care provider. It is important to quantify satisfaction with care because it involves the patient in the care experience and decreases the potential gap between expected and actual care delivered. Methods: We tested a preliminary 23-item instrument to measure patient satisfaction with general anesthesia care. The rating scale Rasch model was chosen as the framework. Results: There were 10 items found to have sufficient evidence of stable fit statistics. Items included 2 questions related to information provided, 2 questions related to concern and kindness of the provider, and 1 question each for interpersonal skills of the provider, attention by the provider, feeling safe, well-being, privacy, and overall anesthesia satisfaction. Conclusion: Such actions as providing enough time to understand the anesthesia plan, answering questions related to the anesthetic, showing kindness and concern for the patient, displaying good interpersonal skills, providing adequate attention to the patient, providing a safe environment that maintains privacy and provides a sense of well-being are important actions that are well within the control of individual anesthesia providers and may lead to improved care from the perception of the patient.
Language	English
Publishing date	2014-12-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	1180408-7
ISSN	1945-7049 ; 1061-3749
ISSN (online)	1945-7049
ISSN	1061-3749
DOI	10.1891/1061-3749.22.3.381
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Article ; Online: Genotypic distribution of a specialist model microorganism, Methanosaeta, along an estuarine gradient: does metabolic restriction limit niche differentiation potential?

Carbonero, Franck / Oakley, Brian B / Hawkins, Robert J / Purdy, Kevin J

Microbial ecology

2011 Volume 63, Issue 4, Page(s) 856–864

Abstract: A reductionist ecological approach of using a model genus was adopted in order to understand how microbial community structure is driven by metabolic properties. The distribution along an estuarine gradient of the highly specialised genus Methanosaeta ... ...

Abstract	A reductionist ecological approach of using a model genus was adopted in order to understand how microbial community structure is driven by metabolic properties. The distribution along an estuarine gradient of the highly specialised genus Methanosaeta was investigated and compared to the previously determined distribution of the more metabolically flexible Desulfobulbus. Methanosaeta genotypic distribution along the Colne estuary (Essex, UK) was determined by DNA- and RNA-based denaturing gradient gel electrophoresis and 16S rRNA gene sequence analyses. Methanosaeta distribution was monotonic, with a consistently diverse community and no apparent niche partitioning either in DNA or RNA analyses. This distribution pattern contrasts markedly with the previously described niche partitioning and sympatric differentiation of the model generalist, Desulfobulbus. To explain this difference, it is hypothesised that Methanosaeta's strict metabolic needs limit its adaptation potential, thus populations do not partition into spatially distinct groups and so do not appear to be constrained by gross environmental factors such as salinity. Thus, at least for these two model genera, it appears that metabolic flexibility may be an important factor in spatial distribution and this may be applicable to other microbes.
MeSH term(s)	Cloning, Molecular ; DNA, Archaeal/analysis ; Deltaproteobacteria/genetics ; Deltaproteobacteria/metabolism ; Denaturing Gradient Gel Electrophoresis ; Ecosystem ; Estuaries ; Gene Library ; Genotype ; Methanosarcinales/classification ; Methanosarcinales/genetics ; Methanosarcinales/isolation & purification ; Methanosarcinales/metabolism ; Molecular Sequence Data ; RNA, Archaeal/analysis ; Sequence Analysis, DNA
Chemical Substances	DNA, Archaeal ; RNA, Archaeal
Language	English
Publishing date	2011-12-20
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1462065-0
ISSN	1432-184X ; 0095-3628
ISSN (online)	1432-184X
ISSN	0095-3628
DOI	10.1007/s00248-011-9993-6
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Article ; Online: An Outbreak of Covid-19 on an Aircraft Carrier.

Kasper, Matthew R / Geibe, Jesse R / Sears, Christine L / Riegodedios, Asha J / Luse, Tina / Von Thun, Annette M / McGinnis, Michael B / Olson, Niels / Houskamp, Daniel / Fenequito, Robert / Burgess, Timothy H / Armstrong, Adam W / DeLong, Gerald / Hawkins, Robert J / Gillingham, Bruce L

The New England journal of medicine

2020 Volume 383, Issue 25, Page(s) 2417–2426

Abstract: Background: An outbreak of coronavirus disease 2019 (Covid-19) occurred on the U.S.S. : Methods: We obtained clinical and demographic data for all crew members, including results of testing by real-time reverse-transcriptase polymerase chain reaction ...

Abstract	Background: An outbreak of coronavirus disease 2019 (Covid-19) occurred on the U.S.S. Methods: We obtained clinical and demographic data for all crew members, including results of testing by real-time reverse-transcriptase polymerase chain reaction (rRT-PCR). All crew members were followed up for a minimum of 10 weeks, regardless of test results or the absence of symptoms. Results: The crew was predominantly young (mean age, 27 years) and was in general good health, meeting U.S. Navy standards for sea duty. Over the course of the outbreak, 1271 crew members (26.6% of the crew) tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection by rRT-PCR testing, and more than 1000 infections were identified within 5 weeks after the first laboratory-confirmed infection. An additional 60 crew members had suspected Covid-19 (i.e., illness that met Council of State and Territorial Epidemiologists clinical criteria for Covid-19 without a positive test result). Among the crew members with laboratory-confirmed infection, 76.9% (978 of 1271) had no symptoms at the time that they tested positive and 55.0% had symptoms develop at any time during the clinical course. Among the 1331 crew members with suspected or confirmed Covid-19, 23 (1.7%) were hospitalized, 4 (0.3%) received intensive care, and 1 died. Crew members who worked in confined spaces appeared more likely to become infected. Conclusions: SARS-CoV-2 spread quickly among the crew of the U.S.S.
MeSH term(s)	Adult ; Aircraft ; COVID-19/diagnosis ; COVID-19/epidemiology ; COVID-19/mortality ; COVID-19/transmission ; COVID-19 Testing ; Comorbidity ; Disease Outbreaks ; Disease Transmission, Infectious/statistics & numerical data ; Female ; Hospitalization/statistics & numerical data ; Humans ; Male ; Military Personnel ; Odds Ratio ; Reverse Transcriptase Polymerase Chain Reaction ; SARS-CoV-2/isolation & purification ; Ships ; United States
Keywords	covid19
Language	English
Publishing date	2020-11-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	207154-x
ISSN	1533-4406 ; 0028-4793
ISSN (online)	1533-4406
ISSN	0028-4793
DOI	10.1056/NEJMoa2019375
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Article ; Online: SARS-CoV-2 Infections and Serologic Responses from a Sample of U.S. Navy Service Members - USS Theodore Roosevelt, April 2020.

Payne, Daniel C / Smith-Jeffcoat, Sarah E / Nowak, Gosia / Chukwuma, Uzo / Geibe, Jesse R / Hawkins, Robert J / Johnson, Jeffrey A / Thornburg, Natalie J / Schiffer, Jarad / Weiner, Zachary / Bankamp, Bettina / Bowen, Michael D / MacNeil, Adam / Patel, Monita R / Deussing, Eric / Gillingham, Bruce L

MMWR. Morbidity and mortality weekly report

2020 Volume 69, Issue 23, Page(s) 714–721

Abstract: Compared with the volume of data on coronavirus disease 2019 (COVID-19) outbreaks among older adults, relatively few data are available concerning COVID-19 in younger, healthy persons in the United States (1,2). In late March 2020, the aircraft carrier ... ...

Abstract	Compared with the volume of data on coronavirus disease 2019 (COVID-19) outbreaks among older adults, relatively few data are available concerning COVID-19 in younger, healthy persons in the United States (1,2). In late March 2020, the aircraft carrier USS Theodore Roosevelt arrived at port in Guam after numerous U.S. service members onboard developed COVID-19. In April, the U.S. Navy and CDC investigated this outbreak, and the demographic, epidemiologic, and laboratory findings among a convenience sample of 382 service members serving aboard the aircraft carrier are reported in this study. The outbreak was characterized by widespread transmission with relatively mild symptoms and asymptomatic infection among this sample of mostly young, healthy adults with close, congregate exposures. Service members who reported taking preventive measures had a lower infection rate than did those who did not report taking these measures (e.g., wearing a face covering, 55.8% versus 80.8%; avoiding common areas, 53.8% versus 67.5%; and observing social distancing, 54.7% versus 70.0%, respectively). The presence of neutralizing antibodies, which represent antibodies that inhibit SARS-CoV-2, among the majority (59.2%) of those with antibody responses is a promising indicator of at least short-term immunity. This report improves the understanding of COVID-19 in the U.S. military and among young adults in congregate settings and reinforces the importance of preventive measures to lower risk for infection in similar environments.
MeSH term(s)	Aircraft ; Antibodies, Neutralizing/blood ; Antibodies, Viral/blood ; Betacoronavirus/immunology ; COVID-19 ; COVID-19 Testing ; Clinical Laboratory Techniques ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Coronavirus Infections/immunology ; Disease Outbreaks ; Female ; Humans ; Male ; Military Personnel/statistics & numerical data ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/immunology ; SARS-CoV-2 ; United States/epidemiology ; Young Adult
Chemical Substances	Antibodies, Neutralizing ; Antibodies, Viral
Keywords	covid19
Language	English
Publishing date	2020-06-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	412775-4
ISSN	1545-861X ; 0149-2195
ISSN (online)	1545-861X
ISSN	0149-2195
DOI	10.15585/mmwr.mm6923e4
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