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Medicine and Health Sciences

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Theses/Dissertations

2014

Rueckert-Hartman College for Health Professions

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Early Alert Referral Program, Roslana D. Gray Dec 2014

Early Alert Referral Program, Roslana D. Gray

Regis University Student Publications (comprehensive collection)

Early recognition of academically at-risk nursing students by faculty plays an important role in increasing retention rates. The main objective of the early alert referral program is to systematically detect early students who are academically for failure and refer at-risk students to faculty or support services, to increase nursing retention rates. The Early Alert Referral Project is a quantitative design in terms of purpose and methodology. The program was held in a classroom in a rural community college in Alabama during the summer semester (May, June, July, August) 2014. All practical nursing students currently enrolled in summer 2014 cohort were …


Measuring Changes In Knowledge And Attitudes Of Neonatal Intensive Care Unit Providers After Receiving An Educational Intervention About The Value Of Human Milk In The Preterm Infant, Frances E. Smith Dec 2014

Measuring Changes In Knowledge And Attitudes Of Neonatal Intensive Care Unit Providers After Receiving An Educational Intervention About The Value Of Human Milk In The Preterm Infant, Frances E. Smith

Regis University Student Publications (comprehensive collection)

Executive Summary Measuring Changes in Knowledge and Attitudes of NICU Providers after Receiving an Educational Intervention about the Value of Human Milk in the Preterm Infant Problem Identification Human milk is proven to decrease morbidities and mortality in extremely low birth weight neonates. Health care providers must approach the mothers of these infants and explain the need for own mother's milk or consent for the use of donor milk in these infants. Providers may lack the knowledge about the importance of human milk in NICU infants, or may hold negative attitudes about human milk's contribution to the health of these …


Nurses' Perceptions After Obtaining Medical Surgical Certification, Brenda L. Case-Cook Aug 2014

Nurses' Perceptions After Obtaining Medical Surgical Certification, Brenda L. Case-Cook

Regis University Student Publications (comprehensive collection)

Abstract Nursing certification is designed to assess a nurse's comprehensive knowledge within their specialty area through standardized testing (ANCC, 2013). In order to obtain Medical Surgical Certification (CMSRN) applicants must have a minimum of two years of experience as a registered nurse in a medical-surgical setting, have an unencumbered RN license, and pay the required registration fee in order to sit for the exam. Many institutions are requiring nurses to have specialty certification before advancing in rank or receiving additional compensation. This capstone project examined nurses' perceptions of medical surgical nursing at one large urban hospital in the South. A …


Determining The Effects Of Vitamin D Levels On Osteoporosis And Osteopenia, Summer Yvonne Tilgner Aug 2014

Determining The Effects Of Vitamin D Levels On Osteoporosis And Osteopenia, Summer Yvonne Tilgner

Regis University Student Publications (comprehensive collection)

Executive Summary Problem Vitamin D deficiency is a concern, not only in the United States, but worldwide. Identifying a correlation for osteoporosis and osteopenia in vitamin D deficient patients may reduce the risk of osteoporosis-related fractures. The PICO question for this capstone project was: In osteoporotic or osteopenic patients, what is the relationship between reduced serum levels of vitamin D OH 25 compared to normal serum levels of vitamin D OH 25, in the incidence of osteoporosis or osteopenia? Osteoporosis contributes to fracture risk in patients, which subsequently has been shown to result from an insufficient level of vitamin D. …


Nurse Preceptor Development And The Impact On Self-Efficacy, Angie Furr Hatley Aug 2014

Nurse Preceptor Development And The Impact On Self-Efficacy, Angie Furr Hatley

Regis University Student Publications (comprehensive collection)

Executive Summary Nurse Preceptor Development and the Impact to Self-Efficacy Problem New graduates are confronted with significant challenges associated with transitioning from the role of student nurse to licensed professional (Bratt, 2009). Additionally, even experienced nurses transitioning to a new role or facility, face similar challenges. Typically, clinical preceptors are utilized to orient nurses into new roles within the acute care setting. Such experienced nurses are valuable assets to the organization due to their contribute to the overall quality of care delivered (Moore, 2008), but in many cases they receive little or no formal educational preparation regarding role expectations. The …


An Evaluation Of The Effectiveness Of An Asthma Educational Initiative In A Rural Clinic, Denise Trujillo Aug 2014

An Evaluation Of The Effectiveness Of An Asthma Educational Initiative In A Rural Clinic, Denise Trujillo

Regis University Student Publications (comprehensive collection)

Executive Summary An Evaluation of the Effectiveness of an Educational Initiative in a Rural Clinic Problem According to the American Lung Association (2011), approximately one third of the children hospitalized in the state of Colorado are due to asthma. In fact, almost 75% of admissions for asthma are avoidable, and potentially preventable factors are common in deaths from asthma. Asthma is a chronic disease that can be managed through education, medication, and avoidance of triggers. The PICO question this capstone project seeked to address was: In (Population) parents of children clinically diagnosed with asthma in a rural clinic, will (Intervention) …


Evaluation Of Impact Of End-Of-Life Nursing Education Consortium (Elnec) Education On Registered Nurses, Debra J. Behr Aug 2014

Evaluation Of Impact Of End-Of-Life Nursing Education Consortium (Elnec) Education On Registered Nurses, Debra J. Behr

Regis University Student Publications (comprehensive collection)

Seniors make up the fastest growing population in the United States. This population, with their multiple, chronic, progressive, ultimately terminal health conditions, is driving an urgent need to embed the knowledge and skills required to provide high-quality end-of-life (EOL) or palliative care within the education for nurses (Kelley & Meier, 2010). Although nurses routinely provide most of the care to patients at or near their EOL, studies report they feel unprepared for the challenge (Barrere, & Durkin, 2013). Regulatory and accrediting bodies have designated competencies for palliative care in the undergraduate nursing curriculum (Grant, 2013). Studies suggest that the EOL …


Bsn Students' Perceptions Of Communication With Patients With Hallucinations After Experiencing A Voice Simulation And Role Play, Peggy Fossen Aug 2014

Bsn Students' Perceptions Of Communication With Patients With Hallucinations After Experiencing A Voice Simulation And Role Play, Peggy Fossen

Regis University Student Publications (comprehensive collection)

Abstract Nursing students experience anxiety, uncertainty, and fear when faced with communicating with mentally ill patients, specifically those with auditory hallucinations. Nurse educators are aware that anxiety is a major obstacle in the clinical setting, and may decrease learning (Melincavage, 2011). First year nursing students in a baccalaureate-nursing program at a Midwestern University expressed anxiety and knowledge deficit related to communicating with mentally ill patients. The research question for this study was: In BSN students in their first mental health class how does completing a voice simulation and role-play affect students' perceptions of communication with patients with auditory hallucinations? The …


Nurses' Perceptions Of Being Recruited And Oriented In The Emergency Department, Sharon M. Schultz Aug 2014

Nurses' Perceptions Of Being Recruited And Oriented In The Emergency Department, Sharon M. Schultz

Regis University Student Publications (comprehensive collection)

Abstract Many nurses are drawn to the emergency department (ED) only to find it can be a stressful and demanding environment in which to practice. Nursing vacancy rates, particularly in specialty areas such as the ED, are predicted to reach 29% by 2020 (Sawatsky & Enns, 2012). Attrition of nurses from the emergency departments has a significant financial impact on organizations that bear the costs of recruitment, hiring and orientation. The orientation period of a new job lays the foundation for the relationship between the employee and the organization. The literature notes that decisions to remain in a job are …


Basic Life Support (Bls) Knowledge And Skill Retention And Increased Self-Efficacy For Rural Health Care Providers, Victoria Birkeland Aug 2014

Basic Life Support (Bls) Knowledge And Skill Retention And Increased Self-Efficacy For Rural Health Care Providers, Victoria Birkeland

Regis University Student Publications (comprehensive collection)

Research indicates retention after BLS training is poor (Bukiran, Erdur, Ozen, & Bozkurt, 2012; Hamilton, 2005; Smith, Gilcreast, & Pierce, 2008). Infrequent exposure and no practice can compound the problem (Allen, Currey, & Considine, 2013; Abella et al. 2005; Hamilton). Rural healthcare workers - defined as registered nurses (RNs), licensed practical nurses (LPNs), certified nursing assistants (CNAs), and emergency medical technicians (EMTs) - in this investigator's area typically do not practice their skills after BLS recertification. Oermann et al. (2011) demonstrated short monthly practice sessions can help. The problem statement for this project was: In (P) rural health care providers, …


Hypertensive Black Men's Perceptions Of A Nurse Administered Medication Protocol, Ophelia Thomas Aug 2014

Hypertensive Black Men's Perceptions Of A Nurse Administered Medication Protocol, Ophelia Thomas

Regis University Student Publications (comprehensive collection)

Abstract Hypertension in the elderly population is a serious problem with approximately 65 million hypertensive adults in the United States. One important factor contributing to uncontrolled hypertension in the elderly population is medication non-adherence. The director of a cardiology clinic in Southern Georgia noted that older Black male patients were not taking their blood pressure medication as prescribed and as result had uncontrolled hypertension. It was proposed that a nurse protocol with tools to address non-adherence was an approach to address this problem. This qualitative key informant study identified a purposive sample of 10 Black men 65- 70 with a …


Rn-Bs Online Students' Perceptions Of Presence Using A Virtual Meeting Room, Michelle A. Hall Aug 2014

Rn-Bs Online Students' Perceptions Of Presence Using A Virtual Meeting Room, Michelle A. Hall

Regis University Student Publications (comprehensive collection)

Abstract Online nursing education has gained in popularity with over 400 RN-BSN programs in the U.S. Online learning allows students to remain in their communities and to continue working while advancing their education. The drawback for many students is the isolating nature of a totally online education. Students can feel disconnected and isolated in the asynchronous format. Students in an online RN-BS program at a large Northwestern University shared their sense of isolation and need for communication with the instructor in the totally online format. It was suggested that the use of a Virtual Meeting Room (VMR) would address this …


Palliative Care And Hospice Community Education, Mary Castang Aug 2014

Palliative Care And Hospice Community Education, Mary Castang

Regis University Student Publications (comprehensive collection)

Executive Summary Palliative Care and Hospice Community Education Problem In the researcher's home hospice practice, a need for community education regarding Palliative Care and Hospice is recognized. Patients and family members need information about End of Life (EOL) care options prior to the urgency of a crisis. According to Szirony, Oopko, Masiulaniec and Binder (2011) many patients and family members learn of hospice and palliative care services only after admission into a program. The decision to sign in to a program reflects their perception of there being no other choice rather than understanding the options and benefits (Szirony, et al, …


Providing An Evidence-Based Medical Screening Examination On Patients Who Present To The Emergency Department With Non-Emergent Complaints: A Quality Improvement Initiative, Joyce Jeffries Aug 2014

Providing An Evidence-Based Medical Screening Examination On Patients Who Present To The Emergency Department With Non-Emergent Complaints: A Quality Improvement Initiative, Joyce Jeffries

Regis University Student Publications (comprehensive collection)

Problem Emergency Department (ED) overcrowding is a growing concern for hospitals across the US. ED overcrowding contributes to prolonged wait times and an increase in the number of patients who leave before or without being seen (LWBS). The number of patients using the ED for non-emergent complaints is expected to continue to rise and some hospitals are utilizing a different model to deliver care (Nash, Nguyen, & Tillman 2009). The problem statement described in this project is: In (P) adults utilizing the ED for non-emergent complaints at a local hospital in the southern US, (I) will providing a mid-level provider …


Clinical Faculty Perceptions Of Using A Skills Checklist In Teaching Pn Students Bedside Physical Assessments, Helen Daniels-Moncrief Aug 2014

Clinical Faculty Perceptions Of Using A Skills Checklist In Teaching Pn Students Bedside Physical Assessments, Helen Daniels-Moncrief

Regis University Student Publications (comprehensive collection)

Abstract An area of student learning where assessment and support is most important is in the teaching of physical assessment to practical nursing (PN) students. Faculty teaches techniques of body system assessments and then evaluates student learning. First year practical nursing (PN) students at a Midwest community college were reported to be deficient in performing bedside physical assessments by clinical nursing faculty and hospital staff. It was proposed that the use of a bedside physical assessment checklist would assist faculty in teaching physical assessment and improve student outcomes. This qualitative phenomenological study involved a purposive sample of seven nursing faculty …


Nursing Managers' Perceptions, Knowledge And Commitment To Shared Governance, Jeanine M. Rundquist Jul 2014

Nursing Managers' Perceptions, Knowledge And Commitment To Shared Governance, Jeanine M. Rundquist

Regis University Student Publications (comprehensive collection)

No abstract provided.


Using Ignatian Pedagogy To Improve Reflective Thinking In Neonatal Nurse Practitioner Students, Mary Ellen Honeyfield Mar 2014

Using Ignatian Pedagogy To Improve Reflective Thinking In Neonatal Nurse Practitioner Students, Mary Ellen Honeyfield

Regis University Student Publications (comprehensive collection)

This project reports the outcomes of development of a tool for teaching reflective thinking in the neonatal nurse practitioner (NNP) student. The purpose of this project was to improve patient care by preparing a mindful, reflective NNP. The project premise was encouraging reflection would enhance what students understand about aspects of patient care, to include all phases of healthcare processes: assessment, diagnosis, planning, intervention, and evaluation. The Ignatian Pedagogy Conceptual Model© was utilized as a teaching tool to create reflective thinking assignments for NNP students in their final clinical practicum. Significance of the project was to examine whether the tool …


Substance Use Disorders And Stigma, Shirley S. Patrick Mar 2014

Substance Use Disorders And Stigma, Shirley S. Patrick

Regis University Student Publications (comprehensive collection)

Stigma is a problem for persons with substance abuse addictions and impacts access to health care services. The purpose of this project was to examine an educational program's effectiveness in reducing stigmatizing attitudes of health care professionals towards persons with substance abuse addictions. An educational program including a PowerPoint on substance abuse and stigma was presented to one group of nursing students and one group of Registered Nurses in a nurse residency program and pre-tests and post-tests completed. Results were calculated utilizing the paired samples ^-test. At the < 0 .05 level for a 2-tailed test only pairs seven, eight, and nine of the pre-test and post-test answers were statistically significant. Recommendations for future practice include educational programs targeting health care professionals. Stigma, social distance and discrimination are major obstacles to persons with addictions in obtaining mental health services.


Impact Of Merger/Acquisitions In A Nonprofit Addiction Treatment Hospital, Courtney C. Mcshay Jan 2014

Impact Of Merger/Acquisitions In A Nonprofit Addiction Treatment Hospital, Courtney C. Mcshay

Regis University Student Publications (comprehensive collection)

This quantitative pilot study examined the quality of life of palliative care patients as perceived by the patient and their caregiver. Patients with palliative care consults at The University of Colorado and The Medical Center of Aurora were asked to participate in this study. The McGill Quality of Life Questionnaire survey tool was selected to measure the patient's quality of life due to its validity and reliability in measuring quality of life in the palliative care patient population. The McGill Quality of Life Questionnaire consists of five distinct subscales: physical well-being, physical symptoms, psychological symptoms, existential well-being, and support. Sixteen …


An Evaluation Of Child Abuse Reporting Policies In A Substance Abuse Treatment Hospital, Helene Photias Jan 2014

An Evaluation Of Child Abuse Reporting Policies In A Substance Abuse Treatment Hospital, Helene Photias

Regis University Student Publications (comprehensive collection)

The purpose of this study was to examine the perceptions of aging in place between seniors living in residential homes in the community and seniors residing in independent living senior communities. A cross-sectional, quantitative research design and simple random sampling (SRS) strategy was used for this study. Results: 458 responded to a researcher developed likert scale survey. The sample was generally Caucasian/White (n=408, 89.1%), evenly divided between males (n=227, 49.6%) and females (n=224, 48.9%), and between the age of 65 to 74 (n=259, 56.6%). A significant difference was found between those living alone in a residential home and those living …