Digital Commons Network^™

Coping With Labor Education For Nurses, Donna Vo

Master's Projects and Capstones

The “Coping With Labor Education for Nurses” education plan is substantiated by data from the California Maternal Quality Care Collaborative (CMQCC) vaginal birth initiative toolkit and other research. Evidence-based data from multiple sources indicates that improving how labor support is offered at the bedside for the laboring patient can potentially decrease cesarean rates, reduce expenses, and increase savings. The objectives of this plan are to improve patient advocacy and the level of labor support interventions labor and delivery nurses will provide for patients to improve patient satisfaction score above 80%, decrease or maintain cesarean rates below 24.9%, and improve patient …

Personal Resilience, Workplace Civility, And Staff Retention In Behavioral/Mental Health Crisis Stabilization Units, Paula D. Stover

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Retention of behavioral/mental health (BMH) staff is a critical need in public safety net systems, but a challenge to sustain. Chronic attrition in BMH settings is costly and can have adverse effects on client care. Researchers recommend investigation of personal resilience and workplace civility as potential retention factors. However, no studies explored relationships between these factors in BMH crisis stabilization units (CSU). A southeastern United States public safety net agency needed baseline data to inform workforce retention initiatives. A correlation design was used to measure relationships between personal resilience, workplace civility, and the intention to continue working at three CSUs …

The Role Of Leader Empowering Behaviors On Work Engagement And Intent To Stay Among Staff Nurses In Acute Care Hospitals, Ingrid Kindipan

Nursing Dissertations

Leader empowering behavior is a facilitative process where employees perceive their leader to allow self-management and self-leadership of employees. Leader empowering behaviors can be perceived by employees as either enabling or burdensome. The purpose of this descriptive correlational study was to examine the relationship of leader empowering behaviors with nurse demographics, work engagement and intent to stay. A convenience sample of nurses (N = 212) employed in various nursing units within four hospitals completed an online survey related to perceived leader empowering behaviors, and the nurse’s level of work engagement and intent to stay in his/her organization of employment. Overall, …

Critical Care Nurses' Experiences Of Family Behaviors As Obstacles In End-Of-Life Care, Caitlin Brook Mallory

Theses and Dissertations

Background: Critical care nurses (CCNs) frequently provide end-of-life care for critically ill patients. CCNs may face many obstacles while trying to provide quality EOL care. Some research focusing on obstacles CCNs face while trying to provide quality EOL care has been published; however, research focusing on family behavior obstacles is limited. Research focusing on family behavior as an EOL care obstacle may provide additional insight and improvement in care. Objective: What are the predominant themes noted when CCNs share their experiences of common obstacles, relating to families in providing EOL care? Methods: A random geographically dispersed sample of 2,000 members …

Performance Gap Among Nurses In Splint Application And Crutch Training, Aidalyn P. Carino

Master's Projects and Capstones

Abstract

The aim of this CNL internship project is to improve the current nursing practices by closing the performance gap among nurses on splint applications and crutch training within the 3-month course of this project. This project was implemented in a urgent care setting where Minor injuries such as sprains, strains or fractures are commonly seen by immobilization by application of splints which is given by the nursing staff. Micro assessment of the work flow of unit showed that only a few members of the staff routinely do these procedures and results from a self- assessment survey showed that 50% …

The Caffeine Consumption Habits, Sleep Quality, Sleep Quantity, And Perceived Stress Of Clinical Nurses, Mykin R. Higbee

Nursing Theses and Dissertations

Caffeine is the most widely consumed psychoactive substance worldwide. Energy drinks are a relatively new beverage type that contain three to five times more caffeine than regular sodas. In several workplace settings, energy drinks have become popular as individuals chose to consume these beverages in an attempt to combat fatigue, deal with stress, and boost energy. There is no information regarding the energy drink and caffeine consumption habits of nurses working in the clinical setting. Clinical nurses provide the majority of patient care in the health care setting. Nursing is a mentally and physically demanding profession due to heavy patient …

Practicing What You Preach: The Health Behaviors Of Nurses, Catherine Anjali Prabhu

Senior Theses

This research study investigated the relationship between the health behaviors nurses commonly teach to their patients and the behaviors they practice themselves. After receiving the 194 completed surveys, a thorough analysis of variables was completed to determine which educational topics are most frequently included in patient education as well as if these variables are related to the health behaviors nurses practice themselves. It was evident that many nurses who report educating their patients on healthier lifestyles do not implement all of these practices into their own lives. Barriers to implementing such behaviors, employer-provided health programs, and methods of stress reduction …

Pressure Injury Assesment Comparison: Bedside Nurse Vs. Experts, Ali'itasi Kelemete, Brandi Hillock, Casey Snell

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose: The National Pressure Ulcer Advisory Panel (NPUAP) defines a pressure injury (PI) as, “A localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear.” PIs affect millions of people each year creating a substantial financial burden. Medicare has created policies for reimbursement and reporting of PIs making it financially important for hospitals to correctly assess PIs upon admission. A basic skin assessment to categorize PIs has not been standardized among facilities, resulting in inaccuracies, poor documentation, and gaps in the reporting and quality …

Nurses' Reflection, Compassion Fatigue, And Work Burnout - A Correlational Analysis, Sarah Urban

Walden Dissertations and Doctoral Studies

Compassion fatigue and work-related burnout are harmful reactions to patient situations and work environments that negatively affect nurses' well-being and ability to provide safe, effective patient care. However, research is needed to understand how reflection as a self-care response to patient situations is related to nurses' development of work burnout, compassion fatigue, and secondary traumatic stress, a type of compassion fatigue. The purpose of this correlational, cross-sectional quantitative study was to determine the relationship between hospital-based acute care nurses' levels of reflection and their levels of compassion fatigue, secondary traumatic stress, and work burnout. The study was based on Hentz …

A Clinical Practice Guideline To Reduce Behavioral Outbursts In Veterans With Posttraumatic Stress Disorder, Mary Adejumoke Badru

Walden Dissertations and Doctoral Studies

In a Department of Veterans Affairs hospital on the East Coast of the United States, behavioral outbursts result in 2 out of 10 veterans dismissed from a posttraumatic stress disorder (PTSD) unit prior to completing the 6-week program. The purpose of this evidence-based quality improvement project was to create a clinical practice guideline (CPG) based on social cognitive theory (SCT) to provide new strategies for managing veterans with PTSD and to improve the confidence of the nurses in managing outbursts. The Star Model guided the project development with the Delphi method to achieve participant consensus, the AGREE II to assess …

Enhancing Nurses' Assessment Of Pain Management In Dementia Patients, Norma Jean Boone

Walden Dissertations and Doctoral Studies

Chronic pain contributes to morbidity, mortality, and disability in millions of people. Prevalence rates for pain are as high as 83% among the 5.2 million older adults living with a diagnosis of dementia. The purpose of the quality improvement project was to assess nurses' knowledge of pain assessment and management in a 45-bed Veterans Health Administration long-term care facility serving older adults with dementia. Knowles' adult learning theory served as the theoretical framework and the knowledge to action model supported the translation of evidence into practice. A convenience sample of 27 licensed and unlicensed nursing staff answered the 16-question, 5-point …

Educating Nurses How To Critique Research Reports, Jacqueline Carol Pinkowski

Walden Dissertations and Doctoral Studies

When bedside acute care nurses support their clinical practice with current best evidence, patient outcomes improve. Most bedside acute care nurses base their clinical decision-making on tradition and not the application of evidence based practice (EBP). The ability to appraise research is a critical component in the application of EBP and best care practices. The purpose of the DNP project was to obtain 5 content experts' evaluations of an education module for bedside nurses on how to analyze a research report, complete a literature review, and create a table of evidence (TOE). The theoretical framework guiding the project was the …

Willingness Of Nurses To Respond After An Alaskan Earthquake: Systematic Literature Review, Jane Marie Luscumb

Walden Dissertations and Doctoral Studies

Nurses may share a commonality of issues which can affect their willingness and ability to respond as post-disaster emergency care providers. Guided by expectancy, locus of control, and chaos theory, a systematic literature review was conducted to identify the barriers which affect nurses' willingness and ability to report to their unit after a disaster occurs. Briggs methodology guided this systematic review, and Fineout-Overholt's and Melnyk levels of evidence were used to evaluate the reliability of information and effectiveness of their interventions. Fifteen articles meeting the inclusion criteria (addressed nurses' willingness to report to their unit or to contact the incident …

Teamwork Perceptions Of Nurses And Nursing Assistants In A Community Hospital, Iwona Halina Enzinger

Walden Dissertations and Doctoral Studies

Teamwork in healthcare is recognized as a significant factor in achieving patient safety and impacting patient outcomes. Despite the general focus on teamwork in healthcare, there has been little research on teamwork among nurses and nursing assistants working on patient care units. The purpose of this doctoral project was to identify, compare, and analyze perceptions of teamwork in a group of nurses and nursing assistants in a community hospital setting where the TeamSTEPPS program has been implemented. The framework of this project was the concept of shared mental model and Imogene King's conceptual system and middle-range theory of goal attainment. …

A Biobehavioral Approach To Examining Moral Distress In Critical Care Nurses, Marian Altman

Theses and Dissertations

Moral distress is a complex and challenging problem that may cause negative biopsycohosical and professional outcomes for critical care nurses. The purpose of this work was to explore the relationship between the ethical climate of the work environment and moral distress as experienced by critical care nurses; and to explore relationships among mediators of stress (nurse characteristics e.g. education (BSN, nonBSN), years certified as a critical care nurse, and tolerance of ambiguity) and their relationship with perceived stress, moral distress, health status and salivary alpha amylase. A descriptive correlational cross-sectional design was used for this pilot study of 100 critical …