Digital Commons Network^™

Improving Early Identification And Management Of Depression Symptomology Through Implementation Of Universal Depression Screening In A University Student Health Center, Jessica M. Monjaras

Evidence-Based Practice Project Reports

Depression is the leading cause of disability in the United States for individuals aged 15 to 44 (Anxiety and Depression Association of America, 2023). The purpose of this evidence-based practice (EBP) project was to increase early identification of depression through implementation of universal depression screening, and to implement management strategies to decrease symptoms of depression. A two-tiered approach to universal depression screening was utilized through use of the PHQ-2 and PHQ-9 screening tools. Ten young adult patients, between the ages of 18 to 25, from a university student health center clinic in Northwest Indiana participated in this project. Participants underwent …

A Multi-Modal Intervention To Decrease Hpv Vaccine Hesitancy And Increase Uptake In Young Adult Women, Rylee Cartales

Evidence-Based Practice Project Reports

Human Papillomavirus (HPV) is the leading cause of cervical cancer worldwide and the most common sexually transmitted disease, yet hesitancy towards the HPV vaccine remains high and uptake of the HPV vaccine remains remarkably low (CDC, 2021b). The purpose of this evidence-based practice (EBP) project was to determine if the implementation of a multimodal intervention including a motivational interview, strong provider recommendation, and educational materials will decrease HPV vaccine hesitancy and consequentially increase uptake of the vaccine. Eleven young adult women ages 18-26 from a rural outpatient Obstetrics and Gynecology (OBGYN) clinic in Indiana participated in this project. After agreeing …

Healthier Together: A Holistic Office Protocol Addressing The Chronic Nature Of Children And Adolescents With Adhd, Kimberly Olmos

Evidence-Based Practice Project Reports

Attention Deficit Hyperactivity Disorder (ADHD) is a highly prevalent, chronic condition with symptoms that include inattention, hyperactivity, and impulsivity. ADHD affects six million children in the United States (Tran et al., 2021). The purpose of this evidence-based practice project was to implement a holistic office protocol that addressed the chronicity and future health outcomes of children and adolescents, ages 2-17 years with ADHD through stimulant or non-stimulant medication prescriptions, behavioral therapy referrals, and education surrounding diet, and exercise. A comprehensive, systematic literature search yielded 16 articles to determine best practice when treating children and adolescents with ADHD in primary or …

School Of Nursing Class Of 2024 Hooding And Pinning Program, Cedarville University

B.S.N. and M.S.N. Academic Celebrations

No abstract provided.

A Multimodal Approach To Decreasing Hesitancy Of The Influenza Vaccine In The Family Care Setting, Carley J. Ellenberger

Evidence-Based Practice Project Reports

The uptake of the influenza vaccine is the most effective and proactive action an individual can take to defend themselves against the influenza outbreak each season; therefore, it is recommended that everyone at least six months of age and older should receive the annual flu vaccine (CDC, 2022; WHO, 2023). Unfortunately, influenza vaccine hesitancy is demonstrated on a global level affecting the uptake compliance annually each influenza season despite the millions of people that experience influenza symptoms annually (CDC, 2022, WHO, n.d.; Healthy People 2030, n.d.). The PICOT question for this project was in adults, over the age of 18, …

Using Simulation To Enhance Undergraduate Nursing Education, Lori Prewitt Moore, Candice N. Selwyn

CoTL 2024 Posters

This poster presentation will discuss the implementation of simulation-based education in the undergraduate nursing curriculum to increase preparedness in caring for adolescent patients with symptoms of depression and suicidal ideation. This topic aligns with the conference’s theme by identifying the importance of introducing nursing students to urgent and life-threatening simulated healthcare events prior to graduation. The plan for this presentation is to impart information to others regarding the use of the International Nursing Association for Clinical Simulation and Learning’s standards of best practice when implementing innovative, simulation-based education for nursing students. The outcome and objectives for this presentation is to …

The Effect Of Using A Meal Tracking Smartphone Application In Overweight And Obese Adolescents With Prediabetes Or Type 2 Diabetes To Improve Bmi And Hba1c, Lauren Torhorst

Evidence-Based Practice Project Reports

Obesity has become one of the most common chronic pediatric illnesses worldwide and is closely linked to the onset of prediabetes and subsequent Type 2 Diabetes (T2D); therefore, preventing and treating childhood obesity has become a high priority (Hampl et al., 2023). The purpose of this Evidence-Based Practice (EBP) project is to lower Glycosylated Hemoglobin A1c (HbA1C) and Body Mass Index (BMI) in overweight and obese youth with prediabetes and T2D using a meal tracking smartphone application. The Johns Hopkins Nursing Evidence-Based Practice Model (JHNEBP) was utilized to pilot this project between two pediatric endocrinology offices located in Southeast Wisconsin. …

Going, Going, Gone: The Influence Of Job And Home Demands And Resources On Emergency Department Nurse Turnover, Jordan Gail Smith

All Dissertations

Nurse turnover, which challenged healthcare organizations even before the pandemic, reached alarming rates across hospitals worldwide during COVID-19. Due to the unprecedented and stressful nature of the pandemic, recent investigations have focused primarily on exploring job demands and nurse turnover intentions. While job demands are critical to understanding turnover, this narrow scope ignores the possible influence of other factors such as job resources and demands and resources external to the work domain. This study utilized archival qualitative data from a longitudinal survey of Emergency Department clinicians to analyze research questions and hypotheses. The first aim of this study was to …

Respiratory Illnesses In Women And Children From Ghana: Problem Identification And Intervention, Stephanie Dale

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Rural communities in the upper east region of Ghana currently cook with traditional coal pots that produce increased levels of smoke resulting in rapid fuel consumption, increased air pollution, and high levels of respiratory illness in the women and children who use them. New stoves have been developed that remain similar to the traditional ones in use but are designed to provide a variety of benefits such as lowering the cost of fuel, reducing air pollution, and decreasing rates of respiratory illness in women and children. The purpose of this research study was to identify why women have not begun …

Evaluating Effective Communication Of Baccalaureate Nursing Students, Christine Brockway

Dissertations

Brockway, Christine. Evaluating Effective Communication of Baccalaureate Nursing Students. Published Doctor of Philosophy dissertation, University of Northern Colorado, 2024. The purpose of this mixed methods study was to determine how communication evaluation by clinical faculty compared in a clinical setting versus a simulation setting for Bachelor of Science in Nursing (BSN) students. Fifty (50) BSN students from three different schools of nursing were scored using the Interprofessional Situation, Background, Assessment, Recommendation Nurse to Physician Rubric in both clinical and simulation settings by seven nursing faculty. Scoring for each student occurred in both settings during one semester. Following the evaluation, students …

Educating Nurses On Frequent Oral Care For Mechanically Ventilated Patients: An Evidence-Based Practice Project Proposal, Grace Alford, Susan Butz, Ruth Chavez, Joy Shoemaker

Doctor of Nursing Practice Scholarly Projects

The final scholarly project proposal is to implement oral care education for nurses in an intensive care unit (ICU). The proposal aims to create a guideline for an investigator to implement oral care recommendations for mechanically ventilated patients in order to reduce ventilator-associated pneumonia (VAP). The proposal consists of obtaining VAP data and oral care charting data for the unit studied, steps for providing oral care education, and analysis recommendations. Oral care involves swabbing the patient’s mouth every two hours with a swab and mouthwash. Oral care education would include handouts and direct teaching. The proposal aims to increase oral …

Educating Nurses On Frequent Oral Care For Mechanically Ventilated Patients: An Evidence-Based Practice Project Proposal, Grace Alford, Susan Butz, Ruth Chavez, Joy Shoemaker

Doctor of Nursing Practice Scholarly Projects

The final scholarly project proposal is to implement oral care education for nurses in an intensive care unit (ICU). The proposal aims to create a guideline for an investigator to implement oral care recommendations for mechanically ventilated patients in order to reduce ventilator-associated pneumonia (VAP). The proposal consists of obtaining VAP data and oral care charting data for the unit studied, steps for providing oral care education, and analysis recommendations. Oral care involves swabbing the patient’s mouth every two hours with a swab and mouthwash. Oral care education would include handouts and direct teaching. The proposal aims to increase oral …

A Multimodal Intervention To Aid In Smoking Cessation, Lauren Druzbicki

Evidence-Based Practice Project Reports

The Centers for Disease Control and Prevention (CDC; 2023a) notes there are 28.3 million smokers in the United States. In Indiana alone, nearly 29% of adults currently use tobacco, with 19% of the total being cigarette smokers (Indiana Department of Health, 2022). The purpose of this evidence-based practice (EBP) project was to implement a multi-modal intervention to aid in smoking cessation in adults aged 18 and older who are cigarette smokers. The intervention included physician/nurse advise using the ask, advise, refer (AAR) model, the SmokefreeTXT program, and FDA approved smoking cessation medications. The project took place at a primary care …

Nursing Care Of Individuals Engaging In Non-Suicidal Self-Injury: Impact Of Dialectical Behavior Therapy Skills Reinforcement, Lucas Bridgens

MSN Capstone Projects

As explained by Linehan et al. (2006b), the seriousness of borderline personality disorder can be highlighted by the manifestations of emotional dysregulation, such as impulsive and suicidal and non-suicidal self-injurious (NSSI) behaviors. As the mental health field grows, so too does the knowledge base from which practitioners derive therapeutic interventions with hopes of effectively and safely treating patients while maintaining a culture of dignity and respect. One such treatment modality that has proven to reduce NSSI and improve interpersonal functioning, specifically in patients with borderline personality disorder, is Dialectical Behavior Therapy (DBT) which is a form of cognitive-behavioral therapy developed …

Empowering Picu Nurses: Enhancing Awareness And Understanding Of Post-Intensive Care Syndrome-Pediatric (Pics-P), Carissa A. Newman, Janelle A. Strain

Research & Creative Achievement Day

Statement of the Problem: Post-intensive care syndrome (PICS-p) threatens the health of children following a Pediatric Intensive Care Unit (PICU) stay. Morbidities associated with PICS-p can affect children's cognitive, functional, social, and emotional domains. Purpose: The project aimed to increase awareness of the term PICS-p, increasing knowledge and understanding among nursing staff, and developing their ability to identify patients at risk for developing PICS-p. Method: The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Healthcare was used to facilitate this project. 20 PICU nurses completed an educational module with a pre/post quiz to analyze learning outcomes about PICS-p. Interventions: …

Effects Of Adverse Childhood Experiences On Predicting Patient Pain Outcomes Later In Life, Melissa Lowry

Honors Scholar Theses

For centuries, pain and pain management has been a driving force in the world of healthcare. Industries continue to strive for a deeper understanding of the mechanisms behind pain sensitivities as well as the best interventions available to overcome these mechanisms. While many of the underlying mechanisms remain unclear, recent research suggests a possible correlation between one’s personal experiences early in life and their perceptions of pain later in adulthood. The Adverse Childhood Experiences (ACEs) Questionnaire, designed and published in 1998, consists of 10 measures of childhood trauma that can inform healthcare providers of individuals who may require trauma-informed care …

The Future Of Artificial Intelligence In Perioperative Nursing, Nick Nijkamp, Erin Wakefield

Journal of Perioperative Nursing

Artificial Intelligence (AI) stands poised at the forefront of health care innovation, promising transformative advances across multiple domains. In the field of perioperative nursing, where precision, efficiency and patient safety are paramount, the integration of AI holds immense potential to revolutionise clinical practice.

Defined as the imitation of human acumen, AI enables computers to perform tasks ‘that typically require human intelligence, such as decision-making, problem-solving and learning’. This editorial explores the current landscape of AI, future prospects for AI in perioperative nursing and the ethical imperatives that accompany this transformative paradigm shift.

As technology continues to evolve rapidly, perioperative nursing …

Changing The Way Providers Order Blood Return To Intensive Care Patients, Chloe Morris

Spring Showcase for Research and Creative Inquiry

Patients with anemia and other conditions resulting in loss of blood often come with orders to return wasted blood to them. While using typical blood draw practices, patients are placed at an increased risk of infection when their blood is exposed to the outside world. My question is, will using a closed system decrease the instances of infection in patients who receive their waste blood after draws? By utilizing a waste syringe attached to the IV line, nurses can avoid detaching and reattaching syringes to collect and give back the patient's blood. Patients who are already at an increased risk …

Development And Evaluation Of Trauma Informed Care Education For Licensed Nurses, Kristina O'Meara

Epsilon Sigma at-Large Research Conference

Trauma informed care nursing education is crucial. Trauma informed care is a method of providing health care which understands the likelihood of past and present traumatic events in patients and families. The experience of past or present trauma often led to chronic diseases, substance abuse disorder, fragmented health care, fears surrounding health care, chronic stress, and other negative health consequences. The purpose of this project is to increase licensed nurses’ awareness and ability to practice trauma informed care in clinical practice, as well as promote policy initiation within the health care facilities. Method planning integrated the Knowledge to Action Cycle. …

Will The Implementation Of Nurse Competency Days Improve Knowledge And Satisfaction In Nursing Staff Of A Community Health Center?, Christina Morton

Epsilon Sigma at-Large Research Conference

Background: Nursing competencies are important for quality of care, patient safety, and identifying gaps in knowledge and skills. Patient harm has been linked to a lack of competency and insufficient policy and procedures.

Purpose: The purpose of this quality improvement project was to achieve standardization of nursing competencies within nurse-led clinics.

Aims: The aims of this project were to validate select competency days and determine the satisfaction of the competency days by the participants. The second aim of this project was to develop an electronic tracking form. A third aim was to develop and present a policy and procedure …

The Effects Of Age, Employment, Marriage, And Education On Academic Motivation In Undergraduate Nursing Students, Jessica Hamm Msn Rn Phd Student

Epsilon Sigma at-Large Research Conference

The Effects of Age, Employment, Marriage, and Education on Academic Motivation in Undergraduate Nursing Students

Purpose: The amount of research on non-cognitive variables affecting motivation is limited in nursing students. By using Self-Determination Theory, faculty can determine what motivates students to learn which will allow the creation of a learning environment that promotes student achievement.

Aim: To determine the effect age, marriage status, employment, and education level have on academic motivation in nursing students in the third semester of a baccalaureate nursing program within the framework of Self-Determination Theory.

Method: A descriptive correlational design was used to identify the effect …

Recipe For Research Success: Mentorship & Organization, Kristen Montgomery

Epsilon Sigma at-Large Research Conference

Kristen S. Montgomery, PhD, CNM is an Assistant Professor at East Tennessee State University College of Nursing in Johnson City, TN. She received her PhD in Nursing from Case Western Reserve University in Cleveland, OH, her MSN in perinatal nursing from the University of Pennsylvania in Philadelphia, and her BSN from Oakland University in Rochester, Michigan. She received a post-master’s certificate in nurse-midwifery from East Carolina University and completed a Post-Doctoral Program in Health Promotion and Risk Reduction Interventions at the University of Michigan.

Implementation Of A Healthy Skin Committee And Education On The Number Of Hospital Acquired Pressure Injuries, Laura Viana

SACAD: John Heinrichs Scholarly and Creative Activity Days

Abstract

Over the years, hospital-acquired pressure injuries (HAPI) have emerged as a significant challenge in the healthcare industry. Despite significant advancements in healthcare, pressure injuries continue to be a persistent global healthcare issue, closely linked to the safety of patients, affecting patient outcomes, and increasing healthcare costs (Gaspar et al., 2019). HAPIs are associated with increased morbidity and mortality rates. HAPIs are likely to experience longer hospital stays, increased risk of infections, higher treatment costs, and potentially more significant health complications. HAPIs commonly occur in the hospitalized patient and are costly and preventable. Given the implications of HAPIs, there is …

Strategies Over Knowledge: Training Gaps Present In Caring For Patients With Autism Spectrum Disorder For Pediatric And Student Nurses, Jasmine E. Johnson

Honors Thesis

With Autism Spectrum Disorder (ASD) prevalence ever increasing among the pediatric population, nurses can expect to see an increase in the number of autistic patients within their clinical practice settings. Previous researchers have shown that pediatric nurses are required to overcome many barriers when working with autistic patients, and adequate training is necessary to achieve genuine patient-centered care. However, parents have reported less than optimal care received by their children with ASD within the healthcare system. Therefore, research is needed to determine where training could be improved for this patient population. This study aimed to identify where training deficits are …

Implementation And Evaluation Of A Structured Mentorship Program, Cary Bedinghaus, Caroline Hillman

Doctor of Nursing Practice Scholarly Projects

The project addresses mentorship in a graduate nursing anesthesia program. The goal is to improve the existing mentorship program and to implement a durable and consistent system that gathers and responds to feedback from the students. Two literature reviews form the underpinnings of the structure and evaluation components of the project. Three structural components were identified in the review as highly effective in multiple studies of diverse mentorship programs. The first component is establishing an effective dyad matching scheme. The second component is establishing clear goals. The third component is maintaining the relationship and achieving goals through frequent and consistent …

The Development And Initial Validation Of An Empathy Scale For Higher Education Instructors, Jennifer R. Bridenbaugh

Dean's Leadership Council Library Research Prize

The relationship between a teacher and student can be an important part of student success, especially for students of higher education. One factor that may influence student outcomes is the level of empathy a teacher may demonstrate toward a student. Empathy is an important part of interpersonal relationships as it promotes a feeling or understanding of another’s emotions through taking on a different perspective. Empathy can also produce a response leading to altruistic behavior. According to some theoretical models the prosocial characteristic of empathy contributes to the social emotional competence (SEC) of a teacher or instructor. The higher the SEC …

Scopes Of Practice For Advanced Practice Nursing And Advanced Practice Midwifery In Kenya: A Gap Analysis, Eunice Ndirangu, Rachel Kimani, Catherine Onyancha, Bernard Mutwiri, Beatrice May, Isabel Kambo, Nicholas Koech, Ann Mukuna, Colette Henderson, Constance Shumba

School of Nursing & Midwifery, East Africa

Background: There is increasing global evidence on the impact of advanced nursing andmidwifery practitioners, and Kenya’s healthcare system has an excellent opportunity todevelop scopes of practice and other regulatory frameworks for the integration of theseroles.

Objective: The primary purpose of this gap analysis was to explore the existing evidenceon opportunities and threats toward the integration of the advanced practice nursing(APN) and advanced practice midwifery (APM) roles in Kenya’s healthcare system.

Methods: The study team conducted a structured electronic database search of PubMed,CINAHL, Scopus, EBSCOhost Academic Search Complete, and PsycINFO to retrievearticles and credible websites for reports highlighting the opportunities …

A Job Satisfaction Evaluation Of Nursing In The United States And Greece Utilizing The American Nurses Association's Scope And Standards Of Practice, Audrey Narhi

Honors Projects

Nursing is a multifaceted profession that is constantly evolving with the health needs of the populations it serves. Professional organizations within the field utilize evidence-based practice to provide guidelines of what best-practice nursing is. This study aims to evaluate if the American Nurse's Association (ANA), a professional nursing organization in the United States, supports the realities of nursing in a rural US hospital. An international perspective is also considered by evaluating the same principles to a urban hospital in Athens, Greece. Categories that align with ANA Scope and Standards, including workplace environment, career development, supervisor relationships, and personal work practice, …

Social, Cognitive, And Teaching Presence As Predictors Of Online Student Engagement Among Msn Students, Mark Littler

Walden Dissertations and Doctoral Studies

The dynamics of higher education have changed as a result of online learning. However, it can be challenging for teachers to effectively engage students online. Furthermore, limited research about the relationship between presence and online student engagement is a social problem that impacts the quality of online nursing education. The purpose of this nonexperimental quantitative research study was to examine the relationship between social presence, cognitive presence, teaching presence, and online student engagement among MSN students. The community of inquiry (CoI) framework was used to guide this study. The research question addressed the relationship between social presence, cognitive presence, teaching …

Student Peer Mentorship In Prelicensure Nursing Programs: A Scoping Review, Jacqueline Avanthay Strus, Julie Savard, Chloe Manaigre, Teaghan Mitchell, Ariane Gauthier, Patricia Bourrier, Rhéanne Girard, Danielle De Moissac

Quality Advancement in Nursing Education - Avancées en formation infirmière

Abstract

A scoping review was undertaken to inform the development of a peer mentoring program in the nursing faculty of an official-language francophone minority post-secondary institution in Western Canada. Semi-structured interviews were conducted with mentorship coordinators in seven undergraduate nursing programs across Canada. The results of the semi-structured interviews were used to corroborate the information gathered during the scoping review.

Analysis of the scoping review showed that the mentoring programs were designed based on a perceived need expressed by faculty and students. All programs involved a multi-stage implementation and evaluation process. Many articles focused on the benefits of implementing mentoring …