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Using Mindfulness In Nursing Burnout. An Integrative Review., April Day Branham
Using Mindfulness In Nursing Burnout. An Integrative Review., April Day Branham
Doctoral Dissertations and Projects
The purpose of this integrative review is to evaluate if mindfulness is effective in decreasing nursing burnout. Nursing burnout has negatively affected the nursing profession for many years, and since the COVID-19 pandemic, it appears to be worse. Mindfulness is a practice that has been used for decades, however, it is gaining more attention in the nursing realm. Mindfulness consists of being present in a moment without judgment. It can consist of individual exercises that are completed using an instructor in person, in an application on a smartphone or computer, or yoga-based mindful activities. A preliminary literature review was completed …
The Lived Experiences Of The Newly Graduated Generation "Z": Registered Nurse Entering The Intensive Care Unit, Matthew Robert Loveitt
The Lived Experiences Of The Newly Graduated Generation "Z": Registered Nurse Entering The Intensive Care Unit, Matthew Robert Loveitt
Doctoral Dissertations and Projects
The purpose of this transcendental phenomenological study was to illuminate, understand, and describe the meaning of the lived experiences of Gen Z new graduate registered nurses (NGRNs) transitioning directly into the ICU in their first position as registered nurses. Duchscher’s stages of transitional theory and the Strauss-Howe generational theory provided this study’s theoretical framework, focusing on the Gen Z NGRN transition into practice. This study answered the following central research question: What is the lived experience of Gen Z NGRNs transitioning into the ICU work environment employed in their first position as registered nurses? Data were collected for this study …
Correlation Between Purposeful Patient Medication Education And Patient Experience Scores, Paula Shredl
Correlation Between Purposeful Patient Medication Education And Patient Experience Scores, Paula Shredl
Doctoral Dissertations and Projects
The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a national grading system that is used by payors to determine patients’ perception of their hospital stay. This public benchmarking system is tied to reimbursements and encompasses several domain areas. The medication and nursing domain questions revolve around how the nursing staff explained the purpose and possible side effects of patient medication. This project targeted a medical-surgical unit in a suburban faith-based hospital that was not meeting the national benchmarks in the nursing domain. The purpose of this evidence-based practice project, which was conducted using the Iowa Model of …
The Nurse's Lived Experience Of Transferring Nutrition Knowledge To Patients: A Descriptive Phenomenology, Kendrah Lynne Cunningham
The Nurse's Lived Experience Of Transferring Nutrition Knowledge To Patients: A Descriptive Phenomenology, Kendrah Lynne Cunningham
Doctoral Dissertations and Projects
This descriptive phenomenological qualitative study aimed to gain insight into the nurse’s lived experience of transferring nutrition knowledge to patients. Nurses play an important role in assisting the patient to become more proficient in health and nutrition literacy to make proper choices related to their nutrition. It is necessary to evaluate the lived experience of the nurse in transferring nutrition knowledge to patients. There is a gap in the literature on nurses’ experience in providing nutrition knowledge to their patients. This descriptive phenomenological qualitative study examines the lived experience of nurses in transferring nutrition education to their patients. This was …
Camera Assisted Monitoring Device As A Tool To Reduce Falls In Inpatient Adults: An Integrative Review, Pamela Oriaifo
Camera Assisted Monitoring Device As A Tool To Reduce Falls In Inpatient Adults: An Integrative Review, Pamela Oriaifo
Doctoral Dissertations and Projects
Background: Adult inpatient falls remain a significant challenge in many hospitals, resulting in poor quality of life and severe financial burden. There have been tremendous efforts to curb the number of falls ranging from environmental modification, clinician education, review of medications, and use of assistive devices. One such assistive device is the use of camera monitoring systems. This systemic review scopes camera/video-assisted fall prevention programs in hospitals. It was hypothesized that camera/video-assisted fall prevention programs would reduce adult inpatient fall and costs significantly. The outcomes of camera or video-assisted fall prevention programs were considered in some hospital settings. Method: The …
The Efficacy Of Statin Therapy In Reducing Cardiovascular Accident Stroke (Cva) Risk Among Type 2 Diabetes Adult Patients Using Patient-Centered Care: An Integrative Review, Bridgett Simone Anckle
The Efficacy Of Statin Therapy In Reducing Cardiovascular Accident Stroke (Cva) Risk Among Type 2 Diabetes Adult Patients Using Patient-Centered Care: An Integrative Review, Bridgett Simone Anckle
Doctoral Dissertations and Projects
This study was an integrated review that comprehensively analyzed the efficacy of statin therapy in mitigating the risk of cardiovascular accidents (CVA) among individuals with type 2 diabetes mellitus (DM). The research seeks to explore statin management in preventing CVAs, a significant concern for this patient population. The study conducts a thorough synthesis of twenty-one peer-reviewed articles, critically evaluating the efficacy, safety, adherence factors, and cost-effectiveness of statin therapy for diabetic patients. The study adhered to the Whitmore and Knafl Framework and used the constant comparison approach to systematically categorize and pattern findings, culminating in an integrated understanding of statin …
Reducing Readmission Rates In Adult Patients (18–25 Years) With Alcohol And Substance Use Disorder Through Implementation Of Care Coordination Strategy: An Integrative Review, Godswill Evouka
Doctoral Dissertations and Projects
Alcohol and substance use disorders are a major issue in adults ages 18 to 25. According to the 2021 National Survey on Drug Use and Health, 6.6 million young adults ages 18 to 25 reported that they drank alcohol in the past month, and 2.4 million young adults ages 18 to 25 reported heavy alcohol use in the past. Over 20 million alcohol use cases were reported in the past year in the United States. Further, 21.6% of patients with drug use disorders were readmitted to hospitals within 30 days of discharge. Adults ages 18 to 25 years who are …
Improving Stemi Transfer Times, Beth Anne Geiger
Improving Stemi Transfer Times, Beth Anne Geiger
Doctoral Dissertations and Projects
Early identification and treatment for the patient experiencing an ST elevation myocardial infarction is imperative. The American Heart Association and the American College of Cardiology have provided national guidelines to standardize the expectation of care for these patients. When organizations are not equipped to perform a percutaneous coronary intervention, the patient requires transfer. Delay in patient transfer leads to increased morbidity and mortality and poor patient outcomes. For this reason, it is essential that non-PCI capable hospitals have a standard protocol that is followed to expedite treatment and transfer of the patient to a higher level of care. This project …
Determining The Effectiveness Of Gender-Based Integrated Care For Women Veterans: An Integrative Review, Karina Karin Espinoza-Palmer
Determining The Effectiveness Of Gender-Based Integrated Care For Women Veterans: An Integrative Review, Karina Karin Espinoza-Palmer
Doctoral Dissertations and Projects
As the Veterans Health Administration (VHA) improves their services to keep up with the needs of the rapidly-rising population of minority veterans, the aspects of gender-sensitive care must be tailored to the needs of women veterans. The purpose of this integrative review was to discover and critique evidence-based research studies of women veterans to determine the state of gender-sensitive care for improving access and coordination care, specifically to enhance mental health approaches needed at VA settings. The women veterans minority population is the fastest growing group of patients in the Department of Veterans Affairs (VA). Women veterans are less likely …
Implementation Of Nutritional Screening In Adults (Ages 19-65) With Major Depressive Disorder: An Integrative Review, Laurie S. Stephens
Implementation Of Nutritional Screening In Adults (Ages 19-65) With Major Depressive Disorder: An Integrative Review, Laurie S. Stephens
Doctoral Dissertations and Projects
The World Health Organization estimates the total percentage of depression at 3.8% and projects it to be the leading cause of global disability by 2030 (WHO, 2023). The economic burden for adults with major depressive disorder in the United States is estimated at a staggering annual cost of 236 billion dollars (Greenberg et al., 2018). Nutritional psychiatry is a growing subspecialty focused upon how diet can improve mental health outcomes. The evidence shows a correlation between diet and depression, influencing questions on how this translates to current dietary recommendations and treatment. An integrative review of current literature was performed to …
Discrimination Against Hispanic And African American Women And Interventions To Improve Patient Outcome: An Integrative Review, Sandi Daneri Cruz Rivera
Discrimination Against Hispanic And African American Women And Interventions To Improve Patient Outcome: An Integrative Review, Sandi Daneri Cruz Rivera
Doctoral Dissertations and Projects
Racial discrimination in health care has been a heavy topic of discussion on social media. Discrimination against women of color such as those of African American and Hispanic descent has been found to have negative health effects. The aim of this project was to identify how racial discrimination influenced African-American and Hispanic women’s health and current interventions that have been implemented to help address these issues. The findings showed that women who experienced discrimination not only in health care but in everyday life did experience negative health outcomes including cardiovascular disparities, obesity, increasing inflammatory markers, and mental health disparities. Implementations …
Investigating Nurses Lived Experiences Toward Family Presence During Resuscitation To Enhance The Future Of Nursing Curriculum, Laurie Stone
Investigating Nurses Lived Experiences Toward Family Presence During Resuscitation To Enhance The Future Of Nursing Curriculum, Laurie Stone
Doctoral Dissertations and Projects
Death is inevitable, but dying alone can be an agonizing prospect for patients and their families. Family presence during resuscitation (FPDR) is a controversial but evidence-based concept that helps relieve some of the fear and anxiety for the family. Sadly, loved ones are often not allowed to be with the patient during resuscitation. FPDR importance is typically taught within the healthcare setting but still lacks implementation. By starting education while healthcare students are in a higher learning setting, this concept has a higher probability of success. To fill the gap concerning FPDR, this researcher interviewed nurses who have witnessed FPDR. …
Hypothermia In The Operating Room Promoting Normothermia In The Hysterectomy Population, Adina Indries
Hypothermia In The Operating Room Promoting Normothermia In The Hysterectomy Population, Adina Indries
Doctoral Dissertations and Projects
Certified Registered Nurse Anesthetists are Advanced Practice Providers that provide safe, evidence-based practice to their surgical patients. They not only monitor the vital signs throughout surgery but also strive to improve care and outcome by implementing different measures to keep the patient safe and promote a positive outcome during a stressful time for the surgical patient. To improve outcomes, it has been identified that hypothermia is a common occurrence in the surgical patient, especially in the GYN surgical population at this level one trauma center. Hypothermia is defined as the body’s core temperature less than 36 degrees Celsius. With hypothermia …
Complementary And Integrative Therapies Available For Treating Veterans With Ptsd: An Integrative Review, Kelly Ann Greene
Complementary And Integrative Therapies Available For Treating Veterans With Ptsd: An Integrative Review, Kelly Ann Greene
Doctoral Dissertations and Projects
PTSD is described as the resulting from exposure to threatened or real injury, death, or sexual violence. Its symptoms have four different clusters: avoidance, re-experiencing, hyperarousal, and negative alterations in mood. PTSD is a widespread diagnosis among U.S. military veterans. This is a way of daily life for many veterans, and not all therapy is successful. The Veterans Health Administration (VA) recognizes that conventional therapy is not always appropriate for each veteran with PTSD. The VA has developed the Whole Health approach, which represents a move toward more person-driven health care, which the VA characterizes as proactive, patient driven, and …
Treatment Of Rib Fractures Of The Elderly Patients In The Acute Care Setting: An Integrative Review, Adella Jo Boeding
Treatment Of Rib Fractures Of The Elderly Patients In The Acute Care Setting: An Integrative Review, Adella Jo Boeding
Doctoral Dissertations and Projects
This integrative review aimed to identify best practices associated with treatment for multiple rib fractures. The clinical question is, “In patients 60 and older with multiple rib fractures, are conservative treatments more effective in reducing comorbidities and mortality than surgical treatments?” This Integrative Review was conducted using Whitemore and Kanfl’ as a framework. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were also used to conduct this review. Steps included problem identification, literature search with inclusion and exclusion criteria, data evaluation, data analysis through reduction and extraction, and presentation. This integrative review established that people over 65 experience …
Impact Of Fall Education To Nursing Staff On Oncology Patient Fall Rates, Danni Nina Sloane
Impact Of Fall Education To Nursing Staff On Oncology Patient Fall Rates, Danni Nina Sloane
Doctoral Dissertations and Projects
Falls and fall-related injuries impact patients' health outcomes and are the most commonly reported adverse event in hospitals for patients over 65 years of age. This scholarly project was conducted to evaluate the effect of evidence-based education to the Registered Nurses and Certified Nursing Assistance in the medical and surgical oncology inpatient on reducing the number of patients falling. Retrospective reviews of patient fall rates, were conducted two months before the fall educational sessions, and prospective reviews were conducted after implementing fall education. Patient falls also affect reimbursement rates and, on average, increase a patient’s length of stay by about …
The Lived Experiences Of Nursing Students Spiritual Well-Being During The Covid-19 Pandemic: A Phenomenological Research Study, Pamela Williams-Jones
The Lived Experiences Of Nursing Students Spiritual Well-Being During The Covid-19 Pandemic: A Phenomenological Research Study, Pamela Williams-Jones
Doctoral Dissertations and Projects
The purpose of this hermeneutic phenomenological study was to examine the concept of the spiritual well-being of senior-level nursing students during the COVID-19 pandemic. This research was reinforced by Parse's (1992) human becoming theory which contains the construct of spirituality. Student nurses are “knowing beings" with a sense of purpose, constantly propelling themselves toward possibilities and freely choosing personal meaning in situations in an intersubjective process of relating value priorities. This study will also be reinforced by the conceptual framework of the spiritual framework of coping by Gall et al. (2005). This framework was used to guide the nursing students' …
Evaluating The Need For Return-To-Learn Concussion Protocols In High School Student-Athletes: An Integrative Review, William David Midgette
Evaluating The Need For Return-To-Learn Concussion Protocols In High School Student-Athletes: An Integrative Review, William David Midgette
Doctoral Dissertations and Projects
Over a million high school students are estimated to sustain at least one sports-related concussion annually. Unfortunately, over a third of these student-athletes suffer from post-concussion syndrome, which leads to the question of whether student-athletes are allowed proper time to heal after a concussion or if more can be done to optimize concussion recovery. Proper and optimal recovery post-concussion encompasses both physical and cognitive rest. While concussion management has traditionally focused on the physical aspects of recovery, emphasis has shifted to the cognitive impacts of concussions. There is literature to support that cognitive rest is vitally important, if not equally …
Whether Covid-19 Infection Affects Human Cognitive Function, June Li Alsgaard
Whether Covid-19 Infection Affects Human Cognitive Function, June Li Alsgaard
Doctoral Dissertations and Projects
The COVID-19 pandemic, resulting from the SARS-CoV-2 virus, continues to impact the daily lives of individuals worldwide. Although research has been conducted on long-COVID symptoms, the underlying causes remain unclear. Notably, instances of neurological decline have been observed following SARS-CoV-2 infections. 125,573 articles regarding neurological damage and cognitive disfunction were published and can be found from major research databases. For this scholarly project, 25 peer-reviewed journal articles pertaining to long-COVID and neurologic function changes, as well as potential underlying reasons for these changes, were curated. The proposed hypotheses include the virus' ability to pass through and harm the blood-brain barrier …
High Fructose Corn Syrup And Sugar Substitutes: Hemoglobin A1c Implications In Diabetes?, Rachelle S. Glover
High Fructose Corn Syrup And Sugar Substitutes: Hemoglobin A1c Implications In Diabetes?, Rachelle S. Glover
Doctoral Dissertations and Projects
Diabetes mellitus type 2 (DMt2) is an increasing health concern of epidemic proportion in the United States. High fructose corn syrup (HFCS) and artificial sweeteners (AS) have been implicated as contributory factors to DMt2. This project seeks to demonstrate elimination of daily consumption of HFCS and AS in DMt2 patients can contribute to lower hemoglobin A1C (HgbA1C) levels by comparing two groups of patients receiving two differing diabetes education programs. A reduction of HgbA1C levels by 0.2-0.5% is expected in DMt2 patients instructed to eliminate HFCS and AS, and no change is expected in HgbA1C levels in DMt2 patients receiving …
How Geriatric Courses Affect Bachelor Of Science In Nursing Students’ Attitudes And Intentions To Work With Older Adults: A Mixed Methods Study, Nina C. Hoskins
How Geriatric Courses Affect Bachelor Of Science In Nursing Students’ Attitudes And Intentions To Work With Older Adults: A Mixed Methods Study, Nina C. Hoskins
Doctoral Dissertations and Projects
The purpose of this explanatory sequential mixed methods study was to determine if and how the completion of a didactic geriatric course influenced nursing students’ attitudes toward older people, and nursing students’ intentions to work with older adults among bachelor’s degree nursing programs in the Midwest region of the United States of America. An explanatory sequential design allowed the researcher to utilize qualitative data to explain the quantitative results, especially surprising or contradictory findings. To collect data from a convenience sample of 17 nursing students, the researcher used two psychometrically validated self-report instruments (Kogan's Attitudes towards Older People Scale and …
Measures Clinicians In The Urgent And Emergent Settings Can Use To Increase Psychosocial Support And Patient Satisfaction After Miscarriage: An Integrative Review, Ashley Luanne Kay Brown
Measures Clinicians In The Urgent And Emergent Settings Can Use To Increase Psychosocial Support And Patient Satisfaction After Miscarriage: An Integrative Review, Ashley Luanne Kay Brown
Doctoral Dissertations and Projects
In the United States, about one in four women will experience miscarriage and pregnancy loss sometime in their life. Miscarriage is a common and distressing event with significant physical and emotional consequences for women. Prompt and appropriate psychosocial support during the acute phase of miscarriage is essential for the well-being of patients and can positively impact their long-term recovery. However, urgent and emergent care settings often lack standardized protocols and guidelines for addressing the psychosocial needs of women who experience a miscarriage. The purpose of this integrative review is to provide clinicians in urgent and emergency settings with the tools …
A Clinical Nurse Leader Nurse Navigator Program For Heart Failure Patients, Shanna Lantel Negron
A Clinical Nurse Leader Nurse Navigator Program For Heart Failure Patients, Shanna Lantel Negron
Doctoral Dissertations and Projects
The purpose of this integrative review is to examine the literature regarding nurse-led educational interventions, transitional care (TC) strategies for heart failure (HF) patients, nurse navigation, HF self-care, and the clinical nurse leader (CNL) role to support integrating a CNL into the care delivery model serving as a nurse navigator (NN) for adult HF patients being discharged home from the hospital. The basis for this review is to identify an innovative way to improve patient reported and clinical outcomes for the HF population which increases each year. The economic and symptom burden associated with this disease is high further enhanced …
Managing Burnout In Nursing, Karen Starnes Bell
Managing Burnout In Nursing, Karen Starnes Bell
Doctoral Dissertations and Projects
Burnout is a widespread phenomenon characterized by a reduction in energy that manifests in exhaustion, lack of inspiration, and feelings of frustration which may lead to reduced work efficacy and multiple absences. In the nursing profession, long hours, the pressure of quick decision-making, and the stress of caring for patients who may have poor outcomes may contribute to burnout. This integrative review was conducted to identify variables that contribute to nurse burnout and discover strategies organizations can implement to reduce or prevent nurse burnout.
Nonpharmacologic Measures To Maintain Or Increase Bone Density In Patients At Risk For Osteoporosis: An Integrative Review, Katie Saporsky
Nonpharmacologic Measures To Maintain Or Increase Bone Density In Patients At Risk For Osteoporosis: An Integrative Review, Katie Saporsky
Doctoral Dissertations and Projects
Osteoporosis is a major phenomenon, impacting a large proportion of the population of the United States. Effective prevention and mitigation strategies for this condition and its related complications are necessary to promote health and well-being for the aging population. Current pharmacologic agents used to combat osteoporosis bring the risk of adverse effects, resulting in poor patient adherence. Nonpharmacologic methodologies, specifically weight-bearing exercise, targeted nutrition, and whole-body vibration, have proven to be successful in increasing bone mineral density and mitigating the risk of osteoporosis and its related complications. Implementing these methodologies results in increasing bone mineral density, strength, and well-being.
Does A Telehealth Education Program Improve Lifestyle Behaviors Of Individuals With Prediabetes?, Loretta A. Richardson
Does A Telehealth Education Program Improve Lifestyle Behaviors Of Individuals With Prediabetes?, Loretta A. Richardson
Doctoral Dissertations and Projects
Chronic conditions are a considerable burden on the healthcare system, and one that is becoming increasingly prevalent is diabetes. Prediabetes is a condition that has become more common and diagnosed in many patients before an actual diagnosis of diabetes. Healthcare professionals strive to empower individuals to make lifestyle changes to prevent diabetes from occurring by informing individuals on how to manage prediabetes. For individuals that do not make the necessary changes to lower their hemoglobin A1c to below the standards of less than 5.6%, a diagnosis of diabetes occurs. It is estimated that five per 1000 individuals are diagnosed with …
Kangaroo Care Impact On Maternal Health: An Integrative Review, Alexis Ann Lawson
Kangaroo Care Impact On Maternal Health: An Integrative Review, Alexis Ann Lawson
Doctoral Dissertations and Projects
Health care should progress and change as the needs of the population change. As light is shed on the mothers’ experiences during the postpartum period, there is an increasing need to find and implement evidence-based interventions to promote their health and wellness. As a vulnerable population, postpartum women require appropriate treatments and interventions to avoid postpartum complications. Three key themes of postpartum health and well-being that directly and significantly impact mothers are postpartum depression, maternal and infant attachment, and exclusive breastfeeding. This integrative review addressed the correlation between each of these themes and how kangaroo care, upright skin-to-skin contact, impacts …
Nursing Faculty Experiences Of An Academic Merger: A Transcendental Phenomenological Study, Sherry Michelle Boone
Nursing Faculty Experiences Of An Academic Merger: A Transcendental Phenomenological Study, Sherry Michelle Boone
Doctoral Dissertations and Projects
The purpose of this transcendental phenomenological study was to describe the experience of undergoing a merger of two or more academic institutions within the United States for nursing faculty who chose to voluntarily depart the organization following the merger. The theoretical framework guiding this study was social capital theory as it discusses the importance of relationships and the resources those relationships provide. While assets may be acquired during a merger, social capital must be developed over time and is important for building a new combined healthy organizational culture. The study included nine participants who departed the institution in the timeframe …
Assessing And Strengthening New Provider Education Related To Extrapyramidal Symptoms And Antipsychotic Medication Usage, Mesiah O'Mar Porter Jr.
Assessing And Strengthening New Provider Education Related To Extrapyramidal Symptoms And Antipsychotic Medication Usage, Mesiah O'Mar Porter Jr.
Doctoral Dissertations and Projects
Inadequate recognition and treatment of extrapyramidal symptoms (EPS) pose as a major liability to providers, as EPS can be life-threatening to patients, as they develop into metabolic syndrome, tardive dyskinesia (TD), or even death. Thus, insufficient usage of AIMS testing can negatively impact providers’ ability to meet associated care practice standards, when treating psychotic patients with antipsychotic medications. As a result, an evidence-based practice, quasiexperimental project was completed, utilizing the Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Healthcare. In alignment with this version of the revised Iowa Model, a pilot study was initiated to progress toward a formal …
Strategies To Prevent And Manage Peri Wound Skin Complications Associated With Compression Bandages Application In Patients With Venous Leg Ulcers: An Integrative Literature Review, Judith D. Plummer- Morgan
Strategies To Prevent And Manage Peri Wound Skin Complications Associated With Compression Bandages Application In Patients With Venous Leg Ulcers: An Integrative Literature Review, Judith D. Plummer- Morgan
Doctoral Dissertations and Projects
Skin maceration, pressure injury, skin-stripping, as well as less common dermatological problems, are frequently noted in patients treated for venous ulcers with compression bandages. Ongoing issues with infection can lead to unwanted effects, including hospitalization and unexpected expenses. This integrative review was synthesized using Whittemore and Knafl’s five-stage methodological framework. A systematic search was conducted through the following online databases: CINAHL, MEDLINE, PubMed, and ScienceDirect for articles available in English and available in full text. This integrative review aims to review, synthesize, and critique the current literature to determine what strategies have been implemented to prevent or manage dermatological problems …