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The Relationship Between Professional Nurse Certification And Nurse-Sensitive Patient Outcomes In The Acute Care Setting: An Integrative Literature Review, Julie Oss

Nursing Masters Papers

Healthcare organizations are charged with controlling rising costs, integrating services, and improving the quality of care. This Scholarly Inquiry Project has led to a closer look at the impact nurses have on patient care outcomes. Little research correlates specialty nurse certification with patient outcomes, even though certification is the hallmark of excellence in clinical nursing practice. Qualitative data validates that nurses who attain specialty certification report feeling more empowered, having additional innate worth, and more collaborative influence. Despite the robust subjective evidence, limited data exist to demonstrate the objective benefits of specialty certification on patient outcomes. The purpose of this …

Cardiac Resuscitation Training: An Integrative Literature Review, Dominick Pahl

Nursing Masters Papers

Despite highly trained healthcare professionals being readily available to respond to In-Hospital Cardiac Arrest (IHCA), a patient experiencing an IHCA often remains a devastating event for the patient. Each year in America, 13.5% of all deaths result from sudden cardiac arrest. Even with healthcare professionals certified in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS), the survival rates following an IHCA are not inspiring. The median survival rate to hospital discharge of an adult experiencing IHCA is 26.4% and 49.5% for the pediatric population. Despite a continued focus on improving CPR quality from the American Heart Association (AHA), …

Barriers To Colorectal Cancer Screening In Adults: An Integrative Review, Julie Sanger

Nursing Masters Papers

Colorectal Cancer (CRC) is the third leading cause of death among American men and women. Colorectal cancer is a preventable cancer, with CRC screening recommended from the age of 50. The percentage of people who complete the recommended CRC screening is low. Individuals throughout the United States (US) are rarely offered the opportunity to discuss screening options with their provider and may never complete CRC screening due to multiple barriers. The purpose of this scholarly integrative review is to explore the reasons individuals are not completing CRC screening, including those related to different US populations, and discuss interventions that can …

Developing A Total Knee Care Pathway To Reduce Hospital Length Of Stay While Maintaining Quality Of Care, Katie Pace

Nursing Masters Papers

From 2002 to 2013, there was an increase in the number of total joint replacement procedures performed as well as a rise in healthcare costs associated with such procedures. The Affordable Care Act of 2012 leveraged a shift in Medicare reimbursement from a fee-for-model (a payment model where services are paid separately) to a bundled payment method linked to quality of care. Joint replacement surgeries, specifically total knee arthroplasties (TKA), are one of the largest procedural expenditures for Medicare. To reduce costs, care associated with a TKA procedure was bundled to include all aspects of the procedure including post-operative supportive …

A Case For Delirium Risk Prediction Models To Aid In Triaging Resources To Those Most At Risk An Integrative Literature Review, Tammy Perttula

Nursing Masters Papers

Abstract

Delirium is a complex syndrome resulting from compounding effects of acute illness, comorbidities, and the environment. It results in adverse outcomes: elevated mortality rates, length of stay, readmissions, institutionalization, long-term cognitive changes, and diminished quality of life. The rate of iatrogenic delirium is astounding, ranging from 10%-89%. There are no curative treatments; thus, primary prevention is the key. The purpose of this literature review is to identify and critique the research for the accuracy of risk stratification and feasibility in practice. Support for interventions that prevent delirium is mounting; however, interventions are resource-intensive and often not implemented. Researchers have …

Effectiveness Of Order Sets In The Management Of Diabetic Ketoacidosis And Hyperosmolar Hyperglycemia, Steven Gort

Nursing Masters Papers

Diabetes mellitus (DM) is an endocrine disorder that affects the metabolism of glucose, for which there were an estimated 415 million cases world-wide. There are two common types of DM, Type 1 and Type 2. A significant difference between the two types of DM is the underlying cause of the disease but the two disease processes have similar characteristics. Both Type 1 and Type 2 DM can be associated with severe complications. Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) are two of the most common medical emergencies. DKA is commonly found in those with Type 1 DM and can …

Stress And Burnout In Nurse Leaders, Laura E. Johnson, Kiersten J. Nichols, Jayme A. Sakhitab

Nursing Masters Papers

Problem: Nurse leaders commonly experience stress and self-reported burnout. The associated negative consequences are compelling, yet few studies to date consider the nurse leader population. Stress is “a multidimensional phenomenon determined by a person’s perceptions and may be assessed as harm, loss, threat, or challenge” (Udod, Cummings, Care, & Jenkins, 2017a, p. 160). Burnout is a lack of professional fulfillment caused by emotional, physical, and psychological stress (Nurse Burnout, 2019). Drivers are associated and contributing factors which lead to stress and self-reported burnout.

Purpose: The purposes of this correlational study are to (a) identify drivers from the literature and …

Managing Nursing Incivility: An Integrative Literature Review, Tina Carlson

Nursing Masters Papers

Incivility among nurses is a problem that affects healthcare at multiple levels. Incivility can lead to intimidation that can distract clinical judgment, putting patient safety in jeopardy. Incivility affects patient safety as it is a “contributing factor to 98,000 deaths each year in acute care settings” (Lesater, Mood, Buchwach, & Dieckmann, 2015 p.17). In addition, incivility impacts healthcare organizations related to nursing turnover rates and can cost hospital organizations up to 125% of a registered nurse’s (RN) annual salary to replace each individual nurse who leaves their job (Stagg, Sheridan, Jones, & Speroni, 2013). The Joint Commission and American Nurses …

Autonomy And The Patient’S Perspective On Physician-Assisted Suicide, Anna Dykhuis

Nursing Masters Papers

Introduction: Physician-assisted suicide (PAS) is an end of life (EOL) option that involves a patient ingesting a lethal medication that has been prescribed by a physician after a complex vetting process. In certain countries and states within the United States (US) where PAS is legal, patients avoid EOL suffering and may have more control over the dying process.

Scholarly Inquiry Question: Do patients who seek end-of-life care by means of PAS have a greater sense of control of their dying process versus those patients who do not or are not allowed to participate in PAS?

Supporting Evidence: Physical and …

Hospital To Home: Fall Prevention Interventions For The Discharging Patient, Joy Bridewell

Nursing Masters Papers

Falls is a major public health problem globally, with an estimated 646,000 fatal falls per year. This makes falls the second leading cause of unintentional injury death. Falls are very costly with non-fatal fall injuries costing about $50 billion per year and fatal falls with an estimated $754 million. Many risk factors contribute to a person’s risk of falling. Risk factors include age, gender, muscle strength, underlying medical or disabling conditions, and unsafe environments. Patients who have been hospitalized are also among those at risk. Most hospitalized patients are assessed frequently to determine their risk of falling so that care …

An Integrative Review Of Early Ambulation's Effects On Vascular Complications Four Hours Post-Femorial Pci, Mackenzie Lucca

Nursing Masters Papers

As femoral access percutaneous cardiac interventions (PCIs) increase in the United States, so will vascular complications. Nurses play a vital role in increasing comfort and decreasing vascular complications in patients who have undergone a femoral access PCI, through monitoring and early ambulation. Early ambulation is supported by the literature, yet a sacred cow of nursing, prolonged bed rest, continues in clinical practice with varied nursing perception of optimal early ambulation time. The purpose of this integrative review was to assess if nursing perception of optimal ambulation time after a femoral access PCI, four hours, has any impact on vascular complications …

A Systematic Search And Review On The Efficacy, Safety, And Cost-Effectiveness Of Utilizing Lactobacillus Probiotics In Concurrence With Prescribing Antibiotics To Reduce Clostridium Difficile Infection Rates In Hospitalized Patients, Laura Sheehan

Nursing Masters Papers

Incidence of Clostridium difficile infection, (CDI) in patients receiving antibiotics is significant. In 2017, there were approximately 223,900 cases of CDI in hospitalized patients alone (Center for Disease Control [CDC], 2017). Despite enhanced infection control measures, CDI rates remain prevalent and are associated with increased costs to healthcare. An integrative literature review and synthesis was performed. Studies were analyzed to delineate if Lactobacillus containing probiotics, when administered concurrently with high risk antibiotics, decrease CDI rates for patients in the inpatient hospital setting. Additional analysis of probiotic safety and a cost versus benefit analysis was researched. The purpose of the review …

Nursing Practice And The Prevention Of Catheter Associated Urinary Tract Infections, Laura Sherburne

Nursing Masters Papers

There are numerous healthcare associated infections (HAIs) that individuals can acquire while receiving care in an acute healthcare facility. Catheter associated urinary tract infections (CAUTIs) are HAIs that may cause increased lengths of stay, hospital costs, and mortality for patients. CAUTIs may be preventable through evidence-based nursing interventions and care. Using CINAHL, PubMed, and ProQuest, an evidence-based practice inquiry was conducted on the prevention of CAUTIs. Ten articles were chosen based on the relevance to the clinical question and quality of research. The articles were English language, peer-reviewed, and published within the last ten years. The levels of evidence ranged …

Fear Of Recurrence In Ovarian Cancer Survivors And Their Spouses, Brandon R. Crouley, Jennifer L. Skaden

Nursing Masters Papers

Problem: Fear of Cancer Recurrence (FCR) is a frequent and prevalent phenomenon experienced by ovarian cancer survivors and spouses throughout survivorship.

Purpose: The purpose of this secondary analysis was to analyze the perceived level of FCR by the years of survivorship in women with ovarian cancer and their spouses.

Theoretical/Conceptual Framework: The theoretical framework for this research study was based on the Common-Sense Model of Illness developed by Leventhal, Diefenbach, & Leventhal (1992) and further expanded by Lee-Jones et al. (1997).

Method: This was a secondary analysis of data from a large study of predictors of adjustment using the demographic …

Simulation In Nursing Education: A Literature Review On Debriefing, Rebecca Rausch

Nursing Masters Papers

The purpose of this literature review is to evaluate and compare debriefing models used during simulation experiences and to make recommendations for nurse educators and researchers about debriefing. Learning does not occur during a simulated experience alone, but occurs as a result of the experience and the purposeful reflection and analysis following the experience. This purposeful guided reflection and analysis is known as debriefing. The method used in this scholarly inquiry paper is a literature review.

Five debriefing frameworks were reviewed and summarized in detail. The goal was to identify best practices for simulation debriefing to foster undergraduate nursing students’ …