Digital Commons Network^™

Exemplary Chief Nurse Executives Leading Through Storytelling, Tricia Kassab

Dissertations

Purpose: The purpose of this phenomenological study was to understand and describe how exemplary human resources administrators use storytelling to lead organizations using Denning’s (2011) model. In addition, it was the purpose to understand how they use storytelling to create transformational change. Denning’s The Leader’s Guide to Storytelling highlights eight storytelling narrative patterns: to ignite action, to communicate who you are, to build your brand, to transmit values, to foster collaboration, to share knowledge, to tame the grapevine, and to share vision.

Methodology: This phenomenological qualitative study described the lived experiences of exemplary elementary chief nurse executives in California. The …

Increasing Utilization Of Motivational Interviewing To Promote Pediatric Oral Health, Ulyses Reamico

Doctor of Nursing Practice (DNP) Projects

Prevalence of early childhood caries (ECC) remains high even in developed countries such as the United States. An interprofessional education (IPE) project between University of San Francisco (USF) School of Nursing and Health Professions and the University of the Pacific (UoP), Arthur A. Dugoni School of Dentistry was initiated four years ago to enhance nurse practitioner (NP) and dental students’ pediatric oral-systemic health assessment and health promotion communication skills. Since then, USF NP students received pediatric oral health assessment training and spent clinical rotations at UoP to provide pediatric oral care alongside dental students. This doctor of nursing (DNP) project …

Increasing Nursing Policy And Advocacy Engagement, Marketa Houskova

Doctor of Nursing Practice (DNP) Projects

At present, professional nursing does not benefit from strong policy development and advocacy influence in the United States. This project focused on CA nursing policy development and advocacy influence deficit among new members of a statewide professional nursing association. There are nearly 457,000 licensed registered nurses (RNs) in CA (BRN, 2019) and around 3.8 million RNs in the United States (AACN, 2019) making CA RNs twelve percent of the national nursing workforce. Yet only five percent of RNs serve on hospital boards, and legislative efforts to advance important nursing issues such as full practice authority for advanced practice RNs in …

Investigation Of The Relationship Between Mindfulness And Empathy In Pre-Nursing Students Exposed To A Four-Week Mindfulness Training, Debra L. Klich

Theses and Dissertations

Objective: To investigate the effects of a four-week mindfulness program on levels of mindfulness, empathy, and anxiety in a group of pre-nursing students.

Methods: This study utilized a multiple-baseline across subjects design. Results from nine study participants were examined.

Results: Data demonstrates that a detectable decrease in anxiety levels can result from participation in self-directed mindfulness program as short as four weeks. Results regarding mindfulness and empathy levels were less conclusive. A specific relationship between empathy and mindfulness cannot be determined from this study.

Conclusions: Because previous studies have demonstrated a persistence of skills, practice, and benefits acquired through mindfulness …

Willow Creek Women's Hospital Internship, Destinee Ross

The Eleanor Mann School of Nursing Undergraduate Honors Theses

While the use of midwifery is proven to improve outcomes for low-risk mothers and infants, many healthcare providers, nurses, and patients in Northwest Arkansas continue to be skeptical about utilizing midwifery care. During my internship, I worked directly with labor and delivery nurses, physicians, and a midwife at Willow Creek Women’s Hospital and provided high-quality care to women during their birthing process. This hospital focuses entirely on women and infant care and provides gynecological, obstetric, and newborn services. Willow Creek Women’s Hospital is also one of the few hospitals in Arkansas to implement a certified nurse-midwife (CNM) and has two …

Addressing Health Literacy Needs Of The Older Adult Focused On Improving Medication Adherence: An Online Education Program For Nurse Practitioners, Angela Pickerel

Dissertations

As healthcare providers, nurse practitioners are tasked with assuring patients have a clear understanding of their medical health, know how to navigate the healthcare system, and recognize the need to develop self-care skills. Several populations are known to be at risk for the effects of inadequate health literacy; however, the older adult population is at greater risk because of increased burdens related to negative effects of aging on cognitive skills and increased prevalence of chronic disease requiring complex medication regimens. Inadequate health literacy has been linked to increased risk of hospitalizations, emergency room visits, adverse drug reactions and interaction, and …

Motivational Interviewing For Weight Loss In Primary Care, Hannah Brumbaugh

Capstones & Scholarly Projects

Obesity is prevalent in this country and leads to many preventable deaths and chronic illnesses, including heart disease, diabetes, and various types of cancers. “Obesity is prevalent in the western world and leads to reduced life expectancy due to increased risk of chronic illness such cardiovascular disease” (Hardcastle, Taylor, Bailey, Harley, & Hagger, 2013, p. 2) It also has been established in the literature that even a small amount of weight loss, as little as 5% of a patient’s total body weight, has statistically meaningful risk reductions, especially those that relate to cardiovascular health. Behavioral interventions such as motivational interviewing …

Perinatal Mental Health: Improving The Quality And Consistency Of Health Care Delivery In Kootenai County, Leanne Elisha

Capstones & Scholarly Projects

Elisha, Leanne. Perinatal Mental Health: Improving the Quality and Consistency of Health Care Delivery in Kootenai County. Unpublished Doctor of Nursing Practice scholarly project, University of Northern Colorado, 2019. Perinatal mental health issues including depression, anxiety, posttraumatic stress disorder, mania, and psychosis occur frequently during pregnancy and after delivery; these issues have potentially devastating impacts on mothers, infants, other family members, and communities. Despite increasing awareness of perinatal mental health issues and formal recommendations to implement universal screening and ensure access to appropriate follow-up, there is wide variation in clinical practice across regions and providers. Inconsistent screening, paired with limited …

Screening For Melanoma For At-Risk Population: A Practice Guide, Sapana Shakya

Capstones & Scholarly Projects

Melanoma is a lethal skin cancer that kills one American every hour (American Academy of Dermatology, 2018b). The incidence and prevalence rate of melanoma is on the rise and continues to affect people, increasing the mortality and morbidity rate and financial burden of the disease. In 2016, the U.S. Preventive Services Task Force concluded that there was insufficient evidence to assess the balance of benefits and harms of visual skin examination by a clinician to screen for skin cancer in adults. However, this recommendation was only applicable to the patients who were asymptomatic. The routine skin cancer screening has shown …

Improving Mammography Adherence In The Primary Care Setting, Mckenzee Kemper

Capstones & Scholarly Projects

Despite exhaustive efforts over the past several decades aimed at prevention, early detection, and improved treatment regimens, breast cancer remains the most commonly diagnosed cancer among American women and is nearly the deadliest; it is second only to lung cancer in mortality (American Cancer Society [ACS], 2019; Centers for Disease Control and Prevention, 2018a; National Cancer Institute [NCI}, 2018). Women of average risk carry a 12% or 1 in 8 chance of developing breast cancer in their lifetime. Most recent estimates reveal 270,000 new breast cancer cases and over 42,000 breast cancer related deaths will occur in 2019 (ACS, 2019). …

Addressing Health Literacy Needs Of The Older Adult Focused On Improving Medication Adherence: An Online Education Program For Nurse Practitioners, Angela D. Pickerel

Capstones & Scholarly Projects

As healthcare providers, nurse practitioners are tasked with assuring patients have a clear understanding of their medical health, know how to navigate the healthcare system, and recognize the need to develop self-care skills. Several populations are known to be at risk for the effects of inadequate health literacy; however, the older adult population is at greater risk because of increased burdens related to negative effects of aging on cognitive skills and increased prevalence of chronic disease requiring complex medication regimens. Inadequate health literacy has been linked to increased risk of hospitalizations, emergency room visits, adverse drug reactions and interaction, and …

The Influence Of Job Motivation On Nurse Retention: A Study Of Vietnamese Private Hospital., Hoa Thi Ngoc Nguyen

Master's Theses

For years, the concept of motivation has been a popular topic of discussion among various researchers and practitioners. Nowadays, managers are continuously challenged to perceive the motivated factors in their employees in order to promoting the retention of the motivated workforce. Healthcare worker retention is critical for health system functionality; however, the key issue is how to best motivate and retain health care professionals. Unfortunately, there is a shortage of literature on measuring motivation of health workers in Vietnam especially among nurses. For this reason, the study was conducted to survey the influence of job motivation on nurse retention in …

Assess Knowledge And Practice Eye Care For Patients Of Intensive Care Unit Nursing Staff, Le Hong Liem

Master's Theses

Eye care for intensive care unit (ICU) patients is still flawed as surface eye diseases are reported to be frequent in these patients. As nurses focus on saving patients, this process has been easily overlooked. This researcher proceeded with this study to initially evaluate the current knowledge and practice of ICU nursing care and create a proposal to develop a standardized procedure for eye care for patients in the ICU. The sample in this study consisted of 14 female nurses working at Becamex International Hospital. The data collection took place during a one-week period. The educational program was conducted twice …

Patient Knowledge About Disease Self-Management Of Cirrhosis, Thuy Xuan Trinh

Master's Theses

This study aimed to define the level of understanding of self-management for patients with liver cirrhosis. A descriptive cross-sectional study was conducted. Thirty cirrhotic patients (14 females and 16 males) in the Gastroenterology Department of University Medical Center, Ho Chi Minh City in Vietnam participated in answering the questionnaire to evaluate their knowledge about liver disease self-management. The majority of cirrhotic patients had an unsatisfactory level of knowledge regarding self management of their disease, particularly in terms of recognizing and preventing complications from hepatic encephalopathy, monitoring for liver cancer, and awareness of medications they should not use. Implications of the …

An Investigation Of Factors Affecting The Work Motivation Of Nurses Working At University Medical Centers, Quynh Duc Nguyet Nguyen

Master's Theses

The study was conducted to investigate factors affecting the work motivation of nurses working at University Medical Center. The study also examined the correlation between factors that might affect work motivation such as demographic characteristics (age, gender, job position, work unit, educational level, etc.). Determination of the importance of motivational factors is essential for managers and would help them develop appropriate solutions to enhance motivation for nurses. A descriptive cross-sectional design was used. One hundred and forty (N = 140) nurses working at University Medical Center participated in answering a questionnaire to determine the importance of motivational factors. In addition, …

Improving The Knowledge Of Port-A-Cath Care For Nurses, Hoa Thi Nguyen

Master's Theses

The purpose of this research project was to evaluate the effectiveness of a training program to improve the knowledge of port-a-cath care for staff nurses. The main objectives were to assess staff nurses’ knowledge of the port-a-cath care process before the training program and measure knowledge of the device and the procedures associated with the use and maintenance of the device after training. The study used a one group pretest and posttest design. Simple random sampling was done in Hoan My Sai Gon Hospital, Ho Chi Minh City, Vietnam (N = 90). The study instrument was a questionnaire that consisted …

Evaluation Of Nurses' Perceptions Before And After Applying "I Pass (The) Baton", Tran Thanh Long

Master's Theses

The purpose of this study was to investigate nurses’ perceptions before and after applying “I Pass (The) Baton” at University Medical Center at Ho Chi Minh City in Vietnam. Hand-off relates to transmission of patient information across clinical teams. This process required a standardized communication framework to avoid medical gaps related to the loss of vital information and emphasize patient safety. The quasi experimential method with an educational intervention to explore nurses’ awareness was evaluated by the TeamSTEPPS Perception Questionaire (Agency for Healthcare Research and Quality, 2012). This questionnaire included items on the Team Strucutre, the Leadership, the Situation Monitoring, …

Effects Of English Proficiency On Nursing Student Empowerment And Intent To Leave The Program, Nadja James

Dissertations

Individual (learner) empowerment plays an important role in the learning environment. A more empowered student is more likely to be academically successful and complete their program of study. The findings of this study showed nursing students who felt less empowered had a greater intent to leave their nursing program. Many prelicensure nursing programs struggle with high attrition rates, especially minority students, including students from a culturally and linguistically diverse (CALD) background. Since effective communication is crucial in the learning environment, students with lower English proficiency tend to struggle in that area. Communication issues affect CALD students’ sense of empowerment and …

“You Never Know What You’Re Gonna Get!”: The Lived Health Care Experience Of Individuals Who Identify As Transgender, Joyce Lyn Cole

Dissertations

This study used descriptive phenomenological investigation to explore the lived health care experience of individuals who identify as transgender. Results gleaned from the study provide a resource for nurse educators to employ when preparing future nurses to practice in an increasingly diverse environment. Eighteen adult members of the transgender community who had experienced health care completed virtual face-to-face, in-depth interviews. The data provided a rich description of the experiences, and analysis yielded the identification of themes that illuminate the essence of the lived healthcare experience. Findings from the data indicate that the transgender health care experience can be unpredictable and …

Psychometric Evaluation Of The Casey-Fink Graduate Nurse Experience Survey, Kathryn C. Casey

Dissertations

Graduate nurses experience stress transitioning from the role of nursing student to practicing professional nurse. Understanding the graduate nurse’s role transition experience is important because excessive and unrelieved stress might influence job satisfaction and contribute to high turnover. Measuring and improving the role transition experience for graduate nurses has become important for healthcare organizations due to concerns regarding retention. A valid and reliable instrument was needed to assess the graduate nurse’s role transition experience. The Casey-Fink Graduate Nurse Experience Survey (Casey, Fink, Krugman, & Propst, 2004) is the most commonly used instrument to measure the stressors, fears, and challenges experienced …

Development Of A Clinical Guideline And Algorithm To Enhance Self-Efficacy In Non-Compliant Chronic Disease Patients, Karen Alexander

Capstones & Scholarly Projects

This scholarly project was a nonexperimental quality improvement project to create a practice care guideline and algorithm with the intention of enhancing self efficacy in non-compliant chronic disease patients within the primary care setting. The objectives of the clinical guideline and algorithm were to assist primary care providers in identifying low self-efficacy in chronic disease patients, provide guidance in selection of interventions to develop or improve self-efficacy in patients, and promote better disease management. The guideline outlines tools and techniques to give primary care providers the information and skills needed to improve strategies to counsel patients to become more active …

Oral Health During Pregnancy: Promoting Awareness Of Guidelines And Education Resources In The Evaluation Of Self-Perceived Efficacy To Educate, Screen, And Refer Women During Pregnancy For The Nurse Practitioner Student, Leah Salmans

Capstones & Scholarly Projects

Historically, oral health (OH) care has been largely misunderstood and excluded from the realm of primary care. However, this exclusion is at odds with the fact that oral health can and does have an impact on individuals’ general health and well-being. Oral disease is considered one of the most widespread chronic diseases, despite being highly preventable. For women, pregnancy can set the stage for oral disease development or exacerbation due to multiple factors. Poor maternal oral health has been associated with adverse pregnancy outcomes, contributing to early dental caries development in their children, and detrimental effects over her lifespan. To …

Associations Between Waiting Time And Patient Satisfaction Level At Tan Phu District Hospital In Ho Chi Mihn City, Vietham, Luu Tien Dat

Master's Theses

Waiting time for a patient at an outpatient department to see a doctor and completing the examination after registration was one problem in most countries and causes patient dissatisfaction. Long times for waiting leads to a reduction in timely treatment, overcrowding in the waiting area in the hospital, and is majorly unpleasant for any patient. Other factors that can contribute to waiting times are the layout of the medical facilities, the quantity and availability of medical equipment, and patient flow. In Vietnam, a developing country in Southeast Asia, patients are facing an issue of patient overload in public hospitals, especially …

Nurses' Level Of Comfort, Familiarity, And Knowledge About Diabetes Management In Vinmec Central Park International Hospital, Nguyen Thi Xuan Mai

Master's Theses

Clinical nurses have a key role in supporting and management of diabetes patients during hospitalization. The purpose of this study was to evaluate nurses’ level of comfort, familiarity, and knowledge in diabetes management. In this study, 30 full-time nurses working in Vinmec Central Park International Hospital completed a 34-question assessment that included eight questions on comfort, six questions on familiarity, and 20 questions on nursing knowledge. The findings indicated the level of nursing knowledge regarding diabetes management in the hospital was low. The comfort, familiarity, and knowledge scores were not directly proportional to the age, education, and years of clinical …

Evaluation Of Resuscitation Cardiopulmonary Training For The New Nurse, Nhan Thi Yen Nguyen

Master's Theses

This study aimed to define effective cardiopulmonary resuscitation training for new nurses. Nurses who respond to emergency situations are required to have the sensitivity and professional skills to respond effectively. Thus, improving resuscitation knowledge and technique for nurses is critical in order to enhance the quality and safety of patient care. This study used a pretest and posttest research design with convenience sampling; the sample consisted of 30 nurses who worked at the study hospital. As a result, new nurses’ knowledge improved from 7% to 73% after training. The psychomotor development of skills after the cardiopulmonary resuscitation training improved to …

The Relationship Between Nutritional Status And The Quality Of Life For Gastric Cancer Patients, Van Thi Hong Nguyen

Master's Theses

Cancer patients often suffer from malnutrition and low quality of life, especially gastric cancer patients. This is an important factor in the decision to treat cancer. Researchers are interested in the relationship of nutritional status between quality of life through body mass index to the main aspects of quality of life: core healthy days, physical, mental, or emotional problems; physical, functional, cognitive, and social limitations; and side effects such as fatigue; nausea, pain, anorexia, constipation, and diarrhea. The relationship between quality of life and weight loss indicates the importance of nutrition management in cancer patients. Cancer patients have special physical …

Effectiveness Of Teaching About Preventing And Detecting Complications Of Hand, Foot, And Mouth Disease At My Phuoc Hospital, Ha Thi Kim Phung

Master's Theses

Hand, foot, and mouth disease (HFMD) is an infectious illness that affects millions of people, especially children under five years of age. The social impact of severe HFMD to the health community, family members, and children is also of big concern. In the south of Vietnam, Binh Duong province is located in the area affected by HFMD. Unfortunately, caregivers have little knowledge to prevent and detect HFMD severity in children. The research question asked how effective teaching about HFMD was to improve knowledge of caregivers for detecting HFMD severity in children under five years of age at My Phuoc Hospital …

Local Anesthesia Before Intravenous Cannula Insertion: Recommendations For Registered Nurses In Practice, Vera Campbell-Jones

Electronic Theses and Dissertations

Abstract

Administering local anesthetics, such as intradermal, should become standard practice for RNs in pretreatments for pain control prior to intravenous insertion. Peripheral venous cannulation has provoked the most fear and anxiety in adult patients about everyday practice in hospitals. Adult patients often state that this procedure causes considerable discomfort. Local anesthesia for cannulation is usually not offered to adult patients who are on general medical units. Evidence has indicated inconsistency in the use of pain management strategies during these procedures. The researcher’s goal in this project was to educate RNs about the intradermal pretreatment procedure, provide education on the …

Identifying The Risk Factors To Postpartum Depression, Jannica Bondoc Santos

Senior Theses

A woman’s life instantly changes after the birth of their child. Furthermore, culture influences the stigma that a mother is the primary caregiver of their children and are accountable for the health and upbringing of the child. Giving birth to a baby and taking up the responsibility of another human life is a great impact in a female’s existence. In addition to the new tasks that come with motherhood, women are also challenged to cope with their emotional and mental state after giving birth. The most chronic mental illness that can develop after labor is postpartum depression (PPD). Women who …

The Implementation Of An Open Source Electronic Medical Record At A Faith-Based Community Clinic, Gabri Warren

Graduate Theses, Dissertations, and Capstones

Faith-based nursing and healthcare is increasingly gaining popularity as the industry looks to minimize costs and improve health outcomes. Historically, qualitative studies have not shown the extent to which individuals and communities are impacted by health initiatives initiated by faith institutions. Healthcare technology can help support the specialty by providing increased quantity and quality data to analyze. Traditional, proprietary EMRs are too costly; however, open source systems offer a low cost, and easily modifiable option to non-profit, or smaller organizations. The data collected by an open source system allows organizations to improve the care that patients receive, and helps guide …