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Development Of Nursing Clinical Judgment Using Lasater’S Clinical Judgment Rubric, Hollyanne Heaton Springer
Development Of Nursing Clinical Judgment Using Lasater’S Clinical Judgment Rubric, Hollyanne Heaton Springer
Dissertations
Nursing clinical judgment is evident when multiple complex decisions are made quickly resulting in positive patient health outcomes (Lasater, 2007; Tanner, 2006). Patient safety is dependent on effective nursing clinical judgment but this skill has been declining among new graduate nurses, resulting in only 9% demonstrating entry-level competency in 2020 (Kavanagh & Sharpnack, 2021). To mitigate this decline, nurse educators need to develop methods to teach this skill with increased effectiveness. Tanner’s (2006) clinical judgment model described four cognitions of clinical judgment. Lasater’s (2007) clinical judgment rubric (LCJR) was developed to build on this model and provide leveled language in …
Designing A Culturally Relevant Lifestyle Modification Guide For Primary Care Providers To Improve Diabetes Management In The Hispanic Population., Jesusita Elvira Tafoya
Designing A Culturally Relevant Lifestyle Modification Guide For Primary Care Providers To Improve Diabetes Management In The Hispanic Population., Jesusita Elvira Tafoya
Capstones & Scholarly Projects
Diabetes mellitus type II (DMT2) affects the Hispanic population in the United States at an alarming rate, contributing to elevated morbidity and mortality. This growing ethnic group is also disproportionately at risk for obesity and being at a lower socioeconomic status, both of which contribute to DMT2 severity and prevalence. The provision of culturally competent care in the primary care setting using evidence-based lifestyle modifications has the potential to improve DMT2 outcomes among this socioeconomically disadvantaged population. Thus, the expert opinions of eight primary care providers in the Pueblo, Colorado community were sought where half of the patient population identified …
Student Desire To Stay In A Program: The Influence Of Faculty Caring And Cultural Identification With Faculty, Elizabeth Ann Cunniff
Student Desire To Stay In A Program: The Influence Of Faculty Caring And Cultural Identification With Faculty, Elizabeth Ann Cunniff
Dissertations
The Future of Nursing 2020-2030 report (National Academies of Sciences, Engineering, and Medicine, 2021) stated nurses should reflect the characteristics of the people they serve to ensure individuals receive culturally competent and equitable health care. Over the next decade and beyond, the U.S. population will become more racially and ethnically diverse, but the nursing workforce has not kept pace with the changing demographics (American Association of Colleges of Nursing, 2023). To increase diversity among nurses, nursing schools need more diverse graduates from prelicensure nursing programs, but attrition is greater among students with diverse racial, ethnic, and cultural backgrounds (Barbé et …
Exploring Moral Distress And Reflective Debriefing As A Potential Intervention Among Intensive Care Unit Nurses, Tegan Camille Jones
Exploring Moral Distress And Reflective Debriefing As A Potential Intervention Among Intensive Care Unit Nurses, Tegan Camille Jones
Capstones & Scholarly Projects
Moral distress is recognized in the literature as a significant problem for nurses working in the intensive care unit (ICU). Moral distress occurs when one knows the right course of action but is unable to follow it due to team or organizational constraints. Moral distress may lead to physical and psychological symptoms resulting in burnout, job attrition, and a negative impact on patient care. While interventions for reducing moral distress among ICU nurses are limited in the literature, one potentially promising approach is reflective debriefing. This Doctor of Nursing Practice (DNP) scholarly project aimed to explore the intensity, frequency, and …
Fostering Resilience In Nurse Practitioner Practice: Development And Validation Of A Guide, Robyn L. Heiser
Fostering Resilience In Nurse Practitioner Practice: Development And Validation Of A Guide, Robyn L. Heiser
Capstones & Scholarly Projects
Nurse practitioners (NPs) are a significant part of the U.S. healthcare system providing high quality, safe, consistent care often in low access and rural settings. Nurse practitioners are increasing in demand due to a growing physician shortage and a changing patient demographic of aging patients and patients with increasing complex, chronic illnesses. Nurse practitioners experience chronic work stress from layered demands of their work and role. This challenges their resilience and, if not appropriately managed, could lead to negative consequences for patient outcomes, the well-being of the NP, and overall healthcare system. Applying interventions that could effectively and efficiently foster …
Exploring The Relationship Among Clinical Judgment, Academic Resiliency, Student Predictors, And Exam Remediation In Prelicensure Nursing Students Preparing For Next Generation National Council Licensure Examination [For] Registered Nurses, James Franklin Oberlander
Exploring The Relationship Among Clinical Judgment, Academic Resiliency, Student Predictors, And Exam Remediation In Prelicensure Nursing Students Preparing For Next Generation National Council Licensure Examination [For] Registered Nurses, James Franklin Oberlander
Dissertations
As the field of nursing becomes increasingly more complex, nursing students are psychologically challenged as they progress through a program of study, prepare for the licensure examination, and enter professional practice. Identifying factors that influence student outcomes is necessary for faculty to effectively guide students toward successful completion of nursing school and passing the National Council Licensure Exam for Registered Nurses (NCLEX-RN). Along with academic and nonacademic demographic variables, the main objective of this exploratory, quantitative research study was to investigate the relationship between clinical judgement, academic resiliency, exam remediation, and NCLEX-RN first attempt pass rates. One hundred six senior, …
Undergraduate Faculty Expectations Of New Graduate Nurses’ Entry-Level Competencies, Bridgette Lynn Bochner
Undergraduate Faculty Expectations Of New Graduate Nurses’ Entry-Level Competencies, Bridgette Lynn Bochner
Dissertations
This qualitative descriptive study sought to describe undergraduate faculty expectations of new graduate nurses’ entry-level competencies. By gaining valuable insight from nursing faculty, essential knowledge gained from this faculty perspective will benefit nursing students, nursing education, and all stakeholders in providing safe, quality care and establishing congruent entry-level competencies for new graduate nurses. Eleven faculty from the central and eastern portions of the United States participated in this study. In-depth interviews using open-ended questions were conducted, recorded, and transcribed by the researcher. A thematic analysis was conducted to identify recurring themes. The themes were validated by the participants using a …
Faculty’S Experience Providing Nursing Student Support: An Interpretative Phenomenological Analysis, Emily Brower
Faculty’S Experience Providing Nursing Student Support: An Interpretative Phenomenological Analysis, Emily Brower
Dissertations
The nursing workforce shortage continues to grow. The effects of the shortage are significant, contributing to patient morbidity and mortality. Retaining nursing students is one way the nursing workforce could be increased. Faculty support is one factor that contributes to nursing student success. Faculty do not always provide the support needed for students to be successful; however, the contributing factors to providing adequate support by faculty are unclear. The retention of nursing faculty is also a pertinent contributor to increasing nurses in the workforce. The purpose of this study was to better understand the phenomenon of student support by exploring …
Interruptions And The Novice Emergency Nurse: A Focused Ethnography, Lisa Ann Winchester
Interruptions And The Novice Emergency Nurse: A Focused Ethnography, Lisa Ann Winchester
Dissertations
The emergency department is a unique, unstudied, chaotic environment where novice emergency nurses are frequently interrupted. Novice emergency nurses’ impressions, values, beliefs, and attitudes attributed to interruptions were unknown. No prior research has explored the phenomenon of interruptions for the novice emergency nurse. A qualitative, focused ethnographic study was undertaken to understand novice emergency nurses’ impressions, values, beliefs, and attitudes about interruptions within the emergency department. Eleven nurses participated in semi-structured interviews via Zoom. Braun and Clarke’s (2006) six phases of thematic analysis revealed three main themes (Values, Beliefs, and Attitudes) and 11 subthemes. Novice emergency nurses learn within a …
A Comparison Of Registered Nurses’ Motivation And Knowledge Levels Between Gamified And Traditional Courses, Amanda Crim Rossley
A Comparison Of Registered Nurses’ Motivation And Knowledge Levels Between Gamified And Traditional Courses, Amanda Crim Rossley
Dissertations
Registered nurses (RNs) working in today’s healthcare environment must consistently learn new knowledge and skills, keep abreast of practice changes, and implement strategies to improve patient outcomes. However, healthcare organizations face significant challenges as they attempt to facilitate efficient training. Nursing professional development practitioners miss opportunities to leverage learner motivation, which drives investment, knowledge retention, and practice application. Gamification, which strategically embeds game elements and mechanics into an educational design to boost motivation, offers a potential solution. It aims to increase learner engagement by presenting learners with challenges, tracking their progress, and offering feedback, ultimately leading to knowledge retention and …
A Double-Edged Sword: Lived Experiences Of Hispanic/ Latino Nursing Students Who Speak English As An Additional Language, Esmeralda Araceli Clark
A Double-Edged Sword: Lived Experiences Of Hispanic/ Latino Nursing Students Who Speak English As An Additional Language, Esmeralda Araceli Clark
Dissertations
As the population of the United States continues to become more diverse, the nursing profession is working toward diversifying its nursing workforce. Diversification of the nursing profession is linked to improved patient outcomes and culturally competent care. The experiences of minority nursing students with English as an additional language (EAL) have been studied including some interventional studies. Still, there is a gap in exploring the experiences of Hispanic/Latino nursing students with EAL. The literature described EAL as the most significant risk factor for non-acceptance into a Bachelor of Science in Nursing program for any group of otherwise qualified applicants. Since …
Development Of A Comprehensive Primary Care Algorithm To Manage Children Who Are Overweight Or Obese, Erika Leann Almeida-Trujillo
Development Of A Comprehensive Primary Care Algorithm To Manage Children Who Are Overweight Or Obese, Erika Leann Almeida-Trujillo
Capstones & Scholarly Projects
Childhood obesity is an epidemic that continues to increase not only in the United States but also worldwide. For children aged 5-19 years, being overweight is considered a body mass index greater than one standard deviation above the growth reference median and obesity is defined as excess body fat that contributes to functional loss and life-threatening comorbidities. The literature indicated that previous population-based obesity prevention efforts have only been moderately successful and might not reflect the complex needs and preferences of some children and families. Thus, there was a need for individualized interventions that supported children who are overweight or …
Impact Of An Educational Intervention On Provider Perspectives About The Use Of Phenobarbital In The Management Of Alcohol Withdrawal Syndrome, Kimberly Twaddell
Impact Of An Educational Intervention On Provider Perspectives About The Use Of Phenobarbital In The Management Of Alcohol Withdrawal Syndrome, Kimberly Twaddell
Capstones & Scholarly Projects
Alcohol withdrawal syndrome (AWS) is a clinical diagnosis that occurs when an individual who regularly consumes alcohol either reduces or stops consumption. Complications of AWS include admission to the intensive care unit, prolonged hospitalization, and increased risk of infection and mortality. These complications might lead to poor patient outcomes and increased healthcare costs. Currently, the standard of care in managing this inpatient population includes supportive and pharmacological interventions with sedatives such as benzodiazepines. However, recent research found that a long-acting barbiturate, phenobarbital demonstrated superiority in reducing both hospital length of stay and progression of AWS symptoms when compared to benzodiazepines. …
The Lived Experience Of Registered Nurses And Registered Midwives In St. Kitts And Nevis, Raiden Alexandra Gaul
The Lived Experience Of Registered Nurses And Registered Midwives In St. Kitts And Nevis, Raiden Alexandra Gaul
Dissertations
At the beginning of the 20th century, St. Kitts and Nevis had one of the highest infant mortality rates in the Caribbean. However, unlike some Caribbean nations with similar historical and socioeconomic factors that continue to suffer from significant health disparities, St. Kitts and Nevis implemented strategic health reforms that have led to dramatic improvements in maternal and neonatal health outcomes. One of the strategic reforms designed to address these poor health outcomes was to mandate that all registered nurses in St. Kitts and Nevis pursue certification in the post-basic midwifery program. The purpose of this study was to examine …
Investigating Novice Nurses’ Perceptions Of Academic Dishonesty During Nursing Education, Christy Michelle Gough
Investigating Novice Nurses’ Perceptions Of Academic Dishonesty During Nursing Education, Christy Michelle Gough
Dissertations
Academic dishonesty in nursing education has been an ongoing concern to the nursing profession for many decades. There is a concern that students who engage in academic dishonesty in the classroom setting might also engage in dishonest behaviors in the professional setting. Many studies in the literature explored nursing students’ perceptions of academic dishonesty during nursing education; however, there was limited literature on novice nurses’ perceptions of academic dishonesty and its impact on the nursing profession. Novice nurses provided the voice of recent nursing students as well as the voice of a professional nurse. The purpose of this qualitative study …
Clinical Nurse Educator Needs: A Mixed Methods Study Of Confidence To Perform Competencies In Clinical Nurse Educators, Sarah Ann Wallace
Clinical Nurse Educator Needs: A Mixed Methods Study Of Confidence To Perform Competencies In Clinical Nurse Educators, Sarah Ann Wallace
Dissertations
Clinical nurse educators oversee students in clinical practice settings to teach safe and effective patient care. Current national shortages require schools to utilize novice nurse educators to fill these roles. Clinical nurse educators enter academia with varying backgrounds, experiences, and educational preparations. Novice nurse educators might struggle with role ambiguity with increasing levels of stress during the transition process. Recent national competencies were created to clarify the clinical nurse educator role. This study explored clinical nurse educators’ perceived self-confidence in performing competencies through a mixed methods approach using the Clinical Nurse Educator Skill Acquisition Assessment (CNESAA) and interviews. Seventeen participants …
The Effect Of Hurricane Harvey On The Continuity Of Patient Care For Long-Term Care Patients Diagnosed With Dementia In Dallas And Harris Counties, Texas, Martin Mufich
Dissertations
The purpose of this study was to analyze adverse health outcomes resulting from a disruption caused by Hurricane Harvey in the continuity of patient care for two geographically distinct patient populations: long-term care patients diagnosed with dementia in Dallas County, Texas and Harris County, Texas. Review of the literature revealed three themes: patient transitions from one level of care to another, members of the healthcare team (healthcare professionals, caregivers), and policies and strategies. The research design was a retrospective, quantitative, comparative, quasi-experimental design. The population of study consisted of long- term care patients diagnosed with dementia, N = 5,539. The …
Factors Influencing Political Self-Efficacy And Political Astuteness In Undergraduate Nurse Educators, Mark William Longshore
Factors Influencing Political Self-Efficacy And Political Astuteness In Undergraduate Nurse Educators, Mark William Longshore
Dissertations
The profession of nursing, 3.9 million strong, continues to lag in taking an active role in the development of health policy. Reasons for that include lack of time, a lack of knowledge, and perceived competence of political action. The factors of knowledge and the related perceived competence, or in the case of this study, self-efficacy, could be improved through education. To that end, it was important to identify if nurse educators had the political astuteness, or knowledge, and self-efficacy. If not, how would nurses learn the necessary skills and gain confidence to be more active politically? The purpose of this …
Exploring Teacher Self-Efficacy In Nurse Educators: A Mixed Method Study, Wendi Noelle Liverman
Exploring Teacher Self-Efficacy In Nurse Educators: A Mixed Method Study, Wendi Noelle Liverman
Dissertations
In the face of a rapidly changing healthcare environment and a nursing shortage, schools of nursing are pressed to produce higher numbers of fully prepared nurse graduates. In other disciplines, teacher self-efficacy has been linked to better student outcomes, faculty instructional methods, and student engagement. This construct has not been well studied in nursing education. This mixed methods study investigated how current faculty perceive their teacher self-efficacy as measured by the Self-Efficacy Towards Teaching Inventory-Nursing Education (SETTI-NE) survey and identified contributing factors, followed by interviews gathering qualitative data from nine faculty members of varying SETTI-NE scores as well as varying …
Investigating Nurses’ Career Choice Through The Social Congnitive Career Theory’S Self-Management Model, Tina Howard
Investigating Nurses’ Career Choice Through The Social Congnitive Career Theory’S Self-Management Model, Tina Howard
Dissertations
The United States is in a healthcare crisis. There is a substantial shortage of nurses (Buerhaus et al., 2017). Making matters worse is the nurse faculty shortage (Daw et al., 2018). As the population ages and uses more resources, there is a need for even more nurses. The aging population includes nursing faculty. The average age of a nurse faculty member is approximately ten years from retirement (Oermann et al., 2015). The exodus of nurses from the profession adds to the problem because the number of students graduating from nursing school already falls short. The crisis can become catastrophic if …
Political Astuteness Of Nurse Educators, Gail Marie Hanson Brenner
Political Astuteness Of Nurse Educators, Gail Marie Hanson Brenner
Dissertations
Nurses comprise the largest segment of the healthcare workforce. Although nurses have advocated for patients since Florence Nightingale’s time, advocating for changes in health policies that affect populations on a larger scale has not changed over time (Rasheed et al., 2020). Professional nursing associations, nurse educators, and the Institute of Medicine have all identified the need to educate nurses in advocacy and health policy. With the recent revision of the American Association of Colleges of Nursing’s Essentials publication, health policy has moved from an essential to a featured concept that is found in the competencies and subcompetencies of the domains. …
Investigating Novice Nurses’ Perceptions Of Academic Dishonesty During Nursing Education, Christy Gough
Investigating Novice Nurses’ Perceptions Of Academic Dishonesty During Nursing Education, Christy Gough
Capstones & Scholarly Projects
Academic dishonesty in nursing education has been an ongoing concern to the nursing profession for many decades. There is a concern that students who engage in academic dishonesty in the classroom setting might also engage in dishonest behaviors in the professional setting. Many studies in the literature explored nursing students’ perceptions of academic dishonesty during nursing education; however, there was limited literature on novice nurses’ perceptions of academic dishonesty and its impact on the nursing profession. Novice nurses provided the voice of recent nursing students as well as the voice of a professional nurse. The purpose of this qualitative study …
Improving Healthcare For Adult Patients With Dual Diagnoses Of Chronic Pain And Opioid Use Disorder, Erin Lee Christiansen
Improving Healthcare For Adult Patients With Dual Diagnoses Of Chronic Pain And Opioid Use Disorder, Erin Lee Christiansen
Capstones & Scholarly Projects
Christiansen, Erin Lee. Improving healthcare for adult patients with dual diagnoses of chronic pain and opioid use disorder. Unpublished Doctor of Nursing Practice scholarly project, University of Northern Colorado, 2022. Up to 50 million Americans experience chronic pain. Of those who are prescribed opioids, 21% to 29% misuse their prescriptions and 8% to 12% will develop an opioid use disorder. In Colorado alone, the opioid analgesic death rate rose substantially from 102 deaths in 2018 to 540 deaths in 2020. In 2017, the U.S. government declared the sudden rise in prescription opioid overdose-related deaths a nationwide public health emergency. Chronic …
Development Of A Palliative Care Module For Integration Within An Existing Heart Failure Clinic, Elizabeth Keenan Mcquagge
Development Of A Palliative Care Module For Integration Within An Existing Heart Failure Clinic, Elizabeth Keenan Mcquagge
Capstones & Scholarly Projects
Heart failure affects 6.2 million of the American population. This number is expected to grow to a staggering 3% of the entire U.S. population over the next 10 years. Heart failure is characterized by a variety of physical and emotional symptoms including shortness of breath, rapid weight gain, fatigue, depression, and anorexia. These symptoms greatly challenge the patient’s quality of life and day-to-day activities. Unfortunately, 50% of patients with heart failure die within five years of being diagnosed. Palliative care is a service dedicated to improving the lives of patients with chronic, life-threatening illnesses. Although providing palliative care to patients …
Development Of A Pilot Educational Seminar For The Integrative Medical Management Of Adults With Anxiety, Jessica Lynn Fynboh
Development Of A Pilot Educational Seminar For The Integrative Medical Management Of Adults With Anxiety, Jessica Lynn Fynboh
Capstones & Scholarly Projects
Anxiety is a global disease that continues to rise. The COVID 19 global pandemic, natural disasters due to climate change, war, and personal stressors continue to cause the steady rise in anxiety worldwide. As many as 40 million Americans suffer from anxiety. A review of standard anxiety treatments including selective serotonin reuptake inhibitors such as Prozac, benzodiazepines such as Xanax, and cognitive behavioral therapy revealed they only provided relief for approximately half of the patients treated. Over the past two years, provider colleagues and their clients in an outpatient private practice where this educational seminar took place had been increasingly …
Conducting A Needs Assessment To Inform The Development Of A Burnout Mitigation Program For Critical Care Nurses, Leighann Marie Brock
Conducting A Needs Assessment To Inform The Development Of A Burnout Mitigation Program For Critical Care Nurses, Leighann Marie Brock
Capstones & Scholarly Projects
Burnout among nurses is at monumental levels, contributing to high levels of job dissatisfaction and turnover. Some interventions existed in the literature to support burnout reduction programming among nurses; however, the literature failed to identify effective burnout reduction interventions based upon the specific needs of critical care nurses who face unique stressors related to high patient acuity and other environmental considerations. This project aimed to explore critical care nurses' needs and strategies designed to mitigate burnout in the clinical setting. Outcomes from this assessment would inform future interventions for the early identification and prevention of burnout among critical care nurses. …
Conducting A Needs Assessment To Inform The Development Of A Burnout Mitigation Program For Critical Care Nurses, Leighann Marie Brock
Conducting A Needs Assessment To Inform The Development Of A Burnout Mitigation Program For Critical Care Nurses, Leighann Marie Brock
Dissertations
Burnout among nurses is at monumental levels, contributing to high levels of job dissatisfaction and turnover. Some interventions existed in the literature to support burnout reduction programming among nurses; however, the literature failed to identify effective burnout reduction interventions based upon the specific needs of critical care nurses who face unique stressors related to high patient acuity and other environmental considerations. This project aimed to explore critical care nurses' needs and strategies designed to mitigate burnout in the clinical setting. Outcomes from this assessment would inform future interventions for the early identification and prevention of burnout among critical care nurses. …
The Development Of An Algorithm For Prediabetes Screening And Management In Rural Populations With Low Socioeconomic Status, Kyler Rae Hijmans
The Development Of An Algorithm For Prediabetes Screening And Management In Rural Populations With Low Socioeconomic Status, Kyler Rae Hijmans
Capstones & Scholarly Projects
The prevalence of prediabetes continues to rise in the United States and without effective intervention, a significant portion of those with prediabetes will go on to develop diabetes. Prediabetes affects approximately one-third of the population (96 million American adults) and 80% of those people are unaware of their prediabetic status. Proper screening for prediabetes could provide patients with access to necessary interventions, such as intensive lifestyle modifications or pharmacologic treatments, that could prevent or delay the onset of diabetes. Preventing diabetes is important because diabetes is responsible for a significant share of the economic burden of health care in the …
Reducing Opioid Use In Older Adults Through Pain Management Screening And Use Of A Pain Treatment Algorithm, Erika Power
Reducing Opioid Use In Older Adults Through Pain Management Screening And Use Of A Pain Treatment Algorithm, Erika Power
Capstones & Scholarly Projects
Older adults are prescribed more medications for chronic issues due to increased age, a phenomenon called polypharmacy. Unfortunately, older adults also experience persistent pain more often than younger adults. This age group is prone to utilizing opioids for longer than expected due to lack of screening for pain by providers accompanied by a lack of open and ongoing discussion about pain management options with patients. Evidence suggested that older adults are at an increased risk for improper use of opioids for pain management and often suffer side effects from long-term opioid use. Some possible side effects of opioid use in …
It’S More Than Nursing: The Experiences Of Psychological Safety Of Pre-Licensure Nursing Students Who Identify As Black, Indigenous, And People Of Color, Melissa Marie Anozie
It’S More Than Nursing: The Experiences Of Psychological Safety Of Pre-Licensure Nursing Students Who Identify As Black, Indigenous, And People Of Color, Melissa Marie Anozie
Dissertations
The healthcare environment mandates its staff are able to communicate freely and openly to provide high quality patient care leading to positive patient outcomes. As the largest healthcare profession and those who are at the bedside most often with patients, registered nurses play a vital role in ensuring these outcomes. As advocates for the most vulnerable, nurses must communicate often but before doing so, they must feel psychologically safe. Psychological safety is how one perceives the benefits, risks, and consequences of asking a question, sharing an opinion, reporting an error, or revealing one’s true self to others. It is a …