Education Commons^™

Educating Medical-Surgical Nurses In A Large Hospital Organization On Sepsis Bundle Elements, Christopher N. Guinto

Master's Projects and Capstones

Problem: Results from a voluntarily anonymous pre-survey about sepsis revealed that a majority of the seventeen nurses assessed themselves below an "expert knowledge '' level. The survey results present an opportunity to improve the nurses’ knowledge and confidence in nursing response and improve patient outcomes with sepsis.

Context: The quality improvement (QI) project was conducted on a medical-surgical unit in a large Northern California hospital.

Intervention: A QI team initiated evidenced-based practice research and created an educational sepsis handout for nurses to increase sepsis knowledge and confidence.

Measures: The self-assessment pre-survey would be compared to the responses from the post-survey. …

Esp In Nursing: Building Communicative Competence For Internationally-Educated Nurses, Sami Vuong

Master's Projects and Capstones

The nursing shortage in the United States has been an ongoing issue due to nursing burnout and retirement. Together with the COVID-19 pandemic, it has further exhausted the healthcare system’s resources and healthcare providers. In order to sustain the healthcare system in society, a large number of internationally educated nurses (IENs) have been transferred to work in the United States. As a result of different nursing practices, cultures, and communication styles, many IENs experience language and cultural barriers at work. Difficulty in communication influences the quality of patient care provided, which can lead to negative health outcomes for patients and …

Workplace Violence: An Urgent Call For Integrated Staff Education In Acute Care Hospitals, Nicole Bellisario

Doctor of Nursing Practice (DNP) Projects

Problem: Type II workplace violence (WPV) in acute care hospital settings has become an epidemic of costly proportions in the United States. Regulatory mandates and healthcare accreditation standards increasingly require healthcare employers to provide a safe and healthy healing environment for patients and a safe work environment for staff. Implementation of a comprehensive WPV prevention program depends largely on organizational culture, participation and commitment from key stakeholders, and readiness for change.

Context: The patient-clinician relationship has drawn urgent attention, as healthcare organizations around the world implement key components of WPV prevention programs. The clinical management of patient aggression …

Improving Care Experience Of Total Joint Home Recovery Patients Through Nursing Education, Earvin Ledi

Master's Projects and Capstones

Problem: At a Northern California hospital (NCH), there is a current effort to ensure the perioperative patients are satisfied with their care. These patients receive the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey after surgery. The scores regarding discharge process and patient knowledge over the last five quarters have fluctuated between the 10th percentile and the 36th percentile. NCH relies on patient satisfaction scores to better serve their members.

Context: NCH understands the higher the scores, the more members they will retain and the higher the overall income. Based on the low OAS …

Implemented Nurse Education To Improve The Effective Use Of The Sapphire Pca Pump: Achievement Of Quality Pain Control, Fanta Keita Zable

Master's Projects and Capstones

The Sapphire ™ Infusion System Patient-Controlled-Analgesia (PCA) pump is a device that is used to administer high pain medication to manage a patient’s pain level after an invasive procedure such as surgery. In order to achieve this goal, nurses must be able to use the sapphire equipment efficiently to prevent medication overdose and underdose, as well as to preserve safety for both the patients and the nurses themselves. In addition, nurses must be able to document accurately on EPIC. The purpose of this project, led by the team of Clinical Nurse Leader (CNL) students from the University of San Francisco, …

Transforming Nursing Preceptors By Developing Emotional Intelligence, Michael Francis

Doctor of Nursing Practice (DNP) Projects

Changing the process of professionally developing nursing preceptors to meet the growing and changing needs of the nursing profession is critical. This evidence-based project leveraged an advanced preceptor education program for inclusion of basic emotional intelligence tenets and transitioning them into preceptor self-awareness, leadership recognition, and return on human capital investment. A large integrated healthcare system in Northern California identified a strategic need for preceptor development and within the system two acute care hospitals and one home health/hospice agency were selected to participate. The intervention included the development of a six-hour curriculum delivered through an interactive and innovative in-person learning …

Improving Medication Calculation Competence In Nursing Students Through Schema-Based Dimensional Analysis Instruction, Laureen Turner

Doctoral Dissertations

This study was aimed at improving the medication calculation competence of nursing students through a schema-based workshop in which dimensional analysis was used as the calculation method. The overreaching goal of this work was to improve the teaching of medication calculation in nursing education and prevent future medication errors.

This two-group descriptive posttest study included a historical comparison between fall 2016 and spring 2017 students. Spring students had the option to attend a newly designed workshop while fall students did not. Primary comparisons were of (a) percentage of students achieving 100% on the first attempt, (b) number of errors, and …

An Evaluation Of A Nursing Leadership Simulation Experience Using Multitrait Multimethod Matrix, Toby Embry

Doctoral Dissertations

The MTMM approach was used to evaluate construct validity of three nursing leadership traits (prioritization, delegation, and patient care management) across four assessment methods (multiple-choice tests--MCT, oral questioning-- OQ, high fidelity--HFS, and low fidelity simulation--LFS). Using a correlational descriptive design a 21-item MCT exam, a 21-item oral question instrument, a patient care HFS, and three LFS stations were embedded into a two hour objectively structured clinical examination (OSCE) assessment environment whose aim was to compare traditional assessment methods (MCT and OQ) in nursing education to burgeoning assessment methods (HFS and LFS). Generated scores from 137 senior-level baccalaureate nursing students at …

Presence In Nursing Practice: A Critical Hermeneutic Analysis, Alicia Laurel Bright

Doctoral Dissertations

Research Topic

Presence, although it involves action at times, is a humanitarian quality of relating that is ethically generated and has real-world implications for both patient and nurse. It is an interpersonal process characterized by sensitivity, holism, intimacy, vulnerability, and adaptation to unique circumstances that results in enhanced mental wellbeing for nurses and patients, and improved physical wellbeing for patients. Knowing and being with are foundational to being present.

Theory and Protocol

This research is grounded in critical hermeneutics and follows an interpretive approach to field research and data analysis (Herda 1999). This orientation places the researcher and participants in …

Nurse Educators' Implementation Of Concept Mapping, Case Studies, And Reflective-Thinking Exercises In Undergraduate Didactic Nursing Courses At Baccalaureate Schools Of Nursing, Danette Kathleen Dutra

Doctoral Dissertations

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Nursing Student And Faculty Perceptions Of The Characteristics Of Effective Instructors In The Simulated Clinical Experience, Bridget Parsh

Doctoral Dissertations

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The Effect Of Simulated Clinical Experience On Knowledge, Near Transfer, And Far Transfer In Nursing Education, Shana Ruggenberg

Doctoral Dissertations

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First-Year Learning Of Novice Emergency-Hire Clinical Nursing Faculty : A Qualitative Study, Ingrid Sheets

Doctoral Dissertations

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Comparison Of A Residency-Based Educational Model With A Traditional Clinical Education Model On Perceived Clinical Decision-Making Competencies In Undergraduate Nursing Students, Dina Silverthorne

Doctoral Dissertations

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Transition From Advanced Beginner To Competent Nurse In The Labor And Delivery Unit, Janice Mcmillin

Master's Theses

Digitized thesis