Medicine and Health Sciences Commons^™

Peer Mentorship: Reported Outcomes Among Student Registered Nurse Anesthetists, Aja Rivera, Champagna Conner

College of Science and Health Theses and Dissertations

Background: Student Registered Nurse Anesthetist (SRNAs) experience high levels of stress and anxiety while enrolled a demanding nurse anesthesia program; a peer mentorship program fosters an encouraging support system for SRNAs. Purpose: The purpose of this project was to evaluate if a peer mentorship program was effective at diminishing stress & anxiety, social isolation, enhancing preparedness amongst the first and second-year SRNAs, and to evaluate the perceived effectiveness of mentorship amongst students enrolled in the NorthShore University HealthSystem School of Nurse Anesthesia (NSUHS SONA). Methods: This quantitative, descriptive, cross-sectional study design involved three cohorts of SRNAs. Participants communicated through personal …

Cultural Competence In Student Registered Nurse Anesthetists In Illinois, Lisa Brown, Saad Iqbal

College of Science and Health Theses and Dissertations

Objective: To determine the level of perceived cultural competence in student registered nurse anesthetists (SRNAs) in Illinois and make educational recommendations. Methods: A descriptive, cross-sectional study was completed using the Clinical Cultural Competency Questionnaire (CCCQ) to evaluate the perceived level of cultural competence among SRNAs in Illinois. Four domains of clinical cultural competency [knowledge, skills, attitudes (awareness), and encounters] were evaluated and reported. Results: The survey response rate was 16.7% (N=57). A statistically significant positive correlation was observed between cultural knowledge and age (p=0.03). There is a statistically significant difference in cultural knowledge between students attending a nurse anesthesia program …

Improving Knowledge And Self-Efficacy In Student Registered Nurse Anesthetists Through Simulation Based Learning On Pulmonary Artery Catheter Insertions, Neal Allen Johnson, Amanda Lipa

College of Science and Health Theses and Dissertations

Simulation is increasingly being used within the educational setting for invasive procedures, such as pulmonary artery (PA) catheter insertion. The purpose of this study was to assess how student registered nurse anesthetists (SRNAs) knowledge and confidence is effected by viewing an educational video and participating in a low-fidelity simulation. Dual coding theory was used to develop a single group pre-test and post-test study. A convenience sample of second year SRNAs was used. Participants completed a knowledge assessment tool and a confidence survey. Each participant then viewed the video and completed a hands on low-fidelity simulation. Following both these, each participant …

Certified Registered Nurse Anesthetist’S Awareness And Knowledge Of Herbal Supplements And Perioperative Interactions, Catherine Carman, Victoria N. Rosinski

College of Science and Health Theses and Dissertations

Previous studies have asserted that anesthesia providers are deficient in their knowledge of herbal supplements and their perioperative interactions. The purpose of this project was to examine the impact of an educational handout on Certified Registered Nurse Anesthetists’ (CRNAs) knowledge and attitudes of herbal supplements and their perioperative interactions utilizing a pre-posttest project design. The survey components were sent to approximately 1,600 members of the Illinois Association of Nurse Anesthetists (IANA) with a response of 140 surveys. Data was analyzed using descriptive Cohen’s d and nonparametric statistical tests. Reliability of the instruments used were assessed using Cronbach’s ɑ coefficients. The …

What We Say Matters: A Survey Of Anesthesia Providers’ Knowledge And Beliefs, Stefanie Glasgow, Lindsey Harris

College of Science and Health Theses and Dissertations

Pain is a serious concern and fear of patients. Due to the Joint Commission’s introduction of standards to address undertreatment of pain, it is now a focus of healthcare providers. Emerging research is focused on language in assessing pain. This study investigated the knowledge gap among anesthesia providers on positive language and pain assessment. The study objectives were to conduct a survey of Illinois Association of Nurse Anesthetists (IANA) members’ current knowledge and beliefs on Positive Language and the Nocebo Effect related to patient outcomes, and to educate anesthesia providers with an evidence-based fact sheet. The fact sheet and Qualtrics …

Identifying Pediatric Obesity In The Retail Health Setting And Implications For Quality, Jodie Nicole Guardi

College of Science and Health Theses and Dissertations

Pediatric obesity has reached an epidemic status. The purpose of this study was to examine the prevalence of overweight and obese patients, as well as how often and how accurately a diagnosis was coded. The population for this study included children ages 3-18. This cohort presented to retail health clinics in a large urban health system for school or sports physicals from June 1, 2017 to November 30, 2017. Method. A retrospective chart review was conducted. Statistical analysis was performed to determine if there was a relationship between obesity and age, ethnicity, race, and gender. Results. The study identified 15.9% …

Cost Differences Between Sugammadex And Neostigmine Use In Non-Operating Room Anesthesia Care, Lindsey Marie Kilsdonk, Mindy Ruan

College of Science and Health Theses and Dissertations

rior to the introduction of sugammadex, the only option to reverse rocuronium-induced neuromuscular blockade (NMB) were cholinesterase inhibitors (i.e. neostigmine) and anticholinergics (i.e. glycopyrrolate). Sugammadex administration has been shown to provide a more effective and complete reversal of rocuronium. However, the higher cost of sugammadex has been cited as a limiting factor to its use. The medication costs of sugammadex and neostigmine with glycopyrrolate have been studied in the operating room setting. There is a lack of information regarding the usage and medication costs of sugammadex and neostigmine with glycopyrrolate for non-operating room anesthesia care (NORA). A retrospective chart review …

Pre-Anesthetic Evaluation: A Needs Assessment Of Student Registered Nurse Anesthetists Transitioning To Clinical Practice, Amanda B. Munnich, Cara A. Murphy

College of Science and Health Theses and Dissertations

The pre-anesthetic evaluation (PAE) is a critical part of providing anesthesia, and an important component of patient safety. Student registered nurse anesthetists (SRNAs) are often required to independently perform the PAE upon entering their clinical training. Stress, anxiety, doubt, a novel environment and time constraints can lead to a lack of confidence and competence at this time. These barriers can result in an inefficient and inadequate assessment. The purpose of this qualitative study was to conduct a needs assessment to determine the overall readiness of SRNAs to independently perform a thorough PAE upon entering clinical residency. A focus group was …

Exploring The Protective Effects Of Judaism On Risky Behaviors In College Students, Michelle E. Neuman

College of Science and Health Theses and Dissertations

Background: Common risky behaviors among college-aged young adults include risky sexual behaviors and substance use. Purpose: This study examines the protective effects of Judaism on students’ engagement in risky behaviors, building on a body of research on the protective effects of religious beliefs on risky health behaviors. Methods: Validated and reliable measures were used to assess religiosity and risky behaviors through anonymous surveys. Data was collected in Fall 2018 from a small cohort (N=15) of Jewish day school students. Results: Higher religiosity was more associated with delayed sexual activity than substance use behaviors. Judaism and religiosity were more strongly associated …

Examination Of Reflections From Nurse Anesthesia Trainee Volunteers In Honduras, Thomas M. Boyce

College of Science and Health Theses and Dissertations

There is a lack of surgical and anesthesia services in low-income and middle-income countries (LMICs) which creates an increased burden of disease from otherwise surgically treatable conditions. Nurse anesthesia trainees (NATs) can serve to fill this lack of anesthesia services while also gaining real life experience that can enhance their training. Identifying common experiences and barriers among NATs that have volunteered on a surgical brigade is important to understand the benefits experienced by NATs and to increase volunteer surgical brigade programs among nurse anesthesia programs. A retrospective thematic analysis of 23 written reflections of NATs who participated in a one-week …

Anesthesia Alarm Fatigue Policy Recommendations: The Path Of Development, Kelsey J. Leveille, Kelsey Anne Simoens

College of Science and Health Theses and Dissertations

Healthcare workers are inundated with alarms every minute, yet 80-95% of these alarms do not result in provider intervention. False alarms cause a “cry-wolf” phenomenon among providers resulting in cognitive stress and workflow interruptions. A cross-sectional design was used to examine the perceptions of alarm fatigue and alarm management of Certified Registered Nurse Anesthetists (CRNAs), Student Registered Nurse Anesthetists (SRNAs) and Anesthesiologists. This Likert-scale questionnaire was sent to approximately 150 anesthesia providers at NorthShore University HealthSystem (NSUHS) through an online survey. Data analysis revealed anesthesia trainees and providers with less total years in practice and less clinical experience exhibit statistically …

Effectively Enhancing Health Resilience In Adolescents With Type 1 Diabetes Mellitus: An Integrative Literature Review, Shelbi Steele

Grace Peterson Nursing Research Colloquium

Effectively Enhancing Health Resilience in Adolescents

with Type 1 Diabetes Mellitus: An Integrative Literature Review

Shelbi Steele, MS

Faculty Sponsor: Elizabeth Hartman, PhD, RN

Background: Several studies suggest that adolescence is a particularly difficult time for diabetes management because of the drive for independence, the search for acceptance and the complexity of the disease. Lack of health management increases the risk for diabetes – related complications in adulthood.

Objectives: To explore what research has been conducted regarding factors that enhance resilience among adolescents with type 1 diabetes mellitus and to recommend incorporation of these factors within direct nursing care to …

The Critical Role Of Nursing Assessment In Clinical Outcomes Of Acute Compartment Syndrome: An Integrative Literature Review, Sedona Dowd

Grace Peterson Nursing Research Colloquium

The Critical Role of Nursing Assessment in Clinical Outcomes of

Acute Compartment Syndrome: An Integrative Literature Review

Sedona Dowd, MS

Faculty Sponsor: Elizabeth Hartman, PhD, RN

Abstract

Background: Nurses play a critical role in assessing for acute compartment syndrome. Despite the improvements made in diagnosing and treating patients with this potentially deadly situation, as well as an increased awareness of ACS, nurses are falling short when required to display knowledge and identify patients with the syndrome. Along with identifying at-risk patients for developing ACS, nurses can aide the clinical diagnosis of ACS through diligent assessment.

Objectives: To use current …

Effective Pain Assessment Conducted By Nursing For Developmentally Disabled Clients: An Integrative Literature Review, Rebecca Silverman

Grace Peterson Nursing Research Colloquium

Background: Individuals with intellectual and developmental disabilities (IDD) cannot be cared for in the same way that typically developed individuals are cared for, especially when it comes to pain assessment. Self-report is currently the gold standard for pain assessment, making it difficult for nurses to manage the pain of individuals who cannot self-report. Techniques and strategies must be altered to provide effective care for developmentally impaired individuals to ensure their pain is not left untreated.

Objectives: To examine current methods of pain assessment for clients with cognitive and developmental disabilities in the hospital setting. This will help determine promising …

An Examination Of Nursing Biases That Affect Care To Obese Clients: An Integrative Literature Review, Tracy Mapaye

Grace Peterson Nursing Research Colloquium

Background: Obesity is the most prevalent health care problem threatening society today. Nurses play an important role in addressing this pandemic, however, nurses possess negative biases towards patients living with obesity. When nurses perpetuate these biases in the hospital setting, patient care and outcomes are compromised.

Objective: The purpose of this literature review was to explore current research to evaluate the prevalence of nursing biases towards obese patients in the acute care setting, identify its causative factors, determine the potential impact on patient care, and recommend possible evidenced-based solutions for the problem.

Method: An integrative literature review was conducted by …

Factors That Affect Nurses’ Perception Of Lgbtq Patients, Caitlin Grudzinski

Grace Peterson Nursing Research Colloquium

Factors that Affect Nurses’ Perception of LGBTQ Patients

Caitlin Grudzinski, MS Elizabeth Hartman, PhD, RN

Background: The number of persons identifying as LGBTQ (lesbian, gay, bisexual, transgender, queer) increasing and therefore, it is imperative that we address the health needs of this patient population. Despite progress in equality legislation, the LGBTQ community still faces significant barriers in accessing health care and discrimination from health care staff. Nurses spend approximately one third of their time with patients and are often the first health care providers that a patient sees. An integrative literature conducted to determine nursing attitudes towards the LGBT patient …

The Role Of Effective Nursing Management Of Chronic Pain To Decrease Opioid Misuse, Julia Pfetzer

Grace Peterson Nursing Research Colloquium

Review of literature surrounding the current nursing management of chronic pain, and how the use of alternate interventions and improved management of pain can potentially lead to decreased or discontinued use of opioid analgesics.

Effective Teaching By Nurses Through Use Of Latest Technology For Type 1 Diabetics, Kristen Neumann

Grace Peterson Nursing Research Colloquium

No abstract provided.

Examining The Demand For Higher Education Nursing In Relation To The Nursing Shortage, Avani Thakkar

Grace Peterson Nursing Research Colloquium

Background: Advanced training of nursing professionals is directly correlated with improved patient outcomes. As several leading health care organizations reported that the United States is witnessing a dramatic nursing shortage, the implementation of nursing residency programs would solve the shortage of nursing personnel while simultaneously improving patient outcomes.

Objectives: To investigate current research regarding the significance of nursing education in relation to patient outcomes, and to recommend a feasible solution to the current nursing shortage while prioritizing patient outcomes.

Methods: This integrative literature review was conducted using keywords such as “nursing shortage, shortage of nurses, aging population and shortage of …

Addressing Burnout Of Neonatal Nurses And Effective Coping Strategies: An Integrative Literature Review, Jessica Proano

Grace Peterson Nursing Research Colloquium

Abstract

Background: Neonatal nurses care for newborns with many different illnesses, from the moment they are born up the the age of two. Neonatal nurses experience burnout due to the stress of caring for theses neonates. Burnout leads to nurses leaving the profession, developing health problems, and committing errors.

Objectives: The purpose of this integrative literature review was to examine burnout experienced by the nurses in the neonatal intensive care unit and to identify effective coping strategies that are being used.

Method: This integrative literature review was conducted using keywords “neonatal nurse,” “neonatal nursing,” “burnout,” and “coping” to search the …

Effective Screening Of Postpartum Depression And Its Potential To Increase Treatment: An Integrative Literature Review, Isabella C. Huminsky

Grace Peterson Nursing Research Colloquium

Abstract

Background: Several studies suggest nurses specializing in women’s health, pediatrics, and family health have a critical role quickly identifying and subsequently, treating postpartum depression. Due to lack of knowledge surrounding postpartum depression and differences among assessments, it is estimated that almost half of postpartum depression cases go undiagnosed and untreated.

Objectives: To explore what research has been conducted regarding the clinical outcomes associated with effective screening of postpartum patients, to recommend educational programs for staff and patients, and screening and treatment protocols development so screening for postpartum depression can becomes universal.

Methods: This integrative literature review was conducted …

Relevance Of Sex Education For Women Who Have Sex With Women, Sarrah Spohnholtz

Grace Peterson Nursing Research Colloquium

Relevance of Sex Education for Women Who Have Sex with Women

Sarrah Spohnholtz

Abstract

Women who have sex with women (WSW) are missing sexual scripts in society making it difficult for women who are in sexual relationships with other women to communicate and negotiate how to have safe sex. WSW are not given the appropriate resources, knowledge, or materials to engage in safe sex practices or advocate for their health. On top of that, there are minimal amounts of health research focusing on lesbian, bisexual, women who have sex with women leading to an increase in health disparities.

Background: Women …

Animal-Assisted Therapy And Oncology Hospice Patients, Lauren Anderson

Grace Peterson Nursing Research Colloquium

Background: If there are more ways to induce comfort during hospice care, all options should be explored, which is why animal-assisted therapy (AAT) could be a viable, non-pharmacological option for oncology hospice patients.

Objectives: The aim of this research is to show that the use of AAT with oncology patients receiving hospice care will result in enhanced comfort and diminished pain. The purpose of this study is to determine the effects on pain for oncology hospice patients receiving AAT compared to oncology hospice patients who do not receive AAT.

Method: This study is performed as an integrative …

Social Media Influences On Depressive Symptoms In Millennials: An Integrative Literature Review, Kamila Kowalewski

Grace Peterson Nursing Research Colloquium

Abstract

Background: Currently in the United States roughly 17.3 million adults have experienced at least one major depressive episode and this percentage was highest among young adults aged 18 to 25. Furthermore, the millennial population specifically has seen an increase in major depression by 31%. There is current research that dictates that social media use can negatively impact one’s mental well-being and increase depressive symptoms in individuals in this generation.

Objectives: The purpose of this integrative literature review is to use current studies and research to examine the association between negative experiences on social media and its influence on …

Wilms Tumor Survivorship: Does Childhood Cancer Treatment Predict Late-Term Adverse Effects?, Ava Bibergal

Grace Peterson Nursing Research Colloquium

Abstract

Background: Wilms tumor is the leading cancer to affect the kidneys in children most commonly between the age of 3 and 5 years old. Treatment of Wilms tumor typically consists of chemotherapy, radiation, or a combination of the two – which are often successful in eradicating the cancer. However, current treatment options often leave patients with a high risk of late-term adverse effects such as cardiac diseases or secondary cancers later in life. Wilms’ tumor patients currently have a 90% survival rate from their disease, however face a future of indeterminate health problems due to their treatment regimen.

Objectives: …

The Role Of Nurses' Knowledge Of Postpartum Complications And Its Effects On Maternal Mortality Rates In The United States: An Integrative Literature Review, Elizabeth Reid

Grace Peterson Nursing Research Colloquium

Background:The maternal mortality rate for the United States of America still remains the highest of all developed countries with 20.7 deaths per 100,000 live births with the CDC estimating that 60% of all of the deaths were preventable.

Objectives: The purpose of this integrative literature review was to identify the common causes of maternal mortality and nurses’ knowledge of these issues and how they apply this knowledge to care for and provide discharge education to patients.

Methods: This integrative literature review was conducted with the key words “maternal mortality, maternal morbidity, postpartum, nurse’s education, complications, quality of care, discharge …

Stethoscope Disinfection Rates On The Prevalence Of Hospital Acquired Infections, Lauren Buszydlo

Grace Peterson Nursing Research Colloquium

Abstract:

Background: We live in an era of increased efforts aimed at preventing healthcare-

associated infections. Hospitals create specific guidelines when discussing hand-

hygiene, particular protocols for catheter-associated infections or surgical site

infections; however, stethoscope cleaning is very rarely brought into the conversation

(Ghumman et al., 2018). Only about 3.9% of healthcare workers are cleaning their

stethoscopes after every patient contact and only 9.7% are cleaning it at least once

daily (Walsh, 2013). With these alarming numbers stated about healthcare providers

and stethoscope disinfection, the potential contamination and pathogen transmission

by stethoscopes has been noticed as a potential source of …

The Effects Of Creative Arts Therapies On The Traumatic Stress Symptoms Of Refugee Minors, Nhu Do

Grace Peterson Nursing Research Colloquium

Background:

The experiences of refugees are often characterized by traumatic stressors including loss and violence. Minors of these target populations are particularly sensitive to traumatic stress due to the nature of their developmental state. Currently, there is a lack of evidence-based research on the efficacy of Creative Arts Therapies (CATs) as interventions to reduce traumatic stress symptoms of refugee minors.

Study Purpose:

The purpose of this integrative literature review is to evaluate the current research to determine the efficacy of CATs as therapeutic interventions for refugee minors by comparing their traumatic stress symptoms before and after participating in CATs interventions. …

Efficacy Of Music Therapy As An Intervention In Decreasing Anxiety And Managing Discomfort During Labor And Throughout Pregnancy, Marta Koterba

Grace Peterson Nursing Research Colloquium

Abstract

Background: The psychosomatic symptoms of pain and anxiety during pregnancy and childbirth have been discussed in literature to influence both maternal and fetal health outcomes. The use of nonpharmacological interventions such as music therapy can help reduce these symptoms leading to improved pain management and patient satisfaction.

Objective: To evaluate the effectiveness of music therapy as an intervention in decreasing psychosomatic symptoms of pain and anxiety felt throughout pregnancy and most importantly during labor. This understanding is pertinent in providing the knowledge needed to establish an effective nonpharmacological nursing intervention for labor pain management.

Method: An integrative literature …

Surgical Smoke Evacuation Compliance: Barriers And Strategies Used Among Perioperative Nurses, Elizabeth Cretens

Grace Peterson Nursing Research Colloquium

Abstract

Background: Despite the known hazards of surgical smoke, smoke evacuation method (LEV, N95 respirator) compliance is objectively low and there remains no definitive guideline for these procedures.

Objectives:The purpose of this integrative literature review was to determine the barriers to and strategies used to increase the level of surgical smoke evacuation compliance among perioperative nurses.

Method:An integrative literature review guided by Kurt Lewin’s change theory was conducted using the databases of CINAHL, PubMed, and ProQuest. The search terms included: surgical smoke evacuation, plume, electro-surgery, laser, diathermy, adherence, compliance, guidelines, protocols, occupational standards, policy, procedure, perioperative, inter-operative, …