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Articles 1 - 30 of 51
Full-Text Articles in Medicine and Health Sciences
The Nurse's Lived Experience Of Transferring Nutrition Knowledge To Patients: A Descriptive Phenomenology, Kendrah Lynne Cunningham
The Nurse's Lived Experience Of Transferring Nutrition Knowledge To Patients: A Descriptive Phenomenology, Kendrah Lynne Cunningham
Doctoral Dissertations and Projects
This descriptive phenomenological qualitative study aimed to gain insight into the nurse’s lived experience of transferring nutrition knowledge to patients. Nurses play an important role in assisting the patient to become more proficient in health and nutrition literacy to make proper choices related to their nutrition. It is necessary to evaluate the lived experience of the nurse in transferring nutrition knowledge to patients. There is a gap in the literature on nurses’ experience in providing nutrition knowledge to their patients. This descriptive phenomenological qualitative study examines the lived experience of nurses in transferring nutrition education to their patients. This was …
Using Mindfulness In Nursing Burnout. An Integrative Review., April Day Branham
Using Mindfulness In Nursing Burnout. An Integrative Review., April Day Branham
Doctoral Dissertations and Projects
The purpose of this integrative review is to evaluate if mindfulness is effective in decreasing nursing burnout. Nursing burnout has negatively affected the nursing profession for many years, and since the COVID-19 pandemic, it appears to be worse. Mindfulness is a practice that has been used for decades, however, it is gaining more attention in the nursing realm. Mindfulness consists of being present in a moment without judgment. It can consist of individual exercises that are completed using an instructor in person, in an application on a smartphone or computer, or yoga-based mindful activities. A preliminary literature review was completed …
The Lived Experiences Of The Newly Graduated Generation "Z": Registered Nurse Entering The Intensive Care Unit, Matthew Robert Loveitt
The Lived Experiences Of The Newly Graduated Generation "Z": Registered Nurse Entering The Intensive Care Unit, Matthew Robert Loveitt
Doctoral Dissertations and Projects
The purpose of this transcendental phenomenological study was to illuminate, understand, and describe the meaning of the lived experiences of Gen Z new graduate registered nurses (NGRNs) transitioning directly into the ICU in their first position as registered nurses. Duchscher’s stages of transitional theory and the Strauss-Howe generational theory provided this study’s theoretical framework, focusing on the Gen Z NGRN transition into practice. This study answered the following central research question: What is the lived experience of Gen Z NGRNs transitioning into the ICU work environment employed in their first position as registered nurses? Data were collected for this study …
Correlation Between Purposeful Patient Medication Education And Patient Experience Scores, Paula Shredl
Correlation Between Purposeful Patient Medication Education And Patient Experience Scores, Paula Shredl
Doctoral Dissertations and Projects
The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a national grading system that is used by payors to determine patients’ perception of their hospital stay. This public benchmarking system is tied to reimbursements and encompasses several domain areas. The medication and nursing domain questions revolve around how the nursing staff explained the purpose and possible side effects of patient medication. This project targeted a medical-surgical unit in a suburban faith-based hospital that was not meeting the national benchmarks in the nursing domain. The purpose of this evidence-based practice project, which was conducted using the Iowa Model of …
Kangaroo Care And Improved Physiological Status In Preterm Infants, Kira Harkonen
Kangaroo Care And Improved Physiological Status In Preterm Infants, Kira Harkonen
Wisdom & Compassion: The LUSON Journal
Preterm births continue to cause long-term sequelae for infants worldwide. Interventions in the neonatal intensive care unit (NICU) that promote better outcomes can make an impact on preterm infants’ futures. The purpose of this review was to determine if kangaroo care has positive physiological effects on preterm infants in the NICU. Practice changes to enhance kangaroo care in the NICU include reducing barriers such as medical complexity and staff misconceptions as well as facilitating increased parental presence. The review of the literature found evidence to support the positive outcomes that kangaroo care has on neonates’ growth, vital signs, stress outcomes, …
Comparison Of Post Discharge Telephone Call Methods And Their Impact On Patient Outcomes And Satisfaction: An Integrative Review, Amanda T. Mikolay
Comparison Of Post Discharge Telephone Call Methods And Their Impact On Patient Outcomes And Satisfaction: An Integrative Review, Amanda T. Mikolay
Wisdom & Compassion: The LUSON Journal
Background: Discharge planning and education may directly influence patient outcomes, including patient satisfaction and readmission rates. Discharge processes and follow-up vary across departments and facilities. Follow-up telephone calls after patient discharge are commonly utilized; however, delivery techniques differ across healthcare areas. The purpose of this integrative review is to explore the various techniques of initiating post-discharge follow-up phone calls and their impact on patient outcomes and satisfaction. Method: A literature search across different Databases and the search engine Google Scholar yielded over 2,751 articles utilizing the Boolean phrases: (follow up or follow-up or post-discharge or following discharge or discharge …
Engaging In Research: Reflections From Summer Undergraduate Research Assistants, Elyse Sumarsono, Julia Raugh
Engaging In Research: Reflections From Summer Undergraduate Research Assistants, Elyse Sumarsono, Julia Raugh
Wisdom & Compassion: The LUSON Journal
The aim of the journal was to organize the reflections of two undergraduate nursing students regarding the journey of navigating through summer research along with faculty. Through this reflective experience, research assistants were able to identify many benefits that come with participating in the research conduction process that should encourage other undergraduate students to involve themselves in future research. Research assistants were challenged to take on new and unknown tasks in a high-level research study, which ultimately enhanced skills for future academic success and professional careers as nurses.
The Efficacy Of Statin Therapy In Reducing Cardiovascular Accident Stroke (Cva) Risk Among Type 2 Diabetes Adult Patients Using Patient-Centered Care: An Integrative Review, Bridgett Simone Anckle
The Efficacy Of Statin Therapy In Reducing Cardiovascular Accident Stroke (Cva) Risk Among Type 2 Diabetes Adult Patients Using Patient-Centered Care: An Integrative Review, Bridgett Simone Anckle
Doctoral Dissertations and Projects
This study was an integrated review that comprehensively analyzed the efficacy of statin therapy in mitigating the risk of cardiovascular accidents (CVA) among individuals with type 2 diabetes mellitus (DM). The research seeks to explore statin management in preventing CVAs, a significant concern for this patient population. The study conducts a thorough synthesis of twenty-one peer-reviewed articles, critically evaluating the efficacy, safety, adherence factors, and cost-effectiveness of statin therapy for diabetic patients. The study adhered to the Whitmore and Knafl Framework and used the constant comparison approach to systematically categorize and pattern findings, culminating in an integrated understanding of statin …
Camera Assisted Monitoring Device As A Tool To Reduce Falls In Inpatient Adults: An Integrative Review, Pamela Oriaifo
Camera Assisted Monitoring Device As A Tool To Reduce Falls In Inpatient Adults: An Integrative Review, Pamela Oriaifo
Doctoral Dissertations and Projects
Background: Adult inpatient falls remain a significant challenge in many hospitals, resulting in poor quality of life and severe financial burden. There have been tremendous efforts to curb the number of falls ranging from environmental modification, clinician education, review of medications, and use of assistive devices. One such assistive device is the use of camera monitoring systems. This systemic review scopes camera/video-assisted fall prevention programs in hospitals. It was hypothesized that camera/video-assisted fall prevention programs would reduce adult inpatient fall and costs significantly. The outcomes of camera or video-assisted fall prevention programs were considered in some hospital settings. Method: The …
Determining The Effectiveness Of Gender-Based Integrated Care For Women Veterans: An Integrative Review, Karina Karin Espinoza-Palmer
Determining The Effectiveness Of Gender-Based Integrated Care For Women Veterans: An Integrative Review, Karina Karin Espinoza-Palmer
Doctoral Dissertations and Projects
As the Veterans Health Administration (VHA) improves their services to keep up with the needs of the rapidly-rising population of minority veterans, the aspects of gender-sensitive care must be tailored to the needs of women veterans. The purpose of this integrative review was to discover and critique evidence-based research studies of women veterans to determine the state of gender-sensitive care for improving access and coordination care, specifically to enhance mental health approaches needed at VA settings. The women veterans minority population is the fastest growing group of patients in the Department of Veterans Affairs (VA). Women veterans are less likely …
Reducing Readmission Rates In Adult Patients (18–25 Years) With Alcohol And Substance Use Disorder Through Implementation Of Care Coordination Strategy: An Integrative Review, Godswill Evouka
Doctoral Dissertations and Projects
Alcohol and substance use disorders are a major issue in adults ages 18 to 25. According to the 2021 National Survey on Drug Use and Health, 6.6 million young adults ages 18 to 25 reported that they drank alcohol in the past month, and 2.4 million young adults ages 18 to 25 reported heavy alcohol use in the past. Over 20 million alcohol use cases were reported in the past year in the United States. Further, 21.6% of patients with drug use disorders were readmitted to hospitals within 30 days of discharge. Adults ages 18 to 25 years who are …
Implementation Of Nutritional Screening In Adults (Ages 19-65) With Major Depressive Disorder: An Integrative Review, Laurie S. Stephens
Implementation Of Nutritional Screening In Adults (Ages 19-65) With Major Depressive Disorder: An Integrative Review, Laurie S. Stephens
Doctoral Dissertations and Projects
The World Health Organization estimates the total percentage of depression at 3.8% and projects it to be the leading cause of global disability by 2030 (WHO, 2023). The economic burden for adults with major depressive disorder in the United States is estimated at a staggering annual cost of 236 billion dollars (Greenberg et al., 2018). Nutritional psychiatry is a growing subspecialty focused upon how diet can improve mental health outcomes. The evidence shows a correlation between diet and depression, influencing questions on how this translates to current dietary recommendations and treatment. An integrative review of current literature was performed to …
Improving Stemi Transfer Times, Beth Anne Geiger
Improving Stemi Transfer Times, Beth Anne Geiger
Doctoral Dissertations and Projects
Early identification and treatment for the patient experiencing an ST elevation myocardial infarction is imperative. The American Heart Association and the American College of Cardiology have provided national guidelines to standardize the expectation of care for these patients. When organizations are not equipped to perform a percutaneous coronary intervention, the patient requires transfer. Delay in patient transfer leads to increased morbidity and mortality and poor patient outcomes. For this reason, it is essential that non-PCI capable hospitals have a standard protocol that is followed to expedite treatment and transfer of the patient to a higher level of care. This project …
Hypothermia In The Operating Room Promoting Normothermia In The Hysterectomy Population, Adina Indries
Hypothermia In The Operating Room Promoting Normothermia In The Hysterectomy Population, Adina Indries
Doctoral Dissertations and Projects
Certified Registered Nurse Anesthetists are Advanced Practice Providers that provide safe, evidence-based practice to their surgical patients. They not only monitor the vital signs throughout surgery but also strive to improve care and outcome by implementing different measures to keep the patient safe and promote a positive outcome during a stressful time for the surgical patient. To improve outcomes, it has been identified that hypothermia is a common occurrence in the surgical patient, especially in the GYN surgical population at this level one trauma center. Hypothermia is defined as the body’s core temperature less than 36 degrees Celsius. With hypothermia …
Complementary And Integrative Therapies Available For Treating Veterans With Ptsd: An Integrative Review, Kelly Ann Greene
Complementary And Integrative Therapies Available For Treating Veterans With Ptsd: An Integrative Review, Kelly Ann Greene
Doctoral Dissertations and Projects
PTSD is described as the resulting from exposure to threatened or real injury, death, or sexual violence. Its symptoms have four different clusters: avoidance, re-experiencing, hyperarousal, and negative alterations in mood. PTSD is a widespread diagnosis among U.S. military veterans. This is a way of daily life for many veterans, and not all therapy is successful. The Veterans Health Administration (VA) recognizes that conventional therapy is not always appropriate for each veteran with PTSD. The VA has developed the Whole Health approach, which represents a move toward more person-driven health care, which the VA characterizes as proactive, patient driven, and …
High Fructose Corn Syrup And Sugar Substitutes: Hemoglobin A1c Implications In Diabetes?, Rachelle S. Glover
High Fructose Corn Syrup And Sugar Substitutes: Hemoglobin A1c Implications In Diabetes?, Rachelle S. Glover
Doctoral Dissertations and Projects
Diabetes mellitus type 2 (DMt2) is an increasing health concern of epidemic proportion in the United States. High fructose corn syrup (HFCS) and artificial sweeteners (AS) have been implicated as contributory factors to DMt2. This project seeks to demonstrate elimination of daily consumption of HFCS and AS in DMt2 patients can contribute to lower hemoglobin A1C (HgbA1C) levels by comparing two groups of patients receiving two differing diabetes education programs. A reduction of HgbA1C levels by 0.2-0.5% is expected in DMt2 patients instructed to eliminate HFCS and AS, and no change is expected in HgbA1C levels in DMt2 patients receiving …
Whether Covid-19 Infection Affects Human Cognitive Function, June Li Alsgaard
Whether Covid-19 Infection Affects Human Cognitive Function, June Li Alsgaard
Doctoral Dissertations and Projects
The COVID-19 pandemic, resulting from the SARS-CoV-2 virus, continues to impact the daily lives of individuals worldwide. Although research has been conducted on long-COVID symptoms, the underlying causes remain unclear. Notably, instances of neurological decline have been observed following SARS-CoV-2 infections. 125,573 articles regarding neurological damage and cognitive disfunction were published and can be found from major research databases. For this scholarly project, 25 peer-reviewed journal articles pertaining to long-COVID and neurologic function changes, as well as potential underlying reasons for these changes, were curated. The proposed hypotheses include the virus' ability to pass through and harm the blood-brain barrier …
Evaluating The Need For Return-To-Learn Concussion Protocols In High School Student-Athletes: An Integrative Review, William David Midgette
Evaluating The Need For Return-To-Learn Concussion Protocols In High School Student-Athletes: An Integrative Review, William David Midgette
Doctoral Dissertations and Projects
Over a million high school students are estimated to sustain at least one sports-related concussion annually. Unfortunately, over a third of these student-athletes suffer from post-concussion syndrome, which leads to the question of whether student-athletes are allowed proper time to heal after a concussion or if more can be done to optimize concussion recovery. Proper and optimal recovery post-concussion encompasses both physical and cognitive rest. While concussion management has traditionally focused on the physical aspects of recovery, emphasis has shifted to the cognitive impacts of concussions. There is literature to support that cognitive rest is vitally important, if not equally …
Kangaroo Care Impact On Maternal Health: An Integrative Review, Alexis Ann Lawson
Kangaroo Care Impact On Maternal Health: An Integrative Review, Alexis Ann Lawson
Doctoral Dissertations and Projects
Health care should progress and change as the needs of the population change. As light is shed on the mothers’ experiences during the postpartum period, there is an increasing need to find and implement evidence-based interventions to promote their health and wellness. As a vulnerable population, postpartum women require appropriate treatments and interventions to avoid postpartum complications. Three key themes of postpartum health and well-being that directly and significantly impact mothers are postpartum depression, maternal and infant attachment, and exclusive breastfeeding. This integrative review addressed the correlation between each of these themes and how kangaroo care, upright skin-to-skin contact, impacts …
Stroke Symptom Identification Tool For Hospitalized Patients In A Rural Setting, Cheryl Ann Henderson
Stroke Symptom Identification Tool For Hospitalized Patients In A Rural Setting, Cheryl Ann Henderson
Doctoral Dissertations and Projects
Thousands of persons in the United States yearly suffer acute large vessel occlusion stroke (LVO). Caring for these individuals with strokes and the ensuing issues increases healthcare dollars. In underserved, rural communities, there is a dire need for improved methods to access care for these individuals. A 3-month evidence-based practice (EBP) project was conducted in a small rural town in Virginia with one of the state’s highest rates of acute stroke. Nurses in the rural hospital voluntarily participated in an educational program on recognizing acute stroke and utilizing the Vision, Aphasia, Neglect (VAN) assessment tool. The participants (N-15) were asked …
Managing Burnout In Nursing, Karen Starnes Bell
Managing Burnout In Nursing, Karen Starnes Bell
Doctoral Dissertations and Projects
Burnout is a widespread phenomenon characterized by a reduction in energy that manifests in exhaustion, lack of inspiration, and feelings of frustration which may lead to reduced work efficacy and multiple absences. In the nursing profession, long hours, the pressure of quick decision-making, and the stress of caring for patients who may have poor outcomes may contribute to burnout. This integrative review was conducted to identify variables that contribute to nurse burnout and discover strategies organizations can implement to reduce or prevent nurse burnout.
A Clinical Nurse Leader Nurse Navigator Program For Heart Failure Patients, Shanna Lantel Negron
A Clinical Nurse Leader Nurse Navigator Program For Heart Failure Patients, Shanna Lantel Negron
Doctoral Dissertations and Projects
The purpose of this integrative review is to examine the literature regarding nurse-led educational interventions, transitional care (TC) strategies for heart failure (HF) patients, nurse navigation, HF self-care, and the clinical nurse leader (CNL) role to support integrating a CNL into the care delivery model serving as a nurse navigator (NN) for adult HF patients being discharged home from the hospital. The basis for this review is to identify an innovative way to improve patient reported and clinical outcomes for the HF population which increases each year. The economic and symptom burden associated with this disease is high further enhanced …
Nonpharmacologic Measures To Maintain Or Increase Bone Density In Patients At Risk For Osteoporosis: An Integrative Review, Katie Saporsky
Nonpharmacologic Measures To Maintain Or Increase Bone Density In Patients At Risk For Osteoporosis: An Integrative Review, Katie Saporsky
Doctoral Dissertations and Projects
Osteoporosis is a major phenomenon, impacting a large proportion of the population of the United States. Effective prevention and mitigation strategies for this condition and its related complications are necessary to promote health and well-being for the aging population. Current pharmacologic agents used to combat osteoporosis bring the risk of adverse effects, resulting in poor patient adherence. Nonpharmacologic methodologies, specifically weight-bearing exercise, targeted nutrition, and whole-body vibration, have proven to be successful in increasing bone mineral density and mitigating the risk of osteoporosis and its related complications. Implementing these methodologies results in increasing bone mineral density, strength, and well-being.
Early Activity And Mobility Of Intensive Care Unit Patients To Reduce Hospital Length Of Stay And Improve Patient Outcomes: An Integrative Review, Scott D. Crofts
Early Activity And Mobility Of Intensive Care Unit Patients To Reduce Hospital Length Of Stay And Improve Patient Outcomes: An Integrative Review, Scott D. Crofts
Doctoral Dissertations and Projects
Patient physical inactivity during hospital admission is a key contributor to increased length of stay and poor outcomes. Patient inactivity and immobility in the intensive care unit (ICU) setting promote the loss of physical function and increase the risk of complications such as pressure injuries, bone demineralization, lung infections, and ICU delirium. The cumulative effects of immobility are persistent through discharge, as patients are at risk for the long-term effects of posthospitalization muscle atrophy and weakness. The purpose of this integrative review was to examine current evidence to determine if early activity and mobility in the ICU setting reduce length …
The Lived Experiences Of Faculty Conducting Post-Simulation Debriefing In Nurse Practitioner Programs, Jodi Borden Duncan
The Lived Experiences Of Faculty Conducting Post-Simulation Debriefing In Nurse Practitioner Programs, Jodi Borden Duncan
Doctoral Dissertations and Projects
Simulation-based education is a teaching–learning pedagogy widely used in nursing programs today. While much research has been done on student perceptions of simulation and the fact most learning occurs in the post-simulation debriefing session, little research has been done on how learning takes place in debriefing. Nurse practitioner faculty also use simulation as a teaching methodology, but the implementation of debriefing methods and faculty experiences with debriefing sessions are not known. As simulation may not be counted as direct clinical hours in nurse practitioner programs, more research must be done before the substitution of hours can be considered. The substitution …
Enhancing The Patient Experience By Providing A Visual Cue To Reference/Reinforce Medication Communication, Janet Radzykewycz
Enhancing The Patient Experience By Providing A Visual Cue To Reference/Reinforce Medication Communication, Janet Radzykewycz
Doctoral Dissertations and Projects
Purpose: The purpose of this project was to examine how placing a visual cue (sticker) for patients and nurses to reference during the patient’s acute care admission on the Telemetry unit will affect the patient’s perception of medication communication (purpose and side effects of medications). Background: Approximately 1.3 million people annually in the United States experience an injury due to medication-related errors. Hospitalized patients are at greatest risk for medication errors at the time of discharge due to medication changes in the acute care environment and these changes being implemented in the patient’s plan of care in the home environment. …
The Effects Of Dietary And Lifestyle Management On Diabetic Neuropathy, Courtney Renee Wyatt
The Effects Of Dietary And Lifestyle Management On Diabetic Neuropathy, Courtney Renee Wyatt
Doctoral Dissertations and Projects
Numerous patients who have uncontrolled diabetes have developed complications associated with diabetic neuropathy. The apparent knowledge deficit and noncompliance have led to the development of clinical concerns related to improving patient outcomes. This scholarly project assesses the effects of dietary, weight, and exercise management on improving diabetic neuropathy symptoms. The debilitating effects of diabetes continue to affect numerous people each day. Uncontrolled diabetes can create innumerable complications, including diabetic neuropathy. Appropriate nutrition associated with accountability, monitoring, and proper education can alleviate the progression of uncontrolled diabetes. Assessment of the improvement of diabetic neuropathy with dietary and exercise management is examined …
The Effects Of Therapeutic Activities On Depression In The Long-Term Care Population, Stephanie Nacole Knowles
The Effects Of Therapeutic Activities On Depression In The Long-Term Care Population, Stephanie Nacole Knowles
Doctoral Dissertations and Projects
Therapeutic activities are activities that encourage social interaction and promote cognitive skills. When these activities are put on hold for an extended period of time it can be detrimental to the Long-Term Care population. Depression related to social isolation has plagued the LongTerm Care population since the onset of COVID, causing increased sickness and in some situations death. The purpose of this integrative review is to determine the effectiveness of therapeutic activities in decreasing depression in the Long-Term Care (LTC) population. Literature was collected from 2018 through 2023 from the CINAHL database and analyzed using the PRISMA model. A total …
Kangaroo Care And Improved Physiological Status In Preterm Infants: An Integrative Review, Kira Juunia Harkonen
Kangaroo Care And Improved Physiological Status In Preterm Infants: An Integrative Review, Kira Juunia Harkonen
Doctoral Dissertations and Projects
Preterm births continue to cause long-term sequelae for infants worldwide. Interventions in the neonatal intensive care unit (NICU) that promote better outcomes can make an impact on preterm infants’ futures. The purpose of this review was to determine if kangaroo care has positive physiological effects on preterm infants in the NICU. Practice changes to enhance kangaroo care in the NICU include reducing barriers such as medical complexity and staff misconceptions as well as facilitating increased parental presence. The review of the literature found evidence to support the positive outcomes that kangaroo care has on neonates’ growth, vital signs, stress outcomes, …
Reducing Medication Errors In Inpatient Hospital Settings By Implementing The Barcode Medication Administration Technology: An Integrative Review, Kali A. Brown
Doctoral Dissertations and Projects
Medication administration errors adversely affect patient outcomes, satisfaction, safety, and quality of care. Barcode medication administration (BCMA) technology automates the verification process during medication administration by requiring that nurses scan the barcode on the medication and the patient identification wristband to confirm the five rights of medication administration. The BCMA thus helps to intercept medication errors that occur at the point of administration. A review of 32 articles published within the past six years was conducted to explore the impact of using BCMA technology on medication error rates in inpatient hospital settings. The review findings indicate that systemic and individual …