Medicine and Health Sciences Commons^™

A Global Perspective Of Advanced Practice Nursing Research: A Review Of Systematic Reviews Protocol, Kelley Kilpatrick, Isabelle Savard, Li-Anne Audet, Abby Kra-Friedman, Reneé Atallah, Mira Jabbour, Wentao Zhou, Kathy Wheeler, Elissa Ladd, Deborah C. Gray, Colette Henderson, Lori A. Spies, Heather Mcgrath, Melanie Rogers

Nursing Faculty Publications

Introduction

In 2020, the World Health Organization called for the expansion and greater recognition of all nursing roles, including advanced practice nurses (APNs), to better meet patient care needs. As defined by the International Council of Nurses (ICN), the two most common APN roles include nurse practitioners (NPs) and clinical nurse specialists (CNSs). They help ensure care to communities as well as patients and families with acute, chronic or complex conditions. Moreover, APNs support providers to deliver high quality care and improve access to services. Currently, there is much variability in the use of advanced practice nursing roles globally. A …

Just Culture: It's More Than Policy, Linda Paradiso, Nancy Sweeney

Nursing Faculty Publications

[Description] Paradiso and Sweeney discuss the relationship between trust, just culture, and error reporting in medical care. Errors rarely occur in a vacuum, rather they're a sequence of events with multiple opportunities for correction. Clinical nurses can have a significant impact on reducing errors due to their proximity to patients. Just culture is a safe haven that supports reporting. In a just culture environment, organizations are accountable for systems they design and analysis of the incident, not the individual. The shift to a just culture is a slow process that takes years to develop and hardwire. Hospital-wide policies that incorporate …

Application Of A Theory-Based Educational Intervention To Increase The Frequency Of Performing Oral Health Assessments On Children Among Advanced Practice Registered Nurses And Nurses, Denise Michelle Claiborne

Community & Environmental Health Theses & Dissertations

The purpose of this study was to determine if the use of a theory-based educational intervention would increase the frequency of performing oralhealth assessments (OHAs) during well-child visits among nurses. A randomized experimental design was conducted to determine if the educationalintervention would improve frequency of performing OHAs, in addition to, knowledge, confidence in performing OHAs, and advising parents. Using a non-probability sampling frame, “snowball technique,” a total of 46 participants were recruited. After exclusion criteria, 33 advanced practice registered nurses(APRNs), registered nurses (RNs), and licensed practical nurses (LPNs); were randomized into a control or experimental group. Data collection occurred over …

Enhancing The Geriatric Competence Of Urologic Nurses, Karen A. Karlowicz

Nursing Faculty Publications

Editorial. Provides strategies for enhancing the geriatric competence of urologic nurses. Improvements in nursing practice and in other health care professions; Considerations in caring for older adults; Implications for nursing practice.

Needed: Urologic Nursing Mentors For New Grads, Karen A. Karlowicz

Nursing Faculty Publications

Presents the accomplishment felt after a completion of intense course of study. Inundation of nursing graduates; Assessment of nursing education programs; Tips to develop the role as urologic nurse.

Home Health Nurses: Are They Satisfied With Their Work Environment, Said Abu Salem

Nursing Theses & Dissertations

Objectives. This study addressed the questions, (1) To what degree are home health nurses satisfied in their job? (2) What variable ranks as the most important for home health nurses' satisfaction? and, (3) Is there a difference between job satisfaction of full time employment, part time, and per diem home health nurses?

Methods. The data were collected from six home health agencies in the Hampton Roads Area resulting in a sample of (N = 72). The McCloskey and Mueller Satisfaction Scale developed in 1990 (MMSS) was used to measure home health nurses' satisfaction.

Results. The home health …

Nurse Manager Role Stress, Rosemarie Mohn

Nursing Theses & Dissertations

The purpose of this study was to examine the influence of decision-making style, and right and left brain function on nurse manager role stress. Data were collected from 48 nurse managers employed at four acute care facilities along the Atlantic seaboard. A nonexperimental correlation descriptive design was utilized to determine if any positive or negative correlation existed between study variables and levels of stress. Findings suggested that nurse managers experienced moderate amounts of role stress, including role conflict and role ambiguity. One significant statistical correlation existed between role ambiguity and the decision making dimension of intuition. Recommendations for future research …

Formal And Informal Educational Activities Of Transformational Nurse Leaders In Urban Hospitals, Sue Waltrip Young

Theses and Dissertations in Urban Services - Urban Education

Absence of educational programs designed to develop a specific leadership style has prompted educators in nursing administration to consider designing such programs. As the cost of hospital care escalates and the recruitment and retention of individuals into hospital nursing remains problematic, it is essential that methods be developed to address these issues. This study described the educational processes experienced by transformational nurse leaders employed in urban hospitals. By discovering the relative importance and amount of these activities for nurses identified as transformational leaders, data are provided for the design and testing of educational programs created to enhance a transformational leadership …

A Comparative Analysis Of Nurse Leaders' Degree Of Transformational Leadership And Staff Nurse Job Satisfaction, Kathie Sawyer Weatherly

Nursing Theses & Dissertations

The intensified pressure for change in nursing organizations has presented nurse leaders with opportunities to transform bureaucratic settings into professional practice environments. Transformational leadership has been identified as supporting the changing values of staff nurses and promoting job satisfaction. The purpose of this study was to explore nurse leaders' degree of transformational leadership and the relationship between transformational leadership and staff nurse job satisfaction. Quantitative analysis, using an independent t-test, indicated a significant difference between nurse leaders' and staff nurses' perception of the nurse leaders' degree of transformational leadership. Pearson correlation analysis indicated a significant relationship between transformational leadership and …

Identification And Ranking Of Stressors Specific To The Acute Head Care Nurse, Joan A. Breen

Community & Environmental Health Theses & Dissertations

No abstract provided.

Job Satisfaction And Retention: Outcomes Since Implementation Of Three Scheduling Options, Katherine Marie Newnam

Nursing Theses & Dissertations

The purpose of this descriptive study was to determine if flexible scheduling options influenced retention and job satisfaction of 109 full time registered staff nurses within a selected hospital setting. The Anticipated Turnover Model, developed by Hinshaw and Atwood (1984) provided the theoretical framework for the study. Perceived job satisfaction was measured by the Nursing Job Satisfaction Scale (Hinshaw & Atwood, 1984). The Anticipated Turnover Scale (Hinshaw & Atwood, 1984) measured the possibility of voluntary termination by sample respondents. The respondents were divided into three groups according to three schedule options: Group 1, 12 hour, weekend only (Baylor); Group 2, …

Head Nurse Leadership Behavior And Head Nurse And Staff Nurse Job Satisfaction And Burnout In The Intensive Care Setting, Dianne Vick Benton

Nursing Theses & Dissertations

The purpose of this study was to examine the relationship between head nurse (HN) leadership behavior and head nurse and staff nurse (SN) job satisfaction and burnout in the Intensive Care Unit (ICU). The two target populations for this study were: ICU HNs and ICU SNs. A sample of 10 HNs and 65 SNs completed four questionnaires. This study was conducted in eight community hospitals ranging in bed size between 150 to 700. Four research questions were tested. Utilizing t-tests. a significant difference was found between ICU HNs' and SNs' perceptions of the HN leader behavior of high task - …

The Relationship Between Occupational Choice And Perceptions Of Professional Nursing Functions And Characteristics, Ellis Quinn Youngkin

Theses and Dissertations in Urban Services - Urban Management

This study identifies the occupational interests and predominant vocational personality types of freshmen students (undeclared majors, nursing majors, and non-nursing majors), explores perceptions about selected professional nursing functions and characteristics among the students, and examines perceptual differences between groups (majors).

A non-experimental ex post facto design is used to analyze data from 312 students in a large urban university. Descriptive and inferential statistics are applied in data analysis. The following findings support the hypotheses: (1) Nursing continues to attract the traditional student who has Holland's Social vocational personality type as measured by the Self-Directed Search, although many Social types are …

Productivity Measurement For Home Health Care Registered Nurses, Lazelle Emminizer Benefield

Theses and Dissertations in Urban Services - Urban Management

The purpose of this study is to develop a productivity measurement applicable to home health registered nurses (RNs) by identifying and quantifying the knowledge and ability variables that define productive nurse practice.

A preliminary set of knowledge and ability variables was identified based on content analysis of interviews with local nurse managers and round I of a three round Delphi procedure, using a purposive sample of nurse managers from nationally preeminent agencies. A randomized national sample of 337 nurse managers was then surveyed to determine the relative value and rank of the knowledge and ability variables. These variables were refined …

The Influence Of Nursing Experience And Education On Nurses Inferences Of Patients' Suffering, Patricia A. Coots

Nursing Theses & Dissertations

A primary dimension of nursing is caring tor patients who suffer. This study examined the inferences made about patients' suffering oy 65 registered nurses employed in acute care health facilities. Utilizing The standard Measure of Inferences of Suffering Questionnaire. the purpose of the study was to explore the influence of nursing education and experience on the degree of pain and psychological distress inferred by the nurses. Analysis of Covariance was used to test for group differences on the basis of nursing education when number of months of nursing experience was controlled. Although nursing education did not influence nurses' inferences of …

Perceived Job Stress In Critical Care Nursing In A Military Setting, Jeannette Theriault

Nursing Theses & Dissertations

The purposes of this study. were: to explore job-related perceptions of stress in a group of military critical care nurses; and to determine if differences in anxiety and stress levels existed between nurses working in coronary care (CCCU) and medical/surgical intensive care (ICU) settings using the State/Trait Anxiety Inventory and the Questionnaire of Stressful Factors in Intensive Care. A free response question and a force-response checklist were also used to identify and rank work-related stressors. The sample of Navy nurses (n=105) consisted of 39 CCU nurses, 62 medical/surgical ICU nurses and 4 critical care supervisors. The results of the mailed …

The Image Of The Nurse In A Professional Journal: A Historical Perspective, Dawn Louise Crane

Nursing Theses & Dissertations

Authors of journal articles contribute to the image of the nurse that is projected to journal readers. The purpose of this study was to explore the image of nursing as portrayed in articles published in Nursing Outlook from 1960-1979. A descriptive study, with content analysis, was conducted using articles concerned with professionalism or nursing education published in Nursing Outlook from 1960-1979 (a time identified as negative for societal images of nursing). The educational background of the authors was noted. Findings indicated that the majority of authors projected the image of a nurse as a well-educated, independent professional; images not reflective …

The Effects Of Training In Safe Manual Handling On The Patient Lifting Techniques Of Nursing Personnel, Bruce Paul Klein

Theses and Dissertations in Urban Services - Urban Education

The purpose of this study was to determine the effects of training on the patient handling methods of nursing personnel. The study sought (1) to determine the effect of three class variables (Group, Session and Task) on behavioral performance, (2) to assess the influence of twelve organismic variables on behavioral performance, and (3) to determine the relationship between written exam scores and trainee behavioral performance.

Test and control groups were comprised of twelve and twenty-eight subjects, respectively. Behavioral performance in four specified tasks was determined via direct observation of individual subjects by trained observers using specific, dichotomously-measured behavioral criteria. Performance …

Human Need Fulfillment Alteration In The Client With Uterine Cancer: The Registered Nurses' Perception Versus The Clients' Perception, Linda Lane Lilley

Nursing Theses & Dissertations

This study was a comparison of the similarities and differences between the registered nurses' perception and clients' perception of human need fulfillment alterations in the client with uterine cancer. The effect of level of educational preparation and number of years work experience on the nurses' perception was also analyzed. The participants were 15 registered nurses and 15 clients who had uterine cancer and were admitted to two acute care hospitals in Tidewater. Registered nurses were asked to complete the tool entitled Human Needs Assessment Scale and rate the 35 human needs in relation to the perceived importance for the client. …

How Registered Nurses In Skilled Nursing Facilities Rate The Importance Of And The Frequency Engaged In Specific Nursing Behaviors Related To Their Role, Christine Anne Heine

Nursing Theses & Dissertations

Registered nurses in skilled nursing facilities were surveyed using the Six-Dimension Scale of Nursing Performance to determine: (1) how they rated the importance of specific nursing behaviors related to their role, (2) how they rated the frequency engaged in the same specific nursing behaviors related to their role, and (3) if there was a relationship between how they rated the specific nursing behaviors for importance and frequency. There were five subgroups of nursing behaviors: (a) leadership, (b) nursing process, (c) teaching and collaboration, (d) interpersonal relations and communication, and (e) professional development. Registered nurses rated all of the behaviors as …

Registered Nurses' Ability To Discriminate Similar Human Need Fulfillment Alterations Specific To Chronic Obstructive Pulmonary Disease And To Diabetes Mellitus, Kathleen Bowen Waite

Nursing Theses & Dissertations

The problem for this research study was to ascertain if registered nurses of varying educational backgrounds and experience discriminated similar human needs as being altered by specific pathologic states. The two pathologic states studied were chronic obstructive pulmonary disease and diabetes mellitus, chosen for their high prevalence in the population. A population sample of 55 registered nurses practicing on medical units in five hospital settings were surveyed. Data for this study were collected using the Human Needs Assessment Scales developed for this study. It was determined that registered nurses in this study did discriminate similar human need fulfillment alterations specific …