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 …

The Role Of Nursing In Fertility Preservation Of Cancer Patients: An Integrated Literature Review, Alexis Shanahan

Grace Peterson Nursing Research Colloquium

Background: Approximately 70,000 young people between the ages of 15 and 39 are diagnosed with cancer in the United States. Concurrently, ideal child bearing ages also fall within this age range. With this in mind, post treatment quality of life is considered. One of the most important aspects of post cancer treatment is preservation of fertility.

Objectives: To explore what research has been conducted to understand what the nurse’s role in fertility preservation of cancer patients.

Methods: An electronic search of literature was conducted using Academic Search Complete, Cumulative Index to Nursing and Health Literature (CINAHL), and …

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.

Examining Barriers To Nurse Mandated Reporting Of Child Abuse, Michele Green

Grace Peterson Nursing Research Colloquium

Abstract

Background: Child abuse is a serious and far-reaching issue with effects negatively influencing development across the lifespan. Intervention of child protective services is a significant component to mitigating abuse and assuring the well-being of children at risk for or experiencing abuse.

Objectives: The purpose of this integrative literature review was to identify barriers nurses as front-line workers may encounter when identifying child abuse, may experience when completing child abuse reporting measures, and to explore potential action measures for reduction in the identified reporting barriers.

Method: This integrative literature review was conducted utilizing the key terms child, abuse, maltreatment, nurse, …

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 …

The Effects Of Interpersonal Therapy In The Treatment Of Postpartum Depression: An Integrative Literature Review, Abigail Henderson

Grace Peterson Nursing Research Colloquium

Abstract

Background: Many women suffer from postpartum depression (PPD) and delay seeking treatment due to a misunderstanding of the disorder and a shame of their depressive symptoms. These depressive symptoms have adverse effects for both the mother and the infant.

Study Purpose: The purpose of this study is to provide a detailed analysis that examines the efficacy and effects of Interpersonal Therapy (IPT) in the treatment of women with postpartum depression. With a deeper understanding of treatment options for postpartum depression, rates of this debilitating disorder may decrease.

Method: A search was conducted utilizing databases that included PubMed, the Cumulative …

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 …

Postpartum Depression In Women Whose Babies Were Admitted To The Nicu: An Integrative Literature Review, Tara Winkelmann

Grace Peterson Nursing Research Colloquium

Background: Postpartum depression is a major depressive disorder that can occur anytime during pregnancy and for up to a few weeks after giving birth. Postpartum depression affects a significant proportion of women who have given birth, regardless of the birth outcomes. Mothers who had their babies admitted into the NICU face a different postpartum experience than mothers who had healthy babies, which increases their risk for developing postpartum depression.

Objective: The purpose of this study was to examine if women whose babies were admitted to the NICU were at a higher risk for developing postpartum depression, and how depression screenings …

The Effects Of Stress In The Black Community And Cardiovascular Diseases In Relation To Other Groups, Kara Jamison

Grace Peterson Nursing Research Colloquium

Abstract

Background: Heart disease is the number one killer for all Americans along with stroke and, as it stands, the risks of getting those diseases are even higher for African-Americans in comparison to other groups.

Objectives: The purpose of this literature review is to assess the association between chronic stressors, including racial and socioeconomical stressors, and disproportionate development of cardiovascular disease in the African American community through the use of research databases.

Method: A systematic literature review was conducted using CINAHL, PsycInfo and Academic Search Complete database. A search was conducted using these terms: African American, blacks, …

Causes And Risks Of Obesity In Children, Clare Calkins

Grace Peterson Nursing Research Colloquium

Obesity in children has been increasing in the United States, childhood obesity has negative long- and short-term effects on health. It is important to recognize the risk factors and causes behind childhood obesity to provide prevention methods. Diet and physical inactivity are leading risk factors that can be attributed to various other issues such as environment and social economic status. The design study used for this paper was a systematic review, a summary of clinical literature regarding childhood obesity and the factors that influence its prevalence in the United States. Literature search strategies used included data bases and specific search …

Aerobic Exercise And Its Effects On Parkinson Symptoms For People Over The Age Of 45 Years Old, Caroline Nguyen

Grace Peterson Nursing Research Colloquium

Abstract

Background: Patients with Parkinson’s disease (PD) are struggling to maintain their quality of life due to their degradation of their body’s’ motor and non-motor abilities.

Objectives: The purpose of this integrative literature review was to determine whether aerobic is a beneficial adjunct in improving the symptoms of people over forty-five years of age with a diagnosis of Parkinson’s disease as well as identifying the exact symptoms that aerobic exercise aids in alleviating.

Method: An integrative literature review was conducted using the databases of Academic Search Complete, Cumulative Index to Nursing and Allied Health Literature (CINAHL) Complete, …

Examining The Effects In Patient Care That Emerge From Government Regulation In Home Health, Mark Figueroa

Grace Peterson Nursing Research Colloquium

Background: Government regulation in home health nursing is a serious and widespread issue with effects negatively impacting the lives of patients in the community setting. Excessive regulation limits healthy competition, access to primary care, and scope of practice in home health care nursing. Patients prefer to recover and receive care in a setting that is comfortable, familiar, and conducive to their independence.

Objectives: The purpose of this integrative literature review was to identify regulations that hinder a patient’s home health care benefit, and to explore its effect in the delivery, quality, and access to home health care in the community …