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- Keyword
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- Advanced care planning; end of life; (1)
- Anesthesia; general anesthesia; respiratory dynamics; obesity; PEEP; postive end-expiratory pressure; (1)
- Anesthesia; general anesthesia;neurodegeneration; (1)
- Anesthesia; pediatric patients; anxiety; (1)
- Continuous Renal Replacement Therapy; CRRT; CVVH; Acute Kidney Injury; Dialysis; Nurse Driven Protocols; Benner's Novice to Expert Model; (1)
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- Enhanced recovery after surgery; ERAS; cholecystectomy; cholecystectomy surgery; (1)
- Enteral nutrition; volume-based enteral nutrition; neurocritical care; underfeeding malnutrition; (1)
- ICU; visitation; family; nurses' perceptions; open visitation; unrestricted visitation; (1)
- Incentive spiromem; postoperative pneumonia; non-ventilator; hospital acquired pneumonia; (1)
- Muscle paralysis; postoperative residual muscle paralysis; anesthesia; cholinesterase inhibitors; sugammadex; (1)
- Nonpharmacological; pain management; barriers; nurse perceptions; (1)
- Nurse; knowledge; critical care; hyperglycemia; DKA; HHS; Diabetes (1)
- Nurses'; Nurses Practitioners; self perception; cancer; cancer survivorship; (1)
- Nurses; nursing students; health; wellness; Healthy Nurse Healthy Nation; workplace health; college health ; (1)
- Nursing retention; incivility; professional incivility; (1)
- Pain management; cardiac surgery; postoperative pain; opiods; pain relief; (1)
- Palliative care; oncology; nursing education; (1)
- Postoperative pain; pain management; opiods; (1)
- Postoperative pain; anesthesia; cardiac surgery; thoracic surgery; (1)
- Postoperative pain; surgery; spinal anethesia; anesthia; intrathecal bupivacaine; dexmedetomidine; (1)
- Postpartum support services; mental health; postnatal; (1)
- Prebriefing; APRN; self-confidence; simulation-based learning; (1)
- Rib fractures; older adult; epidural analgesia; thoracic trauma; (1)
- School nursing service; quality measures; state-level; infrastructure; structure; process; domains; indicators; (1)
- Sepsis; septic shock; steroids; corticosteroids; mortality; (1)
- Surgical site infections; SSI; patient care; high concentration oxygen; intraabdominal surgery; (1)
- Vascular access; vascular access nursing; central line associated bloodstream infection; CLABSI; (1)
Articles 1 - 27 of 27
Full-Text Articles in Medicine and Health Sciences
The Perception Of Incivility On Career Retention Of New Graduate Nurses, Michelle Kurzbach
The Perception Of Incivility On Career Retention Of New Graduate Nurses, Michelle Kurzbach
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Over the past few decades, researchers have been exploring the cause and effects of incivility in the nursing profession. With the nursing shortage on the rise, organizations are focused on decreased retention rates and the impact on patient outcomes and organizational costs. In order to assess and evaluate the current literature on incivility toward new nurses and its’ impact on retention, an integrative review was conducted. The purpose of this project was to evaluate incivility toward new graduate nurses and the impact incivility has on career retention. The Theory of Planned Behaviour was the framework used to guide this review. …
A Systematic Review Examining The Efficacy Of Epidural Analgesia On Mortality In Older Adult Patients With Rib Fractures, Erin Casimiro
A Systematic Review Examining The Efficacy Of Epidural Analgesia On Mortality In Older Adult Patients With Rib Fractures, Erin Casimiro
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Rib fractures are a common consequence of blunt force trauma, producing pain and potentially leading to complications such as pneumonia, atelectasis, respiratory failure, and death. Due to physiological changes related to aging, older adults aged 65 and over are at increased risk for developing such complications. Aggressive treatment of pain has been recognized as paramount in preventing such consequences. While there are multiple modalities to treat pain related to rib fractures, epidural analgesia has frequently been recognized as an effective means of preventing pulmonary complications and decreasing mortality in an opioid sparing technique. However, it remains unclear if this therapy …
The Impact Of Intrathecal Dexmedetomidine As An Adjuvant To Bupivacaine On Postoperative Pain, Stephanie Wilson
The Impact Of Intrathecal Dexmedetomidine As An Adjuvant To Bupivacaine On Postoperative Pain, Stephanie Wilson
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Postoperative pain is an unpleasant consequence of all surgical procedures. It is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. There are many negative consequences to postoperative pain including delayed recovery, increased healthcare costs, and overall dissatisfaction with care. There are many methods to minimize postoperative pain. Spinal anesthesia has been used for years to improve postoperative pain across a variety of surgical procedures. New research has shown that the use of adjuvant medications with intrathecal bupivacaine greatly improves postoperative pain. One adjuvant medication is dexmedetomidine. The purpose of this systematic review was to determine …
Increasing Participation In The American Nurses Association's Healthy Nurse Healthy Nation Grand Challenge In A College Setting, Emily Haynes
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
The health status of Americans ranks poorly compared to other nations. The health behaviors of American nurses are worse than the general population. Healthy Nurse Health Nation (HNHN) is the American Nurses’ Association’s (ANA’s) program to encourage healthy lifestyle practices among nurses with the ultimate goal of improving population health by creating a healthier nursing workforce able to be more credible as health coaches. This paper reviews literature on workplace and college health programs, health behaviors of nurses and student nurses, and the idea of nurses as role models. The Logic Model was used to guide implementation of the program …
Examining The Effects Of Ketamine On Reducing The Incidence Of Opioid-Induced Hyperalgesia In The Perioperative Phase, Marie Rahme
Examining The Effects Of Ketamine On Reducing The Incidence Of Opioid-Induced Hyperalgesia In The Perioperative Phase, Marie Rahme
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Pain in the postoperative period is a serious issue that can have a negative physical and emotional impact on patient outcomes. Complications from postoperative pain can have detrimental outcomes for patient’s health and wellbeing as well as the increased economic burden of continued treatment. Better management of pain in the perioperative phase can result in improved patient outcomes, fewer postoperative complications, and increased patient satisfaction. Although opioids are the mainstay of treatment in the perioperative period for pain management, abnormal pain responses such as hyperalgesia may be induced by administration of opioids. The purpose of this systematic review is to …
The Effect Of Positive End Expiratory Pressure (Peep) With Recruitment Maneuvers On Atelectasis In Obese Patients Undergoing Abdominal Surgery: A Systematic Review, Jon Cerami
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
General anesthesia has a profound effect on respiratory dynamics in the obese population. Obesity can contribute to a decreased functional residual capacity, reduced lung volumes, and an increased closing capacity. Positioning and procedural requirements can further complicate the respiratory status of the obese patient. Surgical procedures in the obese population have an increased risk for the formation of atelectasis. Ventilation can be compromised due to atelectatic lung tissue and may result in post operative complications such as pneumonia, acute respiratory distress, hypoxia, a prolonged hospital stay, and the need for prolonged mechanical ventilation. Positive end-expiratory pressure (PEEP) is utilized in …
A Systematic Review Comparing Neostigmine Versus Sugammadex, Brittany Williams
A Systematic Review Comparing Neostigmine Versus Sugammadex, Brittany Williams
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Postoperative residual muscle paralysis can lead to very serious complications, such as hypoxia, airway obstruction, and generalized muscle weakness after surgical procedures. Traditional anesthesia practice has utilized a class of medications called cholinesterase inhibitors to mitigate these complications. Cholinesterase inhibiting agents have the potential to create adverse effects of their own, such as bradycardia, due to the drug class’s indirect mechanism of action. An ideal reversal agent would reverse quickly, and reliably, with minimal adverse effects. Recently, sugammadex, a selective relaxant- binding agent, has been introduced as an alternative reversal agent. The purpose of this systemic review was to compare …
Does High Concentration Oxygen Decrease Surgical Site Infections?, Jah Mclernan
Does High Concentration Oxygen Decrease Surgical Site Infections?, Jah Mclernan
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Surgical site infections (SSIs) are among the most preventable infections acquired in the healthcare setting today. The potential for improved patient care and reduced healthcare spending by decreasing SSIs could save millions of US healthcare dollars and at the same time lead to better patient outcomes. The purpose of this systematic review was to explore whether high concentration oxygen delivered to surgical patients undergoing intraabdominal surgery decreases SSI. A systematic review was conducted to determine if high concentration oxygen decreases surgical site infection. Databases were searched, and inclusion and exclusion criteria were applied to select the articles for this systematic …
Methadone Use In Postoperative Pain Management: A Systematic Review, Olivia Mahoney
Methadone Use In Postoperative Pain Management: A Systematic Review, Olivia Mahoney
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Postoperative pain is a commonly discussed topic in patients undergoing anesthesia for cardiac and thoracic surgery. Uncontrolled or poorly treated postoperative pain has been studied to cause poor outcomes in patients. Prolonged pain experienced by the patient can increase the risk of infection, respiratory compromise, development of chronic pain, and death. Current studies look at multiple modalities of treatment of postoperative pain, however, a long acting drug that is often under looked and underused is methadone. Methadone has a prolonged effect that can provide analgesia for an extended period of time. ). The purpose of this paper is to conduct …
The Impact Of Parental Presence On The Anxiety Experienced By Pediatric Patients During Anesthesia, Cassie Mcenery
The Impact Of Parental Presence On The Anxiety Experienced By Pediatric Patients During Anesthesia, Cassie Mcenery
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
This integrative review compared the use and impact of parental presence on the anxiety experienced by pediatric patients during anesthesia. Every year, millions of children receive anesthesia and experience separation from their parents which can cause anxiety due to unfamiliar situations, environments, or people. A search was completed using electronic databases, including Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Pubmed. The PRISMA flowchart was utilized, guided by inclusion and exclusion criteria, to identify and document the six studies included in the review. Studies were critically appraised using Polit & Beck's critical analysis tables to evaluate the quality …
The Effect Of Anesthesia On The Developing Brain, Roy W. Degrange
The Effect Of Anesthesia On The Developing Brain, Roy W. Degrange
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Damage caused by administering general anesthetics to the developing brain in young children and pregnant mothers is of concern among practicing anesthesia providers. Studies using young rodents and non-human primates have shown that animals are susceptible to neurodegeneration when exposed to high concentrations of general anesthesia. Randomized control trials using rodents as subjects used behavioral and histological experiments to determine the adverse effects of general anesthetics including the inhalation agents desflurane, isoflurane, and sevoflurane in addition to intravenous ketamine. The purpose of this systematic review was to examine the current literature to determine the effects these anesthetics pose on rodent …
Systematic Review: Enhanced Recovery After Cholecystectomy Surgery, Meghan Cole
Systematic Review: Enhanced Recovery After Cholecystectomy Surgery, Meghan Cole
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
This systematic review aimed to answer the clinical question, which perioperative enhanced recovery after surgery (ERAS) techniques are most effective in decreasing recovery time and length of stay for adults, aged 18-65, undergoing cholecystectomy surgery? In an effort to curb healthcare spending, ERAS is one way to reduce hospital- associated costs. Originally developed in Denmark, ERAS is a patient-centered initiative that aims to reduce the body’s stress response, leading to improved patient outcomes and decreased hospital lengths of stay. Betty Neuman’s Systems Model was used as a theoretical framework to enrich the understanding of enhanced recovery and how it works …
Evaluating Iv Acetaminophen For Pain Management After Cardiac Surgery: A Retrospective Chart Review, Jason Wilhelm
Evaluating Iv Acetaminophen For Pain Management After Cardiac Surgery: A Retrospective Chart Review, Jason Wilhelm
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Pain after surgery is one of greatest complaints patients have in the surgical process. It is important to decrease pain after surgery to promote a quicker recovery and minimize complications. Opioids alone have been used to manage post-operative pain in cardiac surgery; However, recently multimodal approaches to pain management are now being explored. This approach involves using multiple medications with varying mechanisms of action for pain relief in addition to decreased adverse effects. Ofirmev (IV acetaminophen) is a relatively new medication for use in cardiac surgery that has few contraindications and side effects. The purpose of this study was to …
Postnatal Support Services For Intended Parents: A Gap Analysis, Jean Salera-Vieira
Postnatal Support Services For Intended Parents: A Gap Analysis, Jean Salera-Vieira
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Through discussion with a larger audience of perinatal professional colleagues and dissemination of the project findings, the expected outcomes of this DNP project include an increased awareness within the perinatal community of a gap in postnatal support services for intended parents. Awareness of a gap in services will start the conversation among perinatal professionals regarding what services should be put into place to provide the appropriate supports. On a national level, expected outcomes include awareness of the need for postnatal services for intended parents. Oral presentation of the findings and dissemination through publication is planned. The dissemination will describe the …
Appropriateness Of Vascular Access Device Selection, Ashlee Viveiros
Appropriateness Of Vascular Access Device Selection, Ashlee Viveiros
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Central venous access devices (CVADs) are associated with serious complications, including central line associated bloodstream infection (CLABSI), that place patients at risk for poor outcomes and are costly for hospital systems. Research suggests great variability of CVAD use in hospitals including overuse and inappropriate use of these devices which places patients at unnecessary risk for complications. Each unique patient situation involves multiple characteristics that adds complexity to their hospitalization. Clinicians make decisions regarding line selection often during emergent situations without the appropriate level of evidence to support this decision, which results in inconsistencies and variations in the use of CVADs. …
Diabetes Knowledge Of Critical Care Nurses: A Quality Improvement Project, Sarah Christine Huley
Diabetes Knowledge Of Critical Care Nurses: A Quality Improvement Project, Sarah Christine Huley
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Diabetes mellitus continues to become more prevalent in the United States, with approximately 1.5 million new cases diagnosed each year (ADA, 2018). Nurses play a key role in providing education to diabetic patients on the management of this disease. This encompasses a multitude of topics such as diabetic medications, treatments, and lifestyle choices that ultimately may aid in decreased morbidity and mortality otherwise associated with the disease and its co-morbidities. However, nurses’ own perceived diabetes knowledge has been found to be overestimated when compared to actual nursing knowledge (Alotaibi, Ghlizadeh, Al-Ganmi & Perry, 2017; Wakefield & Wilson, 2014). Research also …
Perceived Barriers To Discussing End Of Life Care Planning, Karen Bouchard
Perceived Barriers To Discussing End Of Life Care Planning, Karen Bouchard
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Advance care planning (ACP) related to end of life (EOL) care is an often neglected area in primary care. Nurse care managers (NCM’s) are in a unique position to initiate earlier conversations about illness management and patient preferences regarding end of life so patients have the opportunity to make choices and have their wish known while they are still cognitively independent. The purpose of this quality improvement project was to identify barriers to discussions about end of life care with patients in clinical practice. Six NCM’s participated in two focus groups to identify perceived barriers for end of life care …
Integration Of Early Palliative Care In Oncology Patients: Improving Nursing Knowledge And Confidence, Jacqueline Hurteau
Integration Of Early Palliative Care In Oncology Patients: Improving Nursing Knowledge And Confidence, Jacqueline Hurteau
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Palliative care integrated with standard oncology care in cancer patients has been shown to provide a number of beneficial clinical outcomes. Despite the evidence, the utilization of palliative care in the oncology population continues to be inadequate. The purpose of this program development, quality improvement project was to improve nurses’ knowledge regarding palliative care and the benefits of its early implementation in the oncology population, as well as to improve their confidence regarding palliative care consultations to providers. An educational intervention was designed and a pre and posttest were utilized to determine the effect of the intervention. This program development, …
Improving The Delivery Of Enteral Nutrition In The Neurocritical Care Unit Through The Implementation Of A Volume-Base Feeding Protocol, Joan M. Walsh
Improving The Delivery Of Enteral Nutrition In The Neurocritical Care Unit Through The Implementation Of A Volume-Base Feeding Protocol, Joan M. Walsh
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Neurocritical care patients receiving rate-based enteral nutrition (RBEN) consistently received less than their full prescription of enteral nutrition (EN) volume due to interruptions in feeding. This study investigated the impact of the implementation of a volume-based feeding protocol (VBEN) on the percentage of prescribed volume of EN delivered over the course of patients’ neurocritical care unit (NCCU) length of stay. Aim: The aim of this study was to better meet the nutritional needs of adult neurocritical care patients receiving nutrition through the enteral route. Methods: A retrospective pre and postimplementation chart review was conducted on adult patients with age 18 …
Nurses' Perceptions Of The Barriers To Using Nonpharmacological Methods To Relieve Patients' Pain In The Acute Care Setting, Alyssa Ethier
Nurses' Perceptions Of The Barriers To Using Nonpharmacological Methods To Relieve Patients' Pain In The Acute Care Setting, Alyssa Ethier
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Managing patients’ pain is a challenge that many caregivers face as they balance adequate pain management with minimal drug side effects. Nonpharmacological pain management techniques exist that literature has shown to be effective. Although caregivers may be aware that nonpharmacological pain relief options exist, pharmacological pain management still remains the primary, and often the sole form of pain intervention. The purpose of this project was to identify nurses’ perceptions of barriers to using nonpharmacological methods to manage their patients’ pain in the inpatient hospital setting. A modified survey was created using the Nurses’ Perceived Obstacles to Pain Assessment and Management …
Development Of A Measure Of State Infrastructure For School Nursing Services Delivery, Wendy A. Doremus
Development Of A Measure Of State Infrastructure For School Nursing Services Delivery, Wendy A. Doremus
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Healthcare systems are increasingly accountable for safety and quality. States have a key role in protecting and promoting the health of their youth, setting regulations and standards for school health services structures and processes. Yet, the lack of an instrument for state-level self-assessment of equity and quality infrastructure supports hinders progress toward improving in school health services delivery. This macro health system project, conducted in three phases, developed a valid and reliable instrument for state-level self-assessment of infrastructure necessary for supporting quality school nursing services. The phases were identification of state-level structures and processes domains and indicators; a content expert …
Ambulatory Oncology Nurses' And Nurse Practitioners' Self Perception Of Competence In Cancer Survivorship Care, Tracy Lynn Carraggi
Ambulatory Oncology Nurses' And Nurse Practitioners' Self Perception Of Competence In Cancer Survivorship Care, Tracy Lynn Carraggi
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
The advances in cancer research with medical treatments and early detection practices have improved the survival of cancer patients as they are living longer and the rate of cancer survivors are increasing steadily. Cancer survivors may experience residual side effects from cancer or its treatment. These side effects may be disabling acutely or long-term causing physical and psychological effects that can negatively affect quality of life. There is a need for extended follow-up care for cancer survivors beyond solely just receiving treatment for cancer. Nurses and nurse practitioners can make a huge impact on the quality of life for cancer …
The Impact Of Corticosteroids On Mortality In Adult Patients With Septic Shock, Anthony Henriques
The Impact Of Corticosteroids On Mortality In Adult Patients With Septic Shock, Anthony Henriques
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Septic shock is a complication that affects thousands of patients leading to high mortality rates and increased healthcare costs. One treatment in the attempt to decrease poor outcomes is corticosteroids. A systematic review was conducted to evaluate the impact of corticosteroids on mortality in adult patients with septic shock. Databases searched were CINAHL, PubMed, OVID, and Cochrane Library. A literature review was performed and pertinent data from each article was recorded in data collection tables. A total of six articles were critically analyzed. The Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist and flow diagram were used to guide …
Does Nurse Management Effect Continuous Renal Replacement Downtime?, Lisa Gardner
Does Nurse Management Effect Continuous Renal Replacement Downtime?, Lisa Gardner
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Acute kidney failure (AKI) is common among patients in the intensive care unit (ICU) and can have a mortality rate of up to 70%. Continuous renal replacement therapy (CRRT) provides constant dialysis treatment and is the recommended treatment for hemodynamically unstable AKI patients. Delay in CRRT delivery and interruptions of therapy are associated with negative outcomes such as fluid overload, electrolyte imbalance, acid-base imbalance and death. To reduce CRRT downtime, there has been a trend for the critical care nurse to be autonomous with the set-up, management and\ trouble-shooting of treatment instead of a collaboration between the critical care nurse …
Effects Of Prebriefing On Aprn Student Self-Confidence In Simulation-Based Learning, Aiza Soares
Effects Of Prebriefing On Aprn Student Self-Confidence In Simulation-Based Learning, Aiza Soares
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
The contemporary American Health Care System created a demand for skilled advanced practice registered nurses (APRNs) to meet the health care needs of the U.S. population. It is imperative that graduate nursing programs adequately educate APRN students with the competencies to address these demands. Graduate nursing programs have adopted simulation-based learning to provide safe, cost-effective learning opportunities without the potential for real-world negative outcomes that can arise during hospital-based education. The purpose of this quality improvement project was to provide a tailored, APRN-focused prebriefing activity before simulation-based learning and measure its effects on self-reported student self-confidence scores. This project was …
Registered Nurses' Knowledge Of Pneumonia Prevention Implementing Incentive Spirometry In Adult Hospitalized Postoperative Patients: A Quality Improvements, Melissa Gaffney
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
In 2011, the Centers for Disease Control and Prevention (2018) estimated there were 157,500 cases of hospital-acquired pneumonia (HAP). Of those, ventilator associated pneumonia (VAP) had declined with increased efforts aimed at prevention, while nonventilator pneumonia (NV-HAP) did not have such prevention interventions and escalated, with approximately 2300 cases and 5600 respectively reported in one state (Baker & Quinn, 2018). The 2012 Healthcare Cost and Utilization Project National Inpatient Sample reported only 4 million people were at risk for VAP, while approximately 35 million more people were at risk for NV-HAP in the United States. The purpose of this project …
Nurses' Perceptions Of Open Visiting Policy In The Adult Intensive Care Unit: An Integrative Review, Susan P. Mckenna
Nurses' Perceptions Of Open Visiting Policy In The Adult Intensive Care Unit: An Integrative Review, Susan P. Mckenna
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
The Intensive care unit (ICU) can undoubtedly be overwhelming and stressful at times. Open visitation has many demonstrated benefits for the patient and the family but can also have disadvantages. Nurses, who are a central element in the care of the critical patient, can be greatly affected by visitation. This integrative review explored nurses' perceptions of open visitation as well as visitation policies of ICUs across the nation. Beneficial effects of open visitation include enhanced teaching, improved communication, reduced anxiety, and physiologic benefits. Barriers of open visitation include hindrance in the delivery of care, physiological concerns, creating additional workload, and …