Medicine and Health Sciences Commons^™

Influenza Vaccination: An Educational Module For Health Care Workers, Lisa A. Hogan

Theses and Graduate Projects

The seasonal influenza virus continues to have a significant impact on the health of hundreds of thousands of individuals in the United States each year, despite the availability of a vaccine shown to be effective at reducing both illness and death. All Health Care Workers (HCWs) at a large Midwestern medical center must make a choice whether to receive the yearly influenza vaccine or not, and approximately 5,000 HCWs chose to decline the vaccine in 20l2. Reasons given for these declinations included fears about vaccine safety and effectiveness, as well as misperceptions about vaccine side effects and the intended recipients. …

Integrating Mindfulness Meditation Into Undergraduate Nursing Curricula, Michelle Yankowiak

Theses and Graduate Projects

Stress and anxiety impact the lives of undergraduate nursing students. Learning how to cope with the stressful demands of nursing school is essential for student success. Watson's caring and healing philosophy notes that learning to care for self is foundational in learning to care for others. Literature also reports that nursing programs across the country are lacking instruction on alternative therapies as a self-care method. A need to integrate self-care into curricula was identified by personal knowing as a nursing clinical instructor and through a self-care questionnaire to undergraduate obstetric nursing students. The integration of mindfulness meditation, as a means …

Community Engagement In The Prevention Of Teenage Suicide, Janet M. Benz

Theses and Graduate Projects

Adolescent suicide is a serious problem. Worldwide suicide is the tenth leading cause of death for all people (World Health Organization, 2002) and in the United States suicide is the third leading cause of death for teenagers (Centers for Disease Control, 2010). Minnesota, however, fares worse than the rest of the country, where suicide is the second leading cause of death for those 15 to 34 years of age (Minnesota Department of Health,2009). Suicide does not discriminate as it happens to people of wealth, those who live in poverty, people of all ethnic backgrounds, people from all walks of life …

A Standardized Wound Care Nursing Education Program, Craig Cardel

Theses and Graduate Projects

Patients with vascular wounds are medically complex and require registered nurses (RNs) with specialized education in vascular disease and vascular wound care to assess and freat their wounds. A standardized vascular wound nursing education program was developed for RNs at affiliate regional clinics to provide specialized education on types of vascular wounds, co-morbid diseases associated with vascular wounds, diagnostic procedr:res used to diagnose vascular diseases, treatments to improve vasculature to the wound, debridement of wounds, and wound care products used to treat the wound and promote healing. An interactive nursing education progrirm containing three nursing education modules was created for …

Shift To Shift Report: Improving Handoffs In Care In The Nicu, Karen Martin

Theses and Graduate Projects

Shift to shift report in the Newborn Intensive Care Unit (NICU) is an interaction between nurses to share patient information and prepare the next caregiver to provide safe, high quality care to their vulnerable patients. An examination of the research identifies that there are multiple factors that can have a negative effect on the shift to shift report or handoff, creating the potential to not only harm the patient, but create dissatisfaction for both nurses and families as well. The purpose of this project is to create a new shift report process based on the work of theorist Jean Watson …

Floattng Through Uncharted Waters, Amanda Moscatelli

Theses and Graduate Projects

The act of floating or flexible staffing is a cost effective way to maintain nursing staffing levels through times of shortages and surplus. While the financial and patient care benefits are abundant, the culture of floating tends to be negative. Nurses cite difficulty adapting to a changed environment, caring for different patient populations, and working with different staff members as the most difficult and anxiety provoking aspects of floating. Although nurses at a large Midwest medical center frequently float across a number of nursing units, they receive no formal education on the practice of floating. Introduction of an online floating …

Feeding The Homeless Through Collaboration: A Proposal For Consideration, Valetta M. Johnson Massaquoi

Theses and Graduate Projects

The homeless are faced with many challenges of adverse nutritional deficiencies that predispose them to several illnesses commonly associated with the lack of adequate nutrition and the frequent utilizations of health care resources. Provision of nutritious food for the homeless can help decrease the prevalence of these identifiable markers and can be accomplished by u collaborative effort. The purpose of this project is to describe a collaboration between Regions Hospital and the Dorothy Day Center to provide supplemental nutrition for the homeless. Leininger's culture care diversity and universality theory along with culture care accommodation/negotiation are used as a theoretical framework …

Culturally Appropriate Nursing Care For International Patients, Kate Larson

Theses and Graduate Projects

Cultural competence is a necessary skill for nurses. It requires ongoing learning for continuous improvement in the healthcare setting. Nurses who are knowledgeable in providing culturally appropriate nursing care are able to meet patients' needs by building trust and minimizing cultural pain. Providing nursing care with nurses who have advanced nursing degrees and knowledge of culture and international patient care is an effective model for the ambulatory setting. Trans-global travel for healthcare is increasing therefore a nursing model designed to meet the culture care needs of international patient care is required. This nursing model describes culturally appropriate nursing care in …

Picc Education For The Discharging Patient, Angela S. Lowrie

Theses and Graduate Projects

Individualized education, regarding peripherally inserted central catheter (PICC) care, should be provided by nurses to patients who are being discharged with PICCs in order to help patients achieve optimal outcomes. Without proper PICC care, patients are at risk for acquiring a catheter-related bloodstream infection or multiple attempts at venous access which can lead to venous depletion. At a large Midwestern medical center, all maintenance care for PICCs was being transitioned from the unit nurse to the PICC nurse, which created an opportunity to expand the part of the nurse educator role to the PICC nurse. The purpose of this project …

Reviving The Dream: Giving Form To A Faith-Based Holistic Clinic At An Urban Lutheran Church, Kathy Leu

Theses and Graduate Projects

To be able to live full, productive lives, all people can benefit from having a consistent, unified team of health care providers who offer emotional, physical, mental, and spiritual support at one health care center. Historically, churches have been involved in health care, and the Christian faith has been integral in holistic healing. Today, the spiritual component of health is often missing in clinic settings. This project will lay the foundation for the establishment of a faith-based holistic clinic in a large charismatic urban Lutheran church. Utilizing Leininger's Culture Care Theory, the transcultural nurse, a key member of the holistic …

Creating A Healing Environment In The Operating Room By Reducing Noise, Emily Grimshaw

Theses and Graduate Projects

The operating room can be a very noisy environment. Noise in this setting can affect patient's physiologically as well as psychologically and it can also affect operating room staff. The review of the literafure shows the effects noise in the operating room has on patients and staff. Patients can become tachycardic and hypertensive due to the exposure to increased noise in the operating room while staff concentration can be impeded as well. The creation of a noise reduction program for the operating room will create a healing environment. The healing environment will help both patients and operating room staff, Patients …

Leading The Way To Comprehensive And Compassionate Care Of Bariatric Patients, Wendy Kay Grimshaw

Theses and Graduate Projects

The past several decades have seen drastic increases in obesity worldwide. The United States (U.S.) is one of the leading countries for obese populations and has seen an even greater increase in its morbidly obese population, referred to as bariatric in the health care community. Many health care facilities designed to care for normal weight patients find themselves grappling to provide care for bariatric patients in facilities not built to accommodate their size. Widespread bias against obese patients, gaps in proper space and equipment, and knowledge deficits related to care needs and co-morbidities specific to the bariatric patient population need …

Promotion Of Mental Health Wellness Among Second Generation Immigrants In The Cedar Riverside Neighborhood, Caroline Abenakyo

Theses and Graduate Projects

Effects of the stigma associated with mental health illness among immigrant populations are exacerbated by challenges like language barrier, poverty and low education status. Immigrant children and teenagers are more vulnerable to compromised mental health wellness due to their dependence upon adults and their critical developmental stages. The purpose of this project is to explore the collaborative effort between health care professionals, law enforcement, community leaders and volunteers in the development of a nursing based support group for East African immigrant parents to promote mental health wellness for second generation immigrants in the Cedar Riverside neighborhood. Madeleine Leininger's Theory of …

Het Gebruik Van Risicotaxatie Instrumenten Onder Spv-En (The Use Of Risk Assessment Instruments Among Community Psychiatric Nurses), Sophie De Valk, Corine De Ruiter, Jorge Folino, Matthew Large, Thierry Pham, Kim Reeves, Carolina Condemarin, Louise Nielsen, Martin Rettenberger, Robyn Mei Yee Ho, Verónica Godoy-Cervera, Kimberlie Dean, Maria Francisca Rebocho, Karin Arbach-Lucioni, Martin Grann, Katharina Seewald, Michael W. Doyle, Sarah Desmarais, Richard Van Dorn, Randy Otto, Jay Singh

Faculty Scholarship

Dutch Abstract: Auteur en een groot aantal alumni-collega's van de Universiteit van Maastricht, hebben gekeken welke risicotaxatie-instrumenten SPV-en gebruiken om het risico van recidive in te schatten bij clienten uit de forensische psychiatrie. Met behulp van START kan volgens hen het risico voor anderen, het risico op victimisatie, risico op zelfbeschadigend gedrag, suïcidegevaar, ongeoorloofde afwezigheid, middelenmisbruik en zelfverwaarlozing bij deze forensische groep vastgesteld worden.

English Abstract: The author and colleagues from the University of Maastricht investigated the use of structured risk assessment instruments in forensic psychiatry. Using instruments such as the START may aid in the assessment of violence, victimization, …

Pain Management And The Postoperative Orthopedic Patient: An Exploration Of Evidence To Empower The Patient And Improve Current Pain Management Outcomes, Michelle Smith

michelle a smith

Abstract Pain Management and the Postoperative Orthopedic Patient: An Exploration of Evidence to Empower the Patient and Improve Current Pain Management Outcomes, Smith, M. A.; Master of Science in Nursing Problem and Significance Statement: Pain is a serious health problem in the United States. The problem is so significant that it costs $560-635 billion annually; approximately $2,000 per resident. On a local orthopedic unit, patient satisfaction scores related to pain management are lower than targeted, patients are not currently requested to give input to their own pain management regimen, and no distinct plan exists for pain management after surgery. Literature …

Understanding Healthcare Economics: Managing Your Career In An Evolving Healthcare System, Jeanne Wendel, William O'Donohue, Teresa Serratt

Teresa Serratt

Healthcare economics is a topic of increasing importance due to the substantial changes that are expected to radically alter the way Americans obtain and finance healthcare.

Understanding Healthcare Economics: Managing Your Career in an Evolving Healthcare system provides an evidence-based framework to help practitioners comprehend the changes already underway in our nation's healthcare system. It presents important economic facts and explains the economic concepts needed to understand the implications of these facts. It also summarizes the results of recent empirical studies on access, cost, and quality problems in today's healthcare system.

Explaining what the term healthcare crisis means, the book …

An Integrative Review Of Student Evaluations Of Teaching: Implications For Evaluation Of Nursing Faculty, S. Annan, C. Rubenstein, Erika Metzler Sawin, S. Tratnack, L. Hulton

Erika Metzler Sawin

No abstract provided.

Creating An Undergraduate Nursing Course Using Evidenced Based Learning, Elizabeth Bufink

Elizabeth Bufink

No abstract provided.

Developing A Librarian Liaison Role To Support The Nursing Research Councils At Inova, Kerry Dhakal, Melinda Byrns, Lois Culler, Mary Ann Friesen

Kerry Dhakal, MAA, MLS, AHIP

Objective: To develop a librarian liaison role for the Inova Health System’s Nursing Research Councils. In addition, the project aims to establish and improve connections with all nurses conducting research at Inova facilities.

Methods: Through a process of needs assessment, collaboration on research activities, outreach, teaching activities, and promotion this project promoted awareness and usage of library services by members of the nursing research councils. The librarian liaison works directly with each of the six nursing research councils to inform them of the library’s services and resources specific to their needs and goals. The project highlights and publicizes existing resources …

Application Of The Self Care Deficit Nursing Theory: The Community Context, Rebecca Green

Rebecca D. Green

The purpose of this article is to consider the basic tenets of Orem's Self-Care Deficit Nursing Theory in application to children with special health care needs as an aggregate in a larger community. The cases of Javon and Elizabeth are revisited and evaluated within the context of community. Orem's concept of conditioning factors is linked with the public health concepts of social determinants of health; and her concept of universal self-care requisites are interpreted within the context of the World Health Organization's definition of health. Finally, the concept of intersectionality is introduced as a linking framework for consideration of these …

Psychological Distress In African American Grandmothrs Raising Grandchildren: The Contribution Of Child Behavior Problems, Physical Health, And Family Resources, Susan Kelley, Deborah Whitley, Peter Campos

Deborah M. Whitley

Diminished psychological health has been identified among caregiving grandmothers. The intent of this investigation was to examine psychological distress levels, as well as their predictors, in a sample of 480 caregiving African American grandmothers, mean age 56 years. Almost 40% (39.8%) of participants had clinically elevated psychological distress scores. Results of hierarchical multiple regression indicated that internalizing and externalizing child behavior problems, poor grandmother physical health, younger age of grandmother, and lack of family resources predicted 31% of the variance in psychological distress. Results provide direction for nursing interventions aimed at enhancing the psychological well-being of caregiving grandmothers.

Emotional Distress In Mothers Of Preterm Hospitalized Infants: A Feasibility Trial Of Nurse-Delivered Treatment, Lisa Segre, Rebecca Chuffo-Siewert, Rebecca Brock, Michael O'Hara

Lisa S. Segre

OBJECTIVE: Mothers of preterm infants in a hospital neonatal intensive care unit (NICU) are at risk for clinically significant depression and anxiety, but for these women their own treatment is likely a secondary priority. This study evaluated the feasibility, acceptability and effectiveness of an evidence-based, nurse-delivered, on-site depression treatment: listening visits (LVs). STUDY DESIGN: Therapeutic LVs were delivered on site to 23 distressed mothers of NICU infants. The intervention was conducted by a neonatal nurse practitioner and the outcome was examined in an open-trial, pre-post evaluation. RESULT: A part-time nurse practitioner delivered six LVs to each participant within a 1-month …

Improving Discharge Education Using Pictographs, Jeungok Choi

Jeungok Choi

No abstract provided.

Prelimimary Findings From The “Analysis Of Patient Bedside Monitor Alarms” Study, Patricia Harris

Patricia Harris

Heart Rate Turbulence In Patients With Acute Respiratory Failure [Poster], Patricia Harris

Patricia Harris

Cultural Communication, Power Distance And The Reduction Of Medical And Medication Errors (Poster), Luanne Linnard-Palmer

Luanne Linnard-Palmer

Teaching Information Literacy Skills To Undergraduate Nursing Students: A Collaborative Approach, Suzanne E. Zentz, Kimberly J. Whalen

Suzanne E Zentz, DNP, RN, CNE

Background

An expectation of baccalaureate nursing education is to prepare nurses to implement evidenced-based practice (EBP). This expectation extends far beyond a basic understanding of the research process. BSN prepared nurses must be able to effectively and efficiently identify, analyze, and synthesize evidence (AACN, 2008). The acquisition of information literacy skills is foundational to the development of EBP.

Implementation

The study took place at a College of Nursing within a mid-sized, faith-based university located in the Midwest. Historically, students enrolled in their senior level undergraduate nursing research/EBP course underwent one library instruction session with the nursing librarian to reinforce search …

Teaching Information Literacy Skills To Undergraduate Nursing Students: A Collaborative Approach, Suzanne E. Zentz, Kimberly J. Whalen

Suzanne E Zentz, DNP, RN, CNE

Background

An expectation of baccalaureate nursing education is to prepare nurses to implement evidenced-based practice (EBP). This expectation extends far beyond a basic understanding of the research process. BSN prepared nurses must be able to effectively and efficiently identify, analyze, and synthesize evidence (AACN, 2008). The acquisition of information literacy skills is foundational to the development of EBP.

Implementation

The study took place at a College of Nursing within a mid-sized, faith-based university located in the Midwest. Historically, students enrolled in their senior level undergraduate nursing research/EBP course underwent one library instruction session with the nursing librarian to reinforce search …

An Intervention To Improve Adherence And Symptoms For Oral Oncolytics, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Overweight, Obesity, And Neighborhood Characteristics Among Postpartum Latinas, Colleen Keller, Michael Todd, Barbara Ainsworth, Kathryn Records, Sonia Vega-Lopez, Paska Permana, Dean Coonrod, Allison Nagle Williams

Kathryn Records