Medicine and Health Sciences Commons^™

Ricketts, Hunter Christian, B. 1997 (Fa 1382), Manuscripts & Folklife Archives

FA Finding Aids

Finding aid only for Folklife Archives Project 1382. Project completed by Hunter Ricketts in fall 2019 regarding Mennonite health practices as part of a WKU folk studies class on Field Methods in Ethnography.

Nurses Alumni Association Bulletin, Fall 2019, Susan Albrecht Curcio

Nursing Alumni Bulletins

2019–2020 Meeting Dates Calendar

2020 Annual Luncheon and Meeting Notice

Officers for 2019–2020

President’s Message

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Resume of Minutes

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Committee Reports

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In Memoriam …

Improving Patient Experience And Education By Leveraging Technology, Cathy Palleschi, Wendy Osgood, Mark Parker, Cecilia Inman, Alicia Russell, Eileen Shanahan, Erin Pappal

Operations Transformation

It is estimated that 65% of the population are visual learners. With that in mind, a team of cardiac nurses in a large academic tertiary hospital developed a quality improvement project to hopefully improve patient engagement as well the patients’ perception that the nurses explained things in a manner that they could understand.

Baseline patient survey scores for the question, “Nurses Explained Things In A Way That I Understand”, were under the 75^thpercentile for a period of 9 months. A root cause analysis was conducted and it demonstrated numerous reasons for this score.

Several countermeasures were instituted to …

Individual Nurse Productivity In Preparing Patients For Discharge Is Associated With Patient Likelihood Of 30-Day Return To Hospital, Olga Yakusheva, Marianne E. Weiss, Kathleen L. Bobay, Linda L. Costa, Ronda G. Hughes, Morris Hamilton, James Bang, Peter I. Buerhaus

College of Nursing Faculty Research and Publications

Objective:

Applied to value-based health care, the economic term “individual productivity” refers to the quality of an outcome attributable through a care process to an individual clinician. This study aimed to (1) estimate and describe the discharge preparation productivities of individual acute care nurses and (2) examine the association between the discharge preparation productivity of the discharging nurse and the patient’s likelihood of a 30-day return to hospital [readmission and emergency department (ED) visits].

Research Design:

Secondary analysis of patient-nurse data from a cluster-randomized multisite study of patient discharge readiness and readmission. Patients reported discharge readiness scores; postdischarge outcomes and …

Assessing Changes In Knowledge About And Self-Efficacy For Neonatal Resuscitation Among Rwandan Nurses And Midwives After A Mentorship Process, Gerard Nyiringango

Electronic Thesis and Dissertation Repository

In the first minute of life after birth, it is critical to effectively manage an infant’s respiratory status. Given the critical nature of newborn airway management, it is vital that health professionals have the knowledge and confidence to engage in airway management procedures. Consequently, there has been a call for nurses and midwives to be prepared to skillfully enact neonatal resuscitation interventions when required, especially in low-resource environments, to help reduce neonatal death. The purpose of this study was to assess the impact of a mentorship program that involves an education component for neonatal resuscitation in the first minute after …

Assessing The Impact Of Mentorship On Rwandan Nurses’ And Midwives’ Knowledge And Self-Efficacy In Managing Postpartum Hemorrhage, Marie Grace Sandra Musabwasoni

Electronic Thesis and Dissertation Repository

Despite recent advances in medical technology and research, postpartum hemorrhage (PPH) remains the top universal cause of maternal morbidity and mortality. Factors underlying PPH include the inconsistency in recognition and timely treatment of women experiencing PPH, which suggests the importance of healthcare professionals’ mentorship about PPH. The aim of this study is to assess the impact of mentorship on nurses’ and midwives’ knowledge and self-efficacy in managing PPH. The pre and post study design recruited 141 nurses and midwives working in the labour and delivery department in selected health centers from the North Province of Rwanda. At post-mentorship, 123 nurses …

Human Trafficking Education For Pre-Licensure Nursing Students: A Quality Improvement Project., Mollie Elizabeth Flowers

Doctor of Nursing Practice Papers

Human trafficking is a form of modern slavery and a violation of human rights (Scanwell, Macdonald, Berger, & Boyer, 2018). An estimated 40.3 million individuals are being trafficked globally at any one time with 14,500 to 17,500 being trafficked within the United States annually (Polaris, 2018; Mason et al., 2016; Richards, 2014). An estimated 87% of human trafficking victims were seen by health care professionals during the time they were being trafficked and went unrecognized. (Lederer & Wetzel, 2014). This project utilized the Plan– Do- Check -Act model for quality improvement. (Agency for Healthcare Research and Quality, n.d.). This project …

Intensive Care To Intermediate Care Bridge Program, Natasha Bartlett, Sally Langerak, Lindsey Lucas, Jonathan Archibald, Tayla Robbins, Miranda Thompson, Patrice Tetu, Calla Hastings, Megan Garland, Suneela Nayak, Stephen Tyzik, Ruth Hanselman, Amy Sparks

Operations Transformation

To deliver the highest quality of care across the continuum, a large academic tertiary medical center envisioned a project that would provide an internal source of cross trained nurses for their medical intensive care unit (SCU2) and their medical intermediate care unit (R4/IMC/AVU). The hope for this program was to improve communication and collaboration between nurses and enhance the care that they provide to patients and their families.

A highly qualified team of nurses was established to create a performance improvement project. The overall goal of this endeavor was to build a more collaborative relationship between the units and ultimately …

Exploring Nurses’ Feelings On Floating: A Phenomenological Study, Marie Paule Lafontant, Dean Blevins, Charlene Romer, Paul G. Ward

Nursing & Health Sciences Research Journal

Introduction: Mandatory floating is a strategy used to address changes in nurse staffing caused by unforeseeable staff call outs, increase in patient acuity, or census. However, it has an impact on nurses' satisfaction and retention. Therefore, it is important to understand how nurses feel when mandated to float and the effects floating could have on nursing practice.

Methods: Husserl's transcendental phenomenological design guided the study. Data collection was done through individual, semi-structured interviews. Giorgi's six steps served as a basis for data analysis.

Results: Nurses believed that changes needed to be made to the floating process to ensure safe continuity …

Whole-Genome Sequencing In The Neonatal Intensive Care Unit (Nicu): Nurses’ Roles In Communicating Test Results To Families, Laura Grenfell, Deborah Himes

Journal of Undergraduate Research

The grant I received through the Office of Research and Creative Activities was helpful in supporting this research project. My mentor and I started work on the project early in the year by analyzing the data we had gathered. In 2017, I attended a nursing conference hosted by the National Association of Neonatal Nurses, which is where we surveyed nearly 200 NICU nurses about their understanding of whole-genome sequencing. This survey included both qualitative and quantitative questions. My mentor guided me through the process of interpreting and organizing the qualitative data, which we divided into several subsets within each question.

Nursing Alumni: Continuing Education Preferences, Maire M. Blankenship, Cathy H. Abell, Maria E. Main, Kim Elaine Young Vickous

Eve Main

The Bureau of Labor Statistics reports that there are 2.9 million registered nurses in the U.S who practice in a variety of settings including faith communities. The faith community nurse blends care of the spirit along with physical health to prevent or decrease illnesses. To stay informed of the latest evidenced-based practice, continuing education is essential. Due to many factors; work schedules, family, and location, meeting educational needs can be a challenge. The aim of this study was to examine nurses’ preferences related to delivery methods and day/time as well as topics of interest that influence nurses’ decisions when choosing …

Managing The Effects Of Poor Sleep Quality In Nurses, Emily Huene, Sarah Rausch, Georgia Vasiu, Hannah Lopez, Rachael Valentz, Msn, Rn, Ccrn

Nursing Undergraduate Work

Staffing shortages, high turnover rates, and prolonged work shifts has caused decreased sleep quality in nurses due to fatigue. The fatigued nurse causes concern for safety, coordination and agility, patient avoidance, lack of compassion, impaired cognitive function, risk for chronic diseases, and patient care errors. This systematic research review was designed to identify evidence-based practice nursing interventions currently being used to manage the effects of reduced sleep quality. Methods for performing this systematic research review were to search multiple databases using keywords, scanning article titles and abstracts, and critiquing for relevance and quality. Findings from this systematic review found multiple …

The Role Of Resilience And Preparedness In Nurses Working During Hurricane Disasters, Julie George

Nursing Theses and Dissertations

Problem: Resilience is the ability to “bounce back” from adversity and can serve as an avenue for nurses to recover from the disaster and subsequent potential issues related to coping with the event. To date, very little is found in the literature specific to nurses and how they adapt to and recover from disasters in their personal or professional lives.

Theory: Taormina’s (2015) theory of adult personal resilience and Veenema’s disaster management model (World Health Organization [WHO] and International Council of Nurses [ICN], 2009) provided the foundation of this study.

Hypothesis: It is hypothesized that levels of personal and professional …

Nursing Alumni: Continuing Education Preferences, Maire M. Blankenship, Cathy H. Abell, Maria E. Main, Kim Elaine Young Vickous

International Journal of Faith Community Nursing

The Bureau of Labor Statistics reports that there are 2.9 million registered nurses in the U.S who practice in a variety of settings including faith communities. The faith community nurse blends care of the spirit along with physical health to prevent or decrease illnesses. To stay informed of the latest evidenced-based practice, continuing education is essential. Due to many factors; work schedules, family, and location, meeting educational needs can be a challenge. The aim of this study was to examine nurses’ preferences related to delivery methods and day/time as well as topics of interest that influence nurses’ decisions when choosing …

Students’ Perspectives Regarding Clinical Preceptors (Cps) In The Baccalaureate Undergraduate Nursing Programme In Karachi, Pakistan, Amina Aijaz Khowaja Ap, Jacqueline Maria Dias

School of Nursing & Midwifery

Introduction: Clinical practice is considered an integral part of nursing education. It is in the clinical area that the students integrate the theory learnt in the classroom into practice. An enabling clinical environment with the assistance of a clinical preceptor (CP) ensuresthat student nurses become independent practitioners and competent in their roles and responsibilities.
Design : A comprehensive study was undertaken to explore the emerging role of CPs in Pakistan. This research has been reported in the literature. This paper will deal exclusively with the perceptions of nursing students when working with CPs in the four-year undergraduate baccalaureate program at …

Does Work-Induced Fatigue Accumulate Across Three Compressed 12 Hour Shifts In Hospital Nurses And Aides?, Brennan J. Thompson

Kinesiology and Health Science Faculty Publications

Fatigue-related impairments in the nursing workforce contribute to a multitude of health, safety, and economic consequences at the individual, organizational and societal levels. Long and compressed work schedules are commonly worked in the healthcare industry, but more research is needed to understand the cumulative effects of multiple work shifts on physiology-based performance outcomes in nurses. The purpose of this study was to compare the effects of a single nursing work shift versus three compressed (one every 24 hours) 12 hour shifts on performance-based fatigue in nurses and aides. Twenty-six fulltime hospital working nurses and aides (age = 36.1 ± 13.3 …

Activities Of Daily Living, Peter F. Edemekong, Deb Bomgaars, Sukesh Sukumaran, Shoshana B. Levy

Faculty Work Comprehensive List

The activities of daily living (ADLs) is a term used to collectively describe fundamental skills that are required to independently care for oneself such as eating, bathing, and mobility. The term activities of daily living was first coined by Sidney Katz in 1950. ADL is used as an indicator of a person’s functional status. The inability to perform ADLs results in the dependence of other individuals and/or mechanical devices. The inability to accomplish essential activities of daily living may lead to unsafe conditions and poor quality of life. Measurement of an individual’s ADL is important as these are predictors of …

Baccalaureate Nurses’ Experiences And Understanding Of Adults Living With Sickle Cell Disease, Shelia Ann Reid

Student Theses, Dissertations and Capstones

Background: Sickle cell disease (SCD) is a chronic, genetic blood disorder with most treatment interventions geared toward the acute phase of the disease, which often leads to fragmented care. In Canada, the teaching of SCD occurs without a genetic competency, resulting in miscommunication, misunderstanding, and inadequate nursing care. Purpose: This investigator examined baccalaureate nurses’ experiences and understanding of working with adults living with SCD. Methods: A semi-structured interview guide was used to explore baccalaureate nurses' experiences and understanding of working with young adults living with SCD. Results: Lindseth and Norbergs’ (2004) interpretation of Ricoeur’s hermeneutic interpretative phenomenological approach was used …

Race-Based Discrimination, Occupational Stress, And Depression In Black Registered Nurses, Arica A. Brandford

Theses and Dissertations--Nursing

The purpose of this dissertation was to examine depression, experiences of work-related racism, and occupational stress among black nurses. Nursing is a highly stressful and demanding profession that can negatively affect health. Underscoring this is the high rate of depression experienced by nurses. In fact, nurses experience depression at a rate twice that of individuals in other occupations. Examining depression in nurses can provide insights that can inform measures addressing the psychological health of this group. This may be particularly important in black nurses who, in addition to the already high occupational stress associated with nursing, may experience additional stress …

The Art Of Clinical Supervision Program: Its Impact On Nurses Attitudes Towards Nursing Students, Kylie Russell, Selma Alliex, Heather Gluyas

Nursing Papers and Journal Articles

Background: Increasing health professional student numbers in Australia, in response to looming predicted workforce shortages, resulted in a Federal Government call for action to provide clinical supervision education to health professionals.

Objectives: This research aimed to develop, implement and evaluate the programme, ‘The Art of Clinical Supervision’ (ACS), designed to support nurses facilitate a positive learning environment for student nurses.

Method: The ACS programme was presented (n = 199) across Western Australia as a doctoral study, with participants from both the public and private healthcare sector working in a variety of specialties. A triangulation approach of surveys, reflective entries and …

Knowledge Of Nurses Working In Maternity Units Before And After The Implementation Of Structured Teaching Program On Obstetrical Emergencies In Selected Hospitals, Guntur District, Andhra Pradesh, Geetha Dhanasiri Ms, Vasundhara R Ms

Manipal Journal of Nursing and Health Sciences

Introduction: The experience of pregnancy is individualistic and an important experience for a woman. The process of child birth is viewed as a rebirth of the woman, because of the very fact that the period of pregnancy, child birth and puerperium, which show a very normal course till that time, may suddenly turn in to life threatening situations called obstetrical emergencies. These conditions endanger the life of both the mother and the baby. Hence, it is the bound duty of all the obstetrical care providers to give due concentration in identifying the emergency conditions and safe guarding the life of …

The Effect Of A Simulation-Based Education Program On Nihss Accuracy And Inter-Rater Reliability Among Nursing Staff In The Neurological/Neurosurgical Intensive Care Unit, Amanda Novak

DNP Projects

PURPOSE: The purpose of this Quasi-experimental study was to examine the effect of a simulation-based educational NIHSS workshop on nursing accuracy and inter-rater reliability upon use of the National Institutes of Health Stroke Scale (NIHSS).

METHODS: This study was conducted in the Neurological/Neurosurgical Intensive Care Unit (ICU) at Baptist Health, a comprehensive stroke center located in Lexington, KY. The sample included 26 eligible nurses employed in the aforesaid unit. Nurses completed the NIHSS on a patient actor in a simulated scenario (this session was videotaped), a one-on-one debriefing with review of the videotape was conducted afterward, and then the nurse …

Burnout Syndrome In Critical Care Nurses, Katie Burke, Kelly Claridge, Mallory Bidlen

Williams Honors College, Honors Research Projects

Burnout syndrome among nurses, especially within the critical care setting, has been a persistent and increasingly prevalent problem in the healthcare field. This systematic review aims to explore the common causes of burnout among nurses associated with working in a critical care setting. Twenty-five peer-reviewed articles, published between the years of 2000 and 2018, were selected for analysis and synthesis using the databases PubMed and CINAHL. The group included research studies conducted in the United States, Spain, France, China and Iran with sample sizes ranging from 42 to 2,392 intensive care unit (ICU) nurses. The articles included in this review …

Are Nurses High Risk For Experience With Behavioral Health Problems?, Farrah Alayne Thornsberry

DNP Projects

Abstract

Behavioral health problems impact approximately 19% of the United States population and nurses are not exempt from these experiences. In fact, nurses may be at higher risk for developing a behavioral health issue than the general public. The purpose of this study was to identify specific demographic, work-related, and behavioral variables associated with substance use and personal experience with any mental and or behavioral health problems among nurses in an academic healthcare system. Being female, younger in age, higher level of education and increased use of alcohol were risk factors associated with self-reported experience with behavioral health problems. Additionally, …

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 …

Work Engagement Of Hospital Nurses And Patients’ Ratings Of Nurse Communication, Overall Hospital Rating And Likelihood To Recommend The Hospital To Others, Apryl S. Lewis

All ETDs from UAB

Significance/Background: Work engagement may play a key role in quality patient outcomes. The inpatient hospital experience is a U.S. healthcare system priority with one component of the patients’ hospital experience focused on hospital staff-to-patient communication. Nurses are the main communicators of vital information about inpatient care and recovery and, therefore, play a critical role in achieving high scores on patient experience measures. Past studies show a relationship between high levels of nurse work engagement and positive patient outcomes, such as quality of health services, but it is unknown if hospital nurses’ work engagement is associated with patients’ hospital experience ratings. …

Moving On After Critical Incidents In Health Care. Second Victims: A Qualitative Study Of The Experiences Of Nurses And Midwives, Melanie Buhlmann

Theses: Doctorates and Masters

Aims: The aims of this study were to gain a deeper understanding of the experiences of nurses and midwives who have been involved in a critical incident in a non-critical care area and to explore how they have ‘moved-on’ from the event.

Background: It is irrefutable that health care is intrinsically risk-laden and perceived to be personally and professionally demanding for those who are employed within it. The term ‘second victim’ has been assigned to health care professionals who experienced emotional distress as a result of their involvement in critical incidents. Despite the recognition that critical incidents contribute to workrelated …