Medicine and Health Sciences Commons^™

Older Women’S Experiences Of Intimate Partner Violence: A Phenomenological Study, Lourdes Irene

Doctoral Dissertations

Intimate partner violence (IPV) is a global public health problem, linked to long-term health, social, and economic consequences. Despite the growing number of women over age 60 in Puerto Rico, knowledge is lacking about culturally specific IPV in women of this age group. This lack of knowledge is problematic because women experiencing abuse often do not report it, health professionals are not educated to identify cases of abuse in older women, and researchers often includes IPV with other types of abuse, such as negligence by families. Therefore, the purpose of this study was to explore and describe the experiences and …

Improving Clinical Communication And Collaboration Through Technology, Michelle Machon

Doctor of Nursing Practice (DNP) Projects

Problem: Over the last 30 years, clinical communication methodologies in healthcare have evolved to become such disparate systems that they lead to confusion, wasted time, and clinician dissatisfaction. The Joint Commission (2016) reports up to 78% of sentinel events in hospitals are linked to communication failures, which have obvious implications for hospital systems in the quality and safety of their current communication systems.

Context: The purpose of this project was to determine the effectiveness of implementing a unified clinical communication technology platform in an acute care hospital setting and to make recommendations from that implementation to the organization’s larger health …

An Evaluation Of Adolescent Concussion Management And Guidelines By Primary Care Providers In The Outpatient Setting: Dnp Scholarly Project, Mary Beth Newkirk

Doctor of Nursing Practice Scholarly Project

Understanding the pathology of a concussion has been a challenging task for many experts in healthcare. An agreed upon definition has yet to be developed and many health care providers are not properly educated to assess and care for those suffering from a concussion. Management of concussion in adolescents, a vulnerable population, requires even more consideration and training. The purpose of this study was to determine the knowledge current providers in the four-state region regarding sport-related concussion management in the adolescent population, to improve patient care and outcomes, and to improve knowledge learned through exposure to a clinical practice guideline-based, …

Creating A Thriving Informatics Culture, Nicholas Webb

Doctor of Nursing Practice (DNP) Projects

Nurses thrive best when they are empowered to make decisions that can positively impact healthcare delivery. Knowledge and application of nursing informatics principles can influence clinical, quality, operational, and financial outcomes in ways that were not available in previous professional nursing generations.

If nursing informatics is the solution, what is the problem? A survey regarding use and attitudes about nursing informatics was taken of chief nurse executives (CNEs) at an integrated, not for profit healthcare system in the Northern California region, where the author oversees the electronic health record (EHR). The results were surprising. Half said they did not know …

Creating An Educational Intervention To Combat Nursing Incivility Benchmark Study, Kathleen P. Melancon

MSN Capstone Projects

When most people reflect on the nursing as a profession, the term compassionate typically comes to mind. The association with compassion is no surprise as nursing is considered to be the most compassionate profession in the world. Nurses, by trade and in all areas of practice, have an ethical and professional responsibility to create and uphold an environment of mutual respect and civility. However, the notion of “nurses eat their young” and the behaviors that stem from this mindset are causing detrimental effects not only to those organizations employing nurses but to patients and the nurses themselves.

Over the last …

Workplace Violence: An Urgent Call For Integrated Staff Education In Acute Care Hospitals, Nicole Bellisario

Doctor of Nursing Practice (DNP) Projects

Problem: Type II workplace violence (WPV) in acute care hospital settings has become an epidemic of costly proportions in the United States. Regulatory mandates and healthcare accreditation standards increasingly require healthcare employers to provide a safe and healthy healing environment for patients and a safe work environment for staff. Implementation of a comprehensive WPV prevention program depends largely on organizational culture, participation and commitment from key stakeholders, and readiness for change.

Context: The patient-clinician relationship has drawn urgent attention, as healthcare organizations around the world implement key components of WPV prevention programs. The clinical management of patient aggression …

Emergency Department Workplace Violence Against Nurses, Adam Johnson

MSN Capstone Projects

Emergency room nurses are often thought of as the adrenaline junkies of the nursing world. Emergency nurses interact with a wide array of patients and visitors and are often the first clinician a patient may see upon arriving at an emergency department. With this wide array of patients and visitors, also comes a volatile environment with the increased risks of violence against nurses. This violence could include verbal, physical, and emotional violence from patients, visitors, and even fellow staff members. As violence increases, nursing longevity decreases and thus further increases the expense of nursing on a facility. Therefore, this has …

In-Basket Teamwork: Divide The Work And Multiply The Success The Registered Nurse Role In Ambulatory Clinic Ehr In-Basket Management, James Smoot

Master's Projects and Capstones

Electronic Health Record (EHR) in-basket results (e.g., lab results, pathology reports, etc.) must be reviewed and acted upon in a timely manner by clinical staff in order to provide safe and effective care to ambulatory patients. Delays in reading results are significant contributors to medical errors. A large backlog of in-basket results that have never been appropriately filed is both a safety concern and a symptom of other clinical workflow issues. EHRs have shifted a greater proportion of administrative and triage roles onto providers, contributing to provider burnout. This paper synthesizes some of the best evidenced-based practices available for the …

The Contributing Factors To Student Nurse Medication Administration Errors And Near Misses In The Clinical Setting As Identified By Clinical Instructors, Kristen M. Selig

Theses and Dissertations

The report, To Err is Human, by the Institutes of Medicine (IOM, 2000) brought attention to medication safety in the United States healthcare system. While advances have been made in patient safety, including electronic medication dispensing systems, electronic medication administration records, and scanning systems, it is estimated that 7,000 to 9,000 people die each year due to medication errors (Tariq et al., 2019). The medication administration process involves steps from prescribing to administration. However, nurses administering the medications are the final check point. James Reasons’ Swiss Cheese Model of Accident Causation illustrates the role that systems play in medical errors. …

Initiating A Geriatric Clinical Practicum In The Midst Of A Pandemic, April Wood

Faculty Research, Scholarly, and Creative Activity

No abstract provided.

Nursing Students’ Knowledge And Attitudes About Pain Management And Opioids, Hedieh Hatami Sirjani

Health Services Research Dissertations

Statement of the problem: healthcare professionals’ knowledge of using opioids for pain management safely is critical in preventing opioid abuse and overdose. Undergraduate curricula of health professional schools, including undergraduate nursing programs, need to improve and adopt a comprehensive education regarding this issue.

Method: the first project was a systematic analysis of the literature regarding the educational interventions’ impact on healthcare professional knowledge and practice behavior regarding prescription opioids. The second project was a qualitative study of nursing students to explore their experience, self-efficacy, and knowledge of prescription opioid use for pain management and whether they feel the need for …

Organizational Strategies To Promote Nurse Resilience In The Acute Care Hospital Inpatient Setting: An Integrative Review, Marcia A. Depolo

Doctoral Dissertations and Projects

Nurses practicing in acute care hospital environments are exposed to constant stressors from a variety of sources. Workplace stress can lead to unhealthy coping behaviors, illness, and burnout, with intent to leave the organization or the nursing profession altogether. Resilience-building strategies can be employed to foster coping, improve nurse wellbeing, increase job satisfaction, promote retention, and enhance quality patient outcomes. This integrative review provides a synthesis of scholarly publications on nursing resilience from January 2014 through October 2020. Themes to promote nursing resilience occurred at three levels: personal or individual, unit or group, and organizational. This paper will provide a …

A Program Evaluation Of A Rural Nursing Academic Partnership, Meagan A. Spencer

Electronic Theses and Dissertations

As the American Association of Colleges of Nursing and Commission on Collegiate Nursing Education continue to promote the implementation and creation of literature on academic partnerships, a Christian university, sought to evaluate its academic partnership with a for-profit hospital for the first time in regard to student perspectives. The purpose of this mixed-methods program evaluation was to describe the student perceptions of the academic partnership in trusting, collaborating, and engaging nursing students and recruiting and retaining nursing graduates to rural hospitals and health care facilities. Measurable impacts included both qualitative and quantitative coding of the levels of trust, collaboration, and …

The Effect Of Asynchronous Versus Synchronous Online Course Delivery On Hesi Scores And Student Engagement For Rural Pre-Licensure Nursing Students, Susan Luke Belliston

UNLV Theses, Dissertations, Professional Papers, and Capstones

Since nurses are the primary providers of direct patient care in the United States, a shortage in any community can impact the quality of health care available. Rural areas were among the first to be affected by the current nursing shortage. Further challenges to the rural nurse supply include a lack of access to nursing education, particularly baccalaureate education.Both distance and online education options allow for the increased reach of higher education to rural areas. Existing nursing education literature focuses on graduate nurse education and baccalaureate completion education. The pre-licensure nursing student is mostly absent from the existing literature concerning …

An Exploration Of The Numeracy Skills Required For Safe, Quality Nursing Practice, Anna Wendel

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to explore the numeracy skills required for safe, quality nursing practice. Using a descriptive mixed methods design, this study answered two research questions: 1) What numeracy skills do nurses perceive as important for providing safe, quality nursing care in the first three years of practice? 2) How do nurses incorporate numeracy skills into daily patient care during the first three years of practice? Early career nurses from a not-for-profit health care organization in the mid-Atlantic region of the United States (n=109) responded to an online survey tool developed by the student investigator that ranked …

Using Empathic Design Principles To Improve Surgical Nursing Efficiency, Roberta Sutton

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Improving efficiency to increase operating room utilization, improve turnaround time, and first case on time starts, is a goal of hospitals to increase surgical case volume. Increasing case volumes improves the hospitals bottom line by increasing reimbursement. In addition, improving the utilization will improve patient and caregiver satisfaction, show less wasted time between cases, and allowing for more timely starts. In the hospital that this study was be performed, located in Atlanta, Georgia, there is a need to improve these metrics which will improve the bottom line of the facility. This study addressed inefficiencies in processes, job duties, and preparation …

A Multimodal Analgesic Virtual Reality Program To Reduce Opioid Exposure, Jessica Hovland

Student Scholarly Projects

The opioid crisis continues to be a public health concern. Traditionally, an opioid-centric approach treats postoperative pain.

The following PICOT question guided this project: Will initiating a multimodal analgesic virtual reality quality improvement program (I) compared to current practice (C) decrease opioid requirements (O) in robotic hysterectomy patients (P) during the postoperative period (T)? Several articles promote non-opioid analgesia and non-pharmacological interventions, such as multimodal analgesia and virtual reality (VR) for pain management.

This project reviewed pre- and post-implementation data after implementing new evidence-based multimodal analgesia and VR protocols. The project captured a total of 64 patients in the pre-implementation …

In Adult Patients Receiving Wound Care, What Is The Effect Of Wound Care Given Using Clean Technique, Compared To Wound Care Given Using Sterile Technique On Efficient Wound Healing Process Without Complications?, Lily Gamble, Madison Taylor

Fall Showcase for Research and Creative Inquiry

We chose to research the effect of wound care given using clean technique compared to sterile technique. According to the US Center for Disease Control, nearly 1.7 million patients suffer from hospital-acquired infections and more than 98,000 of these patients die every year (Haque, et al., 2018). Due to this frightening statistic, we wanted to further understand and discover if using a certain technique when caring for wounds plays a major role in preventing complications, such as infections. We chose our topic based on our learning experiences in clinical and the classroom setting. We then found credible sources from medical …

The Impact Of Nursing Hand Off Reports, Bobbie Umberger, Selena Carrera

Fall Showcase for Research and Creative Inquiry

We will be evaluating and comparing different types of nursing handoff reports, such as verbal versus bedside. We researched different research articles and studies that compared bedside handoff reports to verbal handoff reports. These studies analyzed the effect on patients, such as safety and satisfaction, from the type of handoff report. In our research, we compared the advantages and disadvantages of verbal and bedside reports and found strategies to improve handover reports. From this information it was concluded that the bedside report is more effective than a verbal report for the patient and nurse.

For People Over The Age 65, Does The Use Of Cloth Face Masks Help Lower The Transmission Of Covid-19 Compared With The Use Of Gaiter Masks?, Abigail Mills, Joelle Harthun

Fall Showcase for Research and Creative Inquiry

The COVID19 pandemic has generated rumors and conspiracy theories: -Origin of the virus, its modes of transmission, the options for preventing and treating it, and the actions governments have taken (Vraga & Jacobsen, 2020). Which is more effective: cloth face masks or neck gaiters. Gaiter masks fit very loosely around the mouth and nose. According to Massachusetts Institute of Technology, your mask should fully cover your nose and chin: preventing breathing in any droplets (Schive, 2020). Masks need to be tightly woven; you cannot see the individual fibers when holding it up to the light (Schive, 2020). Masks should be …

The Comparison Between Delayed Cord Clamping And Immediate Cord Clamping On Fetal Outcomes, Aydan Drake, Kelsey Mawyer

Fall Showcase for Research and Creative Inquiry

The research question that is being asked is, are newborns, who are delivered vaginally, that have their umbilical cord clamped immediately after birth at a disadvantage for improved health benefits compared to newborns who received delayed cord clamping? Delayed cord clamping is a procedure performed after the baby is born in which healthcare providers delay clamping the umbilical cord in order to allow blood from the placenta to be transferred into the newborn. Delayed cord clamping is performed 25 seconds to 5 minutes after birth. The study used gathered data from 9 university hospitals in 4 different countries and involved …

Effectiveness Of School-Based Exercise Programs On Childhood Obesity, Amanda Newman, Hannah Deacon

Fall Showcase for Research and Creative Inquiry

Childhood obesity has increased over the past four decades. It is crucial for officials to increase awareness and implement a course of action regarding this issue. There are several complications that arise from childhood obesity including hypertension, type 2 diabetes mellitus, liver disease, reproductive conditions, heart disease, mood disorders, cancer, dyslipidemia; childhood obesity often results in obesity throughout adulthood. Children spend a substantial amount of time at school, therefore, schools become an ideal place to establish interventions to combat the health concern. A study was conducted and proved to be effective at decreasing body mass index (BMI) in school-aged children, …

Effectiveness Of Epipen And Its Alternativesâ , Rebecca Anderson, Emma Sanford

Fall Showcase for Research and Creative Inquiry

The purpose of this project was to compare the effectiveness of the EpiPen and its alternatives. Epipens are the first-line treatment for systemic allergic reactions. The pharmaceutical company Mylan first came into existence in 1961, distributing medical and health products to medical professionals with the goal of providing access to affordable medicine. Epipens now-a-days can cost anywhere from $650-$700, while alternatives like Symjepi cost around $200, Adrenaclick is about $500 and Auvi- Q is around $5,000 for a twin pack but can be free with insurance . For this project we looked at various different sources about each brand. From …

Are Hormone Therapies More Effective In Treating The Manifestations/ Symptoms Of Menopause Than Lifestyle, Exercise, And Diet Changes?, Madison Wessells, Morgan Tharpe

Fall Showcase for Research and Creative Inquiry

For many women, menopause is a topic that is not discussed until they reach the age of 45 and begin to experience symptoms such as hot flashes and night sweats. Because of the taboo associated with menstrual cycles and female reproductive health, many women suffer in silence and are not aware of the various treatment options that are available to aid with the subsidence of their symptoms. These various treatment options range from medications such as hormone-replacement therapies, vitamin and mineral supplements, and changes in diet and exercise. For this presentation, the research that was conducted focused on hormonal therapies …

Patient Education Effects On Health Outcomesâ , Hannah Lawrence

Fall Showcase for Research and Creative Inquiry

The purpose of this research is to discuss how patient education can benefit patient health outcomes. Patient education involves helping patients to gain a better understanding of their condition, procedures, and how lifestyle choices can impact their health. There are many ways in which a patient can be educated. This includes discussions with the healthcare team and the use of other materials such as pamphlets, group classes, or videos. My research question is: How can patients with cardiovascular disease utilize tools gained from patient education improve health outcomes compared to those who have had inadequate education to prevent the development …

Do Adults With Bacterial Infections Develop Less Of An Antibiotic Resistance With Iv Antibiotics Than With Oral Antibiotics After A Full Course Of Treatment?, Navvy Stevens, Taylor-Erin Evitts

Fall Showcase for Research and Creative Inquiry

This study was conducted in order to discover if patients develop less of an antibiotic resistance when going through intravenous antibiotics, compared to using oral antibiotics. This concept was created due to the fact that many people that are prescribed oral antibiotics, do not finish the entire prescribed amount. When this occurs, it gives the bacteria that the antibiotics were trying to get rid of, have the chance to adapt and become resistant to the particular antibiotic. By discovering the percentage of people who were prescribed antibiotics that never finished a round of them, it aids in narrowing down what …

Achieving An Inclusive Nursing Culture: Developing A Model For Diversity And Inclusion Education, Amber K. Charleville

Theses and Graduate Projects

The creation of an inclusive environment is essential in health care. Therefore, this paper describes the development of an educational project to achieve a more inclusive nursing culture with registered nurse case managers at a large Midwest teaching hospital. This project sets forth the goal of establishing and discussing diversity and inclusion education by proposing a model with reflection, learning, and growth as self- sustaining practices in an ongoing cycle of praxis with Chinn and Kramer’s emancipatory knowing. Over the course of a year, monthly modules will be taught by a facilitator who will encourage discussion and reflection on various …

A Survey Identifying Leadership And Research Activities Among Nurse Practitioners, Mary Ryder, Elisabeth Jacob, Joyce Hendricks

Research outputs 2014 to 2021

Background:

Nurse Practitioners are identified as the ideal conduit to transform healthcare delivery internationally. Healthcare transformation requires the application of leadership and research skills. Current literature has limited information on NPs as leaders or researchers in the nursing profession.

Objectives:

Determine if Nurse Practitioners identify themselves as leaders in nursing. Identify the leadership and research activities and influencing characteristics of Nurse Practitioners in Ireland and Australia. Establish similarities in leadership and research activities between Nurse Practitioners in Ireland and Australia. To identify if there is a relationship between leadership and research activities.

Design:

A quantitative electronic survey.

Methods:

A …

Mentoring Graduate Students To Become Effective Teaching Assistants: Developing And Implementing A Student-Centred Program For Nursing, Genevieve M. Breau, Suzanne H. Campbell, Carla Hilario, Catherine L. Goldie, Jennifer N. Auxier, Bernie Garrett, Colleen Varcoe

Quality Advancement in Nursing Education - Avancées en formation infirmière

Teaching in the health professions, including nursing, requires specialized educational strategies that meet the needs of the current generation of learners. Currently there is a shortage of experienced post-secondary educators in nursing, possibly exacerbated by inadequate Teaching Assistant (TA) professional development programs. Most literature describes TA professional development programs that involve undergraduate students employed as TAs, and few consider how programs can mentor graduate students to develop their instructional skills, contribute to courses, and enhance their careers. There are limited reports in the Canadian context. In this article we outline the rationale, development, and implementation of a Graduate Teaching Assistant …

Caring Revisited: A Foucauldian Discourse Analysis On The Association Of Caring With The Profession Of Nursing, Margot Boulton

Electronic Thesis and Dissertation Repository

There have been numerous theories put forward by nursing theorists on the importance of caring in nursing. Very few studies have looked at the impact that this association has on the practice of nursing. This study will add to the existing literature by using a Foucauldian discourse analysis to examine the material effects that the caring discourse has on nurses’ ability to advocate for safe working conditions during a public health emergency. Using the outbreak of COVID-19 in Ontario, Canada in the Spring of 2020 as a context, this study seeks to establish caring as a discourse and examine how …