Medicine and Health Sciences Commons^™

The Impact Of A Digital Intervention On Perceived Stress, Resiliency, Social Support, And Intention To Leave Among Newly Licensed Nurses: A Randomized Controlled Trial, Lisa Concilio

Electronic Theses and Dissertations

The nursing shortage has been deemed a public health crisis with the turnover rate of newly licensed nurses (NLNs) growing (Robert Wood Johnson Foundation, 2014). One out of five NLNs are leaving the profession due to work dissatisfaction and feelings of inadequacy (National Academy of Medicine, 2017). NLN attrition during the first year of hire has been associated with feelings of overwhelming stress and decreased sense of support which negatively impact patient safety (Spence Laschinger et al., 2016). As seasoned nurses are attempting to retire amidst a nursing shortage (American Association of Colleges of Nursing, 2018), NLNs require more support …

The Effects Of Moderate-Severe Plaque Psoriasis On Patient Well-Being And Prevention Of Flares, Glenn Devera

Nursing | Senior Theses

Psoriasis is a chronic skin condition that is indicated by red, patchy and scaly skin that can be painful when irritated. Patients with psoriasis have an increased risk for a number of chronic diseases. Despite the expansion of treatments for moderate-to-severe psoriasis over the last decade, patients may still find that treatment strategies are not as successful, leaving them dissatisfied with their treatments. A relationship built upon trust between the nurse and the patient diagnosed with psoriasis may serve to help ensure optimal care. A comprehensive literature review was performed and found that best practices for patient management need to …

Effect Of A Self-Care And Self-Awareness Education Program On Resilience To Burnout And Depression In Clinically Experienced Nursing Students, Andrew Taylor

Undergraduate Honors Theses

The purpose was to examine the effect of a self-care educational intervention on nursing student resilience and thus the potential for compassion fatigue, depersonalization, burnout, depression, and inadequate self-care. A one-group pretest-posttest research design was applied to a convenience sample of 104 nursing students near the end of their last semester in a baccalaureate nursing program. The measurements were demographics, a psychometric resilience scale, program evaluation, and reflection question. The intervention was a standardized, intensive 30 min training program on the high degree of stress and burnout nurses face and the core self-care methods that can promote resilience to these …

Oncology Nurse Compassion Fatigue Benchmark Project, Jessica R. Hayward

MSN Capstone Projects

Oncology nurses provide care to patients during some of the toughest times in their lives. This care places nurses at risk of developing compassion fatigue which can have negative long-term health impacts. There is currently no formal compassion fatigue education offered to oncology nurses. This lack of training leaves nurses vulnerable to the impacts of unmanaged stress, burnout, and compassion fatigue. This benchmark project was completed to bring awareness to the need for a mindfulness-based compassion fatigue course. This course will provide oncology nurses with the knowledge and skills necessary to manage these difficult emotions.

Lowering Perceived Stress Levels In Undergraduate Nursing Students, Caitlin Dodd

Electronic Theses and Dissertations

This project analyzed the effects of guided meditations and a stress management class on undergraduate, prelicensure nursing students’ perceived stress levels. College students and professional nurses are both susceptible to having high stress levels. Mindfulness activities have been shown to lower stress levels. Undergraduate, prelicensure nursing students participated in this project determining the effects of guided meditations and a stress management class on perceived stress levels in a quantitative, pre- and postinterventional study. Participants in the project completed a stress management class and 18 guided meditation sessions in an undergraduate classroom setting. The researcher used the Perceived Stress Scale-10 (PSS-10) …

The Relationship Among Perfectionism, Perceived Stress, And Coping In Baccalaureate Nursing Students, Amanda Finley

Dissertations

Perfectionism in nursing students is an understudied problem that may affect student and workforce success. Perfectionism has been linked to increased stress and less effective coping styles, as well as depression, anxiety and other psychological alterations. However, it has rarely been studied in nursing students. Studying perfectionism in this population is important because it may increase the likelihood that new nurses will struggle with the stress of practice and it could be a significant factor in early career attrition. The purpose of this descriptive, correlational study was to gain a better understanding of the incidence of perfectionism in a nursing …

Exploring The Mental Health Needs Of Intensive Care Unit Nurses Facing The Pandemic Of Covid-19, Bushra Salamah

The Eleanor Mann School of Nursing Student Works

Coronavirus disease (COVID-19) has spread domestically and internationally, with approximately 134 billion confirmed cases worldwide and over 2 million deaths attributed to the virus. Frontline healthcare workers are at a substantially higher risk of infection and death due to excessive COVID-19 exposure while also facing mental health challenges. Epidemiological data on the mental health statuses of frontline nurses is still limited. The aim of this study was to examine mental health (burnout, stress, emotional exhaustion, disengagement) and associated factors among Intensive Care Unit (ICU) Nurses who are caring for COVID-19 patients to support and maintain their psychological well-being.

A Systematic Review Of Interventions For Family Caregivers Who Care For Patients With Advanced Cancer At Home., Soojung Ahn, Rafael D. Romo, Cathy L. Campbell

Nursing | Faculty Scholarship

OBJECTIVE: To examine the characteristics of interventions to support family caregivers of patients with advanced cancer.

METHODS: Five databases (CINAHL, Medline, PsycINFO, Web of Science, and the Cochrane Library) were searched for English language articles of intervention studies utilizing randomized controlled trials or quasi-experimental designs, reporting caregiver-related outcomes of interventions for family caregivers caring for patients with advanced cancer at home.

RESULTS: A total of 11 studies met the inclusion criteria. Based on these studies, the types of interventions were categorized into psychosocial, educational, or both. The characteristics of interventions varied. Most interventions demonstrated statistically significant results of reducing psychological …

Calm: A Mindfulness Mobile App For Stress Reduction In The Workplace, Gizzele Valencia

Doctor of Nursing Practice Final Manuscripts

This evidence-based pilot (EBP) project was implemented to decrease stress among employees who work in a financial-based occupational health setting. According to the American Psychological Association’s (APA) Stress in America online survey, 64% of survey-respondents reported that work is a significant source of stress (2018). Mindfulness meditation is a spiritual practice that helps a person acknowledge how to experience emotions and events without judgment (Luken & Sammons, 2016). A mobile app-guided mindfulness program could reduce perceived stress and increase mindfulness levels. These practices might improve work productivity, decision-making skills, organizational relationships, self-care, and perspective taking development (Jayawardene, Lohrmann, Erbe, & …

The Relationship Between Stress, Anxiety, Depression, Coping And Satisfaction With Care Among Family Of Adult Acute Care Trauma Patients, Ashalata Ann Pereira

Theses and Dissertations

Background: Surprisingly few studies have considered the impact of trauma on adult family members of those admitted to the acute care, rather than ICU. Throughout the course of hospitalization, as patients move through different levels of care, family members must learn to adapt to, and cope with changes in care delivery. Purpose: To explore the literature to understand the state of the science, to assess the psychosocial and functional impact on family of adult trauma in acute care, and to identify predictors of coping and satisfaction with care provided to meet their needs. Design: The Lazarus & Folkman (1984) Stress, …

The Impact Of Stress On The Menstrual Cycle, Katherine Iris Gilbrech

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background/Purpose

Reproductive health is an important indicator of a woman’s overall health; however, menstruation is often viewed negatively in modern society. Across the nation, women are suffering with issues related to hormones and menstruation. Evidence continues to surface linking high levels of stress to negative health outcomes. The purpose of this literature review is to assess the effects of stress and stress reduction of the menstrual cycle in naturally-cycling women of reproductive age.

Methods

Peer-reviewed research within the past five years was selected for this review using the U.S. National Library of Medicine National Institutes of Health. A variety of …

Iatrophobia: How It Impacts Health, Jessica Newbury

Senior Honors Projects

According to Mara Hollander (2019), iatrophobia is “the fear of doctors, medical care, or the medical care system." The most severe cases of this fear only affect a small percentage of the population; however, many people, for a variety of reasons, reported that they disliked or felt uncomfortable seeking medical care. An anonymous survey was created and distributed to males and females between the ages of 18 to 75 to retrieve self-reported data regarding specific questions about doctor's visits and the healthcare system. The total sample consisted of 379 participants who voluntarily completed the assessment. Quantitative data was collected using …

Impulsivity As A Trait Predictor In Baccalaureate Nursing Students, Jennifer Bertucci

Dissertations

Impulsive personality traits have been linked to pathological decision making in individuals who possess the trait. Impulsive pathological decision making may include acts of aggression, divergence, risky behavior, lack of self-care, etc. The purpose of this study was to examine impulsive personality traits among nursing students. Traditional students are defined by the following characteristics: earns a high school diploma, enrolls full time immediately after finishing high school, are financially dependent on parents, and either do not work during the school year or works part-time (the exception to the rule) (Choy, 2002). A non-traditional nursing student is defined as students who …

The Influence Of End Of Life Education On Stress, Anxiety, And Attitude Of The Healthcare Profession Student, Chiquesha Davis

DNP Final Reports

Providing comfort and support to the dying patient is a significant part of the dying process. When soothing a patient, who is dying, the goal is to prevent or relieve suffering as much as possible. Respecting the patient's health and quality of life goals and decisions is essential. Healthcare profession students can experience multiple levels of anxiety, stress, and a negative attitude while taking care of the dying patient. The implementation of a successful intervention is at the cornerstone of helping reduce stress, anxiety, and attitude change in healthcare profession students. The application can also have a positive impact on …

Psychological Distress In General Undergraduate Students And Baccalaureate Nursing Students, Kersten O'Brien

Student Scholars Day Posters

Background/Significance: Psychological distress in undergraduate college students is a significant concern in the U.S. Many stressors, such as academics and finances, are associated with high levels of reported stress, depression and anxiety. Nursing students face additional stressors, such as meeting program requirements, practicing in clinical environments and preparing for their licensure exam.

Purpose: The purpose of this review is to describe psychological distress levels in baccalaureate nursing students compared to general undergraduate students and what interventions help relieve student distress.

Methods: A literature review was conducted using CINAHL and PubMed databases.

Findings: While general undergraduate college students report high psychological …

Decreasing Nurses’ Stress In The Emergency Room Utilizing Mindfulness Meditation, Andrea L. Entus

Student Theses, Dissertations and Capstones

Background: Emergency Room (ER) nurses are challenged both physically and emotionally, and are repeatedly exposed to severe occupational stress (d'Ettorre & Greco, 2016; Duffy et al., 2015). For example, some stressors are demands from patients and physicians, long hours, complex diagnoses, and a fast pace (Hunsaker et al., 2015). A considerable number of nurses experience work-related interpersonal conflict, secondary traumatic stress, and other stress disorders, which negatively affects the quality of patient care they deliver (Westphal et al., 2015). Purpose: The purpose of this evidence-based practice project was to implement a mindfulness meditation intervention to decrease emergency room nurses’ stress. …

Gratitude Journaling As Intervention To Combat Nurse Burnout In Cardiac Surgery Intensive Care Nurses, Melinda Simpson

Master of Science in Nursing Theses and Projects

As a practicing registered nurse in the intensive care setting, this researcher witnessed an episode of burnout characterized by a public meltdown, crying, and yelling. This sparked an interest in an intervention to combat nurse burnout. Literature was found on gratitude which has been found to increase resiliency. An increase in resiliency, in various populations, has been found to decrease perceived stress and feelings of burnout. This researcher investigated the use of gratitude journaling for 21 days as means to decrease perceived stress and feelings of burnout while increasing gratitude and resiliency. The PSS, GQ, BRS, & BBI tools were …

Proposal Of The Need For Mental Health First Aid Training Of Associate Degree Nursing Faculty In A Community College Setting, Amy Kelly

Master of Science in Nursing Theses and Projects

Mental health issues are on the rise among students in universities as well as community colleges. College can be a stressful time in many people’s lives especially when the added demand of work and family are involved. Community colleges and universities use counseling services for their mental health needs but sometimes the services are not used due to the stigma that comes along with mental health. Nursing school can be a challenging time for students because of the rigorous training and workload. This project poses to implement Mental Health First Aid Training (MHFA) for faculty and staff of a nursing …

Implementation Of An Online Mindfulness-Based Intervention For Reducing Stress Amongst Undergraduate Nursing Students, Joy Garmaise-Yee

Doctor of Nursing Practice (DNP) Projects

Background & Purpose: Nurses and nursing students have notoriously high levels of stress, which can lead to burnout, depersonalization, deterioration of mental or physical health or exiting the profession. A pilot educational mindfulness-based intervention was implemented online amongst undergraduate nursing students to decrease stress and increase mindfulness. Mindfulness is an evidence-based self-care skill that has proven effective in reducing stress in student populations and amongst nurses.

Methods: Students in an online nursing theory course engaged in the mindfulness-based intervention online. Stress and mindfulness were measured pre-, immediately post-, and 4 weeks post-intervention and were analyzed using linear regression. Students were …

Nursing Student Stress, Ruthanne Emily Hawks, Hannah Rae Wilson, Carly Marie Gillota, Taylor Anne Hall, Edward William Mccain

Williams Honors College, Honors Research Projects

Nursing students deal with a variety of stressors, including difficult curriculum and new endeavors such as clinical and lab experiences. The purpose of this study was to identify the relationship between stress levels and coping mechanisms and readiness to change unhealthy coping mechanisms in baccalaureate nursing students. The Transtheoretical Model of Change guides this non-experimental, correlational study and measured readiness for change. The Student Nurse Stress Index was used to measure stress. The abbreviated COPE Inventory was used to measure coping. Online recruitment, consent forms, and surveys were distributed to nursing students via the Student Success Center in the College …

Associations Between Psychosocial Stressors, Genes, And Cardiovascular Disease In At-Risk Adults, Kaitlin Voigts Key

Theses and Dissertations--Nursing

Psychosocial stressors have a significant adverse impact on cardiovascular health. While better medical treatments and increased emphasis on healthy lifestyle have improved cardiovascular health for many in the United States over the past 50 years, there are persistent inequities in cardiovascular disease (CVD) rates, with the highest rates among populations burdened by chronic exposure to psychosocial stressors such as discrimination and anxiety, among others. Genetic factors may interact with these stressors further influencing the rates of CVD in these populations. The purpose of this dissertation is to examine associations among psychosocial stressors and other CVD risk factors, and the influence …

The Effects Of Mindfulness Practices On Nurse Leader Resiliency, Kimberly Blanton

DNP Projects

Background: The purpose of this study was to evaluate if brief Mindfulness Based Stress Reduction (MBSR) sessions can improve nurse leader resilience and overall mindfulness.

Conceptual Framework: Two different conceptual frameworks, Jean Watson’s theory of caring and Albert Bandura’s theory of self-efficacy, were used to guide this project. Watson’s theory of caring is defined as healing of the mind, body, and spirit. This theory supports caring for oneself while caring for others. Bandura’s theory focuses on the belief that individuals can influence their own lives.

Methodology: This study employed a descriptive, pretest-posttest single site comparative design. Sixty-six nursing leaders from …