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Full-Text Articles in Medicine and Health Sciences
Nurses' Experience With Medication Errors, Kristin M. Belderson
Nurses' Experience With Medication Errors, Kristin M. Belderson
Regis University Student Publications (comprehensive collection)
Medication administration is an inherent nursing task, placing nurses at significant risk for experiencing errors. A systematic literature review established that nurses experience emotional, cognitive, and physical distress effects following medication errors, positioning nurses as second victims. The purpose of the DNP Capstone Project was to evaluate the lived experiences and coping responses of pediatric direct-care nurses working in a Rocky Mountain region tertiary care facility to assess whether the nurses have unmet post-event support needs. A descriptive, non-experimental, mixed methods survey instrument was used for this study. Of the 115 direct-care nurses employed in the selected department, 82 were …
A Comparison Of The Effects Of Simulation Training And Non-Simulation Training On Self-Efficacy In Providing Women's Health Care, Cindy D. Heden
A Comparison Of The Effects Of Simulation Training And Non-Simulation Training On Self-Efficacy In Providing Women's Health Care, Cindy D. Heden
Regis University Student Publications (comprehensive collection)
The Veterans Administration (VA) recognizes that proficiency in the core concepts of primary care women's health is required to provide comprehensive primary care for women. A potentially superior form of training that has been recently used for care providers is simulation. The examination of the relationship between simulation training through the Mini-Residency Course and increased self-efficacy among Women's Health Primary Care Providers (WH-PCP) is important, as the Mini-Residency Course is designed specifically to fill knowledge gaps and enhance the participant's knowledge and skill.
A single post-test only, two group design was used for this study. The experimental group included those …
Screening For Distress In Ambulatory Oncology Patients: The Cope Project, Denise A. Sartz
Screening For Distress In Ambulatory Oncology Patients: The Cope Project, Denise A. Sartz
Regis University Student Publications (comprehensive collection)
The purpose of this Doctorate of Nursing Practice (DNP) Capstone Project was to identify, assess, and refer patients who are experiencing an elevated level of distress as measured by the NCCN Distress Thermometer. The goal of this project was to decrease the psychosocial distress level in patients receiving chemotherapy. The primary objective of this evidence-based practice project was to decrease distress in oncology patients. The secondary objective was to formally adopt the NCCN clinical practice guidelines for distress management in ambulatory oncology patients. The NCCN Distress Thermometer (DT) was utilized to measure the distress level of ambulatory oncology patients currently …
An Educational Intervention To Enhance Health Care Providers Knowledge In The Prevention And Identification Of Hepatitis C In A Military Setting, Scott Alexander Rivers
An Educational Intervention To Enhance Health Care Providers Knowledge In The Prevention And Identification Of Hepatitis C In A Military Setting, Scott Alexander Rivers
Regis University Student Publications (comprehensive collection)
Executive Summary: This hepatitis C virus knowledge improvement capstone project is an evidence base practice educational intervention project in a military setting. Problem It is estimated that 3.2 to 4.1 million persons are living with chronic hepatitis C and that 4.2 million to 5.1 million people are antibody positive in the United States. Hepatitis C virus accounted for approximately 15,000 infections and 8,000 to 10,000-deaths annually. The Institute of Medicine reports that healthcare providers have a generally poor knowledge of hepatitis C and that a possible solution can be achieved through increased provider understanding of hepatitis C. Purpose The purpose …
Can Simulation Along With Lecture And Demonstration Enhance The Knowledge Level Of Managing A Chest Tube For Senior Undergraduate Nursing Students?, Pamela Lawson
Regis University Student Publications (comprehensive collection)
Providing safe high quality care for patients with chest tubes by nursing students requires not only lecture and demonstration but also the use of simulation. Simulation allows for the students to practice in a non-threatening environment without harming any patients. The data was compiled to evaluate the effectiveness of the theory and simulation in terms of enhancing the knowledge level of chest tube management. Thirteen students participated in the study. A two-tailed t-test for two independent groups was used to test the differences in knowledge levels. Data analysis revealed the mean pre-simulation knowledge of students in the comparison group was …
Mandatory Nurse-Patient Ratios And Nursing Outcomes Related To Patient Falls, Lillian Kathleen Roberts
Mandatory Nurse-Patient Ratios And Nursing Outcomes Related To Patient Falls, Lillian Kathleen Roberts
Regis University Student Publications (comprehensive collection)
The issue of mandatory nurse-patient ratios remains controversial among many vested stakeholders, including nurses, patients, physicians, unions, nursing organizations, researchers, employers (in particular hospitals), and federal and state governments (Douglas, 2010). The purpose of the study is to examine the relationship between patient falls and day-to-day, shift-to-shift variations in unit level staffing on the Medical / Surgical Unit at a small hospital in the southern area of the country. The goal of the study was to examine the association between nurse-patient ratios and patient outcomes as it relates to a culture of safety. Over a three month period from January …
An Evidence-Based Intervention To Improve Vaccination Rates For Seasonal Influenza Among Registered Nurses, Debra A. Maitre
An Evidence-Based Intervention To Improve Vaccination Rates For Seasonal Influenza Among Registered Nurses, Debra A. Maitre
Regis University Student Publications (comprehensive collection)
Executive Summary An Evidence-Based Intervention to Improve Vaccination Rates for Seasonal Influenza Among Registered Nurses Problem Seasonal influenza continues to cause the hospitalizations and deaths of tens of thousands every year in the U.S. (National Foundation for Infectious Diseases, 2008). Vaccination of healthcare workers for influenza has been recommended for more than 30 years (Willis & Wortley, 2007) and reports of transmission of influenza by registered nurses (RNs) to patients are well documented. In spite of these facts, RN vaccination rates remain below the recommended target of 90% (U.S. Department of Health and Human Services, 2012). The evidence suggests that …
Effects Of A Nursing Professional Practice Model On Customer Satisfaction Of Nursing Indicators In The Emergency Department, Jennifer Thomas
Effects Of A Nursing Professional Practice Model On Customer Satisfaction Of Nursing Indicators In The Emergency Department, Jennifer Thomas
Regis University Student Publications (comprehensive collection)
The purpose of this DNP Capstone project was to determine if education of the M Nursing Professional Practice Model had an effect on customer satisfaction of nursing indicators in the Emergency Department (ED). The facility's newly developed M Model Nursing Professional Practice Model (MNPPM) which used the theoretical underpinning of Meehan's Careful nursing model (2003, 2012) was utilized as the nursing model. A quantitative post-test only design was developed to study two different groups of ED patients. The instrument selected was the Patient Satisfaction of Nursing Care Quality Questionnaire. The first survey was administered to patients following ED treatment before …
The Subcutaneous Administration Of Bortezomib Practice Guideline Capstone Project, Jasmine Martin
The Subcutaneous Administration Of Bortezomib Practice Guideline Capstone Project, Jasmine Martin
Regis University Student Publications (comprehensive collection)
Multiple myeloma is the second leading cause of hematological malignancies in the United States. Bortezomib is a chemotherapy agent effective in the treatment of all stages of multiple myeloma. Bortezomib administered by the subcutaneous (SC) route is as efficacious as the intravenous (IV) route. However, the literature does not describe how the drug was to be administered SC. A review of literature was inconclusive on how to administer SC injections and supported the need to describe how nurses are administering SC injections in order to develop practice guidelines. A 44-question electronic survey on SC bortezomib administration was developed, with all …
Comparison Of Neonatal Nurse Practitioner Needle Thoracostomy Procedural Competency After Completion Of An Online Module Or Standard Textbook Review, Carol M. Wallman
Comparison Of Neonatal Nurse Practitioner Needle Thoracostomy Procedural Competency After Completion Of An Online Module Or Standard Textbook Review, Carol M. Wallman
Regis University Student Publications (comprehensive collection)
This project addressed the ongoing procedural competency assessment of Neonatal Nurse Practitioners (NNPs), and included the development and implementation of an online review module and application of a standardized format for evaluation of NNP procedural performance. The question addressed was: Is the completion of on online module effective review for NNPs for neonatal thoracostomy by needle aspiration as evaluated by the Leicester Clinical Assessment Tool (LCAT) comparable or better than a standardized textbook review?
The project utilized a two-group descriptive, quantitative, pre-experimental design. Participants were randomized to either online or textbook review. Expert NNPs, blinded to the randomization, evaluated 45 …
Mentor Training Program, Marlene M. Berens
Mentor Training Program, Marlene M. Berens
Regis University Student Publications (comprehensive collection)
The retention of pre-licensure baccalaureate nursing students is one of the critical components in resolving the present healthcare crisis. Peer mentors play an important role in retention of students. The main objective of peer mentoring was to support a nursing student making the transition to a university setting and to nursing education. Gilmour, Kopeikin, and Douche (2007) described peer mentoring as a key strategy for support of nursing students. Mentoring is a complex process requiring development of purposeful relationships underpinned by knowledge and experience. This capstone project's purpose was designed and implemented to determine if a mentor training program for …
Scripted Communication, Shannon L. Cook
Scripted Communication, Shannon L. Cook
Regis University Student Publications (comprehensive collection)
Variables related to scripted communication and patient satisfaction was studied. Patients who were admitted to the hospital and had inpatient status considered for the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient satisfaction survey. Inclusion criteria for the study population were if the patient was not a newborn, deceased, a ward of the state, or a No Publicity patient. The HCAHPS survey was only sent every 90 days per The Agency for Healthcare Research and Quality (CRMC, 2012). The independent variable was scripted communication with the use of AIDET (Acknowledge, Introduce, Duration, Explanation, Thanking) measured by the HCAHPS …
Does Associate Degree Nursing (Adn) Student Math Competency Improve With A Math For Nurses Session?, Michele A. Dickson
Does Associate Degree Nursing (Adn) Student Math Competency Improve With A Math For Nurses Session?, Michele A. Dickson
Regis University Student Publications (comprehensive collection)
Dosage calculation examinations were administered to nursing students entering the Associate Degree Nursing (ADN) program in the northeastern area of the United Stat (U.S.). Historically, nursing students have verbalized anxiety about the dosage calculation examinations given every semester. Dosage calculation exams were successfully completed when the nursing student achieved a score of 90 % or greater by the third attempt. Scores on the dosage calculation exams have been found to range from 30% to 95% correct on the first attempt. Does Associate Degree Nursing (ADN) Student Math Competency Improve with a Math for Nurses Session?
The purpose of the project …
Nr706c Use Of High Volume Low Pressure Microcuffed Endotracheal Tubes To Reduce Ventilator Associated Pneumonia, Joyce M. Page
Nr706c Use Of High Volume Low Pressure Microcuffed Endotracheal Tubes To Reduce Ventilator Associated Pneumonia, Joyce M. Page
Regis University Student Publications (comprehensive collection)
Ventilator associated pneumonia (VAP), a major source of infection in Intensive Care Unit (ICU) that leads to higher mortality and cost. The PICO format is: Population: Adults with endotracheal tube (ETT) intubations during ICU stay. Intervention: The © Kimberly Clark High Volume Low Pressure Micro Cuffed (KC) ETT for adults intubated in ICU. Comparison: The High Volume Low Pressure ETT ©Mallinckrodt (MK). Outcome: Reduce VAP incidence and improve patient outcomes. Do ICU adults intubated with KC ETTs have fewer VAPs than those intubated with the MK? VAP starts with pathogen's (Craven, 2006). Deem and Treggiari (2010) believes the ETT does …
Cancer-Related Fatigue, Rebecca E. Bowman
Cancer-Related Fatigue, Rebecca E. Bowman
Regis University Student Publications (comprehensive collection)
Variables related to cancer-related fatigue were studied. Adults over the age of 18 who were actively undergoing cancer treatment in a rural, outpatient clinic were included in the study. The purpose of this project was to assess fatigue levels of patients who are undergoing cancer treatment. The Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) questionnaire was administered to participants and their scores were used to compare variables significance to cancer-related fatigue. The significant variables included cancer-related pain, dementia, congestive heart failure, and anxiety. This study increased provider and patient awareness of variables that influence how cancer-related fatigue is experienced and …
The Effects Of An Educational Support Group Intervention On Nurse Manager Burnout, Donna Faviere
The Effects Of An Educational Support Group Intervention On Nurse Manager Burnout, Donna Faviere
Regis University Student Publications (comprehensive collection)
The purpose of this capstone project was to assess whether an educational support group intervention would increase the level of engagement among Nurse Managers (NM) at an acute care facility. NMs play a key role in helping an organization achieve strategic goals and financial outcomes. These complex demands put the NM at high risk to experience occupational stress, which may lead to burnout (Shirey, 2006). Based on this assessment the research questions: what is the level of engagement among NMs at an acute care facility before and after an educational support group intervention was developed? The goal of the intervention …
Pediatric Asthma Control Assessment Project, Rosario Correa
Pediatric Asthma Control Assessment Project, Rosario Correa
Regis University Student Publications (comprehensive collection)
The purpose of the capstone project was to explore the efficacy of the ATAQ to assess for asthma control at each patient encounter. In addition, addressing asthma control at each care visit would improve asthma outcomes by implementing education that promotes asthma self-management. The goal of the capstone project was to improve asthma control assessment in the primary care setting and provide asthma education for children and the caregiver to improve asthma outcomes. The data analysis indicated asthma control improvement among subjects who received the asthma education intervention (p=0.011). In addition, there was a positive correlation with high ATAQ scores …