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Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

2019

Nursing

Virginia Commonwealth University

Articles 1 - 4 of 4

Full-Text Articles in Medicine and Health Sciences

Promoting Cultural Humility: Lgbtqia+ Education For Healthcare Providers, Lexi Robertson, Lauren Connelly Jan 2019

Promoting Cultural Humility: Lgbtqia+ Education For Healthcare Providers, Lexi Robertson, Lauren Connelly

VCU Health Nursing

Abstract:

Purpose:

LGBTQIA+ patients experience devastating mental health and substance abuse disparities. While our organization has a broad non-discrimination statement that includes gender identity and sexual orientation, there is no guidance for how to best serve these patients. Evidence suggests training sessions are a successful means of increasing LGBTQIA+ cultural competency, with “Safe Zone” identified as being especially successful on college campuses. The Healthcare Equality Index also calls for education to demonstrate healthcare organizations’ commitment to LGBTQIA+ patients.

Intervention:

We developed an educational workshop - Safe Zone – with university psychologists. This workshop included interactive exercises that focused on increasing …


Own Your Outcomes: Driving Down Hapis In The Cardiac Surgery Intensive Care Unit, Linda Currie Jan 2019

Own Your Outcomes: Driving Down Hapis In The Cardiac Surgery Intensive Care Unit, Linda Currie

VCU Health Nursing

Abstract:

Purpose (What): To achieve sustainable reduction of pressure injury (PI) rates through systematic culture change, in a quaternary, level 1, urban academic medical center cardiac surgery intensive care unit (CSICU).

Relevance/Significance (Why): The CSICU is a high-risk patient population, hosting multiple potential barriers to pressure injury prevention. Prior to 2012, the CSICU pressure injury rate was 17% higher than the National Database of Nursing Quality Indicators benchmark, negatively impacting patient outcomes and organizational goals. Leveraging Magnet principles of Evidence-Based Practice, CSICU advanced practice nurse leaders empowered and motivated bedside nurses to lead and sustain unit culture change.

Strategy and …


Creating A Clinical Ladder Education Program For Perioperative Surgical Services (Clepps), Velma Davis, Natalie Sorensen Jan 2019

Creating A Clinical Ladder Education Program For Perioperative Surgical Services (Clepps), Velma Davis, Natalie Sorensen

VCU Health Nursing

Problem Statement:

Low participation in challenging the Clinical Ladder within the Perioperative Surgical Services was observed. The period 2016-2017, only five nurses from the department challenged and were successful on the ladder. As a process improvement initiative, the department implemented CLEPPS, using the organization’s clinical ladder program as a tool.

Background:

It is documented in the literature that a robust Clinical Ladder Program increases staff satisfaction, enhances professional development, and improve patient outcomes.

The Perioperative Surgical Services has a total of 102 Clinical Nurse II within the department who were eligible for advancement on the clinical ladder. An internal survey, …


Perceived Stress, Salivary Cortisol, And Depression In Adults Diagnosed With Postconcussion Syndrome; A Pilot Study, Christine Fish-Huson Jan 2019

Perceived Stress, Salivary Cortisol, And Depression In Adults Diagnosed With Postconcussion Syndrome; A Pilot Study, Christine Fish-Huson

Theses and Dissertations

Traumatic Brain Injury (TBI) affects approximately 1.7 million persons in the United States annually, 75% are categorized as mild (mTBI). Most persons who experience mTBI will recover, however an estimated 10% will develop Postconcussion Syndrome (PCS). Evidence supports a relationship between perceived stress, salivary cortisol, and depressive symptoms in persons after TBI; however, there are no known studies exploring these relationships in the PCS patient population. A sample of 17 men and women diagnosed with PCS were recruited from Southwest and Central Virginia. Data collection included the Rivermead Postconcussion Questionnaire, Perceived Stress Scale-10, Center for Epidemiological Studies-Depression Scale and the …