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Full-Text Articles in Medicine and Health Sciences

Burnout, Depression And Suicide Prevention In Healthcare Staff, April Ritchie Dec 2019

Burnout, Depression And Suicide Prevention In Healthcare Staff, April Ritchie

Doctor of Nursing Practice (DNP) Projects

Burnout can lead to depression and suicidal ideation in healthcare providers. Healthcare leaders must proactively identify staff experiencing burnout and offer interventions for staff wellbeing, which will also, reduce errors, improve patient satisfaction, and patient outcomes. This manuscript provides a review of evidence-based interventions that can help accomplish these goals.


Nursing Interventions That Address Barriers In The United States That Impact Neonatal Mortality, Victoria D. Sullivan, Ashton J. White May 2019

Nursing Interventions That Address Barriers In The United States That Impact Neonatal Mortality, Victoria D. Sullivan, Ashton J. White

Nursing Undergraduate Work

In 2016, four out of every 1000 babies born in the US died within one month of age. This systematic research review explored nursing interventions that addressed barriers that impact neonatal mortality. The most significant barriers nurses faced in reducing and preventing NM were maternal access to healthcare and education during pregnancy, which can be influenced by maternal age, low socioeconomic status, lack of familial support, poor health literacy, and geographic location. The articles examined included nursing interventions that were evidence-based and addressed barriers relating to NM. Interventions promoting the reduction of NM included education of women’s health and ...


Postpartum Depression Interventions, Maggie Brown, Corrie Vanarsdale May 2019

Postpartum Depression Interventions, Maggie Brown, Corrie Vanarsdale

Nursing Undergraduate Work

PPD affects up to 19% of women worldwide. Possible behavioral changes include poor child outcomes, altered mother-infant bond, and even abuse of the child by the mother. The purpose of this systematic review is to synthesize current research to answer the question, what nursing interventions best treat postpartum depression affecting mothers of low SES in developed countries. The methodology included 10 articles in research of interventions related to sleep, exercise, and social support. Of these interventions in the discussion, exercise is the most effective. Peer support increases maternal mood and likelihood of seeking professional help. Volunteer support is effective if ...


How Can Nurses Drive Technologies Of Healthcare In The Asia-Pacific, Joseph Andrew T. Pepito, Rozzano C. Locsin Feb 2019

How Can Nurses Drive Technologies Of Healthcare In The Asia-Pacific, Joseph Andrew T. Pepito, Rozzano C. Locsin

Asian / Pacific Island Nursing Journal

The Asia-Pacific healthcare industry is expected to grow at 11.1% in 2018. This has been considered one of the fastest growing regions in the world. The positive growth occurring in the Asia-Pacific region is due to the increasing adoption of technology. While it is understood that technology drives advances in nursing and the health sciences, would it be possible that nursing can or will also drive technological advancements in human caring? All too often, nurses are employed in health care as simply the end-users of technologies. It is the purpose of this paper to engage a discourse towards advancing ...


Development Of Nursing Education For An Observation Unit, Donna Mckinney Jan 2019

Development Of Nursing Education For An Observation Unit, Donna Mckinney

Walden Dissertations and Doctoral Studies

As healthcare continues to face scrutiny related to the cost and quality of patient care, organizations are challenged with providing the right care to patients in the right setting. Some healthcare organizations are implementing observation units to provide appropriate care to a specific subset of patients. The purpose of this project was to develop education for nursing staff who will work on the dedicated observation unit and are unfamiliar with the care requirements. Benner's novice-to-expert theory was used as the framework for the project. This theorist posits that nurses transitioning to a new area require new knowledge and skills ...


The Effect Of Maternity Care Practices On The Duration Of Breastfeeding, Lisette Rodriguez Jan 2019

The Effect Of Maternity Care Practices On The Duration Of Breastfeeding, Lisette Rodriguez

Walden Dissertations and Doctoral Studies

The natural practice of breastfeeding has been strongly noted as one of the most cost-effective, health promoting, disease-prevention strategies of the 21st century. Although primary health organizations recommend exclusive breastfeeding for the first 6 months of life with added complementary foods and continued breastfeeding up to 2 years of age or longer, many mothers do not breastfeed their infants for the recommendation length of time. Applied policies and health practices, such as those described under the 10 Steps to Successful Breastfeeding and The International Code of Marketing of Breast Milk Substitutes, have been noted as contributing factors that can considerably ...


Work Engagement, Job Satisfaction, And Nurse Turnover Intention, Yolanda Marie Edwards-Dandridge Jan 2019

Work Engagement, Job Satisfaction, And Nurse Turnover Intention, Yolanda Marie Edwards-Dandridge

Walden Dissertations and Doctoral Studies

In the United States, the high turnover rate of registered nurses and indications of a future shortage of registered nurses is detrimental to healthcare organizations. The purpose of this correlational study was to examine whether, in hospitals, work engagement and job satisfaction predicted registered nurse turnover intention. The theoretical framework was Fishbein and Ajzen's theory of reasoned action. Probability sampling was used to identify 155 participants, all full-time registered nurses with 2 or more years of employment in New York hospitals. Data, obtained from surveys, were analyzed via multiple linear regression. The results revealed that only job satisfaction predicted ...


U.S. Public Health Service Nurse Officers Working In Disaster Settings, Ingrid Stamand Jan 2019

U.S. Public Health Service Nurse Officers Working In Disaster Settings, Ingrid Stamand

Walden Dissertations and Doctoral Studies

The National Response Plan (NRP) was developed to provide support during national disasters. The U.S. Public Health Service (USPHS) Corps is 1 of the 7 uniform services and contributes to the mission of the (NRP). The USPHS Commissioned Corps (CC) Officers may be deployed for national disasters at any time and they must be ready to deploy. The purpose of this phenomenological qualitative study was to explore the lived experiences of USPHS CC Nurse Officers who have deployed in response to disasters in the United States. This study addressed the gap in literature related to the deployment perception of ...


The Quest For Self: Using Mandala Art In Reflective Practice Journaling, Kathleen Quinn Dec 2018

The Quest For Self: Using Mandala Art In Reflective Practice Journaling, Kathleen Quinn

Comparative Woman

This article is a nexus of research, personal journaling reflections, and mandala creation from the authors own journals and focuses on the use of Mandalas as part of a reflective practice journaling process. Attention to mandala usage within reflective practice considering depth interiority, engaging and sharing with others. The authors approach to mandala construction is included followed by an exercise for observation and assessment of mandalas. The structure for reflective practice helps shape transformational leaders, using expressive arts, narratives in journaling. This transformational Discovery pathway and narrative exercises can be used for creating professional learning communities. This form of reflective ...


Proceedings Of The 2018 Asian American/Pacific Islander Nurses Association Conference: Local To Global--Future Directions For Research On Health Disparities, Jillian Inouye Dec 2018

Proceedings Of The 2018 Asian American/Pacific Islander Nurses Association Conference: Local To Global--Future Directions For Research On Health Disparities, Jillian Inouye

Asian / Pacific Island Nursing Journal

The Asian American / Pacific Islander Nurses Association’s 15th Annual International Conference was held September 22-23, 2018 at the Hilton Garden Inn, located in Southpoint, Durham, S.C. with 43 research presenters. The conference theme was Local to Global: Future Directions for Research on Health Disparities with a dozen internationally well-known leaders around the world as keynote and special session speakers. Drs. Hyeoneui Kim, PhD, MPH, RN; Duke University School of Nursing and Jeeyae Choi, PhD, RN; University of North Carolina Wilmington School of Nursing were co-chairs and led the conference topics which addressed the current trends and future directions ...


The Effect Of Competency-Based Education On Medical And Nursing Students' Academic Performance, Technical Skill Development, And Overall Satisfaction And Preparedness For Future Practice: An Integrative Literature Review, Haris Saud, Ruth Chen Dec 2018

The Effect Of Competency-Based Education On Medical And Nursing Students' Academic Performance, Technical Skill Development, And Overall Satisfaction And Preparedness For Future Practice: An Integrative Literature Review, Haris Saud, Ruth Chen

International Journal of Health Sciences Education

Purpose: This article provides an integrative review of competency-based education (CBE) in medical and nursing programs and examines the effect of CBE on students’ academic performance, technical skill development, and overall satisfaction and preparedness for future practice.

Background: In recent decades, CBE has increasingly been discussed in medical and nursing education programs. The impact of the CBE curriculum on learning outcomes including academic performance, technical skill development, overall satisfaction, and preparedness for future practice has not been fully elucidated.

Method: A review of the literature was conducted, and multiple databases were searched for studies that analyzed the impact of CBE ...


Transforming Nursing Preceptors By Developing Emotional Intelligence, Michael Francis Dec 2018

Transforming Nursing Preceptors By Developing Emotional Intelligence, Michael Francis

Doctor of Nursing Practice (DNP) Projects

Changing the process of professionally developing nursing preceptors to meet the growing and changing needs of the nursing profession is critical. This evidence-based project leveraged an advanced preceptor education program for inclusion of basic emotional intelligence tenets and transitioning them into preceptor self-awareness, leadership recognition, and return on human capital investment. A large integrated healthcare system in Northern California identified a strategic need for preceptor development and within the system two acute care hospitals and one home health/hospice agency were selected to participate. The intervention included the development of a six-hour curriculum delivered through an interactive and innovative in-person ...


An Innovative Discharge Intervention: A Quality Improvement Project, Yvonne Swain Dec 2018

An Innovative Discharge Intervention: A Quality Improvement Project, Yvonne Swain

Master's Projects and Capstones

Abstract

Problem: This project aims to decrease the discharge time of a patient from the hospital once the discharge order has been written. Current discharge times are averaging over 3 hours, leading to a breakdown in the patient throughput process. A patient survey was conducted to determine the reason for prolonged discharge times. The survey revealed that patients are not aware of their day of discharge, which may lead them to being discharged without transportation home. Many studies conclude that there are improvement opportunities around discharge planning and communication.

Context: This quality improvement initiative takes place in a 26-bed, medical-surgical ...


Catheter-Associated Urinary Tract Infection Reduction: A Quality Improvement Project, Wallace Kramm Dec 2018

Catheter-Associated Urinary Tract Infection Reduction: A Quality Improvement Project, Wallace Kramm

Master's Projects and Capstones

Abstract

Problem: Hospital-acquired infections are preventable harm that occurs to patients while in the hospital. Catheter-associated urinary tract infection (CAUTI) is a preventable hospital-acquired infection that continues to plague hospitals nationwide. The Centers for Disease Control and Prevention estimates that there are more than 13,000 CAUTI related deaths in the United States annually (Scanlon, 2017). In addition to the harm caused to patients by CAUTIs, the estimated $500 million yearly cost for CAUTI treatment has created a fiscal burden on healthcare systems (Scanlon, 2017). Decreasing the rate of CAUTI by decreasing overall number of catheters is the goal of ...


Improving Knowledge And Attitude Of Primary Healthcare Givers Towards Vulnerable Populations: A Quality Improvement Project, Kimberly Shankel Dec 2018

Improving Knowledge And Attitude Of Primary Healthcare Givers Towards Vulnerable Populations: A Quality Improvement Project, Kimberly Shankel

Master's Projects and Capstones

Improving Knowledge and Attitude of Primary Healthcare

Givers Towards Vulnerable Populations

Kimberly Shankel

University of San Francisco

Abstract

Problem

This project aims to improve patient satisfaction for vulnerable population patients while in hospital, namely transgender and gender non-conforming people. A major roadblock for this population in seeking medical care is their fear of discrimination when accessing healthcare, resulting in a delay, or avoidance of medical care. Multiple studies agree there is a need for nursing education on cultural competence to improve care and satisfaction for vulnerable populations.

Context

The site for this quality improvement project is a small suburban hospital ...


Augmentative And Alternative Communication In The Intensive Care Unit: A Service Delivery Model, Beverly Lloyd, Ann R. Beck, Amy L. Yacucci Dec 2018

Augmentative And Alternative Communication In The Intensive Care Unit: A Service Delivery Model, Beverly Lloyd, Ann R. Beck, Amy L. Yacucci

Graduate Independent Studies - Communication Sciences and Disorders

Patients in the intensive care unit (ICU) often find it difficult or impossible to verbally communicate due to mechanical ventilation, tracheostomy tubes or increased fatigue and delirium. Augmentative and alternative communication (AAC) can provide ICU patients with a way to communicate during their ICU admittance. However, few hospitals currently have a systematic service delivery model in place for providing AAC tools and supports to ICU patients. This resource manual provides an outline for creating and implementing an AAC service delivery model along with AAC materials and resources appropriate for an ICU. Explanations of how each material is used, who they ...


Developing Cultural Competency In Anesthesia Through Student Registered Nurse Anesthetists, Emma To Dec 2018

Developing Cultural Competency In Anesthesia Through Student Registered Nurse Anesthetists, Emma To

Doctoral Projects

Certified Registered Nurse Anesthetists (CRNAs) are the main anesthesia providers in over 70% of rural hospitals providing anesthesia. Each year, over 2,000 student registered nurse anesthetists (SRNAs) graduate and continue as licensed CRNAs. This Doctor of Nurse Practice (DNP) project emphasizes the importance of developing culturally competent providers in anesthesia by promoting early outreach in cultural competence education of SRNAs. Cultural competence is described as possessing characteristics of congruent attitudes, awareness, and conduct that provides and enables effective skills in cross-cultural encounters. Encompassing cultural competency education early in the SRNAs profession may provide valuable lifelong cultural skills that will ...


Fighting Fatigue With Caffeine: Exploring Perceptions On Patient Safety, Camille Quitangon Dec 2018

Fighting Fatigue With Caffeine: Exploring Perceptions On Patient Safety, Camille Quitangon

Honors Theses and Capstone Projects

Objective: To examine the association between fatigue and caffeine consumption, and explore nurses’ perceptions of the impact of these factors on patient safety.

Background: Many people consume caffeine for its benefits, such as stimulating the central nervous system to feel more awake. Health professionals, such as nurses, commonly experience fatigue and often will drink coffee to get through their long shifts.

Methods: A comprehensive literature review was conducted. Studies were split into two categories – fatigue and patient safety or caffeine's effect on human performance.

Results: Fatigue causes nurses to be impaired; it affects their ability to be alert, vigilant ...


Interprofessional Education: How Curriculum Influences And Develops Future Healthcare Professionals, Karen Keune Nov 2018

Interprofessional Education: How Curriculum Influences And Develops Future Healthcare Professionals, Karen Keune

Ed.D. Dissertations

The value of higher education is a topic of great consideration and discussion, not only for current and future students, but also for legislators, educators, and employers. A college degree is more than a pathway toward advanced knowledge in a given subject; it is a component of a larger outcome beyond a diploma, it's a job. While the scale of employment opportunities appears to rise for those with a college degree, it is not enough to guarantee security for new graduates, no matter their topic of study. More than a competency in the field of study is required to ...


A Cross-Sectional Study Of Palliative Care Nurse Attitudes Toward Medical Assistance In Dying, Kathy A. Pfaff, Laurie A. Freeman Nov 2018

A Cross-Sectional Study Of Palliative Care Nurse Attitudes Toward Medical Assistance In Dying, Kathy A. Pfaff, Laurie A. Freeman

Nursing Publications

Background: In 2015, the Supreme Court of Canada decriminalized physician assisted dying for persons suffering grievous and irremediable medical conditions. In Canada, Medical Assistance in Dying (MAiD) is not provided by professional nurses; however, nurses are involved in providing physical care, education, and support for persons who are in various stages of the process. Its integration in palliative care settings has been controversial as MAiD is philosophically at odds with a palliative care approach that seeks to neither hasten nor prolong natural death. Therefore, it has potential to create moral and ethical distress among palliative care nurses who respect adherence ...


Predicting First Term Success In An Associates Degree Nursing Program Using Cognitive And Noncognitive Factors, Richard Hilton Turner Nov 2018

Predicting First Term Success In An Associates Degree Nursing Program Using Cognitive And Noncognitive Factors, Richard Hilton Turner

Doctoral Dissertations and Projects

Since the late 1990s the nursing field has experienced increased demand for RN’s as well as a number of internal and external factors that have worsened this problem. College admissions officers have struggled to identify those students who are most likely to persist in an associate degree nursing (ADN) program. Estimates of programmatic attrition vary, but fall somewhere between 25-50%. A great deal of research has been expended in an attempt to determine which preadmission variables are most likely to indicate programmatic success. Unfortunately, no “best set” of admissions variables has been identified. The purpose of this research was ...


Problems Experienced In The Second And Third Months After Discharge From A Heart Failure-Related Hospitalization, Joan S. Grant, Lucinda J. Graven Oct 2018

Problems Experienced In The Second And Third Months After Discharge From A Heart Failure-Related Hospitalization, Joan S. Grant, Lucinda J. Graven

Journal of Patient-Centered Research and Reviews

The purpose of this study was to identify high-priority problems experienced by individuals during the second and third month after discharge from an acute care facility for heart failure. This descriptive, exploratory study, an extension of a previous analysis that examined high-priority problems in the first month, comprised 19 participants who were assigned to an intervention group that received a randomized, 12-week-pilot coping partnership (COPE-HF) intervention. A trained research nurse provided the intervention, and participants used a standard list to identify high-priority heart failure-related problems. Quantitative and content data analysis was conducted. While the highest-priority problem continued to be managing ...


Persistent Misconceptions About Mutations Among Graduate Nursing Students, Jane Garvin, Beverly Collins Oct 2018

Persistent Misconceptions About Mutations Among Graduate Nursing Students, Jane Garvin, Beverly Collins

Nursing

Purpose

The purpose of this study was to determine the ongoing misconceptions about mutations, an area of rising public interest, among graduate nursing students.

Design

Using a prospective cohort design, graduate students entering a public university in the Fall of 2014 were followed to graduation in the Fall of 2016.

Methods

Knowledge of mutations was assessed with an anonymous pre-test and post-test using three items from the Genomic Nursing Concept Inventory - 2011 beta version developed by Ward. Differences in pre-test and post-test scores were assessed by T-test. Post-test items with > 30% marked incorrectly were examined further; the most frequent incorrect ...


A Preliminary Examination Of Adaptive Case Studies In Nursing Pathophysiology, Julie F. Hinkle, Patsy Moskal Oct 2018

A Preliminary Examination Of Adaptive Case Studies In Nursing Pathophysiology, Julie F. Hinkle, Patsy Moskal

Current Issues in Emerging eLearning

Case studies are a valuable instructional tool frequently used in nursing to allow students to analyze clinical problems based on real-world scenarios. This study examines the use of the Realizeit adaptive platform to create case study scenarios for pathophysiology, a course required in the undergraduate nursing curriculum. The data gathered as students progressed through the adaptive content--time on task, number of times cases accessed, and scores on each case--provided valuable information on student behavior and engagement with the three case studies. Results of this preliminary study indicate that adaptive case studies are promising for pathophysiology and system analytics confirmed that ...


On The Nature Of The University And What It Means For Nursing Education - La Nature De L’Université Et Ses Implications Pour La Formation En Sciences Infirmières, Jacinthe I. Pepin, Florence Myrick Oct 2018

On The Nature Of The University And What It Means For Nursing Education - La Nature De L’Université Et Ses Implications Pour La Formation En Sciences Infirmières, Jacinthe I. Pepin, Florence Myrick

Quality Advancement in Nursing Education - Avancées en formation infirmière

No abstract provided.


Caring In The Margins: A Scholarship Of Accompaniment For Advanced Transcultural Nursing Practice, Ruth C. Enestvedt, Kathleen M. Clark, Kaija Freborg, Joyce P. Miller, Cheryl J. Leuning, Deborah K. Shuhmacher, Kristin M. Mchale, Katherine A. Baumgartner, Susan L. Loushin Oct 2018

Caring In The Margins: A Scholarship Of Accompaniment For Advanced Transcultural Nursing Practice, Ruth C. Enestvedt, Kathleen M. Clark, Kaija Freborg, Joyce P. Miller, Cheryl J. Leuning, Deborah K. Shuhmacher, Kristin M. Mchale, Katherine A. Baumgartner, Susan L. Loushin

Faculty Authored Articles

Nurses must learn essential skills based in transcultural nursing to address issues of equity and social justice. The development of a model for nursing practice for an urban nurse-led drop-in center for individuals experiencing marginalization provides an opportunity for student nurses to learn transcultural nursing skills that shifts care from acknowledging the need of others to accompanying others on their health journey. The practice model provides the opportunity for undergraduate and graduate nursing students at Augsburg University to de-emphasize tasks and build relationships. Students learn to listen to others' stories and acknowledge their struggles in the margins. Four stages of ...


Improving Communication Between Child Life Services And Nursing On An Inpatient Pediatric Unit, Sherryann St. Pierre, Elizabeth Shaughnessy, Bethany Kay, Barbara Bush Children's Hospital, Mark Parker, Suneela Nayak, Ruth Hanselman, Stephen Tyzik, Amy Sparks Oct 2018

Improving Communication Between Child Life Services And Nursing On An Inpatient Pediatric Unit, Sherryann St. Pierre, Elizabeth Shaughnessy, Bethany Kay, Barbara Bush Children's Hospital, Mark Parker, Suneela Nayak, Ruth Hanselman, Stephen Tyzik, Amy Sparks

Operational Excellence

IMPROVING COMMUNICATION BETWEEN CHILD LIFE SERVICES AND NURSING ON AN INPATIENT HOSPITAL UNIT

Effective communication between patient caregivers has been shown to reduce stress and trauma related to hospitalization and subsequent improved outcomes. An HCAHP score for a 30 bed acute inpatient pediatric unit illustrated the confusion faced by children as a result of nursing and care life specialists not working together as a team.

A root cause analysis identified a number of issues as to why patients were not benefitting fully from child life services. Several counter measures were instituted with the goals of improving the HCAHP score and ...


Intraoperative Ketamine Administration: An Adjunctive Therapy That Reduces Postoperative Pain For Patients Undergoing Spinal Surgery, Brittany Pierce Oct 2018

Intraoperative Ketamine Administration: An Adjunctive Therapy That Reduces Postoperative Pain For Patients Undergoing Spinal Surgery, Brittany Pierce

Doctoral Projects

In 2017, the United States Department of Health and Human Services declared that the country was experiencing an opioid crisis (U.S. Department of Health and Human Services, 2018). As a result of this phenomenon, healthcare providers are examining how they are managing pain and researching new avenues for the treatment of pain. Anesthesia providers are in a unique position to help reduce postoperative pain and ultimately the development of chronic pain. This doctoral project was conducted in order to write an evidence-based policy that directs and educates anesthesia providers in the administration of intraoperative ketamine to reduce postoperative pain ...


Nur 3110 The Nurse Leader Within, Syllabus, Linda Ann Paradiso Oct 2018

Nur 3110 The Nurse Leader Within, Syllabus, Linda Ann Paradiso

Open Educational Resources

Syllabus for NUR 3110 The Nurse Leader Within - a 15 week semester course for pre-licensure nursing students or nurses earning their baccalaureate degree. Every nurse is a leader, regardless of title or position within an organization. In this course you will learn to develop your voice and skills in order to lead teams of people who care for persons in need of any type of medical care.


The Effect Of Patient Safety Educational Program On Nurses' Patient Safety Culture And Patient Safety Indicators, Nasrin Hanifi, Zahra Yazdanshenas, Masoumeh Namadian, Nima Motamed Sep 2018

The Effect Of Patient Safety Educational Program On Nurses' Patient Safety Culture And Patient Safety Indicators, Nasrin Hanifi, Zahra Yazdanshenas, Masoumeh Namadian, Nima Motamed

Asian / Pacific Island Nursing Journal

The need to improve patient’s safety is to change the patient’s safety culture. This study was conducted to determine the effect of the patient safety education program on nurses’ patient safety culture and patient safety indicators.

This single-blind clinical trial was conducted in two cardiac medical wards that were randomly selected as research settings among the hospital teaching wards of the Zanjan city in Zanjan. Twenty-six nurses participated in this study under in the experimental and control groups. The experimental group received the educational program for two sessions, and the control group received a booklet about patient safety ...