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

Medicine and Health Sciences Commons

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

Nursing

Discipline
Institution
Publication Year
Publication
Publication Type
File Type

Articles 1 - 30 of 1327

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.


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 ...


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 ...


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 ...


The Lived Experience Of Traumatic Amputation For Haitian Adults, Margarett Alexandre Sep 2018

The Lived Experience Of Traumatic Amputation For Haitian Adults, Margarett Alexandre

All Dissertations, Theses, and Capstone Projects

Amputation of a limb is a traumatic and disabling condition that impacts the lives of people worldwide. Trauma remains the leading cause of major limb amputation, second only to Diabetes Mellitus and dysvascular complications (Ziegler-Graham, MacKenzie, Ephraim, Travison, & Bookmeyer, 2008). Little is known about the experience of traumatic amputation for Haitian Adults, therefore this study was to understand the lived experience of traumatic amputation in Haiti. The purpose of this descriptive phenomenological study was to investigate the lived experience of traumatic amputations as talked about by adults who suffered an amputation because of the 2010 earthquake in Haiti. Eight Haitian ...


Nutrition Education To Improve Health Outcomes In Community Dwelling Older Adults, Sara Giessinger Aug 2018

Nutrition Education To Improve Health Outcomes In Community Dwelling Older Adults, Sara Giessinger

Master's Projects and Capstones

Abstract

The proportion of people age 60 and over is growing faster than other age group, and will double by 2050 from approximately 605 million to 2 billion worldwide, in addition to the 80 and over population quadrupling by the same time. Non-communicable diseases such as obesity, cancer, coronary heart and lung disease, diabetes, hypertension, insulin resistance, and hyperlipidemia,represent 63% of deaths annually worldwide. Due to the immense contact nurses have with clients, they play a key role in screening, referrals and education to guide this demographic to improved health outcomes through nutrition and physical activity interventions (Xiaoyue, Parker ...


Awareness And Knowledge Of Cochlear Implants Among Speech-Language Pathologists, Kimberly Ward, Kimberly Grubbs, Amitava Biswas Aug 2018

Awareness And Knowledge Of Cochlear Implants Among Speech-Language Pathologists, Kimberly Ward, Kimberly Grubbs, Amitava Biswas

Faculty Publications

Speech-Language Pathologists work closely with individuals who have received cochlear implants across a multitude of settings which include early childhood education centers, schools, hospitals and skilled nursing facilities. However, previous research suggests that Speech-Language Pathologists do not have the adequate skills or knowledge to work with clients who have received cochlear implants. To assess whether Speech-Language Pathologists in the state of Mississippi had similar results as in the previous studies, a questionnaire was used to assess knowledge on cochlear implants. The results are consistent with previous studies which suggest that there is an overall lack in cochlear implant competency, specifically ...


West Meets East: A Westerner’S Reflections On Leadership, Marion Broome Aug 2018

West Meets East: A Westerner’S Reflections On Leadership, Marion Broome

Asian / Pacific Island Nursing Journal

This article describes the leadership journey of a nursing leader from the United States. Background information on the culture of the United States where the author was raised and educated is provided as is a discussion about how her leadership skills were influenced by American culture. She reflects on the similarities and differences in leadership journeys between the nurse leaders from five Asian countries who participated in the Women’s Leadership Workshop held at Duke University in 2017. The article concludes with suggestions for women in leadership, particularly nurses, across the globe.


Women’S Leadership And Nursing Profession In South Korea, Eui Geum Oh Aug 2018

Women’S Leadership And Nursing Profession In South Korea, Eui Geum Oh

Asian / Pacific Island Nursing Journal

The purpose of this article is to introduce women’s leadership in the nursing profession of South Korea. For this purpose, the article will briefly discuss the cultural background of Korean society at the beginning and explain how the values of the traditional society have influenced women’s leadership in the nursing profession in South Korea. Finally, I will discuss my personal experience of leadership development based on Bolman and Deal’s leadership typology, Reframing Organizations: Artistry, Choice and Leadership (2013).


Leadership In Nursing In Korea, Myungsun Yi Aug 2018

Leadership In Nursing In Korea, Myungsun Yi

Asian / Pacific Island Nursing Journal

Nurses are the largest workforce that impacts the health of the people. As the life expectancy and the number of people with chronic diseases increases in Asia, it is important for Asian nursing professionals to play a pivotal role in improving health status and quality of life by demonstrating their leadership. This article focuses on nursing leadership in Korea. Leadership exemplars were described in detail to show how successful nursing leaders set goals and challenged to meet these goals, despite numerous obstacles that exist in male-oriented society of Korea. And three essential elements that future nurse leaders should consider were ...


Features Of Women’S Leadership And Nursing In Japanese Culture, Reiko Sakashita Aug 2018

Features Of Women’S Leadership And Nursing In Japanese Culture, Reiko Sakashita

Asian / Pacific Island Nursing Journal

Mutual respect and harmonious relationships between people can be viewed as the fundamental spirit of Japanese culture. Japanese leaders try to keep the peace in human relations, rather than to achieve a goal. They become leaders due to internal and external conditions, rather than their own abilities. Japanese society has been basically male-dominated though the ratio of women leaders has increased recently. Higher education and development of academic societies in nursing have been very successful during the last two decades and nursing is one of the most trusted professions in Japan. However, some Japanese people still think a nurse is ...


Japanese American Nursing Education Leadership, Jillian Inouye Phd, Patricia T. Alpert Aug 2018

Japanese American Nursing Education Leadership, Jillian Inouye Phd, Patricia T. Alpert

Asian / Pacific Island Nursing Journal

Why are there so few Japanese-American Nursing Education leaders in the United States when Asians in general are considered the “model minority”? Several reasons point to the cultural and value differences of an Eastern versus Western perspective. Many who have addressed this issue in other professional fields explain this phenomenon as the bamboo ceiling. This article provides the experiences of two Japanese American Nurse Leaders framed through a theoretical framework proposed by Bolman and Deal (1991), which seems to relate to their “human resource leadership” style and the strong belief and empowerment of others. These leadership types develop symbols and ...


Women’S Leadership In Asian Culture, Eun-Ok Im, Marion Broome Aug 2018

Women’S Leadership In Asian Culture, Eun-Ok Im, Marion Broome

Asian / Pacific Island Nursing Journal

No abstract (this is an editorial for the special issue on Asian Women's Leadership in Nursing).


Health Professional Students' Understanding Of Oral Health In Traumatic Brain Injury, Samira Omar Aug 2018

Health Professional Students' Understanding Of Oral Health In Traumatic Brain Injury, Samira Omar

Electronic Thesis and Dissertation Repository

Oral health is a significant consideration in recovery following severe traumatic brain injury (TBI) as it is associated with overall health. Health-care providers play an essential role in rehabilitation following TBI. Thus, using qualitative descriptive research and focus groups, this thesis examined the experiences and perceptions of eight final-year health-professional students in nursing, occupational therapy, and speech-language pathology with respect to oral health in TBI. Results suggest that health-professional students lack a deep understanding of i) what constitutes oral health, ii) common oral health challenges that may be faced by persons with TBI, and iii) optimal oral care in persons ...


Educational Prevention Program Of Surgical Site Infections (Ssi) At A Metropolitan Pediatric Hospital, Daniel Chavez Aug 2018

Educational Prevention Program Of Surgical Site Infections (Ssi) At A Metropolitan Pediatric Hospital, Daniel Chavez

Daniel Chavez

Surgical Site Infections are a common hospital acquired disease. The prevention of Surgical Site Infection at a metropolitan pediatric hospital was lacking thorough education on how to prevent Surgical Site Infections. Literature was used to support this educational program with evidence based practices. To further reduce Surgical Site Infections education played a key role. Most importantly the distribution of education is what this educational program aimed toward supporting. In order to optimize patient outcomes through the use of our educational program literacy requirements must be me. Using this information our team constructed educational pamphlets that would help empower patients so ...


The Impact Of A Poverty Simulation On Practical Nursing Students’ Attitudes Towards Poverty, Jaime Crabb Aug 2018

The Impact Of A Poverty Simulation On Practical Nursing Students’ Attitudes Towards Poverty, Jaime Crabb

DNP Scholarly Projects

Poverty is a multi-faceted global problem. Nurses and providers are front-line caregivers for this vulnerable population. In order to provide effective care, individuals must understand their own attitudes towards poverty. The purpose of this study was to evaluate for changes in Practical Nursing students’ attitudes towards poverty with the use of a poverty simulation based upon the Experiential Learning Theory. Participants were surveyed using the Short Form Attitudes towards Poverty (SFATP) tool. The ELT espouses that the best learning occurs when students actively engage in an experience, reflect upon it, and then apply that learning to future experiences. Statistical significance ...


The Path Of Stroke Care: Nurse Education Materials For Unitypoint Health Trinity Medical Center, Nicole Montgomery Jul 2018

The Path Of Stroke Care: Nurse Education Materials For Unitypoint Health Trinity Medical Center, Nicole Montgomery

Celebration of Learning

Stroke is the fifth leading cause of death in the United States. About 795,000 people in the United States have a stroke every year. National best practice measures regarding stroke care are promoted through the quality and education department at UnityPoint Health Trinity Medical Center. Trinity’s nurses are encouraged to update their skills at the annual Spring Fling informational fair. Through working with the quality and education department, informational materials regarding the care path of a stroke patient were created and delivered in order to educate nurses about these national best practice measures. This project utilized interpersonal communication ...