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Articles 1 - 28 of 28
Full-Text Articles in Other Nursing
Predictors Of Engagement In Nursing Professional Practice: Transforming Organizational Culture In The Post-Covid Healthcare Environment, Jennifer Garnand
Predictors Of Engagement In Nursing Professional Practice: Transforming Organizational Culture In The Post-Covid Healthcare Environment, Jennifer Garnand
Dissertations
Cultivating the shared belief that individuals matter within an organization enhances the empowerment of staff and supports enthusiastic engagement in organizational efforts aimed toward a common mission, vision, and goals (McShane & Von Glinow, 2019). The nursing profession has been plagued by an unprecedented decrease in engagement and diminished job satisfaction, particularly following the prolonged tenure of the COVID-19 pandemic, leading to subsequent attrition amidst a staffing crisis. This quantitative predictive correlational study seeks to determine whether proactive and persevering characteristics, professional identity, and passion of nurses are predictors of engagement in a post-COVID healthcare environment. The research was based …
Implementing Second Person Reporting In Nurse Practitioner Curricula: A Practical Approach To Person-Centered Care, Collette Tattman-Melo
Implementing Second Person Reporting In Nurse Practitioner Curricula: A Practical Approach To Person-Centered Care, Collette Tattman-Melo
Doctor of Nursing Practice (DNP) Projects
Background: Nurse handover report inclusive of patient participation has been shown to promote a patient-centered approach to care resulting in increased satisfaction, safety and efficacy. However, a review of the literature suggests the pedagogy of handover report is mainly provided within the “hidden curriculum” of practice, rather than within formal nursing programs. As a result, what constitutes person-centeredness in a handover report is subject to individual interpretation and therefore, practiced inconsistently. Purpose: The project goal was for nurse practitioner students to connect theories of person-centered care (PCC) with practice, specifically by using a tripartite, second-person report (SPR) style. …
The Nexus Of Nursing Leadership And A Culture Of Safer Patient Care, Melanie Murray, Deborah R. Sundin, Vicki C. Cope
The Nexus Of Nursing Leadership And A Culture Of Safer Patient Care, Melanie Murray, Deborah R. Sundin, Vicki C. Cope
Research outputs 2014 to 2021
Aims and objectives: To explore the connection between +6 nursing leadership and enhanced patient safety. Background: Critical reports from the Institute of Medicine in 1999 and Francis QC report of 2013 indicate that healthcare organisations, inclusive of nursing leadership, were remiss or inconsistent in fostering a culture of safety. The factors required to foster organisational safety culture include supportive leadership, effective communication, an orientation programme and ongoing training, appropriate staffing, open communication regarding errors, compliance to policy and procedure, and environmental safety and security. As nurses have the highest patient interaction, and leadership is discernible at all levels of nursing, …
Theory-Based Practice As Plural Interpretations: A Case Of The The Integration Of The Humanbecoming Theory In A Palliative Care Setting, Diane Tapp, Mireille Lavoie, Nicolas Vonarx
Theory-Based Practice As Plural Interpretations: A Case Of The The Integration Of The Humanbecoming Theory In A Palliative Care Setting, Diane Tapp, Mireille Lavoie, Nicolas Vonarx
Quality Advancement in Nursing Education - Avancées en formation infirmière
Nurses and students are generally encouraged to base their practice on nursing grand theories and models. However, the concrete benefits of these models in practice are often debated. Given that past studies were mostly dedicated to documenting the benefits of nursing theories in practice and were conducted by their supporters, their contribution to the debate is questionable. In 2012, we conducted a retrospective case study in a palliative care unit in Canada where caregivers have based their practice on the Humanbecoming theory since two years. We aimed to examine the process of integration and its effects. Data was obtained from …
Effects Of Hyperglycemia On Adults Hospitalized With Sepsis, Katie Cardoso
Effects Of Hyperglycemia On Adults Hospitalized With Sepsis, Katie Cardoso
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Infectious sepsis (IS) is the result of a complex infection that is difficult to identify, diagnosis and treat. The gold standard for treatment of IS is early identification and intervention. There is a rise in patients with IS along with a concurrent rise of adults with Diabetes Mellitus (DM). Adults with DM are more susceptible to acute illness due to the multiple body systems affected by DM. Acute illness in adults with DM leads to increased blood glucose levels that become difficult to treat. Extreme elevations of blood glucose are linked to longer lengths of stay and higher mortality rates …
Understanding The Role And Training Of Interdisciplinary Professions: Emergency Medical Technicians, Jason Morin
Understanding The Role And Training Of Interdisciplinary Professions: Emergency Medical Technicians, Jason Morin
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Understanding the role and training of all healthcare professionals is essential for RNs who are responsible for delegating, receiving, and transferring patient care too. An educational program which educates nursing students about the role, and training of EMTs was designed in an attempt to enhance interprofessional collaboration, communication, and the safe transfer of patients across the two professions. EMTs were selected as a profession of interest related to the acute, and often frantic environment in which RNs and EMTs interact. The purpose of the educational program was to educate program participants related to the role, and training of the varying …
Exploring Nurses' Attitudes About The Value Of A Hospital Based Medical Futility Policy, Christie M. Bowser
Exploring Nurses' Attitudes About The Value Of A Hospital Based Medical Futility Policy, Christie M. Bowser
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Nurses are responsible for providing care for patients and following through with a physician’s orders, however, it is not always easy to do. Certain cases are more difficult than others, especially those involving end-of-life care versus continuing with life-sustaining measures. It is not an easy decision for families or patients to make, but sometimes these life-sustaining interventions can do more harm than good, causing much distress among caregivers (Burns & Truog, 2007). Some cases have become hallmark cases like that of Terri Schiavo, a woman who was in a persistent vegetative state from 1990 to 2005 while her parents and …
Oral Chemotherapy, A Tough Pill To Swallow: A Systematic Review, Jessica Corrente
Oral Chemotherapy, A Tough Pill To Swallow: A Systematic Review, Jessica Corrente
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
As patients begin to receive more oral chemotherapies in the place of the traditional parenteral therapies, the responsibility for treatment falls on the shoulders of patients and their caregivers. The responsibility for the “five rights” of medication administration, which include the- right drug, right dose, right time, right route, and right patient are being transferred to patients and care givers. This places patients at risk for medications errors. Patients and care providers assume responsibility for medication administration, often with little or no healthcare education. As the number of patients being prescribed chemotherapies continues to increase, an emphasis on education as …
Overdose Education And Naloxone Distribution: Implementation In The Acute Care Setting, Emily A. Daniell
Overdose Education And Naloxone Distribution: Implementation In The Acute Care Setting, Emily A. Daniell
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
The number of opioid related overdose deaths has increased significantly over the past ten years. In order to combat this problem, many drug treatment programs have implemented Overdose Education and Naloxone Distribution programs as a harm reduction technique. While these programs are fairly new, initial research demonstrated effective reduction in the number of opioid overdose related deaths. The risk of overdose deaths increases when an opioid addicted person is abstinent for a period of time and loses tolerance. Individuals who have been incarcerated, completed inpatient detoxification, or who have been admitted into an acute care setting face the risk of …
Neuroscience Nurses' Perceptions Of The Barriers To Identifying And Treating Pain In Acutely Brain-Injured Adult Patients, Kimberly A. Iannotti
Neuroscience Nurses' Perceptions Of The Barriers To Identifying And Treating Pain In Acutely Brain-Injured Adult Patients, Kimberly A. Iannotti
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Pain management for the critically ill adult can be daunting. Numerous factors contribute to this challenging process including altered level of consciousness (LOC), inability to speak, life support measures, family input, level of sedation, paralyzing agents, restraints, cognitive impairment, and numerous other factors. The current practice related to pain management in the neurologically critically ill adult patient population is limited by inadequate pain scales, altered neurological status, and atypical pain-associated behaviors. Additionally, nurses are challenged by unclear practice guidelines. The critical care nurse is required to assess and manage pain, as well as implement specific interventions based on the patient’s …
Exploring Barriers To Code Status Discussions, Christina Marie Dickson
Exploring Barriers To Code Status Discussions, Christina Marie Dickson
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
It is imperative that Advanced Practice Registered Nurses (APRNs) have the skill set necessary to initiate code status discussions with people. The literature supports that healthcare providers tend to avoid the topic, for reasons that include feeling uncomfortable, not having enough time, and not wanting to take away hope. How do we break down these barriers to ensure that healthcare providers feel comfortable and prepared to have code status discussions? The purpose of this project was to explore perceived barriers encountered by the Advanced Practice Registered Nurse (APRN) student population. A survey was developed that included sections on comfort level …
The Relationship Between Osteoarthritis, Hip Arthroplasty, And Post-Operative Ambulation Distances, Melissa E. Ings
The Relationship Between Osteoarthritis, Hip Arthroplasty, And Post-Operative Ambulation Distances, Melissa E. Ings
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Osteoarthritis, total hip replacements, and post-operative ambulation distances are three interrelated concepts that lead patients from diagnosis, to intervention, and to the first indications of recovery post-operatively. The purpose of the project was to quantify the ambulation distances of patients with one of three surgical approaches for total hip replacements (THR). The timeframe for measurement was from the day of surgery (day 0) through the second post-operative day (POD 2) comparing different surgical approaches with length of ambulation distances. Pre-operative elective joint replacement educational classes, may play a role in post-operative recovery, which provided the rationale for including them in …
Hypertension Management Among Cambodian-Americans In Rhode Island, Rathana Long
Hypertension Management Among Cambodian-Americans In Rhode Island, Rathana Long
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Hypertension is a major risk factor for heart disease and stroke and the focus of much study in the US. However, there is limited transfer of this knowledge in terms of hypertension management in certain recent immigrant groups such as the Cambodian-‐Americans. Cambodian-‐Americans are often included among the Asian/Pacific Islanders and are one of the fasting growing populations in the US. The purpose of this study was to explore how Cambodians in Rhode Island manage hypertension. This study used a survey design with a convenience sample of 30 participants who could read, write, and understand English. It was conducted at …
Intravenous Acetaminophen Use In Postoperative Pain Management, Selvi K. Kumar
Intravenous Acetaminophen Use In Postoperative Pain Management, Selvi K. Kumar
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Surgery is a most common source of acute pain and effective postoperative pain management is crucial for wound healing and recovery. Opiods are the mainstay for acute pain management but have various adverse effects including death. The multimodal approach involves the use of multiple drugs with varying mechanism of action to achieve optimal pain relief with less adverse effects. Intravenous acetaminophen (IVAPAP) is a new addition to the multimodal approach that appears to afford effective pain relief with a low risk profile. The purpose of this research study was to examine the impact of IVAPAP use in multimodal pain management …
A Nurse-Driven, Exercise-Based Intervention For Patients With Cancer-Related Fatigue When Severe Fatigue Interferes With Daily Activity, Nancy B. Opaluch-Bushy
A Nurse-Driven, Exercise-Based Intervention For Patients With Cancer-Related Fatigue When Severe Fatigue Interferes With Daily Activity, Nancy B. Opaluch-Bushy
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Cancer affects more than 1 million people each year. Of all of the symptoms related to cancer, the most frequently experienced is fatigue. Cancer-related fatigue (CRF) is an extreme tiredness that contributes to morbidity and mortality due to resulting inactivity. Extreme inactivity related to CRF may cause severe complications affecting multiple body systems. The Oncology Nursing Society (ONS) recommends exercise as the only evidence-based intervention shown to be significant for CRF. The purpose of this project was to provide a nurse-driven, exercise-based intervention to combat severe CRF. The site was an oncology out-patient clinic of a 247 bed Magnet hospital …
Timelines Of Oral Care And Early-Onset Ventilator Associated Pneumonia Prevention, Kristen M. Francoeur
Timelines Of Oral Care And Early-Onset Ventilator Associated Pneumonia Prevention, Kristen M. Francoeur
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Hospital-acquired infections, including ventilator associated pneumonia (VAP), are a significant cause of morbidity and mortality and associated with increased costs and length of stay (Chastre & Fagon, 2002; NNIS, 2004). Ventilator associated pneumonia is believed to primarily result from aspiration of oropharyngeal secretions around the endotracheal tube cuff into the lungs (Grap, Munro, Unoki, Hamilton, & Ward, 2012). A randomized control trial tested early application of oral chlorhexidine (CHG) on oral microbial flora and VAP in trauma patients and suggested that early (within 12 hours of intubation) application may reduce VAP rates in trauma patients (Grap, Munro, Hamilton, Elswick, Sessler …
Nurses Perceptions Of Family Presence During Resuscitation In The Emergency Department, Jennifer L. Jennings
Nurses Perceptions Of Family Presence During Resuscitation In The Emergency Department, Jennifer L. Jennings
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Family presence during resuscitation has been a controversial and much debated topic for many years. In the past decade, the movement toward family presence has steadily grown. The Emergency Nurses Association (ENA) and the American Heart Association (AHA) have endorsed family presence and incorporated guidelines for its implementation. Although becoming more accepted in practice, there are still many hospitals without family presence policies, and some nurses and other health care providers continue to identify concerns about its’ use. The purpose of this project was to survey nurses’ perceptions of family presence during resuscitation in the Emergency Department. A researcher developed …
Exploring Nurses' Knowledge About Heart Failure Before And After The Implementation Of A Heart Failure Education Program, Suzanne H. Richmond
Exploring Nurses' Knowledge About Heart Failure Before And After The Implementation Of A Heart Failure Education Program, Suzanne H. Richmond
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Heart failure (HF) has become a national epidemic, with 5.7 million Americans currently living with HF. Although HF is incurable, it is manageable if health care professionals apply current practice guidelines to patient teaching. Nurses are charged with providing comprehensive education about HF self-‐management and it is imperative they stay abreast of evidence-‐based guidelines. The purpose of this project was to explore the current HF knowledge of Home Based Primary Care (HBPC) registered nurse Care Managers employed at the Providence Veterans Administration Medical Center (PVAMC). The logic model and Knowles andragogy theory assisted this researcher in the creation of a …
Nurses' Knowledge Related To Heart Failure Essentials, Ann Mary Garris
Nurses' Knowledge Related To Heart Failure Essentials, Ann Mary Garris
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Heart Failure is a complex syndrome which continues to be a major health issue in the United States and worldwide. Strategies and educational interventions implemented by hospitals to reduce hospital admissions and readmissions for this costly chronic disease have not been consistently successful. Patient education is an important strategy for the management of HF to improve quality of life, optimize patient outcomes, and reduce the use of healthcare resources by reducing readmissions. The purpose of this program development was to increase nurses’ knowledge regarding HF education to be provided to HF patients prior to discharge from the acute care setting. …
The Dnp: A Descriptive Study Of Student Experiences And Factors Contributing To Pursuing This Degree, Daniel J. Neilson
The Dnp: A Descriptive Study Of Student Experiences And Factors Contributing To Pursuing This Degree, Daniel J. Neilson
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Since 2004 discourse pertaining to a terminal clinical degree in nursing has increased nationally, however few articles were found that discussed why advanced practice registered nurses (APRNs) were choosing to pursue this degree, and their lived experiences while doing so. This descriptive, qualitative research study aimed to identify contributing factors in the decision to pursue the DNP degree, and to explore the experiences of DNP student experiences. Rogers’ theory of diffusion of innovations (2003) guided the study. Snowball recruitment led to seven participants from who data was collected using email conversations. Five major themes were identified: (1) personal development, (2) …
Nurses' Perceptions Of Nurse Staffing And The Impact On Patient Falls, Kristin J. Henry
Nurses' Perceptions Of Nurse Staffing And The Impact On Patient Falls, Kristin J. Henry
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Patient falls contribute to unnecessary injury and incapacitation for patients and are also a major source of stress for the nurses caring for patients who fall. Hospitals are no longer being reimbursed for extended hospital stays related to injuries caused by patient falls and action is needed to decrease such events. Nurse staffing has been shown to play a critical role in determining the incidence of patient falls, with better nurse staffing decreasing the likelihood of a patient falling. The purpose of this study was to determine nurses’ perceptions of nurse staffing and its impact on the incidence of patient …
Examining Chronic Stress In Spouses Of Active Duty Military Members, Cristina L. Joseph
Examining Chronic Stress In Spouses Of Active Duty Military Members, Cristina L. Joseph
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Even in the absence of wartime stressors, the military lifestyle is characterized by frequent challenges that affect not only the military member, but also his or her spouse and children. Due to frequent relocations and deployments, military spouses are often relied upon to become the primary child-rearers, make occupational sacrifices, deal with financial concerns independently, organize relocations, and cope with lack of social support. These multiple responsibilities can create a myriad of stressors, which over time lend themselves to the formation of chronic stress. The purpose of this exploratory study is to determine if spouses of active duty military members …
Alarm Fatigue: A Technology Hazard, Iracena Santos Lopes
Alarm Fatigue: A Technology Hazard, Iracena Santos Lopes
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
This research project sought to investigate the impact of alarm fatigue on nurses in an inpatient adult acute care setting at an academic and magnet medical center in the Northeast. The project methodology included a 12-question survey containing 9- likert and 3 open ended questions, designed by the student researcher. The survey was administered to 48 registered nurses on two telemetry-monitoring units. The survey explored whether nurses are aware of alarm fatigue, and also how their daily workflow was impacted by alarm fatigue. Surveys were anonymous and confidential. Descriptive statistics were performed on the study variables, and responses from three …
Waking Up To Safety: An Examination Of Work Hour Guideline Implementation And Education For Registered Nurses, Bonnie J. Schleder
Waking Up To Safety: An Examination Of Work Hour Guideline Implementation And Education For Registered Nurses, Bonnie J. Schleder
Ed.D. Dissertations
The link between health care worker fatigue and adverse events is inseparable. Errors made by registered nurses correlated with work duration, overtime and the number of adverse events (Page 2004). To promote patient safety, nurses must remain vigilant. This study determined if work hour guidelines and education regarding safety risks affected nurse work hours, the use of fatigue countermeasures, and patient outcomes. The researcher explored survey data (n=597), actual work hours, patient safety events, and quality outcomes. Data collected demonstrated nurses work hours exceeded recommendations for a safe environment. The introduction of voluntary work guidelines and education did …
Medical Home Model Of Patient-Centered Health Care, Sandra N. Berryman, Sheri P. Palmer, James E. Kohl, Jon S. Parham
Medical Home Model Of Patient-Centered Health Care, Sandra N. Berryman, Sheri P. Palmer, James E. Kohl, Jon S. Parham
Faculty Publications
The medical home offers a patient-centered model of care. The foundation of a medical home is the organized and continuous interprofessional care of patients.
Nurses' Attitudes Towards Drug-Seekers In The Emergency Room, Megan E. Gernt
Nurses' Attitudes Towards Drug-Seekers In The Emergency Room, Megan E. Gernt
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Emergency department patients often present with a chief complaint of pain. There is a unique population of patients who present with this chief complaint in an effort to obtain narcotics for non-medical use. This population is often referred to as drug-seekers and there is little information available to define what exactly nurses mean when they use this term. This study utilized a descriptive survey design to gain a better understanding of nurses’ use of the term drug-seeker. Respondents agreed on a variety of behaviors that lead them to identify patients as drug-seeking and expressed a frustration with this population of …
A Student's Perspective Of Learning On A Dedicated Education Unit, Rachael L. Johnsen
A Student's Perspective Of Learning On A Dedicated Education Unit, Rachael L. Johnsen
Honors Projects
It is the intent of this honors project to give a student’s perspective of learning in the Dedicated Education Unit (DEU) on Bridge 7 at Rhode Island Hospital. Bridge 7 is a 38-bed unit specializing in general medical surgical patient care services. A student’s perspective is illustrated by journal entries written from each clinical experience over the course of one semester, during the course Adult Health II. In addition to a student’s perspective, it is the intention to compare the learning experience on the DEU, to the traditional model of clinical learning. This project will include current nursing research that …
Health Care Barriers For Latino Children And Provision Of Culturally Competent Care, Jane H. Lassetter, Joan H. Baldwin
Health Care Barriers For Latino Children And Provision Of Culturally Competent Care, Jane H. Lassetter, Joan H. Baldwin
Faculty Publications
The demography of the United States is rapidly changing. The impressive growth rate of Latino populations within the United States has great impact on health care. This article includes discussion of a significant increase from 1988 to 2000 in Latino utilization of emergency department and inpatient services at a pediatric medical center in Salt Lake City, Utah, information on health care barriers for Latinos, and suggestions for providing culturally competent care.