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Articles 1 - 15 of 15
Full-Text Articles in Other Nursing
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 …
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 …
Preventing Ventilator-Associated Pneumonia: Educating Emergency Room Nurses, Dana M. Ferrazzano
Preventing Ventilator-Associated Pneumonia: Educating Emergency Room Nurses, Dana M. Ferrazzano
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Ventilator-associated pneumonia (VAP) is the second most common hospital acquired infection and is primarily found in the intensive care units. The presence of an endotracheal tube is the primary risk factor for developing VAP. Many times the process of intubation occurs pre-hospital, in the emergency room (ER) or in the operating room. Ventilator associated pneumonia is associated with increased hospital stay and costs. Evidence-based guidelines have been developed to decrease the occurrence of VAP and decrease patient mortality. Preventative measures are initiated on the intensive care unit once the patient is transferred. The purpose of this study was to evaluate …
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 …
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 Policy Analysis Of The Nursing Shortage In Selected Sub-Saharan African Countries, Julia Twining
A Policy Analysis Of The Nursing Shortage In Selected Sub-Saharan African Countries, Julia Twining
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
This paper will begin with a comprehensive literature review of the nursing shortage in the sub-Saharan African region. The global nursing crisis is explored with a focus on the economics of nursing, challenges presented by the nursing shortage, interventions to increase nursing capacity, and partnerships that have been implemented to achieve this goal. The nursing shortage in selected sub-Saharan African countries is analyzed from a policy perspective using Fawcett and Russell’s Conceptual Model of Nursing and Health Policy (2005). Then, McLaughlin and McLaughlin's Policy Analysis Process (2008) is used to identify, analyze, evaluate, and make recommendations to create health policy. …