Nursing Commons^™

Development Of A Nurse Practitioner First Assistant Orientation Program, Romoanetia Lofton

Doctor of Nursing Practice (DNP) Projects

The demand for surgical services continues to increase, creating a strain in our healthcare system and causing increasing backlog hours for the operating room. Allowing nurse practitioners (NP) to function in an expanded role in the perioperative environment requires additional training beyond the generic NP program. With this additional training, the NP can function as a first assistant, providing delegated medical functions in the perioperative environment. An in-house NP registered nurse first assistant orientation program was developed based on the adult learning theory as a conceptual framework combined with the AORN perioperative standards as a foundation. The cost of using ...

The Effects Of Continuous Insulin Pump Therapy On Glycemic Control In Pregnant Type 1 Diabetics, Kimberly Kelsey

Senior Theses and Capstone Projects

Type 1 Diabetics have various ways of managing their diabetes that have been studied for their effectiveness. Pregnancy in the Type 1 Diabetic has been understudied. It is known that Diabetics in general have poorer pregnancy outcomes because of poor glycemic control. This coupled with the fact that the body needs 3-4 times more insulin as pregnancy comes to an end makes managing blood glucose levels challenging for diabetics (Lowdermilk, 2016, p. 689). For the Type 1 Diabetic, there are two main ways to control diabetes: multiple daily injections using at least two type of insulin and continuous subcutaneous insulin ...

A Clinical Nurse Leader Initiative: Promoting Mobility Among Long-Term Care Facility Residents, Ulyses Reamico

Master's Projects and Capstones

Maintenance of mobility during hospitalization or stay in long-term care facility result in improved patient outcomes including but not limited to decreased incidence of falls, non-pharmacological pain intervention, and prevention of further functional decline. In a 45-bed rehabilitation unit of a Veterans Affairs (VA) health care facility, a clinical nurse leader (CNL) initiative was done to promote mobility among the patients to mitigate functional decline. The patients, also referred to as clients or residents in long-term care facilities, were aged between 20s and 90s. The resident population consisted of patients admitted for physical rehabilitation after a stroke or surgical procedure ...

The Effects Of Perinatal Methamphetamine Use On Maternal And Child Outcomes: Implications For Education Among Bsn Nursing Students, Tina Nguyen

Honors Theses

The implications of methamphetamine use are vast and prevalent in the U.S. This epidemic is also well recognized in Tennessee and in Hamilton County. The number of men and women that continue to use methamphetamine speaks to the importance of this issue. Among these individuals, pregnant women comprise a significant portion of female methamphetamine users across the United States. The potential complications that can arise for not only a mother but also her child due to maternal methamphetamine use pose a much more significant issue. The detrimental effects that a child can experience as a result of maternal methamphetamine ...

Example Doctor Of Nursing Practice Project, Steven W. Pryor Test

Doctor of Nursing Practice Projects

This is an example of a Doctor of Nursing Practice Project uploaded to SPARK.

This is where the abstract of the submission will appear, briefly summarizing the problem and research results in a few sentences.

“I Feel Like I’M Drawing Strength From It”: Lived Experiences Of Filipino Elderly Participating In Craft-Making, Sharon B. Cajayon, Romeo Luis A. Macabasag, Norilyn Limchanco, Vanessa O. Umali, Ellayza N. Blas, Michelle S. Angulo, Cristine Joy A. Breguera, Nikka Angela A. De Guzman, Sheila N. Malapi, Emmalyn E. Quibote

The Qualitative Report

In this phenomenological study, we offer an insightful understanding of the lived experiences of seven (7) Filipino elderly participating in craft-making. We purposively selected the key informants from a municipality in the province of Bulacan, Philippines. The transcribed data gathered through a semi-structured in-depth interview was analyzed using Colaizzi’s approach. Six themes describing the lived experiences emerged: “Fostering friendship,” “Flourishing health,” “Furthering service,” “Facing aging with acceptance,” “Finding felicity and self-fulfillment,” “Feelings of belongingness and security.” Just like the sun, the elderly’s participation in craft-making serves as a nourishment for them. This exploration speaks to understanding the potential ...

Water Supply In Developing Countries: Student Experiences In The Dominican Republic, Albert Alwang, Margaret Busse, Audrey Caprio, Marieke Fenton, Jason Hawes, Andrew Kanach, Autumn Mcelfresh-Sutton

Purdue Journal of Service-Learning and International Engagement

In 2010, the United Nations established access to safe drinking water as a basic human right; however, many areas around the globe still lack access. The interdisciplinary service-learning course “Water Supply in Developing Countries” was established at Purdue in 2012 to address the complex issue of water insecurity around the world. Over the past five years, the course has produced teams involving students from nursing, engineering, agricultural economics, biology, and food science working together to develop sustainable, community-scale drinking water treatment systems. In partnership with Aqua Clara International, the student team in 2017 established a drinking water treatment system at ...

Mālama Nā Makua I Nā Keiki Me Ka Hānō: Native Hawaiian Parents Caring For Their Children With Asthma, May K. Kealoha, Merle Kataoka-Yahiro

Asian/Pacific Island Nursing Journal

Native Hawaiian children have the highest prevalence rate of asthma among all ethnicities in the State of Hawai‘i. Literature is limited regarding native Hawaiian parents’ perception and experience caring for their children with asthma. The purpose of this study is to explore contemporary native Hawaiian parents’ perspective and experience of caring for their children with asthma in the context of uncertainty. We applied a descriptive qualitative approach by means of directed content analysis using focus groups. Directed content analysis applied Mishel’s Uncertainty in Illness Theory to guide data collection, organization, and analysis. We found that parents’ personal stories ...

Pots: Educating School Nurses, Stephanie Sherwood

Graduate Student Projects and Scholarship

The project used educational modules as a means for providing knowledge about postural orthostatic tachycardia (POTS) to school nurses. It evaluated knowledge of symptoms and the referral process. A pre and post-test were used immediately prior to and following an educational module to determine gained knowledge about POTS. Participants completed a survey evaluating their perceived knowledge and comfort level to evaluate POTS symptoms and refer patients for further evaluation. One hundred percent of participants demonstrated improvement in their post-test score confirming knowledge gained in all participants. All participants reported that the modules helped them about POTS, and they felt confident ...

“My Hands Are Tied”: Nurses’ Perception Of Organizational Culture In Kenyan Private Hospitals, Gladys Mbuthia, Sharon Brownie, Eleanor Holroyd

School of Nursing & Midwifery, East Africa

It is estimated that by 2030 the global shortage of nurses and midwives will be 7.6 million, with African countries among the most adversely affected. Within this context, it is important to understand the specific organizational factors that contribute to registered nurses (RNs)’ decisions to remain or leave their workplaces in East Africa. The aim of this study was to commence exploration of these factors by exploring nurses’ perceptions of organizational culture of selected private hospitals in Kenya. A small-scale exploratory qualitative approach was employed, with eight nurses undertaking semi-structured interviews. There were five female and three male nurses ...

Fit Into College Ii: Physical Activity And Nutrition Behavior Effectiveness And Programming Recommendations, Kristi M. King, Jiying Ling, S. Lee Ridner, Dean E. Jacks, Karen S. Newton, Robert V. Topp

Kristi King

Purpose: To determine whether residency (living on campus versus off campus) was related to the effects of Fit into College on students’ health behaviors, and to understand interns’ perceptions of their roles in mentoring their trainees. Design: Pre-experimental, one-group, pretest-posttest design and a posttest focus group interview. Setting: University-offered health and internship courses. Subjects: Twenty-four students (trainees) participated in the intervention, nine of whom lived on campus. Five student-interns served as their mentors. Intervention: Fit into College was a 14-week intervention in which trainees teamed up with an intern to improve and/or maintain healthy nutrition and physical activity behaviors ...

Implementation Of Preceptorship In Ghana: “Marriage Between School And Clinical Settings”, Mary Asor Asirifi, Judith E. Mill Professor Emeritus, Florence Myrick Professor Emeritus, George Richardson Associate Professor

Quality Advancement in Nursing Education - Avancées en formation infirmière

This research study was designed to explore roles of nursing students, preceptors and nurse educators in the implementation of preceptorship in the Ghanaian context. Preceptorship provides the opportunity for preceptors to offer practical experience to nursing students in the clinical setting. In order to provide effective clinical teaching and learning in Ghana, preceptorship was introduced in nursing education and preceptors were prepared primarily to provide clinical teaching at the clinical settings in Ghana. Ghanaian nurse educators therefore draw on preceptors to supervise students in the clinical practice setting. In Ghana, however, preceptorship is faced with challenges such as ineffective lines ...

Mentor Us: A Formal Mentoring Program For Nurses In Graduate Education, Jennifer Bell, Nichole Marks, Jennifer Hermann, Amanda Klooster

Quality Advancement in Nursing Education - Avancées en formation infirmière

Graduate education fosters unique skills including advanced communication, complex problem solving, project management experience and a complex understanding of specific fields of work (Edge & Munro, 2015). In Canada, enrollment in full-time graduate studies in nursing are increasing. As these enrollments increase, the academic community must consider the realities of graduate school, how students are socialized into faculties and most importantly how integration and community in these programs are fostered because these factors impact the graduate school experience and completion outcomes. Successful graduate students tend to have strong peer relationships, more positive integration, and personal connections with their department or faculty (Gansemer-Topf, Ross, & Johnson, 2006; Golde, 1998; Golde, 2000; Tamburri, 2013). Mentorship programs foster these close relationships among members, help to strengthen a sense of personal and professional safety, provide academic and professional support, and promote collegial interactions (Garvey & Westlander, 2013). In early 2013, four Master of Nursing (MN) students at a large western Canadian University began to conceptualize a formal mentorship program for nursing graduate students called Mentor Us, with the intent of improving student collegiality, building connections within the faculty and community, and providing opportunities for peers to connect. They envisioned and developed a voluntary mentorship program that offered the opportunity for peer-to-peer mentorship in dyads consisting of one mentor and one mentee. The program has seen success in achieving many of its aims and goals; however, the leadership team has also identified areas for future improvement including engaging specific student populations, improving mentor training initiatives and dyad matching, and sustaining the leadership structure of the program. The aims of the paper are first, to outline the current ...

Promoting Scholarship And Faculty Development Through Faculty Learning Communities, Olive J. Yonge Dr., Sandra J. Davidson

Quality Advancement in Nursing Education - Avancées en formation infirmière

Faculty learning communities (FLCs), whether they are topic or cohort-based, are a form of professional development that promote scholarship and collegiality among faculty members. This article describes how a number of FLCs were initiated in a Faculty of Nursing (FoN). Members who participated described the FLCs as scholarly, creative and morale enhancing. One of the most significant impacts in the topic-based FLCs was having members create a scholarly product such as articles, letters, theatrical performances, books, faculty modules, briefs and paintings. For the cohort-based FLC the product was preparing pre tenure faculty for tenure. It is recommended FLCs be voluntary ...

Using Case Study To Examine Simulation In A Problem-Based Course, Joanna Pierazzo, Mary Allan, Grace Mclaren, Dorothy Baby

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: In the last decade, simulation-based learning has flourished with the context of professional practice and education. Within this development, the value of enhancing problem-based learning (PBL) with technology, specifically high-fidelity simulation has not been well-investigated. More specifically, baccalaureate nursing students’ perspectives in using a high-fidelity simulation (HFS) activity during a theoretical problem-based nursing course have not been examined. Purpose: This study explored the perceptions of second year nursing students when HFS and PBL were integrated in a theoretical nursing course. Method: In this study, a descriptive, qualitative research design, specifically case study methodology (Stake, 2005) was used to explore ...

Listening To Unheard Voices: Nurses’ Communication Experiences With The Nrs Pain Scale, Matthew H. Barton, Kevin Stein

Discourse: The Journal of the SCASD

This study examines nurses’ experiences with the Numeric Rating Scale (NRS). These responses characterize the communication trials that nurses face with pain diagnosis, pain management, and overall patient care. Interviews with 20 nurses reveal three themes: subject dissatisfaction, feeling limited, and subjective satisfaction. An analysis of these themes reveals the need for renewed discussion about the way pain is communicated and the challenging expectations nurses must regularly confront. Implications for listening to important, but often quiet, even silent, voices in pain management and clinical practice are discussed.

The Effects Of In-Service Education On Workplace Incivility For Crnas, Tran King

Doctoral Nursing Capstone Projects

Workplace incivility (WPI) affects many healthcare providers, including Certified Registered Nurse Anesthetists. This project was an exploration of the prevalence, nature, and sources of WPI affecting CRNAs. The project’s intervention was an in-service education on WPI for CRNAs. The purposes of the project were to measure the effectiveness of the in-service education in increasing awareness of CRNAs about WPI; and to offer a practice change proposal in terms of a policy against WPI in the anesthesia department.

A Needs Assessment Survey and Demographic Data Information form were distributed from Survey Monkey to participants’ email by way of blind copy ...

Sexuality And Aging In Long-Term Care, Meredith Wallace Kazer

Meredith Wallace Kazer

Sexuality is a continuing human need common to all people. However, sexuality of the aging population has received minimal attention as a significant component of older adults' lives. Residents of long-term care facilities are particularly burdened with numerous barriers to achieving sexual satisfaction. Despite the barriers, the continuing sexual needs of the elderly must be addressed with the same priority as nutrition, hydration, and other well-accepted needs. This article provides practical guidance to assist health care professionals assess and manage the sexual needs of older residents of long-term care facilities.

Pain In Older Adults, Meredith Wallace Kazer

Meredith Wallace Kazer

Pain is a prevailing physical problem among older adults resulting in systemic agitation and altered quality of life. Although the possibility remains that older adults experience and report less pain, the need exists to objectively evaluate pain in order to provide the most effective pain management. Several standardized tools are available to assess pain in older adults at baseline and at subsequent, frequent intervals. Following an objective assessment, pain may be managed with pharmacologic and nonpharmacologic methods.

Revising A Doctor Of Nursing Practice Program In Response To Student Focus Group Feedback, Sheila Grossman, Meredith Wallace Kazer, Nancy Moriber, Patricia E. Calderwood

Sheila Grossman

Throughout the history of professional nursing, changes in practice environments have guided changes in nursing educational systems. Over the past 50 years, advanced practice nurse roles have progressed in clinical practice and professional role requirements. The need to enhance the educational preparation in response to these requirements was addressed by the American Association of Colleges of Nursing (AACN, 2006). These formative years in the development of the DNP resulted in several programs across the country with varying approaches to both advanced practice specialization and doctoral degree education. Although extensive work was done by faculty to develop the program, prepare for ...