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Bed Rest And Its Continued Use In Women With High-Risk Pregnancy: A Review Of Literature, Irene De Los Reyes 2015 Dominican University of California

Bed Rest And Its Continued Use In Women With High-Risk Pregnancy: A Review Of Literature, Irene De Los Reyes

Senior Theses and Capstone Projects

Bed rest is defined as confinement to bed and restriction of activity. In the clinical setting bed rest includes strict bed rest, strict bed rest in Trendelenburg position, bed rest with bathroom privileges, and up ad lib (Irion, Irion, Lewis & Giglio, 2012). Bed rest has been the standard treatment for over the past 30 years in preventing preterm birth and complications arising from high-risk pregnancy despite the lack of evidence to support its safety and effectiveness for the mother and fetus (Maloni, 2010). The purpose of this literature review and critique is to provide information about the adverse physiologic and ...


Spiritual Well-Being, Faith, Hope, Anxiety And Loneliness In Oncology Patients: A Descriptive Correlational Study, Julia R. Mueller 2015 Cedarville University

Spiritual Well-Being, Faith, Hope, Anxiety And Loneliness In Oncology Patients: A Descriptive Correlational Study, Julia R. Mueller

Master of Science in Nursing Theses

Purpose: To test theorized relationships in the newly developed Faith-Hope-Love Model of Spiritual Wellness (FHLMSW). The research questions were: 1) do measures of faith, hope and love correlate with or predict spirituality as defined by FHLMSW in a palliative care population; and 2) do relationships exist between measures of spirituality and physical symptoms and distress among the same palliative care population.

Patients and Methods: This was a descriptive correlational study, which included 21 participants with a stage III or IV cancer diagnosis that were receiving palliative care at a community oncology practice, that took place between January 2015 to March ...


An Investigation Of The Nurse Practitioner’S Knowledge And Self-Efficacy On Expanded Back To Sleep Guidelines And Practice Of Providing Anticipatory Guidance: A Descriptive Correlational Study, Amy M. Kacho 2015 Cedarville University

An Investigation Of The Nurse Practitioner’S Knowledge And Self-Efficacy On Expanded Back To Sleep Guidelines And Practice Of Providing Anticipatory Guidance: A Descriptive Correlational Study, Amy M. Kacho

Master of Science in Nursing Theses

Abstract

Significance of the problem: Despite an overall drop in the rate of Sudden Infant Death Syndrome (SIDS) in the United States, equivalent increases of Sudden Unexpected Infant Deaths (SUIDS) have occurred. SUIDS are infant deaths from suffocation, strangulation or other factors related to the infants sleeping environment; in 2011 the American Academy of Pediatrics (AAP) expanded the Back to Sleep recommendations to include SUIDS causes of death.

Relevant to nurses: Nurse Practitioners (NPs) play a key role in implementing Back to Sleep recommendations, yet there is a very little literature exploring the frequency and consistency with which NPs provide ...


Spiritual Quality Of Life Among Geriatric Cancer Patients: A Descriptive Correlational Study, Mary R. Leyendecker 2015 Cedarville University

Spiritual Quality Of Life Among Geriatric Cancer Patients: A Descriptive Correlational Study, Mary R. Leyendecker

Master of Science in Nursing Theses

A solid understanding of spiritual quality of life (SQOL) is critical for healthcare providers as they strive to achieve optimum care of geriatric cancer patient. However, there is a gap in the current literature regarding SQOL in geriatric cancer patients. Therefore, the purpose of this descriptive correlational study was to describe the spiritual quality of life (SQOL) among geriatric cancer patients as it relates to their demographic characteristics and self described wellness. A convenience sample of 32 participants from a cancer center in Midwest Ohio were recruited for this study. The participants completed the World Health Organization Quality of Life-Spiritual ...


Implementing A Rib Fracture Management Pathway And Pic Scoring Tool To Reduce Icu Readmissions, Susan Mastroianni 2015 University of San Francisco

Implementing A Rib Fracture Management Pathway And Pic Scoring Tool To Reduce Icu Readmissions, Susan Mastroianni

Master's Projects

The purpose of the project was to improve the management of patients with rib and or sternal fractures in a 413 bed Level I Trauma Center. The pathway included best practice guidelines paired with clinical expertise to reduce Intensive Care Unit (ICU) readmissions, costs, complications and length of stay (LOS). Analysis of the data revealed 55% of ICU readmissions were due to respiratory causes. The timeline guided the creation, deployment, and evaluation of the project over a two phase, one and one half year period. Methods included analysis of the data, meetings with lead team members to define the scope ...


Delirium Education For Nurses On A Medical-Surgical Unit, Carole Santos 2015 University of San Francisco

Delirium Education For Nurses On A Medical-Surgical Unit, Carole Santos

Master's Projects

Failure to recognize delirium compromises patient safety and may lead to harmful outcomes. By June 2015, nurses on medical-surgical units will screen 100-percent of patients for delirium according to an established protocol. The project mesosystem is a 411-bed, level I trauma center and teaching hospital; the microsystem is a 28-bed medical-surgical telemetry unit.

An audit of microsystem data collected over four months in 2014 revealed that delirium was consistently underidentified (10% in September, 26% in October, 34% in November, and 22% in December), suggesting that medical-surgical nurses were not equipped to effectively perform delirium screening.

Nursing education consisting of bedside ...


Prospectus Summary Brief: Nicu Communication Improvement, Joy E. Lawley 2015 University of San Francisco

Prospectus Summary Brief: Nicu Communication Improvement, Joy E. Lawley

Master's Projects

Joy Lawley RNC, NICU Communication Improvement: A prospectus summary brief. Effective communication in the neonatal intensive care unit (NICU) not only reduces errors and adverse patient outcomes but also create an environment that promotes staff satisfaction. The purpose of this prospectus is that of improving the process of communication between the perinatal departments. The specific aim was to improve communication to the NICU through standardize communication tools (SBAR) from patient delivery to discharge starting April 1, 2015. With 100% participation of all staff members within a three month period and a 95% staff satisfaction related to improved communication from staff ...


Vap Prevention In The Cticu, Pres Lorenzo 2015 University of San Francisco

Vap Prevention In The Cticu, Pres Lorenzo

Master's Projects

The Agency for Healthcare Research and Quality (2015) has cited ventilator-associated pneumonia (VAP) as the most common infection in the ICU. In 2014, four episodes of VAP were identified in the 25-bed adult cardio-thoracic ICU (CTICU), a dynamic clinical environment within an academic medical center in Northern California specializing in complex cardiac surgery patients, including heart and lung transplants. In early 2015, the CTICU embarked on an evidence-based project to decrease the number of episodes of VAP to zero. Using the ACE Star Model of Knowledge Transformation as the theoretical framework and the CUSP (Comprehensive Unit-based Safety Program) standards as ...


Perinatal Patient Management, Natalie Whitten 2015 University of San Francisco

Perinatal Patient Management, Natalie Whitten

Master's Projects

The medical center has lacked the bed capacity and nursing staff to accommodate the needs of maternity patients. Patients are redirected to other network and non-network medical centers due to lack of bed availability, inadequate nurse staffing, and poorly managed patient movement. This project aims to improve patient management in the perinatal departments, including the discharge process. We will have 100% staff participation to facilitate bed management. The patient management project was conducted in a 200-bed hospital serving the residents of an urban area. The perinatal areas of labor & delivery (L&D), antepartum, and postpartum (OB) are highly productive units ...


Improving Hand Hygiene Compliance To Reduce Clabsi Rate In Oncology Icu, Lorenzo D. San Pedro 2015 University of San Francisco

Improving Hand Hygiene Compliance To Reduce Clabsi Rate In Oncology Icu, Lorenzo D. San Pedro

Master's Projects

The aim of this project is to reduce the rate of central line associated blood stream infection (CLABSI) occurrence in oncology ICU by 50% by the last quarter of 2015. This study was conducted in ICU to assess adherence to the facility’s hand hygiene (HH) protocol among the staff nurses and allied healthcare workers. The facility is best known as a non-profit cancer treatment center and designated as a Comprehensive Cancer Center. Evidence showed that hand hygiene is the most effective way of preventing CLABSI, one of the most common types of infection in ICU microsystem. The project utilized ...


Pre-Exposure Prophylaxis (Prep) Education Improvement Project, Reginald M. Hilarie 2015 University of San Francisco

Pre-Exposure Prophylaxis (Prep) Education Improvement Project, Reginald M. Hilarie

Master's Projects

In 2012, the US Food and Drug Administration approved the pill Truvada for use as pre-exposure prophylaxis or PrEP. Its purpose is to help prevent HIV infection by taking one pill every day. This project aims to improve PrEP patient education provided by the multi-disciplinary team and to decrease new HIV infection and sexually transmitted infections (STIs) to zero. The focus of the study is patients on PrEP at the Infectious Disease and HIV Clinic in San Francisco Veterans Administration Medical Center. The Clinical Nurse Leader, in collaboration with the multidisciplinary team, incorporated Pender’s Health Promotion Model Theory in ...


Emergency Response Improvement Project, Ewan Stephen MacDonald 2015 University of San Francisco

Emergency Response Improvement Project, Ewan Stephen Macdonald

Master's Projects

The objective of this CNL internship project is to improve team response to emergencies through staff education and protocol development with 100% participation within six months. This need was determined after an intense analysis following a near code on a pediatric patient. After an investigation, two problems were chosen as a focus for improvement: limited educational opportunities, and poor coordination and delegation during codes. Lewins’s theory of change was used as the theoretical framework, which involves the concept of unfreezing, movement, and refreezing. The method utilized was to offer education and training sessions twice per month in the form ...


Improving Dental Care To The Elderly In A Nursing Home, Cara M. Licavoli 2015 University of San Francisco

Improving Dental Care To The Elderly In A Nursing Home, Cara M. Licavoli

Master's Projects

The project is about the collaboration between Peninsula Health Care District (PHCD) and Apple Tree Dental (ATD) in a team approach to address the current issues of improving dental care of frail and elderly patients in nursing home facilities. The specific aim is to improve dental care of clients at the San Mateo County nursing home facility by 100% by May, 2015. The methods use in this project was the adaptation and implementation of existing dental/oral health assessment tools, that is nurse driven for patient assessment upon admission to the nursing facility. The process includes staff education regarding the ...


Implementation Of An Evidence-Based Educational Workshop And Toolkit: Menopausal Women's Healthcare Needs For The Primary Care Provider, Pamela Doerr-Kashani DNP, RN 2015 University of San Francisco

Implementation Of An Evidence-Based Educational Workshop And Toolkit: Menopausal Women's Healthcare Needs For The Primary Care Provider, Pamela Doerr-Kashani Dnp, Rn

Doctor of Nursing Practice (DNP) Projects

This evidence-based change of practice project involved the development of an educational workshop for primary care providers (PCPs). The intent of the project was to improve PCP’s knowledge of menopausal health, and to create their comfort level when discussing menopausal healthcare with clients. The workshop Menopausal Women’s Healthcare Needs for the Primary Care Provider (Doerr-Kashani, 2014) was created in response to an identified gap in knowledge among PCPs nationally on menopause-related health issues. The workshop was designed as a resource to support PCPs to competently address women’s menopause-related health issues, and enable them to provide comprehensive, evidence-based ...


Chf Education And Readmission Reduction, Whitney K. Taft 2015 University of San Francisco

Chf Education And Readmission Reduction, Whitney K. Taft

Master's Projects

Descriptive Abstract

Purpose: To improve patient care and help reduce CHF readmissions by addressing CHF patient education among nursing staff.

Specific Aim: We aim to improve patient self-care and safety, and decrease the readmission rate for persons admitted with CHF at MSJMC by enhancing the process and content of current CHF patient education. Nursing staff will report a 100% confidence rate and intent to provide needed CHF education, and a long-term CHF readmission rate goal of 22% will be achieved by December 31st, 2016.

Methods: Five proposed activities were to: 1. Increase nursing knowledge of patient resources; 2. Advertize ...


In-Patient Self-Management Diabetes Education, Amy Matthews 2015 University of San Francisco

In-Patient Self-Management Diabetes Education, Amy Matthews

Master's Projects

The diabetes program strives to provide diabetes self-management education to the in-patient with diabetes. The specific aim is to improve and standardize diabetes education for the inpatient with diabetes by June 2015. The microsystem is a medical surgical unit for patients 18 years and older who present with diabetes as either a primary diagnosis or secondary diagnosis. Fifty percent of the diabetes patients on this unit are ages 65-89 years old, twenty nine percent are ages 50-64. The unit has 32 beds and is filled to capacity ninety five percent of the time. The fishbone diagram revealed our microsystem lacked ...


Improving Patient Safety: Reducing Medication Errors In The Microsystem, Erica M. Dent 2015 University of San Francisco

Improving Patient Safety: Reducing Medication Errors In The Microsystem, Erica M. Dent

Master's Projects

In a 72-bed for-profit long-term acute care hospital located in an urban setting, there has been a fifteen percent increase of medication errors that the pharmacy department has detected across nursing, and pharmacy departments, as well as with physicians from both day and night shifts. Over the last month there has been a total of twenty-eight medication errors including the transcription, administration, evaluation, and documentation processes. The microsystem consists of a telemetry/medical-surgical unit as well as a small intensive care unit consisting of ten beds.

The prospectus details a project implemented to reduce medication errors within the microsystem. The ...


The Relationships Among School Nurse To Student Ratios, Self-Efficacy For Type 1 Diabetes Management, And Glycemic Control In Adolescents, Lori Wilt 2015 Seton Hall University

The Relationships Among School Nurse To Student Ratios, Self-Efficacy For Type 1 Diabetes Management, And Glycemic Control In Adolescents, Lori Wilt

Seton Hall University Dissertations and Theses (ETDs)

Type 1 diabetes mellitus (T1DM) is one of the most common chronic diseases of childhood. Adolescents with T1DM experience decreased treatment adherence, poor glycemic control, and acute complications more frequently than adults. Self-efficacy is the belief that one can carry out specific behaviors in specific situations and is the major determinant of intention, and has been shown to influence diabetes self-management in the adolescent.

School nurses are in a unique position to influence self-efficacy for type 1 diabetes management in adolescents. Although previous research has shown that school nurses positively influence student health outcomes in a variety of ways, there ...


Exploring The Relationships Of Power, Attitudes Regarding Intermittent Fetal Monitoring, And Perceived Barriers To Research Utilization With A Labor And Delivery Nurse's Attitude Toward Patient Advocacy, Lisa Heelan 2015 Seton Hall University

Exploring The Relationships Of Power, Attitudes Regarding Intermittent Fetal Monitoring, And Perceived Barriers To Research Utilization With A Labor And Delivery Nurse's Attitude Toward Patient Advocacy, Lisa Heelan

Seton Hall University Dissertations and Theses (ETDs)

A problem identified in nursing practice was the routine use of continuous fetal monitoring (CEFM) with low risk laboring women. CEFM is associated with worsened outcomes for the low risk laboring woman with no benefit to the newborn. In addition, this routine practice does not allow most laboring women the right to make an informed choice regarding treatment options. Nursing includes the role of patient advocacy. There was a need to better understand what is associated with a labor and delivery nurse’s attitude toward patient advocacy.

This descriptive correlational research design examined the relationships of power as knowing participation ...


Exploring The Relationship Between Moral Distress And Coping In Emergency Nursing, Kathleen Zavotsky 2015 Seton Hall University

Exploring The Relationship Between Moral Distress And Coping In Emergency Nursing, Kathleen Zavotsky

Seton Hall University Dissertations and Theses (ETDs)

Background: Emergency Department (ED) nurses practice in environments that are highly charged and unpredictable in nature and can precipitate conflict between the necessary prescribed actions and the individual’s sense of what is morally the right thing to do. As a consequence of multiple moral dilemmas ED staff nurses are at risk for experiencing distress and how they cope with these challenges may impact their practice.

Objectives: Is to examine moral distress in ED nurses and its relationship to coping in that specialty group.

Methods: Using survey methods approach. One hundred ninety eight ED nurses completed a moral distress, coping ...


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