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The Effects Of Perinatal Methamphetamine Use On Maternal And Child Outcomes: Implications For Education Among Bsn Nursing Students, Tina Nguyen 2017 University of Tennessee at Chattanooga

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 2017 Southern Illinois University Edwardsville

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.


Risk Factors For Pressure Injuries Among Critical Care Patients: A Systematic Review, Jenny Alderden, June Rondinelli, Ginette Pepper, Mollie Cummins, JoAnne Whitney 2017 Boise State University

Risk Factors For Pressure Injuries Among Critical Care Patients: A Systematic Review, Jenny Alderden, June Rondinelli, Ginette Pepper, Mollie Cummins, Joanne Whitney

Nursing Faculty Publications and Presentations

Objective: To identify risk factors independently predictive of pressure injury (also known as pressure ulcer) development among critical-care patients.

Design: We undertook a systematic review of primary research based on standardized criteria set forth by the Institute of Medicine.

Data sources: We searched the following databases: CINAHL (EBSCOhost), the Cochrane Library (Wilson), Dissertations & Theses Global (ProQuest), PubMed (National Library of Medicine), and Scopus. There was no language restriction.

Method: A research librarian coordinated the search strategy. Articles that potentially met inclusion criteria were screened by two investigators. Among the articles that met selection criteria, one investigator extracted data and a ...


Decreased Foley Insertion: Serial Straight Catheterization Versus Indwelling Catheterization, Joy R. Lopez BSN, RN, Stephanie A. Stucka 2017 Lehigh Valley Health Network

Decreased Foley Insertion: Serial Straight Catheterization Versus Indwelling Catheterization, Joy R. Lopez Bsn, Rn, Stephanie A. Stucka

Patient Care Services / Nursing

No abstract provided.


Coping Strategies Of Prelicensure Registered Nursing Students Experiencing Student-To-Student Incivility, Robin A. Foreman 2017 East Tennessee State University

Coping Strategies Of Prelicensure Registered Nursing Students Experiencing Student-To-Student Incivility, Robin A. Foreman

Electronic Theses and Dissertations

Incivility is rude or discourteous behavior that demonstrates a lack of respect for others. Some nurses ignore the dictates of professionalism and exhibit a total disregard for colleagues and peers by purposefully targeting each other with uncivil behaviors. Incivility has invaded the nursing educational environment with deleterious results. Uncivil behaviors perpetrated by nursing students against other nursing students cause psychological and physiological distress for victims and witnesses. The purposes of this quantitative descriptive study were to identify the behaviors that constituted lateral student-to-student incivility, determine the frequency of experienced student-to-student incivility, and describe the coping strategies employed by prelicensure registered ...


Decreasing Cost In The Gi Endoscopy Suite By Utilizing Best Sedation Practices, Casey Brianne Mancini 2017 University of Southern Mississippi

Decreasing Cost In The Gi Endoscopy Suite By Utilizing Best Sedation Practices, Casey Brianne Mancini

Doctoral Nursing Capstone Projects

Colorectal cancer is a leading cause of cancer death in the United States (Mandel, Tanner, Lichtenstein, Metz, Katzka, Ginsberg, & Kochman, 2008; Siegel, DeSantis, & Jemal, 2014). Because this lethal disease claims lives of many people every year, more patients are undergoing screening colonoscopies, which have greatly aided in decreasing the number of colorectal cancer deaths (Siegel et al., 2014). The most common form of sedation for colonoscopies is moderate sedation with a benzodiazepine and an opioid (Cohen, Hightower, Wood, Miller, & Aisenberg, 2004; Lera dos Santos, et. al., 2013). However, sedation by anesthesia providers using propofol is becoming more common and may aid in reducing recovery and discharge times from the postoperative anesthesia care unit (PACU) as well as reducing overall costs. A retrospective chart review (N=176; 88 in propofol group and 88 in benzodiazepine and opioid group) was performed to determine if propofol sedation did reduce discharge times and decrease overall costs for the patient. Patients included in this study ...


A Clinical Practice Change Initiative To Incorporate Animal Assisted Therapy In Advanced Practice Registered Nurses' Clinical Practice For Children And Adolescents, Donna Rae Cowell 2017 University of Southern Mississippi

A Clinical Practice Change Initiative To Incorporate Animal Assisted Therapy In Advanced Practice Registered Nurses' Clinical Practice For Children And Adolescents, Donna Rae Cowell

Doctoral Nursing Capstone Projects

Background: Children and adolescents mental healthcare needs is vital for the future of our nation’s welfare (American Psychology Association, 2014). Research has indicated AAT may be a considerable choice to help with pediatrics mental healthcare and may be utilized as an adjunct to enhance the care within the psychiatric healthcare field (Chandler, 2012). AAT has become popular within the healthcare realm (Friesen, 2009; Uyemura, 2016) and is a unique method for providing “patients” health care, which may improve patient outcomes (Chandler, 2012; Cowell, 2013; McCullough, 2016; McQuarrie & Urichuk, 2008). Research supports that “providers” in the health care field may “evade” this method of an alternative approach as an intervention due to lack of understanding (Berget, Ekeberg, & Braastad, 2008; Palley, O’Rourke, and Niemi, 2010; Uyemura, 2016; Williams & Jenkins, 2008).

Purpose ...


The Perceptions Of Success Of Latino Nursing School Graduates In The Appalachian Region Of The United States, Barbara M. Rauscher 2017 East Tennessee State University

The Perceptions Of Success Of Latino Nursing School Graduates In The Appalachian Region Of The United States, Barbara M. Rauscher

Electronic Theses and Dissertations

This qualitative narrative descriptive study focused on nine successful Latino nursing school graduates. Five participants were interviewed twice and four participants were interviewed once for a total of fourteen interviews. Participants and their families immigrated from Brazil, Costa Rica, Cuba, and Mexico. Participants attended school in North Carolina, South Carolina, and Tennessee.

Interviews revealed themes of Familism, Empowerment, and Perseverance. Familism was an overriding theme throughout each of the interviews. Participants described family as being their greatest support. They discussed sacrifices made by their families which assisted them in being successful. In addition, they also shared their willingness to make ...


A Motivational Profile Of Nurses Who Pursue Doctoral Education, Tomekia Yvette Luckett 2017 University of Southern Mississippi

A Motivational Profile Of Nurses Who Pursue Doctoral Education, Tomekia Yvette Luckett

Dissertations

The need for nurses to pursue doctoral education is imperative to the professionalization of the discipline of nursing in light of the changing healthcare environment. Presently, < 1% of the nursing workforce possesses a doctoral degree (“Transforming Nursing Education,” 2016), albeit recommendations from the Institute of Medicine (IOM) (2010) admonish the need to increase the number of doctoral-prepared nurses. The need to understand characteristics of nurses who seek doctoral education is critical in planning long-term strategies for nursing education in the United States (US) (Kovner, Brewer, Katigbak, Djukic, & Fatehi, 2012). In conjunction with describing characteristics of nurses pursuing doctoral education, this research describes the motivational orientation and factors of registered nurses (RNs) pursuing doctoral education.

A descriptive correlational design was utilized to examine concepts relating to motivational orientation of RNs pursuing doctoral education. Participants were divided into two categories: (a) RNs seeking the Doctor of Philosophy (Ph.D.) degree and (b) RNs pursuing the Doctor of Nursing Practice (DNP) degree. A total of 173 RNs enrolled in either a Ph.D. or DNP program in the Gulf South region of the US comprised the final sample. Binary logistic regression ...


An Exploratory Study Of The Utlization Of Evidence-Based Pharmacological Treatment On Heart Failure Patients In Mississippi And Its Impact On Readmission, Keri A. Barron 2017 University of Southern Mississippi

An Exploratory Study Of The Utlization Of Evidence-Based Pharmacological Treatment On Heart Failure Patients In Mississippi And Its Impact On Readmission, Keri A. Barron

Dissertations

The purpose of this study was to explore the relationship of adherence to evidence-based guidelines for pharmacologic management by select Mississippi hospitals and their hospital readmission rates. This was an exploratory study with a retrospective design. This design offered insight into the relationship between readmissions of heart failure patients and adherence to the national guidelines for the pharmacologic treatment of heart failure. The study took place in a hospital in the southeastern section of the United States. Data were collected from a database of patients with heart failure seen between January 2011 and June 2014.

The unit of analysis for ...


Attitudes And Perceptions Of Advanced Practice Nurses Towards Health Information Technology And Its Effects On Caring, Debbie Ramos Shih 2017 California State University, Northern California Consortium Doctor of Nursing Practice

Attitudes And Perceptions Of Advanced Practice Nurses Towards Health Information Technology And Its Effects On Caring, Debbie Ramos Shih

Doctoral Projects

Technology is rapidly, constantly evolving, and affecting healthcare. While it has the ability to improve healthcare outcomes, it is important to realize the impact this technology has on the relationships between patients and nurses (Korhonen, et al., 2015). Interactions with patients are increasing through computer technology and decreasing by physical presence and touch, potentially compromising the development of a trusting relationship and thus affecting patient quality outcomes (Sandelowski, 2002).

This cross sectional study explored the attitudes and perceptions of APRNs towards HIT and its effects on caring. 150 Advanced Practice Clinicians in a Northern California healthcare was surveyed, using the ...


Staff Nurse Perception Of Professional Role Modeling For Student Nurses In The Clinical Learning Environment, Tamara Montgomery 2017 Otterbein University

Staff Nurse Perception Of Professional Role Modeling For Student Nurses In The Clinical Learning Environment, Tamara Montgomery

Doctoral Theses

Acute care settings continue to be the primary setting for undergraduate nursing education clinical experiences. Staff nurses in acute care settings are expected to provide nursing care with pre-licensure nursing students at their side (even though there are little to no incentives for staff nurses to provide mentoring leadership), which most often takes the form of professional role modeling. In addition, there is no clear evaluative expectation that motivates staff nurses to provide contextual role modeling. Without stated expectations, staff nurse perception of the significance of role modeling for pre-licensure non-precepted nursing students may be deficient.

Because fifty-six percent of ...


Poster: Communication Strategies For The School Nurse Mentor: A Pilot Training Program, Amy Hotler DNP, RN, LSN, APHN-BC 2017 Otterbein University

Poster: Communication Strategies For The School Nurse Mentor: A Pilot Training Program, Amy Hotler Dnp, Rn, Lsn, Aphn-Bc

Doctoral Theses

Mentorship has widespread support among many disciplines for the impact on improved job satisfaction, decreased job turnover and decreased costs to organizations. Ongoing support through mentorship is critical to nurses transitioning to a new role and nurse mentors must be prepared for the role with relevant education tailored to their needs . Though literature describing training programs for mentors is limited, some studies have reported an increase in confidence among mentors after training. In addition, improved mentoring skills (that includes communication) is in literature.

In one large urban school district in Ohio, a school nurse, mentorship program was developed and implemented ...


Chuukese Migrant Women In Guam: Perceptions Of Barriers To Health Care, Margaret Hattori-Uchima 2017 University of Guam

Chuukese Migrant Women In Guam: Perceptions Of Barriers To Health Care, Margaret Hattori-Uchima

Asian/Pacific Island Nursing Journal

This descriptive qualitative study examined perceived barriers to health care among Chuukese migrant women in Guam and explored which factors influenced health-seeking behaviors. Study participants recommended interventions which may reduce those perceived barriers. Since the Compact of Free Association with the United States was enacted in 1985, there has been a dramatic rise in the numbers of Chuukese migrating to Guam. This migration is anticipated to continue with more migrants needing health care, education, and social services. Little is known about their perceptions of barriers to health care services or the cultural, social, economic, and other factors that influence their ...


Evaluating The Impact Of Key Phrases And Caring Behaviors© On Nursing Students’ Perception Of Competence And Confidence In Providing Spiritual Care, Joan Marie Connors 2017 Southeastern University - Lakeland

Evaluating The Impact Of Key Phrases And Caring Behaviors© On Nursing Students’ Perception Of Competence And Confidence In Providing Spiritual Care, Joan Marie Connors

College of Education

Spirituality in nursing involves caring holistically for patients. Attention to the mind, body, and spirit, is a professional standard of care for nurses. Regulating agencies in the healthcare industry as well as professional code of conduct mandate that spiritual care will be addressed. While this in not a new concept to nursing, research revealed that lack of education was one obstacle nurses identified that limited their ability to provide spiritual care. There is a lack of teaching resources to educate nurses on spiritual care. A previous study conducted by Connors, Good, and Gollery (2017), introduced the instrument Key Phrases and ...


Mental Health Rehabilitation In Victims Of Sex Trafficking, Kayla E. Freemire 2017 Liberty University

Mental Health Rehabilitation In Victims Of Sex Trafficking, Kayla E. Freemire

Senior Honors Theses

Human trafficking is a global epidemic that leaves victims with short- and long-term physiological, psychological, and sociological issues. The mental health needs of trafficked persons have become a topic of research in both medical and psychiatric circles. In order to comprehensively understand the mental health consequences of trafficking, the process must be defined and related to the mental health effects on its victims. The specific mental health disorders diagnosed within this population will be discussed. Treatments used currently for this population will be reviewed, along with future treatments presently being researched and evaluated regarding their potential for use in the ...


Study Of Nurses' Attitudes And Practices Towards Pain Evaluation In Nonverbal Patients, Rebekah Lovin 2017 Liberty University

Study Of Nurses' Attitudes And Practices Towards Pain Evaluation In Nonverbal Patients, Rebekah Lovin

Senior Honors Theses

Pain, and the appropriate treatment of it, has recently come to the forefront of issues addressed with healthcare providers. Since the cornerstone of pain management is an appropriate assessment, methods of accurate pain evaluation are necessary. This need is particularly important in the population of patients who cannot express their pain. While pain assessment tools are available for use with nonverbal patients and hospitals typically mandate the use of one of these tools, actual compliance with such policy may not actually occur. Various barriers, such as education in the use of a tool, time, and the personal views of the ...


Perceptions Of Accelerated Bachelor Of Science In Nursing Program Graduates Regarding Andragogical Practices Employed By Faculty, Mary Hanson-Zalot, EdD, MSN, RN, AOCN, CNE 2017 Thomas Jefferson University

Perceptions Of Accelerated Bachelor Of Science In Nursing Program Graduates Regarding Andragogical Practices Employed By Faculty, Mary Hanson-Zalot, Edd, Msn, Rn, Aocn, Cne

Department of Nursing Posters

Abstract

This research study was designed to examine accelerated, second-degree prelicensure baccalaureate graduates’ perceptions of the andragogical practices employed by faculty that prepared students best to begin practice as entry level professional nurses. Through listening to the voices of graduates an emic perspective of the perceptions of the second-degree graduates emerged. Six key themes were identified related to the educational experience.


Looking Beyond The Traditional: Integrating A New Curriculum Design Into An Immersion Practicum Evaluation Tool, Denise Brown, MSN, RNC-OB, Kathleen D. Black, PhD, RNC-OB, Maureen Fitzgerald, MSN, RNC-NIC, Tara Flood, MSN, CBC, Maureen Kane, MSN, RN, CEN, Laura Roettger, MSN, CPNP-PC 2017 Thomas Jefferson University

Looking Beyond The Traditional: Integrating A New Curriculum Design Into An Immersion Practicum Evaluation Tool, Denise Brown, Msn, Rnc-Ob, Kathleen D. Black, Phd, Rnc-Ob, Maureen Fitzgerald, Msn, Rnc-Nic, Tara Flood, Msn, Cbc, Maureen Kane, Msn, Rn, Cen, Laura Roettger, Msn, Cpnp-Pc

Department of Nursing Posters

Abstract

Changes in health care delivery and recent reports from the Institute of Medicine (IOM, 2010) call for nurse educators to reconstruct the way they prepare nursing students for practice in the 21st century. Health care delivery continues to shift from the acute care to outpatient and transitional settings, therefore faculty must assure that graduates are prepared to practice in those environments. In order to address these changes, the Jefferson College of Nursing at Thomas Jefferson University embarked on a mission to redesign their undergraduate curriculum. The new clinical courses, now referred to as Immersion Practicums, were designed to allow ...


Cost Savings And Efficiency Realized Decreasing Orders For Type And Crossmatching, Susan Garruto, MSHA, MSN, BSN, RN, APRN, CNOR, RNFA, Katy Loos, MSN, BSN, RN, ACAGNP, Rae Fierro, RN, CNOR, RNFA 2017 Thomas Jefferson University

Cost Savings And Efficiency Realized Decreasing Orders For Type And Crossmatching, Susan Garruto, Msha, Msn, Bsn, Rn, Aprn, Cnor, Rnfa, Katy Loos, Msn, Bsn, Rn, Acagnp, Rae Fierro, Rn, Cnor, Rnfa

Department of Neurosurgery Posters

Background

• Thomas Jefferson University Hospital (TJUH) is a Tertiary, Level 1Trauma Center and the Regional Spinal Cord Injury Center of the Delaware Valley with 900+ beds

• C/T Ratio is the ratio of RBC units cross matched for potential transfusion to the number of units actually transfused

• The American Association of Blood Banks (AABB) recommendation for C/T ratio is < 2

• TJUH blood bank, on periodic review by AABB and the College of American Pathologists (CAP) was cited as deficient in C/T ratio quality indicators

• Cost to cross match RBC units is on average $71 with the charge to patient ...


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