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Development Of A Nurse Practitioner First Assistant Orientation Program, Romoanetia Lofton 2017 The University of San Francisco

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 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 ...


A Clinical Nurse Leader Initiative: Promoting Mobility Among Long-Term Care Facility Residents, Ulyses Reamico 2017 The University of San Francisco

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 Continuous Insulin Pump Therapy On Glycemic Control In Pregnant Type 1 Diabetics, Kimberly Kelsey 2017 Dominican University of California

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 ...


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.


The Effects Of In-Service Education On Workplace Incivility For Crnas, Tran King 2017 The University of Southern Mississippi

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 2017 Fairfield University

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.


Revising A Doctor Of Nursing Practice Program In Response To Student Focus Group Feedback, Sheila Grossman, Meredith Wallace Kazer, Nancy Moriber, Patricia E. Calderwood 2017 Fairfield University

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 ...


A “Standardized Patient” To Validate The Competency Of Sanes, Amanda Howatt BSN, RN, CEN, Devin Kennedy MSN, RN, CEN, Sandra Sabbatini MSN, RN-BC, CEN, Michele Rice BSN, RN, CEN 2017 Lehigh Valley Health Network

A “Standardized Patient” To Validate The Competency Of Sanes, Amanda Howatt Bsn, Rn, Cen, Devin Kennedy Msn, Rn, Cen, Sandra Sabbatini Msn, Rn-Bc, Cen, Michele Rice Bsn, Rn, Cen

Patient Care Services / Nursing

No abstract provided.


Exercise As A Treatment For Fibromyalgia: A Scoping Review, Lilo Fink, Deborah Lewis 2017 Walden University

Exercise As A Treatment For Fibromyalgia: A Scoping Review, Lilo Fink, Deborah Lewis

School of Nursing Publications

Fibromyalgia is a chronic, disabling condition that is both challenging to manage and frustrating for the patient and primary care provider. The aim of this scoping review is to explore how nondrug treatments, such as exercise, can reduce pain and promote physical function in adults with fibromyalgia (FMS). The body of literature on exercise as a treatment for FMS has identified beneficial effects, but there is no standardized approach for prescribing an exercise regimen in primary care. We conclude with a synthesis of general recommendations for exercise approaches to support care for patients with FMS.


Perceived Knowledge And Perceptions Of Palliative Care Among Advanced Practice Cardiac Providers, Jordan Vance 2017 Liberty University

Perceived Knowledge And Perceptions Of Palliative Care Among Advanced Practice Cardiac Providers, Jordan Vance

Doctoral Dissertations and Projects

Providers of healthcare have continued to focus on addressing patients’ chronic health outcomes. When understanding how to manage chronic disease, there remains many opportunities in facilitation of better management. With such a wide range of individuals who suffer with a chronic condition, better management to address this population is essential. Palliative care aids in accomplishing this task. It was seen that there was a lack of education in relation to palliative care, with perceptions that continued to be a barrier to the utilization of the service. Due to the lack in education, the strongest barrier to palliative care service utilization ...


Broadening Practice Perspective By Engaging In Academic-Practice Collaboration: A Faith Community Nursing Exemplar., Andra Opalinski, Susan M. Dyess, Nancy Stein, Kim Saiswick, Valerie Fox 2017 Florida Atlantic University

Broadening Practice Perspective By Engaging In Academic-Practice Collaboration: A Faith Community Nursing Exemplar., Andra Opalinski, Susan M. Dyess, Nancy Stein, Kim Saiswick, Valerie Fox

International Journal of Faith Community Nursing

Opportunities to positively impact health outcomes within faith community nursing (FCN) abound. Leaders of FCN can broaden their perspectives and engage academic-practice collaboration (APC) as a method to enhance care delivery, conduct research, and advance the evidence base for FCN. This paper shares a unique FCN exemplar created and actualized from the context of an APC initiative. The population focus in the exemplar is a group of persons experiencing homelessness.


Exploration And Description Of Faith Community Nurses’ Documentation Practices And Perceived Documentation Barriers., Susan M. Dyess, Donna M. Callaghan, Andra S. Opalinski Dr. 2017 Texas A & M University Corpus Christi

Exploration And Description Of Faith Community Nurses’ Documentation Practices And Perceived Documentation Barriers., Susan M. Dyess, Donna M. Callaghan, Andra S. Opalinski Dr.

International Journal of Faith Community Nursing

Purpose: Documentation within Faith Community Nursing is an expected aspect of the professional specialty but is under-studied. Findings in previously published studies suggest there is a lack of consistent documentation practices among FCNs. Therefore, the aim of this research study was to explore and describe documentation practices of FCNs, and identify the perceived barriers to documentation.

Methodology: This mixed methods research had both qualitative and quantitative components. The qualitative inquiry involved three live focus groups and three telephonic key informant interviews (n = 28). Conventional content analysis was used to examine all qualitative data. The quantitative inquiry involved a survey that ...


Practice Matters: Red Flags In Evaluating Adult Abdominal Pain, Mary Branstetter DNP, Dawn Garrett-Wright PhD 2017 Western Kentucky University

Practice Matters: Red Flags In Evaluating Adult Abdominal Pain, Mary Branstetter Dnp, Dawn Garrett-Wright Phd

International Journal of Faith Community Nursing

Abstract

Acute abdominal pain is the leading cause of presentation to an emergency department in the United States. Over 5.6 million annual visits have been reported for abdominal pain and represent 18% of emergency department visits and 1.5% of all office-based visits. Acute abdominal pain can be described as visceral, somatic, or neuropathic in origin. Faith community nurses have tools, such as OLDCARTS, to take a good history in order to make sound decisions regarding patient referral to a higher level of care. Identifying red flags for abdominal emergencies and awareness of signs and symptoms of colon cancer ...


General Nutrition Knowledge And Perceived Stress In A Rural Female Faith Community, Lori Alexander, M. Laurie Branstetter DNP 2017 Western Kentucky University

General Nutrition Knowledge And Perceived Stress In A Rural Female Faith Community, Lori Alexander, M. Laurie Branstetter Dnp

International Journal of Faith Community Nursing

In rural America, high rates of obesity are influenced by a lack of education and limited community resources. The purpose of this study was to assess the effect of an educational intervention on recommended nutrition and body mass index knowledge and to describe the perceived stress in a rural female faith community. A quantitative quasi-experimental pre-test post-test research design was used. English speaking female participants (N=49) 18 years of age and older from two rural community churches received an educational intervention based on the Health Belief Model. Participants completed a demographic survey, self-reported height and weight, general nutrition knowledge ...


Educational Intervention To Improve Self-Efficacy And Self-Care In Patients With Heart Failure, Helen Parke 2017 Liberty University

Educational Intervention To Improve Self-Efficacy And Self-Care In Patients With Heart Failure, Helen Parke

Graduate Student Projects and Scholarship

Heart failure is a high mortality, chronic disease that is economically and physiologically costly for patients, caregivers, and society. Heart failure teaching alone is insufficient in meeting the complex self-care needs of the heart failure patient. This project implemented evidence-based teaching methods that are skill-based and problem-solving based to educate heart failure patients in an outpatient setting. The theoretical foundation of this project was Bandura’s theory of self-efficacy and Orem’s theory of self-care. The level of self-care and self-efficacy was assessed before and after the multi-sensory teaching intervention. Self-care and self-efficacy have been studied and shown to be ...


The Feasibility Of An Internet-Based Intervention For Chinese People With Mental Illness: A Survey Of Willingness And Attitude, Xiu-Y Yao, Zheng Li, David Arthur, Lili Hu, Gen Cheng 2017 Peking Union Medical College, Beijing, China

The Feasibility Of An Internet-Based Intervention For Chinese People With Mental Illness: A Survey Of Willingness And Attitude, Xiu-Y Yao, Zheng Li, David Arthur, Lili Hu, Gen Cheng

David Arthur

Background: The easy accessibility, increasing usage, and low cost of internet make it a desirable way of providing health information and delivering interventions for health consumers. Studies in other countries have verified and confirmed the effectiveness of internet-based interventions among people with mental health problems. Similar programs have yet to commence in China. Purpose: This study investigated the willingness for, and attitude toward internet-based intervention in Chinese mental health service users and explored the feasibility of such an intervention. Methods: A cross-sectional survey utilizing a self-developed questionnaire was administered to 186 mental health service users in Beijing, between April and ...


Self-Management Education Interventions For Persons With Schizophrenia: A Meta-Analysis, Haiou Zou, Zheng Li, Marie T Nolan, David Arthur, Hongxing Wang, Lili Hu 2017 Peking Union Medical College, School of Nursing

Self-Management Education Interventions For Persons With Schizophrenia: A Meta-Analysis, Haiou Zou, Zheng Li, Marie T Nolan, David Arthur, Hongxing Wang, Lili Hu

David Arthur

Although self-management education programs for persons with schizophrenia are being developed and advocated, uncertainty about their overall effectiveness remains. The purpose of this meta-analysis was to examine outcomes of self-management education interventions in persons with schizophrenia. Six electronic databases were searched. Manual searches were conducted of the reference lists of the identified studies and major psychiatric journals. Randomized controlled trials of self-management education interventions aimed at reducing relapse and hospital readmissions, as well as improving symptoms, psychosocial functioning, and adherence to medication treatment were identified. Data were extracted and the quality of included studies were rated by two authors independently ...


Nurses Attitudes Towards Perinatal Bereavement Care, Chan Moon Fai, David Arthur 2017 National University of Singapore, Singapore

Nurses Attitudes Towards Perinatal Bereavement Care, Chan Moon Fai, David Arthur

David Arthur

Aim: This paper is a report of a study conducted to explore the factors associated with nurses and midwives’ attitudes towards perinatal bereavement care.Background: Caring for and supporting parents whose infant has died is extremely demanding, difficult and stressful. In some situations nurses may experience personal failure, feel helpless, and need to distance themselves from bereaved parents because they feel unable to deal with the enormity of the parental feelings of loss.Method: A correlational questionnaire study using convenience sampling was carried out in Singapore in 2007 with 185 nurses/midwives in one obstetrics and gynaecology unit.Results: Regression ...


Investigating Factors Associate To Nurses’ Attitudes Towards Perinatal Bereavement Care, Moon Fai Chan, Feng-lan Lou, David Arthur, Feng-lin Cao, Lai Har Wu, Ping Li, Miharu Sagara- Rosemeyer, Loretta Yuet Foon Chung, Li Lui 2017 Hong Kong Polytechnic University, Hong Kong SAR, China

Investigating Factors Associate To Nurses’ Attitudes Towards Perinatal Bereavement Care, Moon Fai Chan, Feng-Lan Lou, David Arthur, Feng-Lin Cao, Lai Har Wu, Ping Li, Miharu Sagara- Rosemeyer, Loretta Yuet Foon Chung, Li Lui

David Arthur

Aim: The purpose of this study was to explore nurses’ attitudes towards perinatal bereavement care and to identify factors associate with such attitudes. Background: Caring for and supporting parents whose infant has died is extremely demanding, difficult and stressful. It is likely that the attitude of nursing staff can influence recovery from a pregnancy loss and nurses with positive attitude to bereavement care can help bereaved parents to cope during their grieving period.
Method: Data were collected through a structured questionnaire; 334 nurses were recruited (63% response rate) from the Obstetrics and Gynaecology unit in five hospitals in Hong Kong ...


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