The Artificial Nutrition Debate: Still An Issue…After All These Years, 2016 West Chester University of Pennsylvania
The Artificial Nutrition Debate: Still An Issue…After All These Years, Cheryl Monturo
No abstract provided.
A.S.P.E.N. Ethics Position Paper, 2016 West Chester University of PA
A.S.P.E.N. Ethics Position Paper, Albert Barrocas, Cynthia Geppert, Sharon M. Durfee, Julie O'Sullivan Maillet, Cheryl Monturo, Charles Mueller, Kathleen Stratton, Christina Valentine, A.S.P.E.N. Board Of Directors
No abstract provided.
Advance Directives At End-Of-Life: Nursing Home Resident Preferences For Artificial Nutrition, 2016 West Chester University of Pennsylvania
Advance Directives At End-Of-Life: Nursing Home Resident Preferences For Artificial Nutrition, Cheryl Monturo, Neville E. Strumpf
No abstract provided.
Malignant Hyperthermia, 2016 Otterbein University
Malignant Hyperthermia, Aaron Roth
Master of Science in Nursing (MSN) Student Scholarship
Malignant hyperthermia is a rare disease trait and can take place in a variety of settings. If not treated in a timely manner, the consequences will be dire. It is recommended that nurses and other healthcare personnel be properly educated on MH crises. By detecting the signs and symptoms associated with the disease, providers can efficiently remedy the crisis and save patient lives (Seifert, 2014). Since the discovery of dantrolene in 1975 and the advancement of genetics regarding MH, death rates dropped from about 80% to about 5% (Schneiderbanger et al., 2014). Today there is a MH group called the ...
Reducing Iv Infiltrates In The Neonatal Population, 2016 University of San Francisco
Reducing Iv Infiltrates In The Neonatal Population, Stephanie L. Miller
The objective of the CNL project is to improve the quality of care provided to our patients. The project focuses efforts to reduce IV infiltrates by auditing all running IV lines, IV management monitoring and auditing infiltrate grading and documentation to find commonalities that could be causing infiltrates.
The project is focusing on the neonatal population at a children’s hospital in the Neonatal Intensive Care Unit (NICU). This NICU is an 80 bed unit that houses both critical care patients and intermediate care neonates.
Auditing was a major component to the project and helped with identifying common causes ...
National Institute Of Health Stroke Scale (Nihss) Inter-Rater Reliability And Confidence Among Nihss Certified Nurses: Implementation Of A Standardized Patient Simulation, Kelly J. Trieglaff
Evidence-Based Practice Project Reports
The National Institute of Health Stroke Scale (NIHSS) is the most common stroke assessment used by nurses. Nurses certified on the NIHSS do not consistently demonstrate inter-rater reliability nor are they confident when assessing stroke patients using the tool (Josephson, Hills, Johnston, 2006). This EBP project evaluated a standardized patient simulation for maintaining inter-rater reliability and confidence in NIHSS certified nurses. A literature review showed that a decrease in inter-rater reliability occurs within four weeks to three months of NIHSS certification. A single cohort of intensive care nurses and emergency department nurses used the NIHSS tool in a standardized patient ...
Nursing Input During Interprofessional Rounds In The Intensive Care Unit, 2016 California State University, Northern California Consortium Doctor of Nursing Practice
Nursing Input During Interprofessional Rounds In The Intensive Care Unit, Kathrine A. Winnie
Interprofessional rounding has become a standard in intensive care units. Healthcare organizations such as The Joint Commission (2013) and the Institute of Medicine (2010) promote interprofessional teamwork with the goal of improving patient safety and outcomes. The 2010 IOM report, The Future of Nursing – Leading Change, Advancing Health discusses the need for all nurses to work as part of an interprofessional team to improve healthcare. Interprofessional rounding offers a venue for nurses to demonstrate their role as an equal member of the healthcare team. At the hospital of focus, there has been no previous formal attempt to measure the actual ...
Teaching And Evaluation Of Suicidal Assessment, Five-Step Evaluation And Triage (Safe-T) In The Emergency Department, 2016 California State University, Northern California Consortium Doctor of Nursing Practice
Teaching And Evaluation Of Suicidal Assessment, Five-Step Evaluation And Triage (Safe-T) In The Emergency Department, Evangeline Rico
Suicide remains to be a global and a national problem, and it continues to be one of the leading causes of death in the United States (U.S.) The Emergency Department (ED), being the gateway to the hospital can provide a great opportunity to assess each patient for suicidal ideation, and evaluate if patients present with risk factors for suicide. The competency of the ED staff plays a critical role in early recognition of patients who are at risk, and in implementing a plan of care for those with positive screens. However, researchers showed that knowledge deficit and lack of ...
A Comparison Of Educational Approaches To The End-Of-Life-Nursing Education Consortium (Elnec) Course, 2016 California State University, Northern California Consortium Doctor of Nursing Practice
A Comparison Of Educational Approaches To The End-Of-Life-Nursing Education Consortium (Elnec) Course, Jennifer L. Bodine
Purpose: The purpose of this project was to compare the effectiveness of two different educational approaches to teaching the End of Life Nursing Education Consortium course.
Background: Terminally ill patients frequently visit the emergency department for palliative care. However, various references show that staff does not have the knowledge base necessary to provide quality end-of-life care in the emergency setting.
Method: Participants from the emergency department at a Level I Trauma Center were recruited. A quantitative, cross-sectional pilot study was conducted to investigate whether lecture or lecture with simulation was more effective in increasing the knowledge base of participants regarding ...
Effect Of An Emergency Nurse Heart Failure Educational Intervention, 2016 California State University, Northern California Consortium Doctor of Nursing Practice
Effect Of An Emergency Nurse Heart Failure Educational Intervention, Lori Hudgens
Background: Research indicates many nurses lack the appropriate heart failure (HF) education necessary to assist with readmission reduction efforts. Employer approved nurse HF education has resulted in improved nurse HF knowledge, and, reduced readmissions.
Problem: ED nurses require a competent knowledge of heart failure to effectively educate heart failure patients upon admission to the ED. No research has been conducted with ED nurse specific populations to assess ED nurse knowledge of heart failure, and, to determine if heart failure educational interventions increase ED nurse' HF knowledge.
Aims: To evaluate the effectiveness of an ED nurse b.eart failure educational intervention ...
Patient Perceptions Of An Aidet And Hourly Rounding Program In A Community Hospital: Results Of A Qualitative Study, Tosha Allen, Tyne Rieck, Stacie Salsbury
Patient Experience Journal
Quantitative evidence links patient satisfaction scores to the use of communication strategies such as AIDET (Acknowledge, Introduce, Duration, Explanation, and Thank you) and Hourly Rounding. However, little is known about patient perceptions of these tools in regards to their hospital experience. Qualitative interviews were conducted with a convenience sample of 14 adult medical/surgical inpatients in one mid-sized, community hospital, following hospital discharge. The interview data was transcribed and opened coded, utilizing constant comparison to identify common themes. Themes emerged in four topical areas: (a) patient experience of hospitalization, (b) AIDET, (c) Hourly Rounding, and (d) unexpected findings. Patients placed ...
First-Responders And Emergency Department Healthcare Provider Interactions During Emergency Situations: A Grounded Theory Study, 2016 The University of Western Ontario
First-Responders And Emergency Department Healthcare Provider Interactions During Emergency Situations: A Grounded Theory Study, Jennifer A. Mohaupt
Electronic Thesis and Dissertation Repository
Interactions between and among first-responders and emergency department (ED) healthcare providers impact the way in which patients are managed during emergency situations. The purpose of this study was to develop a grounded theory to explain the interactions between and among first-responders and ED healthcare providers during emergency situations. Interprofessional collaboration and teamwork has been extensively studied, however little is known about interactions that include first-responders. This study was guided by Strauss and Corbin’s (1990) approach to grounded theory. Data were collected through 256 hours of first-responder and ED observational opportunities and informal interviews with accompanying detailed field notes. As ...
Hospice And Oncology Nurses’ Perspectives On Legalizing Physician-Assisted Suicide In California: A Pilot Study, 2016 Dominican University of California
Hospice And Oncology Nurses’ Perspectives On Legalizing Physician-Assisted Suicide In California: A Pilot Study, Anna P. Rana
Scholarly and Creative Works Conference
People are living with congenital anomalies, chronic diseases, and disabilities. It is universally agreed upon that every human being has a right to life, however, there is no unanimous decision regarding the right to death. Of the hospice nurses and social workers in Oregon, two-thirds of them reported having a patient ask them about the PAS option (Miller, Harvath, Ganzini, Goy, Delorit, & Jackson, 2004) California, Oregon, Vermont, and Washington have all legalized physician-assisted suicide through legislation. California’s law, the right to death passed on September 11th, 2015. The purpose of this research study is to examine hospice and oncology nurses’ perspectives of Physician-Assisted Suicide. Current research is inconclusive. Further research is necessary to understand how nurse's religion or spiritual framwork affects attitudes, what are ethical alternatives, and what are common perceptions of PAS, etc. This research was guided by the research question; how do hospice and oncology nurses describe the positive and negative aspects of PAS? According to the American Nurses Association (ANA) Code of Ethics for Nurses with Interpretive Statements (2001), “the nurse should not participate in assisted suicide ...
Evaluation Of Central Line Insertion Bundle Practices In A Trauma/Surgical Intensive Care Unit, 2016 University of Kentucky
Evaluation Of Central Line Insertion Bundle Practices In A Trauma/Surgical Intensive Care Unit, Margaret A. Moore
DNP Practice Inquiry Projects
Central venous catheters, also known as central lines, serve an essential role in critical care settings across the globe. However, these lines put patients at an increased risk for hospital-acquired infections in the form of central line-associated bloodstream infections (CLABSI). In an effort to prevent these infections, evidence-based nursing interventions in the form of insertion and maintenance bundle are undertaken. It is the focus of this practice inquiry project to evaluate nurse adherence to central line insertion bundles before and after implementation of routine reporting of adherence rates within an ICU. The evaluation will provide insight to the degree of ...
Use Of High-Fidelity Simulation Training For New Cardiothoracic Intensive Care Unit Nurses, 2016 University of Kentucky
Use Of High-Fidelity Simulation Training For New Cardiothoracic Intensive Care Unit Nurses, Bryan Boling
DNP Practice Inquiry Projects
Critical care nursing is one of the most challenging, high-stress fields in healthcare. This is especially true for nurses in the highly specialized environment of the cardiothoracic intensive care unit (CTICU). The experience level of nurses in critical care is positively linked with patient outcomes; however, with older nurses retiring or moving away from the bedside and younger nurses increasingly moving into advanced practice or management and leadership roles it is becoming more difficult to maintain a high degree of nursing experience in the ICU. Simulation training has been used to provide safe, effective training, and it is even possible ...
Improving The Identification, Delivery Of Care, And Outcomes Of Hospital-Acquired Sepsis, 2016 University of Kentucky
Improving The Identification, Delivery Of Care, And Outcomes Of Hospital-Acquired Sepsis, Nicholas James Welker
DNP Practice Inquiry Projects
Sepsis syndromes that develop among a hospital inpatient population can be difficult to differentiate from other disease processes that share systemic inflammatory response syndromes. A bedside nurse-driven screening process was developed at Baptist Health Lexington to aid with early sepsis identification and foster prompt goal-directed therapy. This retrospective study of 26 patients identified over a 6 month period measures intensive care length of stay, mortality, and sepsis severity. Exclusion criteria were pregnancy and Do Not Resuscitate orders.
Screening compliance was poor at 23.1 percent (n=6). Complete compliance with goal directed therapy was 7.7 percent, though some components ...
An Exploratory Inquiry And Creation Of Emergency Room Discharge Education Materials, 2016 University of Central Florida
An Exploratory Inquiry And Creation Of Emergency Room Discharge Education Materials, Ivory Catalano
Honors in the Major Theses
Each Emergency Room (ER) across the USA provides every patient with paperwork upon discharge, which commonly includes information about the patient’s diagnosis. This information will briefly describe the condition, provide information on treatment outside the ER, and possibly more, depending on the document and source. These documents are not made by hospital staff, but are generally purchased from outside providers who mass market such documents as resources for hospitals to use to educate patients. One issue with these documents lies in their mass usage, which is not necessarily designed to target the general population’s reading and educational ...
Adolescent Grief: The Nurse's Role In Promoting Healthy Coping Mechanisms And Preventing Future Hospitalizations, 2016 James Madison University
Adolescent Grief: The Nurse's Role In Promoting Healthy Coping Mechanisms And Preventing Future Hospitalizations, Erica C. Reighard Ms.
Senior Honors Projects
Age and developmental stage directly influence the grieving individual's ability to understand and process death. Adolescents are especially vulnerable to developing negative coping skills such as substance abuse, self-destructive behaviors, and eating disorders. After a loss occurs, nurses can use their role as a caregiver who is neither a parent nor a peer to provide adolescents with an opportunity to express their grief. Nurses can educate grieving adolescents on the differences between positive and negative coping skills and can therefore reduce the number of future hospitalizations related to ineffective coping mechanisms.
Hearts In The Balance: The Impact Of Desired Versus Received Social Support Needs On Persons With Heart Failure, 2016 University of Kentucky
Hearts In The Balance: The Impact Of Desired Versus Received Social Support Needs On Persons With Heart Failure, Melanie P. Schrader
Theses and Dissertations--Nursing
Social support is the collection of tangible and intangible experiences that surround people as they cope with daily stressors. High quality social support is important among patients with cardiovascular disease (CVD) because it has positive effects on social, psychological and physical well-being, and those with good social support cope better with the travails of CVD. Although there are many studies of social support in CVD, little work has been done on the topic of discrepancies between desired and received social support in the context of gender.
The purpose of this dissertation was to determine if there are gender differences in ...
Improving Patient Care Outcomes To Reduce Recurrent Admissions Of Patients With Chronic Obstructive Pulmonary Disease, Lisa Maria Friedrich
Seton Hall University DNP Final Projects
Purpose:Transitional care is time-limited, with the goal of ensuring safety and health continuity for at-risk patients with chronic obstructive pulmonary disease (COPD) as they move from one setting to the next. An acute care episode of COPD ranges from relatively healthy adults to adults with multiple chronic conditions or those in the end-of-life phase. The primary quality concern of an urgent need to improve health care is in response to the gaps of sufficient experience to manage patients with COPD, leading to hospital readmissions. Implementation of standards of care for the improvement of health-related quality of life (HRQL) of ...