Healthcare Staff Awareness Of Climate Health And An Environmental Stewardship Framework, Patricia Joubert, Angie Shemwell, Barb Ngyuen, Rose Timmerman, Teresa Rangel (Pi)
Providence Nursing Research Conference 2023 – Present
Background: Climate change negatively impacts human health and is largely driven by human activities which generate pollutants. In the United States (U.S.), healthcare operations lead to significant pollutants. The workforce supporting healthcare in the U.S. is massive; thus, healthcare HCP can help significantly reduce harmful healthcare emissions. A nurse-authored framework helps contextualize causes of healthcare pollutants as Waste, Energy/water, Agriculture/food, Chemicals, and Transportation (WE ACT). A large health system adopted and disseminated this framework to healthcare professionals (HCP) in 2020 to help achieve a critical objective of becoming carbon-negative by 2030. To date, HCP awareness of climate health and …
Nurse Awareness Of An Environmental Stewardship Framework For Climate Health, 2024 Providence St. Joseph Health
Nurse Awareness Of An Environmental Stewardship Framework For Climate Health, Sarah Johnson, Elizabeth Schenk, Teresa Rangel
Providence Nursing Research Conference 2023 – Present
Background: The World Health Organization has recently stated that climate change is the single biggest threat to the health of humanity. Climate change is largely driven by human activity generating pollutants that negatively impact the environment. The healthcare sector’s operations alone account for nearly 8.5% of annual United States (U.S.) greenhouse emissions. Nurses are well-positioned within the healthcare space to take actions to reduce healthcare emissions and promote environmental health. For instance, a nurse-authored framework helps contextualize causes of healthcare pollutants as: Waste, Energy/water, Agriculture/food, Chemicals, and Transportation (WE ACT). A large, 52-hospital health system in the United States …
Health Professional Concern For Environment And Behaviors To Protect Climate Health, 2024 Providence St. Joseph Health
Health Professional Concern For Environment And Behaviors To Protect Climate Health, Sarah Johnson, Mary Jo Kelly, Gale Springer, Teresa Rangel
Providence Nursing Research Conference 2023 – Present
Background: Air pollution, medical waste, and climate change are a threat to our health and environmental sustainability. The World Health Organization (WHO) estimates that annually, 7 million premature deaths are associated with climate change, making climate change this century’s greatest threat to health. The healthcare industry negatively impacts climate change through the production of approximately 5% of all global carbon emissions. However, little is understood about relationships between healthcare professionals' concern for the environment and behaviors at home or work to protect climate health.
Purpose: To test relationships between healthcare professionals' concern for the environment and behaviors at …
Validity And Reliability Of The Indonesian Version Of Expanded Nursing Stress Scale (Enss) As A Job-Stress Assessment Tool For Nurses, Hasto Harsono, Herqutanto Herqutanto, Suryo Wibowo, Aria Kekalih, Astrid Sulistomo
Occupational and Environmental Medicine Journal of Indonesia
Background: Job stress is a serious health problem in the 21st century because of its high incidence and impact. Nurses are known as a profession that has high risks of stress, has distinctive characteristics, and hence requires a work stress assessment instrument that suits its peculiarities. The Expanded Nursing Stress Scale (ENSS) is a nurse-specific stress assessment instrument that has high validity and reliability (Cronbach's alpha = 0.96) and is widely used in many countries but is not yet available in Indonesian. This study aims to obtain the Indonesian version of ENSS and evaluate its reliability and validity.
Implementing Low-Dose Ct Scans To Screen For Lung Cancer In The Primary Care Setting, 2023 The University of Southern Mississippi
Implementing Low-Dose Ct Scans To Screen For Lung Cancer In The Primary Care Setting, Monifa Ri'ana Beal
Lung cancer is the leading cause of cancer-related death in both men and women in the United States. By the end of 2023, lung cancer will have been diagnosed in approximately 238,000 Americans and claimed the lives of about 127,000 of those that are diagnosed.(American Cancer Society, 2023) Currently lung cancer accounts for more deaths among Americans than breast, prostate, and colon cancers combined (Centers for Disease Control and Prevention [CDC], 2019). Despite being one of the most preventable cancers in the world, lung cancer continues to be the leading cause of cancer-related death among Americans and more so in …
The Effects Of An Influenza Vaccine Education Bundle On Environmental Management Services Workers, 2023 University of St. Augustine for Health Sciences
The Effects Of An Influenza Vaccine Education Bundle On Environmental Management Services Workers, Michelle Keister
Student Scholarly Projects
Practice Problem: Environmental Management Service Workers have low vaccination rates. They work around a vulnerable patient population.
PICOT: For Environmental Management Services (EMS) workers (P), does the use of an Influenza Vaccine Education Bundle (I) compared to the current practice (C) impact EMS worker influenza vaccine compliance (O) within a 10-week period (T)?
Evidence: Using an educational vaccine bundle that increases access to the vaccine, provides education regarding the vaccine, and comes from a trusted source will increase flu vaccination rates among Environmental Management Services workers.
Intervention: Implement a vaccine education bundle.
Outcome: After implementation in 2023, vaccination rates …
Lost In Interpretation: The Lived Experience Of Nurse Interpreters In The Clinical Setting, 2023 University of San Diego
Lost In Interpretation: The Lived Experience Of Nurse Interpreters In The Clinical Setting, Byron Batz
The use of language interpreters in the health care setting constitutes a vital part of provider-patient communication but remains a relatively unexplored phenomenon. Registered nurses (RNs) are often called upon to serve as interpreters when linguistically diverse patients constitute a large segment of the patient population. That RNs serve simultaneously in an interpreter role – in addition to clinical and advocacy roles – is a complex facet of contemporary nursing practice in a diverse U.S. culture. The purpose of this qualitative descriptive study was to examine the lived experience of RNs serving as interpreters in health care institutions in Southern …
Implementing In-Room Recycling On A Family Medical Center, 2023 Providence St. Joseph Health
Implementing In-Room Recycling On A Family Medical Center, Sarah Johnson
Central Division Nurse Clinical Inquiry Conference
Title: Implementing In-Room Recycling on a Family Medical Center
Healthcare operations are estimated to generate up to 29lbs of waste per patient per day (Practice Greenhealth, 2022). Waste contributes significantly to healthcare’s carbon emissions, which in turn contributes to the growing climate crisis (Karliner et al., 2019, Healthcare Without Harm, 2019; World Health Organization, 2018). Diverting recyclable waste from healthcare operations will reduce healthcare’s total waste to landfill and waste related carbon emissions.
Recycling bin placement and contamination rates (the amount of items in recycling that should go to another waste stream) can impact recycling levels. Staff at …
Risks Vs. Benefits Of Animal-Assisted Interventions For Icu Induced Psychosis, 2023 Murray State University
Risks Vs. Benefits Of Animal-Assisted Interventions For Icu Induced Psychosis, Cecily Christie, Hadley Mayes
For our senior Nursing Evidence-based practice project, we conducted our own research to evaluate the risks and benefits of animal-assisted intervention (AAI's) being used in intensive care units, in the hopes to encourage nurses and healthcare staff to implement these in patient care facilities.
Enhancing A Pressure Injury Prevention Bundle In A Skilled Nursing Facility, 2023 Franklin University
Enhancing A Pressure Injury Prevention Bundle In A Skilled Nursing Facility, Lorillie Soleta
Doctor of Nursing Practice (DNP) Scholarly Project
Problem: The purpose of the project was to address the increase in pressure injuries in a skilled nursing facility, which had risen from 6% to 10% despite the implementation of a prevention bundle. The project aimed to evaluate and enhance the effectiveness of existing interventions.
Aim of the Project: The aim was to add evidence-based interventions to the existing pressure injury prevention bundle. The desired outcome was to decrease the number of acquired pressure injuries.
Review of the Evidence: Research indicated that pressure injury prevention bundles were more successful when incorporating offloading interventions. These offloading measures, including frequent turning and …
Prevalência De Hipertensão Nos Trabalhadores Da Saúde De Um Hospital Universitário, 2023 Universidade Federal do Rio Grande do Sul - Brasil
Prevalência De Hipertensão Nos Trabalhadores Da Saúde De Um Hospital Universitário, Francielle Lopes Dos Reis, Luciana Pereira Silva, Maria Carlota Borba Brum, Sheila De Castro Cardoso Toniasso, Camila Pereira Baldin, Robson Martins Pereira, Maria Da Graça Rocha Penha, Celia Mariana Barboza Souza, Julio Cesar Ferreira Bertoloto, Vitória Sparrenberger Santos, Rebeca Mendonça Quinhones, Daniela Boeira, Carolina Esteves Lock
AMNET XX Conferencia Internacional
Introdução: A Hipertensão Arterial Sistêmica (HAS) é descrita como uma doença prevenível considerada um grave problema de Saúde Pública no Brasil. Conforme o Sistema de Informação sobre Mortalidade (SIM), de 2010 a 2020, foram registradas 551.262 mortes por doenças hipertensivas. O monitoramento preventivo, conforme previsto na NR-7 do Ministério da Saúde, preconizado no Programa de Controle Médico e Saúde Ocupacional (PCMSO), estabelece o diagnóstico precoce dos agravos à saúde dos trabalhadores, para que sejam realizadas ações estratégicas preventivas, que apontam com a melhoria do estilo de vida
Objetivo: Verificar a prevalência de hipertensão entre trabalhadores da saúde em um hospital …
Impact Of Strokes: The Burden Of Care, Post-Cva Fatigue & Caregiver Role Strain, 2023 University of Texas at Tyler
Impact Of Strokes: The Burden Of Care, Post-Cva Fatigue & Caregiver Role Strain, Tanya G. Schlemmer
Nursing Faculty Publications and Presentations
Strokes and cerebral vascular accidents (CVAs) and related disease events are an unfortunate circumstance that inflicts individuals around the world and impacts people every day as individuals and their caregivers. The consequences of these strokes or CVA events are life-changing for all those involved. As a result of long-term disability related to strokes, the caregiver may undergo many emotional, psychological, and physical factors that impact their daily lives. There is a relatively short period of time to react to the necessary change and as a result there may be differences in coping associated with these unexpected health circumstances. Many stoke …
“One University’S Covid-19 Pandemic Mitigation Response And Anxiety Construct: A Summative Program Evaluation”, Ann Hodgin
Doctor of Nursing Practice (DNP) Manuscripts
The effects of the COVID-19 pandemic continue to ripple through everyday life. In December 2019, an outbreak occurred in China. Subsequently, the World Health Organization identified SARS-CoV-2 as a new type of coronavirus that quickly spread around the globe (Nazario, 2022). As of May 31, 2023, there were 6,938,353 confirmed deaths worldwide from COVID-19 (WHO, 2023).
A needs assessment completed by the University identified that a program evaluation of the university’s COVID-19 response was warranted. Therefore, this program evaluation was conducted to assess the effectiveness of the policies and protocols implemented at a Catholic University in Southwestern Pennsylvania to …
Guide And Algorithm Creation For Hepatitis B Vaccination And Tuberculosis Testing Requirements For A Nursing Program., 2023 University of Louisville
Guide And Algorithm Creation For Hepatitis B Vaccination And Tuberculosis Testing Requirements For A Nursing Program., Jumoke Owolabi
Doctor of Nursing Practice Papers
This project developed a guide and algorithm for hepatitis B vaccination and tuberculosis (TB) testing requirements for nursing students at the University of Louisville [UofL] School of Nursing [SON] before clinical placement. Clarifying the requirements for hepatitis B vaccination, testing, and tuberculosis testing was paramount for clinical compliance because the current policy was determined to be ambiguous. The literature review revealed discrepancies with policies for hepatitis B and TB among countries and with individual institutions confirming the need for aligning with evidence-based vaccination guidelines. Based on these findings, an evidence-based guide and algorithm were created. Feedback from the clinical compliance …
The Threat Of Hospital Wastewater: An Evidence-Based Call To Action, 2023 University of San Francisco
The Threat Of Hospital Wastewater: An Evidence-Based Call To Action, Ann P. Nguyen
DNP Qualifying Manuscripts
Introduction: Hospital wastewater carries a unique composition of pollutants, a burden that includes high chemical and biological residuals. These pollutants are discharged into sewage treatment plants and natural environments where they contaminate human water sources and larger ecosystems. Water treatment plants are not designed to treat the high loads of biomedical waste and persistent organic compounds found in hospital wastewater and therefore pollutants survive in conventionally treated water. Evidence of contaminated soil, municipal wastewater, surface water, ground water, and even drinking water have been demonstrated in studies conducted around the world highlighting the ubiquity of the problem. Hospital effluent as …
The Effect Of Continuous Glucose Monitoring On Glucose Control And Re-Hospitalizations In Type Ii Diabetes Mellitus Patients, 2023 University of Arkansas, Fayetteville
The Effect Of Continuous Glucose Monitoring On Glucose Control And Re-Hospitalizations In Type Ii Diabetes Mellitus Patients, Susan Ferguson
The Eleanor Mann School of Nursing Student Works
Purpose: This Program Development and Evaluation project was designed to improve the management of patients with type II diabetes mellitus through the implementation of a combined in-patient discharge protocol and outpatient continuous glucose monitoring protocol follow-up plan in a diabetes clinic following discharge from a rural-based acute facility hospitalization.
Method: This quasi-experimental project was based on Rosswurm and Larrabee's Model for Change framework. Outcome measures analyzed type II diabetes mellitus patients to assess the effects of a continuous glucose monitoring discharge protocol on pre- and post-glycemic levels, rehospitalizations, and patient (n=2) and provider knowledge (n=4) obtainment.
Results: In a comparison …
The Home Modification Process Through The Lens Of An Ot, 2023 Belmont University
The Home Modification Process Through The Lens Of An Ot, James C. Nichols
OTD Capstone Projects
This doctoral capstone project was completed through partnership with FiftyForward and The Home Connection. Both of the organizations serve as a resource for the aging in place population throughout Middle Tennessee. The focus of this project was to provide the OT perspective on the home modification project. Throughout this project, over 15 home evaluations were completed, 1 ramp was built, and 5 homes were modified for increased functionality. Additionally, the creation of systematic guide on how to prepare to age in place, and a 20 page comprehensive resource list was developed with active links to technology, adaptive equipment, DME, and …
Understanding The Experiences Lived By Nurses Caring For Patients With Covid-19: A Hermeneutic Approach, 2023 College of Nursing, University of Hail, Hail City 2240, Saudi Arabia
Understanding The Experiences Lived By Nurses Caring For Patients With Covid-19: A Hermeneutic Approach, Awatif Mansoor Alrasheeday, Ma. Venus Borja, Eddieson Pasay-An, Farhan Alshammari
Makara Journal of Health Research
Background: Nursing is highlighted among professions that value caring and is perceived as the profession’s heart and soul because of its critical role in providing and delivering high-quality patient care, especially during this coronavirus disease 2019 (COVID-19) pandemic. However, little is understood about the experiences of the frontline workers in caring for persons diagnosed with COVID-19. This study aimed to explore the experiences of nurses in caring for persons diagnosed with COVID-19 inspired by the four lived worlds of van Manen.
Methods: The hermeneutic phenomenology was used in nine nurses working in hospitals of Hail region. This study …
Reducing Occupational Stress And Improving Coping Strategies Among Nursing Home Nurses: Implementation Of The Breathe Web-Based Program., 2023 University of Tennessee at Knoxville, TN
Reducing Occupational Stress And Improving Coping Strategies Among Nursing Home Nurses: Implementation Of The Breathe Web-Based Program., Nicole N. Nde, Allyson Neal
Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
Objective: The purpose of this quality improvement evidence-based project is to determine the effect of a web-based stress management program called BREATHE on reducing occupational stress and improving coping strategies. This evidence-based web-based program was made available to nurses in a nursing home (NH) in the Southeastern United States who have not participated in any stress management program before.
Method: The project provided a web-based stress management educational program to the participants. The program consists of six modules that give nurses an in-depth understanding of stress, how to manage it, and develop coping strategies. The project was carried out in …
Polypharmacy: Increasing Medication Adherence, 2023 Dominican University of California
Polypharmacy: Increasing Medication Adherence, James Cyril Kelly
Nursing | Student Research Posters
Polypharmacy is a common problem among older adults where they take multiple medications concurrently, leading to negative health outcomes such as adverse drug reactions, drug-drug interactions, and non-adherence to medications. To address this issue, a randomized controlled trial (RCT) is proposed that will involve elderly patients (aged 65 years or older) who are taking five or more medications. Participants will be randomly assigned to either the intervention or control group, with the intervention group receiving nurse-led medication therapy management (MTM) and patient education to improve medication adherence. The Health Belief Model can be used to educate and empower older adults …