Occupational and Environmental Health Nursing Commons^™

Interprofessional Simulations: Student Attitudes And Effects On Sbar Performance, Michele A. Pfaff

Nursing Theses and Capstone Projects

National healthcare organizations recommend innovative educational initiatives and fundamental changes in the way healthcare providers are educated. Educational strategies that incorporate collaboration have been shown to impact professional behaviors and competency. Improved student attitudes toward collaboration and increased understanding of professional roles are impacted by exposure to simulation and interprofessional education. The purpose of the Interprofessional Simulation Project was to determine whether the type of clinical simulation experience (traditional versus interprofessional) influences nursing students' knowledge and performance of skilled communication. Additionally, the project investigated attitudes toward collaboration in an educational setting. A quantitative pretest and posttest design was utilized to …

Non-Pharmacological Interventions Project: Treatment For Dementia, Mandy Richards

Nursing Theses and Capstone Projects

In response to the Office of Inspector General's research report on atypical antipsychotic off label treatment of elderly dementia residents in long-term care, the Centers for Medicare and Medicaid Services developed a non-pharmacological intervention known as the Hand In Hand training tool. This projects focus was on training the direct care nursing staff with the Hand In Hand tool and evaluating for decrease in behavior and psychological symptoms in their patients. A retrospective chart review was utilized for the Minimum Data Sets tool Brief Interview of Mental Status (BIMS) and Mood interview. Pre training and post training scores were analyzed …

Adaptation Of Kenyan-Born Registered Nurses Into The American Healthcare System, Emily Tangwar

Nursing Theses and Capstone Projects

Kenyan-born nurses (KBNs) continue to be an important part of the nursing workforce in the United States of America (USA). They bring their skills, knowledge, and experience to their new areas of nursing practice. Even though it may be challenging to adapt, Kenyan Nurse's skills, knowledge, and experiences may be enhanced by successfully integrating them in the American healthcare system. Some of these challenges include socio-cultural difference; structure of healthcare systems; technology; language such as abbreviations, expressions, and phrases; and new environment. This study will be conducted using a quantitative research method and purposeful survey of 20 KBNs using Cross …

The Effect Of Virtual-Learning On The Cultural Awareness Of Nursing Students, Nicole Waters

Nursing Theses and Capstone Projects

This Capstone Project examined the effect of virtual-learning on the cultural awareness of nursing students. A convenience sample of 125 students enrolled in the advanced health assessment course in the Registered Nurse to Bachelor in Science in Nursing (RN to BSN) Program were included in the sample for this project. Of the 125 students, 53 completed pre-test surveys were submitted, resulting in a response rate of 42%, and 43 completed post-test surveys were submitted, resulting in a response rate of 34%. Descriptive statistics and measures of central tendencies were used to compare the overall mean score for the responses of …

Nurse Manager Role Perception In An Acute Care Facility, H. Gale Waters

Nursing Theses and Capstone Projects

The Nurse Manager role is a crucial part of the healthcare delivery system in an acute care facility, particularly in the current wave of healthcare reform. These are unprecedented times for nursing leadership as they develop and move in a new direction. The role of Nurse Manager is complex with numerous studies including: past roles, characteristics, innovation, outcome, education, and advancement. This study observed the role through the point of view of the Nurse Manager. The Nurse Managers participated in a survey in which they ranked themselves on a one to five scale, with one being a novice in the …

Predicting Post-Deployment Family Adaptation In U.S. Navy Families, Micah A. Scott, Esther H. Condon, Arlene J. Montgomery, Spencer R. Baker

Nursing Faculty Publications

Background: Although military families worldwide face changes that include adapting to peace and wartime deployments, few studies have explored how military families adapt to the post-deployment return of a service member.

Objectives: To identify variables that predicted post-deployment adaptation of U.S. Navy families.

Methods: A mixed method study guided by the Roy Adaptation Model included a convenience sample of 142 spouses of service members recently returned from deployment. The degree to which length of deployment, prior deployments, and years married, number of children, participation in religious and family support groups, communication, race, and interdependence predicted post-deployment family adaptation was tested. …

O Cuidador De Enfermagem E O Cuidar Em Uma Unidade De Terapia Intensiva / The Nursing Caregiver And The Caring In Intensive Care Units, Everton Alves

Everton Fernando Alves

Diversos fatores são considerados agressivos em uma Unidade de Terapia Intensiva (UTI), os quais não atingem apenas os pacientes, mas também os cuidadores de enfermagem, uma vez que estes participam desde procedimentos complexos até morte de pacientes. Dessa forma, muitos cuidadores de enfermagem passam por dificuldades em sua rotina diária que influenciam o modo de cuidar. O objetivo deste estudo foi identificar os aspectos vivenciados pelos cuidadores de enfermagem que atuam em uma UTI - Adulto. Trata-se de um estudo exploratório-descritivo, de abordagem qualitativa, desenvolvido junto a 21 cuidadores de enfermagem da UTI - Adulto de um hospital escola do …

Qualidade De Vida Do Cuidador De Enfermagem E Sua Relação Com O Cuidar / Quality Of Life Of The Nursing Caregiver And Its Relationship With Care, Everton Fernando Alves

Everton Fernando Alves

Objective:To identify aspects that affect the quality of life of nursing caregivers and their relationship with care in an Intensive Care Unit for Adults (A-ICU). Methods:This was a descriptive study with qualitative approach, taking as subjects 21 professionals who constitute the nursing staff of the A-ICU of a school hospital in Maringá-PR. Unstructured interview was used as a strategy to collect data, conducted between May and June 2009. Data analysis was based on the method of content analysis. The categories identified were: overlooking improvement in quality of life related to the resources in an A-ICU; the quality of life influencing …

Patient Education And Coumadin (Warfarin) Therapy: Readmission Rates Pre/Post Coumadin Team Initiation, Rebecca L. Barber

Nursing Theses and Capstone Projects

As a response to the 2011 National Patient Safety Goals (NPSG), a Coumadin Team, consisting of a Physician Chair, Pharmacists, and Registered Nurses, was formed at Mission Health System to focus on International Normalized Ratio (INR) testing, Coumadin dosing, and patient education. The goal of this team has been to identify and eliminate barriers that prevent the stabilization of INRs within the prescribed goal range, and to ensure that all patients receive education about Coumadin therapy in order to prevent harm and reduce readmission rates related to Coumadin therapy. The purpose of this study is to compare readmission rates within …

Relationship Between Psychotropic Drugs And Falls In The Geriatric Population, Lauren E. Fletcher Crotts

Nursing Theses and Capstone Projects

Falls in the geriatric population are extremely common and the risk for falls continues to increase with age. Falls are a leading cause of mortality in the geriatric population, and it is the number one reason for institutionalization in the United States. The purpose of this study was to explore the relationship of the prescribing effects of psychotropic medications such as antidepressants, benzodiazepines, and antipsychotics on falls in the geriatric population who live in a long term care community with a diagnosis of depression, dementia, anxiety, delirium, and Alzheimer's disease. The literature provided mixed conclusions on the effects of psychotropic …

Academic Incivility In Nursing Education, Sherrie Marlow

Nursing Theses and Capstone Projects

A well-documented and growing problem impacting the nursing shortage in the United States is the increasing shortage of qualified nursing faculty. Many factors contribute to the nursing faculty shortage such as retirement, dissatisfaction with the nursing faculty role and low salary compensation (American Association of Colleges of Nursing (AACN), 2005; Allen, 2008; National League of Nursing (NLN), 2010; American Association of Colleges of Nursing (AACN), 2011). Academic incivility has been identified as contributing to nursing faculty role dissatisfaction (Clark & Springer 2010). Academic incivility diminishes the presence of a caring environment, lowers an individual's self-esteem, and negatively impacts the formation …

Health Survey Of Us Long-Haul Trucker Drivers: Work Environment, Physical Health, And Healthcare Access, Yorghos Apostolopolous, Sevile Sonmez, Mona Shattell, Clifford Gonzales, Caitlin Fehrenbacher

Mona Shattell

No abstract provided.

Development Of A Lateral Workplace Incivility Nurse Liaison Position In The Psychiatric Healthcare Setting, Christopher L. Brown

Nursing Theses and Capstone Projects

Workplace incivility is becoming commonplace in all work environments including health care. Research highlights the dangerous, distressing, and costly side effects of lateral workplace incivility (LWPI) including nursing staff's overall health, organizational commitment, and intent to stay. Historically, organizations have been considered safe work environments but LWPI has increased over the last several decades. There has also been limited research related to LWPI as it affects psychiatric healthcare staff and no study recommending a needs assessment or developing a position to educate and assist victims. The purpose of this project was to assess psychiatric healthcare staff's understanding and exposure to …

Medication Safety: Improving Faculty Knowledge And Confidence, Sharon S. Cherry

Nursing Theses and Capstone Projects

The purpose of this capstone project was to increase knowledge and confidence among nursing faculty assisting pre-licensure nursing students with the medication administration process. The project administrator designed a one day Safe Medication Practices seminar that included a Medication Administration Toolkit to increase knowledge and confidence in faculty members about safety and efficiency in giving medications with multiple students on any clinical day. This toolkit included high-fidelity simulation medication scenario case examples as a teaching pedagogy, as well as other teaching strategies to utilize in the clinical environment. Bandura's Social Learning theory provided the framework for this capstone project. The …

The Effects Of A Care Delivery Model Change On Nursing Staff And Patient Satisfaction, Kathleen Gier

Nursing Theses and Capstone Projects

Hospitals across the nation are faced with the challenge of providing high-quality, cost-effective patient care. The purpose of the research study, The Effects of a Care Delivery Model Change on Nursing Staff and Patient Satisfaction, was to examine the impact of implementing a team-approach care delivery model on defined outcomes of staff satisfaction and patient satisfaction. A quasi-experimental design study was utilized to examine the effects of implementing a team-approach care delivery model on a 33-bed Medical-Surgical unit. Prior to and after implementation of the new care delivery model, data were collected regarding patient and staff satisfaction. All nursing and …

Floating Nurses To Specialty Areas, Deborah S. Hickman

Nursing Theses and Capstone Projects

As the largest group of health care providers, nurses play a vital role in the safety and satisfaction of patients. Despite this vital role, the nursing shortage continues to grow. As a result of this shortage and to fix staffing insufficiencies, nurses are frequently assigned to work in an area that they are not familiar with. This reassignment of a nurse to a different unit from their normally assigned unit is referred to as "floating." Nurses that are reassigned to a different unit from their normally assigned unit are referred to as "float nurses." Some healthcare professionals believe the use …

Registered Nurses Perceptions Of Patient Advocacy Behaviors In The Clinical Setting, Irma Laney

Nursing Theses and Capstone Projects

Healthcare is becoming more complex and advanced; there is an increase in patient's awareness and safety, higher educational levels of the public, internet access, improved medical technology, development of the Patient's Bill of Rights, and distrust of experts. Patients are often left vulnerable and helpless in the healthcare setting due to limited knowledge about medicine, healthcare, illnesses, and their rights. The purpose of this thesis was to provide an understanding of the RN's perceptions of patient advocacy behaviors in the clinical settings. King's Interacting Systems Framework and middle range Theory of Goal Attainment provided the framework used to identify the …

Evidence Based Practice: Patient Discharge Education Barriers To Patient Education, Catherine Lyerly Lingle

Nursing Theses and Capstone Projects

Evidence-based guidelines for discharge instructions, when successfully administered, reduce readmission rates in patients, leading to improved quality of life and economic savings. Unfortunately, effective delivery is complex and time consuming, placing a high demand on already overworked bedside nurses. Failure to provide complete discharge instructions can result in non adherence to patient treatment regimens and lack of essential follow-up, the most commonly identified reasons for readmissions. To improve quality of care, hospitals need to adopt a new model that incorporates delivery of intensive, one on one education to patients during the hospital stay with continuing support, guidance, and education throughout …

A Structured Orientation Development System For Nursing Faculty, Dana R. Mangum

Nursing Theses and Capstone Projects

A national nursing shortage is nearing its crest. The Baby Boomer generation is beginning to retire in record numbers. Healthcare technology is continually evolving and the topography of nursing education is changing. In order to acquire, develop, and retain excellent nursing faculty to meet the ever changing demands, nursing faculty need to be streamlined into the world of academia. A Structured Orientation Development System (SODS) was developed to aid nursing faculty into the transition from expert bedside nurse to expert nursing faculty. A literature review found no evidence of a structured type nursing faculty orientation system. The purpose of this …

Nurses' Perceptions Of Shared Medical Appointments, Kristin Monza

Nursing Theses and Capstone Projects

With the increased economic burdens placed on Americans in recent years, the topic of healthcare has been in the forefront. As healthcare reform embraces the country, healthcare organizations are forced to re-examine their business structure more accurately to reflect the changing culture and patient population. The Shared Medical Appointment (SMA) is a model in the chronic disease setting, and many of the benefits and proficiencies have been studied but no studies have assessed nurse experiences or perceptions of SMAs. The purpose of this study was to determine the Registered Nurses's experience with and perception of SMAs. A descriptive exploratory design …