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Oral Chemotherapy: Safe Handling In The Home, Cynthia Huff 2020 The University of San Francisco

Oral Chemotherapy: Safe Handling In The Home, Cynthia Huff

DNP Qualifying Manuscripts

Background: According to the National Institute for Occupational Safety and Health (2016), oral anticancer agents (OAC) are hazardous drugs (HD) and require the same safe handling interventions in the home setting as in controlled health care environments. The use of a safe handling checklist for OAC administration is a way nurses can provide safe handling education to patients and caregivers and assess for understanding and competency for critical tasks. Effective home management strategies outlining caregiver protections, proper storage, administration of OACs, spill clean-up, and waste disposal could reduce exposure risks to toxic agents.

Objective: To present a safe-handling checklist and ...


The Effects Of Moderate-Severe Plaque Psoriasis On Patient Well-Being And Prevention Of Flares, Glenn Devera 2020 Dominican University of California

The Effects Of Moderate-Severe Plaque Psoriasis On Patient Well-Being And Prevention Of Flares, Glenn Devera

Nursing | Senior Theses

Psoriasis is a chronic skin condition that is indicated by red, patchy and scaly skin that can be painful when irritated. Patients with psoriasis have an increased risk for a number of chronic diseases. Despite the expansion of treatments for moderate-to-severe psoriasis over the last decade, patients may still find that treatment strategies are not as successful, leaving them dissatisfied with their treatments. A relationship built upon trust between the nurse and the patient diagnosed with psoriasis may serve to help ensure optimal care. A comprehensive literature review was performed and found that best practices for patient management need to ...


Apneic Oxygenation: An Adjunctive Therapy For Laryngoscopy During Anesthesia Induction, Yaro Hoffman 2020 The University of Southern Mississippi

Apneic Oxygenation: An Adjunctive Therapy For Laryngoscopy During Anesthesia Induction, Yaro Hoffman

Doctoral Projects

Endotracheal intubation is an essential component within the skill set of anesthesia providers. Rapid arterial desaturation remains a primary risk factor during laryngoscopy and intubation. The risk for hypoxemia exists because during endotracheal intubation, patients are apneic or hypo-ventilating (Wong et al., 2017). Apneic oxygenation (AO) has been advocated to attenuate hypoxemia during endotracheal intubation (Pavlov et al., 2017).

The aim of this project was to assess for any knowledge deficits regarding AO among anesthesia providers and assess the willingness of these providers to include AO into their current practice. The project investigator conducted an education session involving the evidence-based ...


Cultural Competence Objective Structured Clinical Examination For Student Nurse Anesthetists, Ashley Nicole Minor, Loryn Elise Jamison 2020 University of Southern Mississippi

Cultural Competence Objective Structured Clinical Examination For Student Nurse Anesthetists, Ashley Nicole Minor, Loryn Elise Jamison

Doctoral Projects

The landscape of ethnicity is growing increasingly diverse. In 2017, the U.S. Census Bureau estimated that by the time the 2020 Census is conducted, over half of the nation’s children will be of a minority group (U.S. Census Bureau, 2017). With this evolution in cultural variety comes a necessity to incorporate exposure and training of cultural competency into professional health programs. Student registered nurse anesthetists (SRNAs) are a key demographic to professional growth within the realms of cultural competence as related to the field of nurse anesthesia. Along with clinical skills and advanced knowledge, cultural competence should ...


Practicing Transcendence In Meditation Speeds Nurses’ Evolutionary Development: Shining The Light Of Consciousness Through The Lens Of Unitary Human Caring Science (Visions, Submitted), Joyce Perkins, Catherine Aquino-Russell 2020 St. Catherine University

Practicing Transcendence In Meditation Speeds Nurses’ Evolutionary Development: Shining The Light Of Consciousness Through The Lens Of Unitary Human Caring Science (Visions, Submitted), Joyce Perkins, Catherine Aquino-Russell

Nursing Faculty Scholarship

Unitary Human Caring Science (UHCS) based on the Science of Unitary Human Beings and caritas-veritas consciousness provides a lens for viewing lived experiences of doctoral nursing students practicing Transcendental Meditation ®. Caritas-Veritas, through the light of UHCS articulates virtues/values explicating expanding consciousness in nursing praxis. Science and spirit converge, illuminating emerging consciousness of authentic presence found in Caritas-Veritas praxis. To embody and embrace veritas, nurses act with honor, and commitment, in service to humankind. The values of goodness, truth, and beauty are evident in the energetic human-universe, as the whole of unitary reality is expressed as the cosmic quantum field.


A Patient-Centered Approach To Fall Prevention, Elmer Esguerra 2020 University of St. Augustine for Health Sciences

A Patient-Centered Approach To Fall Prevention, Elmer Esguerra

Student Scholarly Projects

Practice Problem: In 2019, a rural hospital in South Texas reported 102 incidents of patient falls. Although below the corporate fall rate benchmark of 2.2/1000 patient days, the hospital recognized that it was clinically significant and aimed at improving its fall prevention outcomes.

PICOT: The PICOT question that guided this project was: Among adult patients in the acute care setting would the implementation of patient-centered interventions be more effective compared to the usual fall prevention interventions in reducing incidence of falls one month after implementation?

Evidence: Seven pertinent studies, which included a randomized controlled trial and a systematic ...


Essential Oil Therapy For Alleviation Of Discomfort In Surgical Patients, Nenhuan Huang 2020 University of St. Augustine for Health Sciences

Essential Oil Therapy For Alleviation Of Discomfort In Surgical Patients, Nenhuan Huang

Student Scholarly Projects

Practice Problem: Post-surgical pain (PSP) has not been sufficiently managed despite routine opioid use. The adverse effects of opioids led to the search for non-pharmaceutical intervention.

PICOT: The PICOT question that guided this project was, "In an acute hospital surgical setting, does essential oil therapy complement pain and discomfort relief comparing to conventional pain management alone after 6 weeks?”

Evidence: Seven clinical studies, five systematic or integrative reviews, and four conference proceedings were reviewed. The evidence supported lavender essential oil for the alleviation of PSP and discomfort.

Intervention: Patients breathe through a personal lavender essential oil inhaler hourly or every ...


Development Of An Academic-Service Alliance To Address New Graduate Registered Nurses’ Practice Readiness, M. Dianne Norman 2020 Western University

Development Of An Academic-Service Alliance To Address New Graduate Registered Nurses’ Practice Readiness, M. Dianne Norman

The Organizational Improvement Plan at Western University

New Graduate Registered Nurses’ (NGRN) lack of practice readiness is a Problem of Practice (PoP) impacting hospitals. Stemming from the evolving complexity of today’s healthcare environment and the generalist nature of the baccalaureate nursing program, the lack of NGRN practice readiness increases hospital-based orientation costs, patient safety risks, and NGRN attrition. There is currently no formal structure in which key stakeholders can address the NGRN lack of knowledge, skills and judgment and the associated implications for the safety and quality of patient care. This Organizational Improvement Plan (OIP) examines NGRN practice readiness within the organizational context of the Health ...


Patient Controlled Fluid Restriction Monitoring, Christina Tindel 2020 University of Texas at Tyler

Patient Controlled Fluid Restriction Monitoring, Christina Tindel

MSN Capstone Projects

Patients are often placed under non-pharmacologic orders such as fluid restrictions during their hospital stay. The following article will discuss a plan to implement a change to have patients take a more active role in their plan of care by being the main ones to monitor their fluid intake.


The Effects Of Guided Meditation On The Stress Levels Of Student Registered Nurse Anesthetists, Olivia Nassoiy, Abigail Hadley 2020 NorthShore University School of Nurse Anesthesia

The Effects Of Guided Meditation On The Stress Levels Of Student Registered Nurse Anesthetists, Olivia Nassoiy, Abigail Hadley

Grace Peterson Nursing Research Colloquium

Background: Student Registered Nurse Anesthetists (SRNAs) cope with both academic and clinical stressors which can lead to an increase in stress, anxiety and depression. 1 The literature demonstrates that guided meditation is a useful tool that can be integrated into daily life to help decrease stress and improve well-being. 2

Objectives: The purpose of this DNP project was to describe the level of stress among SRNAs and examine the relationship between a guided meditation intervention and self-reported stress, depression, wellness, and self-efficacy among second year SRNAs.

Method: The participants were second year anesthesia students attending NorthShore University School of Nurse ...


Improved Representation And Effective Communication Positively Impact The Nursing Education Experience Of Male Student And Certified Registered Nurse Anesthetists, Max Bader, John Gockman 2020 DePaul University

Improved Representation And Effective Communication Positively Impact The Nursing Education Experience Of Male Student And Certified Registered Nurse Anesthetists, Max Bader, John Gockman

Grace Peterson Nursing Research Colloquium

The purpose of this study was to investigate past experiences with gender barriers among male student registered nurse anesthetists (SRNAs) and Certified Registered Nurse Anesthetists (CRNAs) in their educational and professional careers. Men have been underrepresented in the nursing profession in modern history. To date, no research has been conducted on the gender barriers faced by men in nurse anesthesia. This is a descriptive, quantitative study using a survey methodology. Student and Certified Registered Nurse Anesthetists who are members of the Illinois Association of Nurse Anesthetists (IANA) were recruited via email and voluntarily completed the web-based Inventory of Male Friendliness ...


Pressure Injury Documentation And Reporting: A Quality Gap, Mary Ann Laslo 2020 The University of San Francisco

Pressure Injury Documentation And Reporting: A Quality Gap, Mary Ann Laslo

Master's Projects and Capstones

Abstract

Problem: Inaccurate and incomplete pressure injury (PrI) assessment and documentation leads to inaccurate reporting of PrI quality reporting measures to the Centers for Medicare and Medicaid Services. Inaccurate, incomplete documentation of pressure injuries and wounds adversely affects the quality of care, financial reimbursement, and hospital reputation as well as increasing the risk of litigation to medical providers. Barriers to accurate and complete documentation by the nurses were inaccuracy in identification of PrIs Stage 1 or greater and knowing what and where to document the information in the electronic medical record.

Context: This quality improvement project attempted to improve nurse ...


Nurse Leader Rounding: A Stellar Strategy To Improve The Patient Experience Of Care In The Emergency Department, Polina Shishkina 2020 The University of San Francisco

Nurse Leader Rounding: A Stellar Strategy To Improve The Patient Experience Of Care In The Emergency Department, Polina Shishkina

Master's Projects and Capstones

Abstract

Many clinical outcomes that occur in the emergency room determine the patient’s continued care and experience in the hospital and beyond as well as influence the organizational reputation in the community. Mack and Fill emphasize that “an ED visit is a significant encounter between a patient and a hospital and one that affects ‘repurchase’ decisions for future health care” (as cited in Welch, 2010, p. 65). Thus, patient experience in the emergency department necessitates continued quality improvement efforts. The emergency room, or “the front door to the hospital”, provides equitable and affordable care to patients who need urgent ...


Thoughts Of A Palliative Care Nurse In Times Of Pandemic, Angela L. Simões 2020 ULS Castelo Branco, Portugal and Superior School of Health Dr. Lopes Dias, Polytechnic Institute, Castelo Branco, Portugal

Thoughts Of A Palliative Care Nurse In Times Of Pandemic, Angela L. Simões

Patient Experience Journal

This narrative presents a series of stories (interactions) lived by a palliative care nurse during the time of COVID-19, a time when we tirelessly prepare to help the services that need us, but we have little preparation of ourselves for the changes that we will have to face in the care of our patients and families. It shares the lived experiences, difficulties, emotions lived by me but shared by so many around the world. It also tries to show that despite the scarcity of physical presence, creativity and commitment to patients and families make us go beyond ourselves and continue ...


Beyond Platitudes: A Nurse’S Journey Of Self-Reflection And Vulnerability, Monica Friesen 2020 Halton Healthcare

Beyond Platitudes: A Nurse’S Journey Of Self-Reflection And Vulnerability, Monica Friesen

Patient Experience Journal

The efforts taking place in healthcare organizations and communities globally should represent what is best in humanity, perhaps even more so in this unprecedented time of COVID-19. This short personal narrative is the acknowledgement that “best” needs to start with “me” and my story of self-reflection and journey of vulnerability.

Experience Framework

This article is associated with the Staff & Provider Engagement lens of The Beryl Institute Experience Framework. (http://bit.ly/ExperienceFramework)


Qualifications Of Executive Nurses For Service On Hospital Boards, Michelle L. Foxx 2020 Abilene Christian University

Qualifications Of Executive Nurses For Service On Hospital Boards, Michelle L. Foxx

Electronic Theses and Dissertations

Abstract Healthcare governing boards have responsibility for the legal and financial stability of the organization. They are assuming more responsibility for quality care and outcomes. Nurse leaders have valuable insights into key shared governance issues such as quality of care, financial performance, legal requirements, and regulatory oversight. Yet, only 5% of the 3.2 million nurses in the U.S. health workforce hold a seat on hospital governing boards in the United States. The purpose of this study was to explore how nurses with executive experience perceive their own leadership qualities in the context of established requirements for executive hospital ...


Core Content Items And Constructs To Inform Student Nurse Handoff Communication, Kelley McAfee 2020 University of Massachusetts Amherst

Core Content Items And Constructs To Inform Student Nurse Handoff Communication, Kelley Mcafee

Doctoral Dissertations

This study describes nurse educators’ perceptions of content items for a high-risk, high frequency process essential for entry as a nurse generalist into clinical practice. The process of interest is student nurse handoff communication.

Research Questions:

  1. What do nurse educators identify as core content for successful student nurse handoff communication?
  2. Do nurse educators identify with one handoff communication tool for student use?
  3. Are student nurses expected to engage in nurse handoff communication during simulation experiences and/or clinical experiences?
  4. What educator characteristics are associated with his/her perceptions of the core content?

This was a descriptive study involving the administration ...


Diversity In Pre-Nursing Majors And Nursing Program Applicants, Christel Fehr 2020 University of Missouri-St. Louis

Diversity In Pre-Nursing Majors And Nursing Program Applicants, Christel Fehr

Dissertations

Problem: The population of the US has become increasingly ethnically diverse. This diversity has not been reflected in the nursing workforce with approximately 70% being Caucasian and 85% being female, resulting in a disparity in healthcare delivery by minorities. The purpose of this project was to perform an analysis of race, ethnicity, and gender diversity in undergraduate nursing applicants at a rural midwestern university.

Method: A retrospective review of nursing applications, enrollment reports, and graduation rates were examined for three academic years.

Results: 326 students (N=326) applied to the nursing program from Fall 2016 through Spring 2019. Of those ...


A Strategic Plan To Thread Genomics Competencies Into Undergraduate Curriculum, Holly Mathis 2020 University of Missouri-St. Louis

A Strategic Plan To Thread Genomics Competencies Into Undergraduate Curriculum, Holly Mathis

Dissertations

Problem: Genomics in undergraduate nursing education has experienced slow adoption in the United States. Various approaches have been proposed but do not address barriers to successful implementation.

Methods: A strategic plan was developed to increase the amount of genetics and genomic content in the curriculum of an undergraduate nursing program. A gap analysis was performed on the curriculum revealing a paucity of content. A SWOT analysis informed the strategic plan, which included a faculty education program using the ANA/ISONG’s Essentials of Genetic and Genomic Nursing: Competencies, Curricula Guidelines and Outcome Indicators (2nd ed.) (2009) as a foundation ...


An Innovative Approach For Type 2 Diabetes Education, Rachel Domagala 2020 Winona State University

An Innovative Approach For Type 2 Diabetes Education, Rachel Domagala

Nursing DNP Projects

Objective: To improve self-efficacy in patients with type 2 diabetes and a Hemoglobin A1c (HbA1c) of 8% (64 mmol/mol) or greater using an innovative education multidisciplinary approach in a group setting.

Research Design and Methods: Out of 248 patients that were contacted with type 2 diabetes, who had a HbA1c of 8% or greater, five patients from a large clinic in the Midwest agreed to participate in group education. The primary outcome of interest was lowering HbA1c levels to increase the number of patients with type 2 diabetes who meet the community standard of care.

Results: Patients who attended ...


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