The Impact Of Self-Compassion Strategies To Reduce Stress And Support The Transition To Practice For New Graduate Nurses: A Pilot Project, 2023 Abilene Christian University
The Impact Of Self-Compassion Strategies To Reduce Stress And Support The Transition To Practice For New Graduate Nurses: A Pilot Project, Charity Michelle Ballmann
Electronic Theses and Dissertations
Abstract The purpose of the study was to analyze the impact of self-compassion exercises to reduce stress and support the transition to practice for new graduate nurses. As the years pass, one thing remains a consistent topic in healthcare, and the need for nurses remains constant. The nursing staffing shortage gap seemingly widened further as the COVID-19 pandemic created additional challenges for healthcare systems, patient care, and employees. Retention of the workforce and an intentional focus on new graduate nurses' well-being have become increasingly important. New graduate nurses are a pipeline for the nursing workforce. Supporting the transition to practice …
Exploring The Unmet Care Needs Of Women With Chronic Obstructive Pulmonary Disease (Copd), 2023 Medical University of South Carolina
Exploring The Unmet Care Needs Of Women With Chronic Obstructive Pulmonary Disease (Copd), Jessica Madiraca
MUSC Theses and Dissertations
The primary objective of this study was to examine the feasibility of study procedures to and explore the unmet needs and potential barriers of women with advanced COPD who may need palliative care (PC). This multi-method study was guided by the adapted Hierarchy of Needs Model and explored unmet care needs, assessed knowledge of PC services, and identified barriers that women experience when receiving or during the implementation of PC. Further exploration of PC needs by sex provided information on unmet care needs of women with advanced COPD. Participants were recruited through convenience sampling by using COPD Patient-Powered Research Network …
Effects Of Clinical Competency In Nursing Students Following The Implementation Of Student-Led Learning, 2023 Murray State University
Effects Of Clinical Competency In Nursing Students Following The Implementation Of Student-Led Learning, Cori E. Hack, Jacob N. Hicks
Scholars Week
Research and supporting evidence represent a gap identified in didactic learning between students and faculty. This gap shows emotional factors of the nursing curriculum that may suggest negative impacts on nursing students, but also improvements that can be made to increase students’ clinical competency levels. By adhering to strict definitions of student-led learning theory and clinical competency, we were able to create concrete evidence with measurable data that can contribute to the elimination of this gap in learning. Upon inspection of past text, we identified a need for further research on this topic to bring awareness and encourage this method …
Benefits Of Bedside Report, 2023 Murray State University
Benefits Of Bedside Report, Konner Spalding, Hannah Mattingly
Scholars Week
No abstract provided.
The Benefits Of Telehealth For Rural Communities, 2023 Murray State University
The Benefits Of Telehealth For Rural Communities, Cade Alberson, Taylor Alberson
Scholars Week
No abstract provided.
Post-Graduate Integration Programs For Recently Graduated Nurse Practitioners: A Rapid Review, 2023 McGill University
Post-Graduate Integration Programs For Recently Graduated Nurse Practitioners: A Rapid Review, Li-Anne Audet, Amale Ghandour, Irene Sarasua
Quality Advancement in Nursing Education - Avancées en formation infirmière
Aim
The purpose of this paper is to present a rapid review of the literature that describes and evaluates post-graduate professional integration programs for recently graduated nurse practitioners.
Background
Recently graduated nurse practitioners face numerous challenges upon entry to practice, these include high patient caseloads, lack of confidence and difficulty integrating into the interprofessional team. In response to these challenges, numerous post-graduate professional integration programs have emerged to support the transition of recently graduated nurse practitioners into practice.
Design
A rapid review was conducted following McMaster University Rapid Review Guidebook’s Guidelines.
Method
Studies describing and evaluating post-graduate professional integration programs …
Healthcare Ai: A Revised Quebec Framework For Nursing Education, 2023 McGill University
Healthcare Ai: A Revised Quebec Framework For Nursing Education, Maggie Lattuca, Diane Maratta, Ute Beffert, Annie Chevrier, Laura Winer
Quality Advancement in Nursing Education - Avancées en formation infirmière
Artificial Intelligence Health Technologies (AIHT) are taking their place in the practice of nursing. However, the curricula have not evolved to include competencies required of nursing graduates to incorporate their impact on theory and practice. This project was born of an identified need by nurse educators to articulate new competencies grounded in the literature and expert knowledge. Based on extensive literature reviews and an iterative process of expert validation, this paper provides recommendations for five new competencies that will be needed for nurses to use AIHT responsibly, ethically, and intelligently in the best interests of patient care. The methodology started …
Prescribing Protocol For Postoperative Opioids In An Orthopedic Spine Practice, 2023 Franklin University
Prescribing Protocol For Postoperative Opioids In An Orthopedic Spine Practice, Kelly M. Manda
Doctor of Nursing Practice (DNP) Scholarly Project
Problem: The opioid epidemic is magnified by excessive post-surgery prescriptions. Over six months at an orthopedic spine practice, 50% of patients received two or more opioid refills beyond their first. This highlighted the absence of a clear prescribing policy and emphasized the need for a structured protocol and to promote patient safety.
Aim of the Project: The primary aim was to implement a prescribing protocol to lower opioid refills provided to post-surgical patients in this surgical practice. The desired result was to reduce the number of opioid refills provided to patients after surgery.
Review of the Evidence: Evidence highlighted …
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 …
Cross-Cultural Adaptation And Psychometric Properties Of The Arabic Version Of The Academic Nurse Self-Efficacy Scale, 2023 Nursing Department, College of Applied Medical Sciences, Shaqra University, Al Dawadmi 11911, Saudi Arabia
Cross-Cultural Adaptation And Psychometric Properties Of The Arabic Version Of The Academic Nurse Self-Efficacy Scale, Junel Bryan Arre Bajet, Jonas Preposi Cruz, Ejercito Mangawa Balay-Odao, Jennifer Mesde, Nahed Alquwez, Khalaf Alotaibi, Sheerween Cacanando
Makara Journal of Health Research
Background: Students’ academic self-efficacy is greatly associated with their academic performance. An effective instrument is needed to assess academic self-efficacy in the Saudi context. This study assessed the psychometric properties of the Academic Nurse Self-Efficacy Scale-Arabic version (ANSE-A) given to student nurses and the associations between the students’ demographics and overall ANSE-A scores.
Methods: Quantitative and descriptive methods were applied. The study was conducted from January to July 2022 at Shaqra University with 200 nursing students as the convenience sample. For content validity, the item-level content and scale-level content validity indices were utilized following the averaging method. We …
An Implementation Of Combined Fecal/Gastric Occult Blood Testing In The Emergency Department, 2023 The University of San Francisco
An Implementation Of Combined Fecal/Gastric Occult Blood Testing In The Emergency Department, Desiree Long
Master's Projects and Capstones
Problem: The gastrointestinal occult blood test is a point-of-care (POC) test used to detect the presence of occult (hidden) gastrointestinal bleeding via stool or gastric contents. Existing fecal and gastric occult blood point-of-care (POC) testing requires separate and unique sampling cards and developer, respectively. Separate fecal/gastric tests are less definitive and take longer than a combined test. Fecal/gastric testing can be improved and more effective using a combined testing mechanism.
Context: This project includes the microsystem of the emergency department, which involves groups of medical professionals, such as groups of clinicians and staff working together with a shared clinical goal …
Prevention And Reduction Of Catheter-Associated Urinary Tract Infection, 2023 University of San Francisco
Prevention And Reduction Of Catheter-Associated Urinary Tract Infection, Lea F. Garin
Master's Projects and Capstones
Abstract
Problem: Fifteen to twenty-five percent of hospitalized patients receive indwelling urinary catheters (IUCs) during their hospital stay and are at high risk for catheter-associated urinary tract infections, according to the Centers for Disease Control and Prevention (CDC, 2015).
Context: A CAUTI Prevention program was implemented in a community hospital surgical unit to address concerns of high rates of CAUTI.
Interventions: Staff training/education, pre-CAUTI and post-CAUTI prevention survey, hand hygiene, bundle care audit, and staff competency for indwelling urinary catheter insertion were implemented to prevent and reduce CAUTI cases in the surgical unit.
Measures: The Standardized Infection Ratio …
Factors Affecting The Healthcare Of Adults With Communication Difficulties Due To Autism Spectrum Disorder And/Or Intellectual And Developmental Disability, 2023 Medical University of South Carolina
Factors Affecting The Healthcare Of Adults With Communication Difficulties Due To Autism Spectrum Disorder And/Or Intellectual And Developmental Disability, Kathryn L. Shady
MUSC Theses and Dissertations
Purpose: This dissertation explores the healthcare barriers and facilitators experienced by autistic adults and adults with intellectual and developmental disabilities (IDD) who have communication difficulties (CD).
Problem: Approximately 5-10% of Americans have CD, including difficulties such as stuttering, aphasia, apraxia, and other forms of language impairment(1,2). Communication difficulties are present in about 25-30% of autistic individuals and 57.9% of those with IDD, which accounts for a large and poorly studied portion of those with CD(3,4). Individuals with CD report negative healthcare experiences and decreased levels of satisfaction with healthcare providers secondary to practices such as communication solely with a …
Implementation Of A Wellness Program For Nurse Leaders, 2023 University of San Francisco
Implementation Of A Wellness Program For Nurse Leaders, Ericson A. Fernando
Master's Projects and Capstones
Background: The setting for this study is the implementation of a wellness program for nurse leaders at Hospital A, a healthcare organization servicing the South Sacramento area in California. Healthcare is a challenging and high-demand profession, and the COVID-19 pandemic has exacerbated an issue of burnout and unwavering job-related stress for physicians and employees. This remains true for nurse leader professionals who take on the responsibility to ensure safety and quality always remains at ideal measures for any facility.
Problem: During the past several years of the pandemic, the nurse leader role has had to endure several unknowns, placing significant …
Hapi Prevention On A Medical Surgical Telemetry Covid Unit, 2023 University of San Francisco
Hapi Prevention On A Medical Surgical Telemetry Covid Unit, Maria G. Gonzalez
Master's Projects and Capstones
Abstract
Problem: Hospital acquired pressure injures (HAPI) are potentially preventable but frequently occurring events in hospitalized patients. Pressure injuries can occur because of prolonged pressure and in combination with shear and friction forces. HAPI negatively impacts a patient’s quality of life. HAPI also increases the hospital’s financial burden and increases the patient’s length of stay.
Context: The 52-bed medical surgical, telemetry, COVID, unit is one of several unis within a hospital setting. The unit is challenged with the management of HAPIs. The staff are challenged with documenting and escalating the findings, and with finding a second nurse to assist with …
Analyzing Reporting Of Hospital Acquired Pressure Injuries In The Acute Care Setting, 2023 The University of San Francisco
Analyzing Reporting Of Hospital Acquired Pressure Injuries In The Acute Care Setting, Trineca R-N Godfrey, Gabriella Garcia, Ameerah Tolentino, Gisselle Chairez, Jane Kwak
Master's Projects and Capstones
This project was conducted at a level one trauma center, acute care hospital consisting of 459 beds. With more patients than wound care nurses, hospital-acquired pressure injuries (HAPIs) have become a significant problem for this hospital. A gap between reporting in the Safety and Quality Information System (SQIS) and the reporting that takes place in electronic health record (EHR) with wound care consults has been observed. A root cause analysis (RCA) was used to identify discrepancies. The accurate collection of data was identified as paramount providing information necessary to create improvements and lower the occurrence of HAPIs. The conceptual framework …
Reduce Extended Length Of Stay By Reducing In-Hospital Falls, 2023 The University of San Francisco
Reduce Extended Length Of Stay By Reducing In-Hospital Falls, Norberto Benitez
Master's Projects and Capstones
Abstract
Problem: Every year, there are many in-hospital falls (IHFs). Nationally there are between 700,000 to 1 million falls recorded each year. Hospital falls financially burden our healthcare industry, costing approximately 34 billion annually. Context: In a local hospital in Northern California, Marin County, the microsystem has had an extraordinary number of in-hospital falls (IHFs). To date (June 2023), 13 falls have been recorded thus far; the microsystem is on track to beat the previous year's record number of 21 falls in a calendar year. Interventions: The MSN–CNL student proposed re-educating staff, resetting expectations, and reestablishing workflow. We also sought …
“One University’S Covid-19 Pandemic Mitigation Response And Anxiety Construct: A Summative Program Evaluation”, 2023 Duquesne University
“One University’S Covid-19 Pandemic Mitigation Response And Anxiety Construct: A Summative Program Evaluation”, Ann Hodgin
Doctor of Nursing Practice (DNP) Manuscripts
Abstract
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 …
Evidenced-Based Practice Competency Assessment For Competency-Based Orientation Protocol To Improve Competency Level Among Medical-Surgical Nurses, 2023 University of St. Augustine for Health Sciences
Evidenced-Based Practice Competency Assessment For Competency-Based Orientation Protocol To Improve Competency Level Among Medical-Surgical Nurses, Maryann Ornelas
Student Scholarly Projects
Practice Problem: Within a 12-month period, high incidences of severe post-spinal surgical complications resulted in a host of concerns in this clinical site when patients either returned to the operating room for spine revision or increased the length of stay.
PICOT: The PICOT question that guided this project was: "In Medical Surgical (Med-Surg) nurses (P), how would a Competency-Based Orientation (CBO) protocol with the inclusions of four critical elements of postoperative spinal care [POSC] (I) compared to the usual postoperative practice (C) enhance competency level in Med-Surg nurses when delivering postoperative practice at an inpatient setting (O) over 10 weeks …
Enhancing Adherence To Best Practice Guidelines Related To Pressure Injury Prevention In The Operating Room At A Children's Hospital During Comprehensive Dental Procedures., 2023 University of Louisville
Enhancing Adherence To Best Practice Guidelines Related To Pressure Injury Prevention In The Operating Room At A Children's Hospital During Comprehensive Dental Procedures., Alyce Bailey Seaver
Doctor of Nursing Practice Papers
Background: 1,600,000 patients develop a hospital-acquired pressure injury every year, and 23% of these originate during surgery. Research has demonstrated that the incidence of hospital-acquired pressure injuries developing during surgery has risen over the past 5 years. This rise has been attributed to nurse circulators exhibiting poor knowledge regarding best practices for intraoperative patient positioning and intraoperative documentation that does not follow standards of care.
Purpose: This quality improvement project aimed to enhance circulator knowledge on best practices for intraoperative patient positioning and improve documentation of intraoperative patient positioning in the electronic medical record to comply with standards of …