Debriefing In The Emergency Department, Alyssa Johnson

Master's Projects and Capstones

Emergency Department (ED) staff are repeatedly exposed to high stress situations and as a result suffer from compassion fatigue, secondary traumatic stress, symptoms of post-traumatic stress disorder, burnout and high turnover rates. Staff turnover is costly to the health system in the form of training new staff and potential poor patient outcomes due to under staffing or inexperience of staff. Based on a survey about debriefing, Level 1 Adult and Pediatric Emergency Department staff reported 81% felt there was inadequate support for critically stressful events that occur. Debriefing was identified by 75% of the staff as an option for support. …

Common Statistical Tests And Interpretation In Nursing Research, Maria E. Main, Veletta L. Ogaz

International Journal of Faith Community Nursing

Faith community nurses need a basic understanding of common statistical tests and their interpretation to aid in the appraisal of research for evidence-based practice. The purpose of this article is to review statistical concepts, define common statistical tests, and interpret the results of statistical tests. Common statistical tests that measure differences in groups are independent samples t-test, paired sample t-tests, and analysis of variance. Common statistical tests that measure relationships are Pearson product moment correlation and chi-square. Knowledge of statistical concepts and common statistical tests assist in the appraisal of nursing research for evidence-based practice.

Critiquing Quantitative Research Reports: Key Points For The Beginner, Cathy H. Abell, Dawn M. Garrett Wright

International Journal of Faith Community Nursing

Nursing research has a long history, beginning with the first nursing researcher--Florence Nightingale. As research continues to evolve, the dissemination of findings is important. Nurses must have have an understanding of how to critically read and appraise research articles in order to assess the value of the findings.

Leadership Practices Of Supervisory Employees: An Exploration Of Current Practices At A Southeastern Veterans Affairs Medical Center, Melissa M. Zimmerman

Electronic Theses and Dissertations

As the nation’s healthcare system moves through the 21^st century, unprecedented changes are occurring on both a local and global stage. Healthcare organizations are faced with creating and implementing leadership strategies to enhance the overall patient experience. When coupled with the need to ensure increased nurse job satisfaction, improved cost-effectiveness and healthy organizational cultures with fiscally sound budgets, improvement work has led efforts to ensure effective leadership techniques are used across an agency.

This task may be viewed as commonplace for some organizations, while others may perceive this process as a complete paradigm shift from historical practices related to …

Faculty-To-Faculty Incivility As Perceived By Nursing Faculty, Melinda Lofton Sills

Dissertations

The purpose of this research was to determine the perceived presence of workplace incivility among nursing faculty in associate, baccalaureate, and graduate nursing programs and whether there was a significant difference between workplace incivility behaviors, occurrence of incivility, extent of incivility, and engagement of incivility among the three groups. A convenience sample of faculty from nursing programs accredited by Accreditation Commission for Education in Nursing and Commission of Collegiate Nursing Education in Alabama, Arkansas, Florida, Louisiana, and Tennessee completed the Incivility in Nursing Education-Revised (INE-R) survey. The final sample included 169 nursing faculty.

Based on the results of the study …

Evaluating The Likelihood Of Use Of Bispectral Index Guided Anesthesia As A Strategy To Reduce Postoperative Delirium In Surgical Patients 65 Years Of Age Or Older, Simon Jack Gibson

Doctoral Projects

Postoperative delirium (POD) is the most common postoperative complication in the elderly, accounting for approximately $164 billion in costs per year in the United States (Inouye, Westendorp, & Saczynski, 2014, p. 911). This complication occurs in as many as 50% of elderly patients, but can be prevented as much as 40% of the time (Inouye et al., 2014). The use of processed encephalographic monitoring, such as Bispectral Index (BIS) monitoring, to guide anesthetic dosage is the single intraoperative intervention with enough evidence to support it as a recommendation for use to reduce POD (American Geriatrics Society, 2015). There were two …

Reducing Hypotension In Elective Cesarean Section Patients With Administration Of Ondansetron Prior To Spinal Anesthesia: A Retrospective Chart Analysis, Linsey Erin Phipps

Doctoral Projects

The birth of a child is one of the most memorable moments in a woman’s life, and many women undergo an elective cesarean section, requiring spinal anesthesia. At this time, the patient and the unborn child’s well-being become the anesthetist’s main focus. The ultimate goal of anesthesia providers is to provide the safest care to the patient. Spinal anesthesia has many benefits, but has a common side effect of hypotension, which can also result in nausea. Hypotension, dangerous to mother and child, is often treated with vasopressors, but can also cause nausea, which is treated by the administration of ondansetron. …

Efficacy Of Intravenous Ondansetron In Relieving Nausea/Vomiting And Pruritus Post Epidural Administered Opioids In The Obstetric Patient, Benjamin Stephen Butler

Doctoral Projects

One prominent side effect in the use of a neuraxial anesthesia is pruritus, with an incidence in the obstetric patient of 60-100% (Kumar & Singh, 2013). Another side effect of an epidural placement is nausea and vomiting. Nausea and vomiting occurs frequently during the progress of labor and is difficult to determine an incidence that is related to epidural opioid administration (Chestnut, Wong, Tsen, Ngan Kee, Beilin, & Mhyre, 2014). A review of literature was performed and established evidence that ondansetron is effective in reducing incidence of pruritus in intrathecal administered opioids for cesarean sections in the obstetric patient. No …

Fentanyl Administration On Emergence From Surgery And Post Anesthesia Care Unit Discharge Times And Pain Scores, Andrew Ernst Wetzel

Doctoral Projects

Problem: Pain has been historically mismanaged potentially leading to a host of negative physiological consequences. Today’s dynamic health care reform offers an opportunity to increase satisfaction with care. Utilizing the PICO question, in adults undergoing laparoscopic cholecystectomy over a 12 month period, does medication with fentanyl during emergence versus not medicating during emergence reduce the need for pain medications and discharge times? Evidence/Background: Two national studies surveyed patient perception of pain management following surgery. The first, conducted by Apfelbaum et.al (2003) showed that 80% of patients experienced acute pain after surgery with 86% rating that pain as moderate …

Group Empowerment Capacity And Capability In Associate Degree Schools Of Nursing In The United States, Christy Lee Savell

Dissertations

The purpose of conducting this research was to determine the perception of group empowerment capacity (EC) and group empowerment capability (E) among faculty and administrators in associate degree nursing programs (ADN) in the United States (U.S.), whether there was a significant difference in the scores of EC and E between the two groups and if there was a significant relationship between the mediating variables and EC. The study was conducted online with administrators and faculty of ADN programs throughout the United States (U.S.). Information letters with questionnaire links were sent to all members of the Organization of Associate Degree Nurses …

Bariatric Surgery Weight-Loss Maintenance Among Hispanics: A Multiple Case Study, Minerva Aguilera

Nursing Theses and Dissertations

Obesity significantly contributes to human illness and to subsequent rising healthcare expenditures. Bariatric surgery has been identified as the only effective option to achieve the weight loss necessary for those who are morbidly obese. Previous research indicated that maintaining significant weight loss has been a problem for individuals who undergo bariatric surgery. The number of bariatric surgeries is increasing and factors that contribute to or interfere following bariatric-surgery weight-loss maintenance need to be determined. Research on weight-loss maintenance following bariatric surgery is very limited, particularly among the Hispanic population. This case-study research used an explanatory, multiple-case-study design to gain greater …

Personal Protective Equipment Use For Patients With Clostridium Difficile, Mallory L. Compton

Scholars Week

In researching the literature on correct PPE by healthcare staff when a patient has C. diff. I have found that the policy on PPE for patients with C. diff at Baptist Health Paducah is compliant. The theoretical framework used for this research is that of Imogene King. Their policy is evidence based and is also cost effective when it comes to preventing the spread of infection from patient to patient. There is no need for change to this policy at this time because it is supported by evidence in the literature.

The Perception For Good Death Of Community Dwelling Japanese And Thailand Respondents, Michiyo Ando, Supawadee Somchit, Mitsunori Miyashita, Laiad Jamjan

Asian/Pacific Island Nursing Journal

Having a “good death” is a very important goal of palliative care, and it is useful for nurses to understand cultural differences in the perception of a good death to propose nursing care. The purpose of this study was to compare the perception of a “good death” among community-dwelling Japanese and Thai people. Three hundred sixty-nine respondents completed the Good Death Questionnaire. The research design was a cross-sectional study. The scores of the Japanese respondents on “good relationships with medical staff,” “being respected as an individual,” and “fighting against cancer” were higher among Thai respondents. On the other hand, “environmental …

Clostridium Difficile Infection: Nursing Considerations, Brett G. Mitchell, Philip L. Russo, Paul T. Race

Paul Race

Clostridium difficile is a bacterium which commonly causes diarrhoea in inpatients. C. difficile affects hospitalised patients worldwide and can pose a significant risk to patients. This article explores the transmission and risk factors for C. difficile infection (CDI). There are many aspects to the prevention and control of CDI: appropriate antibiotic use, early instigation and maintenance of prevention and control strategies, and high standards of environmental cleanliness, education, and surveillance. This article discusses the role of the nurse in each of these prevention and control activities.

Investigating The Integration Of Student Learning Resources In Preparation For The Nclex-Rn: Phase One Of A Canadian Two-Phase Multi-Site Study, Shelley L. Cobbett, Willena I. Nemeth, Joanne Macdonald

Quality Advancement in Nursing Education - Avancées en formation infirmière

Evidence-informed education practices are critical in determining effective student preparatory learning resources for the NCLEX-RN examination. Standardized testing in nursing education programs has been demonstrated to increase students NCLEX-RN success. A widely researched assessment tool for predicting NCLEX-RN examination outcomes is the HESI^TM RN Exit Exams. The HESI Exit Exam (E²) was determined to be between 93.36% and 99.16% accurate in predicting NCLEX-RN success (N = 49,115) with samples derived from various nursing programs throughout the United States.

Purpose: This two-phase, multi-site ex-post facto study was to investigate NCLEX-RN Student Preparatory Learning Resources within the Canadian context. …

Discerning Success Of Indigenous Health Students In Community-Based Programs, Marti Harder, Barbara Astle, Sonya Grypma, Evelyn Voyageur

Quality Advancement in Nursing Education - Avancées en formation infirmière

In recent years, there has been a shift in Canadian healthcare education. In some regions where access to healthcare education may be limited, post-secondary educational institutions have partnered with local Indigenous groups to provide community-based healthcare educational programs to attract and support Indigenous students. The purpose of this study was to explore how members of a community with a community-based healthcare program describe student success and the factors that influence it. As part of a qualitative study, eight participants from a northern Canadian community were interviewed about their descriptions of success, and its influencing factors in a community-based healthcare program. …

Theory-Based Practice As Plural Interpretations: A Case Of The The Integration Of The Humanbecoming Theory In A Palliative Care Setting, Diane Tapp, Mireille Lavoie, Nicolas Vonarx

Quality Advancement in Nursing Education - Avancées en formation infirmière

Nurses and students are generally encouraged to base their practice on nursing grand theories and models. However, the concrete benefits of these models in practice are often debated. Given that past studies were mostly dedicated to documenting the benefits of nursing theories in practice and were conducted by their supporters, their contribution to the debate is questionable. In 2012, we conducted a retrospective case study in a palliative care unit in Canada where caregivers have based their practice on the Humanbecoming theory since two years. We aimed to examine the process of integration and its effects. Data was obtained from …

Writing Assignments: A Relatively Emotional Experience Of Learning To Write In One Baccalaureate Nursing Program, Susan Chaudoir, Gerri Lasiuk, Katherine Trepanier

Quality Advancement in Nursing Education - Avancées en formation infirmière

This article specifically reports findings from an interdisciplinary case study that explored classroom experiences of learning to write across one baccalaureate nursing degree program in Canada. A combination of rhetorical genre and situated learning theories and institutional ethnography methods were used to help document student and instructor experiences of learning to write two recurring writing assignments called the scholarly paper and journal of reflective practice, which students composed in each semester of their program. Data included 38 classroom/student observations, 22 assignment instruction documents, and 39 voluntary, semi-structured interviews with 34 students and 5 instructors from 4 courses. Interviews focused primarily …

An Exploration Of The Pre-Tenure And Tenure Process Experiences Of Canadian Nursing Faculty, Minawatie D. Singh, Linda Patrick, Beryl Pilkington

Quality Advancement in Nursing Education - Avancées en formation infirmière

The number of PhD prepared nurses seeking employment in academia in Canada is not keeping up with the rate of retirements and the demands for new hires in the same settings. The current number of vacancies is expected to grow over the coming decade as an aging professoriate prepares to leave full time employment. Retention of newly hired faculty will become a critical issue for administrators in an increasingly competitive environment.
Purpose: The purpose of this mixed methods study was to explore how organizational culture, mentorship and the perceived level of psychological and structural empowerment are associated with one’s work …

Anxiety: What Is It And How To Deal With It, Kaitlyn Byrd

Student Brochures

No abstract provided.