Other Nursing Commons^™

Effective Coping Mechanisms For Nurses Following Patient Death, Tiffany Gagliardo

Senior Honors Projects

The loss of a loved one affects family and friends but also the nurses and health care providers. At the time of death, nurses are at the bedside providing comfort and words of support. But who is there to support the nurses when the patient dies? The objective of this research project is to identify positive coping mechanisms that nurses can use on a daily basis through an extensive analysis of the literature and individual nurse interviews.

Unfortunately, patient death may be more common for nurses who work on Intensive Care Units (ICU) and Hospice agencies. With the daily requirements …

Positive Deviance, Contraceptive Self-Efficacy And Social Desirability In Sexually Active Adolescent Females : A Mixed Methods Approach., Ashley D. Miller

Electronic Theses and Dissertations

Unintended pregnancy is an issue that impacts women of all ages, ethnicities, and socioeconomic statuses. It also impacts the child that results and the society in which they live. In the United States, adolescents experience unintended pregnancy more than adolescents in other countries. The purpose of this dissertation was to explore the factors that contribute to successful contraceptive use among adolescent females (ages 13-18) seeking reproductive health services at a local family planning clinic. The theoretical framework of contraceptive self-efficacy (CSE) was used to frame this understanding. The exploration was conducted in three ways: a critical review of the literature …

Predicting Nclex-Rn Performance : An Exploration Of Student Demographics, Pre-Program Factors, And Nursing Program Factors., Heather Davis Mitchell

Electronic Theses and Dissertations

Nursing programs are experiencing a decline in National Council Licensure Examination for Registered Nurses (NCLEX-RN) pass rates among graduates. While researchers have attempted to identify predictors of performance on the NCLEX-RN, identification of predictors remains elusive. Although the literature is replete with studies exploring NCLEX-RN predictors, prediction under the new 2013 NCLEX test plan and passing standards is not well established. Considering the ever-evolving diversity in students, combined with recent changes in the NCLEX-RN, further exploration of predictors of performance is warranted. Using a correlational design, the study sought to identify the predictors of NCLEX-RN performance for Bachelors of Science …

Patient Perceptions Of An Aidet And Hourly Rounding Program In A Community Hospital: Results Of A Qualitative Study, Tosha Allen, Tyne Rieck, Stacie Salsbury

Patient Experience Journal

Quantitative evidence links patient satisfaction scores to the use of communication strategies such as AIDET (Acknowledge, Introduce, Duration, Explanation, and Thank you) and Hourly Rounding. However, little is known about patient perceptions of these tools in regards to their hospital experience. Qualitative interviews were conducted with a convenience sample of 14 adult medical/surgical inpatients in one mid-sized, community hospital, following hospital discharge. The interview data was transcribed and opened coded, utilizing constant comparison to identify common themes. Themes emerged in four topical areas: (a) patient experience of hospitalization, (b) AIDET, (c) Hourly Rounding, and (d) unexpected findings. Patients placed significant …

Nurses’ Perceptions Of Importance And Achievability Of The Ten Attributes Of Health Literate Healthcare Organizations In Their Institutions: A Descriptive Study, Anna Ten Napel

Theses & Dissertations

Health literacy defined is the degree to which individuals have the capacity to obtain process and understand basic health information to make appropriate health decisions (IOM, 2004). To be a health literate consumer, a person must be able to read, listen, understand, and make decisions related to their health. Hospitals seeking to be Health Literate Organizations must have a strong commitment to improving and reengineering to make it easier for patients to navigate, understand and use information and services to take care of their health (IOM, 2013). High quality, safe health care depends on clear communication between patients, families, providers, …

Effect Of Dietary Self-Monitoring In Caucasian And African-American Women, Julianne Tondreau

DNP Scholarly Projects

Purpose: The purpose of the study is 1) to assess the effect of dietary self-monitoring on weight loss in a population of Caucasian and African-American women and men; and 2) to determine if there is a difference in African Americans’ and Caucasians’ use of self-monitoring in weight loss.

Review of the Literature: Previous studies demonstrated increased weight loss with dietary self-monitoring; however, these studies’ samples are 70-80% Caucasian women and cannot be generalized to African-Americans or men. Studies confirming the effectiveness of dietary intake self-monitoring in non-Caucasian women and men are needed.

Methodology: Using a cohort design with prospective and …

Cognitive Rehearsal Training For Upskilling Undergraduate Nursing Students Against Bullying: A Qualitative Pilot Study, Florriann C. Fehr Dr., L. Michelle Seibel Ms.

Quality Advancement in Nursing Education - Avancées en formation infirmière

The purpose of this qualitative study is to examine the effectiveness of an anti-bullying intervention called Cognitive Rehearsal Training (CRT) using a workshop format to increase third year nursing students’ knowledge and confidence to address bullying behaviour. A lanyard card identifying ten common bullying behaviours and possible phrases to stand up to bullying was used as a tool to Stop! Reflect! and Respond! as a process to resolve conflict (Griffin, 2004; Griffin & Clark, 2014). Although similar bullying interventions have been studied among practicing nurses, few studies exist that involve students within their pre-licensure training program (Iheduru-Anderson, 2014; Thomas, 2010) …

Medication Reconciliation: Preventing Errors And Improving Patient Outcomes, Amanda S. Boren

Scholars Week

No abstract provided.

The Effect Of Golden Pothos In Reducing The Level Of Colatile Organic Compounds In A Simulated Spacecraft Cabin, Matthew Ursprung

Research Horizons Day Posters

No abstract provided.

The Challenges Of Collecting Qualitative Data In A High Census Hospital Unit, Kristen Bertrand

Research Horizons Day Posters

No abstract provided.

Nursing Students' Concerns And Exoeriences Toward End-Of-Life Care: A Mixed Methods Study Using Simulation, Patricia Cosby

Research Horizons Day Posters

No abstract provided.

Development Of A New Model For Laboratory Testing To Improve Efficiency And Reduce Costs, Linda A. Hanson

Research Horizons Day Posters

No abstract provided.

The Effect Of Bedside Handoffs On Patients’ Perceived Fears, Maija Paldan

Honors Theses

Background and Significance: Fear, anxiety, and apprehension can have a profound effect upon patient outcomes, possibly leading to a worsened health condition or delay in recovery. Current literature finds that communication and social support by the nursing staff may foster patients’ understanding of their care and their experiences of feeling safe. The bedside handoff is one way of enhancing communication and providing support within nurse patient interactions. The purpose of this study is to explore the effect of bedside handoffs on patients’ perceived fear, anxiety, and apprehension.

Methods: A secondary analysis was performed upon a larger quantitative data set from …

Enhancing Nurse-Physician Communication And Collaboration, Pamela D. Missi

Graduate Theses, Dissertations, and Capstones

In healthcare organizations today, creating a culture of safety is critically important. Communication failures among healthcare providers have been linked to 70% of annual sentinel events. Seventy-six percent of individuals experiencing a sentinel event die (Joint Commission, 2009). Lack of good communication behavior between nurses and physicians has been recognized as a cause of preventable harm to patients (Institute of Medicine, 2004; Zwarenstein & Reeves, 2006). In hospital settings, communication failures are linked to increases in length of stay, patient harm, resource utilization, more rapid turnover, and caregiver dissatisfaction (Dingley et al., 2008). Numerous national organizations and commissions have officially …

Facilitating The Sustainability Of Health Behaviors In The Phase Iii (Graduated) Cardiac Rehabilitation Population, Andrea C. Lambe

Doctor of Nursing Practice Projects

Cardiovascular disease (CVD) develops in the setting of poor health behaviors often secondary to hypertension, dyslipidemia and hyperglycemia or diabetes (Spring et al., 2013). In the United States, it is estimated that health care costs associated with CVD management will triple to $818 billion in 2030 (Spring et al., 2013). Cardiac rehabilitation (CR) is a secondary/ tertiary prevention program aimed at reducing modifiable risk factors for CVD in a patient population who has already experienced a “qualifying” cardiac event and may be at an increased risk for sustaining another, possibly life-threatening, event (Lucan, 2010). Existing evidence points to a 45-47% …

Prehabilitation Impact On Post-Operative Risk, Readmission Rates And Patient Satisfaction, Pamela Fields

Doctor of Nursing Practice Projects

Background: Prehabilitation programs may improve 30-day readmission rates, post-operative infections and patient satisfaction in obese total joint replacement (TJR) patients. Joint replacement patients who participate in prehabilitation have improved physical function and patient satisfaction. In an effort to improve TJR patients’ mobility and recovery, a prehabilitation performance improvement project was implemented at a local wellness center.

Method: The Institute of Healthcare Improvement, Triple Aim Initiative (IHI, TAI) and Centers for Medicare and Medicaid (CMS) performance improvement goals provided the project foundation (IHI, 2015; CMS; 2015). The physical exercise routine utilized in this program was identified as appropriate for use with …

Constructivist Learning Strategies In A Nurse Residency Program, Floyd M. Hammon Iii

Doctoral Projects

Nurses are knowledge workers in technologically advanced social environments providing care to patients with complex biopsychosocial health care needs. The Nurse Residency Program (NRP) is a transition to practice program designed to facilitate the professional socialization of the newly licensed registered nurse (NLRN) with the goal of developing competency in providing safe and quality patient-centered care. Constructivist learning strategies are an instructional framework that promotes social facilitated self-directed learning. The purpose of the project is to determine if using constructivist learning strategies are an effective learning method in a NRP as measured by the Casey-Fink Graduate Nurse Experience Survey.

Intraspinal Drug Delivery Reservoir Refill Procedure By Non-Physician Clinicians: A Nation-Wide Survey Of Training, Pocket Fill Experience, And Life-Long Learning Behaviors, Gail Mcglothlen

Doctoral Projects

Intraspinal drug delivery (IDD) is a safe and efficacious method used to deliver medications for the treatment of chronic neurologic disease that requires periodic reservoir refills that can place patients at risk for a rare, accidental but potentially life-threatening, pocket fill. In the United States (US), non-physician clinicians perform this procedure. This study reports the results of a nationwide survey completed by 65 non-physician clinicians, obtained through social media, who performed the reservoir refill procedure. The results of the survey showed no standardized training was used, lack of attention to existing clinical practice guidelines in the training given, lack of …

Building Expert Consensus On Including Indicators Of Moisture Associated Skin Damage In The National Database Of Nursing Quality Indicators (Ndnqi), Mary Caroleen Arnold Long

Capstone Projects

Pressure ulcer (PU) data are collected by hospitals and reported quarterly as a nursing sensitive quality indicator via the National Database of Nursing Quality Indicators (NDNQI). Incontinence-associated dermatitis (IAD) and gluteal intertriginous dermatitis (ITD), both forms of moisture associated skin damage (MASD), are caused by moisture, not pressure or shear. These two forms of skin damage may be mistaken for PUs and may be reported in error as PUs. If the assessment of the skin damage is incorrect, the reporting is incorrect and the NDNQI database is incorrect. If the NDNQI database is incorrect then practice and policy regarding identification, …

A Causal-Comparative Inquiry Into The Significance Of Implementing A Flipped Classroom Strategy In Nursing Education, Rhonda Faretta

Doctoral Dissertations and Projects

The purpose of this causal-comparative design study was to examine the application of the theory of Vygotsky’s social constructivism (1978) and McMillan and Chavis’s (1986) definition of sense of classroom community in the context of a flipped classroom. The researcher aimed to determine if a pathophysiology course taught with the flipped classroom method would result in a statistically-significant difference in nursing students’ academic performance and sense of classroom community when compared to a pathophysiology course taught with the lecture classroom method. Two questions were addressed during this study: (a) Is there a statistically-significant difference in nursing students’ academic performance (as …