Burnout In Medical Assistants In Primary Care: Can Mindfulness Be A Solution?, 2023 Abilene Christian University
Burnout In Medical Assistants In Primary Care: Can Mindfulness Be A Solution?, Natalee D. Calais
Electronic Theses and Dissertations
Burnout is described as feelings associated with emotional exhaustion, depersonalization of patients, and a loss of sense of personal accomplishment and it is unique to healthcare workers. Current research highlights this condition among physicians, nurses, and mid-level providers; however, insufficient research exists regarding the effects of burnout on medical assistants. Research led to mindfulness as a possible solution defined as an intentional regulation of attention and awareness of the present moment. This project sought to see if mindfulness practices could be utilized to mitigate the effects of burnout in medical assistants. It was hypothesized that mindfulness could be a solution. …
Exploring Novel Intradialytic Techniques To Identify & Ameliorate Of Hemodialysis-Induced Myocardial Ischemic Injury, 2023 The University of Western Ontario
Exploring Novel Intradialytic Techniques To Identify & Ameliorate Of Hemodialysis-Induced Myocardial Ischemic Injury, Jarrin D. Penny
Electronic Thesis and Dissertation Repository
Patients with chronic kidney disease requiring hemodialysis to sustain life have extremely high rates of cardiovascular morbidity/mortality. This is both a consequence of the disease process and treatment. Hemodialysis induces systemic circulatory stress is largely due to the extracorporeal circuit and volume removal. The stress induced by intermitted hemodialysis is repetitive with cumulative cardiovascular effect and is the principal driver of heart failure and sudden death in this vulnerable population. The insults imposed by hemodialysis result in left ventricular regional wall motion abnormalities and lead to myocardial stunning with permanent damage to the vasculature and myocardium. Currently, the adversity caused …
Practicum Structures And Nursing Student Retention/Achievement Rates In A United Kingdom University: A Quantitative Analysis, 2023 The Open University
Practicum Structures And Nursing Student Retention/Achievement Rates In A United Kingdom University: A Quantitative Analysis, Phil M. Coleman
Quality Advancement in Nursing Education - Avancées en formation infirmière
This study sought to examine whether the consistent application of a specific placement design to student practice learning experiences within two pre-registration nursing degree programmes offered by a university in the United Kingdom (UK) affected retention and achievement levels. The quantitative analysis involved a sample of 460 employer-sponsored undergraduates, all of whom worked as non-registrant carers, within two cohorts of a part-time adult (physical) or mental health nursing degree programme, both of four years duration, offered by a large academic institution with a presence in all four UK nations. Cross-tabulation and multinomial logistic regression analyses found no statistically significant relationship …
Impact Of The Covid-19 Pandemic On Nursing Students’ Clinical Learning Experiences In British Columbia: The Student Perspective, 2023 The University of British Columbia
Impact Of The Covid-19 Pandemic On Nursing Students’ Clinical Learning Experiences In British Columbia: The Student Perspective, Krista Sferrazza, Maura Macphee, Farinaz Havaei, Suzanne Hetzel Campbell
Quality Advancement in Nursing Education - Avancées en formation infirmière
The clinical learning environment is where nursing students gain knowledge, practice skills and become socialized into the nursing profession. Traditionally, in Canada, the clinical learning environment takes place hospital and community settings. The COVID-19 pandemic required quick thinking by nursing faculty to replace on-site clinical hours. Given the quick change-over, there was minimal consideration given to nursing students' perspectives in the planning stages. This study aimed to investigate nursing students' experience in the clinical learning environment before and during the COVID-19 pandemic. The perceived quality of students' learning experiences was assessed using the Clinical Learning Environment, Supervision and Nurse Teacher …
University Competency-Based Courses For Internationally Educated Nurses (Iens) In Ontario: A Pilot Education Pathway To Registered Nurse (Rn) Licensure, 2023 Toronto Metropolitan University (Ryerson University)
University Competency-Based Courses For Internationally Educated Nurses (Iens) In Ontario: A Pilot Education Pathway To Registered Nurse (Rn) Licensure, Elaine E. Santa Mina Dr, Ayesha Bhatti, Patricia Bradley, Elizabeth Manafo, Alice Ormiston, Linda Patrick, Kirsten Woodend
Quality Advancement in Nursing Education - Avancées en formation infirmière
In 2014, a team of nurse educators and champions of internationally educated nurses (IENs) in Ontario, Canada, came together to address the issue of supporting IEN transition to practice as one route to help address nursing shortages. Courses were developed with funding from the Government of Ontario, and policy and coordination support from the Council of Ontario Universities, to pilot an educational bridging pathway for IENs. The faculty team across four Ontario universities used a consortium approach to coalesce province-wide expertise in IEN education. What began as a selection of targeted, competency-based courses has since evolved into a full Competency-Bridging …
Complexities Of Health And Care Worker Migration Pathways And Corresponding International Reporting Requirements, 2023 Wilfrid Laurier University
Complexities Of Health And Care Worker Migration Pathways And Corresponding International Reporting Requirements, Margaret Walton-Roberts, Ivy Bourgeault, Denise Spitzer
Global Nurse Migration Pathways: A Comparative Project
The increasing complexity of the migration pathways of health and care workers is a critical consideration in the reporting requirements of international agreements designed to address their impacts. There are inherent challenges across these different agreements including reporting functions that are misaligned across different data collection tools, variable capacity of country respondents, and a lack of transparency or accountability in the reporting process. Moreover, reporting processes often neglect to recognize the broader intersectional gendered and racialized political economy of health and care worker migration. We argue for a more coordinated approach to the various international reporting requirements and processes that …
Building Resilience In Graduate Nurses Through Online Virtual Simulation, 2023 Abilene Christian University
Building Resilience In Graduate Nurses Through Online Virtual Simulation, Robert Grant Harmon
Electronic Theses and Dissertations
Resilience has become a popular topic in nursing research. Nurses experience enormous stress throughout their training process that extends into their first employment as they transition into practice. Simulation training is a standard for training nurses and for continuing professional education within academia. Most simulation training for nurses is focused on building critical thinking skills. While critical thinking is an essential quality equipping nurses to meet professional demands, resilience is a crucial quality to overcome the stress of both training and practice. Resilience is believed to play an essential role in the retention of new graduate nurses and preventing burnout …
Female Ex-Offenders Transitioning Into Society, 2023 Abilene Christian University
Female Ex-Offenders Transitioning Into Society, Stacey L. Forte
Electronic Theses and Dissertations
The purpose of this qualitative study was to examine female ex-offenders’ perceptions of their lived experience(s) while transitioning into society after incarceration. This study examined risk factors that female ex-offenders faced while transitioning into society asking the question, “What are the lived experiences of female ex-offenders who utilized transitional housing for reentry with regard to their perception of the benefits of certain services/offerings and staff support?” Nine participants were part of the study ranging from 25–64 years of age, with the majority being between the ages of 25 and 55 years old, residing originally in five different states. Sixty percent …
Using Doctoral Education And Research-Based Learning To Advance The Nurse Leader, 2023 Minnesota State University, Mankato
Using Doctoral Education And Research-Based Learning To Advance The Nurse Leader, Kara R. De La Fosse
The Journal of Advancing Education Practice
Nurse leaders perform in highly autonomous positions in two dimensions; academia, and the clinical setting with the awesome responsibility to serve and protect others. To guide nursing practice, research-based skills are crucial to ensure leadership decisions are founded in evidence-based practice. Random controlled studies are gold-standard in healthcare compared to correlation or descriptive studies and employ a systematic review to strengthen findings (Schmidt & Brown, 2021). Research skills are prominent in numerous components of the leadership scope to perform at a stellar level.
Using Unfolding Case Studies To Develop Critical Thinking In First-Semester Nursing Students, 2023 Gardner-Webb University
Using Unfolding Case Studies To Develop Critical Thinking In First-Semester Nursing Students, Carol Cook
Doctor of Nursing Practice Projects
There is a crisis in competency among new nurses in the United States. Prelicensure nursing education prepares them to pass the NCLEX-RN, but it does not provide the necessary foundation for sound clinical decision-making. Mistakes in the clinical setting can lead to failure to rescue, resulting in the third leading cause of death: medical error. A radical change is needed to prepare nurses with the clinical judgment skills necessary for patient care. Educators must be mindful of the academic-practice gap and adopt evidence-based improvements, including active learning with unfolding case studies. This quality improvement project involved a four-part unfolding case …
Heparin Vs. Saline: Evaluating Evidence-Based Best Practice For Maintaining Patency Of Implanted Ports, 2023 University of New Hampshire, Durham
Heparin Vs. Saline: Evaluating Evidence-Based Best Practice For Maintaining Patency Of Implanted Ports, Shannon D. Murdock
Master's Theses and Capstones
Background Implanted ports are frequently used for central venous access in the adult oncology population. Maintaining patency of these ports is important for continuing uninterrupted treatment and supportive care for oncologic patients. Historically, heparin solution has been used as a locking solution for implanted ports to prevent occlusion. However, evidence shows that 0.9% sodium chloride (normal saline or NS) as a lock solution is equally effective as heparin solution at maintaining implanted port patency and poses less risk to patients.
Local Problem In an ambulatory adult oncology clinic serving Seacoast New Hampshire, a gap was identified between clinical practice where …
Implementing Change: The Use Of Minocycline-Rifampin Impregnated Central Venous Catheters In Central Line Associated Blood Stream Infection Prevention In Critically Ill Patients, 2023 University of New Hampshire, Durham
Implementing Change: The Use Of Minocycline-Rifampin Impregnated Central Venous Catheters In Central Line Associated Blood Stream Infection Prevention In Critically Ill Patients, Shawn B. Murray
Master's Theses and Capstones
Introduction: At a large academic healthcare facility in the northeast a Gap Analysis was conducted finding quality improvement opportunities for central line associated blood stream (CLABSI) prevention in critically ill patients. Review of literature reveals the use of minocycline-rifampin impregnated (MNRI) central venous catheters (CVCs) as being an effective intervention in CLABSI prevention.
Methods: Several assessments were conducted regarding the implications of updating the facilities practice to reflect this evidence including AHRQ Gap Analysis Tool, a Strengths, Weaknesses, Opportunities and Threats (SWOT) analysis, Stakeholder Feedback, and Resource Allocation.
Results: Facilitators and barriers were identified in implementing this …
A Roadmap To Safer Hyaluronic Acid Injections, 2023 San Jose State University
A Roadmap To Safer Hyaluronic Acid Injections, Mandi Lonergan
Master's Projects
Non surgical aesthetic treatments have become increasingly more popular in the United States (2020 Plastic Surgery Statistics Report 2021). Hyaluronic acid (HA) fillers are the second most popular non-surgical aesthetic treatment behind Botulinum toxin injections (The Aesthetic Society, 2021). The increased use of these fillers has led to increased rates of complications With the release of new long lasting fillers in 2014, providers began to see an increase in delayed onset nodules (DON). A DON is considered in the aesthetic field to be a nodule that occurs 30 days to years after filler injection (Convery et al., 2021). A …
Prospective Generation Z Nurses: Expectation Of The Workforce In Connotation To The Great Resignation, 2023 Gardner-Webb University
Prospective Generation Z Nurses: Expectation Of The Workforce In Connotation To The Great Resignation, Amelia Borders
Undergraduate Honors Theses
The Great Resignation has left an impact on the entirety of the American workforce. Coupled with the burnout rates caused by the COVID-19 pandemic, healthcare systems have been trying to find solutions to inhibit the nurse shortage. While solutions that focus on symptoms of the problem may work for a short period of time, hospitals will continue to encounter issues with staffing nurses and will need to find a new solution (Laskowskil-Jones & Castner, 2022). A possible solution would be for hospitals to recruit and retain prospective Gen Z nurses. In a quantitative study completed at a single university in …
Accelerated Onboarding For Unlicensed Personnel When Preceptors Are Limited, 2023 CentraCare Health
Accelerated Onboarding For Unlicensed Personnel When Preceptors Are Limited, Britney Winkelman
Nursing Posters
Problem:
The timeframe between hiring unlicensed personnel (UP) to beginning the role within the organization began to increase due to limited orientation resources, rising staff shortages, and insufficient number of preceptors.
Purpose:
Accelerate the onboarding of UPs to decrease the workload for preceptors and reduce staff shortages, while generating competence and reducing costs for the organization.
From Silos To Collaborative Working Relationships With Ems And Ed, 2023 CentraCare Health
From Silos To Collaborative Working Relationships With Ems And Ed, Angela Moscho
Nursing Posters
Opportunity:
To establish a strong, collaborative relationship between St. Cloud Hospital Stroke Center, St. Cloud Hospital Emergency Department and Emergency Medical Services.
Background:
Two separate health care systems with one goal in mind: best stroke care for a community member experiencing stroke-like symptoms.
Current Practice in 2017:
- Code stroke activation with LTKW (last time known well) up to 6 hours.
- Inconsistent pre-notifications and pre-activations by EMS and ED.
- St. Cloud Hospital and Mayo Clinic Ambulance with siloed/individualized protocols for their respective health systems.
Clinical Nurse Specialists: A Rare Breed, 2023 St. Cloud Hospital, CentraCare Health
Clinical Nurse Specialists: A Rare Breed, Teresa Jahn, Evalyn Michira, Elizabeth Plante
Nursing Posters
What is a CNS?:
- A clinical nurse specialist (CNS) is an advanced practice registered nurse (APRN) with graduate level education in nursing.
- CNSs are prepared to provided leadership, consultation, and clinical expertise for patients and their families, nurses, and systems.
- Have the autonomy to diagnose and treat based on advanced clinical assessment like other APRNs (Nurse practitioners, certified nurse midwives, certified registered nurse anesthetists).
- CNS work in all areas of healthcare like clinics, emergency departments, hospital units, entire healthcare systems, or even as independent practitioners/contractors.
Dynamic Bronchoscopy For Excessive Dynamic Airway Collapse, 2023 CentraCare Health
Dynamic Bronchoscopy For Excessive Dynamic Airway Collapse, Jennier Salaski, Krista Ophoven
Nursing Posters
Definition:
Excessive Dynamic Airway Collapse (EDAC) is a respiratory condition characterized by >50%luminal narrowing on expiration.
Heated High Flow Oxygen Therapy Management Of Respiratory, Swallowing/Dysphagia And Nutrition Needs, 2023 CentraCare Health
Heated High Flow Oxygen Therapy Management Of Respiratory, Swallowing/Dysphagia And Nutrition Needs, Jenelle Overgaard
Nursing Posters
Problem
- Patients diagnosed with COVID-19 pose challenges for oxygenation. Often requiring heated high flow oxygen therapy (HHFOT) for days to weeks, with literflow commonly over 40 L/min with maximum of 60 L/min.
- There is minimal research on aspiration risk at higher literflow, therefore practice included decreasing liter flow to 20 L/min for oral intake was standard.
- During oral intake, with literflow decreased to 20 L/min, patients' oxygen saturations would quickly trend down.
- Alarms indicating low saturation would create anxiety, cause patients to eat faster potentially increasing risk for aspiration.
Solution
- For adult inpatients meeting criteria, increase maximum literflow allowed during …
Icu Cauti Incidence Reduction, 2023 CentraCare Health
Icu Cauti Incidence Reduction, Michelle Gamble
Nursing Posters
Situation:
Catheter-Associated Urinary Tract Infection (CAUTI) rates in the adult Intensive Care Unit (ICU) increased from nine infections in FY21 to 18 in FY22.
Backgroud:
CAUTIs are the most reported healthcare acquired infection. It is important for healthcare providers to understand the complications and effects of CAUTIs. CAUTIs contribute to extended length of stay, increased healthcare costs, and patient morbidity and mortality.
Most CAUTIs are directly related to inadequate urinary catheter care. Evidence based practice demonstrates a decrease in CAUTIs related to the use of Theraworx® Protect wipes twice daily (BID) and as needed (PRN) for patients with a …