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I’M A Big Kid Now: Enhancing Transition Rn Residents’ Confidence During Pediatric Patient Care, Emily W. Lam 2017 University of San Francisco

I’M A Big Kid Now: Enhancing Transition Rn Residents’ Confidence During Pediatric Patient Care, Emily W. Lam

Master's Projects and Capstones

The title of the clinical nurse leader project is “I’m a Big Kid Now: Enhancing Transition RN Residents’ Confidence During Pediatric Patient Care”. The project aims to improve the support components for Transition RN residents during their Transition RN Residency at Children’s Hospital Los Angeles. The clinical leadership theme that correlates to this project is communication. The clinical nurse leader’s role is to act as an educator and a facilitator throughout this project. In examining the clinical nurse leader competencies, competencies “use performance measures to assess and improve the delivery of evidence-based practices and promote outcomes that ...


Pediatric Intensive Care Unit Skin-Care Team, Anna Therianos Konstantin 2017 usf

Pediatric Intensive Care Unit Skin-Care Team, Anna Therianos Konstantin

Master's Projects and Capstones

In the United States, pressure injuries (PIs) cost $9.1–$11.6 billion per year and claim more than 60,000 patient lives. The large Northern California hospital where this CNL project was conducted has had an 8.33% incidence of hospital-acquired PIs at or greater than stage two in the pediatric intensive care unit (PICU). Pressure injury prevention was not a high priority for the nursing staff; nurses were unaware of current PI prevention protocols or the PI prevalence in the PICU. The goals are to reduce PIs by 20% in 3 months, increase PI nursing education, and improve ...


Effect Of Activity Trackers And Text Messaging On Exercise, Fitness, And Physical Activity Self-Efficacy Of Middle School Students, Alison F. Pittman 2017 University of Texas at Tyler

Effect Of Activity Trackers And Text Messaging On Exercise, Fitness, And Physical Activity Self-Efficacy Of Middle School Students, Alison F. Pittman

Nursing Theses and Dissertations

A decrease in physical activity as children age is a contributing factor to the U.S. obesity epidemic. Middle school children are particularly vulnerable to sedentary activities. Activity trackers show promise as a means to motivate children and adults to increase physical activity (PA). This study examined the effect of a text messaging intervention and use of activity trackers with a companion social website on the body mass index (BMI), body fat percentage, physical fitness, and PA self-efficacy of middle school children. Children aged 11-14 (n=102) were randomly assigned to one of three groups for a 10-week intervention: activity ...


The Opportunity Cost Associated With Duplication Of Publicly Provided Immunization Services For The Refugee Population, Bridget Murphy 2017 The College at Brockport

The Opportunity Cost Associated With Duplication Of Publicly Provided Immunization Services For The Refugee Population, Bridget Murphy

Senior Honors Theses

The objective of the project was to analyze the extent and total cost associated with duplication of immunization services in Monroe County’s pediatric refugee population in 2015. Recommendations for strategies to improve cohesion and cooperation among public health agencies, eliminate duplication of services and produce cost savings will be included.


Pediatric Hematology/Oncology Outpatient Care: The Effect Of A Standardized Collaborative Medication Reconciliation Process, Traci R. Pulliam 2017 Valparaiso University

Pediatric Hematology/Oncology Outpatient Care: The Effect Of A Standardized Collaborative Medication Reconciliation Process, Traci R. Pulliam

Evidence-Based Practice Project Reports

Pediatric patients are at an increased risk for medication errors and can benefit from processes that facilitate and promote medication safety (Stone et al., 2010). Medication reconciliation (Med Rec) is a valuable tool in improving patients’ medication safety and reducing adverse drug events (The Joint Commission, 2015). The purpose of this evidence-based practice (EBP) project was to improve the accuracy of the Med Rec process in a Midwestern pediatric hematology/oncology outpatient clinic by developing, promoting, and evaluating a standardized, collaborative Med Rec process. The Stetler EBP model guided the implementation of the intervention, with the goal of integrating current ...


A Clinical Practice Change Initiative To Incorporate Animal Assisted Therapy In Advanced Practice Registered Nurses' Clinical Practice For Children And Adolescents, Donna Rae Cowell 2017 University of Southern Mississippi

A Clinical Practice Change Initiative To Incorporate Animal Assisted Therapy In Advanced Practice Registered Nurses' Clinical Practice For Children And Adolescents, Donna Rae Cowell

Doctoral Nursing Capstone Projects

Background: Children and adolescents mental healthcare needs is vital for the future of our nation’s welfare (American Psychology Association, 2014). Research has indicated AAT may be a considerable choice to help with pediatrics mental healthcare and may be utilized as an adjunct to enhance the care within the psychiatric healthcare field (Chandler, 2012). AAT has become popular within the healthcare realm (Friesen, 2009; Uyemura, 2016) and is a unique method for providing “patients” health care, which may improve patient outcomes (Chandler, 2012; Cowell, 2013; McCullough, 2016; McQuarrie & Urichuk, 2008). Research supports that “providers” in the health care field may “evade” this method of an alternative approach as an intervention due to lack of understanding (Berget, Ekeberg, & Braastad, 2008; Palley, O’Rourke, and Niemi, 2010; Uyemura, 2016; Williams & Jenkins, 2008).

Purpose ...


Autism Spectrum Disorder: Comparing The Use Of Behavior Therapy To Medication Therapy, Sarah Biondolillo 2017 The College at Brockport

Autism Spectrum Disorder: Comparing The Use Of Behavior Therapy To Medication Therapy, Sarah Biondolillo

Senior Honors Theses

Autism Spectrum Disorder is a neurodevelopmental lifelong disorder that significantly affects everyday functioning. The most abundant issues associated with autism include social and language dysfunction. With sharply increasing rates treatment options need to be recognized and studied in order to provide the community with the necessary information. Evidence-based practice needs to be identified through individual studies as well as studies comparing treatment types to classify the best and most current treatment options. Currently there are two main types of treatment available for individuals with autism: behavioral and pharmacological. There is limited research comparing different options in each treatment type, therefore ...


Staff Nurse Perception Of Professional Role Modeling For Student Nurses In The Clinical Learning Environment, Tamara Montgomery 2017 Otterbein University

Staff Nurse Perception Of Professional Role Modeling For Student Nurses In The Clinical Learning Environment, Tamara Montgomery

Doctoral Theses

Acute care settings continue to be the primary setting for undergraduate nursing education clinical experiences. Staff nurses in acute care settings are expected to provide nursing care with pre-licensure nursing students at their side (even though there are little to no incentives for staff nurses to provide mentoring leadership), which most often takes the form of professional role modeling. In addition, there is no clear evaluative expectation that motivates staff nurses to provide contextual role modeling. Without stated expectations, staff nurse perception of the significance of role modeling for pre-licensure non-precepted nursing students may be deficient.

Because fifty-six percent of ...


The Efficacy Of Narcotic Contracts In Preventing Drug-Seeking Behaviors In Adolescents Experiencing Chronic Pain Related To Sickle Cell Anemia, Haley Russotti 2017 Dominican University of California

The Efficacy Of Narcotic Contracts In Preventing Drug-Seeking Behaviors In Adolescents Experiencing Chronic Pain Related To Sickle Cell Anemia, Haley Russotti

Scholarly & Creative Works Conference 2017

It is a primary job of a nurse to advocate for their patients. If a patient is in pain, it is the nurse who is responsible for making sure that their pain gets treated. Adolescents with sickle cell anemia experience chronic pain related to vaso-occlusive crises. Once the symptoms start, they will, “persist throughout life, and there is no cure” (Atoui, 2015, p. 425). Due to their long-term use of narcotics, these adolescents could begin to demonstrate drug-seeking behaviors. Narcotic contracts are an intervention that health care teams have created to prevent drug-seeking behaviors in patients using narcotics to treat ...


Psychological And Physiological Ramifications Of Inadequate Pain Management For The Pediatric Population: Influences Of Professional Nursing Preparation, Genica-Jade Cruz Ocampo 2017 Dominican University of California

Psychological And Physiological Ramifications Of Inadequate Pain Management For The Pediatric Population: Influences Of Professional Nursing Preparation, Genica-Jade Cruz Ocampo

Scholarly & Creative Works Conference 2017

Pain management in the pediatric population is an intricate process and many existing factors contribute to inadequate pediatric pain management. Research suggests that the preparation for the nursing profession remains unsatisfactory in managing pain experiences for pediatric patients. Nurses are essential in assessing and relieving pain in pediatric patients. It is imperative to research what determinants of professional nursing preparation influence effective pain management for the pediatric population. Additionally, how nurses describe their educational or professional development of effective pain management including the psychological and physiological aspect of undermanaged pain need to be addressed. This study is being conducted through ...


Enhancing Nursing Students’ Understanding Of Oral Health: An Educational Intervention With An Interprofessional Component, Shelley Spurr Dr., Jill Bally Dr., Alyssa Hayes Dr., Marcella Ogenchuk Dr., Krista Trinder 2017 University of Saskatchewan, College of Nursing

Enhancing Nursing Students’ Understanding Of Oral Health: An Educational Intervention With An Interprofessional Component, Shelley Spurr Dr., Jill Bally Dr., Alyssa Hayes Dr., Marcella Ogenchuk Dr., Krista Trinder

Quality Advancement in Nursing Education - Avancées en formation infirmière

Oral health is integral to general health and essential for well-being, and therefore, should be prioritized in pediatric nursing education. The purpose of this pilot study was to examine if an oral health education intervention with an Interprofessional Education (IPE) component delivered to third-year baccalaureate nursing students would improve their knowledge of pediatric oral health care. Nursing students (n=99) from a Bachelor of Nursing program in a mid-Western Canadian university completed a survey before and after receiving the educational intervention which included a two-hour lecture from a Dentistry faculty member and a one-hour clinical lab in which nursing students ...


An Online Educational Program Improves Pediatric Oncology Nurses’ Knowledge, Attitudes, And Spiritual Care Competence, Cheryl L. Petersen, Margaret Callahan, Donna O. McCarthy, Ronda G. Hughes, Rosemary White-Traut, Naveen K. Bansal 2017 Marquette University

An Online Educational Program Improves Pediatric Oncology Nurses’ Knowledge, Attitudes, And Spiritual Care Competence, Cheryl L. Petersen, Margaret Callahan, Donna O. Mccarthy, Ronda G. Hughes, Rosemary White-Traut, Naveen K. Bansal

MSCS Faculty Research and Publications

This study evaluated the potential impact of an online spiritual care educational program on pediatric nurses’ attitudes toward and knowledge of spiritual care and their competence to provide spiritual care to children with cancer at the end of life. It was hypothesized that the intervention would increase nurses’ positive attitudes toward and knowledge of spiritual care and increase nurses’ level of perceived spiritual care competence. A positive correlation was expected between change in nurses’ perceived attitudes toward and knowledge of spiritual care and change in nurses’ perceived spiritual care competence. A prospective, longitudinal design was employed, and analyses included one-way ...


A Quasi-Experimental Study Of A Health Patterning Modality About Childhood Vaginitis And Power In Haitian Primary Caregivers, Anne Marie Berthe Leveille-Tulce 2017 The Graduate Center, City University of New York

A Quasi-Experimental Study Of A Health Patterning Modality About Childhood Vaginitis And Power In Haitian Primary Caregivers, Anne Marie Berthe Leveille-Tulce

All Graduate Works by Year: Dissertations, Theses, and Capstone Projects

The purpose of the study was to appraise the power as knowing participation in change of primary caregivers of Haitian children aged 6 to 13 years old before and after participation in an education and resource health patterning modality related to risk factors and prevention of childhood vaginitis. The study was framed within the realm of Rogers’ Science of Unitary Human Beings and the conceptual framework of Barrett’s Power as Knowing Participation in Change. A pretest-posttest quasi- experimental study was conducted. Descriptive statistics were used to answer the first research question “What are the power profiles of Haitian caregivers ...


Effectiveness Of School-Based Interventions Versus Family-Based Interventions In The Prevention And Treatment Of Childhood Obesity, Ashley Capestrain, Emily Montague, Meghan Frantz 2017 The University of Akron

Effectiveness Of School-Based Interventions Versus Family-Based Interventions In The Prevention And Treatment Of Childhood Obesity, Ashley Capestrain, Emily Montague, Meghan Frantz

Honors Research Projects

Childhood obesity affects 155 million children worldwide. As prevalence increases, it is important to identify effective interventions in the treatment and prevention of childhood obesity. Obesity may result in short and long term effects linked to some of the leading causes of morbidity and early mortality. The purpose of this systematic review is to identify, review, and critically appraise evidence from studies examining the effect of family and school based interventions. This review answers the following PICO question: In children, how do family based interventions compare to school based interventions, in the prevention and treatment of obesity? Methods included literature ...


A Systematic Review: The Prenatal And Postnatal Events Associated With Infant Mortality Rate (Imr), Ariel L. Thomas, Sarah A. Awwad, Briana E. Clark 2017 The University of Akron

A Systematic Review: The Prenatal And Postnatal Events Associated With Infant Mortality Rate (Imr), Ariel L. Thomas, Sarah A. Awwad, Briana E. Clark

Honors Research Projects

Infant mortality rate (IMR) is an indication of overall population health, maternal and child health, accessibility and quality of primary health care, and the availability of community resources. The current IMR in the United States is high despite advances made in the medical field. The purpose of our systematic review is to describe and critically appraise research about prenatal events, postnatal events, and increased infant mortality rate and to give nursing practice recommendations to help decrease the rate. We used CINAHL, Medline and PubMed to find 20 research articles. Overall, the research stated that going to prenatal visits had a ...


Efficacy Of Animal-Assisted Therapy Across Pediatric Care Settings: A Systematic Review, Holly Howser, Thomas Dixon, Jessica Nunez 2017 The University of Akron

Efficacy Of Animal-Assisted Therapy Across Pediatric Care Settings: A Systematic Review, Holly Howser, Thomas Dixon, Jessica Nunez

Honors Research Projects

With alternative therapies and complementary medicine becoming increasingly popular and supported by research, it is important for healthcare workers to be prepared to encounter and use these therapies in practice. A common problem in the pediatric healthcare setting is stress in patients and families during healthcare treatment. Animal assisted therapy (AAT), more commonly known as pet therapy, is a form of complementary alternative therapy that has been examined in this population. The purpose of this systematic review is to explore the effect of AAT on treatment outcomes in pediatric patients across clinical settings. The methods used to guide this systematic ...


Use Of The Afix Model To Improve Adolescent Hpv Vaccination: A Pilot Research Study, Emily Messerli 2017 University of Kentucky College of Nursing

Use Of The Afix Model To Improve Adolescent Hpv Vaccination: A Pilot Research Study, Emily Messerli

DNP Projects

Abstract

Problem: The CDC estimates one person every 20 minutes every day acquires an HPV-related cancer. Kentucky’s HPV associated cancer burden is among the highest in the nation. Adolescent HPV vaccination rates in Kentucky are far below HealthyPeople 2020 goals. Barriers are multifaceted and include provider, patient and system barriers. The AFIX model is an evidenced based quality improvement program that addresses key provider barriers. The USPSTF findings identify a gap in the literature related to AFIX methods to improve rates of adolescent vaccines.

Objectives: The purpose of this study was to evaluate the effects of an intervention using ...


The Use Of Magnets As Patient Appointment Reminders And Hpv Vaccination Rates, Hayden Kelley 2017 University of Kentucky

The Use Of Magnets As Patient Appointment Reminders And Hpv Vaccination Rates, Hayden Kelley

DNP Projects

PURPOSE: The purpose of this study is to evaluate the effectiveness of a patient reminder alert system implemented at a public health department in rural Indiana in an attempt to increase the facility’s human papillomavirus (HPV) vaccination rates.

METHODS: This study was a secondary data analysis utilizing the Children and Hoosiers Immunization Registry Program (CHIRP) database to compare HPV vaccination rates before and after the implementation of an HPV magnet reminder program. The sample consisted of 122 adolescents; 31 patients for the pre-implementation period, July 1, 2015- June 30, 2016 and 91patients for the post-implementation period, July 1, 2016- ...


Reducing Preoperative Anxiety In Adolescents Facing Spinal Fusion Surgery, Anna Gayle Parke 2017 University of Kentucky College of Nursing

Reducing Preoperative Anxiety In Adolescents Facing Spinal Fusion Surgery, Anna Gayle Parke

DNP Projects

Reducing preoperative anxiety for adolescents facing spinal fusion surgery for the treatment of scoliosis has significant implications for clinical practice and patient outcomes for this specific population. The reality of a pending surgery creates a difficult, uncomfortable, and exhausting state of being that can lead to increased postoperative pain, sleep disturbances, and maladaptive behaviors. This final capstone project inquiry report presents three manuscripts which focus on the reduction of preoperative anxiety in adolescents facing spinal fusion surgery. The first manuscript is a literature review examining current evidence related to preoperative anxiety, adolescents undergoing spinal fusion surgery, and teaching programs aimed ...


Text Message Follow-Up Reminders In The Pediatric Urgent Care, Kimberly R. Joo 2017 Wright State University - Main Campus

Text Message Follow-Up Reminders In The Pediatric Urgent Care, Kimberly R. Joo

Doctor of Nursing Practice Program Projects

Follow-up care by a primary care provider (PCP) immediately following a visit to the pediatric urgent care is recommended by the American Academy of Pediatrics. Unfortunately, studies indicate that between 26-56% of patients do not complete a recommended follow-up appointment with PCPs. Communication in the form of reminders to parents, guardians, and patients over the age of 18 may have the potential to increase rates of follow-up appointments after an urgent care visit. Short Message Service (SMS) text messages have been shown to be an effective means of communication between providers and patients in multiple types of healthcare settings. The ...


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