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Inpatient Hospice Home: A Needs Assessment And Business Plan, Stacey Middleton

Doctor of Nursing Practice Scholarly Project

An Abstract of the Scholarly Project by

Stacey Middleton

There are two constants that every person can count on in life, being born and dying. No amount of research is required, and there is no need to challenge the inevitable. When a child is born, people celebrate and congratulate the new parents and their family. When a person dies, people are saddened by the loss of a friend and loved one. Death comes to all and is either, fast and unexpected or a slow drawn out process. Every dying patient deserves to die with dignity, be free from pain, and …

Spirituality In Clinical Practice: Recognizing The Importance Of Personal Values And Beliefs In Medical Decision-Making, Katie Lutz

Doctor of Nursing Practice (DNP) Projects

This Doctor of Nursing Practice (DNP) project addresses the importance of values and beliefs in patient’s healthcare decisions. Relying on a holistic theoretical model that accounts for all aspects of the human experience, the focus shifts from standard healthcare delivery to exploration of spiritual values and beliefs. In the past two decades, researchers and healthcare professionals have juxtaposed healthcare and spirituality to broaden the domain of care and enrich the provider and patient experience. Evidence has shown the alliance of spirituality and clinical practice has the potential to improve wellbeing and healthcare outcomes.

Interventions: In a public health setting, a …

To Heal, Escape: Using Theatre Arts To Promote Holistic Health In The Clinical Setting, John Filegar

Senior Honors Theses

The purpose of this thesis is to provide an argument for the implementation of theatre arts therapy in the clinical setting. The effects of traditional art therapies involving visual arts, expressive arts, and music on the holistic health of the patient in the clinical setting have been thoroughly researched and understood. However, the extent of the influence of theatre arts therapy on the holistic health of individuals in the clinical setting lacks sufficient evidence and therefore cannot be compared to the influence of traditional art therapies on the holistic health of individuals in the same setting. Following an overview on …

The Therapeutic Relationship As A Context For Reformation, Kristine Lund

Consensus

No abstract provided.

Aids: Legal, Public, And Pastoral Implications, Sr. Joanne Lucid

The Catholic Lawyer

No abstract provided.

Patients' And Caregivers' Needs, Experiences, Preferences And Research Priorities In Spiritual Care: A Focus Group Study Across Nine Countries., Lucy Ellen Selman, Lisa Jane Brighton, Shane Sinclair, Ikali Karvinen, Richard Egan, Peter Speck, Richard A Powell, Ewa Deskur-Smielecka, Myra Glajchen, Shelly Adler, Christina Puchalski, Joy Hunter, Nancy Gikaara, Jonathon Hope

Medicine Faculty Publications

Background:

Spiritual distress is prevalent in advanced disease, but often neglected, resulting in unnecessary suffering. Evidence to inform spiritual care practices in palliative care is limited.

Aim:

To explore spiritual care needs, experiences, preferences and research priorities in an international sample of patients with life-limiting disease and family caregivers.

Design:

Focus group study.

Setting/participants:

Separate patient and caregiver focus groups were conducted at 11 sites in South Africa, Kenya, South Korea, the United States, Canada, the United Kingdom, Belgium, Finland and Poland. Discussions were transcribed, translated into English and analysed thematically.

Results:

A total of 74 patients participated: median age …

Nurse Resiliency In Pediatric And Picu Nurses., Ashley Divincenzo Bsn, Rn, Stephanie Pinter Bsn, Rn, Alexis Gilmore Bsn, Rn, Kendra Wetherhold Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Unm Gme Resources - July 2017, Elizabeth C. Lawrence

Office of Physician and Student Wellness (OPSW)

No abstract provided.

Application Of A Fath-Based Integration Tool To Assess Mental And Physical Health Interventions, Donna M. Saunders, Jean Leak, Monique E. Carver, Selina A. Smith

Journal of the Georgia Public Health Association

Background: To build on current research involving faith-based interventions (FBIs) for addressing mental and physical health, this study a) reviewed the extent to which relevant publications integrate faith concepts with health and b) initiated analysis of the degree of FBI integration with intervention outcomes.

Methods: Derived from a systematic search of articles published between 2007 and 2017, 36 studies were assessed with a FaithBased Integration Assessment Tool (FIAT) to quantify faith-health integration. Basic statistical procedures were employed to determine the association of faith-based integration with intervention outcomes.

Results: The assessed studies possessed (on average) moderate, inconsistent integration because of poor …

Preparing For The Merit-Based Incentive Payment Structure: A Value-Based Business Plan, Ali R. Saheb

Doctoral Projects

The notion of delivering value-based care while maintaining corporate vitality in health care is a multifaceted process. Shaping a business model to reflect this process requires the alignment of quality implications, reimbursement initiatives, a framework that takes into account stipulations on reimbursement for different types of clinicians, and an understanding and preparedness for emerging guidelines and nationally recognized structures for quality indicators. When organizations recognize the need for change, but are not yet prepared to implement it, a comprehensive business plan can help the organization visualize a path to success. In this project, the foundation of requirements for a value-based …

The Emotional Cost Of Caring: Compassion Fatigue Experienced By Nurse Staff On An Inpatient Geriatric Behavioral Health Unit, Susan Annette Campbell

Theses and Dissertations from 2017

Purpose: Research studies on the prevalence of compassion fatigue (CF) in nursing have been conducted in various clinical settings. There has been limited empirical research conducted on nurses working within the geriatric behavioral health setting, which can present increased nursing challenges related to the chronic health problems of aging coupled with acute behavioral health crises. The purpose of this quantitative, descriptive research study was to identify the prevalence of CF in RN and LPN staff within an inpatient geriatric behavioral health unit setting in two comparably sized hospitals. Design/Methods: An electronic survey design (consisting of demographics and the ProQOL v. …

Interdisciplinary Team Based Pastoral Care: A Potentially Adaptable Model For Estonian Healthcare, Liidia Meel, Tõnu Lehtsaar

Occasional Papers on Religion in Eastern Europe

This article aims to build a potentially adaptable model of clinical pastoral care for Estonia’s healthcare institutions. To help the development of spiritual support provision in Estonian healthcare institutions, we are currently working on creating a model of clinical pastoral care that would be in accordance with the local circumstances. Preparatory research in the matter has addressed the socio-cultural and institutional context that shows the great need for interdisciplinary teamwork. The current article offers concrete proposals in the following main points: a) presentation of the pastoral caregiver; b) main actors; c) forms of cooperation; and c) education and internal trainings. …

Development Of A Aya Team: Ensuring Age-Appropriate Cancer Care For Adolescents And Young Adults., Donna Colabroy Rn, Msn, Ocn, Ccm, Melissa Kratz Rn, Msn, Aocn, Amber Messinger Bsw, Rose Schenk Msn, Elizabeth Rohn Mss, Lcsw, Osw-C, Phd, Mandy Hendricks Rn Msn Ocn

Patient Care Services / Nursing

No abstract provided.

Faith Community Nurses' Impact On Family Caregivers, Lori R. Anderson

All Electronic Theses and Dissertations

Title: What are the most compelling ways that faith community nurses support family caregivers? Background: The need for family caregivers will rise exponentially in the United States in the coming decades as older adults live longer lives and often with two or more chronic illnesses. Faith community nurses are uniquely positioned through their trusted presence in faith community settings to provide this support to family caregivers. Purpose: Family caregivers provide vital care to senior adults that our healthcare systems cannot absorb. Faith community nurses (FCNs) support family caregivers connected to their faith communities in tangible ways to strengthen the growing …

Transition To Practice Experience: The Impact On Newly Licensed Rn Performance, Patricia P. Lawson

Student Theses, Dissertations and Capstones

This quantitative non-experimental descriptive correlational design sought to answer the question if there was a difference in newly licensed RN (NLRN) performance at one-year post hire after participation in a nurse residency program that offers a formalized curriculum that extends throughout the entire year, one that offers a formalized curriculum that does not extend throughout the entire year, or one that does not provide a formalized curriculum. The study utilized the Six Dimension Scale of Nursing Performance (SDNP) and evaluated NLRN performance on six subscales: leadership, critical care, teaching/collaboration, planning/evaluation, interpersonal relations/communication, and professional development at one-year post hire. Benner’s …

Chaplain Spiritual Assessment And Its Efficacy For The Palliative Care Team At Roper St. Francis Healthcare: An Interdisciplinary-Phenomenologic Inquiry, Yhanco Monet

Doctor of Ministry Projects

A qualitative phenomenological research methodology was designed and implemented to answer the question: what is it that chaplains assessed which is perceived as useful for the Roper St. Francis Palliative Care team? Twelve Palliative Care practitioners, representing diverse specialties, were interviewed and surveyed to answer the research question. Evidence suggested that spiritual care and chaplaincy assessments were perceived as relevant to the Roper St. Francis’ Palliative Care praxis. However, the gathered data indicates that chaplains and Palliative Care practitioners would benefit from a more standardized/consistent spiritual assessment practice. A set of “Teaching Guidelines” and educational “Activities” was created with the …

Compassion Fatigue In Medical Surgical Nurses, Ashlee Nicole Simmons

Nursing Theses and Capstone Projects

Often nurses are consumed by providing care to others and forget to care for themselves. The lack of self-care can lead to compassion fatigue in the nurse's life. The purpose of this thesis was to assess the level of compassion fatigue within medical surgical nurses, and determine the correlation between years of experience as a registered nurse and compassion fatigue. The Professional Quality of Life (ProQOL-5) was used to identify the existence of compassion fatigue in medical surgical nurses. Data was collected and analyzed using Statistical Package for Social Sciences (SPSS) software. Seventy-five medical surgical nurses working in an acute …

The Therapeutic Relationship As A Context For Reformation, Kristine Lund

Luther Faculty Publications

Luther’s lifelong struggle with melancholy and anxiety is well documented in his own writings as well as by Luther scholars. Luther notes the importance of his relationship with Johannes Staupitz, his mentor and spiritual advisor in addressing the inner torment he experienced and the significant effect this had on his theology and quality of life. This paper explores Luther’s relationship with Staupitz as an important context for the transformation of Luther’s personal life and the concurrent reformation of Luther’s theology and understanding of grace. Their relationship serves as a framework for understanding the importance of the psychotherapeutic relationship as a …

Geriatric Competency Training For Staff Providing Chronic Care Management Services, Brigette C. Holleran

Doctor of Nursing Practice Projects

Americans 65 and older are the growing at an unprecedented rate. Older adults with complex needs are outpacing the number of healthcare providers equipped to care for them. In preparation for implementation of Chronic Care Management (CCM) service, it will be important to engage staff and motivate participation through planned education and training. The purpose of this project was to implement a staff training that included increasing basic knowledge of the CCM program and participant knowledge of age-based competency principles. A pretest posttest design evaluated participants (N=31) who attended the Older Adult Sensitivity Training (OAST) program. Knowledge was measured using …

Privileged Communications Of Military Chaplains And Mental Health Professionals: Case Law Of Military Rules Of Evidence 503 And 513, Tarik Abdel-Monem, Mark Dekraai, Denise Bulling

University of Nebraska Public Policy Center: Publications

Alarmingly high rates of post-traumatic stress disorder (PTSD) and suicide among Service members returning from military action1 has increased focus within the United States military about effectively providing mental health services.2 Concerns include problems related to an insufficient mental health workforce, military culture, and delivery of services.3 Within this context, how sensitive personal information is handled while seeking mental healthcare is a major concern for service members. The Department of Defense (DoD) and the U.S. Department of Veterans Affairs (DVA) recently partnered to examine opportunities for chaplains to have a role in improving mental health efforts, largely because of their …

African American Pastors' Perspectives On Health Promotion Ministries, Brenda Ivy Watson

Walden Dissertations and Doctoral Studies

The centrality of the church in African American communities makes it a culturally compelling sponsor for health promotion activities targeting health disparities among the medically underserved. Pastoral support is critical in determining whether a church initiates or supports a health promotion agenda, but there is little understanding of the variables that influence this decision. The aim of the qualitative study was to investigate the perceptions of African American pastors regarding the decision to incorporate health promotion programs in their churches. This study was guided by the health belief model using a phenomenological approach. Data were collected using both semi-structured and …

Implementing & Evaluating A Nurse-Led Educational Intervention For Bone Marrow Transplant Patients In The Acute Care Setting, Tia T. Wheatley

DNP Projects

Objective: The Bone Marrow Transplant (BMT) Basics Class is a nurse-led educational program dedicated to preparing patients and their caregivers of the treatment outline and self-care behaviors associated with receiving a BMT. The purpose of this project is to evaluate the effectiveness of this intervention in order to support the needs of the BMT patient and promote patient-centered care.

Study Design: Retrospective review to evaluate a quality improvement project.

Participants & Methods: As of July 2016, the BMT Basics Class became a standard of care at an NCI-designated academic cancer center in the southeastern United States. Between July 20, 2016 …

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 …

Simulation Using A Standardized Patient To Measure Perception And Congruency Of Spiritual Care For A Veteran From Three Perspectives To Inform Nursing Education And Practice, Mary E. Desmond

Dissertations

Spiritual care refers to a purposeful process of helping another find meaning and purpose

in life through a mutual connection. Providing spiritual care is a professional nursing mandate, yet nurses report barriers in education and practice. Veterans want spiritual care to promote quality of life, and to cope with military experiences and chronic conditions. Patients report receiving less than desired spiritual care and nurses report infrequent provision of spiritual care. It is also unclear how congruent patients and nurses are in their perceptions of spiritual care. A spiritual care simulation and performance checklist was developed using a review of the …

“Life Within The Person Comes To The Fore”: Pastoral Workers’ Practice Wisdom On Using Arts In Palliative Care, Clare O'Callaghan, Libby Byrne, Eleni Cokalis, David Glenister, Margaret Santilli, Rose Clark, Therese Mccarthy, Natasha Michael

Medical Papers and Journal Articles

Background: Pastoral care (also chaplaincy, spiritual care) assists people to find meaning, personal resources, and connection with self, others, and/or a higher power. Although essential in palliative care, there remains limited examination of what pastoral workers do. This study examined how pastoral workers use and consider the usefulness of art-based modalities.

Methods: Qualitative research was used to examine the practice wisdom (tacit practice knowledge) of pastoral workers experienced in using visual arts and music in palliative care. Two focus groups were conducted. Thematic analysis was informed by grounded theory.

Results: Six pastoral workers shared information. Three themes emerged. First, pastoral …

Factors Influencing The Perceived Stressors Of New Graduate Nurses Transitioning Into Acute Care Settings: A Secondary Data Analysis, Eileen K. Mahler

Theses & Dissertations

Background: The transition into practice of new graduate nurses continues to be of concern to the nursing profession. Smooth transition into practice takes on increased importance in the current era of healthcare transformation and resulting impact on the clinical environments within which nurses practice. It is important to study the stressors and challenges new graduates face in the practice environment. Methods: This descriptive study utilized secondary data analysis to explore new graduate nurses' self-report of clinical stressors during their transition into the professional RN role. Meleis’ Transitions Theory and Lazarus and Folkman’s Transactional Model of Stress and Coping provided the …

Developing An Educational Module On Compassion Fatigue, Francisca Chinyere Hennes

Walden Dissertations and Doctoral Studies

Compassion fatigue is viewed as a disconcerting issue facing healthcare professionals in the clinical care milieu, and nurses are identified as the most susceptible population among healthcare professionals. The purpose of this project was to create positive social change by helping oncology nurses find ways to enhance self-care and self-awareness, thereby reducing the risk of compassion fatigue and burnout among healthcare professionals. This project investigated an educational module on compassion fatigue that focused on (a) identifying the occurrence rates of compassion fatigue among oncology nurses, (b) evaluating the demographic features that were associated with the most frequent rates of compassion …

The Patient Survey Programme: Transforming The Patient Experience In Irish Healthcare, Vivienne Byers, D. Fahey, C. Mullins, C. Roe

Articles

For more than a decade, health policy in Ireland has pushed the centrality of the patient in the delivery and management of healthcare services, including the development of a National Strategy for Service User Involvement in the Health Service 2008–2013 (Health Service Executive, 2008). More recently, the need to provide a ‘patientcentred’ (Department of Health, 2012, 2013, 2014) or ‘person-centred’ (Department of Health, 2016) service has been a guiding principle of health policy documents. The National Service Plan 2017 (Health Service Executive, 2016) also outlines the importance of increasing the rates of service user engagement and feedback across the health …

Compassion Fatigue In Mental Health Nurses: Understanding Cause, Effect, Prevention And Intervention, Anne Funk

Nursing Capstones

No abstract provided.

Written And Online Residency Guidebook To Improve Resident Efficiency And Knowledge Of Best Patient Care Practices, Michael Ortiz, Mary C. Ottolini, Dewesh Agrawal

E-Learning Modules

**Contains time-sensitive information that will likely be inaccurate, obsolete, or irrelevant by December 01, 2018**

Residents at most institutions change rotations every 2 to 4 weeks. It often takes significant time for residents to become acclimated to the different protocols, expectations, and environments of each unique rotation. As a result, residents often spend time searching for answers, time that could be spent in outside learning and direct patient care. The goal of this resource is to provide a novel guidebook that improves residents’ efficiency and knowledge of best patient care practices. The guidebook begins with an introductory chapter with …