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Evidence Based Practice (Ebp) Literature Searching Skills-Part 1 And 2, Patricia Wynne, Bsn, Ms

Academic Commons and Scott Memorial Library Staff Papers and Presentations

Two PowerPoint presentations presented at 8th Annual Nursing Research Conference, Christiana Hospital, Newark Delaware.

Part 1: slides 1-30

Part 2: slides 31-47

Engaging Robotic Care Teams Across The Perioperative Continuum, Stephanie E. Nelson Rn, Cnor

Patient Care Services / Nursing

No abstract provided.

Preventing Maternal And Early Childhood Obesity: The Fetal Flaw In Australian Perinatal Care, Margaret R. Miller, Lydia A. Hearn, Paige Van Der Plight, Jane Willcox, Karen Campbell

Research outputs 2013

Almost half of Australian women of child-bearing age are overweight or obese, with a rate of 30–50% reported in early pregnancy. Maternal adiposity is a costly challenge for Australian obstetric care, with associated serious maternal and neonatal complications. Excess gestational weight gain is an important predictor of offspring adiposity into adulthood and higher maternal weight later in life. Current public health and perinatal care approaches in Australia do not adequately address excess perinatal maternal weight or gestational weight gain. This paper argues that the failure of primary health-care providers to offer systematic advice and support regarding women’s weight and related …

Influence Of Motivation On The Efficacy Of Natural Family Planning, Richard J. Fehring, Mary Schneider, Mary Lee Barron, Jessica E. Pruszynski

Randomized Comparison of Two Internet-Supported Methods of Natural Family Planning

Purpose: Mutual motivation is recognized as essential for effective behavioral methods of family planning. Few studies have studied this factor in family planning efficacy. The purpose of this study was to determine the influence of mutual motivation on unintended pregnancy rates of couples who used natural family planning (NFP) methods to avoid pregnancy.

Study Design and Methods: Using an online taught NFP method, 358women and ( their male partners) indicated “how much” and “how hard” they wished to avoid pregnancy on a scale of 0-10 before each menstrual cycle charted over 12 month of use. This motivation scale is used …

Effects Of Acculturation On Mammography Utilization Among Korean American Women, Jungeun K. Kim Phd

Dissertations

The purpose of this study was to examine the relationship between acculturation and mammography utilization among Korean American (KA) women. The specific aims of this study were to determine the differences in demographic characteristics, perceived health beliefs, self-efficacy, and knowledge of breast cancer, and mammogram history among the four cultural groups (American identity, Bicultural, Korean identity, and Marginality) of KA women, and to examine the effects of the level of acculturation on the likelihood of getting a mammogram. Breast cancer remains the most commonly diagnosed cancer among KA women. However, KA women consistently have lower screening rates for breast cancer. …

Staying Connected: Increases Scholarly Productivity Through Peer Mentorship, Melinda Hermanns

Nursing Faculty Publications and Presentations

A presentation for the Sigma Theta Tau International 41st Biennial Convention in Indianapolis, Indiana, in November, 2013.

Cholera Vaccination Campaign Contributes To Improved Knowledge Regarding Cholera And Improved Practice Relevant To Waterborne Disease In Rural Haiti, Omowunmi Aibana, Molly F Franke, Jessica E Teng, Johanne Hilaire, Max Raymond, Louise C Ivers

Faculty, Staff and Student Publications

BACKGROUND: Haiti's cholera epidemic has been devastating partly due to underlying weak infrastructure and limited clean water and sanitation. A comprehensive approach to cholera control is crucial, yet some have argued that oral cholera vaccination (OCV) might result in reduced hygiene practice among recipients. We evaluated the impact of an OCV campaign on knowledge and health practice in rural Haiti.

METHODOLOGY/PRINCIPAL FINDINGS: We administered baseline surveys on knowledge and practice relevant to cholera and waterborne disease to every 10th household during a census in rural Haiti in February 2012 (N = 811). An OCV campaign occurred from May-June 2012 after …

A Measure Of Nephrology Nurse Perceptions Toward Advance Care Planning: Validation Of The Nephrn Perceptions Toward Advance Care Planning Instrument, Mary S. Haras

Theses and Dissertations

This dissertation is a report of a three-phase quantitative research study that included the development and testing of an instrument to examine the perceptions of nephrology nurses toward advance care planning for persons with chronic kidney disease. Phase 1 began with the identification of the dimensions of advance care planning and creation of an item pool for the instrument. The instrument was distributed to five content experts for evaluation and comments of inclusiveness to measure perceptions toward advance care planning. In Phase 2 the item pool was pilot tested in a convenience sample of 50 nephrology nurses. Exploratory factor analysis …

Embracing A Competency-Based Specialty Curriculum For Community-Based Nursing Roles, Pamela F. Levin, Susan M. Swider, Susan Breakwell, Julia M. Cowell, Virginia Reising

College of Nursing Faculty Research and Publications

The Quad Council competencies for public health nursing (PHN) provide guidance in developing curricula at both the generalist and specialist level. However, these competencies are based on nursing roles in traditional public health agencies and community/public health is defined more broadly than official agency practice. The question arises as to whether community-based specialties require largely the same knowledge and skill set as PHN. The purpose of the competency cross-mapping project reported here was to (a) assess the intersection of the Quad Council competencies with four community-based specialties and (b) ensure the appropriateness of a Quad Council-based curriculum to prepare graduates …

Attributed Meanings And Strategies To Prevent Challenging Behaviors Of Hospitalized Children With Autism: Two Perspectives, Norah L. Johnson, Abir K. Bekhet, Karen Marie Robinson, Dana Rodriguez

College of Nursing Faculty Research and Publications

Introduction

Understanding is limited of the meaning attributed to behaviors of children with autism spectrum disorder and strategies used to prevent challenging behaviors in the context of hospitalization.

Methods

This qualitative study consisted of two focus groups (n = 10; five mothers and five health care providers [HCPs]). Transcripts were analyzed using the qualitative method of narrative inquiry.

Results

The meaning attributed to behaviors by the mothers and the HCPs differed. The mothers attributed behaviors to the child's communication of frustration, hyperactivity, and self-calming. The HCPs attributed challenging behaviors to self-stimulation and child aggression. Strategies to prevent behaviors also …

Patients’ Perceptions Of Mechanical Ventilation: What Hurt And What Helped?, Lisa M. Ewert, Dr. Renea Beckstrand

Journal of Undergraduate Research

When a patient is on a ventilator, it’s the critical care nurse’s role to recognize and respond to any factors that cause the patient distress. Anytime a patient is ill, the illness causes both physiological and emotional stress. However, an acute illness that is severe enough to require mechanical ventilation intensifies the physical and psychological distress with which the patient and their family must cope (1).

Perceptions Of The Maintenance Of Dignity In Women Giving Birth, Rachel Matthews, Dr. Lynn Callister

Journal of Undergraduate Research

Entering a hospital is often an intimidating and stressful event for patients. They enter a world about which they often know very little. They may enter with apprehension about the unknown, their illness, or excitement about starting a new phase of life with the birth of a child. As they are experiencing the unknown, patients are often put into situations where they are told what to do and when to do it, sometimes with little or no explanation. Tasks that health care personnel consider routine are not only unfamiliar, but also are often very invasive, leaving patients feeling uncomfortable, helpless, …

Pain Assessment In Pediatric Post-Tonsillectomy Patients, Tamara Baird, Dr. Renea L. Beckstrand

Journal of Undergraduate Research

A nurse’s obligation to manage pain and relieve patients’ suffering is an integral part of the commitment to patient care. Adequate pain assessment and management benefits the patient by shortening the hospital stay, speeding recovery, reducing costs, and promoting physical activity. Specific populations who may have difficulty communicating their pain require special attention, especially children. Although many effective techniques are available for pain management in children, studies indicate that their pain is managed less well than pain in adults (United States Department of Health and Human Services, 1992).

Severe Mental Illness In Adults And Physical Health Outcomes, Kathryn L. Speeter

Doctoral Projects

Adults with severe mental illness (SMI) experience higher morbidity and mortality rates than the general population due to poor physical health and because physical and psychiatric health are rarely addressed holistically. Two questions were posed for this project: (a) Will the use of a physical health screening tool and development of healthpromotion goals result in a change in healthy lifestyle behaviors for participants? (b) Will case managers see value in the use of the screening tool and health-promotion action plan development and incorporate the tool into their day-to-day work with clients? Fourteen adults with SMI, from a community case management …

Personal Characteristics And Learning Preference In End-Of-Life Decision Making Of Chronically Ill Community Dwelling Elders, Leigh Ann Bonney

Theses and Dissertations

Leigh Ann Bonney, RN, MSN; Susan Kossman, RN, PhD; MyoungJin Kim, PhD; Wendy Woith, PhD, Caroline Mallory, PhD

Illinois State University, Mennonite College of Nursing

Personal Characteristics and Learning Preference in End-of-Life Decision Making of

Chronically Ill Community Dwelling Elders

Purpose and Background: Clear decision-making (DM) about end-of-life [EOL] contributes to a good death This requires knowledge of life-sustaining treatment with lack of knowledge contributing to feelings of decisional conflict Decision aids can increase knowledge, but elders' preferred learning methods are unknown. Identifying characteristics associated with preferred learning method and decisional conflict can help nurses tailor information to assist in …

Orca, Dustin Griner

Journal of Undergraduate Research

Research and clinical practice has taught us that the first twenty-eight days of an infant’s life are critical. During this time, rapid growth should occur both physiologically and mentally. Retardation of growth during this critical time in the infant’s life leads to future undesirable ramifications. The main goal during this period, is to provide sufficient nutrients both parentally and enterally.

Online Orientation And Reference Course For Online Master Of Science In Nursing Program, Nancy G. Cameron

International Journal of Health Sciences Education

Preloading student satisfaction and success factors into an online program orientation course can strengthen the potential for student retention and success. A 100% online graduate nursing orientation and guidance program was developed. Access to peer support, faculty advisor, and university resources were provided within the course using the same learning management system as the program. Students were taught the basic structure of courses (including discussions, quizzes, and dropbox) to ease the stress of the first few weeks of class. Graduate study requirements and expectations were explained along with the differences between online and face-to-face study. Guidance was provided to assist …

The Advanced Practice Nurse And Patient-Centered Medical Home: Maintaining Patient Focus, Meeting The Institute For Healthcare Improvement Triple Aim Through The Electronic Health Record, Aileen Teresa Twomey

Seton Hall University DNP Final Projects

The Federal Government enacted the Heath Information Technology for Economic and Clinical Health Act (HITECH) in 2009, which incentivized providers to use electronic health records (EHR) for meaningful use (MU); the Patient-Centered Medical Home (PCMH) stems from the Act. Research by the National Council on Quality Assurance (NCQA) shows that primary care practices have a positive influence on the health of patients, families and communities. These positive influences are related to their ability to deliver first-contact access, and to develop long-term therapeutic relationships that focus on the person rather than the disease, improving patient health outcomes and reducing health care …

An Organization-Wide Service Improvement Approach, Jennifer Jasmine Arfaa, Phd, Mhsa, Cynthia Line, Phd, Nora Kramer, Msn, Rn, Karen Montoro, Rn, Richard D. Blob,, Maria Francesco, Jaime Stazi, Rn, Elisabeth Kunkel, Md, Susan Krekun, Md, Lizanne Mason, Rn, Kathy Evans, Rn, Lorraine Weikel, Rn, Ann D. Clark, Ms, Otr/L, Ray Wisniewski, Teresa Heavens

Department of Nursing papers and presentations

APPROACH TO PROBLEM SOLVING

High priority index questions from HCAHPS and Press Ganey surveys, including overall ratings, communication with RNs and MDs, hospital environment and response to concerns and complaints, were targeted for improvement. These high priority indices served as the basis for redesigning Patient Services using a multi-faceted approach to improve patients’ experiences.

At Thomas Jefferson University Hospital (TJUH), high performance on the Patient Experiences of Care Survey has been driven by a successful multi-tiered approach to patient services:

·Hospital leadership guided and implemented new approaches to ensure excellence in patient services is an ever-present and obtainable goal

·Physician …

Pursuing Wellness: Achieving Fall Reduction Through Staff And Patient Partnership, Lisa A. Lacy, Nicole J. Urban-Miller Rn, Bsn, Denise Bodish Bsn, Rnbc, Jane Halpin Rnc, Pcc, Colleen S. Green, Kathryn P. Mercadante Rn

Patient Care Services / Nursing

No abstract provided.

Transforming From A Freestanding Asf To A Hospital-Based Unit, Darlene Hinkle Msn, Rn, Cnor

Patient Care Services / Nursing

No abstract provided.

2013 Fall And 2014 Spring Newsletter, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2013 Fall and 2014 Spring Newsletter of the Department of Nursing at Morehead State University.

The Effect Of Preceptor Role Effectiveness On Newly Licensed Registered Nurses' Perceived Psychological Empowerment And Professional Autonomy, Chanell Watkins

Dissertations, Theses and Capstone Projects (Full IR Collection)

Purpose: To examine the relationship between newly licensed registered nurses’ perceived preceptor role effectiveness and newly licensed registered nurses’ perceived level of psychological empowerment and professional autonomy.

Design: A prospective, cross-sectional, descriptive research design was used.

Methods: Sixty-nine newly licensed registered nurses who graduated from an academic institution in the southeast United States were recruited and surveyed. Data collection occurred from August 2013 through October 2013.

Results: Newly licensed registered nurses had moderately high levels of perceived preceptor role effectiveness (M = 63.04, SD = 9.77), psychological empowerment (M = 3.98, SD = .57), and professional …

Palliative Care Knowledge Among Bachelors Of Science Nursing Students, Amy Pope

Dissertations, Theses and Capstone Projects (Full IR Collection)

Purpose: To assess the palliative care (PC) knowledge of junior and senior level bachelors of science nursing (BSN) students and to compare the PC knowledge between these two groups of students.

Design: A non-experimental quantitative, cross-sectional, survey design was used.

Methods: Seventy two students from a junior level and a senior level BSN course were recruited at a southeastern United States university. The participants completed the demographic form and the Palliative Care Quiz for Nursing (PCQN). Data collection took place from September 2013 to October 2013.

Data Analysis: Overall mean score percentage from the total sample and …

Heterosexism And Homophobia Among Students Participating In A Bachelor Of Science Nursing Program, Johnathan Daniel Steppe

Dissertations, Theses and Capstone Projects (Full IR Collection)

Purpose: To identify whether or not homophobia and heterosexism were present among students participating in a Bachelor’s of Science nursing program.

Design: A quantitative, descriptive, and non-experimental design was used.

Methods: The study employed a convenience sample of 245 nursing students recruited from a university’s nursing program located in the southeastern United States. Data collection and analysis took place from September 2013 to October 2013 and was accomplished using SPSS version 21 software package.

Results: Homophobia and heterosexism were both present in the sample. Levels of heterosexism were significantly higher than levels of homophobia. There was …

Family Adaptation To Children With Chronic Conditions In East London, South Africa, Aimee Latta, Dr. Barbara Mandleco

Journal of Undergraduate Research

Raising children with chronic conditions often is a source of stress on the family unit . While many studies in the past conducted in South Africa have focused on the etiology or disease process itself, the effects of the children’s condition on family adaptation and daily life have frequently been overlooked. Further, out of the estimated 2,100,000 children world wide who are living with HIV/AIDS, 1,900,000 are residing in Sub-Saharan Africa . Due to this escalating number, the effects of children who are living with HIV/AIDS in Sub-Saharan Africa on family life cannot go unnoticed. In addition, by increasing awareness …

A Content Analysis Of Media Coverage Of The Introduction Of A Smoke-Free Bylaw In Vancouver Parks And Beaches, Arezu Moshrefzadeh, Wendy Rice, Ann Pederson, Chizimuzo T.C. Okoli

Nursing Faculty Publications

The Board of Parks and Recreation in Vancouver, BC approved a smoke-free bylaw in the city's parks, beaches and recreational facilities, effective 1 September 2010. We analyzed local news coverage and portrayal of the bylaw to understand the potential influence of news media on public perception of the bylaw in order to inform the media advocacy work of public health interest groups. We compiled a data set of newspaper articles (n = 90) and conducted a quantitative content analysis to examine content related to the outdoor smoke-free policy, including article slant, topics related to smoking and tobacco control, and any …

Using Nursing Knowledge To Improve Health Literacy, Michele K. Savin, Msn, Nnp-Bc

College of Nursing Faculty Papers & Presentations

Health Literacy: an ability to obtain and understand written, oral, and numerical health information, which allows people to make appropriate healthcare decisions for themselves and their family members.

The Problem:

*Low Health Literacy affects up to twenty percent of the adult population in the US and is not correlated with highest education achieved.

*Hospitals and healthcare professionals are increasingly being held accountable to create systems of care that address this issue with every patient encounter.

*AHRQ talks about implementing Universal Literacy Precautions.

Effects Of Pharmacotherapy On Children With Autism And Their Families, Kelli Arnesen, Dr. Barbara Mandleco

Journal of Undergraduate Research

Autism spectrum disorders have been diagnosed more than ever before in children, and a cure is yet to be found. Until a cure is discovered, families must depend on health care professionals to aid in the management of autism, which includes pharmacological measures. The medications used to treat autism are only used to treat the symptoms of autism; they do not treat the disorder itself (Tuchman 2003). There are a wide variety of pharmacotherapies used to treat autism. The goal of my project was to determine commonly used medications to treat some of the common symptoms of autism and how …

Understanding Factors That Influence Quality Of Life In Young Adults With Chronic Pain, Sarah Hocking, Dr. Jane Lassetter

Journal of Undergraduate Research

Chronic pain is a prevalent condition among adults of all ages. It has been estimated that between a quarter and a third of older adults experience chronic pain (Donald & Foy, 2004). The chronic pain experience of older adults has been the subject of much research (Schofield, Ryan, & Clarke, 2006; Hopman-Rock, Kraaimaat, & Billsma, 1997). Less research exists on the chronic pain experience of young adults with chronic pain, although young adults represent a significant number of chronic pain sufferers.