Digital Commons Network^™

Patient Care Provider Safety: Examining One Intervention To Reduce Hospital Violence, Paul Leslie Ford

USF Tampa Graduate Theses and Dissertations

Abstract

In the summer of 2009, Tampa General care providers met with Hospital Administration to express concern that violence on care units was a growing problem and making it difficult to provide quality care. Nurses stated that such violence was one important reason many of their peers choose to retire. Administration took this situation seriously and formed a committee to gather information and submit suggestions to reduce the violence. The committee consisted of representatives from several nursing units, human resources, risk management, security, and administration. Duties assigned included investigation of the actual number of reports on all units and trends. …

Emergency Department Nurses' Suggestions For Improving End-Of-Life Care, Robert D. Wood

Theses and Dissertations

Introduction: Death is not an uncommon outcome for patients who seek immediate care in an emergency department. Although death is common in the emergency department there is little literature regarding end-of-life care in the emergency department. The purpose of this research study is to determine what changes emergency nurses would suggest to improve end-of-life care for dying patients and their families in emergency departments.

Background: A national, geographically dispersed, random sample of 1000 emergency nurses were sent a questionnaire entitled, "Emergency Nurses' Perceptions of End-of-Life Care." Inclusion criteria included nurses who were members of the Emergency Nurses Association, could read …

Exploring The Contribution Of General Self-Efficacy To The Use Of Self-Care Symptom Management Strategies By People Living With Hiv Infection, Inge B. Corless, Dean Wantland, Kenn M. Kirksey, Patrice K. Nicholas, Sarie Human, John Arudo, Maria Rosa, Yvette Cuca, Sue Willard, Mary Jane Hamilton, Carmen Portillo, Elizabeth Sefcik, Linda Robinson, Cathy Bain, Shanaz Moezzi, Mary Maryland, Emily Huang, William L. Holzemer

School of Nursing & Midwifery, East Africa

General self-efficacy (GSE), the expectation that one is able to perform a behavior successfully, may differentiate those who are able to successfully utilize self-care symptom management strategies (SCSMS). This subanalysis (n = 569) of an international 12 site longitudinal randomized controlled trial (RCT) (n = 775), investigated GSE as an important factor determining symptom burden, SCSMS, engagement with the provider, and medication adherence over time, and identified differences in those with high and low GSE ratings concerning these variables. Parametric and nonparametric repeated-measures tests were employed to assess GSE and the perceived effectiveness of SCSMS for anxiety, depression, diarrhea, fatigue, …

Postpartum Depression In Immigrant Hispanic Women: A Comparative Community Sample, Laura Mae Shellman

Theses and Dissertations

Purpose: This study was initiated to verify whether a remarkably high rate of postpartum depression (PPD), previously found in immigrant Hispanic women receiving health care at a community clinic, would also be found in a community sample with a similar demographic.

Data Sources: Sixty immigrant Hispanic women who had recently given birth were recruited from local community settings. The Beck Postpartum Depression Screening Scale-Spanish version (PPDS-S) and the General Acculturation Index (GAI) were used to screen for PPD symptoms and to collect demographic data. These data were then compared with previously published data from the community clinic sample.

Conclusions: Sixty …

Chhs June 2012 E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

Assessment Of Knowledge, Skill And Attitude Of Oncology Nurses In Chemotherapy Administration In Tertiary Hospital Pakistan., Najma Khan, Khurshid Zulfiqar Ali Khowaja, Tazeen Saeed Ali

School of Nursing & Midwifery

Objective:

To measure the levels of nurse’s knowledge and attitude after the conduct of education session regarding chemotherapy administration and management.

Methodology:

This research study was conducted at two oncology units of tertiary Hospital Rawalpindi. A prepost test intervention study design was used on 35 nurses by using Verity’s tools.

Results:

The mean scores of knowledge were calculated by Cochran’s Q test showed that knowledge scores have significantly increased with ‘educational training’ (p value < 0.001). The difference in the attitude of the nurses was not found to be statistically significant in repeated measure of ANOVA.

Conclusion:

The results show that knowledge is the weakest component and attitude is strongest component of oncology nurses ‘competencies in chemotherapy administration.

Influences Of Health Insurance And Primary Care On Breast And Cervical Cancer Screening Among Black Women In Boston, Gail Barlow Gall

Graduate Doctoral Dissertations

Healthy People 2010 promoted breast and cervical cancer screening to reduce cancer among all women and reduce disparities in cancer deaths between Black and White women. The REACH 2010 program targeted improving screening rates among Black women and funded a demonstration project to provide outreach, screening, patient navigation and case management for Black women in Boston. The purpose of this study was to describe associations between health insurance and primary care (having a primary care provider [PCP], quality of communications and relationship with PCP) on differences in breast and cervical cancer screening reported by Black women born in the United …

Diffusion Of The Egfr Assay: The Underutilization And The Urban/Rural Divide, Julie Ann Lynch

Graduate Doctoral Dissertations

Purpose - The EGFR assay is a molecular diagnostic test which identifies a targetable mutation in lung tumors. Guidelines call for EGFR testing for non-small cell lung cancer patients to direct first line treatment. We explored institutional and regional factors predicting the likelihood acute care hospitals ordered the assay. Methods: This was a retrospective study which analyzed US acute care hospitals (n=4780). We linked proprietary industry data for orders of the EGFR assay to public datasets that provided hospital and regional characteristics. We conducted logistic regression to identify significant characteristics that predict likelihood a hospital ordered the assay. Results - …

Parenting Behaviors Of African American And Caucasian Families: Parent And Child Perceptions, Associations With Child Weight And Ability To Identify Abnormal Weight Status, Michele Polfuss, Marilyn Frenn

College of Nursing Faculty Research and Publications

This study examined the agreement between parent and child perceptions of parenting behaviors, the relationship of the behaviors with the child's weight status, and the ability of the parent to correctly identify weight status in 176 parent–child dyads (89 Caucasian and 87 African American). Correlational and regression analyses were used. Findings included moderate to weak correlations in child and parent assessments of parenting behaviors. Caucasian dyads had higher correlations than African American dyads. Most parents correctly identified their own and their child's weight status. Parents of overweight children used increased controlling behaviors, but the number of controlling behaviors decreased when …

Clinical Observation Reflections From Students In An Interdisciplinary Palliative Care Course, Marcia Phillips, Susan Breakwell, Kim Minju, Margaret Faut Callahan

College of Nursing Faculty Research and Publications

The purpose of this study was to gain insight into how a brief clinical observation encounter contributed to students’ experiences in an interdisciplinary palliative care course. This course was required of all graduate nursing students and was available as an elective for medical and other healthcare professions students at a healthcare sciences university. The students were required to spend approximately 8 to 12 hours attending interdisciplinary team meetings or accompanying a team on rounds and patient visits.

The students’ summary narratives of their observation experience were analyzed in this qualitative study that focused on six categories of feedback: (1) patients’ …

Commencement Program 2012, Loma Linda University

Commencement Programs

CONTENTS

1 | Message from the President

3 | 2012 Events of Commencement

5 | The Academic Procession

7 | Significance of Academic Regalia

9 The Good Samaritan

10 | University History Highlights

12 | Loma Linda University Song - "Healing Love"

13 | The Speakers

24 | The University Honorees

36 | The School Honorees

54 | The Program

• School of Medicine, 55
• School of Pharmacy, 72
• School of Dentistry, 79
• School of Science and Technology/School of Behavioral Health and School of Religion, 97
• School of Nursing, 109
• School of Allied Health Professions - Physical Therapy, 117
• School of …

Nursing Informatics Competencies: Implications For Safe And Effective Practice, Hayes Greer

Honors Theses

The purpose of this thesis is to examine the implications and availability of nursing informatics competencies, and to address the current state of informatics competency guidelines and assessment tools. To possess competence in nursing informatics, one must possess the ability to obtain, store, retrieve, and communicate data, information, knowledge, and wisdom, which is essential to nursing practice. Nurses must be educated and competent in nursing informatics in order to exhibit safe and effective nursing practice. Many various lists and guidelines exist to address the distinct competencies that nurses must possess; however, very few resources are available to assess the degree …

Self-Tracking, Social Media And Personal Health Records For Patient Empowered Self-Care, C Paton, Margaret M. Hansen Edd, Msn, Rn, L Fernandez-Luque, Ays Lau

Nursing and Health Professions Faculty Research and Publications

Objectives: This paper explores the range of self-tracking devices and social media platforms used by the self-tracking community, and examines the implications of widespread adoption of these tools for scientific progress in health informatics. Methods: A literature review was performed to investigate the use of social media and self-tracking technologies in the health sector. An environmental scan identified a range of products and services which were used to exemplify three levels of self-tracking: self-experi- mentation, social sharing of data and patient controlled electronic health records. Results: There appears to be an increase in the use of self-tracking tools, particularly in …

Smoking Cessation Education: A Prescription And Opportunity For Change, Amanda Aust

Evidence-Based Practice Project Reports

Tobacco usage is the second leading cause of death worldwide. Smoking claims the lives of people more than acquired immunodeficiency syndrome, alcohol, accidents, homicides, suicides, fires, and drugs combined (Green & Briggs, 2006). In 2009, 46 million people in the United States were estimated to be smokers (Regents of the University of California, 2011). Despite the availability of guidelines to assess and provide smoking cessation interventions to patients, a disconnect exists in nurses being able to implement these guidelines. The purpose of this evidence-based practice project was to determine if an educational intervention for nurses about smoking cessation, as compared …

Computer-Based Sex Education For High School Students, Ashley Jones

Evidence-Based Practice Project Reports

Adolescents are four times more likely than other age groups to contract chlamydia or gonorrhea. In the USA, young people between 15 to 24 years of age acquire almost half of all newly diagnosed sexually transmitted infections (STI) a year. The purpose of this computer-based sex education EBP project was to increase student knowledge regarding transmission, disease process, and treatment for STIs, as well as to reduce high risk sexual behaviors. The evidence-based practice model for change and the Modeling, Role-Modeling nursing theory guided this project. Computer-based sex education is supported in research. Articles critiqued, utilizing Melnyk and Fineout-Overholt (2011) …

Patient Safety Competencies In Rural Asn Students: An Evidence-Based Curricular Innovation, Janeen Berndt

Evidence-Based Practice Project Reports

Hospital clinical experiences are important events in prelicensure nursing education. Benefits include the opportunity for students to experience actual nursing responsibilities, immersion into environment, and professional socialization. However, challenges in finding appropriate clinical experiences include competition over clinical sites, decreasing patient acuity, and high student-faculty ratios. Rural schools of nursing have these challenges and those inherent in rural environments such as limited health care access, restricted critical access hospitals, and limited resources. The purpose of this evidence-based practice project was to plan, implement, and evaluate the use of a series of patient care simulations as an educational intervention to improve …

Symptom Clusters In Lung Cancer Patients, Debra Rattican

Theses and Dissertations

SYMPTOM CLUSTERS IN LUNG CANCER PATIENTS By Debra Rattican, PhD, RN A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University. Virginia Commonwealth University, 2012 Major Director: Debra E. Lyon, PhD. Professor and Chair Family and Community Health Nursing The purpose of the study was to examine selected relationships among symptoms common to individuals with lung cancer. The specific aims were: 1) To examine the relationship between the symptoms of dyspnea and anxiety in patients with lung cancer. 2) To examine the relationships among the symptoms of dyspnea, anxiety, and …

A Multi-Component Intervention To Reduce Alcohol Consumption In College Freshmen, Kimberley L. Jelinek

Evidence-Based Practice Project Reports

Alcohol consumption is a health concern on all college campuses in the United States. College students’ alcohol consumption is a highly prevalent behavior, with 44% reporting that they are consuming alcohol at the binge level or greater (Wechsler & Nelson, 2008). The purpose of this evidence-based practice (EBP) project was to answer the clinical question: In college freshmen, how does a multi-component intervention influence alcohol consumption over a four-month period? The Transtheoretical Model of Behavioral Change (TTM) and Diffusion of Innovations (DoI) were used to guide the project. Evidence demonstrates that implementing brief intervention, promoting substance-free events, and increasing campus …

Effect Of The Total Girl Wellness Program On Wellness Behaviors In Adolescent Females, Jenifer M. Chilton

Nursing Theses and Dissertations

Adolescent females perceive themselves to be healthy but research suggests this population engages in unhealthy and risky behaviors. Health habits established during youth transition into adulthood and may contribute to chronic diseases later in life. Guided by Bandura's Social Cognitive Theory (SCT), the purpose of this study was to test the effect of a comprehensive wellness intervention on overall wellness, physical fitness, and self-efficacy for health promoting behaviors in female adolescents. A multidisciplinary concept analysis of shame suggested components of shame can impact environment, personal factors, and behavior, the key concepts of SCT. An intervention based on SCT and titled …

Early Term Infant Care: Hospital Utilization And Breastfeeding Practices, Debra Craighead

Nursing Theses and Dissertations

Early term infants (ETI), with gestational ages from 37 to 38 weeks, have higher morbidity and mortality rates when compared with later term infant counterparts born at 39 to 41 weeks. Although this newly identified term infant subcategory is gaining attention, the immediate and long term health outcomes and care needs of ETI remain largely unexplored. The purpose of this research project was to examine the current research documenting ETI health and explore care practices that are currently utilized to promote ETI health. The original research study describes care practices used to promote health for ETIs born in Louisiana in …

The Use Of Provider Audit And Feedback On Improving Hypertension Control In The Type 2 Diabetic Population, Kara Painton

Evidence-Based Practice Project Reports

As the seventh leading cause of death, diabetes affects more than 25 million Americans and contributes to major cardiovascular diseases and complications (CDC, 2011). The cost of care for these Americans is astounding: $174 billion dollars was spent on diabetes care in 2007 (ADA, 2011). Furthermore, an estimated 75% of patients with type 2 diabetes have concomitant hypertension, and nearly one-half of these patients have uncontrolled hypertension (Thomas & Kodack, 2011; USDHHS, 2011). An initial chart audit at an outpatient, rural clinic in east central Illinois revealed that 90% of the type 2 diabetic population had concomitant hypertension, and only …

Predictors Of Sexual Relationship Power, Communication And Sexual Decision Making Among Latino Couples, Yui Matsuda

Theses and Dissertations

Unintended pregnancy (UP) is increasing among Latinos in the United States. Unintended pregnancy contributes to many negative consequences for infants, mothers and families. Concurrently, various factors affect Latino couples’ sexual relationship power, communication and decision making about family planning, including sexual relationship power, relationship commitment, dyadic adjustment, individual background, and cultural characteristics. Previous research has not focused on understanding the factors that affect Latino couples’ sexual relationship power, communication and sexual decision making from each partner’s perspective. The purpose of this study was to examine the association between sexual relationship power, communication, and sexual decision making from each partner’s perspective …

Creating An Interactive Dnp Project Repository:A Model For Change, Sara D. Guido Dr.

Doctor of Nursing Practice (DNP) Projects

The creation of systems that can provide bridges to information technology requires rethinking old ways of doing business. In the past, individual universities and colleges would accommodate theses and dissertations on their library sites. Some of these sites are public and can be accessed by everyone, while some require university-specific affiliation.

This project aims to apply knowledge and skills related to information systems and technology. With the growth of the DNP clinical doctorate programs, and final outcome projects there is a need for specialized DNP database for a new method of data entry and retrieval for DNP’s. The creation of …

Effect Of A Multimedia Intervention On Outcomes Expectations And Perceived Self-Efficacy For The Sex Educator Role For Parents/Caregivers Of African American Adolescent Males, Carmon V.N. Weekes

Nursing Theses and Dissertations

Risky sexual behavior among youth is a national concern and places adolescents at high risk for undesirable health outcomes. According to the Youth Risk Behavior Surveillance System, African American males are more likely to engage in intercourse before age 13 than other racial groups. Research reporting positive impact of parent-adolescent sex communication on influencing risky behaviors has rarely included parents of African American adolescent males. A systematic review of the literature examining health literacy in African Americans supported the importance of including non-print sources of information for this population. The purpose of this study was to test the effect of …

The Effect Of Guided Observation On Learning Outcomes In Simulation-Based Learning, Jamil Norman

Nursing Theses and Dissertations

Nurse educators have been faced with the challenge of providing adequate clinical preparation for nursing students. Implementation of simulation-based learning (SBL) has been used to meet these challenges. Current research indicates that students and faculty are both satisfied with simulation; however, faculty concerns with improving student learning during SBL have led to a research intervention on the use of an Observation Guide. The purpose of this research was to examine differences in knowledge, self-confidence, satisfaction, and collaboration between baccalaureate nursing students using an Observation Guide when observing a simulated clinical experience (SCE) and those observers without an Observation Guide. Additionally, …

The Use Of Positive Deviance To Deliver Patient-Centered Care, Jodie Gary

Nursing Theses and Dissertations

What happens when critical care nurses find themselves in situations where patient care needs are not covered by practice guidelines or standard orders or when the needs conflict with those guidelines and orders? Sometimes usual practices such as call the supervisor, call the physician, or follow the protocol just do not meet the needs of the patient at the exact time and place. Experienced critical care nurses often discuss such situations in private; however, there is little information in the literature about the types of situations encountered and the decision- making processes used in these situations. Those discussions that were …

Chattanooga Community Members Willingness To Use Retail Clinics: A Quantitative Approach, Yasmine M. Swistek, Casey M. Waddle

Graduate Research Projects

This study explored the willingness of Chattanooga community members to utilize retail clinics for simple ailments rather than the area EDs. Specifically, community members ages 25-45 were surveyed and asked to rate their willingness to use a retail clinic for their acute healthcare needs rather than the overcrowded local EDs. Additionally, this study explored community members’ perceived barriers to use retail clinics. Results were compared between demographic variables such as yearly income, race, gender, and age.

The Meaning Of Parenteral Hydration To Family Caregivers And Patients With Advanced Cancer Receiving Hospice Care., Marlene Z. Cohen, Isabel Torres-Vigil, Beth E. Burbach, Allison De La Rosa, Eduardo Bruera

Journal Articles: College of Nursing

CONTEXT: In the U.S., patients with advanced cancer who are dehydrated or have decreased oral intake almost always receive parenteral hydration in acute care facilities but rarely in the hospice setting.

OBJECTIVES: To describe the meaning of hydration for terminally ill cancer patients in home hospice care and for their primary caregivers.

METHODS: Phenomenological interviews were conducted at two time points with 85 patients and 84 caregivers enrolled in a randomized, double-blind, controlled trial examining the efficacy of parenteral hydration in patients with advanced cancer receiving hospice care in the southern U.S. Transcripts were analyzed hermeneutically by the interdisciplinary research …

Ethanol Lock Therapy In The Treatment And Prevention Of Catheter-Related Bloodstream Infections, Breanna Anderson

HIM 1990-2015

Ethanol lock therapy is a novel technique that is being studied for its efficacy in eradicating catheter related bloodstream infections. A systematic review of interdisciplinary studies from CINAHL, Medline, Academic Search Premier, Biological Abstracts, and Web of Knowledge databases was performed. This meta-analysis examined the findings of thirty-five studies on ethanol lock therapy. Twenty-six of these studies compared ethanol to a placebo and nine studies performed a direct comparison of ethanol to other agents frequently used in antimicrobial lock technique. Ethanol lock therapy was shown to be effective as both a prophylactic therapy and as an active treatment in eradicating …

The Efficacy Of An Audio Program And Discussion Guide In Promoting Exclusive Breastfeeding In Cameroon, Africa, Kathryn R. Reinsma

Loma Linda University Electronic Theses, Dissertations & Projects

Background: In the Northwest Region of Cameroon, approximately 90% of women initiate breastfeeding; however, only 34% continue exclusive breastfeeding for the recommended six months (Kakute, et al., 2005; WHO, 2008). Entertainment-education is a mass-media communication strategy of placing educational information into media such as television programs, movies, and radio programs (Siegel & Lotenberg, 2007). This form of behavioral change communication has proven effective in addressing health-related issues in developing countries.

Purpose: The aim was to design an audio program and discussion guide to test the hypothesis that an audio program and discussion guide improves exclusive breastfeeding knowledge, beliefs, benefits, self-efficacy, …