Digital Commons Network^™

Adult Children's Perceptions Of Critical Caregiving Conversations With Their Aging Parents: A Pilot Study, Wendy S. Cregg

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this qualitative pilot study was to describe adult children's perceptions of critical caregiving conversations between themselves and their aging parents; barriers to these conversations; factors that facilitate these conversations; and the support from health care providers that adult children believe would help facilitate critical caregiving conversations between themselves and their aging parents. The overall purpose was to increase understanding of family communication processes that promote health as families age. Focus group interviews using a semi-structured interview guide were conducted with 16 adult children with caregiving experience of their aging parents. Data analysis was conducted utilizing Leininger's phases …

Development Of A Communication Intervention To Assist Hospitalized Suddenly Speechless Patients, Carmen S. Rodriguez, Meredeth A. Rowe, Brent Koeppel, Loris A. Thomas, Michelle S. Troche, Glenna Paguio

Nursing Faculty Publications

Healthcare staff face significant challenges while caring for hospitalized patients experiencing sudden inability to verbalize their needs (sudden speechlessness). Familiar methods of communication such as non-verbal strategies are limited and often fail to assist suddenly speechless patients (SS) communicate their needs. Consequently, strategies tailored to the needs of hospitalized speechless patients are necessary, and must consider factors intrinsic to the patients and the complexities of the acute care environment. The feasibility and usability of a multi-functional prototype communication system (speech-generating device) tailored to the needs of hospitalized SS patients was evaluated in this pilot study. Adult SS patients admitted to …

College Of Allied Health And Nursing R.N. To B.S.N., R.N. To M.S.N 2012 Entering Class, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Characteristics Of All-Terrain Vehicles And Their Operators On Kentucky Farms, Jessica L. Wilson

Theses and Dissertations--Nursing

All-terrain vehicles (ATVs) were first developed and marketed in the U.S. in the 1970s. They have soared in popularity for occupational and recreational uses since that time. In 2008, there were approximately 10.2 million all-terrain vehicles (ATVs) in use in the United States. In 2001, it was estimated that 23 million Americans rode ATVs; 69% were adults and 31% children (CPSC, 2003). Deaths and injuries from ATVs have increased over time. According to the U.S. Consumer Product Safety Commission, Kentucky led the nation for ATV deaths from 2002-2006, with increasing numbers of fatalities annually.

ATV use on farms is increasing …

Which Providers Can Bridge The Health Literacy Gap In Lifestyle Risk Factor Modification Education: A Systematic Review And Narrative Synthesis, S Dennis, A Williams, J Taggart, A Newall, E Denny-Wilson, N Zwar, T Shortus, M Harris

Nursing Papers and Journal Articles

Background: People with low health literacy may not have the capacity to self-manage their health and prevent the development of chronic disease through lifestyle risk factor modification. The aim of this narrative synthesis is to determine the effectiveness of primary healthcare providers in developing health literacy of patients to make SNAPW (smoking, nutrition, alcohol, physical activity and weight) lifestyle changes.

Methods: Studies were identified by searching Medline, Embase, Cochrane Library, CINAHL, Joanna Briggs Institute, Psychinfo, Web of Science, Scopus, APAIS, Australian Medical Index, Community of Science and Google Scholar from 1 January 1985 to 30 April 2009. Health literacy and …

A Successful Patient Rounding Redesign: Staff Empowerment Blended With A Research Project (Poster), Jody Shigo Rn, Cmsrn, Holly Tavianini Rn, Bsn, Mshsa, Cnrn, Lynn M. Deitrick Rn, Phd, Kathy Baker Mph, Rn, Hannah D. Paxton Bsn, Rn, Michelle D. Flores

Patient Care Services / Nursing

No abstract provided.

The Gift Of Life: Optimizing Organ Donation Through Collaboration, Jennifer Houp Rn, Cnrn

Patient Care Services / Nursing

No abstract provided.

To Uniform Or Not To Uniform? That Is The Question…, Nicole Hartman Msn, Rn, Donald J. Butz Rn, Cnrn

Patient Care Services / Nursing

No abstract provided.

Bilingual Navigation In Cancer Care, Raizalie Roman-Rosado Bsn, Ocn, Cmsrn, Martiza Y. Chicas Rn, Pccn, Kathy Sevedge Rn, Ma, Aocn, Ada M. Rivera Ba, Nadesda Mack Rn, Bsn, Mba, Ocn, Tina Mellinger

Patient Care Services / Nursing

No abstract provided.

Awareness And Practive Of Health Promotion For Women In Calabar, Cross River State, Nigeria, P. E. Samson-Akpan, I. Akpabio, Ekaete Asuquo, O. B. Edet

School of Nursing & Midwifery, East Africa

Aim: A descriptive survey was undertaken to ascertain nurses’ awareness and level of practice of health promotion among women in Calabar.

Background: Women’s health is affected by array of factors; nurses could have a major impact in increasing women’s capacity to exercise increased control over their lives and determinants of health.

Method: One hundred and thirty six nurses drawn from the ante-natal clinics of primary, secondary and tertiary health facilities in Calabar participated in the study. A questionnaire with a content validity index of 0.91 was used for data collection. The test-retest reliability coefficient of the questionnaire was (r) 0.79. …

The Control Of Malaria Among Plwha In Calabar, Cross River State, Nigeria, Patience Edoho Samson-Akpan, Olaide Bamidele Edet, Ekaete Asuquo, Mary Achi Mgbekem, Idang Neji Ojong

School of Nursing & Midwifery, East Africa

The purpose of the study was to examine RBM programme’s efforts at controlling malaria among PLWHA and explore their perception of the control strategies. The study was a descriptive survey involving guided interviews of top managers of Roll Back Malaria (RBM) programme. A structured questionnaire was administered to 108 PLWHA attending an HIV/AIDS clinic in a secondary health facility in Calabar. Data were analyzed using descriptive statistics. Thematic analysis revealed that RBM programme strategies include effective case management, promotion of Long Lasting Insecticide Treated Nets (LLINs), intermittent preventive treatment (IPT) and integrated vector management (IVM). Complementary results showed that 104 …

Identifying Patient's Reasons Or Rationales For Choosing To Skip Or Shorten Hemodialysis, Linda Marie Lindberg

All Graduate Theses, Dissertations, and Other Capstone Projects

Missed dialysis treatment time has potential to increase morbidity and mortality and reduce life expectancy for people with End Stage Renal Disease (ESRD) who are dependent on hemodialysis (HD) to live. The purpose of this study was to identify some of the reasons that hemodialysis patients provide when explaining their decision to skip or shorten their prescribed HD treatment time by providing ESRD patients with the opportunity to give voice to their perspectives. A secondary purpose of this project was to increase the health care provider's understanding of the HD patient's perspectives and reasons for choosing to skip or shorten …

Nurses' Knowledge Of Heart Failure Education Topics At A Regional Midwestern Hospital, Catherine Joy Standfuss

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this capstone project was to better understand Registered Nurses' knowledge level of commonly taught heart failure education topics. Heart failure is a large reason for hospital readmissions, and subsequently, a major contributor to rising health care costs. Research for this project was completed at a Regional Midwestern hospital using a questionnaire consisting of 20 knowledge questions. Registered nurses working on three separate units with high volumes of heart failure patients were invited to participate. Sixty-nine nurses responded to the survey and obtained an average score of 16.67 out of a possible 20, or 83%. Nurses work in …

Does Self-Efficacy Influence The Application Of Evidence-Based Practice?, Kathleen Abrahamson, Priscilla Arling, Jenna Gillette

Scholarship and Professional Work - Business

Background: Implementation of Evidence-Based Practice (EBP) is complex and consequently, even within organizations that have made efforts to promote EBP use, EBP is often underutilized by individual clinicians.

Purpose: The aim of our study was to better understand the relationship between self-efficacy and EBP implementation in clinical environments that have undergone efforts to increase EBP utilization. We suggest that EBP is a set of behaviors that result from individuals acquiring, applying, and sharing new knowledge with others in the organization. We hypothesize, based upon a social cognitive theoretical approach, that these behaviors are influenced by clinician perception of self-efficacy.

Methods: …

Ubiquitous Learning Laboratory For Pediatric Nursing: A Cultural Algorithm Approach, David Lee Colon

Wayne State University Theses

ABSTRACT

UBIQUITOUS LEARNING LABORATORY FOR PEDIATRIC NURSING: A CULTURAL ALGORITHM APPROACH

by

DAVID L. COLON

December 2012

Advisor: Dr. Robert G. Reynolds

Major: Computer Science

Degree: Master of Science

Quality Medical Care is at the focus of all health care service providers. Each facility maintains a standard level of care that promises not only a precise diagnosis, but also the correct course of treatment. In part, this is due to the educational training and professional experience of Nurses. For high-risk patients such as children, the level of expertise of a Pediatric Nurse is even more critical in order to guarantee …

Implementation Of The Sbar Checklist To Improve Patient Safety In The United States Air Force Aeromedical Evacuation, Karey M. Dufour

Nursing and Health Masters Publications

Inadequate or absent communication resulting in patient safety is an increasing problem in United States Air Force (USAF) aeromedical evacuation (AE). In 2010, 1,694 incident reports were filed. The lack of handoff communication was the second highest category affecting patient safety. Currently, there is no standardized patient handoff process in USAF AE. This evidence-based practice project is designed to answer the following question: In AF flight nurses transporting patients in the AE system, does the use of a standardized patient handoff checklist (using SBAR [situation-background-assessment-recommendation/request]), compared to current patient handoff practices, affect patient safety as measured by incident reports over …

The Development Of Trust In The Nurse-Patient Relationship With Hospitalized Mexican American Patients, Sharon M. Jones

Dissertations

The Hispanic population in the United States is growing and this population experiences health care disparities compared to non-Hispanic Whites. Mexican Americans are the largest sub-group of Hispanics and providing nursing care that is patient-centered and culturally competent is important when caring for this population. Trust is an important component of patient-centered care and culturally competent care as well as a major element , (confianza) in the Hispanic culture. Although nursing researchers have identified the need for trust in culturally competent care with Mexican American patients, none have explored how trust develops between the nurse and the Mexican American patient. …

Impact Of Cancer-Specific Advance Care Planning On Anxiety, Decisional Conflict, And Surrogate Understanding Of Patient Treatment Preferences, Lynn Waser

Electronic Theses and Dissertations

Patients with life-limiting cancer and their families face unique challenges that interfere with their ability to make decisions or adequately express their health care preferences about end of life (EOL) treatment. As a result, patients at EOL often receive aggressive unwanted treatment that nationally costs billions of dollars and results in surrogate distress about not honoring patient wishes. Respecting Choices® DS-ACP is a disease-specific Advance Care Planning (ACP) intervention that is designed to overcome barriers associated with ACP and potentially decrease the incidence of unwanted, overly aggressive treatments at EOL. The intervention is delivered to patient-surrogate dyads by a trained …

Re-Envisioning Nurse Faculty Mentoring: Developmental Network Connections That Count, Margaret Babb Kennedy

MUSC Theses and Dissertations

Fears surrounding the nurse faculty shortage in the United States have prompted significant emphasis on supporting novice educators and those in transition to new roles within academia through mentoring. Yet a continued focus on traditionally held notions of a hierarchical dyad limits possibilities for facilitating rich, diverse, mentoring relationships. A novel theoretical framework incorporating social network perspective is used to conceptualize the dynamic, multilevel reality of mentoring in examination of nurse faculty mentoring. This dissertation presents the results of an integrative review and qualitative study that explore evidence and experiences of nurse faculty mentoring using the unique developmental network lens, …

Providing Maternal And Newborn Health Services: Experiences Of Auxiliary Nurse Midwives In Rajasthan, K.G. Santhya, Shireen J. Jejeebhoy

Poverty, Gender, and Youth

To better understand the experiences of auxiliary nurse-midwives (ANMs) in providing maternal and newborn health services and to obtain their perspectives on Janani Suraksha Yojana (JSY), the Population Council undertook an exploratory study of ANMs in two districts of the north-western state of Rajasthan, India. Findings show that the vast majority of the ANMs were aware of best practices related to the immediate care of the newborn. Nevertheless, the findings also suggested a number of priority areas for action, including increased investment in training, encouraging provision of services on a more regular basis, making special efforts to enable ANMs to …

Increasing Access To Family Planning And Reproductive Health Services Through Community Work: A Case Study Of A Dual Cadre Model In India, Jaleel Ahmad, Isha Bhatnagar, M.E. Khan

Reproductive Health

Before the introduction of Accredited Social Health Activists (ASHAs) in India, mid-level auxiliary nurse midwives (ANMs) were responsible for community health education and services such as antenatal care, delivery, IUCD insertion, and sterilization referrals. The Population Council studied how community extension work and some primary care responsibilities have been shifted to ASHAs, who are tasked with identifying pregnant women; facilitating ANC check-ups; motivating women for institutional deliveries during ANC checkups; and organizing child immunization. Establishing dual worker cadres in India by shifting community extension tasks from ANMs to local ASHAs has been well conceived. Task shifting has allowed ANMs, as …

Spirit And Practice Excellence, Maine Medical Center

Annual Reports

Biennial Report on Nursing, 2011-2012

The Effect Of Obtaining Chest Pain Center Accreditation On The Compliance With Current Practice Standards, Lisa Stephenson

Evidence-Based Practice Project Reports

The Society of Chest Pain Centers (SCPC) has created a holistic model focused on providing best care to acute coronary syndrome (ACS) patients. The SCPC uses the American College of Cardiology/American Heart Association (ACC/AHA) guidelines to define best practice for treating ACS patients. The objective of this evidence-based practice project was to obtain SCPC accreditation at a rural hospital in Northwest Indiana and improve adherence with the ACC/AHA standards of care. In the literature, eighteen articles were reviewed and found to be level II or higher using Polit & Beck’s hierarchy of evidence. The literature review revealed that hospitals demonstrated …

The Integration Of An Online Module On Student Learning, Karen S. Yehle, Karen Chang

School of Nursing Faculty Publications

Heart failure is a prevalent and costly condition. Patients with better self-management are less likely to be rehospitalized. An online interactive heart failure module was developed and integrated into a medical-surgical nursing course to assist students in learning how to care for patients with heart failure. The purpose of this study was to examine whether the integration of an online heart failure module improved baccalaureate nursing students' heart failure self-management knowledge. A pretest/posttest design was used to examine the effects of student knowledge of heart failure self-management following implementation of an online module. Among 235 students, significant improvement of heart …

The Development Of An Interdisciplinary Research Agenda At Ngala: An Innovative Case Study, E Bennett, Y Hauck, S Bindahneem, Vicki Banham, M Owens, L E Priddis, G Wells, W Sinclair, L Shields

Research outputs 2012

Background Ngala is an early parenting, not-for-profit organisation in Western Australia (WA). Research academics from three universities in Perth had been involved in separate research activities over recent years at Ngala. During 2007, a strategic decision was made to forge formal links and articulate an interdisciplinary research framework to promote a research culture amongst Ngala practitioners. Aim To describe an organisational case study of the development of an interdisciplinary research agenda within Ngala. Methods Collaborative methods were used. An action learning project was undertaken over a two-year period with the involvement of researchers, managers and practitioners across the five disciplines …

Psycho-Educational Group Intervention For Family Caregivers Of Hospitalized Palliative Care Patients: Pilot Study, Peter Hudson, Elizabeth Lobb, Kristina Thomas, Rachel Zorden, Tom Trauer, Karen Quinn, Anne Williams, Michael Summers

Research outputs 2012

Background: Family caregivers of patients requiring palliative care commonly experience physical, social, and psychological burdens. Although family caregivers are acknowledged as valid service recipients of palliative care, many have unmet needs, and systematic reviews have shown there are limited evidence-based supportive interventions. Objectives: This study aimed to develop and pilot test a psycho-educational group education program delivered in the inpatient specialist palliative care setting and designed to prepare primary family caregivers for the role of supporting a relative receiving hospital-based palliative care. Methods: (1) Development of education session and delivery protocol by the research team and expert panel; (2) pilot …

The Mediating Effect Of Distress Caused By Constipation On Predictors Of Quality Of Life Of Hospice Patients With Cancer., Abdel Alkhalouf

USF Tampa Graduate Theses and Dissertations

Abstract

The Mediating Effect of Distress Caused by Constipation on Predictors of Quality of Life of Hospice Patients with Cancer.

Key positive outcomes for hospice patients include the prevention and alleviation of physical and psychological distress, maintenance of physical and mental functioning and all aspects of quality of life. This research used secondary analysis of previously gathered data to answer new research questions with alternative strategies to examine relationships not previously analyzed. The researchers collected data from 717 cancer patients who had been admitted to one of two private hospices. The aim of their experimental intervention was to define the …

Development And Evaluation Of An Instrument To Measure Mother-Infant Togetherness After Childbirth, Carol Lawrence

Electronic Theses and Dissertations

No existing measure to date captures mother-infant togetherness. A valid measure of togetherness is essential to engage in evidence-based practice, evaluate obstetric delivery models and nursing interventions, and measure the level of togetherness which promotes optimal maternal-infant outcomes. When together and in close proximity, a women and her infant have access to one another to allow for mutual caregiving or caregiving on cue. A new measure entitled the Mother-Infant Togetherness Scale (MITS) was developed based on a review of the literature and conceptual framework of Mother-Newborn Mutual Caregiving. The MITS is a 35- item instrument composed of four subscales that …

Bridging The Gap Between Student And Real World. Student Perspectives On Nursing Externships, Janice Hawkins, Lauren O'Connor, Rachelle Ann Santo Domingo

Ellmer School of Nursing Faculty Publications

[First paragraph] As senior nursing students in the 2011-2012 academic year, we recognized how difficult it is for students to transition from the classroom to the "real world" of nursing practice. Through the nursing curriculum, we have become extremely knowledgeable about numerous diseases and nursing care for different patient populations. However, with limited hands-on clinical experience, how are student nurses able to comprehend all of the diseases, disorders, and conditions studied in the classroom? Making connections between what is learned in theory and what is applied in nursing practice can only be achieved through experience.

Improving Quit Rates For Tobacco-Dependent Hospitalized Patients, Marion G. Mann

UNF Graduate Theses and Dissertations

Abstract

Purpose: The purpose of this project was to evaluate outcomes of an existing inpatient tobacco cessation counseling program with 30-day follow-up among recently admitted tobacco-dependent patients who were tobacco-dependent.

Background/Significance: Tobacco use is considered the number one most preventable cause of disease, disability, and death in the United States. Despite associated dangers, approximately 21% Americans currently smoke. This has led to increased hospital admissions and chronic disease management, costing the United States approximately $96 billion per year. Decades of research and evidence-based clinical practice guidelines substantiate that inpatient tobacco cessation counseling has the potential to improve quit rates post-hospital …