Digital Commons Network^™

Implementation Of A Beta Blocker Protocol, Jody L. Heriot

UNF Graduate Theses and Dissertations

Background: Beta blockers are recommended by the American College of Cardiology/American Heart Association Guidelines for high and intermediate-risk cardiac patients undergoing non-cardiac surgery. Beta blockers are a class of drugs that moderate the effects of increased catecholamine levels on the heart by selectively blocking beta receptors in the heart and blood vessels, resulting in a lower heart rate and blood pressure. Beta blocker use perioperatively has been shown to reduce the risk of ischemia and infarction.

Purpose: The purpose of this project is to address beta blocker use in a group of anesthesia providers who routinely attend to high-risk and …

Budging Culture, Hope L. Johnson Msn, Rn, Cnor

Patient Care Services / Nursing

No abstract provided.

2012-2013 Nursing Undergraduate Student Handbook, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2012-2013 Undergraduate Student Handbook of the Department of Nursing at Morehead State University.

Presence In Nursing Practice: A Critical Hermeneutic Analysis, Alicia Laurel Bright

Doctoral Dissertations

Research Topic

Presence, although it involves action at times, is a humanitarian quality of relating that is ethically generated and has real-world implications for both patient and nurse. It is an interpersonal process characterized by sensitivity, holism, intimacy, vulnerability, and adaptation to unique circumstances that results in enhanced mental wellbeing for nurses and patients, and improved physical wellbeing for patients. Knowing and being with are foundational to being present.

Theory and Protocol

This research is grounded in critical hermeneutics and follows an interpretive approach to field research and data analysis (Herda 1999). This orientation places the researcher and participants in …

Graduate Nurse Transition Programs In Western Australia: A Comparative Study Of Their Percieved Efficacy, Ce (Cecilia) Kealley

Theses

This research compares the findings of a survey questionnaire sent to 858 newly graduated Registered Nurses (RNs) in 2010, with those from a similar study conducted 10-years previously. The purpose of the present was threefold. Firstly, to investigate how current transition programs compared to those of 10-years ago; second, to gain insight into how well formal programs assisted the transition of the novice nurse into the workforce; and thirdly, to examine what effect transition programs have for making decisions to remain in the nursing workforce. A mixed methods triangulation design was selected to investigate the research questions. Additional questions to …

Tobacco Treatment In College Health, Joanne Brown

DNP Projects

ABSTRACT: Tobacco Treatment in College Health

The college years are a critical time in the development of smoking behavior and tobacco use. Smoking is linked to 30% of cancer deaths, 80% of deaths from chronic obstructive pulmonary disease and early cardiovascular disease and death. Effective treatment interventions at this time provide an opportunity to drastically reduce premature morbidity and mortality.

This document follows the progression from the discussion of the problem to evaluation of an intervention. The first manuscript is a review of existing literature on Internet interventions with young adults, including methodology, theoretical frameworks and outcome measures for tobacco …

Perceptions Influencing School Nurse Practices To Prevent Childhood Obesity, Susan Quelly

Electronic Theses and Dissertations

Approximately one-third of children in the United States are overweight or obese with increased risks for numerous physical and psychosocial comorbidities. Schools are ideal environments to address this serious health crisis and school nurses are uniquely positioned qualified healthcare providers to actively participate in childhood obesity prevention (COP). A review of the literature provided findings to identify a gap in the knowledge regarding the association between school nurse COP perceptions and practices. A modified theoretical framework based on Bandura’s health promotion by social cognitive theory guided this study. The purpose of this study was to identify the key perceptions (self-efficacy, …

Stressors Experienced By Emergency Department Registered Nurses At The Bedside: A Phenomenological Study, Stephen D. Heglund

Electronic Theses and Dissertations

The Emergency Department (ED) as a workplace for the Registered Nurse (RN) is a stressful environment. Reasons are thought to include interactions with other members of the interdisciplinary team as well as the situations associated with the environment of the ED such as trauma, death, sadness, joy and the general unpredictability of each moment. Studies have documented general health care workplace stress and its influence on staff, but a very limited number of studies have concentrated on the ED. No widely published studies have identified stressors from the perspective of the ED RN. This dissertation is an interpretive phenomenological study …

Front-Line Registered Nurse Job Satisfaction And Predictors: A Meta-Analysis From 1980 - 2009, Deborah Anne Saber

Electronic Theses and Dissertations

Front-line registered nurses (RNs) make up the workforce that directly affect the care of patients in a variety of different healthcare settings. RN job satisfaction is important because it is tied to retention, organizational commitment, workforce safety, patient safety, and cost savings. The strongest predictors have been difficult to determine because workplaces differ, numerous tools to measure satisfaction exist, the workforce is diversified by generations and work positions, and ongoing policy changes directly impact the work of the front-line RN. The strength and stability of the workforce depends on an accurate understanding of the predictors of job satisfaction for the …

Horizontal Violence And The Quality And Safety Of Patient Care: A Conceptual Model, Christina Purpora, Mary A. Blegen

Nursing and Health Professions Faculty Research and Publications

For many years, nurses in international clinical and academic settings have voiced concern about horizontal violence among nurses and its consequences. However, no known framework exists to guide research on the topic to explain these consequences. This paper presents a conceptual model that was developed from four theories to illustrate how the quality and safety of patient care could be affected by horizontal violence. Research is needed to validate the new model and to gather empirical evidence of the consequences of horizontal violence on which to base recommendations for future research, education, and practice.

Cardiovascular Disease Knowledge And Risk Perception Among Women With Recent Preeclampsia: Interventional Education In Disease Management And Prevention, Patsy M. Spratling

All ETDs from UAB

There is a growing body of evidence linking preeclampsia to future development of cardiovascular disease (CVD). Although CVD is well-known as the leading cause of death in women, a lack of evidence exists demonstrating that women with preeclampsia are routinely informed of their risks for future CVD. The specific aims of this study were to: (1) examine the levels of CVD knowledge and perception of CVD risk pre-CVD education; (2) explore relationships among age, race, parity, marital status, previous preeclampsia, income, education, CVD knowledge, and perception of CVD risk; and (3) examine the effect of a postpartum CVD educational intervention …

Stress And Job Performance: The Roles Of Salivary Cortisol And Social Support, Tracy Shamburger

All ETDs from UAB

Perceived stress may negatively affect job performance. Perceived stress is known to alter physiological responses, including cortisol response. Cortisol affects working memory and may explain how stress affects performance. Aeromedical crewmembers transport wounded soldiers in the austere aeromedical environment. The demands of the Aeromedical Evacuation (AE) may lead to stress and impact job performance. The AE training mission simulates real world operational missions and this setting was used to examine the effects of perceived stress on job performance among aeromedical crewmembers at different time points during the mission (Time 1- baseline, Time 2 - pre-flight, Time 3 - in-flight, Time …

The Emotional Intelligence Profiles And Cognitive Measures Of Nurse Anesthesia Students In The Southeastern United States, Shawn Bryant Collins

Dissertations

Problem. The purpose of this cross-sectional correlational study was to explore the relationship between emotional intelligence and personal and academic factors of nurse anesthesia students at three points in a program: matriculation, at one year of study, and in the last semester of study and the relationship of these to clinical scores and national certification examination (NCE) scores.

Method. An ex-post-facto cross-sectional study design was used to gather data at three critical times in nurse anesthesia (NA) programs to explore the relationships between emotional intelligence scores, preadmission demographics, clinical scores, and NCE scores.

Results. Data from 216 nurse anesthesia students …

Acute-To-Home Care Nursing Handoffs: Distributed Cognition Across Patterns Of Knowledge, Rosemary Kennedy

Dissertations

Timely, explicit, and effective communication of patient information during care transitions is fundamental to safe care. Studies show that handoffs or transfers of patient care from one provider to another are susceptible to communication failures (Riesenberg et al., 2009a). Most studies on communication failures focus on communication between providers within the same setting of care. Few studies, if any, focus on communication between care settings in different locations. However, research has identified gaps in care during critical transitions and identified poor communication and incomplete transfer of information as the root cause (Naylor et al., 2004). This qualitative dissertation consists of …

A Systematic Review Of Interventions In Primary Care To Improve Health Literacy For Chronic Disease Behavioral Risk Factors, J Taggart, A Williams, S Dennis, A Newall, T Shortus, N Zwar, E Denny-Wilson, M Harris

Nursing Papers and Journal Articles

Background: To evaluate the effectiveness of interventions used in primary care to improve health literacy for change in smoking, nutrition, alcohol, physical activity and weight (SNAPW).

Methods: A systematic review of intervention studies that included outcomes for health literacy and SNAPW behavioral risk behaviors implemented in primary care settings.

We searched the Cochrane Library, Johanna Briggs Institute, Medline, Embase, CINAHL, Psychinfo, Web of Science, Scopus, APAIS, Australasian Medical Index, Google Scholar, Community of Science and four targeted journals (Patient Education and Counseling, Health Education and Behaviour, American Journal of Preventive Medicine and Preventive Medicine).

Study inclusion criteria: Adults over 18 …

Is There Scope For Community Health Nurses To Address Lifestyle Risk Factors? The Community Nursing Snap Trial, B Chan, R Laws, A Williams, G Davies, M Fanaian, M Harris, Cn Snap Project Team

Nursing Papers and Journal Articles

Background: This paper examines the opportunity and need for lifestyle interventions for patients attending generalist community nursing services in Australia. This will help determine the scope for risk factor management within community health care by generalist community nurses (GCNs).

Methods: This was a quasi-experimental study conducted in four generalist community nursing services in NSW, Australia. Prior to service contacts, clients were offered a computer-assisted telephone interview to collect baseline data on socio-demographics, health conditions, smoking status, physical activity levels, alcohol consumption, height and weight, fruit and vegetable intake and 'readiness-to-change' for lifestyle risk factors.

Results: 804 clients participated (a response …

A Survey Of Napnap Members’ Clinical And Professional Research Priorities, Kathleen J. Sawin, Linda C. Lewin, Victoria P. Niederhauser, Margaret A. Brady, Dolores Jones, Arlene Butz, Agatha M. Gallo, Christine A. Schindler, Cynthia A. Trent

College of Nursing Faculty Research and Publications

Introduction

The purpose of this methodological article is to describe the development, implementation, and analysis of the survey used to determine NAPNAP members' ranking of research priorities, to describe the top priorities ranked by participants, and to determine if priorities differed by area of practice (primary, acute, or specialty care) or participant age.

Method

A cross-sectional descriptive design with an online survey was used. Completed by 324 NAPNAP members, the survey consisted of a demographic section and 90 statements in two domains: Clinical Priorities and Professional Role Priorities.

Results

Survey respondents strongly supported the top priorities with an average overall …

Using Debriefing For Meaningful Learning To Foster Development Of Clinical Reasoning In Simulation, Kristina Dreifuerst

College of Nursing Faculty Research and Publications

Debriefing is critical to learning from simulation experiences, yet the literature reports little research describing best practices within nursing. Debriefing for Meaningful Learning (DML) is a systematic process for debriefing in which teachers and students explicate different aspects of reflection and generate new meanings from simulation experiences. The purpose of this exploratory, quasi-experimental, pretest–posttest study was to test the relationship of DML on the development of clinical reasoning skills in prelicensure nursing students when compared with customary debriefing strategies and on students’ perception of quality of the debriefing experience. Analysis of data demonstrated a greater change in clinical reasoning skills …

A Quantitative Examination Of Extreme Facial Pain Expression In Neonates: The Primal Face Of Pain Across Time, Martin Schiavenato, Carl L. Von Baeyer

Nursing Faculty Scholarship

Many pain assessment tools for preschool and school-aged children are based on facial expressions of pain. Despite broad use, their metrics are not rooted in the anatomic display of the facial pain expression. We aim to describe quantitatively the patterns of initiation and maintenance of the infant pain expression across an expressive cycle. We evaluated the trajectory of the pain expression of three newborns with the most intense facial display among 63 infants receiving a painful stimulus. A modified “point-pair” system was used to measure movement in key areas across the face by analyzing still pictures from video recording the …

The Effect Of An Evidence Based Bowel Protocol On Time Taken To Return To Normal Bowel Function In Post Operative Total Hip And Total Knee Replacement Patients, Gail Ross-Adjie

Theses

Total hip and knee replacement operations are one of the most commonly performed orthopaedic procedures in Australia. It is estimated however that up to 65% of patients will experience some degree of opioid-related bowel dysfunction in the post operative period. Often considered a mild and selflimiting problem, constipation can lead to significant morbidity and occasional mortality. Several clinical incidents and a lack of robust evidence to guide bowel management in this cohort was the impetus for this study.

This cluster randomised study sought to evaluate the Murdoch Bowel Protocol©, a simple nursing intervention based on the administration of polyethylene glycol …

Portraits Of Nursing Resilience: Listening For A Story, Vicki Cope

Theses: Doctorates and Masters

The nursing workforce in Australia is a workforce under pressure. Within in-patient settings, rapidly increasing turnover of more acutely ill or co-morbid patients, and staff retention issues, place those staff that remain under extra pressure to maintain a quality service. In nurse education settings the increasing imperative to recruit more students into the profession combined with financial cutbacks leading to staff retention issues creates a similar tension. Yet many Registered Nurses (RNs) do remain in their chosen work setting displaying tenacity and resilience despite well documented trials and tribulations.

A qualitative approach, Portraiture, was used to construct a collection of …

Covert Violence In Nursing: A Western Australian Experience, Susette Bakker

Theses: Doctorates and Masters

Covert violence in the workplace has been extensively theorized amongst social scientists as having negative effects on the worker’s self esteem, job satisfaction and stress, resulting in increased absenteeism and a reduction in productivity, and yet it continues to fester in nursing. The purpose of this research was twofold. The first was to answer the question, ‘What are the characteristics of covert violence experienced by Western Australian nurses?’ and through the description of Western Australian nurses’ experience of covert violence and describe the characteristics related to this to form a definition of covert violence. The second question was ‘What are …

The Experiences Of Cancer Survivors As They Transition From Chemotherapy Treatment To Life After Cancer, Violet Platt

Theses: Doctorates and Masters

This study explored and described the experience of people with a diagnosis of cancer, as they transitioned from life as a chemotherapy patient to life after treatment as a cancer survivor. The purpose of this study was to ultimately improve the care of people as they transitioned into life after completion of chemotherapy treatment. There is minimal information related to this phase of the cancer trajectory, therefore this study was intentionally exploratory and descriptive. To achieve the proposed outcome a two-phased approach was undertaken. In Phase One a qualitative approach was followed using Grounded Theory to the descriptive level of …

Paediatric Nursing : An Investigation Of The Effect Of Specialist Paediatric Nurse Education On The Quality Of Children’S Nursing Care In Western Australia, Jonathan Mark Mould

Theses: Doctorates and Masters

In Australia, specialist education in paediatrics is not a requirement for nurses caring for hospitalised children. Thus, nurses can work in paediatrics without any prior knowledge of the unique needs of children such as developmental stages or separation anxiety. As a consequence, there are some clinicians and authors who advocate that when children require health care, they should be cared for by nurses who are educated in, and understand the specific physical, psychological and social needs of children. Despite this, the evidence is lacking as to whether specialist nurse education affects the quality of care in paediatrics. This study investigates …

Japanse Assessment Class And Cultural Introduction, Beaver Eller

Graduate Research Projects

No abstract provided.

Investigating Effective Methods Of Pain Management In Emergency Department Clients With Chronic Pain, Tiana Lopez

Graduate Research Projects

No abstract provided.

Fitness Is Fun Club: A Program To Combat Childhood Obesity, Donna Bearden

Graduate Research Projects

No abstract provided.

Patients With Cancer And Family Caregivers: Management Of Symptoms Caused By Cancer Or Cancer Therapy At Home, Daniela M. Hazelwood, Sabine Koeck, Martin Wallner, Kathryn H. Anderson, Hanna Mayer

Nursing: Faculty Publications

People are diagnosed with cancer sooner nowadays thanks to increased awareness and improvements in cancer screenings. Patients are able to live longer due to cancer treatment regimens; however, they suffer the consequences of living with cancer and therapy-related symptoms. Symptom management is challenging for both patients and family caregivers. Therefore, family members must be integrated in the patient’s care plan. For this review, a literature search was conducted to determine what types of interventions were available that involved family members of cancer patients with the management of cancer and therapy-related symptoms. The following interventions were found that were designed for …

Challenges In Conducting Research After Family Presence During Resuscitation, Jane S. Leske, Natalie S. Mcandrew, Crystal-Rae Waltons, Annette E. Garcia, Karen J. Brasel

College of Nursing Faculty Research and Publications

Family presence during resuscitation (FPDR) is an option occurring in clinical practice. National clinical guidelines on providing the option of FPDR are available from the American Association of Critical-Care Nurses, American Heart Association, Emergency Nurses Association, and Society of Critical Care Medicine. The FPDR option currently remains controversial, underutilized, and not the usual practice with trauma patients. This article is based on the methodological and practical research challenges associated with an ongoing study to examine the effects of the FPDR option on family outcomes in patients experiencing critical injury after motor vehicle crashes and gunshot wounds. The primary aim of …

Med-Surg Churn, Marilyn Guidi, Carolyn L. Davidson Rn, Phd

Patient Care Services / Nursing

No abstract provided.