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Predictors Of Postoperative Respiratory Failure In Patients Receiving Anesthesia, Marty Henley

Theses, Dissertations and Capstones

Introduction: Postoperative Respiratory failure has been identified as a prevention quality indicator by The Agency for Health Research and Quality (AHRQ). Postoperative Respiratory Failure is associated with increased length of stay, increased costs and increased morbidity and mortality. Unfortunately, current research is limited regarding scoring methods which are predictive for postoperative respiratory failure. This retrospective case control study was conducted to determine if the various tools of evaluation of risk currently available and to determine if any are predictive of the risk of developing postoperative respiratory failure.

Methodology: The design of this research was a retrospective case control study conducted …

Integrating A Professional Apprenticeship Model With Clinical Simulation For Psychiatric Nursing Students, M. C. Crider, Susan Mcniesh

Faculty Publications

In this article, we present a theory-based application of clinical simulation in psychiatric-mental health nursing education. As described by Benner, Sutphen, Leonard, and Day, a three-pronged apprenticeship that integrates intellectual, practical, and ethical aspects of the professional role is critical in the development of practical reasoning in nursing education and training. Clinical encounters are often fraught with ambiguity and uncertainty. Therefore, educating for a practice discipline requires experiential and situated learning. Using the three-pronged experiential model in simulated psychiatric-mental health nursing practice supports the development of critical nursing skills, ethics, and theoretical concepts. A clinical scenario is presented that demonstrates …

The Composite First Person Narrative: Texture, Structure, And Meaning In Writing Phenomenological Descriptions, M. S. Wertz, M. Nosek, Susan Mcniesh, E. Marlow

Faculty Publications

This paper illustrates the use of composite first person narrative interpretive methods, as described by Todres, across a range of phenomena. This methodology introduces texture into the presently understood structures of phenomena and thereby creates new understandings of the phenomenon, bringing about a form of understanding that is relationally alive that contributes to improved caring practices. The method is influenced by the work of Gendlin, Heidegger, van Manen, Gadamer, and Merleau-Ponty. The method’s applicability to different research topics is demonstrated through the composite narratives of nursing students learning nursing practice in an accelerated and condensed program, obese female adolescents attempting …

Learning Formative Skills Of Nursing Practice In An Accelerated Program, Susan Mcniesh, P. Benner, C. Chesla

Faculty Publications

The purpose of this qualitative research study was to describe how students in an accelerated master’s degree entry program experientially learned the practice of nursing. One research question examined in this study was: What formative experiences did students identify as helping them develop and differentiate their clinical practice? Data from clinical observations and a combination of small group and individual interviews were collected and analyzed using interpretive phenomenological methods. Students identified formative skills learned through the independent care of a patient as pivotal in their identity and agency development. By experiencing the responsibility and action from within the body and …

Holistic Comfort And Bereavement Of Families Receiving Prenatal Hospice Support During The Loss Of An Unborn Child With Lethal Anomalies, Sally S. Smith

Nursing Theses and Capstone Projects

The purpose of this descriptive study was to explore the grieving process and coping mechanism of families that was faced with the impeding loss of their unborn child. Grief is a very lonely process.

The aim of this research is to examine how parents cope with the lost of an unborn child with the aid of perinatal hospices. Giving families a broader range of options in regards to continuing their pregnancy. Each family has a right to choice what option is right for them. Choices should be in the hands of the family in regards to continuing with their pregnancy …

‘How Should I Touch You?’: A Qualitative Study Of Attitudes On Intimate Touch In Nursing Care, Chad O'Lynn, Lorretta Krautscheid

Faculty Publications - College of Nursing

Objective: Although touch is essential to nursing practice, few studies have investigated patients' preferences for how nurses should perform tasks involving touch, especially intimate touch involving private and sometimes anxiety-provoking areas of patients' bodies. Some studies suggest that patients have more concerns about intimate touch from male than female nurses. This study sought to elicit the attitudes of laypersons on intimate touch provided by nurses in general and male nurses in particular.

Methods: A maximum-variation sample of 24 adults was selected and semistructured interviews were conducted in four focus groups. Interviews were recorded and transcribed; thematic analysis was performed.

Results: …

Student Nurse Perceptions Of Effective Medication Administration Education, Lorretta C. Krautscheid, Valorie J. Orton, Lori Chorpenning, Rachel Ryerson

Faculty Publications - College of Nursing

Nursing faculty strive to educate students in a manner that prevents errors, promoting quality, patient-centered care. This endeavor is dependent upon meaningful and effective education that incorporates educational experiences reflective of the service sector. Anecdotal reports from clinical faculty and student nurses suggest that academic medication administration education may not optimally prepare students for safe entry into clinical practice. The aim of this phenomenologic qualitative research is to understand student nurse perceptions regarding teaching strategies and learning activities that prepared them for safe medication administration in acute care clinical settings. Focus group interviews resulted in two broad themes that are …

The Effect Of High-Fidelity Human Patient Simulation On Stress Levels Of Associate Degree Novice Nursing Students, Sallie Beth Todd

Nursing Theses and Capstone Projects

The clinical learning environment is an important component in the educational development of a student nurse. Nursing students have identified the clinical experience as one of the most stress producing components of their nursing education. Past research has shown high levels of stress can lead to decreased learning, affect clinical performance, increase clinical errors, and threaten physical or psychiatric wellbeing. Nurse educators' primary responsibilities are to help students effectively cope with their initial stress and facilitate student learning by applying the knowledge they gain in the classroom to the clinical environment. To allow students the opportunity to integrate theory into …

Diabetes Understanding Among Staff Nurses: Examining The Actual Versus Perceived Knowledge In The Acute Care Setting, Rebecca B. Ledbetter

Nursing Theses and Capstone Projects

Diabetes is the fourth leading cause of death world-wide claiming a staggering 3.8 million lives globally each year to related complications (World Health Organization, 2011). Diabetes complications account for 20% of all acute care admissions or 1 in every 5 patients have a diabetes-related condition (American Diabetes Association, 2011). Patient education in the areas of lifestyle modification, healthy eating habits, and proper medication administration is research-supported to clinically decrease the likelihood of acute complications. Bedside, acute care nurses are at the front line of patient education delivery and have the opportunity to determine behavioral stages related to a patient's readiness …

A Comparison Of Patient And Nurse Perception Of Problem Areas Associated With Type 2 Diabetes, Kelley Oglesby

Nursing Theses and Capstone Projects

The purpose of the study was to explore the difference in problem areas perceived and reported by patients with type 2 diabetes and registered nurses caring for patients with type 2 diabetes. Diabetes affects a large number of patients both physically and fiscally. Decreasing perception of problems by nurse case management intervention has the potential to adversely affect patients. A convenience sample of 20 patients and 10 nurses was obtained and completed the Problem Areas in Diabetes (PAID) questionnaire. Statistical analysis found a significant difference in perception of problems among patients and nurses.

Nursing Students' Perception Of Comfort, Norma Mott

Nursing Theses and Capstone Projects

One of the most important goals of nursing care is to provide comfort to patients and their families. In order to provide comfort, nurses must be able to recognize and respond to patients in distress. Inconsistencies in the delivery of comfort care are based largely on the nurse's educational preparation. The degree to which comfort and comforting is evidenced in nursing performance depends in great measure on the way upcoming nurses perceive the concept during their education.

In this descriptive study guided by Kolcaba's Comfort Theory, the researcher surveyed a convenience sample of Associate Degree Nursing students to assess their …

Effects Of Early Initiation Of Induced Therapeutic Hypothermia, Frank Castelblanco

Nursing Theses and Capstone Projects

Cardiac arrests are responsible for about 325,000 deaths annually in the United States (Heart Rhythm Foundation, 2010). The majority of these cardiac arrests occur outside the hospital setting, with a dismal national survival rate of 8% (American Heart Association, 2010). The Bernard (2002) and HACA (2002) studies demonstrated that by initiating therapeutic hypothermia as a treatment modality for cardiac arrests the survival rate could be as high as 49% and 55% respectively. Therapeutic hypothermia can be initiated in many different settings. The question remains, does the setting of the initiation of therapeutic hypothermia effect patient outcomes? The purpose of this …

The Incidence Of Individual Sexually Based Counseling By School Nurses In An Urban School System, Tiffany Dunlap

Nursing Theses and Capstone Projects

The purpose of this study is to evaluate the incidence of individual counseling on sexual issues by school nurses in a large, urban, public school system in the Southeastern United States (U.S). Utilizing a descriptive, non-experimental method for the study, a secondary data analysis was conducted by the researcher using information self-reported by 117 school nurses regarding individual counseling of students in grades kindergarten through twelve on sexual topics. The topics included in the study were pregnancy, puberty/reproductive health and sexual abuse. There was a relationship established between grade level and rate of individual counseling. School nurses in the school …

The Effects Of Education And Training On Nurses' Perception Of Lateral Violence In The Healthcare Field, Tamara Cook

Nursing Theses and Capstone Projects

The effects of lateral violence are costly for all aspects of the healthcare profession. Lateral violence is an act of aggression directed towards another nurse. Educating nurses of lateral violence and its appearance may prove to increase nurse's perception of lateral violence therefore decreasing its occurrence. This study will explore the effects of education and training on nurses' perception of lateral violence in the healthcare field. Lateral violence threatens the integrity of each nurse, the nursing profession, and the organization. Increasing the awareness of lateral violence attempts to make a culture change among nurses in the healthcare profession. Minimizing lateral …

Preparing The New Graduate Nurse Entering Critical Or Progressive Care Practice Areas: What Is The Effect Of Blended Orientation Approaches On Their Level Of Self-Confidence And Satisfaction With Current Orientation Methods?, Jennifer L. Forbes

Nursing Theses and Capstone Projects

The transition from student nurse to professional nurse is often difficult for the new graduate especially if transitioning into critical or progressive care areas of practice. It is imperative for new graduates to receive a clinical orientation that meets their educational and transitional needs. The orientation process should provide them with a strong foundation in critical or progressive care practices. Educators are challenged to provide educational opportunities while accommodating diverse learning needs and continuing to maintain competency that ensures the highest quality of patient care and improved patient care outcomes.

New graduate nurses hired into the critical or progressive care …

Effect Of Remote Fetal Monitoring In An Inpatient Obstetrical Unit: A Retrospective Review, Lauren Reavis

Nursing Theses and Capstone Projects

Electronic Fetal Monitoring (EFM) has been used as a tool for inpatient obstetrical care in the United States since the 1980's. The litigious nature of our society has caused much emphasis to be placed upon EFM use and interpretation; however, little evolution has occurred in monitoring techniques. The review of relevant literature found a significant gap in knowledge in regards to research of the current monitoring practice. Therefore, this study was aimed to look at the effect of remote monitoring, like the practice currently used in telemetry, on inpatient obstetrical care. The study used a retrospective review to look at …

Comparing Cultural Competence In Graduating Master Of Social Work And Nursing Students, Joanna Guadalupe Rubio, Jamie Anne Webb

Theses Digitization Project

The purpose of this study was to compare cultural competence between graduating Bachelor of Nursing students and Master of Social Work students. The study participants consisted of 107 students who were graduating from either the MSW program or the Bachelor of Nursing program at California State University, San Bernardino. Participants were asked to complete a cultural competence survey and quantitative data analysis was utilized to compare cultural competence among respondents.

The Effects Of Concept Care Maps On Critical Thinking In Baccaalureate Nursing Students, Sarah Michelle Fry

Theses Digitization Project

The purpose of this study with first year Baccalaureate nursing students was to test the effects of care mapping strategies on critical thinking skills. In a constantly evolving field of nursing, it is important that new graduates are able to assimilate assessment data and use critical thinking to derive sound clinical judgement. Concept mapping is believed to support this endeavor.

The Art Of Nursing: An Evaluation Of Congruence Of Nurse-Patient Perceptions Of The Healing Interaction, Gillian Yvonne Dargan-Doxzon

Theses Digitization Project

The purpose of this study is to pilot a new tool that encompasses both patients' and nurses' perceptions of the nurse-patient interaction. This pairing of surveys will measure congruence of the perceptions between the nurse and the patient.

A Supportive-Educative Program For Perinatal Depression Utilizing Orem's Theory Of Self-Care, Amy Michelle Larsen

Theses Digitization Project

The purpose of this study is to provide a support group, utilizing Dorothea Orem's self-care model, for perinatal depression in Riverside County. Perinatal depression in childbearing women is quite significant. Incidence rates of perinatal depression are estimated at 15% and higher in the United States and worldwide population.

Effect Of Simulated Clinical Interpersonal Skills Practice On Nursing Students' Communication Skills, Nancy Jean Wolf

Theses Digitization Project

This study examined the effect of a workshop with simulated clinical interpersonal skills practice and conversational analysis on second-year nursing students' interpersonal communication skills. The ultimate goal of the present researcher is to empower nursing students with the knowledge and skills to communicate effectively with all members of the healthcare team. The target population consists of second-year nursing students, with the accessible population at California State University, San Bernardino (CSUSB). A random sample of 28 participants were selected from among students enrolled in the Foundation of Nursing Process, Roles and skills course, on two campuses of CSUSB.

Screening, Brief Intervention, And Referral To Treatment For Alcohol Use In A Community College, Alexandra Aimee Bell

Theses Digitization Project

This study examines the impact of Screening, Brief Intervention, and Referral to Treatment (SBIRT) on the high-risk alcohol behavior of a sample of California community college students accessing services at the student health center.

Follow-Up Telephone Calls: A Comparative Study Of Calls Made Three Days And Ninety Days Post Discharge And Their Effect On Patient Satisfaction And Patient Outcomes, Darrin Compton, Susan Lewis, Diedre Suits

Graduate Research Projects

No abstract provided.

Enhancement Of Medical Interns' Levels Of Clinical Skills Competence And Self-Confidence Levels Via Video Ipods: Pilot Randomized Controlled Trial, Margaret M. Hansen Edd, Msn, Rn, George Oosthuizen, John Windsor, Iain Doherty, Samuel Greig, Katrina Mchardy, Lloyd Mccann

Nursing and Health Professions Faculty Research and Publications

Background: Designing and delivering evidence-based medical practice for students requires careful consideration from medical science educators. Social Web (Web 2.0) applications are a part of today’s educational technology milieu; however, empirical research is lacking to support the impact of interactive Web 2.0 mobile applications on medical educational outcomes.
Objectives: The aim of our study was to determine whether instructional videos provided by iPod regarding female and male urinary catheter insertion would increase students’ confidence levels and enhance skill competencies.
Methods: We conducted a prospective study with medical trainee intern (TI) participants: 10 control participants (no technological intervention) and 11 intervention …

The Composite First Person Narrative: Texture, Structure, And Meaning In Writing Phenomenological Descriptions, Marcia Stanley Wertz, Marcianna Nosek, Susan Mcniesh, Elizabeth Marlow

Nursing and Health Professions Faculty Research and Publications

This paper illustrates the use of composite first person narrative interpretive methods, as described by Todres, across a range of phenomena. This methodology introduces texture into the presently understood structures of phenomena and thereby creates new understandings of the phenomenon, bringing about a form of understanding that is relationally alive that contributes to improved caring practices. The method is influenced by the work of Gendlin, Heidegger, van Manen, Gadamer, and Merleau-Ponty. The method’s applicability to different research topics is demonstrated through the composite narratives of nursing students learning nursing practice in an accelerated and condensed program, obese female adolescents attempting …

Bachelor Of Science In Nursing-Entry Level 2011, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Improving Blood Pressure Control In Esrd Through A Supportive Educative Nursing Intervention, Zorica Kauric-Klein

Wayne State University Dissertations

ABSTRACT

IMPROVING BLOOD PRESSURE CONTROL IN ESRD THROUGH A

SUPPORTIVE EDUCATIVE NURSING INTERVENTION

by

ZORICA KAURIC-KLEIN

May 2011

Advisor: Dr. Nancy T. Artinian

Major: Nursing

Degree: Doctor of Philosophy

Problem: Hypertension in chronic hemodialysis (HD) patients contributes significantly to their morbidity and mortality. Statistics indicate the hypertension rate amongst HD patients ranges from 75 to 100 %. Studies have indicated that adherence rates to self-care behaviors related to salt and fluid intake and medication regimens are very poor in the HD population. Traditional hypertension management strategies have been found to be largely ineffective. There is modest evidence indicating that interventions …

Circadian Rhythm Of Cortisol And Estradiol In Healthy Women, Karyn G. Butler

Wayne State University Dissertations

ABSTRACT

CIRCADIAN RHYTHM OF CORTISOL AND ESTRADIOL IN HEALTHY WOMEN

by

KARYN G. BUTLER

AUGUST 2011

Advisor: Dr. Jean E. Davis

Major: Nursing

Degree: Doctor of Philosophy

Daily variation in human processes and behaviors has been identified for centuries. Study of these circadian rhythms demonstrates their role in human health. Sickness behaviors include alterations in affect, sleep quality and energy. The study of the relationship between circadian rhythms has been limited to isolated rhythms. The role of temporal relationships among rhythms has received little attention. Sickness behaviors are prevalent in many disorders including depression, cancer, and autoimmune disorders. Two hormones …

Perceived Familial Socialization And Ethnic Identity: Factors Associated With Physical Activity, Eating Behavior Patterns, And Social Physique Anxiety In African American Middle Adolescents, Nutrena H. Tate

Wayne State University Dissertations

Purpose: African American adolescents experience higher rates of obesity and have an increased risk of obesity related diseases than Caucasian American adolescents. Despite culturally sensitive obesity preventive interventions, obesity rates are increasing within the African American adolescent population. Current obesity interventions claim to be culturally sensitive, but do not address how ethnic identity and parental influences on body image and body change may affect the efficacy of the interventions. The purpose of this study was to examine the sociocultural factors related to weight behaviors and cognitions in African American adolescents. Differences based on socioeconomic status (SES), gender, and residential status …

Case Study Scenario And Simulation: Supplementing A Student Nurse's Missed Foundational Clinical Nursing Experience, Lori Versaguis

Theses and Graduate Projects

Optimizing clinical education for student nurses in a local associate degree nursing (ADN) program is essential to prepare them to become competent professional nurses. The focus of this project is to develop a case study scenario and related simulation for associate degree nursing students who are absent from clinical experiences in a foundational nursing class. An innovative approach to replace a missed clinical experience is an educational module utilizing a patient care scenario followed by realistic nursing evaluation and interuentions in a simulation lab. Margaret Newman's theory of health as expanding consciousness supports this case scenario and simulation project. Bloom's …