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Shift Report And Sbar: Strategies For Clinical Postconference., Fatima Ascano-Martin

Nursing | Faculty Scholarship

Conducting an effective postconference continues to be challenging because of low levels of student participation. Many students are exhausted at the end of the clinical day, which lessens their participation in postconference. In my experience, students often omit important information, such as patients’ age, sex, race, and other medical problems, during initial reports. Some have trouble providing patients’ information in an organized manner as well. The SBAR (situation-background-assessment-recommendation) communication tool can be used as a strategy to conduct clinical postconference.

Shea/Apic Guideline: Infection Prevention And Control In The Long-Term Care Facility, Philip W. Smith, Gail Bennett, Suzanne Bradley, Paul Drinka, Ebbing Lautenbach, James Marx, Lona Mody, Lindsay Nicolle, Kurt Stevenson

United States Department of Veterans Affairs: Publications

Long-term care facilities (LTCFs) may be defined as institutions that provide health care to people who are unable to manage independently in the community.¹ This care may be chronic care management or short-term rehabilitative services. The term nursing home is defined as a facility licensed with an organized professional staff and inpatient beds that provides continuous nursing and other services to patients who are not in the acute phase of an illness. There is considerable overlap between the 2 terms.

More than 1.5 million residents reside in United States (US) nursing homes. In recent years, the acuity of illness …

Supporting A Community Of Individuals With Intellectual And Developmental Disabilities In Grieving, Sarah Ailey, Marilyn O'Rourke, Susan Breakwell, Anna Murphy

College of Nursing Faculty Research and Publications

Individuals with intellectual and developmental disabilities are living longer and experiencing deaths among their family and peers, yet their grieving is not well recognized. Staff members who provide care for these individuals witness the aging and death of their clients, yet they also receive little preparation to work through issues surrounding bereavement for their clients and themselves. The End of Life Nursing Education Consortium developed a national initiative to improve end-of-life and bereavement care education. Recommendations from the End of Life Nursing Education Consortium were incorporated into a home care/hospice/community health course and practicum for second-degree BSN students. The following …

Intergenerational Communication: Its Effect On Early Screening Activities In African-American Adult Daughters Of Mothers With Breast Cancer, Rita R. Callahan Phd, Ma, Bsn, Rn

Dissertations

Health communication at numerous levels is vital to sustainability of healthy individuals. The notion of African-American mothers and adult daughters sharing breast health and breast cancer knowledge openly and honestly could be the initial step in addressing the high morbidity and mortality that continues to affect this population. Communication is a variable that has yet to be studied between African-American mothers diagnosed with breast cancer and their adult daughters. This study first examined whether this relationship existed, and secondly if it was strong enough in supporting and encouraging one another towards consistent breast health and breast cancer screening activities. The …

Patients' Perceptions Of Hospital Discharge Informational Content, Lynn Rose Maloney, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Ensuring that patients' informational needs have been met prior to hospital discharge sets the stage for successful self-management of recovery at home. This secondary analysis study aims to identify differences in the amount of discharge teaching content needed and received by adult medical-surgical patients on the basis of their sociodemographic characteristics and hospitalization-related factors. The Quality of Discharge Teaching Scale (QDTS) is used to measure patients' perceptions of the amount of discharge-related informational content they needed and received. Eighty-nine percent of patients receive more informational content than they perceived they needed. Nonwhite patients report more content needed than White patients. …

Readiness For Discharge In Parents Of Hospitalized Children, Marianne E. Weiss, Norah Louise Johnson, Shelly Malin, Teresa Jerofke-Owen, Cecilia Lang, Eileen Sherburne

College of Nursing Faculty Research and Publications

Parental preparation for a child's discharge from the hospital sets the stage for successful transitioning to care and recovery at home. In this study of 135 parents of hospitalized children, the quality of discharge teaching, particularly the nurses' skills in “delivery” of parent teaching, was associated with increased parental readiness for discharge, which was associated with less coping difficulty during the first 3 weeks postdischarge. Parental coping difficulty was predictive of greater utilization of posthospitalization health services. These results validate the role of the skilled nurse as a teacher in promoting positive outcomes at discharge and beyond the hospitalization.

Promoting Healthy Development: Educating Somali Mothers And Children On The Importance Of Outdoor Physical Activity, Rebecca S. Wawra

Theses and Graduate Projects

This paper describes an educational program that was designed to provide education and awareness for Somali mothers and children about the importance of outdoor physical activity on healthy child development. The program is based on Margaret Newman's nursing theory of Health as Expanding Consciousness and Hartrick-Doane & Varcoe's concept of walking with. A comprehensive literature review was completed to exemplify the need for outdoor physical activity education in the immigrant population.

Uab Nursing - Summer 2008, University Of Alabama At Birmingham

UAB Nursing magazine

No abstract provided.

Cultural Competency In Nursing Education, Mikal Black, Terri Soelberg, Pamela Springer

Nursing Faculty Publications and Presentations

This article offers an overview of the GAIN (Greater Awareness in Idaho Nurses) Project which seeks to produce nursing graduates who are competent in providing culturally competent care. A description of the course will describe how interdisciplinary pedagogies have been utilized to provide an integrated course utilizing experiential leaming through Service Learning. Results of assessment of student outcomes illustrate the effectiveness of the project in developing cultural competence among participants.

Idaho Public Health Nursing Study, Jeri L. Bigbee, Jody Demeyer, Pam Gehrke, Nancy Otterness

Nursing Faculty Publications and Presentations

Public health nursing represents the foundation of the U.S. public health system, particularly in predominantly rural and frontier states. Increasing attention has recently been paid to strengthening the public health infrastructure and workforce in response to disaster preparedness concerns. Major concerns regarding the current and future shortage of public health nurses have been raised at the national and state levels (The Quad Council of Public Health Nursing Organizations, 2006; Health Resources Services Administration, 2005; Gehrke, 2007). Factors contributing to the shortage include the aging nursing workforce, inadequate funding and salaries, lack of qualified applicants, and ineffective recruitment and retention. In …

It's What We're Here For: Nurses Caring For Military Personnel During The Persian Gulf Wars, Patricia Rushton, Lynn Clark Callister, Jared E. Scott

Faculty Publications

Military nursing service during wartime represents significant contributions to a unique type of health care. The purposes of this study were to: (1) generate themes that elucidate combat nursing experiences, (2) honor nurses who served by sharing their stories, and (3) permanently archive accounts of nursing personnel who served during the Persian Gulf Wars during the late 20th and early 21st centuries. Eleven military nurses who provided health care to American troops in the Persian Gulf participated in a historical study as part of the ongoing Nurses at War oral history project documenting the experiences of nurses during times of …

Effect Of Outside Employment On Academic Success Among Full-Time Associate Degree Nursing Students, Julian A. Moore

Educational Leadership & Workforce Development Theses & Dissertations

Large portions of the United States are experiencing a shortage of nurses in the workplace. In 2001 the American Hospital Association reported that there were 126,000 vacancies for RNs nationwide. Sixty percent of all U.S. educated RNs who entered the field in 2000 received their education at the associate degree level and 79% of these associate degree recipients graduated from a community college. Improving completion rates in nursing programs is one major strategy in the effort to relieve this shortage of nurses.

The intent of this research was to study the effect of various factors on the academic achievement of …

Identifying Determinants Of Physical Activity In Maritime Union Members Using The Theory Of Planned Behavior, Susan Atkinson Tweed

Health Services Research Dissertations

This study examined the usefulness of the Theory of Planned Behavior to predict how attitude, subjective norm, perceived behavioral control, and intention are associated with physical activity in longshoremen from the Hampton Roads Shipping Association-International Longshoreman's Association (HRSA-ILA). The study was conducted in two phases. In the first phase, five focus groups were conducted to elicit information about the health behaviors of longshoremen. From the results of these focus groups, a 90-question, theory based, self-reported questionnaire was developed to identify beliefs, attitudes, subjective norms, perceived behavioral control, and intentions that contribute to longshoremen engaging in physical activity. In the second …

Closing The Research Gap: Enhancing Cambodian Participation In Clinical Research, Elsa C. Carlson

Theses and Graduate Projects

Obtaining proper sampling of a heterogeneous population remains a concern in research studies. Many studies have examined the low numbers of African-Americans recruited to clinical trials. Other studies have also focused on Latino-Hispanic disparity in research. However, there remains paucity in research involving Asian participation. This project aims to develop a nursing model of cultural immersion in the Cambodian community's culture that will foster deeper understanding, acceptance, and trust. In so doing, a research-friendly milieu of collaboration by the Cambodian community and the research community will be established. Madeleine Leininger's Theory of Culture Care Diversity and Universality is the theoretical …

Beyond Florence Nightingale: Celebrating Nursing At Augsburg Central Nursing Center, Lori J. Keith

Theses and Graduate Projects

The face of healthcare and our society are changing. People have difficulty accessing or paying for health services. One approach to meeting the needs of the under served is the utilization of nursing centers. The Augsburg College Department, in collaboration with Central Lutheran Church, maintains a no fee nurse managed center. Many nursing centers face continual difficulties in remaining viable or have closed because of funding issues. This project was developed to garner support for the Augsburg Central Nursing Center from Evangelical Lutheran Churches in America (ELCA) churches in the area. Fostering this relationship can provide necessary items and monies …

Bed Assignment: A Nurse's Call, Sandra L. Prince

Theses and Graduate Projects

The purpose of this Integrated Thesis Project is to develop a nursing unit based bed assignment procedural guideline. Currently general care patients admitted to the hospital are assigned to a bed through a centralized bed assignment process that does not involve nursing input. The nursing unit based bed assignment process is developed using the assumption that nurses will select the right bed for the right patient the first time with consideration given to patient's individual needs and staffing on the unit. A nursing unit based bed assignment process is anticipated to increase satisfaction for patient, family and nurse. Jean Watson's …

Becoming A Mother Across Cultures: Challenges Nurses Experience Teaching Prenatal Care To Recent Immigrant Sudanese Women, Cathy E. Miller

Theses and Graduate Projects

The purpose of this project is to provide an overview of Maternal Role Attainment (MRA) theory as discussed in nursing literature and explore how separation from culture may affect the transition to becoming a mother. Nursing issues related to teaching and supporting recent immigrant Sudanese women will also be identified. MRA is a complex developmental and transitional experience for women. In the United States, many women take on this role with the support of their culture, family, friends and community. However, over the past few years, the local public health agency has served a small number of immigrant pregnant Sudanese …

Synthesis Of Data To Develop Cultural Competency Training For Telehealth Nurses Providing Outbound Disease Management Programs To Hispanic Patients., Barbara L. Kreinbring

Theses and Graduate Projects

Telehealth nurses deliver disease management programs to culturally diverse populations, including Hispanic patients. Disease management programs focus on chronic conditions such as diabetes, which are increasing in prevalence. The CDC predicts that the number of Hispanic people with diabetes will rise nearly six-fold by 2050. The nurses who deliver these programs via the telephone need training focused on culturally competent care. The purpose of this project is to review and synthesize information in order to develop cultural competence training for telehealth nurses providing disease management programs to Hispanic patients.

The Lived Experience Of A Patient While Receiving Treatment On An Orthopedic Unit After A Hip Fracture: Integrating Research And Theory To Improve Patient Care, Margaret A. Kaser

Theses and Graduate Projects

A hip fracture is a devastating injury for an older person, often resulting in long-term or permanent loss of mobility and independence. Although research has been conducted on various aspects of hip fractures, little research has described the experience of a patient with a hip fracture. This phenomenological study explored the lived experience of a patient receiving treatment on an orthopedic unit after a hip fracture. A purposeful sample of two participants who were hospitalized at Saint Mary's Hospital following a hip fracture were interviewed after surgical repair of the fracture. The interviews were analyzed using Giorgi's descriptive phenomenology. The …

Emergency Nurses’ Perceptions Of Size, Frequency, And Magnitude Of Obstacles And Supportive Behaviors In End-Of-Life Care, Renea L. Beckstrand, Michelle D. Smith, Sondra Heaston, A. Elaine Bond

Faculty Publications

Introduction: Emergency nurses care for dying patients daily. The process of dying in an emergency department can be complicated. Research on specific obstacles that impede the delivery of end-of-life care in emergency departments and behaviors that support it is limited.

Methods: A 70-item questionnaire was mailed to randomly selected ENA members. Subjects were asked to rate items on the size, frequency, and manitude of obstacles and supportive behaviors that relate to end-of-life care for ED patients.

Results:

The perceived obstacles with the greatest magnitude were as follows: (a) ED nurses’ work loads being too high to allow adequate time for …

Essential Novice Nurse Educator Role Competencies And Qualifications To Teach Ina Pre-Licensure Registered Nurse Education Program, Kathleen A. Poindexter

Dissertations

Expert nurse clinicians who are transitioning into academic positions after successful clinical careers often find they are unprepared to assume their new educator roles. While nursing clinical expertise may be a necessary expectation, the knowledge is not sufficient to assume a nurse educator position. Novice nurse educators prepared with the essential qualifications and competencies associated with the specialty role of a nurse educator will be better able to transition into their new academic roles. This study identified essential entry-level nurse educators' competencies and qualifications as reported by nursing administrators of accredited pre-licensure nursing programs across the United States.

This study …

An Inquiry Into The Narrative Research Process: Supporting A Lao American Woman Tell Her Story, Kaija Freborg

Theses and Graduate Projects

Although many Lao refugees have adapted to the American lifestyle in the wake of the Vietnam War, others have had difficulty assimilating to mainstream society. Phayvanh, a Lao American woman, has struggled with living in both the traditional Lao world and the modem American world. I wanted to help Phayvanh share her life story but found that narrative research, a relatively new qualitative phenomenon within nursing, does not offer a concrete methodology. Therefore I decided to use a multifaceted approach, including ethnography, Newman's hermeneutic-dialectic methodology, and documentation of my process, while supporting Phayvanh in telling her personal narrative in order …

Evaluating Cultural Lmmersion Experiences To Teach Community Health Nursing, Martha Laskar-Alemán

Theses and Graduate Projects

Cultural immersion experiences can be a valuable way to teach the concepts of community health nursing in an introductory clinical course. By having an opportunity to experience a cultural context outside of their usual! area of practice and residence, students are able to expand their understanding of another world view while beginning to develop skills in population and community focused practice. The purpose of this project is to describe a method for evaluating cultural immersion experiences and to identify patterns of expanding professional and personal growth that are based on these experiences. Students who chose immersion experiences, were invited to …

Keeping The Moral Imperative To Care In The Nurse/Patient Relationship: A Survey Of Nurses Regarding Caring Practices, Attitudes And Interests, Cynthia M. Leas

Theses and Graduate Projects

This study examines the caring relationship between nurses and their patients. The purpose of the study is to enhance the development of a new nursing class about caring relationships. A survey was done to obtain feedback from nurses directly caring for patients. Practices, attitudes, and interests regarding nurse/patient relationships were evaluated.

A Proposed Teaching Module For Senior Undergraduate Nursing Students To Counteract Bullying Among Nurses, Sue M. Odegarden

Theses and Graduate Projects

Despite a plethora of literature on the potentially devastating effects of bullying, the behavior continues among professional nurses. Nurses who engage in the behavior jeopardize the nursing profession because of the negative impact bullying has on recruitment and retention. Bullying behavior is unprofessional, unethical and compromises patient safety. The purpose of this graduate field project was to design a learning module for senior undergraduate nursing students focused on bullying. New graduates are vulnerable to bullying behavior. The knowledge and skills acquired from the module enable undergraduate students to recognize and respond appropriately to bullying when it occurs and improves nurse …

Feeling Overwhelmed: The Lived Experience Of Nurse Managers., Teresa Potter England

Electronic Theses and Dissertations

Multiple studies have addressed registered nurse turnover in recent years. There is little research specifically addressing nurse manager turnover. The nurse manager is addressed in current research as being in a pivotal position to affect nurse retention. Research has focused on the skills necessary for nurse managers to affect turnover; however, there is little research addressing the pressure placed upon the nurse manager as he or she struggles to maintain the nursing workforce. This qualitative study explored the lived experience of feeling overwhelmed by 6 nurse managers currently working in an inpatient hospital environment. Interviews were analyzed using a modified …

An Ethnography Study Of Hiv Positive Midlife Black Women, Charlotte Stoudmire Phd

Dissertations

Black women, ages 45 and older, are disproportionately affected by the HIV/AIDS epidemic. In 2001, Black women comprised 11% of all older women in the United States; however, they accounted for more than 50% of AIDS cases and more than 65% of HIV cases (Winningham et al., 2004). The literature review reflected little research specifically looking at the reason(s) for the increase in HIV in Black women, ages 45 to 60. Furthermore, few research studies focused on HIV patient health beliefs and their experiences in living with HIV. This study was conducted with an ethnography research method coupled with the …

Paripartum Cardiomyopathy: Implications For Nps, Jeffrey A. Goss, A. Elaine Bond, Renea L. Beckstrand, Lynn C. Callister

Faculty Publications

Peripartum cardiomyopathy (PPCM), the fifth leading cause of death in pregnancy, is often overlooked or misdiagnosed because of vague symptoms and a lack of specific criteria for diagnosis. The authors performed a literature review of articles published between January 2000 and November 2007, and found that early diagnosis via echocardiography and interventions with specific treatment modalities can reduce mortality. Dobutamine stress testing may be prognostic for left ventricular (LV) dysfunction. Standard heart failure (HF) drug regimens, heart transplantation, and mechanical assist devices are viable treatment modalities, depending on individual needs. Subsequent pregnancies must be followed closely. The authors recommend that …

Evaluating The March Of Dimes Nicu Family Support Program: Parent Support For Neonatal Transport, Kimberly J. Morrone

Honors Scholar Theses

The purpose of the pilot study was to work in collaboration with the March of Dimes Family Support Team and the University of Connecticut Health Center (UCHC) to develop an evaluation instrument for the assessment of the Transport Module implemented by The March of Dimes Neonatal Intensive Care Unit (NICU) Family Support Program initiative at the UConn Health Center. A literature review of the topic illustrated the need for continuing research of successful family support interventions for parents experiencing the transport of their high-risk infant to a tertiary care NICU immediately after delivery. NICU staff members and the March of …

Evaluation Of The March Of Dimes Family Support Program With Focus On Parent To Parent Support, Lynn O'Connor

Honors Scholar Theses

The March of Dimes NICU Family Support Program provides families with support specialists, educational materials, and community resources to aide in the emotional and physical adaptation to a new life with a premature infant. Parent-to-parent support has been shown to more effective than group support because the new NICU parent is able to connect on a more personal level with an experienced NICU parent.

The purpose of the research was to develop and implement an evaluation instrument to assess the effectiveness of the March of Dimes NICU Family Support Program (MODFSP) in the NICU at the UConn Health Center, specifically …