Digital Commons Network^™

Evaluating Transfer Of Continuing Education To Practice: A Retrospective Mixed-Methods Study, Tiffany Bryant, Dnp, Msn, Rn-Bc

Doctor of Nursing Practice Projects

Background: Continuing education (CE) is an essential component of building and maintaining the competence and performance of health professionals. Evidence of its impact on practice is lacking. Organizations need evidence of CE transfer to the practice setting to demonstrate its value and inform CE practice.

Objectives: The purpose of this study was to provide evidence of CE’s impact on practice by analyzing nurses’ reports of intent to change practice, actual practice change, and examples of practice change. Research assessing the effects of CE on nursing practice across multiple courses involving different topics, levels of nursing practice and location supports generalizability. …

Educating Oncology Nurse Practitioners To Provide Basic Palliative Care, Lynn Adams, Dnp, Ms, Anp-Bc, Aocn

Doctor of Nursing Practice Projects

Background: Approximately 1.66 million Americans are diagnosed with cancer each year and another 589,430 die from the disease. As treatment options have expanded, many cancer patients are living longer with worsening symptoms and disabilities and an increased illness burden. These patients are ideal candidates for palliative care. Palliative care involves care delivered by a team of clinicians with specialty training and a focus on improving the quality of life for patients with serious illnesses. A number of major organizations have made formal recommendations regarding the integration of palliative care into comprehensive cancer care including the American Society of Clinical Oncology …

Enhancing Elderly Advance Care Planning Experience At A Primary Care Clinic, Oi Shan Wong

Doctoral Projects

The purpose of the project was to examine if the identification of readiness for an advance care planning (ACP) discussion of elderly participants would enhance the outcomes of participants' satisfaction, improve the likelihood of having an ACP discussion and increase the completion rates of an advance directive (AD) document after an office visit.

Forty-four elderly participants, who met the selection criteria, were recruited from a primary clinic in Northern California from October 1, 2017 to December 31, 2017 (Female, n =28). All participants were randomly assigned to either an intervention group (n= 22) or a control group ( …

A Qualitative Assessment Of New Graduate Nurse Practitioners First Year Of Practice, Alex Beggs Rn, Msn

Muskie School Capstones and Dissertations

This project serves as a Capstone and final requirement for the Master of Public Health Degree at the University of Southern Maine Muskie School for Public Service. The project is a qualitative inquiry into the experience of new graduate nurse practitioners’ in their first year of practice, and their transition from the registered nurse (RN) into the nurse practitioner (NP) role. Using the theoretical constructs of Benner’s “From Novice to Expert” and the Burch’s “Conscious Competence model” new graduate nurse practitioners’ experiences will be analyzed. Risk and protective factors for role confidence will be identified through the use of qualitative …

Diabetic Neuropathy, Nicole Morgan

Nursing Capstones

No abstract provided.

The Acutely Ill Patient On Biologics; What Primary Care Should Know, Casey Seifert

Nursing Capstones

No abstract provided.

Transition Of A Patient With Diabetes From Hospital To Home, Jennifer L. Henry

Nursing Capstones

No abstract provided.

Diet Manipulation And The Impact On The Gut Microbiome In Rheumatoid Arthritis, Deanna Heine

Nursing Capstones

No abstract provided.

Dyslipidemia Management In Diabetic Patients: A Case Report, Morgan Rinke

Nursing Capstones

No abstract provided.

Diabetes Mellitus: Prevention And Management Of Diabetic Foot Ulcers, Kathleen A. Stevens

Nursing Capstones

No abstract provided.

Relationship Between Type 2 Diabetes Mellitus And Depression, Kayla L. Bachand

Nursing Capstones

No abstract provided.

Evidence-Driven Diagnosis And Treatment Of Acute Urinary Tract Infections In Long-Term Care, Morgan K. Clouse

DNP Projects

Misdiagnosis of asymptomatic bacteriuria as a urinary tract infection continues to occur, leading to the overuse of antibiotics. Due to the growing elderly population in long-term care facilities (LTCFs), LTCFs can play a critical role in antimicrobial stewardship. Urinary tract infections are a starting point for moving toward antimicrobial stewardship, since urinary tract infections are common in LTCFs. A retrospective chart review of 156 cases with suspected urinary tract infections (UTIs) was completed in a LTCF. The purpose of the scholarly project was to assess diagnostic and treatment practices for UTIs and compare them to a diagnostic and treatment algorithm. …

Health Benefits Of Pet Ownership For Older Adults, Molly Cook, Sydney Busch

Grace Peterson Nursing Research Colloquium

Background: Over the last few decades, life expectancy has increased causing a significant rise and rising number of senior citizens. This has resulted in greater demand and spending in healthcare for this growing population, due to, the increase risk for health problems that are associated with older age.

Objectives: The purpose of this literature review is to examine the health benefits of pet ownership for older adults. This study will provide information on what health benefits come with pet ownership, and how this can affect the elderly population.

Method: A computerized integrative review was conducted using various combinations of the …

Approaches To Hypertension Management In Patients Over Eighty Years Old, Lillia Budd

Nursing Capstones

No abstract provided.

Non-Pharmacological Treatment Options For Quality Sleep In Elderly, Kamilla Gundersen

Nursing Capstones

No abstract provided.

Vaccination In Rheumatoid Arthritis Patients – Case Report, Jenny Weyers

Nursing Capstones

No abstract provided.

The Functional Specialties: A Workshop On Applying Lonergan, Praxis Program Of The Advanced Seminar On Mission, Seton Hall University

Praxis Conference and Workshop Proceedings

These are the proceedings of the Praxis Program of the Advanced Seminar on Mission’s third annual summer workshop which was held in Trieste, Italy in July 2017. It focused on the application of Bernard Lonergan’s Functional Specialties to the work of the Seton Hall University faculty participants. The workshop was jointly sponsored by the Center for Vocation and Servant Leadership and the Center for Catholic Studies, and co-sponsored by Boston College, the Jacques Maritain Institute and the University of Trieste.

Adult Day Service Providers: Untapped Potential For Care Coordination, Nicole Ruggiano, Ellen L. Brown, Karen L. Fortuna

Nursing & Health Sciences Research Journal

Adult Day Services (ADS) have become increasingly available for community-dwelling older adults who are often experiencing multiple chronic conditions and/or dementia. ADS providers spend a significant amount of time with their clients and offer the opportunity for a wealth of clinical information that can be used by primary care providers and specialists for decision-making about patient care. There are also opportunities for hospitals to coordinate care transitions with ADS providers by involving them with discharge planning with appropriate patients who require post-hospital care. However, ADS providers are often viewed as social service providers, and there is little known about the …

An Exploration Of The Association Of Patient Characteristics And Pharmacological Treatments To Inpatient Falls Among Patients At-Risk For Falling During Hospitalization, Julie David, Maria Ojeda, James O. Adefisoye, Winifred Pardo

Nursing & Health Sciences Research Journal

Introduction/Background: Falls may be the most commonly reported incidents in the acute care setting, and a frequent cause of harm in the hospital. Studies have focused on identifying risk factors for falls and interventions aimed at reducing the risk of falling. The purpose of this study was to describe and compare patient characteristics and pharmacological treatments between patients who fell and patients who did not fall, among a sample of patients deemed to be at-risk for falling during hospitalization. Additionally, the study aimed to identify independent predictors of falls among patients at-risk for falls during hospitalization.

Methods: An observational, cross-sectional …

Resilience From The Perspectives Of Caregivers Of Persons With Dementia, Abir K. Bekhet, Jennifer Sjostedt Avery

College of Nursing Faculty Research and Publications

No abstract provided.

Data Saturation: The Mysterious Step In Grounded Theory Method, Khaldoun M. Aldiabat, Carole-Lynne Le Navenec

The Qualitative Report

The aim of this paper is to provide a discussion that is broad in both depth and breadth, about the concept of data saturation in Grounded Theory. It is expected that this knowledge will provide a helpful resource for (a) the novice researcher using a Grounded Theory approach, or for (b) graduate students currently enrolled in a qualitative research course, and for (c) instructors who teach or supervise qualitative research projects. The following topics are discussed in this paper: (1) definition of data saturation in Grounded Theory (GT); (2) factors pertaining to data saturation; (3) factors that hinder data saturation; …

Adults With Cystic Fibrosis: Self-Management And Health Outcomes, Amanda Rose Lambie

Theses and Dissertations

This dissertation is comprised of three manuscripts for publication reporting on adults living with cystic fibrosis, self-management behaviors and health outcomes. Chapter I explores what is known about adults living with cystic fibrosis (CF) and the factors impacting their self-management, including the complexities of a health maintenance regime required for survival while integrating and balancing the realities of adulthood. The review of literature provides direction for future research and implications for adult-focused CF studies. Chapter II is a manuscript describing the characteristics of prognostic survival models utilized in adult CF research and provides an overview of their development, validation, predictive …

A Mixed Methods Study Of Symptom Perception In Patients With Chronic Heart Failure, Elliane Irani

Faculty Scholarship

Background: Early heart failure (HF) symptoms are frequently unrecognized for reasons that are unclear. We explored symptom perception in patients with chronic HF. Methods: We enrolled 36 HF out-patients into a longitudinal sequential explanatory mixed methods study. We used objectively measured thoracic fluid accumulation and daily reports of signs and symptoms to evaluate accuracy of detected changes in fluid retention. Patterns of symptom interpretation and response were explored in telephone interviews conducted every 2 weeks for 3-months. Results: In this sample, 44% had a mismatch between objective and subjective fluid retention; younger persons were more likely to have mismatch. In …

Enhanced Depression Screening In The Cardiac Rehabilitation Setting An Evidence-Based Project, Heidi Winslow

Doctoral Dissertations and Scholarly Projects

Depression is common amongst patients with cardiovascular disease. This evidence-based project was designed to evaluate the impact of a practice improvement intervention for screening and referrals in cardiac patients with depression. The American Heart Association Advisory Council recommends depression screening, treatment, and support to provide adequate diagnosis, treatment, and follow-up to patients. Cardiacrehabilitation (CR) is a coordinated effort of structured treatments with physical, mental, and social components, to favorably influence cardiac healing and resume optimal functioning. The problem is current depression screening and referrals are not being documented electronically in the cardiac rehabilitation (CR) setting limiting real-time communication amongst the …

The Maternal And Neonatal Outcomes Of Utilizing Nitrous Oxide For Labor Analgesia, Joy L. Sayler

All Electronic Theses and Dissertations

Background: Inhaled nitrous oxide has been used in many developing countries for labor analgesia but fell out of practice in the United States over the past 40 years. Recently it has been reintroduced into practice in the U.S. Purpose: The purpose of this paper is to critically examine the literature in order to determine the maternal and neonatal effects of utilizing nitrous oxide for labor analgesia. Methods: Twenty research articles were critically reviewed in order to determine the maternal and neonatal effects of utilizing nitrous oxide for labor analgesia. Results: Nitrous oxide appears to be safe for both mother and …

Orthostatic Blood Pressure Monitoring, Carla Olson

Nursing Posters

To apply the evidence of orthostatic blood (O B/P) pressure monitoring techniques as compared to inconsistent O B/P monitoring. Enhance the knowledge and skill of staff completing O B/P to promote consistent technique and reliable assessment data. Identify and modify order sets which include O B/P monitoring to ensure the order is written for use based on the evidence.

Enhancing Retention For Patient Care Assistants: Effective Strategies To Implement To Reduce Turnover, Tiffany Omann-Bidinger

Nursing Posters

Develop and implement a hospital-wide, evidence-based recruitment and retention program to reduce turnover rates for Patient Care Assistants (PCAs).

Reducing The Prevalence Of Falls In The Assisted Living Facility Setting, Joan Louis Pierre

Student Theses, Dissertations and Capstones

Background: Falls are an issue of concern among the elderly population; it is not only costly, but their impact can have long-term consequences on the quality of life of the elderly. Fall risk in this population increases with age, and falls are the leading cause of accidental death and disability among older adults (Morris et al., 2016). Fall prevention is needed to help reduce these events. The success of this project required consideration of the unique needs of residents in the assisted living environment. Purpose: The purpose of this project was to reduce the prevalence of falls in the assisted …

Reducing The Prevalence Of Fall In The Assisted Living Facility Setting, Joan Louis Pierre

Student Theses, Dissertations and Capstones

Background: Falls are an issue of concern among the elderly population; it is not only costly, but their impact can have long-term consequences on the quality of life of the elderly. Fall risk in this population increases with age, and falls are the leading cause of accidental death and disability among older adults (Morris et al., 2016). Fall prevention is needed to help reduce these events. The success of this project required consideration of the unique needs of residents in the assisted living environment.

Purpose: The purpose of this project was to reduce the prevalence of falls in the assisted …

Aerobic Physical Exercise Increases The Health-Related Quality Of Life In Older Adults, Patricia L. Parker

Doctor of Nursing Practice Projects

Abstract

Problem Description: Globally, the older adult population is expected to substantially increase in number throughout the next few decades. The aging process causes the body and mind to undergo many detrimental changes. Typically, older adults succumb to a more sedentary lifestyle due to factors such as decreased musculature and skeletal changes, chronic pain, socioeconomic and psychological stressors, and memory changes. Inevitably, health-related quality of life and overall independence dwindles in this population negating their perception of happiness and life satisfaction. There is significant research on preventing and/or managing cognitive disabilities in the older adult; however, Western medicine approaches, such …