Digital Commons Network^™

Factors Influencing The Provision Of Human Milk Feeding Support For Preterm Infants In Neonatal Intensive Care Units In China: A Qualitative Study Of Neonatal Nurses’ Perspectives, Wenjie Guo, Haiyan Zhang, Li Wang, Fang Huang, Dongmei Ma, Maggie Zgambo, Sanmei Chen, Yan Wu, Yanmei Bu, Yoko Shimpuku

Research outputs 2022 to 2026

Background: Human milk feeding is crucial for the survival and development of preterm infants, yet their human milk feeding rates at Neonatal Intensive Care Units (NICUs) discharge remain lower than those of healthy newborns. Effective support is essential for improving breast milk feeding outcomes, but remains challenging for NICU nurses. Therefore, this study aimed to examine factors that influence NICU nurses in providing human milk feeding support, including the challenges they face and their needs. Methods: This study employed a qualitative descriptive design. Using maximum variation and purposive sampling, 19 nurses in the NICU were recruited. Between August and September …

What Is Known About Asthma Care And Management For Children And Young People Under 18 Years Of Age In New Zealand. A Scoping Review, J. Blamires, M. Foster, B. Kanengoni-Nyatara

Research outputs 2022 to 2026

Introduction: Asthma is the most common chronic health condition affecting children in Aotearoa New Zealand, with Māori and Pacific children disproportionately burdened by high morbidity and inequitable care. Despite clinical guidelines and growing research, inconsistencies in diagnosis, treatment adherence, and education persist. This scoping review identifies and maps literature on care models, service delivery, education and support strategies, and experiences of children, young people, and their family/whānau in asthma care and management for those under 18 in Aotearoa New Zealand. Methods: This scoping review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses Extension for Scoping …

The First Year Of Assisted Dying In New Zealand Through The Lens Of Healthcare Professionals Not Directly Involved In The Process, Waqas Arshad, Aida Dehkhoda, Melissa Carey, David B. Menkes, Nicholas Hoeh, Frederick Sundram, Rosemary Frey, Gary Cheung

Research outputs 2022 to 2026

Background: New Zealand’s End of Life Choice Act 2019 was enacted in 2021, allowing terminally ill people experiencing unbearable suffering to request assisted dying if they are expected to die within six months. Healthcare professionals not directly involved in assisted dying provision may have unique perspectives on implementation, yet this remains under-explored. Methods: This qualitative study was conducted between June and November 2022. We used purposive and snowball sampling to recruit potential participants through various sources, including the Ministry of Health’s assisted dying training and communication email list. A multidisciplinary research team developed a semi-structured interview guide. The individual interviews …

Implementing A Nurse Navigator Role In An Outpatient Procedural Setting To Improve Patient Satisfaction Scores: A Quality Improvement Project, Lashanti King

Doctor of Nursing Practice Projects

Much focus has been placed on patient experience since the Affordable Care Act was signed into law in 2010 due to its regulatory, financial, and business growth implications. Patient satisfaction is crucial to maintaining and growing a customer base and fulfilling the target growth established in institutional strategic plans. This project aimed to determine whether implementing a nurse navigator role to perform rounds in the preoperative and waiting areas for two months would increase patient-reported satisfaction scores regarding being informed about delays and the likelihood of recommending the facility. Due to its subjective nature, it is challenging to consistently maintain …

Improving Post-Resuscitation Debriefing Completion Rates In An Acute Care Community Hospital: A Quality Improvement Project, Tiffany Tolden

Doctor of Nursing Practice Projects

Background: Post-resuscitation debriefing improves team dynamics and CPR quality and can identify systemic barriers to quality care delivery. However, completion rates remain low in acute care settings. Purpose: This quality improvement project evaluated whether a one-hour training session for rapid response nurses and charge nurses, combined with weekly reminder emails, would increase completion rates of post-resuscitation debriefings and influence nurses’ perceptions of their usefulness in an acute care community hospital. PICOT Questions: Will a one-hour training session (I) with rapid response nurses and unit charge nurses (P), along with a weekly reminder system (I), increase the completion rate (O) of …

Staff Education To Improve Nursing Knowledge On Fall Prevention, Mary Del Riffe

Walden Dissertations and Doctoral Studies

Summary Falls in health care facilities constitute the most prevalent incidents among all safety-related mishaps. If unaddressed, falls can result in severe consequences and perhaps fatal outcomes for patients. The Doctor of Nursing practice (DNP) project was developed to address the issue of patient falls in a long-term acute care hospital (LTACH). The practice-focused question was: Will implementation of an educational evidence-based staff fall prevention program improve nurses’ knowledge on fall prevention? The 1-hour staff education program was created based on review of recent evidence. Twelve nurses attended the staff education program. A pre- and posttest were used to evaluate …

Staff Education To Implement Phq-9 Depression Screening Among Adults, Sharon C. Nwanne-Temple

Walden Dissertations and Doctoral Studies

Abstract Depression remains one of the most prevalent and underdiagnosed mental health conditions globally, resulting in substantial morbidity, diminished quality of life, and increased healthcare costs. The purpose of this Doctor of Nursing Practice (DNP) project was to improve early detection of depression among adults in a primary care setting through a structured staff education program on the use of the Patient Health Questionnaire-9 (PHQ-9) screening tool. A mixed-methods quality improvement design guided implementation over a six-week period with nine clinical staff participants, including nurses, medical assistants, and providers. The educational intervention comprised a PowerPoint presentation, interactive discussion, and post-training …

Exploring The Lived Experience Of Nursing Faculty In Preparing For The Next Generation Nclex: A Qualitative Study, Mary Granoff, Missilia Gilbert, Marjorie Lima, Erika Nusbaum, Natalie Bermudez

Nursing & Health Sciences Research Journal

Introduction: According to the Nursing Council of State Boards of Nursing (NCSBN), more than half of all errors among new graduate registered nurses are related to a lack of clinical judgment, a critical component of nursing practice. Considering the Next Generation National Council Licensure Examination (NCLEX) focuses on clinical judgment, a greater understanding of faculty’s Next Generation NCLEX (NGN) teaching preparedness is needed. The purpose of this study was to explore nursing faculty’s lived experience preparing students for the NGN.

Methods: This was a qualitative descriptive study. Data were collected via 15-minute individual interviews. Participants were pre-licensure nursing faculty from …

Harnessing The Communities Of Resilience And Excellence Framework To Advance Population Health: The Healthy West Kendall Experience, Cristina Brito, Simone Cheong, Stephanie Norling, Michelle Mejia, Sandra R. Mclean, Carlos E. Hernandez, Lourdes Boue, Zuanel Diaz, Javier Hernandez-Lichtl

Nursing & Health Sciences Research Journal

Introduction: Fragmented community efforts often dilute health‐improvement initiatives. The Communities of Resilience and Excellence (C.O.R.E) Guide offers a Baldrige-based systems approach that aligns cross‐sector partners around shared metrics and continuous improvement cycles for collective impact. West Kendall, an unincorporated area of Miami-Dade County with over 340,000 residents, adopted the framework in response to rising chronic disease burden and socioeconomic disparities.

Methods: West Kendall Baptist Hospital served as the backbone organization that aligned multi-sector partners, implemented evidence-based interventions, and tracked community-level outcomes. We conducted a cross-sectional evaluation of the Healthy West Kendall initiative's impact across various regions in Miami-Dade County and …

Evaluating Perceptions Of Clinical Sports Pharmacists: Insights From An Orthopedic Clinic Survey, Brandon K. Welch, Sara Panella, Michael Swartzon, Eli Friedman, Samantha Cossin

Nursing & Health Sciences Research Journal

Introduction: Athletes have unique pharmaceutical needs due to injury risk, supplement use, and anti-doping regulations. Despite this, pharmacists remain underutilized in sports medicine. This quality improvement project evaluated clinician and staff perceptions of clinical sports pharmacists at Baptist Health, a large healthcare system in South Florida.

Methods: A 12-question REDCap survey was distributed to 19 staff and clinicians— including physicians, athletic trainers, and medical assistants—across five Baptist Health Orthopedic and Sports Medicine clinics. Responses were measured using a Likert scale and analyzed using descriptive statistics and thematic analysis.

Results: The survey achieved a 100% response rate. Most participants had over …

Glp-1 Medications For Kids: Do They Work, And At What Price?, Sylvia Peña, Marilyn Frenn

College of Nursing Faculty Research and Publications

Context

Childhood obesity continues to increase along with the numbers of children with severe obesity and related comorbidities. This meta-analysis1 sought to determine whether or not glucagon-like peptide-1 receptor agonist (GLP-1 RA) medications are safe and effective for children and adolescents.

Methods

Appropriate search and abstraction approaches were used in the meta-analysis of randomised controlled trials making it the highest level of evidence. Included studies were those with participants younger than 18 years with obesity, overweight, pre-diabetes or type 2 diabetes (T2D) assessing GLP-1 RAs alone or with lifestyle modification versus placebo published between 2023 and 2025. Most participants …

Delivering Optimal Weight Gain Advice To Pregnant Women By Lead Maternity Carer Midwives In A Real-World Setting To Optimise Health Outcomes (Dot Study): A Case Study Protocol, Kirsten J. Coppell, Nicole Mcgrath, Beverley Lawton, Kendall Stevenson, H. Mel Rackham, Katrina J. Sharples, Trudy Sullivan, Rosemary M. Hall, Helen Paterson

Research outputs 2022 to 2026

Background: Excess gestational weight gain (GWG) occurs in up to 70% of women who birth. Excess GWG increases the risk of adverse outcomes in both mother and baby including gestational diabetes, pre-eclampsia, postpartum weight retention, large for gestational age babies, and adiposity among children. Antenatal lifestyle interventions can limit excess GWG. However, successful translation of interventions into routine antenatal care are seldom, and interventions involving midwives are uncommon. Following a successful feasibility study, the main aims of this study are to determine if the Delivering Optimal weighT gain advice in pregnancy (DOT) intervention is acceptable to midwives, acceptable and accessible …

Longitudinal Associations Between Maternal And Child Screen Use At 1 Year Of Age And Child Behavior And Development At 3 Years Of Age, Stephanie Sim, Juliana Zabatiero, Natasha Bear, Amber Beynon, George Thomas, Ravisha Srinivasjois, Brad Jongeling, Desiree Silva, Leon Straker

Research outputs 2022 to 2026

Background: Young children are increasingly exposed to evolving screen technology. International guidelines recommend no screen use for children under the age of 2 years, due to the potential for detrimental effects on behaviour and development. However, evidence for these guidelines is limited by inadequate consideration of device-specific effects (TV and mobile phone/tablet computer), maternal screen use, confounders such as maternal mental health and importance of effect sizes. Our aim was to investigate longitudinal associations of device-specific maternal and child technology use and covariates (including maternal mental health) with behavioural and developmental outcomes, to guide adults on screen use behaviours by …

Midwife-Led Birth Debrief: A Concept Analysis, Kate Buchanan, Elliesha O'Reilly, Georgia Wilcox, Sara Bayes, Lauren Kearney, Linda Sweet, Hazel Keedle

Research outputs 2022 to 2026

Background: Psychological birth trauma (PBT) affects approximately 19 % of postnatal women, making its prevention a global priority. Midwives are responsible for providing psychosocial care during the postnatal period to foster the mother-infant relationship, provide education and screening and support positive transitions to parenting. However, the specific attributes of a birth debrief and the role of the midwife in a supporting a woman to review their birth experience is less well documented in regulatory frameworks or scientific literature. This has created significant ambiguity in both clinical practice among health professionals and in research contexts. The lack of a clear understanding …

Perils Of Precisely Equal Group Size In Randomised Controlled Trials, Richard Gray, Daniel Bressington, Bridgina Mackay, Martin Jones, David R. Thompson

Research outputs 2022 to 2026

No abstract provided.

Implementing Phq-2 In An Outpatient Mental Health Practice, Krishona Poignard

Doctor of Nursing Practice Projects

Depression remains widely underidentified in outpatient behavioral health settings, where variable screening practices limit early recognition and appropriate treatment. This quality improvement project addressed this gap by standardizing screening through targeted clinician education. The purpose was to improve clinician confidence and adherence to validated tools, specifically the Patient Health Questionnaire-2 (PHQ-2) and, when indicated, the Patient Health Questionnaire-9 (PHQ-9). The project aimed to increase consistent tool use through an evidence-based educational intervention guided by Lewin’s Change Theory and the Iowa Implementation for Sustainability Framework. A quasi-experimental, single-group pretest–posttest design was employed with licensed clinical staff, including licensed social workers (LSWs), …

Promoting Competence And Confidence: Simulation-Based Basic Life Support Training For Jordanian Nurses, Yousef Shukry Abu-Wardeh, Wan Muhamad Amir W Ahmad, Mohd Shaharudin Shah Che Hamzah, Intan Idiana Hassan

Jurnal Keperawatan Indonesia

Cardiopulmonary arrest is a major health issue that affects healthcare providers. The COVID-19 pandemic has added a new risk to rescuers who may be attempting to resuscitate victims. It is essential to strike a balance between resuscitation and the need to protect oneself from infection. The study aims to evaluate the effectiveness of simulation training in enhancing the Basic Life Support (BLS) knowledge, skills, and confidence levels of newly employed nurses. The study employed a single-masked, prospective, randomized controlled trial design, which consisted of three phases: a pre-test, an immediate post-test, and a post-test conducted three months later. The American …

Reducing Emergency Department To Medical Icu Boarding Times: Implementing A Standardized Escalation Protocol At A Large Medical Center Hospital, Taylor A. Robbins-Ethridge

Doctor of Nursing Practice Final Project Abstract

Prolonged emergency department (ED) boarding of critically ill patients awaiting transfer to the medical intensive care unit (MICU) delays access to definitive care and is associated with increased mortality and longer hospital stays. This quality improvement project aimed to reduce ED boarding times for MICU patients by implementing the Bed Ready in 30: Just Say Yes escalation protocol. The Plan–Do–Study–Act (PDSA) framework guided the implementation of a structured escalation process to standardize nurse-to-nurse communication once a MICU bed was marked as ready in the electronic health record. A pre–post observational study was used to evaluate the intervention using electronic health …

Determining Factors For Long Term Use Of Gadget By Preschool Children, Wardatus Sholihah, Allenidekania Allenidekania, Nur Agustini, Rukmini Rukmini, Dwi Yuniar Ramadhani

Jurnal Keperawatan Indonesia

In the digital era, preschoolers spent more time playing on their gadgets than with their peers. The excessive use of gadgets (including laptops, cellphones, tablets, and similar electronic devices) can have negative impacts on preschool-age children. This study analyzes the determining factors that influence the duration of gadget use in preschool children. The study used a correlational design with a cross-sectional approach involving 318 parents who were selected using cluster sampling. The results showed that there was a significant relationship between the duration of gadget use and the gender of the parents (p = 0.001), parental education (p = 0.035), …

Enhancing Patient Satisfaction Among Coronary Heart Disease Patients Through Islamic Spiritual Care With Murottal In Nursing Practice, Aris Citra Wisuda, Citra Suraya, Suzanna Suzanna, Muhamad Andika Sasmita Saputra, Manisha Manisha, Hesly Devitasari, Dian Emiliasari, Tukimin Bin Sansuwito

Jurnal Keperawatan Indonesia

Spiritual care is essential in nursing, especially for patients with chronic or palliative conditions such as coronary heart disease. Although medical intervention is crucial, Islamic spiritual therapy using murottal has a significant impact on patient satisfaction. This study aims to evaluate the effectiveness of murottal in enhancing patient satisfaction among individuals with coronary heart disease. A quasi-experimental pretest-posttest design was used with 52 participants at Siti Khadijah Islamic Hospital, Palembang, Indonesia. Total sampling was applied, and data were analyzed using the paired sample t-test. Patient satisfaction was measured using a Likert-scale questionnaire to assess the impact of murottal spiritual care. …

Quality Improvement Project: Nursing Education In Relation To The Use And Effect Of Neuromuscular Blockade Agents, Lauren Danielle Bowen

Doctor of Nursing Practice Projects

Neuromuscular blockade agents are a medication class that requires education and knowledge to ensure protocols, assessments, and tools are utilized in acute care facilities. Quality improvement (QI) project focused on the use of neuromuscular blockage agents to ensure nursing staff, who have direct patient contact, received proper education. A quasi-experimental, pre-post project intervention design was used to evaluate evidence-based practice interventions with a literature review, assessment, and tools used by the population studied. Aim and purpose of the QI project was to increase nursing staff educational knowledge on the use of neuromuscular blockade agents in patients who are sedated requiring …

Restorative Masculine Integration Theory, Todd Angelucci, Julian L. Gallegos

School of Nursing Faculty Publications

The Restorative Masculine Integration Theory (RMIT) introduces a strengths-based, systems-oriented framework for promoting healthy masculinity through healing, leadership, and relational engagement. Developed in response to the adverse effects of masculine suppression, such as emotional disengagement, burnout, and polarity collapse, RMIT outlines a five-phase Cycle of Masculine Restoration: reclaimed masculinity, emotional safety and trust, grounded leadership, rebalanced gender polarity, and healing with cultural renewal. These stages are underpinned by core concepts including psychological safety, peer mentorship, emotional literacy, and authentic masculinity. Drawing from interdisciplinary foundations in gender studies, emotional intelligence, trauma-informed practice, polarity theory, and servant leadership, RMIT offers an adaptable …

Biological Impact Of Chemical-Based Medications On Human Dna: Mechanisms, Clinical Consequences, And Research Gaps, Israa M. Ali Alameen, Sumayah Mahmood Rafid, Baqer Khaled Hothefa

Al-Esraa University College Journal for Medical Sciences

Background: Not long ago DNA has become the subject of interest for the pharmaceutical companies, that because its proven by medical and scientifical fields, that it’s the fundamental sources of proteins, which is the basic element in the cell, therefore, the interaction between the Drug and the deoxyribonucleic acid (DNA) is very important to therapeutic regimens success but in other side it has a dangerous effect like toxicity, and long-term genomic instability. Objective: The aim of this review is to focus on the different studies which examines the effect of different drug like the chemotherapy, antivirals, antibiotics, and immune-suppressants on …

Psychological Distress And Quality Of Life Among Infertility Couples Undergoing Infertility Treatment In Malaysia, Farrahdilla Hamzah, Zamzaliza Abdul Mulud, Malini Mat Napes, Sarah Abdul Mubarak, Rosliza Shafie

Jurnal Keperawatan Indonesia

Infertility often leads to stress, anxiety, and depression, significantly affecting the quality of life of affected couples. This study explored the sociodemographic and psychological factors influencing the quality of life among infertile couples undergoing in vitro fertilization (IVF) treatment in Malaysia, using a cross-sectional design. A total of 126 infertile couples were purposively sampled from three public hospitals offering IVF treatment. The Depression, Anxiety, and Stress Scale (DASS-21) measured psychological distress levels, while the Fertility Quality of Life (Ferti-QoL) scale assessed fertility-related quality of life. Data collection adhered to strict ethical standards, with confidentiality ensured. Participants provided informed consent and …

Assessing Community Readiness And Benefits Of A Nursing Program: Implications For Healthcare And Education, Mary Anne Frances D. Reyes, Aaron A. Funa, Robert Jamisola, Ma. Joahna D. Perdigon, Jerica D. Latonero

Jurnal Keperawatan Indonesia

In response to recent policy shifts allowing the establishment of new nursing programs in the Philippines, this study assesses the perceived readiness of Sorsogon, a geographically underserved province, to implement a bachelor of science in nursing program. It also explores the anticipated benefits that such a program may offer to students and the local community. A cross-sectional survey of 375 stakeholders, selected through purposive sampling, was conducted using a validated instrument developed through expert consultation. Quantitative data were analyzed using descriptive statistics, while qualitative responses were examined through thematic analysis. The findings reveal widespread support for the proposed program, emphasizing …

Development Of A Telenursing-Based Self-Assessment Questionnaire For Diabetic Foot Ulcer Risk, Ratna Wirawati Rosyida, Sugiyarto Sugiyarto

Jurnal Keperawatan Indonesia

Development of a Telenursing-Based Self-Assessment Questionnaire for Diabetic Foot Ulcer Risk. Early identification of the risk of diabetic foot ulcers (DFU) is crucial in preventing ulcers. Caring for diabetic patients, including early detection of the risk of DFU with telenursing, will improve accessibility to health facilities and also help the work of nurses. Currently, there are many instruments or tools to detect the risk of DFU, but instruments that apply telenursing and can be used independently and easily by patients are still limited. This study aimed to develop a digital self-assessment questionnaire for DFU risk in type 2 Diabetes Mellitus …

Effectiveness Of Intradialytic Resistance Training On Muscle Mass And Strength In Patients On Hemodialysis, Sandra Vasquien, I Ketut Swarjana, A.A.A. Yuliati Darmini, I Nyoman Arya Maha Putra

Jurnal Keperawatan Indonesia

Hemodialysis (HD) patients with chronic kidney disease (CKD) lose muscle mass and strength due to protein energy wasting (PEW). The purpose of this study was to test the effectiveness of intradialytic resistance training (IRT) in increasing muscle mass and strength. It used a pre-experimental, one-group pretest-posttest design. Based on a sample size estimate using G*power software, 33 CKD patients undergoing HD at a private hospital in Bali were included. The patients were selected using purposive sampling. Muscle mass was measured using Bioelectrical Impedance Analysis (BIA), while muscle strength was measured using the Medical Research Council Muscle Scale. The Wilcoxon test …

Quality Improvement Project: Standardized Medication Reconciliation Process Training: A Path To Improve Staff Medication Confidence, Christologus Obi

Doctor of Nursing Practice Projects

Medication reconciliation represents a critical safety process in psychiatric healthcare, where medication discrepancies affect up to 67% of hospitalized patients, with 30-40% potentially causing significant harm. This quality improvement project implemented a standardized medication reconciliation training program at a Texas mental health facility to address knowledge and confidence gaps among clinical staff. Using Kotter's 8-Step Change Model and the Iowa Model of Evidence-Based Practice, this quasi-experimental pre-post intervention study delivered three 30-minute interactive sessions to 12 multidisciplinary healthcare professionals. The evidence-based intervention introduced a 3-phase reconciliation model focused on obtaining accurate medication histories, documentation, and discrepancy resolution. Data collection used …

Assessing The Impact Of Cultural Competence Training For Providers Serving Native Americans, Chinazo Obi

Doctor of Nursing Practice Projects

The United States is a culturally diverse nation, yet many healthcare providers report challenges in delivering care that respects cultural values and traditions. Within mental health settings, this gap is especially concerning for Native American populations, who experience disproportionately high rates of mental health conditions and face barriers to culturally responsive care. The purpose of this quality improvement project was to assess the impact of a cultural competence education and training intervention on mental health providers’ knowledge and self-efficacy in delivering culturally competent care to Native American patients. Guided by Leininger’s Culture Care Theory of Diversity and Universality and the …

Quality Improvement Project: The Impact Of Staff Education On Utilization Of The Phq-9 Tool And Follow-Up Management Protocol, Shuntak Jerideau

Doctor of Nursing Practice Projects

Depression is a prevalent mental health disorder that affects daily functioning. Timely screening enables the identification of symptoms, monitoring treatment efficacy, and informs additional treatment such as referrals. The practice site reported low screening rates of patient’s post-psychiatric hospitalization, which was attributed to inadequate knowledge of the PHQ-9 tool. The purpose of this quality improvement project was to evaluate the impact of staff education on the utilization of the PHQ-9 tool and follow-up management protocol in a mental health clinic. A quasi-experimental design method was used in an outpatient mental health clinic. Pretest knowledge of the PHQ-9 was obtained from …