Digital Commons Network^™

Program For Healthcare Personnel To Improve Anti-Hypertensive Medication Adherence In Black Adults, Verena D. Johnson

Walden Dissertations and Doctoral Studies

Medication nonadherence is a healthcare problem that costs the United States billions of dollars annually. The purpose of this project was to propose an evidence-based program for healthcare personnel to increase the rate of medication adherence in hypertensive Black adults who require daily, oral medication. The transtheoretical model of change was used to explain the process of change and to identify approaches to changing non-adherent behaviors related to medications. Motivational interviewing was used to explain the process that nurse-educators would use to guide patients through the stages of change. In the initial step of this quality improvement program, a convenience …

Effects Of Education On Victims Of Domestic Violence, Julette N. Anderson

Walden Dissertations and Doctoral Studies

The purpose of this project was to improve support for victims of domestic violence. To that end, this project developed an evidence-based program to provide information about domestic violence including safe and confidential ways to seek assistance, rights as cohabiting intimate partners, and the resources available to community members. Several approaches were used to develop, validate, and plan for implementation and evaluation of this program, which was developed for 3 sites in Broward and Miami-Dade counties where the project is situated. The program logic model and the social ecological model, including the individual, relationship, community, and societal levels, were used …

The Impact Of Caring For Seniors On The Caregiver's Stress Level, Georgina Ugochi Njoku

Walden Dissertations and Doctoral Studies

The number of Canadian seniors with 2 or more chronic health conditions living into their late 90s or older has never been greater. As such, concerns have been raised that the Canadian healthcare system will be unable to meet the growing healthcare needs of the aging population. In this project, an Advanced Practice Nursing needs assessment was used to identify the impact that caring for a senior has on caregivers' stress levels, and what resources caregivers need to in order to cope with their role. Guided by Neuman's system model theory and Rogers' diffusion of innovation model, a convenience sampling …

A Transition-To-Practice Residency That Supports The Nurse Practitioner In A Critical Access Hospital, Nancy Jean Stock

Walden Dissertations and Doctoral Studies

Access to health care in rural communities is challenged by workforce shortages. Nurse practitioners (NPs) have been filling the gap created by physician migration into specialty areas. Flex hospital legislation allows critical access hospitals (CAHs) to staff the emergency department with NPs or physician assistants without on-site physicians. NP education often lacks emergency and trauma curriculum, resulting in gaps in education and practice expectations and leading to significant role transition stress and turnover. The purpose of this project was to construct an evidence-based transition-to-practice residency program to support NPs providing emergency department care in the CAH. Theoretical frameworks used to …

Oral Care Practice Guidelines For The Care-Dependent Hospitalized Adult Outside Of The Intensive Care Unit Setting, Cynthia Susan Drapal

Walden Dissertations and Doctoral Studies

Many nurses lack evidence-based knowledge to deliver appropriate oral care, view oral care in the care-dependent patient as a comfort measure, and give it a low clinical priority. An estimated 44%-65% of hospitalized care-dependent patients do not receive adequate oral care, an intervention that can prevent aspiration pneumonia or pneumonitis. The purpose of this project was to develop a policy for use of an oral assessment tool and evidence-based guidelines for oral care in hospitalized care-dependent adults outside of the intensive care unit setting at a regional health system in the Southeast United States. The project used the theoretical foundations …

The Use Of A Standardized System Of Communication To Change The Perception Of Handoff Communication In A Psychiatric Setting, Alicia Renee' Plunkett

Walden Dissertations and Doctoral Studies

The Use of a Standardized System of Communication to Change the Perception of Handoff Communication in a Psychiatric Setting

by

Alicia Renee' Plunkett

MSN, Walden University 2007

MSHA, University of St. Francis, 2005

BSN, University of Memphis, 1995

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

December 2014

The Joint Commission's review of sentinel events indicated that communication errors were the cause of over 65% of the sentinel events occurring in healthcare. The nursing profession has the responsibility of providing 24-hour care in an acute care setting and nurses are …

The Effect Of Breastfeeding Self-Efficacy On Breastfeeding Initiation, Exclusivity, And Duration, Adria Vincent

Walden Dissertations and Doctoral Studies

Breastfeeding self-efficacy is considered one of the key components of a successful breastfeeding experience. The benefits of breastfeeding are well established in the literature and have been widely communicated to the public, resulting in an increasing trend of breastfeeding initiation. However, the United States still falls short of Healthy People 2020 breastfeeding goals. The purpose of this project was to examine the effects of a standardized hospital-based prenatal breastfeeding class on breastfeeding self-efficacy. Dennis's breastfeeding self-efficacy theory was the foundation for the breastfeeding self-efficacy tool used in this project. A quasi-experimental design used a convenience sample of 30 breastfeeding class …

Screening And Intervention For Women With Hyperglycemia During Pregnancy, Ladonna Lynn Williams

Walden Dissertations and Doctoral Studies

Gestational diabetes mellitus occurs in up to 10% of pregnancies and often leads to labor and delivery complications for both the mother and the baby. Early identification of gestational diabetes and educational intervention are needed to improve the self-management and knowledge among pregnant women. The purpose of the project was to implement newly established national guidelines to ensure that women with gestational diabetes are identified during the first trimester of pregnancy and begin diabetes education early in gestation. Lewin's planned change theory was selected as the theoretical framework, and the six sigma approach was used to facilitate the change process. …

Attitude, Subjective Norm, And Perceived Behavioral Control As Indicators For Nurse Educators’ Intention To Use Critical Thinking Teaching Strategies: A Structural Equation Model Analysis, Angerlita Yolanda Smith

Dissertations

Problem

Deficiencies in new nursing graduates’ ability to use critical thinking skills have been documented. Researchers have found that the continued use of traditional teaching methods and less student-centered approaches for critical thinking development has contributed to this problem. This particular issue has evoked much concern for institutions and organizations involved with the safe delivery of patient care. The purpose of this study was to examine (a) the relationship between the factors educator characteristics, attitude, subjective norm and perceived behavioral control in a hypothesized model that may influence nurse educators’ intention to use instructional methods that promote critical thinking in …

Easing My Burden: A Grounded Theory Study Of Kidney Transplant Recipients' Experience With Their Transplant Coordinators, Gwen E. Mcnatt

Dissertations

Organ transplantation holds the promise of new life or better life for thousands of Americans every year. Transplantation involves a process that stretches over time beginning at referral, moving to transplantation and long term care. The transplant coordinator is considered an integral part of this care. Transplant coordinators are considered so important to the care of these patients that transplant centers are required to have at least one transplant coordinator by federal regulations.

The role of the transplant coordinator, however, is not well defined. Although many of the role dimensions attributed to transplant coordinators are consistent with nursing practice, the …

Models Of Survivorship Care Provision In Adult Patients With Haematological Cancer: An Integrative Literature Review, K Taylor, R Chan, L Monterosso

Nursing Papers and Journal Articles

Purpose: Increasing numbers of haematology cancer survivors warrants identification of the most effective model of survivorship care to survivors from a diverse range of haematological cancers with aggressive treatment regimens. This review aimed to identify models of survivorship care to support the needs of haematology cancer survivors.

Methods: An integrative literature review method utilised a search of electronic databases (CINAHL, Medline, PsycInfo, PubMed, EMBASE, PsycArticles, Cochrane Library) for eligible articles (up to July 2014). Articles were included if they proposed or reported the use of a model of care for haematology cancer survivors.

Results: Fourteen articles were included …

Advance Care Planning In 21st Century Australia: A Systematic Review And Appraisal Of Online Advance Care Directive Templates Against National Framework Criteria, T Luckett, P Bhattarai, J Phillips, M Agar, D Currow, Y Krastev, P Davidson

Nursing Papers and Journal Articles

Objectives A drive to promote advance care planning at a population level has led to a proliferation of online advance care directive (ACD) templates but little information to guide consumer choice. The current study aimed to appraise the quality of online ACD templates promoted for use in Australia.

Methods A systematic review of online Australian ACD templates was conducted in February 2014. ACD templates were identified via Google searches, and quality was independently appraised by two reviewers against criteria from the 2011 report A National Framework for Advance Care Directives. Bias either towards or against future medical treatment was …

Adaptation Of International Guidelines On Assessment And Management Of Cancer Pain For The Australian Context, M Lovell, T Luckett, F Boyle, J Stubbs, J Phillips, P Davidson, I Olver, J Von Dincklage, M Agar

Nursing Papers and Journal Articles

Aim: To develop clinical practice guidelines for screening, assessing and managing cancer pain in Australian adults.

Methods: This three phase project utilised the ADAPTE approach to adapt international cancer pain guidelines for the Australian setting. A Working Party was established to define scope, screen guidelines for adaptation, and develop recommendations to support better cancer pain control through screening, assessment, pharmacological and non-pharmacological management, and patient education. Recommendations with limited evidence were referred to Expert Panels for advice before the draft guidelines were opened for public consultation via the Cancer Council Australia Cancer Guidelines Wiki platform in late 2012. All comments …

The Influence Of Participating In An International Clinical Experience During Baccalaureate Nursing Education On Interprofessional Collaboration And Teamwork For New Registered Nurses, Sherylyn Watson

Nursing Faculty Publications

An increased focus on interprofessional collaboration and teamwork in the healthcare professions had placed demands on nursing education to identify evidence based instructional strategies that bolster the interprofessional competency in prelicensure nursing education. One approach in addressing the call was to explore current educational opportunities for their effectiveness in developing interprofessional collaboration and teamwork. The popular trend in nursing education was to offer international clinical experiences that provide nursing care to impoverished people of developing countries. The current literature on these experiences had primarily focused on short-term outcomes that demonstrate personal growth of the individual, exposing opportunity for research concentrating …

A Systematic Review: Immediate And Maintenance Effects Of Interventions On Handwashing Compliance In Healthcare Workers, Brent E. Gibson, Dajana Markovic

Williams Honors College, Honors Research Projects

There has been a drastic rise in the number of nosocomial infections of patients in intensive care units. Handwashing is generally accepted as an effective and inexpensive method that healthcare providers in hospital settings can use to decrease the likelihood of nosocomial infections, however, studies have shown that healthcare providers are often not compliant with handwashing protocol. The purpose of this systematic review of literature is to not only obtain information on handwashing compliance and non-compliance among different healthcare providers, but also to identify, describe, and evaluate evidence about the effect of various interventions on handwashing compliance in healthcare providers. …

Decreasing Blood Culture Contamination In The Ed, Bettina Laier

All Publications

No abstract provided.

Pain Management Of Medical-Surgical Patients At Homestead Hospital: The Role Of Nurse-Patient Communication, Dianne Crabtree, Kathy Gruny, Kimberly Figueroa, Veronica Zamoyski, Carrie Bilek, Rachael Rodriguez, Luchie Anne Dwyer

All Publications

No abstract provided.

Unit Retention Strategies, Steven Trush, Rosa Filomeno, Joyce Jones, Martha Gaitan

All Publications

No abstract provided.

Use Of An Electronic Educational Module To Educate Advanced Practice Nurses On Preventive Care Protocol For Immunocompromised Patients, Simi Jesto Joseph Dr, Audrey Klopp Dr

Manipal Journal of Nursing and Health Sciences

Immunocompromised patients are at increased risk of infections and certain cancers due to the immunosuppressed body as well as the immunosuppressive agents. Despite American national organizations’ specific guidelines for immunocompromised patients, reported vaccination rates and provider compliance on preventive services is low. The aim of this study was to assess knowledge, attitude and clinical practice among Advanced Practice Nurses (APN) in preventive care for immunocompromised patients and educating APNs to improve their knowledge and practice skills using an evidence-based preventive care protocol. Methods: APN members of Illinois Society of Advanced Practice Nurses (ISAPN) organization were surveyed by a needs assessment …

Effectiveness Of A Structured Counselling Program On The Knowledge Of Self-Care Behaviour And Coping Strategies Among Hiv Infected Post-Natal Mothers, Raddi S. A Dr, Prakash R, Dandagi S. R

Manipal Journal of Nursing and Health Sciences

Introduction: Motherhood represents a time of great change that challenges women in many ways. Objectives: The objectives of the study were to evaluate the effectiveness of a structured counselling program in terms of gain in knowledge on Human Immunodeficiency Virus (HIV) and self-care behaviour and increase in use and effectiveness of coping strategies and to find the association between pretest levels of knowledge and coping strategies with selected socio demographic variables. Methods: An evaluative study was carried out to assess the effectiveness of a structured counselling program on knowledge of self care behaviour and coping strategies among HIV infected post-natal …

Effectiveness Of Choice Music And Anandabhairavi Raga On Adult Patients’ Pre-Procedural Anxiety, Jomon C. U Mr, Raja A

Manipal Journal of Nursing and Health Sciences

Introduction: Patients become anxious prior to any invasive procedures. In an attempt to relieve anxiety among the patients undergoing invasive endoscopic interventions, music has been proposed as safe and inexpensive antianxiety intervention. Methods: The study aimed to compare the effectiveness of Choice music and Anandabhairavi raga on adult patients’ pre-procedural anxiety in Kasturba Medical College and Hospital (KMCH), Mangalore. Trueexperimental pre-test post-test design was used. Using purposive sampling technique with random assignment, 30 samples each were assigned to both the Choice music and Anandabhairavi raga groups. Pre-procedural anxiety was assessed in both the groups before and after music intervention. Results: …

Integration Of Evidence-Based Practice In Nursing Education: A Novel Approach, Preethy D'Souza Mrs, Anice George Dr, Judith A. Noronha Dr, Vishnu Renjith Mr

Manipal Journal of Nursing and Health Sciences

Evidence based practice (EBP) has gained momentum globally, to provide effective and efficient health care. Although EBP has evolved to a great extent over the last two decades and is accepted as an important concept by all health care professionals, its integration in practice is still challenging. Integration of EBP in nursing profession both in nursing practice and nursing education is an important issue. This article describes the experience of the authors in integrating evidence based practice in nursing education in Manipal University. It focuses on the training of nurse educators in EBP, alignment of EBP in curriculum and EBP …

A Survey On Practices Of Koraga Tribes During Diarrhoea In Children, Shrisha, Binu E. Margaret Mrs, Sheela Shetty Mrs

Manipal Journal of Nursing and Health Sciences

Introduction: Every society follows different practices to treat various childhood illnesses. Tribal populations are isolated from the general population by their own lifestyle and practices. The objective of the study was to assess the treatment practices of the Koraga tribes during diarrhoea in children. Materials and Methods: A descriptive survey using face-to-face interview technique was undertaken among 200 caretakers of Koraga tribe using a semi-structured questionnaire. Data analysis was done using SPSS v16.0. Results: 110 (55%) respondents were using arrowroot mixture; curd and salt were used by 34 (17%) to treat diarrhoea. Other practices include use of wheat sooji porridge …

Addressing Moral Distress In Critical Care Nurses, Rose Allen, Eve Butler

All Publications

No abstract provided.

Promoting Comfort During Ct-Coronary Angiogram, Margo Archer, Dawn Arevalo, Kelly Vazquez

All Publications

No abstract provided.

An Intersectional Perspective On Stigma As A Barrier To Effective Hiv Self-Management And Treatment For Hiv-Infected African American Women, Kimberly Adams Tufts

Ellmer School of Nursing Faculty Publications

Among those who are HIV-infected and striving to live well with HIV, African American women have poorer health outcomes and represent a higher portion of those women who die from HIV-related causes. Those health inequalities have been associated with the presence of social determinants of health such as stigma. This analytical review asserts that stigmas precipitated by gender, race, and class in the context of HIV-related stigma constitute substantial barriers to active engagement in HIV self-management, care, and treatment for HIV-infected African American women. The utility of the intersectionality framework for analyzing how these various stigmas interact to create unique …

The Relationship Between Nurses' Emotional Intelligence And Patient Outcomes, Mary Kutash

USF Tampa Graduate Theses and Dissertations

Heart Failure readmissions (HFR) significantly contribute to all cause hospital readmissions rates. Current evidence on the effectiveness of interventions for reduction of HFR is inconclusive. Recent research suggests that nurses’ emotional intelligence (EI) may be associated with better patient outcomes.

The purpose of this study was to examine if nurses’ EI is significantly related to HFR and if that relationship is mediated through patient satisfaction with care. One hundred and thirty six Registered Nurses were recruited from 11 in-patient units at a large teaching hospital in the south eastern United States. Two surveys were mailed to eligible participants; the Bar-On …

Sexual Functioning And Body Image In Younger Breast Cancer Survivors, Carly Lynn Paterson

USF Tampa Graduate Theses and Dissertations

Younger breast cancer survivors often report problems related to sexuality following surgical and adjuvant treatment that often lead to sexual distress and body image distress. This research was conducted as an exploratory study within a larger R01 trial with the purpose to evaluate sexual distress and body image related-distress in younger women with breast cancer and to examine the extent to which the Mindfulness-Based Stress Reduction-Breast Cancer (MBSR(BC)) was efficacious in improving distress related to sexuality, i.e. sexual distress and body image related-distress. The aims of this study were to: 1) evaluate the efficacy of the MBSR(BC) program in improving …

The Road Was Paved With Good Intentions, Kristina Dreifuerst, Suzie Kardong-Edgren

College of Nursing Faculty Research and Publications

No abstract provided.

Are E-Cigarettes An Optimal Choice For Harm Reduction For Tobacco Smokers?, Brenda Talley, Deborah Allen, Kathryn H. Anderson

Nursing: Faculty Presentations (1990-2022)

This presentation was given at the Sigma Theta Tau International Congress.