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The Stethoscoop, October 11, 2013, Mennonite College Of Nursing

The Stethoscoop (2013-2017)

The Stethoscoop is the newsletter for Mennonite College of Nursing students.

Promoting Human Health Through Manned Space Flight, Deidra Fortenberry Carter

Von Braun Symposium Student Posters

No abstract provided.

The Voices Of Armenian Childbearing Women, Zaruhi Ulikhanyan, Dr. Lynn Callister

Journal of Undergraduate Research

Dramatic socio-political and economic shifts which have occurred in Eastern Europe in the past decade have significantly influenced the health of women and newborns. High unemployment rates, low salaries, and inability to support more than one child are common challenges for women and families. High rates of abortion and most families having only one child has resulted in a declining population in Armenia. In addition, health care for women in Eastern Europe has been seriously fragmented since the fall of Communism compounded by a lack of health care resources.

Orca, Dustin Griner

Journal of Undergraduate Research

Research and clinical practice has taught us that the first twenty-eight days of an infant’s life are critical. During this time, rapid growth should occur both physiologically and mentally. Retardation of growth during this critical time in the infant’s life leads to future undesirable ramifications. The main goal during this period, is to provide sufficient nutrients both parentally and enterally.

Conference Learnings, Sandra Schmiedel Rn

Patient Care Services / Nursing

No abstract provided.

Online Orientation And Reference Course For Online Master Of Science In Nursing Program, Nancy G. Cameron

International Journal of Health Sciences Education

Preloading student satisfaction and success factors into an online program orientation course can strengthen the potential for student retention and success. A 100% online graduate nursing orientation and guidance program was developed. Access to peer support, faculty advisor, and university resources were provided within the course using the same learning management system as the program. Students were taught the basic structure of courses (including discussions, quizzes, and dropbox) to ease the stress of the first few weeks of class. Graduate study requirements and expectations were explained along with the differences between online and face-to-face study. Guidance was provided to assist …

The Advanced Practice Nurse And Patient-Centered Medical Home: Maintaining Patient Focus, Meeting The Institute For Healthcare Improvement Triple Aim Through The Electronic Health Record, Aileen Teresa Twomey

Seton Hall University DNP Final Projects

The Federal Government enacted the Heath Information Technology for Economic and Clinical Health Act (HITECH) in 2009, which incentivized providers to use electronic health records (EHR) for meaningful use (MU); the Patient-Centered Medical Home (PCMH) stems from the Act. Research by the National Council on Quality Assurance (NCQA) shows that primary care practices have a positive influence on the health of patients, families and communities. These positive influences are related to their ability to deliver first-contact access, and to develop long-term therapeutic relationships that focus on the person rather than the disease, improving patient health outcomes and reducing health care …

Plan B Topic: Annotated Resource List, Payton Roberts

Undergraduate Research Award

No abstract provided.

An Organization-Wide Service Improvement Approach, Jennifer Jasmine Arfaa, Phd, Mhsa, Cynthia Line, Phd, Nora Kramer, Msn, Rn, Karen Montoro, Rn, Richard D. Blob,, Maria Francesco, Jaime Stazi, Rn, Elisabeth Kunkel, Md, Susan Krekun, Md, Lizanne Mason, Rn, Kathy Evans, Rn, Lorraine Weikel, Rn, Ann D. Clark, Ms, Otr/L, Ray Wisniewski, Teresa Heavens

Department of Nursing papers and presentations

APPROACH TO PROBLEM SOLVING

High priority index questions from HCAHPS and Press Ganey surveys, including overall ratings, communication with RNs and MDs, hospital environment and response to concerns and complaints, were targeted for improvement. These high priority indices served as the basis for redesigning Patient Services using a multi-faceted approach to improve patients’ experiences.

At Thomas Jefferson University Hospital (TJUH), high performance on the Patient Experiences of Care Survey has been driven by a successful multi-tiered approach to patient services:

·Hospital leadership guided and implemented new approaches to ensure excellence in patient services is an ever-present and obtainable goal

·Physician …

2013 Fall And 2014 Spring Newsletter, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2013 Fall and 2014 Spring Newsletter of the Department of Nursing at Morehead State University.

The Vancouver General Hospital Smoking Cessation Clinic: Outcomes From A Specialist Cessation Service Within Cardiology, Milan Khara, Chizimuzo T.C. Okoli

Nursing Presentations

PURPOSE: The purpose of our study is to examine pilot treatment outcomes of an outpatient Smoking Cessation Clinic (SCC) provided within Cardiology Services.

RELEVANCE/CONTEXT: Populations with cardiac conditions often continue to smoke at high rates (up to 62%), even after experiencing life-threatening cardiac events. Smoking cessation can greatly reduce the risk of further occurrence of a cardiac event and associated mortality. However few Cardiology services in Canada offer smoking cessation services and few Cardiologists refer smoking patients to such services. The Vancouver General Hospital’s SCC is housed within Cardiology Services and offers a longitudinal approach to smoking cessation. This …

Barriers To Utilization Of Nursing Research In A Magnet Designated Hospital, Sandra D. Copeland

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Barriers to nurses' utilization of research in patient care are the epicenter of translating evidence into practice. Assessment of demographic variables such as age, service line, years of experience, and education level and their impact on nurses' perceptions of barriers to research utilization in practice details this project. No statistically significant differences exist in perceived barriers between any demographic group including certified nurses, service lines, or time since last research course. The Magnet culture of the facility validates the low mean scores on the BARRIERS tool. New knowledge gained from the project includes the impact of certification, assessment of time …

The Effect Of Preceptor Role Effectiveness On Newly Licensed Registered Nurses' Perceived Psychological Empowerment And Professional Autonomy, Chanell Watkins

Dissertations, Theses and Capstone Projects (Full IR Collection)

Purpose: To examine the relationship between newly licensed registered nurses’ perceived preceptor role effectiveness and newly licensed registered nurses’ perceived level of psychological empowerment and professional autonomy.

Design: A prospective, cross-sectional, descriptive research design was used.

Methods: Sixty-nine newly licensed registered nurses who graduated from an academic institution in the southeast United States were recruited and surveyed. Data collection occurred from August 2013 through October 2013.

Results: Newly licensed registered nurses had moderately high levels of perceived preceptor role effectiveness (M = 63.04, SD = 9.77), psychological empowerment (M = 3.98, SD = .57), and professional …

Palliative Care Knowledge Among Bachelors Of Science Nursing Students, Amy Pope

Dissertations, Theses and Capstone Projects (Full IR Collection)

Purpose: To assess the palliative care (PC) knowledge of junior and senior level bachelors of science nursing (BSN) students and to compare the PC knowledge between these two groups of students.

Design: A non-experimental quantitative, cross-sectional, survey design was used.

Methods: Seventy two students from a junior level and a senior level BSN course were recruited at a southeastern United States university. The participants completed the demographic form and the Palliative Care Quiz for Nursing (PCQN). Data collection took place from September 2013 to October 2013.

Data Analysis: Overall mean score percentage from the total sample and …

Patient Perceptions Of Functional Abilities After Total Knee Arthroplasty, Stephanie A. Jones

Dissertations, Theses and Capstone Projects (Full IR Collection)

Purpose: To identify if patients’ perceptions of their functional abilities prior to Total Knee Arthroplasty (TKA) were similar to their actual post-operative functional abilities at 4 to 6 weeks post-TKA if they attended an educational joint replacement class prior to surgery.

Design: One group, pre-test/post-test.

Methods: Data were obtained from 17 participants attending an educational joint replacement class in Georgia. Patients’ perceptions of functional abilities before and after TKA were identified using the Knee Outcome Survey Activities of Daily Living Scale (KOS-ADLS), Short Form 12 version 2 (SF-12 v2), and a demographics questionnaire.

Results: KOS-ADLS findings …

The Student Nurse's Change In Knowledge During A Clinical Rotation In Labor And Delivery, Katherine B. Barnett

Dissertations, Theses and Capstone Projects (Full IR Collection)

Purpose: The purpose of this study was to determine if the baccalaureate degree student nurse’s clinical experience in labor and deliver affects his or her knowledge of labor and delivery nursing care.

Design: A descriptive, non-experimental pre-test post-test design.

Method: A convenience sample of 45 baccalaureate student nurses enrolled in the parent/ child class at a large southeastern university. Data collection took place from August 2013 to October 2013.

Results: The mean difference between pre-test score and post-test score demonstrated minimal gain in knowledge during the clinical rotation in labor and delivery. The number of hours …

Heterosexism And Homophobia Among Students Participating In A Bachelor Of Science Nursing Program, Johnathan Daniel Steppe

Dissertations, Theses and Capstone Projects (Full IR Collection)

Purpose: To identify whether or not homophobia and heterosexism were present among students participating in a Bachelor’s of Science nursing program.

Design: A quantitative, descriptive, and non-experimental design was used.

Methods: The study employed a convenience sample of 245 nursing students recruited from a university’s nursing program located in the southeastern United States. Data collection and analysis took place from September 2013 to October 2013 and was accomplished using SPSS version 21 software package.

Results: Homophobia and heterosexism were both present in the sample. Levels of heterosexism were significantly higher than levels of homophobia. There was …

Reducing Restraints: A Patient Safety, Staff Driven Initiative, Lisa A. Lacy, Nicole J. Urban-Miller Rn, Bsn, Denise Bodish Bsn, Rnbc, Jane Halpin Rnc, Pcc, Colleen S. Green, Kathryn P. Mercadante Rn

Patient Care Services / Nursing

No abstract provided.

Transforming From A Freestanding Asf To A Hospital-Based Unit, Darlene Hinkle Msn, Rn, Cnor

Patient Care Services / Nursing

No abstract provided.

Under Pressure: Preventing Pressure Ulcers In Critically Ill Infants, Christine A. Schindler, Theresa Mikhailov, Susan E. Cashin, Shelly Malin, Melissa Christenson, Jill M. Winters

College of Nursing Faculty Research and Publications

Purpose

To determine whether a pressure ulcer prevention bundle was associated with a significant reduction in pressure ulcer development in infants in the pediatric intensive care unit.

Design and Methods

Quasi-experimental design involving 399 infants 0 to 3 months of age at a large tertiary care medical center.

Results

The implementation of the care bundle was associated with a significant drop in pressure ulcer incidence from 18.8 to 6.8%.

Practice Implications

Pressure ulcers can be prevented in the most vulnerable patients with the consistent implementation of evidence-based interventions and system supports to assist nurses with the change in practice.

Pursuing Wellness: Achieving Fall Reduction Through Staff And Patient Partnership, Lisa A. Lacy, Nicole J. Urban-Miller Rn, Bsn, Denise Bodish Bsn, Rnbc, Jane Halpin Rnc, Pcc, Colleen S. Green, Kathryn P. Mercadante Rn

Patient Care Services / Nursing

No abstract provided.

Use Of Urinary Pregnanediol 3-Glucuronide To Confirm Ovulation, R. Ecochard, R. Leiva, Thomas Bouchard, H. Boehringer, A. Direito, A. Mariani, Richard J. Fehring

College of Nursing Faculty Research and Publications

Objective

Urinary hormonal markers may assist in increasing the efficacy of Fertility Awareness Based Methods (FABM). This study uses urinary pregnanediol-3a-glucuronide (PDG) testing to more accurately identify the infertile phase of the menstrual cycle in the setting of FABM.

Methods

Secondary analysis of an observational and simulation study, multicentre, European study. The study includes 107 women and tracks daily first morning urine (FMU), observed the changes in cervical mucus discharge, and ultrasonography to identify the day of ovulation over 326 menstrual cycles. The following three scenarios were tested: (A) use of the daily pregnandiol-3a-glucuronide (PDG) test alone; (B) use of …

Contemporary Women’S Adaptation To Motherhood: The First 3 To 6 Weeks Postpartum, Cynthia Aber, Marianne E. Weiss, Jacqueline Fawcett

College of Nursing Faculty Research and Publications

A better understanding of the process of adaptation to motherhood should enhance nurses’ ability to prepare women for the transition to motherhood and to provide care following childbirth. Knowledge about women’s adaptation to motherhood was developed primarily from the 1960s to the 1990s. Cesarean birthing was a special focus of research throughout the late 1970s and the 1980s, followed by functional status, and more recently, depression and stress associated with birth and postpartum. Adaptation to motherhood in the context of the early 21st century has received limited attention in nursing research, creating an assumption that the process of adaptation is …

The Microbiology And Immunology Of Normal Physiologic Birth: A Plea For The Nature Of Mother, Lisa Hanson, Leona Vandevusse

College of Nursing Faculty Research and Publications

No abstract provided.

Perinatal Outcomes Of Prenatal Probiotic And Prebiotic Administration: An Integrative Review, Leona Vandevusse, Lisa Hanson, Nasia Safdar

College of Nursing Faculty Research and Publications

The purpose of this integrative review was to identify, critique, and synthesize the maternal and neonatal evidence on the prenatal use of probiotics and prebiotics to inform perinatal health professionals. A comprehensive literature search resulted in 37 studies of prenatal probiotics and 1 on antepartal prebiotics published from 1990 through 2011 that reported maternal, fetal, and/or neonatal outcomes. The methodologic quality of the studies reviewed was high, although investigators used different probiotic combinations and inconsistently reported perinatal clinical outcomes. The extraction of perinatal outcome variables resulted in identification of 9 maternal and 5 neonatal categories. Prenatal probiotics significantly reduced the …

Transforming Patient Care Through Telehealth (Presentation), Joseph Tracy Ms, Ba, Terry A. Capuano Mba, Msn, Rn, Fache, Ne-Bc, Anne Panik Ms, Rn, Nea-Bc, Sharon Kromer Ccrc, Ctc, Lori Yesenofski Msn, Rn, Ccrn, Ctc

Patient Care Services / Nursing

No abstract provided.

Meeting The Challenges For The Plain Community In Healthcare, Mindy Brosious Bsn, Rn, Nicole Zimmerman Bsn, Rn, Nancy Humes Bsn, Rn, Patricia Christenson Rn

Patient Care Services / Nursing

No abstract provided.

Rain Rhythms: Fall 2013 - Summer 2014, College Of Nursing & Professional Disciplines

RAIN Rhythms

No abstract provided.

Femoroacetabular Impingement: A Guide To Diagnosis In Primary Care, Alec Rimmasch Jr., Patricia K. Ravert

Faculty Publications

Femoroacetabular impingement (FAI) has been a diagnosis for approximately a decade in the medical field. Although FAI was once considered uncommon, it is now documented as 1 of the most common hip disorders. FAI is a variance or overgrowth within the femoral head neck space, acetabular ring, labrum, or cartilage. Patients with FAI frequently present in a general practice setting and endure months of pain and physical therapy before a correct diagnosis is ascertained. Understanding FAI and appropriate treatment and diagnostic procedures will facilitate early diagnosis in the primary care setting, providing the best chance for patient recovery.

Explanations For An Increased Cesarean Birth Rate In Guayaquil, Ecuador, Melissa Kemp, Dr. Sheri Palmer

Journal of Undergraduate Research

Over 850,000 unnecessary C-sections are performed each year in Latin America (Belizán, Althabe, Barros, & Alexander, 1999). According to a recent annual report of the Sotomayor Maternity Hospital in Guayaquil, Ecuador, 58% of total births were cesarean (Junta de B., 2004). In comparison, the overall cesarean rate in the U.S. (which is also high according to medical recommendations) is reported to be about 27% (NCHS, 2003). Unnecessary cesarean sections have resulted in increased infection, hemorrhage, damage to abdominal and urinary tract organs, drug complications, prematurity, increased neonatal illness, and longer hospitalization (Sloan et al, 2000). These reported rates in Ecuador …