Digital Commons Network^™

Faculty’S Perceptions Of Students’ Abilities To Utilize Self-Regulated Learning Strategies To Improve Critical And Reflective Thinking In Making Clinical Decisions: A Methodological Study, Amber Lynn Donnelli

UNLV Theses, Dissertations, Professional Papers, and Capstones

With the rapidly changing health care system, new nurses are expected to be able to collect pertinent data, access resources, prioritize information, solve problems, and ultimately make sound clinical decisions (Kuiper, 2005). Supporting evidence has shown that using self-regulated learning strategies (SRLS) increases the development of critical and reflective thinking within the clinical reasoning context (Kuiper & Pesut, 2004). Despite the fact that instruments have been developed to examine students’ perception of the use of SRLS, there is no existing instrument to measure nursing faculty’s perceptions of a student’s ability to utilize self-regulated learning strategies in the clinical setting. This …

Differences In Student Beliefs About Physical Activity In The Prevention Of Obesity During Pre-Adolescence And Adolescence., Elaine Hilton

Nursing Masters

Background: Obesity is a nationwide public health problem. During adolescence, individuals develop distinctive lifestyles which influence their personal habits and overall health. Adolescents, therefore, are an integral group to target to modify the decreasing activity levels observed during that period of life. Health education programs and national initiatives have been developed to change these alarming trends, but adolescents have been show to decrease their physical activity level despite having gained knowledge on the risks of obesity. Adolescents, therefore, are an important group to target to try to alter this tendency so that they develop healthier lifestyles and offset obesity related …

Comparison Of The Effects Of Ice And 3.5% Menthol Gel On Blood Flow And Muscle Strength Of The Lower Arm, Robert V. Topp, Lee J. Winchester, Amber M. Mink, Jeremiah S. Kaufmann, Dean E. Jacks

College of Nursing Faculty Research and Publications

Context: Soft-tissue injuries are commonly treated with ice or menthol gels. Few studies have compared the effects of these treatments on blood flow and muscle strength. Objective: To compare blood flow and muscle strength in the forearm after an application of ice or menthol gel or no treatment. Design: Repeated measures design in which blood-flow and muscle-strength data were collected from subjects under 3 treatment conditions. Setting: Exercise physiology laboratory. Participants: 17 healthy adults with no impediment to the blood flow or strength in their right arm, recruited through word of mouth. Intervention: Three …

Enhancing The Cultural Competence Of Women’S Health Nurses Via Online Continuing Education, Ella T. Heitzler

UNLV Theses, Dissertations, Professional Papers, and Capstones

By 2050, current minority groups will comprise almost half of the US population further challenging healthcare providers and nurses to deliver culturally competent care. Numerous organizations have published documents supporting cultural competence and its incorporation into nursing curricula has been encouraged since 1986. However, practicing nurses, specifically those providing care to childbearing women and families, continue to acknowledge their lack of cultural competence. This is concerning as large health disparities exist between culturally diverse women and cultural competence can lead to greater health equality and better client care. Studies have shown face-to-face education increases the cultural competence of healthcare providers; …

Knowledge Of Palliative And End-Of-Life Care By Student Registered Nurse Anesthetists, Margaret Callahan, Susan Breakwell, Rosemarie Suhayda

College of Nursing Faculty Research and Publications

Individuals requiring palliative care frequently receive inadequate or no treatment. As part of a 5-year study funded by the National Institutes of Health, all graduate nursing students, including student registered nurse anesthetists (SRNAs), at a single institution participated in a 2–credit-hour course titled Interdisciplinary Palliative Care. The project team sought to identify SRNAs’ knowledge and attitudes regarding palliative and end-of-life care and to determine potential roles for CRNAs in this growing area of practice.

Mild Traumatic Brain Injury: Are Ed Providers Identifying Which Patients Are At Risk?, Barbara Stuart, Barbara Mandleco, Renea L. Beckstrand, Sondra Heaston

Faculty Publications

Objective: To identify patients with specific ED discharge diagnoses reporting symptoms associated with a mild traumatic brain injury (MTBI), compare frequency/severity of MTBI symptoms by discharge diagnosis, investigate head injury education provided at ED discharge, and learn about changes made by MTBI patients after injury.

Methods: The Post Concussion Symptom Scale, a demographic questionnaire, and open-ended questions about the impact the injury had on patients' lives were completed by 52 ED patients, at least 2 weeks after injury, discharged with concussion/closed head injury, head laceration, motor vehicle crash (MVC), or whiplash/cervical strain diagnoses.

Results: Between 1 and 23 MTBI symptoms …

Oncology Nurses' Impact Scores For Obstacles And Supportive Behaviors At The End Of Life, Joan M. Collett

Theses and Dissertations

Introduction: Oncology nurses provide end-of-life (EOL) care to their patients daily. Oncology nurses' perceptions regarding how to provide quality care to dying patients could be an important addition to the ongoing research on quality EOL care. The purpose of this study was to determine the impact of specific obstacle and supportive behaviors in EOL care as perceived by hospital-based oncology nurses. This study extended the work of Beckstrand, Moore, Callister, and Bond (2009).

Methods: A 69-item questionnaire adapted from previous studies (Beckstrand & Kirchhoff, 2005; Beckstrand, Smith, Heaston, & Bond, 2008) was sent to 1,000 nurses who were members of …

Emergency Nurses' Perception Of Department Design As An Obstacle To End-Of-Life Care, Ryan Jay Rasmussen

Theses and Dissertations

Introduction: Of the 119.2 million visits to the emergency department (ED) in 2006, it was estimated that about 249,000 visits resulted in the patient dying or being pronounced dead on arrival. In two national studies of emergency nurses' perceptions of end-of-life (EOL) care, ED design was identified as a large and frequent obstacle to providing EOL care. The purpose of this study was to determine the impact of ED design on EOL care as perceived by emergency nurses.

Methods: A national, geographically dispersed, random sample of 500 members of the Emergency Nurses Association were sent a 25-item questionnaire regarding ED …

Nurse Practitioner Barriers To Reporting Child Maltreatment, Steven Lee Barlow

Theses and Dissertations

Each year approximately 1,000,000 child become the victims of abuse or neglect. The detrimental effects of child maltreatment (CM) have been well documented and create significant problems for the survivors and for society as well. All fifty states have enacted mandatory reporting laws to combat the CM epidemic. As mandated reporters, nurse practitioners and nurse midwives (APRNs) have the opportunity and responsibilities to identify and refer potential victims of CM, in this study a significant percentage choose not to report their suspicions. Respondents to the study survey identified several potential barriers to APRN reporting such as lack of education and …

The Last Frontier: Rural Emergency Nurses' Perceptions Of End-Of-Life Care, Virginia Claudia Giles

Theses and Dissertations

Introduction: Caring for dying patients is part of working in a rural emergency department. Rural emergency nurses are prepared to provide life-saving treatments but find there are barriers to providing end-of-life (EOL) care. This study was completed to discover what the size, frequency, and magnitude of obstacles were in providing EOL care in rural emergency departments as perceived by rural emergency nurses.

Methods: A 58-item questionnaire was sent to 52 rural hospitals in Idaho, Wyoming, Utah, Nevada, and Alaska. Respondents were asked to rate items on size and frequency of perceived barriers to providing EOL care in rural emergency departments. …

The Experiences Of Families Raising Children With Type 1 Diabetes Mellitus: A Qualitative Investigation, Carol A. Loucks

Theses and Dissertations

Type 1 diabetes mellitus (T1DM), a common, chronic disease, affects the patient as well as the family. It requires daily vigilance in blood sugar monitoring, dietary management and insulin administration. Research has examined the impact of T1DM on family adaptation and relationships. However, few current data describes parents' perceptions of challenges. The purpose of this study was to identify challenges and impact on the family perceived by parents raising children with T1DM. Using a qualitative descriptive design, 21 parents raising children with T1DM participated in audio-recorded focus groups. At the time of the interviews the children ranged in age from …

Holland, Cindra Interview For The Miami Valley College Of Nursing And Health Oral History Project, Donna M. Curry, Natasha Clinton, Stacy Harris, Cindra Holland

Wright State University - Miami Valley College of Nursing and Health Oral History Project

Donna Miles Curry, Stacy Harris, and Natasha Clinton interviewed Cindra Holland about the history of the Doctor of Nursing Practice program at Wright State University. In the interview Dr. Holland discusses her education as well as attending the DNP program.

14 Irrefutable Reasons To Eliminate Surgical Smoke, Kay Ball

Nursing Faculty Scholarship

Next time a surgeon challenges your mandatory smoke evacuation policy, have these 14 fast facts at the ready. They’re a mix of evidence- based reasons as well as practical and financial incentives that make eliminating electrosurgery plume from your ORs tough to argue against.

School Of Nursing Newsletter July 2011, Southern Adventist University School Of Nursing

Southern Nursing - School of Nursing Newsletter

The July 2011 issue of the newsletter features articles on the grand opening of Florida Hospital Hall, a visit from Japanese nursing students, mission trips, the nursing honor society, and new nursing faculty.

Perceptions Of Coordination Of Care Between Hospice And Skilled Nursing Facility Care Providers, Kim Martz, Abigail Gerding

Nursing Faculty Publications and Presentations

The number of older Americans who are finding Nursing Homes (NH) or Skilled Nursing Facilities (SNF) as their final place of care is increasing each year, especially the fastest growing segment of the national population who are 85 years and older ¹. Although the majority of older adults would prefer to die in their homes, the frailty and complexities of advanced age are leading many to the nursing home setting ^{2, 3}. In 2020, it is reported that 40% of deaths of older adults will occur in the nursing home setting ^{4, 5}. Many studies have shown …

Experiences Of Faculty And Students Using An Audience Response System In The Classroom, Christine M. Thomas, Cheryl Monturo, Katherine Conroy

Nursing Faculty Publications

No abstract provided.

Postpartum Depression And Help‐Seeking Behaviors In Immigrant Hispanic Women, Lynn Clark Callister, Renea Beckstrand, Cheryl A. Corbett

Faculty Publications

Objectives: To describe perceptions of immigrant Hispanic women experiencing symptoms of postpartum depression (PPD) and to identify barriers to seeking mental health services.

Design: Qualitative descriptive.

Setting: Community health clinic.

Participants: Twenty immigrant Hispanic women scoring positive for symptoms of PPD receiving health care at a community health clinic who declined mental health services participated in audiotaped interviews held in their homes.

Methods: Following Institutional Review Board approval and informed consent, interviews were conducted with study participants. Transcribed data were analyzed as appropriate for qualitative inquiry.

Results: Some of the women did not recognize and/or denied their symptoms attributing their …

Lived Experience: East African Somali Speaking Women Accessing The U.S. Healthcare System, Shukri Adam Phd

Dissertations

Access to prenatal healthcare for East African Somali Speaking Women (EASSW) who are immigrants to the U.S. has been dependent on the availability of a systematic healthcare treatment model. The purpose of this study was to explore EASSW's lived experiences in accessing prenatal healthcare services in the U.S. A descriptive, qualitative phenomenological approach informed by the work of Husserl was used to explore EASSW's experiences, views, and problems encountered while attempting to access prenatal healthcare services in the U.S. Fifteen EASSW of childbearing age (ages 18–45) were recruited for this study. All participants interviewed privately, beginning with a semi-structured, open-ended …

Implementation Of A Virtual Journal Club In A Clinical Nursing Setting, Jill Berger, Heather K. Hardin, Robert V. Topp

College of Nursing Faculty Research and Publications

Healthcare practice is increasingly focused on delivering care that is based on published research evidence. Staff development nurses can institute journal clubs to teach nursing staff critical appraisal of research articles and ways to translate research findings into clinical practice. Unfortunately, attending meetings regularly is often a challenge for nurses, and relatively few have the knowledge and expertise to adequately critique research articles. One way to bridge the limitations of accessibility and limited research expertise of journal club members is to establish a virtual journal club. This article describes one hospital's experience with developing a virtual journal club.

A Retrospective Analysis Of Maternal And Child Outcomes Following An Obesity Intervention Program, Melinda S. Bender Phd

Dissertations

Background: One of the highest risk groups for childhood obesity and associated co-morbidities in the United States are low-income Hispanic preschool children. To reduce obesity, effective interventions are being sought to improve health behaviors among high risks groups. Objectives: To evaluate a subset of data from a larger 9-month promotora facilitated obesity intervention study. The aims were to determine: 1) pre- to post-program differences in health behaviors including: (a) children's consumption of high carbohydrate beverages (HCB); and (b) maternal walking, beliefs, knowledge, self-efficacy, and relationship building regarding nutrition and physical activity; and 2) which covariates were significant for change in …

Staffing Excellence: Moving From Retrospective To Prospective Management Of Risk, Kathryn Rapala

College of Nursing Faculty Research and Publications

No abstract provided.

The Flame, 2010-2011, Mennonite College Of Nursing

The Flame (1985-present)

The Flame is a newsletter of Illinois State University's Mennonite College of Nursing

Developing A Conceptual (Mosaic) Transcultural Model Of Nursing Care For Use At A Pediatric Inner-City Hospital, Lani Hollenbeck

Theses and Graduate Projects

The purpose of this project is to develop a transcultural model of nursing care for use at a pediatric inner-city hospital located in the Midwestern United States. The experience and outcome for pediatric patients and their families may be negatively impacted when language and culture are different from those of the nurse. Nurses working at the hospital have expressed discomfort when providing care for patients from diverse ethnic and cultural backgrounds. They feel challenged to provide supportive nursing care without imposing their own ethnocentric viewpoints or nursing practices that may be inconsistent with desires of those from another culture. The …

A Conceptual Framework For Providing Healthy Meals For A Marginalized Population, Hoching Wu

Theses and Graduate Projects

The purpose of this project is to create a conceptual framework grounded in a caring relationship that provides nutritious, economic, and efficient noon meals to 200 to 400 homeless people at an inner city church kitchen. Awareness of the concerns of the church kitchen coordinator and the needs of the homeless population provided the motivation to explore comprehensive and effective solutions through a conceptual framework. The typical menus from the inner city church kitchen and the research articles both showed the meal programs were fairly nutritious but high in total calories and low in dairy products. Creating new menus for …

Creating Community With Homeless And Marginally Housed Women, Judy Schlaefer

Theses and Graduate Projects

The purpose of this project is to create a weekly Drop-In Center where Homeless and Marginally Housed (HMH) women receive support, respite, and respect in a safe, welcoming environment. Homeless and Marginally Housed (HMH) women have unique needs due to daily struggles with disenfranchisement which include barriers to health services, battering, poor transportation, lack of recreation and education, neglect, and institutionalized poverty. The impetus for the Drop-In Center was to offer respite from the harsh environment created by the institutionalized violence against HMH women who deserve significant emotional and social support, nutrition, and respite. The transculrural nurse will be focused …

A Call To Action After A Patient Fall, Lisa D. Bungum

Theses and Graduate Projects

Fall prevention has always been a quality and safety initiative within hospitals. The purpose of this project is to define, develop, and implement an interdisciplinary huddle following a patient fall event so patient specific modifications to the plan of care can be initiated. The huddle will occur soon after the fall event to facilitate collaboration between all the patient's healthcare providers. The number of patients who repeat falls during a single hospitalization is significant and well documented in professional literature. A patient's risk for a repeat fall will be minimized by assessing and modifying interventions to reduce risk through an …

Frequent Users Of The Emergency Department: Guiding Patients To Comprehensive And Coordinated Care, Anne L. Draeger

Theses and Graduate Projects

The purpose of this project is to implement a rural community-based collaborative care network to assist high frequency emergency department users navigate a comprehensive system to access a full range of health care services and decrease reliance on the emergency department. Patients who frequent the emergency department are less apt to receive coordinated treatment of pain and other chronic disease which leads to suboptimal care focusing on symptoms rather than disease management. Nurses who practice in the emergency department identify the pattern of frequent use and lack of care coordination but struggle to provide a connection to preventative services and …

Empowering And Retaining New Graduate Nurses Through A Structured Mentoring Program, Kelly O. Gamble

Theses and Graduate Projects

The purpose of this project is to improve the orientation experience of the new graduate nurse at a metropolitan Minnesota hospital through the development of a structured mentoring program. The transition from student nurse to professional nurse is stressful for new graduate nurses. Stress combined with increased technology and patient acuity in the acute care setting has led to many new graduate nurses leaving the profession, contributing to the anticipated nursing shortage. Literature on new graduate nurse orientation, the nursing shortage, mentoring, and generational differences were incorporated in the development of the structured mentoring program. The importance of nursing leadership …

Creating An Environment That Fosters Feedback Among Nurses, Anne M. Egan

Theses and Graduate Projects

The goal of the project is to provide a voice for the nursing staff by adding their input on potential changes to the unit and to ultimately build stronger relationships among nurses. Involving staff from the beginning, this project started with a communication needs assessment completed in one unit at a small rural hospital in the Midwest. This included session meetings and a ballot survey. A project was designed to strengthen feedback among nurses on the unit, addressing horizontal violence in the workplace, and relating to Watson's nursing care theory. The project's goal is to create an environment that fosters …

The Self- Caring Tree: A Model Of Nursing Self-Care, Cynthia M. Severson

Theses and Graduate Projects

Being a nurse can be physically, emotionally, and spiritually exhausting. Nurses are exposed to sickness, sadness, trauma, suffbring, terminal illnesses, and potentially harmful contagions in their daily work. Nurses tend to care for others more than they care for themselves and can become overwhelmed, lose their resilience, and burnout. Nurses who practice daily self-care benefit by experiencing greater self-esteem, resilience, and ultimately wisdom and compassion. This project focuses on the development of a self- care model for nurses to help nurses learn how to care for themselves. The model is grounded in the work of Dr. Jean Watson and her …