Digital Commons Network^™

Multimethod Teaching Strategies To Integrate Selected Qsen Competencies In A Doctor Of Nursing Practice Distance Education Program, Mary Lou Manning, Phd, Crnp, Anthony J. Frisby, Phd

College of Nursing Faculty Papers & Presentations

The Quality and Safety Education for Nurses (QSEN) initiative identified 6 competencies for the education of nurses (patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics) and the related knowledge, skills, and attitudes (KSAs) for each competency. The initial QSEN focus was on competency development during prelicensure nursing education, with subsequent attention on adapting the KSAs for graduate programs that prepare advanced practice nurses for clinical roles. Description of successful QSEN competency integration in Doctor of Nursing Practice (DNP) programs is limited. Although the ultimate goal is executing DNP programs where quality and safety is thoroughly integrated …

Evaluation Of A Safe Patient Handling Program, Patricia A. Ryan

Nursing Masters

Purpose : The purpose of this project was to evaluate the effectiveness of implementing a comprehensive Safe Patient Handling (SPH) Program system wide in a large healthcare organization relative to injury severity and organizational cost. Background : Extensive review of the literature reveals clear evidence that healthcare workers who participate in patient handling activities continue to be at a very high risk for occupational musculoskeletal injuries. Workers employed up to one year, and those employed greater than ten years within the institution studied were noted to have higher rates of injures that were more severe and more costly to the …

Health Care Providers’ Perception Of The Barriers In Practice In Addressing Childhood Obesity, Ernestine Iona Brown

Nursing Masters

Childhood obesity has been identified as a major health problem in America. It has been deemed a social and economical problem that has significantly impacted the health of American youth (Small, Anderson, & Melnyk, 2007). The prevalence of childhood obesity has been associated with the development of chronic illnesses in the pediatric population, such as diabetes type 2 and hypertension, which more commonly impacted adults. Health care providers are essential to intervening with obese children in an appropriate environment. Currently there are barriers in communication on this topic dilemma between parents and health care providers.

Examining Nursing Presence In The Acute Care Setting As An Indicator Of Patient Satisfaction With Nursing Care, Wendy Hansbrough Phd, Msn, Rn

Dissertations

Nursing presence is conceptualized as occurring within the nurse-patient relationship when the nurse acknowledges the uniqueness of the patient, within his or her context of being and chooses to intervene on the patient's behalf with a patient who allows the nurse into a reciprocal relationship. Nursing presence is described as occurring in varying levels and nurse expertise is suggested as one antecedent. Quantification of nursing presence would be useful in examination of nursing care outcomes, quality management and research. The Presence of Nursing Scale, PONS (Kostovich, 2002) was used in this study to test its reliability and determine its validity …

The Post Deployment Lived Experience Of U.S. Military Troops After Combat-Related Blast Exposure, Shirely A. Jett Phd

Dissertations

Blast-induced neurotrauma (BINT) is a newly emerging re-occurrence of an old combat-related injury in U.S. military troops returning from deployment in Afghanistan and Iraq. BINT is leading to a silent epidemic of symptomatic troops who face barriers to accessing healthcare and suffer debilitating symptoms in silence. The purpose of this hermeneutic phenomenological study was to discover the meaning of the lived experience of U.S. troops returning from Afghanistan and Iraq after combat-related blast exposure. Eleven service members and veterans ranging in age from 21 to over 30 years old participated in semi-structured face to face interviews. These service members and …

Emergence Delirium In U.S. Military Combat Veterans, Jason M. Mcguire Phd, Crna

Dissertations

This dissertation study examined the phenomenon of emergence delirium in U.S. military combat veterans. Emergence delirium is a post-anesthetic phenomenon that occurs immediately following emergence from general anesthesia and is characterized by agitation, confusion, and violent physical and/or verbal behavior. Clinical evidence suggests that emergence delirium is occurring with greater frequency among military personnel returning from conflict in the Middle East. This body of work is a culmination of three distinctive phases and is presented in three individual manuscripts. The first manuscript, "Risk Factors for Emergence Delirium in U.S. Military Members," was published in the Journal of PeriAnesthesia Nursing with …

Nutritional Status And Clinical Outcomes Of Residents Admitted To A Nursing Home, Sheryl Nespor Phd

Dissertations

Purpose The purpose of this research study was to describe the nutritional status (well nourished, at risk for malnutrition, or malnourished) of residents admitted to nursing homes and adverse clinical outcomes in those residents after four weeks. Methodology A descriptive, correlational design utilizing medical record data was used to examine the relationship between nutritional status and adverse clinical outcomes of weight loss and pressure ulcers. Results The sample (n=69) was predominately Caucasian (90%) with 38% having one or more pressure ulcers on admission. Most of the residents were admitted from an acute care facility (97%) and were either malnourished or …

California School Nurse Survey, Rachel Van Niekerk Phd

Dissertations

The purpose of this study was to obtain evidence to support the assumption that school nurses have a positive effect on school attendance and medication administration practices and to hear the voice of the California school nurse. Data from this exploratory, descriptive study came from an online researcher developed survey consisting of both forced choice and open-ended questions completed by California school nurses representing the three major regions of California (Northern, Central, and Southern). The following three research questions guided the study: 1) What is the relationship between school and nurse factors on student outcomes? 2) How valued do California …

A Quantitative Inquiry Into Moral Distress And Psychological Empowerment In Critical Care Nurses Caring For Adults During End Of Life, Annette Marie Browning Phd, Rn, Cns

Dissertations

Background Critical care nurses care for many adults at end of life and it is known that these nurses can experience moral distress. Moral distress occurs when nurses are unable to perform what they believe is ethically correct. There has been speculation that psychological empowerment may ameliorate moral distress among critical care nurses. However, research has yet to examine the relationship between moral distress and psychological empowerment in the population of critical care nurses.

Objectives To describe the relationships between moral distress, psychological empowerment and select demographics in critical care nurses caring for patients at EOL.

Method Using a quantitative …

Implementing A Virtual Journal Club In A Clinical Nursing Setting, 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.

Creating A Therapeutic Milieu In Retirement Communities, Abir K. Bekhet, Jaclene A. Zauszniewski

College of Nursing Faculty Research and Publications

Elderly persons’ relocation to retirement communities is a stressful event that requires person-milieu adjustment. Research has shown differences in relocation adjustment for elders residing in different retirement communities. A secondary analysis used findings from a study of relocated elders in order to determine whether certain therapeutic factors were lacking in retirement communities where elders had difficulty in adjusting. Study participants were 104 elders who relocated to six retirement communities in Northeast Ohio. This study analyzed qualitative data from the researchers’ observations and field notes and narratives obtained from the elders who participated in the original study. The analysis focused on …

Violence Towards Remote Area Nurses: A Delphi Study To Develop A Risk Management Approach, Kylie M. Mccullough

Theses : Honours

Incidents of occupational violence against nurses are unacceptably high. Remote Area
Nurses in Australia frequently encounter violence in the work place and have limited
resources to deal with the problem. Adopting a risk management approach, and
utilising the Delphi method, a panel of expert Remote Area Nurses (n=10) from
geographically diverse communities, identified and prioritised hazards that increase the
risk of violence and made suggestions for controlling those hazards.
Priority hazards included; building maintenance and design, attending call-outs away
from the clinic, staff inexperience and lack of knowledge about the community, as well
as intoxicated clients, communication difficulties and a …

Allied Health, Carol L. Watwood

DLPS Faculty Publications

No abstract provided.

Undergraduate Nursing Students' Perceptions Of Preparedness As They Prepare To Graduate, Julie Simmons

Nursing Masters

Background: Nursing students in their final semester before graduation often have feelings of anxiety as they face unique challenges that come with the transition from a protective educational environment to the roles and responsibilities of a new graduate staff nurse. Factors such as increasing responsibility and clinical workload and the continuing development of clinical and time management skills may contribute to feelings of anxiety and insecurity. New graduate nurses are recognized as a valuable resource due to the chronic and increasing shortage of registered nurses as seasoned nurses approach retirement, baby boomers age, and the need for health care grows. …

Identification Of A Phytase Gene In Barley (Hordeum Vulgare L.), Fei Dai, Long Qiu, Lingzhen Ye, Dezhi Wu, Meixue Zhou, Guoping Zhang

Publications

BACKGROUND: Endogenous phytase plays a crucial role in phytate degradation and is thus closely related to nutrient efficiency in barley products. The understanding of genetic information of phytase in barley can provide a useful tool for breeding new barley varieties with high phytase activity. METHODOLOGY/PRINCIPAL FINDINGS: Quantitative trait loci (QTL) analysis for phytase activity was conducted using a doubled haploid population. Phytase protein was purified and identified by the LC-ESI MS/MS Shotgun method. Purple acid phosphatase (PAP) gene was sequenced and the position was compared with the QTL controlling phytase activity. A major QTL for phytase activity was mapped to …

Opinions About Anti-Tobacco Marketing Strategies From The Undergraduate Student Perspective, Kara Jachcinski, Meranda Block, Caitlin Berry, Lauren Paczkowski, Emily Bernhard, Nathan Matejczyk

Symposium on Research and Creative Expression (SORCE)

The purpose of this project was to assess undergraduate college students’ opinions of anti-tobacco marketing strategies. The college environment offers an excellent setting for implementation of smoking abstinence interventions for young adults. Freshmen students at Valparaiso University were invited to join group sessions in the residence halls to evaluate anti-tobacco YouTube videos, print materials, and Quit Kit materials. Undergraduate nursing students functioned as group session facilitators. Participants (N = 39) included: 59% males, 87% non-smokers, and 92% who chose to attend for CORE credit. YouTube videos were found to be effective if a dramatic, age appropriate, simple message was connected …

Beyond The Volcanoes: A Community Partnership For Health In Rural Nicaragua, Chelsea Zeman, Cathy Wingstrom

Symposium on Research and Creative Expression (SORCE)

Background: Health inequities related to gender, ethnicity, socioeconomic status, and geography exist in rural Nicaragua due in part to lack of access to health services. The purpose of this ongoing project is to improve health equity in rural Nicaragua through social transformation using community-based participatory action research. Bronfenbrenner’s ecological model of human development, school health, and primary health care theories provided the framework for this research. Methods: Community-based participatory action research involves six phases: partnership, assessment, planning, implementation, evaluation, and dissemination. In the implementation phase, the goal was to build stoves that would remove smoke from the homes and in …

Crossing The Border: Improving Therapeutic Relationships Between First Generation Mexican Americans And Western Health Providers, Meg Petron

Symposium on Research and Creative Expression (SORCE)

In health care, the needs of the patient are always first and determine the course of patient care. Due to the strong presence of Mexican Americans in the United States, and consequently the nation's hospitals, their expectations may be influenced by cultural norms. The aim of this presentation is to give health care providers the information they need to deal with Mexican cultural norms, traditional Mexican folk remedies, and general preexisting notions about Western health care. This information is necessary to create patient-client trust and, subsequently, a therapeutic relationship between patient and practitioner.

Best Practice For Insomnia Patients At A Sleep Center, Jennifer Bronnenberg, Rachshun Hampton, Kelli Martin, Rachael Mckay, Jessica Sneed

Symposium on Research and Creative Expression (SORCE)

Sleep disorders affect millions of people worldwide. The purpose of this project was to determine if individuals with sleep disorders can achieve better outcomes with treatment that includes education classes and cognitive therapy than with current treatments which utilize medication and equipment. Seven articles, obtained from a search of CINAHL, JBI, Medline, and Psych Info, were reviewed and critiqued. Studies contained samples of men and women with sleep disorders, reviews of previous studies, and reviews of effective alternative treatments. Designs included systematic reviews, meta-analysis, randomized control, longitudinal two group pre-test posttest, and a narrative review. Findings showed that when traditional …

Relationship Between Health Literacy And Educational Materials, Jacqueline O'Reiley, Jennifer Bronnenberg, Brittany O'Reiley, Jennifer Sechrist, Katherine Jankauski, Carole Pepa, Constance Lemley

Symposium on Research and Creative Expression (SORCE)

No abstract provided.

Structured Algorithm For Error Reduction In Chemotherapy Administration, Marianne Bundalian Tejada

Nursing Faculty Presentations

Purpose. To develop an evidence-based structured algorithm tool that might be used by nursing leaders at a cancer center to decrease chemotherapy medication errors.

Background. In spite of available technology and known factors resulting in medication errors, chemotherapy errors remain the major cause of iatrogenic patient morbidity in hospitals (Gilbar, 2001; Heidt et al., 2001 ). A major risk factor for chemotherapy errors is lack of standardization in administration (ordering, dispensing, administration, monitoring). Failure to identify necessary staff skills/aptitude required to prevent errors may also be problematic.

Significance. Use of the developed algorithm may lead to development of evidence-based strategies …

Pain Quality Descriptors In Persons With Limb Loss, Angelica I. Garcia, Cecile B. Evans

College of Health Sciences Poster Presentations

Background: Phantom limb pain is very common, and its pain quality descriptors give insight to the lived experience of phantom limb pain.

Significance: This study reports unique phantom limb pain quality descriptor categories.

Student Behaviors In A Virtual Reality-Based Clinical Setting: Lessons Learned, Jane Elizabeth Classen, Kelley Connor, Maximillian Veltman

College of Health Sciences Poster Presentations

Nursing simulations in Virtual Reality (VR) are increasingly becoming a valuable tool utilized in nursing education world-wide to enhance learning and provide additional contextual learning experiences. Although technology is becoming more user-friendly, there is still a need for technological support being provided to nursing students. This project identified student support needs that were necessary for VR nursing simulations.

Acceptance Of The Human Papillomavirus Vaccine Amount College Age Adults: Survey Research, Emily Pippo

Honors Capstones

Capstone submitted as a graduation requirement for BSU Honors Program.

Barriers & Incentives To Obtaining A Bachelor Of Science Degree In Nursing, Tiffany Boring, Brianna Burnette

Graduate Research Projects

No abstract provided.

Chhs April 2011 E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

The College Of Health & Human Services [Annual Report], Wku College Of Health & Human Services, Dr. John Bonaguro, Dean

College of Health & Human Services Publications

No abstract provided.

Colorful Perspectives: Caring For Sick Children In Pune, India, Rachael Butterfield

Inquiry Journal 2011

No abstract provided.

Sleeping In Safety: A Study Of Nurse Anesthetists In Ghana, Lauren Kasparian

Inquiry Journal 2011

No abstract provided.

Caring For Women: A Profile Of The Midwifery Workforce In Massachusetts, Christa M. Kelleher, Dorothy Brewin

Publications from the Center for Women in Politics and Public Policy

This profile of the Commonwealth’s midwifery workforce provides state-level data on the demographic characteristics, employment context, and practice scope of midwives. It also offers a snapshot of populations served by mid-wives and public policy issues that affect midwives and midwifery care in Massachusetts. The report is based on a survey administered to midwives living and/or working in the state supplemented by in-depth interviews with five midwives, one obstetrician, and one state public health official. This report uniquely analyzes data collected from both certified nurse-midwives (CNMs) and directentry midwives (DEMs), including certified professional midwives (CPMs); this summary distinguishes between these two …