Digital Commons Network^™

Clinical Leadership: A Matter Of Trust?, Tracey Thornley

Nursing Conference Papers

One of the many challenges facing the nursing profession in 2011 is the visibility of clinical leadership. Clinical leadership is essential for positive patient outcomes and a productive work environment; given this, the need for strong and effective leadership has never been more urgent. The attributes of leadership and how they are used to inspire and lead others are often overlooked. A research study (Thornley 2007) exploring the concept of expert, found that many personal characteristics were used by nurses to facilitate their expertise and it was these characteristics that expert nurses used to lead and inspire others.

Nursing Vigilance - Blocking The Road To Delirium Through A Culture Of Care, Mary Ann Kinney

Theses and Graduate Projects

Vigilance at the bedside: The most viable tool we as nurses have is vigilance in our patient care. Vigilance is a gift and a tool that must be nurtured through academia and practice. The application and results of this tool lead to identifying and circumventing hospital and surgical post-operative delirium in orthopedic patients resulting in reduction of length of hospital stay, cost and eliminating the precursor delirium leading to dementia.

Case Study Scenario And Simulation: Supplementing A Student Nurse's Missed Foundational Clinical Nursing Experience, Lori Versaguis

Theses and Graduate Projects

Optimizing clinical education for student nurses in a local associate degree nursing (ADN) program is essential to prepare them to become competent professional nurses. The focus of this project is to develop a case study scenario and related simulation for associate degree nursing students who are absent from clinical experiences in a foundational nursing class. An innovative approach to replace a missed clinical experience is an educational module utilizing a patient care scenario followed by realistic nursing evaluation and interuentions in a simulation lab. Margaret Newman's theory of health as expanding consciousness supports this case scenario and simulation project. Bloom's …

Transcultural Nursing In Community: A Doctor Of Nursing Practice Project To Advance Nursing Education In Partnership With An Indigenous Community, Deb Shuhmacher

Theses and Graduate Projects

Through a culturally responsive partnership process, a doctoral project to advance nursing education on the Pine Ridge Indian Reservation in Pine Ridge, South Dakota is presented. The collaborative partnership is explored across a dominant Western culture and an Indigenous tribal community. A lens of awareness for White dominant culture is explained in relation to building a partnership with a Lakota tribal community. Traditional Indigenous values of mutuality, reciprocity, honor, and respect are discussed as significant in building a partnership. The process of engaging Indigenous wisdom and respecting Indigenous self-determination is foundational for the partnership process. Dr Leininger's culture care theory …

Transcultural Nursing In Guatemala: A Different Yield, Katherine A. Baumgartner

Theses and Graduate Projects

Daily life in Guatemala for most indigenous Mayan persons involves struggle, risk, and hardship. This country holds sharp contrasts: amazing beauty with volcanoes and jungles, and thousands of years of the advanced Mayan civilization along side the history of Spanish colonization, oppression, the daily face of poverty. Following a thirty-six year civil war, which ended in 1996, thousands of Guatemalan refugees returned from Mexico to re-create their lives in their homeland.

It is within this context, that a health initiative was begun as an international collaboration. The purpose of this initiative was to establish a program to educate and support …

The Caring Connection: Using Leadership Metis To Facilitate Community Outreach For Hospital-Based Nurses, Susan Rein Loushin

Theses and Graduate Projects

This presentation and poster describes advanced practice as a leadership process that links nurses working in a hospital setting with people in the neighborhood who are homeless. It gives voice to the experiences of nurses volunteering within the homeless community. There is documented evidence supporting the virtues of volunteerism and the effect on the target population. However, there appears to be a gap in the literature regarding the effect outreach projects have on the personal and professional lives of nurses volunteering their time in the community.

This DNP project .created opportunities and leadership for nurses to work as citizen professionals …

Somali Cares: Listening To The Voices Of The Other, Joyce P. Miller

Theses and Graduate Projects

Care during pregnancy is an important preventative health intervention for women and their unborn baby in all cultures. Healthcare inequities exist among some ethnic minority groups and contribute to racial disparities in birth outcomes. Pregnant Somali women, newly immigrated to the United States, ffie forced to seek prenatal care within a cultural context that can be very different from their own experiences and expectations. This refugee population is expected to fit into a medical system that is not only unfamiliar to them, but at times unable to meet their needs during pregnancy. As Somali women seek access to western healthcare …

Ways Of Knowing Transcultural Herbal Healing, Kristin M. Mchale

Theses and Graduate Projects

This project was born from 5 years of deeply moving transcultural learning experiences. As I walked with cultural guides from the Pine Ridge Reservation in South Dakota, energy workers of the Celtic tradition in England, traditional folk healers in Mexico, healers of the US southwest, Alaska natives, and Italian mountain people, stories unfolded which showed a universal commonality; a connection to the land and the use of herbs for health and healing. Across the globe, herbal remedies are used by people of all cultures for health and healing throughout the lifespan. Within many cultures, knowledge of herbs is a source …

Community Health Workers: Bearers Of The Light In Health, Healing, And Care, Jean M. Gunderson

Theses and Graduate Projects

Since the 1940's with the development of the community oriented Primary care model of sydney and Emily Kark that originated in Africa and was transposed to the United States, Community Health Workers (CHWs) have been integrated in community health activities. As individuals from the community intimately connected to its people and its cultural life-ways and meaning, they provide primary services and care as advocates, liaisons, educators, cultural brokers, and navigators; bridging multifaceted hanscultural constructs within systems. Thi increasing diversity of communities, the health inequities, and the call for culturally responsive care, reinforce the significance of understanding the practice of community …

Comparison Of Registered Nurse Job Satisfaction To Patient Satisfaction And The Link To The Role Of The Nurse Manager, Deborah M. Spotts

Theses and Graduate Projects

This is an in depth qualitative research study using a compelling literature review and an in depth case study of one hospital comparing registered nurse job satisfaction scores with patient satisfaction scores. The literature review indicates that research positively correlates nurse job satisfaction to patient care satisfaction. This research study focuses on understanding the possible relationship between registered nurse job satisfaction and patient satisfaction with nursing care. The role of the nurse manager is explored in order to understand possible the impact of that role on the satisfaction scores of both groups.

Exploring The Association Between Pain Intensity And Facial Display In Term Newborns, Martin Schiavenato, Meggan Butler-O'Hara, Paul Scovanner

Nursing Faculty Scholarship

BACKGROUND
Facial expression is widely used to judge pain in neonates. However, little is known about the relationship between intensity of the painful stimulus and the nature of the expression in term neonates.

OBJECTIVES
To describe differences in the movement of key facial areas between two groups of term neonates experiencing painful stimuli of different intensities.

METHODS
Video recordings from two previous studies were used to select study subjects. Four term neonates undergoing circumcision without analge-sia were compared with four similar male term neonates undergoing a routine heel stick. Facial movements were measured with a computer using a previ-ously developed …

Student Nurse Perceptions Of Effective Medication Administration Education, Lorretta C. Krautscheid, Valorie J. Orton, Lori Chorpenning, Rachel Ryerson

Faculty Publications - College of Nursing

Nursing faculty strive to educate students in a manner that prevents errors, promoting quality, patient-centered care. This endeavor is dependent upon meaningful and effective education that incorporates educational experiences reflective of the service sector. Anecdotal reports from clinical faculty and student nurses suggest that academic medication administration education may not optimally prepare students for safe entry into clinical practice. The aim of this phenomenologic qualitative research is to understand student nurse perceptions regarding teaching strategies and learning activities that prepared them for safe medication administration in acute care clinical settings. Focus group interviews resulted in two broad themes that are …

Objective Physical Activity And Sleep Characteristic Measurements Using A Triaxial Accelerometer In Eight Year Olds, Susan Ann Harrington

Wayne State University Dissertations

Background: Secular trends demonstrate that young children are less active and sleep less. Inequity in an individual's energy balance is known to have poor health outcomes. Academic achievement, academic behavior, and weight status are proxy indicators for health and psychosocial outcomes in this study. Current guidelines in place for sleep and physical activity in childhood are the result of data collected in the form of self-reports. Quantification and qualification of physical activity dimensions and sleep characteristics are essential not only for the purpose of clearly establishing parameters but also for the intent of verifying optimal health outcomes and evaluating interventions …

Evaluation Of Health Newsletter Effectiveness On Dietary Habits In Low-Income Middle-Aged Women, Nichole Jennifer Hassebroek

All Graduate Theses, Dissertations, and Other Capstone Projects

There is little known about the effectiveness of the SagePlus newsletters at motivating dietary habit changes. The purpose of this study was to determine the effectiveness of the SagePlus newsletter in motivating low-income, middle-aged women who are participating in the SagePlus program to adopt healthier eating habits, specifically to eat more fruits and vegetables. A nonexperimental, descriptive correlational design was used in this study. Phone calls were placed to current SagePlus participants who had been enrolled in the program between six and 12 months. Forty English-speaking participants were contacted and agreed to participate in the telephone survey from a potential …

Gender Perceptions In Rheumatic Disease: A Secondary Analysis, Jean Heise

All Graduate Theses, Dissertations, and Other Capstone Projects

Problem: Rheumatoid arthritis affects approximately 1.3 million people in the United States. A chronic disease with a variable course leaves affected individuals in a state of uncertainty. Many individuals experience joint and muscle pain, a major symptom of the disease. Current literature provides varying information of gender perceptions and management of joint and muscle pain in rheumatic diseases. Purpose: The purpose of this secondary analysis was to explore (1) gender perception of seriousness of joint and muscle pain in rheumatoid arthritis, (2) gender perception of joint and muscle pain interference with daily life, (3) gender perception of controllability of joint …

Barriers To Using Motivational Interviewing For Lifestyle Counseling, Heidi June Sannes

All Graduate Theses, Dissertations, and Other Capstone Projects

The Minnesota Department of Health has sponsored Motivational Interviewing Continuing Education sessions for SagePlus providers to increase their knowledge and skill in the utilization of MI in their clinical practice. The impact of these educational sessions on skill development as well as utilization of MI by these providers is unknown. The purpose of this study was to determine if healthcare providers perceive any barriers in utilizing MI techniques to do lifestyle counseling with SagePlus program particiants. A descriptive quantitative design was used for this study. Of the 22 healthcare providers that were doing lifestyle counseling 16 completed the questionnaires. The …

Motivational Interviewing Training And Provider Proficiency, Jeremy Jay Waldo

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this descriptive study was to determine if there was a relationship between the amount and type of Motivational Interviewing (MI) training a SagePlus provider receives, motivation to utilize MI training, and the proficiency of the provider in using MI in lifestyle counseling in clinical practice. This study was comprised of 16 healthcare professionals who provide SagePlus lifestyle counseling interventions in clinics that participated in the Minnesota Department of Health (MDH) funded SagePlus program. A demographic questionnaire, modified Preventative Medicine Attitudes and Activities Questionnaire (PMAAQ) and Behaviour Change Counseling Index tool (BECCI) were utilized to assess provider's amount …

Associations Of Trauma, Nightmares, And Quality Of Life In Urban African American Adolescents, Barbara Peterson

Wayne State University Dissertations

Purpose: Exposure to trauma in youth is pervasive particularly among urban, African American teens. Nightmares are considered a hallmark symptom of Posttraumatic Stress Disorder (PTSD) and are associated with poor sleep quality and poor quality of life in adults. Research about nightmares in adolescents is lacking, and these relations have not been previously examined. The purpose of this study was to examine the relationships among nightmare frequency, nightmare distress, PTSD severity, sleep quality, and quality of life in teens.

Theory: The Roy Adaptation Model was used to conceptualize nightmares as focal stimuli reducing adaptation in teens. Nightmares may heighten memories …

Teamstepps Communication And In Situ Simulation Training To Improve Individual And Team Performance During Handoff Of The Immediate Post-Operative Cardiovascular Surgical Patient, Stacy Lynn Jepsen

All Graduate Theses, Dissertations, and Other Capstone Projects

The aim of this pilot study was to identify if establishing a reliable framework for consistent use of TeamSTEPPS communication would improve the team communication and performance during the critical handoff of the cardiac surgical patient from the OR team to the ICU team. Breakdown in handoff communication has been attributed as the cause of adverse health events, delays in treatment, inappropriate treatment, increased length of stay, and increased costs and inefficiencies from rework. Standardizing handoff communication is a Joint Commission National Patient Safety Goal, and immediate postoperative cardiac surgical patients are a high-risk population needing consistently high quality communication …

Addressing Limited Clinical Experiences For Nursing Students, Shelly Eisert

Walden Dissertations and Doctoral Studies

This descriptive case study addressed the problem that nursing students at a small community college lacked clinical experiences that promoted identification of their strengths and weaknesses in knowledge and skills expected of nurses. The interest in this individual case and purpose of this study was to understand the clinical learning activities nursing students at this site believed were effective strategies for evaluating their strengths and assessing areas needing improvement in their nursing practice. The theoretical foundation of adult learning formed the basis of this descriptive case study using a survey design to assess the students' perceptions of clinical learning activities …

Wage Equality Among Internationally Educated Nurses Working In The United States, Sat Ananda Hayden

Walden Dissertations and Doctoral Studies

Discrimination against immigrants based on country of origin, gender, or race is known to contribute to wage inequality, lower morale, and decrease worker satisfaction. Healthcare leaders are just beginning to study the impact of gender and race on the wages of internationally educated nurses (IENs). Grounded in Becker's theory of discrimination, this cross-sectional study examined nursing wages for evidence of wage inequality among IENs working in the United States using secondary data collected in the 2008 quadrennial National Sample Survey of Registered Nurses. Ordinary least square regression coupled with the Blinder-Oaxaca wage decomposition was used to analyze the wages of …

Influence Of Coping Styles On Social Support Seeking Among Cancer Patient Family Caregivers, Sandra Renee Rankin

Walden Dissertations and Doctoral Studies

Family caregivers of cancer patients may enter a predeath grief cycle when their loved one is diagnosed with cancer. The emotional upheaval and accompanying stress that define predeath grief may lead to health problems for the caregiver, and also interfere with their ability to provide care for their loved one. The purpose of the present research was to examine the relationship between coping styles of family caregivers and the tendency of those caregivers to seek social support during active caregiving. This study employed a quantitative approach based on the revised coping theory and the process of bereavement, which is grounded …

Leadership And Attitudes On Adopting Evidence-Based Practice For Influenza Vaccination, Pamela A. Paparone

Walden Dissertations and Doctoral Studies

The United States has set a 90% benchmark for influenza vaccinations for healthcare personnel. Unfortunately, healthcare personnel fall far short of that mark with current rates as low as 62%. Low vaccination rates are responsible for influenza, nosocomial influenza, influenza-like illness, and mortality during influenza season. The purpose of this quantitative correlational study was to understand the relationship between leadership styles, attitudes towards evidence-based practice, and vaccination intention among New Jersey registered nurses (RNs). Diffusion of innovations theory was the theoretical foundation. The 3 instruments used were the Multifactor Leadership Questionnaire, Evidence Based Practice Attitude Scale, and Behavioral Intention Scales, …

Nurses' Knowledge And Perceptions Of Rapid Response Teams In A Psychiatric Facility, Kimberly Cecil-Riddle

Walden Dissertations and Doctoral Studies

Psychiatric illnesses can sometimes lead to behavioral outbursts that need to be addressed quickly to deescalate potentially explosive situations. Nurses are in a unique position to respond to such outbursts by calling for a rapid response team. Nurses who are part of the rapid response team should be well-informed of their roles and responsibilities in managing aggressive and violent behavior. The purpose of this project was to explore RN's and LPN's knowledge and perceptions of a rapid response team in a psychiatric facility. The Iowa model of evidence-based practice provided the framework to integrate theory into practice to improve care. …

Stop The Silence Of Elder Abuse, Elizabeth Richards

School of Nursing Faculty Publications

No abstract provided.

The Role Of Nursing Students At Two Rural Nurse-Managed Health Clinics, Elizabeth Richards, Elizabeth O'Neil, Carmen Jones, Lynn Davis, Loretta Krebs

School of Nursing Faculty Publications

With stiff competition for clinical sites, one Midwestern university partners nursing students with faculty who provide primary healthcare to clients in two rural nurse-managed clinics. Some students are also assigned to follow select clients during weekly home visit rotations for their public health clinical course. The result has been a successful faculty practice and preceptor model that benefits rural communities, a clinical setting which provides opportunities for students to experience client care needs of the underinsured or uninsured in small communities, and student exposure to the financial burdens and challenges of today’s healthcare environment in the United States.

Comparative Retrospective Analysis Assessment Of Extracellular Volume Excess In Hypertensive Hemodialysis Patients, Amma Serwaah-Bonsu

Electronic Theses and Dissertations

Cardiovascular disease, including hypertension, accounts for almost 50% of the deaths in patients with end stage renal disease (ESRD) on hemodialysis (HD) yet hypertension remains very poorly controlled in this population. The purpose of this study was to retrospectively compare control of hypertension in hemodialysis (HD) patients when extracellular volume (ECV) was assessed and managed by clinical parameters and physical assessment data alone with control of hypertension when data from blood volume monitoring (BVM) technology was also used to assess and manage ECV in a freestanding outpatient hemodialysis unit. The main cause of hypertension in the ESRD population has been …

Identifying Patients At Risk For Obstructive Sleep Apnea In Primary Health Care : Can Obesity In Combination With Other High-Risk Diagnoses Be Used For Screening Purposes?, Clelia Lima

Electronic Theses and Dissertations

Obstructive sleep apnea (OSA) affects about 15 million adults in the United States, and is an independent risk factor for all-cause mortality. The under-diagnosing of OSA has been linked to the inadequate screening by primary care practitioners (PCPs). Existing screening tools are not widely used by PCPs possibly due to time constraints they experience as providers. This study demonstrates how common high-risk diagnoses (obesity, hypertension, diabetes mellitus type 2, dyslipidemia, arrhythmia, and coronary artery disease) can be used to help PCPs identify adult patients at risk for OSA. Unlike other screening tools, these diagnoses are easy to identify in a …

Factors Related To Birth Transition Success Of Late-Preterm Infants, Karen L. Wright

Electronic Theses and Dissertations

Problem: Identifying the factors effecting birth transition success of late preterm infants may improve early recognition of newborn compromise. Multiple explanatory variables may be associated with birth transition success or failure. The purpose of the study was to determine the prevalence of, and clinical-epidemiological and demographic predictive factors for birth transition success of late preterm infants. Methods: A retrospective case-control chart review was used to compare the characteristics of successful and unsuccessful birth transition of 35 and 36 week gestational age late-preterm infants delivered in a large tertiary-care center during calendar year 2007. A mixture of categorical and numeric variables …

Effective, Efficacious, And Safe Nurse Driven Dysphagia Screening, Robin Fry, Bsn, Rn, Cnrn, Marie Wilson, Bsn, Rn, Ccrn, Cnrn, Carey Heck, Ms, Msn, Rn, Acnp-Cs, Ccrn, Cnrn

Department of Nursing papers and presentations

Introduction:

With 795,000 people suffering strokes and more than 140,000 deaths annually, stroke is the third leading cause of death in the United States.

Dysphagia screening can reduce stroke complications, such as aspiration, and can decrease delays in nutritional support.  Decreasing nutritional support delays can improve patient outcomes.