Digital Commons Network^™

Assessing Facilitating Factors And Barriers To Body Mass Index Screening Among School Nurses, Ann M. Stalter

Nursing Faculty Publications

Child obesity among school age children is epidemic in the United States (U.S.). A critical review of literature was completed that concluded that Body Mass Index (BMI) screening for early identification and growth surveillance is needed for successful school-based obesity prevention intervention programs. This study used total survey design methods to identify the BMI screening practices of school nurses (SNs) and to identify the facilitating factors and barriers to BMI screening in public elementary schools among school age populations. Focus groups were used to identify current BMI screening practice in terms of facilitating factors and barriers. Survey methods were used …

The Reliability, Validity And Feasibility Of Tools Used To Screen For Caregiver Burden: A Systematic Review, Kimberly Whalen, Susan Buchholz

Library Faculty Publications

Objective: The overall objective of this review is to quantitatively measure the psychometric properties and the feasibility of caregiver burden screening tools. The more specific objectives were to determine the reliability, validity as well as feasibility of tools that are used to screen for caregiver burden and strain.

Inclusion criteria: This review considered international quantitative research papers that addressed the psychometric properties and feasibility of caregiver burden screening tools.

Search strategy: The search strategy aimed to find both published and unpublished studies from 1980-2007 published only in the English language. An initial limited search of MEDLINE and CINAHL was undertaken …

Leveraging Higher Salaries For Nursing Faculty, Carolyn B. Yucha, Rosemary Witt

Nursing Faculty Research

The nursing faculty pay scale at the University of Nevada, Las Vegas, has increased significantly over the past 5 years. This increase was driven by a number of factors: (a) the rapidly expanding population in Nevada, (b) the nursing shortage and the Nevada legislative mandate to double nursing enrollment in state schools, (c) the national nursing faculty shortage, and (d) the opening of private nursing schools in Nevada. This article describes how, given these factors, the faculty members were able to leverage a pay scale that is finally competitive with clinical appointments.

Ua61/1 Wku Nursing Class 2009, Wku Nursing

WKU Administration Documents

Members of the 2009 nursing class: Lorraine Adler, Tonya Bragg-Underwood, Jenna Bratcher, Crystal Brock, Kathy Brooks, Lisa Burton, Shelia Curry, Donna Embry, Margo Hancock, Laura Harmon, Kim Haynes, Hua-Wen Hsu, Vanessa Lopp, Lisa Marcum, Jennifer McGee, Linda Norton, Michael Pendleton, Yvonne Pfanenstiel, Pam Phelps, Allison Phillips, Brandy Pierce, Elizabeth Price, Lisa Proctor, Susan Redick, Terra Roberts, Martha Ryan, Sally Satterfield, Lori Skaggs, Tequila Staten, Teresa Stidham and Bryn Wells.

Critical Factors Within An Inquiry Process That Influence Positive Changes In Clinical Governance, Heather Gluyas

Nursing Conference Papers

Major failures in patient safety often lead to high profile inquiries set up to establish the facts, and to identify areas of improvement to prevent further failures. In order to learn from inquiries, we need to be able to identify if, and how, the inquiry process influences improvements.

Using a case study strategy, this research study examined the impact or influence of the Douglas Inquiry on KEMH’s clinical governance systems. The research focused on two areas that were highlighted in the final Inquiry report as requiring reform. These systems deal with the clinical credentialing and performance review and the involvement …

Student Stress And Academic Performance: Home Hospital Program, Carolyn B. Yucha, Susan Kowalski, Chad L. Cross

Nursing Faculty Research

The purpose of this study was to evaluate whether nursing students assigned to a home hospital experience less stress and improved academic performance. Students were assigned to a home hospital clinical placement (n = 78) or a control clinical placement (n = 79). Stress was measured using the Student Nurse Stress Index (SNSI) and Spielberger’s State Anxiety Inventory. Academic performance included score on the RN CAT, a standardized mock NCLEX-RN®-type test; nursing grade point average; and first attempt pass-fail on the NCLEX-RN. There were no statistically significant differences between the two groups for age, gender, marital status, ethnicity, or score …

Looking Forward To A Safer Future: The New Who Guidelines For Safe Surgery, Jed S. Duff

Nursing Conference Papers

Each year in Australia there are approximately 2 million hospital admissions for surgical services (Australia’s Health, 2008) and this number is set to grow significantly, with forecasts of at least a 22% increase by 2021 (Birrell, Hawthorne & Rapson, 2003). Surprisingly, for such a high-risk high-volume specialty, we have very little data on perioperative adverse events. This lack of even basic data means that we are unable to track event rates, leaving us oblivious to the full extent of the problem.

Research on intraoperative adverse events tells us that the rate of major complications is between 3-16%, with a mortality …

Do Inquiries Make A Difference Or Are They A Waste Of Time?, Heather Gluyas

Nursing Conference Papers

Government inquiries into system failures are expensive, time consuming and have an enormous impact professionally and personally on those involved. They are set up to investigate systemic failures in healthcare delivery. Such major failures are different from a single event failure that may capture media attention or be the focus of a coronial inquest. Health system failures that result in an inquiry are distinguished by the scale and magnitude of the breakdown in care. The timescale of the events may stretch over months or years, and there are a number of different occasions where poor patient outcomes (including patient deaths) …

Clinical Placement Experiences In The Highlands Of Vietnam, Heather Gluyas, Annette Fraser

Nursing Conference Papers

There is a considerable body of literature which supports the value of international placements, however there is little reported in the literature where these experiences have been in remote third world countries. This presentation will present the experiences of the students and their clinical supervisors who traveled to the remote Highlands of Vietnam to provide health assessment clinics and health education in schools.

The objectives were to provide the opportunity for students to develop professionally and personally through:

• Experiencing a clinical placement within a health care system other than the Australian system

• Working within a health care system …

Glasgow Coma Scale: Improving Practice In Non-Neuro Specialty Wards, Lauren Rullis, Tracey Thornley

Nursing Conference Papers

The Glasgow Coma Scale published in 1974 was designed with simplicity in mind. The tool was developed for use in a wide range of clinical environments and for staff who had no specialised training (Teasdale and Jennett 1974) ensuring standardisation in assessment. Evidence (Waterhouse 2008) however suggests that there are ongoing problems in the use of the GCS assessment, and the impact that this might have on patient outcomes are unknown. Variations in practice have been found in all areas, including neurological specialty wards, however the skill level of nursing staff in non neurological areas is concerning with inconsistencies in …

Interactive Video Method Of Teaching And Assessment: Poster Presentation, Karen Clark-Burg, Selma Alliex, Annie Das

Nursing Conference Papers

The School of Nursing (University of Notre Dame Australia) was very keen to trial a method of teaching and assessment in one of the Nursing skills units. Students were divided into two groups to experience both traditional and interactive video methods using a commercially available software program in a cross-over research. It was expected that this strategy would enhance students ‘deeper learning’ and better standards of skills.

Building Trusted Relationships With Female Street Sex Workers: A Nontraditional Approach, Sandra Finn

Theses and Graduate Projects

This project develops a model for community health nurses to use to connect with African American street sex workers. Women involved in street prostitution are not only marginalized by society, but also healthcare systems. In understanding the importance of building relationships and rapport with women involved in street sex work I chose to use Reiki and a spiritually attuned environment to interact with a group of women. A support group unfolded as well as a bond I created with the participants that helped to bridge the gap for the women between them and health care systems, legal and government organizations. …

Theory, Research & Practice Of A Comprehensive Teen Sexuality Education Curriculum, Dawn M. Bowker

Theses and Graduate Projects

Rates of sexually transmitted disease (STD), teen pregnancy, and teen births are higher in the United States than in most other industrialized countries (Kohler, 2008; Manhart, 2006; Teitelman, 2004; Terry-Humen, 2006). Five years ago, a Christian based, sexuality retreat curriculum was initiated that focused on teen knowledge, attitudes, and beliefs about sexuality. The developmentally appropriate curriculum promoted an increased awareness of self and issues influencing sexuality. The goal was to create a common language and a better understanding of the way adolescent males and females think and behave in matters of sexuality. This paper presents an evaluative retrospective analysis of …

Perceptions Of Leadership Effectiveness In The Management Of Intergenerational Work-Values Conflict: An Antecedent Of Organizational Citizenship Behavior Of Perioperative Registered Nurses, Patricia G. Wright

Walden Dissertations and Doctoral Studies

Studies reveal a progressive net decrease in the nursing profession across four generations, creating a shortage that poses a critical threat to the health care delivery system and to the health and safety of patients within that system. Research also suggests that generational cohorts reflect social change in attitudes toward work-life balance, organizational commitment, personal-professional relationships, autonomy, focus on career advancement, and actions that represent organizational citizenship behavior (OCB). Previous research grounded in theoretical frameworks of organizational behavior, leadership, and social capital indicates that leadership support of workforce diversity and effectiveness in conflict management influence OCB. However, little research explores …

A National Study To Compare The Tolerability And Effectiveness Of Colon Cleansing Preparations, Glenda Lynn Daniels

Nursing Dissertations - Archive

Colorectal cancer is the third most common form of cancer, and the second leading cause of cancer-related deaths in the United States. Fortunately, 90% of colorectal cancer deaths are preventable if the disease is detected early. Colonoscopy, the gold standard for colorectal cancer screening, allows direct examination of the colon. However, the colon must be cleaned of all stool in order to detect polyps, tumors, inflammation, and other problems. A wide variety of purging agents are available for colon cleansing but all have limitations and poor bowel cleansing is common. The purpose of the study was to (1) describe bowel …

Oncology Nurses’ Perceptions Of Obstacles And Supportive Behaviors In End-Of-Life Care, Renea L. Beckstrand, A. Elaine Bond, Lynn Clark Callister, Josie Moore

Faculty Publications

Cancer accounts for one in four deaths in the United States. Oncology nurses care for dying patients on a daily basis. Research on specific obstacles that impede and supportive behaviors that help the delivery of end-of-life (EOL) care is limited.

Disaster Response After Hurricane Katrina: A Model For An Academic-Community Partnership In Mississippi., Elizabeth Richards, Julie Cowan Novak, Lynn Davis

School of Nursing Faculty Publications

Team Reach Out Biloxi is a nursing student-initiated service-learning project with the goal of providing ongoing assistance to the victims of Hurricane Katrina. On six different occasions from 2005 to 2008, Purdue nursing students integrated their leadership skills with application of public health knowledge, compassion, and concern as they worked in partnership with the Gulfport region Coastal Family Health Clinics. This paper reviews the service-learning framework, course planning, and implementation of a three-year post-hurricane disaster project.

Awareness Of Increased Risk For Heart Disease And Cardiovascular Risk Factors In Women With Systemic Lupus Erythematosus, Patricia Weinstein

Electronic Theses and Dissertations

Women with systemic lupus erythematosus (SLE) develop cardiovascular disease (CVD) earlier and at a more accelerated rate compared to women without SLE. Many women with SLE are unaware of their increased risk despite years spent in the health care system, thus giving the atherogenic process time to accrue damage. Research has not explained fully why women with SLE are unaware of their increased risk for CVD or why awareness does not correspond to risk-educing behaviors. Stage theories of behavior like the Precaution Adoption Process Model (PAPM) propose that health behavior change proceeds through qualitatively different stages, and people at one …

Domestic Violence Among Pakistani Women: An Insight Into Literature, Azmat J. Khan, Tazeen S. Ali, Ali K. Khuwaja

School of Nursing & Midwifery

The objectives of this search were to estimate the burden of domestic violence, its contributing factors and strategies based on literature review for the prevention and control of domestic violence. Published literature about domestic violence in Pakistan during the years 1998 to 2008 was analyzed and scrutinized. This article is based on the searched result of 200 articles published in the English language from which finally 13 articles were selected. Search terms included “Violence”, “Domestic violence”, “Domestic violence in Pakistan” and “Strategies and Recommendations for Prevention of Domestic violence”. According to these studies, the intimate partners' violence is reported as …

Nurses Attitudes Towards Perinatal Bereavement Care, Chan Moon Fai, David Arthur

School of Nursing & Midwifery

Aim: This paper is a report of a study conducted to explore the factors associated with nurses and midwives’ attitudes towards perinatal bereavement care.
Background: Caring for and supporting parents whose infant has died is extremely demanding, difficult and stressful. In some situations nurses may experience personal failure, feel helpless, and need to distance themselves from bereaved parents because they feel unable to deal with the enormity of the parental feelings of loss.
Method: A correlational questionnaire study using convenience sampling was carried out in Singapore in 2007 with 185 nurses/midwives in one obstetrics and gynaecology unit.
Results: Regression models …

Nurses [Sic] Knowledge Of Mass Casuality Emergency Situations, Disasters And Related Laws Regulating Nursing Practice In Michigan And Ohio, Ashley Elizabeth Sandmann

Senior Honors Theses and Projects

A survey was conducted among 51 emergency department nurses in both Michigan and Ohio from 2008 to 2009. A comparative design was used to analyze the surveyed data. The purpose of the study was to describe and compare the knowledge level of emergency department nurses with regards to disaster nursing, emergency preparedness, and correlating related nursing laws in their respective states of licensure. Results showed that there is no significant correlation between knowledge level of emergency and disaster preparedness and related laws to the state in which a nurse is licensed, but nurses in Michigan reported having more instruction in …

College Student Risk Behavior: Implications Of Religiosity And Impulsivity, Mary Cazzell

Nursing Dissertations - Archive

College student risk-taking among 18 to 21 years olds includes smoking cigarettes, binge drinking, casual sex with multiple partners, automobile accidents due to risky driving or driving under the influence, and substance use. Among 10 to 24 year olds, 72% of all fatalities result from automobile accidents, unintended injuries, homicide, and suicide. Since not all college students participate in risk behaviors, protective factors such as religiosity may be a protective social or psychological buffer that supports positive relationships and moral order. Impulsivity, an inability to squelch inappropriate thoughts or actions, is associated with the later development (in the mid-twenties) of …

Experiences Of African Immigrant Women Living With Hiv In The U.K.: Implications For Health Professionals, Eunice Ndirangu, Catrin Evans

School of Nursing & Midwifery, East Africa

In the U.K. immigrant women from Africa constitute an increasingly large proportion of newly diagnosed cases of HIV. A significant minority of these are refugees and asylum seekers. Very little is known about their experiences of living with HIV/AIDS, their psychosocial needs or their views of health care provision. This paper reports the results of a qualitative study that explored these issues by interviewing eight African women living with HIV in the British city of Nottingham. Women’s ability to live positively with HIV was found to be strongly shaped by their migration history, their legal status, their experience of AIDS-related …

Taking Evidence-Based Practice To The Bedside: Innovative Methods Of Keeping Patients Informed, Carlos Arguelles, Myrta Rabinowitz, Lily Thomas, Nicole C. Lemoine, Kathleen Palafox

Publications and Research

No abstract provided.

Care Of The Dying Child: Pediatric Icu Nurses’ Perceptions Of Obstacles And Supportive Behaviors In End-Of-Life Care, Renea L. Beckstrand, Lynn Clark Callister, Barbara L. Mandleco, Nicole L. Rawle

Faculty Publications

Each year 55,000 children die in the United States. The vast majority of children’s deaths, 75 – 85%, occur in hospital settings with most in pediatric intensive care units. Oftentimes, a nurse is at the bedside of the dying child. Determining the barriers and supportive behaviors in pediatric end-of-life (EOL) care is needed.

Handbook On Sensitive Practice For Health Care Practitioners: Lessons From Adult Survivors Of Childhood Sexual Abuse, Candice L. Schachter, Carol A. Stalker, Eli Teram, Gerri C. Lasiuk, Alanna Danilkewich

Lyle S. Hallman Social Work Faculty Publications

This handbook is the culmination of a multiphase, multidisciplinary research project that used grounded theory and participatory action research to illuminate ways that healthcare providers can work sensitively (in a trauma-informed way) with adult survivors of childhood sexual abuse.

The research identified nine Principles of Sensitive Practice: respect, rapport, taking time, sharing information and control, respecting boundaries, fostering mutual learning, understanding non-linear healing and demonstrating an understanding of trauma to patients. Specific guidelines were developed for a wide variety of issues pertinent to clinical practice such as, removal of clothing, touch, responding to disclosures of abuse, managing triggers among others. …

Health Literacy And Medication Adherence, Seanny Minn

Doctor of Nursing Practice (DNP) Projects

No Abstract Available

The Experience Of African American Hospice Patient/Family With Board Certified Music Therapy As A Component Of Their Plan Of Care, Elizabeth Joy Gifford

Doctor of Nursing Practice (DNP) Projects

No Abstract Available

A Success Story In Shifting The Paradigm Together : Partnership Between Service And Education In Building An Onsite Clinical Nurse Leader Program, Enna Edouard Trevathan

Doctor of Nursing Practice (DNP) Projects

Access to advanced academic preparation has been an important consideration in the design of educational programs for the working professional nurse. Nursing education has a history of developing and implementing strategies to respond to their needs beyond the traditional, on campus classroom setting. Nursing programs were early adopters of distance learning technologies, from the first two-way audio, one-way video classes, to satellite, two-way video classes to the recent proliferation of web-based programs. However, an innovative alternative is proposed - bringing the course work to the employment setting and designing the program to be responsive to the learning needs of the …

Improving Medication Safety By Implementing A Just Culture, Karen S. Lounsbury

Doctor of Nursing Practice (DNP) Projects

No Abstract Available