Digital Commons Network^™

Iv Vs Po: The Acetaminophen Showdown At Swedish, Diem Pham, Adam Corson, Renee Rassilyer-Bomers

2024 Swedish Learning and Celebration Day

No abstract provided.

Using Self-Assessment Tools And Complementary Alternative Therapy For Chronic Migraines In Menopausal Women, Krystal Rachelle Bridwell

Electronic Theses and Dissertations

Abstract

Migraine headaches are ranked as one of the highest disabling conditions in the United States. Women who are in the perimenopausal transition phase have a higher prevalence of disabling migraines that can result in a decreased quality of life, loss of income, decreased productivity, and a higher risk for emotional difficulties. The gap in practice is the lack of education on complementary alternative medicine (CAM) and the use of a migraine diary to recognize individual symptoms as a substitute or cotherapy with pharmacologic treatments. The purpose of this scholarly project was to improve clinical practice and outcomes for perimenopausal …

Heart Failure In Nursing Homes: A Scoping Review Of Educational Interventions For Optimising Care Provision, James Mcmahon, David R. Thompson, Jan Cameron, Christine Brown Wilson, Loreena Hill, Paul Tierney, Doris Yu, Debra K. Moser, Karen Spilsbury, Nittaya Srisuk, Jos M. G. A. Schols, Mariëlle Van Der Velden, Gary Mitchell

UK CARES Faculty Publications

Background: Heart failure has an estimated global prevalence of 64.3 million cases, with an average age of a person living with heart failure at 75.2 years. Approximately 20% of residents living in nursing homes (a long-term residential care environment for some individuals) report living with heart failure. Residents living with heart failure in nursing home environments are often frail, have reduced quality of life, higher rates of rehospitalisation and mortality, and greater complications in heart failure management. Further, nursing home staff often lack the knowledge and skills required to provide the necessary care for those living with heart failure. Interventions …

Advanced Practice Nursing Initiatives In Africa, Moving Towards The Nurse Practitioner Role: Experiences From The Field, Deborah C. Gray, Melanie Rogers, Minna K. Miller

Ellmer School of Nursing Faculty Publications

AIM: This paper discusses the development and progression of the advanced practice nurse practitioner role in Africa.

BACKGROUND: Providing adequate primary health care is problematic in Africa. The World Health Organization and International Council of Nurses proposed that nurses, specifically advanced practice nurse practitioners with the requisite skills in disease prevention, diagnosis and management, can be key to solving the primary care issue.

SOURCES OF EVIDENCE: This paper utilized publications from PUBMED, CINAHL, policy papers, websites, workgroups, conferences, and the experiences and knowledge of authors involved in leading and moving forward key events and projects.

DISCUSSION: Four African countries have …

Depression And Its Associated Factors Among People Living With Hiv In The Volta Region Of Ghana, Jerry John Nutor, Robert Kaba Alhassan, Rachel G.A. Thompson, David Ayangba Asakitogum, Henry Ofori Duah, Tiarney D. Ritchwood, Nkothula Nkosi, Ntombifikile Klaas, Sampson Opoku Agyemang, Akua O. Gyamerah

College of Nursing Faculty Research and Publications

Depression among people living with HIV/AIDS in higher-income countries is associated with suboptimal adherence to antiretroviral therapy and though counterintuitive. Yet, less is known regarding how depression, social support, and other sociodemographic factors influence outcomes among people living with HIV, particularly in resource-limited settings like Ghana. In view of this gap, this study investigated factors associated with depressive symptoms among people living with HIV in the Volta region of Ghana. A total of 181 people living with HIV from a local antiretroviral clinic was purposively sampled for the study. The questionnaire included the Center for Epidemiologic Studies Depression Scale, the …

Why Do We Care About Safety With Tbi Patients?, Delaney Loring Rn Bsn, Haley Greenleaf Rn, Olivia Kaczmarek Rn Bsn, Michaela Ryerson-Wing Rn

Nurse Residency

Do nurses working with acute and chronic TBI patients need additional education and training to provide safe, patient and family centered care during an inpatient hospital stay?

Burnout In Healthcare, Katie Bernard Rn Bsn, Kiana Fuller Rn Adn, Ashley Rhoades Rn Bsn

Nurse Residency

In a hospital setting, are nurses who practice coping strategies at a lower risk for nurse burnout then nurses who do not?

Trauma-Informed Care For Nicu Parents, Emma Stahl Bsn Rn, Elise Tilton Bsn Rn

Nurse Residency

For parents of neonates that have been admitted to the NICU, does the use of trauma-informed care reduce the risk of parental stress/ trauma?

An Evaluation Of Peripheral Nerve Stimulation When Monitoring Icu Patients Requiring Chemical Paralysis, Justin Moscone, Tomas Gibbons, Anna Walker

Nurse Residency

In ICU patients receiving infusions of vecuronium or cisatracurium, is a clinical assessment-based titration model compared to a train-of-four titration model more effective when monitoring paralysis?

Use Of Sat/Sbt In Adult Critical Care, Jack Shibles Rn, Kelsie Lynch Rn, Grace Decker Rn, Matthew Mcdonald Rn

Nurse Residency

In mechanically ventilated adult Intensive Care Unit (ICU) patients, how does having a protocol for pairing a spontaneous breathing trial (SBT) with a spontaneous awakening trial (SAT) compared to not having a protocol affect the number of ventilator days?

Postoperative Pain: Numerical Scale Vs. Subjective, Megan Lenihan Bsn, Rn, Amanda Moffo Bsn, Rn, Emily Young Bsn, Rn

Nurse Residency

In a post-op patient, what is the effectiveness of a numerical pain scale, compared to a subjective pain scale, when it comes to proper pain management?

Reduction Of Skin Breakdown With Early Indication Of Low Braden Scale Score, Robert Inniss Rn, Bsn, Kendra Sloan

Nurse Residency

In adult patients being admitted to the hospital from the emergency department, will early indication of low Braden Scale scores and the use of an air mattress help prevent skin integrity breakdown/help prevent the further breakdown of skin in patients who already are experiencing skin breakdown?

Psychometric Properties Of The Positive Thinking Skills Scale Among Undergraduate Nursing Students, Ruth A. Engbers, Abir K. Bekhet, Teresa Jerofke-Owen, Norah L. Johnson, Maharaj Singh

College of Nursing Faculty Research and Publications

Increasing the resilience of undergraduate nursing students is essential for the individual student's well-being and the healthcare system dealing with a looming nursing shortage. Undergraduate nursing students have reported that positive thinking and positive reframing are ways of coping with exposure to suffering, but measurement of these skills remains limited in this population. This is the first study to examine the psychometric properties of the Positive Thinking Skills Scale specifically in undergraduate nursing students and in a sample that includes students from both public and private universities. Internal consistency was demonstrated with a Chronbach's alpha of 0.824, convergent validity was …

Telehealth Resources And Utilization Interest Among Women Who Sell Sex: An Explanatory Sequential Mixed Methods Study, Jessica L. Zemlak, Randi Beth Singer, Jacqueline Christianson, Madeline Stenersen, Maharaj Singh, Stacee M. Lerret

College of Nursing Faculty Research and Publications

Objective

Among a sample of women who sell sex (WSS), we examined unmet health needs, resources for telehealth, utilization interest, and attributes associated with interest in using telehealth.

Study design

Explanatory sequential mixed methods.

Methods

WSS (N = 52) completed a fixed choice survey and focus group (N = 6, 26 individuals) from drop-in centers serving WSS. Chi-square/t-tests and results from the survey data informed the semi-structured focus group interview guide. Thematic analysis of focus group data was conducted to identify themes.

Results

Over half (58%) of participants expressed interest in using telehealth; however, some lack the necessary resources for …

Unsafe Sleep Practices, Hillary Nash Rn, Bsn, Caitlin Rouselle Rn, Bsn, Sabrina Schleh Rn, Bsn

Nurse Residency

In newborns does enhanced verbal and visual education given to their parents/guardians related to unsafe sleep practices help to lower the incidence of unsafe sleep reported on our unit?

Disparities In Birth Outcomes Within The U.S. White Population: Prevalence Of Low Birth Weight Among Immigrant Mothers From The Middle East And North Africa, Leila Moustafa, Patricia Mcgaughey, Tod G. Hamilton

School of Nursing Faculty Scholarship and Creative Works

Immigration from the Middle East and North Africa (MENA) has diversified the U.S. non-Hispanic White population. Analyzing health disparities within this group is a complex task due to data limitations across most federal and state data collection systems. This study investigates disparities in the risk of giving birth to a low-birth-weight infant among foreign-born non-Hispanic White MENA and non-MENA mothers and by MENA mothers’ nationality. This population-based study uses Restricted-Use Detail Natality Data from 2016 to 2019 accessed through the National Center for Health Statistics and provided by the Centers for Disease Control and Prevention. The study examines the …

Nailing The Diagnosis: Using Screen-Based Simulation To Improve Factors Of Diagnostic Reasoning In Family Nurse Practitioner Education, Sarah L. Beebe, Angela M. Mcnelis, Majeda El-Banna, Kristina T. Dreifuerst, Quiping Pearl Zhou

College of Nursing Faculty Research and Publications

Background

Providers’ diagnostic skills and reasoning are essential to the health and safety of patients and the healthcare system. Simulation is a promising modality for improving diagnostic reasoning, with the ability to practice, receive feedback, and reflect in a safe learning environment.

Methods

This study used a quasi-experimental, pretest/posttest one group design to investigate the effect of a 5-week intervention screen-based simulation intervention on metacognitive awareness, knowledge, and diagnostic reasoning factors in family nurse practitioner students in their final semester of clinical coursework. Univariate descriptive statistics were used to describe demographic data and study variables. Paired sample t-tests were used …

Surgeon Experience Matters: An Exact Matched Analysis Of Tlif Outcomes Demonstrates No Difference In Surgical Outcomes Between Experienced Neurosurgeons And Orthopedic Surgeons, Geet Shukla, Abhijith V. Matur, Kelly Childress, Xu Tao, Julia Garcia-Vargas, Jay P. Mehta, Rebecca Garner, Justin Gibson, Daryn Cass, Phillip Vorster, Andrew Wu, Seth Street, Henry Ofori Duah, Benjamin Motley, Joseph Cheng, Owoicho Adogwa

College of Nursing Faculty Research and Publications

Study Design:  Retrospective cohort study. Objective:  To compare surgical and medical complications profile between neurosurgeons and orthopedic surgeons after transforaminal lumbar interbody fusion (TLIF) procedures. Background:  Studies comparing the impact of spine surgeon specialty (neurosurgery vs. orthopedic spine) on TLIF outcomes have been inconclusive and failed to control for operative learning curves and surgical maturity. Orthopedic spine surgeons perform fewer spine procedures in residency, although these differences may be attenuated by mandatory fellowship before starting practice. Any observed differences are likely attenuated with increasing surgeon experience. Materials and Methods:  Using an all-payer claims database, PearlDiver Mariner, 120 million patient records …

Development Of A Midwifery Student Peer Debriefing Tool: An Interpretive Descriptive Study, Kate Buchanan, Carolyn Ross, Dianne Bloxsome, Jen Hocking, Sara Bayes

Research outputs 2022 to 2026

Background: Psychosocial traumatisation associated with giving birth, can occur in those present with the woman giving birth, a phenomenon known as vicarious trauma. It has been identified that there are currently no interventions available for midwifery students who have experienced vicarious trauma following difficult birth experiences. Objective: To explore whether the counselling intervention developed by Gamble et al. (2005), can be adapted for midwifery students to be appropriately and feasibly used as a counselling intervention with peers who have experienced midwifery practice-related vicarious trauma. Design: Interpretive descriptive methodology. Setting: This study was set at two Australian universities from which pre-registration …

Safety Project To Prevent Unintentional Retained Surgical Items, Sherri Bobo

Electronic Theses and Dissertations

Abstract

Fifty million surgeries are performed annually in the United States with an estimated 5,000 patients affected by unintentionally retained surgical items (RSIs) due to errors in the operating room. Surgical items inadvertently left inside patients may include sponges, instruments, needles, or small miscellaneous parts. It is not well understood why the surgical counting process fails to prevent the incidence of unintentional RSIs. The proposed educational curriculum was intended to enhance the knowledge and self-efficacy of surgical nurses and technicians to minimize errors and eliminate RSIs. Evidence-based strategies to complement existing knowledge of unintentional RSIs were introduced through didactic and …

Comparing Nurses’ Perceptions Of Work Environment And Health By Ethnicity, Nia M. Martin

Loma Linda University Electronic Theses, Dissertations & Projects

A healthy work environment significantly affects nurse outcomes such as burnout and retention, but also physical and mental health-- for nurses as well as for the patients for whom they provide care. Black/African Americans (BAAs) face numerous and unique challenges from systemic discrimination that contribute to health-related disparities and numerous physical and psychological challenges. Given the inherent challenges BAAs face and the need for supportive work environment for nurses, this study examined how ethnicity was associated with perceptions of work environment and personal health, focusing on BAA nurses to identify specific challenges and areas for improvement. This cross-sectional, descriptive correlational …

Protocol: Factors Influencing The Implementation Of Non-Pharmacological Interventions For Behaviours And Psychological Symptoms Of Dementia In Residential Aged Care Homes: A Systematic Review And Qualitative Evidence Synthesis, Hunduma D. Ayeno, Gizat M. M. Kassie, Mustafa Atee, Tuan Nguyen

Research outputs 2022 to 2026

This is a protocol for a Cochrane Review. The objectives are as follows. This paper aims to describe a protocol for a systematic review that will synthesise the qualitative evidence regarding factors influencing the implementation of non-pharmacological interventions (NPIs) for behavioural and psychological symptoms of dementia (BPSD) management in residential aged care homes (RACHs). The planned systematic review aims to answer the research question: ‘What are the factors influencing the implementation of NPIs in the management of BPSD at RACHs?’. Additionally, the planned systematic review also aims to generate recommendations to guide stakeholders (e.g., clinicians and aged care staff) and …

A Follow-Up Study On The Clinical Impact Of Pre-Registration Extended Immersive Ward-Based Simulation, Hugh Davies, Sue Robertson, Deb Sundin, Elisabeth Jacob

Research outputs 2022 to 2026

Aim: To explore how extended immersive ward-based simulation influenced graduate nurses’ experiences six-months post-registration. Background: Graduates of nursing training programs are expected to enter the workforce meeting the role of a registered nurse. Extended immersive ward-based simulation has been adopted by nurse educators as a means of easing the transition to professional practice. To what degree transfer of learning occurs from these experiences is yet to be determined. Design: A qualitative descriptive design was used to conduct a series of face-to-face focus groups. Methods: Participants were nine former students who had participated in a series of ward-based simulation workshops before …

Factors Impacting Nursing Assistants To Accept A Delegation In The Acute Care Settings: A Mixed Method Study, Carol Crevacore, Linda Coventry, Christine Duffield, Elisabeth Jacob

Research outputs 2022 to 2026

Aims: To investigate the experience of nursing assistants being delegated nursing tasks by registered nurses. Design: Mixed method explanatory sequential design. Methods: A total of 79 nursing assistants working in an acute hospital in Australia completed surveys that aimed to identify their experience of working with nurses and the activities they were delegated. The survey data were analysed using descriptive statistics. Interviews with 11 nursing assistants were conducted and analysed using Braun and Clarke's thematic analysis. Results were triangulated to provide a richer understanding of the phenomena. Results: Most nursing assistants felt supported completing delegated care activities. However, there was …

Understanding Research Capacity And Culture Of Nurses And Midwives In Two Health Services In Western Australia, Carrie Janerka, Gavin D. Leslie, Olivia Gallagher, Melissa Mellan, Marguerite Lane, Fenella J. Gill

Research outputs 2022 to 2026

Background: Health services with a strong research culture report better patient outcomes and organisational performance. Measuring research capacity and culture (RCC) is important for understanding baseline research capabilities of a health service and assessing the effectiveness of capacity-building and culture-improving interventions. Aim: To describe the RCC of nurses and midwives in two health services in Western Australia. Methods: A cross-sectional survey of nurses and midwives was undertaken using a previously validated RCC tool to measure RCC in individual, professional group, and organisational domains, and identify barriers, enablers, and research activity. Staff at each health service were recruited via email during …

Nursing Students’ Attitudes Regarding Technical Standards For Entrance Into A Bachelor Of Science In Nursing Program, Jordyn Leigh Cook

Institute for Disability Studies

Admission into a Bachelor of Science in Nursing program requires students to meet specific criteria including a non-negotiable set of technical standards. Technical standards encompass physical abilities including twisting, bending, and handling objects of varying weights (Good Samaritan College of Nursing and Health Science, n.d.). While physical capabilities may hold significance in bedside nursing, the American Nurses Association does not establish specific physical qualifications (American Nurses Association, 2010). Due to admission criteria and technical standards, individuals with disabilities are rarely found among career nurses and nursing students (Leslie & Miller, 2020). This study aims to determine nursing students’ attitudes towards …

Effects And Nursing Considerations For Equine-Assisted Activities And Therapies For Children With Autism Spectrum Disorders: A Literature Review, Namiko Kawamura, Mayu Sakamoto, Kayoko Machida

People and Animals: The International Journal of Research and Practice

This literature review aimed to analyze the effects and nursing challenges associated with equine-assisted activities and therapies (EAATs) for children with autism spectrum disorders (ASD). The study utilized the PubMed, CINAHL, and MEDLINE databases to identify 24 relevant articles. The effective contents were classified into two major categories: effects on interpersonal relationships, and effects attributable to the physical and emotional aspects of the lives of the children. The medical staff involved were mainly occupational therapists, followed by physical therapists and speech-language pathologists. The included studies also mention the involvement of trained equine therapists and volunteers, but not the involvement of …

A Review Of Socially Responsible Hrm Practices In The Lebanese Healthcare Sector, Maya Issam Houri, Abdul Rahman Beydoun

BAU Journal - Creative Sustainable Development

This study reviews the existing literature on Socially Responsible Human Resource Management practices on both nurses' performance and their intention to stay which constitute important factors of nurses’ decisions to stay in the healthcare sector in Lebanon. It also focuses on the current knowledge about existing literature in socially responsible HRM. This literature review highlights on the current knowledge about the determinant factor and the importance of socially responsible HRM practices and key outcomes for nurses. It suggests that socially responsible HRM practices, covering initiatives such as training, performance evaluation, compensation, work-family balance and occupational health and safety practices, may …

Factors Impacting Bsn Degrees In Community Colleges In Illinois And Exploring Community Colleges To Address Nursing Education Reform: A Mixed Methods Study, Lovelle Reynolds

College of Education Theses and Dissertations

This dissertation investigates the implementation of Bachelor of Science in Nursing (BSN) programs in Illinois community colleges, focusing on Associate Degree in Nursing (ADN) faculty perceptions. Utilizing an explanatory sequential mixed-methods design, the study first conducted a survey among full-time ADN faculty across Illinois community colleges to assess their support for BSN program offerings. An overwhelming 85% of respondents supported or strongly supported this offering, recognizing the potential benefits for meeting the complex demands of modern healthcare roles. Following the survey, in-depth interviews with volunteered faculty members provided deeper insight into the implementation challenges. These challenges included the need for …

Blunt Cerebrovascular Injury (Bcvi): Universal Cta Neck Screening At Level 2 Trauma Center, Tamine Gogel

Doctor of Nursing Practice Projects

Blunt Cerebrovascular Injury (BCVI) refers to injuries to the vessels supplying blood to the brain, primarily carotid and vertebral arteries, and can result from trauma, resulting in stroke by vessel dissection, thrombus formation, embolization, and hemorrhage. Timely identification is crucial for effective intervention and improved outcomes. This doctoral project proposes the implementation of universal screening using Computed Tomography Angiography (CTA) of the neck during initial workup for blunt force trauma at a Level II ACS-verified trauma center. The primary objective is to mitigate potential delays in diagnosing and treating BCVI, thereby reducing the likelihood of complications. Patients ≥ 15 years …