Digital Commons Network^™

The Lived Experience Of Nurses In Caring For Patients With Covid-19, Jessica Barre

Electronic Theses and Dissertations

Limited research exists about the experiences of nurses’ caring for patients during the COVID-19 pandemic post hoc. To understand nurses’ realities of caring for patients with COVID-19, I aimed to understand the lived experience of nurses caring for patients with COVID-19 in the United States. A qualitative design with a hermeneutic phenomenological methodology was used. Sixteen participants were recruited via purposive sampling, augmented with snowball sampling. Data were collected through unstructured interviews and were analyzed using Braun and Clarke’s Reflexive Thematic Analysis. Nurses’ experiences of caring for patients with COVID-19 in the U.S. were consolidated into four themes: “a living …

Exploring The Lived Experience Of Self-Care In Young Adults With Type 2 Diabetes, Holly Berry-Price

Electronic Theses and Dissertations

Introduction

The prevalence of prediabetes in adults aged 18 or older was as high as 38% between 2017-2020. Youth-onset T2DM is a more aggressive phenotype than T2DM that occurs later in life. Young adults with T2DM have poorer health outcomes, lose an average of 15 years of life, all resulting in significant economic burden impacting the person. Current self-management interventions do not improve health outcomes in young adults with T2DM.

Purpose

The purpose of this research was to explore the self-care experiences of young adults living with T2DM.

Methods

Existential hermeneutic phenomenology informed the research. Inclusion criteria as follows: adults …

Psychological Safety Of Pre-Licensure Nursing Students: A Longitudinal, Qualitative Study, Laura Butler

Student Works

Background: Previous studies have explored the concept of psychological safety among pre-licensure nursing students; however, the literature is notably sparse on personal descriptions of pre-licensure nursing students’ experiences of psychological safety in clinical settings. Individual descriptions of psychological safety will provide added insight and understanding about the elements that shape psychological safety in pre-licensure nursing students.

Objectives: This research aimed to longitudinally explore pre-licensure nursing students' experiences of psychological safety during clinical rotations and how their experiences of psychological safety change over time.

Methods: This study used a longitudinal, qualitative, descriptive approach. Participants were recruited from a …

Perceived Barriers Of Early Mobilization In The Intensive Care Unit, Melissa Sonderman, Emily Miles, Joshua Ferge

Doctor of Nursing Practice Projects: College of Nursing

Purpose

Early mobilization of Intensive Care Unit (ICU) patients can improve patient outcomes but also includes barriers to implementation. Nebraska Medicine has continued to have ongoing quality improvement initiatives like the ABCDEF liberation bundles and early mobilization that have been attempted but have never fully come to fruition. This project surveys Nebraska Medicines ICUs staff to better understand attitudes, knowledge and behavior regarding early mobilization using a validated tool. The aim was to identify barriers, so the organization could better understand the needs of ICU staff for future implementations of early mobility and related assessment tools.

Materials and Methods

A …

Use Of A Mindfulness-Based Mobile App To Decrease Nurse Burnout, Vivian Ugwu

Doctor of Nursing Practice Final Project Abstract

PURPOSE The aim of this quality improvement project was to decrease Oldenburg Burnout Inventory (OLBI) scores by 5% among nurses working in a joint and rehab unit after using the mindfulness-based mobile application Headspace for 2 months.

BACKGROUND Indicators of rising burnout were noted on a 27-bed joint and rehab unit at a general medical and surgical facility in Houston, Texas.

METHODOLOGY The OLBI survey was used to measure burnout risk. The Plan-Do-Study-Act cycle was used to plan and identify necessary changes. Champions on each shift led selected brief Headspace app mindfulness-based activities once a shift daily for two months. …

Going, Going, Gone: The Influence Of Job And Home Demands And Resources On Emergency Department Nurse Turnover, Jordan Gail Smith

All Dissertations

Nurse turnover, which challenged healthcare organizations even before the pandemic, reached alarming rates across hospitals worldwide during COVID-19. Due to the unprecedented and stressful nature of the pandemic, recent investigations have focused primarily on exploring job demands and nurse turnover intentions. While job demands are critical to understanding turnover, this narrow scope ignores the possible influence of other factors such as job resources and demands and resources external to the work domain. This study utilized archival qualitative data from a longitudinal survey of Emergency Department clinicians to analyze research questions and hypotheses. The first aim of this study was to …

Evaluating Blood Pressure Methods In Non-Traumatic Intracerebral Hemorrhage: A Two-Site Prospective Observational Study, Desiree Cihelka

Theses and Dissertations (ETD)

Purpose. Blood pressure (BP) management is difficult and complex in the treatment of acute non-traumatic intracerebral hemorrhage (ICH). Despite mean arterial pressure (MAP) being the most reliable measure of noninvasive automatic oscillometric (NIBP) in clinical practice, clinicians instead rely on systolic and diastolic blood pressure (SBP and DBP) values to guide clinical practice. Given the widespread use of NIBPs for obtaining BP values in the acute care setting, we determine the agreement between SBP, DBP, and MAP measured by NIBP, manual cuff, and Arterial lines (A-lines) in patients with ICH. Study Aims. To understand the agreement between SBP, DBP, and …

Nutrition Education For Older Adults, Dan Le, Eddie Hoang, Hillary Tran, Hemza Salem, Carlos Amaya

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

No abstract provided.

Education And Bingo Exercise: Pressure Injury Reduction In An Assisted Living Facility, Emmalee Holmes, Ashley Jaynes, Annah Khan, Caitlin Thornton, Brooke Waller

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

No abstract provided.

Healthy Heart And Soul: A Qualitative Report On How Faith-Based Programs Can Provide Effective Education On Cardiovascular Health, Damaris Carlson, Haley Grieger, Claire Madrona, Ingrid Scott

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

No abstract provided.

Nurturing Respectful Maternity Care In Rural Kenya: Assessing The Impact Of Educational Interventions On Local Healthcare Workers, Jessie Chen, Jassmine Duong, Urangoo Matthews, Avery Rocha

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

No abstract provided.

Improving Knowledge Of Diabetes Self-Management In High Hba1c Diabetic Adults In Stockton, California, Alexis M. Maciel, Preet K. Grewal, Malina M. Carrillo, Jasmir A. Shergill

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

No abstract provided.

Say Yes To Oral Care! A Quantitative Report On Oral Health And Education In The Unhoused Population, Kiana Correa, Sharon Lew, Brianna Satram, Ashika Singh

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

No abstract provided.

Breathe Easy Project: A Quality Improvement Project On Management Of Asthma At Hoover Elementary School, Alex Butts, Jessica Leung, Jaynah Palma

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

No abstract provided.

Incorporating Aac Training In Nursing Education Programs To Enhance Understanding Of Caring For Patients With Complex Communication Needs, Tessa Bradley

Honors College Theses

As healthcare professionals, nurses must be able to effectively communicate with their patients to ensure their health, safety, and comfort. However, this can be particularly challenging when it comes to patients with complex communication needs (CCN), where communication breakdowns can lead to sentinel events. Alternative and augmentative communication (AAC) can help those with CCN improve communication across various settings, including in healthcare. Unfortunately, there is a severe lack of training for nurses when it comes to communicating with patients with CCN and the use of AAC. Webb et al. (2024) investigated the effectiveness of a combined synchronous and asynchronous training …

Improving Patient Safety By Reducing The Use Of Restraint And Seclusion Through De-Escalation In An Inpatient Psychiatric Unit, Ndidiamaka Okafor

Doctor of Nursing Practice Final Project Abstract

Improving Patient Safety by Reducing the Use of Restraint and Seclusion through De-escalation in an Inpatient Psychiatric Unit

PURPOSE:

The purpose of this quality improvement project is to improve safety among adolescent patients ages 13 – 17 on an inpatient psychiatric unit through improved staff de-escalation techniques as evidenced by a decrease in the use of restraint and seclusion combined by 23% from 65% to 50% within 3 months. A secondary aim is that staff will provide self-reported improvement in confidence.

BACKGROUND:

Aggression from adolescents admitted to the inpatient psychiatric unit is one challenge nursing staff face when providing care. …

Effectiveness Of A Virtual Simulation Program As A Novel Approach To Improve Clinical Judgment In Prelicensure Nursing Students, Monica Millard

UNLV Theses, Dissertations, Professional Papers, and Capstones

Problem: Limited clinical placement opportunities for practicing decision-making skills have widened the academic-practice gap. Research shows a disturbing decline in entry-level competency among newly graduated registered nurses. Innovative strategies like virtual patient simulation may foster decision-making skills and prepare prelicensure nursing students for practice. However, research is lacking in examining virtual patient simulation (VPS) as an effective approach for developing clinical judgment in prelicensure nursing students. The American Association for Academic Nursing has determined that clinical judgment is an essential nursing attribute. Moreover, the National Council of State Boards of Nursing developed the Next Generation National Council Licensure Exam based …

Impact Of Housing On Mentally Ill Unhoused Veterans’ Readmissions To Veterans Affairs (Va) Inpatient Psychiatric Services, Maryse-Noelle Nguyen

UNLV Theses, Dissertations, Professional Papers, and Capstones

Unhouseness, also known as homelessness, coupled with mental illness, causes health problems for some veterans; financial difficulties, unemployment, and lack of affordable housing are factors contributing to veteran unhouseness (Tsai & Rosenheck, 2015). Approximately nine percent of the entire unhoused population in the United States are veterans (United States Interagency Council on Homelessness, 2020). Unhoused veterans experience negative health outcomes impacted by environmental and socioeconomic harshness, which are also factors of subsequent psychiatric hospital readmissions (Mascayano et al., 2022). The average cost per United States Veterans Affairs (VA) hospitalization was $30,282 in FY 2019 and $40,763 in FY 2020 (Wagner, …

Needs Assessment For Implementation Of A Dedicated Admission And Discharge Nurse Position, Connie Ngo

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Patient turnover refers to when patients are admitted, discharged, or transferred to or from a clinical unit or another facility. Rapid patient turnover compels nurses to provide care in an environment where clinical demands exceed nursing care capacity. The excess of clinical demands can lead to rationing of nursing care and culminate in nursing stress and dissatisfaction. These negative effects on the nursing workforce subsequently have undesirable implications for patient and hospital outcomes. Implementation of a dedicated admission and discharge nurse (ADN) position can optimize patient flow, improve nursing satisfaction, and ultimately promote positive patient outcomes. Purpose: The purpose …

Video Monitoring For Fall Prevention, Atongane Taku

UNLV Theses, Dissertations, Professional Papers, and Capstones

Patient safety is a vital aspect of healthcare. Falls and fall-related injuries continue to occur in hospitals worldwide and fall prevention is one of the top priorities in providing quality care. Fall assessment tools, bed alarms, patient rounding, patient education, physical restraints, environmental modification, bedside sitters, and remote video monitoring are some of the methods implemented to reduce falls. This project was a quasi-experimental study informed by Kotter and Cohen Model of Change. The initial purpose of this process improvement project was to educate staff on the significance of video monitoring in fall prevention and determine whether the education regarding …

Post-Operative Endotracheal Reintubation Rates, Robert Erickson

UNLV Theses, Dissertations, Professional Papers, and Capstones

Immediate post-operative endotracheal reintubation after major abdominal surgery a significant patient safety concern due to the potential for failure to rescue, or other adverse outcomes such as altered mental status, aspiration, and hypoxia due to respiratory or cardiac arrest if left unrecognized. To facilitate major abdominal surgery (outside of a cesarean section performed under spinal anesthesia), the patient must be anesthetized, pharmacologically paralyzed, and endotracheally intubated to facilitate ventilation via mechanical respiration. Those steps create the optimal environment to allow the abdominal muscles to relax, and permits the surgeon obtain appropriate exposure of the abdominal cavity. An induced chemical paralysis …

Bean 5 Turn Team: Improves Turing Interventions & Reduces Hapi Rates, Paige Thompson Rn, Johnna Grant Rn

Nurse Residency

Does implementing a turn team on hospital units aid in preventing pressure-related injuries as compared to standard of care, without a turning team?

Staff Assist Process In The Emergency Department Setting, Caroline Goodnight Rn, Rasha Burkeba Rn, William Covert Rn

Nurse Residency

In the Emergency Department, how do zone-based response systems compare to department-wide response systems in a staff assist affect overall patient outcomes within a one-year period of time?

Reducing Heart Failure Readmissions, Jenny Dutra Bsn, Rn, Taylah Kilby Bsn, Rn, Carolyn Palmer Bsn, Rn

Nurse Residency

How Does Structured Nursing Led Heart Failure Education Compare to Basic Patient Education and Resources, and How Does it Influence Reducing Heart Failure Readmissions Within 30 Days of Discharge?

Psychosocial Health Of Patients With A Left Ventricular Assist Device, Sarah Christensen, Trang Le, Natalie Pagenstecher

Nurse Residency

Among adult patients diagnosed with advanced heart failure, what is the effect of left ventricular assist device (LVAD) implantation on self-reported measures of psychosocial health during the post implantation period?

Evaluation Of The Feasibility Of A Midwifery Educator Continuous Professional Development (Cpd) Programme In Kenya And Nigeria: A Mixed Methods Study, Duncan Shikuku, Hauwa Mohammed, Lydia Mwanzia, Alice Ladur, Peter Nandikove, Eunice Ndirangu, Alphonce Uyara, Catherine Waigwe, Lucy Nyaga, Issak Bashir

School of Nursing & Midwifery, East Africa

Background Midwifery education is under-invested in developing countries with limited opportunities for midwifery educators to improve/maintain their core professional competencies. To improve the quality of midwifery education and capacity for educators to update their competencies, a blended midwifery educator-specific continuous professional development (CPD) programme was designed with key stakeholders. This study evaluated the feasibility of this programme in Kenya and Nigeria.

Methods This was a mixed methods intervention study using a concurrent nested design. 120 randomly selected midwifery educators from 81 pre-service training institutions were recruited. Educators completed four self-directed online learning (SDL) modules and three-day practical training of the …

Qualitative Vs. Quantitative Train Of Four, Caleb Culbreath

Doctor of Nursing Practice Projects

The growing body of evidence linking residual neuromuscular blockade (NMB) to postoperative complications has underscored the need to integrate quantitative neuromuscular monitoring techniques into anesthesia practice. This study, conducted at a tertiary care center in southern Illinois, investigates the gap between current clinical practices and the latest evidence advocating for objective monitoring. The study utilized a non-experimental pretest-posttest design to evaluate an educational intervention's effectiveness in increasing anesthesia providers' knowledge of quantitative neuromuscular monitoring techniques and enhancing their awareness of the incidence and clinical implications of postoperative residual neuromuscular blockade. Analysis of the pretest and post-test responses revealed significant improvements …

Educating Srnas On Barriers And Facilitators Of Clinical Learning, Mesud Dedic, Richard Heuermann

Doctor of Nursing Practice Projects

A national survey of 143 Student Registered Nurse Anesthetists (SRNAs) conducted by Clancy and Bruinius (2022) revealed that factors impeding effective SRNA clinical education include unstable preceptorship, hostile environments, limited autonomy, and heavy didactic burdens. Clancy and Bruinius (2022) also found that facilitators of SRNA clinical education include rapport with preceptors, effective feedback, strong clinical site orientation, and beginning of day discussions. This project aimed to enhance second-year SRNAs' clinical success by mitigating these evidence-based barriers and employing these evidence-based facilitators by developing a presentation for SRNAs and assessing its effectiveness through a pre-implementation survey and post-implementation survey. The literature …

Development Of High-Fidelity Simulations For Srnas: Airway Fire And Venous Air Embolism, Ashlyn Russo, Brooke Skaggs

Doctor of Nursing Practice Projects

Student registered nurse anesthetists (SRNAs) must swiftly recognize and treat high-risk, low-incidence complications in a high-stress environment. Most SRNAs do not experience high mortality or rare emergencies throughout their training. This project involves developing and implementing two high-fidelity simulations for airway fire and venous air embolism (VAE) to help SRNAs improve their skills in a safe learning environment. Objectives for this project include examining current evidenced-based literature to determine the efficacy of high-fidelity simulation on the SRNA’s knowledge and performance post-simulation, determining the incidence, pathophysiology, and treatments for airway fires and VAE, creating two high-fidelity simulation scenarios, and integrating the …

Educating Anesthesia Providers On The Physiological Effects And Anesthesia Implications Of Cannabis, Carmel Loud

Doctor of Nursing Practice Projects

In the U.S., currently 37 states have legalized cannabis for medicinal use prescribed by qualified medical professionals (National Conference of State Legislatures [NCSL], 2022). In 2012, the legalization of recreational cannabis began; as of 2022, 19 states have legalized the recreational use of marijuana (NCSL, 2022). This project aimed to optimize care for patients using cannabis by increasing anesthesia provider knowledge about cannabis. The project's aim was accomplished through a thorough review of the current medical literature and implementation of education to anesthesia providers about the physiological effects and anesthesia implications of cannabis. Thirteen CRNAs took a pre- and post-quiz …