Digital Commons Network^™

Evidence-Based Decision Making At The Bedside Process, Roy E. Brown

VCU Libraries Faculty and Staff Publications

Evidence-based practice (EBP) is crucial in healthcare for improving care and organizational outcomes. However, there is a lack of consensus among various health professions regarding the definition and implementation of evidence-based practice in the clinical environment. This lack of consensus centers on whether EBP is project-based or if it occurs primarily at the bedside. This diagram illustrates how evidence is utilized to inform bedside decision-making. It demonstrates that the process is iterative and the intervention or decision made is contingent upon the evidence, one’s clinical experience, and the patient/situation.

The purpose of the diagram is to help those involved in …

Cervical Cancer Education & Prevention For Women In The Philippines, Kate Isabel Juanillo

Nursing | Senior Theses

Although cervical cancer is preventable, it continues to pose a significant health concern in the Philippines as evidenced by high cervical cancer diagnosis rates. The purpose of this quantitative study is to investigate low cervical cancer screening rates and the effectiveness of educational interventions in increasing awareness and screening rates. A literature review will examine topics such as low cervical cancer screening rates, cervical cancer screening methods, and barriers. This research proposal involves a quasi-experimental study that investigates education as an intervention for increasing cervical cancer awareness and cervical cancer screening rates. Fifty Filipino women will be randomly assigned to …

The Impact Of Clustered Nursing On Adult Patients In The Icu, Haley Armentrout, Jacob Sackett

Nurse Residency

Background: Patients in the intensive care unit (ICU) are at risk of developing many different complications due to the complex nature of their health conditions as well as the care required in the critical care environment. Among the different complications that can occur in this population, delirium and issues associated with mechanical ventilation are especially concerning.

Game Changer: The Story Of Yasmin Amarsi And The Profession Of Nursing In Pakistan, Kamal Siddiqi

Books

No abstract provided.

Bridging The Gap In Health Literacy: A Quality Improvement Project, Sunny Rana

DNP Projects

Background: Health literacy is an important factor for healthcare outcomes. Measuring healthcare outcomes continues to be traditionally performed after implementation of interventions, however, the aspect of healthcare literacy pertaining to these outcomes is not always measured or evaluated. Understanding the patient’s health literacy can assist the provider to create and include individualized education at the patient’s knowledge level to increase comprehension, compliance, medication adherence and ultimately increase positive health outcomes.

Project Goals

1. Assess baseline literacy for the patients who appear in the practice for a visit over a three-month period.

2. Implementing the measurable METER tool which can provide …

Ua60/4 Applied Arts & Health Nursing, Wku Archives

WKU Archives Collection Inventories

Records created by the department of Nursing.

Applying Samhsa Trauma-Informed Principles To A New Graduate Nurse Residency Program For Retention, Charman Harper

Nursing

The inability to retain new graduate nurses contributes to the nursing shortage. With an estimated cost of over $60,000 to train each new graduate nurse, the inability to retain new nurses financially burdens the healthcare industry (McClain et al., 2022). Current studies show that many new graduate nurses leave their jobs after one year (McClain et al., 2022). Without needed change, it will produce stress, anxiety, poor work performance, and decreased job satisfaction, impacting retention rates (McClain et al., 2022). In addition to the traditional new graduate residency program, incorporating the Substance Abuse and Mental Health Services Administration (SAMHSA) Trauma-informed …

The Relationship Between Mild Cognitive Dysfunction And Diabetes Self-Management In Community Dwelling Older Adults, Hossein Hafezi Nia

Wayne State University Dissertations

Background. Cognitive dysfunction is an important comorbidity of diabetes, which may reflect brain changes as a consequence of diabetes. Objective The purpose of this study was to examine the association between specific cognitive domains and diabetes self-management behaviors in individuals with diabetes and mild cognitive impairment (MCI). Furthermore, the association between social determinats of health and MCI was investigated. Design A cross-sectional descriptive correlational design was used to address the study aims using data extracted from the 2022 Health and Retirement Study (HRS) and 2016 Harmonized Cognitive Assessment Protocol (HCAP) datasets. Participants Of the total HRS and HCAP participants, 2035 …

Post-Discharge Malaria Chemoprevention In Children Admitted With Severe Anaemia In Malaria-Endemic Settings In Africa: A Systematic Review And Individual Patient Data Meta-Analysis Of Randomised Controlled Trials, Kamija Phiri, Carole Khairallah, Titus Kwambai, Kalifa Bojang, Aggrey Dhabangi, Robert Opoka, Richard Idro, Kasia Stepniewska, Michael Boele Van Hensbroek, Chandy C John

Paediatrics and Child Health, East Africa

Background: Severe anaemia is associated with high in-hospital mortality among young children. In malaria-endemic areas, surviving children also have an increased risk of mortality or readmission after hospital discharge. We conducted a systematic review and individual patient data meta-analysis to determine the efficacy of monthly post-discharge malaria chemoprevention in children recovering from severe anaemia.

Methods: This analysis was conducted according to PRISMA-IPD guidelines. We searched multiple databases on Aug 28, 2023, without date or language restrictions, for randomised controlled trials comparing monthly post-discharge malaria chemoprevention with placebo or standard of care among children (agedyears) admitted with severe anaemia in malaria-endemic …

The Impact Of Spanish Classes For Labor And Delivery Nurses On Postpartum Depression Incidence Among Hispanic Women, Leilani Gutierrez

Nursing | Student Research Posters

Postpartum depression (PPD) is a form of clinical depression that affects individuals after childbirth and is characterized by feelings of sadness, anxiety, and other symptoms that impact daily functioning. After childbirth, postpartum depression and anxiety are experienced by 70-80% of new mothers (South Dakota Department of Health). The likelihood being twice as high for Hispanic women compared to caucasian women. Postpartum depression impacts 30-43% of Hispanic mothers who have recently given birth. Research indicates that poor childbirth experiences can lead to postpartum depression (Lara-Cinisomo et al,. 2023). The connection between language obstacles in the maternal care of Hispanic women and …

The Impact Of Workplace Stressors On Anxiety Levels And Mental Health Among Pediatric Intensive Care Nurses, Kelsey Ericah Ang

Nursing | Student Research Posters

Background: Pediatric Intensive Care Unit (PICU) nurses work in a high-stress environment where they are exposed daily to traumatic situations. The demanding emotional and physical challenges contribute to significant psychological burdens, including increased stress and anxiety. Purpose: The current paper proposes a research design to examine the outcomes of stress, anxiety levels, and mental well-being on PICU nurses when workplace support and structured debriefing sessions take place following a traumatic event. Methods: Participants will be recruited from PICU hospitals in Northern California. Participation will be voluntary, and informed consent will be obtained prior to the study. The selection criteria will …

Enhancing Athletic Participation: Continuous Glucose Monitoring For Pediatric Type 1 Diabetes Athletes, Danielle Santiago

Nursing | Senior Theses

The difficulties that children and teenagers with Type 1 Diabetes Mellitus (T1DM) encounter are discussed in this thesis, with a focus on how fear of hypoglycemia (FOH) and actual hypoglycemia associated with this chronic illness affects their ability to engage in physical activities, especially organized sports. A common challenge for children diagnosed with T1DM is meeting the daily recommendation of 60 minutes of daily moderate to vigorous physical activity. The purpose of the proposed study is to evaluate if participation in structured exercise (physical education classes and after-school sports) increases among school-aged children who wear continuous glucose monitors (CGM) when …

A Culturally Sensitive And Intersectional Approach To Healthcare Among Latinx Communities, Gabriela Meza

Nursing | Senior Theses

Various factors, including immigration status, language barriers, age, and socioeconomic status, influence healthcare service utilization among the Latinx population. This study seeks to assess whether culturally sensitive care addressing intersectional factors enhances health access and outcomes in low-income Latinx communities (Purpose). The research proposes a longitudinal quasi-experimental study involving 400 Latinx participants aged 18 and above in low-income urban Los Angeles neighborhoods. A control group of 200 participants and an intervention group of 200 will be established, with the latter receiving culturally sensitive interventions when seeking care during the study. A pre-study survey will collect demographic information, health history, healthcare …

Developmental Effects Of Child Abuse: The Relevance Of Timing, Laura Luz Alvarez Pineda, Karla Susana Saldaña

Nursing | Senior Theses

Background: Early physical, sexual, and emotional child abuse has been associated with long-life cognitive, emotional, and physical health repercussions. Purpose: The current paper, in addition to a literature review, proposes a research design to examine the emotional outcomes of physical, emotional, and sexual child abuse on Hispanics when a psychosocial therapy program is implemented. Methods: Participants will be recruited from children’s hospitals, daycares, and preschools around the Bay Area. Parental-informed consent will be obtained prior to participation. This longitudinal quantitative quasi-experimental study will be comprised of three phases to measure posttraumatic stress and depression symptoms, and suicidal ideation. Results: Multivariate …

Sleep Quantity And Quality: Impact On Nursing Students' Gpa At Georgia Southern University, Jennifer K. Arlow

Honors College Theses

Introduction: Nursing school is a physically and mentally challenging commitment that can result in students sacrificing sleep and compromised sleep quality.

Methodology: A cross-sectional mixed methodology research study of Georgia Southern University’s nursing students was conducted to gauge students' self-perceived sleep habits and current and past academic performance quantified by GPA. Five respondents (whose results were excluded from the data analysis) confirmed the questions were clear and relevant.

Results and Discussion: Thirty-two (n=32) questionnaires were received, of which four were excluded from the final analysis as some questions were not answered. More than 50% of respondents said their GPA decreased …

Utilizing A Structured Music Therapy Program For Adolescents With Anxiety And Depression, Amy Haagen

West Chester University Doctoral Projects

Anxiety and depression are two of the most common mental health issues that affect children and adolescents. It has been noted that twenty percent of adolescents will have a depressive episode or be affected by anxiety by the time they are 18 years old. Mental health issues affecting children and adolescents majorly impact all aspects of their lives, most notably academic success, behavior, growth, and development (Porter et al., 2017). Current treatments for mental disorders, including depression and anxiety, include pharmacological and psychotherapeutic treatments. In the adolescent population, there are conflicting opinions on the use of antidepressants due to risks …

Impact Of Traditional Education And Learner-Centered Education On Standardized Tests, Courtney Marie Winslow

Walden Dissertations and Doctoral Studies

There is a current shortage of approximately 45,000 nurses and nursing faculty to train student nurses, a number that is projected to grow. One proposed method to combat the shortage is to transition from traditional lecture-based classrooms to a learner-centered approach. Asking or requiring faculty to transition an entire nursing program from one teaching method to another without supporting data could be a waste of valuable time and resources. It could also prove detrimental to a program if students were unable to pass the NCLEX-RN exam, and a program was forced to close. The current study examined whether there was …

“Share The Fear”: Communication Concerns Of Parents With Cancer With Dependents And Coparents: A Qualitative Needs Assessment Study, Cinzia Caparso, Zoe Bowen, Sung Won Choi

Nursing Faculty Research Publications

Background: The estimated 1.6 million adults in the United States with cancer who also have dependents face unique challenges given the profound impact of cancer on their families, such as increased psychological distress, decreased quality of life, and altered family functioning. Unfortunately, little is known about the mutual cancer-related communication concerns for the perspectives of the parents with cancer or the coparents. Coparents care for the patient and dependents until they reach adulthood (e.g., unmarried, divorced, stepparent, and/or same-sex partnerships).

Objective: To understand the mutual cancer-related communication concerns from the perspectives of parents with cancer and the coparents and intervention …

Examination Of Nursing Staffs’ Perceptions Of The Covid-19 Vaccine Using The Health Belief Model, Aidan Cossio, Wilson Cobb, Addison Fugitt, Sandra Nielsen, Matthew Hesson-Mcinnis, Marilyn Prasun

Faculty Publications - Mennonite College of Nursing

Background:

The coronavirus (COVID-19) pandemic profoundly impacted patient care across the United States.

Objective:

To examine nursing staffs’ perceptions of the COVID-19 vaccine using the Health Belief Model (HBM) as a theoretical framework.

Methods:

A cross-sectional, anonymous, web-based survey was completed by practicing nursing staffs throughout the United States. Analyses involved descriptive and comparative statistics.

Results:

Of the 294 nursing staff who completed surveys, 50% were between 18 and 37 years of age, and 73.1% were registered nurses, with 49.3% employed in a hospital setting. Nursing staff reported their primary reason for vaccination was concern for others (mean: 84.44; SD: …

Emergency Nurses’ Recognition Of And Perception Of Sex Differences In Acute Coronary Syndrome Symptoms, John R. Blakeman, Jessica K. Zègre-Hemsey, Sahereh Mirzaei, Myoungjin Kim, Ann L. Eckhardt, Holli A. Devon

Faculty Publications - Mennonite College of Nursing

Introduction

Methods

A Nationwide Study Of Emergency Nurses’ Triage Decisions For Potential Acute Coronary Syndrome, John R. Blakeman, Myoungjin Kim, Ann L. Eckhardt, Stephen J. Stapleton, Holli A. Devon

Faculty Publications - Mennonite College of Nursing

Introduction: Prompt recognition of acute coronary syndrome (ACS) is critical to facilitate timely treatments to preserve the myocardium. Aims of the study were to: 1) identify the symptoms used to assess angina; 2) determine how emergency nurses make triage decisions for potential ACS; and 3) determine emergency nurses’ initial actions.

Methods: This was a cross-sectional, survey-based design. Emergency nurses were recruited through a posting on the Emergency Nurses Association (ENA) website and through postcards. Measures included demographic data, assessment of angina, and the Nurses Cardiac Triage Instrument. Data were analyzed using descriptive statistics and ordinal logistic regression.

Results: A …

Evaluation Of The Performance Of A Card Game To Introduce Students To Interprofessional Collaboration: A Randomized 2-Group Comparison Study, Antony Joseph, Valerie M. Wright, Susan M. Watkins, Stacy E. Goddard, Daniel D. Mast

Faculty Publications - Mennonite College of Nursing

Background:

Gamification is an approach that can be used to introduce interprofessional collaboration in nursing and health science. Card games are an effective and convenient way to educate students about clinical professions.

Purpose:

We compared the perception of an experimental group of students who played an educational card game to a control group that played an uninstructive card game.

Methods:

College students (n = 148) from nursing and health science majors consented to play a 30-minute card game and complete a 13-item survey.

Results:

Perceptions of the card game were significantly better for students in the experimental group who played …

ปัจจัยที่สัมพันธ์กับอาการไม่พึงประสงค์ภายหลังการผ่าตัดของผู้ที่เป็นโรคเนื้องอกสมอง, บุญสิตา ทิงาเครือ

Chulalongkorn University Theses and Dissertations (Chula ETD)

การวิจัยครั้งนี้ มีวัตถุประสงค์เพื่อศึกษาอาการไม่พึงประสงค์และปัจจัยที่สัมพันธ์กับอาการไม่พึงประสงค์ภายหลังการผ่าตัดของผู้ที่เป็นโรคเนื้องอกสมอง ได้แก่ เพศ อายุ ตำแหน่งของเนื้องอกสมอง ภาวะโรคร่วม กิจกรรมทางกาย ภาวะโภชนาการ ความเข้มแข็งทางใจ และแรงสนับสนุนทางสังคม กลุ่มตัวอย่างคือ ผู้ที่เป็นโรคเนื้องอกสมองที่ได้รับการผ่าตัดไม่เกิน 6 เดือน ทั้งเพศชายและหญิง อายุ 18 ปีขึ้นไป ที่เข้ารับการรักษาแผนกผู้ป่วยนอก จากโรงพยาบาลจุฬาลงกรณ์สภากาชาดไทย โรงพยาบาลรามาธิบดี และสถาบันประสาทวิทยา จำนวน 120 คน ที่ได้มาจากการคัดเลือกตามคุณสมบัติที่กำหนด เครื่องมือที่ใช้ในการวิจัย คือ แบบบันทึกข้อมูลส่วนบุคคล แบบบันทึกข้อมูลการเจ็บป่วย แบบประเมินอาการไม่พึงประสงค์ แบบประเมินภาวะโรคร่วม แบบประเมินกิจกรรมทางกาย แบบประเมินภาวะโภชนาการ แบบประเมินความเข้มแข็งทางใจ แบบประเมินแรงสนับสนุนทางสังคม ผ่านการตรวจสอบความตรงตามเนื้อหาโดยผู้ทรงคุณวุฒิ 5 คน หาค่าความเที่ยงของแบบประเมินดังกล่าว เท่ากับ .86 - .99 การวิเคราะห์ข้อมูลโดยหาค่าความถี่ ร้อยละ ค่าเฉลี่ย ส่วนเบี่ยงเบนมาตรฐาน สถิติสัมประสิทธิ์สหสัมพันธ์ของเพียร์สัน และอีต้า ผลการวิจัยพบว่า กลุ่มตัวอย่างมีคะแนนเฉลี่ยของความรุนแรงของอาการไม่พึงประสงค์โดยรวม เท่ากับ 2.54 (S.D. = 1.47) โดยอาการที่พบมากที่สุด 3 อันดับแรก ได้แก่ อาการปวดศีรษะ อาการนอนไม่หลับ และอาการเหนื่อยล้า ตามลำดับ และพบว่า ภาวะโรคร่วม ภาวะโภชนาการ ความเข้มแข็งทางใจ และกิจกรรมทางกาย มีความสัมพันธ์กับอาการไม่พึงประสงค์อย่างมีนัยสำคัญทางสถิติที่ระดับ .05 (r = .47, r = -.44, r = -.36 และ r = -.24 ตามลำดับ) ขณะที่ เพศ อายุ ตำแหน่งเนื้องอกสมอง และแรงสนับสนุนทางสังคม ไม่มีความสัมพันธ์กับอาการไม่พึงประสงค์ภายหลังการผ่าตัดของผู้ที่เป็นโรคเนื้องอกสมอง

Impact Of Nursing Student-Staff Nurse Interactions In Clinical Settings: A Literature Review, Elizabeth Joffe

Senior Honors Theses and Projects

Nursing students receive education and experience from clinicals where they are supported by clinical instructors. These instructors rely on staff nurses to provide much of the hands-on education, thus causing the staff nurses to have an influence on the students. The aim of literature review is to understand current research and findings in regard to the impact staff nurses have on nursing students while in the clinical learning environment. This literature review utilized multiple online databases. Searches were conducted on articles from 2016 to 2024 with specific key terms such as student-staff nurse relationships, clinical learning, belonging, incivility, and positive …

Nursing Care During Natural Disasters, War Zones, And Mass Casualty Incidents: Implications For An Educational And Professional Overhaul, Erin N. White

Undergraduate Honors Theses

Emergency situations around the world are inevitable. Any nurse who practices for any period of time is sure to encounter situations like these. Their hospital may be flooded with traumatic and severely life-threatening patient cases where supplies can become scarce. In these situations, a nurse and all other healthcare personnel are expected to act effectively, efficiently and in a highly organized way. Despite this need, many hospitals fail to implement effective disaster preparedness programs and plans. This leaves healthcare workers at a loss for how to treat patients, communicate within and outside of the hospital, coordinate transport, and all the …

Pediatric Vaccination Adherence: Enhancing Compliance Among First-Generation Asian American Parents, Katelyn Leong

Nursing | Student Research Posters

Background: Vaccine adherence in the pediatric population refers to receiving vaccines as per the recommended schedule, which significantly reduces vaccine-preventable diseases and enhances community immunity. Vaccine hesitancy, driven by concerns such as safety, misinformation, or cultural beliefs can affect adherence. National coverage of state-mandated vaccines among kindergarteners declined from 95% to around 93% between 2019 and 2022, varying across different vaccines. Objective: This research proposal’s focus is to determine if an educational intervention targeting first-generation Asian Americans, who have adopted their immigrant parents' misinformation about vaccines, will effectively increase vaccination rates among their children. The study aims to assess the …

Optimizing Ventilator-Associated Pneumonia Prevention And Education: In Adult Icu Settings, Danielle Gonzalez

Nursing | Student Research Posters

Background: Ventilator associated pneumonia (VAP) in adult intensive care patient units (ICU) is one of the most common and deadly nosocomial infections today. Studies have identified a gap in intensive care nurse ventilator education and compliance with hospital protocols. Overall increasing the rates of VAP and morbidity. Hospitals worldwide have shown a decrease in VAP rates after inheriting "VAP-bundles''. This includes nurse specific interventions and assessments as a preventative measure. However, studies failed to demonstrate which bundle interventions directly correspond to the prevention of VAP. Purpose: Address all components of education, a nurse’s ability to properly identify and understand the …

Developmental Effects Of Child Abuse: The Relevance Of Timing, Laura Luz Alvarez Pineda, Karla Susana Saldaña

Nursing | Student Research Posters

Background: Early physical, sexual, and emotional child abuse has been associated with long-life cognitive, emotional, and physical health repercussions. Purpose: The current paper, in addition to a literature review, proposes a research design to examine the emotional outcomes of physical, emotional, and sexual child abuse on Hispanics when a psychosocial therapy program is implemented. Methods: Participants will be recruited from children’s hospitals, daycares, and preschools around the Bay Area. Parental-informed consent will be obtained prior to participation. This longitudinal quantitative quasi-experimental study will be comprised of three phases to measure posttraumatic stress and depression symptoms, and suicidal …

Impact Of Nursing Education On Kangaroo Mother Care: Neurodevelopment Outcomes In Preterm Infants, Giana Usac

Nursing | Student Research Posters

Preterm birth poses a significant risk to the normal trajectory of brain development, particularly in the cortex, which is responsible for higher cognitive functions, motor control, and socio-emotional processing. However, Kangaroo Mother Care (KMC) has emerged as an important early intervention capable of improving neurodevelopmental outcomes in preterm newborns. This quantitative research proposal aims to assess the influence of nurse education on KMC practices, identifying pivotal periods in infancy when KMC has the most significant impact on neurodevelopment outcomes in preterm infants. The literature critique focuses on the efficacy of nursing education, the optimization of KMC regarding duration and frequency, …

Male Caregiver Strain: The Mental Effects Of Being An Informal Caregiver For A Family Member With Dementia And Alzheimer's Disease, Alessandra M. Barillas, Elijah Rammel B. Borja

Nursing | Student Research Posters

Background: Caregivers are vital in fulfilling patients' primary care needs, and families prefer them over sending their loved ones to skilled nursing facilities (SNFs). Alzheimer's Disease and Dementia are prevalent conditions necessitating continuous assistance due to memory and cognition impairments. As a result, support is essential for tasks like mobility, feeding, bathing, and perineal care, as well as emotional and physical challenges inherent in caregiving. Purpose: Upon diving into the mental health impacts of serving as an informal caregiver for individuals with Alzheimer's Disease and Dementia, a notable research gap becomes evident, especially concerning male caregivers. This lack of information …