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Nursing Practice And The Prevention Of Catheter Associated Urinary Tract Infections, Laura Sherburne

Nursing Masters Papers

There are numerous healthcare associated infections (HAIs) that individuals can acquire while receiving care in an acute healthcare facility. Catheter associated urinary tract infections (CAUTIs) are HAIs that may cause increased lengths of stay, hospital costs, and mortality for patients. CAUTIs may be preventable through evidence-based nursing interventions and care. Using CINAHL, PubMed, and ProQuest, an evidence-based practice inquiry was conducted on the prevention of CAUTIs. Ten articles were chosen based on the relevance to the clinical question and quality of research. The articles were English language, peer-reviewed, and published within the last ten years. The levels of evidence ranged …

Acue Effective Teaching Practices: Module Reflections, Nancy Wolf

Q2S Enhancing Pedagogy

This is a collection of ACUE (Association of Colleges and University Educators) implementation and reflection assignments. The Teaching Resource Center partnered with ACUE and the corresponding modules were offered to a set of accepted instructors at CSUSB. These assignments focused on teaching practices designed to enhance the learning experience for both on-ground and online instruction.

CSUSB – CNS – Department of Nursing Full-time Lecturer, Nancy Wolf, completed a 25-module course in effective teaching practices requiring the implementation of evidence-based instructional approaches. The credential is co-issued by the American Council on Education and distinguishes faculty for their commitment to educational excellence …

The Impact Of Vaccine Coverage And Exemptions On The Resurgence Of Vaccine Preventable Disease: A Review Of The Literature, Kara Costantino

Honors Theses

Vaccinations are a safe and effective way to prevent the spread of disease. In recent years, vaccine coverage rates have declined while nonmedical exemption rates have increased. These changes have contributed to increased prevalence of vaccine preventable diseases. Declining vaccine coverage and increasing nonmedical exemptions are a threat to public health and the relationship between these factors needs to be understood. Clusters and outbreaks of vaccine preventable diseases have occurred as a result of more people declining vaccination. Factors that may incline someone to refuse vaccination include safety concerns, lack of trust, freedom of choice, decreased understanding for the need, …

School-Based Interventions To Promote Personal And Environmental Hygiene Practices Among Children In Pakistan: Protocol For A Mixed Methods Study, Nousheen Pradhan, Waliyah Mughis, Tazeen S. Ali, Maleeha Naseem, Rozina Karmaliani Professor

Community Health Sciences

Background: Poor personal hygiene and inadequate sanitation practices among young children leads to communicable diseases. There remains a gap in the holistic assessment of school children's hygiene literacy, practices and effectiveness of school-based hygiene interventions in Pakistan. Therefore, a school-based intervention protocol has been designed to promote personal and environmental hygiene practices for primary school children. Towards improving children's hygiene behaviors, the study will also focus on enhancing mothers' hygiene knowledge and practices.
Methods: Using quasi-experimental design with mixed methods data collection approaches, this study will be conducted in schools located in an urban squatter settlements in Pakistan. To assess …

Review Of Evidence Paper Practice And Patient Outcome Improvements Of Prescribing First-Line Antibiotics For Acute Uncomplicated Cystitis, Ira Amayun

DNP Qualifying Manuscripts

Abstract

Background: In 2017, the Centers for Disease Control and Prevention (CDC) published guidelines for treating acute uncomplicated cystitis (AUC) with nitrofurantoin (NTF), sulfamethoxazole-trimethoprim (SMX-TMP), or fosfomycin (FM) as appropriate first-line agents.

Objective: This paper aims to evaluate whether provider adherence to prescribing NTF, SMX-TMP, or FM has improved since the 2017 CDC guidelines were released, and to examine outcomes relative to use of prescribing guidelines in the treatment of AUC in non-pregnant women.

Methods: A literature review was conducted. The Cochrane Risk of Bias Tool was used to assess publication bias. The John Hopkins Research Evidence Appraisal Tool was …

Educational Session To Improve The Knowledge And Confidence Of State Agency Surveyors In Deficiency Citation Of Immediate Jeopardy Findings In Nursing Homes, Aileen Renolayan, Msn, Ma, Rn, Phn

Doctor of Nursing Practice Projects

Background: The oversight of nursing homes is a shared federal-state responsibility. Under the agreement with Centers for Medicare and Medicaid Services (CMS, 2018), state survey agencies assess nursing homes using standard surveys. Several studies indicate that the type of deficiencies issued to nursing facilities varies significantly by state, suggesting inconsistency in the survey process for issuing deficiencies. For example, variation in Immediate Jeopardy (IJ) citations among state agency surveyors has been the subject of reports from the Government Accountability Office (GAO, 2019) and the Office of the Inspector General (OIG, 2014).

Objective: To determine if a 1-hour educational session about …

Kujdesi Infermieror Në Menaxhimin E Infeksioneve Intrahospitalore, Sidorela Pulaj

Theses and Dissertations

Infeksionet intrahospitalore (brenda spitalit) ose të quajtura ndryshe infeksione nozokomiale përkufizohen si infeksione që nuk kanë qënë të pranishme apo nuk janë në fazën e inkubimit në momentin e pranimit te pacientit në spitale. Termi nozokomial ka origjinë nga greqishtja nozos (sëmundje) dhe komein (përkujdesje) dhe nënkupton infeksionet që janë marrë si rrjed- hojë e përkujdesjes mjekësore. Infeksionet intrahospitalore janë të gjitha infeksionet që mer- ren 48 orë deri në 72 orë pas shtrimit të pacjentit në spital, pra infeksionet spitalore janë marrja e një infeksioni tjetër plus gjatë qëndrimit në spital. (Misini, et.al, 2012).

Qëllimi i këtijë punimi ka …

Njohuritë E Prindërve Rreth Vaksinimit Të Fëmijëve Kundër Sëmundjeve Ngjitëse, Xheneta Shabani

Theses and Dissertations

Duke qenë se shëndeti është gjëja kryesore për të gjithë, sidomos për ne si profesionistë shëndetësor, duhet që ne çdo hap që e bëjmë drejt ruajtjes dhe përmirësimit të tij. Si infermierë të rinjë, kjo është ndër detyrat tona primare që mund ta arrijmë përmes punës dhe edukimit tonë. Në temën time kam trajtuar njohuritë e prindërve rreth vaksinimit të fëmijëve kundër sëmundjeve ngjitëse, pikërisht temë e cila ka zgjuar shumë interes te prindërit e rinjë. Duke qenë se rëndësia e vaksinimit është mjaft e madhe tek një popullatë për të qenë sa më e shëndetshme, është e nevojshme që …

Not A Magic Pill: An Educational Model On Antibiotic Prescribing, Christina Rose Leonard

Nursing Capstones

Background: Inappropriate antibiotic prescribing is common in outpatient settings across the United States. The Centers for Disease Control and Prevention has found in studies that nearly 1 in 3 antibiotics prescribed at outpatient facilities is unnecessary. The misuse and overuse of antibiotics is accelerating the process of antibiotic resistance, as well as causing an increase in adverse events, including death. The literature indicates that knowledge plays a major factor in overprescribing, as well as provider attitude and patient expectations.

Objective: Present clinical practice guidelines to providers within a rural family practice clinic setting aimed at improving antibiotic prescribing. Gather information …

Increasing Adult Influenza Vaccination Rates In The Primary Care Setting, Leah Prescott Msn, Fnp-Bc

Doctor of Nursing Practice Projects

Background: Provision of vaccinations is one of the most basic interventions aimed at health promotion and disease prevention in the primary care setting. Despite increased public awareness and improved access to vaccinations through minute-clinic settings, health fairs, and employer-offered vaccination clinics, adults in the United States continue to fall short of national goals. Literature demonstrates vaccination rates among adults vary widely and may be affected by a multitude of factors, however vaccination rates may be greatly improved with increased provider engagement.

Objectives: The purpose of this project was to develop, implement, and evaluate a program to improve immunization rates in …

The Development, Implementation And Evaluation Of An Evidence-Based Biohazard Training Program Within A Pediatric Ambulatory Practice, Lakeshia L. Evans Mba, Fnp-Bc

Doctor of Nursing Practice Projects

Background: Communicable disease(s) such as Ebola or Coronavirus can cause a catastrophic health crisis within the United States healthcare system, especially among the pediatric and elderly population. Lack of knowledge, skills and confidence among health care professionals in the pediatric setting regarding these infectious organisms can affect early identification, proper isolation, early treatment, and increased risk of a possible pandemic and/or fatalities.

Aims/Objectives: The aim of this study was to develop, implement and evaluate an evidence-based biohazard training program-using the Identify, Isolate and Inform (3I) tool within a pediatric urgent care center to increase the staff’s knowledge, skills and confidence …

Increasing Chlamydia Trachomatis And Neisseria Gonorrhea Screening Among Women 15 To 24 Years Old Using A Multifaceted Approach, Mackenzie Shireman

Evidence-Based Practice Project Reports

The Centers for Disease Control and Prevention (CDC) (2017a) estimates that one-quarter of sexually active people are between 15 and 24 years old, but account for half of 20 million sexually transmitted diseases (STD) reported annually in the United States. Chlamydia trachomatis (CT) and Neisseria gonorrhea (NG) are the most common reportable STDs (CDC, 2018). The purpose of this project was to increase CT/NG screening rates among sexually active, nonpregnant women 15 to 24 years old within the primary care setting through colleague education, routine sexual history taking, and indicated testing. A 30-minute colleague in-service was provided to educate clinical …

Inappropriate Antibiotic Use: A Survey Of Provider Prescribing Behaviors, Brice I. Saunders

Doctor of Nursing Practice Scholarly Project

Antibiotics save lives and are one of the most widely used medications of modern medicine. However, the widespread use of antibiotics has led to the development of antimicrobial resistance (AMR). AMR is a major public health crisis with disastrous consequences on national and global healthcare systems. AMR is associated with increased healthcare costs, increased morbidity and mortality, longer hospital stays, increased readmission rates, and overall poorer patient outcomes. The use of antibiotics is the single most important leading factor involved in the development of resistance. Current estimates suggest that at least 30% and up to 50% of all antibiotics prescribed …

Self-Efficacy And Feeling Of Security Associated With Risky Sexual Behavior Among Commercial Sex Workers Living With Hiv, Anki Tias Yolanda, Agung Waluyo, Lestari Sukmarini

Jurnal Keperawatan Indonesia

Commercial sex workers (CSWs) represent a key population for HIV transmission. CSWs continue to thrive because of the development of the tourism sector and the acceptance of communities. This study aimed to identify the factors associated with risky sexual behavior among CSWs living with HIV. A cross-sectional design was adopted. The sample size was set to 80 CSWs living with HIV in the Special Region of Yogyakarta and Central Java. Chi-square and multiple logistic regression were used in the data analysis. Results showed the significant relationship of self-efficacy (p < 0.001; OR = 9.365) and feeling secure (p= 0.033; OR= 2.762) with risky sexual behavior. No significant relationship was noted between income (p= 0.244), knowledge (p= 0.110), attitude (p= 0.978), drug use (p= 0.150), alcohol consumption (p= 0.642), and sexual violence (p= 0.968) and risky sexual behavior. Nursing practices are expected to focus on promotive and preventative efforts by involving communities in enhancing the feeling of security and self-efficacy of CSWs through health programs and improvement of health facilities.

Community Of Immunity: A Process Improvement To Increase Influenza Vaccination Uptake, Macy Ball

DNP Projects

Background & Review of Evidence: Annual flu vaccination has been recommended for everyone over the age of six months (National Foundation for Infectious Disease [NFID], 2016). A low flu vaccination rate among college students living in a residential community poses the risk for spreading a highly-contagious respiratory illness caused by the virus. Students have the ability to spread the disease to everyone around them in their dormitories, classrooms, shared restrooms and via social gatherings (NFID, 2016). College students who contract the flu virus experience approximately eight or more days of the illness (NFID, 2016).

Purpose: The purpose of …

An Examination Of Certified Nurse-Midwives’ Attitudes And Beliefs Surrounding Breastsleeping: Implications For Advanced Nursing Practice And Education, Lucy Wiesemann

College of Science and Health Theses and Dissertations

Introduction: Breastsleeping, defined as co-sleeping while breastfeeding, is a practice commonly employed in breastfeeding families. However, literature examining this concept, its prevalence, and related education for safe breastsleeping is scant. Providers' attitudes surrounding breastsleeping play an essential role in practice and outcomes when caring for breastfeeding patients and families. The purpose of the study was to examine and describe Certified Nurse-Midwives' attitudes and beliefs surrounding breastsleeping.

Methods: An adapted 18-item Nurse Attitudes and Beliefs Questionnaire-Revised (NABQ-R) online-survey that measured breastsleeping attitudes and beliefs of Certified Nurse-Midwives was administered via an online survey platform (Qualtrics). The quantitative analysis utilized SPSS 25 …

School Nurses' Role During Disease Outbreak, Christina Rickenbach

Theses and Dissertations

Background and Purpose: School nurses have the critical task of overseeing the health and wellness of school-aged students. Utah is 1 of 17 states which allow parents to exempt their children from vaccines. The most common parental reason for exempting children from vaccines is personal choice. With the number of students without vaccinations on the rise, school nurses are tasked with responsibilities related to the spread of vaccine-preventable diseases. However, few studies have explored the role of school nurses in managing a disease outbreak. Therefore, the purpose of this study was to 1) explore the responsibilities of Utah school nurses …

Adherence To Universal Precautions And Associated Factors Among Nurses Caring For Critically Ill Patients In Dar Es Salaam Tanzania, Salma A. Wibonela, Columba Mbekenga, Fatina B. Ramadhani, Ally Mwanga, Pedro Palangyo

School of Nursing & Midwifery, East Africa

Background: Globally, it is known that heath care workers particularly in critical care settings are at higher risk of occupational exposure to infections. Surveillance systems to monitor body fluid exposure have been established in developed world. However, such systems are not available and consequently, exposure to body fluids is rarely reported, documented and monitored in many African countries.

Objectives: To assess knowledge, practice and factors influencing adherence of Universal Precautions of infection prevention among nurses at Muhimbili national hospital and Muhimbili orthopaedic institute Dar es salaam Tanzania.

Design: Quantitative cross-sectional and observational study. SPSS was used for data …

Roli I Infermierit Në Trajtimin E Pacientëve Nga Abcesi I Trurit, Mollëza Kamberi

Theses and Dissertations

Abcesi i trurit (BA) përcaktohet si një infeksion fokal brenda parenkimës së trurit, e cila fillon si një zonë e lokalizuar e cerebritit, e cila më pas shndërrohet në një koleksion qelbi brenda një kapsulë të vaskuluar mirë. BA duhet të jetë e diferencuar nga infeksionet duke përfshirë abscesin epidural dhe subdural. BA është një sfidë për neurokirurgun sepse kërkon aftësi të mira klinike, farmakologjike dhe kirurgjike për të siguruar rezultate të mira klinike dhe prognozë për pacientët me BA. E konsideruar si një infeksion i rrallë i trurit, BA mund të ishte një entitet shkatërrues që e la me …

Antimicrobial Stewardship, Lauren Delay, Mary Catherine Digiacinto, Hailey Hoisington, Sydney Lowe, Hannah Mcdonald

Nurse Presentations

Describes a project to increase nurse awareness of the patient's antimicrobial course in Children's Mercy PICU.

Antimicrobial Stewardship, Morgan Hudson, Hannah Eisele-Miller

Nurse Presentations

Describes a project to increase the value of the nurses' role in antimicrobial stewardship.

Kujdesi Infermieror Tek Pacientët Me Infeksione Purulente, Ermale Shala

Theses and Dissertations

Hyrje: Një sëmundje purulente është ajo që gjeneron shumë qelb.Një akumulim i qelbës në një hapësirë indi të mbyllur njihet si një absces, ndërsa një koleksion i dukshëm i qelbës brenda ose nën epidermës njihet si një puçërr ose njoll.Ky punim është realizuar me qëllim të zgjerimit të njohurive të infermierëve të ardhshëm në fushën e parandalimit të infeksioneve purulente ndaj pacientit respektivisht kujdesit infermieror ndaj tyre.

Metodologjia: Kemi kryer një studim retrospektiv tek pacientët me infeksione purulente përkatsisht me abses flegmon dhe fascit nekrotizues të shtruar dhe te trajtuar në Kliniken e Kirurgjisë Plastike QKUK Prishtinë gjatë periudhës kohore …

The Effect Of Care Coordination On Hemoglobin A1c For Type 2 Diabetes Patients, Lee Ann Hinsky

Electronic Theses and Dissertations

The purpose of the study was to test the impact of care coordinator visits by primary care registered nurses on serum hemoglobin A1c (HbA1c) levels in patients with type 2 diabetes. In the study, the researcher compared 2 groups of type 2 diabetes patients—those who had care coordinator visits from registered nurses and those who did not—through retrospective data collection and analysis from the patients’ electronic medical record from July 2018 through December 2018. An independent samples t test was used to compare the means of the intervention and control groups’ change in HbA1c levels. The intervention and control groups …

Immunization Training Modules: Identifying Student Nurse Learning, Katie Bates

Theses and Dissertations

Background: Despite the importance of vaccination in disease prevention some people choose to remain unvaccinated. Nurses are influential in the choice to vaccinate. Considering the possibility of poor public understanding of vaccines and need for continued improvement in vaccination rates, it is essential for nurses to be knowledgeable and adept at addressing vaccine concerns. Vaccination education formally begins in nursing school. Objective: To identify nursing students' vaccine understanding by exploring information learned from formal online vaccine education specifically the Nursing Initiative Promoting Immunization Training Modules (NIP-IT). Design/Setting/Participants/Methods: Nursing students enrolled in a Community Health Nursing course were required to complete …

Nursing Annual Report 2019, Children's Mercy Hospital

Nursing Annual Reports

Annual report for nursing services at Children's Mercy Kansas City.

Debriefing Emergency Department Nurses During The Covid-19 Pandemic, Jessica Hailstock

Master of Science in Nursing Theses and Projects

This study examined the consequences of increased stress experienced by emergency department nurses related to the COVID-19 pandemic. The goal was to acknowledge that this particular population of nurses already experience high levels of stress and that being on the frontlines of healthcare during a pandemic exacerbates the issue. Nursing leaders within the emergency department must acknowledge and monitor the nurses’ stress. Findings suggest that debriefing led by qualified individuals is a powerful intervention to combat the negative effects of stress.

Ethical Imperatives Critical To Effective Disease Control In The Coronavirus Pandemic: Recognition Of Global Health Interdependence As A Driver Of Health And Social Equity, George A. Gellert Md, Mph, Mpa

Journal of Health Ethics

Ethical imperatives critical to effective disease control in the coronavirus pandemic: Recognition of global health interdependence as a driver of health and social equity

George A. Gellert MD, MPH, MPA

ABSTRACT

Decades into the era of emerging infectious diseases, the 2019-2020 coronavirus pandemic has caught the world, and the United States in particular, poorly prepared to engage effective public health disease prevention and control measures. In part, this reflects poor public health planning, response, logistical preparation and pandemic readiness, and complacency by governments and disease control agencies. In terms of future responses to emerging infection pandemics, these deficiencies can be …

Essential Notes On Pathophysiology For Advanced Practice Nurses, Alex Sargsyan

Open Educational Resources

This text is a compilation of lecture notes from pathophysiology courses I have taught over the last ten years. The goal of the text is to equip future advanced practice nurses with knowledge of pathophysiology for common diseases and disorders they may encounter in the primary care setting.

Syringe Service Programs: A Solution To Promoting Good Health & Well Being, Amy Roth

Student Research Poster Presentations 2020

Syringe service programs offer crucial benefits for members and promote an overall better health and well being for society. SDG-3 is designed to promote good health and well being and syringe exchange programs (SEP) is one solution to helping achieve this goal by the year 2030.

Are Healthcare Workers In The Hospital Ready For Disasters In The Community?, Nicholas Hromek

Student Research Poster Presentations 2020

This poster presents the idea that healthcare workers in hospitals are not equipped for disasters in the community. During such a vulnerable and relevant time such as the COVID-19 pandemic, this poster focuses on the pitfalls of the healthcare and hospital system.