Digital Commons Network^™

Rn Perception Of Resources, Communication, And Leadership During Covid-19 And The Impact On Rn Satisfaction And Turnover In A Multi-Hospital System, Gina Bullington

DNP Projects

Abstract

While RN retention has been a perennial challenge, COVID-19 has exacerbated the problem. The project’s purpose was to study RNs’ perception of communication, resources, and leadership during COVID-19, and the impact on RN turnover in a multi-hospital system. 3280 RNs’ engagement survey responses and turnover percentages from pre-COVID-19 (November 2019) were compared to engagement survey responses and turnover percentages 12 months later (November 2020). 90% (n = 2963) were female and 43% (n = 1396) were between the ages of 25 and 39 years. The majority of RN respondents were employed 1-9 years (59%, n = 1934). …

Black Maternal Mortality In The United States, Grace Phelps

Honors College Theses

Black maternal mortality is a looming issue in the United States as the rate of Black maternal deaths is 3-4 times higher than the average rate for White women. Research establishes that this is a multifaceted issue of care quality, preexisting health, biases and racism, and structural inequalities. This study aims to discuss the statistics, contributing factors, and possible solutions to the issue of Black maternal mortality. Specifically, this study aims to educate nursing students on the matter and test the implications an educational session has on knowledge about Black maternal mortality and how health care professionals can be part …

From Bunks And Bars To Sidewalks And Skies: Support For Reentry From Incarceration, Ashley Ann Steen

Theses and Graduate Projects

Currently, there are over 2.3 million inmates in the prison system throughout the United States (Bureau of Justice Statistics, 2018). Over 10,000 ex-prisoners are released from America's state and federal prisons every week and studies show that approximately two-thirds will likely be rearrested within three years of release (Bureau of Justice Statistics, 2018). This scholarly project will explore the literature on why inmates face such a high rate of recidivism. It will further explore the current programming that is provided to inmates prior to release back to the community and offer a questionnaire to utilize in all reentry programs to …

Treatment Of Acute Bronchitis In Active Duty Military Members Benchmark Project, Nicole Williams

MSN Capstone Projects

Antibiotic resistant infections are a growing problem in the United States and the world. The main cause of this is antibiotic prescriptions, which can not only cause antibiotic resistance but adverse events. Decreasing the amount of antibiotics prescribed for inappropriate conditions can help to decrease the rates of antibiotic resistant infections and the problems these infections can cause. One illness that is treated frequently with antibiotics, against recommendations, is acute bronchitis. Acute bronchitis is a self-limiting viral infection, characterized by cough. By decreasing the number of providers who are prescribing antibiotics for acute bronchitis, the clinic can help to prevent …

Implementing The Quality Of Care Partnership To Reduce The Cost Of Screenings For Sexually Transmitted Infections On A Southeastern College Campus, Amy Guidera

DNP Projects

College students are a priority preventative healthcare population that can engage in high risk behaviors which may concurrently increase the potential for unsafe sexual practices, including contracting sexually transmitted infections (STIs). Early education, screening, treatment, and partner notification are important interventions for breaking the chain of transmission and recurrence in relation to preventing poor health outcomes and mitigating college dropout rates. The aim of this quality improvement project was to determine if the reduction in STI screening costs for college students (aged 18-30 years old) would increase the amount of STI screenings conducted at a university health center over the …

Decreasing Clabsi Among Cancer Patients: Daily Observed Chlorhexidine Gluconate Baths, Cody Tripp

DNP Projects

Background: Research suggests that daily bathing with chlorhexidine gluconate (CHG) among cancer patients can decrease rates of central line-associated bloodstream infections (CLABSI). Literature supports the premise that the highest rates of patient compliance using CHG baths occurs with direct RN assistance or observation of the bath. Methods: Nurses employed on a hematology/oncology unit in Middle Tennessee were surveyed about their perception of how many CHG bath were not occurring on a given day and then educated via an online module, on the efficacy of daily CHG baths. Approximately two months after the preliminary survey and educational module, RNs were surveyed …

P5: Covid-19 Vaccine: Technology Platform, Efficacy And Immune Protection, Manas Mandal

Annual Research Symposium

Roseman Research Day Symposium.

Improving Antibiotic Prescribing For Acute Respiratory Illnesses, Laurinia Hunter

Student Scholarly Projects

Practice Problem: Unwarranted antibiotic prescribing practices when treating acute respiratory illnesses contribute to the national health threat of antibiotic resistance.

PICOT: In a pediatric outpatient setting for patients ages 6-25 who have no documented uncontrolled comorbidities, presenting with an acute respiratory illness (P), does provider utilization of clinical guidelines, and patient and (caregivers) utilization of educational pamphlets, to collectively develop a plan of care (I), compared to providers and patients who do not utilize such strategies(C) result in a reduction in antibiotics prescribed for acute respiratory illnesses (O) in a 6-week timeframe (T)?

Evidence: The evidence reviewed reported the utilization …

Arsenic: It’S Not Just For Rats. The Benefits Of Arsenic Trioxide For The Treatment Of Acute Promyelocytic Leukemia, Lauren Sheldon

Nursing Doctoral

Purpose: The purpose of this review is to compare the effectiveness of induction therapy with arsenic trioxide (ATO) paired with retinoic acid (ATRA) and standard chemotherapy for the treatment of newly diagnosed acute promyelocytic leukemia (APL).

Background and Significance: The use of chemotherapy for APL treatment has demonstrated successful results, but is associated with toxicities. Research has shown that the use of ATO/ATRA not only achieves complete molecular remission, but also increased survival rates and reduced disease relapse.

Methods: Databases used include CINAHL, PubMed, and ProQuest Nursing and Allied Health. Keywords searched were induction treatment, acute promyelocytic leukemia, arsenic trioxide, …

Healthcare Disparities Among Incarcerated Pregnant Women, Molly Carpenter, Halim Oluwatunmise, Whitney Shipley, Ojiugo Udensi

Epsilon Sigma at-Large Research Conference

No abstract provided.

Collaborating To Offer Hpv Vaccinations In Jails: Results From A Pre-Implementation Study In Four States, Amanda Emerson, Molly Allison, Lisa Saldana, Patricia Kelly, Megha Ramaswamy

Department of Nursing Papers

BACKGROUND: Correctional facilities are an underutilized venue for reaching young adults who have not vaccinated for human papillomavirus (HPV). The objective of this study was to identify factors that are associated with jail and local health department (LHD) interest in partnering to offer HPV vaccinations to young adults in jail.

METHODS: Consolidated framework for implementation research (CFIR)-guided surveys were conducted with jail administrators in Iowa, Kansas, Missouri, and Nebraska, September 2017-October 2018. Jail survey data were analyzed using chi square distribution and relative risk regression. Using data from sister surveys conducted with LHD administrators in the same counties (results previously …

Low Stress Handling Techniques In Shelter Animals And The Overall Effects On Physiological Parameters, Ashley Swim, Courtney Smart, Amy Staton

2021 Celebration of Student Scholarship - Oral Presentations

Animal shelters tend to be a very stressful environment for dogs as there are many new sounds, smells, and animals. This stress is not only bad for their psychological health and can lead to behavioral issues, but it can also have an impact on their physical health. Stress impacts multiple systems of the body, resulting in increased heart rate, blood pressure, respiratory rate, temperature and even blood glucose levels in dogs. The impact stress has on these systems can lead to a compromised immune system and increases the probabilities of the dog becoming ill. However, by using Fear Free methods, …

Depression Symptoms And Covid-19, Kaylee Armendariz

The Eleanor Mann School of Nursing DNP Capstone Projects

The COVID-19 pandemic presents new challenges in behavioral healthcare. Americans may face anxiety surrounding the virus, economic strain, isolation, and grief, putting them at increased risk for depression symptoms. This Doctor of Nursing Practice (DNP) quality improvement project aimed to increase depression screening rates and utilized data from a Federally Qualified Health Center (FQHC) to identify population groups at higher risk for depression symptoms during the COVID-19 pandemic. Using the Patient Health Questionnaire (PHQ) depression screening tool, a statistical analysis determined if being tested for COVID-19 or testing positive for COVID-19 had an impact on depression symptoms. Additionally, this project …

A Program Development And Evaluation Project For Provider Use Of Buprenorphine Maintenance, Kyle Olson, Aprn

Doctor of Nursing Practice Projects

Background: Buprenorphine (BNX) is used in Opioid Use Disorder (OUD) deterrence. Optimal long-term duration with BNX is unclear, but evidence shows that there is a high risk for relapse when medicine is discontinued even if maintenance has been stable for some time.

Outcomes: The purpose of this project was to decrease barriers for providers implementing BNX therapy for individuals diagnosed with OUD. Outcomes measured included: (1) knowledge of and barriers to implementing current guidelines, (2) factors preventing use of guidelines, (3) recommendations for BNX maintenance as per guidelines.

Methods: Using a pre-post intervention design, participant knowledge on BNX guidelines, factors …

Prep Education Intervention, Kristina Jung Msn, Fnp-Bc

Doctor of Nursing Practice Projects

Background: The nation’s HIV infection rate is alarming, yet only a small percentage of eligible individuals are prescribed pre-exposure prophylaxis (PrEP). This sluggish PrEP uptake may be related to lack of knowledge among non-HIV specialist providers. Thus, interventions toexpand providers’ use of PrEP as an HIV prevention strategy are needed.

Objectives: The project aim was to develop an intervention to improve retail nurse practitioners’ (NP) knowledge for PrEP clinical practice, comfort screening for “at-risk HIV” patients, confidence prescribing PrEP, and likeliness to prescribe PrEP in the next six months.

Methodology: An online PrEP tutorial was implemented for retail clinic NPs. …

Laboratory Techniques In Public Health: Bi-520 Introduction To Public Health Lab Manual, Anuradha Srivastava

Open Educational Resources

This laboratory manual for a foundations course Public Health is unique in the sense that very rarely, a foundations course in the field has a lab component offered with the lecture. This lab manual provides basic laboratory exercises that could be useful to introduce undergraduate students to the basics of public health laboratory practices.

Patients’ Experiences Of Recovery: Beyond The Intensive Care Unit And Into The Community, Kelly Calkins, Peninnah M. Kako, Jill L. Guttormson

College of Nursing Faculty Research and Publications

Aims

To understand barriers and facilitators of recovery for critical illness survivors’, who are discharged home from the hospital and do not have access to dedicated outpatient care.

Design

Multi-site descriptive study guided by interpretive phenomenology using semi-structured interviews.

Methods

Interviews were conducted between December 2017 -July 2018. Eighteen participants were included. Data were collected from interview recordings, transcripts, field notes, and a retrospective chart review for sample demographics. Analysis was completed using Interpretive Phenomenological Analysis which provided a unique view of recovery through the survivors’ personal experiences and perception of those experiences.

Results

Participants encountered several barriers to their …

Mothers’ Breastfeeding Practices And Self-Efficacy, Agrina Agrina, Febriana Sabrian, Oswati Hasanah, Erika Erika, Yesi Hasneli

Jurnal Keperawatan Indonesia

This study examined breastfeeding practices and self-efficacy among mothers residing in rural areas. A cross-sectional study was conducted for 104 mothers via purposeful sampling in a Posyandu (maternal and child health service) in Kampar district, one of the rural areas in Riau, Indonesia. The Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) was used in the questionnaires to collect data. Chi-square test was used for bivariate analysis. Majority of the respondents (71.2%) were 20–35 years old; 69.3% of the respondents’ level of education were low (such as junior and senior high school levels). Approximately 91.3% of them were housewives. Exclusive breastfeeding prevalence …

A Secondary Analysis Of Peer Support And Family Acceptance Among Homosexual Living With Hiv And Antiretroviral Therapy: Quality Of Life Perspectives, Ina Martiana, Agung Waluyo, Sri Yona, Edianto Edianto

Jurnal Keperawatan Indonesia

Men who have sex with men (MSM) comprise a population at risk for HIV infection. Assessing the Quality of Life (QOL) in MSM might be different than other populations. This study showed a secondary analysis from our previous research. It was needed to understand whether peer support and family acceptance had an impact on QOL of MSM living with HIV and ART (Antiretroviral Therapy). A total of 175 respondents were involved in this cross-sectional study that was carried out with purposive sampling. The questionnaires were translated to Bahasa and tested for validity and reliability. Data questionnaires completed were analyzed. Results …

Implementing Interdisciplinary Team Rounding To Reduce External Ventricular Drain-Associated Infections, Laura Reiter

Student Scholarly Projects

External ventricular drains (EVD) are a common intervention in critical care areas for the management of hydrocephalus. The most common complication of this life-saving intervention is infection, which negatively impacts patient outcomes and overall healthcare costs. Current evidence shows that interdisciplinary team rounding improves compliance with evidence-based practice and reduces hospital-associated infection rates. The PICOT question that guided this project is: For patients with an external ventricular drain (EVD), what is the effect of interdisciplinary team rounding compared with the current practice of informal rounding, on compliance with an EVD care bundle and EVD-associated cerebrospinal fluid infections over two months? …

Compliance With A Nurse-Driven Hypoglycemia Protocol: Time From Hypoglycemia Event To Euglycemia, Robin A. Chappell

Student Scholarly Projects

Practice Problem: Hypoglycemia is a known complication of diabetes mellitus and is considered one of the top three adverse drug events by the U.S. Department of Health and Human Services (2019) because it is common, clinically significant, measurable, and preventable.

PICOT: The PICOT question that guided this project was: In non-critical hospitalized adult patients on medical-surgical units with documented HGEs, how does active surveillance for strict adherence to a nurse-driven hypoglycemia protocol, compared to no surveillance, affect the time from hypoglycemia to euglycemia?

Evidence: Treatment of hypoglycemia is commonly inconsistent and prolonged; however, active surveillance and monitoring of a …

Aiming For Accuracy In Primary Care Penicillin Allergy Identification, Elizabeth A. Thomason

Doctor of Nursing Practice Projects

Throughout scientific literature, there is overwhelming evidence penicillin-allergic diagnoses are often inaccurate and inappropriate. As this diagnosis can often have unwanted effects for both patients and the healthcare team, it is essential to aim for accuracy when considering penicillin allergies. The purpose of this project was to implement a more focused penicillin allergy screening tool aimed at accurate allergy identification. Evaluation methods included pre and post-intervention electronic medical record reviews. The project also evaluated the impact on total post-tool implementation visit time. Providers and staff received verbal instructions on how to use the tool and the project inclusion criteria. The …

The Effects Of Administrative Support On Registered Nurse Well-Being During The Covid-19 Pandemic, Cassandra Fox

The Eleanor Mann School of Nursing DNP Capstone Projects

Attention to the well-being of nurses is necessary to ensure the healthcare system can operate effectively, particularly during the COVID-19 pandemic. The workplace environment and support from nursing leadership strongly contribute to nurses’ well-being. Currently, there is little evidence on the effect nursing leadership has on nurses’ well-being during the COVID-19 pandemic. This DNP clinical inquiry project sought to learn more about the effects of caring leadership behaviors on nurses’ well-being during the COVID-19 pandemic. A survey composed of questions from previously validated and reliable surveys used in the field of nursing was used to collect data. Neuman’s systems theory …

Nursing Professionals' Mental Well-Being And Workplace Impairment During The Covid-19 Crisis: A Network Analysis, Umit Tokac, Selen Razon

Kinesiology Faculty Publications

Aim: To investigate the effects of years of nursing experience and mental health on work impairment among nurses during the COVID-19 crisis. Background: During the COVID-19 crisis, nurses experience a greater psychological burden than other health care workers. Studies have not yet investigated the effects of years in nursing and mental health on potential work impairment during the COVID-19 crisis in nurses. Methods: A survey was administered to 83 nurses on active duty during the COVID-19 crisis. The graphical LASSO and the DAG helped estimate the associations between years of nursing experience, mental health and work impairment. Results: A moderate …

The Lived Experience Of Syrian Refugees In Canada: A Phenomenological Study, Khaldoun Aldiabat, Enam Alsrayheen, Catherine Aquino-Russell, Michael Clinton, Roger Russell

The Qualitative Report

Health care providers in Canada are expected to take care of people from a variety of cultural backgrounds, and it is difficult for health care providers to deeply understand the lived experiences of some individuals to provide them with culturally sensitive care. Syrian refugees comprise one such group of newcomers to Canada. This phenomenological study aimed to uncover the meaning of the lived experiences of Syrian refugees using Giorgi’s (2009) method. Seven participants’ descriptions were viewed through the lens of the social determinants of health model. Seven essences of the general structural description or the meaning Syrian refugees gave to …

Improve The Risk Of Central Line-Associated Bloodstream Infections With Central Line Dressing Changes Through A Team Approach, Jessica Comstock

Student Scholarly Projects

Practice Problem: Central Line Associated Bloodstream Infections (CLABSI) are a preventable hospital acquired infection which contributes to patient morbidity, mortality and rising healthcare costs.

PICOT: The PICOT question that guided this project was: In adult inpatients with central venous catheters, does the use of a two-person dressing change team, compared to a single person procedure, decrease the rate of central line associated bloodstream infections over the course of 8 weeks?

Evidence: The prevention of CLABSI is most effective when multifaceted line maintenance bundles are implemented and adherence to these bundles nears 100% (Schreiber et al. 2018).

Intervention: A two-person, …

Health In Environment: Reduce Surgical Site Infections By Applying Florence Nightingale's Environmental Theory, Anna Rana

School of Nursing & Midwifery

Surgical site infection is one of the most common causes of readmission in hospitals and it also leads to an overall increased burden. This can be decreased by applying basic concepts of Nightingale (1860) "Environmental Theory" while giving care to the patients. Keeping in view Nightingale's environmental theory, this paper aims to discuss the case of a patient suffering from a surgical site infection. It will help readers to understand the environmental factors which affect the patients' health and provide a way to promote healing and fast recovery by modifying their environment.

Factors Associated With The Compliance Of Standard Precaution; Review Article, Shah Zeb, Tazeen Saeed Ali

School of Nursing & Midwifery

Compliance with standard precautions is very important for healthcare workers because studies have shown that it helps in minimising the transmission of infectious diseases and healthcare-associated infections which is directly proportional to the patient cost and stay of the patient in hospitals. As healthcare associated infections increase, the cost and the stay of the patient will increase. Researchers suggest that all healthcare workers need to follow the standard precautions guideline and it can be possible with the help of health education, training, provision of equipment and supervision by the management. Barriers to the compliance identified are lack of education, heavy …

Përdorimi I Penicilinave Në Një Regjion Të Prizrenit, Anita Ajazaj

Theses and Dissertations

Penicilina u jepet pacientëve kundër infeksioneve të shkaktuara nga bakteret. Disa lloje të infeksioneve bakteriale që mund të mjekohen me penicilinë përfshijnë pneumoninë, dhimbjet e fytit, sifilisin dhe gonoreanë. Mund të përdoret gjithashtu për të parandaluar infeksionet e dhëmbëve. Si një antibiotik, penicilina vret bakteret ose i parandalon ato të rriten dhe shumohen. Ilaçi funksionon duke sulmuar enzimat që ndërtojnë muret qelizore të baktereve.

Qëllimi i këtij hulumtimi është njohja me rastet e trajtuara me penicilinë dhe pasojat që mund të kenë gjatë jetës pas përdorimit të shpeshtë të tyre.

Në këtë hulumtim kuantitativ me metodë descriptive, janë mbledhur të …

Njohuritë E Prindërve Rreth Vaksinimit Në Komunën E Istogut, Drita Shatri

Theses and Dissertations

Vaksinimi është një nga fitoret më të mëdha të mjekësisë. Nganjëherë dëshirojmë të dimë më shumë për to veçanërisht kur na vjen ftesa për vaksinimet e para të fëmijëve në familjen tonë. Vaksinat janë të ndryshme sipas sëmundjes që kërkojmë të luftojmë. Ato mund të përbëhen nga mikroorganizma të çaktivizuar (të vrarë) ose të zbutur (të bërë të padëmshëm), ose nga pjesë të tyre, ose madje nga substanca që ato prodhojnë, të cilat quhen toksina, e të bëra jo aktive. Vaksinat veprojnë duke nxitur një sistem natyral mbrojtjeje: sistemin imunitar. Ky sistem ka për qëllim të prodhojë qeliza mbrojtëse të …