Digital Commons Network^™

Nurses' Knowledge, Attitudes, And Perceived Self-Competency Regarding Individualized Developmental Care In The Neonatal Intensive Care Unit, Patricia Macho

Dissertations, Theses, and Capstone Projects

Infants born prematurely are at a greater risk for developing both cognitive and motor development delays related to continuing their development outside the normal uterine environment. Because of the potential adverse effects of the Neonatal Intensive Care Unit (NICU) environment on the quality of life of premature infants and their families, researchers have investigated, developed, and tested different developmentally supportive interventions to improve outcomes and decrease the negative effects of the NICU. The majority of successful interventions are based on the Synactive Theory of Individualized Developmental Care (IDC)-a form of patient/family- centered care for the neonate.

The majority of published …

Nursing Students At The Helm: A Study Of The Effect Of A Health Literacy Module (Helm) On The Health Literacy Knowledge, Skills And Attitudes Of Pre-Licensure Baccalaureate Nursing Students, Joy G. Borrero

Dissertations, Theses, and Capstone Projects

Background: Effective communication is a foundation of high-quality, patient-centered health care. Understanding health literacy is an essential attribute that health care professionals need to possess in order to promote effective partnerships with patients and their significant others. Nurses, especially, need to be involved in addressing the epidemic problem of low health literacy in the United States because they are responsible for the majority of patient, caregiver and community health education and communication. Nurses play a key role in providing health care information to individuals, families and groups in a variety of settings and therefore should be educated about the essentials …

Does An Intervention Designed To Improve Self-Management, Social Support And Awareness Of Palliative-Care Address Needs Of Persons With Heart Failure, Family Caregivers And Clinicians?, Margaret Sebern, Nasir Sulemanjee, Mauricio Garnier-Villarreal, Mark J. Sebern, Carol J. Whitlatch

College of Nursing Faculty Research and Publications

Aims and Objectives

To conduct a formative evaluation of the iPad‐Enhanced Shared Care Intervention for Partners (iSCIP) among persons with heart failure (HF), family caregivers and clinicians. Together, persons with HF and family caregivers are referred to as partners.

Background

There is growing awareness of the caregiver's contributions to HF self‐management, social support and reciprocal benefits of interventions that involve both partners. The iSCIP engages both partners in a six‐session psychosocial intervention to address three preventable causes of poor outcomes in a HF population: poor self‐management skills, inadequate social support and underutilisation of palliative care. An iPad app is used …

Adults With Cystic Fibrosis: Self-Management And Health Outcomes, Amanda Rose Lambie

Theses and Dissertations

This dissertation is comprised of three manuscripts for publication reporting on adults living with cystic fibrosis, self-management behaviors and health outcomes. Chapter I explores what is known about adults living with cystic fibrosis (CF) and the factors impacting their self-management, including the complexities of a health maintenance regime required for survival while integrating and balancing the realities of adulthood. The review of literature provides direction for future research and implications for adult-focused CF studies. Chapter II is a manuscript describing the characteristics of prognostic survival models utilized in adult CF research and provides an overview of their development, validation, predictive …

Effects And Moderators Of Psychosocial Interventions On Quality Of Life, And Emotional And Social Function In Patients With Cancer: An Individual Patient Data Meta-Analysis Of 22 Rcts, J. Kalter, I. M. Verdonck-De Leeuw, M. G. Sweegers, N. K. Aaronson, P. B. Jacobsen, R. U. Newton, K. S. Courneya, J. F. Aitken, J. Armes, C. Arving, L. J. Boersma, A. M.J. Braamse, Y. Brandberg, S. K. Chambers, J. Dekker, K. Ell, R. J. Ferguson, M. F.M. Gielissen, B. Glimelius, M. M. Goedendorp, K. D. Graves, Sue P. Heiney, R. Horne, M. S. Hunter, B. Johansson, M. L. Kimman, H. Knoop

Faculty Publications

Objective: This individual patient data (IPD) meta-analysis aimed to evaluate the effects of psychosocial interventions (PSI) on quality of life (QoL), emotional function (EF), and social function (SF) in patients with cancer, and to study moderator effects of demographic, clinical, personal, and intervention-related characteristics. Methods: Relevant studies were identified via literature searches in 4 databases. We pooled IPD from 22 (n = 4217) of 61 eligible randomized controlled trials. Linear mixed-effect model analyses were used to study intervention effects on the post-intervention values of QoL, EF, and SF (z-scores), adjusting for baseline values, age, and cancer type. We studied …

Achieving Pregnancy Using Primary Care Interventions To Identify The Fertile Window, Thomas Bouchard, Richard J. Fehring, Mary Schneider

College of Nursing Faculty Research and Publications

Objective: To determine the effectiveness of achieving pregnancy with focused intercourse in the fertile window identified using natural fertility indicators. Methods: 24-cycle prospective effectiveness study. Setting: A North American web-based fertility monitoring service. Participants: 256 North American women aged 20–43 (mean age 29.2 years) seeking to achieve pregnancy. Intervention: Participants identified their fertile window with either electronic hormonal fertility monitoring or cervical mucus monitoring, or both, and recorded their observations on an online fertility tracking system. Main outcome measures: Pregnancies were validated by nurses with an online self-assessed pregnancy evaluation form. Survival analysis was used to determine pregnancy rates. Results: …

A Qualitative Case Study On Delegation Of School Nursing Practice: School Nurses, Teachers, And Paraprofessionals Perspectives, Sharon L. Schofield

Theses and Dissertations

For the past decade, there have been many changes to school nursing with the implementation of unlicensed assistant personnel now known as paraprofessionals. This process has brought about several concerns such as mode of delegation, education, training, ability to monitor health-care needs, and organizational effects that trended downward without direction. This qualitative inquiry gave an interpretative meaning to the process of delegation in school nursing, the factors that hinder the delegation process as well as components that are needed to effectively delegate and utilize support staff (paraprofessionals) without detrimental effects to students. This study interviewed 20 participants.

Results of this …

Learning Cultural Humility Through Stories And Global Service-Learning, Stephanie Fisher, Eloise Hockett, Linda Samek

Faculty Publications - College of Nursing

Service-learning experiences are often utilized by nursing programs in efforts to increase the cultural competence of nursing students. Through the use of sharing story, the concepts of cultural competence and cultural humility can be explained for students preparing for upcoming intercultural experiences. This case study describes the experience of nursing students and university faculty on their first service-learning trip to rural Kenya and how the intercultural issues were navigated there as students developed characteristics of cultural humility. This story is now being shared in preparations for subsequent international trips with nursing students and can be a model for programs wanting …

An Educational Intervention To Raise The Awareness Of Limited Health Literacy And The Need To Utilize Recommended Strategies And Interventions Among Healthcare Clinicians In A Program Of All-Inclusive Care For The Elderly Setting, Esther Carpenter

Doctoral Dissertations and Scholarly Projects

Health literacy is a complex, common, and challenging issue facing the United States and the world today. Occurring in the context of care delivery and significantly impacting the quality of care provided, health literacy is not simply a patient problem; but places a substantial burden on healthcare clinicians to ensure they are providing clear communication. Research suggests a lack of awareness and training among healthcare clinicians related to health literacy, resulting in clinicians being unaware of and unprepared to address this issue in practice. The purpose of this evidence-based practice project was to raise the awareness of limited health literacy …

The Impact Of An Educational Intervention To Enhance Self-Management In Type 2 Diabetes Patients, Demetria Bates

Doctoral Dissertations and Scholarly Projects

Type 2 diabetes mellitus is a chronic health condition that requires patients to be engaged in their health care. Knowledge of the disease and self-management skills are key components to improving health and outcomes in diabetes patients. Due to the lack of self-management skills, diabetes patients are at risk for diabetes-related health complications. Hemoglobin A1c is a measure that demonstrates the average blood glucose level, which is an indicator of diabetes control. Medical treatments and education are continuously improving and readily for type 2 diabetes. The purpose of this project was to enhance knowledge and self-management skills among chronic care …

Child Care Teachers’ Knowledge Of Fun Physical Activities And Healthy Food Choices For Pre-School Children, Elizabeth Gwyn

Nursing Theses and Capstone Projects

The focus of this project was to explore child-care teachers’ knowledge of fun physical activities and healthy food choice activities for preschool children. A four-week educational session was implemented in a rural child-care center. The intervention provided education in relationship to the implementation of fun physical activities and healthy food choice activities for child-care teachers during preschoolers structured playtime. The Child Care Teachers’ Knowledge Evaluation (CCTKE) tool developed by the doctoral student was used to collect responses from participants before and after the intervention. The participants’ data was analyzed using a t-test. There were no statistically significant differences between the …

Menstrual Cycle As A Vital Sign, Lauren Elizabeth Bennett, Lisa M. Brown

All Electronic Theses and Dissertations

Purpose: The purpose of this paper is to examine and explore which factors affect the menstrual cycle and how the menstrual cycle has a significant health impact on women’s lives. Theoretical framework: Dorothea Orem, with the Orem Model of Nursing is patient driven. Orem’s beliefs are based on promoting life processes, modes of functioning within health and disease, growth and development, and movement within space. Learning about menstrual cycles and fertility, achieving or preventing pregnancy, delivering a baby, and becoming a mother are all comprised of multiple journeys that are intertwined within one another in women’s health. Research articles: Twenty-two …

Culturally Appropriate Breastfeeding Education For African American Mothers, Alicia Marie Freppert

All Electronic Theses and Dissertations

Background: Exclusive breastfeeding is globally recognized as the best possible source of nutrition for infants due to breastmilk’s extensive health benefits. Significant disparities in breastfeeding initiation and duration exist among demographic groups in the United States, with African American breastfeeding initiation rates being significantly lower than any other race. Purpose: The purpose of this critical review of the literature is to explore the impact of providing culturally appropriate breastfeeding education interventions on the rate of exclusive breastfeeding among African American mothers with children 0 to12 months of age. Theoretical Framework: The theoretical frameworks utilized to guide this systematic review of …

Obesity And Eating Disorders Prevention Programs: Effects On Adolescents And Young Adults With Weight Related Conditions, Jean Marie Parsons

All Electronic Theses and Dissertations

Background: With implementation of healthy weight education programs throughout schools, questions have been raised whether a preoccupation with obesity prevention contributes to an increase in the incidence of eating disorders. The purpose of this critical review of research is to compare obesity prevention programs and eating disorder prevention programs and possible unintended negative effects on adolescents with weight-related conditions. Theoretical Framework: Neuman Systems Model and Erickson’s Psychosocial Development were used. While Neuman theorizes a human being is a total person characterized by physiological, psychological, sociocultural, spiritual, and developmental factors, Erickson focuses on identity versus role confusion at the adolescent age. …

Nursing Annual Report: 2018, Centracare Health

Nursing Annual Report

St Cloud Hospital Statistics

Nursing Strategic Plan FY 2017-2018

March of Dimes Distinguished Nurse of the Year - Melissa Fradette

Multidisciplinary Lung Cancer Clinic

Fourth Magnet Designation

Nursing Research Studies

Shared Governance

Nursing Podium Presentations, Posters, and Publications

Nursing Awards

Aerobic Physical Exercise Increases The Health-Related Quality Of Life In Older Adults, Patricia L. Parker

Doctor of Nursing Practice Projects

Abstract

Problem Description: Globally, the older adult population is expected to substantially increase in number throughout the next few decades. The aging process causes the body and mind to undergo many detrimental changes. Typically, older adults succumb to a more sedentary lifestyle due to factors such as decreased musculature and skeletal changes, chronic pain, socioeconomic and psychological stressors, and memory changes. Inevitably, health-related quality of life and overall independence dwindles in this population negating their perception of happiness and life satisfaction. There is significant research on preventing and/or managing cognitive disabilities in the older adult; however, Western medicine approaches, such …

The Effect Of Individualized Nurse Report Cards And Unit Case Reports On The Awareness And Attitudes Of Nurses Towards Clabsi Contributing Factors, Shannon K. Hawkins

Nursing Theses and Capstone Projects

This DNP project examined the effect of unit case reports and individualized nurse report cards on nurses’ awareness of and attitudes toward central line-associated bloodstream infection (CLABSI) contributing factors. This project also sought to determine whether CLABSI incidences differed across units and if that was affected by nurses’ awareness of and attitudes toward CLABSI contributing factors. A convenience sample of registered nurses (RNs) across four medical units was included in this project. Of the 79 RNs who participated in providing feedback on this project, 48 RNs completed pre-implementation surveys, resulting in a response rate of 61%, and 53 completed post-implementation …

Exploring Patterns Of Health-Promoting Lifestyles Of Academic Nurse Educators, Tracy Campbell

Nursing Theses and Capstone Projects

Participating in health-promoting behaviors is essential for maintaining optimal physical and mental well-being. Nurses play a significant role in supporting the nation’s health, however, nursing shortages impact the ability to meet the complex health demands in a growing population. Guided by Nola J. Pender's health promotion model, the purpose of this study was to evaluate the self-perceived health-promoting lifestyle behaviors of faculty nurse educators. A convenience sample of 13 faculty nurses were studied using a descriptive, non-experimental research design. The 52-item Health-Promoting Lifestyle II (HPLP II) survey was used to evaluate the six dimensions of: health responsibility, interpersonal relations, nutrition, …

Student Perception Of Blended Course Activities, Valerie Bailey

Nursing Theses and Capstone Projects

The flipped classroom has been implemented within the nursing curricula to promote increased student classroom satisfaction, student engagement in the classroom, and improve retention of complex nursing concepts. This research study evaluated how the implementation of the flipped classroom contributed to the overall perception of a new instructional model of teaching within an Associate degree program for a summer nursing course. A variety of research articles were reviewed to assist in the construction of this instructional approach for this nursing course. The research articles reviewed revealed through statistical analysis that overall satisfaction of the flipped classroom approach was successful in …

The Impact A Nurse's Work Environment Has On Breastfeeding, Ashley Dawn Hull

Nursing Theses and Capstone Projects

Breastfeeding is a global health initiative, as defined by the World Health Organization (WHO), because of its numerous health benefits to mothers and infants. Despite breast milk’s documented benefits to mothers and babies, many women are not choosing to breastfeed their infants. A lack of paid maternity leave policy within the United States influences postpartum responsibilities, physically, and psychologically. This paper presents nurses’ responses to the Workplace Breastfeeding Support Scale survey regarding their workplace environment support of breastfeeding. Nurses providing direct patient care for more than 50% of their shifts revealed 45.5% disagreed in some variance with their comfort in …

Community Health Worker Interventions To Promote Psychosocial Outcomes Among People Living With Hiv—A Systematic Review, H Han, K Kim, Jeanne Murphy, J Cudjoe, P Wilson, P Sharps, J Farley

Nursing Faculty Publications

Background

Community health worker (CHW) interventions are a successful strategy to promote health among HIV-negative and persons living with HIV (PLWH). Psychosocial factors are critical dimensions of HIV/AIDS care contributing to prognosis of the disease, yet it is unclear how CHW interventions improve psychosocial outcomes in PLWH. The purpose of this study was to critically appraise the types, scope, and nature of CHW interventions designed to address psychosocial outcomes in PLWH.

Methods

We performed database searches—PubMed, EMBASE, CINAHL, and Cochrane—to identify randomized controlled trials published in English before April 2017. Fourteen articles met the eligibility criteria.

Results

Half of the …

Implementing An Evidence Based Fall Prevention Program In A Long-Term Care Facility, Annie Schweikert

Doctor of Nursing Practice Projects

Falls among the elderly are a significant problem with severe consequences. Residents of long-term facilities account for twenty percent of fatal falls. It is imperative that evidence-based practices be implemented at this level of care to address this problem. A multifaceted evidence-based fall prevention program was implemented at a 70 bed, skilled nursing, long-term care facility located in Florida, whose fall rate of 7.14 is above than the national average (2.74-5.48). The fall prevention program included staff education, implementation of a checklist for universal fall precautions, post fall huddles, and the appointment of a falls champion. One-month post intervention results …

The Effect Of Ostomate-To-Ostomate Support On Psychosocial Adaptation To Stoma, Marjorie C. Summers

Doctor of Nursing Practice Projects

Approximately one million people in North America are living with an ostomy, and an additional 100,000 will undergo ostomy surgery annually. Persons living with ostomies, often referred to as ostomates, require specialized care and management to sustain physical health and quality of life. Fecal diversion ostomates, when compared to the general population, are more likely to experience psychological disturbance and higher levels of depression. These ostomates have reported increased loneliness, lowered self-esteem, decreased or absent libido, irritability, suicidal ideation, poor self-image, and symptoms of generalized anxiety disorder and social phobia. Being an ostomate has been associated with a reduction in …

Best Practices For Screening, Identification, And Referral Of Female Collegiate Athletes With Disordered Eating, Brenda Caudill

Doctor of Nursing Practice Projects

Eating disorders have the highest mortality rate of any mental illness, including depression. Female collegiate athletes are at greater risk compared to the non-athlete population. Athletic personnel should be prepared to screen, identify, and refer female athletes for eating disorders. However, most staff are not familiar with common signs and symptoms of disordered eating, which could delay recognition of unhealthy behavior and ultimately long-term health risks. Appropriate screening protocols can assist with early identification. The purpose of this DNP project was improve the knowledge of the athletic staff regarding eating disorder recognition, awareness of university policy for identification and referral …

Strategies For Recruiting A Sample Of Adults With Type 2 Diabetes From Primary Care Clinics In Rural Appalachia: Incorporating Cultural Competence, Roger Carpenter, Laurie A. Theeke

Faculty & Staff Scholarship

Background: Recruiting research participants from primary care in rural Appalachia is a major challenge and can be influenced by cultural characteristics, making it critically important to incorporate strategies of cultural competence in the overall design of clinical research. Objectives: The purpose of this paper is to describe culturally competent strategies used for recruitment and data collection with a sample of adults with type 2 diabetes from primary care settings in Appalachia.

Design: The Purnell model of cultural competence and relevant literature served as a framework for study design. Four overarching approaches informed the organization of recruitment strategies and development of …

Newborn Pain Management: Advocating For Our Most Vulnerable Population, Christina Barlow, Shawna Blix, Sarah Saechao

All Nursing Boot Camp Posters

No abstract provided.

Improving Care For Adult Clinic Patients With A History Of Poor Glycemic Control, Bonnie M. Clark

Doctor of Nursing Practice Projects

Problem Description: Patients of one internal medicine clinic were found to have nearly twice the rate of diagnosed diabetes and poor glycemic control, when compared with national rates. Given this, certain aspects of the patient-provider dyad system, such as inadequate provider time, knowledge, and resources; may have contributed to the ability of some patients to adapt to a lifestyle with consistent diabetes self-care.

Intervention: An evidence-based diabetes protocol was developed, a diabetes self-management training (DSMT) curriculum was adapted to local context, and three cycles of patient-centered DSMT classes were delivered to provide individual and group-based support to participants. Completion of …

Registered Nurses’ Attitudes Towards Complementary And Alternative Medicine In Patients’ Healing, Chidozie Ibe

Nursing Theses and Capstone Projects

With the ever-growing popularity of complementary and alternative medicine (CAM) in the United States, patients may be using some of these therapies at home or may benefit from their use to help them heal from their symptoms and diseases. Registered nurses are in a great position to be able to assess patients for their use of CAM and provide necessary education. A review of literature found that nurses generally lacked adequate knowledge about CAM therapies. The purpose of this thesis study was to assess registered nurses’ attitudes towards CAM in regards to its role in patients’ healing, as attitudes often …

The Role Of Antibiotic Therapy In The Treatment Of Small Bowel Bacterial Overgrowth In Pediatric Patients With Short Bowel Syndrome, Christina Heinzman

Doctor of Nursing Practice Program Projects

Short bowel syndrome is the congenital or surgical alteration of the small bowel resulting in a shorter than normal length of small bowel. This condition affects approximately 20,000 people in the Unites States and is diagnosed in 3-5 times per 100,000 live births annually. Patients with short bowel syndrome are at risk for the development of small bowel bacterial overgrowth, a serious consequence caused by overgrowth of bacteria in the small bowel resulting in symptoms of abdominal pain, abdominal distention, feeding intolerance, malabsorption, weight loss and increased risk of metabolic acidosis. Clinical studies assessing the role of antibiotic therapy in …

Bachelor Of Science In Nursing_2018-2019, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.