Digital Commons Network^™

Policy Addressing Family Presence During Resuscitation, Crystal Emanuel-Hayes

Walden Dissertations and Doctoral Studies

When hospitals became the primary care setting for very ill patients, visiting hours and restrictions related to family presence during resuscitation (FPDR) became common. During medical crises that occur in hospital settings, families are separated from loved ones because family members may impair resuscitation efforts or such efforts might psychologically traumatize family members. Various national health care organizations have endorsed family presence during resuscitation; however, practices preventing family presence persist. This project used evidence from the peer-reviewed literature to develop a healthcare institution policy that addresses family presence during resuscitation. Theories, concepts, and models that guided this DNP project included: …

Patient Navigation Program In Oncolgy Clinical Practice, Mercy George

Walden Dissertations and Doctoral Studies

Cancer diagnoses affect millions of people in the United States each year. Today, cancer patients face many challenges when trying to navigate the complex healthcare system. Patient navigation programs were developed to address and overcome barriers patients may face as they make their way through the healthcare system. The purpose of this project was to provide an analysis and discussion of the current published literature to provide evidence for improving care coordination and patient satisfaction in the oncology clinical setting with a patient navigator program. The practice-focused question for this project asked if a patient navigator program for adult cancer …

Development Of A Professional Practice Competency For Undergraduate Nursing Students At A Private Catholic University In Western Australia: A Mixed-Method Study, Christine Adams

Theses

This research investigating professional student nursing practice occurred at a private Catholic university in Western Australia. The objects of this university articulate the provision of education in the context of Catholic faith and values. The objects are further expressed through the university’s 10 graduate attributes, which every student should have achieved by graduation. These attributes aim to foster and grow the qualities of ethical practice, interpersonal skills, professionalism, specialist knowledge and skills to support local and global communities. Suggested university strategies for attaining these attributes include undertaking high-quality work-integrated learning and building strong and mutually beneficial relationships with industry partners …

Addressing Spiritual Care Needs In Primary Care, Olayinka Akerele-Olufidipe

Walden Dissertations and Doctoral Studies

This DNP project focused on the spiritual aspects of care that are often neglected in the outpatient setting. Most patients value their spiritual health and believe that it is just as important as their mental and physical health. The purpose of this project was to improve the overall spiritual care provided to patients, their families, and/or caregivers in times when they were experiencing spiritual distress. This quality improvement (QI) project was designed to determine whether embedding a chaplain in an outpatient clinic instead of providing a pamphlet about chaplain services increases patient satisfaction. Secondary analysis of the data in this …

Inpatient Hospice Home: A Needs Assessment And Business Plan, Stacey Middleton

Doctor of Nursing Practice Scholarly Project

An Abstract of the Scholarly Project by

Stacey Middleton

There are two constants that every person can count on in life, being born and dying. No amount of research is required, and there is no need to challenge the inevitable. When a child is born, people celebrate and congratulate the new parents and their family. When a person dies, people are saddened by the loss of a friend and loved one. Death comes to all and is either, fast and unexpected or a slow drawn out process. Every dying patient deserves to die with dignity, be free from pain, and …

Spirituality In Clinical Practice: Recognizing The Importance Of Personal Values And Beliefs In Medical Decision-Making, Katie Lutz

Doctor of Nursing Practice (DNP) Projects

This Doctor of Nursing Practice (DNP) project addresses the importance of values and beliefs in patient’s healthcare decisions. Relying on a holistic theoretical model that accounts for all aspects of the human experience, the focus shifts from standard healthcare delivery to exploration of spiritual values and beliefs. In the past two decades, researchers and healthcare professionals have juxtaposed healthcare and spirituality to broaden the domain of care and enrich the provider and patient experience. Evidence has shown the alliance of spirituality and clinical practice has the potential to improve wellbeing and healthcare outcomes.

Interventions: In a public health setting, a …

To Heal, Escape: Using Theatre Arts To Promote Holistic Health In The Clinical Setting, John Filegar

Senior Honors Theses

The purpose of this thesis is to provide an argument for the implementation of theatre arts therapy in the clinical setting. The effects of traditional art therapies involving visual arts, expressive arts, and music on the holistic health of the patient in the clinical setting have been thoroughly researched and understood. However, the extent of the influence of theatre arts therapy on the holistic health of individuals in the clinical setting lacks sufficient evidence and therefore cannot be compared to the influence of traditional art therapies on the holistic health of individuals in the same setting. Following an overview on …

Nurse Resiliency In Pediatric And Picu Nurses., Ashley Divincenzo Bsn, Rn, Stephanie Pinter Bsn, Rn, Alexis Gilmore Bsn, Rn, Kendra Wetherhold Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Preparing For The Merit-Based Incentive Payment Structure: A Value-Based Business Plan, Ali R. Saheb

Doctoral Projects

The notion of delivering value-based care while maintaining corporate vitality in health care is a multifaceted process. Shaping a business model to reflect this process requires the alignment of quality implications, reimbursement initiatives, a framework that takes into account stipulations on reimbursement for different types of clinicians, and an understanding and preparedness for emerging guidelines and nationally recognized structures for quality indicators. When organizations recognize the need for change, but are not yet prepared to implement it, a comprehensive business plan can help the organization visualize a path to success. In this project, the foundation of requirements for a value-based …

The Emotional Cost Of Caring: Compassion Fatigue Experienced By Nurse Staff On An Inpatient Geriatric Behavioral Health Unit, Susan Annette Campbell

Theses and Dissertations from 2017

Purpose: Research studies on the prevalence of compassion fatigue (CF) in nursing have been conducted in various clinical settings. There has been limited empirical research conducted on nurses working within the geriatric behavioral health setting, which can present increased nursing challenges related to the chronic health problems of aging coupled with acute behavioral health crises. The purpose of this quantitative, descriptive research study was to identify the prevalence of CF in RN and LPN staff within an inpatient geriatric behavioral health unit setting in two comparably sized hospitals. Design/Methods: An electronic survey design (consisting of demographics and the ProQOL v. …

Development Of A Aya Team: Ensuring Age-Appropriate Cancer Care For Adolescents And Young Adults., Donna Colabroy Rn, Msn, Ocn, Ccm, Melissa Kratz Rn, Msn, Aocn, Amber Messinger Bsw, Rose Schenk Msn, Elizabeth Rohn Mss, Lcsw, Osw-C, Phd, Mandy Hendricks Rn Msn Ocn

Patient Care Services / Nursing

No abstract provided.

Faith Community Nurses' Impact On Family Caregivers, Lori R. Anderson

All Electronic Theses and Dissertations

Title: What are the most compelling ways that faith community nurses support family caregivers? Background: The need for family caregivers will rise exponentially in the United States in the coming decades as older adults live longer lives and often with two or more chronic illnesses. Faith community nurses are uniquely positioned through their trusted presence in faith community settings to provide this support to family caregivers. Purpose: Family caregivers provide vital care to senior adults that our healthcare systems cannot absorb. Faith community nurses (FCNs) support family caregivers connected to their faith communities in tangible ways to strengthen the growing …

Transition To Practice Experience: The Impact On Newly Licensed Rn Performance, Patricia P. Lawson

Student Theses, Dissertations and Capstones

This quantitative non-experimental descriptive correlational design sought to answer the question if there was a difference in newly licensed RN (NLRN) performance at one-year post hire after participation in a nurse residency program that offers a formalized curriculum that extends throughout the entire year, one that offers a formalized curriculum that does not extend throughout the entire year, or one that does not provide a formalized curriculum. The study utilized the Six Dimension Scale of Nursing Performance (SDNP) and evaluated NLRN performance on six subscales: leadership, critical care, teaching/collaboration, planning/evaluation, interpersonal relations/communication, and professional development at one-year post hire. Benner’s …

Compassion Fatigue In Medical Surgical Nurses, Ashlee Nicole Simmons

Nursing Theses and Capstone Projects

Often nurses are consumed by providing care to others and forget to care for themselves. The lack of self-care can lead to compassion fatigue in the nurse's life. The purpose of this thesis was to assess the level of compassion fatigue within medical surgical nurses, and determine the correlation between years of experience as a registered nurse and compassion fatigue. The Professional Quality of Life (ProQOL-5) was used to identify the existence of compassion fatigue in medical surgical nurses. Data was collected and analyzed using Statistical Package for Social Sciences (SPSS) software. Seventy-five medical surgical nurses working in an acute …

Geriatric Competency Training For Staff Providing Chronic Care Management Services, Brigette C. Holleran

Doctor of Nursing Practice Projects

Americans 65 and older are the growing at an unprecedented rate. Older adults with complex needs are outpacing the number of healthcare providers equipped to care for them. In preparation for implementation of Chronic Care Management (CCM) service, it will be important to engage staff and motivate participation through planned education and training. The purpose of this project was to implement a staff training that included increasing basic knowledge of the CCM program and participant knowledge of age-based competency principles. A pretest posttest design evaluated participants (N=31) who attended the Older Adult Sensitivity Training (OAST) program. Knowledge was measured using …

Implementing & Evaluating A Nurse-Led Educational Intervention For Bone Marrow Transplant Patients In The Acute Care Setting, Tia T. Wheatley

DNP Projects

Objective: The Bone Marrow Transplant (BMT) Basics Class is a nurse-led educational program dedicated to preparing patients and their caregivers of the treatment outline and self-care behaviors associated with receiving a BMT. The purpose of this project is to evaluate the effectiveness of this intervention in order to support the needs of the BMT patient and promote patient-centered care.

Study Design: Retrospective review to evaluate a quality improvement project.

Participants & Methods: As of July 2016, the BMT Basics Class became a standard of care at an NCI-designated academic cancer center in the southeastern United States. Between July 20, 2016 …

Reducing Preoperative Anxiety In Adolescents Facing Spinal Fusion Surgery, Anna Gayle Parke

DNP Projects

Reducing preoperative anxiety for adolescents facing spinal fusion surgery for the treatment of scoliosis has significant implications for clinical practice and patient outcomes for this specific population. The reality of a pending surgery creates a difficult, uncomfortable, and exhausting state of being that can lead to increased postoperative pain, sleep disturbances, and maladaptive behaviors. This final capstone project inquiry report presents three manuscripts which focus on the reduction of preoperative anxiety in adolescents facing spinal fusion surgery. The first manuscript is a literature review examining current evidence related to preoperative anxiety, adolescents undergoing spinal fusion surgery, and teaching programs aimed …

Simulation Using A Standardized Patient To Measure Perception And Congruency Of Spiritual Care For A Veteran From Three Perspectives To Inform Nursing Education And Practice, Mary E. Desmond

Dissertations

Spiritual care refers to a purposeful process of helping another find meaning and purpose

in life through a mutual connection. Providing spiritual care is a professional nursing mandate, yet nurses report barriers in education and practice. Veterans want spiritual care to promote quality of life, and to cope with military experiences and chronic conditions. Patients report receiving less than desired spiritual care and nurses report infrequent provision of spiritual care. It is also unclear how congruent patients and nurses are in their perceptions of spiritual care. A spiritual care simulation and performance checklist was developed using a review of the …

Factors Influencing The Perceived Stressors Of New Graduate Nurses Transitioning Into Acute Care Settings: A Secondary Data Analysis, Eileen K. Mahler

Theses & Dissertations

Background: The transition into practice of new graduate nurses continues to be of concern to the nursing profession. Smooth transition into practice takes on increased importance in the current era of healthcare transformation and resulting impact on the clinical environments within which nurses practice. It is important to study the stressors and challenges new graduates face in the practice environment. Methods: This descriptive study utilized secondary data analysis to explore new graduate nurses' self-report of clinical stressors during their transition into the professional RN role. Meleis’ Transitions Theory and Lazarus and Folkman’s Transactional Model of Stress and Coping provided the …

Developing An Educational Module On Compassion Fatigue, Francisca Chinyere Hennes

Walden Dissertations and Doctoral Studies

Compassion fatigue is viewed as a disconcerting issue facing healthcare professionals in the clinical care milieu, and nurses are identified as the most susceptible population among healthcare professionals. The purpose of this project was to create positive social change by helping oncology nurses find ways to enhance self-care and self-awareness, thereby reducing the risk of compassion fatigue and burnout among healthcare professionals. This project investigated an educational module on compassion fatigue that focused on (a) identifying the occurrence rates of compassion fatigue among oncology nurses, (b) evaluating the demographic features that were associated with the most frequent rates of compassion …

Compassion Fatigue In Mental Health Nurses: Understanding Cause, Effect, Prevention And Intervention, Anne Funk

Nursing Capstones

No abstract provided.

Important Strategies For Effective Family Planning Counseling, Savera Aziz Ali, Minaz Mawani, Gulshan Bano, Sumera Aziz Ali

School of Nursing & Midwifery

No abstract provided.

Rekindling The Passion For Nursing, Susan M. Cannon

Nursing Theses and Capstone Projects

Nurses often experience compassion fatigue and burnout when working in stressful environments. Nurses tend to put the needs of their patients above their own needs. It is imperative for the work environment to promote relaxation and restoration, to avert compassion fatigue and nursing burnout. All employees of the project director’s organization were encouraged to attend Caring for the Caregiver Day, a hospital-sponsored event which provided education and promoted self-help interventions aimed to decrease compassion fatigue and burnout. The event included aromatherapy, music therapy, art therapy, pet therapy, massage therapy, and education on compassion fatigue for nurses. In addition, the Progressive …

Healing At The End Of Life: Pastoral Responses And Ethical Challenges, Bro. Ignatius Perkins, O.P.

Faculty Conference Presentations

Presented to the Pontifical Faculty of the Immaculate Conception, Washington, DC, April 8, 2016.

Senior Nursing Students' Knowledge, Attitudes, And Confidence With End-Of-Life Care, Blanca E. Miller

Student Theses, Dissertations and Capstones

Background: Advance directives allow patients to put in writing the type of health care they want if they are unable to make decisions due to their medical condition. Purpose: The purpose of this study was to determine if there were differences in senior nursing students’ knowledge, attitudes, and confidence based on when the information is positioned in the curriculum. Theoretical: Social cognitive learning theory and Zimmerman’s self-regulation model provided the theoretical framework. Methods: This study reflected a non-experimental, exploratory design, with a convenience sample of senior nursing students from 2 different nursing programs in central Illinois. One program offers advance …

Helping Nurses Cope With Patient Death: Coping Resource Bundle, Brittany Esgro Bsn, Rn, Amy Gust Bsn, Rn, Kate Saunders Bsn, Rn, Courtney Yankelitis Bsn, Rn

Patient Care Services / Nursing

Esgro, B., Gust, A., Saunders, K., Yankelitis, C. (2016, March 14-17). Helping Nurses Cope with Patient Death. Poster presented at: Annual Nurse Residency Program Meeting, Bonita Springs, FL.

Esgro, B., Gust, A., Saunders, K., Yankelitis, C. (2016, 2015, September 10). Helping Nurses Cope with Patient Death. Philadelphia Area Magnet Meeting.

Esgro, B., Gust, A., Saunders, K., Yankelitis, C. (2016, March 14). Helping Nurses Cope with Patient Death: Coping Resource Bundle. Poster presented at: UHC/AACN Nurse Residency Program™ 2016 Annual Meeting & Chief Nursing Officers Council Meeting, Bonita Springs, FL.

Esgro, B., Gust, A., Saunders, K., Yankelitis, C. (2016, October 28). …

Vera Paoletti, Vera Paoletti, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Vera Paoletti became interested in nursing as a teenager after watching a close family member succumb to leukemia. This experience led her to work as a candy striper at Jefferson Hospital through her high school years and then enroll in the Jefferson Hospital School of Nursing in 1966. Once she graduated in 1969 Ms. Paoletti began her career as a nurse at Jefferson, first in surgery on Ninth Pavilion and then in oncology on Eleventh Pavilion before becoming head nurse first of a nineteen-bed unit reserved for VIPs and then two years later of Sixth Main. In 1975 she left …

Educating Nurses About Spirituality's Effects On Quality Of Life With Chronic Illness, April Gant

Walden Dissertations and Doctoral Studies

Spirituality has been associated with wholeness, inner peace, and key elements of well-being or quality of life. Spirituality support is particularly important for patients with chronic illness and patients who view spirituality as a way of coping with suffering. Evidence-based education is lacking in schools of nursing and in places of nursing employment on spirituality interventions that nurses can use to improve patient quality of life. The purpose of this project was to determine whether an educational intervention would increase knowledge of spiritual care in a small sample of clinic nurses (n = 37). This project used Watson's caring theory, …

Impact Of Simulation On Nurses' Satisfaction, Confidence, And Communication In Neonatal Resuscitation, Kathryn Rudd

Walden Dissertations and Doctoral Studies

Teamwork and communication in clinical practice improves with simulation using the TeamSTEPPS program. However, there is limited research about simulation efficacy for improving neonatal resuscitation through enhanced communication. Based on a needs assessment and literature review specific to quality improvement strategies for neonatal resuscitation, an enhanced neonatal resuscitation provider (NRP) course was infused with TeamSTEPPS communication strategies, and an NRP case was adopted for simulation training. Also, utilizing clinician feedback, the flow of the resuscitation documentation was revised. The purpose of this project was to evaluate the perceived level of confidence, satisfaction, and communication skills in nurses performing neonatal resuscitation …

Family Presence During Resuscitation: An Evaluation Of Attitudes And Beliefs, Alysia Adams

DNP Projects

Background: Family presence during cardiopulmonary resuscitation has been provided for more than 20 years (Hanson & Strawser, 1992). The American Association of Critical Care Nurses, The Emergency Nurses Association, The American College of Emergency Physicians, The American Heart Association, and The American Academy of Pediatrics have all endorsed family presence during resuscitation (AACN, 2004; AHA, 2000; Dingeman, Mitchell, Meyer, & Curley, 2007; ENA, 1994; Lowry, 2012). Despite validation by distinguished professional organizations, the option of family presence remains inconsistent. Objectives: 1.) To explore the attitudes and barriers to family presence during resuscitation. 2.) To examine the relationship between pre, midpoint …