Digital Commons Network^™

Obstructive Sleep Apnea And Obesity: How Weight Loss Improves Sleep Apnea Severity And Quality Of Life - An Integrative Review, Hannah Wilson, Neda Akbarshahi

Master's Projects

Introduction: With the growing prevalence of OSA due to the obesity epidemic, there is an urgent need to update treatment regimens. While CPAP continues to be the gold standard of OSA care, challenges with adherence and limited access to effective weight management strategies often impede care. The complex bidirectional relationship between obesity and OSA highlights the importance of addressing weight management in this patient population to help mitigate cardiometabolic risks. Personalized weight loss therapies should be integrated into standard OSA treatment regimens to reduce OSA severity, reduce comorbid conditions, and improve quality of life.

Aim: The objective of this integrative …

Impact Of Educational Sessions On Compassion Fatigue Among Home Healthcare Nurses: An Evidence-Based Practice Project, Adebimpe Blessing Ogunsefunmi

Doctor of Nursing Practice Projects

Background: Nurses are compassionate professionals who provide critical care, often at the expense of their own well-being. As the healthcare system faces rapid changes due to an aging population, nursing shortages, and the impact of COVID-19, compassion fatigue has become increasingly common. Despite its prevalence, few healthcare institutions address this issue. Objective: The objective of this DNP project was to evaluate whether weekly educational sessions enhanced perceptions of a positive quality of life, which typically declines with increased compassion fatigue, as measured by the Professional Quality of Life (ProQOL) scale. PICOT Question: Do weekly educational sessions on compassion fatigue …

Exploring Intensive Care Registered Nurses’ Perceptions Of The Family Support Person During Family-Witnessed Resuscitation, Carmen Petersen, Martha O. Morales, Natalie Bermudez

Nursing & Health Sciences Research Journal

Background: In-hospital cardiac arrests are common occurrences that family members may be present for. Family-witnessed resuscitation (FWR) is a well-studied, evidence-based practice with positive outcomes for family members. However, some nurses disagree with FWR because of the potential for family member disruptions. The presence of a hospital-employed family support person (FSP) dedicated to providing care to family members during FWR may be beneficial in improving nurses’ perspectives on FWR. While evidence shows the benefits of the FSP for family members during FWR, there is little evidence related to nurses’ perceptions of the FSP. Therefore, the purpose of this qualitative descriptive …

Addressing End-Of-Life Care Education Gaps For Registered Nurses: A Quality Improvement Project, Mayra Villalba, Alejandra Angel, Arvinder Singh

Nursing & Health Sciences Research Journal

Background: As the global elderly population grows rapidly, end-of-life care (EOLC) needs have expanded, warranting comprehensive nursing education. There is a significant gap in exposure to EOLC during nursing undergraduate education, clinical experiences, and training opportunities in the professional setting. The purpose of this quality improvement project was to educate nurses about end-of-life care. Methods: In an established medical-surgical unit, hospice patients with comfort-only measures were placed into a cohort labeled Transitional Care Unit (TCU). Between October 2023 and May 2024, nurses working in the TCU were surveyed on their knowledge regarding EOLC. Staff attended mandatory education sessions after the …

Overdose Watch: Educate, Prevent, And Respond…Equitably, Amber Childress, Christine Nava, Genevie Porlaris

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

No abstract provided.

Domestic Violence And Mental Health In Pregnant Women, Arabella M. Co

Nursing | Student Research Posters

Background: Domestic violence can include verbal, emotional, and physical abuse, which can lead to long-term mental health disorders such as stress, anxiety, or post-traumatic stress disorder. Purpose: This research includes a literature review, as well as a proposed research design to examine the significance of intimate partner violence in relation to mental health by implementing screening methods and interventions. Method: Participants will be recruited from prenatal clinics around the Bay Area. A quantitative, randomized, controlled-trial cohort study will investigate the effectiveness of the Pregnancy Risk Assessment Monitoring Systems (PRAMS). A screening tool used in determining intimate partner violence within the …

Compassionate Care In Times Of Loss: Unraveling Nurses’ And Midwives’ Perspectives To Assess Preparedness In Stillbirth: A Review Article, Nabila Salim Ali, Arusa Lakhani, Salma Rattani, Sidrah Nausheen

Journal of Asian Midwives (JAM)

Perinatal death, including stillbirth, is a tragic event that significantly impacts holistically the well-being of affected families, particularly in low-middle-income countries (LMICs), where the incidence is alarmingly high. This paper explores the profound effects of stillbirth on parental mental health, emphasizing the associated risks of mental health challenges and examining the crucial role of nurses and midwives in managing stillbirth, from providing immediate emotional support to facilitating long-term coping strategies. Despite their essential role, they face significant challenges, including inadequate training, emotional burdens, and the need for culturally sensitive care practices. Through a comprehensive review of the literature, this paper …

Improve The Referral System Of Health Care Organizations In Rural Community Settings Of Pakistan Using Health Information Technology (Hit) - A Protocol, Saleema A. Gulzar, Alishah Aziz Gulzar, Zahid Ali Faheem, Ayesha Arif, Aamir Sarfaraz

Journal of Asian Midwives (JAM)

Pakistan is a developing country, with 65% of the population residing in rural areas. The rural population is considered vulnerable mainly due to several factors, including poverty. Climate change and the area's topography limit their access to basic human needs such as basic healthcare, affecting their quality of life. Most people lack basic information about the location and availability of healthcare facilities, including hospitals, diagnostic centres, pharmacies, and general clinics. Hence, the rural healthcare system lacks primary care physicians, nurses, midwives and allied health professionals. Inappropriate infrastructure makes it challenging to retain qualified professionals. A non-profit and non-governmental entity aims …

Kolcaba’S Comfort Theory: A Framework For Understanding The Significance Of Skin-To-Skin Care After Childbirth, Aqsa Nizar Ali

Journal of Asian Midwives (JAM)

Despite the WHO recommendations and evidenced-based results of skin-to-skin contact, it is quite an uncommon practice witnessed after childbirth. Compared to research conducted in low and middle-income nations, the majority of the studies conducted in high-income countries revealed greater rates of SSC [11]. Skin-to-skin contact, a nurturing practice, has gained significant recognition as a cornerstone of early infant care. Beyond its physiological benefits, skin-to-skin contact fosters a profound sense of comfort and connection between mother and infant. Kolcaba's theory of comfort, a comprehensive framework for understanding and promoting comfort, provides a valuable lens to explore the multifaceted benefits of skin-to-skin …

Adverse Childhood Experiences And Early Life Adversity And Their Effects On Chronic Health: A Literature Review, Ella Weatherford

The Eleanor Mann School of Nursing Undergraduate Honors Theses

With more than 439,000 annual U.S. deaths associated with childhood adversity, it is important to understand and prevent exposure to Adverse Childhood Events and Early Life Adversity. The purpose of this literature review is to identify and examine the pathophysiology between adverse childhood experiences (ACE’s) and their negative effects on health across the lifespan. Fifteen peer-reviewed articles that were published in notable journals were analyzed to include in this review. The results of these articles show that Adverse Childhood Experiences and Early Life Adversity can lead to the development of chronic inflammatory conditions across the lifespan. Using Barker Hypothesis and …

The Impact Of Hospital Protocol For Severe Alcohol Use Disorder, Meredith Jones

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background: Alcohol use disorder remains a prevalent condition within current society. For a smaller, but ever growing population, alcohol use evolves into a severe, addictive disease process. Individuals managing this disorder can suffer from acute withdrawals and further comorbidities causing eventual detriment. Medical institutions attempt to combat withdrawal with varying forms of treatment, utilized to manage symptoms and further issues “as needed.” As this condition becomes increasingly more pervasive within casual society, hospitals’ fragmented attempts to manage this disease process proves to be ineffective for this patient population.

Purpose: The purpose of this systematic review is to analyze current methods …

Constructing A Blueprint For A Professional Development Module On Interventions For Bullying And Self-Advocacy For Nursing Faculty, Glenn Murphy

Boise State University Theses and Dissertations

Bullying remains a persistent issue among nursing faculty. Nursing faculty often claim they do not have the communication skills or the confidence to address bullying behaviors and to advocate for themselves. Instead, they often avoid the perpetrators or accept bullying as part of the nursing education environment. One possible solution involves creating a professional development module for nursing faculty. My Delphi study led to the creation of a blueprint for a professional development module on interventions for bullying and self-advocacy for nursing faculty. Over the three rounds of online questionnaires, an expert panel of nursing faculty suggested content areas, recommended …

Improving Consistency Of Quality-Of-Life-Assessments In Schizophrenia Patients Through Structured Education For Healthcare Providers, Dorothy Stewart

Doctoral Projects

Schizophrenia is a chronic and debilitating mental disorder that significantly impacts patients' quality of life (QoL). Effective management of schizophrenia requires not only symptom control but also a comprehensive assessment of QoL to guide treatment plans. The Schizophrenia Quality of Life Scale Revision 4 (SQLS-R4) is a specialized tool designed to evaluate the unique challenges faced by patients with schizophrenia. However, inconsistencies in the administration and interpretation of the SQLS-R4 by healthcare providers have led to variability in patient care. This doctoral project aimed to address this gap by implementing a structured educational intervention for healthcare providers that focused on …

A Proposed Instrument To Determine Mobility Eligibility Criteria And Levels For Mechanically Ventilated Patients In The Intensive Care Unit, Keira Gabrielle Miller

Doctoral Scholarly Projects & Capstones

Immobility is a problem among mechanically ventilated patients in the intensive care unit. Early mobility has been shown to benefit mechanically ventilated patient outcomes by minimizing hospital stays and costs, decreasing the risk of infection, and improving muscle strength to lead to a better quality of life. No inclusive checklists exist to evaluate patients progressing to varying levels of mobility based on specific criteria such as hemodynamics, neurological function, and disease acuity. This gap was identified after a current and comprehensive literature review on early mobilization among mechanically ventilated patients. The purpose of this project was to combine a comprehensive …

Incorporating The Pcl-5 Self Assessment Tool In The Treatment Of Post Traumatic Stress Disorder Using Virtual Reality Therapy, Janette Sanchez

Doctor of Nursing Practice

Background. Post-traumatic stress disorder occurs when individuals experience a traumatic event causing symptoms of depression, anxiety, and cognitive difficulties (Sadock et al., 2017). Failure to assess changes in post-traumatic stress disorder symptoms can result in ineffective treatments (Department of Veterans Affairs & Department of Defense, 2023). Purpose. Implement the Post Traumatic Stress Disorder Checklist for DSM-5 screening tool as part of an outpatient clinic’s virtual reality exposure therapy protocol evaluating patients’ perceived effectiveness of virtual reality exposure therapy in post-traumatic stress disorder management. Methods. All staff and providers were educated on the use of the PCL-5 screening tool. Patients were …

Young Adults’ Perceptions Of Adverse Childhood Experiences As Context And Causes Of Mental Health Conditions: Observations From The United States, Kathryn Sabella, Ian A. Lane, Murron O'Neill, Natalie Tincknell

Faculty Publications (Peer-Reviewed)

Background

Objective

Participants and setting

Methods …

Building A Meditation Room To Improve Critical Care Nurse’S Work Environment: An Evidence-Based Practice Project, Jennifer Alonso, Daphne Pierre, Stephanie Wald, Stephen Breazeale

Nursing & Health Sciences Research Journal

Background: Burnout, stress, and compassion fatigue are common among nurses, especially for those working in intensive care and during night shifts, and may contribute to the global nursing shortage. Thus, nursing organizations have issued recommendations to improve workplace health. Aligned with these initiatives, we sought to improve nurses' stress by creating a meditation room in the intensive care unit at a hospital in Miami. Methods: This evidence-based practice project took place from March to August 2023. The meditation room opened in May 2023 with a variety of therapeutic modalities, including meditation, music, and aromatherapy. We conducted two custom-designed surveys to …

Enhancing Warning Signs Of Mental Health Literacy: Evaluating A Digital Base Intervention For Health Profession Students, Nashwa Ibrahim

Nursing

Background: Despite its importance, Mental health literacy (MHL) among nursing and other health profession students often remains inadequate, potentially impacting their future roles as healthcare providers. This inadequacy can lead to delayed or inappropriate care for individuals with mental health concerns, perpetuating adverse outcomes and increasing the burden on healthcare systems. Aim: To evaluate a digital-based intervention designed to enhance the warning signs of mental health literacy among health profession students. Design: A quasi-experimental, one-group pretest-posttest study design was used to conduct the current study. Methods: A non-randomized trial was conducted using digital mental health literacy intervention about the warning …

Relationship Between Nursing Care Provided For Children On Mechanical Ventilation And Their Clinical Outcomes, Marwa G. Abouheiba, Nehad S. Basiouny

Nursing

Background: Indication of mechanical ventilation are variable and diverse. It is required whenever the child is unable to maintain adequate alveolar oxygenation or ventilation. Objective: To assess the relationship between provided nursing care for children on mechanical ventilation and their clinical outcomes. Setting: The Pediatric Intensive Care Unit (PICU) of Alexandria University Children’s Hospital (AUCH)at El-Shatby. Subjects: Study subjects were included both nurses and children. The first part of the study are all nurses (30) worked at the previously mentioned setting were included this inclusion was regardless of their level of education and years of experience. The second part is …

Promoting Mental Health For Graduate Students: The Mind Matters Initiative, Kelly Donahoe, Marissa Marchman, Anna Ramos, Silvia Reyes

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

No abstract provided.

Enhancing Wellbeing In The Assisted Living Setting: Musical Memories And Pill Prep, Kinsey Hopkins, Audrey Maskiewicz, Ashley Nguyen, Kailynne Van Winkle

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

No abstract provided.

Care Beyond Incarceration: Grassroots Support For Community Reentry Success, Chelsea Bigelow, Rachel Bovenizer, Jessica Lebedeff

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

No abstract provided.

Exploring Relationships And Predictors Of Job Embeddedness And Intent To Stay In Acute Care Registered Nurses, Nada Wakim, Myriam Bigaud-Ambroise, Laurie Cogar, Natalie Bermudez

Nursing & Health Sciences Research Journal

Background: Registered nurse turnover is an enduring, ubiquitous global concern exacerbated by the COVID-19 pandemic. An estimated 13 million worldwide nursing shortage is projected with increased domestic U.S. 2021 turnover and vacancy rates. Examining phenomena, such as job embeddedness (JE), may provide further insight into nurses’ multifaceted reasons for remaining in a position. Evidence shows that nurse-leader influence and nurses’ financial situations are also factors associated with JE and intent to stay (ITS). Therefore, the purpose of this study was to explore the relationships and predictors between nurse participants’ characteristics (including direct nurse leader [DNL] influence, familial financial contribution [FFC], …

The Lived Experience Of Nurses Caring For People Experiencing Homelessness: A Descriptive Phenomenological Study, Debra Guerrini

Theses & Dissertations

Background:

Marginalized patient populations, such as people experiencing homelessness, receive a lower quality of care linked to stereotyping and biases (Alspach, 2018). Populations receiving substandard healthcare are often subconsciously identified by attributes such as age, race, mental health, housing, and social status (Padilla-Moledo et al., 2016). These stigmatized attributes can be the underpinning of bias. The health status of people experiencing homelessness is generally poorer than housed populations, with evidence demonstrating the difficulties they encounter when attempting access to healthcare (Klop et al., 2018).

Purpose:

The purpose of this phenomenological study was to explore and gain a more in-depth understanding …

Effectiveness Of Massive Open Online Course On Risk Communication Knowledge In Global Health Emergencies Among Nurses, Khin Thandar Aung, Rafiza Abdul Razak, Muhammad Fadli Zulkafely

Jurnal Keperawatan Indonesia

Massive Open Online Courses (MOOCs) have transformed education. The minimal usage of MOOCs in nursing education reveals a lack of continuous healthcare professional development. Although MOOCs are recognized as a viable means of continuing education for healthcare professionals, their application and content specifically tailored to healthcare have remained unexplored. This study aimed to determine the effectiveness of a dedicated Massive Open Online Course (MOOC) designed to enhance nurses' risk communication knowledge in global health emergencies through testing with a small nurse sample in a pilot trial. This preliminary examination seeks participant feedback and insights. A quasi- experimental research design was …

Cultivating Nursing Student Competency Through Serious Gaming Simulation-Enhanced Prebriefing, Shopha M. Tserotas

UNLV Theses, Dissertations, Professional Papers, and Capstones

Problem: Simulation is an effective teaching strategy for undergraduate nursing students, providing a safe environment for learning in a low-risk setting. However, students are not fully prepared to take full advantage of high-fidelity simulation activities. The purpose of this study was to examine the impact of serious gaming simulation-enhanced prebriefing on student competency and simulation effectiveness. Methodology: The study employed a quantitative, cross-sectional, quasi-experimental design using secondary data. Participants included undergraduate nursing students in a southern private university. The students were enrolled in the prelicensure nursing program and the obstetric or the transition to practice course. The control group received …

Metacognition Across The Curriculum, Amber Young-Brice

College of Nursing Faculty Research and Publications

For nursing students to succeed, they must reflect on their learning, think critically, and develop skills to adequately retrieve pertinent information relevant to patient care (Waryold et al., 2021). We often hear, “Just tell me what I need to know,” and witness students struggling to think deeply, reflect on if they are making the right decisions for the right reasons, and gain self-awareness of what they know and what they do not know. What can we do about this?

Reflecting On Diagnosis: The Metacognitive Diagnostic Reasoning Model©, Sarah L. Beebe, Angela M. Mcnelis, Majeda El-Banna, Kristina Thomas Dreifuerst

College of Nursing Faculty Research and Publications

Background:

Diagnostic reasoning is a complex cognitive process that requires intuitive, heuristic processing from knowledge and experience, as well as deliberate and reflective thinking. Evidence on interventions to improve diagnostic reasoning is inconsistent, in part because different terms and models are used to guide research.

Purpose:

To present a model of the factors of diagnostic reasoning in Advanced Practice Registered Nurses (APRNs), based on a review of the literature supporting the Metacognitive Diagnostic Reasoning (MDR) Model^©.

Methodology:

A review of the literature through systematic database search, historical articles, texts, and documents was conducted from inception through August 2023 …

Family Perceptions Of Palliative Care For Advanced-Stage Cancer Patients At Home, Mariam Dasat, Sigit Mulyono, Uswatul Khasanah, Stepanus Maman Hermawan

Jurnal Keperawatan Indonesia

Family assistance with palliative care for advanced cancer patients is very important in optimizing patients’ quality of life. The purpose of this study was to explore family perceptions of palliative service provision to advanced cancer patients at home. The study adopted a qualitative research design with a phenomenological approach based on in-depth interviews with six participants. The main theme that emerged was family perceptions of participation in palliative care programs for cancer patients at home. There were three subthemes: family administering additional treatment, the patient being resigned to and accepting their condition, and the patient being helped by treatment. The …

Assessing Knowledge And Preventive Practices Regarding Infectious Diseases Among Healthcare Workers In Hail City, Saudi Arabia, Sandro Costanilla Villareal

Jurnal Keperawatan Indonesia

Studies suggest that there may be gaps in knowledge and compliance with infection control measures among healthcare workers in Saudi Arabia. This study aimed to determine the knowledge of, and preventive measures employed by the healthcare workers in Hail City, Saudi Arabia, regarding infectious diseases. A cross-sectional design was employed, and the study participants were 265 healthcare workers aged 18 or older who were currently employed at government hospitals, involved in patient care or essential healthcare services, and fluent in English. Healthcare workers on leave, with cognitive impairments, with language barriers, or who refused to participate in the study were …