Digital Commons Network^™

Comparing Student And Np Faculty Simulation Satisfaction And Confidence Following Debriefing, Rhonda D'Agostino

Doctor of Nursing Practice Scholarly Project

The utilization of simulation technology can increase critical thinking, as well as advance practice skills, satisfaction and confidence in learning. The purpose of this research was to evaluate the impact of in-person student debriefing on students and NP faculty confidence and satisfaction in student learning utilizing standardized patient simulation. The study was open to the 50 enrolled students and 10 faculty participating in the summative SP simulation for advanced health assessment at Pace University’s Pleasantville campus. Students were randomly selected to undergo in-person debriefing by faculty. After simulation, students and faculty participated in a survey. Of the 33 students, 15 …

The Experience Of Young Adult Caregivers Of Patients With Left Ventricular Assist Devices (Lvads), Amy Emmarco

Seton Hall University Dissertations and Theses (ETDs)

Advanced heart failure is a serious diagnosis that is associated with limited options at the end stage of the disease. Left Ventricular Assist Devices (LVADs) are mechanical circulatory support systems that can be used for patients with end stage heart failure. These devices are complex and require specialized training to manage. Visiting home care services are unable to provide support and the management responsibility falls solely on the patient and their designated caregiver. Young adults serve in this caregiving role and very little is known about their specific journey. The aim of the study was to understand the experience of …

Strategies To Reduce Meditation Errors Hospitals, Elizabeth Davies

Walden Dissertations and Doctoral Studies

Each year, nearly 100,000 patients in the United States die as a result of medication errors. Medication errors are a concern to hospital leaders, resulting in increased expenses, extended hospital stays, and patient harm. Grounded in the Lean Six Sigma quality model, the purpose of this qualitative single case study was to explore the strategies three hospital managers in one hospital system in the eastern United States used to reduce medication errors. Data were collected through semistructered interviews, archival hospital documents, and analyzed using Yin's 5-step approach. The findings revealed key themes, including prioritizing staff training, building a safety culture, …

Implementing Online Educational Modules To Introduce Specialty Disability Care To Students In Undergraduate Nursing Programs, Keegan Brunner, Molly Helton

James Madison Undergraduate Research Journal (JMURJ)

In 2016, 1 in 4 adults reported living with a disability in the United States; however, few nursing schools include education about how to best care for these individuals in their curricula. Studies have found that when nurses and other healthcare workers have better attitudes toward patients with disabilities, it leads to better health outcomes. The literature suggests that education and exposure are the most effective ways to increase positive attitudes toward disabled communities. This study offered Equity Access modules titled “Disability and Healthcare” and “Accessibility” developed by Duquesne University to pre-professional health students planning on pursuing Nursing degrees at …

Staff Education To Use The Mental Health Risk Assessment Tool, Nkeiruka Okwuoma Okonkwo

Walden Dissertations and Doctoral Studies

Suicide/self-harm continues to be one of the most common sentinel events that could result in significant harm or death especially among mental health patients (Mills et al., 2020). Environmental hazards seem to be the primary contributing factor in patient suicide and self-harm cases. Thus, patient suicide remains a safety concern, especially in mental health facilities. It is important that nurses have the knowledge to prevent, identify, assess, and respond appropriately whenever they encounter patients at risk for suicide/self-harm. This Doctor of Nursing Practice (DNP) staff education project focused on educating staff on how to use the Mental Health Environmental Risk …

Universal Suicide Screening In Outpatient Primary Care And Specialty Care, Tamaria Featherlin

Walden Dissertations and Doctoral Studies

Native Americans are disproportionately affected by suicide, with mortality rates that are 2.5 higher than White and non-Hispanic Americans. Nursing staff in an Indian Health Service (IHS) outpatient and specialty care clinic inconsistently assess for suicide risk before outpatient and specialty clinic appointments due to sporadic use of screening tools and lack of confidence to ask patients suicide risk screening questions. The purpose of this staff education project was to determine if interactive education of outpatient nursing providers regarding universal screening for suicide risk using the Ask Suicide Screening Questions (ASQ) for patients who are 8 to 11. Patient Safety …

The Intersection Of Trust And Mental Health Among Lgbtqia+ Youth, Angel Smothers, John Sulkowski, Court Lanham, Kerry Drabish, Tanner Cole, Jaylyne Morgan

Mountaineer Undergraduate Research Review

No abstract provided.

Creating A Caring Culture, Julie Harrison-Swartz

Wisdom & Compassion: The LUSON Journal

Caring is a word that is synonymous with nursing. Nurses are equipped to engage in all aspects of patient care and be present. Caring and presence are also imperative in nursing education. While caring is instrumental to patient healing and outcomes, it is equally important in demonstrating care through nursing education. While convenient it is often difficult to express caring in the remote environment. This paper will describe a brief history of nursing, concept of caring, and nursing education.

Exploring The Impact Of Trauma Informed Care In Psychiatric Mental Health Nurse Practitioner Practice: A Holistic Approach To Healing, Sharon O. Obide

Doctoral Dissertations and Projects

This scholarly work seeks to establish the significance of Trauma-Informed Care (TIC) in the Psychiatric Mental Health Nurse Practitioner (PMHNP) practice to improve mental health results. Hence, TIC changes the paradigm from “What’s wrong with you?” to “What happened to you?” and recognizes the existence of trauma. This paper discusses how TIC can enhance patient communication, decrease patients’ Retraumatization, and enhance rapport with clinicians, resulting in improved outcomes for patients. The outlined project employs a quasi-experimental design and targets 50 PMHNPs in the University of Maryland Medical Center. The expected outcome involves the reduction of the symptoms of PTSD, enhanced …

Nurses’ Ability To Provide Diabetes Education In A Hospital Setting, Nicole Ancrum

Doctoral Dissertations and Projects

Diabetes is a destructive health problem that affects millions of people throughout the United States. Diabetes rates are drastically increasing, and diabetic adults have a higher risk of excessive hospitalization and readmission. One in every four or five hospitalized adult patients has diabetes. Hospitals nationwide are saddled with the responsibility of assessing the need for and supplying diabetic education. Registered nurses’ perception, awareness, and utilization of diabetes education are essential to patients’ ability and willingness to perform diabetes self-management interventions effectively. Meeting inpatient diabetes educational needs requires persistent, innovative strategies appropriate for available resources and staffing models. Nurses play a …

Reduction Of Inpatient Falls In The Treatment Of Patients With Behavioral And Psychological Symptoms Of Dementia (Bpsd), April Davis

Doctoral Dissertations and Projects

Aim: To identify if utilization of non-pharmacological interventions versus pharmacological interventions can promote the reduction of falls and potential injuries in patients with BPSD on an inpatient geriatric psychiatric unit, ultimately improving patient-centered treatment courses, outcomes, and improved QOL. Background: Falls in the elderly population have a significant impact on the patient and the health care system. Even though health care organizations have been dedicated to developing and implementing strategies to reduce and prevent patient falls, they remain unequivocally the leading cause of adverse events that occur during an acute hospitalization, causing significant injury, disability, morbidity, mortality, and financial burden …

“It Is What It Is” – The Lived Experience Of Women With Breast Cancer Undergoing Axillary Lymph Node Dissection, Eva Vikhe Patil, Anna Forsberg, Carina Wennerholm, Jenny Drott

Journal of Patient-Centered Research and Reviews

Purpose: The lived experience of women undergoing axillary procedures as part of their breast cancer (BC) treatment remains unexplored. This lack of in-depth understanding could hamper implementation of person-centred care, which is concerning because BC is the most common form of cancer in women. The aim of this study was therefore to explore the lived experiences of women undergoing axillary lymph node dissection (ALND) due to BC.

Methods: Twelve women with a mean age of 59 years were interviewed about their lived experiences of axillary procedures as part of their BC treatment. The interviews were recorded, transcribed verbatim, and analysed …

How Has Health Literacy And Digital Health Literacy Scholarship Evolved? A Global, Qualitative Study, Brooks Yelton Ma, Lmsw, Mayank Sakhuja, Simone Kavarana, Lauren Schaurer, Michelle Angelique Arent, Lorie Donelle Phd, Rn, Fcan, Mark M. Macauda, Samuel Noblet, Daniela B. Friedman

Publications

Health literacy (HL) is a key social determinant of health (SDoH) and is of increasing importance in public health research and intervention for improved health outcomes. Definitions of HL and digital health literacy (DHL) have evolved over time as the field has expanded conceptualization from an individual focus to the broader community and organizational levels. Careful consideration of HL and DHL for a variety of contexts and audiences is critical given increased global adoption of digital technologies and responses to emerging public health challenges. This study aimed to capture researchers' conceptualizations of HL/DHL and their motivations to engage in this …

An Epiq Mass Shelter Training For Public Health Nurses In Georgia To Improve Core Competencies In Disaster Preparedness: A Pilot Study, Ashlie L. Pullen, Sonya Shinhoster

Journal of the Georgia Public Health Association

Background: Research shows that nurses are often ill-prepared for disaster response. A survey conducted by the Georgia Department of Public Health Office of Nursing in April of 2021, demonstrated that 45% of the public health nurses surveyed had never deployed to a mass congregate shelter, and 43% reported they had no formal training related to emergency preparedness or mass sheltering. The purpose of this pilot study was to measure public health nurses’ improvement in familiarity with emergency preparedness and disaster response core competencies as defined by the Emergency Preparedness Information Questionnaire (EPIQ) after a focused educational program and tabletop workshop. …

An Integrated Review: Faith Community Nurse Transitional Care Model Health Ministry, Youn Kyeong Cummings

DNP Qualifying Manuscripts

The hospital readmission rate is highest among underserved communities, and providing a continuum of care to these populations can yield a greater reduction in the readmission rate. Church and faith-based clinics often help underserved communities, and equipping them with the transitional care model (TCM) and an Advanced Practice Registered Nurse (APRN) with specialized training as a Faith Community Nurse (FCN) can implement whole-person care, improve the health of the community, and reduce hospital readmission.

California has a 14.5% readmission rate. There is uncertainty surrounding the presence of transitional care departments in California's community hospitals, with some of these facilities offering …

Disclosure Patterns Of Opioid Use Disorders In Perinatal Care During The Opioid Epidemic On X From 2019 To 2021: Thematic Analysis, Dezhi Wu, Minnie Ng, Saborny Sen Gupta, Phyllis Raynor Phd, Aprn, Pmhnp-Bc, Youyou Tao, Yang Ren, Peiyin Hung, Shan Qiao, Jiajia Zhang, Jennifer Fillo, Xiaoming Li, Constance Guille, Kacey Eichelberger, Bankole Olatosi

Publications

BACKGROUND: In 2021, the United States experienced a 14% rise in fatal drug overdoses totaling 106,699 deaths, driven by harmful opioid use, particularly among individuals in the perinatal period who face increased risks associated with opioid use disorders (OUDs). Increased concerns about the impacts of escalating harmful opioid use among pregnant and postpartum persons are rising. Most of the current limited perinatal OUD studies were conducted using traditional methods, such as interviews and randomized controlled trials to understand OUD treatment, risk factors, and associated adverse effects. However, little is known about how social media data, such as X, formerly known …

Examining The Relationship Between Ethnocentrism, Perspective-Taking And Cultural Competence In Medical-Surgical Nurses, Lori Ann Palmieri

Seton Hall University Dissertations and Theses (ETDs)

This descriptive correlational study explored the relationships between cultural competence, ethnocentrism, and perspective-taking in practicing medical-surgical nurses living in the United States (US). Participants (N=111) were recruited from the New Jersey Board of Nursing (NJBON) and from the Academy of Medical-Surgical Nurses (AMSN). The survey consisted of three validated instruments a) the cultural competence assessment instrument (CCA-I); b) the generalized ethnocentrism scale (GENE); c) the perspective-taking (PT) subscale of the interpersonal reactivity index (IRI), and d) demographic profile questions. Data were collected via Qualtrics and analyzed with IBM SPSS Statistics (Version 28/29). Ethnocentrism and perspective-taking explained 30.2% of the variance …

A Quality Improvement Project To Address Academic Dishonesty And Clinical Misconduct Perceptions Among Undergraduate Nursing Students, Angela D. Phillips

Doctor of Nursing Practice Projects

Background/Context:

Seventy-two percent of undergraduate nursing students engage in academic dishonesty, increasing the likelihood of clinical misconduct. Clinical misconduct may compromise patient care. Student perceptions of dishonest behaviors may influence their actions in both academic and clinical environments.

Problem/Purpose:

This quality improvement project evaluated student perceptions of dishonest behaviors before and after watching an educational video created to increase awareness of academic dishonesty.

Outcomes/Results:

Fifty-seven students completed The Nursing Student Perceptions of Dishonesty Scale before and after implementation of an educational intervention. Students perceived behaviors as more dishonest, evidenced by an increase of subscale mean scores ranging from 0.01-1.11.

Potential …

Reducing Patient Falls In A Behavioral Health Unit: Improvement Through Audit Implementation, Kristin Gardner

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Fall-related events are a significant source of harm, with more than 700,000 patients falling every year in U.S. hospitals. The project was implemented in a 41-bed acute inpatient adult behavioral health unit (BHU). Over the last eight quarters, the BHU experienced an average of 3.16 falls per 1,000 days, exceeding the benchmark's median of 2.53 total falls.

Aim of the Project: The primary aim of this project was to decrease overall falls in an acute inpatient behavioral health unit.

Review of the Evidence: A comprehensive literature review identified intervention prevention bundles, compliance auditing, and staff education as effective ways …

Reducing Falls Through Enhanced Staff Compliance With The Fall Bundle, Lester Lubuguin

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem:

Patient falls represent a critical issue that incurs significant health and economic burdens for both individuals and healthcare organizations. Annually, falls and fall-related injuries are responsible for nearly 3 million emergency room visits and 1 million hospitalizations, costing an estimated $50 billion. Evidence suggests that a multi-factorial approach—often referred to as a "fall bundle"—is effective in reducing the incidence of falls. However, staff non-compliance with this bundle can undermine its effectiveness.

Aim of the Project:

The project aimed to reduce the incidence of falls by enhancing staff compliance with fall prevention measures through audits and feedback conducted by designated …

Enhancing Inclusivity In Primary Care On A College Campus, Amanda Finkle Plyler

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Individuals who identify as lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ+) face higher health disparities and are less likely to seek healthcare due to fear of being misgendered or judged by staff. Purpose: The purpose of this DNP project was to implement an intervention for college students seeking care at Student Health Services (SHS) that includes a question addressing preferred pronouns during establishment of care, creating the opportunity for staff to address patients appropriately and to provide gender-affirming care. Method(s): A pre and post intervention patient satisfaction survey related to sexual orientation and gender identity (SOGI), …

Assessing The Impact Of Mindfulness-Based Stress Reduction (Mbsr) On Emergency Nurses' Absenteeism And Receptive Awareness Of And Attention To What Is Taking Place In The Present, Rachael Moore Drake

Doctor of Nursing Practice Scholarly Projects

Problem: The changing terrain of modern healthcare has made emergency nurses' well-being a top priority. Within the small community hospital where this project was conducted, the issue of employee work-related stress was identified through managers' feedback and employee surveys. Purpose: Leaders employ a comprehensive mindfulness program based on assessed employee needs to understand the practical interventions to address work-related stress. This project implemented mindfulness-based stress reduction (MSBR) interventions and assessed emergency nurses' absenteeism and receptive awareness of and attention to what is taking place in the present. Method: The project utilized the Mindful Attention Awareness Scale (MAAS) to assess emergency …

Identifying Adolescent Depression In The Public School System, Laura Lee Griffith

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Twenty percent of United States adolescents experience major depression at some point. Elevated school dropout rates, substance abuse, chronic disease, mortality and morbidity rates, and impaired growth remain because 60 % of adolescents with unidentified depression do not receive treatment. Purpose: This evidence-based project identified adolescents aged 16-19 in a South Carolina high school who had symptoms of depression. Counseling and resource information were provided for students with scores of 10 or greater, or thoughts of self-harm on the PHQ-9. Method: Students were screened using the PHQ-9. Data was organized in Excel and analyzed using the T-tests and …

Increasing Pre-Procedure Communications To Decrease Colonoscopy Cancellations, Natalie Brooke Midkiff

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Colonoscopies play a vital role in early colorectal disease detection and prevention. Yet, the field of gastroenterology faces a persistent challenge - frequent procedure cancellations and incomplete examinations due to suboptimal bowel preparation. This not only compromises the effectiveness of colonoscopies but also poses potential health risks.

Purpose: This project aimed to reduce procedure cancellations and incomplete examinations by regularly communicating pre-procedure instructions and reminders through text messages and phone calls.

Inclusion Criteria: The criteria were clearly defined, targeting patients aged 18 and older who needed colonoscopies. This focus ensured the project's relevance to specialized gastrointestinal intervention. Establishing …

Identification Of Obstructive Sleep Apnea Symptoms Among Veterans In The Primary Care Setting, John Dominic Rosella Iv

Doctor of Nursing Practice Scholarly Projects

Untreated obstructive sleep apnea (OSA) has long-term cardiovascular and metabolic health implications, impacting quality of life and increasing health expenditures. Veterans have a higher prevalence rate of OSA attributed to an aging population and higher rates of comorbid conditions. The problem of under recognition of OSA symptoms partly relates to clinicians needing to elicit relevant symptoms routinely. At the same time, the lack of primary-care-based screening protocols contributes to the percentage of undiagnosed OSA. The purpose of this evidence-based project was to implement routine screening to identify OSA risk among veterans in primary care settings in South Carolina. The method …

Depression In Individuals With Chronic Liver Disease: Improving Screening In The Outpatient Setting, Kayla Corine Wright

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Individuals with chronic conditions such as chronic liver disease experience higher rates of depression, often underdiagnosed and placing high risk demographics in jeopardy of adverse outcomes, including worsening prognosis, decreased quality of life, and increased symptomatology.

Purpose: Evidence advocates for routine depression screening within high-risk patient populations. This paper outlines the implementation of a quality improvement initiative aimed at enhancing depression screening at a selected outpatient liver clinic within an extensive hospital system by implementing the PHQ-9 questionnaire during patient clinic visits, where no standardized screening protocol was previously in place.

Methods: The Plan-Do-Study-Act cycle guided the implementation …

Addressing Risk For Poor Health Outcomes By Establishing A Culturally Appropriate Community Nutrition Education Event, Tamara Bow

Doctor of Nursing Practice Projects

Problem Description

Poverty, decreased health literacy, and lack of community educational opportunities result in nutritional deficits. Students in the Umatilla School District and the surrounding community lack knowledge of the components of a nutritious diet. If not addressed, students and families are at risk of poor health outcomes.

Setting

The city of Umatilla has a population of 7,363, and the mean household income is $51,790 (United States Census Bureau, 2022). In the 2021-2022 school year, Umatilla School District 6R had 54% Ever English Learners, which included students who speak a language other than English at home (Oregon Department of Education, …

How The Lockdown Of Covid-19 Influenced The Neurocognitive And Psychosocial Development Of Preschoolers, Kay Picson

Nursing | Student Research Posters

The COVID-19 pandemic instilled a new normal across the world. Businesses turned to take out services and faced financial struggle. Hospitals enacted a visitor policy, limiting contact with patients, their families, and their friends. Schools closed their classrooms and moved to online learning from home, isolating children from their teachers, peers, and an optimal learning environment.

The literature review consists of six articles pertaining to the influence of the COVID-19 lockdown on preschoolers neurocognitive and psychosocial development. Specifically, the influence of the lockdown on preschooler mental health, executive function, and social skills. According to the research, the results were differential, …

Student Voice: Perceptions Of Sense Of Belonging And Involvement Among Underrepresented Prelicensure Nursing Students, Maria Peña

Dissertations (1934 -)

ABSTRACT STUDENT VOICE: PERCEPTIONS OF SENSE OF BELONGING AND INVOLVEMENT AMONG MINORITIZED PRELICENSURE NURSING STUDENTS Maria Y. Peña, MSN, RN, CNE Marquette University Efforts like holistic review admissions by nursing programs to create a more ethnically diverse student body have led to increased enrollment of students with underrepresented ethnic and cultural social identities. However, these students continue to experience higher attrition rates compared to their White, middle-class peers. Although both sense of belonging and student involvement are positively correlated with academic success, limited research explores these constructs together from the perceptions of students with underrepresented ethnic and cultural social identities …

Peer Counseling For Perinatal Depression In Low- And Middle-Income Countries: A Scoping Review, Alexander Cuncannon, Kailyn Seitz, Aneel Signh, Aliyah Dosani

Brain and Mind Institute

Perinatal depression is associated with adverse maternal, newborn and child health outcomes. Treatment gaps and sociocultural factors contribute to its disproportionate burden in low- and middle-income countries (LMICs). Task-sharing approaches, such as peer counseling, have been developed to improve access to mental health services. We conducted a scoping review to map the current literature on peer counseling for perinatal women experiencing depression in LMICs. We searched CINAHL, MEDLINE, APA PsycINFO, Global Health and EMBASE for literature with no date limits. We included 73 records in our analysis, with most being systematic reviews and meta-analyses, randomized controlled trials and qualitative studies. …