Digital Commons Network^™

Doulas In Modern Health Care, Gabriella J. Lawrence

Soaring: A Journal of Undergraduate Research

This paper looks into whether the implementation of doulas by all hospitals would benefit mothers before, during, and after childbirth. Through previous research it is shown how traumatizing birth can be for mothers who don't feel that they have control within the labor and delivery room. High rates of augmentation, epidural anesthesia, and cesarean sections within hospitals are all causes of postpartum anxiety and depression among new mothers. By researching who a doula is and what they can do for mothers during childbirth, we can get a better understanding on how to prevent mental health disorders that are caused by …

2024-2025 Graduate Msn-Fnp Handbook, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2024-2025 Graduate Student Handbook for the Department of Nursing at Morehead State University.

Guideline For Management Of Alcohol Withdrawal Syndrome In A Southern California Jail, Tchuisse Hermione

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: In the United States, 52.8% of Americans aged 18 and older consume alcohol, with 29.5 million suffering from alcohol use disorder (AUD). In Los Angeles, 69.8% of Angelinos aged 12 and older suffer from AUD, and 33% of annual arrests are due to alcohol and other drugs. Alcohol withdrawal syndrome (AWS) develops after abrupt cessation of heavy drinking and is a common occurrence among incarcerated people when newly arrested, resulting in $1.3 billion in healthcare costs. Management of AWS using a fixed-dose therapy of benzodiazepines will improve the utilization of healthcare services in the correctional setting.

Objectives: The project …

Resilience And Compassion Fatigue Among Medical Nurses In Acute Care, Angela M. Vallier

Nursing Dissertations - Archive

Compassion fatigue impacts nurses of all backgrounds and specialties. This non-experimental, descriptive, correlational study design involved three research questions that examined medical registered nurses’ association between resilience and compassion fatigue. This study examined organizational factors, work-system factors, and individual factors that are influential to compassion fatigue and resilience among nurses working in general medicine units.

The Compassion Fatigue Short Scale® and Connor-Davidson Resilience Scale® were used to measure compassion fatigue and resilience among the participants in this study. The study included 98 registered nurses who worked in general medicine units in Southeast Texas. The results indicated a negative significant correlation …

Improving Health Literacy Through Knowledge And Technology, Maricela Hernandez

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Introduction: Health literacy is key in promoting positive health outcomes, particularly in older adults who often face difficulties understanding and managing complex medical conditions. Limited health literacy contributes to poor management of chronic conditions and health disparities, especially in disadvantaged populations.

Objectives: This project aimed to improve health literacy in older adults through a health literacy bundle.

Design: A pre/post single group design was used to evaluate the impact of the health literacy bundle on participants’ health literacy levels. The intervention was conducted over eight weeks.

Setting: The project was implemented in a small rural town in South Texas with …

Do Pediatric Patients That Receive Dexmedetomidine As Premedication Experience Less Emergence Delirium Than Pediatric Patients That Receive Midazolam As Premedication?, Shelby Mccloud

Theses, Dissertations and Capstones

Title: Do pediatric patients that receive dexmedetomidine as premedication experience less emergence delirium than pediatric patients that receive midazolam as premedication?

Problem Statement: Midazolam remains the current choice within the practice for premedication in the prevention of emergence delirium, however as research continues there could possibly be a gap between the research and current practice. Throughout the practice of pediatric anesthesia most providers choose to premedicate with midazolam while there may be a more beneficial option of dexmedetomidine.

Results: The study found a significant variance in the incidence of emergence delirium among pediatric patients, ranging from 18.1% to 89%, depending …

Memory Cart: Memory-Making Interventions For Nurses To Enhance The Meaningfulness Of End-Of-Life Care In The Icu, Grace Zimmerman

Articles, Abstracts, and Reports

No abstract provided.

Guideline For Sbhc Provider Education To Start The Hpv Vaccine At Nine Years Old, Jasmine K. Serrano

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

It is estimated that 80% of people worldwide, regardless of gender, will contract human papillomavirus (HPV) at some point in their lives. The HPV vaccine series prevents high-risk strains that are known to cause cancer and genital warts (Osaghae et al., 2022). School-based health clinics (SBHC) can increase access to and completion of the HPV vaccine series, which remains low throughout the United States (Javaid et al., 2017; Rane et al., 2021; Shah et al., 2020). This guideline was created to increase SBH provider education to start the HPV vaccine at nine years old. The project lead conducted a systematic …

Guideline For Breastfeeding Difficulty, Collin Naugher

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background

The American Academy of Pediatrics recommends exclusive breastfeeding for all infants until six months of age. In the United States, the exclusive breastfeeding rate is 52%, with a goal of 73% by Healthy People 2030 at six weeks of age. Breastfeeding difficulty will occur 70% of the time in mother-baby dyads, requiring some intervention by the primary care provider during the breastfeeding course. This study aims to build a clinical practice guideline that can guide interventions to improve successful breastfeeding rates in a birthing center.

Methods

The literature search was performed and condensed to an evidence table where studies …

Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: In the United States (U.S.), falls are the leading cause of injury among adults 65 and over, resulting in 36 million falls yearly (Moreland et al., 2020). According to the Centers for Disease Control and Prevention (CDC, 2023), one in four older adults experiences a fall each year. Falls are the world's second most prominent cause of accidental deaths (World Health Organization [WHO], 2021). Falls are the leading cause of both fatal and non-fatal injuries among older adults (Moreland et al., 2020).

Methods: A quality improvement project that included a fall bundle was implemented in a primary clinic. A …

Enhancing Commercial Driver Safety Screening For Obstructive Sleep Apnea Through Educational Intervention, Wendy Mortimer

West Chester University Doctoral Projects

This quality improvement project aimed to identify if an educational intervention will increase obstructive sleep apnea (OSA) screening in commercial medical drivers over six weeks. Eight healthcare providers certified as commercial medical examiners from a national occupational company in central Pennsylvania engaged in an optional educational poster for two weeks. A pre-and post-educational retrospective chart review was performed on 80 charts, 40 from pre-educational and 40 from post-educational. Each chart was reviewed to determine if the commercial driver was at risk for OSA and, if so, if the commercial medical examiner performed an obstructive sleep apnea screening. The educational intervention …

Dying Is The Easiest Part: Implications Of Palliative Care In America, Sophia Jordan

Undergraduate Honors Theses

The purpose of this paper is to uncover why Americans fear death. What are the foundational principles that cause most individuals of the American society to prolong the dying process? The topics discussed will include physician bias, disease mongering by pharmaceutical companies, consequences of aggressive treatment, the barriers to palliative care and the specific effects of pediatric palliative care. There is a small amount of research on this specific topic, therefore, this paper also seeks to bring awareness to the benefits of palliative care. It is the overall aim of this paper for society to shift their beliefs towards the …

Exploring The Impact Of Swimming On Asthma Management In Asian Americans, Trishtine Tran

Nursing | Senior Theses

Asthma is a respiratory disease that leads to narrowing of the airways in the lungs due to inflammation and mucus. Common symptoms include cough, wheezing, asthma attacks, excess mucus production, and decreased exercise tolerance. Pharmacological treatment methods for asthma include bronchodilators, corticosteroids, and allergy medications. Nonpharmaceutical treatments include monitoring of exposure to allergens and breathing exercises, however swimming is not as commonly suggested. The purpose of this study is to investigate whether implementation of a swimming education class will influence the effectiveness of swimming on asthma management in Asian Americans. This study aims to examine quality of life, changes in …

Empowering Caregivers In The Prevention Of Clinical Delirium For At Risk Older Adults Boarding In The Emergency Department Setting, Danielle Brewer

DNP Projects

Background: Emergency Department (ED) overcrowding is a global healthcare crisis documented in the literature for more than a decade, impacting patient outcomes and resource availability. While awaiting delayed transfer to an inpatient room, older adults in the ED remain vulnerable to developing acute delirium. Boarding potentiates the risk for worsening health outcomes, which are further compounded by delirium. Scarcity of resources and time constraints delay delirium detection and increase risk for down-stream hospital-acquired complications, higher cost, and prolonged length of stay. Current ED models do not prioritize caregiver partnership or involvement in delirium-conscious care, which is a holistic approach to …

Veterans Direct Admission Reassessment Tool Validation For The Reduction Of Rapid Response Code Blue, And Code Stroke Team Activations In Newly Arrived Direct Admission Veterans, Joshua Monroe Wells

DNP Projects

Abstract

Purpose: Rapid clinical assessment of newly arriving direct admission veteran patients to the Department of Veterans Affairs Health Care System (VAHCS) Lexington is of the utmost importance to determine current patient condition, alteration from previously known condition at time of provider acceptance or time of report, and appropriate level of care for these veterans. The facility has seen an increase in the number of unexpected patient declines by direct admission patients presenting to medical surgical units at the VA Health Care System Lexington KY. This recurrent decline resulted in the facility performing a Root Cause Analysis (RCA), which identified …

Enhancing Inpatient Sleep Quality In Patients On An Intermediate Care Unit Through Healthcare Staff Education: A Quality Improvement Project, Avery B. Drouin

Master's Theses and Capstones

Background

In the Intermediate Care Unit (IMCU), patients often suffer from poor sleep quality due to continuous overnight care and inherent hospital environment noise. Poor sleep can adversely affect recovery, especially for cardiac patients, who constitute a significant portion of the IMCU population. Improving sleep quality in these patients is essential for their recovery and overall well-being.

Local Problem

Despite the importance of adequate sleep, only 47% of patients in the hospital that houses the microsystem reported a quiet environment at night using the Hospital Compare online survey platform. Disruptions from alarms, phones, and care activities significantly impact sleep quality, …

Improving The Postpartum Depression Discharge Education To Increase Quality And Safety Of Care: A Quality Improvement Initiative, Amanda Lucia

Master's Theses and Capstones

Background: Postpartum depression (PPD) is the most prevalent psychological condition to affect mothers following childbirth which can have detrimental consequences on the physical and mental health of the mother, child, and spouse (Wang et al., 2021). Globally, postpartum depression affects 17.2% of the world population, and in the United States 1 in 8 women who recently gave birth reported symptoms of PPD, and 1 in 10 women reported experiencing a major depressive episode within a year following delivery (CDC, 2023). Patients’ spouses and family members are in a unique position to identify early manifestations of PPD which can lead to …

Midwifery Students' Experiences Of Learning To Be 'With Woman': A Scoping Review, Ashlee Guerin, Sadie Geraghty, Sheena Mcchlery, Mary Byrne

Nursing Papers and Journal Articles

Background: Being ‘with woman’ is a fundamental concept deeply embedded within the midwifery profession and profoundly impacts maternal and infant wellbeing and outcomes. The clinical experiences of midwifery students shape their learning outcomes, future practice, and career aspirations. Understanding midwifery students' experiences of learning to be ‘with woman’ is vital in shaping and optimising learning strategies for providing midwifery students with positive and effective student-centred learning outcomes.

Objective: This scoping review aims to gain meaningful insight and understanding into the existing literature on midwifery students’ experiences of learning to be ‘with woman’.

Design: The scoping review was conducted according to …

Exploring Racial Disparities In Sex Trafficking Special Docket Court Programs, Aaron Murnan, Gwen England, Samantha J. Boch, Caneacha Matthews, Henry Ofori Duah, Islam Qasem, Sarah Manchak

College of Nursing Faculty Research and Publications

Purpose: The United States criminal legal system has a long-standing and well-documented history of perpetuating racial disparities in health and well-being through inequitable policing, sentencing, and incarceration practices. In the last decade, the criminal legal system has re-considered their response to women arrested for solicitation via sex trafficking specialty courts. Methods: The current study leverages publicly available data from one large Midwestern county to explore the presence of racial disparities within women’s referral to, election to participate in, and success within one specialty court program for women in the sex trade. Results: Between 1990 and 2022, approximately 27,790 women were …

Inclusive Integration Of Refugees And Migrants In Djibouti's National Healthcare System: Current Situation And Prospects For Improvement, Farhan Houssein Ali, Njah Mansour, Kenza Hassouni

Health Sciences

Cet examen narratif vise à décrire et synthétiser les données actuelles sur la situation des migrants et des réfugiés à Djibouti, ainsi que les progrès de la stratégie d'intégration inclusive mise en œuvre par le gouvernement djiboutien. Il s'appuie sur diverses sources, notamment la littérature grise et les publications scientifiques. Les résultats indiquent que le nombre de migrants et de réfugiés est en augmentation constante depuis 2019, avec un état de santé vulnérable et des risques sanitaires alarmants. Il est urgent d'accélérer la mise en œuvre de la stratégie tout en l'adaptant aux données actuelles et d'établir un système fiable …

A Global Perspective Of Advanced Practice Nursing Research: A Review Of Systematic Reviews, Kelley Kilpatrick, Isabelle Savard, Li-Anne Audet, Gina Costanzo, Mariam Khan, Renee Atallah, Mira Jabbour, Wentao Zhou, Kathy Wheeler, Elissa Ladd, Deborah C. Gray, Colette Henderson, Lori A. Spies, Heather Mcgrath, Melanie Rogers

Ellmer School of Nursing Faculty Publications

Introduction

The World Health Organization (WHO) called for the expansion of all nursing roles, including advanced practice nurses (APNs), nurse practitioners (NPs) and clinical nurse specialists (CNSs). A clearer understanding of the impact of these roles will inform global priorities for advanced practice nursing education, research, and policy.

Objective

To identify gaps in advanced practice nursing research globally.

Materials and methods

A review of systematic reviews was conducted. We searched CINAHL, Embase, Global Health, Healthstar, PubMed, Medline, Cochrane Library, DARE, Joanna Briggs Institute EBP, and Web of Science from January 2011 onwards, with no restrictions on jurisdiction or language. Grey …

The Social, Mental, And Physical Health Impacts Of The Covid-19 Pandemic On People With Hiv: Protocol Of An Observational International Multisite Study, Yvette P. Cuca, Christine Horvat, Inge Corless, Craig Phillips, Álvaro José Sierra-Perez, Solymar Solís Báez, Emilia Iwu, Motshedisi Sabone, Mercy Tshilidzi Mulaudzi, Sheila Shaibu

School of Nursing & Midwifery, East Africa

As the COVID-19 pandemic spread across the world, immunocompromised individuals such as people with HIV (PWH) may have faced a disproportionate impact on their health and HIV outcomes, both from COVID-19 and from the strategies enacted to contain it. Based on the SPIRIT guidelines, we describe the protocol for an international multisite observational study being conducted by The International Nursing Network for HIV Research, with the Coordinating Center based at the University of California, San Francisco (UCSF) School of Nursing. Site Principal Investigators implement a standardized protocol to recruit PWH to complete the study online or in-person. Questions address demographics; …

Volume 15, Connor Thompson, Emily Steffenhagen, Emily Robertson, Luis Fernando Dos Reis, Emily Farmer, Samuel Villa, Robert Allison, Zachary Chessor, Megan Borden, Austin Burnett, Larry W. Grant Jr., Tristan Marowski, Emma Moore, Pearl Siff

Incite: The Journal of Undergraduate Scholarship

Introduction Dr. Amorette Barber, Director, Office of Student Research

From the Editor Dr. Hannah Dudley-Shotwell

Artist’s Statement Connor Thompson

On Mentorship Dr. John Miller

The Meat of the Matter: Alien, Human, and Animal in Terry Bisson’s “They’re Made Out of Meat” by Emily Steffenhagen

“Please REBLOG!”: An Ethical Analysis of Doxxing, Internet Vigilantism and Racists Getting Fired by Emily Robertson

Journaling: Paper Has More Patience Than People by Luis Fernando Dos Reis

The Effects of Climate Change on the Archaeological World by Emily Farmer

Lowered Seat Height Does Not Impair Wingate Performance in Untrained Cyclists by Samuel Villa, Robert Allison, …

Cervical Cancer Education & Prevention For Women In The Philippines, Kate Isabel Juanillo

Nursing | Senior Theses

Although cervical cancer is preventable, it continues to pose a significant health concern in the Philippines as evidenced by high cervical cancer diagnosis rates. The purpose of this quantitative study is to investigate low cervical cancer screening rates and the effectiveness of educational interventions in increasing awareness and screening rates. A literature review will examine topics such as low cervical cancer screening rates, cervical cancer screening methods, and barriers. This research proposal involves a quasi-experimental study that investigates education as an intervention for increasing cervical cancer awareness and cervical cancer screening rates. Fifty Filipino women will be randomly assigned to …

The Effect Of Nursing Education On The Utilization Of Kangaroo Mother Care And Weight Gain Of Preterm And Low Birth Weight Infants, Jhenalynn Valete

Nursing | Senior Theses

Aim: The goal of this quantitative study is to investigate if educating nurses about the significance of KMC will increase its utilization and promote weight gain in low birthweight and preterm infants. Additionally, it aims to find the optimal duration of KMC required to maximize health outcomes for the infant. This research proposal aims to provide nursing professionals with valuable insights, allowing them to effectively educate parents on practices that promote maximal weight gain in neonates.

Background: This is a cost-effective and natural way to enhance health outcomes such as temperature regulation, weight gain, respiratory function, pain mitigation, …

Breastfeeding Support In Your Pocket: Evaluating The Impact Of A Mobile App On Maternal Success, Maygan Brandt

Nursing | Senior Theses

Background: Breastfeeding has well-known benefits for both the nursing infant and the birthing parent. It bolsters the newborn immune system, and reduces the risk of future health conditions in both parties. Due to these advantages, several health organizations internationally recommend exclusive breastfeeding until 6 months of age. However, only a fraction of infants in the United States meet this goal each year. Improved rates and duration of exclusive breastfeeding will lead to better long-term health outcomes for patients. The use of smartphone applications for breastfeeding education and support has not been thoroughly researched. Objective: This thesis explores the feasibility of …

The Impact Of Clustered Nursing On Adult Patients In The Icu, Haley Armentrout, Jacob Sackett

Nurse Residency

Background: Patients in the intensive care unit (ICU) are at risk of developing many different complications due to the complex nature of their health conditions as well as the care required in the critical care environment. Among the different complications that can occur in this population, delirium and issues associated with mechanical ventilation are especially concerning.

Bridging The Gap In Health Literacy: A Quality Improvement Project, Sunny Rana

DNP Projects

Background: Health literacy is an important factor for healthcare outcomes. Measuring healthcare outcomes continues to be traditionally performed after implementation of interventions, however, the aspect of healthcare literacy pertaining to these outcomes is not always measured or evaluated. Understanding the patient’s health literacy can assist the provider to create and include individualized education at the patient’s knowledge level to increase comprehension, compliance, medication adherence and ultimately increase positive health outcomes.

Project Goals

1. Assess baseline literacy for the patients who appear in the practice for a visit over a three-month period.

2. Implementing the measurable METER tool which can provide …

Applying Samhsa Trauma-Informed Principles To A New Graduate Nurse Residency Program For Retention, Charman Harper

Nursing

The inability to retain new graduate nurses contributes to the nursing shortage. With an estimated cost of over $60,000 to train each new graduate nurse, the inability to retain new nurses financially burdens the healthcare industry (McClain et al., 2022). Current studies show that many new graduate nurses leave their jobs after one year (McClain et al., 2022). Without needed change, it will produce stress, anxiety, poor work performance, and decreased job satisfaction, impacting retention rates (McClain et al., 2022). In addition to the traditional new graduate residency program, incorporating the Substance Abuse and Mental Health Services Administration (SAMHSA) Trauma-informed …

Impact Of Nursing Student-Staff Nurse Interactions In Clinical Settings: A Literature Review, Elizabeth Joffe

Senior Honors Theses and Projects

Nursing students receive education and experience from clinicals where they are supported by clinical instructors. These instructors rely on staff nurses to provide much of the hands-on education, thus causing the staff nurses to have an influence on the students. The aim of literature review is to understand current research and findings in regard to the impact staff nurses have on nursing students while in the clinical learning environment. This literature review utilized multiple online databases. Searches were conducted on articles from 2016 to 2024 with specific key terms such as student-staff nurse relationships, clinical learning, belonging, incivility, and positive …