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Impact Of Traditional Education And Learner-Centered Education On Standardized Tests, Courtney Marie Winslow

Walden Dissertations and Doctoral Studies

There is a current shortage of approximately 45,000 nurses and nursing faculty to train student nurses, a number that is projected to grow. One proposed method to combat the shortage is to transition from traditional lecture-based classrooms to a learner-centered approach. Asking or requiring faculty to transition an entire nursing program from one teaching method to another without supporting data could be a waste of valuable time and resources. It could also prove detrimental to a program if students were unable to pass the NCLEX-RN exam, and a program was forced to close. The current study examined whether there was …

“Share The Fear”: Communication Concerns Of Parents With Cancer With Dependents And Coparents: A Qualitative Needs Assessment Study, Cinzia Caparso, Zoe Bowen, Sung Won Choi

Nursing Faculty Research Publications

Background: The estimated 1.6 million adults in the United States with cancer who also have dependents face unique challenges given the profound impact of cancer on their families, such as increased psychological distress, decreased quality of life, and altered family functioning. Unfortunately, little is known about the mutual cancer-related communication concerns for the perspectives of the parents with cancer or the coparents. Coparents care for the patient and dependents until they reach adulthood (e.g., unmarried, divorced, stepparent, and/or same-sex partnerships).

Objective: To understand the mutual cancer-related communication concerns from the perspectives of parents with cancer and the coparents and intervention …

Examination Of Nursing Staffs’ Perceptions Of The Covid-19 Vaccine Using The Health Belief Model, Aidan Cossio, Wilson Cobb, Addison Fugitt, Sandra Nielsen, Matthew Hesson-Mcinnis, Marilyn Prasun

Faculty Publications - Mennonite College of Nursing

Background:

The coronavirus (COVID-19) pandemic profoundly impacted patient care across the United States.

Objective:

To examine nursing staffs’ perceptions of the COVID-19 vaccine using the Health Belief Model (HBM) as a theoretical framework.

Methods:

A cross-sectional, anonymous, web-based survey was completed by practicing nursing staffs throughout the United States. Analyses involved descriptive and comparative statistics.

Results:

Of the 294 nursing staff who completed surveys, 50% were between 18 and 37 years of age, and 73.1% were registered nurses, with 49.3% employed in a hospital setting. Nursing staff reported their primary reason for vaccination was concern for others (mean: 84.44; SD: …

ปัจจัยที่สัมพันธ์กับอาการไม่พึงประสงค์ภายหลังการผ่าตัดของผู้ที่เป็นโรคเนื้องอกสมอง, บุญสิตา ทิงาเครือ

Chulalongkorn University Theses and Dissertations (Chula ETD)

การวิจัยครั้งนี้ มีวัตถุประสงค์เพื่อศึกษาอาการไม่พึงประสงค์และปัจจัยที่สัมพันธ์กับอาการไม่พึงประสงค์ภายหลังการผ่าตัดของผู้ที่เป็นโรคเนื้องอกสมอง ได้แก่ เพศ อายุ ตำแหน่งของเนื้องอกสมอง ภาวะโรคร่วม กิจกรรมทางกาย ภาวะโภชนาการ ความเข้มแข็งทางใจ และแรงสนับสนุนทางสังคม กลุ่มตัวอย่างคือ ผู้ที่เป็นโรคเนื้องอกสมองที่ได้รับการผ่าตัดไม่เกิน 6 เดือน ทั้งเพศชายและหญิง อายุ 18 ปีขึ้นไป ที่เข้ารับการรักษาแผนกผู้ป่วยนอก จากโรงพยาบาลจุฬาลงกรณ์สภากาชาดไทย โรงพยาบาลรามาธิบดี และสถาบันประสาทวิทยา จำนวน 120 คน ที่ได้มาจากการคัดเลือกตามคุณสมบัติที่กำหนด เครื่องมือที่ใช้ในการวิจัย คือ แบบบันทึกข้อมูลส่วนบุคคล แบบบันทึกข้อมูลการเจ็บป่วย แบบประเมินอาการไม่พึงประสงค์ แบบประเมินภาวะโรคร่วม แบบประเมินกิจกรรมทางกาย แบบประเมินภาวะโภชนาการ แบบประเมินความเข้มแข็งทางใจ แบบประเมินแรงสนับสนุนทางสังคม ผ่านการตรวจสอบความตรงตามเนื้อหาโดยผู้ทรงคุณวุฒิ 5 คน หาค่าความเที่ยงของแบบประเมินดังกล่าว เท่ากับ .86 - .99 การวิเคราะห์ข้อมูลโดยหาค่าความถี่ ร้อยละ ค่าเฉลี่ย ส่วนเบี่ยงเบนมาตรฐาน สถิติสัมประสิทธิ์สหสัมพันธ์ของเพียร์สัน และอีต้า ผลการวิจัยพบว่า กลุ่มตัวอย่างมีคะแนนเฉลี่ยของความรุนแรงของอาการไม่พึงประสงค์โดยรวม เท่ากับ 2.54 (S.D. = 1.47) โดยอาการที่พบมากที่สุด 3 อันดับแรก ได้แก่ อาการปวดศีรษะ อาการนอนไม่หลับ และอาการเหนื่อยล้า ตามลำดับ และพบว่า ภาวะโรคร่วม ภาวะโภชนาการ ความเข้มแข็งทางใจ และกิจกรรมทางกาย มีความสัมพันธ์กับอาการไม่พึงประสงค์อย่างมีนัยสำคัญทางสถิติที่ระดับ .05 (r = .47, r = -.44, r = -.36 และ r = -.24 ตามลำดับ) ขณะที่ เพศ อายุ ตำแหน่งเนื้องอกสมอง และแรงสนับสนุนทางสังคม ไม่มีความสัมพันธ์กับอาการไม่พึงประสงค์ภายหลังการผ่าตัดของผู้ที่เป็นโรคเนื้องอกสมอง

Nursing Care During Natural Disasters, War Zones, And Mass Casualty Incidents: Implications For An Educational And Professional Overhaul, Erin N. White

Undergraduate Honors Theses

Emergency situations around the world are inevitable. Any nurse who practices for any period of time is sure to encounter situations like these. Their hospital may be flooded with traumatic and severely life-threatening patient cases where supplies can become scarce. In these situations, a nurse and all other healthcare personnel are expected to act effectively, efficiently and in a highly organized way. Despite this need, many hospitals fail to implement effective disaster preparedness programs and plans. This leaves healthcare workers at a loss for how to treat patients, communicate within and outside of the hospital, coordinate transport, and all the …

Western Australian Mothers' Experiences Of Breastfeeding Support In Hospital After Birth: A Mixed Methods Study, Justine Van Der Watt

Theses: Doctorates and Masters

Background: The benefits of breastfeeding are well established for infants, mothers and the community, with the World Health Organisation recommending that infants be exclusively breastfed up to six months of age with an achievable goal of 70% globally. Yet in Australia only 15-37% may be reaching that goal. There have also been reported benefits and desires for mothers to be supported with their breastfeeding in order to increase and prolong breastfeeding duration and exclusivity, especially early after birth. However, there is limited research or literature exploring what experiences mothers are having with breastfeeding support, especially during their hospital admissions in …

Pediatric Vaccination Adherence: Enhancing Compliance Among First-Generation Asian American Parents, Katelyn Leong

Nursing | Student Research Posters

Background: Vaccine adherence in the pediatric population refers to receiving vaccines as per the recommended schedule, which significantly reduces vaccine-preventable diseases and enhances community immunity. Vaccine hesitancy, driven by concerns such as safety, misinformation, or cultural beliefs can affect adherence. National coverage of state-mandated vaccines among kindergarteners declined from 95% to around 93% between 2019 and 2022, varying across different vaccines. Objective: This research proposal’s focus is to determine if an educational intervention targeting first-generation Asian Americans, who have adopted their immigrant parents' misinformation about vaccines, will effectively increase vaccination rates among their children. The study aims to assess the …

Male Caregiver Strain: The Mental Effects Of Being An Informal Caregiver For A Family Member With Dementia And Alzheimer's Disease, Alessandra M. Barillas, Elijah Rammel B. Borja

Nursing | Student Research Posters

Background: Caregivers are vital in fulfilling patients' primary care needs, and families prefer them over sending their loved ones to skilled nursing facilities (SNFs). Alzheimer's Disease and Dementia are prevalent conditions necessitating continuous assistance due to memory and cognition impairments. As a result, support is essential for tasks like mobility, feeding, bathing, and perineal care, as well as emotional and physical challenges inherent in caregiving. Purpose: Upon diving into the mental health impacts of serving as an informal caregiver for individuals with Alzheimer's Disease and Dementia, a notable research gap becomes evident, especially concerning male caregivers. This lack of information …

Unleashing Wellness: Exploring The Impact Of Pet Therapy On Anxiety Reduction, Quality Of Life, And Treatment Adherence In Pediatric Oncology Patients, Karina Brouwer

Nursing | Student Research Posters

Pet therapy is a complementary type of therapeutics in which a person and animal have a guided interaction with the purpose of helping someone cope with physical and/or mental illness. Animal-assisted therapy is used in numerous settings and has been shown to reduce stress, lower blood pressure and heart rate, and decrease anxiety and depression (Husson University, 2022). In particular, pediatric oncology patients have enormous amounts of stress in their lives, which leads to increased anxiety and decreased quality of life (Children's Cancer Cause, 2023). While evidence shows that integrating pet therapy in pediatric oncology patients produces significant benefits on …

Postpartum Depression: The Effects On Infant Development During The First Year Of Life, Sophie John

Nursing | Student Research Posters

Childbirth is considered one of the most pivotal events in a woman’s life, bringing along profound changes. While often seen as joyful, the experience can be extremely challenging or stressful. This might trigger a wide range of emotions that can hinder a mother’s ability to care for herself as well as her newborn. Unlike temporary “baby blues,” postpartum depression (PPD) is similar to major depressive disorder, with symptoms like guilt, anxiety, hopelessness, and even suicidal thoughts. Though typically diagnosed within 4-6 weeks after birth, it often goes untreated or underdiagnosed due to inadequate screening. Untreated PPD can pose a risk …

Parental Presence Following Pediatric Invasive Procedures And Surgery, Jaymie Riza Torres, Franchesca Isabelle Andaya Lazaro

Nursing | Student Research Posters

Background: Pediatric patients are severely affected by preoperative anxiety which can lead to postoperative complications and delayed recovery. This could be attributed to their developmental stage which determines their response to stress and fear. Purpose: The purpose of this paper is to evaluate postoperative recovery outcomes in pediatric patients following the implementation of parental presence at the induction of anesthesia and upon first waking up. Method: This proposed research utilizes a mixed-method approach, combining qualitative and quantitative methods through a quasi-experimental study. The target population consists of pediatric patients between the ages of three and eight years …

Icu Nurse Mental Health: Telehealth Vs In-Person Therapy, Ariel Mach

Nursing | Student Research Posters

Background Nurses working within high-stress specialties, such as Intensive Care Units (ICUs), often face a lack of resources aimed at supporting their mental health. The expectation for the nurses is to independently manage their psychological well-being based on their knowledge and educational background. However, many times it is difficult to manage persistent stress, anxiety, or depression and this could adversely affect the quality of patient care and eventually lead to burnout. Telehealth therapy has become more readily available and used since the COVID-19 pandemic, leading to two forms of treatment delivery. Currently, there is limited research on the effectiveness of …

Assessing Disparities In Culturally Competent Care In Ethnic Burn Patients, Min Kang

Nursing | Student Research Posters

One of the most debilitating injuries one can suffer is a burn. It is even worse when certain individuals can not access the high quality care such as immigrants. With immigration rates increasing over the last several decades, these populations often lack the proper medical care that they deserve. The overarching theme in this population is that they face challenges in attaining positive patient outcomes due to cultural differences.

• Lack of Culturally Competent Care in Burn Care
• Addressing Cultural Safety and Quality of Care in Burn Injury Management
• Analyzing Disparities in Access to Culturally Competent Burn care

Maternal Stress On Preterm Birth In Asian American Women, Dana Ma

Nursing | Student Research Posters

Background: Pregnancy represents a crucial life event marked by numerous physical and emotional transformations. The presence of anxiety during pregnancy can negatively impact the health of both the mother and the developing fetus. Objective: This study aims to assess the impact of educational interventions such as meditation, relaxation techniques, and cognitive-behavioral therapy on reducing anxiety levels among pregnant Asian American women. Method: The quantitative true experiment will consist of 100 pregnant Asian American women meeting the inclusion criteria of singleton pregnancy, between ages 25 to 45, and absence of pregnancy complications. Participants will be conveniently sampled from OBGYN clinics in …

Specialized Support For Queer Women With Postpartum Depression, Dan-Tam Pham

Nursing | Student Research Posters

Queer women face disproportionately high rates of postpartum depression compared to heterosexual and cisgender individuals. Studies showed that queer women face heightened mental health challenges, including higher rates of depression and anxiety due to factors like discrimination, limited support systems, and negative healthcare experiences. There is a need for culturally competent, LGBTQ+ affirming interventions to improve maternal mental health outcomes; despite the health disparities faced by this population, research on specialized postpartum interventions is limited, revealing gaps in effective mental health care for queer mothers. The key search terms for the articles used in the study included: postpartum depression, queer …

Delayed And Misdiagnosed Endometriosis, Teresa Doyle

Nursing | Student Research Posters

Endometriosis is a chronic, painful disorder affecting approximately 10% of women of reproductive age globally.This condition arises when tissue similar to the endometrium, the lining of the uterus, grows outside the uterus, typically on the ovaries, Fallopian tubes, and other areas within the pelvis. Common symptoms of endometriosis include severe pelvic pain, fatigue, irregular menstruation, and infertility. These symptoms have a significant impact on women’s physical and mental health, affecting their interactions with their family, friends, and clinicians, often leading to significant impairment in their quality of life (Sims et al., 2021). The diagnostic journey for many women with endometriosis …

The Critical Role Of External Involvement In Supporting Adolescent Mothers Facing Postpartum Depression, Samantha Campopiano

Nursing | Student Research Posters

Postpartum depression (PPD) can occur in mothers after birth. PPD affects one in seven women during their first year of postpartum. PPD does not have a definitive cause, but underlying contributions include hormonal changes, metabolic pathway changes, and a new onset of stressors. After birth, the drop in estrogen and progesterone levels can trigger or worsen the depressive episodes seen in PPD. PPD risk factors encompass the following determinants: psychological, obstetric, social, lifestyle, and family history (Carlson et al., 2024). Postpartum depression is more common in adolescents than adult mothers (Phipps et al., 2013). Research shows adolescents who don’t have …

Understanding Arfid In Autistic Children Through Parent's Lens, Lisette Oviedo

Nursing | Student Research Posters

This poster presents a proposed study aimed at assessing parents' knowledge about their children with a dual diagnosis of autism and Avoidant-Restrictive Food Intake Disorder (ARFID) with the intent to develop future care strategies that are both person-centered and family-centered.

Evidence Synthesis Methodology: Promoting Reproducible Methodology Through Modified Assignments, Laura Lipke, Neyda Gilman

Library Created Resources

Initially, systematic reviews in healthcare served to synthesize findings from clinical studies, aiding comprehensive access to the most effective treatments within evidence-based practice. Over time, their scope has broadened beyond treatment effectiveness, leading to a surge in publication. Consequently, many health science faculty now assign systematic reviews in classrooms without a full grasp of the standardized process, leaving students ill-equipped due to insufficient guidance and resources.

While mastering systematic review techniques is crucial for evidence-based practice, faculty can opt for modified assignments to foster a deeper understanding of the review process. These modified tasks, can be completed within a semester, …

Evaluating The Effect Of Sleep Hygiene Education On Sleep Quality Among First-Year College Students, Caroline Lowe Cunningham

DNP Projects

Abstract

Background: The American Academy of Sleep Medicine recommends college students should get seven to nine hours of sleep each night. Only one-third currently meet this recommendation. Poor sleep negatively affects academic performance, mood, and interpersonal relationships. Sleep hygiene is recommended to improve sleep quality and quantity.

Purpose: The purpose of this DNP project was to determine the effect of implementing a sleep hygiene educational intervention in classes intended for first-year college students at the University of Kentucky.

Methods: This quasi-experimental project utilized the Pittsburg Sleep Quality Index to assess participants’ sleep before an in-person sleep hygiene education and after …

Implementing A Cardiovascular Bundle For Hypertension In Black Adults 18 Years And Older, Florence I. Chinwuba Dnp

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Hypertension (HTN) occurs in all ethnicities in the United States, but the prevalence in Black adults is disproportionate due to unhealthy dietary patterns and physical inactivity lifestyle behavior. This quality improvement strategic effort strived to educate Black adults on HTN to curb the health disparity. The quality improvement project focused on using a Dietary Approaches to Stop Hypertension (DASH) diet and physical exercise to reduce blood pressure in Black adults 18 years and older with hypertension. A one-group pre-test-post-test design was used in this project. The Plan-Do-Study-Act framework was utilized. The program was eight weeks in duration. All the participants …

Clinical Practice Guideline For The Management Of Depression In Primary Care, Estrella Catherine Villarreal

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: The prevalence of depression poses a significant challenge in primary care, emphasizing the urgent need to address this issue during patient visits. Primary care providers are at the forefront of managing depression, yet they encounter difficulties in screening, diagnosing, assessing, and treating this complex condition. Clinical guidelines serve as valuable tools for primary care providers and practices, offering support in identifying and addressing depression effectively. An evidence-based approach to treating depression in primary care, with a focus on collaborative interventions with behavioral health to enhance depression management for American Indian/Alaskan Native (AI/AN) communities.

Methods: The descriptive analysis was conducted …

Using The Electronic Medical Record To Improve Nurse Workload, Sharon C. Le Roux

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background

Equitable nurse-patient assignments have been associated with improved nurse well-being, patient satisfaction and outcomes. Despite this, in an academic medical center in the southwestern United States, there is no standardized process to create equitable nurse-patient assignments.

Objectives

The aim of this project was to improve inpatient oncology nurse well-being and satisfaction through the implementation of an EMR based nurse-patient assignment tool.

Methods

The IOWA Model-Revised for evidence-based practice was used as the basis for this project. Data collected included demographics, the Well-Being Index Survey, perception of satisfaction with manual workload tool, along with knowledge and use of the …

Guideline For Creating A Support Group For Adults With Down Syndrome Who Suffer With Prolonged Grief, Brandon Chace Warman

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Adults with Down syndrome process and express their grief differently from the general population. There are a multitude of support groups and organizations for individuals grieving a loss and experiencing prolonged grief but there are none that exist for people with Down syndrome. This project develops a guideline for creating support groups aimed at adults with Down syndrome who experience prolonged grief. Fifty-one pieces of literature from all over the world were reviewed to formulate recommendations that were graded by seven stakeholders. These recommendations were then used to develop a guideline for creating support groups for this population. Analysis of …

Implementation Of Prognosticator Algorithm For Initiation Of Serious Illness Discussions And Improving The Rate Of Palliative And Hospice Referrals, Joy Isebor

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Context: Early serious illness conversations related to end-of-life and goals of care with seriously ill patients have been associated with improving patients' outcomes and quality of care (Bernacki et al., 2015). However, initiating these serious illness discussions has been challenging in the home-based primary care setting.

Objectives: To train and support home-based primary care clinicians in integrating best practices in serious illness discussions and decision-making engagement among patients sixty-five and older with serious illnesses, optimize the alignment between patient goals and the medical care they receive, improving their quality of life and the rate of palliative care and hospice referrals. …

Obesity Management Guideline For The Correctional Setting, Rumi Y. Sato

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Obesity can cause multiple chronic conditions, including cancer and death. Los Angeles jail primary care clinics do not address obesity management despite health hazards, rising costs, and high obesity rates in correctional facilities. The Centers for Medicare and Medical Services (CMS) obesity-management guidelines are over ten years old and outdated. The aim of this Doctor of Nursing Practice (DNP) project was to update the CMS obesity-management guideline with the newest intense behavioral therapy (IBT) evidence to assist the correctional multidisciplinary healthcare team. This project took place in a Los Angeles correctional facility's primary care clinic. A detailed literature review gathered …

Guideline To Decrease Nursing Turnover In Intensive Care Units, Carol L. Mention

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Turnover rates of registered nurses working in intensive care units continue to increase significantly after the pandemic. Many nurses have left the profession due to the increased workload and stress during and after the COVID-19 pandemic. Having staffing challenges and turnover can affect the outcome of this patient population. Intensive care nurses experience workplace violence at an increasing volume. Also, robust nurse onboarding and training programs can help decrease turnover rates. The current national guideline does not address these concerns about nursing turnover. A guideline project was performed to identify needed recommendations based on evidence for stakeholders to …

Developing Toolkit For Adults With Autism Spectrum Disorder In An Oncology Outpatient Clinic, Brittany J. Johnson Dnp, Fnp-C

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Autistic adults are at higher risk of being diagnosed with co-occurring health conditions, and yet they are a vulnerable group for disparities in access and outcomes. One of the key barriers to better outcomes is poor patient-provider communication. This study the use of AASPIRE’s AHAT communication toolkit as a channel between healthcare workers and autistic adults to facilitate their appointments within the outpatient oncology department, as well as assessing healthcare providers’ knowledge and self-efficacy in caring for the patients. Sixteen healthcare providers (12 registered nurses and four patient care assistants) completed pre and post intervention surveys and utilized the AHAT …

Glutamate Optimization As A Treatment For Depression: A Clinical Guideline, Luisa Angeles Collins Villares

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Based on the use of drugs to treat hypertension and tuberculosis for depression, the monoamine hypothesis led to the development of antidepressants in 1952. Serotonin was recognized as a deficiency associated with depression in 1967. As a fine-tuning orchestration of neurotransmitters and neuromodulators, the glutamate system became known using Spravato in 2019 and Auvelity in 2022. In this pilot study, mental health experts rated the importance of 24 science-based recommendations to optimize glutamatergic therapy in depression for a proposed guideline on a Likert scale from zero to four. The results were analyzed using a non-parametric predictive modeling method called Chi-Square …

Intentions To Seek Mental Health Services Among Nursing Students In The United States: The Impact Of Adverse Childhood Experiences And Psychological Distress, Zainab Almogheer

Theses and Dissertations--Nursing

Supporting the mental health of university/college students is a crucial issue facing institutions of higher learning in the U.S. A web-based survey encompassing 196 campuses in the U.S. found that rates of diagnosed mental illness among college students has significantly increased in the last decade from 21.7% in 2007 to 35.5% in 2017 (Lipson et al., 2019). Despite the availability of mental health services within universities/colleges, students with mental health problems do not often utilize these services. Recognizing the significance of assessing the mental health of nursing students is paramount, as evident from a study where 35% of 170 participants …