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The Mechanism Of Sex Trafficking And What You Can Do About It, Benjamin J. Huebner

Senior Honors Theses

Awareness for sex trafficking is on a steady incline. Many organizations and events help to raise awareness for sex trafficking and often collect money to combat the issue. However, the unfortunate reality is that the public has gained a non-functional awareness of the issue. The public knows about the problem, they know that the number affected is astronomical, and they know that it is ugly, but they know of no tangible way to work toward the solution. Nothing is wrong with donating to an organization that is working to resolve the issue, but people need to be made aware of …

Grounded Theory And The Conundrum Of Literature Review: Framework For Novice Researchers, Mohamed T. El Hussein, Andrea Kennedy, Brent Oliver

The Qualitative Report

The issue of the literature review remains a conundrum and a controversy within the discourse on grounded theory methodology. Grounded theory researchers are expected to minimize preconceptions to ensure the concept of interest is grounded in data, yet at the same time are required to evaluate existing literature to support institutional ethics and scientific review of the research proposal. In addressing this dilemma, we espouse that literature review in grounded theory should comprise a multistage nonlinear approach to the literature and introduce a framework for novice grounded theory researchers. This framework offers a reflexive, dynamic and integrative process for conducting …

Improving Nursing Attitudes Toward Suicide Prevention In The Emergency Department: The Implementation Of An Adolescent Suicide Risk Screening Tool, Julie A. Simpson

Evidence-Based Practice Project Reports

The Center for Disease Control ranked suicide as the second leading cause of death for American adolescents (2015). This crisis of adolescent suicide warrants evaluation and improvement of current suicide prevention practices. The Emergency Department (ED) offers 24-hour services and may be the only organized healthcare for utilized by some individuals. Nurses are the front-line provider of care in the ED and this role offers opportunity to identify an adolescent with increased suicide risk. The purpose of this EBP project is to evaluate nursing attitudes toward suicide prevention by implementing the best practice screening tool for adolescent suicide risk assessment. …

Cultural Competence Of Pre-Licensure Nursing Faculty, Colleen Marzilli, Beth Mastel-Smith

Nursing Faculty Publications and Presentations

The purpose of this study was to determine the level of cultural competence (CC) in Texas pre-licensure nursing faculty and examine the relationships between demographics and CC scores. The researchers conducted a study to determine if demographics predicted the level of CC and explored the perceptions of CC. A convergent parallel mixed-methods design used data from a 2014 online survey with a qualitative interview component. Demographics were evaluated with descriptive statistics and CC was measured with The Nurses’ Cultural Competence Scale (NCCS). Qualitative data were analyzed using a constant comparative method. The level of CC was low to moderate. Three …

Improving New Graduate Critical Care Nurse Practitioner Knowledge And Retention Using A Dedicated Orientation And Mentoring Program, Katherine Huffer

Dissertations

Abstract

Background: There has been a significant amount of research into the many challenges that nurse practitioners (NPs) face as they transition from school to practice, however, there is limited research on how to improve this transition. Regardless of the setting in which the NPs are working, novices NPs alike report feelings of being unprepared and experiencing high levels of stress, anxiety, fear, and frustration. New research suggests that a comprehensive NP orientation and residency programs may provide a way to integrate the new NPs into their practice environment successfully.

Method: Kern’s Six Step Approach to Curriculum Development for Medical …

Compassion Satisfaction And Compassion Fatigue Among Pediatric Nurses And The Impact On Patient Satisfaction, Maribeth Thornton

Nursing ETDs

Compassion fatigue and compassion satisfaction are two inter-related concepts. Individuals in helping professions may occasionally face compassion fatigue from giving so much of themselves to others. Compassion fatigue has been studied in a variety of settings: medical, social work, nursing, law enforcement, and fire departments, to name a few. While some researchers have studied nurses, little published work has focused exclusively on nurses who care for specialty pediatric populations. Additionally, there is scant research on whether compassion satisfaction and compassion fatigue are associated with patient satisfaction. The purpose of this study was to determine the level of compassion satisfaction and …

The Lived Experience Of Relationship Transition In Significant Others Caring For A Partner With Younger Onset Dementia, Diane Peyser

Theses & Dissertations

Background

Approximately 5% of dementia sufferers are individuals younger than age 65. The majority of studies have focused on individuals with late-onset dementia. The limited studies conducted on caregivers of younger onset dementia individuals identify that they have a different set of needs based upon their unique experiences. Significant others such as spouses frequently fulfill the role of caregiver for a partner with younger onset dementia. Little is known about the lived experience of significant others caring for a partner with younger onset dementia in the context of relationship transition that occurs in this dynamic situation. This study illustrates the …

Examining The Relationship Between Medical Concerns And Overall Mental Health Rating, Sarah M. Wilson

Masters Theses & Specialist Projects

It is widely supported that there are significant, positive relationships between the occurrence of some mental health symptoms and physical illnesses. Research indicates that the burden experienced by those with a physical and mental illness are magnified compared to individuals who do not experience an illness. More specifically, one of the burdens experienced by individuals is the monetary burden of affording the necessary health services to properly manage their illness.

This study attempts to reveal a difference between mental health symptom count for individuals who do and do not experience difficulty affording health care for their physical problems. The first …

Leveraging National Reports To Transform Ambulatory Care Practice, Anne T. Jessie, Beth Ann Swan

College of Nursing Faculty Papers & Presentations

• Multiple national reports identify actionable recommendations to transform education and practice to meet the needs of health care and healthcare delivery beyond the hospital walls.
• The Josiah Macy Jr. Conference (2016) focused on transforming primary care and changing healthcare culture to support expansion of roles for registered nurses (RNs).
• Partnerships between academia and clinical practice are critical to expanding learning opportunities beyond traditional acute care settings.
• Development of primary care expertise in nursing faculty and adjunct faculty, in collaboration with primary care and ambulatory care nursing leaders, is essential.
• Academic-practice partnerships must advocate for removing regulatory and practice barriers to …

Developing A Clinical Tool For The Assessment And Diagnosis Of Pediatric Bipolar Disorder, Amanda Jill Horrocks

Doctoral Projects

Background: Pediatric bipolar disorder is a significant mental illness, characterized by changes in mood that can be abrupt, unpredictable, and extreme. The rate of diagnosis of this disorder has been increasing in recent decades. Purpose: A thorough review of existing literature was completed to inform practice. Additionally, a survey of clinician assessment practices was completed. Combining the information learned from the literature review, and the data from the clinician survey, a clinical tool has been created. This tool provides a thorough, multi-phasic process for the assessment and diagnosis of pediatric bipolar disorder. Method: Mental health clinicians were surveyed; respondents were …

Nursing Perspective Of Preparedness To Deliver End-Of-Life Care: A Descriptive Study, Caitlin B. Mccann

Nursing Masters

Abstract

Background: Death of patients in the intensive care unit (ICU) is often sudden and unexpected. When ICU care transitions from curative to palliative, nursing staff frequently feel ill prepared to effectively care for dying patients and their families [1, 2]. The purpose of this study was to identify ICU nursing staff’s perception of the effectiveness of current end-of-life care (EOLC) education methods and their preparedness to deliver EOLC to dying patients and their families.

Methods: A newly developed online survey was utilized on Qualtrics survey generator and distributed through social media to allow for snowball sampling. Descriptive statistics were …

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

Patient Care Services / Nursing

No abstract provided.

Social Integration Therapy For Autism Spectrum Disorder, Ashley Bourgois

Nursing Capstones

No abstract provided.

Screening, Brief Intervention And Referral To Treatment Implementation In The Emergency Department, Arvind Venkat Md, Gary Shank Phd, Sherry Rickard-Aasen, Janice Pringle Phd, William Johnjulio Md

The Qualitative Report

We sought to qualitatively evaluate impediments in implementing a novel Screening, Brief Intervention and Referral to Treatment (SBIRT) protocol into normal emergency department (ED) workflow for patients with at-risk drug/alcohol behavior. From 2010, administrative and nursing champions trained nurses at a single ED (census: 50,000 visits/yr) in SBIRT and incorporated SBIRT into normal ED nursing workflow in 2012. To qualitatively analyze impediments in SBIRT implementation, we created a semi-structured questionnaire for protocol champions with subsequent follow-up. Investigators analyzed responses using qualitative methodology based on a modified grounded theory framework. In 2012, 47693 visits by 31525 patients met SBIRT protocol initiation …

The Effects Of A Brief Yoga Intervention On Psychologic And Physiologic Measures In Women Recovering From Substance Abuse Disorders, Robi C. Hopp

DNP Projects

Women are the fastest-growing population experiencing substance use disorders (SUDs) in the United States. Multiple barriers e.g., mental health disorders, reduced self-efficacy, lack of social support have been identified and negatively impact acute and sustainable recovery efforts. The aim of this project was to evaluate the effects of yoga on mood status, biometrics, and self-efficacy toward yoga in a cohort at The Next Door, a substance abuse treatment center for women only. This was a quasi-experimental research approach with 14 women completing a total of 8 weekly yoga sessions over a ten-week period. Appropriate demographic data was collected. Measurements were …

Communicative Behaviors Elicited By Leisure Activities In Memory Care Units, Tarynn Clune

Honors Projects

A wide variety of leisure activities used in reminiscence care have been studied for their merits in terms of preventing cognitive decline, and increasing quality of life; however, little is known about what different types have to offer in terms of communicative opportunities. Communication with peers is imperative for quality of life, and is crucial for maintenance of relationships between the person with dementia (PWD) and their loved ones. As a result of this importance, an exploration of communication elicited by different activities facilitated in a unit was conducted. The communication explored in this study was solely vocal, and included …

Opening Up About Birth: An Autoethnographic Account Of Prolonged Labour, Petra B. Elias

The Qualitative Report

A woman’s first pregnancy can be both emotionally exciting and daunting. There are many changes to make, but there is little emotional support to adjust to the role, the focus being on the physical process which is most often managed medically (Spear, 2008; Zasloff, Schytt, & Waldenström, 2007) though warnings about what could occur are not routinely told (Kaitz, 2007, pp. 720-721). This paper presents an autoethnographic story of first time pregnancy and the unfolding labour. The methodology of autoethnography is a useful tool for conveying stories of lived experience at a level of detail often previously unrecorded, evoking for …

Correctional Nurses: Adult Opioid Dependence Referral Process, Christine Hilary Edmund

Student Theses, Dissertations and Capstones

Background: Correctional nurses make up a large part of the corrections workforce and have increasing responsibility for making decisions about patient care in the opioid dependent incarcerated patients. The National Commission on Correctional Health Care (NCCHC) has intoxication and withdrawal standards that advocate individuals entering a correctional facility under the influence or undergoing withdrawal from opioids have their therapy continued, or a plan for appropriate referral for treatment. The NCCHC standard that incarcerated opioid dependent inmates have their therapy continued or a plan for appropriate referral for treatment is not adhered to consistently, as the current process lacks organization. Purpose: …

Care Coordination In Bone Health Screening Between Individual Behaviors And Health Care Services Among Korean-American Women Across Three Age Groups, Young-Shin Lee

Asian/Pacific Island Nursing Journal

Integrated continuous care is important to prevent and treat brittle bone status in the aging process; however, minority groups often have limited access to health services. The purpose of this study was to identify the care coordination among women’s perceptions about their bone health, information from health care providers, and the results of Bone Mineral Density (BMD) tests across three age groups. The study was a cross-sectional comparative design. A total of 63 Korean American women completed both the assessment of BMD of the femoral neck and an interview survey. One’s own risks of osteoporosis, screening behaviors, and health care …

Developing Morally Sensitive Policy In The Nicu: Donation After Circulatory Determination Of Death, Michael Van Manen, Nicole Kain

The Qualitative Report

Policy development is an important activity for the practice of healthcare. Policies, after all, may cultivate common practices and ensure that best available evidence is employed in clinical decision making. Qualitative research and individuals with expertise in qualitative research methods have much to offer policy makers. We were confronted with the situation of developing policy for donation after circulatory death (DCD) for our newborn intensive care program. Due the moral-ethical complexities surrounding DCD, and the limited experience with DCD in this context, we approached policy development from an iterative design perspective employing qualitative methods. We describe our experience in employing …

A Critical Review Of Experiences Of Mentally Ill African Immigrants Living In The U.S, Josephine Moraa Masita

All Electronic Theses and Dissertations

Background: Historically, the U.S. has been known to lead the world in refugee resettlement. To date, the U.S. remains the top refugee resettlement country. Refugees are mostly people who have been forced to flee their home countries due to war, persecution, and violence. Because of their immigration status, unique backgrounds, religion, culture, values, perceptions, language barrier, perceived discrimination and stigmatizations, mentally ill immigrants especially those from African countries have posed a challenge to healthcare providers in the U.S. Purpose: The purpose of this research is to review and discuss experiences of mentally ill African immigrants living in the United States. …

Organizational Improvement Readiness Assessment (Oira) Tool Evaluation, Leslie Hough Falk

Doctor of Nursing Practice Projects

Background: Research shows that despite an increase in the number of organizational improvement initiatives there is a lack of consistent, sustained outcomes. Organizations struggle with how to reliably and accurately measure their readiness to drive and sustain outcomes. A search of the literature failed to identify a comprehensive, evidence-based tool that has been developed or evaluated to assess organizational improvement readiness. The objective of this project was to evaluate a newly developed Organizational Improvement Readiness Assessment (OIRA) Tool.

Project Design: Guided by two theoretical models, Delphi-Based Systems Architecting Framework (DB-SAF) and the Rogers Diffusion of Innovation Model, a 3-round, modified …

Creating A Rural Nursing Workforce, Heidi Johnston

Doctor of Nursing Practice Projects

Background: Nursing students living in rural areas often encounter barriers, real or perceived, to receiving education. These students may be unable to leave home to obtain higher education due to expectations, financial issues, and geography (Robert Wood Johnson Foundation, 2010), thus contributing to a shortage of qualified nurses in rural communities. Great Basin College (GBC) recently implemented synchronized distance education Synchronized Distance Education (SDE) for the (AAS) nursing program, and there was a need to conduct a program evaluation in order to maintain/improve program quality. One goal of Healthy People 2020 (2014) is improving access to comprehensive, quality healthcare services. …

Primary Care Nursing Barriers To Identifying And Referring Patients To Palliative Care, Angela F. Rutherford

Nursing Theses and Capstone Projects

Palliative care (PC) is an interdisciplinary approach that specifically focuses on improving quality of life for people living with chronic, life-limiting illnesses (Kelley & Morrison, 2015). Ideally, PC should be initiated at the time of diagnosis. Research suggest that PC referrals are often delayed until there is a clearly terminal event, leading to unnecessary suffering from preventable symptoms and poor quality of life (Wilson, Avalos, & Dowling, 2016). The aim of this MSN thesis was to determine what barriers exist in the primary care setting to identifying and/or referring patients to PC programs. A descriptive study was performed utilizing an …

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

Doctor of Nursing Practice Projects

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

The Health Of Human Trafficking Victims In San Diego, California: A Retrospective Study, Noelle Lipkin Leveque

Dissertations

Background/Purposes/ Aims: Human trafficking (HT) is a threat to human rights globally. Studies indicate between 28% and 87% of HT victims encountered a health care professional during their trafficking period. Nonetheless, little is known about the health care needs of victims of HT. The purpose of this study was to examine the health care needs of a self-identified group of trafficked women in San Diego County, California.

Conceptual Basis: The Model of Human Trafficking and Health by Zimmerman et al. (2011) was used to identify multiple determinates of health following the trafficking period including demographic factors (age at assessment, age …

New Graduate Nurses' Perceptions Of Their Delay To Professional Practice, Ruth Ann Obregon

Walden Dissertations and Doctoral Studies

This project study addressed the problem of knowledge and skills lost by new graduate RNs while delayed in transitioning to professional nursing practice. There is a paucity of knowledge about how new RNs experience their delay and how a delay may affect their future clinical performance. Mezirow's transformation learning theory was the conceptual framework for this qualitative case study. Research questions addressed new RNs' understanding of their experiences during a delay to professional practice. A purposeful sample included 8 new RNs who had completed a New Graduate Residency Transition Program (NGRTP) after a delay to practice of 6 months to …

What Are The Most Commonly Used Tools To Screen Depression In Hiv-Infected Gay And Bisexual Men?, Michael Isner

Honors Undergraduate Theses

Gay and bisexual men infected with human immunodeficiency virus (HIV) comprise a sizable, medically vulnerable population. Depression is the most commonly experienced mental health disorder affecting this group of people, lending itself to a host of risks associated with depression. As screening of depression in this population can be challenging, it is vital that clinicians have the best available tools and guidelines to detect depressive symptomology. This focused, comprehensive review of the literature examined current data describing the clinical instruments used to detect depressive symptoms in HIV-infected gay and bisexual men. The aim of this analysis was to seek out …

Community-Based Advance Care Planning Seminars: Increasing Knowledge In Decisional Adults, Molly Kuehl

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Healthcare workers care for patients with many comorbidities- many of whom enter the system without a clear understanding of their values and preferences. Private discussions about advance directives (ADs) are effective, but cost-prohibitive. Community-wide education campaigns may result in improved quality of life (QOL) (Blackford & Street, 2012a; Bomba & Orem, 2015; Pecanac, Repenshek, Tennenbaum, & Hammes, 2014; Wilson, Kottke, & Schettle, 2014). The purpose of this project was to determine whether community-based seminars about advance care planning (ACP) increase knowledge in decisional adults 18 and older. This project combined discussion format with an ACP presentation. The presentation was delivered …

Family Planning Practices Of Rural Community Dwellers In Cross River State, Nigeria., A. J. Etokidem, W. Ndifon, Ekaete Asuquo, J. Etowa

School of Nursing & Midwifery, East Africa

Background: Nigeria is the most populous nation in Africa and the seventh most populous in the world. Despite a high fertility rate of 5.5 per woman and a high population growth rate of 3.2%, Nigeria’s contraceptive prevalence is 15%, which is one of the lowest in the world. The objective of this study was to determine the knowledge of family planning and family planning preferences and practices of rural community women in Cross River State of Nigeria.

Materials and Methods: This was a cross-sectional study involving 291 rural women. Convenience sampling method was used. The women were assembled in a …