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The Uptake Of Skilled Birth Attendants’ Services In Rural Nepal: A Qualitative Study, Yuba Raj Baral, Jo Skinner, Edwin Van Teijlingen, Karen Lyons

Journal of Asian Midwives (JAM)

Aim and objective: The general aim of this research was to explore why women do or do not want to uptake Skilled Birth Attendants’ (SBAs) services during childbirth. The objective was to explore the factors affecting the uptake of SBAs’ services during childbirth in rural Nepal.
Methods: Semi-structured interviews were conducted. The data were analysed using thematic analysis.
Setting: The fieldwork was conducted in a rural area, in a western hill district of Nepal.
Participants: Interviews were conducted with 24 married women aged 18-49, who had given birth during the three years prior to the time of interview. Sixteen women …

Cost Analysis Of Large-Scale Implementation Of The ‘Helping Babies Breathe’ Newborn Resuscitation-Training Program In Tanzania, Sumona Chaudhury, Lauren Arlington, Shelby Brenan, Allan Kaijunga Kairuki, Amunga Robson Meda, Kahabi Isangula, Victor Mponzi, Dunstan Bishanga, Erica Thomas, Georgina Msemo, Mary Azayo, Alice Molinier, Brett D. Nelson

School of Nursing & Midwifery, East Africa

Background: Helping Babies Breathe (HBB) has become the gold standard globally for training birth-attendants in neonatal resuscitation in low-resource settings in efforts to reduce early newborn asphyxia and mortality. The purpose of this study was to do a first-ever activity-based cost-analysis of at-scale HBB program implementation and initial follow-up in a large region of Tanzania and evaluate costs of national scale-up as one component of a multi-method external evaluation of the implementation of HBB at scale in Tanzania.

Methods: We used activity-based costing to examine budget expense data during the two-month implementation and follow-up of HBB in one of the …

Does Empowerment Matter? Perceptions Of Nursing Leaders In Pakistan Through Qualitative Approach, Saleema A. Gulzar, Rozina Karmaliani Professor, Kausar S. Khan Ms, Rubina Barolia, Shirin Rahim, Aneeta Pasha

School of Nursing & Midwifery

Background: In a patriarchal society like Pakistan, where women are oppressed, women dominating professions like nursing is mostly seen as disempowered and requires considerable struggle to achieve its due recognition and respect.
Aim: This study aims to explore the experiences of empowerment among the nursing leaders of Pakistan. Methods: This study uses a qualitative descriptive design. Total of twelve Pakistani Nursing leaders were interviewed using semi-structured interview guideline to explore their experiences of empowerment.
Results: The study findings revealed five major categories which include: status of a nurse, nursing profession, power relationships, value-belief system, and leadership and management.
Conclusions: Nurses’ …

Decreasing Cost Associated Medication Nonadherence, Shawn E. Raymond

Doctor of Nursing Practice Scholarly Project

An Abstract of the Scholarly Project by

Shawn E. Raymond

Medication cost is a major contributor for patient medication nonadherence. Take in the fact that a large population lives in poverty, many cannot afford to pay the retail prices associated with purchasing their medications. By incorporating wholesale medications into a charitable health clinic, the reduced cost of medications for treatment of both acute and chronic illnesses could be passed on to those in need thereby decreasing cost associated medication nonadherence. Nurse Practitioners in the state of Kansas are not afforded the privilege to purchase, repackage and distribute or resell wholesale …

Nursing Preceptors And Meaning Making, Janice Miller, Brian Vivona, Gene Roth

The Qualitative Report

This exploratory qualitative study was performed in order to identify the potentially transformative learning experiences of nurse preceptors. Semi-structured in depth interviews with nurse preceptors revealed how the experiences of acting as a teacher, trainer, and coach to new nurses bridges the gap between formal education and nursing practice. The lived experiences and the reflections on those experiences were examined in order to identify how the preceptor derived meaning from assisting new nurses into the profession. Such critical reflection revealed how these experiences resulted in new meaning schemes as well as identified some barriers to performing the receptor role.

Resilience In Adolescents Who Survived A Suicide Attempt From The Perspective Of Registered Nurses In Inpatient Psychiatric Facilities, Denise M. Matel-Anderson, Abir K. Bekhet

College of Nursing Faculty Research and Publications

The number of deaths by suicide has increased over the last few years. The purpose of this qualitative study is to explore components of resilience in adolescents who survived a suicide attempt from the perspective of nine psychiatric nurses. Resilience was used as a guiding conceptual framework which proposes that resilience is the interplay between risk and protective factors. Three categories emerged including risk factors, protective factors, and future recommendations of suicide prevention strategies. The perspectives gained from this study will help develop nursing interventions for adolescents to overcome risk factors and to build on their protective factors.

Implementation Of A Comprehensive Clinical Toolkit For Postpartum Depression Screening: Breaking Barriers In Women's Health Care, Liza C. Rivera Dnp, Msn, Aprn, Whnp-Bc

Journal of Nursing & Interprofessional Leadership in Quality & Safety

A quality improvement initiative to increase screening of postpartum women to detect depression and appropriately refer women screening positive for follow-up care was implemented in an obstetrics and gynecology practice. Physicians in the practice (n = 13) completed an educational module on use and benefits of a toolkit and showed a significant post test increase. Review of patient medical charts found a significant increase in screening rate in an 8-week intervention cycle. Through means of establishing a protocol for appropriate referral for follow-up, the goal of referring 50% of women who screened positive was exceeded.

Psychometric Testing Of The Presence Of Nursing Scale: Measurability Of Patient Perceptions Of Nursing Presence Capability Of Nurses In An Academic Medical Center, Rebecca L. Turpin

Electronic Theses and Dissertations

Introduction: Nursing presence occurs when nurses expend themselves on the behalf of a unique patient. This phenomenon requires further research to develop instruments. The Presence of Nursing Scale (PONS) measures the patient’s perspective (Kostovich, 2012). Psychometric testing of PONS-Revised using exploratory factor analysis is warranted to further develop a reliable and valid measure of nursing presence. Contextual workplace variables need exploration in inpatient settings for correlation with nursing presence.

Method(s): A convenience sample of 122 adult inpatients from ten acute-care nursing units in a Southeastern Magnet hospital were surveyed to conduct the first psychometric testing of this revised instrument using …

Nursing Students’ Perceptions Of How Working As Nursing Assistants Impacts Their Education, Jerry Harvey

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to develop an understanding of how working as a nursing assistant impacts the ability of nursing students to meet the high demands of school during their junior year of a Baccalaureate of Science in Nursing (BSN) pre-licensure program. Benner’s Novice to Expert Theory, Situated Learning Theory, and the Johari Window Communication Model each suggested that immersing oneself in the culture of nursing would have positive outcomes for the student working as a nursing assistant. A qualitative phenomenological design was used to explore the following research questions: (a) What are the unique experiences of …

When Actions Speak Louder Than Words: Extending The Reach Of Qualitative Data Collecting, Justine M. Mcgovern

Publications and Research

Through the lens of a study exploring dementia care partnering, the purpose of this methods article is to focus on the role of artifacts and embodied data in data collection. In addition, it illustrates how to use a range of data collecting methods. The article identifies benefits of additional data collecting methods to research and care. These include the need to expand data collecting methods beyond spoken word, integrate a range of data collecting approaches into research courses across disciplines, increase support of qualitative research, and advocate for greater inclusivity in research. Data collecting approaches can also have implications for …

A Systematic Review Of Recruitment For Older Chinese Immigrants Into Clinical Trials, Wen-Wen Li, Yuaner Wu, Angela Chia-Chen Chen

Asian/Pacific Island Nursing Journal

Purpose: To identify barriers and discuss strategies for recruitment of older Chinese immigrants into clinical research studies.

Methods: A systematic review was conducted using Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA). PubMed, WEB of Science, CINAHL Plus, and the Cochrane Central Register of Controlled Trials were searched from 2001 to 2014. Empirical studies with Chinese immigrants aged 60 or older were identified and analyzed. Numerical analysis, such as calculation of response rates as indexes for recruitment outcomes, was conducted. Content analyses for recruitment barriers were abstracted.

Results: Thirteen studies of 4753 subjects were analyzed. Response rates ranged from …

Exploring The Effect Of An Interdisciplinary Teamwork Intervention In Acute Rehabilitation, Julie K. Cope

Theses and Dissertations

Purpose: The purpose of this study was to explore the efficacy of an interdisciplinary intervention on interdisciplinary teamwork and patient functional outcomes in an acute inpatient rehabilitation unit at a mid-sized regional hospital. Design: Pilot mixed-methods pre-post intervention study. Methods: Interdisciplinary teamwork and patient functional outcomes were measured before and after a teamwork intervention. Interdisciplinary teamwork was measured with the Healthcare Team Vitality Instrument (HTVI) and a qualitative staff questionnaire developed by a content expert. Patient functional outcomes were measured by aggregated Functional Independence Measure (FIM®) scores. Findings: Post-intervention FIM® gain scores increased significantly (p = .008). Staff questionnaire revealed …

Critical Care Nurses' Perceptions Of End-Of-Life Care: Comparative 17-Year Data, Nicole Lamoreaux

Theses and Dissertations

BACKGROUND: Nurses working in intensive care units (ICUs) frequently care for patients and their families at the end-of-life (EOL). Providing high quality EOL care is important for both patients and families, yet ICU nurses face many obstacles that hinder EOL care. Researchers have identified various ICU nurse-perceived obstacles, but no studies have been found addressing the progress that has been made over the last 17 years.
OBJECTIVE: To determine the most common and current obstacles in EOL care as perceived by ICU nurses and then to evaluate whether or not meaningful changes have occurred since data were first gathered in …

Commencement Program 2016, Loma Linda University

Commencement Programs

CONTENTS

1 | Message from the President

3 | 2016 Events of Commencement

5 | The Academic Procession

7 | Significance of Academic Regalia

9 | The Good Samaritan

10 | University History Highlights

12 | Loma Linda University Song - "Healing Love"

13 | The Speakers

21 | The University Honorees

36 | The School Honorees

56 | The President's Award Recipients

66 | The Program

• School of Medicine, 67
• School of Pharmacy, 90
• School of Dentistry, 98
• School of Allied Health Professions - Allied Health Studies, Cardiopulmonary Sciences, Clinical Laboratory Science, Health Informatics and Information Management, Nutrition and …

Predicting Burnout Among Psychiatric Technicians, Sarah E. Hernandez

Electronic Theses, Projects, and Dissertations

This thesis attempted to examine stressors associated with the psychiatric technician profession and levels of burnout amongst them. This was accomplished through the use of a survey which included demographic data, the Maslach Burnout Inventory Human Services Survey (MBI‑HSS), an adaptation of the Nursing Stress Scale (NSS) and a self‑care assessment tool. A total of three research questions were examined statistically including levels of burnout on subcategories (personal accomplishment, emotional exhaustion and depersonalization), most common stressors identified by psychiatric technicians and percentage of participants who utilized therapy to cope with work related stress. The survey was made available via survey …

Improving Suicide Risk Management In Military Primary Care, John A. Hoyos

Doctor of Nursing Practice Final Manuscripts

Background: In the military, completed suicides and attempt rates have risen across the services since 2001 by 82% per 100,000 in spite of various intervention programs. The literature suggests that absent and inadequate suicide assessments may be part of the problem. Primary care providers are often not prepared for risk assessment and management of suicidal patients.

Aim/Purpose of Project: The project sought to improve the consistency of providers in conducting adequate risk assessments and providing crisis hotline information to patients who were cleared to return home after an encounter, as required by NPSG 15.01.01.

Project Plan Process: This evidenced-based project …

Integrating Improved Geriatric Content Into A Nursing Curriculum: Enhancing The Competencies Of Nursing Students In Gerontological Care, Sylvia Andrade

Doctor of Nursing Practice (DNP) Projects

The United States is facing a critical shortage of health care professionals who are trained in geriatrics. Among the health care professions, nursing, with more than 3 million members, comprises the largest segment of the nation’s health care workforce. New nurses entering this workforce find themselves caring for an extraordinarily large number of older patients with complex health care needs, regardless of the care setting. Currently, 36 million Americans are aged 65 or older. By 2030, that number will double. Accordingly, the need is significantly greater for more gerontologically trained registered nurses to address the complex health care needs of …

Rural Nebraska Women's Explanatory Models Of Postpartum Depressive Symptomatology, Elizabeth Mollard

Theses & Dissertations

The purpose of this study was to construct the explanatory models of postpartum depressive symptomatology (PPDS) from the perspective of rural Nebraska women and to compare these models with the medical model of PPDS. A sample of 20 rural Nebraska women were interviewed in a one-on-one qualitative descriptive telephone interview using questions based on Kleinman’s (1980) explanatory model of illness. This study used feminist pragmatism as a guiding philosophical paradigm. Qualitative data were analyzed using content analysis, and results were compared and contrasted with the medical model of PPDS, which included the onset, symptoms, and duration listed in the DSM-5 …

Care Transitions: A Mixed Methods Study Using A Complexity Science Lens, Carol Geary

Theses & Dissertations

Research studies on care transitions from hospital to nursing home are few and heterogeneous, offering an inadequate characterization to support practice. The purpose of this study was to characterize multiple care transitions among hospitalized older adults with advanced chronic disease who were discharged to a nursing home. This prospective, mixed methods study used multiple case studies with an embedded quantitative strand and multiple sources of information.

Four cases included an index patient (an older hospitalized adult with advanced chronic illness), his or her informal caregiver, if available, and healthcare providers involved in the index patient’s care. Two hospitals and two …

Mindfulness-Based Intervention For Perinatal Grief Education And Reduction Among Poor Women In Chhattisgarh, India: A Pilot Study, Lisa R. Roberts, Susanne B. Montgomery

Interdisciplinary Journal of Best Practices in Global Development

INTRODUCTION: Stillbirth is a significant public health problem in low to middle income countries and results in perinatal grief, often with negative psychosocial impact. In low-resource settings, such as Chhattisgarh, India, where needs are high, it is imperative to utilize low-cost, effective interventions. Mindfulness-based stress reduction (MBSR) is an empirically sound intervention that has been utilized for a broad range of physical and mental health problems, and is adaptable to specific populations. The main objective of this pilot study was to explore the feasibility and effectiveness of a shortened, culturally adapted mindfulness-based intervention to address the complex grief after stillbirth. …

The Effects Of Continuing Education On Nurse Knowledge Of Safe Haven Laws In Illinois, Lindsay Thiemkey Gordon

Evidence-Based Practice Project Reports

Illegal and often fatal infant abandonment is a pervasive public health crisis. Safe Haven Laws (SHLs) help to prevent illegal infant abandonment by allowing specific professionals, including nurses, to accept unharmed newborns within statutorily defined parameters. SHLs have existed for nearly two decades, yet many healthcare workers are not knowledgeable about these laws: this implies that initial efforts to educate healthcare workers about SHLs have been ineffective. Continuing education supports lifelong learning which is a basic tenet of nursing practice. The purpose of this evidence-based practice (EBP) project was to teach nurses about SHLs through evidence-based continuing education. Literature firmly …

Rekindling The Passion For Nursing, Susan M. Cannon

Nursing Theses and Capstone Projects

Nurses often experience compassion fatigue and burnout when working in stressful environments. Nurses tend to put the needs of their patients above their own needs. It is imperative for the work environment to promote relaxation and restoration, to avert compassion fatigue and nursing burnout. All employees of the project director’s organization were encouraged to attend Caring for the Caregiver Day, a hospital-sponsored event which provided education and promoted self-help interventions aimed to decrease compassion fatigue and burnout. The event included aromatherapy, music therapy, art therapy, pet therapy, massage therapy, and education on compassion fatigue for nurses. In addition, the Progressive …

School Mental Health Guide For Educators, Yvonne Smith

Nursing Theses and Capstone Projects

This Capstone Project explored the impact of providing a staff development program to educators in a public school setting to address rising concerns over unmet student mental health needs in this school setting. Student mental health response and referral had become prominent concerns in the project school. The project leader developed two separate sessions addressing adolescent depression and mental health. The sessions, facilitated by the project leader and the project implementation team, represented the interprofessional disciplines of nursing, counseling, and social work. Each session addressed issues of confidentiality, definition and signs/symptoms of each conditions, common treatments, evidenced-based classroom strategies and …

Student's Assistance And Contribution To Their Community After Participating In An Emergency Prepardeness Inter-Professional Collaborative Practice Simulation, Elizabeth Scott, Ronda Chrstman, Sonia Wrate, Rebecca Retzer, Laura Racovita-Szilagyi, Cynthia Gettys, Brooks Kirschmann

Faculty Works

Poster presented at Teaching to Transform for the New Reality of Nursing Practice. The 12th Annual Nursing Faculty Development Workshop at University of Kentucky. Lexington, KY in May 2016.

Identification Of Predictors And Moderators Of Weight-Related Behaviors In College Students., Heather Owens

Electronic Theses and Dissertations

College students are at increased risk for weight-gain and obesity compared to their non-student peers. Although many studies have confirmed these findings, few address the underlying causes of weight-related behaviors in college students. Associations between sleep behaviors (sleep duration and sleep quality), stress and weight-related behaviors (physical activity and food choices) have been identified, but studies have not adequately explored these associations among college students. Further, the influence of bioecological determinants of health cannot be overlooked when addressing health-related behaviors in diverse populations. The purpose of this dissertation was to explore factors impacting sleep behaviors and weight-related behaviors in college …

Preoperative Depression And Postopertive Outcomes In Older Adult Cardiac Surgery Patients, Alaina Michelle Tellson

Nursing Dissertations - Archive

Depression following cardiac surgery has been reported in older adults; however, the evidence to date does not clearly specify the onset of depression and its relationship to cardiac surgery. The purpose of this descriptive, correlational study was to examine the association between preoperative depression and selected postoperative outcomes in older adults following CABG surgery. The five selected postoperative outcomes were 30 day readmission rate, hospital length of stay, intensive care unit length of stay, ventilator time, and 30 day mortality. A sample size of 87 older adult cardiovascular surgery patients was selected for this study. Thirteen (14.9%) of the participants …

Relationship Between Parental Alcoholism And Family Unpredictability, Kamie L. Stephens

Honors Theses

This research is a retrospective study on adult children of alcoholics using a previous researcher’s, Dr. Ross, unpredictability scale. Family Unpredictability is defined as “a lack of consistency in family behaviors and regulatory systems,” (Ross and Hill, 2000). There is currently a lack of research related to parental alcoholism and its effect on family structure. The researcher hopes to gain insight on the relationship between parental alcoholism and family unpredictability. Previous research suggests children growing up with a caregiver who is an alcoholic experience a higher level of unpredictability in the home. Examples of this unpredictability are: a decreased amount …

Screening Initiative For Non-Stroke Geriatric Inpatients, Kimberly Harper

Doctoral Projects

Current literature reveals a need for improved depression screening efforts among inpatient geriatrics. This population is at higher risk for severe depression, suicidal ideations, poorer health outcomes related to decreased compliance to healthcare regimens, and increased healthcare costs. Current best practice involves the utilization of the Geriatric Depression Scale-Short Form (GDS-SF), a 15-question yes or no answer screening tool. While not diagnostic, the tool has established validity and reliability testing. The GDS-SF should not be used on subsets of the population diagnosed with stroke, dementia or delirium.

The purpose of this project was to develop a protocol for implementation of …

Effects Of An Educational Intervention On Exclusive Breastfeeding Rates In Marshallese Mothers Residing In The U.S., Bentley S. Snider

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Abstract

Background: The Marshallese are one of the fastest growing migrant populations in the U.S. They have considerable health disparities despite their increasing access to health care. The Marshallese women in this population prefer to breastfeed, but have encountered many cultural barriers that have deterred them from exclusively breastfeeding for a significant amount of time. Breastfeeding is linked to many protective benefits for children’s health, such as decreasing the likelihood of obesity, even into the adult years.

Objective: The purpose was to evaluate the impact on breastfeeding rates through implementation of a culturally significant educational intervention for the …

The Impact Of Intensive Case Management On Hospice Utilization, Debra Lowry Hummel

Doctoral Projects

Objective: The purpose of this study is to examine if patients enrolled in multi-disciplinary intensive case management program (ImPACT) alter the patient’s end-of-life path or setting of death.

Methods: The quality improvement project is a quantitative retrospective study that compared patients receiving standard primary care vs intensive case management (ImPACT) during 2/2013-1/2014. It is a secondary analysis of a larger study of a quality improvement evaluation that took place at the Veterans Administration facility in Palo Alto, Ca.

Results: Among the 82 patients who died, 19 were enrolled in ImPACT for approximately 249 days compared to 63 who received standard …