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Developing Transition Of Care Competency Around Youth With Special Healthcare Needs For Nursing Students, Julie Lamothe, Kathleen A. Kent, Lucinda R. Hill, Beth Morton, Carol Clark

International Nursing Research Congress (INRC)

Participants will be able to identify the need to educate graduate nursing students on the Health Care transition (HCT) of Youth with Special Health Care Needs (YSHCN), apply the evidence-based guidelines for HCT, and advocate for YSHCN through interprofessional collaborative practice and community partnerships.

A Duel Role: Nurses As Family Caregivers, Megan Thomas Hebdon, Vyshnavi Pottepalli, Dona Ravandi, Zainah Siddiqi, Saneeva George, Aashi Vishnoi, Carolyn Phillips, Jung Kwak

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study is to understand the emotional and financial wellbeing for nurses who balance the dual caregiving role of "nurse" and "family caregiver," (referred as dual role caregiver henceforth) and develop a stakeholder-informed dual role caregiver support intervention prototype.

Beyond Prognosis Communication: Exploring The Existential Dimensions Of Palliative Care Conversations With Adults With Advanced Cancer, Elise C. Tarbi

Dissertations

Communication about prognosis is integral to effective palliative care. However, prognosis communication often entails considering mortality, which can trigger existential questions. We understand very little about how existential experience is communicated in palliative care conversations. To fill this gap, this dissertation addresses the following aims: (1) Clarify the concept of the existential experience within the context of adults with advanced cancer (Chapter 2); (2) Describe how patients, families, and clinicians communicate about existential experience in palliative care conversations (Chapter 3); and (3) Explore the intersection between prognosis communication and existential dimensions of conversation (Chapter 4).

The Nursing Process And Allegations Of Malpractice Against Perinatal Registered Nurses In Florida, Genifer Jones Johnson

Dissertations

The nursing process as a foundation of professional nursing practice organizes care around the components of assessment, diagnosis, planning, implementation, and evaluation as required for professional registered nurses by the Florida Nurse Practice Act. Nurses who fail to comply with the Nurse Practice Act risk poor outcomes for their clients, disciplinary action from the State regulatory body, and legal action from the clients. This study was an examination of litigation claims against professional registered nurses in Florida who practice perinatal nursing seeking to identify and categorize allegations of negligence within the components of the nursing process. The expectation of this …

The Perceived Level Of Self-Efficacy Of Direct Care Staff Who Complete Person-Centered Care Dementia Training In Long-Term Care Setting, Tammy B. Retalic

Dissertations

Education that enables direct care workers to provide person-centered care approaches to older adults with dementia is necessary to optimize quality of life and reduce unnecessary antipsychotic medication use in long-term care settings. A quasi-experimental repeated measure project design evaluated the effectiveness of a dementia training program (one of several interventions implemented to reduce antipsychotic medication rates) by measuring the perceived level of self-efficacy before the training, immediately after the training and four to six weeks after completing the training.

The Individualized Multidisciplinary Immediate Fall Response Program, Adenike Y. Awotundun

Creating Healthy Work Environments (CHWE)

Utilizing a five-step process that included the use of the AHRQ's Tracking Record for Improving Patient Safety (TRIPS), aimed at improving fall care processes and reducing falls in older nursing home residents.

The Experiences Of Black American Older Adults Managing Pain: A Nursing Ethnography, Sheria G. Robinson-Lane

Dissertations

Pain can negatively affect quality of life for Black elders. They are less likely to report pain concerns and have voiced pain needs adequately met. To better understand the pain management experiences and concerns of Black elders, an ethnographic study was completed within an urban, low-income, elder housing facility.

Benefits Of International Online Mentoring, Camila Biazus Dalcin, T. Robin Barlett

International Nursing Research Congress (INRC)

Describe the experience and mutual benefits of a mentor and mentee located in different countries. Some benefits of an online international mentoring are exchange of experiences, to gain understanding of unique aspects of nursing and more accessible opportunities. Chance to build collaborative networks, so critical for a 21st century society.

Nursing Students' Intention To Work With The Elderly After Graduation: A Qualitative Study, Terri Murabito

Dissertations

America's population is aging. More than one in five Americans will be over 65 by 2030. These numbers are expected to challenge existing healthcare systems. The recruitment and retention of qualified, competent registered nurses (RNs) to care for this vulnerable population have become urgent. However, undergraduate baccalaureate nurses consistently report geriatric nursing as the least preferred clinical area to in work after graduation. To understand how graduating nurses discern their career intentions, a basic qualitative study was undertaken using Ajzen's theory of planned behavior as an underlying theoretical framework. The purpose of the study was to understand and interpret nursing …

The Experience Of "Doing Well" In Older Nursing Home Residents: Bringing The Past To The Present, Ronald J. Walent

Dissertations

Though discussions of well-being and quality of life for older adults in American nursing homes have flourished over the past decade, relatively few studies have explored these notions from the perspective of older residents themselves. The purpose of this research is to understand experiences and perceptions of "doing well" in older nursing home residents.

The Use Of Simulation And Standardized Patients To Enhance Nursing Student Competency In Caring For Lgbtq Individuals, Laura Pittiglio

General Submissions: Presentations (Oral and Poster)

HP 2020 proposes that increasing training for health care providers in the provision of culturally competent care will improve health outcomes for this vulnerable population. Nurses are usually the first point of care for individuals seeking care. Therefore, that initial patient-provider encounter can influence decisions regarding future health care. In order to enhance nursing competencies in culturally competent care, a simulation experience using a narrative script and a high-fidelity manikin was incorporated into a undergraduate nursing course. The simulation scenario was designed to facilitate the delivery of healthcare to LGBTQ identifying individuals. A pre-simulation and post-simulation survey was administered in …

Cognitive Dysfunction In Older Breast Cancer Survivors, Adele Crouch

Dissertations

Up to 75% of the more than 3.5 million breast cancer survivors (BCS) living in the United States report cognitive dysfunction. However, little is known about cognitive dysfunction among older BCS, who may be at greater risk. Therefore, the purpose of this dissertation was to characterize cognitive dysfunction in older BCS. Specific aims included:

(1) synthesize the literature regarding cognitive dysfunction in older BCS

(2) examine the relationships between a) objective cognitive function (immediate memory, delayed memory, attention, executive function-working memory, verbal fluency) and subjective cognitive function (attention); b) demographic factors, medical factors, treatment factors, and cancer-related symptoms (depressive symptoms, …

Improving Outcomes Through Patient Empowerment At Transition Of Care: A Fall Prevention Program For Stroke Survivors, Tiffany M. Hoke

Dissertations

Stroke survivors fall 7 times more annually than same-aged healthy adults; and most fall within the first 2 to 6 months post stroke after transition of care home from the acute setting. These falls cause hip fractures and other bodily injury, further compounding post-stroke mobility, fear of falling, social isolation, and social dependence while collectively yielding poorer outcomes at greater financial burden.

To date, no fall prevention program has targeted stroke survivors as they prepare for transition of care home from the acute setting.

The purpose of this practice inquiry is to develop an evidence-based fall prevention program aimed at …

An Exploratory Study To Shape A Disaster Nurse Practitioner Scope Of Practice, Frances Dunniway

Dissertations

The impact and devastation from national disasters pose imminent risk to large populations. If trained in disaster response and following evidence-based practice standards, the Nurse Practitioner (NP) could be prepared to adapt to any setting or surrounding, utilizing their full educational and health care training. Currently there are no written guidelines during disasters to manage the various clinical conditions. Using a Delphi technique, this exploratory study investigated the multidisciplinary understanding about the disaster NP role. Key findings included: 1. Across four groups of disaster responders, there was confusion about the disaster NP role, indicating a need for role clarity. 2. …

[Excerpt From] Population-Based Public Health Clinical Manual: The Henry Street Model For Nurses (4th Ed.), Patricia M. Schoon, Carolyn M. Porta

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Population-Based Public Health Clinical Manual, 4th Edition, which is provided free of charge by the publisher.

About this book:

Population-Based Public Health Clinical Manual, 4th edition, has proven to be one of the most important public health texts for students and practitioners alike. Focused on developing evidence-based public health nursing practice in diverse settings, and built on the framework of the Henry Street Consortium's 13 competencies for population-based, entry-level public health nursing, this new, full-color 4th edition is fully revised and updated to include:

– A new competency promoting, assessing, and …

A Quality Improvement Project On Evaluating The Effectiveness Of Implementing A Fall Intervention Checklist During End Of Shift Report On A Post-Operative Unit, Victoria Hogans

Dissertations

Introduction: Falls are a current issue affecting our senior citizens within the hospital setting. A fall may result in patient injuries, increased length of stay, and hospital costs. To prevent patient falls and fall-related injuries, hospitals have implemented fall bundles. The bundles consist of assessment tools to identify those at risk for a fall and the interventions that should be implemented to prevent them from falling.

Methods: A quality improvement project was implemented based on the DMAIC Six Sigma concept model to assess if implementing a fall intervention checklist at shift change combined with a fall bundle already in place …

Implementation Of The Family Help Protocol: A Feasibility Project For A West Texas Icu, Rebecca Mcclay

Dissertations

The purpose of this project was to determine if there is sufficient bedside ICU nurse buy-in to the Family HELP protocol to make implementation feasible at one county hospital in West Texas.

Cross-Cultural Adaptation And Validation Of Lung Cancer Screening Health Belief Scale, Fang Lei

Dissertations

Lung cancer is the leading cause of cancer death and the third prevalent disease among Chinese Americans. Lung cancer screening with low dose computed tomography is an effective method to detect lung cancer. Compared to chest X-ray, low dose computed tomography can reduce the mortality rate of lung cancer by 20% in the high-risk smokers. Since 2013, lung cancer screening has been recommended by most health organizations and covered both by private and public insurances. However, the uptake rate of lung cancer screening is still low in the US, and there are few studies on lung cancer screening among Chinese …

The Impact Of Structured Orientation On Role Transition And Turnover Intentions Of Advanced Practice Registered Nurses, Nadege Jules

Dissertations

The first year of transitioning from being an expert nurse to embracing the role as an Advanced Practice Registered Nurse (APRN) is challenging. The literature identifies a gap in APRNs transition to practice support in the new role. The impact of structured orientation on role transition and job turnover intentions of novice Advanced Practice Registered Nurses in their first APRN position is warranted and have not been addressed.

The purpose of this nonexperimental, correlational study was to investigate the impact of structured orientation on role transition and job turnover intentions of novice Advanced Practice Registered Nurses in the United States …

A Beginning Look At The Effect Of Age On Dyspnea, Physical Functioning And Self-Efficacy For Home Walking And Managing Shortness Of Breath In Adults With Chronic Obstructive Pulmonary Disease (Copd), Lynda A. Mackin

Dissertations

Chronic illness is common in older adults and is associated with functional impairments. Older adults with chronic obstructive pulmonary disease (COPD) face both age-related and disease-related decline in pulmonary function. Dyspnea, also referred to as shortness of breath, is a major symptom in COPD and progressive dyspnea is associated with decline in physical function. Aging, chronic illness and a decline in physical function can compromise the individual's confidence, also known as self-efficacy, for performing physical activities. Chronic disease self-management programs for COPD that include an exercise program have been reported to improve functional status, decrease dyspnea and improve self-efficacy for …

Nursing Students' Self-Efficacy To Care For Older Adults In Acute Care Settings In Ghana: A Mixed Method Study, Diana Abudu-Birresborn

Dissertations

Self-efficacy has been reported to serve as a motivator for goal achievement and to impact care quality and career development choices. Understanding nursing students' self-efficacy to care for older adults can provide an opportunity to identify gaps and develop strategies to shape nursing students' interest in caring for older adults. This study sought to identify the relationship between nursing students' knowledge about, attitudes towards, and self-efficacy to care for older adults and explored nursing students' understanding of their self-efficacy to care for older adults. The study also examined stakeholders' perceptions about nursing students' self-efficacy to care for older adults and …

Effects Of A Nurse-Led Transitional Rehabilitation Programme (4cs-Tburp) For Adult Burn Survivors: A Randomized Controlled Trial, Jonathan Bayuo

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study was to develop and evaluate the effects of a nurse-led transitional rehabilitation programme for adult burn survivors. Quality of life was the primary outcome of interest in this study. The secondary outcomes included sleep, pain, itchiness, scarring, psychological and physical role functioning.

Caregiver Burden And Its Relationship To Health-Related Quality Of Life Of Spouses Of Coronary Artery Bypass Patients, Margo A. Halm

Dissertations

With today's aging population and short hospitalizations, patients recovering after coronary artery bypass (CAB) surgery rely on family assistance, usually from their spouse. While caregiving may be meaningful, this experience may be stressful. Very little is known about caregiver burden after CAB surgery. The purpose of this cross-sectional study was to investigate the correlates of caregiver burden in the first year after CAB surgery and its relationship to spousal health-related quality of life (HRQL) outcomes.

Advancing Methods Of Measurement And Education For Communication In Dementia Care, Clarissa Shaw, Lainie Jackson, Katie Knox, Heather Bair

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study was to develop a series of simulations to represent dementia care in the hospital environment and determine if simulation can accurately capture Elderspeak communication in dementia.

Self-Reflection And Insight As Sources Of Resilience For Young Black Men, Kisha Thompson

Sigma Foundation for Nursing Research Grant Reports

Young Black men in America experience increased vulnerability to health disparities due to the continued exposure to oppression in the Black community. This pilot study examined the influence of reflective practices in mitigating adverse health outcomes, specifically looking at the relationships among self-reflection, insight, and resilience in young Black men. Flyers and snowball sampling were used to recruit a sample of young Black men (n = 89) between 18 and 40 from the northeastern United States.

Choices Related To Maximizing Quality Of Life At End Of Life, Theresa Lynn

Dissertations

Humans, including those residing in the United States, can live in denial of their own mortality. Because of this, futile care is sometimes provided, often at great monetary expense and for little or no return in terms of quality or length of life. At least two opportunities exist for making choices regarding care at the end of life in the U.S.: completing advance directives and choosing hospice care.

[Excerpt From] Ethical Case Studies For Advanced Practice Nurses: Solving Dilemmas In Everyday Practice, Amber L. Vermeesch, Patricia H. Cox, Inga M. Giske, Katherine Roberts

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Ethical Case Studies for Advanced Practice Nurses, which is provided free of charge by the publisher.

About this book:

Ethical Case Studies for Advanced Practice Nurses improves APRNs' agility to resolve ethical quandaries encountered in primary care, hospital-based, higher education, and administration beyond community settings. Through case studies examining various types of ethical conflicts, the authors empower APRNs and students with the critical knowledge and skills they need to handle even the most complex dilemmas in their practice. By applying a set of criteria and framework, this book guides APRNs to …

Racial Disparity In Health Insurance Acquisition In The State Of California, Florence Jill Polina

Theses

Racial disparity continues to be a struggle in America. The main purpose of this project was to determine whether there is a relationship between race and the acquisition of health insurance in adult residents of California who are younger than 65 years old. Through secondary data gathering, analysis of an existing racial disparity in health care insurance acquisition was accomplished. The results of the project indicate that a relationship exists between race and health insurance acquisition, thereby promoting an opportunity to determine hindering factors and discuss recommendations that can help to alleviate them.

Exploring The Effects Of A Nurse Mentorship Program On Career Satisfaction And Retention, Jennifer Smith

DNP and Student Works

Global statistics have shown there is a major nursing shortage. It is imperative to stabilize the nursing workforce as the healthcare continuum continues to grow. Nurse career satisfaction is related to nurses' overall intent to stay. Newly licensed registered nurses are leaving healthcare settings at disturbing rates. With the increased need and the current shortages, the nursing profession is unequipped to meet the needs of the growing population. The purpose of this project is to increase nurse career satisfaction and intent to stay with the organization through the implementation of a nurse mentorship program for newly licensed registered nurses with …

Advanced Nursing Education: Critical Factors That Influence Diploma And Associate Degree Nurses To Advance, Rose L. Mcghie-Anderson

Dissertations

Advanced nursing education needs to be pursued along the continuum of the nursing career path. This education process is indispensable to the role of the nurse as educator, manager, nurse leader, and researcher who will effect policy changes and assume leadership roles as revolutionary thinkers in addition to implementing paradigmatic shifts.

This grounded theory study sought to unearth the critical factors that motivate nurses to advance academically. The study aimed to gain an understanding of the social processes associated with the decision of diploma and associate degree nurses to advance their nursing education.