Digital Commons Network^™

A Model For Falls With Major Injury In Nursing Home Residents, Soon Young Ha, Patricia Vermeersch

Leadership Connection

Session presented on Sunday, September 18, 2016:

Background: The combination of more elderly living longer and needing more supportive care means the absolute proportion of older adults in nursing homes is likely to rise. Nursing home residents are more likely to fall as compared to community dwelling older adults. Consequently, the absolute number of falls among nursing home residents will also increase with a concurrent rise in falls with major injury 4: bone fractures, joint dislocations, closed head injuries with altered consciousness, and/or subdural hematoma. 5 The increased falls with major injury will negatively impact the physical and psychological health …

Geriatric Nursing Leadership Academy: Outcomes Across The Care Continuum, Christy Oakes, Laura Engledow, Kayla Woodward

Leadership Connection

Session presented on Thursday, September 25, 2014:

Across practice settings, significant needs exist for improvement in delivery models, clinical outcomes, and preparing the next generation of leaders in gerontological nursing. The Fellows of the first three cohorts of Sigma Theta Tau's Geriatric Nursing Leadership Academy (GNLA) have achieved extraordinary outcomes within the three academy domains: individual leadership and career development, advancement of practice through leadership of interprofessional team projects, and expanded scope of influence at the organizational, community, and professional levels. Fellows of GNLA are positioned to lead and coordinate change within all practice environments that focus on care of …

Spirituality Among Women Dementia Caregivers: Construct Validation Of The Spiritual Perspective Scale, Nirmala Lekhak, Wichiya Yolpant, Jaclene A. Zauszniewski, Tirth R. Bhatta

Leadership Connection

Session presented on Friday, September 26, 2014:

The older adult (65 years and above) is the fastest growing population in the United States comprising 13% of the total population. Dementia, which affects more than five million older adults in the United States, is the leading cause for their dependency and disability. Among 44 million of family caregivers, 15 million constitutes of caregivers of someone with Alzheimers disease or other dementias. More than sixty percent of the family caregivers are women. Providing care for elders with dementia has been linked with increased stress and depressive symptoms. Spirituality has been shown to …

Implementing An Integrative Pre And Post-Operative Educational Intervention For Older Adults Undergoing Total Hip And Knee Replacement, Carolyn Marie Fox

Leadership Connection

Session presented on Friday, September 26, 2014:

The purpose of this pilot project was to implement postoperative education in a select population of elderly patients undergoing THR or TKR in combination with the pre-operative education which was standard of care at the site. The goal was to provide study participants with the tools and knowledge to efficiently and safely self-manage their post-operative pain. The primary endpoints were to improve self-efficacy over the course of the intervention period and to decrease pain in the population.

End Of Life In African American Older Adults: An Integrative Literature Review, Karen O. Moss, Karen M. Rose

Leadership Connection

Session presented on Friday, September 26, 2014:

End-of-life care in the United States is described as deficient and fragmented. Minority populations engage in end-of-life planning less frequently than Caucasians. African Americans represent the second largest minority group in the United States with its older adult population projected to increase by 114% by 2030. The Patient-Self Determination Act of 1990 requires Medicare and Medicaid funded healthcare organizations to empower patients to refuse or accept medical care and execute advance directives. The Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT) confirmed substantial shortcomings of healthcare for seriously …

Efficacy Of A Home-Based Neurocognitive Remediation Program In Adults With Hiv, Shameka C. Humphrey

Leadership Connection

Session presented on Thursday, September 25, 2014:

Despite the life-sustaining effects of Combination Antiretroviral Therapy (cART), adults with HIV continue to experience neurocognitive impairments. In fact, over half of adults with HIV experience HIV-Associated Neurocognitive Disorders (HAND). As neurocognitive impairments continue to emerge among adults with HIV, more private settings such as the home may facilitate greater use of neurocognitive remediation therapies such as speed of processing training to enhance neurocognitive and everyday functioning. The efficacy of a home-based speed of processing training was examined in middle-aged and older adults with HIV (i.e., age 40+).

The Future Of Nursing: The Call For Advanced Degrees, Anne Thomas, Robin Toms, Jane M. Kirkpatrick

Leadership Connection

Session presented on Thursday, September 20, 2012: The session will discuss the IOM recommendations for nurses to obtain an advanced degree. The presenter will discuss advancing the nursing profession by nurses obtaining higher education.

Awarding Excellence Through Stti, Julie A. Jones, Crystal Slagle

Leadership Connection

Session presented on Thursday, September 20, 2012: STTI recognizes members' achievements through international awards, grants and more. During this session, you will become familiar with these STTI benefits and learn how to honor members' accomplishments at the local level.

Maternal-Child Health Crisis: Building The Leadership Framework For Effective Global Interventions, Beth Baldwin Tigges, Chun-Mei Li, Shanda Tichelle Harrison

Sigma Global Initiatives

According to the World Health Organization, approximately 830 women die from preventable causes related to pregnancy and childbirth every day, 99% occurring in developing countries. Because quality care can save the lives of women and babies, during this panel presentation Sigma Theta Tau International, in partnership with Johnson & Johnson, will discuss the process and project interventions that have reached over 100,000 people through the Maternal-Child Health Nurse Leadership Academy.

This program is intended to support safe and sustainable communities, ensuring that young nurses are prepared to lead in providing healthy, quality care of women and children and launching interventions …

Behavioral Health Self-Help Interventions Conducted During Chronic Pain Visits In A Primary Care Setting, Bessie Burk

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

Purpose: This practice implementation assessed the feasibility and impact of implementing behavioral health self-help interventions during chronic pain management visits in a primary care setting.

Data sources: Time series data collection occurred following the implementation of behavioral health interventions utilizing self-help strategies that included the Gate Control theory of pain control and sleep hygiene. Participants received monthly pain management visits conducted by their usual provider and interventions were performed by a single behavioral health specialist for consistency.

Conclusions: Mean pain scores were significantly reduced from 5.93 to 4.29 (p=0.000) on a scale of zero to ten, and improvement was …

Nursing Knowledge And Palliative Care, Kathryn Miller

Group: Nebraska Methodist College

Problem: Does education provided to oncology nurses about the ID-PALL screening tool result in increased knowledge on how to assess and identify palliative care needs in patients?

Intervention: This project was designed to educate nurses on palliative care topics and enhance their ability to assess and identify palliative care needs in their patients.

Measures: An online pre-survey and post-survey was used to determine the nurse's knowledge before and after the education was dispersed. The pre-survey was used to identify areas that were lacking and an educational presentation was created based off of this data. The post-survey with the same questions …

Opioid Use Disorder Education For Student Nurse Practitioner, Priscilla L. Hussain

Group: Nebraska Methodist College

Expansion of opioid use disorder (OUD) care is direly required of United States, and student nurse practitioners (NPs) are capable of assessing and addressing OUD in their clin- ical settings. However, academic programs for student medical doctors and NPs lack ad- equate training for such large-scale epidemic. This capstone project recruited 7 student NPs to participate in an interactive learning module prepared by the Centers for Disease Control and Prevention’s (CDC’s): “Module 5: Assessing and Addressing Opioid Use Disorder”. Overall, student NPs found the module useful in increasing knowledge and ability to diagnose and treat OUD. It is time academic …

Advance Directive Protocol In The Primary Care Setting, Alexei Boettcher

Group: Nebraska Methodist College

Background and Review of Literature: Advance directives (AD) are documents that offer patients a way to avoid unwanted care in the event of a serious illness or incapacity. Studies demonstrate the care patients receive at the end-of-life is not often consistent with their preferences, as a result of suboptimal communication between the patient and provider as well as documentation of health care proxies and treatment preferences (Isaac & Curtis, 2016). The lack of a current formal protocol used by primary care providers regarding ADs, particularly towards the young adult patient population, resulting in insufficient discussions of patients’ wishes regarding end-of-life …

A Need For Nurses, Danielle Krohn, Hilary Applequist

Group: Nebraska Methodist College

Nurse residency programs were designed with the intent of assisting nurses with the transition into a new area of practice. These programs are common in acute care settings; however, implementation has been slow to move into long-term care. The purpose of this project was to complete a community needs assessment to determine whether the community nursing home would be interested in implementing a nurse residency program within the next year. The assessment was completed with surveys distributed to various nursing home stakeholders. Survey results concluded that the current nurse orientation process, nurse recruitment, and nurse turnover rates were important items …

Implementing The Phq-2 Depression Scale For Depression On The Mobile Diabetes Unit, Allyson Fortenberry

Group: Nebraska Methodist College

Problem: Healthcare is not considered a human right within the United States. The vulnerable and underserved face consistent barriers to healthcare such as racial inequities, geographic location, and lack of access to name a few. Mental health crises have risen ten-fold around the world secondary to the COVID-19 pandemic. The purpose of this study was to cultivate a process to identify early signs of depression and promptly initiate referrals within the community. Intervention: The PHQ-2 screening tool was implemented to address the current health needs of an underserved population on the mobile health unit. Individuals served on the mobile health …

Mental Health Technician Program, Jessica Pauley

Group: Nebraska Methodist College

The mental health workforce is struggling to find qualified staff at all levels. Development of a career ladder concept in education and compensation beginning at the entry level could help decrease the needs and increase the mental health workforce.

Problem: The mental health crisis in the United States requires a new approach when considering the educational needs of not only the mental health population but also the mental health workforce.

Interventions: Development of a mental health technician program based on current market and employer needs to increase the education of lay persons being hired into direct care mental health positions. …

Npwh Position Statement: Brain Health Is Women's Health, National Association Of Nurse Practitioners In Women's Health

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

The National Association of Nurse Practitioners in Women's Health (NPWH) supports collaborative action to establish brain health as a crucial aspect of Women's healthcare. A comprehensive approach includes promoting brain health, detecting cognitive impairment (CI) to facilitate accurate diagnosis and early intervention, and identifying and addressing the needs of individuals who are caregivers for loved ones with CI. NPWH believes a need exists for extensive research to better understand modifiable factors that influence brain health, improve one’s ability to make an early diagnosis of CI, establish effective therapies to prevent and treat CI, and support families and caregivers of individuals …

A Multistudy Validation Of An Instrument For Nurse Job Satisfaction, John W. Nelson, Georgia J. Persky, Mary Ann Hozak, Alice Albu, Pamela S. Hinds, Kay Savik

General Submissions: Instruments, Tools, and Measurements

This study aims to validate an instrument of nurse job satisfaction, the Healthcare Environment Survey (HES), across settings and time through an organizational change.

Intra-Professional Collaborative Practice Among Nurses, Registered Nurses' Association Of Ontario

General Submissions: Clinical Settings Materials

The purpose of this best practice guideline (BPG) is to strengthen collaborative practice among nurses, because effective collaborative practice is essential for working in health-care organizations.

In this guideline, there is a focus on collaborative practice amongst three types of nursing professionals:

• registered nurse (RN),
• registered practical nurse (RPN)
• nurse practitioner (NP)

The guideline explores what fosters healthy work environments for these groups of nurses (being aware that collaboration must align with the needs of the patient or client).

For more information including supplementary documentation and available translations, visit https://rnao.ca/bpg/guidelines/intra-professional-collaborative-practice-among-nurses

Influences Of Perceived Environment, Partner Support, And Attitudinal Familism On Physical Activity Among Mexican American Women, Neomie C. Congello

Dissertations

Healthy lifestyle behaviors such as engaging in physical activity (PA) may reduce the risk for cardiovascular disease (CVD), the number one cause of mortality among Mexican American women (MAW). Research findings show that MAW have low levels of leisure time PA and vary in the amount of overall PA. The influence of partner support has received little attention in studies examining predictors of PA. This cross sectional study investigated factors influencing PA among MAW aged 19 to 64 years old (mean = 39.4, SD = 11.1) who may be at increased risk for CVD based on hypertension, diabetes and obesity …

Using The Home Health Oasis To Promote Advance Care Planning Among Community-Dwelling, Frail Older Adults, Suzanne S. Sullivan

Dissertations

Despite an aging population with increasing proportions of frailty and decline, the rates of documented Advance care plans (ACP), meant to align goals for care with the level of treatment at end-of-life (EOL), are low (~30-40%). Patients expect clinicians to raise the question about serious illness goals for care when the time is right, however, there are a number of barriers to the initiation of these difficult conversations including provider bias and uncertainty. A review of the literature indicates that there are few prognostic indices available for use to identify the right time to initiate EOL conversations based on risk …

Perceptions Of Graduate Nurse Practitioner Faculty On The Use Of Simulation In Lieu Of Traditional Clinical Hours, Virginia Strong

Dissertations

Simulation in undergraduate nursing curriculum has been identified as an effective and safe substitution for the traditional clinical experience; however, graduate nurse education programs could not substitute clinical hours with simulation-based education. These clinical hours required NP students to provide direct face-to-face patient care. Simulation had wide variability in the number of hours utilized within each specialty. NONPF discussed the use of simulation, as it pertains to the curriculum of the NP student on more than one occasion and concluded its impact on NP education was a potential alternative to traditional clinical experiences. Studies indicated that graduate nursing students enjoy …

Gerontological Continuing Education Needs Of Nurses Employed In Nursing Facilities In North Carolina, Sandra J. Todd-Atkinson

Dissertations

The major purpose of this investigation was to determine the self perceived learning needs of nurses employed in nursing facilities. Questionnaires were utilized to gather these data from nurses employed in fourteen nursing facilities thus representing 10% of all nursing facilities in North Carolina. Nonparametric tests were utilized to analyze the differences in perceived needs and selected independent variables. The selected independent variables were respondents' ages, educational preparation, years of experience, years of experience in a nursing facility, size of the facility, and position held. Two research questions guided the study: (1) what are the specific areas of felt needs …

Making A Difference: Culturally And Ethnically Appropriate Guides For Those Working With People With Dementia, Meredith Troutman-Jordan, Boyd Davis, Margaret Maclagan

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study was to determine the usefulness, feasibility, and acceptability of language, culture-and ethnicity-specific caregiver resource guides to help immigrant nurses and unlicensed assistive personnel or nursing assistants working with persons with dementia.

Caring Behaviors Of Nursing Students And Their Attitudes Toward Older Adults, Jacquelyn D. Lambert-Davis

Dissertations

Caring is an emotion. It is a feeling of compassion and an understanding of the difficulties of others. Research indicates that caring behaviors and attitudes are an important part of the knowledge base for nursing students. Caring behaviors and attitudes are an important part of the knowledge base for nursing students in order to provide competent care for older adults. This descriptive cross-sectional study reports findings of caring attitudes and behaviors of nursing students using the Caring Dimensions Inventory (CDI). The purpose of this study was to examine the self reported attitudes and caring behaviors of nursing students toward older …

Peer (Dyadic) Support: A Feasibility Study For African American Women With Hypertension, Angela Groves

General Submissions: Presentations (Oral and Poster)

Aim 1: To evaluate the feasibility of a peer (dyadic) support intervention to improve diet adherence and reduce systolic blood pressure among African American women with hypertension. Hypothesis: We hypothesize that the peer (dyadic) support intervention will be feasible, participants' diet will improve, and systolic blood pressure will be reduced (5-6 mm Hg). Aim 2: To describe the peer (dyadic) relationship during the intervention.

Integrating Geriatric Content Into Traditional Undergraduate Baccalaureate Nursing Curriculum, Gina B. Diaz

Dissertations

Geriatric content in baccalaureate nursing curriculum is essential. Nursing students need the knowledge, skills, and attitude in providing quality care to older adults. The goal of this project was to integrate geriatric content into the traditional undergraduate (TUG) baccalaureate nursing curriculum. This was completed by providing a 16-week didactic learning experience in the classroom and clinical experiences in the community setting and long-term care facility. Fourteen TUG baccalaureate nursing students from a private college participated in the project. Results indicate that the integration of geriatric content into baccalaureate nursing curriculum increases students' knowledge and skills and enhanced attitude towards older …

Transitional Care Medical House Call: A Pilot Project, Ron Billano Ordona

Dissertations

Vulnerable, homebound older adults are highly susceptible to unplanned 30-day hospital readmissions, which is costly for the healthcare system. As a result, health care expenditures for this population continue to rise. Studies have shown that transition of care programs, when complemented with home-based primary care delivery, may improve health care outcomes for this population.

The purpose of this quality improvement pilot project was to implement medical house calls as a component of transitional care management (TCM) and measure patient outcomes such as unplanned 30-day readmission rates and correlate predictors of readmission. As a secondary outcome, the project explored, tracked, and …

Nursing Student Attitudes Toward Mental Illness: A Quantitative Quasi-Experimental Study, Todd B. Hastings

Dissertations

Nursing students often harbor negative stereotypes and feel unknowledgeable and unprepared to work with mentally ill people. In addition, nursing students rarely choose the psychiatric specialty as a career option. A quantitative quasi-experimental study was conducted to examine nursing student feelings about engaging those with behavioral health problems. Over 300 nursing students in eight Bachelor of Science in Nursing professional nursing programs were surveyed on the first and last day of their program's psychiatric mental health nursing course (the independent variable). A valid and reliable survey instrument was used to collect nursing student responses characterizing attitudes, impressions of knowledge and …

Licensed Nurse/Certified Nurse Aide Collaboration In The Nursing Home, Cynthia Beynon

Dissertations

The purpose of this dissertation was to explore how collaboration is perceived and experienced by the licensed nurse (LN) and the certified nurse aide (CNA) in the nursing home (NH) setting. Understanding perspectives and patterns in the process of LN/CNA collaboration is critical in the quest to secure safe, quality care delivery for NH residents.