Digital Commons Network^™

Implementation Of A Transition To Practice Program For Newly Licensed Registered Nurses, Christine Courtney

DNP and Student Works

The reality of nursing at a professional level is often in direct contrast to anything new nurses have experienced during their educational program. This reality shock may lead to increased turnover and decreased job satisfaction. The objective of this project was to determine whether an evidence based transition to practice program initiated at a 285-bed not-for -profit community acute care facility increased confidence and comfort for newly licensed nurses as they transitioned from student nurse to professional nurse. A comparative study was conducted utilizing the Casey-Fink Graduate Nurse Experience survey. The survey tool was administered upon starting the transition to …

Pause With Paws: Implementation Of An Evidence-Based Animal Visitation Program At A Small Vermont University, Angela Smith

DNP and Student Works

This evidence-based practice change pilot project explored college student perceptions of the efficacy of an animal visitation program (AVP) toward reducing perceived stress. Using a quantitative, longitudinal pre- and post-intervention design, a convenience sample of students from a Vermont college were recruited to attend seven-weekly, 90-minute AVP meetings where they interacted with dogs in a casual environment, while practicing mindfulness techniques. Participants completed the Perceived Stress Survey (PSS-10) pre-, intra-, and post-intervention to measure student perceived stress; and the Center for the Study of Animal Wellness Pet Bonding Scale® adapted (CSAWPBS) intra-and post-intervention to measure perceived attachment to the dogs. …

Care Transitions: Are Healthcare Organizations Meeting The Needs Of Their Patients?, Dinah Steele

DNP and Student Works

Acute care healthcare organizations struggle to identify and implement interventions to support the transition of care between hospital and home settings. One organization piloted a quality improvement (QI) project using nurse-led post-discharge telephone consultations to determine their feasibility and effect as a transition of care intervention. The QI pilot was designed to answer the clinical question: does the receipt of nurse-led post-discharge telephone consultations improve patient satisfaction and 30-day readmission rate outcomes? The goals of the pilot were to investigate the feasibility of conducting the intervention, identify transition of care gaps, and evaluate the effect on 30-day readmissions and patient …

Excuses, Everybody's Got One!: Strategies For Engagement, Sarah E. Abel, Matthew S. Howard

General Submissions: Presentations (Oral and Poster)

Upon completion of this presentation, the learner will be able to:
1. Identify at least three strategies to increase member engagement in professional nursing activities.
2. Describe ways engagement in professional associations would increase retention in the nursing workforce.
3. Discuss options for overcoming excuse hurdles to make professional involvement a priority.

Using Mixed Methods To Generate Data With Women Participating In U.S. Microenterprise, Rebekah J. Salt, Jongwon Lee

International Nursing Research Congress (INRC)

Microenterprise programs provide vulnerable populations, the majority of whom are women, access to educational and financial resources to start small businesses. Many international programs acknowledge the employment-health link and promote health as a form of collateral through primary and secondary prevention interventions. Health promotion is not as prevalent in United States (US) programs and further investigation is required to identify the health needs of women microentrepreneurs. The study was conducted in collaboration with a community development financial organization which provides credit and services to entrepreneurs who do not have access to traditional lending.

Working For Yourself: Microenterprise And Women's Health, Rebekah J. Salt, Jongwon Lee

International Nursing Research Congress (INRC)

The purpose of this study was to explore precarious employment and women"s health within the context of microenterprise. The specific aim was to identify the health concerns of low-income women who utilized resources from a non-profit microenterprise organization in New Mexico (NM).

Informatics Competency-Based Assessment: Evaluations And Determination Of Nursing Informatics Competency Gaps Among Practicing Nurse Informaticists, Leyla Pordeli

Dissertations

In today's transformed healthcare industry, nursing informatics has become an essential and fast growing specialty. While nursing informatics competencies (NI) have been identified and recommended by national organizations as an essential component of nursing education and practice, limited information is available on the skills and informatics competencies of practicing informaticists. This evidence-based DNP project implemented and evaluated an evidence-based professional development program to address informatics competency gaps among practicing informaticists at a Magnet-recognized hospital at Northeast Florida, to ensure informaticists possess the essential skills and knowledge to improve achieving the organizational informatics needs. Nursing Informatics Competency Assessment (NICA) L3/L4 tool …

Studies On Communication Exchange In Healthcare In Flanders, Belgium, Peter Vermeir

Dissertations

Health communication plays a significant role in patient care. Ever increasing importance is attached to health communication research. To offer top clinical and top referent care, effective and efficient communication between healthcare providers is required. As such, health communication may occur in multidisciplinary, interdisciplinary and transdisciplinary settings, dimensions that need to be addressed in research. Furthermore, communication impacts all six healthcare quality domains, as defined by the Institute of Medicine: safety, timeliness, effectiveness, equity, efficiency and patient-centeredness.

Culturally Sensitive Teaching Strategies To Improve Health For Refugees In San Antonio, Texas, Rebekah J. Salt

International Nursing Research Congress (INRC)

Health promotion that targets barriers to care in refugee communities requires collaborative strategies that focus on cultural sensitivity and community trust. Nursing students implement health education teaching for refugees in San Antonio, Texas based on cultural sensitivity and safety, social justice, and barriers to care.

Impacting Practice: Using A Poverty Simulation To Develop Leadership Skills In Baccalaureate Nursing Students, Adelita G. Cantu

International Nursing Research Congress (INRC)

This engaging presentation describes how a poverty simulation demonstrates social determinants of health. Findings will demonstrate how students develop leadership attributes; critical thinking, active listening and communication important to understanding health is not only an individual matter but requires a broader and more in-depth view of health and healthcare.

Upstream Healthcare: Values Training For Low-Income Children Using Baccalaureate Nursing Students And Community Youth, Martha L. Martinez, Socorro Escandon

International Nursing Research Congress (INRC)

This presentation will describe teaching strategies employed in introducing nursing students, in their community health rotation, to upstream health care delivery and its impact on public health nursing. Student nurses and vulnerable community youth created, developed, and presented stories focused on individual character strength values.

Partnering With Families To Validate Questionnaires Assessing Unmet Needs Of Children, Adolescents, And Parents/Caregivers At The End Of Cancer Treatment, Mary Conway, Courtney King, Leigh Hart, Andrew Needham, Elizabeth Holden, Tiffany Ruiz, Ruth Lucas

General Submissions: Presentations (Oral and Poster)

Transitioning off cancer treatment is a momentous occasion for pediatric patients and their families, but also brings anxiety and fear, suggesting that there are unmet needs/gaps in services provided at the end of treament. After examining the process of transitioning off cancer treatment, the hematology/oncology nursing research workforce group wished to determine if the current practices at our institution are meeting the needs of our patients and their parents/caregivers.

The experiences and needs of pediatric cancer patients and their parents/caregivers at the end of treatment, as reported in the literature, are predominantly descriptive studies with small sample sizes, restricting generalizability …

The Case For Procedural Capnography, Stewart A. Wright

DNP and Student Works

This DNP capstone project provides evidence that adding a hands-on educational initiative regarding the use of capnography to a group of nurses who administer procedural sedation will promote the use of capnography. This initiative provided nurses who administer procedural sedation the insight needed to understand the importance capnography can have on improving patient outcomes.

Decreasing Urinary Incontinence In The Home Health Setting, Maureen Albertson

DNP and Student Works

BACKGROUND: Urinary incontinence (UI) in the home care population poses a risk for complications and hospitalization. The aim of this project was to develop and implement a protocol for UI to promote continence in the home health agency UI population.

METHODS: Data were collected from a convenience sample of 26 participants 80 years of age or older in a suburban midsized home care agency. All participants were diagnosed with UI as documeted in the Outcomes and Assessment Information Set (OASIS). OASIS question M1610 was used to identify patients with UI status, and M1650 was used, to identify UI frequency. The …

Nurse Educator Retention: A Progressive Toolkit To Promote Career Empowerment, Stephanie Knox, Mellisa Hall

DNP and Student Works

Nurse faculty within the US and globally suffer a shortage of numbers. Nurse faculty employment is projected a need of over 90,000 positions by 2022 to meet the demands of educating licensed registered nurses. The recruitment and retention of nurse faculty becomes a focus in facing such demands. Will addressing new faculty concerns improve attrition rates? The purpose of this project was to investigate and address new faculty concerns in order to improve satisfaction and retention. Analysis of evidence suggested factors that affect nurse faculty retention include; retirement, job satisfaction, and empowerment. Learning needs of new nurse faculty seeks to …

Social Isolation In Long Term Care: Improving Assessment And Decision-Making Skills, Tammie Marshall

DNP and Student Works

The purpose of this project was to evaluate the effect of a quality improvement project with a multicomponent intervention on assessment and decision-making skills for healthcare professionals who are responsible for the care of elderly residents at risk for social isolation. A group of 20 healthcare professionals working in a small long term care facility participated in the project. A quasi-experimental with a pretest and posttest design was used to collect and compare scores achieved on each exam. A matched t-test statistical procedure was utilized to determine whether a quality improvement project with a multicomponent intervention had significant impact …

Improving Patient Satisfaction With Nursing Communication In An Acute Care Setting, Rani Mohan

DNP and Student Works

Organizational Hospital Consumer Assessment of Healthcare Providers and System (HCAHPS) survey results provided evidence to indicate the need for improvement in nursing communication with patients in the telemetry unit. The nursing handoff practiced at the organization was a traditional nurse to nurse handoff and did not involve patients and families in the discussion of their plan of care. Bedside handoff is one of the evidence-based strategies that can be used to improve nursing communication by involving patient and families in discussion of their plan of care. Bedside handoff was implemented using Havelock's change theory and focused on implementation in an …

The Effect Of Deliberate Practice And Peer Mentoring On Baccalaureate Nursing Students' Competence In Vital Signs, Breath Sounds, And Heart Sounds, Jennifer Gunberg Ross

Sigma Foundation for Nursing Research Grant Reports

Nursing students often do not have adequate opportunities to practice psychomotor skills within patient care settings, but skill decay can occur without regular practice.

Transformational Learning Experiences Of Perioperative Registered Nurses Who Have Completed A Perioperative Training Program, Randolph William Schild

Dissertations

The purpose of this case study was to determine which activities factor into transformational learning that may occur as a result of completing a perioperative preparation program for registered nurses. Through the process of describing the lived experiences of the participants who have completed a perioperative nurse training program, it also assisted in informing pedagogical practice by helping to establish the extent of transformational learning that occurs. The role of a perioperative nurse is one that is demanding, knowledge intensive, and highly collaborative. Perioperative nurse educators need to understand the process of transformation in order to assist new perioperative nurses …

The Art Of Clinical Supervision Program For Registered Nurses, Kylie Patricia Russell

Dissertations

Nursing students' clinical placements should provide an environment in which they can apply their nursing education in the fast-paced world of health care and develop a framework for practice. Students rely on effective teaching and supportive clinical supervisors to provide a placement in which they are not only encouraged to practice, but also to learn from this practice. This is achieved through welcoming students into the health care team by valuing their input and contributions, and consolidating their clinical practice through activities such as critical thinking and reflection.

The role of the clinical supervisor is therefore complex and often constrained …

Failure To Rescue: How Simulation Can Help Transition To Practice, Sabrina Beroz, Tonya Schneidereith, Nancy Sullivan, Crystel L. Farina

General Submissions: Presentations (Oral and Poster)

Failure to rescue, either lack of recognition or the lack of appropriate interventions necessary to prevent adverse events, is a costly form of medical error. Bedside nurses - those healthcare professionals who spend the most time with patients - have the greatest responsibility to identify when interventions are needed. With the increases in both the number of retiring nurses and new graduate nurses at the bedside, educating these inexperienced nurses requires specialized training through nurse residency programs (American Nurses Association, 2013). Key areas for development include recognition of changes in patient status, taking initiative, tracking multiple responsibilities, ability to prioritize …

Interprofessional Trauma Simulation Workshop: From Planning To Implementation, Ruth Bargainer, April Beckling, Robyn G. Faz, Terran Keidl, Bill J. Davis, Kathryn Whitcomb

General Submissions: Presentations (Oral and Poster)

Has your team always wanted to put together an interprofessional (IP) emergency room (ER) simulation? The purpose of this hands-on workshop is to provide educators with a reproducible template for the design and implementation of an IP ER simulation developed to prepare health professions students for practice. The growing demand for health professions students to enter the workforce prepared to work in teams that will deliver quality, safe patient care is a salient reason for incorporating IP learning opportunities into curricula (Interprofessional Education Collaborative, 2011). Educators, however, may struggle with barriers to simulation implementation such as a lack of logistical …

Schizoaffective Disorder: A Simulation In Holistic Care, J. T. Seaman, Linda Olliff, Nancye Mcafee, Leann Chisholm, Kacie S. Calloway

General Submissions: Presentations (Oral and Poster)

Nursing students often show a lack of enthusiasm when faced with caring for mental health clients, especially when the student is certain that they want to work in Intensive Care, Emergency, or some other area that has been traditionally considered "medical" in nature. Many issues impact the "I'll never work in psych" attitude. Holistic care is a concept that assists in alleviating the segmented 'medical versus psychiatry' model. Nurses are the most effective when they consider all facets of the person. Since many individuals use Emergency Departments for primary and psychiatric care, the attention to assessing and treating the whole …

Hear Ye, Hear Ye! Learn All About The 2016 Edition Of The Inacsl Standards Of Best Practice: Simulationsm, Jane B. Paige, Barbara J. Sittner, Wendy Thomson, Leslie L. M. Graham, Michelle Aebersold, Kim Leighton

General Submissions: Presentations (Oral and Poster)

The International Nursing Association for Clinical Simulation & Learning (INACSL) takes the lead in developing, revising, and publishing the INACSL Standards of Best Practice: SimulationSM used internationally and across disciplines to train healthcare providers. Considering internal and external review, evidence-based educational practices and research, the INACSL Standards of Best Practice: Simulation undergo a cyclical and ongoing review process. In 2016, the third iteration of Standards of Best Practice: Simulation was published. With the maturing of use of simulation as a pedagogical method, those in the simulation community are charged with the utilization of the INACSL Standards of Best Practice: Simulation …

The Future Is Awesim - Montgomery College, Sabrina Beroz, Raquel Bertiz, Latasha Cousar, Timothy Fuss, Rose Kronziah-Seme, James Mitchell, Patsy O'Meara, Sylvia Stevens

General Submissions: Presentations (Oral and Poster)

Montgomery College, Takoma Park/Silver Spring campus, borders Washington D.C. and boasts a state of the art seven-room simulation suite representative of the diverse student body, faculty and population served in the greater metropolitan area. The college is home to an open access, internationally recognized simulation library referenced as a resource in the NCSBN Simulation Guidelines for Prelicensure Nursing Programs (Alexander et al., 2015). The Maryland Clinical Simulation Resource Consortium is housed at Montgomery College - a statewide initiative created to increase the quality and quantity of simulation used in nursing education throughout Maryland.

Come tour our facility to experience a …

Innovation In Teaching: Clinical Reasoning Through Cooperative Gaming, Kathleen M. Williamson, Robin Lockhart, Melody Chandler

General Submissions: Presentations (Oral and Poster)

The innovation presented is a cooperative game designed to teach content and promote intraprofessional and interprofessional collaboration and teamwork. The game is unique in that it is simple to adapt to any teaching plan, simple to play with any number of players, consists of common and inexpensive materials, and provides content rather than reviews it. This presentation will share how course objectives can be met by utilizing cooperative gaming. During the presentation, the process of how to adapt the game to any content and a demonstration of how to play it will be included. This presentation will share the implementation …

Reviewing For Clinical Simulation In Nursing: A Hands-On Workshop, Cynthia M. Thomas, Nicole Harder, Kim Leighton, Marian Luctkar-Flude, Leslie Catron, Sandra Goldsworthy

General Submissions: Presentations (Oral and Poster)

Reviewing for a peer-reviewed journal is a skill set that needs to be de developed. Manuscript that are submitted to a journal need to have timely and constructive feedback, regardless of whether the work is accepted or not. This hands-on workshop will help you develop these skills.

At the workshop, you will be guided by the Editor-in-Chief and members of the Editorial Board for Clinical Simulation in Nursing on the review process. You will learn what happens to a manuscript from the moment it is submitted until a final decision is reached. You will have the opportunity to review a …

"Room Of Horrors": Engaging Interprofessional Students In A Hazards Of Hospitalization Simulation, Margory A. Molloy, Alison Clay

General Submissions: Presentations (Oral and Poster)

Hazards of hospitalization are costly and can prolong hospital stays, cause suffering, and even result in death. Medical and nursing students may not be aware of these hazards and may not be involved in quality-improvement projects to reduce them. An interprofessional curriculum on the hazards of hospitalization was taught to graduating medical and nursing students using a "Room of Horrors" (ROH), a simulation in which students are asked to identify safety hazards (e.g., risk factors for spread of infection, hospital-acquired conditions, and medication administration errors). Students completed two Room of Horrors excursions, first as individuals and then in interprofessional teams. …

Assessing Undergraduate Nursing Student Skills In Prioritization And Delegation During Simultaneous Multiple Patient Simulation (Smps)., Beth Beadling

General Submissions: Presentations (Oral and Poster)

Caring for more than one patient at a time is an experience that rarely occurs during most undergraduate nursing programs. Learning this complex patient management task typically occurs during the senior or final year of the undergraduate registered nurse educational program, within the clinical environment of an acute or long term care setting. One option to increase the rate of occurrence of this type of learning experience is to assign simultaneous multiple patient simulation (SMPS). Simultaneous multiple patient simulation is a relatively new educational activity and the literature reveals little about the learning outcomes related to SMPS. More research is …

Do Simulation Roles Really Affect Clinical Decision-Making Accuracy In An Acute Care Scenario?, Kristen D. Zulkosky, Krista White, Amanda L. Price, Jean Pretz

General Submissions: Presentations (Oral and Poster)

The purpose of this study was to assess the accuracy of on clinical decision making (CDM) among various roles in an acute-care simulation scenario in pre-licensure nursing students. This study utilized a mixed factorial design with decision point (shortness of breath [SOB] and rhythm change [atrial fibrillation, AFib]) and decision phase (cue acquisition, diagnosis, and action) as within-subjects factors and simulation role (observer, family, auxiliary nurse, and primary nurse) as a between-subjects factor. We assessed decision-making accuracy among fourth-semester Associate in Science in Nursing (ASN) students who were randomly assigned roles in a simulation scenario.

Examination of CDM Accuracy across …