Digital Commons Network^™

The Effect Of A Promotora-Guided Educational Intervention And Partner Presence In Improving Condom Use Self-Efficacy Amongst Partnered Latino Adults, Shirley Ann Levenson

Dissertations

This study examined the effect of a promotora guided educational intervention in order to improve condom use within the Latino community. Effective and culturally appropriate strategies for promoting condom use within the Hispanic/Latino community in the United States are needed urgently because of the high prevalence of infection with unwanted pregnancy, human immunodeficiency virus (HIV) and other sexually transmitted diseases in the Hispanic/Latino groups.

This was a quasi-experimental two-group pretest-posttest study. The treatment group received an educational intervention that was conducted in English and Spanish in a closed classroom setting. Data were compared among the women entered at the 10 …

A Comparative Study Of Pain Intensity, Information Seeking, And Adjustment To Prostate Cancer In Japanese American And European American Men, Mildred Ortu Kowalski

Dissertations

Adjustment to illness is a multi-dimensional and difficult process for many patients facing a life-threatening illness, such as prostate cancer. Adjustment encompasses changes in social interactions, physical limitations and role function (Germino et al., 1998; Hoskins et ah, 1996). Information-seeking and the reporting of pain promote adjustment and are explained by the Roy Adaptation Model (Boston Based Adaptation Research in Nursing Society, 1999); which was used as a framework for this study. As the United States becomes more ethnically diverse, nurses are challenged to care for patients from different ethnic backgrounds. The purpose of this descriptive study was to explore …

Information Literacy Competencies Of Registered Nurses At Magnet Hospitals, Kimberly Dawn Belcik

Dissertations

More patients are turning to the Internet as as source of health information. Nurses occupy the frontline of healthcare and must have information literacy (IL) competencies to guide themselves and their patients to the correct and appropriate health information on the Internet. Within magnet hospitals, which are exemplars for excellent nursing practice, there is an increased emphasis on evidence based practice and research, which requires IL. Exploring IL at magnet hospitals was reasonable considering such competence is promoted. Previous research indicates that nurses lack IL competencies which are necessary to inform their patients and impact healthcare but many studies rely …

Exploring Simulation Utilization And Simulation Evaluation Practices And Approaches In Undergraduate Nursing Education, Hilde Zitzelsberger, Sue Coffey, Leslie L. M. Graham, Efrosini Papaconstantinou, Charles Anyinam, Greg Dodd, Jacqueline Mangal

Sigma Foundation for Nursing Research Grant Reports

Our study investigated simulation utilization and simulation evaluation practices and approaches employed among undergraduate nursing educational programs in Ontario, Canada, using a mixed methods approach, including both quantitative and qualitative data collection through a confidential online survey. The goal of our study is to establish a "picture" of current trends, practices, and approaches related to simulation that is employed within this entire province. An overview of the study results and recommendations that have potential to make a substantial contribution to the growing evidence for best practices in the science of simulation will be discussed.

Impact Of An Educational Intervention On Knowledge And Attitudes Concerning Maternity Care Practices Consistent With The "Baby-Friendly Hospital Initiative", Marjorie H. Young

DNP and Student Works

The purpose of this study is to examine if an educational intervention increases knowledge and positively influence attitudes in maternity care staff in regards to maternity care practices consistent with the Baby-Friendly Hospital Initiative (BFHI)?

The Utilization Of An Alarm Elimination Fall Prevention Program, Angela Moses

DNP and Student Works

A typical nursing home with 100 beds reports 100-200 falls each year (CDC, 2015). It is common to see the utilization of personal alarms in nursing homes to prevent falls, although there is no evidence to support the idea that personal alarms reduce falls. The project aimed to address the question: In long-term care patients, what is the impact of an alarm elimination program versus current practice of utilizing alarms, on fall rates over a 2-month time frame? The project used a multi-pronged, alarm elimination program. Limitations of the project were an overall low compliance rate among staff, a short …

Sense Of Belonging And Registered Nurse Job Satisfaction, Sarah E. Abel

Theses

Increased registered nurse turnover may be a significant contributor to the nursing shortage; therefore factors must be acknowledged that lead to poor nurse retention. Tourangeau, Cummings, Cranley, Ferron, and Harvey (2010) identified that a relationship exists between job satisfaction, nurse retention, and nurse turnover. This is a replication of Tourangeau et al.'s (2010) study and will seek to identify additional factors that may influence registered nurse turnover and specifically search to find what work or life situations influenced nurses to remain or end employment. Miles and Huberman's (1994) deductive qualitative data coding method will be used to categorize, refine, and …

Resilience Among Nursing Students In Clinical Placement, Shirley Siu Yin Ching, Kin Cheung, Desley G. Hegney, Clare S. Rees

Sigma Foundation for Nursing Research Grant Reports

To understand the mechanism of coping with resilience and its implications for the well-being of nursing students in the context of clinical placement.

Nurses' Perceptions Of The Image Of The Profession Of Nursing, Lorraine E. Emeghebo

Dissertations

The purpose of this study was to understand the evolution of nurses' perceived image of nursing from the time nurses begin their career and through various phases of nursing experience. The image of nursing as perceived by nurses and by the public affects recruitment of new nurses and retention of experienced nurses (Buerhaus, 2000, Irvine & Evans, 1995, Nevidjon & Erickson, 2001). There is a projected deficiency of 800,000 nurses by 2020 (National Center for Health Workforce Analysis, 2002) that has been attributed, in part, to low enrollments and graduations from nursing programs, as well as nurses leaving the profession. …

Patients' Perceptions Regarding Nursing Care In The General Surgical Wards At Kenyatta National Hospital, Elwin Shawa

Theses

Nursing care is a major component of the health services because it is one of the determinants of quality health services. The anecdotal patients' care evaluation and media reports have portrayed negative publicity and image regarding nursing care in certain hospitals. Patients' perceptions regarding nursing care is thought to be the determinant of quality nursing care. To explore patients' perceptions and experiences regarding nursing care in surgical wards.

Medication Dosage Calculation: A Mathematical Intervention For Nursing Students, Theresa D. Cowan

Dissertations

Nurse educators continue to express concern over the struggle that nursing students have with mathematical calculations necessary to compute medication dosage. This applied dissertation designed, implemented, and evaluated a structured program of mathematical remediation incorporating dimensional analysis. This program targeted nursing students with demonstrated deficiencies in computation skills. The degree of mathematical preparation that the student was exposed to prior to enrollment into nursing courses was considered worthy of review. The age-old adage of gender differences that were theorized to affect the mathematical ability of students was taken into regard as well. Best practices included a curriculum devised to address …

Implementing Kangaroo Mother Care In The Preterm Infant Unit Of Potchefstroom Hospital, Madile Mmoloke, Joyce Mfuni, Welma Lubbe

Maternal-Child Health Nurse Leadership - Africa

The Maternal-Child Health Nurse Leadership Academy Africa (MCHNLA Africa) develops the leadership skills of maternal and child health nurses and midwives who work in a variety of healthcare settings. The academy prepares these nurses for effective interprofessional team leadership as they strive to improve the quality of healthcare for childbearing women and children up to 5 years old. The program is presented in cooperation with our funding partner Johnson & Johnson.

Nurses and Midwives from Malawi, South Africa, Swaziland and Uganda participate in an 18-month leadership academy. During MCHNLA Africa the mentees create and effectively lead an interdisciplinary team with …

Leadership Development: Post-Partum Haemorrhage In Non-Obstetrical Wards, Miemie Van Jaarsveld, Francina Boer, Karin C. S. Minnie

Maternal-Child Health Nurse Leadership - Africa

Why the Project: During January - July 2011, postpartum patients where admitted in non-obstetrical wards, due to the high bed occupancy in the obstetric department. Although there were no Maternal Deaths in Klerksdorp Hospital due to post-partum haemorrhage since 2011, the need was identified for knowledge improvement on post-partum haemorrhage.

Project Activities Planned:

• Project Planning using the Logic Model
• Liaising with management
• Identifying stakeholders and team members
• In-service training
• PPH kits to be developed

Activities Done:

• Project planning and setting of goals
• 7 Dyad Meetings and 2 with the management
• A team was identified and meetings held.
• 6 Meetings held …

The Effect Of The Developing Nurses' Thinking Model On Clinical Judgment In Nursing Students, Kristie Douglass

Dissertations

Critical thinking and clinical judgment are essential competencies for professional nursing practice. These abilities are used continually, enabling nurses to provide safe nursing care to increasingly complex patients in a variety of healthcare settings. The challenge that faces baccalaureate nursing programs as they prepare nursing students to function competently upon graduation, is how best to facilitate the development of these skills in our students. The purpose of this capstone project was to test the effect of the middle range theory of the Developing Nurses' Thinking (DNT) Model on clinical judgment in nursing students. Tanner's Clinical Judgment Model formed the conceptual …

Management Of Hiv Exposed Babies In Montshioa Stat Health Centre At Mafikeng Sub-District Of North West Province, Yvonne Nkosi, Grieta Dakada, Deliwe Rene Phetlhu

Maternal-Child Health Nurse Leadership - Africa

One of the guidelines for the prevention of mother to child transmission stipulates that PCR should be done on all babies born from HIV infected mothers at 6 and 18 weeks to promote the early detection and prompt management of HIV exposed babies. However, only a small number of HIV exposed babies are properly managed and tested for PCR. Discussions were held with mothers attending the health facility, and nurses at the facility and major referral points including the referring hospital. A call reminder system was put in place for mothers and an awareness campaign conducted through distribution of flyers …

Contributory Factors Towards Perinatal And Infant Mortality In Jubilee Hospital, Caroline Manamela, Sharon Ngomane, Roinah Ngunyulu

Maternal-Child Health Nurse Leadership - Africa

Perinatal and infant mortality remains a serious challenge in developing countries including South Africa. Current statistics indicate that there is high perinatal and infant mortality in the selected district hospital in Tshwane. A retrospective audit of patient's files from March 2013 to April 2014 with the aim of reducing perinatal mortality at secondary and Primary Health Care (PHC) level.

Results indicate that the following are contributing factors of perinatal mortality: cultural beliefs, delayed antenatal referrals, delayed intrapartum referral, lack of transport, poor use of partogram. This factor contributes to the following causes of perinatal mortality: Intrauterine deaths (39%), severe Pre-eclampsia …

Improving Quality Of Care For Neonates With Birth Asphyxia Through Helping Babies Breath Program At Chiradzulu District Hospital, Malawi, Chismo Bande, Colette Phiri, Ellen Chirwa

Maternal-Child Health Nurse Leadership - Africa

In Malawi the neonatal death rate is at 31/1000 live births with birth asphyxia contributing to 25%. In 2013, Chiradzulu District hospital had an average of 155 neonatal deaths out of 4142 live births of which birth asphyxia contributed to 52% of all deaths. The project was implemented from May 2014 to April 2015. Team members were midwives, anesthetists and clinicians from the hospital's labour ward. The project activities included: On-job and formal trainings on HBB and documentation, creation of an HBB corner, mobilization of resuscitation equipment and supportive supervision. Monitoring was done through qualitative oral feedback from midwives and …

Perinatal Bereavement Immersion For Nurses Providing Care To Women Who Miscarry In The Emergency Department, Joyce L. Merrigan

DNP and Student Works

To demonstrate that perinatal bereavement immersion for emergency department nurses increases knowledge and confidence in providing bereavement care to women who miscarry. The quality improvement design employed the Resolve Through Sharing® Perinatal Death Bereavement Training model. The nurses' perception of their knowledge and confidence was explored using the Resolve Through Sharing® Perinatal Death Bereavement Training Pre-Course and Post-Course Participant Survey.

International Network For Doctoral Education In Nursing - Ander Journal [Complete Issue - February 2017, Vol 6, No 1], Nancy C. Sharts-Hopko, M. Louise Fitzpatrick, Pamela Aselton, Jean Demartinis, Raeann Genevieve Leblanc

International Network for Doctoral Education in Nursing - ANDER

Advances in Nursing Doctoral Education & Research

Official Journal for the International Network for Doctoral Education in Nursing (INDEN)

The file attached to this record is the February 2017 issue of ANDER, INDEN's peer-reviewed journal. This journal evolved from the INDEN Newsletter which served the organization well for many years. Since 2013 the journal has acknowledged the excellence of submitted manuscripts by having them peer-reviewed. Submissions are warmly invited and the relevant guidelines can be found at http://nursing.jhu.edu/excellence/inden/ander-journal.html

This edition of the journal explores issues in distance and in blended learning for doctoral nursing education. In the first peer-reviewed paper …

Examining Constructs Of The Health Belief Model As Predictors Of Haitian Men's Intention Regarding Prostate Cancer Screening, Jhonii Price Louis Ii

Dissertations

The purpose of this study was to determine which of these selected constructs of the Health Belief Model (perceived susceptibility, perceived benefits, and perceived barriers) are predictors to the intention of Haitian men regarding prostate cancer screening. Other modifying variables were also considered as predictors to the outcome variable..

The Hidden Morbidity Of Cancer: An Exploratory Study Of Burden In Caregivers Of Cancer Patients With Brain Metastases, Marlon Garzo Saria

Dissertations

The aim of this dissertation was to explore the antecedents and outcomes of caregiver burden within the context of brain metastases using the Comprehensive Health Seeking and Coping Paradigm as a framework to describe the highly interactive iii relationship among the variables. The first paper derived from this dissertation is a literature review that describes the challenges of caring for a patient with brain metastases and highlights the implications for healthcare professionals. The second paper presents the analysis of the relationships between caregiver burden and the affective disorders anxiety and depression. It describes the higher risk of screening positive for …

Creating Shared Meaning Between Nurses And Physicians In The Nursing Home, Alyce S. Ashcraft, Donna C. Owen

Sigma Foundation for Nursing Research Grant Reports

The aims of this pilot study were as follows: (a) to examine the design and utility of an intervention based on the Sensemaking model, and (b) to examine communication between nurses and physicians caring for residents in the nursing home.

Research Questions:

1. Does communication improve from baseline after Sensemaking training (SBAR use) in the long-term care setting as perceived by nurses or physicians caring for nursing home residents?
2. Following Sensemaking training in the use of SBAR, is Shared Meaning apparent in communication events about change in resident status by nurses and physicians working in a nursing home?
3. To what extent …

Combating Childhood Obesity With Provider Education: A Quantitative Study, Trina Marie Larery

Dissertations

The study included an educational program to providers and nurse practitioner students in order to evaluate whether an increase in knowledge and accuracy occurred based on knowledge of evidenced-based responses to specific indicators of childhood overweight and obesity. It assessed the providers' knowledge and sought to evaluate if increased knowledge occurred after an educational program presentation. Following the educational program, a follow-up survey was distributed via email to assess the providers self-reported perceived practice change six weeks after the education.

Developing An Information Booklet: Taking Your Preterm Baby Home, Rainette Van Der Linde, Erika Kotze, Antoinette Du Preez

Maternal-Child Health Nurse Leadership - Africa

The Maternal-Child Health Nurse Leadership Academy Africa (MCHNLA Africa) develops the leadership skills of maternal and child health nurses and midwives who work in a variety of healthcare settings. The academy prepares these nurses for effective interprofessional team leadership as they strive to improve the quality of healthcare for childbearing women and children up to 5 years old. The program is presented in cooperation with our funding partner Johnson & Johnson.

Nurses and Midwives from Malawi, South Africa, Swaziland and Uganda participate in an 18-month leadership academy. During MCHNLA Africa the mentees create and effectively lead an interdisciplinary team with …

Increasing Patient Safety Using Positive Patient Identification And Bedside Specimen Scanning, Lisa Czaplinski

DNP and Student Works

A hospital located in the Northeastern United States, has an opportunity to improve the number of specimens that are mislabeled. Mislabeled specimens increase costs, create patient inconvenience and can lead to unnecessary treatment, lack of treatment or even death (Stein et al., 2011). This paper discusses the impact of bedside specimen scanning as it relates to the reduction and elimination of specimen collection errors.

A Quality Improvement Plan To Decrease Acute Care Transfers Through Better Staff Communication About Status Changes Among Assisted Living Residents, Hilda Eagleton

DNP and Student Works

Elderly residents of assisted living facilities (ALFs) are generally frail and may have multiple comorbidities (National Center for Assisted Living, 2010). Inadequate communication of changes in resident status precludes early intervention and may result in unnecessary acute care transfers.

Establishment Of A Midwifery Obstetric Unit In Seshego Hospital, Mantsi Annah Mathabatha, Maphuti Rosina Khumalo, Magdeline Thopola

Maternal-Child Health Nurse Leadership - Africa

The Maternal-Child Health Nurse Leadership Academy Africa (MCHNLA Africa) develops the leadership skills of maternal and child health nurses and midwives who work in a variety of healthcare settings. The academy prepares these nurses for effective interprofessional team leadership as they strive to improve the quality of healthcare for childbearing women and children up to 5 years old. The program is presented in cooperation with our funding partner Johnson & Johnson.

Nurses and Midwives from Malawi, South Africa, Swaziland and Uganda participate in an 18-month leadership academy. During MCHNLA Africa the mentees create and effectively lead an interdisciplinary team with …

Delirium Assessment In The Medical-Surgical Population: A Quality Improvement Project, Veronica Valazza

DNP and Student Works

Delirium is a complex syndrome that can affect many patients resulting in adverse outcomes. The use of a delirium assessment tool assists in the identification of delirium. The aim of this project was to determine whether delirium education and the use of a validated assessment tool can assist in the early identification of delirium.

Improvement Of Record Keeping Of Maternity Case Reports At Kgabo Chc, Tebogo Ramahlo, Lekwetji Komane, Mmajapi (Tshidi) Chokwe

Maternal-Child Health Nurse Leadership - Africa

A study about compliance of midwives towards maternity protocols conducted in 2012 by Kgabo Community Health Centre (CHC) personnel showed low levels of compliance and poor record keeping of maternity case records as a contributory cause to late diagnosis and treatment of complications.

A multi-disciplinary team was compiled and base line data was collected from retrospective audits of the study sites' maternity case records. Interventions included in-service training of midwives and staff nurses at the Kgabo CHC and its feeder clinics. We developed tools to measure the progress of the project through monthly audits. The results thereof were compared against …

Fostering The Optimal Contribution Of Nurses To Parental Engagement In Neonatal Intensive Care, Sunny G. Hallowell, Eileen T. Lake

Sigma Foundation for Nursing Research Grant Reports

Parental presence in the neonatal intensive care unit (NICU) is essential for families, especially mothers to participate in infant care and prepare for transition from hospital to home. Nurses are the principal caregivers in the NICU. The nurse work environment may influence whether parents spend time with their hospitalized infants. A national dataset was used to examine the relationship between the work environment and parental presence in the NICU.