Digital Commons Network^™

Evaluating Cultural Competency: A Theory-Driven Integrative Process/Outcome Evaluation Of An Associate Degree Program, Nancy E. Peer

Dissertations

Accreditation organizations have identified specific program outcomes that each nursing program must meet to maintain accreditation, including standards on cultural competence. However, research has shown there is no consistent method of teaching cultural competence or incorporating it into nursing curriculum, so nursing programs are at risk for misinterpretations or not meeting required program outcomes.

Npwh Position Statement: Prevention Of Alcohol-Exposed Pregnancies, 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) position statement on prevention of alcohol-exposed pregnancies was approved by the Board of Directors August, 2016. NPWH recognizes the critical role of nurse practitioners who provide healthcare for reproductive-aged women in using evidence-based strategies to prevent alcohol-exposed pregnancies. Prenatal alcohol exposure is the No. 1 preventable cause of birth defects and intellectual and developmental disabilities in children. There is no known safe amount of alcohol use at any time during pregnancy. Therefore, NPWH commits to provide leadership and collaborate with other organizations and agencies to deliver education and skills training …

Fall Prevention In Older Adults Who Reside In Nursing Homes, Dorothy Normile

DNP and Student Works

Falls among older adults who reside in the nursing home setting are a major problem in the United States (Center for Disease Control and Prevention [CDC], 2015). The site of this project was a nursing home located in a small town in New Hampshire. This home had a problem with the number of falls that occurred on a monthly basis. The rate of falls on average was two falls per month. This project sought to reduce the number of falls to zero over the course of three months. A fall prevention program using evidence base interventions was developed to reach …

Can Structured Orientation For New Nurse Graduates Through Improved Preceptor Programs Decrease Turn-Over Rates?, Dara L. Kimery

DNP and Student Works

Preceptors take on the responsibility of educating and training new nurses in innovative evidence based practice as they pass on their knowledge and facilitate the growth of critical discernment and solid clinical skillsets. They are necessary for the success of any facility if they desire to retain their nurses and maintain job satisfaction among their staff nurses. It is critical in today's healthcare setting to promote a workplace culture of nurture, support, and professional growth for new nurse graduates. Through the use of focused preceptor education courses, they can have the advantage with the much needed instruction to promote and …

The Cheyenne River Sioux Tribe And Quality Health Care: Between Two Worlds, Susan Brown

DNP and Student Works

The Native American Lakota population in La Plant, South Dakota face abject poverty, isolation, and substandard healthcare resources. In remote regions where access to healthcare is deficient, non-profit organizations are the conduit to linking remote regions to adequate healthcare. With guidance from healthcare professionals, non-profit organizations can bridge the healthcare gap and become a vital pipeline for healthcare services.

Improving Patients' Health Literacy Level And Ability To Take Their Medication As Prescribed, Wanda Chukwu

DNP and Student Works

Community health nurses responsible for managing the care of sick patients have a responsibility in knowing how to prevent the progression of diseases and the promotion of self-management skills. There is a need to incorporate strategies that empower patients to be integral members of the health care team. This process can be achieved by breakdown communication barriers that assume that the health care provider has given the patient the appropriate health information

Improving Communication In The Clinical Environment Through Bedside Shift Report (Bsr): A Quality Improvement Project, Karen Burk

DNP and Student Works

Effective communication is required during the handoff process to ensure essential patient information is relayed for continuity and quality of care. The author conducted a quality improvement initiative at a 380 bed acute care facility using Lewin's Change Theory and implementing a structured tool to standardize handoff practice at the bedside that included the patient (bedside shift report [BSR]). Outcomes were measured for patient and nursing satisfaction and a decrease in medication errors over a four-week period of time. Results show BSR improved patient satisfaction scores in Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores and the potential …

Predictors Of Success In An Associate Nursing Program Utilizing Comprehensive Examination Scores, Deborah Sue Judge

Theses

The purpose of this research study was to examine the relationship between the scores obtained on the Assessment Technologies Institute (ATI) tests and the results of the first attempt on the National Council Licensure Examination for Registered Nurses (NCLEX-RN). A quantitative approach was utilized for this study. The dependent variable for the study was the results of the NLCEX-RN on the first attempt. The independent variables were the ATI adjusted individual total scores that include the medical-surgical, mental health, maternal-newborn, fundamentals, the comprehensive predictor test, and the TEAS exam score.

Early Detection And Management Of Delirium Through Routine Nurse Screening On Older Adult Hospitalized Patients, Elaine Duterte Delvo-Favre

DNP and Student Works

Nurses play a crucial role in implementing care designed to reduce delirium's duration and severity. Unmanaged delirium in the older adult patient population can result in prolonged hospitalization, profound decline in health status, and possible short or long-term institutionalization. A nurse-driven delirium management protocol was piloted on an orthopedic surgical unit over a period of four weeks. The goal was to detect delirium early in the postoperative period for early management and thus, the patient would be free of delirium symptoms at discharge.

All patients age 65 years old and over were assessed for delirium every shift and a delirium …

Improving Heart Failure Management Utilizing A Chronic Disease Clinic Model, Regina Sawyer

DNP and Student Works

Chronic diseases are currently the leading cause of preventable death and disability worldwide. Clinical prevention disease-specific interventions designed with a population health management approach offer solutions. The goal was to determine the impact of follow-up care provided at a nurse practitioner led chronic disease management clinic (CDMC) on 30-day post-acute outcomes of the systolic heart failure (HF) population as compared to those who received usual care (UC). The CDMC utilizes an interprofessional model of care with a self-care management approach. A retrospective chart review was conducted on 72 patients to obtain 30-day hospital readmission, mortality, and ED utilization rates for …

Surgical Site Infections And Prophylactic Antibiotics, Victoria Ebanks

DNP and Student Works

Surgical site infections (SSIs) have negative clinical and financial outcomes for patients and healthcare organizations. Each surgical site infection increases cost, no longer to the patient, but to the organization. SSIs are considered nosocomial infections and are the most common seen with the surgical patient. The need to find ways to decrease the incidence of SSIs is a primary concern for a federal healthcare organization on the central eastern coast of the United States. A quality improvement plan was implemented using the antibiotic protocol from the Center for Medicare and Medicaid (CMS) and the Surgical Care Improvement Project (SCIP), which …

Hiv Task Shifting From Physicians To Nurses In Nigeria: Examining The Correlates Of Nurse Self-Efficacy And Job Satisfaction, Emilia Ngozi Iwu, William L. Holzemer

Sigma Foundation for Nursing Research Grant Reports

In a sample of 399 nurses in "task-shifted" roles, this study examined the correlates of self-efficacy and job satisfaction in Nigeria.

Improving Self-Management In A Complex Population Through Patient-Centered Education And Interdisciplinary Communication, Kathryn Hiner

DNP and Student Works

The residual cognitive and physical deficits of traumatic brain injury and stroke create unique challenges during rehabilitation. A microsystem assessment of an inpatient rehabilitation unit serving traumatic brain injury and stroke patients identified areas for improvement in patient satisfaction and timely discharge preparation. Both of these issues were linked to poor communication and late initiation of education of patients and care partners. A literature review revealed that formal education and discharge programs for these populations have little effect on patient and care partner outcomes. As a result, an evidence-based project was undertaken using patient-centered education practices shown to be effective …

Women And Men's Preferences For Delivery Services In Rural Ethiopia, Nancy K. Beam

Dissertations

This study aims to determine the combination of facility-based delivery care attributes preferred by women and men; if gender differences exist in attribute preferences; and key demographic factors associated with attribute preferences.

Teaching Strategies To Reduce Vap At Mulago Hospital: A Capstone Project, Jason Michael Marzuola

DNP and Student Works

Mulago National Referral Hospital (Mulago), in the sub-Saharan African country of Uganda, is one of the largest hospitals in East Africa. Continuing education requirements for nurses working in the ICU at Mulago are not formalized, and teaching preferences for nurses here at not well-understood. Ventilator associated pneumonia (VAP) is a global problem, but the incidence and prevalence of the disease is not well-documented in the developing world. Undoubtedly, nursing interventions play a significant role in the prevention of VAP, but education on evidence-based bundle approaches in countries such as Uganda is not well-understood. Active teaching methods, such as posters and …

A Quality Improvement Project: Job Satisfaction Of Nurses In Home Health Care, Diane Hollie

DNP and Student Works

The purpose of the quality improvement project was to explore if a formal preceptorship orientation program would minimize the low job satisfaction rate of registered nurses at a home health agency. The design included a pre and post evaluation completed by nurses that participated in the preceptorship orientation. Upon completing the preceptorship orientation, the new hires were given the McCloskey-Mueller Satisfaction Scale (MMSS) survey.

Multipronged Approach To Improve Hand Hygiene In Acute Care Nurses, Karen Britt

DNP and Student Works

This article outlines a quality improvement project to implement a multipronged approach for improvement of hand hygiene (HH) adherence during bedside patient care in an inpatient acute care setting.

Unit Climate Of Teamwork And Nursing Leadership And The Effects On Patient Outcomes, Chenjuan Ma

Sigma Foundation for Nursing Research Grant Reports

In October, 2010, the Institute of Medicine (IOM) through its committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing released a report titled The Future of Nursing: Leading Change, Advancing Health. This landmark report highlighted opportunities as well as challenges in nurses' partnership with other health care professionals and nursing leadership in redesigning health care in the United States. Teamwork among health care professionals and nursing leadership are two essential attributes of the nurse work environments in which delicately designed patient care is accomplished.

Factors Predicting Premature Natural Death: A Pilot Study Within A Medicolegal Death Investigation Setting, Stacy A. Drake

Sigma Foundation for Nursing Research Grant Reports

The project aims were as follows:

- Describe the distribution of premature natural deaths in Harris County by circumstances of death and disease states.

- Describe the geographic distribution of premature natural deaths in Harris County by describing the distribution of these deaths in relation to community resources characteristics as determined by geo-mapping.

- Identify variables that are predictive of remature natural death based on circumstances of death, disease states, and community resources.

Effect Of A Drinker Identity On Smoking-Related Information Processing And Behavior, Chia-Kuei Lee

Sigma Foundation for Nursing Research Grant Reports

Drinking and smoking frequently co-occur in undergraduate students. A drinker identity - a valued identity related to alcohol consumption behaviors - predicts high levels of alcohol use and alcohol problems. Since alcohol use and tobacco use are often paired in the social context, smoking-related information, behaviors and routines may be encoded into a drinker identity. This study investigated the role of the drinker identity (drinker self-schema) on smoking-related information processing and behavior in undergraduate students who drink and smoke but do not self-identify as smokers. Also, the effects of early alcohol experiences with alcohol on the drinker self-schema were also …

International Humanitarian Law, Human Rights, And Ethics: The Medical Mission, Andrea Harrison

Sigma Institute for Global Healthcare Leadership

Presentation from Institute of Global Healthcare Leadership, Emerging Global Leader Institute

Value Proposition, Cynthia Vlasich

Sigma Institute for Global Healthcare Leadership

Presentation from Institute of Global Healthcare Leadership, Emerging Global Health Leaders Institute

Responding To A Global Public Health Emergency, Sylvia Trent-Adams

Sigma Institute for Global Healthcare Leadership

Presentation from Institute of Global Health Leadership, Emerging Global Health Leader Institute

Global Health Leadership, Maura Macphee

Sigma Institute for Global Healthcare Leadership

Presentation from Institute of Global Healthcare Leadership, Emerging Global Health Leader Institute

Crafting A Personal Legacy As A Global Healthcare Leader, Carol J. Huston

Sigma Institute for Global Healthcare Leadership

Presentation from Institute of Global Healthcare Leadership, Emerging Global Health Leader Institute

The Global Economy And Health, Marty Makinen

Sigma Institute for Global Healthcare Leadership

Presentation from Institute of Global Healthcare Leadership, Emerging Global Health Leader Institute

The Effectiveness Of Global Health Networks, Jeremy Shiffman

Sigma Institute for Global Healthcare Leadership

Presentation from Institute of Global Healthcare Leadership, Emerging Global Leader Institute

Global Healthcare Issues, Julia Bluestone

Sigma Institute for Global Healthcare Leadership

Presentation from Institute of Global Healthcare Leadership; Emerging Global Health Leader Institute

Influence And Implementation: Leadership In The Global Arena, Gwen D. Sherwood

Sigma Institute for Global Healthcare Leadership

Presentation from Institute of Global Healthcare Leadership, Emerging Global Health Leader Institute

Case Studies In Action: Reflecting On My Global Story, Gwen D. Sherwood

Sigma Institute for Global Healthcare Leadership

Presentation from Institute of Global Healthcare Leadership, Emerging Global Health Leader Institute