Digital Commons Network^™

Skin-To-Skin Contact After Birth To Promote Newborns' Vital Stabilization: An Evidence-Based Project, Stephanie Bricker, Rachel Johnson, Caitlin Stom

Theses

The hours immediately following birth are a crucial time for an infant to sustain life. Skin-to-skin contact (SSC) during this time provides the infant with natural thermoregulation and promotes oxygenation. The purpose of this evidence-based project is to examine the physiological effects SSC has on full-term newborns. The research was centered around the PICOT question: In full term newborns, how does direct skin-to-skin contact, compared to no skin-to-skin contact, affect the stabilization of the infant as measured by the infant's vital signs, when practiced within the first few hours after birth?

Can Married State Onboarding Close The Transition Gap To Professional Practice?, Sueanne Wright Cantamessa

DNP and Student Works

Onboarding is process of advancing the behaviors that will be the foundation of an employee's long-term success with managers involved in the process. Five themes emerged in the literature review for onboarding new Registered Nurses (RN): consistency, partnership, critical reasoning, learning style, and transition. The self-directed, or learner-driven, married-state process implies adult learning protocols in a consistent partnership between learner and coach are effective.

A Nurse Residency Model For Rural And Community Hospitals' Making A Difference In Graduate Nurse Turnover Rates, Jacquelyn J. Graetz

DNP and Student Works

Vulnerability of new graduate registered nurses (NGRN) requires organizational support when transitioning to a professional role. Varner and Leeds (2012) show 83% of NGRNs are employed in hospitals, and 50% plan on changing employers within 3 years. With the United States (U.S.) in the middle of a nursing shortage caused by an aging workforce, expanding field of practice, aging clientele, decreasing enrollment of nurses due to qualified faculty shortages and limited clinical sites; there is need to offer an enhanced orientation (Booth, 2011). Recommendations easing transition, through implementation of nurse residency programs designed to introduce new nurses to the role …

Advances In Nursing Doctoral Education & Research [Complete Issue: February 2016 Vol 5, No 1], Sonja Mcilfatrick

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 2016 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 continues to explore key issues in nursing doctoral education and showcase its diversity. In the peer-reviewed section …

Patient's Impact On Antibiotics Prescription For Viral Infections, Adedamola O. Solawon

DNP and Student Works

The purpose of this project is to evaluate the effectiveness of a patient educational intervention on the rates of desire for antibiotics for viral upper respiratory infections. A quasi-experimental design with a convenience sample of patients that was presented to the clinic between August and September 2015 was used. A questionnaire adapted from a similar study, modified to fit the patient population, was administered as a pretest and posttest. For the intervention, the participants read a brochure by the Centers for Disease Control and Prevention (CDC) that explains the difference between bacteria and viruses, as well as antibiotic resistance. It …

Diabetes Educational Program, Djenane Bartholomew

DNP and Student Works

Diabetes is the seventh leading cause of death in the United States, despite medical advancements (Centers for Disease Control [CDC], 2011). Diabetes management and education is the key to curtail the rapid spread of this disease. As American baby boomers age, the diagnoses of diabetes increase and cause the disease to reach epidemic proportions (King, Matheson, Chirina, & Shankar, 2013). A New York City nursing home conducted a needs assessment in 2013, which revealed an increase in the readmission of residents with diabetes or diabetes-related complications. These sobering facts led to the project question: Does a diabetes educational program in …

The Potential Of A Nurse Leader Development Program, Jennifer K. Johnson

DNP and Student Works

Will a nurse leader development program increased nurse leader self-reported competence and interest in remaining in leadership roles?

Customizing An Electronic Medical Record In One Rural Health Area: The Impact On Patient Appointments, Nadia Martindale

DNP and Student Works

To analyze the effect and use of electronic medical record systems on appointment compliance in one small rural health clinic. Quantitative study. Appointment compliance was analyzed using population data pre-implementation of an electronic medical record and post implementation of an electronic medical record.

26th International Nursing Research Congress 2015 Conference Proceedings, Sigma Theta Tau International

Sigma Publications: Book Excerpts

The Honor Society of Nursing, Sigma Theta Tau International (STTI) conducted its 26th International Nursing Research Congress in San Juan, Puerto Rico from 23-27 July 2015. More than 800 nurses from around the world gathered at the congress, which had as its theme "Question Locally, Engage Regionally, Apply Globally."

These conference proceedings are a collection of abstracts submitted by the authors and presented at the research congress. To promptly disseminate the information and ideas, participants submitted descriptive information and abstracts of at least 300, but no more than 1,500 words. Each oral and poster presentation abstract was peer-reviewed in a …

Assessment & Management Of Pressure Injuries For The Interprofessional Team (3rd Ed.), Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

The purpose of this guideline is to present evidence-based recommendations that apply to the decisions and best practices of interprofessional teams working to assess and manage existing pressure injuries in people 18 years of age and above.

The guideline focuses on the core competencies and the evidence-based strategies that members of interprofessional teams require to assess and treat people with existing pressure injuries.

We've designed this guideline to help nurses and their interprofessional teams become more comfortable, confident and competent when caring for people with existing pressure injuries. It is intended for use in all domains of health care and …

Delirium, Dementia, And Depression In Older Adults: Assessment And Care (2nd Ed.), Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

This best practice guideline (BPG) outlines recommendations for the assessment and care of delirium, dementia and depression in older adults. The focus is on the provision of effective, compassionate and dignified care, and on managing any presenting signs, symptoms or behaviours. Nurses and other members of the interprofessional health-care team can use this BPG to enhance the quality of their practice pertaining to delirium, dementia and depression in older adults, and to optimize clinical outcomes by using evidence-based practices. The recommendations apply to foundational clinical care provided by nurses and other health-care providers in a range of community and health-care …

Nursing Professional Development Organizational Value Demonstration Project, Mary G. Harper, Julia Aucoin, Joan Insalaco Warren

General Submissions: Organizations - Position Statements, White and Resource Papers

In view of the changes in the healthcare environment and the recommendations of the IOM, the ANPD Board of Directors commissioned a study to examine variables related to facility size and structure, NPD practitioner characteristics and time in service, and organizational outcomes.

The specific aims for this research were to:

• Explore correlations among professional development structures and acute care hospital organizational, nursing, and patient outcome variables.
• Identify correlations among acute care hospital organizational, nursing, and patient outcome variables.

This paper focuses on the first research aim. Findings related to the second aim are forthcoming.

Transforming Roles Of Nursing Professional Development Practitioners, Joan Insalaco Warren, Mary G. Harper

General Submissions: Organizations - Position Statements, White and Resource Papers

Consumers and payers demand highly reliable, accessible, and affordable healthcare (Findlay, 2012). In 2010 legislators dramatically altered the trajectory of healthcare with passage of The Patient Protection and Affordable Care Act (ACA) (U.S. Department of Health and Human Services, 2015). New healthcare regulations consisting of comprehensive health insurance reforms and new care delivery and payment models have transformed the industry. As these unprecedented reforms destabilize the already fragile healthcare system and critical staffing shortages loom over the horizon, healthcare executives are facing new mandates for population health management, higher quality, patient safety and experiences, and lower healthcare costs (Nash, 2012). …

Anpd Position Statement: Quality And Safety Education For Nurses, Mary G. Harper

General Submissions: Organizations - Position Statements, White and Resource Papers

The Quality and Safety Education for Nurses (QSEN) project was initiated in 2005 with funding from the Robert Wood Johnson Foundation to prepare nurses to "improve the quality and safety of the healthcare systems in which they work " (QSEN, n.d.). During the initial phases of the project, six competencies with concomitant knowledge, skills and attitudes (KSAs) for each were developed and implemented in pre-licensure nursing programs. Academic faculty development related to teaching the QSEN competencies was an important component of the initiative. In 2012, graduate KSAs were developed to guide "curricular development for formal academic graduate programs and for …

Improving Medication Administration Safety In The Clinical Environment, Janet Tompkins Mcmahon

DNP and Student Works

Work interruptions during medication administration are a serious problem negatively impact patient safety. Utilizing a medication safety vest and signage during medication administration improves situation awareness, therefore reducing the potential for interruptions.

Executive Summary: The Effects Of High Fidelity Simulation On Hesi Grades, Monica Taylor

DNP and Student Works

The nursing program at a community college in Texas had a steady decrease in National Council Licensure Examination for Registered Nurses (NCLEX-RN®) and Health Education Systems, Incorporated (HESI) scores for the past five years. After making several changes in the program, HESI scores continued to be low. In 2012, the school built a new state of the art high fidelity simulation lab. The faculty considered high fidelity simulation (HFS) as a possible solution to improve the scores. The purpose of this project was to examine whether the integration of HFS with traditional clinical learning experiences would increase the students' performance …

Collaborative Care For Depression In Primary Care, Amy J. Schwarzenbart

DNP and Student Works

Improvements in symptom recognition and treatment of depression can be improved through collaborative care. Collaboration of both primary care provider and behavioral health providers can help patients with depression obtain high quality and effective treatment in the primary care clinics. The quality improvement practice was to improve the coordination and collaboration of care, access to services, and referral to behavioral health providers.

Planning For A Community Supported Farmers Market In A Rural Usda Food Desert, Carrie Lynn Engelbright

Dissertations

A community initiative to develop and sustain a farmer's market can address insufficient access to fresh and affordable fruits and vegetables for individuals working and residing in a United States Department of Agriculture (USDA) designated food desert. This project addressed a particular USDA food desert in South Wood County, Wisconsin. The purpose of this project was to develop and plan for implementation and evaluation of a community-supported farmers market in South Wood County, with the goal to increase access to fruits and vegetables. Project objectives included development of a sustainable community infrastructure to support the market, development of policies and …

Promoting Self-Care For Nursing Students, Susan Bonhotal, Susan A. Seibert, Melissa A. Hall

General Submissions: Presentations (Oral and Poster)

Taking care of oneself should be a lifelong habit. Nursing students often put aside their own self-care to focus on the rigors of academia. Students describe experiencing both academic and clinical stressors. Stress felt by nursing students could impede the student's ability to learn and function. It is paramount for instructors to pay attention to students' psychological status and their academic performance. Teaching nursing students about the importance may promote stress management and encourage positive self-care habits throughout the students' nursing career.

Implementation: The Self-Care Project (SCP) is a semester long, joint venture between the first two nursing classes (Introduction …

Interprofessional Simulation: Teamstepps And Cardiac Arrest Simulation, Pamela Thomas, Tracy Kinner, Marilyn Ostendorf, Mary Kay Arvin, Heather Schmuck, Jody Delp, Jennifer Titzer, Wes Phy, Kathy Peak

General Submissions: Presentations (Oral and Poster)

Quality and Safety Education for Nurses and the Institute of Medicine recomment interprofessional education to foster open communication, encourage mutual respect, and support joint decision making among health professionals. Improved communication among healthcare professionals has been shown to decrease errors and increase patient safety in the hospital setting.

What Is The Effect Of Simulation On Knowledge Acquisition In A Second Semester Associate Degree Nursing Gerontological Community Health Class?, Cynthia M. Ashby

DNP and Student Works

Simulation is an effective teaching method that improves learning, enhances clinical decision making processes, increases confidence in nursing practice and allows for mistakes without harm to patients. An identified need to develop teaching strategies to aid nursing students transfer theoretical knowledge to clinical practice at a community college nursing program. A clinical improvement project was implemented to assess if simulation enhanced knowledge acquisition in the community health portion of the course that translates to the clinical application evaluated via a computerized proctered exam. Simulation proved to be an effective tool to improve the transference of theoretical knowledge to clinical practice.

Improving The Cultural Competency Of Registered Nurses In A Bachelor's Completion Program, Christal L. Saffee

DNP and Student Works

The purpose of this project was to evaluate the effectiveness of an educational intervention project that was designed to increase cultural competence of registered nursing (RN) students who were completing their bachelor's degree.

Implementing A Brief Mindfulness Based Stress Reduction Self-Care Intervention Into The Nursing Curriculum, Sharon Placella

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study is to implement a brief MBSR self-care intervention during nursing education and evaluate its effectiveness in decreasing stress and dysfunctional health behaviors.

School Nursing Simulation: An Evidence-Based Practice Intervention For Improved Confidence In Health-Related School Emergency First-Responder Role, Mariann F. Cosby

DNP and Student Works

School nursing practice occurs in an autonomous clinical practice setting in which school nurses function as first-responders to life-threatening school emergencies. However, a gap in school nursing practice preparation exists due to a lack of pediatric first-responder experience or training. Following evidence-based school nursing simulation interventions, the current longitudinal descriptive mixed method doctoral project analyzed participants' self-perceived gains in knowledge, skills, confidence, and integration as measures of clinical and leadership improvements. The convenience sample of post-licensure registered nurse practicing school nurses (PSN) graduate students (n=37) in California completed pre and post simulation evaluations generated from the Student Assessment of Their …

A Pilot Study: Fall Reduction And Prevention In The Elderly, Anniebelle Wilson

DNP and Student Works

The purpose of this paper is to determine if a multifactorial tool utilized along with a health coaching method assist in decreasing falls in the elderly community dwelling persons over the age of 65 and aid in the promotion of self-care management in comparison to single method strategies.

Improving The New Graduate And Undergraduate Student Nurses' Critical Thinking Ability Through The Use Of Simulation In Nursing: A Systematic Review Of Literature, Amanda L. Sansom

DNP and Student Works

Implementing what is learned in the classroom into clinical practice is an important aspect of nursing. According to Koontz, Mallory, Burns, and Chapman (2010) the clinical environment is one of the most valuable experiences for the student nurse. Learning is an active and reflective process and simulation allows for the practice of procedures as often as needed to gain confidence and proficiency (Guise, Chambers, & Valimaki, 2012). The project was a systematic review of literature that examined quantitative research studies that utilized a pretest and posttest study design to evaluate the effectiveness of simulation regarding critical thinking skills in the …

Feasibility Project To Determine Strategies For Self-Administration Of A Subcutaneous Orphan Drug For Treatment Of Short Bowel Syndrome: Impact On Adherence, Virginia A. Strootman

DNP and Student Works

Several strategies have been suggested to improve the nurse education provided to the nurses who educate the patients. The assumption is by providing evidence-based strategies to promote adherence to the nurses, prior to educating the patients, an increase in adherence rates can be demonstrated. Strategies discussed involve a feasibility project whereby an improved nurse educational model demonstrates improvement in medication adherence rates for adults with a rare and chronic disease states that self-administer an orphan drug for short bowel syndrome.

A Study To Assess The Knowledge And The Practices Adopted By The Mothers For Their Babies Vaccinated With Bcg In Selected Areas In Mumbai, Ancy Antony, Mini Shajan, Jancy Reji, Sadhana Kale, Sareeta Kadam, Ghanashyam Aher

DNP and Student Works

The aim of study is to find out the various improper practices of post BCG vaccination care prevalent in the community.

Objectives of the study:

- To familiarize with the various practices followed during the care of babies who are vaccinated with BCG.

- To assess the knowledge of the mothers regarding the post BCG vaccination care of the children.

- To explore the association between the mothers' knowledge of practice and selected demographic variables.

The Social Construction Of Medicalization Of Pregnancy And Childbirth, Mirko Prosen

Sigma Foundation for Nursing Research Grant Reports

Pregnancy and childbirth in every society reflect societal values. During the last century (in Slovenia after World War II), medicine, medical interventions, and medical technology became indispensable elements of societal control over these otherwise natural phenomena. Based on Conrad and Schneiders' sequential model of medicalization, we can confirm that in Slovenia both pregnancy and childbirth are medicalized. This raises three questions that need to be answered: how do women experience and accept medicalization through their own pregnancy and birth experiences and what is their relationship towards natural childbirth; how do medical staff working in obstetrics clinics perceive and experience the …

An Obstetrical Emergency Management Quality Improvement Project, Penny Montgomery

DNP and Student Works

Obstetrical emergencies occur in approximately 5% of births necessitating immediate interventions to prevent catastrophic consequences. A knowledge deficit specific to obstetrical emergencies was the impetus for this project. The IOWA Model of Evidence Based Practice was utilized to develop a strategic plan that included the implementation of educational sessions and simulation drills to improve clinical knowledge, and team performance. Following didactic and simulation education, the obstetrical team demonstrated improved knowledge test and TEAM tool scores. Knowledge and performance improvement will be sustained with quarterly drills.