Digital Commons Network^™

Second Victim: Caring For The Care Giver, Michele Gatzert

DNP and Student Works

In many healthcare organizations the needed support for second victims is lacking or unavailable. This paper describes the evaluation of debriefing support program for nurses who are second victims. Unanticipated and tragic patient outcomes will happen to excellent healthcare providers, the results being anxiety, depression, guilt, and fear. The effects of being a second victim can result in post-traumatic stress and compassion fatigue, with providers ultimately leaving the profession. After obtaining IRB approval, a volunteer debriefing support program was implemented. Validated surveys and an encounter form were utilized to collect data to identify the prevalence and effects of second victim …

Culture Of Safety Improvement Project Requires Sustained Organizational Commitment, Jessica Gruendler

DNP and Student Works

Hospital leaders have been directed to focus on assuring patient safety and improving outcomes through the development of a strong safety culture. The Safety Attitude Questionnaire (SAQ) at a small rural hospital showed a decline, over three years, in the perceived safety climate of the organization, by clinical staff. The purpose of this quality improvement project was the implementation of a structured debriefing program, promoting teamwork and collaboration between leadership and front-line staff, to improve the safety culture of the organization, exhibited by an improvement in SAQ scores within one year. Leading safety researchers suggest that developing a culture of …

A Journey Of Challenges With Medication Reconciliation, Julie Vinod

DNP and Student Works

Unintentional medication errors are a significant problem in terms of morbidity, mortality and cost. Medication reconciliation is one of several strategies to reduce medication errors. The purpose of this study was to examine accuracy of electronic medication reconciliation upon admission compared to discharge.

Determining The Feasibility Of A Student Run Clinic At An Associate Degree Program, Diane M. Gomez

DNP and Student Works

Nurses who graduate from the associate degree program at Valencia College lack the skills needed for the current complex health care environment. These new nurses are unable to translate the knowledge learned in the didactic environment to the clinical experience. The faculty of Valencia College felt that using a student-run clinic would be an effective means of addressing the academic drift seen in the new nurse. The student nurse could develop skill acquisition across the curriculum from a novice student nurse to the expert student nurse. Similar hands-on programs have succeeded at the baccalaureate and graduate degree levels for nursing …

Improved Hcahp Scores And A Deu Culture Of Excellence, Susan A. Seibert, Angela Stroud, Lillybeth Cassel, Cara Huebner

General Submissions: Academic Settings and Education-based Materials

Two city hospitals launched Dedicated Education Units (DEUs) in collaboration with a Midwest state university. The culture of excellence created by the academic practice partnership produced an improvement in patient satisfaction scores at both hospitals. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey scores improved dramatically within one month of DEU launch. This manuscript presents the pre- and post- DEU HCAHPS scores and relates surprising trending with student presence on the units.

Implementing A Monitoring And Feedback Program For Major Depression, Martin Binyange

DNP and Student Works

Depression is a significant public health concern and deeply affects both the depressed person's life and the lives of their family members. The purpose of this project is to improve the monitoring of patients with major depressive disorders while they are receiving treatment, in order to prevent harm to them and to reduce their current depressive symptoms.

Impact Of Category Of Appraisal On Diabetes Self-Management, Roger D. Carpenter

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study is to examine the relationship between diabetes-related distress and self-management based on the appraisal of diabetes as a threat, harm, or challenge. The study will be conducted in a sample of rural Appalachians with type 2 diabetes.

Adverse Drug Reactions And Resultant Health-Related Quality Of Life During Multidrug-Resistant Tuberculosis Treatment In South Africa, Ana Maria Kelly

Dissertations

The incidence of multidrug-resistant tuberculosis (MDR-TB) is on the rise globally. MDR-TB takes a minimum of 2 years to treat and the treatment regimen produces many adverse drug reactions (ADRs). The World Health Organization (WHO) has called for further research on the treatment of community- based MDR-TB patients as care is being decentralized to outpatient settings. In the WHO's TB progress report for 2015, they note there is a dearth of literature about anti- TB drug-induced mortality, morbidity and loss in quality of life, particularly in low- resource settings.

This study directly addresses this gap in knowledge by examining the …

End Of Life Discussions In The Community, Elizabeth R. Houglan Adkins

Dissertations

Advance Care Planning (ACP) is a process of review and discussion between patients, family members, and healthcare providers that focus on goals of care rather than specific treatments. ACP should be initiated and implemented by the health care provider well before the patient is terminally ill or develops diminishing cognitive abilities. The PICOT question of this project is "In community dwelling residents age 50 or older, with a chronic medical condition, does having an ACP discussion with a healthcare provider increase the likelihood that a patient/surrogate decision maker will be comfortable stating his/her ACP wishes and filling out an Advance …

Validating Nursing Diagnosis: Impaired Physical Mobility, Mrunal Bhopalbade, Anita Bande, Jisha Roy, Ayeshabi Patel, Suchita Gaonkar, Anita Wakshe

DNP and Student Works

The objectives of this study is to validate defining characteristics of impaired physical mobility in TKR patients and to categorize them into major and minor, by using Clinical Diagnostic Validity (CDV) of Fehring model (1986). For this purpose, Non experimental descriptive research design was used. A structured observation checklist was developed by the researchers on basis of modified Likert scale.

A Descriptive Study To Asses The Perception And Practice Of Selected Contraceptive Methods Among Target Population In Select Areas Of Mumbai, Clifford Elia, Johnscy Samuel, Pratidnya Kasekar, Rachel Joseph, Reshma Raju

DNP and Student Works

OBJECTIVES:

- To assess the perception of the target population regarding the selected contraceptive methods.

- To analyse the practises of the target population regarding the use of contraceptive methods in them.

- To associate the scores of practices of the target population regarding the use of selected contraceptive method with their perception score.

The study aims at finding out the perception & practices of selected contraceptives among the target population, hence the descriptive design was considered to be appropriate and therefore accepted.

Nursing And Midwifery Links [October 2015 Issue], At The University Of Technology Sydney In Australia. Who Collaborating Centers For Nursing And Midwifery Development. Global Network. Secretariat

Nursing and Midwifery Links (LINKS)

Nursing & Midwifery Links aims to disseminate information on the Global Network of WHO Collaborating Centres for Nursing and Midwifery Development and publish technical-scientific articles related to Nursing and Midwifery in the light of WHO's program of work. The document attached to this record is the complete issue published in October 2015.

Advances In Nursing Doctoral Education & Research [Complete Issue: October 2015, Vol 4, No 1], Linda D. Scott, Marie T. Nolan, Sonja Mcilfatrick, Catherine M. Bender, Martha A. Abshire, Tamar U. Rodney, Jiayun Xu, Jeremy Lapham, K. T. Waxman, Juli Maxworthy, Marjorie Barter

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 October 2015 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 shows the many variations and richness of experiences in doctoral programs from various countries. In the peer-reviewed …

25th International Nursing Research Congress 2014 Conference Proceedings And Enhanced Abstracts Of Oral And Poster Presentations, Sigma Theta Tau International

Sigma Publications: Book Excerpts

Sigma Theta Tau International the Honor Society of Nursing (Sigma) conducted its 25th International Nursing Research Congress at the Hong Kong Convention and Exhibition Centre, 24-28 July 2014. More than 800 nurses from around the world gathered at the congress, which had as its theme "Engaging Colleagues: Improving Global Health Outcomes."

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 1500 words or less. Each oral and poster presentation abstract was peer-reviewed in a double-blind process in …

Eliminating Catheter-Associated Urinary Tract Infections: Implementing A Quality Improvement Project, Chemain Gudino

DNP and Student Works

A catheter-associated urinary tract infection (CAUTI) can extend a patient's hospital stay by two days and increase the cost of their care. The complications associated with indwelling urinary catheter and the increases in hospital-acquired infections are a continual challenge to quality care.

Validating Defining Characteristics Of Nursing Diagnosis: Excessive Fluid Volume, Supriya Talashilkar, Rubyiana D'Souza, Reshma Shirsekar, Eunice Karkera, Amit Mohite, Prafull Ambekar

DNP and Student Works

An evaluatory study to validate the defining characteristics of NANDA nursing diagnosis 'excessive fluid volume' amongst pre-hemodialysis patients diagnosed with Chronic Kidney Disease in a selected hospital, using Fehring's CDV model.

In Patients With Type 2 Diabetes, What Impact Does The American Diabetes Association Foot Care Guidelines Have In Preventing Lower Extremity Complications?, Kniaka R. Bethel

DNP and Student Works

Guidelines are established to address specific needs of a clinical problem and assist clinicians with decision-making. The complexity of Type 2 diabetes warrants the use of such guidelines to help provide evidence-based treatment. The American Diabetes Association (ADA) foot care guidelines recommend providing education to all patients despite their risk, in order to increase awareness of lower extremity complications and prevent them from occurring. In this project, a diabetic lower extremity educational intervention based on ADA guidelines was provided to 16 Type 2 diabetics over four months. During this time, a reduction in diabetic lower extremity complications was seen. Concluding, …

Are We Asking The Right Questions? A Critical Thinking Teaching Tool For Nursing Instructors, Susan A. Seibert

General Submissions: Academic Settings and Education-based Materials

The clinical instructor may use prompts to guide the student through elements of critical thinking. The prompts are leveled according to Bloom's Taxonomy to assist the instructor in cultivating the student 's higher- level cognitive functions.

The Effect Of Music In The Pacu On Recovery Time And Patient Satisfaction, Karen A. Kautz

DNP and Student Works

Purpose: To examine the ability of patient-selected music to reduce pain perception, decrease post-anesthesia care unit (PACU) time, and improve patient satisfaction relative to usual ambient noise.

Design: Patients presenting for emergent surgery at a Midwestern community hospital (n=38) received music in one of five genres they selected via headphones within 5 min of PACU arrival. Control patients (n=39) had surgery as usual during the same 12 month period.

Methods: Outcomes included PACU time, medication use, pain scores, and patient satisfaction via standardized questionnaire.

Findings: Patients receiving music had shorter recovery times (43 versus 52 min, p=.012) and a trend …

Exploring Holistic Comfort In Children Who Experience A Clinical Venipuncture Procedure, April Athena Bice

Dissertations

Children often experience the uncomfortable effects of invasive procedures as a part of primary health supervision and during times of illness. Inadequate procedural comfort management can lead to numerous lasting harmful effects including distrust of healthcare providers, future intensified pain responses, negative cognitive and emotional experiences, and psychosocial health problems (Czarnecki et al. 2011). Holistic comfort has been well documented in adult literature but little research exists on the understanding of holistic procedural comfort from the child's perspective.

The purpose of this study was to explore perspectives of children age 4 to 7 years and their caregivers regarding procedural …

Optimizing Usability Of Electronic Medical Records To Meet And Measure Quality Initiatives, Sarah E. Shultz, Mikel W. Hand

General Submissions: Presentations (Oral and Poster)

Purpose:

The purpose of this evidence based practice project is to improve usability of the Electronic Medical Record (EMR) to demonstrate consistent compliance with venous thromboembolism (VTE) and heart failure (HF) Core Measures. Consistently meeting core measures is important for optimal patient care and reimbursement..

Strength of Evidence: Systematic reviews, a multinational cross-sectional study, and a multicenter, randomized controlled trial all demonstrate a positive impact on suboptimal prophylaxis and treatment for VTE and HF quality measures, with improved EMR usability.

Proposed Practice Change:

The proposed change involves modifying the EMR program in order to improve usability in order entry, documentation, …

Effect Of Nurse-Led Simulation On Ob/Perinatal Nurses' Knowledge & Confidence In Managing Complications & Emergencies, Martha Ellen Farrar Highfield

Sigma Foundation for Nursing Research Grant Reports

OB/perinatal emergencies and complications are low-volume, high risk occurrences, and research suggests that simulation helps both novice and experienced clinicians to obtain and maintain clinical competence (Argani, Eichelberger, Deering, & Satin, 2012; Committee on Patient Safety & Quality Improvement, 2011; Cooper et al., 2012; Ennen & Satin, 2010; Fuchs, Miller & Berkowitz, 2009; Gardner, Walzer, Simon, & Raemer, 2008; Jeffries, Bambini, Hensel, Moorman, & Washburn, 2009; Shekelle et al., 2013). However, much nursing simulation research occurs in academic settings that may not be transferable to practice ones; and reliable/valid, quantitative, outcome measures are needed to determine best practices (Birch et …

Health Literacy An Educational Program For The Acute Care Professional Nurse, Laura Marie Owens

DNP and Student Works

Health literacy is fundamental to promotion, prevention, and maintenance of one's health. It is pertinent to one's ability to obtain, understand, and use information in order to make informed healthcare decisions. The provision of patient-centered nursing care is required by Centers for Medicare and Medicaid Services and accreditation agencies. An acute care hospital in the Midwest experienced low patient satisfaction scores specific to communication with the nursing staff. In order to increase these scores, a needs assessment was performed to determine the nursing staffs' knowledge of definition of health literacy, its attributes, impact on health disparities, and patient-centered care.

Chronic Pain: A Systematic Review Of Current Treatment Approaches And The Impact On Patient Outcomes, Anne M. O'Hare

DNP and Student Works

Objective: To explore the effectiveness of treatment modalities considered alternative to opioid medication for non-malignant chronic pain.

Influence Of Maternal Childhood Adversity On The Psycho-Neuroendocrine-Inflammatory Profile During Pregnancy, Karen J. Kotz, Herbert L. Mathews, Linda Witek Janusek

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study was to investigate the relationship among maternal childhood adversity, psychological, and neuroendocrine-immune processes during pregnancy; and to explore the impact of maternal stress on neonatal outcomes (birthweight and gestational age). In addition, the modifying effect of maternal social support was examined.

Advance Care Planning In Patients With Heart Disease: A Practice Improvement Initiative, Jaiby Joseph Augustine

DNP and Student Works

The purpose of this study is to examine the effect of a nurse practitioner-led promotion of ACP for hospitalized adult patients.

In The Acute Care Setting What Is The Effect Of Bedside Nursing Report On Patient Safety When Compared With Traditional Reporting Methods: An Evidence-Based Project, Heather Rolling, Jessica Pauley, Jaclyn Hoyt

Theses

The purpose of this evidence-based project was to examine the effect of bedside report on patient outcomes and nurse/patient satisfaction. Many key components to the report could be affected if report is done through audiotaping or through written reports during handoff. The PICO(T) question for this evidence-based project was "In the acute care setting, what is the effect of bedside nursing report on patient safety when compared with traditional reporting methods?”

Increasing Civility In The Workplace, Michelle Y. Pinckney

DNP and Student Works

An All Employee Survey (AES) was conducted throughout a national healthcare facility across the country. As a result of the AES of 2013, it was found that employees at a healthcare facility located in California did not feel that there was civility or psychological safety in the work area.

In actions resulting from the national direction to improve workplace scores for psychological safety and civility among nursing staff as a result of the AES scores this project was developed. How does initiating an educational training project that would be ongoing improve civility and psychological safety in the workplace for staff, …

Nursing Practice Model, Tracy L. Kasten

DNP and Student Works

For a small contemporary hospital, the need for nursing model and employee satisfaction improvement is dire for maintaining service prominence. Addressing and facilitating the immersion of a theory based self-developed nursing model into the culture and practice of a hospital based healthcare organization can facilitate the spark and serve as the catalyst for staff engagement. Uniting health improvement efforts, collaborative cohesion, and culture integration can build integrity and service excellence for this organization. This paper explores the supportive reasoning and action potential of nursing model creation influenced by nursing theory and organizational collaboration.

Exploring Concept-Based Curriculum: A Paradigm Shift To Improving National Licensure Examination (Nclex-Rn®) First Time Pass Rates, Keisha Q. Brooks

DNP and Student Works

This exploratory pilot project proposed that the implementation of a concept-based curriculum should assist the ADN program with improving the first time pass rates for the nursing program.