Digital Commons Network^™

The Effects Of Simulation In An Associate Degree Nursing Program, Katrina L. Walker

DNP and Student Works

In 2014, an Associate Degree Nursing (ADN) program in Texas displayed an interest in implementing a teaching method conducive to improve students' critical thinking ability and increase their confidence level in providing quality patient care. The project question was, "In Associate Degree Nursing (ADN) students with a low level of confidence and inadequate critical thinking skills, how effective is simulation compared to case study scenario activities in assisting students to develop the confidence and critical thinking skills necessary to make effective clinical decisions?" The purpose sought to compare and evaluate the effectiveness of simulation versus the traditional classroom lecture. The …

An Evaluation Of The Effectiveness Of A Post Discharge Telephone Program To Decrease Hospital Readmissions For Patients With Heart Failure, Amy L. Donaldson

DNP and Student Works

The goal of this quality improvement pilot project was to evaluate the effectiveness of a post discharge telephone program to decrease 30-day hospital readmissions for patients with heart failure at one acute care hospital in Ohio. The pilot project evaluated data collected on medication reconciliation, confirmed follow up appointment, a patient medication regime, and a patient's understanding of discharge instructions through the intervention of a post discharge phone call. Thirteen patients participated; one patient had a 30-day readmission to the hospital. The pilot demonstrated an impact to reducing readmissions in the high-risk population and identified opportunity to improve the care …

An Evaluation Of Health Literacy Education: Effects On Cultural Competence, Knowledge, And Attitudes Of Associate Degree Nursing Students, Lisa M. Sullivan

DNP and Student Works

Health literacy and cultural competence in healthcare are now a priority focus of major health organizations. Healthcare professionals realize that patient-centered care is dependent upon clear communication and understanding. Due to the limitations in teaching time available and the amount of information that needs to be covered, student nurses receive minimal education on health literacy and communication methods with limited English Proficient (LEP) patients. This project focused on the development of an educational program for second year Associate Degree Nursing (ADN) students in order to increase cultural competency and health literacy prior to entering the clinical area.

Sexually Transmitted Disease Education For Adolescents, Chastity L. Osborn

DNP and Student Works

An interactive sexually transmitted infection (STI) education tool was developed to assist a non-profit agency, who for the purpose of this paper will be referred to as CCS, in meeting their annual organizational goals including: empowerment, further knowledge of the internal functionality of the female body, and decrease sexually transmitted infection (STI), consecutive pregnancies, and delayed overall risky sexual behaviors. The use of the tested and validated I Sing instrument as a pre and posttest instrument positively promoted the use of the interactive STI educational tool that the female adolescents can interact with the educator all at one time to …

Intervention For African American Adults With Type 2 Diabetes, Annette Caple

DNP and Student Works

The purpose of this project was to examine outcomes in African American adult patients with type 2 diabetes who received education and diet and exercise services compared to those who did not. Type 2 diabetes accounts for 90-95% of all diabetes cases, and is more prevalent among African Americans. Diabetes is the fifth leading cause of death in the African American community.

The Evaluation Of The Implementation Of A Shared Medical Appointment For Patients With Diabetes In A Rural Private Practice, Rebecca Rohrbach

Dissertations

Objective: This practice improvement project was designed to test the efficacy and feasibility of implementing Shared Medical Appointments (SMA) as an innovative approach to improve the care of diabetic patients while containing costs in a rural private practice associated with an Accountable Care Organization (ACO).

Methods: Five Medicare quality measures specific to diabetes were used as patient outcomes: hemoglobin A1C control.

Results: Fifteen patients participated in one or more monthly SMAs with groups ranging from two to five participants per appointment over 10 months. Participants indicated a high level of satisfaction with themes associated with social support. No significant difference …

The Relationship Of Education, Years Of Experience, And School Nursing Practice, Erin Gooding Cruise

Dissertations

Because of the complex nature and autonomy of school nursing practice, multiple professional organizations recommend a Bachelor of Science in Nursing as the minimum level of education for entry into this specialty. Despite research demonstrating benefits to patients and nurses with this level of education, school nurses across the U.S. vary widely in their educational and experiential preparation for this critical role. Benner's Novice-to-Expert Framework emphasizes the importance of experience in nursing or in a specialty practice to developing the skill needed to provide expert nursing care. This study investigated what knowledge school nurses considered important to competent practice when …

The Importance Of A Psychiatric Milieu In Inpatient Settings, Leslie G. Caesar

DNP and Student Works

The patient experience, or patient satisfaction, is becoming one of the most important measures that healthcare systems look at when they are judging the efficiency and effectiveness of the services being provided. Mental health services are no different, and in fact, it could be argued that providers of mental health care have to work harder to ensure an exemplary patient experience. The cornerstone of psychiatric nursing is the therapeutic use of self and the development of relationships and structured programming. Patients still expect this as a part of their inpatient treatment and care, therefore, the focus of the Capstone Project …

Clinical Objectives And Curriculum Highlights For Educating Students, Lori E. Hammond

DNP and Student Works

A need for preceptor training programs has been demonstrated by past and current literature. The coach training program was developed for a second degree bachelor of nursing (BSN) program located at a school of nursing in Texas. The second degree program utilizes the coach model platform to provide clinical experiences for nursing students. Coaches are long-term preceptors who agree to oversee clinical experiences with a specific student for twelve consecutive months. The registered nurses working on the units are competent and prudent nurses but they require additional information regarding the role of a coach and the needs of the nursing …

A Study Of The Selected Factors Influencing The Academic Performance Of The First Year Basic B. Sc. Nursing Students Of Colleges, Aleyamma Joykutty, Rita Lakhani, Pearl Cruz, Jyotsna Pandit, Vrushali Deshpande, Seema Bhagat

General Submissions: Academic Settings and Education-based Materials

The principal aim of the research was to identify and correlate the selected factors influencing the academic performance of the First Year Basic B. Sc. Nursing students.

Nursing And Midwifery Links [April 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)

The document attached to this record is the first Global Network Links Magazine produced by the newly elected [at time of publication] Secretariat of the Global Network of WHO Collaborating Centres for Nursing and Midwifery at the University of Technology Sydney in Australia. It highlights the ongoing work of Network members.

Educator's Resource: Integration Of Best Practice Guidelines, Registered Nurses' Association Of Ontario

General Submissions: Academic Settings and Education-based Materials

The Educator 's Resource: Integration of Best Practice Guidelines (Educator's Resource) is part of the larger Best Practice Guidelines (BPG) Program initiated by the Registered Nurses ' Association of Ontario (RNAO) and funded by the Government of Ontario. It is designed to help educators, whether they work in academic settings or practice settings, to plan, implement and evaluate learning events for nurses, whether staff or students, to promote integration of BPG into practice. This resource should be used in conjunction with other materials developed for the Program, including the RNAO Toolkit: Implementation of Clinical Best Practice Guidelines (RNAO, 2002), introductory …

Lifting Off With Magnetism: Advancing Air Force Nursing Excellence, Deedra L. Zabokrtsky

DNP and Student Works

The aims of this evidence based project were to transform a global organization's practice culture and advance nursing excellence by infusing Magnet characteristics into healthcare settings. A call to action by the Air Force Medical Service senior nursing officer signaled a new strategic focus and triggered a review of evidence specific to Magnet culture, nursing excellence, and patient outcomes. The American Nurses Credentialing Center (ANCC) Magnet credential is synonymous with nursing excellence and quality patient care. Magnet-designated facilities embody a culture that supports nurses. A robust body of literature links Magnet hospitals to increased patient and staff satisfaction, positive clinical …

Effects Of High Fidelity Simulation On Knowledge Acquisition, Self-Confidence, And Satisfaction With Baccalaureate Nursing Students Using The Solomon-Four Research Design, Rachel Mattson Hall

Dissertations

High Fidelity Simulation is a teaching strategy that is becoming well-entrenched in the world of nursing education and is rapidly expanding due to the challenges and demands of the health care environment. The problem addressed in this study is the conflicting research results regarding the effectiveness of HFS for students' knowledge acquisition after participating in simulation exercises. Specifically this researcher determined the effects of a formatted simulation scenario on knowledge acquisition among nursing students and the students' satisfaction and self-confidence with the simulation learning activity. Kolb's Experiential Learning Theory (1984) provided the framework for this study.

This study used a …

Methods Of Evaluating Simulation Experiences In Nursing Programs: An Integrative Review, Michelle Paik Page

General Submissions: Academic Settings and Education-based Materials

The aim of this review was to synthesize the varying techniques and rubrics identified in the literature used to measure simulation experiences and discuss its impact on future development of a more standardized tool.

Best Practice Guidelines For Uncomplicated Urinary Tract Infections To Reduce Rates Of Antibiotic Resistance: A Ce Module For Clinicians, Romina Lo-Montano

Dissertations

Uncomplicated urinary tract infections (UTIs) accounted for over 8 million visits to ambulatory clinics. The annual cost of evaluation and treatment for uncomplicated UTIs on the health care system is estimated to be approximately $2.14 billion (Barber, et al., 2013). The improper treatment of patients with uncomplicated UTIs will result in increased healthcare expenditures, increase exposure of patients to potential side effects and an increase in antibiotic resistance. This capstone projected addressed the problem of non-adherence to evidence-based guidelines to treat uncomplicated UTI in women, among primary care providers. The purpose of this capstone project was to develop an evidence-based …

Liberating The Voice Of Nurse Leaders: Improving Nurse Manager Satisfaction, Mary Ann Laufer

DNP and Student Works

Achievement of strategic priorities in one rural health system is predicated on a foundational goal—creating an ideal work environment. As such, sustaining a work environment that supports team cohesion and staff empowerment is an organizational imperative and a primary responsibility for leaders at all levels. In a biennial employee partnership assessment, nurse manager survey scores experienced double digit declines for three questions related to communication and professional influence over work. Low satisfaction and engagement of nurse managers affect role performance, the unit culture and practice environment. Lack of role power and influence inhibits goal attainment and further erodes organizational commitment. …

Student Nurse Retention And Enrichment, Patti L. Tibble

DNP and Student Works

Across the United States, nursing schools are struggling with the issue of student retention. Competitive seats are taken by a limited number of students and as they voluntarily or involuntarily leave the program the seats are essentially wasted leading to fewer graduating students. An unaccredited rural associate of applied science (AAS) nursing program has experienced attrition rates of over 50% each semester for the past six years. Although the school enjoys high National Council Licensure Examination for Registered Nurses [NCLEX-RN®] pass rates, the school is losing significant revenue each year. The aim of this project was to design and implement …

Implementation Of A Faculty Peer Review Program, Ronda S. Landers

DNP and Student Works

In 2014 a private School of Nursing in Tennessee began a Faculty Peer Review Program (FPRP). Emphasis was generated from a Commission on Collegiate Nursing Education self-study. The project question was, "In what ways will a FPRP foster innovative approaches to teaching/learning, enhance teaching pedagogies, encourage collegial harmony, boost classroom confidence, and increase overall job satisfaction among full-time and adjunct nursing faculty in a baccalaureate nursing program". The purpose was to describe best evidence related to FPRP. The project's aims were to improve the faculty evaluation process and promote the sharing of teaching strategies, provide constructive feedback, build professional relationships, …

Impact Of Study Sessions For First Semester Nursing Students, Donna L. Martin

DNP and Student Works

Purpose: The purpose of this project was to develop and implement study sessions to reduce attrition and increase first semester nursing student success.

Background: Each semester, 80-100 students begin the nursing program at Lewis University. The attrition rate for first semester nursing students at a traditional Bachelor of Science in Nursing (BSN) program has been running between 20-40% over the past few years.

Method: Bi-weekly moderated study sessions were developed and implemented for first semester nursing students, and a total of 78 students participated in these study sessions. These sessions included study and test taking strategies, National Council Licensure Examination …

Examining The Impact Of Sociocultural Influences, Psychosocial Stressors, And Cognitive Vulnerabilities On Development Of Depressive Symptoms In Hispanic Adolescents, Cara C. Young

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study was to examine individual- and contextual- level factors associated with the development of depressive symptoms in Hispanic adolescents in order to identify salient risk factors to target in the construction of culturally relevant prevention and treatment interventions.

Self-Care Practices Among Undergraduate University Students, Jennifer Irene Jackson

Theses

Although many factors affect an individual's health status, self-care is paramount. Further investigation of factors that influence self-care practices is key to enhancing illness and injury prevention and health promotion. The purpose of this study was threefold: to explore the self-care practices of undergraduate university students, to identify variables that influence such practices, and to compare the self-care practices of students in health-related programs to students in mainstream programs. A descriptive correlational survey design was used.

Nursing Paradigms And Theories: A Primer, Jennifer Irene Jackson

General Submissions: Nursing as Profession

A nurse's philosophical outlook influences his or her daily nursing practice. This outlook includes paradigms and theories, which reflect a nurse's values, and exert significant influence over nursing practice. There are three major paradigms within the nursing profession: empiricism, interpretive, and critical social theory. Each has unique tenets, and contributes to the profession and discipline of nursing in a different way. Pragmatism is also an important philosophical consideration. Pragmatism furthers the discussion about the best approach to take in nursing practice. The purpose of this article is to describe each major nursing paradigm, demonstrate the connection between nursing paradigms and …

The Use Of Laughter Yoga To Decrease Stress And Improve Coping In Nursing Students, Jessica A. Letexier

DNP and Student Works

Nursing students experience stress from many different facets. Stress has a negative impact on academic performance and cognition. Research shows the positive effects mirthful laughter has on psychological and physiological health. This pilot project evaluated the effectiveness Laughter Yoga had on stress and coping. Cohen's Perceived Stress Scale-10 and a stress and coping questionnaire measured project outcomes. The overall results give anecdotal evidence for continuing projects to evaluate student stress and coping strategies.

Lessons In Leadership, Claire Fagin, Angel Barron Mcbride, Marla Salmon, Patricia Benner, Peter Buerhaus, Linda Aiken, Martha Hill, Sheila Burke, Jennie Chin Hansen, Shirley S. Chater, Mary Naylor, Beverly Malone

General Submissions: Nursing as Profession

Lessons in Leadership: The Betty Irene Moore Speaker Series embodies Betty Irene Moore's vision and hope for nurses to lead within their teams, organizations and communities, with the ultimate goal of improving the experience and outcomes of patient care. Through personal experience, Betty recognized that nurses play a critical role in providing safe, high-quality patient care and outcomes. They are caregivers, mentors, teachers and researchers; and they provide 95 percent of direct patient care in hospitals. This recognition gave rise to the Betty Irene Moore Nursing Initiative, with building leadership skills in nurses as one of its main strategies.

This …

Isncc Cancer Nursing Education Position Statement, International Society Of Nurses In Cancer Care

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

The International Society of Nurses in Cancer Care (ISNCC) published a position statement on cancer nursing education in July 2013. Lack of information and education about cancer is a major barrier to effective cancer control in low and middle income countries, especially for the early detection and treatment of cancers. Individuals, policy makers and health care professionals need to understand that many cancers can be prevented through appropriate behavioural change, that cancer can often be cured, and that effective treatments are available. This can best be achieved by a significant increase in the number of training opportunities for health professionals

Obesity In America, Ihsane Boualaoui

General Submissions: Community and Population-based Materials

The question that imposes itself is that why the previous steps taken by all Americans, whether on the institutional or individual level, were relatively unsuccessful in decreasing the obesity rate or at least keep it steady? If awareness campaigns in health care facilities, public transportation and schools were relatively inefficient in lowering the rate of obesity for the past years, what else could be done to alleviate the acuity of the problem? Is the problem directly related to individuals, health or education institutions, the whole society or a combination of all? As health care professional, patients' advocates and educators, what …

Engaging Clients Who Use Substances, Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

This Guideline provides evidence-based recommendations for nurses and other members of the interprofessional team across all care settings who are assessing and providing interventions to individuals who use substances and may be at risk for or experiencing a substance use disorder.

Coming Together, Moving Forward: Building The Next Chapter Of Ontario's Rural, Remote And Northern Nursing Workforce, Registered Nurses' Association Of Ontario, Primary Care Nurse Task Force Registered Nurses' Association Of Ontario

General Submissions: Nursing as Profession

The selection of this title was deliberate. We chose "coming together' to signify the importance of community within rural, remote and northern areas. This report is grounded within the importance of context and the solutions needed to sustain the nursing workforce are dependent upon partnership with: each other, government, and associations. We chose "moving forward' as a reflection of the resilience of rural, remote and northern communities and the nursing workforce in these areas. While it is easy to dwell on deficiencies and what is not working, we have prepared this report to build on successes and focus on solutions. …

Person- And Family- Centred Care, Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

This nursing Best Practice Guideline (BPG) is intended to replace the RNAO BPG Client Centred Care (2002) and its supplement (2006a). It is to be used by nurses and other members of the interprofessional health-care team to enhance the quality of their partnerships with individuals accessing care, ultimately improving clinical outcomes and the person and family's experience of health care through the use of evidence-based person- and family-centred-care practices.