Digital Commons Network^™

Diabetic Foot Ulcers: Prevention, Assessment And Management (3rd Ed.), Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

The purpose of this guideline is to provide nurses and members of the interprofessional team, persons at risk of or living with a diabetic foot ulcer (DFU) and their care partners with evidence-based recommendations on the prevention, assessment and management of DFUs.

This BPG is to be used by nurses and members of the interprofessional team across the health care continuum and in all domains of practice supporting adults at risk of or living with DFUs (i.e., greater than 18 years of age) and their care partners. It is also to be used by employers, including health service organizations and …

Pressure Injury Management: Risk Assessment, Prevention And Treatment (4th Ed.), Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

The purpose of this guideline is to provide nurses, members of the interprofessional team and other collaborators (i.e., administrators and policy-makers) with evidence-based recommendations for risk assessment, prevention, and treatment of pressure injuries .

This BPG provides evidence-based recommendations for nurses, and the interprofessional team, and persons and their caregivers across all care settings and sectors. The recommendations address the prevention of pressure injuries for at-risk people, and the assessment and management of those living with pressure injuries.

Overall, the scope includes:

• all domains of nursing practice;
• all health-care settings and sectors;
• all populations across the lifespan (e.g., pediatric, adult …

[Excerpt From] Creating & Sustaining Civility In Nursing Education (3rd Ed.), Cynthia Clark

Sigma Publications: Book Excerpts

In this comprehensive, fully revised third edition of the award-winning Creating & Sustaining Civility in Nursing Education, author Cynthia Clark expands her proven, results-focused approach to preventing and addressing the problem of incivility. This guide includes practical, evidence-based solutions that range from principles for broad-based institutional changes to ready-to-use teaching tools and strategies to promote and maintain civility, community, and respect in today’s highly charged work and learning environments.

Considering recent changes in higher education in general and nursing education specifically, expanded areas of focus in this new edition include:

• Online teaching and learning environments
• The contentious political climate and …

[Excerpt From] Transforming Nursing Education: Infusing Gender-Sensitive Care Into Healthcare, Christine Rodriguez

Sigma Publications: Book Excerpts

Trans and gender-diverse patients face significant barriers to respectful, comprehensive healthcare. Provider ignorance shouldn't be one of them. TRANSforming Nursing Education supplies the context to help readers understand the gaps and missteps in providing healthcare to this marginalized population and explains how we can better treat these patients.

Author Christine Rodriguez tackles tough subjects and tough statistics head on. This no-nonsense guide is packed with inclusive case studies, immersive simulation-based scenarios, checklists, and ready-to-use templates on everything from social transitioning to hormone therapy to surgeries and potential complications, all with thoughtful, reflective questions to guide readers in their understanding of …

Predicting Aminoglycoside-Induced Hearing Loss Among Mdr-Tb Infected Individuals In South Africa, Hyejeong Hong

Sigma Foundation for Nursing Research Grant Reports

This study aimed to estimate the risk of AG-induced hearing loss among MDR-TB infected individuals in South Africa.

Rethinking Safe Nurse Staffing In The Post-Covid Icu: A Comparative Analysis Of The Nurse-To-Patient Ratio And Mixed Model Approach For State Policies, Emilie A. Maxie

Dissertations

The coronavirus pandemic (COVID-19) led to an unprecedented surge in ICU admission, increasing the nurse-to-patient ratios and intensifying stress on ICU nurses. This prompted many nurses to leave bedside care, exacerbating the ongoing nursing shortage and creating unsafe working conditions. Fourteen states have enacted safe nurse staffing policies. California implemented a mandated nurse-to-patient ratio, while Massachusetts adopted a mixed model for ICUs that involves a ratio, nurse committees, and workload tools. In post-COVID, this raises the question of which state policy approach is more effective in retaining ICU nursing staff. Literature suggests a mixed policy may be more effective.

The Relationship Between Death Depression And Death Anxiety Among Cancer Patients In Saudi Arabia, Doaa A. Almostadi

Theses

This study explored the relationship between death anxiety and death depression among cancer patients in Saudi Arabia. The study sample consisted of 100 Saudi cancer patients, 50 male and 50 female, ranging in age from 18 to 85 with a mean age of 45.5. All participants completed a survey questionnaire that included three parts: the first part contained a demographic data form; the second part consisted of 20 statements to measure death anxiety using the Arabic Death Anxiety Scale; the third part was a 21- item, questionnaire designed to measure depression about impending death using the Death Depression scale-Revised Arabic …

Effectiveness Of Music On Comfort And Adherence To Continuous Positive Airway Pressure Therapy In An Adult Population With Obstructive Sleep Apnea, Tina Barber

DNP and Student Works

The aim of this quality improvement (QI) project was to implement a nurse-led program to include an education session about CPAP adherence and music intervention for adults treated for obstructive sleep apnea, followed by 12 weeks of patient use of the Respiratory Relief CD prior to CPAP therapy in the home to improve comfort and CPAP adherence.

Discovering The Process Of Reasonable Academic Accommodations For Pre-Licensure Nursing Students With Learning Disabilities, Amy Yarbrough

Dissertations

The purpose of this study was to explore the process by which nursing faculty make reasonable academic accommodations for students with learning disabilities in the classroom setting. Nursing students with identified learning disabilities require academic accommodations to facilitate their success. The process of reasonable academic accommodations for nursing students with learning disabilities has not been examined within nursing education literature. Clarification is necessary regarding this process to promote student success and inclusive learning environments within nursing education. Constructivist grounded theory methods as described by Charmaz (2014) guided data collection and analysis. The accommodation processes with categories were identified. The emergent …

Sedentary Behaviors And Physical Activity In University It Workers, Sungwon Park

Sigma Foundation for Nursing Research Grant Reports

• Aim 1. Formulate estimates of sedentary behavior (SB) and physical activity (PA) in IT workers.
• Aim 2. Explore IT worker subgroup profiles to determine which subgroups are associated with the lowest and highest SB and PA.
• Aim 3. Identify factors influencing SB and PA at multi level.
• Aim 4. Determine modifiable risk factors influencing the relationship between metabolic syndrome (MetS), SB, and PA.

Subsyndromal Delirium And Postoperative Pain In Older Adults, Dawn Lujean Denny

Dissertations

The purpose of this study was to determine the relationship between subsyndromal delirium and pain in older adults following major elective orthopedic surgery. The design of this correlational study was based on Inouye and Charpentier's (1996) multifactorial model of delirium.

Prostate Cancer Screening Survey Among African-American And Their Partners, Angela James

Dissertations

The purpose of this translational research project was to survey adult African-Americans and their partners to explore inhibitors and facilitators to PC screening.

Circadian Body Temperature And Activation Rhythms And The Well-Being Of Independent Older Women, Diana J. Mason

Dissertations

This study examined changes in the circadian parameters of body temperature and activation and their relationship to the well-being of the older woman.

Nurse Educators' Perceptions Regarding Faculty Participation In University Governance, Janet J. Gross

Dissertations

The purpose of this descriptive study was to identify nurse educators' perceptions of faculty participation in university governance

Evaluating The Impact Of Post Discharge Callback On Patients With Copd Exacerbation, Stephanie L. Staten

Dissertations

The purpose of this project was to evaluate the impact of a post-discharge callback within 72 hours of discharge on medication adherence, attendance to post discharge follow up clinic visit, and 30-day readmissions in COPD patients. A secondary purpose was to explore reasons why patients who are discharged with a diagnosis of COPD exacerbation, did or did not adhere to their medications and keep their post-discharge follow up clinic visit during the 30-days following hospital discharge.

Nurse Delegation Decision Making: Impact On Nurse Job Satisfaction, Lynn Carol Parsons

Dissertations

The purpose of this experimental study was to ascertain if a structured educational intervention (versus a mimic intervention) was followed by a statistically significant increase in nurse delegation decision making knowledge and nurse job satisfaction.

Reducing The Use Of Multiple Restraints In The Psychiatric Emergency Department, Juliet Nneka Udo

Dissertations

The purpose of the quantitative quality-improvement project was to implement the interprofessional collaborative practice model (ICPM) education program for providers, as an evidence-based intervention in reducing the use of multiple restraints in the psychiatric emergency department.

Testing The Efficacy Of Research-Based Instructional Material For Improving The Competence Of Clinical Instructors In Guiding Nursing Students In Practical Activities In Tanzania, Rehema C. Mligo

Dissertations

The purpose of this study was to test the efficacy of research-based instructional material for improving the competence of clinical instructors in guiding nursing students in practical activities in Tanzania.

An Exploratory Study Of The Barriers Of Pediatric Palliative Care Programs And Their Relationships To Funding, Mary Maureen Kirkpatrick Mclaughlin

Dissertations

This study, a sequential mixed methods design, used quantitative techniques and a qualitative, phenomenological approach. The quantitative phase addressed the research question: Does the reimbursement of services for the delivery of pediatric palliative care differ between types of funding, and is funding related to directors' perceptions of obstacles to the delivery of care? The qualitative phase addressed the research question: What are the barriers that CHI PACC directors' experience in their roles and how do they overcome them?

Assessment Of Knowledge And Health Behavior In A Spanish Diabetes Self-Management Education, Isioma Utebor

Dissertations

The purpose of this study was to assess whether diabetes knowledge and health behavior change were improved using culturally based diabetes self-management education for Hispanic adults with type 2 diabetes.

An Analysis Of A Governance Model In Nursing Service, Linda R. Stumpf

Dissertations

The purpose of this study was to investigate the influence of governance type on culture, nurse work satisfaction, nurse retention, and patient satisfaction with care in acute care hospitals.

The Moderating Effect Of Religion On Death Distress And Quality Of Life Among Christian Cancer Patients In The United States With Muslim Cancer Patients In Saudi Arabia, Doaa A. Almostadi

Dissertations

The purpose of this study was to determine whether religiosity has a moderating effect on the relationship between death distress and quality of life among patients facing a life-threatening cancer diagnosis.

Evaluation Of An Alternative Prenatal Care Visit Schedule For Low-Risk Pregnant Women, Deborah Sue Walker

Dissertations

While the current prenatal visit schedule is widely accepted as providing the highest quality prenatal care and followed by health care practitioners in this country and abroad, it is not based on sound scientific evidence. The frequency and timing of visits which provide the critical threshold to make a difference in outcomes, especially in women who are healthy and considered to be at low-risk for pregnancy complications, is not clear. Women attending prenatal care at a free-standing birthing center (N = 81) staffed by certified nurse-midwives participated in this prospective, randomized study designed to evaluate the effects of an alternative …

Compassion Fatigue And Satisfaction Among Nurses At A State Psychiatric Hospital: An Opportunity To Educate, Santhi Avula

Dissertations

This Doctor of Nursing Practice (DNP) project aims to bring awareness to psychiatric nurses at NOPH about CF and burnout and educate them on ways to improve resiliency and compassion satisfaction as professional nurses.

PICOT: How do psychiatric nurses at NOPH (P) who are at increased risk for CF benefit from a webinar-based educational intervention (I) to identify and reduce symptoms of CF and improve compassion satisfaction (O) one month after intervention (T) compared to preintervention (C)?

Calming The Weight Of Anxiety For Pediatric Oncology Patients, Jennifer Olson, Leanne Adamson, Cassie Lang, Kelly Miller, Flori Legette, Figaro Loresto

General Submissions: Presentations (Oral and Poster)

• Aim 1: Does the utilization of a weighted blanket on pediatric outpatients receiving chemotherapy reduce anxiety as measured by the Children’s Anxiety Meter-State (CAM-S)?
• Hypothesis: The use of a weighted blanket in this population will reduce anxiety.

• Aim 2: Assess quality of life in this population and compare between visits and between groups.
• Hypothesis: Quality of life will increase between visits and quality of life will be higher for those who started with weighted blankets first and standard care second.
• Aim 3: Describe the use of the weighted blanket in the population during their infusion treatment.
• Hypothesis: Participants will use …

Resourcefulness And Health Outcomes In Persons With Cardiovascular Disease And Their Care Partners, Elliane Irani, Nicole Leblanc, Jaclene A. Zauszniewski

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study was to examine the relationship between resourcefulness and health outcomes (depressive symptoms and quality of life) in a dyadic context for persons with cardiovascular disease (CVD) and their care partners. Specifically, we (1) compared persons with CVD’s and care partners’ resourcefulness and health outcomes, (2) examined the relationship between persons with CVD and care partners’ resourcefulness and health outcomes at the actor and partner levels, and (3) explored how persons with CVD and their care partners appraise stressful situations and use coping strategies, including resourcefulness skills, to maintain their overall health.

Resilience Reimagined: A Study On Nurses' Resilience Through Integrative Nurse Coach Education, Melody Love Hawkins

Group: Nebraska Methodist College

Nurses face high levels of stress and burnout, worsened by staffing shortages and the COVID-19 pandemic. These stressors contribute to high turnover and negatively affect patient care. Nurses often work in environments that hinder self-care, leading to emotional exhaustion, depersonalization, and diminished job satisfaction. These challenges harm both nurse well-being and patient outcomes, emphasizing the need to build resilience to reduce burnout.

A 12-week online Foundational Integrative Nurse Coach Program aimed to enhance nurses’ resilience and well-being. The program blends integrative nursing principles with advanced coaching techniques, focusing on holistic health… mind, body, and spirit. Nurses were educated on stress …

Hypertension Education And Management To Hispanic Adults In The Primary Care Setting, Annelis Sanchez, Esperanza Maya Aguirre

DNP and Student Works

Education is essential for improving patient outcomes, particularly in managing hypertension among Hispanic populations, by tailoring interventions and assessing patients' readiness to learn. This DNP project guiding question is: What is the impact of a comprehensive education program for adult Hispanic hypertensive patients on their knowledge of hypertension management?

Comparing The Effectiveness Of The Edinburgh Postnatal Depression Scale (Epds) And Patient Health Questionnaire (Phq-9) In The Identification Of Postpartum Depression/Anxiety, Brianna A. Whitehead

DNP and Student Works

The purpose of this evidence-based improvement project was to evaluate the performance of the Edinburgh Postnatal Depression Scale (EPDS) and Patient Health Questionnaire (PHQ-9) in identifying PPD and/or anxiety. The guiding question for the DNP Project was as follows: In a postpartum population, does the EPDS provide earlier identification of postpartum depression and/or anxiety for postpartum patients presenting at the two through six-week postpartum visit than the PHQ-9?

Urinary Tract Infection Education And Prevention, Jodi Hernandez, Dylan Godfrey

DNP and Student Works

The purpose of providing education and training to staff with respect to educating patients greater than 65 years of age was to effectively improve staff and patients’ knowledge of preventing urinary tract infections (UTIs).

Theoretical Framework: The two theoretical frameworks utilized included Kotter Change Management Model and The Kurt Lewin’s change model. Both of these theorists supported the need for successful change to improve patient outcomes.