Digital Commons Network^™

Embracing Cultural Diversity In Health Care: Developing Cultural Competence, Registered Nurses' Association Of Ontario

General Submissions: Clinical Settings Materials

This guideline addresses:
- Knowledge, competencies and behaviours that exist in culturally competent workplaces
- Indicators and features of culturally competent practice settings
- Organizational values, relationships, structures and processes that support development of culturally competent practices
- Learning and development required to develop, support, and sustain culturally competent practices
- Behaviours and practices that reflect cultural awareness and serve as facilitators to embracing diversity in the workplace

Establishing Therapeutic Relationships, Registered Nurses' Association Of Ontario

General Submissions: Clinical Settings Materials

This nursing best practice guideline will address the therapeutic relationship and its central importance to nursing practice. Effective nursing practice is dependent on an effective therapeutic relationship between the nurse and the client. The guideline addresses the qualities and capacities of an effective therapeutic relationship, the state of knowledge, and the knowledge needed to be effective in a therapeutic relationship. To implement a therapeutic relationship successfully, an organization's characteristics and workplace values must be supportive and in place (see Recommendations 5 to 14). The recommendations in this guideline, therefore, focus on practice, education, organization and policy

Developing And Sustaining Interprofessional Healthcare: Optimizing Patient, Organizational, And System Outcomes, Registered Nurses' Association Of Ontario

General Submissions: Clinical Settings Materials

This best practice guideline, Developing and Sustaining Interprofessional Health Care: Optimizing patients/clients, organizational, and system outcomes is intended to foster healthy work environments. The focus in developing this guideline was identifying attributes of interprofessional care that will optimize quality outcomes for patients/clients, providers, teams, the organization and the system

Developing And Sustaining Nursing Leadership, Registered Nurses' Association Of Ontario

General Submissions: Clinical Settings Materials

This guideline is intended to assist nurses and others performing both formal and informal nursing leadership roles from the point-of-care to the board room, across a variety of practice domains and settings. It identifies evidence-based leadership behaviour that nurses can implement individually and collectively to benefit patients, health-care team members, organizations, systems and health-care policy, research and education.

Developing And Sustaining Effective Staffing And Workload Practices, Registered Nurses' Association Of Ontario

General Submissions: Clinical Settings Materials

The guideline was developed to identify and describe:

- Staffing and workload practices that foster healthy work environments resulting in better outcomes for nurses.

- System resources that support healthy staffing and workload practices.

- Organizational culturesG, values and resources that support effective staffing and workload practices.

- Outcomes of effective staffing and workload practices

Collaborative Practice Among Nursing Teams, Registered Nurses' Association Of Ontario

General Submissions: Clinical Settings Materials

The focus for the development of this guideline was collaborative practice among nursing teams with the view that this may be a first stage in a multi-staged process that could eventually result in interprofessional guidelines. A healthy work environment for nurses is a practice setting that maximizes the health and well being of nurses, quality patient outcomes and organizational performance. Effective nursing teamwork is essential to the work in health care organizations.

Care Transitions, Registered Nurses' Association Of Ontario

General Submissions: Clinical Settings Materials

This guideline provides evidence-based recommendations for nurses and other members of the interprofessional team who are assessing and managing clients undergoing a care transition.

Culturally Competent Care At The End Of Life- A Hindu Perspective, Sujatha Shanmugasundaram, Margaret O'Connor, Ken Sellick

General Submissions: Clinical Settings Materials

Knowledge of particular cultural requirements is especially important in times of transition such as at the end of life, where issues of death and dying require great sensitivity to cultural and religious differences. Healthcare professionals need to understand different cultures and deliver care accordingly. This article explores the cultural aspects of end of life care among Hindus who live in places other than India and is based on a study of Hindus in Australia. The purpose of this study was to investigate the experience of families of terminally ill Indian patients. This article will explore aspects of the Hindu faith …

Using Multifactorial Interventions To Prevent Elderly Hospitalized Patients With Mental Health Disorders From Falling, Joseph R. Giancola

General Submissions: Clinical Settings Materials

Patients have ethical and legal rights to expect their environment is safe when they are hospitalized. A component of environmental safety is the duty of hospitals to anticipate the occurrence of patient falls and make reasonable efforts to prevent them. Falls during hospitalization radically increase physical, mental, and practical costs for patients, caregivers and hospitals. Elderly hospitalized patients with mental health disorders present a particularly difficult challenge for prevention advocates. This writer introduces a newly developed fall risk assessment tool called the Fall Geriatric Assessment and Intervention Tool (FALL GAIT). The FALL GAIT links patient fall risk factors with evidence-based …

The Intensity Of Pain Experienced By Respondents Given Intramuscular (Im) Injection With/Without Skin Tapping Technique, Rita Lakhani, Mini Chacko, Shimon Ghatge, Sharmila Jadhav, Soumya M.K., Supriya Patkar, Vinod Patil

General Submissions: Clinical Settings Materials

A study to evaluate the intensity of pain experienced by respondents given intramuscular (IM) injection with/without skin tapping technique in a selected hospital in Mumbai.

Therapeutic Environmental Effects On Analgesic Requirements In Post Anesthesia Care Unit Phase I, Donna C. Kent, Shirley Mae Timmons

General Submissions: Clinical Settings Materials

The noisy and brightly lit environment in the Post Anesthesia Care Unit (PACU) Phase I has the potential to agitate the arousing post anesthesia patient, delay recovering to an awake state, and could increase the need for analgesia medications. An experimental study was conducted in a community hospital PACU to determine the effects of a therapeutic environment (I.E. low lights and decreased noise) on analgesic requirements and satisfaction of patients recovering from surgery. Patients who had the quieter and darker environment did require less analgesic medications (reduced lighting p=0005; t= -21.54; mean difference -298.0249; reduced noise exposure p=0.005; t=-3.855; mean …

Excellence In Clinical Practice [Complete Issue : Third Quarter 2002, Vol. 3, 3], Carol J. Farran, Sigma Theta Tau International

Sigma Past Publishing - Excellence Newsletters

Publishing History: Nursing Excellence published yearly in 1998 and 1999. The publication became Excellence in the first quarter 2000. It transitioned to Excellence in Nursing Education, Excellence in Nursing Administration, and Excellence in Clinical Practice in the second quarter 2000 with volume 1, number 2. Excellence in Nursing Education transitioned to Excellence in Nursing Education & Research in the first quarter 2002.

Publishing Frequency: Yearly 1998, 1999; Quarterly 2000 - 2004.

Format: Print 1999 - third quarter 2002; Online fourth quarter 2002 - first quarter 2004. Ceased publishing in 2004.

Select features in this issue:

Family caregivers, by Carol J. …

Excellence And Evidence In Staffing, Kathy Douglas

Sigma Resource Papers

Staffing in hospitals and healthcare systems is complex, increasingly regulated, and closely associated with patient safety... Consequently, healthcare administrators are under pressure from insurers, patient advocates, unions, and state and national governments to define, secure and assure effective, safe, cost-effective staffing...

An issue that aΩects an organization so pervasively, cries out for definition. So this quest began by asking “What is excellent staffing?” And then, “How do we know when we’ve achieved it?” Investigation into these questions generated a lot of interest, but few answers. Thus the decision to convene an invitational conference that would bring a broad spectrum of …

Summary Report: 2006 Tiger Summit - Evidence And Informatics Transforming Nursing, Sigma Theta Tau International

Sigma Resource Papers

This report provides the context for the Summit, descriptions of each of the activities over the two days, notes on the participant experience, and photographs of the event, as well as insights and reflections from speakers. The intention of this format is to provide those who did not have an opportunity to attend a high-level understanding of the process that occurred over the two days to achieve the Summit objectives and outcomes. It is not intented to be a comprehensive document such as a white paper. Rather, the content enclosed incorporates descriptive paragraphs and phrases, as well as statements and …

Exploring Medication Challenges - Implications For Nurses, Kelly Freeman

General Webinars

Nurses are tasked with medication safety and are well positioned to advocate on behalf of patients to put their needs and interests first. While a number of challenges are quite recognizable, there are many medication challenges that may be "under the radar". This presentation will explore many contemporary medication challenges in hopes that nurses are able to recognize these challenges and have tools and resources to see and address these challenges in efforts to advocate and promote best outcomes.

Learning Outcomes:

• Explore the connection between medications and individual, population, environmental, and economic issues
• Describe how to utilize medication data related …

Implementing Age-Friendly Health Systems: A Call To Action From A Geriatric Resource Nurse Champion, Blaise B. Nieve

General Submissions: Presentations (Oral and Poster)

"Implementing Age-Friendly Health Systems: A Call to Action from a Geriatric Resource Nurse Champion" explores the critical components of Age-Friendly Health Systems (AFHS) and their application in everyday healthcare settings. It emphasizes the importance of addressing the unique needs of the rapidly growing older adult population through the implementation of the 4Ms framework - ”What Matters, Medication, Mentation, and Mobility.

Experiences Of Incivility And Ageism In Currently Enrolled Rn To Bs Nursing Students And Their Intent To Quit, Kimberly A. Balko

Dissertations

Student registered nurses face barriers to successful completion of a bachelor's of science degree program when faced with memories of incivility within their basic nursing program and their current experiences of incivility and ageism in the classroom, as well as in the workplace. This incivility, along with generational differences, adds to the growing concerns of nurses' intent to quit their employers or the profession, which adds to the current and future nursing shortage. The incorporation of multigenerational education for nurses could enhance generational awareness including ageism, communication skills, conflict resolution, coaching, and mentoring to guide employed RNs and nursing students …

An Exploration Of The Influence Of Nursing Education Culture On The Integration Of Nursing Informatics Competencies Into A Collaborative Nursing Program Curriculum, Stephanie Atthill

Dissertations

Information communication technologies are becoming a customary part of the way in which nurses provide care. Consequently, it makes good sense to ensure that nursing informatics competencies are integrated into nursing curricula to prepare graduates for practice. However, few schools of nursing within Canada have fully integrated nursing informatics competencies into their curricula. Nursing education culture appears to influence decision-making, and the development of organizational priorities. Nonetheless, there are no known studies examining how nursing education culture impacts nursing informatics curriculum development endeavours. Therefore, this study aimed to address the following research questions: 1) In what ways does a nursing …

The Effect Of A Self-Guided Simulation Tool On Anxiety Related To Clincal Practice Among Baccalaureate Nursing Students During Their First Clinical Rotation, Karen M. Vargas

Dissertations

Research has demonstrated that anxiety can have a detrimental effect on learning and performance. Of great concern is the impact of anxiety on nursing students. By extension, additional research has shown that nursing students experience extremely high levels of anxiety, higher than many students in other programs. Specifically, nursing students have moderate to severe levels of anxiety due to many aspects of the educational program, but particularly when beginning clinical practice. Anxiety when beginning clinical practice among nursing students can cause negative outcomes in learning and performance. That is, when nursing students experience severe anxiety, they may experience the inability …

The Effect Of Learning Styles, Critical Thinking Disposition, And Critical Thinking On Clinical Judgment In Senior Baccalaureate Nursing Students During Human Patient Simulation, Kiyan Mccormick

Dissertations

Simulated learning experiences using high-fidelity human patient simulators (HPS) are increasingly being integrated into baccalaureate nursing programs. Thus, the purpose of this study was to examine relationships among learning style, critical thinking disposition, critical thinking, and clinical judgment during high-fidelity human patient simulation (HPS) in pre-licensure senior baccalaureate nursing students. Participant characteristics such as age, gender, cumulative grade-point average (GPA), and prior simulation experience were examined. The study also sought to determine predictors that may influence clinical judgment during the HPS simulation experience. A predictive correlational research design was employed to examine relationships among variables conceptualized from the NLN/Jeffries Simulation …

Nursing Faculty Members' Intentional Use Of Strategies That Promote Civility In The Bsn Classroom, Linda-Jo Pallotto-Russo

Dissertations

The purpose of this case study was to gain an understanding of nursing faculty members' intentional use of three research-based strategies that have been shown to promote civility in the BSN classroom. Specifically, Ajzen's (1985) Theory of Planned Behavior (TPB) was used to analyze nursing faculty members' reports of their attitudes, normative beliefs, and control beliefs about the use of three research-based strategies that have been shown to promote civility in their classroom. Azjen theorized that individuals base their behaviors on intention and intentions are based on the individuals' attitudes toward the behavior, their perceptions of how others wanted them …

The Effect Of Attitudinal Dynamics Of Inpatient Nurses On The Use Of A Mobile Electronic Health Record, Mark Ambler

Dissertations

The implementations and ongoing use of mobile information systems could enhance nursing workflows at the point of care. However, when a system is not perceived as easy to use or useful, the frequency of its use is decreased. This non-experimental quantitative study conducted a survey of inpatient bedside nurses and nurse leaders to determine how their perceptions and attitudes affected the use of mobile technology. Statistically significant positive correlations were found when the participants were asked if the mobile system gave them greater control over their work. A statistically significant relationship was found between bedside nurses and nurse leaders, where …

Influences Of Perceived Environment, Partner Support, And Attitudinal Familism On Physical Activity Among Mexican American Women, Neomie C. Congello

Dissertations

Healthy lifestyle behaviors such as engaging in physical activity (PA) may reduce the risk for cardiovascular disease (CVD), the number one cause of mortality among Mexican American women (MAW). Research findings show that MAW have low levels of leisure time PA and vary in the amount of overall PA. The influence of partner support has received little attention in studies examining predictors of PA. This cross sectional study investigated factors influencing PA among MAW aged 19 to 64 years old (mean = 39.4, SD = 11.1) who may be at increased risk for CVD based on hypertension, diabetes and obesity …

Student Nurse Perspectives On The Impact Of Longitudinal Home Visits To People With Dementia And Their Carers, Wendy J. Grosvenor

Dissertations

Multiple deficits have been identified in dementia education by UK policy makers and, from September 2015, the Department of Health mandated that undergraduate healthcare curricula included dementia. Here I explore one particular novel approach, the Time for Dementia Programme, which had at its core longitudinal learning from people with dementia and their carers.

The study aimed to evaluate the impact of visits to the homes of people with dementia and their carers as part of the Time for Dementia Programme. To do this it explored adult nursing students' perceptions of their professional learning and practice and career destination.

A Delphi Study On The Use Of Simulation In Undergraduate Nursing Education, Diana L. Bailey

Dissertations

The lack of traditional clinical sites for nursing students has prompted a surge in simulation as an innovative teaching strategy in undergraduate nursing education. The International Nursing Association for Clinical Simulation and Learning (INASCL) developed the INACSL Standards of Best Practice: SimulationSM to direct schools of nursing in implementing high-quality simulations. As simulated experiences replace traditional clinical experiences, it is imperative that simulated experiences replicate real-life patient scenarios. The purpose of this Delphi study was to establish consensus on the use of the INACSL Standards of Best Practice: Simulation in undergraduate nursing education. The conceptual frameworks guiding this study were …

The Relationship Between The Neighborhood Environment, Health Behaviors And Health Outcomes Among Urban Hispanics In New York City, Manuel C. Co Jr.

Dissertations

Hispanics account for more than half of the total United States (US) population growth between 2000 and 2010. To gain a comprehensive understanding of a predominantly Hispanic urban community in Northern Manhattan, the aims of this cross-sectional observational study were: (1) to characterize the actual and perceived neighborhood food environment in Northern Manhattan, (2) to understand the relationship between the actual and perceived neighborhood food environment, sociodemographic characteristics and the likelihood of consuming five or more servings of fruits and vegetables per day, and (3) to describe the contribution of participants' sociodemographic characteristics and health behavior to their health outcomes.

Attitudes, Subjective Norms, And Perceived Behavioral Control Of Perianesthesia Nurses' Intentions To Engage In Mindful Self-Care, Brenda K. Sanya

Dissertations

The purpose of this study was to examine the relationships among attitudes, subjective norms, perceived behavioral control, and intentions to engage in mindful self-care among nurses working in the peri-anesthesia setting. The study utilized cross-sectional design and was guided by the Theory of Planned Behavior.

Psychological Distress And Management Of Women Who Experienced Miscarriage During The Covid-19 Pandemic, Madeline Fernandez

Sigma Foundation for Nursing Research Grant Reports

The aims were to: 1) examine levels of psychological distress (depression, anxiety, and/or PTSD) 2) explore the relationships between personal significance of miscarriage, perceived stress, and current psychological distress 3) assess participant perceptions of the psychosocial care offered by healthcare providers and their preferred interventions 4) investigate the psychological experiences, coping, and social support of women in North Carolina (NC) who suffered a miscarriage of a desired pregnancy between March 30, 2020 and February 24, 2021 of the COVID-19 pandemic

Flowing Forward: Impacting Health In Tanzania Through Clean Water And Sanitation, Krista A. White, Diane K. Daddario, Lisa K. Morris, Blaise B. Nieve, Sandra Rye, Anna Taber

Global Advocacy

Background: Approximately 70% of the Tanzanian population lives in rural areas, and nearly 50% lack access to clean water.1,2 The lack of clean water impacts health, education, time management, and food security.2,3 The task of carrying water typically falls to women and girls. Time spent gathering water takes girls away from school, thus diminishing their access to education and increasing gender inequality.3 Aims: Implementation of the global advocacy action plan would: (1) provide access to clean water within a 10-minute walk from home; (2) ensure young girls have access to education without barriers to gathering water; and (3) improve health …

Reflections On Research Mentoring, Mary A. Highton, Dawn Veltre

General Webinars

The first webinar in this series, "Complex Humans: Quality Care and a Spirit of Inquiry," underscored the significance of nursing research. Part two shifts the focus to the crucial role of mentoring in advancing research within nursing. The presenters will share their personal research journeys, highlighting how mentorship has been pivotal in their development and success.