Digital Commons Network^™

Perspectives On Physical Activity Participation In Middle-Aged U.S. South Asian Indian Women At Risk For Type 2 Diabetes, Nitha Mathew Joseph

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study was to explore the culturally bound attitudes, behaviors, beliefs, and barriers related to PA among middle-aged U.S. SA women at risk for T2D living in the Houston area.

Perspectives On Physical Activity In Us South Asian Women At Risk For Type 2 Diabetes, Nitha Mathew Joseph, Larkin Strong, Madelene Ottosen, Veronica J. Brady, Raji Pillai, Sandy Jones

International Nursing Research Congress (INRC)

The learner will be able to increase their understanding of beliefs and barriers to physical activity (PA) among SA (South Asian) women and can contribute knowledge to the development of culturally sensitive, social support-based public health nursing interventions to improve their PA and reduce their risk of T2D.

Examining The Adjustment And Coping Trajectories In Healthy Siblings Of Children With Life-Threatening Conditions, Joanne Tay

Dissertations

Siblings of children with life-threatening conditions are often referred to as "forgotten" mourners as focus tends to be on the ill child and parents. With limited knowledge about siblings' experience, it is challenging to provide appropriate supports.

The purpose of this dissertation was to examine and expand current evidence about siblings' experiences to guide research and clinical practice.

Service-Learning's Impact On The Development Of Undergraduate Nursing Students' Soft Skills, Cheryl A. Passel

Dissertations

This mixed-methods study through a constructivist lens, focused the actions, thoughts, and perspectives of undergraduate nursing students who participated in one nursing course with a service-learning component. The four-fold purpose of this study was to answer the following questions: (1) As a teaching strategy, how does one undergraduate nursing course with a service-learning component enhance the development of soft nursing skills? (2) How were empathy and self-awareness evident in the students who participated in this study? (3) What did these students do, say, and feel that gave evidence of any development of soft skills? (4) How did the soft skills …

Implementation Of Loneliness Screening For Older Adults In Primary Care, Chava Pollak

General Submissions: Presentations (Oral and Poster)

The specific aims are to test the feasibility of a loneliness screening and referral program and to qualitatively assess acceptability of 1) a loneliness screening program in primary care and 2) existing community resources for loneliness.

Clinical Nurse Experts' Experience Of Transitioning To The Novice Nurse Educator Role, Crystal Toll

Dissertations

Clinical nurse experts are often recruited into educator roles based solely on clinical expertise. Without support and mentorship, clinical nurse experts struggled with transitioning into the educator role. The purpose of this study was to understand the experience of new nurse educators' transition from a clinical nurse expert to novice nurse educator and to examine the perceptions of supports and barriers. Transitional theory provided the conceptual framework and informed the development of the interview protocol. The research questions focused on the experience of transitioning from expert to novice and on identifying supports and barriers that influenced transition. Using a case …

Nurse Faculty Perceptions Of Role Stress And Faculty-To-Faculty Incivility, Anne K. Kleinhesselink

Dissertations

The purpose of this study was to determine the relationship between nurse faculty perceptions of role stress and faculty-to-faculty incivility using the stressor-emotion model of counterproductive work behaviors. A convenience sample of 79 nurse faculty from 39 undergraduate nursing programs in Iowa responded to an online survey. The survey consisted of two instruments: Workplace Incivility Civility Scale and Role Strain Scale. Findings revealed 76 participants perceived incivility as a problem and identified stress (n = 64) and demanding workloads (n = 54) as contributing factors. Pearson correlation results revealed a positive relationship between experienced incivility and nurse faculty …

The Lived Experience Of Faculy Support With Generation Z Pre-Licensure Baccalaureate Nursing Students, Amy Shearer

Dissertations

Baccalaureate nursing education requires a high level of academic performance for both acceptance and completion of the program. Nursing students often identify faculty as a source of support to persevere through this rigorous educational program. In 2013, a new generation of students entered nursing education: Generation Z. It is unclear as to how the unique characteristic of Generation Z will align or differ with Millennial nursing students regarding their need for faculty support. Husserl's descriptive phenomenological method was used to explore pre-licensure baccalaureate Generation Z nursing student experiences of faculty support.

Exploring Home Health Nurse Decision Making: Development And Implementation Of The Visit Plan, Elliane Irani

Dissertations

Demand for home health services is increasing due to the growing aging population, increasing rates of chronic conditions, and advances in health care that support the provision of many health-related services in patients' homes. Home health agencies must adapt care delivery procedures to meet the needs of diverse and complex patients in order to keep them in their homes for as long as possible. However, it is unknown how home health nurses decide on visit patterns and implement their visit plans within the dynamic and unpredictable home health setting. This qualitative descriptive study was guided by an adapted nurse decision-making …

Hotspotting In Home Health: The Impact Of Interprofessional Student-Team Home Visits On Health Outcomes Of Super-Utilizers Of The Health Care System, Jennifer T. Alderman

Dissertations

The purpose of this study was to examine the impact of interprofessional student-team home visits on the health outcomes of super-utilizers of the health care system. The cost of health care continues to increase at an unsustainable pace. Innovative educational approaches integrated with existing models of care are an example of a potential strategy aimed at reducing costs and improving outcomes. The model implemented in this study is referred to as hotspotting, an emerging term that describes an intervention during which super-utilizers are the focus of the intervention. Teams of interprofessional health professions students performed home visits on these patients …

The Experience Of Pregnant Adolescents Living In A Group Home, Mary Ellen Lasala

Dissertations

Adolescent pregnancy and parenthood have been identified as national public health problems and are topics of intense debate in the United States because of their impact on maternal and child health and on the social and economic well-being of the nation. While many types of parenting programs are available to the adolescent mother, not one approach has emerged as the most effective to decrease subsequent pregnancies and to improve mother and child health. Using Husserl's Phenomenology as a philosophical underpinning, what it means to be a pregnant adolescent living in a group home was explored.

Complex Humans: Quality Care And A Spirity Of Inquiry, Rachel A. Joseph, Shanna W. Akers

General Webinars

As human life becomes more complex and the speed of life increases, everyone needs quality care for health promotion, disease promotion, and management based on current, emerging evidence. All nurses, novice or expert, must be lifelong learners and researchers who translate evidence into their practice. In this webinar, the presenters will discuss the value of nursing research and inspire attendees to engage in evidence-based practice for better patient care. Learning Outcomes: - Discuss the need for clinical research to impact patient outcomes - Develop a desire to mentor or be mentored in research-related activities - Identify barriers to engaging in …

Middle Class African Americans Diagnosed With Type 2 Diabetes Mellitus Self-Care Practices Related To Their Spirituality, Self-Efficacy, And Health Literacy, Jacqueline G. Moody

Dissertations

Diabetes mellitus continues to be one of the most commonly diagnosed medical conditions in the United States. More than 25 million children and adults are living with type 1 or type 2 DM (ADA, 2012). Even though 18 million patients have been diagnosed with diabetes, an additional 7 million are unaware they have the disease. An important factor in health outcomes for diabetes is self-care that includes proper glucose levels control. Self-care for diabetes mellitus is important to decrease an individual's risk factors. Self-care consists of the practice of activities that maturing and mature persons initiate and perform, within time …

Hospital-Associated Functional Status Decline In Pulmonary Patients, Amy C. Shay

Dissertations

Chronic obstructive pulmonary disease (COPD) is a significant worldwide cause of chronic illness and mortality and one of the most common admitting diagnoses in the United States. Persons with COPD are at increased risk for deconditioning during hospitalization, which can lead to decreased functional status at discharge. Disease-related factors and elements of the hospital environment make older adults with COPD vulnerable to hospital-associated functional status decline. The purpose of this dissertation was to identify activity factors that contribute to hospital-associated functional status decline in older adults with COPD by promoting functioning during hospitalization. This predictive correlational study is a secondary …

Using The Home Health Oasis To Promote Advance Care Planning Among Community-Dwelling, Frail Older Adults, Suzanne S. Sullivan

Dissertations

Despite an aging population with increasing proportions of frailty and decline, the rates of documented Advance care plans (ACP), meant to align goals for care with the level of treatment at end-of-life (EOL), are low (~30-40%). Patients expect clinicians to raise the question about serious illness goals for care when the time is right, however, there are a number of barriers to the initiation of these difficult conversations including provider bias and uncertainty. A review of the literature indicates that there are few prognostic indices available for use to identify the right time to initiate EOL conversations based on risk …

A Fundamental Cause Approach To Intimate Partner Violence In Marginalized Populations, Nicholas S. Metheny

Dissertations

Intimate Partner Violence (IPV) is a serious public health concern that transcends partnership types and societies, affecting approximately one-third of women worldwide. Men in same-sex relationships likely experience violence at similar rates. This dissertation takes a fundamental cause approach to social-ecological and minority stress theories, arguing that structural forces are the root causes of violence in two target populations: women residing in low- and middle-income countries (LMIC) and Indigenous men who have sex with men (MSM) in the United States. Consisting of eight chapters, four of which are empirical studies, this body of work creates new knowledge surrounding how social …

Impact Of An Open Access Appointment Scheduling System On No-Show Rates In An Urban Federally Qualified Health Center, Rosemary Ward

Dissertations

No-show medical appointments lead to health disparities and threaten the financial survival of Federally Qualified Health Centers (FQHCs). Open access scheduling eliminates long lead times, a common reason for no-show visits. Preventive health screenings and chronic disease management were drastically reduced during the COVID-19 pandemic, requiring innovative methods to increase access to care. The purpose of this quality improvement (QI) project was to measure the impact of an open access scheduling system on no-show rates in an urban FQHC. A pre-post observational design compared two days per week of no-show data for a span of 10 weeks between two family …

A Secondary Analysis To Inform A Clinical Decision Rule For Predicting Skull Fracture And Intracranial Injury In Children Under Age Two, Elizabeth L. Stone

Dissertations

The purpose of the current study was to identify the variables associated with the risk of closed head injury (CHI) in children under age two with suspected minor head injuries based on age-appropriate, or near age-appropriate, mental status on exam, as defined by a Glascow Coma Score (GCS) of 15 or 14, respectively. The goal was to propose a set of variables that, when considered together, have a high degree of predictive accuracy in identifying CHI in this population. This set of variables could eventually be used to inform a clinical decision rule which may help triage nurses make acuity …

Exploratory Study Of Graduate Nursing Student Grit And Strategies Used By Their Faculty: A Mixed Methods Approach, Leanne T. Burke

Dissertations

Registered Nurse (RN) workforce projections continue to show a shortage of RNs, which will intensify as Baby Boomers age and large numbers of nurses reach retirement (AACN, 2017a). To meet workforce demands, increasing numbers of nurses prepared at the graduate level for advanced roles like nursing faculty, nurse researchers, and primary care providers are critical. With variable attrition rates in master's and doctoral programs, there is a need for research into the uniqueness of these populations. In particular, noncognitive predictors of success, such as grit, may be important. This explanatory sequential mixed methods study assessed grit levels (measured by Grit-S) …

Reducing Emergency Room To Inpatient Disposition Time, Kyle Disney, Beyli Disney

DNP and Student Works

Prolonged boarding times in the emergency department negatively impact patient outcomes, leading to increased mortality, infection rates, and decreased patient satisfaction. Effective and timely communication during handoffs between healthcare professionals is crucial to minimize these delays and improve overall patient care, with the use of standardized handoff tools significantly reducing adverse events and length of hospital stay. This Doctor of Nursing Practice (DNP) project investigated the impact of implementing a handoff tool on decreasing emergency room to medical surgical unit disposition time. Kurt Lewin's three-step model of change, popular among healthcare organizations, was used as the theoretical framework for this …

Implementing A Dayroom For Acute Care Patients With Dementia, Darcy Copeland, Karla Call

General Submissions: Presentations (Oral and Poster)

The purpose of this EBP (Evidence Based Practice) project was to reduce restraint use and length of stay among patients with dementia admitted to an acute care unit.

Advanced Practice Nurses' Preparation: Transitioning From Clinical Practice To Academia: A Scoping Review, Jennifer Johnson, Shay Schroetter, Leah Cordova, Michael Cogan

General Submissions: Academic Settings and Education-based Materials

Aim: This review sought to understand what is known in the existing literature about the preparation of APRNs when transitioning from clinical practice to the online/hybrid academic setting.

Background: With the looming shortage of qualified nursing faculty and decreasing nursing workforce, it is essential to investigate how Advanced Practice Registered Nurses (APRN) can fill this gap and what can support the APRN transition into the online/hybrid academic setting.

Methods: A scoping review was completed using the framework outlined by Arksey and O'Malley and guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR).

Results: …

Resilience And Associated Factors In Pediatric Nurses, Benjamin M. White

Dissertations

The purpose of this dissertation was to explore pediatric nurse resilience and the contextual factors surrounding it, and propose a heuristic framework of pediatric nurse resilience. A convergent mixed-methods approach to secondary analysis was utilized and the resulting findings informed the heuristic framework.

A Comparison Between Unit-Based Education And Centralized Education Among Staff Nurses, Marilyn J. Campbell

Dissertations

Educating staff nurses is pivotal in the evolving healthcare environment. Two staff development models used in the healthcare setting are unit-based and centralized. Unit-based education is a staff development model that places educators on individual units. These educators direct the educational development of staff nurses on their assigned units. Centralized education meets generalized learning needs and provides nursing departments with scheduled education sessions or impromptu meetings regarding changes to policies and procedures. In addition, centralized educators are assigned to address the learning needs of the nurses on several units with universal orientation (Cummings & McCaskey, 1992), coordinate and implement intravenous …

Effects Of Attending A Workshop To Deepen Participants' Understanding Of The Roy Adaptation Model, Hidaka Tsuyako, Ide Nobu, Obama Satsuki, Ishimoto Sachiko, Fortin Eric

General Submissions: Presentations (Oral and Poster)

This study aims to explore the educational effects of attending workshops through focus group interviews (FGIs) with continuing workshop participants.

Project Poppseed: A Mixed-Methods Exploration Of Parents' Lived Experiences With Anencephaly, Shandeigh N. Berry

Dissertations

One in four women who experience perinatal loss develop intense grief. Adverse outcomes of intense grief include depression, anxiety, posttraumatic stress disorder, substance abuse, suicidal ideation, obesity, hypertension, and diabetes. Congenital anomalies such as anencephaly are the leading cause of perinatal mortality in the United States. The purpose of this study was to identify the impact of common experiential themes on perinatal grief intensity by exploring parents' lived experiences with a pregnancy complicated by anencephaly.

Implementation Of Evidence-Based Hourly Rounding To Improve Fall Rates Of Adult Patients On A Medical-Surgical Nursing Unit, David W. Smith

Dissertations

Patient falls remain a safety concern for all healthcare organizations and despite current evidence-based processes available for implementation there was a gap at the project site in adopting one. Therefore, the purpose of this quantitative quasi-experimental quality improvement project was to determine if the implementation of the Studer Group's Hourly Rounding tools would impact patient fall rates among adult patients in an urban medical-surgical unit in Florida over thirty-days. Orlando's deliberate nursing process theory was utilized as a theoretical framework for this project. A total of 304 patients were included in the project with the pre-intervention group of n=140 …

An Interpreted Journey Of Professional Growth Among Female Baccalaureate Nursing Students: A Hermeneutic Study Of Mindfulness Practices, Lorraine Santangelo

Dissertations

Nursing literature reveals that stress is a leading factor contributing to nursing student attrition, new nurses leaving the profession, and the reduction of positive formation of professional identity during prelicensure education and transition into professional practice, which jeopardizes the growth and replacement needs of the future nursing workforce. Despite extensive quantitative research suggesting mindfulness practices decreases stress and anxiety among college students, nursing students, and nurses, a paucity of qualitative studies exist to inform on the meaning of this experience from the nursing student perspective. Nursing literature also suggests that stress management techniques, cultivating awareness of personal values, and a …

Exploring Multilevel Factors Associated With Dual-Method Contraceptive Use Among Adolescent And Young Adult Women, Lauren Holt

Dissertations

Sexually transmitted infections (STIs) continue to rise in the US, and adolescent and young adult women (AYAW) between ages 18 and 24 have some of the highest STI rates in the country. Further, AYAW who use prescribed contraceptives (commonly referred to as birth control) are less likely to use condoms and more likely to be diagnosed with an STI than non-prescribed contraceptive users. The purpose of this dissertation is to understand multilevel factors contributing to condom use decision-making and STI risk perception analysis among AYAW who use prescribed contraceptives. Data was using qualitative research methods in two separate studies. In …

Effectiveness Of An Educational Intervention To Increase Adult's Knowledge In Selecting Primary Care, Urgent Care, Or Emergency Department Services, Tyler J. Smith

DNP and Student Works

The Emergency room is intended for emergent or life-saving medical needs that cannot be met elsewhere. The increased number of adults seeking non-emergent healthcare may reflect a lack of knowledge in understanding when to seek primary care, urgent care, or emergency department services as the point of access for healthcare.