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The Theoretical Understanding Of Risk Perception And Dual-Method Contraceptive Decision-Making Among Texas Adolescent And Young Adult Cisgender Females, Lauren Holt

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study is to understand STI and HIV risk perception and decision-making related to dual-method contraceptive use among adolescent and young adult cisgender females (AYACF) and to develop a conceptual model explaining the processes associated with risk perception analysis and decision-making related to dual-method contraceptive use among sexually active adolescent and young adult cisgender females using prescribed contraceptives.

Impact Of Gamification On Engagement Of Prelicensure Nursing Students: Faculty Perceptions, Elizabeth A. Lucas

Dissertations

The United States is facing a current and worsening nursing workforce shortage which poses a threat to today's healthcare structure. Strategies to combat this shortage by increasing the number of qualified applicants admitted to nursing programs each year have been implemented. In addition to increasing the number of students admitted each year, work must be done to better support those nursing students to make it to graduation. A method that can help is through achieving student engagement which has been linked to improved critical thinking, learning, and grades. One teaching strategy that has the potential to increase student engagement is …

Food As Medicine: Care Management And Nursing Role In Preventing And Remission Chronic Disease, Nan Robinson

General Webinars

Poor nutrition is the leading cause of chronic disease and disability plaguing the US and many other nations today. Lifestyle medicine uses evidence-based therapeutic interventions and highlights the plant-predominant diet to address the root cause of illness. The care manager and nursing role is vital to empower patients to take control of their health to prevent and in many cases greatly improve chronic illness. This presentation will provide key strategies to promote behavior change.

Assessing Healthcare Interventions: Impact Of Covid-19 Precautions On Hospital Acquired Infections, Judeil Krlan Teus, Lucinda Mithen, Heidi Green, Alison Hutton, Ritin Fernandez

International Nursing Research Congress (INRC)

Personal protective equipment (PPE) has played a fundamental role in protecting healthcare workers and patients, but its effectiveness in reducing hospital-acquired infections (HAIs) during the pandemic remains a subject of debate. This systematic review and meta-analysis explores the impact of COVID-19 precautions on HAIs and its implications for future practice.

The Lived Experiences Of Clinical Staff Nurses Who Provide Care For Transgender Patients In Florida, Twanna L. Crockam

Dissertations

Historically, transgender patients have experienced challenging interactions with healthcare providers. As a result, many transgender patients refuse to seek medical attention for a broad spectrum of healthcare needs. Although the transgender population has gained attention, a lack of research exists of clinical staff nurses' lived experiences providing care for transgender patients.

The purpose of this qualitative hermeneutic phenomenological inquiry was to uncover and understand the experiences of clinical staff nurses when providing care for transgender patients in Florida. The research question was this: "What is the lived experience of clinical staff nurses who provide care for transgender patients in Florida?"

Physical Activity Self-Efficacy And Text Message Intervention Among Northeast Louisiana Women With Cardiovascular Disease, Sherrie Roberson

Dissertations

Rural women are less likely to meet the recommended physical activity guidelines, which leads to poor health outcomes such as cardiovascular disease (CVD). Adherence to physical activity is critical in preventing CVD and recurring cardiac events. Heart disease is one of Louisiana's major diseases. In Louisiana, women ages 55 to 64 had the highest risk factors for CVD and heart attack. The purpose of this study was to examine the impact of a 6-week text messaging intervention on the effects of physical activity and physical activity self-efficacy among Northeast Louisiana women with cardiovascular disease. A randomized controlled trial with a …

Exploring Factors Influencing Health Promoting Behaviors Among Latino Immigrants, Martin J. Mikell

Dissertations

Latino immigrants may experience stress during acculturation to the U. S., which can influence their ability to engage in health-promoting behaviors, such as dietary intake and physical activity. Dietary intake and physical activity influence the prevention or development of pre-diabetes/Type 2 Diabetes (T2DM). The immigrant's ability to perform health-promoting behaviors can also be influenced by their perceptions of self-efficacy to engage in health-promoting behaviors. Limited information is available in the literature on effective strategies for decreasing stress during the acculturation process of Latino immigrants, while also increasing self-efficacy in health-promoting behaviors. The purpose of this study was to explore the …

High-Fidelity Simulation: Methods To Decrease Stress And Anxiety In Prelicensure Nursing Students, Barbara L. Biddle

Dissertations

The purpose of this dissertation literature review was to discuss causes of and methods to reduce stress and anxiety among prelicensure student nurses before and during a simulation so that learning through simulation prepares students to care for patients safely. This literature review focused on the history of simulation in training, feelings of anxiety and stress among nursing students, theories pertinent to nursing simulation, prelicensure students' views and outcomes in simulations, and the research measures that helped reduce stress and anxiety during simulation training.

Loss Of Resources And Depressive Symptoms After Traumatic Injury, Elizabeth Van Horn

Dissertations

Unintentional traumatic injury is a significant public health problem in the United States. Each year trauma patients sustain loss of physical function, temporary or permanent disability, and additional losses in personal, social, financial, and occupational realms. Loss of resources after injury may contribute to the occurrence of depressive symptoms in trauma patients, which may negatively affect recovery outcomes. The purpose of this research study was to test a model of trauma-related variables that may influence the occurrence of depressive symptoms after traumatic injury. The model developed for this study was based on the Conservation of Resources (COR) model. In applying …

Best Practices In Academic Nurse Educator Role Transition: A Multiple-Case Study, Joelle L. Wolf

Dissertations

Healthcare is facing a crisis related to a shortage of nurses. One of the most alarming factors regarding this shortage is the lack of academic nurse educators (ANE). The problem addressed in this study was the shortage of ANEs due to obstacles in the role transition process. The theoretical framework used was the nurse educator transition theory which connected well with this study as this theory focuses on stages of ANE role transition. Two research questions were used that identified perceptions of best practices in role transition of ANEs and best strategies in retention. Participants were early-career ANEs with 1 …

A Visual Arts-Based Intervention For Improving Psychosocial Outcomes Among Community-Dwelling Stroke Survivors: A Pilot Randomized Controlled Trial, Mimi Wai Man Chan

Sigma Foundation for Nursing Research Grant Reports

This pilot RCT aimed to explore the feasibility of the theory-driven visual arts-based intervention for improving psychosocial functioning of community-dwelling stroke survivors before implementing a full-scale RCT. Feasibility of this intervention was assessed in line with five of eight areas of focus of exploring the feasibility of intervention suggested by Bowen et al. (2009), including demand, implementation, practicality, acceptability, and preliminary effects of the intervention.

Respiratory Treatments In Post-Covid Patients To Improve Physical Activity, Pamela Tarver

Dissertations

A significant number of individuals affected by the coronavirus (COVID) developed severe acute respiratory syndrome (SARS), causing respiratory dysfunction which led to decreased functional capacity. This project aimed to evaluate the project site's archival data for post-COVID patients to determine whether respiratory treatments improved physical activity, as evidenced by the results of the pre and post 6-minute walk test (6MWT) and oxygen saturation (SpO2) levels. The Donabedian quality model was utilized to evaluate the resources, the interventions, and the outcomes of post-COVID patients.

Implementing A Tai Chi Exercise Program To Prevent Falls In Long-Term Care, Angela F. Miles

Dissertations

Falls can be a frequent occurrence in older adults residing in long-term care facilities. At the project site there was no systematic process to impact falls, so an evidence-based solution was sought. The purpose of this quality improvement project was to determine if the translation of Li et al.'s research utilizing Tai Ji Quan: Moving for Better Balance (TJQMBB) exercise in conjunction with the current fall risk assessment would impact fall rates among older adults over a 12-week period in an urban Georgia long term care facility. Betty Neuman's systems theory and Kurt Lewin's change model provided the scientific underpinnings …

A Comparison Of Instructor Audio-Video With Text-Based Feedback Versus Text-Based Feedback Alone On Students' Perceptions Of Community Of Inquiry Among Rn-To-Bsn Online Students, Marie K. Lindley

Dissertations

In order to meet the healthcare needs of the US population, Registered Nurses (RNs), with Bachelor of Science in Nursing degrees, are needed. This descriptive posttest study, with independent samples, examined the use of audio-video with text-based feedback versus text-based only feedback on student's perceptions of the community of inquiry (COI) among RN-BSN online students (n=125), enrolled in one course at one university. The COI survey performed reliably with Cronbach's alpha .94 on the pretest and .98 on the posttest. No statistically significant difference was found between the groups on the pretest for teaching presence (p=.31), …

Depression Screenings In Older Adult Primary Care Patients: A Pilot Study, Karissa A. Rodriguez

Dissertations

Depression is a profound problem among people of all ages, but it is especially prevalent in older adults aged 65 and older. Identification and diagnosis of depression are obtained through screenings.

This project aimed to increase the frequency of depression screenings at all primary care office visits and analyze the agreement between the depression screening tools, the Patient Health Questionnaire (PHQ-9) or the Geriatric Depression Scale (GDS-15), when assessing depression in older adult primary care patients ages 65 and older. Theoretical Framework: The Plan-Do-Study-Act (PDSA) cycle is a problem-solving model used to create change and adapt to a project's needs. …

Innovative Nursing Education Pedagogy Connecting Population Health, Policy, And Finance, Carolyn Kleman, Lisa Anne Bove, Yvonne M. Smith

International Nursing Research Congress (INRC)

Presenters will share study results about learning activities that helped students become more comfortable and knowledgeable about population health, finance, and policy. If nurses are knowledgeable about and comfortable with the interconnectedness between population health, finance, and policy, they can effectively advocate for themselves and others, both locally and globally.

The Development And Testing Of An Instrument To Measure Perceptions Of Body Art Among Nurse Educators And Nursing Students, Deana M. Nunes

Dissertations

Increasing diversity in the nursing workforce is a national priority to better care for a diverse patient population and minimize healthcare disparities. Nurse educators teach students to practice with compassion and respect, recognizing the dignity, worth, individual choice, and unique attributes of all patients. Perceptions of nursing professionalism are heavily influenced by appearance. Many nursing programs restrict visible body art in their dress code policies based on long-held notions and negative stereotypes of individuals with body art. Shouldn't nursing students who choose to have body art receive the same respect and lack of judgment? A better understanding of nurse educators' …

Evaluating Mental Health Provider Self-Efficacy In Identifying Body Image Disturbance In Adult Female Patients Taking Antidepressents And Antipsychotics: A Quality Improvement Project, Raymonda Augustin

DNP and Student Works

This project aimed to assess provider self-efficacy in identifying BID among adult female patients using antidepressants and antipsychotics, employing the Body Image Disturbance Questionnaire (BIDQ) within a framework inspired by Albert Bandura's Self-Efficacy Theory.

Exploring Students' Perceptions And Experiences Of Faculty Caring In The Undergraduate Classroom In A Traditional Baccalaureate Nursing Program: A Qualitative Descriptive Study, Sheila M. Garilli

Dissertations

Academic nurse educators' use of caring attributes in the classroom could impact students' educational journey. Educators are leaders who should model caring behaviors toward their students. This role modeling will empower students to demonstrate these caring behaviors toward their patients. A literature review discovered a gap surrounding the study of faculty caring in the classroom. This research study explored students' perceptions and experiences of faculty caring in the undergraduate classroom in two traditional baccalaureate nursing programs. This study utilized a qualitative descriptive method with purposeful sampling and in-person recruitment at two universities in a Northeastern state in the United States. …

A Culturally Informed Mentorship Model For Historically Underrepresented Ethnic Minority Advanced Practice Registered Nursing Students, Lonnie P. Herring

Dissertations

Ethnic minority students pursuing advanced practice nursing degrees often face unique challenges that hinder their academic success and persistence, such as limited mentorship opportunities that address their cultural considerations. A lack of culturally informed mentorship (CIM) may contribute to feelings of isolation, lower self-efficacy, and reduced retention rates among ethnic minority advanced practice registered nursing (APRN) students. Through cultural competency, CIM programs are emerging as a promising approach to address these challenges and support the needs of historically underrepresented ethnic minority (HUEM) students. The underrepresentation of HUEM APRN students in graduate nursing education and advanced nursing practice is a persistent …

The Implementation Of A Care And Communication Bundle For End-Of-Life Patients, Brendalee Carty Obiorah

Dissertations

Research studies have noted an improvement in end-of-life (EOL) patient's quality of life (QOL) from hospice. However, little research has been conducted to explore how the involvement of hospice care affects those in an assisted living facility (ALF). The purpose of this quantitative, pre and post-test quasi experimental design DPI project was to see to what degree a relationship exists between the care and communication bundle (independent variable) implementation and QOL (dependent variable) for 20 EOL patients on hospice in an ALF in Central Georgia. Jean Watson theory of caring and the theoretical domains framework (TDF) guided this project. The …

Understanding The Structure Of Digital Health And The Epic System In Healthcare, Blaise B. Nieve

General Submissions: Presentations (Oral and Poster)

Digital health represents the convergence of digital technologies with healthcare to enhance the efficiency, effectiveness, and personalization of medical services. This lecture delves into the expansive domain of digital health, exploring its components, significance, and transformative potential.

Perceptions Of Graduate Nurse Practitioner Faculty On The Use Of Simulation In Lieu Of Traditional Clinical Hours, Virginia Strong

Dissertations

Simulation in undergraduate nursing curriculum has been identified as an effective and safe substitution for the traditional clinical experience; however, graduate nurse education programs could not substitute clinical hours with simulation-based education. These clinical hours required NP students to provide direct face-to-face patient care. Simulation had wide variability in the number of hours utilized within each specialty. NONPF discussed the use of simulation, as it pertains to the curriculum of the NP student on more than one occasion and concluded its impact on NP education was a potential alternative to traditional clinical experiences. Studies indicated that graduate nursing students enjoy …

Power And Control In Medicine And Nursing - Could Intrinsic Gender Beliefs Impact Interprofessional Education In Pre-Professional Programs?, Catherine Christine Delant

Dissertations

Examination of the power dynamics at work in perpetuating health care hierarchy-related interprofessional collaboration barriers is needed to rationally develop strategies for teaching collaborative skills to health care providers. A mixed-methods study employing critical realist grounded theory examined the implicit beliefs, assumptions and power hierarchies related to gendered perceptions of the professions of nursing and medicine by students of those professions.

The Lived Experience Of Registered Nurses And Registered Midwives In St. Kitts And Nevis, Raiden Gaul

Dissertations

At the beginning of the 20th century, St. Kitts and Nevis had one of the highest infant mortality rates in the Caribbean. However, unlike some Caribbean nations with similar historical and socioeconomic factors that continue to suffer from significant health disparities, St. Kitts and Nevis implemented strategic health reforms that have led to dramatic improvements in maternal and neonatal health outcomes. One of the strategic reforms designed to address these poor health outcomes was to mandate that all registered nurses in St. Kitts and Nevis pursue certification in the post-basic midwifery program. The purpose of this study was to examine …

The Occurence Rate And Types Of Technical Alarms During Continuous Ecg Monitoring In The Intensive Care Unit And Its Potential Contribution To Alarm Fatigue, Markus Tungol

Theses

While continuous electrocardiographic (ECG) monitoring in the Intensive Care Unit (ICU) is an important assessment device, technical alarms (i.e., artifact, arrhythmia suspend, and leads off) are frequent and can contribute to alarm fatigue in nurses. For example, we found that of >2.5 million total alarms generated during a one month period, 30% were technical alarms. Examine the number and type of technical alarms (described below) and demographic and clinical factors associated with these alarms.

Evaluation Of New Graduate Nursing Orentation Program, Elizabeth Arroyo

Dissertations

When a new graduate nurse enters the hospital for the first time the feeling is intense, and intimidation is at an all-time high. The fact that everyone in the unit knows there is a new nurse is worrisome for often the phrase "nurses eat their young" is a thought that overwhelms so many new nurses. The hospital located in central Florida has a 16-week orientation program that has been in effect for three years, but is facing negative results. The job turnover rates in the hospital from new graduate nurses is 70% in just one year (Lindfors & Junttila, 2014). …

Patient-Generated Health-Data Information Needs In Pediatric Asthma, Victoria L. Tiase

Dissertations

Patient-generated health data (PGHD) are data collected by patients that can be used to screen for health problems or monitor progress toward health goals. These data may be especially useful for those with chronic health conditions such as pediatric asthma, as PGHD reflect the day-to-day status and home behaviors. Without access to PGHD within clinical workflows, clinicians working to personalize care and treat patients at an individual level may have an incomplete picture of those patients. A thorough understanding of information needs and display preferences is required to present PGHD in the clinical documentation without causing information overload. The aims …

Implementing A Medication Adherence Toolkit For Adults Recieving Psychaitric Treatment In An Intensive Outpatient Program, Kyla Baucom

DNP and Student Works

Psychiatric disorders contribute significantly to the global disease burden resulting in increased morbidity and mortality in affected individuals. Approximately half of patients with psychiatric illness are nonadherent with psychotropics due to a multitude of factors (Semahegn et al., 2020). The purpose of this quality improvement project is to assess staff knowledge of medication adherence in the psychiatric patient, assess patient medication adherence (MARS) on intake, and provide a medication adherence toolkit with resources for adult patients in a psychiatric intensive outpatient program.

Finding The Gut Microbiome Connection To The Risk Of Childhood Obesity Through An Examination Of Gut Microbiota Among Children In Los Angeles, California: A Cross-Sectional Pilot Study, Cecille M. Basilio

Dissertations

The purpose of this study was to examine the association between gut microbiota composition and child obesity. The specific aims were to: 1) evaluate the impact of child obesity status on three related outcomes to be assessed by extracting DNA from children's stool samples using 16S rRNA gene sequencing: alpha diversity of gut microbiota composition, Firmicutes: Bacteroidetes ratio, and abundance of SCFA-generating gut microbes between obese and non-obese school children; 2) compare the dietary habits and intakes between obese and non-obese school children; and 3) evaluate the association of body mass index differences in gut microbiota composition between obese and …