Digital Commons Network^™

A Correlational Study Of The Relationship Of Nurses' Pain Assessment And Patients' History Of Substance Abuse, Valerie A. Esposito Kubanick

Dissertations

Patients experience physical pain for a myriad of reasons. The patients' expression of pain is often difficult to quantify and treat based on individuality of the patients and the viewpoint of the nurses. Therefore, the treatment of pain can become discounted or marginalized, especially in patients who use alcohol or drugs. The use of opioids is the gold standard for pain management, but current administering trends are to use less, or to use non-opioid treatments for fear of patient dependency. There is also an opioid epidemic and patients are sometimes categorized into this unfortunate situation as a precaution. Nevertheless, pain …

Caregiver Barriers To Hpv Vaccination In The Africa-American And Afro-Caribbean Population, Gabriella Riccio

DNP and Student Works

Introduction. The aim of this systematic review was to explore caregiver barriers to Human Papillomavirus (HPV) vaccination in the African-American and Afro-Caribbean population.

Methodology. A search was conducted on the Cumulative Index of Nursing and Allied Health Literature (CINAHL) and Medline databases to identify relevant research studies.

Results. Reported caregiver barriers to HPV vaccination in the African-American and Afro-Caribbean population can be grouped into common themes, including insufficient knowledge about HPV and HPV vaccines and desire for more guidance from healthcare providers; concern about promoting earlier and/or riskier sexual practices; vaccine safety concerns and distrust; and financial difficulties.

Conclusion. Important …

A Quantitative Correlational Study Of Job Satisfaction Among Critical Care Nurses In Hawai'i, Hazel Downing

Dissertations

One way of reducing nurse shortage and providing effective patient care within critical care units includes addressing the relationships between job satisfaction and nurse socio-demographics. The current quantitative correlational study identified a moderate level of overall job satisfaction among critical care nurses in Hawaii. The highest level of job satisfaction was in flexibility of scheduling and lowest in child care facilities. Rejection of the null hypothesis for six of the eight hypotheses suggested presence of a relationship between socio-demographics and the subscales of job satisfaction. The linear combination of the 10 socio-demographics does not predict the rewards and the professional …

Implementing A Clinical Practice Guideline To Reduce Antibiotic Use In Asymptomatic Bacteriuria, Connie Sue Clum

Dissertations

Antibiotic use in asymptomatic bacteriuria (ASB) may not be necessary. At the project site, there was no systematic process to manage ordering antibiotics and urine cultures without first diagnosing a urinary tract infection, so an evidence-based solution was sought. The purpose of this quality improvement project was to determine if implementing an antimicrobial stewardship program utilizing the Infectious Disease Society of America (IDSA) Clinical Practice Guidelines for the Management of Asymptomatic Bacteriuria would impact urine cultures ordering and antibiotic use among adult patients admitted to the general medical service. The project was piloted over 12 weeks in an urban hospital …

Implications Of Varying Levels Of Social Support And Peer Involvement On The Success Of Baccalaureate Level Nursing Students, Jeana R. Wilcox

Dissertations

Nursing programs must be able to recruit and successfully train future nurses in a timely manner. However, some students, appearing adequately prepared in application materials, do not move successfully through baccalaureate nursing education, pass the licensing exam, and enter the nursing profession. Nursing students enter into a strictly prescribed curriculum leaving little time for traditional college environment socialization. Unveiling factors leading to greater persistence to degree attainment will ultimately lead to more nursing graduates needed to counter the current nursing shortage. One Midwestern program recently (2003-2004) lost 28% of incoming junior-level nursing students in the first two semesters (C. Horton, …

Peer (Dyadic) Support: A Feasibility Study For African American Women With Hypertension, Angela Groves

General Submissions: Presentations (Oral and Poster)

Aim 1: To evaluate the feasibility of a peer (dyadic) support intervention to improve diet adherence and reduce systolic blood pressure among African American women with hypertension. Hypothesis: We hypothesize that the peer (dyadic) support intervention will be feasible, participants' diet will improve, and systolic blood pressure will be reduced (5-6 mm Hg). Aim 2: To describe the peer (dyadic) relationship during the intervention.

Patient Safety Culture, Compassion Fatigue, Compassion Satisfaction: Impact On Nurse-Sensitive Patient Outcomes, Debbie Anglade

Dissertations

The Institute of Medicine (IOM) defines patient safety as "freedom from accidental injury and ensuring patient safety involves establishing operational systems and processes that minimize the possibility of errors and maximize the possibility of intercepting them when they occur". For over a decade healthcare organizations have placed a great deal of effort into establishing operational systems and processes to minimize errors and achieve a culture of safety in their organization. This effort to improve patient safety has been one of the most highly publicized and critical issues facing the healthcare industry. In 1999 the IOM report To Err Is Human …

What Is The Impact Of A Hand Hygiene Initiative On Clabsi Rates, Roshan Scaria

DNP and Student Works

This purpose of this study is to examine the effectiveness of implementing and promoting effective hand hygiene practices in preventing central line-associated bloodstream infections (CLABSIs).

Exploring The Invisible Work Of Nursing: A Case Study Of Simulated Increases In Intensity Of Care On Nurses' Cognitive Load, Clinical Judgment, Stress, And Errors, Laura A. Vasel

Dissertations

Nurses have never before had so much data at the bedside, nor the complex patients and practice environments found in acute care settings today. Processing large amounts of information from multiple sources may result in cognitive overload which may negatively impact patient outcomes. To meet the challenge of improving quality of care, a conceptual model was created to guide research exploring the associations between the cognitive work of nursing, nursing care, and the complex context of the hospital setting. The purpose of this research was to explore the invisible cognitive work of nursing by examining relationships between cognitive load, nursing …

The Lived Experience Of Patients In Feeling Empathy From Nurses When Receiving Care Via Telehealth, Donna L. Cutting

Dissertations

With the increased use of telehealth, particularly telenursing, there is a lack of literature regarding the portrayal and deliverance of empathy and compassion from the nurse to the patient when physical separation exists, such as when the nurse and the patient are in different locations and "seeing" each other through use of technology.

The aim of this qualitative, phenomenological dissertation study was to describe the lived experience of patients feeling empathy or not from nurses when receiving care via telehealth. Watson's Human Caring Science was the nursing theory used to guide this study. The research question was: What is the …

The Relationship Between Discharge Planning, Satisfaction, And Readmission In Home Care Patients, Dawn A. Hohl

Dissertations

Many factors influence, and research supports a linkage, between a patient's perception of the hospital experience, the subsequent transition home, and hospital readmission. The problem is that when the patient perceives discharge planning to be inadequate, dissatisfaction and rehospitalization occurs. Unfortunately, predictors that create a satisfying patient transition from the hospital to home with home care are neither well studied nor well understood. This quantitative, nonexperimental, correlational design using survey methodology examined whether the type of hospital and discharge planning predict home care satisfaction, and whether home care satisfaction, and home care coordinator attendance of Interdisciplinary Team (IDT) rounds predicts …

Integrating Geriatric Content Into Traditional Undergraduate Baccalaureate Nursing Curriculum, Gina B. Diaz

Dissertations

Geriatric content in baccalaureate nursing curriculum is essential. Nursing students need the knowledge, skills, and attitude in providing quality care to older adults. The goal of this project was to integrate geriatric content into the traditional undergraduate (TUG) baccalaureate nursing curriculum. This was completed by providing a 16-week didactic learning experience in the classroom and clinical experiences in the community setting and long-term care facility. Fourteen TUG baccalaureate nursing students from a private college participated in the project. Results indicate that the integration of geriatric content into baccalaureate nursing curriculum increases students' knowledge and skills and enhanced attitude towards older …

Lane Regional Medical Center Pathway To Excellence™ Gap Analysis And Recommendations, Susan T. Sanders

DNP and Student Works

The nation's ongoing shortage of nurses is reaching a crisis level as the demand for healthcare services continues to increase and the number of nurses decreases. The nursing shortage is due in part to decreased nursing school enrollment, an aging nursing workforce and high nursing turnover as a result of job burnout and dissatisfaction. Accordingly, recruitment and retention of nurses continue to be critical issues in healthcare as nurse attrition affects an institution's patient, staff, and financial outcomes

Express Yourself! Implementing An Evidence-Based Intervention To Improve Efficacy Of Transformational Leadership For Nurse Managers, Jenna Blind

Dissertations

Transformational leadership is the antecedent of a healthy work environment, satisfied employees, and high quality patient outcomes. Implementing evidence-based interventions to improve upon principles of transformational leadership aligns with the recommendations set forth by the Institute of Medicine's (IOM) Future of Nursing Report (2011). The precursor to developing a leadership workforce that is able to manage change, help others work towards a shared vision, and engage healthcare providers to strive for excellence in care delivery. The purpose of this scholarly project was to improve efficacy of transformational leadership skills of nurse managers using an evidence-based expressive writing intervention and to …

Evaluating Critical Thinking In New Graduate Nurses Through Reflective Journaling, Robbin Guynn

Sigma Foundation for Nursing Research Grant Reports

The purpose of this project is to look at the development of critical thinking in newly graduated nurses to see if reflective journaling can help accelerate the process.

Sex Trafficking Education For Nurses In A Pediatric Emergency Department, Dannelle Paz

Group: Samford University Moffett & Sanders School of Nursing

The purpose of this project was to develop, implement, and evaluate sex trafficking education for pediatric RNs in an ED to facilitate confidence and competence in victim identification and treatment referrals.

The Role Of The Patient Liaison Nurse In The Ambulatory Care Context Of A Middle Eastern Teaching Hospital: A Practice Model, Mustafa Morris E. Bodrick

Dissertations

The commencement of the role of patient liaison nurse (PLN) in the ambulatory care context of a Middle Eastern teaching hospital was an organizational response to patient care concerns during the site absence of physicians and the healthcare team. The PLN consequently evolved as a functional role of the registered nurse (RN) in ambulatory care nursing. The core research question asked was: how can a model be developed to describe the PLN role? The related topics for research included (i) the lived experiences of nurses in the functional role of the RN as PLN, (ii) what the nursing management team …

Organizational Agents As Epistemic Agents: Re-Examining Nurse Executives' Agency In Homecare Organizations, Lisa Ashley

Dissertations

This research presents a critical analysis and original theoretical approach to a complex phenomenon that addresses current gaps in our understanding of the experiences of nurse executives and their organizational positioning in homecare organizations. It reveals how nurse executives experience paradoxical identities of executive and nurse. The competitiveness of homecare as a business and the status of homecare among other healthcare sectors is problematic and exacerbates the tension between those two identities. This qualitative research aims to explore NEs' epistemic and discursive organizational positioning in HCOs. This research also explores how nurse executives enact their moral, socio-professional, political and epistemic …

The Lived Experiences Of Student Nurses During Simulation Of Perinatal Loss, Paloma Alejandra Peña

Dissertations

The purpose of this phenomenological study was to understand the experiences and perceptions of undergraduate nursing students in providing care following a perinatal loss simulation. The theories that guided this study included Malcolm Knowles' Theory of Andragogy and the National League for Nursing Jeffries Simulation. The selected theories provide structure for adult learners' need to experience situational learning activities that are relevant to their job while building upon the foundation of students' knowledge. Incorporation of Knowles' and Jeffries' theories guides the qualitative study of the simulation of a perinatal loss and the experiences of nursing students in providing care during …

Baccalaureate Nurses' Experiences And Understanding Of Adults Living With Sickle Cell Disease, Shelia A. Reid

Dissertations

Background: Sickle cell disease (SCD) is a chronic, genetic blood disorder with most treatment interventions geared toward the acute phase of the disease, which often leads to fragmented care. In Canada, the teaching of SCD occurs without a genetic competency, resulting in miscommunication, misunderstanding, and inadequate nursing care.

Purpose: This investigator examined baccalaureate nurses' experiences and understanding of working with adults living with SCD.

Methods: A semi-structured interview guide was used to explore baccalaureate nurses' experiences and understanding of working with young adults living with SCD.

Results: Lindseth and Norbergs' (2004) interpretation of Ricoeur's hermeneutic interpretative phenomenological approach was used …

The Individualized Multidisciplinary Immediate Fall Response Program, Adenike Y. Awotundun

Dissertations

Falls are common in older residents in the United States. 800,000 falls occur yearly and one in three residents will fall again within a year (Agency for Healthcare Research and Quality [AHRQ], 2017). In Frey Village, approximately 25 falls occur monthly with 1.9% fall-injuries, annually. This project focused on the Individualized Multidisciplinary Immediate Fall Response Program (IMIFRP).

PICOT Question: In older adults in a long-term facility (P), does implementation of an individualized multidisciplinary immediate fall response program (I), improve fall care processes and reduce fall rates (O) within 2-months post-intervention (T), compared to 2-months preintervention (C)?

Glycemic Control In Cardiac Surgery Patients: Revising And Educating Nurses On An Evidence-Based Insulin Infusion Protocol, Joelle D. Hargraves

Dissertations

Glycemic control following cardiac surgery is challenging. Inadequate glycemic control, whether it is hypoglycemia or hyperglycemia, is associated with poor patient outcomes. Recently published studies examining glycemic control in critical illness including cardiac surgery, and clinical practice guidelines from professional organizations support moderate glycemic control (blood glucose [BG] 110 - 180 mg/dl). The problems guiding this evidence-based practice (EBP) change was lack of a current up-to-date evidence-based clinical practice guideline for glycemic control in critical illness and nurses' knowledge deficit.

Reducing Unnecessary Head Cts In Adult Emergency Department Patients With Head Injuries Through Implementation Of A Provider Training Initiative, Kelli Mcallister, Susannah Sitton

Group: Samford University Moffett & Sanders School of Nursing

Emergency department (ED) providers often overuse head computed tomography (CT) scans for mild traumatic brain injuries (mTBI), driven by patient demand, fear of litigation, and a culture favoring information leading to to increased risks, costs, and wait times. The Doctor of Nursing Practice (DNP) project aimed to address this issue at Flowers Hospital and AdventHealth by implementing the Canadian CT Head Rule (CCHR) uniformly by ED providers. Guided by the Iowa Model of evidence-based practice change, the project involved pre-intervention assessments, educational initiatives, and post-intervention evaluations. Pre-intervention, a significant number of CT scans were ordered unnecessarily. Post-intervention, there was a …

Development And Evaluation Of A Nurse-Leader Driven Restorative Break Initiative On Medical Surgical Unit And Its Impact On Burnout And Stress, Heike Miriam Doody

Dissertations

COVID impacted nurses on many levels, but most significantly accelerating the nursing shortage, increasing acuity, burnout, and stress (Khammissa et al., 2022). These interrelated factors created high turnover rates. Therefore, the aim of this project was to improve the burnout and stress scores of medical surgical nurses by 10% by the end of six weeks after assigning restorative breaks to be taken at specified times during the day.

Theoretical Contributions To A Positive Work Environment, Sharon Prawl

Creating Healthy Work Environments (CHWE)

A healthcare environment that supports and nurtures its professionals creates a positive work environment. Creating a positive work environment fosters camaraderie where healthcare professionals can strive to achieve their best potential.

Work Engagement, Burnout, And Well-Being In Nursing Professional Development Practitioners, Marlene T. Porter

Dissertations

This article-based manuscript dissertation will follow a two-manuscript process. The two manuscripts are related to work engagement, burnout, and well-being in the nursing professional development (NPD) practitioner. The first completed manuscript is a literature review that examines personal resources that affect work engagement, uncovers strategies to improve work engagement, and discusses the implications for the NPD practitioner. Fourteen studies met the inclusion criteria for the literature review identifying self-efficacy, resilience, optimism, meaning, mattering, hardiness, and grit as personal resources influencing work engagement. Strategies identified to improve work engagement included policy development, implementing self-awareness programs, and providing resilience, strengths, and gratitude …

Nontraditional Community College Students In Nursing: Perceptions Personified, Helene P. Seibert

Dissertations

Nontraditional students in nursing have been the topic of multiple research studies to gain insight into their perceptions regarding retention. This mixed methods study, using Jeffreys' Student Perception Appraisal-Revised (SPA-R, 2007a) takes the quantitative findings a step further by using a qualitative approach to generate findings that extend the value of that instrument by exploring the details pertaining to each of the environmental items using focus groups and individual interviews with community college nursing students, just prior to graduation. One hundred seven associate degree nursing students in their last semester at three Midwestern community colleges were surveyed with the SPA-R …

Simulation In Interprofessional Education: A Case Study With Baccalaureate Nursing Faculty, Sherleena Ann Buchman

Dissertations

Nursing programs across the country are facing the challenge of providing students with optimal clinical skill learning experiences. Faculty members are rising to this challenge in a variety of ways, and current research in nursing education advocates the addition of interprofessional education to the nursing curriculum. History and governing bodies explain how nursing education can achieve this goal but faculty have to implement required and suggested changes. Further research is needed to gain insight into perceptions of the baccalaureate nursing faculty of interprofessional education and how the simulation in interprofessional experience contributes to overall patient safety. Patient safety is a …

A Study Of The Effect Of Human Patient Simulation On Critical Thinking And Confidence Skills Of Baccalaureate Junior Nursing Students, Yanick D. Joseph

Dissertations

This quantitative study sought to evaluate human patient simulation's (HPS) impact on junior student nurses' critical thinking and confidence skills. The study investigated the impact of simulation as an adjunct to clinical learning on the critical thinking and confidence skills of (N=22) junior nursing students enrolled in the third quarter of a bachelor of nursing degree program in south Florida. A constructivist viewpoint served as the theoretical framework for the study. A two groups comparison group, pre-test-post-test design with the independent variable (simulation), and the dependent variables (critical thinking and self-confidence) ascribed to test the following null hypotheses set at …

[Excerpt From] The Nurse Manager's Guide To Innovative Staffing (3rd Ed.), Jennifer Mensik Kennedy, Brienne Sandow

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from The Nurse Manager's Guide to Innovative Staffing, Third Edition, which is provided free of charge by the publisher.

About this book: The Nurse Manager's Guide to Innovative Staffing, Third Edition, is a practical guide that can give you a handle on every staffing issue, from assessing your current challenges to implementing updated care delivery models to leveraging innovative solutions.

In this book, readers will find:

• NEW: Pandemic-informed staffing plans and ethical considerations for emergency management situations
• NEW: Deeper dives into artificial intelligence and virtual care
• NEW: Considerations for internationally educated nurses …