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[Excerpt From] Self-Care For New And Student Nurses (2nd Ed.), Dorrie K. Fontaine, Tim Cunningham, Natalie B. May

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Self-Care for New and Student Nurses, Second Edition, which is provided free of charge by the publisher.

About this book:

As a nursing student, you're taught to expect a variety of challenges while caring for your patients and juggling competing priorities as you begin your career. And, though you may know better, your personal well-being can become the last thing you consider in your hectic student or new-nurse life.

This second edition of Self-Care for New and Student Nurses equips you to confidently face stressors now and in the future. No …

Transitional Care Medical House Call: A Pilot Project, Ron Billano Ordona

Dissertations

Vulnerable, homebound older adults are highly susceptible to unplanned 30-day hospital readmissions, which is costly for the healthcare system. As a result, health care expenditures for this population continue to rise. Studies have shown that transition of care programs, when complemented with home-based primary care delivery, may improve health care outcomes for this population.

The purpose of this quality improvement pilot project was to implement medical house calls as a component of transitional care management (TCM) and measure patient outcomes such as unplanned 30-day readmission rates and correlate predictors of readmission. As a secondary outcome, the project explored, tracked, and …

Improving Breastfeeding Outcomes: A Pilot Randomized Controlled Trial Of A Self-Efficacy Intervention With Primiparous Mothers, Karen A. Mcqueen

Dissertations

Breastfeeding is recommended as the optimal source of nutrition for newborns for the first 6 months of life and beyond with the addition of complementary foods. While breastfeeding initiation rates have been increasing, duration rates remain a concern as many women prematurely discontinue due to difficulties encountered rather than maternal choice. In addition, there is a sizable gap between rates of exclusive breastfeeding and current recommendations. Targeting modifiable variables that may be amenable to intervention is one strategy to improve breastfeeding outcomes. One such modifiable variable is breastfeeding self-efficacy. Although research has clearly shown that breastfeeding self-efficacy is predictive of …

Education Practicum Project, Chinwe Uzodinma-Jones

Theses

Implementation of IDSE promotes interprofessional communication by exposing scholars to such experiences prior to entering professional practice (Aebersold, 2018; Wang et al., 2015). Further inquiry has led to the development of the PICOT research question. In a population of pre-licensure baccalaureate nursing scholars (Population) what is the effect of an interdisciplinary simulation-based education (IDSE) scenario (Intervention) in comparison to no IDSE (Comparison) on improving self-perceptions of competent care among critical care nursing students (Outcome) over a period of 8 weeks (Time)?

Using Therapeutic Writing To Deconstruct Recovery From Postraumatic Stress Disorder (Ptsd), Pamela Phillips

Dissertations

Exposure to physical and psychological trauma has produced a post-millennial epoch of posttraumatic stress disorder (PTSD), a debilitating anxiety disorder that occurs after exposure to an extreme stressor or prolonged victimization. After an extensive review of treatment protocols in 2008, the Institute of Medicine (IOM) exhorted clinicians to focus on defining the concept of recovery, concentrating on symptom reduction, removal of the PTSD diagnosis, and end-state function. Although the IOM report mobilized large-scale efforts to quantify treatments and standardize delivery of treatment protocols, PTSD recovery remains a concept that has been largely unexplored. The primary aim of this study was …

Improving The Experience Of Culturally Diverse Nursing Students: A Qualitative Study, Miriam L. Griffin

Dissertations

Current literature reflects a need for an overall increase in the number of nurses and an increase in ethnic and racial diversity in the nursing profession. The lack of diversity is a global nursing concern, and nursing programs and educators are tasked with attempting to recruit, retain, and graduate culturally diverse students. The literature and research discuss the need for nursing programs and educators to design early intervention success programs and pre-nursing preparation that focus on critical factors that contribute to student success and assist with decreasing attrition rates. In this basic qualitative research study, eight semi-structured interviews were conducted …

Improving Medication Safety Through Medication Reconciliation In Amulatory Care, Mayu Yamamoto

Dissertations

Medication reconciliation (MR) is recognized as an effective strategy to prevent harm from medications and yet it has not been consistently performed in the ambulatory care setting. Inaccuracies in medication lists have contributed to medication errors and adverse drug events.

Increasing Folic Acid Self-Efficacy In College-Age Women Of Childbearing Age, Kristie Buchanan

Dissertations

Preventative measures taken by women of childbearing age before and during conception limit the risk of fetal defects or complications. One specific measure that is recommended by the Centers for Disease Control and Prevention is that all women of childbearing age take folic acid 400 mcg daily. Evidence-based research suggests that taking 400 mcg daily limits the risk of fetal neural tube defects if taken daily and started at least two months before conception. Fetal neural tube defects are classified as defects that damage the baby's spine and brain. The researcher conducted an evidence-based practice project that sought to determine …

Assessing Feasibility And Sensitivity Of Using Voxneuro As An Objective Measure Of Cognitive Function In Cancer Survivors Receiving Neurofeedback For Post-Cancer Cognitive Impairment, Marian Luctkar-Flude, Jane Tyerman, Sarah Walker

Sigma Foundation for Nursing Research Grant Reports

The purpose of this pilot study was to assess feasibility and sensitivity of VoxNeuro as an objective measure of cognitive function in cancer survivors.

Initiating A Mobile Wayfinding Application At A Verterans Affairs Medical Center: A Current State Assessment & Needs Analysis, James Machauf

Dissertations

Wayfinding within medical facilities is complex and challenging resulting in missed appointments, late appointment check-ins, and even procedural/surgical delays which further patients' frustration, stress, and anxiety.

This project aims to perform a current state of wayfinding assessment and a needs analysis of a potential mobile wayfinding application at a Department of Veterans Affairs (VA) Medical Center within the surgical service's pre-anesthesia testing (PAT) check-in desk.

Increasing The Usage Of Mychart Bedside By Nurses And Patients In The Acute Care Setting: An Integrative Review, Laura Darnell

Dissertations

Teach-back has been a proven model to teach patients about their disease process, medications, or dressing changes in a simple-to-understand language that often includes a return demonstration. Teach-Back isn't just a tool to be used with patients, it can be used to help anyone understand something new. Based on the Technology Acceptance Model, people are less inclined to use new technology if they do not find it easy to use or useful in their day-to-day jobs. This integrative review aims to support the use of the Teach-Back method of instruction with staff, including return demonstration, to prove the ease of …

On Pills And Needles: Students' And Clinical Nursing Faculty's Lived Experience Of A Nursing Students' First Med Pass In The Clinical Setting, Cindy K. Paradiso

Dissertations

Learning and teaching medication administration is a substantial component of prelicensure nursing education. The emphasis of the Quality and Safety Education for Nurses initiative is to prepare nursing students to provide safe, quality care. Medication administration, which falls under this initiative, is a challenge for nursing students to learn and for clinical nursing faculty to teach. Consequently, nursing students graduate feeling unprepared to administer medications in their practice. This issue is prevalent and long-standing within nursing education. Most of the research studies conducted, though, are from senior nursing students and nurses. There is little research from the beginner nursing student …

Impact Of Brøset Violence Checklist On Safety Events In An Adult Mental Health Unit, Maritess B. Bernardo

Dissertations

Background: Workplace violence (WPV) is an escalating issue in healthcare that needs to be addressed to improve patient outcomes and staff satisfaction. Inpatient mental health facilities are at higher risk for safety event occurrences.

Problem: There is a practice gap in the assessment of possible violence at the practicum site with higher tolerance and acceptance that this is an acceptable event. The policies on deescalation are poorly implemented.

Methods: A pre- and post-intervention design was used to investigate the impact of the BVC tool on safety events. Data analysis included outcome measures on BVC scores, safety events, and de-escalation intervention. …

Confidence In Crises: School Nurses' Perceptions Of Self-Efficacy In Active Shooter Emergency Preparedness, Titilayo Idowu

Dissertations

The incidence and number of mass school shootings have increased since the first reported school shooting in 1840. Since then, extensive research has been conducted to explore school violence's underlying causes and precursors, resulting in many recommendations for preventative and mitigating practices. However, no national standard or legislation currently dictates the minimal requirements for competencies and training among school nurses in preparation for active shooter incidents. This interpretive qualitative phenomenological study was conducted to explore the lived experiences of postlicensure K-12 school nurses regarding their self-efficacy and confidence to prevent, protect, mitigate, respond, and recover from a school shooting incident. …

Knowing The Patient As A Person: Social Media Listening And Gadamerian Analysis Of Nurses' Expressions Shared During The Covid-19 Global Health Pandemic, Janusz A. Kaleta

Dissertations

COVID-19 has dramatically changed human-to-human interactions from in-person to the nonhuman domain of virtual space. In January 2021, every 28 seconds one person died of COVID-19 in the United States. An average of 3,100 Americans died each day during the deadliest month of the pandemic. As of January 2023, the number of COVID-19 deaths in the USA surpassed 1.000.000 people. In hospitals, human-to-human interactions were often limited to seeing one's eyes behind the face shields, and respirator masks, and hearing a muffled voice, or sounds of the ventilators. In New York State 452 nurses died during the pandemic.

What does …

Practice Education In Nursing, Registered Nurses' Association Of Ontario

General Submissions: Academic Settings and Education-based Materials

The purpose of this best practice guideline (BPG) is to provide evidence-based recommendations that promote and sustain the undergraduate nursing student 's application of knowledge to practice in a variety of clinical learning environments. The guideline explores the relationships among and between students and nursing educators, nursing staff, preceptors and diverse health-care team members, and it considers their influence on the quality of practice education, professional socialization and nursing excellence. The recommendations will help nurse educators, preceptors, staff nurses and other members of the interprofessional health-care team better understand how to foster and support effective teaching and learning strategies in …

Understanding The Situated Experiences Of Tenured Black Nursing Faculty Keys To Eradicating Race Inequities Nursing Education, Wilma J. Calvert, E. Paulette Isaac-Savage, Mopelola Adeola

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study was to explore how tenured Black nursing faculty described the challenges, barriers, feelings, and success(es) they experienced when they worked to earn tenure and identify strategies to that may be used to help eradicate racial inequities in nursing education. There is a call for increased diversity in nursing education. However, anecdotal evidence indicates tenure-track Black nursing faculty may be denied tenure or leave academia before submitting their tenure dossier. To recruit and retain Black nursing faculty and support racial equity in higher education, Black faculty need support in achieving tenure and promotion.

Disclosure Of Lesbian, Gay, And Bisexual Identity By Adolescents And Young Adults To Health Care Providers And Its Relationship To Sexual Orientation Victimization, John A. Nelson

Dissertations

The purpose of this study was to identify the relationships between sexual orientation disclosure by lesbian, gay, and bisexual (LGB) adolescents and young adults to health care providers, gender atypicality of LGB adolescents and young adults, and the level of sexual orientation victimization (SOV) they experience from these health care providers as a result.

Fostering Clinical Judgment And Promoting Transition Into First Clincal Rotation, Ashley B. York, Laura E. Wynn

Biennial Convention (CONV)

This presentation will convey the integration of novel interactive classroom activities in first-semester students to promote critical thinking using the NCSBN clinical judgment model and bridge the gap from the classroom to the clinical setting. The activity creation and students’ qualitative results related to the activities will be reviewed.

Uncovering The Lifeworlds Of College Students Who Are Food Insecure: An Interpretive Phenomenological Inquiry, Amber L. Kolesar

Dissertations

Food insecurity (FI) is a concern for many college students, and contributes to significant physical, mental, and academic stressors. Experts have described the need for qualitative research. A better understanding of the experience of FI among college students may help to inform future research and interventions to support students on their educational journey. This study sought to interpret the lived experience of FI, with specific focus on the sociocultural context in which students experience FI, and its' contributing factors. Incorporating the philosophical perspective of Merleau-Ponty, the researcher utilized interpretive phenomenological analysis to uncover the life-worlds of food-insecure college students.

An Immersion Intervention For Symptoms Of Ptsd In Student Veterans, Rebecca Benfield, Alicia Brown, Andrew Thomas Reyes, Catherine E. Dingley, Reimund Serafica, Huaxin Song

Sigma Foundation for Nursing Research Grant Reports

This mixed methods study explored the psychophysiological effects of immersion to the chest in warm 92°F water on student Veterans who experience symptoms of Post-Traumatic Stress Disorder (PTSD) and potential comorbid depression; anxiety and pain. Triangulation of findings confirm interpretation and inform future intervention studies in this population.

Understanding Social Determinants Of Healthcare Access From The Perspective Of Hispanic Latino Immigrants In Louisville, Ky, Jean S. Edward

Dissertations

In the last decade, the total foreign-born population in the U.S. has grown exponentially, with the Hispanic Latino immigrants (HLI) experiencing the greatest growth. The literature clearly identifies that HLI experience significant health disparities as a result of the negative impact of influential social determinants of health, such as access to healthcare services. Barriers to healthcare access among HLI are related to the access dimensions of accessibility, availability, affordability, and acceptability. Despite research on the barriers to healthcare for this population, issues of access from the perspective of immigrant community members are poorly understood. There is an increased need to …

Nursing Student Attitudes Toward Mental Illness: A Quantitative Quasi-Experimental Study, Todd B. Hastings

Dissertations

Nursing students often harbor negative stereotypes and feel unknowledgeable and unprepared to work with mentally ill people. In addition, nursing students rarely choose the psychiatric specialty as a career option. A quantitative quasi-experimental study was conducted to examine nursing student feelings about engaging those with behavioral health problems. Over 300 nursing students in eight Bachelor of Science in Nursing professional nursing programs were surveyed on the first and last day of their program's psychiatric mental health nursing course (the independent variable). A valid and reliable survey instrument was used to collect nursing student responses characterizing attitudes, impressions of knowledge and …

Peer Collaborative Clinical Decision-Making In Virtual Reality Nursing Simualtion, Thye Peng Ngo

Dissertations

In nursing education, it is common for students to collaborate and make decisions as a group in simulations. One of the vital nursing competencies is students' ability to make sound clinical judgments and decision-making in simulation. Teamwork among students in simulation significantly affects their critical thinking and clinical reasoning. However, how students collaborate and make decisions in simulation is a complex phenomenon and not well studied and understood. In addition, most existing decision-making frameworks, such as Tanner's Clinical Judgment Model and the National Council of State Boards of Nursing's Clinical Judgment Measurement Model, focus solely on individual decision-making. Alternatively, teamwork …

Nursing Faculty Experience With Current Retention Strategies And Interventions: A Qualitative Study, Monique Mccurvin

Dissertations

Nursing faculty shortage is a growing concern in the nursing profession. The effects of insufficient nursing faculty are the declining numbers of nursing students admitted to nursing schools. Nursing faculty shortage precipitates the nursing shortage and further threatens public health. Government and private agencies have implemented strategies to retain nursing faculty; however, it is imperative to understand how they respond to the strategies in place and if the strategies influence them to stay. To answer the research question and sub-questions, what hygiene factors (for example physical/emotional work environment, interpersonal interactions, salary, job satisfaction, job security) influence experienced nurse educators' decision …

Exploring Evidence-Based Practice Norms Among Bedside Nurses In Magnet-Designated Hospitals: A Q Methodology Study, Rachel Ramsey

Dissertations

Evidence-based practice (EBP) is a recognized standard of professional nursing due to its positive impact on care quality and patient outcomes. Despite ongoing efforts to maximize EBP at the point of care, current estimates indicate that only 30% of healthcare decisions are evidence-based. Individual and organizational factors are commonly identified for their influences on EBP in nursing, but group factors have been largely unexplored. Group-level factors, such as norms, are essential to investigations of phenomena that occur within multilevel organizations (i.e., hospitals) where individuals work in groups. Understanding the EBP norms that emerge among groups of nurses in direct care …

Exploring Nurses' Perceptions Of Nursing Presence In The Mental Health Setting, Joy Scharfman

Dissertations

Nursing presence is a core relational phenomenon in nursing. It involves devoting attention to being with and connecting with another, which is essential for providing holistic, person-centered care. There is scant research on the experience of nurses practicing in mental health settings who use presence in the care they provide.

This research aims to understand the lived experience of nurses providing nursing care and engaging with presence in the mental health setting.

The Process Of Restoring Personal Integrity: Mitigating The Emotional Cost Of Medical Errors, Marie M. Prothero

Dissertations

This constructivist grounded-theory study was conducted to explore the emotional response to and recovery process following a medical error causing harm to a patient. The study participants were 37 registered nurses (30 women and 7 men), and unstructured interviews provided rich, detailed data. Through an inductive analysis of these errors, a taxonomy of errors is proposed. The Circumstance of Error Model was developed, and five distinct error circumstances were identified: accidental, unanticipated, distracted, unrecognized/unknown, and external. By linking the circumstances of error types with the recovery process, new insights were obtained. These insights resulted in a theory, reestablishing competency, that …

South Asian Women Together In A Health Initiative (Sathi): A Pilot Randomized Controlled Trial, Abida R. Dhukai

Dissertations

Canadian South Asian women have high rates of cardiovascular disease and low rates of physical activity. The primary objective of this study was to assess feasibility (recruitment, retention, engagement, acceptability) of the South Asian women Together in a Health Initiative (SATHI) using the Medical Research Council's guidance framework. The secondary objectives were to determine potential effects of SATHI on physical activity, anthropometric risk, and self efficacy. Exploratory analysis of the relationship of self-efficacy and step count was also undertaken.

SATHI was a 12-week pilot randomized controlled trial of South Asian women, ages 24-39, in the …

Improving Adjunct Nursing Instructors' Knowledge Of Student Assessment In Clinical Courses, Kelly Vowell Johnson

Dissertations

Utilization of adjunct nursing instructors to teach clinical courses is a common occurrence in nursing programs. Adjunct clinical instructors are often expert clinicians, but they have limited experience in teaching and lack the expertise needed to be successful in the educator role, such as knowledge of student assessment. Faculty development programs that focus on student assessment can provide adjunct clinical faculty members with the necessary knowledge to become effective educators and ensure student, faculty, and program success.

The purpose of this study was to examine to what extent a faculty development workshop on evaluating students in clinical courses affected adjunct …