Digital Commons Network^™

The Role Transition Characteristics Of New Registered Nurses: A Study Of Work Environment Influences And Individual Traits, Martin S. Manno

Dissertations

The purpose of this qualitative research study was to explore how the environmental influences and individual traits of new registered nurses within the first year of clinical practice create positive and negative performance outcomes in the areas of clinical competence, confidence, retention and job satisfaction.

Splanchnic Oxygenation And Feeding Intolerance In The Very Low Birthweight Infant, Melissa C. Dollings

Dissertations

Feeding intolerance is common in preterm infants but can be an ominous precursor of necrotizing enterocolitis, a life-threatening gastrointestinal disease. The definition and management of feeding intolerance vary widely. This research examined the relationship between feeding intolerance, intrauterine factors, extrauterine factors, and intestinal immaturity and circulatory immaturity in the premature, very low birthweight infant. It also explored the use of splanchnic oxygenation (a marker of intestinal perfusion) as an objective measure of feeding intolerance.

The Effects Of A Same Gender And Same Race Coaching Intervention On The Resilience Of Black Baccalaureate Nursing Students, Sagine Bien-Aimé

Dissertations

Reports from the American Association of Colleges of Nursing (AACN) and National Academy of Medicine (NAM) state that it is important to increase the number of underrepresented racial minorities in the health professions. Although the Black population is increasing in the United States, Black students continue to be underrepresented in nursing. Researchers indicate that when Black students are supported in positive environments and with accessible coaching, academic success may be fostered. It is important to understand the extent to which students are resilient. An evidence-based virtual coaching intervention may lead to increased resilience and academic success. Accordingly, the influence of …

Development Of A Model To Guide The Implementation Of Simulation-Based Education In Under-Resourced Nursing Education Institutions In Lesotho, Pule Solomon Moabi

Dissertations

The changing landscape of nursing education to competency-based education has strengthened the importance of simulation learning in the process of developing the required graduate competencies. In Lesotho, simulation-based education was adopted in 2012 with the support of external experts but with no clearly defined model to suit resource-constrained nursing education institutions.

To develop a model that will guide implementation of simulation-based education for resource-constrained nursing education institutions in Lesotho.

Effects Of A Nurse-Led Transitional Rehabilitation Programme (4cs-Tburp) For Adult Burn Survivors: A Pilot Randomised Controlled Trial, Jonathan Bayuo

Dissertations

Rehabilitation is a key component of burn care which seeks to improve functional outcomes and optimise the post-burn recovery process. Burns rehabilitation is in a young stage in Mainland China, and it is only in recent years that it is considered a significant part of burns management. Rehabilitative support, where available, is often passive with a significant emphasis on managing only physical problems. The emergence of the Coronavirus Disease-2019 (COVID-19) heightened this gap as it led to either suspension or limited availability of outpatient services. Subsequently, post-burn recovery outcomes, including quality of life, psychological functioning, sleep pattern, and physical role …

Experience Of Parents Caring For A Chid With An Acquired Disability, Brad Phillips

Dissertations

Parents caring for a child with an acquired disability often report a negative impact on physical, psychological, emotional, and spiritual health associated with caregiver burden related to their child's complex health needs. This is further complicated by additional challenges related to the loss of a previously healthy child. Traditional patterns of loss follow linear, time-bound stages that have been observed to be unrelated to the experiences of these specific parents and their families. Therefore, the concept transforming loss has been developed to better understand how these parents navigate loss and find meaning in spite of their suffering.

The purpose of …

Regert And Police Reporting Among Individuals Who Have Experienced Sexual Assault, Carol Anne Marchetti

Dissertations

Sexual assault (SA) is the most widely underreported violent crime in the United States. Reporting is significant because it is through this process that people access resources that can mitigate psychiatric and other health consequences of SA. The purpose of this study was to describe regret among individuals who have experienced SA regarding their decision of whether or not to report the assault to the police. The Ottawa Decision Support Framework underpins this study and posits that evaluation of regret, a powerful negative emotion, influences the decision-making process.

New Graduate Nurses' Described Experiences Of Coping With Stress In The Clinical Setting, Leticia D. Acevedo

Dissertations

The purpose of this qualitative descriptive study was to explore how new graduate nurses describe their experiences of coping with stress in the clinical setting. The theoretical foundation for this study was the Lazarus and Folkman stress, appraisal, and coping theory. The main research question for this study was: How do new graduate nurses describe their experiences of coping with stress in the clinical setting based on the Lazarus and Folkman stress, appraisal, and coping theory? Four underlying research questions were drawn from the theoretical foundation to address how the new graduate nurses cope with stress based on the concepts …

Testing A Reflection Education Intervention On Baccalaureate Nursing Students' Level Of Reflection During Online Clinical Post Conference, Jaime Hannans

Dissertations

The majority of faculty-student interactions are at low cognitive levels during nursing clinical post conference (CPC), a time often utilized for reflective thinking. Strategies have been implemented to promote or even teach reflection, but the level of reflection or impact of the intervention in nursing, such as the relationship to student attributes or clinical reasoning, is often not evaluated.

The specific aims of this study are to (a) test the effect of a reflection education intervention on the baccalaureate students' level of reflection during online CPC, (b) examine the relationship between student attributes and level of reflection, and (c) examine …

Roles And Strategies Of Nurses Facilitating Diabetes Support Groups: An Exploratory Study, Joanne F. Costello

Dissertations

Diabetes is a pervasive health problem with potentially devastating but preventable consequences. Although technological advances and new treatments have resulted in great optimism for controlling the disease, research indicates that the challenges of diabetes self-management are overwhelming for many. One creative intervention which has beginning empirical support and which seems to be helping many living with diabetes to sustain management of the disease and quality of life is diabetes support groups. Nurse diabetes educators have been frequent facilitators in these groups, yet little is known about how these nurses perceive their role and the strategies they use as well as …

Influence Of Stressful Life Events On The Development Of Type 2 Diabetes, Joshua T. Minks

Dissertations

This study examined the relationship between distress and the development of Type 2 diabetes mellitus (T2DM) in the presence of established risk factors. Distress secondary to mental health disparities, stressful life events, and work conditions has been shown to promote insulin resistance and the development of T2DM.

Subjects (N=79) diagnosed with T2DM within the previous six months were recruited from SSM Health Centers and VA Medical Centers in the greater St. Louis area. They completed the Recent Life Changes Questionnaire, ENRICHD Social Support Instrument, and a demographic survey and analyses were conducted to determine differences between the veteran …

A Double-Edged Sword: Lived Experiences Of Hispanic/Latino Nursing Students Who Speak English As An Additional Language, Esmeralda A. Clark

Dissertations

As the population of the United States continues to become more diverse, the nursing profession is working toward diversifying its nursing workforce. Diversification of the nursing profession is linked to improved patient outcomes and culturally competent care. The experiences of minority nursing students with English as an additional language (EAL) have been studied including some interventional studies. Still, there is a gap in exploring the experiences of Hispanic/Latino nursing students with EAL. The literature described EAL as the most significant risk factor for non-acceptance into a Bachelor of Science in Nursing program for any group of otherwise qualified applicants. Since …

Self-Managment And Breastfeeding In Women With Preexisting Type 2 Diabetes Mellitus From Thailand, Ratchanok Phonyiam

Dissertations

The prevalence of type 2 diabetes mellitus (T2DM) is rising at a younger age, leading to an increased number of pregnant women with preexisting T2DM. Although traditional beliefs and practices influence diabetes management and breastfeeding, recommendations integrating Thai cultural beliefs in maternal care are lacking. The purpose of this dissertation is to describe diabetes self-management in pregnancy and breastfeeding experiences in women with preexisting T2DM from Thailand. This dissertation is a convergent parallel mixed-methods study, guided by the National Institute on Minority Health and Health Disparities (NIMHD) Framework. Data were collected two times. The first time was during pregnancy (T1). …

Breast Cancer Transitions, Kathryn E. Post, Seetha Aribindi, Lara Traeger, Daniel Hall, Jennifer S. Temel, Jamie Jacobs, Joseph A. Greer

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study is to explore the experience of patients diagnosed with triple-negative breast cancer to inform the development of a coping and supportive care intervention.

Understanding The Self-Management In Pregnancy And Breastfeeding In Women With Type 2 Diabetes Mellitus From Thailand, Ratchanok Phonyiam

Sigma Foundation for Nursing Research Grant Reports

The overarching purpose of this study was to understand diabetes self-management in pregnancy and breastfeeding experiences in Thai women with preexisting Type 2 Diabetes Mellitus (T2DM). The specific aims include: 1) describe attitudes and confidence toward diabetes self-management in pregnancy; 2) describe the barriers and facilitators of diabetes self-management in pregnancy; 3) describe breastfeeding confidence and intention in pregnancy; 4) describe breastfeeding barriers and facilitators in postpartum women with T2DM.

Ethnic Identity As A Mediator Of Mental Health In New Mexico's Genizaro Population At The Pueblo Of Abiquiu, New Mexico, 1930-2017: A Critical Ethnography, Annabelle X. Gutierrez Sisneros

Dissertations

The usefulness of the qualitative research paradigm of Critical Ethnography in health disparities research is viewed in this doctoral study as being of paramount importance within the praxis of nursing, specifically, in providing a window into the scene of mental health within the field of advanced psychiatric nursing, amongst the Genizaro people at the Pueblo of Abiquiu in New Mexico, a border area. The life patterns heard through 24 semi-structured interviews conducted from 2015-2017, included a portrayal of a narrative that heartens the continuance of the transmission of history, language, tradition, healing, and philosophies of this Indigenous Nation, which are …

Students' Attitudes Toward Computers At The College Of Nursing At King Saud University (Ksu), Osama A. Samarkandi

Dissertations

Computer knowledge and skills are becoming essential components technology in nursing education. Saudi nurses must be prepared to utilize these technologies for the advancement of science and nursing practice in local and global communities.

Little attention has been directed to students' attitudes about computer usage in academic communities in Saudi Arabia. Their attitudes about the use of computers for the enhancement of learning are relatively unknown. Few research studies have been identified that explicate Saudi Arabian nursing students' attitudes toward computer usage for the acquisition of knowledge and skills.

Males and females matriculate at King Saud University (KSU), but attend …

Antecedents Of Cancer-Related Fatigue (Crf) In Pediatric Population, Mohammad Othman, Caroline F. Morrison, Bin Zhang

Biennial Convention (CONV)

Cancer and its treatments result in various physical and psychosocial negative effects. Cancer-related fatigue (CRF) is a very common negative effect experienced by cancer patients. This secondary data analysis research study tested the relationship between various physiological, psychological, and situational variables and CRF in a pediatric population.

Nursing Leadership Characteristics: Effect On Nursing Job Satisfaction And Retention Of Baby Boomer And Generation X Nurses, Sandra L. Swearingen

Dissertations

The purpose of this research is to determine the degree to which nursing staffs that have a positive experience with nursing leadership are more likely to demonstrate job satisfaction. The different values and norms of the generational cohorts result in each cohort perceiving leadership characteristics differently. In addition, factors such as length of exposure to nursing leadership characteristics, location of work, shift of work, clinical versus non-clinical positions and the presence or absence of Servant-Leadership, all have the potential to impact nursing satisfaction. Nursing satisfaction or dissatisfaction impacts nursing retention, further modifying nursing leadership practices.

Factors Associated With Reduced Depression And Suicide Risk Among Mäori High School Students In New Zealand, Terryann C. Clark

Dissertations

Mäori adolescents, indigenous to New Zealand (NZ), have among the highest rates of depression and suicide in the industrialized world. Fortunately, resilience research demonstrates that promotive factors, such as family and school connections, can markedly reduce mental health problems for vulnerable youth populations. However, to date, this research has never focused on risk and promotive mechanisms related to mental health outcomes for Mäori youth. Such knowledge is a prerequisite for addressing the persistent mental health inequities faced by Mäori young people.

Pattern Recognition In Experienced Pediatric Nurses, Kathleen Wilson Neal

Dissertations

Little is known about how nurses build their knowledge beyond skills and tasks. Nurses may develop the ability to use a number of objective and subjective information sources to recognize the patterns of healthcare, behavioral, and social issues. The purpose of this study was to describe the development of pattern recognition in pediatric nurses in an acute care setting.

Using Ultrasound-Guided Peripheral Intravenous Access In Difficult Intravenous Access Patients, Diana Hampton

Dissertations

Inserting a peripheral intravenous catheter (PIVC) can be challenging on the first attempt. At the project site there was no systematic process to impact failed first-attempt success for PIVC access, so an evidence-based solution was sought. The purpose of this quality improvement project was to determine if the implementation of the Emergency Nurses Association's (ENA) Clinical Practice Guideline: Difficult Intravenous Access would impact the number of patients identified as difficult intravenous access (DIVA) and first-attempt success for peripheral intravenous access. The project was piloted over 12 weeks in a community living center in a Veterans Administration facility in the southern …

Balancing Act: How To Support Students And Nurses For The Future Of Healthcare, Leslie Jennings, Regina Wilder Urban, Charlotte Swint, Zach Young, Adrianna Watson

General Webinars

In this final webinar in the Creating Healthy Work Environments series, we will highlight the importance of student and nurse well-being. Stress and fatigue are major concerns as nurses transition from student to professional nurses, and it's negatively impacting overall nurse retention. In fact, a recent study showed that 75% of intensive care nurses from 23 countries expressed an intent to leave. Join us for this webinar as we share important information to help students and nurses maintain well-being and develop professional relationships. Learn more from the following presentations: Exploring the Social Determinants of Learning in Pre-Nursing Students: Psychosocial Health …

Global Nursing Leadership Framework: Shaping The Future Of Healthcare, Emily Mcwhirter, Barbara Stilwell

International Nursing Research Congress (INRC)

While nursing leadership courses proliferate, there is no globally agreed competency framework. A team led by Sigma with funding support from the Johnson & Johnson Foundation has created a global leadership competency framework, based on evidence. This presentation will describe the framework and next steps.

The Influence Of Mentoring On Goal Attainment And Role Satisfaction For Registered Nurses In Acute Care Facilities, Christine B. Smith

Dissertations

Mentoring has been suggested as a means to assist with role transition, career planning, and retention in the profession by providing opportunities for personal and professional growth lead to satisfaction. Satisfaction is especially crucial for the retention of Registered Nurses in a time when the profession has been experiencing a critical shortage. This quantitative study examined the influence of mentoring for RNs who have been employed in acute care facilities for the first time for less than 2 years. Using Bouquillon's mentoring instrument and based in the frameworks of King and Kram, the study suggests mentoring is occurring among new …

Global Nursing Leadership Competency Framework: Transforming The Future Of Healthcare, Barbara Stilwell

Biennial Convention (CONV)

While nursing leadership courses proliferate, there is no globally agreed competency framework. A team led by Sigma with funding support from J&J Foundation has created an evidence based global nursing leadership competency framework. Attend this session and learn about this innovative framework and ways to move health care forward.

Using Ethnographic Methods To Explore Stigma In South African Hiv And Tuberculosis Clinics To Develop A Measure Of Intersectional Stigma, Alanna J. Bergman

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study is to explore the intersection of multiple stigmatized identities in the South African TB/HIV treatment environment and to develop a culturally relevant and linguistically sensitive instrument quantifying intersectional stigma.

[Excerpt From] Anatomy Of Writing For Publication For Nurses (5th Ed.), Cynthia Saver

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Anatomy of Writing for Publication for Nurses, 5th Edition, which is provided free of charge by the publisher.

About this book:

If you need to make the leap from single sentences to a published manuscript, you will find valuable help and resources in this fully updated fifth edition of Anatomy of Writing for Publication for Nurses.

In this practical and useful guide, lead author and editor Cynthia Saver removes the fear and confusion surrounding the writing and publishing process. Along the way, 25 of nursing's top writing experts and decision-makers …

Exploring The Relationship Among Clinical Judgment, Academic Resiliency, Student Predictors, And Exam Remediation In Prelicensure Nuring Students Preparing For Next Generation National Council Licensure Examination [For] Registered Nurses, James F. Oberlander

Dissertations

As the field of nursing becomes increasingly more complex, nursing students are psychologically challenged as they progress through a program of study, prepare for the licensure examination, and enter professional practice. Identifying factors that influence student outcomes is necessary for faculty to effectively guide students toward successful completion of nursing school and passing the National Council Licensure Exam for Registered Nurses (NCLEX-RN). Along with academic and nonacademic demographic variables, the main objective of this exploratory, quantitative research study was to investigate the relationship between clinical judgement, academic resiliency, exam remediation, and NCLEX-RN first attempt pass rates.

The Contribution Of Physical Activity To Sleep Parameters In Pregnancy Within The Context Of Prepregnant Body Mass Index, Priscilla M. Nodine

Dissertations

Sleep disturbances are common among pregnant women and pregnant women with obesity are especially prone to problems sleeping. Disturbed sleep is independently associated with the inflammatory process and adverse pregnancy outcomes. Safe treatment options to enhance sleep during pregnancy are needed. The primary aim of the study was to test Pender's Health Promotion Model (HPM) by evaluating the contribution of physical activity (PA) to sleep parameters in pregnant women, particularly within the context of prepregnant body mass index (BMI).