Digital Commons Network^™

Qualitative Study: Storytelling For Complex Concepts And Critical Thinking. Nurse Educators' Experience, Carine A. Mcdonald

Dissertations

Current patient acuity necessitates nurses' need to think critically and problem-solve in care facilities. The nurse educators' perspectives on how storytelling impacts students' critical thinking and conceptual learning are crucial. This study explored nurse educators' experiences who employed storytelling teaching strategies in the classroom for critical thinking skills and learning complex concepts. The research question was, "What are the experiences of nurse educators as they use instructional storytelling in the classroom for complex concepts and critical thinking?" Three associated sub-questions were: "How do nurse educators describe the process of incorporating storytelling in their classrooms?" "What challenges are described by nurse …

Increasing Providers' Education Of Patients In The Management Of Type 2 Diabetes Mellitus, Ruby A. Akuffo

Dissertations

Approximately 29.1 million individuals of all ages in the United States are affected by diabetes, amounting to 9.3% of the entire population (Adjei Boakye et al., 2018). Much research has been completed and is ongoing on type 2 diabetes mellitus. Numerous resources, including education in different languages, medications, and peer support, are available for patients with type 2 diabetes mellitus. However, patients may not be able to fully access these resources to manage the condition (Schillinger, Bullock, & Herman, 2022). The purpose of this evidence-based project was twofold: to increase provider education of patients with type 2 diabetes mellitus, and …

Improving Nurse's Documentation In The Emergency Department, Jacqueline N. Wright-Cole

Dissertations

The appropriate documentation and effective hand-off communications are essential components for attaining and maintaining the continuity of quality care for patients in the emergency department. Despite global efforts and standards geared towards improving the accuracy and function of documentation, the issue of incomplete documentation and hand-off communication persist in the local emergency department. Incomplete documentation and handoff communications have been regarded as key factors of delayed patient care as well as discontinuation of care in the clinical setting. A detailed study conducted for evaluating the effectiveness and benefits of the Institute Healthcare Improvement SBAR guideline as a checklist on nurses' …

Licensed Nurse/Certified Nurse Aide Collaboration In The Nursing Home, Cynthia Beynon

Dissertations

The purpose of this dissertation was to explore how collaboration is perceived and experienced by the licensed nurse (LN) and the certified nurse aide (CNA) in the nursing home (NH) setting. Understanding perspectives and patterns in the process of LN/CNA collaboration is critical in the quest to secure safe, quality care delivery for NH residents.

Evidence Based Practice Among Primary Care Nurse Practitioners, Stephen Van Roper

Dissertations

This study describes primary care nurse practitioner (PCNP) beliefs in, knowledge, implementation and utilization of evidence based practice (EBP). Research questions answered are:

1. What are the levels of belief, implementation, knowledge and utilization of EBP among PCNPs?

2. Is there a relationship with PCNP demographics (personal, professional, and practice), belief, knowledge, implementation and utilization of EBP?

3. Do PCNP demographics (personal, professional, and practice) and scores on belief, knowledge and implementation influence EBP utilization?

Understanding Advanced Practice Nurses In Anesthesiology, Bradley Nielson

Dissertations

Determine the practice authority and professional legitimacy of safe and competent anesthesia administration, particularly the necessity of physician anesthesiologist oversight of certified registered nurse anesthesiologists and anesthesiologist assistants, necessitating the exploration of the education and background experiences that establish the diverse expertise and competencies among these anesthesia professionals.

Implementing Clinical Practice Guideline To Impact Postpartum Hemorrhage Among Immediate Postpartum Mothers, Teresa C. Okolo

Dissertations

Postpartum hemorrhage (PPH) can lead to untoward conditions in mothers following childbirth. At the project site there was no accurate method for measuring blood loss, resulting in the early identification of PPH, so an evidence-based solution was sought. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if the implementation of the California Maternal Quality Care Collaborative (CMQCC) Quantitative Blood Loss (QBL) Clinical Practice Guideline (CPG) would impact blood loss within two hours post-delivery among mothers with a vaginal or cesarean delivery in an urban hospital in New York over four weeks. Kristen Swanson's theory of caring …

Gamification And The Effects On Confidence In The Student Nurse, Gerald R. Connors

DNP and Student Works

Nursing educators are challenged with conveying vast amounts of complex nursing arts and science content to learners every day. The relationship between learner and nursing educator should be one of collaboration to ensure the smooth instruction of broad and deep nursing concepts. Knowledge acquisition, confidence, learner engagement and enjoyment are critical to the learning process, but often students are challenged with these behaviors (Garrison et al., 2021). Research in the last five years has suggested that the use of gaming in the nongaming setting, like clinical healthcare, can strengthen knowledge, increase content retention, and subsequently increase confidence (Marquez-Hernandez et al., …

An Exploration Of The Relationship Between Servant Leadership Characteristics Of Nurse Leaders And The Perception Of Empowerment Among Their Followers, Holly H. Hall

Dissertations

There is a demand for nursing leadership to create a healthy work environment for nursing practice, which is crucial for maintaining an adequate workforce (Shirey, 2006). Rother and Lavizzo-Mourey (2009) predicted that by 2025 the nursing shortage may reach as high as 500,000 U.S. nursing vacancies. The purpose of this study was to examine the relationship between servant leadership (SL) characteristics of nurse leaders and the perceptions of empowerment among their followers. Servant leadership has emerged as an effective leadership style that prioritizes developing the full potential of followers (Liden, 2013). Current research suggests an empirical link exists between servant …

Increasing Physical Activity In The 65 And Older Population, Misti M. Hollingsworth

Dissertations

The purpose of this DNP project is to increase the physical activity, flexibility, and pain levels of the 65 and over population to comply with the CDC's MVPA of 150 minutes per week through a practice quality improvement project. This change will involve an order for patients to attend a free exercise program, address the medical benefits of PA, address perceived barriers to PA, and provide printed PA written resources including exercises and stretching recommendations for the 65 years of age and older patient population in a Chiropractic office in Southwest Florida.

The Effects Of Resilience And Optimism In Maternal Role Attainment After Six To Twelve Months Postpartum In Women Hospitalized For Pregnancy Complications, Marianne Allen

Dissertations

Each year in the US, approximately 1,200,000 pregnant women are hospitalized on bed rest with the intent to improve pregnancy outcomes. However, antepartum bed rest is not benign and may contribute to physical debilitation, postpartum depression (PPD), impaired maternal role attainment (MRA), and altered maternal-infant attachment. There are gaps in the literature about the effects of resilience, optimism, and PPD on MRA and the effects of resilience and optimism on PPD at six to 12 months postpartum. Although the effects of resilience and optimism have been studied in general adult populations, few studies have considered resilience and optimism as protectors …

Quality Improvement Project To Increase Referrals To Palliative Care For Heart Failure Patients, Stephanie D. Crawford

Dissertations

Palliative care (PC) services include symptom management with advanced care planning (ACP) and establishment of goals of care (GOC) for patients with serious conditions, such as heart failure (HF). Literature demonstrates low hospitalist referrals to PC.

The purpose of this project was to explore if providing evidence-based information and procedural information to hospitalists on ACP and GOC would increase PC referrals for HF patients, providing these patients access to ACP and GOC by the PC team and possibly even reducing 30-day readmissions for these patients.

Jehovah's Witnesses And Perioperative Blood Management Strategies, Anne Owusu, Lauren Barnes

Group: Samford University Moffett & Sanders School of Nursing

Traditionally, total hip replacement surgery involves moderate to significant bleeding, which poses a particular risk for Jehovah's Witness patients. Jehovah's Witness is a religious organization consisting of approximately 8.5 million members worldwide, of whom 1.3 million reside in the United States of America. It prohibits its members from receiving allogeneic blood products, which present ethical, legal, and medical challenges during surgeries. Members can be expelled for willfully receiving blood. Studies indicated that Jehovah's Witness surgical patients have comparable outcomes to those who received blood products. The purpose of this study is to review blood conservation strategies to optimize the care …

Clinical Experiences Of Racism Encountered By Black Women Seeking Non-Pregnancy Related Reproductive Healthcare, Melissa Lehan Mackin, Lynette Cooper, Nicole Loew, Stephanie Edmonds, Janelle Hill, Janell Bell, Ann Weltin, Lastascia Coleman

General Submissions: Presentations (Oral and Poster)

We offered these research questions in the original research application:

1. How is racism and discrimination experienced in this setting?

2. How do experiences of racism impact future health-seeking behavior (e.g. iatrophobia)?

Consistent with qualitative research and emergent design, additional research questions have been added:

3. What factors are attributed to treatment in the clinical setting?

4. How can the clinical environment be changed to better serve Black women seeking reproductive health care?

Health Literacy: The Knowledge And Experiences Of Senior Level Baccalaureate Nursing Students, Catherine M. Cormier

Dissertations

The purpose of this study was to assess the health literacy knowledge and experiences of senior level baccalaureate nursing students enrolled at state universities in Louisiana. Three hundred and sixty-one students from eight baccalaureate nursing programs agreed to participate in the study.

Barriers To Video Laryngoscopy In Low-Middle Incomes Countries, Mason Easterling, Mary Beth Greenway

Group: Samford University Moffett & Sanders School of Nursing

The patient in this case study presented to a rural surgical clinic in Guatemala for surgery with characteristics of a probable difficult airway. In the United States, anesthesia providers will often use a video laryngoscope (VL) to manage an expected difficult airway requiring an endotracheal tube. However, many barriers exist towards this technology being adopted as common practice in low-middle income countries (LMICs) like Guatemala. These barriers include financial resources, education, and training. Thankfully, the Air Angel Project, a medical nonprofit, has designed the AirAngel Blade: a 3D printed VL blade equipped for use with a commercially available endoscope and …

Does Ultrasound-Guided Neuraxial Placement Save Time And Trauma?, Nicole D'Amico Thomas, Maria Ledbetter

Group: Samford University Moffett & Sanders School of Nursing

In obstetric patients presenting with physical or surgical deformities known to prove challenging for neuraxial placement, does the initial use of ultrasonography compared to traditional palpation technique affect the placement time and number of attempts required for successful achievement of regional anesthesia?

Catheter-Guided Nasotracheal Intubation And Incidence Of Trauma, Rachel Land, David Fort

Group: Samford University Moffett & Sanders School of Nursing

The presented case study details a 17-year-old patient undergoing a dental procedure requiring nasotracheal intubation (NTI). A red rubber catheter was utilized to assist with endotracheal tube placement. The nasal cavity contains highly vascular turbinates that can be injured during NTI. Even minor trauma can cause epistaxis, making it the most prominent complication of NTI. Catheter-guided NTI is one technique suggested to reduce nasal trauma. Does catheter-guided versus non-catheter-guided NTI reduce the risk of nasal bleeding or swelling in adult patients without a known risk of a difficult airway within the perioperative timeframe?

Assessing The Impact Of A Pre-High-Fidelity Simulation Orientation On Associate Degree Nursing (Adn) Students' Simulation-Related Anxiousness, Diana C. Galvez

Dissertations

High-fidelity simulation has been utilized in healthcare education for many years. This modality allows students to comprehend complex concepts and be able to create meaningful links between nursing, medical diagnosis, and concepts learned in the classroom. Nursing students that are exposed to a simulation experience that produces stress, anxiousness, and fear can demonstrate a decrease in learning, level of retaining information, self-efficacy, competence, academic performance, learner proficiency, learner confidence, as well as anxiety and frustration when acclimating to new simulation environment. The purpose of this study is to assess the impact of a pre-high-fidelity simulation orientation session on Associate Degree …

Framework For Creating And Expanding Virtual Exchanges To Increase Student Exposure To Global Health Issues, Barbara Derose, Lucinda R. Hill, Linda A. Sinclair

International Nursing Research Congress (INRC)

This presentation provides a framework for educators to create a global virtual exchange, and details that support a successful outcome. The purpose is to explore healthcare issues in different regions of the world by engaging students in a virtual exchange to interact with nursing students on a global scale.

Ketamine's Effect On Postoperative Remifentanil-Induced Hyperalgesia, Madeline Tisdale

Group: Samford University Moffett & Sanders School of Nursing

Remifentanil is an opioid analgesic that is administered intraoperatively via intravenous infusion to provide pain relief during surgery, particularly when using a total intravenous anesthetic approach. While it is desirable for its short half-life and potent analgesic properties, remifentanil has also been associated with acute opioid tolerance and increased opioid consumption postoperatively, a phenomenon known as opioid-induced hyperalgesia (OIH).¹ Several pharmacological interventions have been suggested to prevent this occurrence, including the use of ketamine, an N-methyl-D-aspartate (NMDA) receptor antagonist.^1-2 In adults undergoing general anesthesia with a remifentanil infusion, does intraoperative administration of ketamine reduce the postoperative occurrence of …

Virtual Exchange In The Classroom: Moving From Pilot Program To A Global Audience, Barbara Derose, Lucinda R. Hill, Linda A. Sinclair

Biennial Convention (CONV)

Innovative teaching strategies to promote student awareness of global health issues can be achieved with nursing students from other countries through virtual exchange. This presentation demonstrates the expansion of a pilot project between three schools to a platform where students represent global perspectives from six countries on four different continents.

Developing Transition Of Care Competency Around Youth With Special Healthcare Needs For Nursing Students, Julie Lamothe, Kathleen A. Kent, Lucinda R. Hill, Beth Morton, Carol Clark

International Nursing Research Congress (INRC)

Participants will be able to identify the need to educate graduate nursing students on the Health Care transition (HCT) of Youth with Special Health Care Needs (YSHCN), apply the evidence-based guidelines for HCT, and advocate for YSHCN through interprofessional collaborative practice and community partnerships.

Hypotension Management In Patients With Pulmonary Hypertension, Braden Clark, Nancy Westbrook

Group: Samford University Moffett & Sanders School of Nursing

The patient in the case study presents with diagnosed pulmonary hypertension (PH). Patients experiencing daily hypoxia from obstructive sleep apnea (OSA) have similar pulmonary vascular remodeling found in pulmonary hypertension patients creating pulmonary hypertension. Common to the induction of anesthesia is episodic hypotension. When the patient with PH or OSA are administered phenylephrine for hypotension, the non-specific systemic vasoconstriction will worsen PH. Vasopressin will increase systemic vascular resistance while decreasing pulmonary vascular resistance and right ventricular afterload. Vasopressin should be considered as a first-line agent in the patient with PH or OSA experiencing perioperative hypotension.

Sphenopalatine Ganglion Block For Postdural Puncture Headache, Elizabeth Haferkamp, Terri Cahoon

Group: Samford University Moffett & Sanders School of Nursing

What effect, if any, does the SPGB have on obstetric patients presenting with PDPH, and how do risks and benefits compare to those related to the EBP?

Relationship Between Individual And Environmental Factors On Sleep Outcomes And Symptoms In Individuals With Inflammatory Bowel Disease (Ibd), Samantha Winders, Linda Yoo, Kendra Kamp

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study was to understand the relationship between individual and environmental factors with sleep and IBD-related symptoms.

The Effect Of The Heart Failure Nurse Navigator On 30-Day Hospital Readmissions Of Older Adults, Mary Ann Leavitt

Dissertations

Across the US, 22% of Medicare patients hospitalized with a diagnosis of heart failure (HF) will be readmitted within 30-days of discharge. There is no one cost-effective process identified to help patients transition home and maintain their own selfcare. The aim of this study is to compare readmission rates, HF knowledge, self-care, and quality of life for patients who transition home from the hospital under the care of a Heart Failure Nurse Navigator (HFNN) with patients who receive usual care.

The HFNN is a home health RN with specialized training in HF care. The HFNN visited intervention group (IG) participants …

Use Of Outcome-Present State Test Model Of Clinical Reasoning With Filipino Nursing Students, Susy A. Jael

Dissertations

Clinical reasoning is a nursing competency necessary to make the best decision to deliver safe and effective care. A review of the literature shows a link between hazardous errors in patient care and poor clinical reasoning among nurses, and suggests that more study be given to best way to teach clinical reasoning. It is crucial that nurses today and of the future possess the clinical reasoning skills to provide increasingly complex patient care. This study tested the effect of the Outcome-Present State Test (OPT) Model of Clinical Reasoning on Filipino junior nursing students' clinical reasoning scores on the Health Sciences …

Development And Psychometric Testing Of The Capstone-Experience Preceptor Preparedness Scale: The Cap-Express Study, Lisa E. Guthrie

Sigma Foundation for Nursing Research Grant Reports

To develop and psychometrically test a survey measuring preceptor preparedness, particularly when working with Nursing students completing their BSN degree.

Value And Impact Of Nurse Innovators Working In Academic, Industry, And Government Settings: A Qualitative Study, Olivia A. Lemberger

Dissertations

This dissertation explores the value and impact of nurse innovators working in academic, industry, and government settings. A qualitative descriptive study was chosen to understand the contributions of nurse innovators and the outcomes associated with their innovative endeavors. The purpose of this study is to better understand the contributions of nurse innovators by answering the following research questions: 1) How do nurses perceive that nursing innovation adds value to and/or impacts patients or the United States health care system? 2) What metrics/outcome measures do nurse innovators identify as relevant or useful to evaluate innovation success? And 3) What methods/resources do …