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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 …

[Excerpt From] Critical Conversations In Healthcare: Scripts & Techniques For Effective Interprofessional & Patient Communication (3rd Ed.), Cheri Clancy

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Critical Conversations in Healthcare, 3rd Edition, which is provided free of charge by the publisher.

About this book: Critical Conversations in Healthcare, Third Edition, provides scripts and scenarios to facilitate better, more effective communication in healthcare settings.

[Excerpt From] Building A Culture Of Ownership In Healthcare (3rd Ed.), Joe Tye, Bob Dent

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Building a Culture of Ownership in Healthcare, 3rd Edition, which is provided free of charge by the publisher.

About this book:

In the aftermath of the pandemic, preexisting challenges in healthcare organizations have intensified. Stress, burnout, staffing shortages, and even the erosion of trust in organizational leadership are pressing issues that need solutions.

Using construction as their metaphor, authors Joe Tye and Bob Dent make a compelling case that a healthcare organization's Invisible Architecture—a foundation of core values, a superstructure of organizational culture, and the interior finish of workplace attitude—is …

An Examination Of Influential Factors Of Academic Dishonesty And Ethical Decision-Making Among Community College Nursing Students, Roshelle L. Lemon-Howard

Dissertations

Academic dishonesty remains a pervasive, multi-discipline dilemma which has been reported as having the propensity of resulting in longstanding consequences beyond academic settings. Previous research has suggested that students who participate in dishonest behaviors while attending institutions of higher education have greater tendencies to engage in dishonest and unethical behaviors within professional settings. Notably, schools of nursing are not exempt from academic dishonesty and the ramifications that have been associated with such misconduct. Although academic dishonesty has been examined from various perspectives, and in numerous contexts, current studies that compare relationships between peer and faculty influences on academic dishonesty and …

Never-Ending Parenting: Challenges Experienced By Caregivers Of Adults With Severe Autism, Andrea Palerino

Dissertations

Despite the large number of children with autism spectrum disorder (ASD) who are annually aging out of the school-based systems in the United States, much of the academic literature has been focused on the concerns and challenges of preschool or school-aged children with ASD. As a result, there lacks a clear understanding of how primary caregivers of adult children with severe autism spectrum disorder (SASD) utilize various forms of capital to navigate care.

This study proposed to fill that gap by employing Bourdieu's notions of capital as a theoretical framework for the interview protocol to address accessing community services, securing …

Digital Pulse: Unraveling The Complexities Of Ai-Enabled Hypertension Management In African American Communities, Keisha Lovence

Sigma Foundation for Nursing Research Grant Reports

The main objective of this grant is to study the factors that impact the use of AI-powered tools for managing hypertension among African Americans with high blood pressure. Specifically, we aim to understand how cognitive and emotional factors such as health beliefs, digital literacy, and treatment adherence interact with aspects like stigmatization, community involvement, and cultural identity. By examining these elements, we hope to gain insights into the acceptance and utilization of AI technology in hypertension self-management within the American community. This knowledge can help us design and implement interventions tailored to their needs. Our investigation will explore the aspects …

The Breastfeeding Relationship Between Employed Mother-Infant Dyads: A Mixed Methods Prospective Study, Natsuko K. Wood

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study was to examine the impact of maternal employment during the COVID-19 pandemic on the breastfeeding relationship between breastfeeding mother and infant dyads and its relationship to maternal emotions and to explore maternal breastfeeding experiences.

Stressors, Academic Performance, And Learned Resourcefulness In Baccalaureate Nursing Students, Anne-Marie Goff

Dissertations

Despite extensive research establishing that stress affects problem-solving ability and coping, and leads to decreased learning, academic performance, and retention in nursing students, a paucity of research explores specific factors that could enhance these learning processes and outcomes. This explanatory correlational study examines the mediating effect of learned resourcefulness, the ability to regulate emotions and cognitions, on the relationships of stressors—both personal and academic—to academic performance in baccalaureate nursing students. Gadzella's Student-life Stress Inventory (SSI) and Rosenbaum's Self-Control Scale (SCS), a measure of learned resourcefulness, were administered to 53 junior level baccalaureate nursing students (92.5% female; 84.9% Caucasian; 9.4% African-American …

Job Stress, Mentoring, Psychological Empowerment, And Job Satisfaction Among Nursing Faculty, Catherine Chung

Dissertations

The National League for Nursing (NLN) endorses mentoring throughout the nursing faculty career trajectory as the method to recruit nurses into academia and improve retention of nursing faculty within the academy (NLN, 2006). One way mentoring assists faculty is by easing socialization to the culture of the employing institution and decreasing faculty stress (Lewallen, Crane, Letvak, Jones, & Hu, 2003). Mentoring can also be a facilitating factor of an individual's psychological empowerment. Academia is an environment able to foster psychological empowerment, a state in which faculty may be self-directed, highly productive, confident, and find a meaningful connection to their work …

Nurses' Experience Of Family-Centered Rounds In The Intensive Care Unit, Kaitlyn King

Theses

A paradigm shift in the Canadian healthcare system has transitioned the patient and family from care recipients to integral and valued members of the multidisciplinary team. Implementation of family-centered care within the context of the adult Intensive Care Unit (ICU) remains slow to adopt in Canada despite evidence that open visitation and family presence offer many benefits to improve the delivery of quality care, and satisfaction with the overall patient experience. The COVID-19 pandemic has further complicated the ability of the healthcare team to effectively include patients and families into their daily multidisciplinary rounds. Restricted visitation policies, infection control and …

The Impact Of A Mindfulness Meditation Intervention On Cognitive Test Anxiety And The Academic Performance Of Prelicensure Nursing Students Enrolled In An Associate Degree In Nursing Program, Kathleen Tenrreiro

Dissertations

Fifty to 100% of nursing students have experienced test anxiety. The cognitive form of test anxiety (CTA) leads to significant academic implications for nursing students. The ongoing nursing shortage requires nurse educators to implement evidence-based strategies, such as mindfulness meditation training, to help prelicensure nursing students manage their CTA levels and enhance academic performance.

The purpose of this quantitative study was two-fold: (a) to determine if there was a difference in cognitive test anxiety scores for prelicensure nursing students enrolled in an Associate Degree in Nursing (ADN) program who receive the mindfulness meditation intervention and (b) to determine if there …

[Excerpt From] Unfolding Health Assessment Case Studies For The Student Nurse (2nd Ed.), Kristi Maynard, Andrea Adimando

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Unfolding Health Assessment Case Studies for the Student Nurse, 2nd Edition, which is provided free of charge by the publisher.

About this book:

Critical thinking can be the difference between keeping patients safe and putting them in harm's way. But as a student nurse, you may find that mastering these skills is challenging, and you may lack confidence in assessing a patient's health.

Case studies are a common, beneficial learning approach. Traditionally, they present information upfront, with the patient's status predetermined. But that isn't realistic, as a patient's health can often …

Expanding Community Capacity: Empowering Non-Clinical Gatekeepers To Respond To Persons In Suicide Crisis, Michael J. Polacek

Dissertations

Suicide is a leading cause of death and rates continue to rise despite focused efforts by policymakers. A family member, friend, or peer often plays a key role in initially identifying, rescuing, and then supporting ongoing recovery efforts of someone at risk for suicide. Preparation is provided through suicide prevention gatekeeper training such as QPR, yet this partner of direct professional service providers often lacks adequate support to effectively perform gatekeeper behaviors leading to the research question, "Does virtual café support effective gatekeeper behaviors?" The project uses a mixed-method approach to determine if a focused discussion group using The World …

Identifying Learning Acquired During Debriefing, Shelly J. Reed

Dissertations

Debriefing, the reflective activity following an experiential learning exercise, has been identified as the most important part of simulation learning and is also important for learning in other activities utilized in nursing education. There is general agreement that debriefing provides learning and improves performance. However, there is little specific evidence about the phenomenon of learning acquired during debriefing, including how it occurs, how it is defined and identified, and how it is evaluated by debriefing facilitators. In addition, there are no instruments or tools specifically measuring learning acquired during debriefing. Without practical and theoretically grounded tools, simulation activities will continue …

Financial Stress Factors, Psychological Factors And Self-Management Outcomes In Emerging Adults With Type 1 Diabetes, Julia E. Blanchette

Dissertations

The purpose of this study was to explore the relationship between financial stress factors and psychological factors on self-management outcomes (glycemic control [HbA1c] and diabetes-related quality of life [DQoL]) in emerging adults ages 18-25 with type 1 diabetes (T1D) during the transition from pediatric to adult diabetes care. A descriptive, correlational, cross-sectional study design was employed. Emerging adults enrolled in the T1D Exchange Clinic Registry were recruited via email.

Acknowledging The Perceived Clinical Practicum Experiences Of Nursing Students To Identify Clinical Accommodations To Mitigate Respective Clinical Anxiety, Cherlynn D. Hill

Dissertations

Anxiety is an emotion that can interfere with the academic performance, health, and prosperity of nursing students. Understanding the experiences as perceived by the student may assist in uncovering the underlying causes of clinical practicum induced anxiety to facilitate further research for appropriate interventions that may help students mitigate their anxiety. This qualitative study used a hermeneutic, phenomenological approach to explore the lived experiences of nursing students who experience significant anxiety regarding clinical practicum rotations. The findings from this study resulted in the overall theme, Am I Really Meant for Nursing? Four subthemes derived from this overall theme were (1) …

The Role Of The Registered Nurse Working In Substance Use Disorder (Sud) Treatment, Marissa D. Abram

Dissertations

Today, Substance Use Disorders (SUD) are a national public health crisis. Substance Use Disorder Treatment has been a specialty in nursing for more than 30 years. However, there is minimal existing research literature on the role of the nurse working in SUD treatment; this gap in the research is particularly significant because of the current crisis. The purpose of this study was to describe the meaning of the professional role of the registered nurse working in the SUD setting. The study utilized a Heideggerian Phenomenological approach and in-depth interviews were analyzed and interpreted using a modified Colaizzi method. The nine …

Violence And Bullying Among High School Students And Recommendations For School Nurses, Terese Blakeslee, Julia Snethen, Seok Hyun Gwon

General Submissions: Presentations (Oral and Poster)

Bullying has been associated with violence in high schools. The Social Ecological Model was used to examine relationships between student characteristics, violence, and bullying in a secondary analysis of Youth Risk Behavior Survey data sets from 2011 to 2017.Violence was measured by reports of feeling unsafe, threatened, fighting, carrying weapons, and carrying a gun. Bullying was defined as an aggressive peer behavior comprised of an imbalance of power, repetition, and intent to harm the victim. Males were more likely to report being threatened while females were more likely to report feeling unsafe at school. Ninth grade students were more likely …

The Effect Of Moral Distress On Nursing Retention In The Acute Care Setting, Cynthia L. Cummings

Dissertations

This descriptive study explored the relationship between moral distress, professional stress and intent to stay in the hospital setting. The study involved 234 nursing participants and was conducted via an online survey over a 90 day period. The survey tool consisted of 51 items taken from known moral distress, professional stress and intent to stay tools. The items were divided into frequency and intensity of occurrence. Various statistical measures were utilized to conclude that moral distress and professional stress factors were significant (p

The results confirmed that there was a correlation between moral distress and professional stress with regard to …

The Mountain Model For Evidence-Based Practice Quality Improvement (Ebpqi) Initiatives, Julee B. Waldrop, Jayne Jennings Dunlap

General Webinars

This webinar introduces the first conceptual model for Evidence-Based Practice Quality Improvement (EBPQI) initiatives. The mountain model couples with EBP and QI paradigm principles into a unified conceptual framework for all nurses with the summative goal of disseminating and sustaining EBPQI across health care and related settings.

Learning Outcome:

- Describe how the mountain model differs from other evidence-based practice (EBP) and quality improvement (QI) frameworks

A Comparative Analysis Of Demographic And Academic Characteristics And Nclex-Rn Passing Among Urban And Rural Campus Students In A Midwest Associate Degree Nursing Program, Kathleen J. Nacos-Burds

Dissertations

A retrospective study was initiated to determine: (1) the predictive relationship between demographic and academic variables and NCLEX-RN success; and (2) if there were significant differences between urban and rural nursing students that could account for an increased percentage of rural NCLEX-RN failures. A convenience sample was comprised of 398 graduates in 2005-2008, of an associate degree nursing program in the Midwest. Student age group, campus enrolled, Anatomy and Physiology GPA, number of practical nursing terms attempted, Practical Nursing GPA, and the number of associate degree nursing terms attempted were analyzed for predictive value of first-attempt NCLEX-RN success.

A Duel Role: Nurses As Family Caregivers, Megan Thomas Hebdon, Vyshnavi Pottepalli, Dona Ravandi, Zainah Siddiqi, Saneeva George, Aashi Vishnoi, Carolyn Phillips, Jung Kwak

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study is to understand the emotional and financial wellbeing for nurses who balance the dual caregiving role of "nurse" and "family caregiver," (referred as dual role caregiver henceforth) and develop a stakeholder-informed dual role caregiver support intervention prototype.

Engaging Nurses In Global Public Policy: A Conversation With Sigma's Un Liaisons, Charlotte Mccardle, Jerry Nutor, Mercy Mumba, Patrick Chiu

General Webinars

This webinar will provide participants with an overview of the UN system, the role of Sigma's UN Liaison team, and key global public policy priorities that are relevant for nurses to engage in.

Participants will learn from the experiences of Sigma's UN Liaisons and have an opportunity to engage in discussions.

Learning Outcomes:

- Upon completion, participants will have a basic understanding of the UN System and Sigma's role with the UN.

- Participants will be able to recall at least one global public policy example.

Retrospective Review Of Coronavirus Vaccine Impact With Rheumatic Biologics, Alpana Bala Jayadevan

DNP and Student Works

Rheumatic illnesses are chronic diseases that cause the immune system to attack the bodies joints, muscles, bones, and organs (Mayo Clinic Health System, 2022). In many cases, rheumatic illnesses can cause severe disability and end organ damage leading to mortality if left untreated. Many rheumatological patients are on biologic disease modifying anti-rheumatic drugs (bDMARDs) and this has significantly improved the outcome for patients with rheumatic diseases (Humphreys et al., 2016). These medications work by suppressing the immune system to control inflammation and bDMARDs have significantly improved the quality of life of individuals with rheumatological conditions. Unfortunately, patients who are on …

A Narrative Analysis Of Spiritual Coping In Individuals With Terminal Heart Failure, Clayton C. Clark

Dissertations

Approximately 6 million Americans have heart failure with treatment costs estimated at $30.7 billion annually. Those in late stages of the disease experience profound physical, emotional, and spiritual suffering. Spiritual wellbeing has been linked to quality of life as well as mental and physical health in patients with heart failure. While holistic nursing care promotes spiritual coping, barriers exist. Currently, nursing lacks theory to explain spiritual coping processes in patients with heart failure, which leaves nurses ill-equipped to promote spiritual wellbeing in providing care to patients. In this study, I employed open-ended interviewing and narrative analysis techniques to gain a …

Beyond Prognosis Communication: Exploring The Existential Dimensions Of Palliative Care Conversations With Adults With Advanced Cancer, Elise C. Tarbi

Dissertations

Communication about prognosis is integral to effective palliative care. However, prognosis communication often entails considering mortality, which can trigger existential questions. We understand very little about how existential experience is communicated in palliative care conversations. To fill this gap, this dissertation addresses the following aims: (1) Clarify the concept of the existential experience within the context of adults with advanced cancer (Chapter 2); (2) Describe how patients, families, and clinicians communicate about existential experience in palliative care conversations (Chapter 3); and (3) Explore the intersection between prognosis communication and existential dimensions of conversation (Chapter 4).

The Lived Experience Of Afghan Women Refugees In Three Metropolitan Areas Of The Southeastern Us: A Phenomenological Study, Brenda Brown

Dissertations

The global refugee crisis has reached epic proportions. Statistics from the United Nations High Commissioner for Refugees (UNHCR, 2016) reported that in 2015 a record 65.3 million people worldwide, or 39,976 people per day, were displaced, either within their native countries or as asylees and refugees. Afghanistan, from 1980-2014, was the country with the largest number of outgoing refugees and it now ranks third in the world. At the opposite end of the continuum the United States remains the primary host country for refugees, asylees, and resettled refugees from all countries, including Afghanistan. The refugee experience is fraught with challenges …

Understanding The Unique Needs, Experiences And Strategies Used By Icu Nurses To Be Resilient During The Covid-19 Pandemic, Teenu Xavier

Dissertations

The COVID-19 pandemic presented numerous challenges for nurses working in intensive care units (ICUs), leading to a significant impact on their mental and psychological well-being. Despite these challenges, resilience is recognized as a protective factor for ICU nurses that can enhance the well-being of healthcare professionals and enable them to cope effectively with stressors and challenges. But there is a gap in the literature about the experiences, unique needs, and resilience strategies used by ICU nurses in the United States (U.S.).

The purpose of this dissertation research was to complete three interrelated projects in order to gain a better understanding …

Psychedelics & Nursing: Updates From The Oregon Frontier, Andrew Penn, Melanie (King) Kawashima Velez

General Webinars

Psychedelic assisted therapy (PAT) has received significant attention in recent years, including publication of FDA registry trials in major medical journals, yet many nurses are unfamiliar with the modality. This webinar comes from two nurses at the forefront of developing psychedelic applications and therapy.

Melanie Velez, DNP, BSN, RN, PMHNP will discuss the Oregon initiative where psilocybin experiences are now available for clients in their communities. Andrew Penn, MS, PMHNP will review the science and evidence emerging from clinical trials. Nurses, with an orientation towards safety, presence, and equity, are well positioned to increase access to PAT and to provide …

Perceptions Of Teaching Effectiveness Of Part-Time And Full-Time Clinical Nursing Faculty Of Bsn Education, Kimberly L. De Santis

Dissertations

The United States faces a critical shortage of full-time registered nurses, which is directly affected by the shortage of nurse educators. Many schools of nursing are already seeing the impact as qualified program applicants are being turned away due to the lack of qualified educators available to teach them. The trend has become to employ increasing numbers of part-time faculty who have a clinical focus in their education. There is much debate about the clinical teaching effectiveness of part-time faculty. One way to assess quality of education is to assess teacher effectiveness. The purpose of this quantitative, descriptive, study was …