Digital Commons Network^™

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 …

A Collaborative Online International Learning Experience With Doctoral Nursing Students In Three Countries, Judith Bacchus Cornelius, Adesola Adenike Ogunfowokan, Charlene Downing, Nompumelelo Ntshingila, Oluwayemisi Olagunju, Florence Okoro, Ijeoma Enweana

International Nursing Research Congress (INRC)

This presentation will describe the process by which faculty in three different countries developed a Collaborative Online International Learning (COIL) experience with doctoral nursing students during the COVID-19 pandemic. The COIL project was guided by the Global Health Advocacy framework and the Global Citizen 123 Model for Global Citizenship.

Rewards, Challenges, Coping, And Recommendations For Improvement In Two Nursing Schools During The Covid-19 Pandemic, Kala Ann Mayer, Lorretta Krautscheid

Creating Healthy Work Environments (CHWE)

By attending this session, you will be able to describe nursing faculty and student challenging and rewarding experiences during nursing school in an ongoing pandemic environment, coping strategies, and professional quality of life enhancement recommendations at two institutions of higher learning.

Detailed abstract attached.

A Critical Examination Of Clinical Teaching In Undergraduate Nurse Education, Lisa Mckenna

Dissertations

Clinical education is an integral part of undergraduate nurse education. Whilst extensive research has explored roles of clinical teachers and clinical teaching, largely through perceptions of their effectiveness, little is known from clinical teachers about how they perceive their work, factors that shape their work, and what clinical teachers themselves shape. It is the development of clinical teaching both from historical and current perspectives that formed the basis for this unique study which adds new understandings to existing knowledge around this important area of nurse education.

Recovery From A Coronary Event: Understanding The Nature Of The Patient's Journey, Laura P. Rossi

Dissertations

As new technology has improved the diagnosis and treatments of acute coronary syndrome (ACS), our understanding of how patients recover and return to their daily life is limited. The fast pace with which individuals move through the health care system has produced a new set of patient experiences for which systems and providers are unprepared. Life after ACS and current treatment may be very different from prior understandings of recovery after a heart attack. This study explored the trajectories of recovery following ACS and identified implications for effective care planning.

Simple Wellness: Perceptions Of Health In Persons Who Practice Voluntary Simplicity, Maryanne C. Murray

Dissertations

This qualitative dissertation examines the lived experience and perceptions of health in seven Seattle residents who practiced voluntary simplicity in the late twentieth- and early twenty-first century. The overarching research questions addressed inquiry into the internal process that leads to deliberate lifestyle change (simplification) and the meaning of voluntary simplicity practice in the health and wellbeing of the individual within his/her community.

Artificial Intelligence: A New Paradigm In Nursing Education, Research And Practice, Siobhan O'Connor

General Webinars

This webinar will discuss the emergence of artificial intelligence (AI) in healthcare and the implications this has for nursing education, research, and clinical practice. Dr. Siobhán O'Connor will outline the importance of AI algorithms and examine their potential benefits as well as the limitations and risks of these advanced computational techniques in nursing.

Learning Outcomes:

- Participants will be able to recall a brief history of artificial intelligence in healthcare

- Participants will be able to describe at least one way that AI impacts nursing

Integrating Lgbtqia2s+ Cultural Care Concepts Within Nursing Curriculum, Laura Smith, Jessica Huber

DNP and Student Works

Lesbian, gay, bisexual, transgender, queer, intersex, asexual, two-spirit, plus (LGBTQIA2S+) individuals face health disparities due to social stigmas and discrimination in health care settings. National organizations and accreditation bodies have called attention to this concern, making LGBTQIA2S+ health promotion an initiative to improve health outcomes. Unfortunately, delaying and/or avoiding health care still exists within the LGBTQIA2S+ population. Primary factors of this include mistrust of the healthcare system and providers' lack of knowledge regarding culturally competent care. LGBTQIA2S+ cultural care concepts are lacking in health care curriculum and education. Both faculty and healthcare providers report feeling a lack of competence and …

Exercise Habits For Veterans, Jean Davis

Sigma Foundation for Nursing Research Grant Reports

The purpose of the study was to pilot test the innovative VetPA4Life physical activity (PA) habit formation program for Veterans. The objectives of the study were to determine the feasibility for recruitment and retention and acceptability of the program for Veterans.

The Perspective Of Mothers And Clinicians On The Information Needs, Information-Seeking Behavior, Communication Processes, And Information Resources Of First-Time Breastfeeding Latina Mothers, Maryelena Vargas

Dissertations

Exclusive breastfeeding for 6 months is recommended by major health organizations to promote the health of infants and mothers. Exclusive breastfeeding rates of Latinas at six months, however, are lower than those of White mothers, although Latinas initiate breastfeeding at a higher rate than do non-Latinas.

The primary aim of this descriptive, interpretative study was to explore first-time breast-feeding Latina mothers' met and unmet information needs, information-seeking behavior, communication processes, and resources used related to breast-feeding initiation, adherence, and weaning. The secondary aim examined these concepts from the perspective of clinicians. A convenience sample of 28 Latina mothers and 12 …

Implementation And Evaluation Of A Pain Assessment Tool In A Dementia Care Facility: A Quality Improvement Project, Cynthia A. Carbo

Dissertations

Pain has been under-detected and under-treated in patients with dementia. Signs of distress can be misinterpreted in this population, and patients can be inappropriately given psychotropic medication. Various pain assessment tools for patients with moderate to severe dementia have been devised, and all require further study.

The purpose of this evidence-based project was the selection of a pain assessment tool, training of staff in pain management and tool use in a dementia care facility, and monitoring of pain assessment to comply with regulatory guidelines. Benzodiazepine and neuroleptic doses per patient were monitored before and after the training intervention in an …

Student Experiences With Faculty Mentorship During The Dnp Final Project, Lori Prol

Dissertations

The basic qualitative research study was conducted to understand the experiences of DNP graduates with faculty mentorship during the final project phase of the DNP program. Using a sampling service from a nurse practitioner organization, 14 qualified participants were recruited. Participants were telephonically interviewed. All interviews were recorded and transcribed verbatim. Data were coded into segments then consolidated into categories. From the organization of categories, themes emerged. One-hundred and seventy-seven data segments informed the identification of 9 themes. A dominant theme of a mentor being there for the student was identified. Accessibility and availability of the DNP mentor represents the …

Critical Care Registered Nurses' Perceptions Of Nurse-To-Nurse Incivility And Professional Comportment, Kenneth J. Oja

Dissertations

This cross-sectional descriptive study was designed to examine critical care registered nurses' perceptions of nurse-to-nurse incivility and professional comportment, and the extent to which education, nurses' age, nursing degree, and years of nursing experience is related to their perceptions on these topics. Professional comportment is comprised of nurses' mutual respect, harmony in beliefs and actions, commitment, and collaboration. Yet, it was unknown whether a relationship existed between a civil or uncivil environment in the nursing profession and nurses' professional comportment. Correlational analyses were conducted to explore the relationship between perceptions of nurse-nurse incivility and professional comportment, and the relationships between …

A Magnet System Implementation Of The Hester Davis Fall Reduction Program, Debra A. Bauer

Dissertations

A Magnet-recognized academic hospital system experienced an increase in patient falls and patient falls with injury after transitioning to a new electronic health record. The purpose of the project was to evaluate the effectiveness of a system-wide quality improvement practice change. The practice-focused question addressed a Magnet model implementation of a standardized, system-wide, evidence-based Hester Davis Scale (HDS) fall risk assessment and intervention tool and the impact on the nursing-sensitive indicators of patient fall rates and fall rates with injury. Successful implementation and sustained, correct use of the HDS fall risk assessment and targeted fall-prevention-intervention tools added to the evidence …

Factors Affecting The Success And Persistence Of Pre-Nursing Students, Leslie A. Jennings

Dissertations

This article-based dissertation consists of two manuscripts related to factors affecting the success and persistence of pre-nursing students. The first manuscript was a matched cohort study that compared selected academic variables between two groups of pre-nursing students admitted to a pre-licensure baccalaureate nursing program via two different routes. The purpose of this study was to determine if there were any differences in academic performance between these two groups of students in the first semester of a formal nursing program. Analyses of the data revealed a difference in semester grade point average (GPA), but no significant differences in the RN Fundamentals …

A High-Fidelity Simulation To Improve Decision-Making Skills In Baccalaureate Nursing Students, Stacy A. Gilson

General Submissions: Academic Settings and Education-based Materials

Quality care, patient safety and population health are required competencies for baccalaureate nursing program education. Faculty designed a mass casualty incident simulation for senior baccalaureate nursing students to exemplify this proficiency and prepare students in their final semester of nursing school for situations that may necessitate rapid assessment and triage of multiple patients. All students either agreed or strongly agreed that the simulation allowed the opportunity to learn to prioritize nursing care and created more confidence in decision-making skills. Creative utilization of simulation is a cost-effective and valuable way to place students in real-life scenarios to foster this development.

The Concept Of Home Care Nursing Workload: Analysis And Significance, Barbara L. Mildon

Dissertations

The concept of home care nursing workload has not been widely studied and no evidence was found that an analysis of the concept had been undertaken. Consequently, there was a knowledge gap regarding the definition and attributes for the concept of home care nursing workload as it is currently experienced. To address that gap, a descriptive, three-phase, mixed methods (quantitative and qualitative) study was conducted.

Lifestyle Medicine For The Advanced Practice Nurse, Josie Bidwell

General Webinars

During this presentation, the advanced practice nurse will be introduced to the six pillars of lifestyle medicine including the scientific evidence to support the utilization of these pillars in the prevention, treatment, and/or reversal of chronic disease. Additionally, the advanced practice nurse will learn how to incorporate lifestyle assessments and prescriptions into their current practice. This webinar is being presented by the American College of Lifestyle Medicine.

Learning Outcomes:

- Describe the six pillars of lifestyle medicine.

- Discuss the scientific evidence to support the utlilization of these pillars in the prevention, treatment, and/or reversal of chronic disease.

- Understand …

Assessment Of The Cultural Competence, Dementia Attitude, And Alzheimer's Disease Knowledge Among Tertiary Healthcare Providers, Jo Ann Pelaez-Fisher

Dissertations

Alzheimer's disease has made a significant impact on healthcare delivery in the acute care facilities. Tertiary healthcare providers are challenged by the needs of patients diagnosed with Alzheimer's disease while ensuring safe delivery of technical and specialized care in a fast-paced setting. There have been extensive research on informal caregivers and the consequences of providing care to patients with Alzheimer's disease. Few studies have queried tertiary healthcare providers and the influence of culture, attitude, or knowledge on Alzheimer's disease care. No study to date has investigated the elements of high quality Alzheimer's disease care which include cultural competence, positive attitudes, …

Impact Of Delirium Observation Screening Scale On Identifying Delirium In Hospice Patients, Elsie E. Glasu-Atunuwa

Dissertations

Delirium in the elderly can impact health outcomes, making it essential for healthcare workers to identify and manage delirium early. At the project site, there was no evidence based approach to the early identification of delirium. The purpose of this quantitative quasi-experimental quality improvement project was to determine if the translation of Neefjes et al.'s research using the Delirium Observation Screening Scale (DOSS) would impact the identification of delirium with provider notification among adult patients in a hospice facility in South Texas over four weeks. Virginia Henderson's need theory and Kurt Lewin's change theory provided the theoretical foundations for the …

A Focused Ethnographic Study Of Nurses' Role In The Early Mobilization Program In The Pediatric Intensive Care Unit, Chelsea E. Noone

Dissertations

Early Mobilization (EM) in Pediatric Intensive Care Units (PICU) is safe and feasible, but there are issues preventing the adoption of EM into clinical practice. The objective of this study was to describe the patient safety concerns and how nurses develop strategies to safely deliver EM to their patients. The second objective was to explore, describe and analyze nurses' perceptions of barriers and facilitators to performing EM, and to identify strategies nurses perceive would assist them to overcome barriers and increase adoption of EM within the PICU. This focused ethnographic study included 15 in-depth interviews with 10 PICU nurses. Data …

Nursing Workforce Development In Sub-Saharan Africa: A Global Advocacy Action Plan, Brittany Wall, Grace Kistner, Vicki Brzoza, Talia Coveleski, Beth Harkness, Rubi Hickson, Kristen Priddy, Kerry Keyes Young

Global Advocacy

The global population is estimated to be 9.7 billion by 2050⁵. Of the top ten countries with the largest expected population growth, five are in Sub-Saharan Africa: Nigeria, the Democratic Republic of the Congo, Ethiopia, Tanzania, and Uganda. These population growth trends will exacerbate an already existing strain in regions that have a disproportionate ratio of healthcare workers to disease burden. Sub-Saharan Africa accounts for 3% of the global healthcare workforce but sees 24% of the global disease burden⁶. Furthermore, the global nursing workforce is expected to have a shortage of 5.7 million nurses by 2030, …

[Excerpt From] Practice & Leadership In Nursing Homes, Joanne Reifsnyder, Ann Kolanowski, Jacqueline Dunbar-Jacob

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Practice & Leadership in Nursing Homes, which is provided free of charge by the publisher.

About this book:

Long-term care settings are highly regulated environments where the emphasis historically has been on compliance. Many misconceptions persist about practice in nursing homes, and these go largely unaddressed within nursing education programs. Herein lines one of the significant barriers to improving nursing home care.

Practice & Leadership in Nursing Homesdispels many misconceptions and provides a foundation for clinical practice in a unique, exciting setting—illustrating how high-quality nursing care can result in positive resident …

Cultural Competence In Nursing School Curricula, Mayra P. Toney

Dissertations

The purpose of this study was to determine the benefit of both classroom instruction and an immersive clinical experience for the development of cultural competence skills among student nurses. The 3-D Model for Culturally Congruent Care was the framework used for this quantitative descriptive correlational study. The premise of the model is to draw upon the knowledge that culturally competent care derives from the healthcare provider and client level, an essential factor to the delivery of culturally competent healthcare. A convenience sample of 74 student nurses from two separate cohorts enrolled in a diploma-based program were asked to complete the …

[Excerpt From] Advanced Practice Providers: An Operational Guide For Workforce Integration, Maria Lofgren, Christine Gust, Douglas Van Daele

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Advanced Practice Providers, which is provided free of charge by the publisher.

About this book:

Advanced practice providers (APPs), including APRNs and PAs, are a rapidly growing part of the healthcare workforce. These highly educated providers help meet the demands for high-quality, accessible healthcare. This book aims to give leaders at hospitals, clinics, academic programs, and healthcare organizations direction on integrating APPs to optimize top-of-license practice. Advanced Practice Providers: An Operational Guide for Workforce Integration provides a blueprint to successfully assimilate APPs within existing organizational infrastructures to achieve high-quality care, patient …

Learning Science: Physical And Life Sciences In Curricula Across U.S. Schools Of Nursing, Valerie C. Sauda

Dissertations

Nursing educators are being challenged to provide curriculum that meets the changing healthcare environment and demand for creative, innovative nurses to assist in transforming healthcare into the future (Benner, Sutphen, Leonard, & Day, 2010; Institute Of Medicine, 2011). The liberal education provided within a baccalaureate of science in nursing (BSN) degree program provides a diversity of courses within the curriculum, including courses in the natural, physical, mathematical, and social sciences (American Association of Colleges of Nursing [AACN], 2008). Although nursing programs have included science courses in curriculum since the early 1900s (Nutting & Dock, 1907), there is lack of nursing …

Exploring Relationships Between Psychological Capital And Perceived Stress Among Newly Graduated Nurses, Rita J. Jarvis-Isaac

Dissertations

Stress among the newly graduated nurses has been linked to physical and emotional distress, high turnover rates, and the quality of patient care. Psychological capital is a positive state of mind that consists of four components (hope, efficacy, resilience, and optimism). Higher levels of psychological capital have been linked to improvements in the work environment, and the psychological and emotional state of nurses. Despite the extensive work of researchers exploring psychological capital among nurses, its relationship to stress among new graduate nurses has not been well studied. The purpose of this quantitative, correlational study was to explore the relationship between …

Nurse Coaching And Power As Knowing Participation In Change In The Process Of Health Patterning, Shirley J. Conrad

Dissertations

The purpose was to study the results Professional Certified Nurse Coaches (PCNCs) potentially have in mutually patterning the human energy field toward a higher wave frequency pattern of power as measured by the power as knowing participation in change tool and reflected in the narrative pattern profiles obtained from in-depth interviews. Participants were nurses working during the COVID-19 pandemic. Using Barrett's (1986, 2020) power as knowing participation in change theory an explanatory convergent parallel mixed method using a single group with repeated measures (pre/post) and qualitative directed content analysis was used. A method for apprehending pandimensional awareness of unity and …