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The Lived Experiences Of Expert Nurse Clinicians Transition To Novice Nurse Educators: A Phenomenological Study, Sabrina L. Colbert

Dissertations

The literature is replete with information regarding the nationwide shortage of nursing faculty occurring in academia and practice. Due to the lack of available nursing faculty, masters-prepared nurses are being recruited into academia from clinical practice: expert clinicians with limited preparation in educational pedagogy. This descriptive phenomenological study explored the lived experiences of participants who transitioned from expert nurse clinicians to novice nurse educators in academia. The theoretical framework was Benner's novice to expert theory to explain and interpret the phenomenon as consciously experienced by novice nurse educators.

The Impact Of Sickle Cell Anemia Patients Using Mindfulness As An Adjunct For Pain Management, Asty Merus

DNP and Student Works

Pain can be a long-lasting and enduring problem for sickle cell disease patients. Most are experiencing severe pain that endures for several hours up to a few days, which can be very challenging to treat and manage. This project evaluates mindfulness's effectiveness as a non-pharmacological intervention for sickle cell disease (SCD) patients. In the adult population with SCD, what is the impact of incorporating mindfulness into pain management?

Positive Emotions And Sexual Desire Among Healthy Women, Elizabeth J. Brough

Dissertations

Sexual desire disorders are highly prevalent, account for a significant proportion of sexual problems, and affect important aspects of women's lives. Sexuality research has traditionally focused on dysfunction models, rather than human strengths approaches. Recently, positive psychologists have developed models and methods to examine human strengths. This study used Frederickson's Broaden and Build model to examine links between positive emotions and sexual desire among women. Positive emotions words were examined relative to sexual domains frequently cited in clinical studies, and compared to sexual cognitions which have been linked to positive sexual outcomes in past studies.

The Experiences Of Black American Older Adults Managing Pain: A Nursing Ethnography, Sheria G. Robinson-Lane

Dissertations

Pain can negatively affect quality of life for Black elders. They are less likely to report pain concerns and have voiced pain needs adequately met. To better understand the pain management experiences and concerns of Black elders, an ethnographic study was completed within an urban, low-income, elder housing facility.

Physical And Psychological Effects Of Qigong Exercise In Community-Dwelling Older Adults: An Exploratory Study, Pei-Shiun Chang

Dissertations

Older adults need exercise programs that correspond to age-related changes. Qigong exercise, a type of Chinese traditional medicine exercise, is a gentle low-impact exercise and is safe for older adults. Qigong interventions have resulted in improved psychological well-being, muscle strength, flexibility and balance in Asian adults with chronic conditions. However, little data are available on the effects of Qigong exercise on older adults' health in the United States. The purpose of the study was to explore feasibility, adherence, and preliminary efficacy of an 8-week Qigong exercise intervention in community-dwelling older adults in the United States.

Determinants Of Spiritual Well-Being In Adults Newly Diagnosed With Heart Failure: Primary Palliative Care Applied, Valerie Joy Smith

Dissertations

Guided by Roy's Adaptation Model (Roy, 2009) and using a descriptive, correlational, comparative design, sociodemographic characteristics (age, gender, race, marital status, income), coping, primary palliative care (PPC, spiritual needs, social support, decision-making [DM] engagement, psychological support, PPC information and education provision, goals of care discussion, and care coordination across settings and times), spiritual well-being (SWB), and advance directive (AD) completion in response to living with a HF diagnosis within the previous 12 months were described and the potential relationships and differences between the variables explored.

Spirituality, Religiosity, And Perceived Ability To Provide Spiritual Care In Nursing Students, Shannon O'Connell-Persaud

Dissertations

The objective of this study was to explore nursing students' spirituality, religiosity, and perceived ability to provide spiritual care.

Rural Transgender Health Access, Pamela B. Deguzman, Frencesca Azar, Susan Gray, Genevieve Lyons, April Kimble, Karen S. Rheuban

General Submissions: Presentations (Oral and Poster)

The purpose of this study was to explore access to care for rural transgender and gender-diverse youth through the lens of a gender-affirming teen health clinic at that serves a rural catchment.

Exploring The Lived Experience And Meaning Of Resilience For Nurses: A Descriptive Phenomenological Inquiry, London Draper Lowe

Dissertations

Using descriptive phenomenological investigation, this study shed light on the phenomenon of resilience for nurses in high acuity clinical settings. The purpose of this study was to explore, understand, and describe experiences of resilience by nurses in the clinical setting who demonstrate characteristics of resilience and investigate the meaning these experiences held for them. Another purpose for this study was to increase the knowledge base that nurses and nurse educators have regarding resilience including what factors contribute to the emergence and maintenance of resilience.

Neonatal Diet Type And Associations With Adverse Feeding Outcomes And Gut Microbiome Composition In Neonates With Critical Congenital Heart Defects, Jessica A. Davis

Sigma Foundation for Nursing Research Grant Reports

The purpose of the proposed longitudinal observational study was to: 1) investigate the relationship between variations in neonatal diet type and incidence of feeding intolerance, necrotizing enterocolitis, and malnutrition in a retrospective cohort; and 2) describe study feasibility and explore associations between neonatal diet and gut microbiome composition in a prospective cohort.

Benefits Of International Online Mentoring, Camila Biazus Dalcin, T. Robin Barlett

International Nursing Research Congress (INRC)

Describe the experience and mutual benefits of a mentor and mentee located in different countries. Some benefits of an online international mentoring are exchange of experiences, to gain understanding of unique aspects of nursing and more accessible opportunities. Chance to build collaborative networks, so critical for a 21st century society.

Development And Psychometric Performance Of The Family Willingness For Caregiving Scale (Fwcs), Cindy A. Wilk

Dissertations

Family members and close friends of ICU patients receiving mechanical ventilation often sit helpless at the bedside. Participation in care of their loved one may improve adaptation to the stressful situation and better prepare them for caregiving after discharge. The primary aim of this study was to develop and test the psychometric properties of the Family Willingness for Caregiving Scale (FWCS). The impetus for scale development was the lack of a valid instrument to measure caregiver willingness of family members for the ICU patient. The Facilitated Sensemaking Model (FSM) and adapted Psychosocial Assessment Model (PAM) provided the theoretical foundation for …

Effectiveness Of Simulation-Based Case Studies In Undergraduate Nursing Students, Kesha T. Becnel

Dissertations

An ever-changing healthcare landscape requires today's nurses to have a solid foundation in knowledge and clinical judgment to provide safe care to patients. Nurse educators must implement teaching strategies that help develop the knowledge and clinical judgment that nursing students will need upon graduation and entry into healthcare. Simulation-based experiences have been shown to help develop clinical judgment when used as part of a clinical practicum. However, few studies have examined the effectiveness of simulation-based experiences as a classroom teaching strategy.

Debriefing For Meaningful Learning: Fostering Development Of Clinical Reasoning Through Simulation, Kristina Thomas Dreifuerst

Dissertations

There is a critical need for faculty, a shortage of clinical sites, and an emphasis on quality and safety initiatives that drive increasing use of simulation in nursing education. Debriefing is an essential component of simulation, yet faculty are not consistently prepared to facilitate it such that meaningful learning, demonstrated through clinical reasoning, occurs from the experience. The purpose of this exploratory, quasi-experimental, pre-test-post-test study was to discover the effect of the use of a simulation teaching strategy, Debriefing for Meaningful Learning (DML), on the development of clinical reasoning in nursing students.

Nursing Faculty Care Expressions, Patterns, And Practices Related To Teaching Culture Care, Sandra J. Mixer

Dissertations

The purpose of this ethnonursing research study was to discover the care expressions, patterns, and practices of nursing faculty related to teaching culture care within the environmental context of urban and rural baccalaureate nursing programs in the Southeastern United States. The goal of the study was to discover faculty caring that facilitated teaching nursing students to provide culturally congruent and competent care. Four major themes with universal and diverse patterns which supported the themes were discovered. The themes were faculty care as embedded in Christian religious values, beliefs, and practices; faculty teaching culture care without an organizing conceptual framework; faculty …

Prevalence, Severity, And Risk Factors Of Delirium In Critically Ill Stroke Patients, Thomas Lawson

Sigma Foundation for Nursing Research Grant Reports

To determine the prevalence and severity of delirium among adults admitted to a neurocritical care unit who are diagnosed with acute ischemic stroke, intracerebral hemorrhage, and aneurysmal subarachnoid hemorrhage and to determine which predisposing and precipitating factors are associated with developing delirium in the neurocritical care unit among adults admitted with acute ischemic stroke, intracerebral hemorrhage, and aneurysmal subarachnoid hemorrhage.

Baccalaureate Nursing Students' Experiences With Online Case-Based Learning (Cbl) During The Covid-19 Pandemic, Jessica Verplaetse

Dissertations

In spring 2020, in-person learning for nursing students was canceled in response to the Covid-19 pandemic. All courses, including clinical courses, abruptly transitioned to online formats. A significant gap in the literature exists regarding baccalaureate (BSN) nursing students' experiences with online learning during this timeframe. The purpose of this basic qualitative study was to explore BSN students' experiences with online learning during the spring 2020 semester.

Out Of The Briar Patch: Diffusion And Sustainability Of Nurse-Managed Practice, Linda Campbell

Dissertations

Community-based nurse-managed practice (CBNMP) offers local populations the opportunity to contract directly with professional nurses for primary health care services. Despite provision of high quality care below the average cost of primary care providers, an estimated 21 percent decline in the number of academic CBNMPs was documented between 1989 and 1998.

A multiple case study was conducted to address the overall research question: What factors are believed to facilitate or hinder the innovation development process of CBNMP in prevalent practice contexts? A model synthesizing concepts from the Theory of Diffusion of Innovations and the Theory of Community as Partner was …

Vicarious Learning And Perceived Self-Efficacy Among Pre-Licensure Nursing Students During Pediatric End-Of-Life Situations, Stephanie Clark

Dissertations

Despite decades of acknowledgement among nursing academics and organizations, end-of-life (EOL) nursing education is significantly lacking. Insufficient EOL care education leaves nursing students feeling ill-prepared to adequately care for clients and their loved ones at EOL. Though the literature reveals a recent increase in didactic and simulation-related EOL education sporadically being integrated into nursing curricula, minimal research addresses important topics of pediatric EOL care and provision of therapeutic communication, considered critical to EOL care. End-of-life clinical experiences, particularly in pediatrics, are limited for pre-licensure nursing students. Though effective, simulations can be costly and timely to execute, are restricted by limited …

Sociodemographic And Health-Related Risks For Loneliness And Outcome Differences By Loneliness Status In A Sample Of Older U.S. Adults, Laurie A. Theeke

Dissertations

Loneliness is a prevalent problem for older adults and has been shown to be associated with negative physical, psychological, and social variables. There has been limited research focusing on the relationship of loneliness to health. There is a gap in the literature when it comes to understanding how the problem of loneliness relates to the health of older adults in the United States.

The purpose of this study was to address this gap in the literature through the testing of two models, the first model represented the postulated risks for loneliness and the second model represented the postulated outcomes for …

The Relationships Between And Among Parental Perceptions Of Family-Centered Care, Parental Beliefs, And Parental Stress In The Pediatric Intensive Care Unit, Kelly Keefe-Marcoux

Dissertations

Children hospitalized for critical care require increasingly complex and technical care, which can be very stressful for parents. Awareness of the importance of parents' role while their child is receiving critical care is vital to deliver care within a family-centered philosophy that is mutually beneficial to parents and nurses. This descriptive correlational study examined the relationships between and among parental perception of Family-Centered Care (FCC) nursing practices, parental beliefs regarding their role and their hospitalized child, and parental stress during their child's admission to the Pediatric Intensive Care Unit (PICU). This study utilized the Family-Centered Care theoretical framework to examine …

Opioid Crisis In The Adolescent Population: A Global Health Advocacy Action Plan- “Leave No One Behind”, Kateryna Metersky, Debbilynn Murray

Global Advocacy

Background: We have a global epidemic of opioid-related overdose deaths that continues to rise. Worldwide, about 0.5 million deaths are attributable to drug use. More than 70% of these deaths are related to opioids, with more than 30% of those deaths caused by overdose. Research has largely focused on opioid use with adults. However, it has not demonstrated similar focus on adolescent use of opioids. Nurses are known to be the one health profession that spends the most direct care hours with people requiring support and are therefore, best positioned to become advocates on this issue and the United Nations …

Claiming Health: Mammography-Screening Decision Making Of Older, Urban African-American Women, Barbara A. Fowler

Dissertations

There have been few researchers in nursing and the behavioral sciences that examined the social contexts and processes that may influence mammography-screening decision making of older, urban, lower-income AA women. Researchers, public health officials, and nurses in education and clinical practice may use the findings of this study to increase use of mammography screening. Grounded Theory (GT) research methods were used to develop, expand, and verify the basic social psychological process (BSP) and interrelated concepts emerging from the data, and understand the potential influences of related factors on mammography-screening decision making in this group of AA women.

Provider Readiness To Implement Best Practice Trauma-Informed Care Of Children In Primary Care, Elizabeth A. Coleman

DNP and Student Works

The aim of this project was to evaluate provider readiness for implementation of best practice TIC of children in primary care practice. The first focus of the project was to assess provider readiness related to TIC. The next focus was determining best practices for TIC. The final focus was developing the steps to implementation of TIC best practices in local primary care practice. TIC implementation into the care of children in primary care has the potential to decrease the suffering of the child and family and positively impact future mental and physical health of children, which impacts the community as …

A Grounded Theory Study Of The Grief Process In Women Who Experienced Perinatal Loss Prior To 1980, Tina L. Saunders

Dissertations

Approximately one million women suffer from perinatal loss (PL) in the United States annually. Societal and provider knowledge and attitudes about the psychological effects of PL and the need for care and support have improved significantly since the 1980s. Anecdotal evidence indicates that experiencing PL still affects women decades later; however, its impact on their grief process and long-lasting effects has not been researched. These narratives are vital to informing support and care. The purpose of this study was to develop a theoretical framework describing grief processes and long-lasting effects on women experiencing PL before 1980.

Effect Of An Experiential Learning Model For Simulation Design On Clinical Nursing Judgment Development In Pre-Licensure Baccalaureate Nursing Students, Joyce Victor

Dissertations

Simulation is an experiential learning process used in nursing education to develop and evaluate competencies, including clinical judgment (Berragan, 2011; Jeffries, 2012), yet the effectiveness of simulation in nursing education is not sufficiently evaluated (Foronda, Liu, & Bauman, 2013) and simulation design is not adequately theory-based (Kaakinen & Arwood, 2009; Rourke, Schmidt, & Garga, 2010; Jeffries, 2012; Rodgers, 2013). In this study, Kolb's Model of Experiential Learning (Kolb, 1984; 1999) was employed to create an experiential learning simulation design. A quasi-experimental study was used to test the effects of this new design on clinical nursing judgment development and its relationship …

The Experience Of Transitioning For The Transgender Person: An Appreciative Inquiry Approach To Advance Gender Affirming Care, Shelley Evans

Dissertations

The process of transitioning has a significant impact on improving quality of life among transgender and nonbinary people (Johansson et al., 2010). Transitioning is the act of moving towards a gender identity that feels more aligned with internal identity (Rankin & Beemyn, 2012). However, despite promising research that supports the benefits of medical, social and/or legal transitioning, the understanding of the experience has not been fully explored (Evans et al., 2021), and it is a barrier to advancing the delivery of gender affirming care among nurses, other health care providers, and health care organizations. There is a need to awaken …

Person-Centred Caring Towards Improvement Of Diabetic Foot Care Compliance In Rural Primary Health Care, Kwazulu-Natal, Anné Joubert

Dissertations

This study aims to identify how registered nurses could achieve person-centred caring to improve diabetic foot care compliance in the rural primary healthcare context in KwaZulu-Natal. The objectives were to:

- Determine the experiences of patients with Type 2 Diabetes Mellitus regarding person-centred caring in the management of foot care.

- Describe the experiences of registered nurses regarding person-centred caring in the management of diabetic foot care.

- Explore current practices of registered nurses regarding diabetic foot care.

- Compare data from in-town clinics to out-of-town clinics.

- Develop a person-centered caring, guideline-based in-service training program for registered nurses in …

Person-Centred Caring Towards Improvement Of Diabetic Foot Care Compliance In Rural Primary Health Care, Kwazulu-Natal, Anné Joubert

Sigma Foundation for Nursing Research Grant Reports

This study aims to identify how registered nurses could achieve person-centred caring to improve diabetic foot care compliance in the rural primary healthcare context in KwaZulu-Natal.

Cervical Cancer Screening Barriers And Facilitators For Sexual And Gender Minorities: A Community Engaged Feasibility Approach, Mollie Aleshire

Sigma Foundation for Nursing Research Grant Reports

The purposes of this study were to identify barriers and facilitators to CCS among SGMs and to obtain key stakeholders' perspectives on strategies to facilitate increased CCS among these populations.