Digital Commons Network^™

Nurse Educators' Lived Experiences With Student Incivility, Myrna M. Williamson

Dissertations

Incivility is currently a topic of concern in nursing and higher education. There is a serious and growing concern on college campuses across the United States as many forms of incivility are occurring, ranging from offensive language and rude behavior to hostility and violent behavior.

The problem this study addresses is the need for specific information from nurse educators about their experiences with student incivility, and the subsequent impact of those experiences on teaching practices, job perception, and interactions with students. This study also addresses the problem by asking nurse educators their thoughts on contributing factors, warning signs, prevention and …

Workplace Violence Prevention Training: A Cross-Sectional Study Of Home Healthcare Workers, Tamara F. Small

Dissertations

HHCWs are at increased risk for WPV due to working alone in unsupervised, unpredictable, and potentially dangerous work environments. Similar to healthcare workers employed in institutionalized settings, HHCWs primarily experience Type II, verbal abuse from patients. Little is known about how HHCWs promote personal safety while at work. Guided by Haddon's Matrix, the purpose of this manuscript option dissertation was to estimate WPV exposures and identify interventions and resources used by HHCWs to promote personal safety and mitigate and prevent WPV. For this manuscript option dissertation, there are three distinct projects, all related to HHCWs and exposure to WPV.

Relationship Between Horizontal Violence Among Registered Nurses And Falls, Elizabeth D. Rocha

Dissertations

Horizontal violence is a manifestation of oppressed group behavior leading to low self-esteem and feelings of worthlessness among nurses. Horizontal violence leads to the creation of a hostile, unsafe work environment preventing nurses from performing at their highest potentials. A hostile work environment leads to a culture of unsafe patient care which may result in increased harm to patients. An understanding of why horizontal violence occurs and the implications of this phenomenon are the first steps in addressing this destructive behavior as well as protecting patients from harm. Health care environments must support nurses to perform at their best in …

Cultural Care Needs Of Spanish Speaking Parents With Limited English Proficiency (Lep), Jennifer M. Stephen

General Submissions: Presentations (Oral and Poster)

The purpose of this qualitative, ethnonursing study was to understand values, beliefs, and experiences of Spanish speaking parents with limited English proficiency (SSP-LEP), of Mexican origin, whose children are hospitalized and understand the role of nursing in providing culturally congruent care.

A Descriptive Study Examining The Correlation Of Emotional Intelligence And Leadership Styles To Conflict Management Styles Of Nursing School Administrators, Vicki A. Welch

Dissertations

The study aimed to identify whether a correlation existed among academic nurse administrators emotional intelligence, leadership styles, and conflict management styles. There has been extensive research on emotional intelligence and leadership style in business. However, little research has been conducted about academic nurse leaders. This quantitative, nonexperimental, correlational design utilized convenience sampling.

Enhancing Patient Experience Through Nurse Bundling Strategies, Ron C. Carpio

DNP and Student Works

Federal regulations have shifted healthcare systems to focus more on providing quality of care rather than quantity of care. Patient experiences that include nursing communication are important quality measures that have positive impact on satisfaction ratings. The project used nurse bundling strategies (Acknowledge, Introduce, Duration, Explanation, Thank You [AIDET], purposeful/hourly rounding, and bedside shift report) guided by servant leadership principles to improve patients' experiences and overall hospital quality of care experiences. Pre and post education on the bundling approach and servant leadership theory and principles, registered nurses in the emergency department completed an electronic, 23-item Servant Leadership Questionnaire (SLQ) survey …

A Comparison Of Perceptions Of Incivility Among Nursing Students And Faculty In Pre-Licensure Nursing Programs, Karen Aul

Dissertations

This study used a mixed method approach to examine the frequency and types of perceived and experienced uncivil behaviors among nursing students and faculty. The Incivility in Nursing (INE) Survey that was developed by Clark in 2004 was administered to a convenience sample of nursing students and faculty from four nursing programs. The sample included 159 senior pre-licensure nursing students and 14 faculty members within diploma, associate, and baccalaureate nursing education programs. Stress was mentioned in all program types as a contributing factor to student and faculty incivility. The analysis of the quantitative data found variability between nursing program types …

It's More Than Nursing: The Experience Of Psychological Safety Of Pre-Licensure Nursing Students Who Identify As Black, Indigenous, And People Of Color, Melissa M. Anozie

Dissertations

The healthcare environment mandates its staff are able to communicate freely and openly to provide high quality patient care leading to positive patient outcomes. As the largest healthcare profession and those who are at the bedside most often with patients, registered nurses play a vital role in ensuring these outcomes. As advocates for the most vulnerable, nurses must communicate often but before doing so, they must feel psychologically safe. Psychological safety is how one perceives the benefits, risks, and consequences of asking a question, sharing an opinion, reporting an error, or revealing one's true self to others. It is a …

Undergraduate Nursing Student Experiences With Faculty Bullying, Jason D. Mott

Dissertations

Incivility and bullying in nursing education has become an area of increased interest. Incivility literature has focused primarily on student-to-faculty incivility. Less focus has been placed on faculty-to-student bullying. This study examined the lived experiences of undergraduate nursing students with faculty bullying. Using descriptive phenomenology, this study discovered what these lived experiences are. The lived experiences of participants led to the development of themes including: bullying is an emotional experience, in order to gain respect, respect must be given, resilience and persistence are key in overcoming, the environment is everything, and that perception is reality.

The Relationship Among Perfectionism, Perceived Stress, And Coping In Baccalaureate Nursing Students, Amanda Finley

Dissertations

Perfectionism in nursing students is an understudied problem that may affect student and workforce success. Perfectionism has been linked to increased stress and less effective coping styles, as well as depression, anxiety and other psychological alterations. However, it has rarely been studied in nursing students. Studying perfectionism in this population is important because it may increase the likelihood that new nurses will struggle with the stress of practice and it could be a significant factor in early career attrition. The purpose of this descriptive, correlational study was to gain a better understanding of the incidence of perfectionism in a nursing …

The Influence Of Practice Experiences On Feelings Of Role Proficiency In Emergency Nurse Practitioners: A Phenomenological Study, Daniel Monk

Dissertations

The evolution of this research emerged from experiences in the researcher's clinical practice as a nurse practitioner in a variety of urgent care facilities, and the personal queries raised regarding the consistency of the level of practice and evidenced competency of clinical staff in emergency and unplanned care using the title ";practitioner";. These realities are apparent as at present in the UK no legislative requirement exists for nurse practitioners (NPs) to gain formal preparation or qualification. Guidance and direction have been seen in The Advanced Care Practice framework (HEE,2017), yet legislative protection remains absent. Such legislative protection is however seen …

Impact Of Food Distribution Sites In Rural Neighborhoods At Risk For Food Insecurity In San Bernardino County, Lydia Garcia-Usry

Dissertations

Food security is an important element in the lifespan of individuals, and access to healthy food is important to the quality of life in communities. The significance of food insecurity is reflective of a community that does not have the resources to provide a consistent and stable intake of healthy and nutritious meals. Food insecurity has been linked to chronic illnesses such as heart disease, diabetes, hypertension, obesity, and the level of poverty in a community. The United States of America reports that 50 million people suffer from food insecurity, and it is reported as an urgent public health problem. …

An Exploratory Study To Shape A Disaster Nurse Practitioner Scope Of Practice, Frances Dunniway

Dissertations

The impact and devastation from national disasters pose imminent risk to large populations. If trained in disaster response and following evidence-based practice standards, the Nurse Practitioner (NP) could be prepared to adapt to any setting or surrounding, utilizing their full educational and health care training. Currently there are no written guidelines during disasters to manage the various clinical conditions. Using a Delphi technique, this exploratory study investigated the multidisciplinary understanding about the disaster NP role. Key findings included: 1. Across four groups of disaster responders, there was confusion about the disaster NP role, indicating a need for role clarity. 2. …

Improving Depression Screening In Rural Transitional Care Facility, Stephanie Macon-Moore

Dissertations

Mental health screening may facilitate possible identification of depression and referrals to mental health care. At the project site, depression screening were not standardized or implemented standardly. The purpose of this quantitative quasi-experimental quality improvement project was to determine if the implementation of Pfizer's PHQ-2 depression screening tool would impact the identification of problem symptoms related to mental health disorders and referrals to mental health providers among adult patients in a transitional care facility in rural Idaho over four weeks.

Lipid Profiles And Associated Symptoms And Outcomes In Acute Ischemic Stroke Patients, Sarah R. Martha, Samuel H. Levy, Emma Federico, Michael R. Levitt, Melanie Walker

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study was to determine the feasibility of a 1-month protocol and to describe self-reported symptoms and their association to cognitive and functional outcomes in persons with acute ischemic stroke (AIS) who did and did not receive reperfusion intervention (e.g., tPA, mechanical thrombectomy). We explored these factors and their association to underlying lipid biomarker signatures.

[Excerpt From] Population-Based Public Health Clinical Manual: The Henry Street Model For Nurses (4th Ed.), Patricia M. Schoon, Carolyn M. Porta

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Population-Based Public Health Clinical Manual, 4th Edition, which is provided free of charge by the publisher.

About this book:

Population-Based Public Health Clinical Manual, 4th edition, has proven to be one of the most important public health texts for students and practitioners alike. Focused on developing evidence-based public health nursing practice in diverse settings, and built on the framework of the Henry Street Consortium's 13 competencies for population-based, entry-level public health nursing, this new, full-color 4th edition is fully revised and updated to include:

– A new competency promoting, assessing, and …

Neonatal Abstinence Syndrome, Increasing Surveillance In Newborns, Lindsey N. Clark

Dissertations

The purpose of this project was to improve nursing staff's knowledge of Neonatal Abstinence Syndrome, identifiable risk factors, how to screen for Neonatal Abstinence Syndrome, and how to report positive findings from the Neonatal Abstinence Syndrome screen. The goal for implementation of this intervention was to improve the rates of Neonatal Abstinence Syndrome screening in the newborn nursery.

Improving Recognition Of Depression Among The Older Adult Population, Keirstin E. Uomoto

Dissertations

Depression is a common mental health disorder faced by older adults that can go undetected and untreated. It was determined that the project site was not using a screening tool for depression among their patient population to identify or treat possible depression. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if the implementation of Yesavage's Geriatric Depression Scale-15 (GDS-15) would impact the identification of risk factors for depression and the initiation of pharmacological treatment, follow-up, and referral to a mental health specialist among adults 65 and older.

Use Of The Bedside Mobility Assessment Tool To Improve Emergency Department Safety, Tracy M. Abrams

Dissertations

Falls are a common occurrence in the emergency department and can lead to unintended patient harm and work-related injury. Fall rates at the site remained a concern, so an evidence-based approach was sought. The purpose of this quantitative, quasiexperimental quality improvement project was to determine if or to what degree the translation of Boynton et al.'s research on the use of the Hillrom bedside mobility assessment tool (BMAT) used in conjunction with current evidence-based bedside practices would impact fall rates when compared to the current practice among adult patients in an emergency department in Southern California over four weeks. Nola …

Negotiating Emotional Order: A Grounded Theory Of The Survivorship Process In Women Who Have Completed Treatment For Breast Cancer, Jennifer A. Klimek Yingling

Dissertations

Decades of research focusing on treatment and detection of breast cancer has promoted better outcomes in treating the disease and longer survival rates. Despite this there is a significant gap in the literatures regarding the survivorship process. Breast cancer survivorship needs to be fully understood by nurses and health care providers (HCP) in order to obtain optimal health outcomes for this ever growing population.

Exploring Prelicensure Undergraduate Nursing Students' Lived Experience Of Engagement In Synchronous Online Learning, Heidi A. Little

Dissertations

The continued uncertainty of nursing education pedagogy during a worldwide pandemic has brought heightened awareness and preparation to synchronous online teaching strategies that bolster student success and engagement. The identification of barriers to effective teaching strategies and techniques that foster student engagement is needed in synchronous online learning. Furthermore, building on past synchronous online learning teaching strategies will improve nursing students' overall success and engagement.

Medical Floor Confusion Assessment Method: Implementation And Assessment Of Risk Factors, Michaelynn R. Paul

Dissertations

An estimated 50% of older hospitalized patients experience delirium. This has created significant complications costing an estimated $164 billion or more per year worldwide. The ability to identify patients developing delirium would allow the implementation of specific interventions to decrease or eliminate the adverse effects of delirium. The purpose of this quality improvement project was to provide high quality delirium education to determine if medical unit nursing staff could successful implement the Confusion Assessment Method (CAM) screening tool to identify patients experiencing delirium as the first phase of an overall plan. Implementation of the project followed Roger's diffusion of innovations …

Nursing Students Strengthening Resiliency Through Educator Relationships: A Basic Qualitative Study, Sandra Mcdade

Dissertations

Nursing school attrition rates are steadily on the rise. Attrition rates are related to high course failure, program drop-out, and burnout. Resiliency is a critical quality that baccalaureate nursing students must attain to cope with nursing school stressors successfully. Nursing student resiliency is in the infancy stage of research investigation; however, literature shows the nurse educator-nursing student's influence on student resiliency; how do senior-level baccalaureate nursing students strengthen resiliency through the nurse educator-nursing student (NE-NS) relationship? The nursing student perspective is often overlooked; therefore, this dissertation focused on bringing forth the perspective of nursing students. Senior-level nursing students have 2 …

A Quality Improvement Project On Evaluating The Effectiveness Of Implementing A Fall Intervention Checklist During End Of Shift Report On A Post-Operative Unit, Victoria Hogans

Dissertations

Introduction: Falls are a current issue affecting our senior citizens within the hospital setting. A fall may result in patient injuries, increased length of stay, and hospital costs. To prevent patient falls and fall-related injuries, hospitals have implemented fall bundles. The bundles consist of assessment tools to identify those at risk for a fall and the interventions that should be implemented to prevent them from falling.

Methods: A quality improvement project was implemented based on the DMAIC Six Sigma concept model to assess if implementing a fall intervention checklist at shift change combined with a fall bundle already in place …

[Excerpt From] Beyond Burnout: Overcoming Stress In Nursing & Healthcare For Optimal Health & Well-Being (2nd Ed.), Suzanne Waddill-Goad

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Beyond Burnout, Second Edition, which is provided free of charge by the publisher.

About this book:

Healthcare professions typically attract those who give deeply of themselves to make a positive difference in others' lives. But that giving can come at a significant price: burnout. While the healthcare vocation offers myriad options in work settings and career paths, it can also involve tremendous amounts of stress because of long shifts, mental and physical exhaustion, patient challenges, and regulatory changes. When stress and fatigue overtake a healthcare provider's ability to adequately cope with …

Action-Logics Of Veterans Health Administration Magnet Nurse Executives And Their Practice Of Supporting Nurses To Speak Up, Bonnie R. Pierce

Dissertations

Health care organizations typically have a hierarchical structure, with physicians dominant and nurses subordinate. The challenge to open and honest communication between doctors and nurses is real, and communication errors contribute significantly to undesirable patient outcomes. Nurse executives (NEs) have a responsibility to help lead transformation of health care organizations to support nurses to speak up and communicate all critical information.

NEs are challenged to improve safety and quality, decrease costs and increase access to care. Combining health care expertise with business ability can support these goals. Rooke and Torbert found correlations between successful business leaders and postconventional action-logics, or …

Nurses' Experiences Of The Traditional Clinical Learning Environment For Nursing Students, April Rowe Neal

Dissertations

Nursing education is unique in its integration of theoretical and experiential learning and yet this integrated approach presents a number of challenges. One nuanced challenge in nursing education is the overlap of the students' clinical learning environment (CLE) with the clinical nurses' work environment. It is believed that the clinical nurse plays an important role in clinical learning, but it is not well understood how the clinical nurse understands and contributes to the CLE. The framework for this study was based on Benner's (1982) Novice to Expert model, transformative learning theory, and the AACN (2005) Healthy Work Environment framework. The …

[Excerpt From] Self Care For Nurses: Small Doses For Wellness, Natalie B. May, Tim Cunningham, Dorrie K. Fontaine

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Self Care for Nurses: Small Doses for Wellness, which is provided free of charge by the publisher.

About this book:

The term resilience often gets a bad rap, but the ability to take care of yourself during stressors remains key to creating a work environment where you can thrive.

Grounded in research and rich in expertise gleaned from fellow nurses and other practitioners across the healthcare spectrum, Self Care for Nurses: Small Doses for Wellness offers proven self-care strategies that can positively transform your relationship with work. The authors filled this …

Improving Interventions On Cardiovascular Disease And Diet: A Policy Incentive Analysis, Sandra Hurst

Dissertations

Introduction: Various cardiovascular diseases (CVD) can be catastrophic and can lead to irreversible outcomes. There are limited, improved regulations on awareness of primordial and primary preventions that may decrease CVD progression and mortality. Before policies and recommendations can be set, policymakers should understand CVD and the importance of maintaining a healthy diet to decrease the risk of CVDs and improve patient adherence. Therefore, this project aims to analyze federal healthy food incentive policies to promote healthy diet behaviors that reduce CVD risk.

Method: The method used was existing data for a comparative policy analysis that included a policy proposal process: …

Interdependence Of Spirituality And Well-Being Among Korean Elders And Family Caregivers, Suk-Sun Kim

Dissertations

The purpose of this study was to explore the relationship of family spiritual interdependence to the well-being of elders and their family caregivers within Korean family caregiving situations. The correlation of spirituality and well-being between elders and caregivers and the actor and partner effect of spirituality on well-being were examined in terms of how family members' spirituality influences their own and partners' well-being.