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The Relationship Among Spirituality, Self-Efficacy, And Quality Of Life In Adults With Sickle Cell Disease, Maxine A. Adegbola

Dissertations

For the individual with sickle cell disease (SCD), the lifespan is increasing but adults report decreased quality of life (QOL), low self-efficacy, and ineffective coping skills. The care of adult patients with SCD requires a complex multidisciplinary team approach with focus not only on physiological, psychological, and social needs, but also on spiritual needs. Quality of life, spirituality, and self-efficacy have been sparsely and separately studied in individuals with SCD. These three constructs have never been combined in one study in the adult SCD population.

The purpose of this study was to explore and describe the relationships among spirituality, self-efficacy, …

[Excerpt From] Taking Action: Top 10 Priorities To Promote Health Equity And Well-Being In Nursing, Susan B. Hassmiller, Gaea A. Daniel

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Taking Action: Top 10 Priorities to Promote Health Equity and Well-Being in Nursing, which is provided free of charge by the publisher.

About this book:

The crucible of the global pandemic, racial injustice, and a crippling nursing shortage has sparked increasing calls for nursing to address its own problems, from inequity to structural racism. In response, authors Susan B. Hassmiller and Gaea A. Daniel enlisted nearly 70 national and international nursing leaders to tackle the most pressing issues confronting the profession.

Taking Action: Top 10 Priorities to Promote Health Equity and …

Motivating Older Adults Through Immersive Virtual Exercise (Motive): A Randomized Pilot Study, Brittany Drazich, Debora Anokye, Shijun Zhu, Jejomar Teleb, Elizabeth Galik, Luana Colloca, Barbara Resnick

Individual Articles

Background: This study aimed to: 1) determine the feasibility of a virtual reality physical activity intervention among older adults and 2) test the preliminary effectiveness of the intervention at increasing physical activity and 3) decreasing depressive symptoms.

Methods: We included 10 older adults randomized into the Motivating Older Adults Through Immersive Virtual Exercise (MOTIVE) intervention group and 10 randomized into the physical activity education only control group. We analyzed the data using descriptive statistics and linear mixed models, testing the interaction of time and the treatment condition.

Results: Participants in the intervention group attended an average of 15 out of …

The Nutrition Prescription: Guideline Development For Nutrition Education In Graduate Nursing Curriculum, Jackie Myers, Samantha Delander

DNP and Student Works

Research describes nutrition education as "paramount" in reducing morbidity and mortality. There is a significant gap between current nutrition taught in graduate health science programs and the 25 hours of nutrition education suggested by the National Research Council. No standard nutrition education guideline exists. There is demand from students, graduate faculty, and legislators to incorporate nutrition knowledge into curricula as evident by the Medical Education Pledge signed at The White House's Conference on Hunger, Nutrition, and Health. Objectives: 1) Gap analysis of graduate health science nutrition education. 2) Develop and disseminate a nutrition guideline proposal for evaluation by stakeholders.

Evaluation And Revision Of The Practice Environment Scale Of The Nursing Work Index For Acute Care Hospital Staff Nurses, Caitlin M. Campbell

Dissertations

The Practice Environment Scale of the Nursing Work Index (PES-NWI) is the most frequently used instrument for measuring the nursing work environment. The original PES-NWI obtained its items directly from the parent instrument, the Nursing Work Index, which was developed in the 1980s. However, potential value change among younger generations and vast historical, social, and technological transformations in the way healthcare is provided may have led to different factors that compose a favorable work environment for nurses working today.

Providing Education And Resources To Staff Working With Adult Victims Of Intimate Partner Violence Experiencing Homelessness, Jillian Edling, Courtney Schultze, Sarah Scott

DNP and Student Works

Homelessness impacts over half a million individuals in the United States and increases the risk of physical, emotional, social, and financial distress, potentially leading to violence, abuse or harm. Individuals experiencing intimate partner violence (IPV) are at an increased risk of becoming homeless. Homeless shelters in Duluth, MN, without specific IPV focus, do not have formal IPV training in place. The goal of this project was to educate staff and volunteers at a warming center in Duluth, MN on how to identify IPV, implement an evidence-based screening tool, and provide appropriate resource referrals to victims of IPV.

Service Learning: A Case-Study Examining Positive And Negative Influences On Higher Education Faculty, Kathleen Reavy

Dissertations

The purpose of this research was, first, to study why a professor would implement and then continue to use a service learning methodology and, second, to study how a professor is shaped by service learning experiences. An in-depth case-study design was used to study the impacts of personal and contextual factors on one higher education professor implementing service learning in her classroom. Interviews, observations, and document reviews were used to gather data. The focal point for this study was a professor of a senior-level Nursing Leadership and Management course who successfully incorporated a service learning methodology and continues to do …

Online Clinical Post-Conference, Face-To-Face Clinical Post-Conference: Effects On Critical Thinking In Associate Degree Nursing Students, Kristie A. Berkstresser

Dissertations

Nurse educators, at every level of pre-licensure nursing education, are charged with developing critical thinking skills within their students. Post-clinical conference is one teaching strategy that nurse educators can employ to help promote the development of critical thinking skills in pre-licensure nursing students. However, traditional face-to-face post-clinical conference is marred with issues and concerns, as identified in the nursing education literature. An alternative to face-to-face post-clinical conference, asynchronous online learning environment, mitigates the issues and concerns associated with traditional post-clinical conference. Adult learning theory supports the use of asynchronous online learning environment. The asynchronous online learning environment promotes student-centered teaching …

Implementing A Smoking Cessation Protocol In Type 2 Diabetics In A Podiatry Clinic Using The Five A'S Model, Guerlyne Henson

Dissertations

Smoking is an independent risk factor for DMT2 making it essential for providers to address smoking cessation consistently. The purpose of this quantitative, quasiexperimental quality improvement (QI) project was to evaluate if or to what degree the implementation of a tobacco cessation protocol using the Five A's model would impact the patient's motivation, nicotine dependence, and provider compliance with assessing tobacco use in adult diabetic smokers in a podiatry clinic for four weeks in the northeastern United States. The transtheoretical model (TTM) was utilized to evaluate patient motivation to quit smoking and determine appropriate cessation interventions. Data on the motivation …

Implementation Of The Family Help Protocol: A Feasibility Project For A West Texas Icu, Rebecca Mcclay

Dissertations

The purpose of this project was to determine if there is sufficient bedside ICU nurse buy-in to the Family HELP protocol to make implementation feasible at one county hospital in West Texas.

Implementation Of An Evidence-Based Patient Education Stoplight Tool To Reduce Cancer Treatment-Induced Diarrhea, Rebecca Kirkpatrick, Kristine Bert, Valerie Rinehart, Melissa Fink

General Submissions: Presentations (Oral and Poster)

CID is a common side effect of chemotherapy treatment for patients with gastrointestinal cancers, which can result in ED visits, hospital admissions and delays in cancer treatment impacting overall survival. Prior research has explored treatment-related symptoms in older cancer patients and supported the need for patient education strategies to promote symptom management. Patient education tools designed in a stoplight format include three areas with green, yellow and red zones with interventions. The tools have improved management of symptoms and reduced readmissions in chronic diseases. No research studies on oncology patients have been done utilizing a stoplight education tool.

Comparison Of Qt And Qtc Interval Measurements From Bedside Electrocardiograms Between Expert Nurses, Bedside Nurses, And Computerized Measurements: A Pilot Study, Karolina Ho

Theses

Prolongation of the QT/QTc (heart rate corrected) >500 milliseconds (msec) measured on the electrocardiogram (ECG) in hospitalized patients is associated with torsade de pointes (TdP). While some bedside ECG monitors now offer continuous QT/QTc software, agreement of these measurements to bedside and/or expert nurses has not been evaluated. The purpose of this study was to compare QT/QTc measurements between expert nurses, bedside nurses, both using electronic calipers, and continuous computerized measurements.

Implementation Of An Adverse Childhood Experiences (Ace) Screening Protocol For Adults At An Outpatient Medical Psychology Practice: A Dnp Project, Jennifer E. Allain

Dissertations

This DNP project aimed to educate and train staff and providers on ACE screening and implement an ACE screening policy and protocol at an outpatient medical psychology practice. The two expected outcomes of this project, provider knowledge after ACE training and provider compliance with the ACE screening protocol, were measured to determine if a clinical practice change occurred. A paired-samples t-test compared the participants' knowledge of ACEs before and after the ACE educational intervention with a pre/post-test. There was a statistically significant difference in the pre-test and post-test scores. These findings reflected a change in knowledge based on education …

Reducing The Rates Of Hospital-Acquired Pressure Injuries In An Acute Care Hospital, Nana Aisha Nasir-Deen, Roy L. Simpson, Rose Murphree

DNP and Student Works

This project aims to decrease hospital-acquired pressure injuries (HAPIs) in an acute care facility. This objective will be achieved by utilizing the Consolidated Framework for Implementation Research (CFIR) and the Plan-Do-Study-Act (PDSA) model to implement and evaluate the effect of a unit-specific multidisciplinary team on HAPI rates, specifically through increasing patient repositioning compliance.

Daily Rounding To Reduce Catheter-Associated Urinary Tract Infections In A Rehabilitation Facility, Folashade Oluwafunmi

Dissertations

Despite national efforts to reduce catheter-associated urinary tract infections (CAUTIs), healthcare facilities continue to report CAUTI events. The project site reported CAUTI rates above local and national benchmarks even though a CAUTI bundle was in use. The purpose of this quantitative quasi-experimental quality improvement project was to determine if the implementation of daily rounding by organizational CAUTI champions, using the Agency for Healthcare Research and Quality (AHRQ) Comprehensive Unitbased Safety Program (CUSP), would impact CAUTI rates among adult residents in a rehabilitation facility in Northern California for four weeks. Lewin's change theory and the IOWA evidence-based practice model were the …

How Do You Initiate A Weight Discussion With Your Patients?, Alexander Redmann, Rachael Urbaniak, Jessica Neuman

DNP and Student Works

Research shows that many providers feel uncomfortable initiating weight discussions related to fear of sounding judgemental and inexperience in weight counseling. This leads to the failure of healthcare providers to intervene before weight issues become a greater diagnosis. The primary objective for this project is to determine if a screening tool aids providers in initiating weight discussions with patients.

Initiating Weight Discussions In Primary Care, Alexander Redmann, Rachael Urbaniak, Jessica Neuman

DNP and Student Works

Research shows that many providers feel uncomfortable initiating weight discussions related to fear of sounding judgemental and inexperience in weight counseling. This leads to the failure of healthcare providers to intervene before weight issues become a greater diagnosis. The primary objective for this project is to determine if a screening tool aids providers in initiating weight discussions with patients.

Implementation Of Frostbite And Opioid Overdose Response Guidelines At A Warming Center, Kristeljei Baltazar, Rachel Turner

DNP and Student Works

Homelessness is a major crisis within the United States. The instability of the homeless population's lifestyle exposes them to physical and mental health conditions such as frostbite and opioid use. Due to the harsh winter weather conditions in Minnesota, homeless individuals often experience frostbite. In addition, opioid overdoses continue to rise within this community, with numbers doubling each year. The purpose of this project was to increase staff and volunteer knowledge and confidence levels surrounding the response to frostbite injuries and opioid overdoses by implementing guidelines at a warming center for homeless individuals.

Realizing Potential: From Where You Are Today To Where You Can Be, Cora O'Leary

General Webinars

This webinar is designed to help the nurse think about their career path and how to seize opportunities as they come along in their career trajectory. The content will help the nurse reflect on their current work life and help to generate thoughts about the career potential that exists within the profession.

The Impact Of Simulation-Based Learning Experience On Critical Thinking Acquisition, Candice Rome

Dissertations

The purpose of this comparative experimental project was to compare the impact of simulation-based learning experiences to traditional clinical rotations on critical thinking acquisition of associate nursing students within a maternal-child course. Innovative pedagogies have been integrated in nursing programs to augment inadequate clinical placement and instructor availabilities. A longitudinal convenience sample of 45 second year associate level nursing students enrolled in a maternal-child course was utilized. Four experimental groups, 24 students were exposed to an eight-hour simulation-based learning experience in place of one clinical rotation. During the eight hour simulation day, students participated in three various maternal-child centered simulations. …

Development And Evaluation Of A Policy Recommendation For Improving The Palliative Care Experience: A Quality Improvement Project, Cheryl Evans, Melissa George, Jade Jasken, Eleanor Jones

DNP and Student Works

Nature and Scope of the Project: Background: Palliative Care (PC) is the practice of alleviating and preventing symptoms of chronic or life-threatening illness across the lifespan (WHO, 2018). Unlike hospice care, PC can be considered along with curative treatment to focus on symptom management and goals of care to improve the patient's quality of life. An estimated 40 million people worldwide are in need of PC services, with only 14% currently receiving it (WHO, 2018). Objective: To develop a policy recommendation that increases knowledge of PC practices as well as encourages the use of a screening tool to increase necessary …

Experiences Of Associate Degree Nursing Faculty Transitioning To Teach In A Baccalaureate Program, Carleen Joan Graham

Dissertations

In light of the repeated calls for the baccalaureate degree as the required level of entry into practice, associate degree nursing programs are in a precarious position whereby these programs and associated faculty face some very crucial decisions. These decisions include retiring the associate degree nursing program entirely, creating and focusing on baccalaureate programs, and considering which baccalaureate tracks to offer. An issue of concern is the academic leadership's ability to support faculty as they transition to teaching at advanced levels. Few research studies have explored the transition to teaching at advanced levels of nursing education, most specifically, from associate …

Mental Health And Resilience For The Healthcare Professional: A Global Health Advocacy Plan, Mechelle J. Plasse, Aimãƒâ©E Horcasitas

Global Advocacy

The pandemic highlighted the systems inadequate response in protecting the mental health and wellbeing of healthcare professionals; climate instability will further exploit these weaknesses. Investment in proactive measures to ensure psychological readiness in the healthcare workforce remain nonexistent.

Self-Efficacy, Knowledge, And Social Support On Self-Care Among Senior Korean Immigrants With Diabetes, Jung Eun Kim

Dissertations

Diabetes is a prevalent chronic disease that significantly affects morbidity and mortality among senior people. There are diverse ethnic populations in the United States, and Korean immigrants are one of the minority immigrant groups. Many senior Korean immigrants report language inadequacy, lack of social support, discrimination, anxiousness in an unfamiliar environment, and poor economic status. These barriers limit them from accessing adequate health care services and resources. Although self-care is the most important key part in managing diabetes, senior Korean immigrants with diabetes face challenges to perform effective self-care activities related to various barriers. However, studies about related factors on …

Cross-Cultural Adaptation And Validation Of Lung Cancer Screening Health Belief Scale, Fang Lei

Dissertations

Lung cancer is the leading cause of cancer death and the third prevalent disease among Chinese Americans. Lung cancer screening with low dose computed tomography is an effective method to detect lung cancer. Compared to chest X-ray, low dose computed tomography can reduce the mortality rate of lung cancer by 20% in the high-risk smokers. Since 2013, lung cancer screening has been recommended by most health organizations and covered both by private and public insurances. However, the uptake rate of lung cancer screening is still low in the US, and there are few studies on lung cancer screening among Chinese …

Repeating Accelerated Baccalaureate Nursing Courses: A Qualitative Study Of Stories Of Persistence, Catherine Dillinger

Dissertations

Accelerated baccalaureate nursing programs (ABSN) have grown to meet the needs of the health care industry. These short-term programs attract unique groups of learners that have achieved baccalaureate degrees in other disciplines and are recruited to an intense, fast-paced program that differs from a traditional baccalaureate nursing program. The significance of the topic of retaining, assisting, and success of second-degree learners in an accelerated baccalaureate nursing program is critical to the nursing education specialty. Related factors influencing perseverance need to be better understood to improve academic success among ABSN students. The study addressed a gap in the literature pertaining to …

Biomarker, Treatment, And Socio-Demographic Factors Affecting Opioid Use Disorder Treatment Retention, Fernand A. De Los Reyes

Dissertations

Increasing mortality from opioid overdose and low treatment engagement are significant public health concerns. Along with increasing health care and criminal justice enforcement costs, there is an urgent need to study the factors associated with treatment retention in opioid use disorder. The study investigated the relative impact of the biomarker cholesterol on treatment retention in an opioid treatment program (OTP) clinic. Further, it examined the medical comorbidities, treatment, and socio-demographic variables that impact opioid use disorder treatment retention. This study was a secondary analysis of patient health records (n=267) in an opioid treatment program clinic. The study employed a hierarchical …

Factors Associated With New Hospital Nurses' Self-Efficacy In Providing Palliative End-Of-Life Care, Penny Marie Briese

Dissertations

Self-efficacy is defined as confidence in one's competence; the ability to successfully accomplish tasks and achieve favorable outcomes (Bandura, 1997). Many nurses today say they feel their undergraduate education was inadequate for them to feel competent to provide palliative and EOL patient care. (Chiplaskey, 2016; Scherlin & Quinn, 2016; Zheng et al., 2018).). Inadequate EOL preparation also results in nurses experiencing distress, death anxiety, burnout, feeling overwhelmed and leaving practice within just a few years (Friedman et al., 2011; Gaw, 2012; Kovner et al., 2006; Parry, 2008; Silverstein, 2017, November 28; Suzuki et al., 2008; Wilson & Kirshbaum, 2013). This …

Needs Assessment And Mentor Program Development For Sinclair School Of Nursing, Mindy Thompson

DNP and Student Works

An estimated 1.13 million new registered nurses are needed to fill new jobs and replace retiring nurses from 2012-2022. However, the nurse faculty shortage is a primary barrier to expanding the nursing workforce over the next decade. Nurses moving from the clinical setting to the academic setting need preparation, professional growth, and the development of a social network to make the transition a lasting one. Not only do mentoring relationships improve the work environment, but there is also an indication that it improves organizational commitment by achieving a sense of accomplishment, autonomy in their role, support for professional growth, and …

Bridging The Gaps Of Healthcare Inequity And Nurse Well-Being, Kevin Moore, Paulette Sepe, Maricon Dans

Group: American Nurses Credentialing Center (ANCC)

The American Nurses Credentialing Center's Pathway to Excellence® (PTE) and Pathway to Excellence in Long-term Care® programs provide a framework to assist healthcare organizations across the continuum in their pursuit of a positive practice environment. The Pathway standards address the recommendations from the National Academy of Medicine (NAM) report, The Future of Nursing 2020-2030: Charting a Path to Health Equity, released in 2021. Drafted during the height of the global pandemic, the report highlights healthcare disparities in communities and the risks to the well-being of healthcare workers, primarily nurses. This article aims to describe the alignment between the Pathway standards …