Digital Commons Network^™

Trick Or Treat? The Systemic Effect Of Diabetes Cause By Oral Disease, Audrey P. Miller

General Webinars

The goal of this presentation is to educate nurses and nursing professionals on the significance of preventive oral healthcare behaviors that contribute to reducing the incidence of oral disease as the causal factor of systemic infections, inflammatory injury, and end-organ damage.

Recommended Steps To Implement A Mobile Or Pop-Up Clinic, Kerry Young

DNP and Student Works

This manual was developed as a guide for nurses and other healthcare professionals who desire to implement a mobile or pop-up clinic in their communities. While it does not contain every little detail that goes into a community assessment or the planning, implementation and evaluation of a non-traditional clinic, this manual serves as a quick reference to ensure a non-traditional clinic has a solid foundation for operations.

Sleep Disruption And Delirium In Critically Ill Children, Laura Beth Kalvas, Tondi M. Harrison, Mary Beth Happ

Sigma Foundation for Nursing Research Grant Reports

The purpose of this observational, repeated measures pilot study was to develop a measurement framework that illustrates the relationship between modifiable characteristics of the PICU environment (e.g., light and sound exposure, caregiving patterns), sleep disruption, and delirium in young, critically ill children.

Multi-Level Peer-To-Peer Engagement: Using Simulation To Facilitate Intercultural Development In Undergraduate Nursing Students, Gina Fieler, Jitana Benton-Lee, Shawn Nordheim, Traci Freeman, Lisa Cuntz

Sigma Foundation for Nursing Research Grant Reports

This research study aims to determine the effects of simulation education on intercultural development.

Informal Advance Care Planning With Family In Blacks On Dialysis, Marlena C. Fisher

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study was to examine the relationships between personal factors (illness perception, expectations of end stage renal disease and dialysis treatment), interpersonal factors (religiosity, spirituality, and social support), and structural factors (health literacy and trust in healthcare) and whether Blacks with ESKD on dialysis engage family in informal ACP.

Prep Initiation In The Primary Care Setting: An Integrative Review, Tia L. Harper, Sharon Leslie

DNP and Student Works

Guideline-driven initiation of pre-exposure prophylaxis (PrEP) is a safe and effective strategy for reducing the incidence of human immunodeficiency virus (HIV). Yet, PrEP initiation is generally inadequate allowing for a persistently high HIV prevalence in the United States. The aims of this integrative review were to identify and examine barriers contributing to suboptimal PrEP prescribing by primary care providers (PCPs), establish which practice-based intervention(s) are most effective in improving PCP PrEP prescribing practices, and guide implementation of such intervention(s) via hypothetical case study provision. Review objectives were intended to result in answering how implementing practice-based interventions affects PCP PrEP prescribing …

Examination Of Badges To Increase Nursing Student Engagement: A Quasi-Experimental Study, Sharon C. Moritz

Dissertations

Finding ways to help nursing students understand the application of didactic content can be challenging for faculty. One challenge faculty face is motivating students with thought provoking and memorable content using traditional methods. Educational games and gaming attributes have been shown to affect student motivation and support learning. The aim of this study was to gain knowledge, filling a knowledge gap, regarding which gaming attributes motivate nursing students to become engaged in course content that is not graded. Badges were used as a reward system to examine if nursing students would complete an increased number of non-graded case studies, and …

Caregivers Of A Child With Autism In South Florida: A Phenomenological Study, Marline Whigham

Dissertations

Autism spectrum disorder (ASD) is now well known and is being diagnosed more frequently than years ago. According to the Centers for Disease Control and Prevention in 2017, the combined estimated prevalence of ASD is 14.6 per 1,000 (1 in 68). Estimated prevalence among children age 8 was significantly higher among boys (23.6 per 1,000). ASD is a complicated and challenging disorder for every caregiver, health care providers, schools, and the overall community. However, caregivers of children with ASD receive little support. Little is known about what support is available for caregivers; not much research is available on how to …

Development Of A Comprehensive Professional Development Program For Salem State College School Of Nursing Faculty With A Plan For Implementation And Evaluation, Kathleen L. Skrabut

Dissertations

The purpose of this applied dissertation project was to identify the elements of a comprehensive professional development program and apply that knowledge to the development of an institutionally-specific program for Salem State College School of Nursing (SSCSON). On-going program evaluation at SSCSON indicated that professional development needs, accreditation requirements, and strategic planning goals related to faculty development were not currently being met at the school.

The Nursing Classroom Climate: Cooler For Traditional-Age Students Who Are Male, Marietta J. Bell-Scriber

Dissertations

The purpose of this study was to describe the nursing classroom climate and the perceptions and experiences of traditional-age student nurses who are male as they relate to the nursing classroom. A qualitative research procedure in the form of a case study was used to answer the descriptive research questions: (a) What is the classroom climate for traditional-age students who are male? (b) If an inequitable or sex-biased classroom environment is found to exist for traditional-age student nurses who are male, what are the nursing faculty behaviors that contributed to this environment? (c) If an inequitable or sex-biased classroom environment …

The Impact Of Structured Orientation On Role Transition And Turnover Intentions Of Advanced Practice Registered Nurses, Nadege Jules

Dissertations

The first year of transitioning from being an expert nurse to embracing the role as an Advanced Practice Registered Nurse (APRN) is challenging. The literature identifies a gap in APRNs transition to practice support in the new role. The impact of structured orientation on role transition and job turnover intentions of novice Advanced Practice Registered Nurses in their first APRN position is warranted and have not been addressed.

The purpose of this nonexperimental, correlational study was to investigate the impact of structured orientation on role transition and job turnover intentions of novice Advanced Practice Registered Nurses in the United States …

Nursing Patterns Of Knowing In Assessment Of Newborn Sepsis, Lorraine B. Rubarth

Dissertations

Sepsis is a devastating, life-threatening disease and a major problem for many newborns; it develops rapidly and requires expertise to identify the early, subtle signs to prevent death or disability. Evidence from nursing practice and philosophic inquiry indicates that nurses use diverse ways of knowing in their assessments. The purpose of this research was to address research questions concerning two areas: 1) Neonatal Intensive Care Unit (NICU) nurses' patterns of knowing in the assessment of infants with sepsis as related to dimensions of nursing practice; and 2) Test the psychometric properties of the Newborn Scale of Sepsis (SOS) as a …

Emotion Regulation Intervention To Sustain Physical Activity In Rural-Dwelling Women And Men After Myocardial Infarctions, Kelly Wierenga

Sigma Foundation for Nursing Research Grant Reports

This proposed 2-group, randomized, controlled pilot study is to evaluate preliminary efficacy of a nurse led, theoretically based emotion regulation intervention (POWER) remotely to improve MVPA among a vulnerable group of survivors of MI living in rural areas of southern Indiana.

A Beginning Look At The Effect Of Age On Dyspnea, Physical Functioning And Self-Efficacy For Home Walking And Managing Shortness Of Breath In Adults With Chronic Obstructive Pulmonary Disease (Copd), Lynda A. Mackin

Dissertations

Chronic illness is common in older adults and is associated with functional impairments. Older adults with chronic obstructive pulmonary disease (COPD) face both age-related and disease-related decline in pulmonary function. Dyspnea, also referred to as shortness of breath, is a major symptom in COPD and progressive dyspnea is associated with decline in physical function. Aging, chronic illness and a decline in physical function can compromise the individual's confidence, also known as self-efficacy, for performing physical activities. Chronic disease self-management programs for COPD that include an exercise program have been reported to improve functional status, decrease dyspnea and improve self-efficacy for …

The Experience Of Transitioning To The Caregiving Role For A Family Member With Alzheimer's Disease Or A Related Dementia, Kathleen E. Czekanski

Dissertations

Alzheimer's disease is a chronic, debilitating disease that currently affects approximately 5.1 million Americans (Alzheimer's Association 2007). The majority of these individuals are being cared for at home by family caregivers who are known to suffer from more depression and burden than any other group of caregivers. The purpose of this hermeneutic phenomenological study was to explore the lived experience of transitioning to the role of caregiver for a family member with Alzheimer's disease or a related dementia.

Nursing Candidates' Perceptions Of The Greatest Challenges To Becoming A Professional Nurse, Lee Ann Williams

Dissertations

Nursing candidates' overall goal is to become a professional nurse. To reach this goal, the student must graduate from an associate or baccalaureate nursing program and pass the state board, National Council Licensure Examination (NCLEX). Student retention in nursing programs and passing the NCLEX continue to be a problem for educational institutions throughout the United States. The purpose of this study was to examine nursing candidates' perceptions of their greatest challenges in becoming a professional nurse. Wenger's social learning systems and the community of practice comprised the conceptual framework that guided this study. The research questions pertained to nursing students' …

Program Effectiveness Of A New Nurse Mentorship, Jennifer Malig

Dissertations

Nurses are leaving the bedside at alarming rates impacting healthcare organizations. It is well documented the need will surpass demands increasing strain and stress for already struggling healthcare facilities and team members. After reviewing literature for reasons for increases and ideas to decrease nursing turnover, it was discovered new nurses leave the profession within their first year. According to the 2021 NSI National Health Care Retentions and RN Staffing Report, since the COVID-19 pandemic, rates of nurses leaving the bedside has increased to 19.5%.

A new nurse mentorship began July 2022. The goal of the program was to increase new …

Factors Affecting Self-Efficacy In Caregivers Of Latina Breast Cancer Survivors, Megan C. Hebdon

Dissertations

Informal caregivers provide the bulk of care to individuals with chronic diseases, including cancer. There were 2.8 million informal caregivers of cancer survivors in the United States in 2015. Informal caregivers are vulnerable to poor physical and emotional consequences related to their caregiving role. Caregivers of Latina breast cancer survivors have additional risks related to social determinants of health, which may be attenuated through increased caregiver self-efficacy. Therefore, the purpose of this study is to evaluate a moderating model of self-efficacy in caregivers of Latina breast cancer survivors between acculturation, spiritual wellbeing, and social support and global health and depression.

The Innovative Patient-Centered Case Study Model: Cbv Protocol For Autologous Hematopoietic Stem Cell Transplant, Jean Coffey, Lisa Wesinger, Carissa Morton, Judi Gentes, Jennifer Holl, Ashley Prokopik, Sara Cooke, John M. Jr. Hill, Elizabeth B. Mcgrath, Thomas Lawrence Long

General Submissions: Presentations (Oral and Poster)

The purpose of this study was to explore the lived experience of individuals undergoing bone marrow transplant and to explore the lived experience of caregivers of patients undergoing bone marrow transplant.

Ericksonian Hypnotherapeutic Approaches In Chronic Care Support Groups: A Rogerian Exploration Of Power And Self Defined Health Promoting Goals, Dorothy M. Larkin

Dissertations

In Martha E. Rogers' Science of Unitary Human Beings the purpose of nursing is to promote the health and well-being of all people. Health in Rogerian science is viewed as eudaimonistic, evolving well-being which involves actualizing desired health promoting potentials with power as knowing participation in change. This study examined how traditional and Ericksonian hypnotherapeutic support groups facilitated self defined health promoting goals and power as knowing participation in change for 49 participants with chronic physical illness.

Exploration Of Two Methodologies For Measuring Clinical Judgment In Baccalaureate Nursing Students, Marlene W. Call

Dissertations

Senior nursing students need a requisite level of preparedness to safely care for an acutely ill, complex patient once they graduate and become independent clinicians. This level of preparedness may be evaluated by measuring clinical judgment (CJ) with the Lasater Clinical Judgment Rubric (LCJR). The LCJR contains 11 indicators that represent the actions and behaviors necessary for demonstrating CJ. Two methods of simulation, high fidelity patient simulation (HFPS) and objective structured clinical examination (OSCE), replicate the healthcare environment so students may safely demonstrate clinical skills without harming an actual patient. The purposes of this study were to 1) explore the …

The Lived Experience Of Veteran Medics Entering A Baccalaureate Nursing Program, June L. Llerena

Dissertations

In 2017, 755,479 veterans received Post 9/11 GI Bill benefits to attend higher education (VA, 2018). For many returning veterans a rapid transition from military life to student life not only creates academic barriers but also increases stress (Bagby et al., 2015). Studies focusing on transition found 51% of Post 9/11 veterans experienced difficulty transitioning into civilian life (Anderson & Goodman, 2014). Additionally, combat veterans have reported experiencing greater social isolation and emotional struggles compared to non-combat veterans (Bagby et al., 2015). Schonfeld et al. (2015) studied general student veterans and found that: 34.5 % had severe anxiety, 23.7% had …

It Takes A Village To Put Food In The Bank: Changing Food Insecurity In Our Community One Patient At A Time, Ebony M. Samuel-Bakpessi, Beth Post, Nicole Dugan, Christopher Costello, Dionne Johnson, Tanya Camacho, Sadhana Subramanian, Nicole Sewell, Sharon Geidel, Magon Moncrieffe, Shelly Massimilla

General Submissions: Presentations (Oral and Poster)

The aim of this evidence-based practice project is to implement and evaluate a training program for healthcare personnel that will assist in identifying patients who are food insecure and increase food security.

The Relationship Among Maternal Characteristics, Maternal Dietary Self-Regulation, And The Dietary Intake And Body Weight Status Of Two To Five-Year-Old Children, Andrea Bushaw

Dissertations

Eating preferences and practices are established early in life, yet we have little knowledge about how mothers make food decisions on behalf of their children. These decisions, however, lay the foundation for their child's lifelong food preferences and eating behaviors. Almost one-third of all children in the U.S. are overweight or obese putting them at high risk for becoming an overweight or obese adult. To make a difference in the ongoing obesity epidemic, we must better understand the relationship among characteristics of the mother who controls the young child's access to food, food choices, and feeding practices. This knowledge will …

A Decision Tree Simulation For Student Peer Support: Coping Strategies To Referral Options, Ronnie Ann Knabe

Group: Samford University Moffett & Sanders School of Nursing

The purpose of this planned project is to develop a decision tree simulation to teach nursing students to provide peer support for sharing coping strategies and identify signs of mental distress for referral to mental health professionals. Thus, reducing the negative effects of stress and increasing success in the Bakersfield College associate degree nursing program.

Nursing Students' Self-Efficacy To Care For Older Adults In Acute Care Settings In Ghana: A Mixed Method Study, Diana Abudu-Birresborn

Dissertations

Self-efficacy has been reported to serve as a motivator for goal achievement and to impact care quality and career development choices. Understanding nursing students' self-efficacy to care for older adults can provide an opportunity to identify gaps and develop strategies to shape nursing students' interest in caring for older adults. This study sought to identify the relationship between nursing students' knowledge about, attitudes towards, and self-efficacy to care for older adults and explored nursing students' understanding of their self-efficacy to care for older adults. The study also examined stakeholders' perceptions about nursing students' self-efficacy to care for older adults and …

Evalution Of Peripheral Neuropathy Among Childhood Cancer Patients, Deborah R. Lee

Dissertations

The principal toxicity for children who receive vincristine for the treatment of acute lymphocytic leukemia (ALL) is peripheral neuropathy, with symptoms that negatively affect physical function and may require the reduction or withdrawal of chemotherapy; even though cumulative dosing has not been shown to increase peripheral neuropathy. This population not only has to deal with the physical challenges of cancer but also can have psychosocial and cognitive effects from treatment. Utilizing secondary analysis, the purpose of this dissertation is to examine peripheral neuropathy (PN) trajectory during the second year of ALL treatment which has not been investigated in children receiving …

Improving Nurse Mentor Retention Through The Use Of Nurse Residency Programs, Morgan Newman

Dissertations

Graduate nurses beginning their nursing career require a collaborative relationship with an expert nurse mentor to make this transition successful. However, high turnover among these experienced nurse mentors is causing a problematic gap in knowledge transfer, experience, and expertise in the nursing workforce. This project investigated whether nurse mentors who mentored in a Nurse Residency Program (NRP) remained with the organization longer and were more satisfied with their mentoring experience than nurse mentors who mentored outside of a NRP. The diffusion of innovations theory was used to support the project and process of dispersing information on the outcome of the …

Fatigue, Self-Efficacy For Physical Activity, Physical Activity, And Quality Of Life In Women With Breast Cancer, Barbara K. Haas

Dissertations

This descriptive correlational study was conducted to examine the direct and indirect influences of fatigue, self-efficacy for physical activity, and physical activity on quality of life (QOL) in women with breast cancer. Relationships among these variables were compared between women with breast cancer and a comparison group of women. A theoretical model, philosophically congruent with a health within illness perspective and generated by integrating selected concepts from Pender's Health Promotion Model and Bandura's Social Cognitive Theory, was used to guide the study. Instruments used to measure study concepts included the Piper Fatigue Scale to evaluate fatigue; a researcher developed Physical …

Influence Of Perceived Parental Alcoholism, Stimuli, Coping, And Adaptation On Children's Alcohol Consumption, Angelica Susana López Arellano, Karla Selene López García, Frederickson Keville, Rosa Marí­A Díaz Hurtado

General Submissions: Presentations (Oral and Poster)

When parents (father and/or mother) present problematic alcohol consumption in the family, their children usually have negative health responses, affecting their lives; however, not all of these children present these negative responses. In Mexico there are regulations, norms and health programs that protect adolescents from alcohol consumption because they are minors, but despite this, the prevalence of alcohol consumption in them continues to rise and the onset of alcohol consumption occurs at increasingly younger ages, so it is important to study the family variables that influence alcohol consumption and their lives, especially those of the parents.