Digital Commons Network^™

The Relationship Among Menopausal Knowledge, Stress, And Symptom Management In Southern Rural African American Women: A Developmental Perspective, Susan L. Prather

Dissertations

More than 12.9 million African American women are between the ages of 45 and 54, which is the perimenopausal period. Regardless of the millions of African American women transitioning to menopause yearly, very little information is available about their experiences, and even less is known about how they manage their symptoms.

The purpose of this study was to examine the relationship between menopausal knowledge, stress, and symptom management among rural southern African American women. Researchers have examined menopausal experiences over the last two decades; the majority of health information about menopause is based on studies of middle-toupper-class Caucasian women. Hence, …

Exploring Effects Of Continuous Glucose Monitoring For Patients With Type Ii Diabetes Mellitus, Gerard Christian Nolan

Group: Samford University Moffett & Sanders School of Nursing

The purpose of this project is to evaluate effectiveness of glucose control in patients with T2DM using continuous glucose monitoring (CGM).

The Translation Of Learning About Person-Centredness Into Practice From A Community Nursing Preparation Programme, Caroline Dickson, Vaibhav Tyagi, Julie Churchill, Kristina Mountain

Sigma Foundation for Nursing Research Grant Reports

The study aimed to explore the implementation of learning into practice about person-centredness of post-registration student and qualified community and public health nurses who had undertaken, a professional and educational qualification within a person-centred curriculum framework. Drawing from existing literature, we hypothesised there would be significant positive changes in the knowledge and practice of person centredness in qualified nurses as compared with students. We further hypothesised, these changes will be most prominent in the constructs/domains - clarity of beliefs and values, care processes and care outcomes of the Person-centred Practice Framework (PCPF) (McCormack and McCance 2017).

Nurse As Patient: Individual And System Implications, Karen J. Foli

General Webinars

In this one-hour webinar, participants will be encouraged to consider nurses as individuals in need of care and comfort. Individual/nurse and system-level implications will be discussed, especially as we examine healthcare systems that have increasingly drawn attention to nurse well-being.

Objectively Measured Physical Activity In Surgical Lung Cancer Patients: Feasibility And Acceptability Of A Longitudinal Approach, Weijiao Zhou

Sigma Foundation for Nursing Research Grant Reports

The aim of this study was to 1) determine the feasibility and acceptability of tracking longitudinal PA and its correlates (HRQOL and social cognitive variables), and 2) obtain preliminary estimates of changes in PA before and after surgery.

A Structured Orientation Development System For Nursing Faculty, Dana R. Mangum

Dissertations

A national nursing shortage is nearing its crest. The Baby Boomer generation is begining to retire in record numbers. Healthcare technology is continually evolving and the topography of nursing education is changing. In order to aquire, develop, and retain excellent nursing faculty to meet the ever changing demands, nursing faculty need to be streamlined into the world of academia. A Structured Orientation Development System (SODS) was developed to aid nursing faculty into the transition from expert bedside nurse to expert nursing faculty. A literature review found no evidence of a structured type nursing faculty orientation system. The purpose of this …

Advancing Methods Of Measurement And Education For Communication In Dementia Care, Clarissa Shaw, Lainie Jackson, Katie Knox, Heather Bair

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study was to develop a series of simulations to represent dementia care in the hospital environment and determine if simulation can accurately capture Elderspeak communication in dementia.

Self-Reflection And Insight As Sources Of Resilience For Young Black Men, Kisha Thompson

Sigma Foundation for Nursing Research Grant Reports

Young Black men in America experience increased vulnerability to health disparities due to the continued exposure to oppression in the Black community. This pilot study examined the influence of reflective practices in mitigating adverse health outcomes, specifically looking at the relationships among self-reflection, insight, and resilience in young Black men. Flyers and snowball sampling were used to recruit a sample of young Black men (n = 89) between 18 and 40 from the northeastern United States.

A Phenomenological Exploration Of The Lived Experience Of Military Spouses Of Veterans With Combat-Related Post-Traumatic Stress Disorder, Teresa W. Yambo

Dissertations

A phenomenological study was conducted to explore the essence of the experience of military spouses living with veterans with combat-related Post-traumatic Stress Disorder (PTSD). Husserlian phenomenology was chosen as the theoretical framework because it allowed a deeper understanding of the unfolding o f the spouses' day-to-day experience. A purposive sample of 14 spouses living with veterans with symptoms of PTSD participated in unstructured interviews. Data were analyzed using a modification of Colaizzi's method. Four major themes were identified from data analysis: Recognizing Life is No Longer the Same, Living with Unpredictability, Bearing the Burden, and Creating a New Life. Spouses …

Life Course Review Of Post-Traumatic Stress Disorder Following A Traumatic Brain Injury: Symptom Perception And Patient Outcomes, Tamar Rodney

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study is to assess the life course experience of post-traumatic stress disorder (PTSD) symptoms and the impact on health outcomes in a cohort of Veterans who are traumatic brain injury (TBI) survivors.

Stress, Bullying, Cortisol, And Depressive Symptoms In 9th Grade Adolescents, Susan G. Williams

Dissertations

Stress and bullying are known contributors to depressive symptoms in adolescents. Prevalence of depressive symptoms in adolescents is estimated to range from 13% to 34% in recent studies. Ninth graders are in a transitional period developmentally, biologically, physically, and psychosocially. Few studies have examined the relationship between stress, bullying, and depressive symptoms from a biobehavioral perspective in 9th graders. The purpose of this study was to examine stress, bullying, and depressive symptoms including a biomarker of stress, salivary cortisol diurnal rhythm, to determine if there is mediation between the individual variables of stressful life events, perceived stress, bullying, and depressive …

Virtual Reality Simulation's Influence On Nursing Students' Anxiety And Communication Skills With Anxious Patients, Tanae A. Traister

Dissertations

The incidence of medical-surgical patients with a secondary anxiety diagnosis is increasing, and nurses' feelings of inadequacy in communicating with anxious patients have hindered the therapeutic nurse-patient relationship, negatively impacting patient outcomes. Simulation methods such as high fidelity simulation and standardized patients have decreased nursing students' anxiety levels in caring for anxious patients. However, they face maintenance costs, availability, and consistency barriers. Full immersion virtual reality simulation has demonstrated
success in nonhealthcare and medical education but is limited in nursing education. Nursing students from an associate and bachelor's degree nursing program participated in a full immersion virtual reality simulation anxious …

Development Of A Medication Reconciliation Policy In Outpatient Mental Health Facility, Karen E. Webster

DNP and Student Works

Adverse drug events and medication discrepancies are patient safety challenges for patients and healthcare professionals. Medication errors result in approximately 7000 deaths annually, and adverse drug events harm 1.5 billion people and cost $3.5 billion annually (Dunham & Makoul, 2008). Medication reconciliation can significantly decrease medication errors. "It involves obtaining, verifying and documenting the patient's current medicines and comparing to their medication orders and the patient's condition to identify and resolve any discrepancies" (Duguid, 2012, p. 15). The deliberate time taken to complete medication reconciliation plays a significant role in patient care, along with increasing the quality of care provided. …

Student Nurses' Senior Practicum Experience And Its Role In Transition To Practice, Trilla A. Mays

Dissertations

Newly graduated nurses (NGNs) are not prepared to transition to practice, often leaving practice within the first year. The purpose of this descriptive qualitative study, guided by Meleis' transition theory, was to explore the NGN's perceptions of their senior practicum experience and how the experience prepared them for transition to practice. The Covid-19 pandemic limited recruitment of participants. After extended recruitment efforts, three NGNs were recruited, interviewed using a semistructured interview guide, and recorded using Zoom, which was verified while listening to the recording. The Ravitch and Carl three-pronged coding approach and NVivo was used to assist with the manual …

Mending Minds: Recognizing, Responding, And Resourcing Through The Implementation Of A Novel Leadership Toolkit During The Coronavirus Pandemic, Richard T. Morton Jr.

DNP and Student Works

Nursing burnout and resiliency issues, post-traumatic stress and subsequent turnover associated with the impacts of the novel coronavirus 2019 (COVID-19) threaten to unravel direct patient care as we know it. Utilizing evidence-based literature and developing strategies and tools for direct care leaders to mitigate risks to care delivery and staff turnover and documenting these efforts is a crucial calling for all executive clinical leaders.

Measuring Psychological Safety, High-Reliability (Hro) Perception And Safety Reporting Intentions Among Pediatric Nurses, Lauren Pfeifer

Dissertations

The purpose of this study was to explore the relationships between psychological safety, perception of working in a high reliability organization (HRO) and safety event reporting intentions among pediatric nurses working in acute care.

The quality and safety of patient care is dependent upon nurses to report safety events and near-misses in order to address systems' issues and identify improvement opportunities. To encourage feedback and promote reporting, many health care organizations have adopted the high reliability framework and strategies to promote team psychological safety. A dearth of literature exists on how the pediatric nurse perceives their workplace. This study addressed …

Discrimination, Health, And Vaccine Acceptance Among Chinese, Korean, And Vietnamese Americans Amid Covid-19, Angela Chia-Chen Chen, Seungyoung Han, Wei Li, Lihong Ou

Sigma Foundation for Nursing Research Grant Reports

The racialization of COVID-19 in the United States contributed to a sharp increase in anti-Asian discrimination and violence against Asian Americans (AA). Little research has been conducted to understand how Asian Americans were affected by heightened levels of racial hostility during the COVID era. Guided by the Vulnerable Populations framework (Flaskerud & Winslow, 1998), this study aimed to explore the mental health outcomes during the pandemic and how these were mediated by resource availability (individual resilience, community mitigation, prevention knowledge) and relative risk (perceived risk of infection, fear of COVID-19, discrimination).

The Development And Testing Of An Instrument To Measure Decision Making In Emergency Department Triage Nurses, Kelly J. Cone

Dissertations

An emergency department may be the initial entry site for health care for the critically ill client; the triage nurse is the frontline provider to prioritize care. Decision-making skills are important in the accurate direction of client care. To date, no published research was available about triage nurses' decision-making skills in the triage setting. The conceptual frameworks for this study were diagnostic reasoning and Benner's theory of novice to expert.

Nurses Suffering In Silence: Addressing The Stigma Of Mental Health In Nursing And Healthcare, Cynda Hylton Rushton, Katie Boston-Leary

Group: American Nurses Credentialing Center (ANCC)

Prior to the pandemic, there were alarmingly high numbers of healthcare professionals suffering from burnout, with some studies indicating numbers as high as 45 to 55%. Burnout remains an enigma that's difficult to define adequately and accurately. It has been described as a "basic tenet of fatigue" and "the intolerance of any effort," or as a combination of the inability and the unwillingness to expend the necessary effort at work for proper task completion, leading to lack of energy, reduced commitment, or disengagement.

Examining The Effectiveness Of Virtual Instruction For Medication Administration Skill Acquisition In Prelicensure Nursing Students, Jenna E. Davis

Dissertations

To better meet student needs, nurse educators must explore alternatives to traditional educational approaches that will accommodate student needs while still providing essential instruction and feedback for students. Virtual skills instruction is one flexible option for practicing the clinical skill of medication administration, but the effectiveness in developing skill acquisition is not known. The influence of students' self-efficacy as well as personal and professional factors such as healthcare experience and nursing program type are also unknown.

The purpose of this study was to describe the medication skill acquisition of prelicensure nursing students who participated in virtual medication skill instruction at …

Keto Prescribed, Audra Hanners

Sigma Foundation for Nursing Research Grant Reports

The purpose of this project, Keto Prescribed, was to implement research evidence of a ketogenic diet into clinical practice through a nurse practitioner (NP)-led interdisciplinary health coaching team approach and evaluate outcomes on CVD risk factors and health related quality of life in overweight, adult African American women. The primary objective of this project was to measure the improvement in Keto Prescribed participants physical CVD risk factors. Our second objective is to measure the improvement in health-related quality of life, both mental and physical health of Keto Prescribed participants. Our last objective is to measure the feasibility and acceptability of …

The Covid-19 Experience: An Intensive Care Nursing Perspective, Adrianna L. Watson

Dissertations

In December 2019, a new virus reared its head and within a matter of months demanded the attention of the world as health care was challenged to full capacity. Frontline healthcare workers struggled to care for the patient after patient with limited knowledge of pathophysiology, risk of contagion, and resources. As the waves of patients became increasingly critical, the task of everyday human connection and care, as well as extraordinary life-saving measures, fell upon the shoulders of intensive care nurses. Little is known about how these nurses understand their experiences caring for patients with the novel coronavirus, or how their …

The Effect Of A Specific Teaching Intervention On The Perceptions Of Self-Regulation In Undergraduate Baccalaureate Nursing Students In Saudi Arabia, Zahra Alnasser

Dissertations

Self-regulation is an important aspect of learning. Students who are capable of self-regulation, plan self-monitoring at different points during the process of knowledge acquisition to increase their likelihood of success and knowledge retention. Using self-monitoring, self-instruction, and self-evaluation processes enables students to become decisive in their learning. Previous studies have confirmed that self-regulated students have great success in college courses, and provided evidence for the positive benefits of self-regulation interventions. Still, nursing education lacks empirical research that focuses on self-regulation quality. The current study explored individual differences in third and fourth-year nursing students' perceptions of self-regulation profiles in Saudi Arabia …

Career Mobility Among Immigrant Registered Nurses In Canada: Experiences Of Caribbean Women, Enid M. Collins

Dissertations

Since the late 1950s, the Canadian nursing workforce especially during periods of nursing shortage has added to its numbers through immigration. Changes in immigration laws since the 1960s have opened doors for increased numbers of immigrants from Asia, Africa, and the Caribbean coming to work in Canada. This qualitative research study investigated the experiences of immigrant women from the Caribbean who are registered nurses (RNs) in Canada. There has been no previously published studies that documented experiences of immigrant women of colour related to career mobility in nursing.

Exploring The Impact Of Simulation Anxiety On Clinical Judgment For Nursing Students, Janet M. Reed

Dissertations

Research literature provides evidence that new graduate nurses are often deficient in clinical judgment (CJ). One way to increase CJ is by using simulations. However, the literature is replete with descriptions of the high anxiety that simulation triggers. It is not currently known how anxiety in simulation affects clinical judgment for undergraduate nursing students. Therefore, the purpose of this study was to explore the effect of different types of anxiety on the clinical judgment of undergraduate nursing students in simulation.

This research project used a one-group repeated measures quantitative design to answer the research questions using the conceptual framework of …

Policy And Procedure Development For Depression Screening Days In Undergraduate College Students, Ari E. Erola-Nelson

DNP and Student Works

Depression is a prevalent condition in college students. A survey completed at the project setting found approximately 33.6% of students had been diagnosed with depression in their lifetime. The aim of the project is to create a policy and procedure for a college on the topic of depression screening in undergraduate college students, to initiate the college's campus-wide screening program.

Implementation Of An Evidence-Based Suicide Prevention Program For A Primary Care Network Of Clinics In Rural Appalachia, Christine Mullins, Teresa Carnevale

Sigma Foundation for Nursing Research Grant Reports

The purpose of this project was to increase the early identification of suicidal ideation in patients in the primary care setting and promote prompt referral to a behavioral point-of-care contact by implementing an evidence-based protocol. The main objectives of the project were to provide provider education regarding suicide assessment and prevention, increase the point-of-care referrals to behavioral health services and encourage improved communication between primary care providers and behavioral health specialist.

Keeping Nurses In Nursing: Service-Learning As A Means To Enhance Grit, Caitlin M. Lofton

Dissertations

Retention of nurses is a major concern for the profession, especially in light of the nursing shortage; specifically, new graduate nurses are particularly susceptible to this phenomenon. While there are many causes for turnover and attrition within the profession, nurse burnout has been indicated as a central cause. As such, researchers have dedicated much energy and focus into pinpointing approaches that may mitigate the effects of burnout, turning to grit as a possible solution. However, research on grit in nursing is limited, with even less being included on how this trait can be developed. Nevertheless, researchers agree that strategies for …

The Effect Of Implementing A Cultural Change Toolkit On Burnout Among Emergency Nurses, Isabella Nassif

Dissertations

Burnout continues to be a significant problem that negatively affects healthcare providers, especially nursing staff in acute care settings, such as the emergency department. Burnout is the state and experience of continued and prolonged exposure to depersonalization, loss of motivation, emotional exhaustion, and reduced personal accomplishment (Harris & Griffin, 2015; Hutson Hendy, 2016). Burnout is manifested through depersonalization, having a loss of compassion and concern, a decreased sense of personal accomplishment from work, and emotional exhaustion from feeling emotionally drained (Li et al., 2018). The literature on burnout lacks a systemic analysis of evidence-based interventions that can mitigate burnout among …

Perceptions Of Instructor Caring Behaviors Between English As A Second Language And Non-English As A Second Language Nursing Students, John C. Dike

Dissertations

English as a second language (ESL) nursing students have a significantly higher attrition rate and lower National Council Licensure Examination (NCLEX) pass rate than their non-ESL counterparts. Instructor caring behaviors (ICBs) are the ways nursing instructors treat students with respect, taking care to avoid prejudices, stereotyping, and judgments in the teaching-learning process which present prelicensure faculty to grapple with the challenge of effectively meeting the learning needs of both ESL and non-ESL students. The purpose of this cross-sectional, comparative study, guided by Watson's theory of human caring, was to explore the differences in perceptions of ICBs between ESL and non-ESL …