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Reach, Implementation, And Effectiveness Of A Tuberculosis Preventive Therapy Intervention In Rural South Africa, Brittney Van De Water, Isabel Fulcher, Karl Le Roux

Sigma Foundation for Nursing Research Grant Reports

In this study, we will assess the reach, implementation, and effectiveness of a nurse-led home based intervention designed to deliver tuberculosis (TB) preventive therapy.

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 …

Influences Of 12-Hour Shifts On Unhealthy Eating Habits Of Acute Care Nurses, Ruth Sawdy

Dissertations

Shift work is a necessary part of a nurses' work schedule to patients who need 24 hours of continuous care. Eating habits of nurses are influenced by working long hours, not having adequate time to take a meal break, and not having access to healthy food choices which can cause stress and exhaustion and results in weight gain and obesity. The purpose of this quantitative logistic regression analysis, guided by the health belief model and the theory of planned behavior, was to determine if there was a relationship between shift work and the unhealthy eating habits/obesity rates of acute care …

Choices Related To Maximizing Quality Of Life At End Of Life, Theresa Lynn

Dissertations

Humans, including those residing in the United States, can live in denial of their own mortality. Because of this, futile care is sometimes provided, often at great monetary expense and for little or no return in terms of quality or length of life. At least two opportunities exist for making choices regarding care at the end of life in the U.S.: completing advance directives and choosing hospice care.

[Excerpt From] Ethical Case Studies For Advanced Practice Nurses: Solving Dilemmas In Everyday Practice, Amber L. Vermeesch, Patricia H. Cox, Inga M. Giske, Katherine Roberts

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Ethical Case Studies for Advanced Practice Nurses, which is provided free of charge by the publisher.

About this book:

Ethical Case Studies for Advanced Practice Nurses improves APRNs' agility to resolve ethical quandaries encountered in primary care, hospital-based, higher education, and administration beyond community settings. Through case studies examining various types of ethical conflicts, the authors empower APRNs and students with the critical knowledge and skills they need to handle even the most complex dilemmas in their practice. By applying a set of criteria and framework, this book guides APRNs to …

Maintaining Yoga Practice For Diabetes Control And Prevention, Gina K. Alexander

Dissertations

Type 2 diabetes mellitus affects millions of individuals, representing a vast burden of disease for the national health care system. Yoga practice has demonstrated potential for diabetes control and prevention, yet few yoga-based studies explore factors affecting maintenance of yoga practice over time.

The purpose of this study was to explore factors influencing the maintenance of yoga practice over time, to clarify the relationship between the social environment and yoga practice, and to examine the influence of a yoga intervention over time on the physical activity of adults with or at risk for type 2 diabetes.

The Lived Experience Of Parents Of Children With Special Healthcare Needs On Public And Private Insurance: A Phenomenological Study, Regine P. Reaves

Dissertations

Due to recent advances in medical technology, the number of children with special healthcare needs (CSHCN) is steadily growing in the United States. CSHCN comprise more than 40% of overall healthcare costs nationwide, even though this group is only comprised of 16% of the U.S. child population. There are significant differences between private and public health plans in terms of cost, adequacy, and parent satisfaction. As an added benefit, some public and private health insurance plans offer nursing care coordination (or nursing case management) services. The purpose of this study was to understand the experiences of parents of CSHCN enrolled …

Cultivating Psychological Safety Through Clinical Supervision, Jess Sainsbury, Tony Butterworth, Niki Simbani, Liz Walsh, Joanne Bosanquet

General Webinars

Workplace cultures which are underpinned by psychological safety offer an environment for authenticity, honesty and most importantly safety. Employees feel that they can share their concerns, disclose their non-conventual opinions and admit to mistakes without fear of punishment or judgement. Growing evidence supports the association between psychological safety and excellent outcomes for employee wellbeing, efficacy of teams and most importantly quality of care for the people in recipe of health services. One forum which has potential to foster and promote psychological safety is clinical supervision.

Clinical supervision offers a facilitated reflective thinking space. It can be provided in groups or …

Adolescent Depression: Experiences And Meanings Of Being Parented And Parenting, Terri Jean Farmer

Dissertations

Major depression affects up to 40% of U.S. adolescents in mild to severe forms, compromising emotional, academic, and relational functioning, including that of interacting with parents. The purpose of this study was to explore the parent-adolescent relationship during an episode of depression in order to elucidate the adolescent experience of being parented and the parental experience as it contributes to the context of the adolescent. Research questions included: 1) What are the depressed adolescent's meanings and experiences of being parented? 2) How do the meanings and experiences of parenting contribute to the context of the lifeworld of the depressed adolescent? …

The Lived Experiences Of Minority Nursing Students: Perceived Barriers To Success, Strategies For Success, And The Role Of Grit, Sherry Ann Koenigsman

Dissertations

The education and graduation of minority nursing students is needed to meet the healthcare needs of the people of the United States. However, more minority nursing students are lost to attrition than are white students. The purpose of this study was to seek to understand, from the perspective of the minority nursing students themselves, what barriers they face, their strategies for success, and the role grit plays in their nursing school journey.

Predicting The Nclex-Rn Pass Rate At An Associate Degree Nursing Program, Dawne Devoe Olbrych

Dissertations

The National Council Licensure Examination for Registered Nurses (NCLEX-RN) firsttime pass rate for an associate degree in nursing (ADN) program was below the national mean, presenting a problem for graduates who failed the NCLEX-RN and could not enter the workforce as registered nurses. Knowles's assumptions of adult learning, Ebbinghaus's forgetting curve, and Zull's neuroscience research served as the theoretical frameworks for this study. The purpose of this study was to identify which academic and time-lapse variables predict the graduate's first-time passage for the NCLEX-RN. Archived academic records and NCLEX-RN results for all 786 graduates from one ADN program who took …

An Examination Of The Influence Of Select Non-Cognitive Variables On The Intention Of Minority Baccalaureate Nursing Students To Complete A Baccalaureate Nursing Program, Dena B. Evans

Dissertations

On college and university campuses nationwide, understanding the phenomenon of student retention has become an institutional imperative. The loss of any student is costly to a college or university, resulting in considerable financial loss (Siedman, 2005). For some programs of study, such as nursing, retention is paramount, not only for the institution but for the communities which are served by its graduates. Moreover, retaining minority nursing students is of particular importance because it holds the key to the resolution of a long-standing absence of minority representation in the nursing profession, the nursing shortage and the elimination of health disparities among …

Interventions For Preventing And Solve Bullying In Nursing: A Scoping Review, Corina Elena Luca, Alessia Sartorio, Loris Bonetti, Monica Bianchi

General Submissions: Presentations (Oral and Poster)

The aim of this scoping review is to summarise different research evidence and to understand whether there are interventions that enable the prevention and resolution of bullying in nursing in health care settings and to collate a synthesis of knowledge on this topic.

Clinical Impact Of Nursing Leadership: A Scoping Review, Antonio Palermo, E. Cheda, S. Cavatorti, L. Bonetti, M. Bianchi

General Submissions: Presentations (Oral and Poster)

In Switzerland as well as many other countries, the role of the Clinical Nurse Specialist (CNL/CNS) can be seen within the skill mix, whose leadership is oriented towards patient care at the bedside. To disseminate knowledge about the role and evaluate the possible impact on organizational and clinical practice, a review of the literature was performed based on the question: What impact does Clinical Nursing Leadership have on the quality of patient care?

Training And Education For Advanced Community Care Nurses, Cora O'Leary

General Submissions: Presentations (Oral and Poster)

The aim of this research was to identify training and education needs for advanced community care teams supporting children and young people with complex healthcare needs.

Governance: The Role Of Nursing In Sustaining Global Health, Rita Munley Gallagher

General Submissions: Presentations (Oral and Poster)

This session explores the concept of governance and highlights professional practice model components. Care delivery models give nurses responsibility for provision of patient care, yet they are often without voice. Selected aspects of the ways in which nursing governance gives voice to nurse leaders as they work to deliver sustainable results will be detailed.

Creating A Web-Based Empathy Education Tool For Nursing, Dawn M. Gubanc-Anderson

General Submissions: Presentations (Oral and Poster)

Oncology nurses face many challenges in our current healthcare system. Some of the most noticeable include an increase in medication errors, escalating costs, and a lack of healthcare provider compassion. When patients do not experience empathy in the healthcare setting, they miss opportunities to build a therapeutic relationship with their provider and may experience additional pain and anxiety. Such challenges have the potential to create a patient experience that is both dehumanizing and dissatisfying.

Transition Needs, Challenges, Satisfaction, And Support Strategies Of Newly Hired Nurses In The Clinical Setting, Ric-An Artemio S. Gadin

Dissertations

With a looming shortage of nurses in the global scenario, there is a deep concern to address the transitioning of newly hired nurses to become skilled nurses who can deliver essential health services without compromising the safety and effectiveness of patient care. There is an urgent need to effectively prepare these new nurses for the transition to bedside clinical practice. This prompted the researcher to identify the transition needs, challenges, satisfaction, and support strategies of newly hired nurses in the clinical setting. This study utilized a descriptive method of research using a validated self-constructed survey questionnaire to elicit responses from …

Health Literacy-Based Heart Failure Self-Care Intervention (H2lit), Maan Isabella Cajita, Karen M. Vuckovic, Spyros Kitsiou, Nathan Tintle, Susan L. Dunn

Sigma Foundation for Nursing Research Grant Reports

The purpose of the project was to develop the web-based H2Lit intervention and test the usability of the H2Lit intervention using an iterative user-centered approach.

Policy Knowledge Communication In Nursing, Curtiss J. Vavra

Dissertations

Evidence-based practices in nursing improve patient outcomes, decrease healthcare costs, and can be implemented with policies and procedures. However, there is limited literature describing how nurses acquire policy knowledge, the dissemination of which may require a significant investment of resources by a hospital. The purpose of this study was to learn more about how nurses obtain policy knowledge. Rogers's diffusion of innovations theory guided the examination of communication channels and how they relate to the formation of policy knowledge. The research questions were designed to gather information on the relationship of policy communication channels, demographic factors, and the frequency of …

Nursing Program Leaders' Perceptions Of Interprofessional Education And Curriculum Practices Within Pre-Licensure Baccalaureate Nursing Education, Michelle R. Gierach

Dissertations

The national emphasis on interprofessional education (IPE) within health professions education is causing widespread curriculum reform across the nation. As individual schools are reforming their curricula, it is important to assess if the curricular approaches institutions are taking to integrate IPE into pre-licensure baccalaureate nursing education align with effective practices that have been demonstrated by research. This study focused on gaining an understanding of perceptions and characteristics of IPE within the Interprofessional Education for Collaborative Patient-Centered Practice (IECPCP) framework developed by D'Amour and Oandasan (2005).

Evaluation Of An Initiative To Increase Rates Of Exclusive Breastfeeding Among Rural Hispanic Immigrant Women, Naomi E. Pitcock

Dissertations

This project was a retrospective evaluation of the prenatal education component of a multi-component breastfeeding promotion intervention. The educational portion of this program, provided in Spanish using intercultural communication techniques, was designed to increase the number of Hispanic women who choose to initiate breastfeeding, using breast milk exclusively to nourish their newborns. The Hispanic women included in this program were all registered with a local prenatal-care coordination program for low-income women, had routine hospital births (both vaginal and C-section) and elected to participate in the prenatal education class. Data regarding intention to breastfeed and breastfeeding during hospitalization were gathered through …

The Experiences Of Parents Of Children With Mental Health Difficulties Who Access Mental Health Services Through The Emergency Department: A Scoping Review, Seána Nic Dhonnacha, Des Cawley, Lisa Kerr, Yvonne Mccague

General Submissions: Presentations (Oral and Poster)

Evidence suggests that children with mental health difficulties access mental health services through emergency departments (ED) (Campbell et al, 2020). The ED route is increasingly being used in relation to population demand for child/adolescent mental health service needs (Holder et al, 2017).

Improve A Future Interprofessional Collaboration Starting From An Interprofessional Education Project Between A University Of Applied Sciences And Arts And A University In Southern Switzerland, Monica Bianchi

General Submissions: Presentations (Oral and Poster)

In 2019, a new Interprofessional Education collaboration between educational institutions was consolidated in Italian-speaking Switzerland. For the first time, it included a learning unit on IPC open to Bachelor's students in Nursing, Occupational Therapy, and Physiotherapy as well as to Master's students in Medicine. Initially, didactical planning, modalities and tools were defined which required the active involvement of students and teachers. Five months before the course begin, the pandemic forced a rethink of the framework in order to achieve the planned objectives and enable the students to acquire the defined skills.

Experience Of Parents Caring For A Child With An Acquired Disability, Brad Phillips

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study was to (1) gather empirical evidence about the concept of transforming loss, and (2) use the evidence to offer guidance for nursing practice on how to assist families who are navigating these significant life experiences. The research question was, "How do parents describe living through the experience of caring for a child with an acquired disability?"

Public Health Nurse Involvement In A Multi-Stakeholder Community Paediatric Clinic Meeting United Nations Sustainable Development Goals In Ireland, Lynn Buckley, Louise Gibson, Katherine Harford, Margaret Curtin, Nicola Cornally

General Submissions: Presentations (Oral and Poster)

Health has a central place in SDG 3 which aims to ensure healthy lives and promote wellbeing for all ages. This case study demonstrates the important role Public Health Nurses (PHNs) play in achieving SDG 3 through involvement in a novel multidisciplinary, inter-agency paediatric development clinic set in a disadvantaged Irish community where children and families experience significant levels of adversity. Kidscope is the only community paediatric clinic in Ireland to offer free assessment, consultation, and onward referral of children aged 0 to 6 years living in a highly vulnerable community. The KidScope model of care requires PHNs to provide …

Parent Distress, Parent-Child Interactions, Child Distress And Child Cooperation During Cancer Treatment-Related Port Starts: A Caring Perspective, Jinbing Bai

Dissertations

Children reported more suffering from cancer treatment-related painful procedures than cancer itself. Appropriate parent interaction behaviors can help children cope with these painful procedures. Swanson's Theory of Caring provides a framework to formulate parent interaction behaviors. This dissertation consisted of three separate papers to investigate parent-child interactions during cancer treatment-related port starts.

Practice Enhancement For Exclusive Breastfeeding (Peeb) - An Implementation Science Approach, Helen Mulcahy, Patricia Leahy-Warren, Elaine Lehane, Michelle O'Driscoll, Margaret Murphy, Rhona O'Connell, Catherine Buckley, Sandra O'Connor, Mairead O'Sullivan, Mary O'Connor, Liz Cogan

General Submissions: Presentations (Oral and Poster)

Implementation science looks at "what works, for whom, and in what circumstances," to enable research uptake into practice. Ensuring healthy lives and promoting well-being at all ages is essential to sustainable development, as per Goal 3 of the United Nations Sustainable Goals , "Good Health and Wellbeing."

Exclusive breastfeeding rates in Ireland remain amongst the lowest in Europe despite its extensive health, environmental and economic benefits. This has been attributed to disjointed support and conflicting advice. This paper presents implementation science processes proposed to enhance exclusive breastfeeding for women and their partners.

Improving Operating Room Turnover Time Through Process Redesign, Kevan Wright

DNP and Student Works

Average turnover times for general surgery for the previous three months were analyzed retrospectively. This quality improvement project aimed to reduce turnover times by eliminating inefficiencies, removing redundant tasks, designating specific team member roles, and standardizing the process. This was accomplished through parallel processing.

Maternal Confidence Of First-Time Mothers During Their Child's Infancy, Kendra Russell

Dissertations

Motherhood is a rewarding, but challenging experience. Mothers are expected to balance parenting with multiple roles including employment. How mothers adjust is influenced by their confidence in their role, their mental health, the social support from their partner, family, and friends, and their perceptions of their infants (Mercer, 1995). Maternal confidence has been identified in the literature as an essential variable in the adaptation to motherhood and to the maternal role (Mercer, 1986; Walker, Crain, & Thompson, 1986). Low maternal confidence delays the transitioning into the maternal role/identity as well as limits the satisfaction in the mothering role (Mercer, 1986). …