Digital Commons Network^™

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.

Session 3: Nurse Leaders Virtual Summit May 2022, Shakira L. Henderson, Katherine Guz, Stacie Massett, Angela E. Silvestri-Elmore, Barbara Baudler, Leanne Prenovost, Tracy Perron, Kumhee Ro

Virtual Leadership Summit

The purpose of the Nurse Leader Virtual Summit is to provide an avenue for nurse leaders from various Sigma Academies and Nightingale Challenge to disseminate their leadership journey.

This session features Shakira L. Henderson, PhD, DNP, MS, MPH, RNC-NIC, IBCLC. Dr. Henderson wears several professional hats, including a hospital-based nurse researcher, health educator, and certified neonatal nurse. She is Vice President at University of North Carolina. Dr. Henderson serves as an elected member and neonatal expert on the national board for the Association of Women's Health, Obstetric, and Neonatal Nurses and has recently been elected to be the 2022-2023 President. …

The Culture Care Meaning Of Comfort For Ethnically Diverse Pre-Licensure Baccalaureate Nursing Students In The Educational Setting, Lynne K. Zajac

Dissertations

The nursing profession is calling for enhanced diversity within the ranks of registered nurses to meet the health care needs of an increasingly diverse society. Nursing education is faced with the challenge of retaining ethnically diverse nursing students. Students who are ethnically diverse face unique challenges in addition to the universal stressors of nursing school. The experience of comfort as theorized by Kolcaba may provide ease, relief, and transcendence of the discomfort experienced by diverse nursing students. This ethnonursing research study utilizing Leininger's Culture Care Theory is an in-depth examination of the culture care meaning of comfort for ethnically diverse …

Provider Education And Routine Implementation Of The Scoff Questionnaire On The Detection Of Eating Disorders At The Primary Care Level: A Program Development Project, Emily Archer

Dissertations

The detection of eating disorders has been cited as a challenge at the primary care level. Literature has shown both a lack in provider knowledge on eating disorders, as well as the routine use of a single, all-inclusive tool to identify distorted eating behaviors and habits in the primary care setting. Early detection of eating disorders is vital as they are associated with long-term and potentially fatal ramifications.

An Exploration Of Factors That Impact Role Strain Among Undergraduate Clinical Instructors Teaching In Wisconsin Nursing Programs, Julie A. Astrella

Dissertations

The United States is in the midst of a nursing faculty shortage, particularly those that provide clinical instruction. Clinical instructors play an integral role in undergraduate nursing education by bridging the gap between theoretical knowledge and nursing practice; this position is also the most difficult to recruit for and retain. The factors negatively impacting faculty retention are complex, but research finds that role strain is a prominent reason for job dissatisfaction and a contributor to faculty attrition.

Deprivation Of Liberty Relating To Detention In Irish Residential Care Centres For The Older Person; A Legal And Ethical Analysis, Florence Horsman Hogan

Theses

People enter residential care for a wide variety of reasons, with many people stating they would prefer to live in their own homes. Lack of community resources may lead to an older person entering residential care against their stated will and preferences. Recent case law in Ireland has established that outside of the Mental Health Act (2001) and for infection control purposes the 1947 Health Act, there is no legal provision in Irish healthcare which allows for a person to be detained against their will. The Assisted Decision Making (Capacity) Act 2015 is a key piece of legislation to enable …

Collective Consciousness: Wading Into The Discomfort Of Systemic Discrimination, Caroline Foster-Boucher, Colleen Maykut, Sydney Bremner, Jody Nelson

General Submissions: Presentations (Oral and Poster)

Racism in nursing towards Indigenous peoples has been evident and well documented (Allen, & Smylie, 2015; Browne, 2005; Vukic et al., 2012). Canadian schools of nursing have been called upon to incorporate teaching of colonial history and address systemic discrimination against Indigenous peoples in response to Canada's Truth and Reconciliation Commission (TRC) findings (Baker, 2019; Blanchet Garneau et al., 2017, 2021; Truth and Reconciliation Commission [TRC], 2015).

Evaluation Of Patient-Reported Outcome Measures: A Secondary Data Analysis Of A Feasibility Study, Nitha Mathew Jospeh, Rozmin Jiwani, Jing Wang, Andrea E. Berndt, Sara Espinoza

International Nursing Research Congress (INRC)

The purpose of this presentation is to inform audience regarding the study findings of the feasibility study using patient-reported outcome measures (PROMs) and preliminary evaluation of changes in PROMs in a pilot randomized controlled trial testing of different modes of self-monitoring in behavioral lifestyle interventions among patients with T2D.

Implementation Of A Central Line Maintenance Checklist In The Medical Intensive Care Unit, Charles Reynolds

Group: Samford University Moffett & Sanders School of Nursing

Central line-associated bloodstream infections (CLABSIs) are key participants in hospital acquired infections (HAIs) that place heavy financial and medical burden on healthcare practices and facilities. Hospitals formulate central line bundles and checklists based off policies and procedures the NHSN provided about indications for central lines, procedures for insertion and maintenance of those central lines, and prevention measures. Critical care units experienced the greatest increase of CLABSIs from a national rate of 0.75 in 2019 to 1.04 in 2020 (Patel et al., 2021). Research shows that these measures and procedures work when intensive care unit nurses are compliant with theses interventions …

Masculinity, Health Beliefs And Implications For Health Policy Among Men In Trinidad And Tobago, Oscar N. Ocho

Dissertations

Over the last three decades, men's health has emerged as an area of research interest. The relationship between male socialization, the performance of masculinity and health behaviour has been well established. Within the Caribbean, however, there is a gap in the literature on how masculinity affects health beliefs and behaviour.

This study explored men's accounts of "doing" masculinity and the implications for health beliefs and behaviours in order to make recommendations for developing male sensitive health services.

Compassion Satisfaction And Compassion Fatigue Among Pediatric Nurses And The Impact On Patient Satisfaction, Maribeth Thornton

Dissertations

Compassion fatigue and compassion satisfaction are two inter-related concepts. Individuals in helping professions may occasionally face compassion fatigue from giving so much of themselves to others. Compassion fatigue has been studied in a variety of settings: medical, social work, nursing, law enforcement, and fire departments, to name a few. While some researchers have studied nurses, little published work has focused exclusively on nurses who care for specialty pediatric populations. Additionally, there is scant research on whether compassion satisfaction and compassion fatigue are associated with patient satisfaction. The purpose of this study was to determine the level of compassion satisfaction and …

Adolescent Sex Trafficking Screening Tool In An Emergency Department, Elizabeth Elliott, Tracy Ison

Group: Samford University Moffett & Sanders School of Nursing

Sexual trafficking (ST) is prevalent in the United States and Alabama (Polaris, 2019). According to U.S. law, any person under the age of 18 who is induced to perform a commercial sex act is a victim of ST regardless of whether there is force, fraud, or coercion. Once free from trafficking, up to 88% of victims report that they had been in contact with a healthcare provider while being trafficked. Of those, few reported being questioned regarding their ensnarement by traffickers, and more than half were treated in emergency care settings (Polaris, 2019). Most victims report ST began between the …

Resilience And Health Of Older Women Who Have Experience Intimate Partner Violence Earlier In Life, Tenna R. Schumacher

Dissertations

When a traumatic event such as intimate partner violence occurs, resilience can help define recovery from that event. Women who experience the adverse event of intimate partner violence suffer injury, loss of physical and mental health, and possible death. Specifically, numerous women suffer injury and adverse health as a result of experiencing intimate partner violence (Krug, Mercy, Dahlberg, & Zwi, 2002). The internal quality of resilience is what allows a person to mend or heal from trauma (Wagnild, 2009). Resilience is demonstrated by hardiness of spirit and a person's ability to return to their lifestyle (Atkinson, Martin, & Rankin, 2009; …

Use Of Early Specialty Hesi Exams As Predictors Of Hesi Exit Examination Performance In Baccalaureate Degree Nursing Program, Cathy E. Hansen

Dissertations

This study explored standardized testing outcomes used early in a baccalaureate nursing (BSN) education program in traditional and second-degree students in order to identify predictors of outcome on the program exit examination (HESI E²). Defining early predictors of student outcomes may more accurately identify student need for early intervention, offer timely remediation, optimize success, and minimize attrition in nursing education programs. The purpose of this correlational quantitative study was to determine if a relationship exists between student outcomes on four HESI specialty exams (fundamentals, health assessment, pathophysiology, and pharmacology) and the performance outcomes on the HESI E^{2 …}

Exploring Educational Issues: International Nursing Students Enrolled In Professional Nursing Programs In South Texas And Their Perceptions Of Educational Barriers, Wanda R. Sparks

Dissertations

This qualitative study explores educational challenges as manifested in the experiences of the English language learner (ELL) nursing students enrolled in a professional nursing program in San Antonio, Texas. Eleven participants were interviewed for this study using 7 open-ended questions. The research methodology applied in this study was interpretive, guided by phenomenology with the lived experiences of the ELL nursing students being the focus of the analysis.

Discourse analysis and thematic analysis revealed the following themes: (a) student study habits, (b) student distress, (c) student support system, and (d) student learning tasks. Each theme is discussed in depth and supported …

Personal Digital Assistants: Their Influence On Clinical Decision-Making And The Utilization Of Evidence-Based Practice In A Baccalaureate Nursing Students, Carol S. Gorelick

Dissertations

During the last decade, the advent of the personal digital assistant (PDA) and the development of clinical software specific to nursing practice have changed the way that many nurses manage information and workload. More recently, PDAs have become a standard tool in undergraduate nursing education. Though there is substantial discussion in the literature on PDA technology, the emphasis there has been descriptive and anecdotal. Since 2002, nurse authors have reported that PDA use has reduced medication errors and streamlined data gathering. This has lead to speculation that use of the PDA is a clinical tool that supports evidence-based practice and …

Clinical Nurse Faculty And The Lived Experience Of Clinical Grading, Bernadette Amicucci

Dissertations

Clinical grading is one approach to assure that future nurses have the knowledge and skills to provide safe patient care. The phenomenon being explored for this study was the experience of clinical grading for clinical nurse faculty. Through the use of a qualitative phenomenological method, the lived experience of grading nursing student clinical performance for experienced clinical nurse faculty in pre-licensure programs is described. Eleven full-time nursing faculty were recruited using a purposive technique to obtain a convenience sample. Each participant first underwent an initial in-depth personal interview followed by a brief follow-up interview a few weeks later. The van …

Learning Transfer Evidence In Baccalaureate Senior Nursing Students Using A Disaster Emergency Preparedness Tabletop Exercise, Cathleen A. Evans

Dissertations

Little is known about learning transfer in senior baccalaureate nursing students, therefore, the primary purpose of this research was to describe senior nursing students' learning transfer evidence for basic disaster and medical-surgical nursing concepts during a tabletop exercise, an academic strategy used in disaster preparedness education. A second purpose was to document participants' attitudes regarding the tabletop exercise. The organizing framework for this descriptive quantitative research was Perkins and Salomon's Learning Transfer. Learning transfer is content, context, and time bound from the original learning circumstance.

The research questions were 1. What is the relationship between Disaster Knowledge and Tabletop-Matrix scores …

Adapting And Implementing An Indigenous Informed Intervention To Reduce Stress, Promote Wellbeing And Resilience In Tribal Head Start Teachers, Fort Peck Reservation, Montana, Deborah Wilson

Sigma Foundation for Nursing Research Grant Reports

Higher rates of Adverse Childhood Experiences (ACEs) among Native American populations can be attributed to historical and contemporary traumas stemming from colonization and ongoing discrimination. On the Fort Peck Indian Reservation, six Head Start centers serve over 300 children, Head Start is a federally funded program promoting school readiness for preschool children from low-income families. Tribal Head Start teachers report high levels of stress and depression as they work with children scoring high in ACEs. Teachers have requested support in managing their psychological health and well-being.

Online Education For Nurses To Implement Active Listening Akills When Caring For Patients With A Spinal Cord Injury: A Quality Improvement Project, Ashley Radtke

DNP and Student Works

Displaying empathy through active listening skills is critical in preventing worsening depression in individuals who have experienced a Spinal Cord Injury. Approximately 11 to 37% of patients with an SCI may develop depression due to their injury (United Spinal Association, 2021). Additionally, those who have an SCI and have a prior history of depression are at an increased risk of developing moderate to severe depression. Depression in patients with an SCI may also present clinically as grief, resulting in multiple healthcare complications (Bombardier et al., 2016). Untreated, prolonged grief can result in more emergency room visits, increased length of stay …

Relationships Among Strong Black Womanhood Belief, Coping Behaviors, Social Support, And Psychological Distress For Black Mothers After Stillbirth, Carrie J. Henry

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study is to examine the relationships among strong Black woman belief, coping behaviors, social support, and psychological distress (symptoms of depression, anxiety, and post-traumatic stress) for Black mothers who had a stillbirth.

Pathway And Sigma Partnership: Leveraging Professional Branding, Sarah E. Gray, Maricon Dans

Group: American Nurses Credentialing Center (ANCC)

The American Nurses Credentialing Center's Pathway to Excellence® Program (Pathway) and Sigma Theta Tau International Honor Society of Nursing (Sigma) are harnessing their collective impact to grow in value and benefit nursing worldwide. Both organizations recognize the importance of striving for positive practice environments and creating a sustained culture of excellence by supporting individual nurses along their professional journey. One way to support nurses as they seek career growth is through professional branding.

Institutional Commitment For Cancer Pain Management By Hospice Nurses, Catherine M. Beattie

Dissertations

Ineffective pain management continues to pose a significant public health problem. Barriers to pain management include physicians and nurses, patients and families, and regulations. Even nurses who have learned to manage pain may not do it effectively because they feel that it is not a priority within their institution. The purpose of this study was to assess what hospices do to support pain management and hospice nurses' knowledge of pain management.

The research questions assessed pain management knowledge of hospice nurses compared to that of other nurses; source of knowledge; the relationship between pain management knowledge and nurse variables; what …

Low Income Housing Residents' Perceived Competency Regarding Hypertension And Diabetes, Tiangela B. Austin

Theses

People of African-American ethnicity are affected by hypertension and diabetes at alarming rates. Prevalence of hypertension and diabetes is thought to be the result of many different factors. When considering why each or both of these diseases disproportionately affect this population of people, much focus should query around factors such as socio-economic status, culture, beliefs, diet, lifestyle, and patient perceptions. Evaluation of perception is an integral component in demystifying disease morbidity and mortality. This study evaluates the perception of low-income housing resident's perceived ability to maintain normal blood pressure and blood glucose levels.

Youth Survivor Perspectives On Healthcare And Human Trafficking, Lisa Murdock, Candice Hodge-Williams, Kaitlin Hardin, Corey J. Rood

General Submissions: Presentations (Oral and Poster)

This study aimed to assess the perspectives of youth survivors of sex trafficking on healthcare to improve care for this vulnerable and often unrecognized population.

Impact Of Preoperative Psychological Evaluations On Bariatric Surgery Outcomes, Melanie A. Caustrita

Dissertations

Obesity is a major global health challenge affecting 603.7 million adults and is a risk factor for common illnesses such as diabetes mellitus II, chronic kidney disease, cardiovascular disease, gastroesophageal reflux disease, and poorly controlled hypertension. Americans have the highest rate of obesity. Patients with a body mass index (BMI) > 35 with one or more obesity related complications should be considered for bariatric surgery. Forty percent of patients seeking obesity treatment have at least one psychiatric illness with mood and anxiety disorders being the most common. Preoperative screening is recommended to identify patients with psychosocial risk factors that may lead …

Development Of A Model To Guide The Implementation Of Simulation-Based Education In Under-Resourced Nursing Education Institutions In Lesotho, Pule Solomon Moabi

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study was to develop a model that will guide implementation of simulation-based education in resource-constrained nursing education institutions in Lesotho.

Implementation Of The Bedside Mobility Assessment Tool In The Ambulatory Care Setting, Racquel Hermosura Ballinger

Dissertations

Falls remain a concern for healthcare organizations nationally. Fall rates at the site remained a concern, so an evidence-based approach was sought. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if the implementation of Boynton's Bedside Mobility Assessment Tool (BMAT) used in conjunction with current fall practices would impact fall rates among patients 65 years and older undergoing a colonoscopy. The project was implemented in an ambulatory care setting in Southern California over four weeks. Sister Callista Roy's middle-range nursing theory, the adaptation model, and Neuman's systems theory were the scientific underpinnings of the project. Data …

Perceived Readiness For Practice Of Senior Baccalaureate Nursing Students, Janet Kay Reagor

Dissertations

Nursing education is designed to assist students to become beginning practitioners and clinical experiences are essential to this process. As competition for clinical sites increases, educators need to establish best practices of clinical experiences. This mixed method study examined the psychometric properties of a readiness for practice tool, and explored the effects of a clinical internship experience on the perception of readiness for practice of 483 senior baccalaureate nursing students in Kansas and Missouri. Matched results from data collected twice during the semester confirmed that the clinical internship experience increased perception of readiness for practice, with the most benefit coming …

The Impact Of Hospital Nursing Resources On Postsurgical Outcomes For Patients With Opioid Use Disorder, Rachel E. French

Dissertations

Opioid use disorder (OUD) is common, with the rate of opioid-related hospitalizations doubling from 2006 to 2016. Surgical patients with OUD are at significantly higher risk of prolonged length of stay, in-hospital mortality, and readmission. Postoperative care for patients with OUD is particularly challenging for nurses whose responsibilities include pain and withdrawal management, care team coordination, patient assessment, and patient teaching. A large body of evidence suggests better outcomes for surgical patients when they are cared for in hospitals with strong nursing resources. This study sought to determine whether variations in nursing resources (i.e., education, staffing, and work environment) were …