Digital Commons Network^™

Nurses' Voice: The Meaning Of Voice To Experienced Registered Nurses Employed In A Magnet Hospital Workplace, Julie A. Beck

Dissertations

Magnet Hospitals are healthcare environments that have recognized excellence in nursing care. These accredited Magnet Hospitals, a term coined in the early 1980's, were seen to have the ability to attract nurses. These hospitals have quantitatively documented greater patient satisfaction, greater nurse autonomy, lower incidence of nursing burnout and greater nursing retention. As healthcare faces one of its most significant nursing shortages, Magnet Hospitals illustrate an organizational and corporate strategy that aims to recognize nursing and hopefully retain and recruit nurses during this challenging time.

While there are numerous quantitative studies that examine aspects of Magnet Hospitals such as nursing …

Medication Errors: Issues Of Concern To Anesthesia Providers, Mary Katherine Riggs, Nancy Westbrook

Group: Samford University Moffett & Sanders School of Nursing

Medication errors have been cited to occur in one of every twenty anesthetics. This can be attributed to the fact that anesthesia providers are tasked with the rapid-paced, critical decision-making surrounding the preparation and administration of multiple medications. Issues of similar labeling of medication vials, ampules, and syringes cause misreading of labels to account for over half of the medication errors made.

The Lived Experience Of Thriving Nursing Students, Nicole M. Mentag

Dissertations

As the demand for qualified nurses increases, nursing education is responsible for preparing students for healthcare challenges. Nursing education focuses on academic success measures, including licensure examination passage, graduation rates, and grade point average. Though these outcomes are important, they fail to capture the complexities of student success. Thriving, the conceptual framework for this study, is a phenomenon within higher education that expands on the traditional measures of success and integrates cognitive and psychological aspects of the college experience. This study utilized interpretive phenomenology to understand the meanings of the lived experiences of thriving undergraduate nursing students. Semi-structured interviews were …

A Feasibility Study Of A Web-Based Physical Activity Program For University Students: Final Report For Sigma Foundation For Nursing, Kimberly R. Hartson, Lindsay Della, Kristi M. King

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study was to evaluate the feasibility and preliminary efficacy of an 8-week web-based physical activity intervention adapted for young adult college students who were insufficiently physically active.

Leadership And Political Skill Preparedness Of The Doctoral Prepared Nurse, Wanda Montalvo

Dissertations

The Institute of Medicine Future of Nursing report recommended the development of more nurse leaders at every level and across all settings. The Accountable Care Act has led to a reformed healthcare system, placing a growing demand for nurse leaders. The doctoral prepared nurse must be able to fulfill leadership roles to educate future generations of nurses, translate research into practice, and influence organization-level research to meet federal performance indicators.

Online Continuing Nursing Education: A Study Of Factors Related To Nurse Practitioner Participation, Elizabeth A. Friedlander

Dissertations

Although online continuing nursing education (CNE) is now available via the Internet, few published studies suggest nurse practitioner (NP) interest but a lack of participation. A needs assessment using a triangulated design was conducted to explore the factors involved in NP participation in online CNE. Rogers' (2003) Diffusion of Innovations Model served as the study's theoretical framework. A self-reported survey with a link to an online version of the survey was mailed to a random sample of 1000 RN/NPs in Massachusetts. A 42% response rate yielded n=411 of which 62% (n=253) expressed interest, while only 31% (n=129) had participated in …

Co-Design Research In The Pacific: Part One, Michele Rumsey

General Webinars

This webinar will share the work done that has identified several aspects which, if improved, could contribute significantly to the effectiveness of research and healthcare in the Pacific region. This research carry's out an examination of leadership in nursing and midwifery in the Pacific. This is divided into two parts: firstly, it develops a methodology to effect good research in the Pacific, and secondly describes the research itself into leadership in nursing in the Pacific.

The Lived Experience Of Breast Cancer-Related Lymphedema In African American Women, Deborah A. Collins-Bohler

Dissertations

African American patients have been reported as having a greater number of aggressive cancer treatments compared to Caucasians (McWayne & Heiney, 2005; Meeske et al., 2009; Ridner & Dietrich, 2008), and have higher incidence of BCRLE due axillary lymph node dissection (ALND) and radiation intervention (Thomas-MacLean, Miedema, Tateemichi, 2005). Research regarding BCRLE has used BCRLE samples comprised almost exclusively of married and well-educated Caucasian women. Few studies (Bowman, Deimling, Smerglia, Sage, & Kahana, 2003; Eversley et al., 2005; Joslyn, 2002; McWayne & Heiney, 2005) have included sizeable numbers of African American breast cancer survivors. No studies have been found that …

"If I Cry Less I Can Fit In More Play Dates": Mothers' Experiences With Time Famine, Nancy M. H. Pontes

Dissertations

As time has become an increasingly valued resource of our postmodern world, many individuals are experiencing a phenomenon called ";time famine,"; the chronic perceived shortage of time. Mothers are especially vulnerable to time famine as they assume multiple roles. Previous researchers hypothesized that these mothers are at increased risk for sickness and death. However, epidemiological studies do not support this premise primarily because these women tend to be younger and relatively free of chronic diseases.

The purpose of this qualitative research was to explore six mothers' lived experiences of time famine and how it impacts their family health within a …

Predicting Factors Influencing Translation To Foot Self-Care In Patients With Diabetes: An Integrative Review, Ming Wei Jeffrey Woo, Jiao Cui

International Nursing Research Congress (INRC)

Regular foot self-care practice is instrumental towards effective self-management of diabetes. Evidence nevertheless revealed patients as being less inclined to comply in regular foot self-care in view of their deficiency of knowledge and behavioral response on such practices. Reviewing the current state of evidence is required to understand the learning needs and behavioral responses of diabetic patients in order to plan a diabetic foot education program that tailors their needs. This study seeks to examine relevant literature to assess factors that influence the knowledge and practice of foot self-care among diabetic patients.

Antecedents Of Control Over Nursing Practice, Marla Jean Weston

Dissertations

Control over nursing practice (CONP) is a participatory process through which nurses have input and engage in decision making about the context of practice and unit operations related to nursing practice. CONP has been associated with a number of positive outcomes related to nurse satisfaction, nurse status, effectiveness of patient care, and quality of patient outcomes. However, no comprehensive model has been created nor comprehensive analysis been conducted related to approaches for increasing CONP. This study tested a hypothesized model of antecedents to CONP developed from a review of the literature in nursing, psychology, and organizational management using a complexity …

A Study Of Relationships Among Three Assessment Methods For Nurse Anesthetists, Nicholas W. Gabriel

Dissertations

The current measures of competency for nurse anesthetists for recertification are continuing education units for each biennial recertification cycle, and records of current practice and state licensure. Recently, the National Board of Certification and Recertification of Nurse Anesthetists (NBCRNA) adopted new standards that include a written examination every 8 years, an increase of 40 continuing education units per year, and completion of four core competency modules each four-year recertification cycle. However, little is known about the validity of these competency measures.

The purpose of this study was to determine relationships between written examination scores, self-assessment scores, and performance scores in …

Feminism & Nursing Education: Pedagogy, Content & Influences In Baccalaureate Nursing Programs, Nancy J. Michela

Dissertations

The research study described and analyzed feminist learning strategies from the viewpoint of nurse educators teaching in accredited baccalaureate nursing programs in the United States. Participants were three comparative groups of nurse educators. A pilot group was nursing faculty from The Sage Colleges. Group I were faculty who had intimate knowledge and expertise of FLS. Authors of article advocating the use FLS were members of this group. Group II was a comparison group of nurse educators chosen from the Web site http://allnursingschools.com.

The study investigated how and to what degree feminist beliefs and values influenced nurse educators, nursing curriculum and …

Evaluating The Effects Of An Lgbtq+ Educational Program On The Attitudes And Knowledge Of Undergraduate Nursing Students, Tonya Haynes, Sheila Grigsby, Alicia Hutchings, Amanda Finely, Keri Jupka, Natalie Murphy

Sigma Foundation for Nursing Research Grant Reports

Members of the LGBTQ population, due to discrimination from the general public as well as healthcare providers, have generally poorer health outcomes than their heterosexual counterparts. Fear of stigma contributes to this community's avoidance of the healthcare system and delays their evaluation until disease is often advanced. On the other side, nurses don't have the skills and knowledge to effectively treat their LGBTQ patients. While nursing education programs have begun including content related to this community, it is often minimal and crammed into curricula that are already packed with content.In an effort to increase knowledge and improve attitudes of nursing …

Nursing A Sense Of Humor, Pamela B. Minden

Dissertations

Recent decades have witnessed growing empirical interest in the relationship between humor and health. Most clinical studies have explored humor primarily as an adjunct to more traditional therapies. While a number of these substantiate the salutary benefits of laughter, they offer only tentative methods for its evocation. The viewpoint of those whose health has been alleged to be improved by humor has been underrepresented in the relevant literature. The current study bridges gaps in that literature by evaluating the Humor Group, a unique therapeutic modality which used humor deliberately as the focal point of treatment.

Fear Of Cancer Recurrence Among Survivors Of Adult Cancers, Jacqueline P. Galica

Dissertations

Fear of Cancer Recurrence (FCR) is a common concern for which cancer survivors want professional help to cope. Understanding the prevalence, predictors and mediators of FCR is important to facilitate the identification of those at-risk for clinically-significant FCR in order to expediently refer them into appropriate interventions. To clarify the empirical gaps which would be useful in this regard, the objectives of this study were: 1) to assess the prevalence of FCR; 2) to examine the relationships among predictors of FCR; and 3) examine the relationships among mediators of FCR.

An Exploration Of The First Year Of Nursing Practice: Continued Formation As Registered Nurses In The 21st Century, Carol A. Sheldon

Dissertations

A challenge to health care in the 21st Century is preparing and integrating newly registered nurses (RNs) into the health care system. The most ill and infirm are often the recipients of nursing care provided by new RNs, thus the quality and safety of care may be dependent on these new RNs. Four research questions based on a review of the literature has guided this study. A three-phase sequential explanatory mixed-method approach, using both quantitative and qualitative strategies, was designed to look at nurse self-concept and clinical decision making from the end of the nurse preparation program through the first …

2021 Pathway Nurse Of The Year Awardâ„¢ Winners, Maggie Mccright, Maricon Dans

Group: American Nurses Credentialing Center (ANCC)

When organizations recognize their employees for their contributions, it sends a powerful message that they're valued, a key component of a positive work environment. Meaningful recognition involves an organization recognizing an individual for a specific behavior. Recognition comes in many forms and is intentional and aligned with the Pathway to Excellence® framework.

The Experience Of Returning From A Wilderness Expedition, Helen Mueller Wedin

Dissertations

The purpose of this descriptive phenomenological study was to explore the experience of women returning from the Arctic territory of Nunavut. Such women transitioned from a secluded, communal, Canadian wilderness journey of approximately 7 weeks duration, to a Western lifestyle of advanced technology, high-paced, individualistic living. Preliminary inquiry of expedition returnees pointed to a significant number of participants detailing moderate or higher levels of anxiety, paralleling similar findings of cross-cultural sojourners who reported experiencing a kind of 'reverse culture shock' upon coming home. Psychological distress related to transition between foreign environments and home cultures, has been associated with potential health …

Men In Nursing: Internalized Sex-Role Stereotypes And Their Relationship To Role Strain And Self-Esteem, Stanley Melton Harris

Dissertations

Sex-role stereotyping is limiting to both men and women. While it can manifest in any occupation, it is more prevalent in occupations viewed by society as nontraditional. Nursing is a female-dominated profession; therefore, men who choose nursing are more likely to experience sex-role stereotyping. Gender-based expectations may contribute, in turn, to role strain and altered self-esteem in male registered nurses. In this study, 56 male registered nurses residing in 5 southeastern states completed a Likert-type survey related to sex-role stereotyping, role strain, and self-esteem. Participants responded on a scale ranging from "Strongly Agree" to "Strongly Disagree." Study results suggest that …

The Relationship Between Utilization Of The Elsevier Online Remediation Tool And The Hesi Exit Exam For Student Nurses Preparing For The Nclex-Rn, Judith A. Egan

Dissertations

Nursing schools are operating at full capacity in order to address an impending shortage of registered nurses that may exceed 500,000 by the year 2025. This pressure on scarce resources elevates the importance of NCLEX-RN preparedness for nursing faculty, nursing students, and the public at large. Additionally, the ability to successfully prepare students to sit for the NCLEX-RN exam can affect the reputation of nursing programs throughout the United States. Nursing schools frequently utilize commercially prepared standardized exams to assess student readiness and identify students in need of remediation. The HESI E2 Exit Exam distributed by Elsevier is one such …

Optimal Effective Oxytocin Dosing In Cesarean Section Deliveries, James A., Iii Brown, Terri Cahoon

Group: Samford University Moffett & Sanders School of Nursing

Post-partum hemorrhage (PPH) is one of the leading causes of maternal mortality, accounting for nearly one quarter of all 295,000 maternal deaths worldwide. Oxytocin is a uterotonic agent that is commonly used after placental delivery to promote contraction of the uterus and subsequently reduce the overall blood loss associated with newborn delivery. There is wide variability in the current recommendations for oxytocin dosing after delivery, including cesarean sections (CS). This case study explores the question, in patients undergoing CS, what is the optimal dosing regimen for oxytocin to reduce post-partum hemorrhage (PPH) with minimal side effects?

The Relationship Between Selected Variables And The National Council Licensure Examination For Registered Nurses: A Comparative Analysis Of Pass/Fail Performance For Traditional And Second-Degree Baccalaureate Students, Nadine Cozzo Englert

Dissertations

This retrospective study was conducted to examine the relationship between selected variables and performance on the National Council Licensure Examination for Registered Nurses (NCLEX-RN). Data were collected from one hundred twenty graduates of a baccalaureate program; graduates completed either the traditional four-year track or an accelerated second-degree track. Variables included scores earned on seven standardized HESI tests, grades earned in fourteen nursing courses, and grade point averages calculated at six points throughout the curriculum. Relationships between NCLEX-RN performance and student age, gender, and ethnicity were also examined. A between-subjects comparative analysis based on pass/fail performance revealed students who passed the …

The Experience Of Non-Spousal Close Intimate Relationships For Women With Breast Cancer: A Journey Of Support, Erin B. Dooley

Dissertations

An estimated 331,530 women will be diagnosed with breast cancer in 2019 ("American Cancer Society," 2019, p. 10). The purpose of this qualitative, phenomenological, descriptive study was to explore the lived experience of non-spousal close/intimate relationships of women with breast cancer. There are very few studies in the literature examining relationships between women with cancer other than those of partner or spouse. This study's participants consisted of six women, ages 32 to 68. Analysis of these data identified themes reflected along their breast cancer trajectory (1) The journey starts (2) Mid-journey passage, and (3) Journeys end/coming home, as well as …

Rn Bsn Program Incorporation Of Nurse Manager Certificate Program, Elizabeth Holman

General Webinars

The University of Southern Mississippi incorporated the Nurse Manager Certificate Program within RN BSN program providing students the most recent evidence-based practice leadership skills. This presentation provides an overview of implementation into the program.

Effects Of Exercise On Physiologic And Psychologic Outcomes In Patients With End Stage Renal Disease On Hemodialysis: A Quasi-Experimental Study In Lebanon, Ghada Ballout Dunbar

Dissertations

End stage renal disease (ESRD) is a public health problem that is expected to continue to rise and has overwhelming effects on individuals' psychological, physical, and emotional wellbeing. Treatment options include hemodialysis (HD), which is a lifesaving procedure for patients suffering from ESRD where a dialysis machine and a dialyzer are used to clean and purify the blood as their kidneys are not functioning normally. This patient population will suffer from muscle atrophy and weakness due to inactive lifestyle and lack of physical activity. They also question their existence, are extremely stressed, and are afraid of death.

Understanding Quality Of Life In Adolescents Living With Advanced Cancer, Cynthia J. Bell

Dissertations

The purpose of this study is to advance theoretical understanding of how an adolescent with incurable cancer prepares for end-of-life (EOL). A theoretical model was developed to link awareness, acceptance, and willingness to take action to EOL preparedness (knowledge about EOL, acknowledgement of grief and emotion, identification of the meaning of death and spirituality, and conceptualization of personal plan) and communication about EOL preferences and priorities; and to determine impact on quality of life (QOL).

Undergraduate Nursing Faculty's Lived Experience Of Authentic Leadership In Nursing Education, Krystal M. Diedrichsen

Dissertations

Current nursing practice is encountering challenges with retention, burnout, and staff satisfaction. Nurses are caring for patients who are more critically ill; expected to do more with less; and experiencing increased demands of their time due to nursing staff shortages. Research has shown how Authentic Leadership (AL) can positively impact nursing practice. However, there is a significant research gap of faculty lived experiences with or without the application of AL and its overall impact on nursing education. The purpose of this study was to explore the lived experiences of undergraduate nursing faculty and current use of AL in nursing education. …

Effects Of Simulated Clinical Experiences On Empathy, Self-Confidence, And Satisfaction In Nursing Students, Dawn L. Riess

Dissertations

Empathetic communication enhances the nurse-patient relationship and improves patient outcomes and needs to be taught and evaluated during simulated clinical experiences. Experience in healthcare education has shown students' empathy levels decrease over time. The purpose of this quasi-experimental pretest posttest, study was to compare nursing students' empathy levels, self-confidence, and satisfaction with simulation between the use of the high-fidelity manikin simulator (HFMS) and a standardized patient (SP) used during their simulated clinical experience. Kolb's experiential learning theory was used to guide the study through the four phases specific to simulation and learning. Convenience sampling was used to recruit 135 nursing …

Global Nursing Service Learning For Short-Term Student Experiences: Investigating The Interpretation Of Healthcare Needs As A Predeterminent For Site Selection, Deborah Lyn Carter

Dissertations

As a response to the increased global demand of healthcare, global nursing service learning programs are growing within institutions of higher education. The rise and increase of these programs call for additional research into the practices being used to ensure culturally appropriate, realistic, and sustainable nursing care. The care, however, needs to remain within the nursing scope of practice while also meeting the expected needs of the host community. The purpose of this study is to begin the initial research of how sites from higher education institutions involving student nursing teams are selected, specifically looking at the understanding of the …