Digital Commons Network^™

Through The Looking Glass: The Lived Experiences Of Deaf People Communicating With Nurses, The Meaning Of Health, And Attitudes Toward Nurses, Kathleen Lenore Gilchrist

Dissertations

Approximately three million deaf people in the United States represent a significant portion of our population whose health care may be compromised from ambiguous communication. Written and spoken English is commonly used by nurses to convey health information, although American Sign Language (ASL) is the Deaf community's primary language. When a deaf person enters the hospital, communication is tenuous because of illness, unfamiliar environment, and medical terminology. The purpose of this research was to describe and interpret prevocationally deaf people's experiences communicating with nurses, the meaning of health, and their attitudes toward nurses.

The Relationship Between Nursing Students' Test-Taking Motivation And The Exit Examination Score, Lorraine Coalmer

Dissertations

A primary objective of nursing students and nursing programs includes first-time success on the NCLEX-RN®. As the nursing shortage continues, it is essential to have qualified nursing graduates pass the NCLEX-RN ®. One approach some nursing programs have chosen to implement regarding augmenting nursing students' probability of success on the NCLEX-RN® includes the administration of an exit examination. This exit examination is tailored to mimic the NCLEX-RN® blueprint; thereby this examination may reveal the nursing students' readiness for the NCLEX-RN®.

The purpose of this study was to determine if there was a relationship between nursing student test-taking motivation and exit …

Examining The Relationship Among Civic Attitudes, Civic Engagement Behaviors, And A Sense Of Community In A Sample Of Nurses, Catherine Rewakowski

Dissertations

Nurses are called to advocate for those they serve, and civic engagement is a way to advocate for health-related issues. However, there is sparse evidence of frequency and types of civic activities in which professional nurses engage. A review of literature found that sense of community and civic attitudes are constructs shown to influence civic participation but are not well-studied among professional nurses. The purpose of this study is to gain an understanding of civic engagement among nurses by examining civic engagement activities and factors that influence engagement.

Preparing Prelicensure Nursing Students For Workplace Violence: A Limit Setting Education Module, Maychao Michelle Yang

Theses

In the hospital setting, de-escalation training has become a very important method of preventing workplace violence against nurses and other healthcare workers. While nurses are now required to complete workplace violence prevention training, there is no guarantee that nurses who complete the training have the communication skills needed during the de-escalation process with disruptive or aggressive patients. In prelicensure nursing programs, key skills in deescalation training such as limit setting could form a solid foundation for any further training provided in the hospital setting. An online educational module on the topic of limit setting with patients and visitors was created …

Nurse Educators' Perceptions About The Culture Of Nursing And How They Bring Students Into That Culture: A Focused Ethnography, Susan M. Strouse

Dissertations

The purpose of this study was to discover nurse educators' perceptions about the culture of nursing and how they bring students into that culture.

A Cross-Sectional Study To Determine Barriers In The Educational Advancement Of The Licensed Practical Nurse To The Registered Nurse In The State Of North Carolina, Douglas M. Turner

Dissertations

The purpose of this study was to identify barriers that prevent practical nurses in the state of North Carolina from pursuing registered nurse education. A cross-sectional sample of 128 practical nurses completed a modified version of the ";Learning Interests and Experiences of Adult Americans"; (Cross,1981; Powell 1989). A convenience sample of experts in the field of nursing, nursing administration, and nursing education were interviewed to triangulate the data. Logistic regression was used for data analysis.

Two barriers were identified that prevent practical nurses from advancing to registered nurse education in the state of North Carolina: Strict attendance requirements and required …

Safe Practice Of Medication Administration By Anesthesia Practitioners, Eryn Krehbiel

Group: Samford University Moffett & Sanders School of Nursing

An estimated 44,000-98,000 patients die each year due to medication errors and a large percentage of these are medication administration errors. A medication error is defined as a preventable event that can cause or lead to inappropriate medication use or patient harm while the medication is administered or controlled by any healthcare professional, patient, or consumer. Medication error events can be related to professional practice, health care products, procedures and systems which include prescribing, order communication, product labeling, packaging, naming, compounding, dispensing, administration and more. Medication errors are a major cause of morbidity and mortality in healthcare. Therefore, it is …

The Effects Of High-Stakes Ati Remediation And Testing Practices Including The Ati Content Mastery Series And Ati Pn Comprehensive Predictor, Elaine Hernandez Hunter

Dissertations

The purpose of this retrospective, descriptive study was to determine if any differences existed in students' test scores on the Assessment Technologies Institute (ATI) PB tests: Fundamentals, Pharmacology, Medical Surgical and the Comprehensive Predictor before and after implementing a high-stakes remediation and testing policy. The ATI computer-based standardized tests are widely used in nursing programs as a program assessment tool. Also, ATI tests provide correlational evidence of first-time NCLEX-RN passage. The ATI Remediation and tests are commonly added to nursing programs progression plans. In recent years nursing programs have applied high-stakes ATI Remediation to the ATI tests in response to …

Healing Touch And Health-Related Quality Of Life In Women With Breast Cancer Receiving Radiation Therapy, Lisa L. Schnepper

Dissertations

Complementary and alternative medicine (CAM) therapies are increasing in popularity in the United States, as demonstrated by an upsurge in utilization. As early as 1940, the National Institutes of Health identified the need to explore alternative therapies for cancer. Finally, in 1998, the National Cancer Institute developed the Office of Cancer Complementary and Alternative Medicine to promote evaluation of complementary and alternative therapies. The purpose of this study was to evaluate the efficacy of Healing Touch to improve Health-related Quality of Life (HRQOL) as measured by the Functional Assessment of Cancer Therapy-Breast (FACT-B) among women with early stage breast cancer …

The Lived Experience Of Observant Jewish Nursing Students: A Phenomenological Study, Toby Bressler

Dissertations

With expanding cultural diversity in the United States (U.S. Department of Health and Human Services, 2009), it is essential to increase the diversity of the nursing profession to match the patients who are being cared for in our healthcare system (IOM, 2003; Sullivan Commission, 2004). Despite improvements to the demographic composition of the nursing workforce in recent decades, the nursing workforce has remained predominantly homogeneous and to meet the current and future health needs of the public while providing culturally relevant care, the nursing workforce needs to increase its diversity (IOM, 2010). This demographic shift creates a social imperative that …

The Lived Experience In The Clinical Setting Of Nursing Students With Disabilities, Amy Luckowski

Dissertations

With the implementation of the 504 Rehabilitation Act, the American with Disabilities Act of 1990 (ADA), and the ADA Amendments Act of 2008 (ADAAA), more students with disabilities are being admitted into universities and into nursing programs. The purpose of this qualitative study was to explore the experiences in the clinical setting of nursing students with disabilities. Moustakas's psychological phenomenology was utilized to describe the meaning of the student's experiences. A purposeful sample of 13 junior and senior baccalaureate nursing students with disabilities from two northeastern baccalaureate nursing programs who had at least one semester of clinical experience were interviewed …

Female Coping With Cardiac Rehabilitation After A Cardiac Event: A Qualitative Study, Patricia B. Quigley

Dissertations

Coronary heart disease is the leading cause of death in American women. Cardiac rehabilitation can reduce cardiac risk, but women underutilize cardiac rehabilitation. Research has not described how women who do participate cope with integrating cardiac rehabilitation into their lives. The purpose of this research study was to explore women's coping with a Phase II (12-week) cardiac rehabilitation program by analyzing interview data for common elements and other ways of coping. A secondary purpose was to explore to what extent the women's descriptions in their interviews corresponded with Lazarus' theoretical concepts of appraisal and coping.

Taking Responsibility: Toward An Understanding Of Morality In Practice. An Ethnographic Investigation Of The Social Construction Of Responsibility In The Dialectical Behavior Therapy, Pamela K. Bjorklund

Dissertations

Although the nursing literature overflows with references to the myriad things for which nurses and patients are de facto responsible, nurses have never explicitly examined the social construction of responsibility in any clinical context. This ethnographic investigation of a unique, 10-bed residential treatment facility for women diagnosed with borderline personality disorder (BPD) sought to identify, describe, and understand the social processes by which a particular mental health treatment community constructed responsibility. Consistent with feminist naturalism and informed by the feminist moral philosophy of Margaret Urban Walker (1998), this study utilized the naturalistic field methodology of Schatzman and Strauss (1973) and …

Continuing Professional Development Planning Made Incredibly Easy, Linda Anders, Sarah E. Gray

General Webinars

Planning a continuing professional development offering can be challenging as there are many components to ensure high quality education that engages the learner. This educational webinar will provide basic knowledge on educational planning along with tips and tricks to provide you as the nurse planner for continuing professional development offerings.

Evaluation Of A Community-Based Nurse Residency Program, Clara R. Owings

Dissertations

A secondary data analysis study was conducted to determine if newly graduated nurses benefitted from participation in a 1-year University Health System Consortium/American Association of Colleges of Nursing (UHC/AACN) nurse residency program in a community hospital. The sample included data collected from 121 newly graduated nurses who completed the Casey-Fink Graduate survey at the start of program, 6 months into the program, and again at the end of the year-long program. Data included in the study span 3 years from 2012 to 2015. Participation in a community-based nurse residency provided several benefits to newly graduated nurses. There were statistically significant …

Exploration Of Factors That Promote Continued Volunteer Engagement Of American Red Cross Disaster Health Services Nurses, Kathleen V. Eid-Heberle

Dissertations

The purpose of the research study was to explore factors that promote continued volunteer engagement of American Red Cross Disaster Health Services (DHS) nurses.

Perceptions Of Community Of Associate Degree Nurse Learners In An Rn-To-Bsn Online Program, Cherie R. Rebar

Dissertations

Registered Nurses (RNs), when educated in an Associate Degree (AD) program, learn in a face-to-face environment. Today's preferred standard of education for RNs is to achieve a minimum of a Bachelor's degree. For convenience while they continue working, numerous AD-prepared nurses seek online education to complete their Bachelor of Science in Nursing (BSN) degree, yet have never studied in this type of learning environment, nor have they learned to forge educational relationships in a virtual setting. At the time that this study was proposed, limited research existed that studied how BSN students perceive this forum, and how it affects their …

Older Hispanic Women With Health Care Provider Diagnosed Osteoarthritis: Experience And Perceptions Of Culturally Competent Care, Claudia A. Oglivie

Dissertations

Arthritis is the leading cause of disability among U.S. adults over the age of 65. Osteoarthritis, the most common form of arthritis, has an incidence rate that increases with age with the highest rates among women. Hispanic women are more affected than any other racial or ethnic group. Little is known about how Hispanic women respond to having osteoarthritis and how they manage its symptoms and limitations. Few studies have examined the specific experiences and perceptions of this population. We do not know how differences in incidence, access to care, disease burden, and activity limitations affect the treatment of Hispanic …

Comparing The Effects Of Two Debriefing Frameworks; Promoting Excellence And Reflective Learning In Simulation (Pearls) Framework And Structured And Supported Debriefing Model (Gas) Framework, Krista M. Prendergast

Dissertations

Essential learning occurs during the debriefing phase of simulation-based learning experiences. Despite this knowledge, evidence regarding the most effective debriefing method is insufficient. The primary purpose of this study was to compare the effectiveness of two debriefing frameworks, Promoting Excellence and Reflective Learning in Simulation (PEARLS) and Structured and Supported Debriefing Model using Gather, Analyze, Summarize (GAS) on student performance during simulation. This pilot study used a two group, pretest-posttest, experimental design with group randomization.

Adoptive Parents' Lived Experience Of Bonding With Their Adopted Infants: A Phenomenological Study, Sharon M. Bator

Dissertations

Nurses' roles facilitating bonding between adoptive parents and their infants have been premised on the idea that the experience is the same as for biological parents. Developmental theorists Bowlby (1969) and Erikson (1959) maintained that bonding between an adoptive parent and their adopted child is essential for normal growth and development. The purpose of this study was to study the experience of bonding between adoptive parents and children.

Reducing The Risks Of Stress With The Implementation Of The Bundled Strategy Plan, Debbie Lewallen

Group: Samford University Moffett & Sanders School of Nursing

The purpose of the DNP project aims to promote and evaluate the effectiveness of implementing bundled strategy intervention plan to reduce stress and prevent burnout, depression, and suicide in critical care units during and after the COVID-19 pandemic.

Association Between Burnout, Dna Methylation, And Work Environment Among Interprofessional Clinical And Non-Clinical Staff, Linda Y. Kim, Wenrui Xu, Harriet Aronow, Mana Manoukian, Bernice Coleman

Sigma Foundation for Nursing Research Grant Reports

About 35-54% of nurses and physicians in the U.S. suffer from burnout. Currently, there is a lack of an objective biologic measure of burnout. This study will assess the feasibility of using DNA methylation (DNAm) as a biomarker of healthcare provider burnout and identify work conditions, particularly during a pandemic, that would inform future implementation of targeted strategies to reduce healthcare provider burnout.

Transitions In Care And Services (2nd Ed.), Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

The purpose of this best practice guideline (BPG) is to provide evidence-based recommendations for nurses and members of the interprofessional team, organizations and the health system. These recommendations support safe and effective transitions in care for pediatric and adult persons and their support network. This BPG is to be used by nurses and members of the interprofessional team across the continuum of care (e.g., primary care, home and community care, mental health and substance use health settings, acute care, rehabilitation, long-term care, correctional facilities and shelters), in all domains of practice (e.g., clinical care, administration, education, policy and research) supporting …

Scoping Review Of Factors Affecting Philippine Nurse Licensure Examination Outcomes, James Montegrico, Ryan Michael F. Oducado

Individual Open Access Articles

Aim: This scoping review synthesized the existing literature on factors affecting Philippine nurse licensure examination (PNLE) outcomes. Background: Studies about the nurse licensure examination in the Philippines had gained popularity in recent years. Various studies reported different factors affecting PNLE outcomes, since licensure examination is an interplay between individual, academic, institutional, and environmental factors. This review is the first study that synthesized the literature on factors affecting PNLE outcomes.

Methods: A scoping review of research articles published from 2000 to 2020 described the existing literature explaining the various factors affecting PNLE outcomes. The Preferred Reporting for Integrative Studies and Meta-Analysis …

The Lived Experience Of Lebanese Oncology Patients Receiving Palliative Care, Myrna A. A. Doumit

Dissertations

The purpose of this study was to uncover the lived experience of Lebanese oncology patients receiving palliative care. The study design was based on the Utrecht School of phenomenology based on the Dutch school of phenomenology. This study followed purposeful sampling in which ten participants six women and four men with a mean age of 54.4 years were selected. The proposed research was approved by the Institutional Review Boards at the American University of Beirut and Duquesne University. In-depth semi-structured interviews along with observation-field notes were used as the source for data collection. Data were analyzed using the hermeneutic phenomenological …

Understanding Engendered Trust: Facilitating School-Nurse Trustworthiness Behaviors, Anne H. J. Summach

Theses

School nurses are involved in a complex framework of interactions with students, other professionals, parents and administrators. Trust between nurse and student is critical for interaction effectiveness. Little extant research examines trust in this setting, or interactions between students and nurses. The goal of this study was to understand through phenomenology the process of engendering trust in school nurse—high school student interactions. The qualitative approach explored school nurse perceptions of experiences interacting with students, yielding insights into nurse and setting based factors contributing to the development of trust. Subthemes within these included key behaviours and attributes enhancing trust engenderment in …

A Comparison Of Two Debriefing Methods On Clinical Reasoning Outcomes, Learner Satisfaction With Debriefing And Reflection, Clinical Learning And Clinical Reasoning, And Psychological Safety Of Nurse Orientees In Simulation-Based Education, Lori A. Persico

Dissertations

Simulation-based education is a teaching method used successfully in military, aviation, and medical education; however, the evidence rarely indicates how debriefing affects the learners' experiences. Debriefing is an essential component of simulation-based education that fosters conceptual learning, critical thinking, and clinical reasoning. The purpose of this study was to compare the effects of two different debriefing methods on nurses' perceptions of psychological safety, satisfaction with development of clinical reasoning skills, and satisfaction with learning.

A Nationally Representative Survey Of Depression Symptoms Among Jordanian Adolescents: Associations With Depression Stigma, Depression Etiological Beliefs, And Likelihood To Seek Help For Depression, Latefa Ali Dardas

Dissertations

Arab adolescents are considered a particularly vulnerable population to depression. The substantial lack of mental health services and the stigma associated with mental illness on the one hand; and poverty, unemployment, and lack of reasonable hopes for a decent future in the context of corruption of regimes and perceived social injustice on the other, call for establishing committed and effective policies to tackle depression and its associated stigma among Arab adolescents at risk for or diagnosed with depression. However, there is a substantial lack of research that can inform the current profile of adolescent depression in the Arab region. We …

The Health-Related Quality Of Life Of Adults With Down Syndrome, Rebecca Jermyn Graves

Dissertations

The purpose of this study was to examine the health-related quality of life (HRQOL) and factors associated with the HRQOL of adults with Down syndrome (DS) as reported by adults with DS and their caregivers. The study was designed to compare measures of HRQOL, health problems, health risks, and health-care utilization of adults with DS based on self-report with those from caregiver-report and to explore associations between HRQOL and health problems, health risks, health-care utilization, adaptive behavior, and demographic characteristics.

Informing Effective Simulation Pedagogy In Nursing Simulation, Sherry L. Barnard

Dissertations

Simulation methods are now widely used in nursing education programs. Several studies have been conducted that examine the effect of simulation on student outcomes in learning (Alinier, Hunt, Gordon, & Harwood, 2006; Arnold, et al, 2009; Rosen, Salas, Silvestri, Wu, & Lazzara, 2008), however, little has been discovered regarding models of faculty support and guidance during simulation. The factors that influence student learning in the simulation experience suggest faculty be a guide by offering cueing and support before, during, and after the simulation process (Parsh, Roberts, & Green, 2010). It is also suggested that debriefing be non-judgmental and a time …