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[Excerpt From] Visionary Leadership In Healthcare: Excellence In Practice, Policy, And Ethics, Holly Wei, Sara Horton-Deutsch

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Visionary Leadership in Healthcare: Excellence in Practice, Policy, and Ethics, which is provided free of charge by the publisher.

About this book:

The pandemic years have laid bare the many faults and inequities in global healthcare systems. By exposing what is broken, COVID-19 has created a paradigm shift, spurring healthcare systems to evolve beyond an illness narrative toward one that focuses on health and healing. As nurses and healthcare professionals help lead this systemic change, they must re-envision their leadership styles.

Visionary Leadership in Healthcare equips and empowers leaders to envision, expand, …

An Examination Of Freshman Non-Nursing Students' Attitude Toward Nursing As A Career Choice For Males In The Southeastern United States, Tiffany Gordon Cox

Dissertations

The nursing shortage is predicted to continue into the year of 2030. Governmental and nongovernmental healthcare stakeholders have recognized a key factor in decreasing the shortage is to increase the recruitment and retention of males in nursing. The United States has a workforce comprising 3.5 million nurses. Yet, males represent only 9% of the working nurses in the United States. To decrease the nursing shortage, males must be a part of the equation. Male patients typically feel more comfortable discussing certain conditions, especially those related to sexual and reproductive health with other men than with women. Male nurses add to …

Bridging The Gap: Using Simultaneous Multi-Patient Simulations To Improve Nursing Competency And Transition To Practice: A Causal-Comparative Inquiry, Julie Fomenko

Dissertations

Twenty-first-century healthcare is a complex and demanding arena. Today's hospital environment is more complex than in previous years while patients move through the system at a much faster pace. Newly graduated nurses are challenged in their first year with the healthcare needs of complex patients. Nurse educators and nurse leaders differ in opinions regarding the readiness of newly licensed nurses. Despite these opposing views, there is no argument that today's hospitalized patients need expert nurses to care for them. This study explores the development of competence in newly graduated nurses using simultaneous multi-patient simulations (SMPS).

The Effect Of An Unfolding Case Study On Critical Thinking, Knowledge Acquisition, And Handoff Communication In Baccalaureate Nursing Students, Antionella M. Upshaw

Dissertations

Miscommunication during handoffs at time of transition for the older adult patient often results in hospital readmissions, penalties and nursing malpractice. Handoff communication (HOC) is a necessary and critical factor in patient safety; therefore, it is imperative that nurses be educated and trained in how to communicate essential geriatric patient data, minimize errors and ensure continuity of care. Nursing researchers report that HOC is a critical responsibility and varies in educational methods creating a latent patient safety risk. The unfolding case study (UCS) is increasingly being used to promote critical thinking and improve communication but lack of evidence to guide …

An Examination Of Faith Community Nursing Interventions In The Promotion Of Successful Aging, Lina B. Hixson

Dissertations

Faith Community Nursing is a specialty nursing practice providing ongoing supportive health care to community dwellers of all ages. Practicing within the context of a community of faith, these nurses focus on health promotion and disease prevention using their expertise to combine spiritual and physical dimensions of care. As the population of Americans continues to age at a rapid rate, the number of older adults is expected to more than double by the year 2060. Many older individuals live with one or more chronic diseases, however living with a chronic disease does not always require inpatient or home care services. …

A Model Of Factors Contributing To Perceived Abilities For Health-Promoting Self-Care Of Community-Dwelling Thai Older Adults, Porntip P. Malathum

Dissertations

The purpose of this descriptive correlational study was to examine factors contributing to perceived abilities for health-promoting self-care of community-dwelling Thai older adults. An integration of selected concepts from Orem's (1995) self-care theory and Bandura's (1997) self-efficacy theory is established to generate a conceptual model for this study. The study variables included age, education, perceived family support, perceived friend support, chronic health problems, functional ability, perceived health status, and perceived abilities for health-promoting self-care.

Using An Asynchronous Open Source Platform For Leadership Education, Sandie Nadelson, Kelley Conner, Louis Nadelson, Rebecca Gray, Keitha Griffith

General Submissions: Presentations (Oral and Poster)

Online simulation is an effective means to develop nursing students and essential as COVID has restricted in-person training. However, creating high-quality simulations with little training or expensive software has been limiting. So, when our group learned about an open-source site available for asynchronous simulation sponsored by MIT, we decided to utilize this in our undergraduate leadership course with hopes of expanding its use.

Impact Of Communication Training On Nurses' Verbal And Nonverbal Skills And Patient Satisfaction, Edna Trepanier

Dissertations

Effective nurse communication correlates with favorable patient experiences and outcomes. Communication training programs are insufficient, although they do improve nurses' communication skills. The purpose of this quantitative, pretest-posttest quasiexperimental study was to examine the impact of a communication training intervention on nurses' perceptions of verbal and nonverbal skills, patient satisfaction with nurses' communication, and the overall rating of the hospital. The Nurse Self-report Verbal and Nonverbal Communication Skills Survey (NSVNCSS) was the tool employed to collect data from 103 nurses to investigate the changes in nurses' perception of their own verbal and nonverbal scores from pretest to posttest.

Enabling Workplace Readiness In The Graduate Nurse: A Delphi Study Reflecting Leadership's Emancipatory Knowing, Bonnie Kay Kintner

Dissertations

The purpose of this qualitative modified e-Delphi research study was to explore workplace readiness in novice nurses upon graduation. The specific problem is novice nurses are unprepared for the workplace. The research questions were as follows: What barriers in the undergraduate educational curriculum prevent an easy transition into practice for novice nurses? In what ways do potential social or political injustices occur during the educational journey of student nurses? How do nursing leaders support emancipatory knowing? Emancipatory knowing recognizes patterns that require change. The intent within this study was to build consensus among 18 nursing experts from the Sigma Theta …

Student Perceptions Of Teaching And Learning Quality In A Nursing Skills Lab, Jill F. Daly

Dissertations

While nurse educators believe their graduates are prepared for practice, experienced nurses view new graduates as inadequately prepared and needing improvement in basic psychomotor and clinical reasoning skills. This study focused on the fundamental nursing skills course, where students learn the foundational skills that are seen as lacking in the new graduates. The purpose of this nonexperimental quantitative correlational study was to examine whether student perceptions of the lab instructor's use of the Principles of Instruction (Authentic Problems, Activation, Demonstration, Application, and Integration) predicted the students' learning progress and mastery of the course objectives in the fundamental nursing skills course. …

Heart Failure Family Caregivers: Psychometrics Of A New Quality Of Life Scale And Variables Associated With Caregiver Outcomes, Julie Ann Nauser

Dissertations

The number of patients with chronic heart failure (HF) is at an all-time high and the incidence is expected to increase as our population ages. HF patients experience impaired cognition, exertional shortness of breath, and persistent fatigue; therefore, family members are needed to assist with their care at home. Although existing literature suggests that HF caregivers experience negative physical, mental, and social outcomes, there is a lack of studies guided by a conceptual model to determine factors associated with these outcomes. The purpose of this study was to determine factors associated with HF caregiver depressive symptoms, life changes, and quality …

Processes Used By Nursing Faculty When Working With Underperforming Students In The Clinical Area: A Theoretical Model Derived From Grounded Theory, Marianne Craven

Dissertations

Clinical nursing faculty members often work with students who underperform in the clinical area. Underperforming students are those who exhibit deficits in nursing knowledge, the application of nursing knowledge, psychomotor skills, motivation, and/or interpersonal skills. The outcomes of faculty work with underperforming students have implications for patient safety and the nursing workforce, yet little is known about how faculty work with underperforming students. The purpose of this project was to develop a theoretical framework that describes how clinical faculty work with underperforming students in the clinical area.

Ready Or Not: Examining The Efficacy Of The Academic Preparation Of Bsn Students And Readiness To Enter Practice, Kathleen Anne Diatta

Dissertations

The concept of critical thinking (CT) has perplexed employers and researchers in the field of nursing for decades. The nursing profession is under intense pressure to hire clinicians who exhibit CT skills. A review of the literature has shown that the divide between bedside clinicians and nursing faculty has led to the separation of academic educators from clinical practices. As a result, new graduates come into the clinical setting inadequately prepared to meet the clinical demands of today's hospitalized patients. The purpose of this study was to explore the experience of new graduate nurses from a Baccalaureate program and their …

Children's Oral Health Equity And Promotion Practices, April Hille

General Webinars

Poor oral health has been linked with negative child health outcomes, including early childhood dental caries (ECC), a leading Healthly People 2030 public health concern. Health and racial disparities put disadvantaged children at a higher risk for developing ECC. The nursing profession has the opportunity to play a leadership role to promote oral health equity through appropriate health promotion and disease prevention "best practices." This webinar will discuss recommended oral health practices to tackle ECC, as well as explore strategies to promote oral health racial and health equity related to access, availability, and affordability.

Family Nurse Practitioners' Use Of Mhealth Apps For Health Promotion With Patients, Rebecca Coyle Mueller

Dissertations

Due to the significant prevalence of chronic illnesses in the United States, engaging patients in health promotion activities is imperative. mHealth apps have the ability to complement the family nurse practitioner's (FNP) prescribed care plan, and offer a user friendly, convenient method to promote healthy behaviors and lessen the prevalence of chronic disease. The purpose of this descriptive, quantitative study was to describe FNPs' intent to use and use of mHealth apps for health promotion with their patients using the Unified Theory of Acceptance and Use of Technology (UTAUT), and to determine the types and frequencies of apps recommended by …

Normalization And Family Functioning In Families With A Child Who Is Technology Dependent, Valerie Boebel Toly

Dissertations

The purpose of this study was to examine the relationship between child/maternal factors (child's functional status, level of technology dependence, mother's depressive symptoms, length of caregiving duration, amount of home health care nursing hours, race, family income and age of the child) and (a) family functioning, as well as (b) normalization in families with a child who is technology dependent. Additionally, this study examined whether there are differences in family functioning, normalization and mother's depressive symptoms based upon the child's level of technology dependence (mechanical ventilation, intravenous nutrition/medication, respiratory/nutritional support). A descriptive, correlational design was used in this cross-sectional study.

Workplace Bullying: Exploring The Prevalence, Impact, And Consequences To Nurses, Peggy Ann Berry

Dissertations

Most novice nurses will experience workplace bullying (WPB) behaviors within 1-2 years of licensure. This exposure adversely affects work productivity. The purposes of this study were to (1) explore factors that resulted in the adoption of WPB behaviors; (2) determine the differences in perceived stress, anxiety state, and posttraumatic stress symptoms based on bullying exposure frequencies and select nurse characteristics; and (3) explore strategies to manage or stop WPB behaviors.

The State Of Missed Nursing Care In A Telemetry Nursing Unit: A Descriptive Case Study, Ann Marie Svolos

Dissertations

Missed nursing care in the acute hospital setting is care left undone. Omitted, missing and even rationed care, are not new concepts in nursing practice. However, in 2006 Dr. Beatrice Kalisch formally identified the type of care that is regularly missed in acute general hospital units and the reasons missed nursing care occurs. Missed nursing care is a problem for nursing and healthcare because it may lead to negative patient and staff outcomes which may result in harm. The purpose of the research was to understand missed nursing care from a telemetry nurse's perspective to learn how it continues to …

Transgender Education In Nursing: A Qualitative Study Investigating Faculty Beliefs, Vanessa A. Pomarico-Denino

Dissertations

Lesbian, gay, bisexual and transgender (LGBT) is an acronym that groups together four populations under one umbrella term. Each of these populations has their own distinct and unique health care needs. Transgender persons may present their gender differently than what is considered the societal norm. As a result, they are more prone to discrimination, harassment and acts of violence than other marginalized populations. Prior experiences with health care professionals may cause transgender persons to avoid seeking health care when needed. As more persons identify as transgender, the need to educate health care providers on the appropriate and sensitive care of …

Resilience In Helping Healthcare Workers Deal With Hiv Supply Shortages In Nigeria: Quantitative Descriptive Study, Ediri Y. Okiti

Dissertations

A quantitative descriptive study was conducted to measure whether HIV medical supply shortages relate to the resiliency levels of healthcare workers in Nigeria who care for HIV patients. Data were collected using the Resilience Scale (RS) from nurses and doctors caring for HIV and AIDS patients, in addition to reviewing archival supply requisitions and supplies received records for a ten-month period from January to October 2014 in eight hospitals in the Delta State of Nigeria. Univariate analysis was used to evaluate the data on the resiliency level of nurses and doctors and the rate of the medical supply shortages. Bivariate …

A Mixed Methods Study Of The Symptom Experience Following Endovascular Treatment For Lower Extremity Peripheral Arterial Disease, Serena Greenhaw Gramling

Dissertations

Peripheral arterial disease (PAD) is one of the most understudied and undertreated diseases affecting three to ten percent of the general population. Patients with lower extremity PAD must manage multiple symptoms including pain in the hips, thighs, and calves during rest and physical activity. However, evidence is limited about patients' experience, especially following treatment. The purpose of this mixed methods study was to explore the symptom experience of individuals with peripheral arterial disease following endovascular treatment including perceptions of treatment benefit and concerns.

Obesity And Overweight Among Black American Adolescent Females: The Role Of Social Influences In Everyday Dietary Practices, Megan R. Winkler

Dissertations

Obesity and overweight disproportionately impact Black American adolescent females-placing them at a lifetime of elevated physical health risks. Despite this burden, the literature that explores the contributors to obesity and overweight among Black American adolescent females remains limited and unclear. This dissertation aims to develop knowledge related to obesity and overweight in Black American adolescent females, by appraising the current understanding of factors that contribute to their obesity and overweight, and explicating the everyday social influences on dietary practices. The primary study conducted for this dissertation used a mixed method, multiple case study design to examine the mother, daughter, and …

Shining A Light: Compassion Fatigue In Psychiatric Nursing And Nursing Students, Kathryn M. Chachula

Dissertations

Low levels of compassion satisfaction (CS) and high levels of compassion fatigue (CF), comprised of burnout (BO) and secondary traumatic stress (STS), have been identified as a serious concern among students within health science disciplines.

To conduct a cross-sectional survey to determine what factors are related to the development of BO and STS within a pre-licensure health studies student population of undergraduate nursing and psychiatric nursing disciplines, groups that have seldom been studied.

Letting Go: How Newly-Graduated Registered Nurses In Western Canada Decide To Exit The Nursing Profession, Kathryn M. Chachula

Theses

The Canadian Nurses Association predicts the nursing shortage will rise to an estimated 60,000 Registered Nurses (RNs) by the year 2022. Further compounding this issue is the approximate 14-61% of nursing graduates who will change nursing roles or exit the profession within two years of practice. Using the Glaserian grounded theory method, the purpose of this study was to examine the basic psychosocial process labelled Letting Go involved in how newly-graduated RNs in western Canada arrive at the decision to exit the nursing profession within five years of entry into the workforce through semi-structured interviews.

Humanizing The Inhumane: The Meaning Of The American Indian Patient-Cancer Care Nurse Relationship, Natalie M. Pool

Dissertations

This study described the unique relationships that develop while providing cancer care to AI populations and the underlying meaning that nurses ascribed to these experiences. Methods: This was an interpretive phenomenological study with multiple data collections and analysis. Nine cancer care nurses with a minimum of three years of experience working with AI patients participated by engaging in 2-3 exploratory, open-ended, reflective interviews over a period of nine months. Thematic reduction was completed to explicate the fundamental structures of this particular relationship. I then engaged in extensive reflective writing resulting in a linguistic transformation illuminating the essential meaning for nurses …

Evaluation Of A School Nurse-Led Intervention For Children With Severe Obesity In New York City Schools, Krista Schroeder

Dissertations

Severe childhood obesity, the fastest growing subcategory of childhood obesity, affects 4-6% of youth. Children from racial/ethnic minority groups and low income households are disproportionately affected. Severe obesity increases risk for metabolic syndrome, cardiovascular disease, non-alcoholic fatty liver disease, musculoskeletal problems, poor health-related quality of life, bullying, low self-worth, absenteeism, and adult obesity. One method of addressing childhood obesity is through school-based interventions. School nurses may be well-suited to lead obesity interventions because of their healthcare expertise, long-term relationships with students and families, and availability to students without financial burden.

Instructor's Guide For Population-Based Public Health Clinical Manual: The Henry Street Model For Nurses (3rd Ed.), Marjorie A. Schaffer, Patricia M. Schoon, Carolyn M. Porta

Sigma Publications: Book Excerpts

This item record pertains to the Instructor's Guide for Population-Based Public Health Clinical Manual: The Henry Street Model for Nurses, Third Edition, which is provided free of charge by the publisher.

About the book: Population-Based Public Health Clinical Manual: The Henry Street Model for Nurses has proven to be one of the most important public health texts for students and practitioners alike. Focused on developing evidence-based public health nursing practice in diverse settings, the core text builds on the Henry Street Consortium's framework of 12 competencies for population-based, entry-level public health nursing (PHN). The full-color, newly designed third edition …

The Lived Experience Of Nurse Practitioners In Independent Practice, Annmarie Waite

Dissertations

The purpose of this qualitative phenomenological study was to explore the lived experience of Nurse Practitioners in independent practice. The aim was to give NPs a voice to express their individual experience, provide an inductive description of the lived experience, and gain understanding of the essence of being an independent practitioner. Philosophical Underpinning: This qualitative study was guided by the hermeneutic phenomenological approach of Max van Manen (1990).

Global Health Advocacy: Building A Foundation For Transformative Impact At The United Nations And Beyond, Pennie Sessler Branden, Valerie Clary-Muronda, Janice E. Hawkins, Dania Itani Mousa, Aric Shimek

General Webinars

Globally, nurses are being called upon to advocate for health equity. At the United Nations (UN), Sigma works to advance health equity through the Sustainable Development Goals (SDGs). Join Sigma's UN representatives for ideas on local actions and global efforts that nurses can engage in to build a healthier world.

Invisible Influence: Exploring Nurses' Interactions With Industry In Clinical Practice, Quinn H. Grundy

Dissertations

The purpose of this multi-sited, ethnographic study was to explore whether and how registered nurses (RNs) interact with medically-related industry in clinical practice.