Digital Commons Network^™

Measurement And Regulation Of Workplace Violence In Healthcare Setting, Rachel Odes

Dissertations

Workplace violence in healthcare settings has been recognized globally as a major barrier to the provision of safe and effective health care services. In California, the Workplace Violence Prevention in Health Care standard (Title 8, Section 3342) requires hospitals to develop violence prevention plans and report incidents where force was used against workers to the California Occupational Safety and Health Administration (CalOSHA) through the web-based Workplace Violent Incident Reporting System for Hospitals (WVIRS).

Weight Status Among Prescription Opioid Users With Chronic Pain, Teresa Louise Bigand

Dissertations

Greater than 70% of the United States (US) adult population is overweight as defined by body mass index (BMI) greater than 25 kg/m2. Adults who are overweight are more likely to report chronic pain than those with recommended weight status. Additionally, higher BMI is correlated with poorer pain outcomes. Patients with chronic pain and overweight status report difficulty self-managing pain and weight and are commonly prescribed opioid medications to treat pain. Long-term use of prescription opioids is associated with negative health outcomes, especially among adults with overweight status. Adults with chronic pain report many health symptoms that hinder pain and …

A Systematic Review Of Evidence Based Strategies To Address Nursing Burnout Through The Lens Of The Roy Adaptation Model, Josselyn Howell

General Submissions: Presentations (Oral and Poster)

The purpose of this presentation is to systematically review current literature for evidence based practices to address nursing burnout. The Roy Adaptation Model (RAM) will be used as a lens to systematically understand coping strategies and adaptation.

Using H5p To Create Simulations That Replaced Clinical Hours And Leveraging Gamification To Invite Student Creativity Through Co-Creation Of Computer-Based Simulations, Laura A. Killam, Marian Luctkar-Flude

General Submissions: Presentations (Oral and Poster)

Objectives: To describe how: 1) H5P technology was used to create online virtual simulations that replaced in-home family visits and 2) co-creation of future simulations was promoted through the use of gamification.

Undergraduate Nursing Education Based On The Ram At St.Mary's College In Japan: How The Ram Supports Nurses' Understanding Of People Who Suffer From Illness, Tsuyako Hidaka, Satsuki Obama, Eric Fortin, Nobu Ide

General Submissions: Presentations (Oral and Poster)

The purpose of this presentation is to show through RAM-based practice, understanding the suffering of people in various situations leads to the healing of patients, and it is possible for students to find meaning in each patient's situation. The faculty and students have learned from the RAM how to adapt to the environment, and the coping ability of patients has a great effect on the everyone's nursing practice.

Institutional Model To Reduce Anxiety And Promote Flourishing In An Associate Degree Nursing Program, Anne Devaney, Melissa Chase

General Submissions: Presentations (Oral and Poster)

This study aims to provide evidence-based prevention and intervention to at-risk nursing students. The study hopes to contribute to the existing literature by examining a trauma-based interventional approach to reduce anxiety, build self-efficacy and promote student retention. It also investigates to what extent QiGong practice intermixed with mindfulness acceptance group therapy improves coping and promotes flourishing among nursing students.

Simultaneous Experiences Of Type 2 Diabetes And Symptoms Of Depression And/Or Anxiety Among Latina Women 60 And Older, Adrienne S. Martinez-Hollingsworth

Dissertations

Latina older adult women disproportionately suffer from type 2 diabetes (diabetes) and symptoms of depression and/or anxiety. These disease states are associated with serious declines in health outcomes and a three-fold reduction in treatment compliance. Few studies have examined this phenomenon exclusively among Latina older adult women or have captured the impact of intersectional identity on their experiences, values or problem-solving methods related to self-management.

The purpose of this study was to examine how Latina women, 60 and over, emotionally experience both diabetes and interactions with care providers during help-seeking and care engagement.

Development And Evaluation Of A Sepsis Simulation With Undergraduate Nursing Students, Kelly Martinez

Dissertations

This study evaluated if undergraduate nursing students in their final academic year can appropriately recognize and respond to a patient displaying signs of deterioration in a response to rescue simulation. Participants were senior level baccalaureate nursing students in a Northeast university. The student nurses' ability to recognize and respond to patient deterioration due to sepsis according to the Surviving Sepsis Campaign (SSC) definitions were examined. Participating students reviewed preparation materials and resource components followed by a simulation-based learning experience which followed the International Nursing Association for Clinical Simulation and Learning (INACSL) Standards of Best Practice: SimulationSM. The simulation experience was …

Autonomic Nervous System Reactivity In Early Childhood: Developmental Patterns And Sociodemographic Predictors, Michelle Stephens

Dissertations

Cardiac autonomic nervous system (ANS) measurements, respiratory sinus arrhythmia (RSA) and preejection period (PEP), are valid and reliable indicators of children's sensitivity to stressors in their environment; however, there are few studies of RSA and PEP measures in children younger than three years of age and no known studies of children at 18-months of age. This was a cohort study of racially- and ethnically-diverse, low-income children studied from birth through five years of age. At 18-months (n = 134) and 36-months (n = 102) of age, children completed a developmentally challenging protocol that simultaneously assessed their RSA and PEP under …

Evaluating The Impact Of Innovative Teaching Strategies To Improve Nursing Students' Perceptions Of Competence And Confidence In Providing Spiritual And Emotional Care, Palmira A. Good

Dissertations

Nurses are expected to respond to the spiritual and emotional needs of patients with compassionate care. Patients yearn for a connection with their nurse that assures them they are safe and will be provided with holistic care. A healing environment can be established for the patient by providing spiritual and emotional care. Many practicing nurses state they are uncomfortable addressing the spiritual and emotional needs of their patients. A gap exists between what is taught to nursing students and the expectations of nurses in the clinical setting. Students' perceptions of their confidence and competence in providing spiritual care to patients …

Preventing Healthcare Workplace Violence Through Legislation, Erika Cunningham-Regis

Dissertations

Workplace violence against nursing professionals is an unacknowledged crisis. The repercussions of workplace violence are harmful to the nursing profession, as well as the healthcare industry. Unfortunately, there has been a dearth of protective mechanisms and standardized prevention plans. Only through mandated legislation will sustainable change be achieved for nurses. The United States House of Representatives bill number 1309, under Workplace Violence Prevention for Health Care and Social Service Workers Act was developed to provide a concise prevention plan to healthcare facilities across the nation. The bill died in Congress, but through continued advocacy efforts, it can be reintroduced for …

Examining Nursing Faculty Credentials And Nclex-Rn Pass Rates In Pre-Licensure Nursing Programs, Tiffany N. Cole

Dissertations

The healthcare industry has registered nurses from various academic and clinical backgrounds. With nurses accounting for a significant number of healthcare professionals, there is a continued need for nursing students to be successful on the National Council Licensure Examination (NCLEX). One role of nursing faculty members is to promote student success on the NCLEX. Nursing faculty members may have varied educational backgrounds, with the most common being master's and doctoral degrees. There is a gap in nursing education literature regarding if specific faculty credentials are predictive of NCLEX-RN® pass rates in pre-licensure nursing programs. A cross-sectional correlational retrospective quantitative study …

Learning To Educate: A Basic Qualitative Study Of The Experiences Of Training From Professional Nurses, Shanda J. Clark

Dissertations

The basic qualitative research design allowed for the discovery of how professional nurse participants interpret their experiences about learning how to educate students in the clinical setting. The population studied were professional nurses who teach students in the clinical setting in a Southwestern state. Research findings indicated the experiences regarding their preparation to instruct students in the clinical learning environment were significantly lacking. Professional nurses may be considered experts in the application of patient care; however, they continue to lack formal training preparing them to educate nursing students. The experiences of professional nurses indicated little communication occurs between them and …

Clinical Judgment And Cue Recognition Of Patient Deterioration Among Novice Nurses, Patricia K. Schmehl

Dissertations

Experiential learning deficits in newly licensed registered nurses (RNs) may extend to deficits in clinical judgment, particularly in recognizing cues of patient deterioration. The purpose of this quantitative, pretest posttest quality improvement project was to determine if and to what degree the implementation of QSEN education with simulation for nurses impacts clinical judgment and frequency of documentation of deterioration parameters in an acute care hospital in southeastern Pennsylvania. Benner's novice to expert theory and Tanner's clinical judgment model supported the framework for this project. Thirty-three nurses in residency participated in a didactic session on the QSEN competencies and an unfolding …

Developing New Prognostic Models For Predicting Outcomes In Severe Traumatic Brain Injury, Kwankaew Wongchareon

Dissertations

Globally, the annual incidence rate of traumatic brain injury (TBI) in all ages is 349 per 100,000 person-years. The incidence of TBI varies across regions, populations, regulations, and health systems; but in general, the rate is expected to be higher in low and middle-income countries (LMICs). As LMICs usually have poor pre-hospital care, delays in patient transfer, lack of facilities and well-trained staff; these make the burden of TBI more devastating and a pressing public health issue. In this dissertation, we focused on several approaches to determine the value of prognostic research in adult patients with severe TBI, test model …

Undergraduate Nurse Educator Perceptions Of Preparation To Teach Interprofessional Collaboration, Tamara Berghout

Dissertations

If nurse educators do not teach students to function in interprofessional teams, students may lack communication and teamwork skills, which can result in patient harm; however, nurse educators do not always understand the concept of interprofessional collaboration (IPC) and may, therefore, fail to teach it to students. The purpose of this multiple case study was to understand how undergraduate nurse educators prepared to teach IPC and how their preparation informed their teaching. The theory of transformative learning and the Interprofessional Education Collaborative core competencies of IPC framed this study. Data included semistructured interviews and associated documents from 9 nurse educators …

Preparation Of Clinical Nurse Educators Using Simulation: Developing Competencies In Providing Feedback, Julie S. Fitzwater

Dissertations

The purpose of this study was to evaluate the effectiveness of simulation learning in the development of clinical teaching competencies in clinical nurse educators transitioning from the role of nurse clinician to nurse educator. The study intervention was a simulation learning experience for clinical nurse educators to learn effective formative feedback techniques.

An Exploration Of Perceived Learning Activities And Assignments Preferred By Millennial Nursing Students In An Online Rn-Bsn Nursing Program, Holly R. Farley

Dissertations

The purpose of this qualitative exploratory single case study was to explore millennial nursing student preferences of activities and assignments that may facilitate learning (preferred) as well as perceptions of those that may hinder learning (not preferred). This qualitative exploratory single case study sought to understand the perceived preferences of millennial online registered nurse to Bachelor of Science in nursing (RN-BSN) students for online activities and assignments. Three questions were posed: How do millennial nursing students develop preferences for learning activities and assignments in online RN-BSN programs? How and why do millennial nursing students believe certain learning activities and assignments …

Incorporating Social Determinants Of Health In Associate Degree Nursing Education, Lisa J. Bagdan

Dissertations

The purpose of this study is to integrate assessment of SDH using a Patient Centered Assessment Method (PCAM) during patient care transitions into associate degree nursing education. It will evaluate student learning, suitability, and application of the PCAM assessment tools use in associate degree nursing education.

Reducing Acute Care Hospital Setting Inpatient Falls With Implementation Of Hourly Rounding: A Quality Improvement Project, Courtney Delaparte

Dissertations

Falls in the acute care setting can lead to serious patient injuries. Despite continued efforts to reduce falls, falls are still a common occurrence. One strategy that has been identified as promoting patient safety, including the prevention of falls, is that of hourly rounding. This quality improvement project implemented hourly rounding utilizing the AHRQ's 3B: Scheduled Rounding Protocol on a 48-bed telemetry unit to study the effects on fall reduction. Comparison of fall rates prior to the implementation of hourly rounding to that after hourly rounding was incorporated into practice, showed a reduction; however, the reduction of fall rates was …

Body Image Distress And Post Mastectomy Women, Ashley Ceithaml

Dissertations

Body image and breast cancer are closely associated in women who undergo unilateral or bilateral mastectomies. The literature has shown that even if women undergo reconstruction, they still experience adverse side effects with surgery or body image disturbances that may persist for years, affecting their quality of life. It is important for providers to recognize patients experiencing issues with body image distress and be able to provide appropriate care.

The purpose of this quality improvement project is to evaluate body image scores in women who have undergone breast cancer mastectomy within the past five years and educate those who admit …

It's Ok To Not Be Ok: Mental Health Is Health!, Sara Fung, Amie Varley

General Webinars

Almost 17 months into the pandemic, our mental health is not getting better. Throughout COVID-19, nurses have been there for patients' best days, worst days and all the days in-between. Who will be there for us? How do we ensure that our needs are being taken care of? It's time to take some of the power back into our own hands and advocate for the mental health supports we actually need. In this presentation we will examine the pre-pandemic levels of burnout, and the impact it has had on nursing during the pandemic. We will also explore options for how …

Maintaining Peiroperative Normothermia With A Thermal Warming Package, Holly C. Taylor

DNP and Student Works

Perioperative normothermia must be maintained to safeguard the colorectal patient from development of postoperative surgical site infections (SSIs). Colorectal patient hypothermia throughout the perioperative period was an organizational concern. A dashboard was built to pull specific indicators of SSIs, including temperature readings from each perioperative care area. The project purpose was standardization of thermal warming measures for colorectal patients, reduction of surgical site infections, and a decreased standard infection ratio. The PICOT question was: "In colorectal surgical patients with a wound classification score of II (clean/contaminated) or III (contaminated), how does utilization of a perioperative thermal warming package compared to …

The Influence Of Gender, Weight, And Age On Osa Progression In Rem And Nrem Sleep, Alan M. Jones

Dissertations

In the United States, it is estimated that obstructive sleep apnea (OSA), which greatly increases the risk of many adverse health conditions, affects over 25 million adults with prevalence rates that have drastically increased over the last two decades, likely due to the obesity epidemic. Research has identified several explanatory variables of OSA, but studies have indicated that OSA incidence and severity is mainly determined by three variables: gender, weight and age.

The purpose of this study is to investigate the effects and importance of gender, weight, and age on OSA levels (as measured by respiratory disturbance index (RDI) values) …

A Description Of Cultural Humility As Perceived By Nursing Faculty In Baccalaureate Nursing Education, Linda Webster

Dissertations

In diverse populations, health inequities can exist, thereby contributing to health disparities. A lack of knowledge regarding unfamiliar cultural patterns and practices by health care providers can contribute to miscommunication and mistrust. The willingness to adopt the practices of self-awareness and self-reflection with critique is cultural humility. This concept may help to reduce health inequities and suboptimal health outcomes when a mutual respect for culture and diversity is present.

A foundational, qualitative descriptive study was proposed to investigate cultural humility as perceived by nursing faculty. The purpose of this study was to describe the concept of cultural humility from the …

Stress, Anxiety, And Depression: Role Of Campus Connectedness, Social Support, And Coping Among Nepalese Nursing Students, Priscilla Samson

Dissertations

High levels of stress, anxiety, and depression (SAD) can adversely influence physical health, psychological well-being, and academic and clinical performance of nursing students. Numerous studies have identified the factors associated with SAD; however, a paucity of empirical research addresses the relationship of SAD with campus connectedness (CC), perceived social support (PSS), and coping. The purpose of this quantitative cross-sectional study, guided by Lazarus and Folkman's theory of stress, coping, and adaptation, was to determine the prevalence of SAD and examine its relationship with CC, PSS, and coping among undergraduate nursing students of Nepal. Survey research was conducted using depression anxiety …

The Impact Of Readmission On Family Caregivers Of Children Following Ventricular Peritoneal Shunt Surgery, Mary Uwhuba

Theses

Family caregivers work tirelessly to ensure their loved ones don't need to return to the hospital after discharge. This study will examine the impact of readmission on family caregivers of children who have had ventricular peritoneal shunt (VPS) surgery and been readmitted by looking at the economic, social, familial, and personal strains of caregiving. This study is a descriptive study. The Impact on Family Scale survey (Stein & Jessop, 1985) was used to judge if family caregivers were affected by child's readmission.

Male Nurses' Experiences Of Gender Stereotyping Over The Past Five Decades: A Narrative Approach, Michael W. Finnegan

Dissertations

Negative stereotyping of men in nursing has been a chronic problem that has a direct effect on males and detracts from efforts to recruit and retain them. At this time in American history (2018), traditionally male-dominated professions are making significant progress toward the goal of a gender-balanced workplace. However, the opposite is not true. Traditionally female-dominated professions are not attracting or appealing to men. In the nursing profession, the number of male nurses is relatively small and has remained relatively fixed over time. Estimates vary between 6-15 percent, with the current average being approximately 11 percent (American Nurses Association, 2014). …

Exploring Perspectives Of Legal Nurse Consultants As Entrepreneurs: A Case Study, Evelyn H. Bell

Dissertations

Entrepreneurial opportunities exist in the nursing profession for nurses who are seen as innovative, forward thinkers, and have a desire to work independently. Entrepreneurship as a legal nurse consultant is a career choice that allows for that independence while supporting the legal community. Legal nurse consultants use training and clinical experience to provide expert opinions related to practice standards of care and damages. In this exploratory qualitative case study, the researcher explored the perceptions of legal nurse consultants regarding the journey to become entrepreneurs. The problem that was the focus of this study was absence of sufficient and applicable research …

Nursing Faculty Perceptions About Peers With Physical And Sensory Disabilities, Tammy C. Killough

Dissertations

Nursing faculty perceptions of peer faculty with sensory and physical disabilities is an important topic for research, as the review of literature indicates that this topic has not been adequately investigated. Current research related to nursing faculty with disabilities has been primarily focused on nursing students with disabilities. This study explored nursing faculty's perceptions about nursing peers with disabilities. A descriptive qualitative research design was selected to best reflect the viewpoints of the participants and to allow for a more holistic open view of participants' perceptions about the research questions. The participants participated in an online survey using Survey Monkeyâ„¢. …