Digital Commons Network^™

Preceptor Effectiveness As A Mediator Of Relationship Between Psychological Empowerment And Newly Registered Nurses' Intent To Stay, Deborah Taffe

Dissertations

The nursing profession is currently experiencing a nursing shortage that is projected to worsen. One in five newly licensed registered nurses (NLRNs) leaves the profession within the second year of practice (National Healthcare Retention and RN Staffing Report, 2018). Work empowerment has been shown to decrease turnover rates among nurses: However, the factors that mediate this concept have not been fully explored.

The purpose of this study was to investigate nurses' perceived preceptor effectiveness as a mediator of the relationship between psychological empowerment during the transition from an academic environment into practice and intent to stay in practice for NLRNs …

Night Shift Nurses' Perceptions On Fatigue Management Approaches: A Qualitative Case Study, Consuelo Nelson

Dissertations

The purpose of this study is to identify and understand the effects of working night shift to acquire insight into environmental, formative, and institutional constituents that may influence the development and utility of fatigue risk management approaches for nurses in acute care hospitals.

A Model To Facilitate Transformative Learning In Learner Nurses At Nursing Education Institutions, Tebogo A. Tsimane

Dissertations

Transformative learning is a learner-centered process of learning that actively engages learners in self-examination and critical reflection on assumptions and results in the development of competence and self-confidence in new roles and relationships that bring about change in specific environments, rather than rote learners who are inherently deficient, lacking change attributes such as clinical reasoning and judgment.

The purpose of the study is to describe and evaluate a model with guidelines to facilitate transformative learning in nursing education institutions. A qualitative, exploratory, descriptive and contextual research design for theory generation was used. The study was conducted in four phases. Phase …

Simulated Clinical Experience: An Investigation Of Emotion Understanding And Management, Neena W. Jones

Dissertations

Many investigators have documented that lack of emotional intelligence (EI) in professional nursing correlates with patient dissatisfaction, negative patient outcomes, and litigation. However, much less information is available to nurse educators for an effective instructional strategy to increase EI skills, specifically emotion understanding and management (the most influential branches of EI) in nursing students. Grounded in the theory of EI and the theory of simulation, the purpose of this quantitative quasi experimental study was to introduce educational technology as a useful strategy for influencing EI in a convenience sample of 88 second semester students in a baccalaureate program. Research questions …

Exploration Of Gratitude In Cardiovascular Health: Mediators, Medication Adherence And Psychometrics, Lakeshia A. Cousin

Dissertations

The purpose of this dissertation was to explore the effect of gratitude on cardiovascular health outcomes using mediators, medication adherence, and psychometrics. The specific aims were to (1) establish the state of the science for gratitude and cardiovascular health outcomes via a state-of-the-science literature review, (2) explore mediators affecting gratitude and medication adherence using a structural equation model in patients with cardiovascular disease, and (3) analyze the psychometric properties of the Gratitude Questionnaire-6, a self-report questionnaire designed to assess individual differences to express dispositional gratitude, to provide evidence for the validity and reliability of the instrument in African Americans at …

Subgroups Of Patients Undergoing Chemotherapy With Distinct Cognitive Fatigue And Evening Physical Fatigue Profiles, Lisa Morse

Theses

Purpose was to model cognitive fatigue and evening physical fatigue together to determine subgroups of patients with distinct cognitive fatigue AND evening physical fatigue profiles. Once these profiles were identified, differences among the subgroups in demographic and clinical characteristics, co-occurring symptoms, and quality of life outcomes were evaluated.

Bedside Nurses' Perceptions Of Pursuing An Academic Career As Nursing Faculty, Suzanne L. Benfield

Dissertations

There is a nursing faculty shortage at a Mid-Atlantic associate degree nursing program. In response, program administrators have hired adjunct faculty with bachelor of science in nursing degrees (BSNs), hired full-time faculty with master of science in nursing degrees in areas other than education who also are not certified nurse educators, and reduced its minimum requirement for nursing faculty clinical experience. The nursing faculty shortage combined with the resulting gaps in practice are problematic because they may (a) negatively influence the program's ability to produce degreed nurses; (b) increase faculty workload; (c) decrease the quality of student education, which may …

The Influence Of Caregivers' Gender Attitudes On Adolescents' Health And Well-Being In The Democratic Republic Of Congo, Andrew G. Corley

Sigma Foundation for Nursing Research Grant Reports

Adolescence is a developmentally important phase in one's life. However, restrictive gender attitudes that gain increased importance during adolescence prevent many from reaching their health and development potential. The objective of this study is to explore associations between caregiver gender attitudes and adolescent psychosocial health, educational attendance, and food security in a sample living in the eastern Democratic Republic of Congo, a region that has experienced persistent poverty and nearly thirty years of insecurity.

Exploration Of Rn To Bsn Students Intent For Faculty Role, Yolanda M. Vanriel, Elizabeth A. Gazza, Beth Cusatis Phillips

Sigma Foundation for Nursing Research Grant Reports

Aim: The aim of this qualitative study was to explore the factors that RN to BSN students' intent to become nursing faculty.

Background: The nursing faculty shortage is predicted to worsen as faculty members reach retirement age. The shortage affects enrollment into nursing programs because of the lack of qualified faculty. Increasing the number of faculty available is critical to maintain the number of nurses needed to care for US citizens.

Methods: Using a qualitative approach, RN to BSN students were asked about their intent to become faculty later in their career using open-ended questions.

Results: Eight RNs pursuing their …

Evidence-Based Diagnostic Process For Autism Spectrum Disorder In The Patient-Centered Medical Home, Amy E. Stofer

DNP and Student Works

Children with concerning features for autism spectrum disorder (ASD) benefit from early intervention services when diagnosis is procured at a younger age and in a shorter timeframe from first concern. A pilot project evaluated the benefit of an interprofessional practice model within a patient-centered medical home to diagnose ASD, rather than traditional practice whereby families are referred to a regional healthcare center. Utilizing the Autism Diagnostic Interview-Revised (ADI-R), nine children were evaluated over a four-month period. Outcome measures included age at diagnosis, time from first concern to diagnosis, time from referral to diagnosis, billing code generated, and interview time. Data …

Relationship Between Aprn State Practice Authority Perceived Autonomy, Professionalism, And Interprofessional Team Function Among A National Sample Of Aprns In The U.S., Patricia R. Gilman

Dissertations

Healthcare that includes high performing interprofessional clinical teams (IPTs) is one recommended strategy to provide optimal quality and cost-effective care delivery. Highly functional IPTs are characterized by effective communication, trust, respect, collaboration, information-sharing, and conflict resolution and are more efficient than individual providers working alone. Internally, IPT members' relationships and understanding of both one's own professional identity and others' role and responsibilities are crucial to team functionality and effectiveness. Externally, factors including regulatory practice environments might influence the effectiveness and performance of both individual team members and the team overall. Inconsistencies between states' practice authority (SPA) for advanced practice nurses …

Decreasing Pre-Procedure Anxiety In School-Aged Patients In An Outpatient Surgery Setting Using A Video Prior To Anesthesia Induction, Michelle Charette

Dissertations

Anxiety occurs when a human feels a threat in response to a situation. Having surgery can heighten this psychological reaction, especially in pediatric patients undergoing anesthesia. Many children fear anesthesia for they do not understand what is expected of them nor what to expect when entering an operating room. When anxiety and fear are elevated, it can lead to behavioral changes, increases in postoperative pain, delays in wound healing, and postponement of discharge. Eliminating or reducing anxiety can result in positive outcomes for patients with pain, healing, and discharge. Literature supports the use of an educational video to aid in …

Determining The Influence Of Parent Mental Health On Two-Generation Outcomes In Families With Children In Residential Treatment, Kayla Herbell

Sigma Foundation for Nursing Research Grant Reports

Adolescents with mental, emotional, and behavioral disorders discharged from residential treatment (RT) experience severe, life-altering psychosocial outcomes that may be ameliorated by addressing positive parenting practices. The purpose of this study was to test relationships among contextual factors (parent, adolescent), parents' mental health symptoms (depression, anxiety, PTSD, perceived stress), and two-generation outcomes (positive parenting practices, adolescent behavior problems).

Strategies To Improve Appointment No Show Rate At A Rural Healthcare Clinic, Kelli Jane Bowen

Group: Samford University Moffett & Sanders School of Nursing

In a faith-based rural healthcare clinic located in the south-central part of the United States (US), patient loss to follow-up appointments is the primary problem of the agency. Appointment nonadherence creates an inability to effectively manage patient disease processes which leads to poor patient outcomes. Missing scheduled appointments may also lead to medication nonadherence, increased morbidity, and exacerbation of complications related to the chronic diseases that are prevalent among the clinic's patients (Crutchfield & Kistler, 2020). The purpose of this project is implementation of strategies to decrease the average no show rate of patients at a rural faith-based healthcare clinic. …

Effects Of Neuraxial Anesthesia On Readiness For Ambulation Following Total Knee Arthroplasty, James Thomas Papesca

Dissertations

Total knee arthroplasty (TKA) is the most commonly performed inpatient surgical procedure within the USA and is estimated to reach 3.48 million procedures annually by 2030. An aging population with multiple health conditions coupled with value-based care initiatives focusing on the trend toward outpatient care and patient satisfaction, has prompted healthcare providers to develop and implement an anesthetic approach to enhance TKA outcomes. The American Association of Hip and Knee Surgeons acknowledges the movement toward outpatient TKAs emphasizing minimal complications and maximizing patient safety. A review of current literature identifies causative factors delaying hospital discharge following TKA ranging from postoperative …

The Re-Engineered Discharge (Red) Toolkit For Patients With Heart Failure And Impact On 30-Day Readmission Rates: An Integrative Review, Mary Grace D. Mallari, Susan M. Wechter

DNP and Student Works

The RED Toolkit has been found to reduce 30-day readmission rates, improve patient experience, and lower healthcare costs. Nurse-led quality improvement initiatives like the Project RED aligns with the promotion of patient-centered care.

Barriers To Using Certified Interpreters In The Hospital Setting: The Hispanic Bilingual Nurse Experience, Misara S. Bambao

Theses

The law requires that certified interpreters are available to translate information to patients regarding their healthcare. Due to perceived barrier of time, Hispanic bilingual nurses are regularly called upon to fill this gap in communication. This study investigates the Hispanic bilingual nurse's perspective on being pulled from their primary assignment to translate for patients other than their own. The purpose of this study was to understand Hispanic bilingual nurses' perceptions and experiences translating at the bedside.

The Effectiveness Of Preoperative Preparation Program In Decreasing Parental Preoperative Anxiety, Thao L. Tran

Dissertations

This project aimed to examine the effectiveness of a preoperative preparation program (PPP) in decreasing parental anxiety. When children needed anesthesia to get outpatient procedures completed, the accompanying parents received verbal education about the process on the day of the procedure and were assisted by a support person during and after the child's induction anesthesia. Parental anxiety was measured using the State-Trait Anxiety Inventory (STAI) tool before preoperative preparation and after the induction of anesthesia to assess whether the PPP improved parents' anxiety levels. The parents' decreased anxiety score in post-intervention would suggest that the PPP can be effectively and …

Toward Enhancement Of Clinical Judgment And Critical Thinking Simulation In The Classroom, Roxie L. Barnes

Dissertations

Health-care systems are changing, thus changing the expectations and requirements for nursing students entering the profession (Kaddoura, 2011). Nursing education must address the changes and focus on the development of critical thinking and clinical reasoning. When students are unable to apply clinical reasoning or clinical judgment into practice, there is an increase in potential for negative patient outcomes (Jones, Passos-Neto, & Braghiroli, 2015). Case-based learning (CBL) and simulation-based learning (SBL) are both active learning methods that can enhance development of critical thinking, clinical reasoning, and clinical judgment (Forneris et al., 2015). The purpose is to compare the use of CBL …

Oral Medication Adherence, Attitude, And Quality Of Life In Older Adults With Cancer: The Impact Of Motivational Interviewing, Janelle Tipton

Dissertations

Oral medication adherence in the older adult with cancer, age 65 years and older, is a significant clinical problem. Adherence rates are estimated at only 50%, which can lead to suboptimal treatment efficacy, poor symptom control, and reduced survival. Patient attitudes and beliefs can improve oral medication adherence and quality of life, while reducing unnecessary emergency room visits, and hospitalizations. Motivational interviewing (MI) is a communication intervention that has been shown to improve oral medication adherence in persons with chronic illness, including cancer. The purpose of this evidence-based practice (EBP) project was to explore the influence of MI on adherence …

Offering A Path To Success For Everyone: Creating An Inclusive Environment In Nursing Education, Christie Cavallo

General Webinars

Inclusion is the practice of providing equal access to opportunities and resources to those who might otherwise by excluded or marginalized. Students in our nursing education classrooms are in danger of being excluded due to many factors: poverty, race, religion, sexual preference, nationality, disabilities, culture, language, previous education, ideology, need to work, etc. It is our responsibility as nurse educators to purposefully create an inclusive learning environment in nursing education so that everyone we teach has a path to success.

A Web-Based Learning Adaption Of The Ending Self-Stigma (Ess) Program, Shari Harding

Dissertations

The purpose of this practice project (SPP) was to implement and evaluate a web-based learning adaptation of the Ending Self Stigma (ESS) curriculum, a group-based program to reduce mental illness self-stigma. The literature currently supports group-based, psychoeducational, face-to-face interventions for self-stigma. This project adapted current evidence-based content to the web-based learning modality as an individual, technology-based, intervention. The intervention was evaluated using a mixed methods approach with a pre- and post-test design among adults receiving outpatient mental health services. The dependent variables of interest in this project were the self-stigma of mental illness and recovery orientation. This study found that …

Teamstepps® Training And Tools For Improvement Of Staff Satisfaction, Teamwork Perceptions, And Behaviors, Emily Webber

DNP and Student Works

Interdisciplinary communication and teamwork in the health care setting are crucial for patient safety. A mental health and substance use clinic identified that poor staff satisfaction was related to inadequate communication and teamwork, affecting patient safety. Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) training and tools were implemented to improve multidisciplinary staff satisfaction, teamwork perceptions, and behaviors. Creating a consistent and dependable care processing method with a safer health care environment was the project goal.

Postpartum Depression Screening: Educating The Bedside Nurse, Nadia M. Carrasco

Theses

The purpose of this applied project is to develop a learning module based on best practices to educate nurses about postpartum depression and postpartum depression screening in inpatient postpartum maternity units. The goal of the project is to improve the assessment and timely referral for postpartum women who are experiencing postpartum depression.

Relationship Between Perceptions Of Home Discharge Readiness And Parental Health Literacy (Phl) Of Nicu Parents Of Black Preterm Infants, Mia K. Waldron

Dissertations

The United States (U.S.) ranks last among western nations in overall infant mortality rates and ranks second highest in rates of preterm birth among the same nation group (MacDorman, Matthews, Mohangoo & Zeitlin, 2014). The U.S. infant mortality data show that Black infants have the highest incidence among all groups (Ely, Driscoll & Matthews, 2018; Murphy, Xu, Kochanek & Arias, 2018). Infants born prematurely are among those at highest risk for infant death with Black women delivering premature infants at rates higher than all other U.S. groups (Ely, Driscoll & Matthews, 2018; Murphy, Xu, Kochanek & Arias, 2018; Xu, Murphy, …

Polygenic Risk Score Distributions Suggest That Treatment Resistance In Schizophrenia Is Unlikely To Be Driven By Schizophrenia Associated Common Variations, Rose Mary Xavier, Brian M. Britt, Martilias Farrell, Matthew K. Harner, Tyler E. Deittrich, Dawn M. Filmyer, Lisa M. Bruno, Raquel E. Bur, Laura Almasy, Patrick F. Sullivan, Richard Josiassen

Sigma Foundation for Nursing Research Grant Reports

This work will extend the current approach in the field and has the potential to decode the etiopathogenesis of schizophrenia by focusing on symptom domains which not only have important and direct clinical outcomes but that are refractory to existing treatments. Utilizing advances in statistical and bioinformatic methods this study proposes to examine the functional mechanisms of psychotic and schizophrenia symptoms in the developmental period in a sample of youth and in patients diagnosed with schizophrenia.

Exploration Of Competence In New Graduate Nurses, Elizabeth Van Horn, Lynne Lewallen

Sigma Foundation for Nursing Research Grant Reports

The primary goal of nursing education programs is to graduate competent novices who are ready to begin their nursing careers. To achieve this goal, it is necessary to know how the employers of new graduates define competence. The primary aim of this study is to identify the definition and evaluation of competence of new graduate nurses in hospital settings. Benner's Novice to Expert theory guided the study (Benner, 2001). This descriptive study used a mixed methods research design, consisting of a quantitative online survey and qualitative interviews. The survey solicited information from hospital educators about their orientation processes, definition of …

Digital Health Interventions In Type 2 Diabetes To Reduce Non-Traumatic Lower Extremity Amputations (Nlea) Through Diabetes Self-Management Education And Daily Foot Inspection Reminders, Olusola Ajeleti-Olufadeju, Jan Burt-Tidwell, Deaviance Fowlks-Turner

Group: Samford University Moffett & Sanders School of Nursing

The purpose of this project is to follow Diabetes Self-Management Education guidelines to educate and support vulnerable populations regarding the need for daily foot inspections, decreasing the incidence of NLEA through the use of a diabetes-specific DHIs. These applications can provide daily foot inspection reminders for patients with Type 2 diabetes and guidance for proper foot care.

Perceptions Of Associate Degree Nursing Students Regarding The Effects Of Pervious Work Experiences On Their Academic Progress, Latifah Davis

Dissertations

The purpose of this basic qualitative study was to explore how ADN nursing students eligible to graduate, with prior or concurrent healthcare work experience, describe their academic experiences and progress in an associate nursing degree program. The theoretical framework was Kolb's (1984) experiential learning theory and Knowles's (1980) adult learning theory. ADN students from three community colleges in the South Atlantic region of the United States were asked ten questions via face-to-face and telephone interviews. Three themes arose from the data analysis, valued work experience, financial obligations, and faculty support. All students verbalized that future nursing students should have some …

The Impact Of Breathing Retraining Education On Adults With Asthma For Improving Quality Of Life, Symptom Control And Reducing Short-Acting Beta-Agonist Inhaler Use In A Primary Care Setting, Danny Barazi

Dissertations

Quality of life related to asthma is negatively impacted when asthma is uncontrolled, which is characterized by frequent symptoms and rescue inhaler use which lead to limitations in normal daily activities. The goals of asthma therapy include infrequent use of short-acting beta-agonist (SABA, rescue) inhalers, prevention of acute and chronic symptoms while maintaining normal activity levels. While these goals of therapy employ infrequent use of SABA inhalers as the primary metric of effective asthma symptom management, measuring quality of life is also recommended as an important outcome of therapy and an approach to promote self-management in patients with asthma. One …