Digital Commons Network^™

Impact Of Diabetes Self-Management Education On Adults With Diabetes And Mental Illness, Brooke Tullis

Dissertations

Approximately 9.4% of the population of the United States, or 30.3 million Americans, has diabetes mellitus. Diabetes is the seventh leading cause of death and places a significant financial strain on the healthcare system with approximately $327 billion in estimated expenditures. In Ohio, 13.5% of the population has diabetes, which represents a 4.1% increase above the national average. Additionally, individuals with mental illness are at an increased risk for diabetes due to lower self-efficacy and limited performance of self-care activities compared to the general population. This results in poor glycemic control and leads to an increased risk for diabetes complications. …

Social Support Among Family Caregivers Who Attend Hospice Virtual Group Counseling Sessions: Facilitators And Barriers To Attending These Sessions, Katherine M. Hertzfeld

Dissertations

The National Hospice and Palliative Care organization has identified that a majority of its estimated 1.43 million patients in 2016 were cared for by family members. Studies show that these family caregivers often suffer poor health outcomes if they do not receive enough social support during the grieving process following their family members' death. Attending group counseling sessions can provide social support if the family caregiver is willing to attend. The Transtheoretical Model (TTM) indicates changes in health behavior and can facilitate individuals to attend group counseling sessions. The purpose of this evidence-based practice project is to identify the level …

Use Of Comprehensive Care Coordinator Telephonic Outreach To Increase Colorectal Cancer Screening In Primary Care, Sarah N. Klotz

Dissertations

Colorectal Cancer (CRC) is one of the most commonly diagnosed cancers in the United States. More than 140,000 patients in the United States will be diagnosed with CRC in 2020. Despite clear benefits to timely CRC screening only 63% of eligible patients in the United States are screened appropriately. The Target Health System has identified that under-screening for CRC posess a significant patient care outcome and quality reimbursement concern. This evidence-based practice (EBP) quality improvement (QI) project was designed to improve the CRC screening rates in primary care. The EBP QI project used the existing care coordinator program to expand …

Oncology Missed Care, Sabrina Orique, Cassie Rodriguez, Ashley Davis, Tim Carrasco, Pa Lee

General Submissions: Presentations (Oral and Poster)

Identified as a universal phenomenon, missing nursing care has a significant impact on patient safety and outcomes1. To better understand the impact missed nursing care has on the cancer patients, further exploration examining patient-reported missed nursing care is vital. Thus, the purpose of the proposed study was to identify aspects of nursing care most frequently missed as well as associated patient factors among oncology patients. A cross sectional, survey-study design was conducted between January to August 2019. A convenience sample of 111 hospitalized cancer patients meeting eligibility criteria were recruited to participate. Participants will be asked to complete a demographic …

Sleep Health Knowledge, Attitudes, Beliefs, And Practices Of Underserved Mothers With A History Of Prenatal Depression, Jonika Hash, Amy Walker, Teresa Ward, Susan Spieker

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study was to describe the sleep health knowledge, attitudes, beliefs, and practices of an underserved sample of mothers with a history of prenatal depression. This was a cross-sectional, multimethods study involving quantitative and qualitative data. Participants were 16 mothers treated for prenatal depression from community-based clinics caring for underserved populations and their 12- to 36-month-old child. Mothers completed a series of validated questionnaires and a semi-structured interview about their own and their child's sleep health. Analyses included descriptives (quantitative data) and inductive content analysis (qualitative data). Mean total 24-hour child sleep duration was 13.30 hours (SD …

Implementation Science For Clinicians: Accelerating The Uptake Of Evidence Into Practice For Best Outcomes, Bernadette Mazurek Melnyk, Sharon Tucker

General Webinars

This presentation describes implementation science as a key strategy for advancing evidence-based practice. The ARCC Model and a new accompanying implementation toolkit will be highlighted as one exemplar for promoting the uptake of evidence-based practice in health care settings. Challenges and opportunities to accelerate uptake of evidence-based practices in healthcare settings also will be discussed.

Risk-Taking Behavior Of Alcohol Use Among Young Adults Who Have Aged Out Of Foster Care, Elizabeth Ana Borroto Levine

Dissertations

Risk-taking behaviors such as excessive alcohol use in adolescence may become destructive habits in adulthood and pose major health problems. For aged-out foster care teenagers (AOTs), the behaviors are especially increased. The study purpose was to determine the incidence of alcohol use among AOTs in South Florida and to test four hypothesis measuring the variables of self-perceptions (self-esteem), risk perceptions (costs/benefits), social/environmental perceptions (peer influence), peer group characteristics (peer values), and risk-taking behaviors that would predict alcohol use among AOTs living in South Florida.

The Use Of Scorecards To Improve Documentation Of Obstetrical Blood Loss, Marilyn Cejka Steinberg

Dissertations

Obstetric hemorrhage is one of the most common causes of maternal morbidity and mortality. The measurement of quantitative blood loss (QBL) at delivery prevents clinicians from failing to recognize hemorrhage in healthy obstetric patients who initially compensate for excessive blood loss. The purpose of this project was to improve the compliance of labor and delivery nurses in a community hospital with consistent QBL measurement. Key theories that formed the basis for the project were Lewin's theory of planned change and homeostasis. The project question addressed was: Is the use of weekly scorecards to provide feedback to nurses with both blinded …

The Effect Of A Culture Of Safety On Patient Throughput, Laurie Lee Dawn Dillon

Dissertations

There is a national movement to create improvements in patient safety and outcomes due to evolutionary changes in the healthcare. Many health care organizations are using the framework of a culture of safety in order to create a reliable and stable work environment that emphasizes safety and improves patient outcomes. Patient throughput, defined as the active management of the supply of patient beds (rooms for occupation) to the demand of patients to beds and the length of time it takes for this action to occur, has been identified as one of the areas in need of improvement. This study considered …

Perceptions Of Graduates From Online Accelerated Pre-Licensure Second-Degree Bachelor Of Science In Nursing Programs On Quality Of Educational Experience And Readiness For Clinical Practice, Virginia L. Jones

Dissertations

There is an increasing use of distance learning methods being utilized for nursing education. Accelerated second-degree Bachelor of Science in nursing (ASDBSN) programs have increased rapidly from 31 in 1990 to 230 in 2013 with 33 more programs in the planning stages according to the American Association of Colleges of Nursing (2013). There are currently three identified online pre-licensure, ASDBSN programs. There are research studies focusing on graduates from this type of nursing programs using the traditional format, which is the face-to-face college experience, but a lack of literature regarding graduates of the online learning format. This qualitative descriptive study …

Family Planning Methods Among Couples Of A Selected Barangay In Tacloban City: Basis For Healthcare Program Enhancement, Ric-An Artemio S. Gadin

Theses

The increase of population affects many aspects of society, including living conditions, basic needs, employment status and most importantly the health system. It is thus imperative to adequately plan family size in order to build a stable society. But despite of the availability of family planning programs where most methods of contraception are available both in the rural and urban health centers, literatures shows that population growth is still at rise. Thus the researcher became curious of the knowledge, attitude and practices of couples in family planning. The study tried to assess the level of awareness and practices of family …

Partnering For Maximum Impact: Pathway To Excellence® And Sigma Team Up To Benefit Nurses, Christine Pabico, Sarah E. Abel

Group: American Nurses Credentialing Center (ANCC)

The American Nurses Credentialing Center (ANCC) Pathway to Excellence® Program (Pathway) and the Sigma Theta Tau International Honor Society of Nursing (Sigma) have harnessed the synergy between both organizations for an initiative to create positive practice environments where nurses can thrive. This partnership draws on the experience and expertise of two of the most respected entities in the nursing community with like-minded goals. Leveraging these resources will enhance both organizations' collective impact to grow in value and benefit nurses around the world.

Adverse Event Analysis: Operating Room Distractions And Interruptions, Jennifer Lindsey, Maria Ledbetter

Group: Samford University Moffett & Sanders School of Nursing

Distractions and interruptions are an impediment in safe workflow and surgical team performance. Along with human distractions, electronic devices can contribute to failures in communication as well as processes established to improve patient safety. Adverse outcomes in the operating room are not only a result of surgical skill, but a breakdown in systems of communication and teamwork. Distractions affect cognitive clinical decision making. Operating room teams are interrupted or distracted approximately 9.82 times per hour. Staff entering and exiting the room is a primary distractor, followed by telephone calls and beeper pages. There is an average of one communication failure …

[Excerpt From] The Nurse Manager's Guide To Budgeting & Finance (3rd Ed.), Al Rundio

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from The Nurse Manager's Guide to Budgeting & Finance, 3rd Edition, which is provided free of charge by the publisher.

About this book: Updated to include details about key legislation that affects budgeting, The Nurse Manager's Guide to Budgeting and Finance, 3rd Edition, provides practical tools, tips, and strategies for running a unit that were not taught in nursing school:

• Operating and capital budget development and planning for the year
• Formulas and calculations for full-time employee hours, variances, and benefit costs
• Explanation of financial statements, budgets, and reimbursement documents
• The relationship …

[Exceprt] Johns Hopkins Evidence-Based Practice For Nurses And Healthcare Professionals (4th Ed.), Deborah Dang, Sandra L. Dearholt, Kim Bissett, Madeleine Whalen, Judith Ascenzi

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals, Fourth Edition, which is provided free of charge by the publisher.

About this book: Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals has proven to be one of the most foundational books on EBP in nursing and healthcare. Building on the strength of previous versions, the fourth edition is fully revised to include updated content based on more than a decade of the model's use, refinement in real-life settings, and feedback from nurses and other healthcare professionals around the world.

Rate Of Adherence In Patients With Diabetes When Using Smart Phone Applications To Document Blood Glucose Levels, Lindsay Crocker

Group: Samford University Moffett & Sanders School of Nursing

Diabetes mellitus (DM) affects 10.5% of Americans and 15.4% of the adult population in Alabama with numbers rising (ADA, 2019; CDC, 2020). Consistent blood glucose monitoring is imperative in making DM treatment decisions related to dosing and frequency of antihyperglycemic medications. Very few patients adhere to the requested frequency and documentation of blood glucose results or bring the recorded results to clinic. Widespread use of smart phones, even among the uninsured population, may allow for blood glucose recording through phone apps, increasing patient adherence and provider access to review results.

[Excerpt From] Against Medical Advice: Addressing Treatment Refusal, Luanne Linnard-Palmer, Ellen Christiansen

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Against Medical Advice: Addressing Treatment Refusal, which is provided free of charge by the publisher.

About this book:

When a patient or family refuses treatment - maybe even lifesaving treatment - because it is contrary to their social, religious, or cultural beliefs, it can plunge healthcare providers, families, and patients into a difficult, emotionally charged conversation. Complex and diverse ethical dilemmas such as this can profoundly impact the health, welfare, and mental and emotional well-being of everyone involved. What's more, today's nurses and healthcare professionals will almost inevitably face this situation …

Reducing Postpartum Depression Through Implementation Of Postpartum Depression Screenings, Hannah Bucklew, Jane-Anne Garrick, Lauren Shaw

Group: Samford University Moffett & Sanders School of Nursing

Postpartum depression (PPD) forges a major public health challenge, and the prevalence is alarming not only from a national perspective, but global as well. Recent data revealed that 17.7% of women in 56 different countries were diagnosed with PPD (Hahn-Holbrook, Cornwell-Hinrichs, & Anaya, 2018). This condition varies dramatically by nation and disparities in wealth, inequality, and maternal-child-health factors exist. In the United States, one in seven women experience symptoms of PPD in the first year after giving birth. With approximately four million live births each year in the United States, this equates to almost 600,000 women with this diagnosis (Carberg, …

The Use Of Gait Belts To Minimize Falls In Long-Term Care Facility Residents, Tania D. Chery

Group: Samford University Moffett & Sanders School of Nursing

The incidence of falls among the long-term care (LTC) facility residents continues to be a major factor. Falls are accredited with increased disability, significant long-term health complications, and increased costs of care in relation to treatment, caretaking, and reimbursement for related injuries in the aging person. In a small skilled nursing facility in Long Island, New York, monthly fall reports indicate an average of seven falls per month. With most falls occurring in older adult residents, a plan to reduce the number of falls in this vulnerable population is desired.

Modified Early Warning Score Tool Kit: Multi-Disciplinary Implications For Practice, Kelli Gilliland

Group: Samford University Moffett & Sanders School of Nursing

US incidence of in-hospital cardiac arrest exceeded over 200,000 events in 2016 with survival rates of less than 25%. As much as 66% of in-hospital cardiac arrests are determined to be preventable with early warning signs of decline present as early as 24 hours prior to arrest. The 100,000 Lives Campaign provided by the Institute for Healthcare Improvement has helped to drive Rapid Response Team (RRT) development. The clinical success of rapid response systems depends on timely activation of the afferent limb of the RRT. Within the project site, greater than half of arrests are occurring outside the ICU and …

Simulation For Poison Center Telephone Triage: A Model For Quality Improvement Of Training, Ladonna Gaines

Group: Samford University Moffett & Sanders School of Nursing

Specialists in Poison Information (SPIs), individuals who answer calls for poison control centers (PCC), do not have a national standard training on how to answer calls. Training outcomes were not at the expected level at the local PCC, demonstrating the need for quality improvement. Based on post-training evaluations, there were various gaps identified in training. Trainees expressed a need to review all PCC guidelines in order to effectively use the guidelines during a call. Literature revealed a lack of adherence to guidelines by staff is a problem in telephone triage settings. Some trainees were able to attend toxicology lectures, but …

Airway And Pulmonary Optimization In The Early Postoperative Period, Jared Hargett, David Fort

Group: Samford University Moffett & Sanders School of Nursing

Hypoxia in the early postoperative period can be the result of a various number of causes. Anesthesia providers must be able to quickly identify possible causes of hypoxia and apply appropriate pulmonary interventions. Potential causes of hypoxia can result from residual neuromuscular blockade from paralytic agents, respiratory depression from narcotic administration, laryngospasm, or an airway obstruction. Upper airway anatomy consists of cartilage and bone structures of the nose and mouth, followed by the soft tissue of the oropharynx and hypopharynx, and ending at the glottic opening of the vocal cords. The soft tissue of the oropharynx is prone to collapse …

Ketamine As A General Anesthesia Adjunct, Michaela Wilcox, Nancy Ann Westbrook, Terri Cahoon

Group: Samford University Moffett & Sanders School of Nursing

Ketamine is a unique anesthetic agent with both anesthetic and analgesic properties. Ketamine is primarily a N-Methyl-D-Aspartic acid (NMDA) antagonist that also works on glutamine, nicotinic, muscarinic, monoaminergic and opioid receptors. The uses of ketamine are numerous and include treatment of chronic pain, acute pain, depression, as a multimodal pain adjunct, opioid-sparing agent and as an adjunct in enhanced recovery after surgery (ERAS) protocols.

Tips For Successful Job Interviews, Belinda Goodrum, Ma'en Zaid Abu-Qamar

Early Career Nurses Series

Learning Objectives:

Part 1:

• Preparing for a job interview
• Professional conduct at an interview
• Different types of interview processes
• How to stand out

Part 2:

• Define virtual interview
• Recognize differences between face-to-face and virtual interviews
• Discuss preparations required for virtual interviews
• Discuss suggestions to function successfully in virtual interviews

Replenish Yourself, Pamela C. Mulligan, Catherine Alvarez

Creating Healthy Work Environments (CHWE)

This virtual gathering will introduce the 7 Dimensions of Self-Care and guide participants to identify their wellness needs. Experiential and personalized micro-restorative practices will invite participants to return to self, listen, and respond with a sustainable plan to support optimal health and well-being (mental, emotional, physical, social, spiritual, community).

Infusing And Instilling Joy: A Necessary Ingredient In Driving Creativity And Innovation, Richard Ricciardi

Creating Healthy Work Environments (CHWE)

Join Sigma’s 33rd President for a presentation on the 2019-2021 Call to Action, Infuse Joy, and its connection to essential elements that promote joy: Awareness, Balance & Purpose, and Co-creation. In the nursing profession we are positioned to infuse joy into practice in clinical, educational, administrative, research, and policy settings.

Nurturing A Resilient Team In Turbulent Times: A Leadership Initiative To Sustain And Strengthen Care, Deirdre O'Flaherty, Mary Joy Garcia-Dia, Tatiana Arreglado, Joyce J. Fitzpatrick

Creating Healthy Work Environments (CHWE)

Research study's the relationship of nurses’ constant exposure to stress leading to burn-out thus the need for management to promote resilience. COVID-19 presented an enormous burden to the healthcare system across multiple disciplines.Resilience, an essential strategy for nursing leaders to support nurses psychologically especially during the height of the pandemic.

Assessing Climate Change Among Faculty In Academia: Perspectives Of Nursing Administrators, Judith M. Jarosinski, Lisa A. Seldomridge, Tina P. Brown Reid, Jeffrey A. Willey

Creating Healthy Work Environments (CHWE)

In a qualitative study, we explored perspectives of administrators assessing the nursing faculty shortage and workplace-climate. Themes were: Onboarding; Changing expectations; The Elephant in the room ;and Making do, getting by which highlighted the negative impact of the nursing faculty shortage on healthy work environments. “Morale is low-people are frustrated.”

Antimicrobial Stewardship And The Incidence Of Hospital Acquired Infections, Lindsey Allcock

Creating Healthy Work Environments (CHWE)

An evidence based review of the effect of antimicrobial stewardship on the incidence of hospital acquired infections. After the systematic collection, analysis, evaluation and synthesis of the evidence on antimicrobial stewardship programs, the implementation of a restrictive antimicrobial stewardship program is recommended to decrease the incidence of hospital acquired infections.

Compassion Satisfaction Among The Clinical Nurses, Lina Najib Kawar, Rosalina G. Mendoza, Patricia A. Radovich

Creating Healthy Work Environments (CHWE)

This presentation reveals aspect of facilitators, barriers, and strategies that might contribute to compassion fatigue among CNs at two Southern California health systems. Descriptive content analysis revealed: 1) Coping with Demands, 2) Compassion Maintenance, 3) Motivation to Continue in Nursing, 4) Avoiding Stress Strategies, and 5) Facilitators to CS.