Digital Commons Network^™

The Vital Practitioner: An Interprofessional Evidence-Based Framework For Understanding, Mitigating, And Treating Compassion Fatigue, Amber Vermeesch, Barbara J. Braband, Corey S. Pressman

Creating Healthy Work Environments (CHWE)

Presentation of an innovative interprofessional evidence-based framework for understanding, mitigating, and treating compassion fatigue for nurses. This is the first phase in a multi-phased project with the main goal of creating a sustainable pathway for preventing compassion fatigue by increasing subjective vitality among nursing faculty, staff, and students.

Trauma-Informed Care For New Graduate Nurses In Pediatric Critical Care, Heidi Gilroy

Creating Healthy Work Environments (CHWE)

Nurses are at high risk for trauma exposure and the associated negative outcomes. In this session, we will describe an intervention that utilizes the principles of trauma-informed care to help prevent negative outcomes associated with trauma exposure in new graduate nurses starting their careers in pediatric critical care.

Standardized Patient Simulation To Recognize And Treat Behavioral Health Patients Safely In Emergent Settings, Nandranie Goodwin

General Submissions: Presentations (Oral and Poster)

Increasing complex behavioral health visits to the Emergency Department necessitated comprehensive inter-professional team training to ensure therapeutic behavioral patient management. The purpose of this training was to deliver patient simulation scenarios to multi-disciplinary teams focusing on recognition of patient agitation, employment of de-escalation techniques, utilization of therapeutic communication, and successful application of physical and/or chemical restraints.

Education And Reminders To Increase Cervical Cancer Screening: An Evidence-Based Report, Christiana Mclean

General Submissions: Presentations (Oral and Poster)

Cervical cancer is the second most common cancer in women worldwide. Regular screening can find abnormalities early and prevent morbidity and mortality. But CCS rates are low in the U.S. and at the project site. A comprehensive review of the literature was conducted to find evidence-based interventions to increase CCS rates. Language-specific, mailed education increased uptake of CCS significantly in underserved populations (Duffy et al., 2017; Jayasekara, 2020). Also, phone and email reminders significantly increased uptake of cancer screening, and multiple interventions were more effective than single ones. (Duffy et al., 2017; Muller et al., 2009).

What Great Looks Like...And How Do We Get There?, Jamie Thomas

General Submissions: Presentations (Oral and Poster)

The purpose of this presentation is to help Critical Care nurses be aware of the expectations of communication and performance in the different roles they are in as a bedside nurse. During meetings with the Critical Care staff nurses, it was identified that not all nurses have an easy time knowing what the expectations are in the different roles they hold. One on one coaching was done to help nurses learn methods to professionally convey expectations, and struggles still remained. This presentation is an opportunity for all staff to share their expectations in an open forum where there was anonymity …

Comparison Of Basic Ni Competencies Using Tanic Over Two-Year Period In Graduate Entry Level Ni Course, Susan Waltz, Toni Hebda, Karen West, Randy Gordon, Carolyn Sipes

General Submissions: Presentations (Oral and Poster)

The TIGER-based Assessment of Nursing Informatics Competencies (TANIC)© instrument represents an operationalized version of competencies first identified by the TIGER Initiative (Technology Informatics Guiding Education Reform, 2017) as knowledge and skills that every practicing nurse should possess to provide care in today's technology-rich healthcare environment. It is a self -assessment tool comprised of competencies grouped into the following categories: basic computer skills, information literacy, and clinical information management. The developers of the tool thought it would be useful to have students enrolled in graduate nursing informatics courses self-assess their knowledge and skills in these areas with the idea that it …

The Impact Of Implementing Mental Health First Aid With Prelicensure Nursing Students In Rural Indiana, Beverly Wilgenbusch

General Submissions: Presentations (Oral and Poster)

Rural communities in the United States suffer significantly from a lack of mental health resources (Schroeder and Peterson, 2017). With a lack of mental health providers and community resources, police, Emergency Medical Service (EMS) providers, and nurses are often the first to provide care to someone experiencing a mental health crisis. It is critical that these first responders have appropriate training and evidence-based tools to keep both those at risk and themselves safe from harm. The MHFA program, originally created in Australia in 2001, is an evidence-based tool that describes how to safely approach and respond to someone in an …

A Smartphone Intervention To Reduce Hospital Readmission Rates In Adult Patients Who Have Heart Failure, Jami Crisman

General Submissions: Presentations (Oral and Poster)

Heart failure is a progressive disease with cyclical patterns of symptom exacerbation that necessitate frequent hospitalization, and often hospital readmission within 30-days of discharge. Financial incentives imposed by the Affordable Care Act (ACA) have shifted the management of heart failure to the primary care setting. Telehealth interventions have emerged as cost effective methods to safely manage chronic disease in the outpatient setting. The purpose of this evidence-based practice (EBP) project is to evaluate the impact of a heart failure-specific smartphone application on heart failure-related 30-day readmission rates and participant self-care measures.

Student's Safety Perception After A Perioperative Experience, Mary Doerner, Susan A. Seibert

General Submissions: Presentations (Oral and Poster)

Safety, one of the six QSEN competencies, is an important concept for prelicensure nursing students (Cronenwett et al., 2007). The perioperative environment has a strong safety focus and culture. While didactic information regarding the perioperative environment is offered within a medical/surgical course, an experiential opportunity supports increased insight. A concern is that due to limited perioperative experiences, students may not fully comprehend or recognize the safety concepts (Gropelli & Shanty, 2018; Kilduff et al., 2018). Furthermore, a limited perioperative exposure may impact students’ interest in future employment in the area. The purpose of this study was to examine student perceptions …

Undergraduate Student Nurse Acls Certification To Improve Practice Transition And Confidence, Cathy Miller

General Submissions: Presentations (Oral and Poster)

A code blue curriculum, with an integrated an ACLS certification, was designed to facilitate student confidence for transition into clinical practice. The 12-item Code Blue Self Confidence survey was developed to measure code blue confidence in the undergraduate nursing student. An inverse correlation was discovered with student confidence and anxiety in critical events.

When Covid-19 Calls...Who Will Answer?, Diana Ruiz

Creating Healthy Work Environments (CHWE)

During the initial wave of COVID-19, healthcare leaders struggled to make sense of the chaos and furloughed nurses due to low patient volumes. However, a hospital in Texas took a stance against furloughs and reassigned nurses to “answer” the call to action by launching a community COVID-19 nurse phone line. Late Breaking Reason: The innovation and employee-centered actions taken by hospital leadership during the COVID-19 Pandemic truly exemplified the AACN Healthy Work Environment Standards. As a result of the creation of COVID-designated nurse triage line, thousands of individuals were supported in the community, while nurse roles were preserved and enhanced.

Guidelines For The Implementation Of Community Service For Newly Qualified Nurses, Paulina Dora Mabusela, Tendani Sara Ramukumba

Creating Healthy Work Environments (CHWE)

Community Service is an internship programme for new nurses, which mandates them to work for one year Pre-registration. Literature alludes that new nurses, and professional nurses experience challenges during community service. Lack of guidelines is accounted for challenges experienced. Guidelines are develop for implementation of Community Service.

U.S. Educated Versus Internationally Educated Nurses' Perceptions Of Collaboration And Joy And Meaning In Work, Danielle Olds, Emily Cramer

Creating Healthy Work Environments (CHWE)

In this presentation, we will discuss the background on the challenges faced by internationally educated nurses. Based on our research using a large nationwide survey, we will then describe differences between U.S. educated and internationally educated nurses’ perceptions of collaborative relationships and joy and meaning in work.

Addressing The Opioid Treatment Gap With An Interprofessional Team Approach, Diane K. Brown, Rikki Patton, Jennifer Drost, Susan Hazelet

Creating Healthy Work Environments (CHWE)

Opioid overdose has seen a steady increase in every age group in the US, despite the attention given by national initiatives and public awareness confirming the need for effective training protocols. We will describe our interprofessional education team approach, and provide evidence of effectiveness in building interprofessional collaborative competencies.

[Excerpt From] Improving Nurse Retention And Healthcare Outcomes: Innovating With The Impact Model, Judy Thomas, Mellisa Renter

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Improving Nurse Retention and Healthcare Outcomes: Innovating With the IMPACT Model, which is provided free of charge by the publisher.

About this book: Nurse retention is directly correlated to healthcare outcomes, and nurse turnover has a negative, multidimensional effect on healthcare organizations. Improving Nurse Retention & Healthcare Outcomes will help clinical nurses understand how to elevate nurse retention.

Book publication date: 2021

[Excerpt From] Self-Care For New And Student Nurses, Dorrie K. Fontaine, Tim Cunningham, Natalie B. May

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Self-Care for New and Student Nurses, which is provided free of charge by the publisher.

About this book: Self-Care for New and Student Nurses presents techniques to prepare you for stressors present now and those to come. No matter where you are in your nursing career, this book offers you multiple ways to prioritize your own mental, physical, and emotional health.

Book publication date: 2021

2020 Pathway Nurse Of The Year Awardâ„¢ Winners, Maggie Mccright, Maricon Dans

Group: American Nurses Credentialing Center (ANCC)

When nurses are recognized for the vital role they play and their contributions to a positive work environment, it helps organizations create and sustain a culture of excellence. Meaningful recognition, a critical component of the Pathway to Excellence® framework, is positively related to nurse job satisfaction and intent to stay. The American Nurses Credentialing Center (ANCC) is excited to launch the inaugural annual Pathway Nurse of the Year Award™ program. The award recognizes the outstanding contributions of one direct care nurse and one nurse leader, globally from a Pathway organization, who positively impact the practice environment and exemplify at least …

Redefining Retirement: Planning For The Life You Want, Joanne Evans, Patricia A. Tabloski

General Webinars

Dr. Patricia Tabloski and Joanne Evans share some of the lessons they learned and published in their recent book, Redefining Retirement For Nurses - Finding Meaning In Retirement. They interviewed twenty-six nurses nationally and internationally focusing on their initial plans for retirement and describing what actually happened. Whether it was spending more time with family, travel, volunteering, moving, continuing in some way in their nursing profession, new ventures, or something totally different, their stories were all inspirational and may be helpful to you as you plan the life you want in retirement.

Audience: Late Career Nurses

Related Book by Authors: …

Implementation Interventions For Pre-Exposure Prophylaxis (Prep) In Public Health Sexually Transmitted Infections Clinic And Related Prep Minority Trends, Julie Schexnayder

Sigma Foundation for Nursing Research Grant Reports

Pre-exposure prophylaxis (PrEP) effectively reduces the risk of Human Immunodeficiency Virus (HIV) infection. PrEP implementation in public health clinics is suggested for increasing PrEP access; However, it is unclear if these venues can reduce the disparities in PrEP use that are observed for Black and Latinx adults.

Foot Care Confidence Of Individuals With Diabetes In A Medically Underserved Area, Rachel A. R. Ortega

Dissertations

More than 30 million Americans have diabetes, and approximately five in every 1000 will be hospitalized for lower limb amputations each year. Foot care is vitally important to prevent both limb and life threatening complications in patients with diabetes. The rate of diabetes in Ohio is 11% and in Lucas County is 12%. High rates of diabetes and low incomes are prevalent in medically underserved areas in Lucas County. Additionally, income, education level, and access to primary care pose unique barriers to foot care for individuals in medically underserved areas. Foot care education that addresses these barriers may affect participation …

Oral Care Practice Guidelines For The Care-Dependent Hospitalized Adult Outside Of The Intensive Care Unit Setting, Cynthia S. Drapal

Dissertations

Many nurses lack evidence-based knowledge to deliver appropriate oral care, view oral care in the care-dependent patient as a comfort measure, and give it a low clinical priority. An estimated 44%-65% of hospitalized care-dependent patients do not receive adequate oral care, an intervention that can prevent aspiration pneumonia or pneumonitis. The purpose of this project was to develop a policy for use of an oral assessment tool and evidence-based guidelines for oral care in hospitalized care-dependent adults outside of the intensive care unit setting at a regional health system in the Southeast United States. The project used the theoretical foundations …

Beyond Prognosis Communication: Exploring The Existential Dimensions Of Palliative Care Conversations With Adults With Advanced Cancer, Elise C. Tarbi

Sigma Foundation for Nursing Research Grant Reports

Prognosis communication appears to be one key mechanism to achieve the benefits of palliative care (Norton et al., 2013; Thomas et al., 2018). As prognosis communication entails confronting mortality, which can provoke existential concerns (Solomon, Greenberg, & Pyszczynski, 2015), the purpose of this project was to examine the existential dimensions of palliative care conversations involving prognosis communication. This purpose was accomplished through the following aims: (1) Describe how patients, families, and clinicians communicate about existential experience in palliative care conversations; and (2) Explore the intersection between prognosis communication and existential dimensions of conversation.

Factors Affecting Health Promotion Behaviors Among Korean Immigrant Women At Midlife, Sue Kim

Dissertations

There are many areas of women's health at midlife in which little is known, such as their health promotion practices and the subsequent effects on their health and longevity. The purpose of this study was to describe the health promotion behaviors of Korean immigrant women at midlife. It examined the relationships among midlife changes, role quality, resources (income, time in the U.S., English proficiency, health care coverage, health services use), knowledge of midlife health, reflection on midlife and health, and health promotion behaviors (lifestyle, health screening, current health practices). The study employed a cross-sectional survey design of 120 Korean immigrant …

Safely Prescribing Opioids For Chronic Pain In Primary Care Using Risk Mitigation Strategies, Mindy Howard

DNP and Student Works

Safely prescribing opioids in primary care for adults with chronic non-cancer related pain has become a cornerstone of fighting the current opioid epidemic. The statistics are alarming, with the Centers for Disease Control (CDC) reporting in 2018 that more than 40 people died daily from an overdose involving prescription opioids (Centers for Disease Control and Prevention [CDC], 2018). Health care providers wrote 249 million opioid prescriptions in 2013, making enough prescriptions for every adult American to have a bottle of pills (CDC, 2018). Risk mitigation strategies (RMS) provide lower risk prescribing practices, but providers need more significant education and engagement …

Research From Around The World: Improving Healthcare In Partnership With Children And Families, Linda S. Franck

SigmaCast [Podcast]

This episode we discuss the body of nursing research from Linda S. Franck, PhD, RN, FRCPCH, FAAN, a Sigma International Nurse Researcher Hall of Fame inductee in July of 2020 and the Jack and Elaine Koehn Endowed Chair in Pediatric Nursing and a Professor in the Department of Family Health Care Nursing at the University of California San Francisco

Host: Matt Howard, DNP, RN, CEN, TCRN, CPEN, CPN: Director of Scholarship Resources, Sigma

The views, information, or opinions expressed during this SigmaCast series are solely those of the individuals involved and do not necessarily represent those of Sigma Theta Tau …

Vascular Access (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 nurses (nurse practitioners, registered nurses, registered practical nurses and nursing students) and other members of the interprofessional team with evidence-based recommendations and resources related to the insertion, assessment and maintenance of vascular access devices (VADs) in the infant (0-;1 year), pediatric (1-;18 years) and adult populations (18 years and older).

For more information including supplementary documents and available translations visit: https://rnao.ca/bpg/guidelines/Vascular_Access

Promoting 2slgbtqi+ Health Equity, Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

The purpose of this best practice guideline (BPG) is to provide nurses and other members of the interprofessional team with evidence-based recommendations on foundational, inclusive care practices for 2SLGBTQI+ people. This BPG is also to be used to enhance the safety of health-service organizations and academic organizations for 2SLGBTQI+ people through the adoption of evidence-based practices. Safe and inclusive environments enable nurses and other members of the interprofessional team to optimize health outcomes for those receiving care.

The BPG addresses foundational inclusive care practices, chronic disease prevention and management, health promotion and health care for 2SLGBTQI+ people. The BPG is …

A Proactive Approach To Bladder And Bowel Management In Adults (4th Ed.), Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

This best practice guideline (BPG) focuses on bladder and bowel management in adults (aged 18 years and older). In particular, this BPG provides evidence-based recommendations for effective strategies to support adults who live with urinary incontinence, fecal incontinence and/or constipation that will improve quality of care and lead to positive health outcomes.

For more information including supplementary documents and translated versions visit: https://rnao.ca/bpg/guidelines/proactive-approach-bladder-and-bowel-management-adults

Influence Of Self-Esteem, Psychological Empowerment, And Empowering Leader Behaviors On Assertive Behaviors Of Staff Nurses, Ryan Michael F. Oducado

Individual Open Access Articles

Background: Being assertive is essential skill nurses need to learn and develop. While many studies exist on nurses' assertiveness, there is limited research on the factors associated with Filipino nurses' assertive behaviors.

Objective: This study examined the correlation of self-esteem, psychological empowerment, and leader empowering behaviors on staff nurses' assertiveness in the workplace.

Methods: This cross-sectional study conducted in 2019 involved 223 staff nurses working in two tertiary hospitals in the Philippines. Data were gathered using four validated self-reported scales: self-esteem scale, psychological empowerment scale, leader empowering behavior questionnaire, and workplace assertive behavior questionnaire. Correlational analysis using Pearson's r was …

A Grounded Theory Of Directors' Of Nursing Perceptions On Caring: Post-Francis Paradoxes, Maggie Ann Davies

Dissertations

This study explores the perceptions of Directors of Nursing from NHS acute Trusts in England, on caring practices. The aspiration of the NHS is to deliver good care to patients and their families. The NHS constitution states that the 'NHS is there to improve health and wellbeing, and it touches our lives at times of basic human need, when care and compassion are what matter most' (DH 2013:2). However, recent inquiries into poor care have created a searching debate regarding standards of nursing care, leadership, culture and practice. Directors of Nursing play a significant role in influencing care, as they …