Digital Commons Network^™

Remote Hospitals And Hospital Value Based Purchasing, Nicole Adams

Dissertations

The purpose of this study is to identify remote hospitals and then assess their performance in the first three years of the Hospital Value Based Purchasing program. A definition for remote hospital was created using clinical outcome literature and travel time. The hospitals were then identified as those hospitals more than 60 minutes driving time from the next nearest hospital by using geographic information systems software (n = 127). The remote hospitals' payment adjustments and raw quality scores were be compared with non-remote hospitals. Remote hospitals have done well in the first three years improving their payments over time. However, …

A Randomized Controlled Trial Of An Individualized Preoperative Education Intervention For Symptom Management Following Total Knee Arthroplasty, Rosemary Ann Wilson

Dissertations

Total knee arthroplasty (TKA) is a common surgical procedure for the treatment of patients with pain and immobility as a result of osteoarthritis or rheumatoid arthritis. Pain-related interference, pain and nausea are recovery-limiting in these patients in the immediate postoperative period. Preoperative educational interventions that include pain communication and management information have been shown to decrease pain in joint replacement patients (McDonald & Molony, 2004). This randomized controlled trial compared usual preoperative education to an individually delivered preoperative education program.

A Patient-Centered Approach To Fall Prevention, Elmer Esguerra

DNP and Student Works

In 2019, a rural hospital in South Texas reported 102 incidents of patient falls. Although below the corporate fall rate benchmark of 2.2/1000 patient days, the hospital recognized that it was clinically significant and aimed at improving its fall prevention outcomes. The PICOT question that guided this project was: Among adult patients in the acute care setting would the implementation of patient-centered interventions be more effective compared to the usual fall prevention interventions in reducing incidence of falls one month after implementation?

Essential Oil Therapy For Alleviation Of Discomfort In Surgical Patients, Nenhuan Huang

DNP and Student Works

Post-surgical pain (PSP) has not been sufficiently managed despite routine opioid use. The adverse effects of opioids led to the search for non-pharmaceutical intervention. The PICOT question that guided this project was, "In an acute hospital surgical setting, does essential oil therapy complement pain and discomfort relief comparing to conventional pain management alone after 6 weeks?" Seven clinical studies, five systematic or integrative reviews, and four conference proceedings were reviewed. The evidence supported lavender essential oil for the alleviation of PSP and discomfort. Patients breathe through a personal lavender essential oil inhaler hourly or every 2 hours. The percentage means …

Guiding End-Stage Renal Disease Patients To Cope With Peritoneal Dialysis: Context And Intervening Conditions, Shui-Tao Chen, Fan-Ko Sun

International Nursing Research Congress (INRC)

The purpose of this presentation is to inform an audience of nurses on the findings of a study that exploring the context and the intervening conditions affecting the End Stage Renal Disease (ESRD) Patients to adapt to Peritoneal Dialysis (PD).

Developing A Listening, Empathy, Presence (Lpe) Trait Scale, Ya Lie Ku, Chia-Chen Wu, Hui-Wen Tseng

International Nursing Research Congress (INRC)

There are fifteen items under the prototype of a LEP trait scale which could best represent the characteristics of Listening, Empathy, and Present (LEP) traits.

Perceptions For School-Based Caring Among Parents Of Children With Chronic Disease: An Integrative Review, Ju-Yeon Uhm, Mi-Young Choi, Myoung Soo Kim

International Nursing Research Congress (INRC)

This study was integrative reviewed by Whittemore and Knalf’s five stage This study was integrative reviewed by Whittemore and Knalf’s five stage. This synthesis of key findings extracted four themes that were identified: systematic approaches under policies, qualified contents and effective facilitation of school-based program, advocacy, school-parent partnership.

Elnec Covid-19 Communication Resource Guide: Helping Families Saying Goodbye Virtually To Loved Ones In The Nursing Home And Hospital, End-Of-Life Nursing Education Consortium, Betty Rolling Ferrell

General Submissions: Academic Settings and Education-based Materials

Helping family members say goodbye to loved ones who are dying in the hospital or nursing home is difficult in the best circumstances. With COVID-19, visitation is often not allowed and family have to say goodbye using technology. Nurses at the bedside can help families during this challenging time. This educational material helps the nurse prepare the family for this important conversation.

Transforming An Academic Quality Program: Collaborating To Integrate A Quality Assurance/Performance Improvement (Qapi) Model, John M. Leger, Sharron R. Forest

International Nursing Research Congress (INRC)

Accrediting organizations for academic nursing programs lack prescriptive processes for quality improvement. To prepare its undergraduate and graduate nursing programs for the accreditation process, leaders in one school of nursing translated healthcare's predominant quality assurance and performance improvement (QAPI) model as a transformational strategy to standardize its quality management program.

Content Validation Of An Instrument For Identifying High-Need Older Adults In The Community, Kuei-Min Chen, Meng-Chin Chen, Hui-Fen Hsu

International Nursing Research Congress (INRC)

This presentation introduces a brief and user-friendly screening scale to identify high-need older adults in the community for global nurse practitioners/researchers who work with community older adults. The developmental process of the screening instrument will be presented.

Short-Term Study Abroad: Literature Review Using Watson's Theoretical Perspective, Kattiria M. Gonzalez

International Nursing Research Congress (INRC)

The benefits of study abroad were reviewed from the perspective of the host community being served. Literature across various disciplines were reviewed to understand the benefits of international study abroad using Watson's theoretical perspective.

Reducing The Incidence Of Pressure Injuries In Adult Icu Patients At Mcallen Medical Center With The Implementation Of A Pressure Injury Prevention Bundle: A Quality Improvement Project, Cheryl P. Cruz

DNP and Student Works

Pressure injuries (PIs) are a significant healthcare problem globally. Adult patients in the intensive care setting are especially vulnerable to the development of PIs given the acuity of their diagnoses requiring extensive treatments, procedures, and the use of multiple medical devices... The reduction in the incidence of PIs with the implementation of a pressure injury preventive bundle in adult ICU patients was not statistically significant. However, the reduction indicated a clinically meaningful improvement in pressure injury outcomes two months after implementing the bundle.

A Pre-Clinical Practicum Structured Learning Programme Evaluation: A Pre-/Post-Test Analysis, Mary Duffy, Sarah Elizabeth Kelly, Andrew Scanlon

International Nursing Research Congress (INRC)

A core component to the undergraduate nursing curriculum is clinical practicum. this can be a stressful time for students involved. As a means of transition to clinical practice a simulation program was implemented and anxiety and self-efficacy pre, during and post program participation will be recorded.

Analysis Of The Influence Of Sleep Quality And Physical Health On Occupational Burnout In Nurses, Ming-Shan Jan, Yann-Fen Chao

International Nursing Research Congress (INRC)

Epworth Sleepiness Scale–Taiwan form(ESS-T) might serve as a simple and effective tool to identify shift nurses with severe work burnout problem. It is expected that effective interventions of promoting sleep quality can be delivered to solve the work burnout problem.

The Effect Of Medication Reconciliation Timeout On Patient Safety: An Evidence-Based Project, Renante Dizon

DNP and Student Works

There was a report of a high rate of medication errors from inaccurate medication reconciliation during admission to a local hospital in South Texas. The medication error rate was 14.88% on 20 reviewed charts, and 85% of all evaluated charts contained at least one medication discrepancy.

This evidence-based, system-change project was guided by the following PICOT question: For nurses administering medication in a long-term acute care hospital, does the implementation of Medication Reconciliation Timeout Process (MRTP) decrease the medication errors, compared to the usual medication practice, in one month?

Implementing Hospital-Acquired Pressure Injury (Hapi) Prevention Program, Marisa C. Raynaldo

DNP and Student Works

This evidence-based practice (EBP) project was guided by the following PICOT question: In the Intensive Care Unit/Medical Intensive Care Unit (ICU/MICU) patients aged 18 and older, does a pressure preventive bundle, compared to routine pressure injury care, reduce the incidence of pressure injury, within 21 days?

Increasing Patient Enrollment In The Move Program At The Va Medical Center: An Evidence-Based Practice Project, Mandy Spiers

DNP and Student Works

This evidence-based practice project aimed to increase patient referrals to the MOVE program by educating providers about the importance and benefit of the Managing Obesity for Veterans Everywhere (MOVE) Program at the Biloxi, Veterans Affairs (VA) Medical Center. In obese, ambulatory care patients, what motivates increased referrals by practitioners to the MOVE Program to decrease BMI compared to the current referral system within two months?

The Use Of Tailored Interventions To Prevent Falls: A Quality Improvement Project In The Telemetry Unit, Roda S. Galang

DNP and Student Works

Every year in the United States, hundreds of thousands of patients fall in hospitals with 30 to 50 percent resulting in injury. In Texas, the fall rate in adult patients is 33.9 percent, and in one teaching hospital in South Texas, patient fall rates have been above the national benchmark for two years (2017-2019), despite increased use of sitters for patient safety and multiple fall prevention strategies. The annual direct care cost of all fall events in the United States for individuals more than 65 years old is about $34 billion. Objectives of the fall initiative program were increasing adherence …

Changes In Nursing And Women's Leadership Across Six Countries, Eun-Ok Im, Reiko Sakashita, Eui Geum Oh, Chia-Chin Lin, Hsiu-Min Tsai, Hsiu-Hung Wang, Lian-Hua Huang, Jillian Inouye, Wipada Kunaviktikul, Marion E. Broome

International Nursing Research Congress (INRC)

The Asian and Asian American Study Group for Nursing Leadership (AAANL) has made collaborative efforts to promote nursing leadership in Asian culture. The purpose of this presentation is to showcase one of the group's efforts by discussing changes in nursing in six different countries and their impacts on leadership changes.

End-Of-Life Course Integration In The Undergraduate Curriculum To Measure Impact On Student Nurses' Knowledge, Laly Joseph

International Nursing Research Congress (INRC)

The purpose of this evidence-based study was to examine the impact of palliative care course on nursing students’ knowledge towards providing end-of-life care. Evaluating the outcomes can lead to curricular changes and provide a basis for decisions related to the best approaches for addressing end-of-life care in nursing curricula.

Prevalence Of High-Need Older Adults In The Community, Wei-Yun Chang, Kuei-Min Chen

International Nursing Research Congress (INRC)

The high prevalence of high-need community-dwelling older adults highlighted the importance of screening. By using the High-need Community-dwelling Older Adults Screening Scale (HCOASS) to conduct early screening and assessment, older adults with high needs can be identified. That can enhance the preventive nature of home visits.

Development And Testing Effects Of Retention Empowerment Program Based On Positive Psychology For Clinical Nurses, Chiu-Chu Lin, Chia-Chen Wu

International Nursing Research Congress (INRC)

This study aimed to develop and test the “retention empowerment program” based on positive psychology. Findings showed that this program increase the retention positive energy, psychological empowerment, nursing commitment, job satisfaction, and intention to stay. We recommend nurse managers may adopt this program to enhance nurses' retention in nursing.

Cognitive Debriefing Findings On The English-Korean Translation Of The Shortened Perception Of Aggression Scale (Poas-S), Sujin Nam, Janet Yuen Ha Wong, Daniel Yee Tak Fong, Soyun Hong, Heejung Kim

International Nursing Research Congress (INRC)

This study is about cognitive debriefing findings on the English-Korean translation of of perception of workplace violence questionnaire and shortened perception of aggression scale. For translation and transcultural adaptation, we used foward translation, backward translation, confirmation for English consistency, cognitive debriefing by nurses and experts, and pilot testing in nurses.

Connecting Vitamin D To Gene Expression In Pregnant African Americans, Sheila L. Jordan, Anne Dunlop, Alicia Smith, Carolyn Reilly, Vin Tangpricha

International Nursing Research Congress (INRC)

Vitamin D potentially plays a role in maternal health outcomes partly through the regulation of genes linked to vital physiologic processes. This study investigates the relationship between serum vitamin D and gene expression in peripheral blood mononuclear cells of pregnant African Americans in the southeastern United States.

Validation Of A Pediatric Nurse Parent Partnership Scale For Pediatric Nurse, Mi-Young Choi, Ju-Yeon Uhm

International Nursing Research Congress (INRC)

This study aimed to validate the Pediatric Nurse Parent Partnership Scale (PNPPS) and assess its psychometric properties for pediatric nurses. The final PNPPS comprised 19 items and showed that the confirmatory factor analysis (CFA) supported the five-factor structure (reciprocity, professional knowledge and skill, sensitivity, information sharing, and communication).

Factors Affecting Suicidal Ideation Among Adolescents: A Serial-Multiple Meditation Model Using Parent-Child Dyad Data, Yoo Mi Jeong

International Nursing Research Congress (INRC)

You are able to learn what adolescents' and their parental factors to their suicidal ideation would be and how these factors would impact on adolescents' suicidal ideation. Also, the necessity of analyzing dyad data for exploring adolescents' help-seeking behavior for depression and suicidal ideation would be discussed.

Relationship Among Quality Of Life And Using Complementary Alternative Medicine In Females With Liver Diseases, Ching-Wen Lien

International Nursing Research Congress (INRC)

The purpose of this study is to explore the situations of female patients with liver diseases used alternative medicine (CAM) and investigate the relationship among demographic characteristics, disease treatment characteristics, and quality of life. It is suggested that further study should be carried out in combination with CAM therapy.

Hearing Loss And Mortality: To What Extent Does Injury And Fall Mediate This Relationship?, Dongjuan Xu

International Nursing Research Congress (INRC)

Using a recent and nationally representative sample of the U.S. adults aged 18 years and older, this study examines the mediating role of injury in the association between self-reported hearing problems and mortality.

The Psychological Processes Of Nursing Students When Caring For Suicidal Patients In Psychiatric Clinical Practicum, Fan-Ko Sun, Yuchun Yao, Chun-Ying Chiang

International Nursing Research Congress (INRC)

The purpose of this presentation is to inform an audience of nurses on the findings of a study that explored the psychological processes experienced by nursing students caring for suicidal patients during their first psychiatric clinical practicum.

Ethical Issues With Dementia Patients Experienced By Nurses Engaged In Japanese Emergency Care Units, Chiharu Ito, Harumi Ejiri, Ryo Hayase, Emiko Shinozaki, Akira Kondo

International Nursing Research Congress (INRC)

Research on nursing ethics from both sides of clinical and basic education.