Digital Commons Network^™

Impact Of Brøset Violence Checklist On Safety Events In A Mental Health Unit, Maritess B. Bernardo, Catherine Mann

Creating Healthy Work Environments (CHWE)

Practice Problem: There is an increased global risk of violence among health workers (WHO, 2023) that may result to physical, emotional, and psychological harm to patients and staff; resulting in emergency room visits, hospitalizations, increased medical costs, and victim mortality (Grossman & Choucair, 2019). Workplace violence (WPV) involving patients, families, and healthcare workers is an escalating public concern (Bellman et al., 2022). Mental health facilities are at a higher risk for the occurrence of safety events (Hawkins & Ghaziri, 2022). The mental health unit had a monthly average of 17.33 incidents in 2022 and 14 occurrences pre-implementation in the adult …

Lived Experiences Of Nurse Leaders In Creating A Healthy Work Environment, Catherine J. Mohammed

Creating Healthy Work Environments (CHWE)

Background/Significance: Although the influence of leadership style on empowerment and job satisfaction is well documented, there are few researchers who examined the influence of the leader’s experience on developing the staff nurse’s empowerment and work satisfaction in the creation and sustainment of healthy work environments. The Magnet designation requires that the Magnet CNOs must have transformational and relationship-based leadership traits, yet we know little about the lived experiences of these leaders and how they came to acquire these traits (Pearson, 2020; Pilat & Merriam, 2019; Shaughnessy et al., 2018;).

The empirical evidence supports of the creation of the healthy work …

What Matters Most? Novel Findings From An Innovative Measure Of Coworker Interrelations On Nursing Units, Lynn Varagona, Nancy Ballard

Creating Healthy Work Environments (CHWE)

Background: Coworker support improves trust¹ and decreases or prevents nurses’ stress,² anxiety, or burnout.^3,4 Lack of teamwork and cohesion among coworkers can lead to nurses’ stress, burnout, disengagement, and turnover.⁵ The Practice Environment Scale of the Nursing Work Index, a widely used measure, does not capture coworker interrelations. Team virtuousness, a work environment in which virtues and character strengths (routes to displaying virtues) are practiced, supported, and encouraged⁵ improves coworker interrelations. People on virtuous teams feel safe, grateful, positive, and supported by one another;^6,7 view work as more meaningful; are more engaged; and are …

A Qualitative Research Study Exploring Icu Nurses' Resilience During The Covid-19 Pandemic, Teenu Xavier, Rebecca C. Lee

Creating Healthy Work Environments (CHWE)

ICU nurses faced numerous demands and adversities during the COVID-19 pandemic that significantly impacted their well-being. Developing strategies to promote resilience was crucial for ICU nurses to overcome these workplace adversities. The purpose of this study was to explore the strategies used by ICU nurses to promote their resilience and cope with the additional stressors brought on by the pandemic. Two theories provided the overarching theoretical framework which guided this study. These are Polk's middle-range theory of resilience A Focused Ethnographical approach provided the overarching framework for this research project. ICU nurses working in adult ICUs who had cared for …

Sustaining A Healthy Work Environment With Leadership Staff Rounds, Sarojini V. Seemungal

Creating Healthy Work Environments (CHWE)

Background: Globally, HCWs have reported worsened mental health since the onset of the COVID-19 pandemic. The COVID-19 pandemic has threatened the well-being of 51% of healthcare workers (HCWs). In 2020, Mental Health America reported that 93% of HCWs experienced stress, 86% experienced anxiety, 76% reported feeling burned out, and 75% felt overwhelmed.

Problem: A 2023 employee engagement survey, conducted at a Certified Home Health Agency, revealed 72% overall favorability among HCWs. The lowest favorability rating was related to managing work and personal life (52.3%), feeling supported to do the job (60%), and receiving recognition from one’s manager at (61.2%).

Methods: …

Really Thrilling Location System (Rtls Real-Time Location System) Adds Value To Hospital Nurses, Linda R. Dicarlo, Deirdre O'Flaherty, Gregg Husk, Tammy Ng, Maureen Dennis, Royce Varghese

Creating Healthy Work Environments (CHWE)

Learning Outcomes: The learner will be able to: understand the usage of an RTLS system in asset management, and how nursing engagement, interdisciplinary collaboration drive value, increase satisfaction and safety, save time and money.

Identify the Pertinent Desired Outcome/Objectives: The learner will be able to understand the functions of RTLS.

While this application may not be feasible for all organizations, empowering nurses to engage with other disciplines, focus on identifying issues, propose workflows, implement, and evaluate solutions to make the best use of their valued time.is.

Methods: Literature review. RTLS pilot at a 450-bed hospital, created a training …

The Important Context Of The Nurse Manager Practice Environment And The Link To Outcomes, Martha L. Grubaugh

Creating Healthy Work Environments (CHWE)

PURPOSE/AIM: The purpose of this research study was to test the relationships between the Nurse Manager Practice Environment (NMPE) and Nurse Manager (NM) outcomes such as job satisfaction (JS), reason for leaving (RFL), and career recommendation (CR).

BACKGROUND: The NM is in a pivotal role and their leadership helps cultivate a positive practice environment that ultimately impacts patient safety and quality patient outcomes. The healthcare system has become increasingly complex, and consequently the role of the NM has become more stressful and demanding; only exacerbated by the COVID-19 pandemic. Many NMs will leave or have left their positions because …

Exploring Moral Distress In Icu Nurse Practitioners: A Descriptive Phenomenological Study, Steven L. Bocchese

Creating Healthy Work Environments (CHWE)

Nurse Practitioners (NPs) working in the intensive care environment experience clinical and operational anxiety, such as moral distress. Moral distress occurs when an individual knows the ethically correct action but cannot take it due to internal or external constraints or violation of their professional core values. Causal factors of moral distress in nursing include inadequate staffing, prolonged patient pain and suffering, ethical conflicts in end-of-life care, lack of transparency and false hope, disruptive or aggressive family, and ineffective leadership. Historically, nurses have experienced moral distress at higher levels than other healthcare professionals, especially those in intensive care units (ICU). Because …

Journey To A Heart Safe Community, Mary Mccormack, Carole Zarcone, Kendra Hoepper, Dorothy Veron

Creating Healthy Work Environments (CHWE)

The sudden loss of life is a traumatic event inflicting devastating and lasting impacts on families and communities. It has been estimated that more than 350,000 episodes of out-of-hospital cardiac arrest (OHCA) occur annually in the United States (Virani et al., 2021); however, being that there is no nationwide mandatory reporting system, this number may be a gross underrepresentation of reality. The majority of OHCA occur residential homes and in the community setting. Survival rates are heavily dependent upon provision of immediate cardiopulmonary resuscitation (CPR) and defibrillation with neurologic damage occurring within 5 minutes (Brooks et al., 2022).

Unfortunately, the …

“Lifesaver” Training: Promoting Safety And Emergency Preparedness In A Higher Education Workplace, Allison R. Jones, Nanci A. Claus, Stephanie Hammond, Karen L. Heaton, Summer Langston Powers, Penni I. Watts

Creating Healthy Work Environments (CHWE)

Workplace violence and unintentional injury in settings of higher education have increased in frequency in recent years. The National Institute for Occupational Safety and Health developed a set of practices, programs, and policies collectively known as Total Worker Health®, that includes emphasis on promoting workplace safety and injury prevention. Nurses in academic roles present a unique population in that they have foundational healthcare education but may limited in or far removed from prior emergency response training. Further, little research exists on implementation and outcomes of workplace safety programs in settings of higher education. We developed and implemented an internal, voluntary …

An All-Inclusive Toolkit For Managing Workplace Violence In Healthcare, Brittney L. Williamson, Melissa Rouse

Creating Healthy Work Environments (CHWE)

Violence against nurses is a nationwide problem that has set the stage for unhealthy work environments and has driven nurses away from patient care. So, what can be done to retain our nurses and provide safer work environments? By creating an all-inclusive toolkit for managing violent and aggressive patients, this healthcare organization has made great strides to better protect their nurses.

Impact: To address this problem head on, evidence-based practices were used to develop an all-inclusive toolkit to implement a multifaceted approach to assessment, de-escalation, and allocation of resources. This approach took the guesswork out of what steps to take …

Using Simulation To Mitigate Workplace Violence, Lynda Sanchez, Monique D. Wilson, Derek Sanchez

Creating Healthy Work Environments (CHWE)

Workplace violence is not new to healthcare whether it is interprofessional, nurse to nurse, doctor to nurse, patient/patient family to healthcare worker. (Kumari et al., 2022) There is a need to provide the healthcare worker with tools and training on ways to mitigate workplace violence (WPV). Simulation is an effective evidence-based teaching and evaluation method often used in healthcare. (Brown et al., 2018; Gutiérrez-Puertas et al., 2020) In an attempt to mitigate WPV this organization began a mandated training using didactic classes from an external training program. This program involved required computer-based pre-work and attendance at a three-hour class which …

Cross-Sectional Study Of Resilience In Labor & Delivery Nurses, Keisha Aisha Robinson

Creating Healthy Work Environments (CHWE)

Background: Working in the labor and delivery unit is not always joyful. Labor & delivery (L&D) nurses often encounter traumatic childbirth events (TCE) that may result in serious injury or death to the mother or child. A recent systematic review of the perceived impact of birth trauma found that 3-46% of clinicians met the criteria for post-traumatic stress disorder (Uddin et al., 2022). While only 26.7% of registered nurses (RNs) report that TCE had a high influence on personal life as compared to certified nurse-midwives (52.9%) or attending physicians (50%) (Robinson et al., 2023). The role of resilience has not …

Spirituality Educational Intervention To Enhance Nurse Resiliency, Anna Cerra

Creating Healthy Work Environments (CHWE)

Relevance/Significance: Healthcare environments are complex exposing nurses to demanding workloads, staff turnover as well as personal stress. Resilience can help new nurses withstand the emotional stress of the workplace and improve nurse retention (Chaing et al., 2021). Evidence suggests that Spirituality Training provides resources to support clinical nurses’ use of spirituality within hospital settings to help diffuse stress, build resiliency and enhance patient outcomes (Chaing et al., 2021; Caton, 2021). Often nurses are not adequately prepared to provide spiritual care.

Purpose: The purpose of this evidence-based practice, EBP, project is to provide an educational structure using Spirituality Training …

Cake: Our Story Of The Development Of A Resource To Develop Healthy Workplace Cultures, Caroline A.W. Dickson, Kath Macdonald

Creating Healthy Work Environments (CHWE)

The purpose of this presentation is to share our story of co-designing, producing and testing of an interactive resource to promote individual and team well-being and effectiveness in clinical practice. As we emerge from the pandemic, the spotlight in global healthcare is focused on well-being and healthy workplace cultures. According to Saville (2021) stress and burnout in the workplace leads to staff moral distress and Hinderer et al. (2014) contend it is having a negative impact on patient safety and quality care. The impact extends to recruitment and retention of the health and social care workforce (Buchan et al. 2020). …

Nurse-Led Transformation: Evaluating The Impact Of A Professional Development Intervention On Interprofessional Collaboration, Amanda Kay Garey

Creating Healthy Work Environments (CHWE)

Interprofessional collaboration (IPC) is critical in improving positive patient outcomes and achieving the quadruple aim of enhancing patient experience, improving population health, reducing costs, and improving the work-life balance of healthcare providers. Interprofessional collaboration (IPC) effectively enhances the patient experience and healthcare quality (McGuier et al., 2021). According to the Interprofessional Education Collaborative (IPEC), critical drivers for the ongoing growth of developing interprofessional collaborative practice include the need to empower the interprofessional (IPE) community with the best available evidence and research related to IPE and collaborative practice, conduct a continuous review of standard terms for competence, competency, and competency framework, …

Optimizing Workplaces And Patient Outcomes: Implementing Kotter’S Change Model, Jacquelyn Smith, Brandy L. Simpler, Kasey Chance

Creating Healthy Work Environments (CHWE)

Purpose: Healthcare settings continue to experience unique challenges in maintaining healthy working environments while keeping patient care and quality a top priority (Campbell, 2020). Leaders in healthcare strive to develop and maintain healthy working environments and patient outcomes but continue to fall short of these goals (Pechacek et al., 2022). The Kotter Change Model (KCM) provides an organized process that leaders can use to inform and guide healthcare teams during change implementation (Kotter, 1995). Managing change implementation in healthcare settings is no easy task, especially in areas of high stress and staffing shortages. Organized change processes, like KCM, can improve …

Impact Of Shift Duty On Physical And Social Well-Being Of Nurses In Southwest Nigeria, Deborah Tolulope Esan, Temitope Francess Oladokun

Creating Healthy Work Environments (CHWE)

Night and weekend shifts are a complex issue that has significant impact on both nurses and their family. Although shift work is inevitable for nurses, shift duties (night and weekend) could impair family functions. Thus, this study examined the perceived impact of night and weekend shifts on physical and social well-being of nurses working in a multi-system hospital in South-west, Nigeria. The study employed a descriptive cross-sectional study design. All available Nurses, in all the major clinical area of the hospital were recruited for the study. A total of 95 nurses took part in the survey. Data collection was by …

The Impacts Of Healthy Work Environments On Retention And Well-Being Of The Nursing Workforce, Benita N. Chatmon, Ahnyel Jones-Burkes, Alison H. Davis

Creating Healthy Work Environments (CHWE)

Background: The persistent nurse shortage is a critical nationwide concern with implications for healthcare and patient outcomes. Without workforce expansion, this crisis will intensify. Limited research focuses on nurse retention, particularly in Louisiana.

Purpose: This study aimed to investigate factors influencing the retention and well-being of Licensed Practical and Registered nurses in Louisiana. The objective was to inform the development of effective retention strategies.

Research Question: What is the relationship between a nurse's work environment and intent to leave the profession?

Method: Employing a quantitative, descriptive approach, this research encompassed a sample of 1,209 nurses hailing from Louisiana. The research …

Roseman University Research Symposium, Dustin Ruiz Edmonds, Nicholas Hill, Riley Grant Fisher, David Sant, Andrew Fisher

Annual Research Symposium

No abstract provided.

Cancer Treatment Induced Skeletal Muscle Loss As A Predictor Of Late Cardiotoxicity In Aya: A Pilot Study, Savannah V. Rauschendorfer, Efstratios Koutroumpakis, Behrang Amini, Juhee Song, Michelle Hildebrandt, Anita Deswal Md Mph, J. Andrew Livingston, Michael Roth, Eugenie S. Kleinerman Md

Cancer Survivorship Research Retreat

No abstract provided.

A Scarring Experience: Pelvic Floor Rehabilitation As A Novel Palliative Approach In Colorectal Cancer Survivorship, Aryan Dowlatshahi, Leanne Jackson, Mary Garcia

Cancer Survivorship Research Retreat

This is a discussion of the novel approach of pelvic floor rehabilitation in its utility specifically for colorectal cancer survivorship which will be additionally presented at the MD Anderson Survivorship Research Retreat conference.

Evaluating Breast Cancer Screening Concordance Among Survivorship Clinics: A Retrospective Observational Study, Jesline Ann Simon

Cancer Survivorship Research Retreat

To evaluate whether breast cancer screening recommendations among survivorship clinics are concordant with standard screening recommendations based on disease state.

Osteopathic Manipulative Medicine As An Adjunctive Approach To Improve Pelvic Perfusion And Fertility-Related Physiologic Markers, Ashton Dodd, Yanielisse Bellinger, Marsha Chevalier, Annaliese Taylor, Jacob Warner-Palacio, Aurora Jeanes, Nathan Barnhurst

Annual Research Symposium

No abstract provided.

Electronic Cigarette Use And Clinically Assessed Oral Mucosal Lesions In Adults: A Systematic Review, Kevin K. Zhang, Kamran Awan

Annual Research Symposium

Abstract

Background: Electronic cigarette (e-cigarette) use among adults has risen rapidly over the past decade, prompting concern about potential adverse effects on oral health. Although the systemic consequences of e-cigarette exposure have been increasingly studied, effects on the oral mucosa remain less clearly defined. Existing investigations describe a range of oral mucosal findings, but reported outcomes and assessment methods are inconsistent, making it difficult to draw clear conclusions.

Objectives: To systematically review the available evidence examining the association between electronic cigarette use and oral mucosal lesions/alterations in adults, compared with non-users or other tobacco exposure groups.

Methods: A systematic literature …

Comparing Fall Risk And Functional Recovery After Hip, Knee, Or Spine Surgery In Older Adults, Elias D. Wali

Annual Research Symposium

Abstract Purpose: Falls in older adults significantly affect mobility, independence, and quality of life. Fear of falling affects nearly half of older adults, including those without prior falls. Pain, reported by approximately 18.7 million U.S. older adults, contributes to reduced activity and has been linked to fear of falling through mobility limitation, psychological effects, and balance impairment. Despite this, nationally representative studies examining postoperative fall risk and functional recovery across hip, knee, and spine surgeries remain limited. This study examines associations between surgery history, demographic and socioeconomic factors, fall risk, and functional recovery among older adults. Methods: This cross-sectional study …

Propofol In Chronic Cannabis Users: A Mechanistic Link To Cannabinoid Hyperemesis?, Jonmark I. Dolendo, Sonia Frick, Jia Q. Yang, Brad A. Haubrich

Annual Research Symposium

Purpose: Cannabinoid hyperemesis syndrome (CHS) is characterized by cyclic nausea, vomiting, and abdominal pain in chronic cannabis users, often relieved by exposure to hot water. Propofol, a widely used GABAergic anesthetic with antiemetic properties, has paradoxically been implicated in exacerbating hyperemetic episodes in some cannabis users. With the growing legalization of marijuana and social acceptance to its recreational use it is believed that this phenomenon will be more ubiquitous to clinicians. This review aims to investigate the mechanistic and clinical evidence linking propofol administration to CHS and to summarize strategies for prevention, diagnosis, and management.

Methods: PubMed and EBSCO were …

Reforming The Work Environment: A Staffing Task Force Imperative, Sarah Delgado

Creating Healthy Work Environments (CHWE)

Purpose: Convened by national professional organizations, a task force representing diverse perspectives met over a 9-month period to address the nurse staffing crisis. Building on the foundational work of the Partners for Nurse Staffing Think Tank, the Nurse Staffing Task Force charge was to identify sustainable solutions to longstanding barriers to appropriate staffing.

Methods: The Task Force members represented a broad range of roles inclusive of direct care nurses, nurse scientists and health care leaders. Geographic diversity was addressed in the selection process which resulted in a team of 38 invited participants. The work was facilitated by two co-chairs, a …

Moving For Minutes! A Sustainable Self-Care Strategy In An Academic Workplace, Jan Michaelis, Ellen D'Errico

Creating Healthy Work Environments (CHWE)

The “6+1” standards of a healthy work environment in an academic setting, are described by Saunders et al. (2021) and include skilled communication, true collaboration, effective decision-making, appropriate staffing, meaningful recognition, authentic leadership, and self-care (the “plus one” standard). However, achieving work-life balance for faculty and staff at the school of nursing, who work long hours, can be challenging, often leading to the neglect of regular exercise, a crucial element of personal health and wellness. To address this issue, a staff member initiated the “Moving for Minutes" program (M4M) in 2009, aimed at encouraging weekly physical activities such as walking, …

The Ninth Chondroid Syringoma With Bone Formation: A Case Report, Mojan Deriss, Kelsey Ouyang, Parnian Alizadeh, Amir Qorbani, Voicu S. Ciobanu

Annual Research Symposium

This poster presents a rare case of chondroid syringoma with ossification, representing only the ninth reported instance of bone formation within this adnexal tumor. The report describes a slowly enlarging facial nodule in a 34-year-old male, detailing clinical presentation, surgical excision, and histopathologic findings. Microscopy revealed characteristic epithelial cords and tubules within a myxoid stroma, along with mature lamellar bone formation, confirming the diagnosis. The case expands the known morphologic spectrum of chondroid syringomas and highlights the importance of considering this entity in the differential diagnosis of benign facial masses, particularly when unusual features such as ossification are present.