Digital Commons Network^™

Timely Transfusions In Trauma: Instituting A Transfusion Guideline For Trauma Nurses, Lauren Standiford

Doctor of Nursing Practice Final Project Abstract

PURPOSE This project aims to reduce delays in the blood transfusion process in three non-monitored trauma units at a large academic Level I Trauma Center by decreasing the mean "RN transfusion process times" (RN-TPT) by 20 minutes. The project focuses on optimizing transfusion rates, nursing practices, and electronic documentation integration to enhance transfusion timeliness and improve overall patient care.

BACKGROUND Delays in the blood transfusion process can negatively affect patient outcomes and increase healthcare costs. In three non-monitored trauma units at a Level I Trauma Center, inefficiencies in transfusion rates, nursing practices, and electronic documentation were identified. Barriers included concerns …

Behçet's Disease Unraveled: Insights Into Clinical Manifestations, Diagnosis, And Management, Mansour Alghamdi, Stephen Lindsey

School of Medicine Faculty Publications

Behçet's disease is a rare and recurrent multisystem inflammatory disorder, primarily distinguished by systemic vasculitis that affects veins and arteries of various sizes. Clinically, Behçet's disease is characterized by the presence of recurrent oral and genital ulcers, skin lesions, and uveitis. The prevalence of this condition is significantly elevated along the historical Silk Road, particularly in Turkey; however, epidemiological data indicate variations across different regions and ethnic groups. The diagnosis of Behçet's disease is typically established during the third decade of life, with a more severe prognosis noted when the onset occurs before the age of 25. This review aims …

The Anatomy Of Change: A Scoping Review Of Surgical Curriculum Renewal Processes, Marc A. Seifman, Robyn Woodward-Kron, Roi Y. Kagan, Kirsten Dalrymple, Aimee K. Gardner, Ian Incoll, Lars Konge, John T. Paige, Debra Nestel

School of Medicine Faculty Publications

PURPOSE: Renewal of surgical curricula is critical in maintaining relevance to contemporary healthcare needs. A curriculum document usually describes its purpose, intended outcomes, content, methods, and assessment and evaluation processes. The document may also consider cultural, professional, political, and social contexts. While there are published curriculum development approaches, guidance on renewal processes is limited. This scoping review aims to synthesise literature on surgical curriculum renewal, to understand the key elements of this process, and identify areas for improvement. METHODS: A scoping review was conducted by the core author team, with co-creation involving a Knowledge User Group (KUG). Seven databases were …

Multidisciplinary Mass Casualty Simulation Toolkit, Catherine Miller, Toni Morris

Biennial Convention (CONV)

Background/Introduction: The United States continues to experience mass casualty events at a staggering rate [1]. The preparation of healthcare students in both undergraduate and graduate programs can be supported with enhanced preparedness through a disaster simulation event. [3, 5] Specialized training with SMART Triage, Stop the Bleed, enhanced nursing, athletic training, police and cadets response to a mass casualty event. The application of a formalized toolkit allows for seamless construction of a disaster simulation supported by INACSL simulation best practice.

Purpose: An extensive search for an all-inclusive disaster simulation toolkit revealed a gap in available resources. The presentation will share …

Creating Practice Experiences In Online Rn-Bsn Community Health Class, Denise Isibel

Biennial Convention (CONV)

The White paper from the AACN on practice experiences in post licensure nursing programs states Nursing faces new and different challenges and there is a need to strengthen nursing for provide high quality care. Practice experiences in Community health online RN to BSN programs support and create critical learning. In a post licensure community health course, faculty designed 2 experiential assignments introducing the student to community assessment and health teaching with vulnerable populations.

Community assessment provides the basis and rationale for clinical interventions in community health nursing. Assessing and developing a plan of care for an aggregate is an essential …

Re-Envisioning The Path To Sustainable Practice Change With The Mountain Model, Jayne Jennings Dunlap, Julee Briscoe Waldrop

Biennial Convention (CONV)

Although Evidence-Based Practice (EBP) and Quality Improvement (QI) are frequently used to guide practice change, EBP lacks the sustainability component of QI and QI traditionally favors the use of internal evidence to the exclusion of external (research) evidence. EBP models focus on finding research evidence, critically appraising it and then synthesizing it to identify the intervention best suited to the problem, population, and context. Next, a practice change is developed, implemented, and evaluated but then what? What about continuous monitoring and sustaining the change? EBP models are weak in the continuous monitoring and sustaining of practice change. On the other …

The Value Of Education In Healthcare: Moving Beyond Intuition To Data-Driven Advocacy, Emily Calabro, Robin Petersen

Biennial Convention (CONV)

Background: Healthcare education departments face increasing pressure to demonstrate their value amidst budget constraints and restructuring, often leading to resource cuts that hinder their ability to improve patient care and staff development. This necessitates a robust method for quantifying the return on investment (ROI) of educational initiatives.

Methods/Procedures: This initiative describes the development and validation of a novel ROI calculator designed to empower educators and advocate for their crucial role. Grounded in the Institute for Healthcare Improvement's Plan-Do-Study-Act model, the calculator incorporates advanced data analytics and predictive modeling, drawing data from sources such as the Healthcare Quality Report, historical financial …

Increasing Confidence And Self-Efficacy In Council Leaders In A Multi-Site Healthcare System, Kambree Baxter, Shelby Do

Biennial Convention (CONV)

This EBP project aimed to provide SDM council leaders (CL) across a 27-site healthcare system, including 7 Magnet and 10 Pathway facilities, with resources to build leadership confidence via a virtual workshop. The goal was to improve CL’s self-efficacy, staff engagement, and nurse satisfaction.

A gap was identified in resources to support shared decision making (SDM) CLs during their elected term. Feedback showed CLs lacked knowledge and self-efficacy to lead effectively. Higher self-efficacy predicts leadership success. To improve CLs' confidence and staff engagement, a workshop was developed to support leadership skills, including meeting management, technology, curated role education, open discussion, …

Improving Safe Practices For Firearm Storage In A Pediatric Primary Care Setting, Lisa Callahan, Clark Callahan

Biennial Convention (CONV)

Background: Firearm injury contributed to 15,706 pediatric deaths in 2019 (Xu et al., 2021). The number of children injured in these accidents exceeded motor vehicle collisions for the first time in 2019 (Andrews et al., 2022). While such events are preventable, gun violence is the leading cause of death in children under 19 years of age (Andrews et al., 2022). Thus, there is an urgent need to stop this source of pediatric morbidity and mortality.

Objectives: The aim of this DNP project was to evaluate whether providing a trigger lock safety device with firearm storage training using the Health Promotion …

A Strategic Leadership Approach To Build An Innovative Culture Through Ebp, Qi, And Research, Angela G. Bennett, Emily Calabro

Biennial Convention (CONV)

Background: Healthcare organizations face mounting pressure to improve patient outcomes while reducing costs in a rapidly changing environment. Strong leadership is essential to foster a culture of inquiry and innovation that drives evidence-based practice (EBP), quality improvement (QI), and research. However, barriers such as resource limitations, risk aversion among managers, and a lack of clear frameworks for frontline staff can impede these efforts. This initiative addressed these challenges by empowering nurses at all levels to engage in scholarly activity and lead improvement efforts.

Methods: A team of three nurse leaders within a 12-hospital system developed a comprehensive program including …

Assessment Of Cultural Competence Of Nursing Faculty, Nitha Mathew Joseph, Rebecca L. Tsusaki, D’Hania L. Miller, Doncy Joji Eapen, Marie Mcbee, Mary Ellen Trail Ross, Olivia Fitch, Riza V. Mauricio, Sara Lewandowski, Melanie Mcewen

Biennial Convention (CONV)

Introduction: Nurses’ cultural competence is vital in improving patients’ experiences and reducing health disparities. Cultural competence should be integrated into nursing curricula to prepare nursing students to deliver culturally competent care. Unfortunately, not all nursing educational practices are culturally competent. Institutions and agencies for advancing nursing education have acknowledged the importance of cultural competence in nursing education. Few studies have critically examined nurse faculty readiness and preparation in cultural competence in the United States. Therefore, we aimed to assess cultural competence among nurse faculty at a large nursing school in the Southwestern United States.

Methods: Using convenience sampling, a cross-sectional, …

Exploring The Impact Of Caring For Patients Diagnosed With Iv Drug Use Endocarditis At End Of Life, Kendrea Lea Todt

Biennial Convention (CONV)

Purpose/Problem Statement: Caring for patients with substance use disorder is a challenge for nurses, especially patients who use intravenous (IV) drugs and contract endocarditis. Infective endocarditis is a cardiac infection with a high mortality rate, and yet this disease receives little attention in the media or research. IVDU-IE has been referred to as the Cinderella of Cardiology. Nurses disposition young patients in the prime of their lives to hospice care, funeral homes, morgues, or home to die. The purpose of this modified photo elicitation phenomenological study was to explore the impact of caring for patients diagnosed with IVDU-IE at the …

Nurse Leader Job Satisfaction And Impact On Retention In The Us: A Secondary Data Analysis, Marguerite Rowell, Linda Ann Briggs

Biennial Convention (CONV)

Nursing leaders play a vital role in ensuring high-quality patient care and maintaining organizational stability. However, their job satisfaction and retention rates are often less studied than those of staff nurses. High turnover among nurse leaders disrupts care delivery, increases operational costs, and negatively impacts patient outcomes. This study, grounded in Herzberg's Motivation-Hygiene Theory, explores how motivators (recognition, professional growth) and hygiene factors (salary, working conditions) influence job satisfaction and retention.

Utilizing secondary data from the 2022 HRSA National Sample Survey of Registered Nurses (NSSRN), this research addresses gaps in understanding the factors that enhance satisfaction and retention among nurse …

Tapering Opioids In Older Adults With Chronic Pain, Carolyn D. Concia

Biennial Convention (CONV)

As the older adult population increases, so does the prevalence of conditions associated with chronic pain (Tinnirello et al., 2021). Chronic pain, defined as lasting longer than three months, affects approximately 20.8% (50.2 million) of adults (Nahin et al., 2023; Yong et al., 2022; Zelaya, 2020), of whom almost 20.5 million are age 65 and over (Rickard et al., 2023). Pain is the leading cause of disability, costing up to $635 billion annually (Turk et al., 2022; Institute of Medicine, 2011). Chronic pain in older adults causes significant suffering (Dahlhamer et al., 2016), social isolation (Tsang et al., 2008), increased …

Global Advocacy Academy: Preparing Nurses For Engagement At The United Nations And Beyond, Aric Michael Shimek, Janice Evans Hawkins, Sarah E. Gray

Biennial Convention (CONV)

Background: As global citizens and informed healthcare leaders, nurses are key to addressing global health challenges and are uniquely positioned to advocate for vulnerable populations worldwide. This presentation shares a successful model for preparing nurses with advocacy skills to improve global health outcomes by fostering collaboration among healthcare stakeholders.

Methods: The six-week virtual academy, led by former Liaisons to the United Nations (UN), is designed to equip nurses with the knowledge, skills, and abilities to contribute to good health and well-being for all through global advocacy efforts. Participants gain insights into nursing organization consultative status with the UN, their own …

Use Of A Group Art Project To Promote Reflection, Connection And Retention In An Rn-To-Bsn Course, Sonya Lynn Kowalski, Elaine Webber, Jaime Sinutko

Biennial Convention (CONV)

Purpose: The purpose of this research was to assess the impact of a group art project on student perceptions of community formation and commitment to program completion within a Registered Nurse to Bachelor of Science in Nursing (RN-to-BSN) hybrid cohort.

Background: Researchers have found that an increase in bachelor’s prepared nurses can have a positive impact on the quality and safety of patient care and improve outcomes¹. The American Association of Colleges of Nursing (AACN) recommends a seamless transition for associate degree nurses to obtain a BSN degree² . However, for 4 years in a row the …

Critically Thinking Through A Multiple-Patient Simulation: Applying Real World Principles, Danielle E. Ely, Becky Fights, Allison Johnson, Rachelle Fuller, Karrie Osborne, Jane Milleman, Pamela K. Brelage

Biennial Convention (CONV)

Background Simulating multiple-patient care scenarios enables nursing students to put prioritization and time-management into practice prior to working as registered nurses in the healthcare environment. This project aimed to implement and evaluate a multi-patient simulation.

Method Senior nursing students enrolled in leadership and management experience a multi-patient simulation in which learners are assigned various roles to support four diverse patients. Students exercise autonomy in problem solving as the patient situations unfold around them. Students navigate admissions, transfers, discharges, patient noncompliance, medical complications, and complex family dynamics. After participation, students completed an evaluation of the experience.

Results After approval from the …

Standardizing Ed Tech Onboarding Through Collaboration To Enhance Competency And Workplace Culture, Stephen Hoefler, Gabriel Mchugh, Vincent Ma, Sydney Faust, Ryan Chan, Daniell Basinillo, Tai Li Harrill, Gabriella Farruggia, Aseem Jain, Daniel Wray, Daniel Zaragoza, Emmanuel Jisrawi, Maria Cheung, Zaina Alzawad

Biennial Convention (CONV)

Purpose: Emergency Department Technicians (ED Techs) are vital to supporting nursing services and optimizing patient care in high-acuity EDs. However, the lack of a standardized onboarding curriculum has led to inconsistent skill acquisition, variable competency levels, and gaps in preparedness among ED Techs. This project seeks to design and implement a structured onboarding curriculum to standardize training, ensure competency, and enhance consistency in practice. Addressing these gaps will improve care quality and promote a collaborative work environment.

Methods: The ED Tech Council conducted an Essential Skills Inventory Survey to identify core competencies for onboarding, inviting ED Techs to list up …

Responding To Violence In Your Community: Developing A Forensic Nursing Training Program, Natalie Calow, Paula Reiss, Barbra Bachmeier, Darienne Kreeger

Biennial Convention (CONV)

Non-fatal violent crimes in the United States have surged since the Covid-19 pandemic. These patients often end up in an emergency department due to their injuries and often preservation of evidence is crucial in adjudicating their criminal case. If a patient dies as a result of a crime, there are forensic pathologist and medical examiners that complete a forensic exam and collect evidence but what if a patient survives the crime? Therefore, there is an increase demand for medicolegal services and a need for forensic care in the hospital setting. Forensic Nurses are specially trained to bridge the gap between …

Intimate Partner Violence And Adverse Birth Outcomes During Covid-19 Pandemic: A Prams Analysis, Doncy Joji Eapen, Krystin Matthews, Lydia Manikonda, Vyoma Soni, Courtney Byrd-Williams

Biennial Convention (CONV)

Background: Intimate Partner Violence (IPV) is a serious public health problem that affects millions in the United States. Pregnancy-related violence is a risk factor for adverse maternal and pregnancy outcomes. The COVID-19 pandemic has presented unique challenges for pregnant women. While a growing body of literature has examined the influence of the pandemic on IPV, a few studies have evaluated the effect on those who were pregnant during COVID-19, and its association with adverse birth outcomes. Therefore, this study aimed to determine the prevalence of IPV during pregnancy before and during the COVID-19 pandemic and compare its association with adverse …

Perceptions And Behaviors Related To Social Determinants Of Health Among Associate Degree Nurses, Jodi L. Sutherland, Jolene Kittle, Deborah Palmer, Samantha R. Lewis

Biennial Convention (CONV)

Background/Purpose: Evidence suggests that the social determinants of health (SDOH) impact in-utero infant development, youth development, and adult health across an individual’s lifespan. The purpose of this pilot research study is to examine associate degree nurses’ perceptions, and their behaviors related to SDOH.

Theoretical Framework: Benner’s (2000) novice to expert framework was used to guide the study.

Methods: A cross-sectional study utilized a 20-item online survey titled ‘Perceptions on Social Determinants of Health” as well as demographic items to understand associate degree nurses’ perceptions and behaviors related to SDOH. Institutional Review Board approval was received from the principal investigator’s …

Effect Of Various Lactobacillus Probiotic Strains On Oral Antihypertensive Drug Response: A Systematic Review, Khoirunnisa Ramadhani, Keri Lestari

Pharmacology and Clinical Pharmacy Research

Hypertension is a major risk factor for cardiovascular disease, and the effectiveness of antihypertensive therapy can be influenced by metabolic and systemic inflammatory factors associated with gut microbiota conditions. Probiotic strains from the genus Lactobacillus have been reported to modulate antihypertensive effects through complex biological mechanisms. This article evaluates experimental evidence from seven in vivo studies on the influence of Lactobacillus strains on the response to antihypertensive drugs, including pharmacodynamic mechanisms and drug–probiotic interactions. The combination of Lactiplantibacillus plantarum with amlodipine enhanced nitric oxide production, increased eNOS expression, reduced IL-6 levels, and improved drug bioavailability, leading to greater blood pressure …

Optimization Of Guava Leaf Extract Cream Formulation Through Variations Of Xanthan Gum And Stearic Acid For Wound Cure In Rats, Ayudia Cipta Khairani, Mia Ariasti

Pharmacology and Clinical Pharmacy Research

Cuts are among the most common skin injuries caused by sharp objects and can lead to infection if not properly treated. Natural ingredients such as guava leaves have been widely investigated for their wound-healing potential. Guava leaves contain bioactive compounds including flavonoids, saponins, alkaloids, and tannins, which contribute to anti-inflammatory, antibacterial, and tissue regeneration processes. This study aimed to formulate and evaluate the physical properties and wound-healing effectiveness of guava leaf ethanol extract cream with varying concentrations of xanthan gum and stearic acid as emulsifiers. The extract was obtained by maceration using 70% ethanol and formulated into four cream formulas …

Drug-Related Problems In Hemodialysis Patients With Chronic Kidney Disease: A Study At X Hospital (January–May 2022), Muhammad Refki Abrari, Jatmiko Susilo

Pharmacology and Clinical Pharmacy Research

The prevalence of chronic kidney disease (CKD) in Indonesia has increased from 2.0 ‰in 2013 to 3.8 ‰in 2018. The presence of complex comorbidities associated with CKD causes varied therapy regimens (poly-pharmacy), leading to an increased risk of drug-related problems (DRPs). To overcome these complications, dialysis is often used to remove metabolic waste and rebalance electrolytes to maintain life in patients experiencing rapid loss of kidney function. This study aims to evaluate drugs consumed as well as DRPs experienced by patients diagnosed with CKD undergoing hemodialysis at X Hospital from January to May 2022. The study procedures were carried out …

What Is The Hospital Pharmaceutical Care? Perceptions And Expectations Of Doctors In Interprofessional Collaboration In 2 Types Of Indonesia Hospitals, Anisyah Achmad, Savvy Augustin Tirta, Titi Annisa Bella, Ratna Kurnia Illahi, Bambang Sidharta, Valentina Yurina, Wara Rejeki

Pharmacology and Clinical Pharmacy Research

Hospital Pharmaceutical Care (HPC) is the pharmacist’s direct responsibility to aim for patient safety and quality of life. HPC is a means of avoiding medication and human errors. Carrying out a HPC requires a good collaboration between doctors and pharmacists in treatment management. The aim of the research was to determine the relationship between doctors’ perceptions and expectations of clinical pharmacists at HPC. This research is descriptive quantitative observational with a cross-sectional approach. The data were collected using purposive sampling (type A hospital) and total sampling (type C hospital) through interviews using perception and expectations questionnaires on doctors’ to pharmacists …

Β-Glucan As A Potential Modulator Of Tgf-Β Signaling And Emt-Driven Resistance In Triple-Negative Breast Cancer, Hanifa Dinda Hayati, Riezki Amalia, Gemilang Lara Utama, Dika Pramita Destiani

Pharmacology and Clinical Pharmacy Research

Triple-negative breast cancer (TNBC) is a highly aggressive subtype of breast cancer that lacks expression of estrogen, progesterone, and HER2 receptors, limiting the effectiveness of targeted therapies and making chemotherapy the primary treatment option. However, resistance to chemotherapy remains a major clinical challenge, often driven by dysregulation of the transforming growth factor-β (TGF-β) signaling pathway. TGF-β plays a dual role in cancer, initially acting as a tumor suppressor but later promoting tumor progression through mechanisms such as epithelial–mesenchymal transition (EMT), immune evasion, and the establishment of cancer stemness. This review aims to explore the role of TGF-β signaling and EMT …

December 5, 2025 Minutes, Swosu Faculty Senate

Faculty Senate Minutes

No abstract provided.

Assessing Standardisation Initiatives From The European Data Strategy’S Perspective: A Systematic Review, Nicola M.F. Faraone

Yearbook of Antitrust and Regulatory Studies

The paper seeks to provide for an overview of the most relevant European legislative initiatives related to the process of standardization at EU level. While a specific emphasis will be devoted to the AI Act and the Open Banking/Open Finance framework, also the most recent regulation together with the connected European soft law will be addressed.

The Role Of The Nursing Associate In Supporting Wholefood Plant-Based Education In General Practice, Sarah Harries

South West Clinical School Journal

#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION

The Role Of The Nursing Associate In Supporting Wholefood Plant-Based Education In General Practice, Sarah Harries

South West Clinical School Journal

#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION