Digital Commons Network^™

Implementing Aromatherapy For Falls Reduction In The Inpatient Hospice Population, Kimberly Kay Pistek

Walden Dissertations and Doctoral Studies

Falls among the elderly is a health concern affecting multiple patients annually. Hospice patients and those with multiple comorbidities are at the greatest risk of falling and sustaining injuries from falls. Aromatherapy has been used for reducing multiple symptoms as well as for decreasing falls. The practice-focused question explored whether an education program on using aromatherapy for fall prevention would increase knowledge of this intervention for an interdisciplinary group of hospice staff. The design was developed using Knowles's theory of andragogy and Bloom's taxonomy. Thirteen staff members from the same facility participated in the education program. The program was targeted …

Spirituality, Religiosity, And Perceived Ability To Provide Spiritual Care In Nursing Students, Shannon O'Connell-Persaud

Electronic Theses and Dissertations

Objective. The objective of this study was to explore nursing students’ spirituality, religiosity, and perceived ability to provide spiritual care. Background. Nursing students must be prepared to respond to a patient’s spiritual needs. A gap in knowledge exists as to the educational preparedness necessary to provide a nursing student with the ability to respond to a patient’s spiritual need. To address the gap, this study explored the relationships between nursing students’ spirituality, religiosity, and perceived ability to provide spiritual care. Study Setting and Sample. This multi-site study used two accredited nursing programs located in the Western Region of the United …

Implementing Serious Illness Conversations In A Gastrointestinal Oncology Clinic: A Mixed Method Evaluation Of A Quality Improvement Initiative In A Boston Hospital, Rhaea N. Photopoulos

DNP Scholarly Projects

INTRODUCTION: Many times, advanced care planning happens too late in patients with metastatic gastrointestinal cancer, patients and families are not educated on prognostic awareness and are often not well and poorly equipped to make informed end of life decisions.

AVAILABLE KNOWLEDGE: A Serious Illness Conversation guide was developed and implemented in a Boston hospital to aid practitioners (oncology nurse practitioners and oncologists) in facilitating advanced care planning. The aim of this study was to describe provider experience with the conversation guide and understand facilitators and barriers to implementation of advanced care planning.

METHODS: The Plan Do Study Act Method of …

Nurses' Lived Experiences Of Comfort Care Among Residents At The End Of Life, Ezekiel Olufemi Osundina

Walden Dissertations and Doctoral Studies

Nurses provide comfort care for individuals who are at the end of life and reside in the long-€term care environment. However, how nurses provide comfort care to those who are dying and nurses' perceptions about providing comfort care are not known. The purpose of this phenomenological study, guided by Kolcaba's theory of comfort, was to examine nurses' lived experiences of comfort care among residents at the end of life in long-term care facilities. The research questions were designed to elicit rich data about the lived experiences of nurses in providing comfort care to dying residents to find out factors that …

Advance Directives For Older Adults In Primary Care: An Intervention To Promote Screening And Documentation, Kathryn Bower

DNP Projects

Background: Advance care planning is the process of making decisions about the healthcare one wishes to receive should they become unable to make decisions for themselves, including the development of advance directives and designation of health care surrogates. Advance care planning is universally supported by governing bodies and professional organizations; however, less than one-third of Americans have an advance directive or designated health care surrogate.

Purpose: The purpose of this project was to assess primary care provider attitudes and knowledge of advance care planning and to increase screening for and documentation of advance directives and/or health care surrogates …

Nurse-Led Positive Psychology Intervention Is Feasible In Patients With Heart Failure, Erin Taylor

DNP Projects

Introduction:  Prevalence of heart failure (HF) in the US is projected to rise 46% by 2030, resulting in more than 8 million people with HF.  Negative psychologic states including depression and pessimism (negative future expectations) have been linked with poor cardiovascular outcomes, including HF.  Despite the fact that optimism (positive future expectations) and other positive affective states have been associated with superior outcomes, there has been little focus on interventions designed to increase positive psychological states in patients with HF.

Objective: To test the acceptability and feasibility of a nurse-led positive psychology intervention, Best Possible Self (BPS).

Methods: A convenience …

A Neglected Causative Agent In Diabetic Foot Infection: A Retrospective Evaluation Of 13 Patients With Fungal Etiology, Anil Murat Ozturk, Meltem Taşbakan, Di̇lek Yeşi̇m Meti̇n, Can Yener, Serhat Uysal, Ilgin Yildirim Şi̇mşi̇r, İlgen Ertam, Hüsnü Pullukçu, Bi̇lgi̇n Arda, Şevki̇ Çeti̇nkalp

Turkish Journal of Medical Sciences

Clinicians often neglect fungal infections and do not routinely investigate deep tissue from the wound for fungal culture and sensitivity due to insufficient information in the literature. In this study, we aimed to evaluate fungal etiology of invasive fungal diabetic foot which is rarely reported in the literature.Materials and methods: The patients who were unresponsive to antibiotic therapy and those with positive fungal in bone or deep tissue culture were enrolled in the study. Detailed hospital records were retrieved for demographics and clinical features. Results: A total of 13 patients who were diagnosed with invasive fungal diabetic foot (ten females, …

The Current Practice Of Family-Centred Care In Italian Neonatal Intensive Care Units: A Multi-Centre Descriptive Study, Immacolata Dall'oglio, Rachele Mascolo, Emanuela Tiozzo, Anna Portanova, Martina Fiori, Orsola Gawronski, Andrea Dotta, Simone Piga, Caterina Offidani, Rosaria Alvaro, Gennaro Rocco, Jos M. Latour

School of Nursing and Midwifery

OBJECTIVES: To explore family-centred care practices in Italian neonatal intensive care units and describe areas for improvement. METHODS: A cross-sectional, multicentre, survey was conducted using the Italian language version of "Advancing family-centred new-born intensive care: a self-assessment inventory". The instrument is divided into 10 sections rating the status of family-centred care (1 = not at all, 5 = very well) and ranking the perceived priority for change/improvement (1 = low, 3 = high). A representative group of staff and parent for each unit were invited to complete the survey. Data was collected between January and June 2015. Correlations among unit …

Non-Pharmacological Solutions To Sleep And Circadian Rhythm Disruption: Voiced Bedside Experiences Of Hospice And End-Oflife Staff Caregivers, Rana Sagha Zadeh, Elizabeth Capezuti, Paul Eshelman, Nicole Woody, Jennifer Tiffany, Ana C. Krieger

Publications and Research

Background: Sleep disturbance is a significant issue, particularly for patients with advanced terminal illness. Currently, there are no practice-based recommended approaches for managing sleep and circadian disruptions in this population. To address this gap, a cross-sectional focus group study was performed engaging 32 staff members at four hospices/end-of-life programs in three demographically diverse counties in New York State.

Methods: Participants responded to structured open-ended questions. Responses were transcribed and subjected to qualitative content analysis. The themes and recommendations for improved practice that emerged were tabulated using Atlas TI qualitative software.

Results: This report details the experiences of hospice and end-of-life …

Health-Services Utilisation Amongst Older Persons During The Last Year Of Life: A Population-Based Study, Danielle Ní Chróinín, David E. Goldsbury, Alexander Beveridge, Patricia M. Davidson, Afaf Girgis, Nicholas Ingham, Jane L. Phillips, Anne M. Wilkinson, Jane M. Ingham, Dianne L. O'Connell

Research outputs 2014 to 2021

BACKGROUND: Accurate population-based data regarding hospital-based care utilisation by older persons during their last year of life are important in health services planning. We investigated patterns of acute hospital-based service use at the end of life, amongst older decedents in New South Wales (NSW), Australia.

METHODS: Data from all persons aged ≥70 years who died in the state of NSW Australia in 2007 were included. Several measures of hospital-based service utilisation during the last year of life were assessed from retrospectively linked data comprising data for all registered deaths, cause of death, hospital care during the last year of life …

An Exploration Of Spiritual Care Of Home Visiting Nurses For Patients With Advanced Cancer, Chizuru Nagata, Aiko Tanaka, Rosanna Mcmaster

International Nursing Research Congress (INRC)

The spiritual care process of home visiting nurses for patients with terminal phase of advanced cancer was explored and it was revealed that home visiting nurses provided spiritual care by clinical reasoning based on end-of-life total care.

Factors Associated With The Advance Care Planning Among Community Older Adults In Taiwan, Yen-Chun Lin, Wen-Yu Hu

International Nursing Research Congress (INRC)

Because of the cultural taboo, only few older adults in Taiwan have had the opportunity to discuss advance care planning (ACP). The purpose of this study was to investigate the knowledge, attitude, and stage of change regarding ACP among community older adults and to explore the associated factors in Taiwan.

Implementing Palliative Care Pre-Cardiothoracic Transplant, Sarah E. Bakker

Honors Projects

Palliative care is defined as a specialty of medicine that improves the quality of life of patients and family members facing a life-threatening illness, by providing early detection and prevention of pain, psychological, and other physical struggles. Patients diagnosed with diseases such as congestive heart failure or lung disease will face an ongoing list of problems that impacts their quality of life, yet most do not receive the proper tools to manage their disease until the last stages of their life. Implementing palliative care at the initial diagnosis of a chronic cardiothoracic disease improves precision of patient-centered goals, symptom management, …

Nursing And Midwifery Links [December 2018 Issue], Secretariat At Johns Hopkins University School Of Nursing Global Network Of Who Collaborating Centers For Nursing And Midwifery

Nursing and Midwifery Links (LINKS)

Within this edition, you will find the latest information, highlights, and opportunities our wonderful Global Network provides. Moving forward, we hope to continually highlight the many achievements of this network and know we have only scratched the surface of all the wonderful work being done to achieve Universal Health Coverage

A Farewell To Falsity Shifting Standards In Medicare Fraud Enforcement, Isaac D. Buck

Seton Hall Law Review

No abstract provided.

Technology And Grieving: A Relationship, James Nichols

Biology

No abstract provided.

Literature Of Pediatric Nursing: A Bibliometric Analysis (2013 – 2017), Jagannathan Ramakrishnan, Jayaraman Selvamani

Library Philosophy and Practice (e-journal)

Presents a bibliometric analysis of the literature in the field of Pediatric Nursing as indexed the MEDLINE data which covered in the Pubmed for the period 2013-2017. It is observed that a total of 5853 records in the MEDLINE data covered by Pubmed on ‘Pediatric Nursing’. Maximum numbers of records were published during 2016, followed by the years 2015 and 2017. It was found that majority of records covered by Journal Article; followed by Research Support, Non-U.S. Gov't, Review, Research Support, N.I.H., Extramural, Editorial, Randomized Controlled Trial, News etc. Relative Growth Rate (RGR) has shown decreasing trend and the Doubling …

Nicu Nurses' Suggestions For Improving End-Of-Life Care Obstacles, Renea L. Beckstrand, Rebecca F. Isaacson, Janelle L. B. Macintosh, Karlen E. Luthy, Lacey Eden

Faculty Publications

Background: Neonatal deaths (infants less than 28 days old) account for two thirds (66.7%) of all infant deaths with most occurring in an ICU setting. NICU nurses are frequently involved in end-of-life (EOL) care and face unique obstacles.

Objective: The objective of this study was to obtain NICU nurses’ suggestions for improving obstacles in EOL care in NICUs.

Methods: Suggestions were obtained through mailed survey research in qualitative study design. Returned surveys yielded 121 nurse respondents who gave a total of 138 suggestions.

Results: A total of 10 cohesive themes were identified: (1) environmental design issues, (2) improved communication between …

Gerontological Social Work Roles In Disaster Preparedness And Response, Nancy Kusmaul, Allison Gibson, Skye N. Leedahl

Social Work Faculty Publications

No abstract provided.

2018-2019 Pediatric Subspecialty Trainees, Children's Mercy Hospital

Residents and Fellows Portraits

Photo composites of the graduate pediatric trainees in allergy/immunology, child abuse pediatrics, child neurology, clinical child psychology, coagulation, developmental-behavioral pediatrics, epilepsy, hospice & palliative care, neonatal-perinatal medicine, pediatric adolescent gynecology, pediatric anesthesiology, pediatric bioethics, pediatric cardiology, pediatric clinical pharmacology, pediatric critical care medicine, pediatric dentistry, pediatric emergency medicine, pediatric endocrinology, pediatric gastroenterology, pediatric hematology/oncology, pediatric hospital medicine, pediatric infectious diseases, pediatric nephrology, pediatric ophthalmology, pediatric optometry, pediatric otolaryngology, pediatric pathology, pediatric pulmonology, pediatric radiology, pediatric rehabilitation, pediatric sleep medicine, pediatric sports medicine, pediatric surgery, pediatric residency and med/peds residency

Elnec Core Module 1: Palliative Nursing Care, Betty Rolling Ferrell, Pamela Malloy, Polly M. Mazanec, Judith Ann Paice, Patrick Coyne

General Submissions: Presentations (Oral and Poster)

Describe the role of the nurse in providing quality palliative care for patients across the lifespan. Identify the need for collaborating with interdisciplinary team members while implementing the nursing role in palliative care. Recognize changes in population demographics, healthcare economics, and service delivery that necessitate improved professional preparation for palliative care. Describe the philosophy and principles of hospice and palliative care that can be integrated across settings to affect quality care at the end of life. Discuss aspects of assembling physiological, psychological, spiritual, and social domains of quality of life for patients and families facing a life‐threatening illness or event.

Elnec Pediatric 2018: Module 1, Betty Rolling Ferrell, Pamela Malloy, Polly M. Mazanec, Judith Ann Paice, Patrick Coyne, Amy Haskamp

General Submissions: Presentations (Oral and Poster)

Principles of Hospice & Palliative Care for Children

Child and family as unit of care with attention to caregiver support

Adolescents and young adults have distinctive needs

Attention to physical, psychological, social, and spiritual needs

Fatigue-Related Symptom Clusters And Their Relationship With Depression, And Functional Status In Older Adults Hospice Patients With Cancer., Suzan Fouad Abduljawad

USF Tampa Graduate Theses and Dissertations

The hospice care population with cancer are often older adults who report many cancer-related symptoms experienced often in clusters. Most prevalent of these symptoms is fatigue and often it co-occurs with depressive symptoms and poor physical functioning. This dissertation examined fatigue, symptom clusters, depression, physical activity, and functional status in older adults with cancer. The aims of the literature review were to understand the relationship among physical functioning, cancer fatigue, fatigue-related symptom clusters, and their relationship with functional status In older adults. The literature related to these associations is insufficient and inconclusive. The methods section aimed to investigate the reliability …

Advance Care Planning In A Dementia Specialty Practice, Valerie T. Cotter, Maryam Hasan, Jheesoo Ahn, Chakra Budhathoki, Esther Oh

International Nursing Research Congress (INRC)

Participants attending this session will learn about a project aimed to enhance the rate of advance care planning (ACP) conversations in a dementia specialty practice by increasing physician knowledge, skill and confidence in having ACP conversations and using relevant Medicare codes.

Filipino Service Care Providers' Experience Of Compassion Fatigue While Working In Residential Care Facilities, Leizel Cerezo-Pann

Electronic Theses, Projects, and Dissertations

The purpose of this study is to explore Filipino service care providers’ experience of compassion fatigue. Compassion fatigue is a common experience among health care professionals and can contribute to feelings of hopelessness and adverse behaviors in caring for patients. In California, there are a large number of Filipinos who are employed as care providers for older adults; however, there is limited research available regarding Filipino workers in the United States. This study took on a qualitative design that utilized face-to-face interviews to gain more insight into Filipino service care providers’ experience of compassion fatigue in relation to their employment. …

A Survey Of Palliative Care And End-Of- Life Curriculum In Pre-Registration And Undergraduate Nursing Education In Taiwan, Hsiao-Ling Yang, Wen-Yu Hu, Chia-Yi Wu, Mei Cheng, Tai-Yuan Chiu, Ching-Yu Chen

Journal of Medical Education

Purpose: The main purpose of this study is to explore (1) the palliative care and end-of-life (EoL) nursing education in Taiwan, (2) the essential EoL contents for undergraduate nursing students. Methods: We used cross-sectional, descriptive research design in this study. The 'End-of-Life Nursing Education Survey' (EoLNES) Questionnaires was used to collect data. Study subjects were nursing teachers who had delivered EoL related courses in nursing schools in Taiwan. SPSS for Windows version 19.0 was used for analyzing data. Results: Forty eight (78.7%) of 61 teachers who had delivered EoL related courses from 36 nursing schools jointed this study. Twenty nine …

Among Master Of Social Work Students, What Has A Higher Impact On Levels Of Stress: Spirituality, Physical Activity, Or Self-Compassion, Tania Garcia Avalos, Jose Murillo

Electronic Theses, Projects, and Dissertations

The main objective of this study was to determine which coping mechanisms have a higher impact on levels of stress in MSW graduate students. The distinctive aspect of this study was that the three primary points that were examined in MSW graduate students were spirituality, physical activity, and self-compassion. This study gathered quantitative data from students that were enrolled in the Master of Social Work program. There were a total of 102 participants in this study. A variety of bivariate analyses were conducted to assess the collected data. Significant outcomes from this study revealed that self-compassion was the best mitigator …

Hazardous Drug Administration In The Home Setting: Reducing Exposure Risks, Cynthia D. Huff Msn, Rn, Ocn, Crni, Cnl

Master's Projects and Capstones

Hazardous drug (HD) administration used to be contained in controlled-healthcare settings, however, the introduction of HDs for home administration has become a growing area of concern for home health agencies. The objectives of the Clinical Nurse Leader (CNL) project aims to improve homecare nurses' knowledge of HDs and improve competency with personal protective equipment (PPE). The microsystem provides short-term homecare services for acute and chronically-ill patients. One team leader, two home infusion coordinators, and twelve registered infusion nurses participated in learning about exposure risks and PPE use with HD administration. Kotter's 8-step change theory was used to develop behavior change …

Using End Of Life Care In A Simulation Scenario In An Effort To Help Increase Student Confidence, Amy P. Davis

Nursing Theses and Capstone Projects

This evidence-based project examined how using the end of life care in a simulation scenario would help in an effort to increase student confidence. A sample size of 28 Practical Nursing Students participated in the simulation scenario. The Confidence Scale (C-scale) developed by Susan Grundy, was administered to the students as a pre-test prior to the simulation and a post-test after the simulation. The C-scale measured student confidence and consisted of five questions asking the students to rate themselves on a scale of one to five in performing a task. The goal was to see if the student’s confidence level …

Education/Training In End-Of-Life Care For Certified Nursing Assistants In Long-Term Care, Mansura Malik

Nursing Education Research Conference (NERC)

Education and training in end of life care was provided to CNAs working in a long term care setting. Assessment of pretests and posttests showed significant improvement in knowledge by CNAs attending all sessions of the educational intervention.