Digital Commons Network^™

Creating A Legacy Through Nursing Leadership, Innovation, And Global Connectivity, Shannon K. Lizer, Asako T. Katsumata, Gordana Dermody, Elizabeth M. Carson

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Background: "Nurse leaders face a crucial need to understand and take initiative in responding to this radically changing world" (McElmurry, Kim, & Al Gasseer, 2000). It is often a challenge for nurse leaders to develop a diverse world view without interacting with nurse leaders in a global context (Nichols, Shaffer, & Porter, 2011). Objectives: The Global Nursing Initiative aims: a) to make contributions to the advancement of nursing leadership, clinical practice, and nursing education in Japan; b) to establish an international collaboration between Saint Anthony College of Nursing (SACN) and Japanese higher education …

A Retrospective Study Exploring Nursing Sensitive Interventions For Patients On A Skilled Nursing Unit In A Rural Midwest Hospital, Carol-Ann Moseley

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Purpose and Research Questions: The purpose of this study was to assess the impact of nursing interventions on a skilled nursing unit (SNU) when a change in patient health status was identified. Patient characteristics were correlated with specific variables such as Rothman Index (RI) scores and 30-day readmission status. Nurses could then implement specific individualized interventions to improve patient outcomes. The study questions were: a) What are the characteristics of our SNU patients? and b) Can use of the RI discharge score alert the nurse to the need for increased interventions to lower …

Exploring Symptom Clusters In Individuals Undergoing Surgery For Pancreatic Cancer, Sherry A. Burrell, Suzanne C. Smeltzer, Theresa Pluth Yeo

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: The aims of this primary nested, longitudinal, exploratory study were to explore self-reported symptom profiles to identify the presence of and changes in symptom clusters (SCs) and factors that influence the severity of the SCs in individuals with stage II pancreatic cancer (PC) before and at three, six, and nine months after surgery alone or in combination with adjuvant chemotherapy or chemoradiation therapy.

Methods: This primary nested, longitudinal, exploratory study was conducted within an ongoing single center, prospective, randomized, double-blind, placebo-controlled clinical trial of ethanol celiac plexis neurolysis versus placebo for pain …

Knowing About And Caring For Persons Receiving Hospice Care: The Lived Experiences Of Nurses Working In Hospice Agencies, Rita W. Ferguson

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: Knowing and caring by hospice nurses has received minimum research. By illuminating hospice nurses' experiences, end-of-life quality of care may be improved and nursing education enriched. Failure by nurses to utilize all ways of knowing in the provision of nursing care can lead to practice limitation. Caring, a value of nursing implies a relationship of knowing the patient. The purpose of this descriptive phenomenological qualitative study was to explore the lived experiences of nurses working in hospice agencies regarding their knowing about and caring for persons receiving hospice care.

Methods: The phenomenological …

Helping Nurses Cope With Patient Death: Coping Resource Bundle, Brittany Esgro Bsn, Rn, Amy Gust Bsn, Rn, Kate Saunders Bsn, Rn, Courtney Yankelitis Bsn, Rn

Patient Care Services / Nursing

Esgro, B., Gust, A., Saunders, K., Yankelitis, C. (2016, March 14-17). Helping Nurses Cope with Patient Death. Poster presented at: Annual Nurse Residency Program Meeting, Bonita Springs, FL.

Esgro, B., Gust, A., Saunders, K., Yankelitis, C. (2016, 2015, September 10). Helping Nurses Cope with Patient Death. Philadelphia Area Magnet Meeting.

Esgro, B., Gust, A., Saunders, K., Yankelitis, C. (2016, March 14). Helping Nurses Cope with Patient Death: Coping Resource Bundle. Poster presented at: UHC/AACN Nurse Residency Program™ 2016 Annual Meeting & Chief Nursing Officers Council Meeting, Bonita Springs, FL.

Esgro, B., Gust, A., Saunders, K., Yankelitis, C. (2016, October 28). …

The Murray Ledger And Times, January 27, 2016, The Murray Ledger An Times

The Murray Ledger & Times

No abstract provided.

2016-2017 Pediatric Subspecialty Trainees And Residents, 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, clinical cytogenetics & molecular genetics, clinical pharmacology, developmental-behavioral pediatrics, hospice Y palliative care, neonatal-perinatal medicine, pediatric cardiology, pediatric critical care medicine, pediatric dentistry, pediatric endocrinology, pediatric emergency medicine, pediatric ethics, child gastroenterology, pediatric hematology/oncology, pediatric hospital medicine, pediatric infectious diseases, pediatric nephrology, pediatric optometry, pediatric otolaryngology, pediatric plastic surgery, pediatric pulmonology, pediatric radiology, pediatric rehabilitation, pediatric sports medicine, pediatric surgery, pediatric residency and med/peds residency

Nurses' Knowledge Of Advance Directives And Perceived Confidence In End-Of-Life Care: A Cross-Sectional Study In Five Countries, A. Coffey, G. Mccarthy, E. Weathers, M. I. Friedman, K. Gallo, M. Ehrenfeld, S. Chan, W. H.C. Li, P. Poletti, M. Itzhaki, +4 Additional Authors

Journal Articles

No abstract provided.

Advance Directives: A Case Of Changing Social Norms And Their Legal Implications, Ira Bedzow

Journal of Aging, Longevity, Law, and Policy

No abstract provided.

Compassion Fatigue: A Cross-Sectional Study, Donna B. Carrillo

MUSC Theses and Dissertations

Purpose: This dissertation addresses compassion fatigue and the ambiguous use of the closely related synonyms of burnout, secondary traumatic stress disorder, and vicarious traumatization in acute care nurses. The aim of this dissertation was to define the concept of compassion fatigue within nursing practice, to identify and examine preventive and intervention strategies and to determine the prevalence of compassion fatigue in acute care nurses. Design: This manuscript includes a concept analysis based on the evolutionary method to identify attributes, antecedents and consequences of compassion fatigue, an integrative review examining strategies to reduce compassion fatigue, and a cross sectional, quantitative study …

Efficacy Of Concreteness Training With Persons Qualifying For Palliative Care: Piloting An Ios Application, Diana Zarb

Doctor of Psychology (PsyD)

Palliative care services (PCS) seek to increase quality of life and manage symptoms of persons with chronic illnesses. Depression and anxiety are common concerns for persons receiving PCS. One intervention that has demonstrated some effectiveness and requires further research is a brief concreteness training (CT) intervention based on cognitive-behavioral techniques. This study piloted the implementation of a brief CT intervention via an iOS application for persons qualifying for PCS. Forty-one people completed all of the pretest measures, and 9 participants completed the entire study. Variables measured were anxiety, depression, spiritual well-being, health-related quality of life (HRQOL), and patient activation. Participants …

Hospice Performance: Environmental And Organizational Correlates, Mengying He

All ETDs from UAB

The purpose of this dissertation is to explore hospice performance using a three paper format. Based on Structure-Conduct-Performance (SCP) and Structure-Process-Outcome (SPO) models, paper 1 conducts a systematic literature review to identify gaps in hospice performance research. Paper 2 explores the relationship between hospice market structure and inpatient services provision (Structure-Conduct). Market munificence is related to hospice inpatient services offering. Organizational factors such as hospice chain-affiliation, age, and ownership also play roles in predicting hospices’ probability in providing inpatient services. Paper 3 examines the impact of hospice inpatient service provision on service utilization and financial performance (Structure-Process-Outcome). Hospices that not …

Examining Nurse Practitioners' Perceptions And Beliefs Regarding Hospice Referrals For African Americans, Karen Jackson Mcclary

Walden Dissertations and Doctoral Studies

Terminally ill patients often have difficult choices at the end-of-life, and electing to receive hospice services is one of them. Hospice has been linked to improved quality of life and death and is accessible to terminally ill patients. Despite the accessibility, African American patients often make the decision to forgo hospice services. The purpose of this descriptive study was to explore perceptions and beliefs of nurse practitioners (NPs) regarding the lack of utilization of hospice for African American patients and the feasibility of NPs for initial referral for terminally ill African American patients. The research questions addressed whether an NP's …

An Educational Initiative To Prevent Unnecessary Hospitalization For Hospice Patients, Alkeisha Hill Mims

Walden Dissertations and Doctoral Studies

Avoidable hospitalizations of hospice patients cost Medicare $3 billion a year. When hospice nurses are able to identify early signs and symptoms of acute illness and provide appropriate interventions to prevent such admissions, 20-60% of the hospitalizations are preventable. The practice problem addressed in this quality improvement doctor of nursing project was the 30% hospital admission rate of hospice patients as evidenced by chart review, admission data, and revocation data. The first purpose of the project was to identify evidence-based nursing care paths in the literature for the top 5 medical diagnoses related to avoidable hospital admissions. The second purpose …

Music Therapy Interventions For End-Of-Life Care: An Integrative Literature Review, Ranjani Sukumaran

Theses and Dissertations--Music

Music therapy plays an integral role in end-of-life care, positively impacting emotional, social, physical, cognitive and spiritual health. The purpose of this integrative review was to collect and compile studies (N= 55) between 2000 and 2016 on the topic of music therapy interventions in end-of-life care, in order to provide both music therapy students and therapists access to the most recent and commonly used music therapy interventions and goals. Results of the integrative literature review indicate that the most common intervention for all age groups in end-of-life care is songwriting and composition, with the most common therapeutic goal …

I'M Still Standing, But I'M Not Standing Still, Janice E. Hawkins

Ellmer School of Nursing Faculty Publications

(First paragraph) When I made the decision to return to school for a PhD, I anticipated hard work, challenges, and a demanding schedule. Two years into my part-time program, I proudly informed readers of Reflections on Nursing Leadership that I was still standing and happy with my decision (Hawkins, 2014). Two years later, I'm not quite done.

Motivation For Volunteering With Older Adults In A Rural Community, Tonia Maria Truesdell

Walden Dissertations and Doctoral Studies

The Baby Boomer generation in the United States is growing older, and the number of adults age 65 years or older is expected to double by 2050. The increase in older adults combined with the reduction in services to older adults has created a gap in available social services and volunteers are needed to fill those gaps. This quantitative, nonexperimental study was designed to identify the motivations of volunteers who served the socialization needs of isolated older adults in a rural U.S. community. The functional approach theory was utilized to explain how volunteers engage in the same volunteer activity for …

Hospice Social Work And The Patient Protection And Affordable Care Act, Christine A. Couture

Theses, Dissertations, and Projects

This study was undertaken to explore how hospice social workers based at United States hospice agencies perceive changes in their work responsibilities in relation to the Patient Protection and Affordable Care Act (PPACA). Secondly, this study sought to explore hospice social worker support of the Patient Protection and Affordable Care Act healthcare policy reform.

A nonprobability sample of availability was used to find research participants. The researcher recruited participants through online social and professional networking groups and forums and by snowball sampling methods. Self-selected participants electronically confirmed their eligibility for participation in the study, prior to completing the 20-question online …

Dying Discourse: Contextualizing Advance Care Planning, Janet L. Dolgin

Hofstra Law Faculty Scholarship

No abstract provided.

Comparing The Quality Of End Of Life Cancer Care In The Medicare Population Prior To And After The Enactment Of The Medicare Prescription Drug, Improvement And Modernization Act Of 2003, Rene Jooste

All ETDs from UAB

Reimbursement for chemotherapy could account for two thirds of the income for oncologists in private practice. The Medicare prescription drug improvement and modernization act of 2003 (MMA) brought about a dramatic change in the way physicians were reimbursed for delivering chemotherapy in an attempt to slow the skyrocketing costs of drugs and Medicare costs for covering these drugs . The MMA reduced Medicare reimbursements for covered outpatient prescription drugs from 95% to 85% of the average wholesale price. In 2005, a new payment system was instituted that reimbursed fee-for-service providers for drugs at the national average sales price plus 6%. …

Moral Distress And The Health Care Organization, Andy Kondrat

Dissertations

A health care professional may experience moral distress when she believes she knows the ethical course of action in a given situation, but is unable to enact that plan, or must do otherwise. This dissertation argues that health care organizations have an ethical obligation to address moral distress in their health care professionals, and that common responses to moral distress are ethically insufficient due to their reliance on hierarchical solutions when hierarchies are, in fact, often a cause of moral distress. Thus, health care organizations, as moral agents, have a responsibility to find a non-hierarchical response to moral distress.

In …

Provision Of Hospital-Based Palliative Care And The Impact On Organizational And Patient Outcomes, Marisa L. Roczen

Theses and Dissertations

Hospital-based palliative care services aim to streamline medical care for patients with chronic and potentially life-limiting illnesses by focusing on individual patient needs, efficient use of hospital resources, and providing guidance for patients, patients’ families and clinical providers toward making optimal decisions concerning a patient’s care. This study examined the nature of palliative care provision in U.S. hospitals and its impact on selected organizational and patient outcomes, including hospital costs, length of stay, in-hospital mortality, and transfer to hospice. Hospital costs and length of stay are viewed as important economic indicators. Specifically, lower hospital costs may increase a hospital’s profit …

Development Of A Program Proposal For A Nitrous Oxide Program In Pediatrics, Sarah Oleson

Walden Dissertations and Doctoral Studies

When pediatric patients are admitted to the inpatient or outpatient hospital setting they potentially have to endure procedures that cause pain, fear, and anxiety which can have a lifelong impact on the child's response to future healthcare needs. The purpose of this project was to create a comprehensive program proposal for a nitrous oxide sedation program to minimize those perceptions towards medical procedures. The project utilized a systematic review of literature and secondary data to address the most important indicators for developing a comprehensive program proposal to present to the pediatric leadership team. Multiple studies have shown nitrous oxide having …

Rehabilitation And Cancer Survivorship, Matthew Denning, Samantha Fisk, Alyssa Grigware, Mary Leopold, Erika Lopez, Margaret Masiak, Sebastian Stoltzfus, Ashley Tomaswick

Disease Prevention and Health Promotion Resources

Presentation given at Central Maine Medical Center on December 4, 2015, to build awareness of the role of rehabilitation services in cancer survivor management and discuss strategies to address existing needs. This presentation was based on a project undertaken to determine which physical distress screening tools are most appropriate to trigger a wellness or rehabilitation referral when it is warranted for a survivor. The use of effective screening tools will assist in directing cancer survivors, who experience physical and emotional burdens caused by the disease and subsequent treatment, to access services that will continue to improve their overall quality of …

Fcn Florida Center For Nursing 2015 Annual Report, Florida Center For Nursing

Florida Blue Archives Printed Materials

No abstract provided.

Die Wise: A Manifesto For Sanity And Soul, Pamela Loughton

Consensus

Title: Die wise: a manifesto for sanity and soul.Author: Stephen Jenkinson.Publisher: Berkeley, California: North Atlantic Books, 2015.ISBN: 9781583949733

Ethical Decision Making Of Counseling Mental Health Practitioners Working With Clients Right-To-Die Issues, Amanda E. Johns

LSU New Orleans Theses and Dissertations

The purpose this study was to explore the relationship between counseling mental health practitioners’ attitudes toward euthanasia and their ethical decision making levels when confronted with clients facing end-of-life concerns. A review of literature indicated a series of complex ethical, moral, and societal issues surrounding clients’ right-to-die issues. Because of the lack of research in the counseling field and the growing prevalence of right-to-die issues with clients who have a diagnosis of a terminal illness, more research in the counseling field is needed (Hadjistavropoulos, 1996; Winograd, 2012). Participants for the present study were recruited from six state divisions of the …

Orchestral Instruments In Music Therapy : Developing An Educational Track For Orchestral Musicians In Music Therapy Training, Laura Bunker

Theses, Dissertations and Culminating Projects

This paper proposes a supplemental educational track for the training of music therapy students who play an orchestral instrument. Containing three courses, this proposed protocol for instruction aims to bridge the gap between standard practices of classical music training, and training related specifically to music therapy in a graduate program. Designed with a focus on improving one’s functional musicianship on his or her orchestral instrument, courses offer opportunities to foster and practice these skills through class workshops, and community outreach and advocacy.

Starting with a detailed review of literature, this paper delves into the use of orchestral instruments in music …

Helping Nurses Cope With Patient Death, Courtney Yankelitis Bsn, Rn, Brittany Esgro Bsn, Rn, Kate Saunders Bsn, Rn, Amy Gust Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Ketamine For The Treatment Of Depression In Patients Receiving Hospice Care: A Retrospective Medical Record Review Of Thirty-One Cases., Alana Iglewicz, Katherine Morrison, Richard A. Nelesen, Tingting Zhan, Boris Iglewicz, Nathan Fairman, Jeremy M. Hirst, Scott A. Irwin

Department of Pharmacology and Experimental Therapeutics Faculty Papers

BACKGROUND: Depression is prevalent in patients receiving hospice care. Standard antidepressant medications do not work rapidly enough in this setting. Evidence suggests that ketamine rapidly treats treatment refractory depression in the general population. Ketamine׳s role for treating depression in the hospice population warrants further study.

METHODS: A retrospective medical record review of 31 inpatients receiving hospice care who received ketamine for depression on a clinical basis was conducted. The primary outcome measure was the Clinical Global Impression Scale, which was used retrospectively to rate subjects׳ therapeutic improvement, global improvement, and side effects from ketamine over 21 days. Additionally, time to …