Digital Commons Network^™

A Qualitative Exploration Of Associate Degree Nurse Educators' Teaching Experiences Regarding Health Literacy, Connie Marshall

Dissertations

Worldwide health literacy levels are low. Nurses should be able to lead the improvement of the health literacy of the populations they serve. During a comprehensive review of the literature, it became apparent that previous research regarding the provision of health literacy education within Associate Degree Nursing programs was not available. The Associate Degree is the initial degree that allows the graduate to take the NCLEX-RN board exam, so it was interesting to determine how learners are prepared to discern the health literacy levels of the patient population. The research question, "How do nurse educators describe their experiences with health …

Student Nursing Skill Achievement Through Self-Regulated Learning, Cynthia Delanie

Dissertations

This study set out to investigate the relationship between self-assessment of skill achievement and self-regulated learning in first year nursing students from a small, private Midwest baccalaureate nursing program. The study sample included 17 students ranging in age from 19-28 and included both males (24%) and females (76%).

Process For The Preparation Of Amorphous 9-Ethyl-6,6-Dimethyl-8-[4-(Morpholin-4- Yl)Piperidin-1-Yl]-11-Oxo-6,11-Dihydro-5h-Benzo[B]Carbazole-3-Carbonitrile Hydrochloride, Msn Laboratories Private Limited, R&D Center; Srinivasan Thirumalai Rajan; Subrahmanyavithal Irukuvajjula; Saimanoj Kesari; Bhatraju Daveedu

Defensive Publications Series

An improved process for the preparation of Amorphous 9-ethyl-6,6-dimethyl-8-[4-(morpholin-4-yl)piperidin-1-yl]-11-oxo-6,11-dihydro-5H-benzo[b]carbazole-3-carbonitrile hydrochloride, which is represented by the following structural formula-1.

Formula-1

Impact Of Proxymetacaine On The Dynamics Of Cyclopentolate In White 6- To 7-Year-Olds, Megan Doyle, Veronica O'Dwyer, Siofra Harrington

Articles

Purpose

This study compared the efficacy of cyclopentolate hydrochloride at 10-, 20- and 30-min post-instillation in White 6- to 7-year-olds, with and without prior instillation of proxymetacaine hydrochloride. The primary aim was to determine if accurate autorefraction values can be obtained sooner than the current standard of 30-min post-cycloplegia. The secondary aim was to investigate whether proxymetacaine hydrochloride enhances the efficiency of cyclopentolate.

Methods

Participants were 112 White 6- to 7-year-olds from the Child Eye Health Study. The right eye received 0.5% proxymetacaine hydrochloride and 1.0% cyclopentolate hydrochloride, and the left eye received only 1.0% cyclopentolate hydrochloride. Non-cycloplegic and cycloplegic …

Collapse Of Pre-Covid-19 Differences In Performance In Online Vs. In-Person College Science Classes, And Continued Decline In Student Learning, Gregg R. Davidson, Hong Xiao, Kristin Davidson

Faculty and Student Publications

Abstract: Studies comparing student outcomes for online vs. in-person classes have reported mixed results, though with a majority finding that lower-performing students, on average, fare worse in online classes, attributed to the lack of built-in structure provided by in-person instruction. The online/in-person outcome disparity was normative for non-major geology classes at the University of Mississippi prior to COVID-19, but the difference disappeared in the years after 2020. Previously distinct trendlines of GPA-based predictions of earned-grade for online and in-person classes merged. Of particular concern, outcomes for in-person classes declined to match pre-COVID-19 online expectations, with lower-GPA students disproportionally impacted. Objective …

Impact Of Multidisciplinary Rounds On Adult Inpatient Length Of Stay A Quality Improvement Initiative, Aurora Smith Msn, Rn, Kristie Geil Dnp, Rn, Cenp, Kathryn Johnson Msn, Rn, Cen

Nursing Research & Professional Development Conference

Background and/or Rationale: Multiple factors influence patient’s length of a stay (LOS). Studies examining patient demographics, hospital characteristics, and diagnoses indicate that older age, certain diagnoses, and admission to critical care units are associated with longer LOS.

Local Problem: At a non-profit hospital in the Midwest, nurses identified challenges in achieving reductions in the budgeted LOS for adults admitted to inpatient units.

Method: To reduce budgeted LOS, multidisciplinary rounds (MDRs) were optimized through a methodical approach involving direct observation, process mapping, and root cause analysis. A Length of Stay Committee was established, standardizing MDR practices and integrating these into workflows. …

Informed Consent: More Than Just Paperwork!, Amy Hicks Dnp, Rn, Accns-Ag, Ocn, Nea-Bc, Chelsea Rowland Msn, Rn, Ocn, Courtney Huffstetler Msn, Rn, Ocn

Nursing Research & Professional Development Conference

Background

Informed consent protects the rights of patients and guides the ethical practice of clinicians. Patient satisfaction is related to the quality and adequacy of information provided to them (Guzman & Amosco, 2021). Informed consent policies are typically written around surgical procedures and often do not provide the unique details around the process in radiation oncology.

Local Problem

During the investigation of care events, the nursing director noted differing practices around timing, use of plain language, and a lack of a standardized approach to obtaining consent. A major contributing factor was consents were not obtained during the consult when the …

Can You Escape? A Quality Improvement Falls Reduction Initiative, Jaclyn Duncan Msn, Rn, Pccn, Ne-Bc, Katie Sparks Msn, Aprn, Accns-Ag, Cmsrn, Cynthia Proctor Rn, Bsn, Bma, Cphq, Nea-Bc

Nursing Research & Professional Development Conference

Background: Falls are an unwanted occurrence in all healthcare facilities; They are complex and do not have a “one solution fixes all “answer. Each fall we can reduce is a patient who is safer while in our care.

Local Problem: Atrium Health Cleveland (highest fall units 4M and ED) have had consistently high fall rates compared to like size facilities; 2.97 against goal of 2.6 (2023). Data review showed correct scoring and interventions as our greatest opportunity.

Methods: We utilized a multi-faceted approach to falls prevention aligning with our Obeya work that began in Q3 2023. A multi-disciplinary …

Peripheral Iv Catheter Education... Did It Stick?, Rebecca Noe Msn, Rn, Scrn, Lindsey Ramsey Msn, Rn, Cmsrn, Heather Brown Msn, Rn, Cnl, Npd-Bc, Erin Fearing Tisera Msn, Rn, Cnl, Cmsrn, Leeann Bruno Smith Msn, Rn, Npd-Bc, Cv-Bc, Nicole Pappaterra Bsn, Rn, Npd-Bc, Bmtcn, Ocn

Nursing Research & Professional Development Conference

Background/Introduction

While peripheral intravenous catheter (PIVC) insertion is a common procedure, literature states most nurses do not have formal training in school or clinical practice opportunities on this skill. When performed incorrectly, PIVC insertion has negative implications including increased length of stay, poor patient outcomes, and inflated costs. On average, the Vascular Access Team (VAT) completes 1,200 consults per month and the turnaround time is 2h 42m, leading to delays in care.

Purpose

This activity's intent was to implement a tiered educational approach to improve adult inpatient nurses' knowledge and skills on PIVC placement; thus, decreasing VAT consults and delays …

Investigating The Effect Of A Supplemental Critical Thinking Session In Newly Licensed Nurses, Robin Hackett Msn, Rn, Npd-Bc, Susan Storto Mba, Msn, Rn Med-Surg-Bc, Npd-Bc

Nursing Research & Professional Development Conference

Background: Critical thinking is associated with safe patient care and is a component of the American Nurses Association Nursing: Scope and Standards of Practice. The pandemic accelerated critical thinking deficits among newly licensed nurses due to educational adjustments. Review of program evaluations, nurse feedback, National Council Licensure Examination for Registered Nurses pass rates, and nurse residency accreditation requirements supported the need for an educational experience dedicated to critical thinking skills specific to newly licensed nurses.

Purpose: The purpose of this study includes identifying if a supplemental session increases critical thinking skills in newly licensed nurses based on the Nursing Critical …

Standardizing Behavioral Health Emergency Department Nursing Rounds Incorporating Diagnostic Sensitivity Of The Dynamic Appraisal Of Situational Aggression To Improve Workplace Violence, Michelle Olshan-Perlmutter Aprn, Pmhcns, Nicolas Archer Msn, Rn-Bc, Jason Roberge Phd, Msn, Kristen Edmunds Bsn, Rn-Bc

Nursing Research & Professional Development Conference

Background

Workplace violence is a persistent threat in Emergency Departments, impacting both staff safety and patient care quality.

Local Problem

Despite advancements, it remains a pressing concern at the Atrium Behavioral Health Emergency Department as a rise in patient acuity has been observed as patients may exhibit symptoms and behaviors of aggression, agitation, and psychosis. Staff injuries have been on the rise in part due to an increase in patients requiring restraints.

Objective

The aim is to enhance patient and staff safety and reduce patient restraints by instituting purposeful nursing rounds and utilizing the Diagnostic Sensitivity of the Dynamic Appraisal …

A Quality Improvement Project To Improve Adherence Of Disinfecting Needleless Connectors In The Emergency Department, Stefani Niendorf Rn, Bsn, Cen

Nursing Research & Professional Development Conference

Background

At Aurora Oshkosh Emergency Department, the nurses, paramedics, and technicians were not consistently disinfecting needleless connectors before blood draws or intravenous medications, increasing the risks of postinsertion catheter-related infections.

Local Problem

In a pre-audit, disinfection of needleless connectors prior to access occurred 40% of the time, failing to meet the Aurora Oshkosh Emergency Department goal of 80%. A knowledge gap was discovered through interviews when only 23% of staff could verbalize the system’s intravenous access policy correctly on disinfection and dry times.

Method

Forty-five audits were completed pre and post interventions, observing adherence to policy including disinfecting the needleless …

Ed Blood Culture Contamination: Lowering Rates Through 1:1 Training, Competency, And Compliance To Ena Clinical Practice Guidelines, Rebecca Alter Rn, Msn

Nursing Research & Professional Development Conference

Background:

Blood cultures are essential for diagnosing bloodstream infections including sepsis and fungal infections. Septicemia, the most costly condition treated in U.S. hospitals, affects one in 23 patients, incurring costs of $5,500 per contamination. False positives result in unnecessary expenses, excessive use of antibiotics, and extended hospital stays. According to guidelines from the American Society for Microbiology (ASM) and the Emergency Nurses Association (ENA), contamination rates should not exceed 3%.

Local Problem:

In an Emergency Department (ED) in hospital in the Midwest, blood culture contamination rose from 3.8% July 2023 to as high as 6.3% in October 2023. A quality …

A Multimodal Learning Experience For New Oncology Nurses, Nicole Pappaterra Bsn, Rn, Npd-Bc, Bmtcn, Ocn, Emily Frederick Bsn, Rn, Ocn, Cmsrn

Nursing Research & Professional Development Conference

Background/Introduction

Role transition in a specialty area possesses unique challenges for new teammates and requires additional need for training and support. Newly licensed nurses have limited hands-on experience in nursing school with many aspects of care they will encounter as oncology nurses. In previous state, feedback included the need for a more focused and hands-on approach to chemotherapy and oncology-related skills.

Purpose

The aim of the multimodal learning experience was to support role transition, increase nurse preparedness and bridge knowledge gaps. The course was created to provide an engaging, hands-on, collaborative experience for nurses new to oncology to gain confidence …

Icu Mobility Olympics: Using Gamification To Go For Gold, Michelle Emick Bsn, Rn, Amanda Baudhuin Bsn, Rn, Ashley Burr Bsn, Rn, Sydney Loechler Msn, Rn, Ba, Jillian Jorns Bsn, Rn, Matthew Lemke Msn, Cnml, Va-Bc, Rn

Nursing Research & Professional Development Conference

Background: Patients admitted to the adult intensive care unit (ICU) often experience ICU-acquired weakness (ICU-AW) consequential to their acute illness. Benefits of mobilization have been shown to decrease associated risks to the patient during hospitalization while limiting long-term effects.

Local Problem: Chart review suggested inconsistent activities for patients in the ICU and a need to focus attention on early and frequent mobilization, with opportunities to partner with the interdisciplinary team. Mobilization standards of practice were identified as a need to be included into the unit culture.

Methods: Gamification was used to promote mobilization of patients in the ICU, increase interdisciplinary …

Reducing Hospital-Acquired Pressure Injury Rates In An Intensive Care Unit, Taylor Burger Bsn, Rn, Stephanie Fortenberry Bsn, Rn, Cwocn

Nursing Research & Professional Development Conference

Background: A hospital-acquired pressure injury is localized damage or injury to the skin and/or underlying tissue that typically occurs over a bony prominence or in relation to medical devices during an inpatient hospital stay. This preventable condition is one of the biggest challenges facing healthcare organizations due to the high costs associated with treatment and no reimbursement from payors.

Local Problem: The prevention of pressure injuries in an adult medical and surgical Intensive Care Unit setting is particularly challenging due to the patients’ complex needs. From December 2022 – April 2023, the 26-bed Intensive Care Unit had 27 hospital-acquired pressure …

Cardiac High Acuity - An Icu Bed Solution, Amy Peterson Mnhp, Rn, Cnl, Cnm, Leeann Bruno Smith Msn, Rn, Cv-Bc, Npd-Bc

Nursing Research & Professional Development Conference

(Background) Improving patient flow and addressing the increased need for Intensive care unit beds requires innovative protocols and guidelines to remove barriers and mobilize resources effectively.

(Local Problem) An intense need to decompress Intensive care volume for non-critical patients was identified. Starting July 2023, multiple cardiac intermediate units in a large academic facility developed and implemented high acuity designated beds to reduce the cancellation/rescheduling of open-heart surgeries and maximize bed availability in two cardiac Intensive care units.

(Method) Care modalities were developed through collaboration between nursing, providers, pharmacy, patient placement, finance, and educators. Nursing practice standards were created to address …

What The Butt? Sustainable Pressure Injury Reduction In Intensive Care, Noor Bontz Rn, Ms, Acnpc-Ag, Michelle Emick Bsn, Rn, Matthew Lemke Rn, Msn, Cnml, Va-Bc

Nursing Research & Professional Development Conference

Background

Healthcare-acquired pressure injuries (HAPI) cause harm to over two-million patients annually in the United States, increase length of stay, and pose a significant financial burden to hospitals. The cost of treating a single injury can be more than $70,000.

Local Problem

After unit expansion during the Covid-19 pandemic, HAPI increased 285% from 21 injuries in 2019 to 60 injuries in 2021 in the intensive care unit (ICU).

Method

This ICU implemented a multi-modal approach to facilitate awareness, collaboration, and accountability to HAPI reduction. The intervention started with “What the Butt?” month, site skin team reporting real-time injury discovery to …

Sb03_24-25 Resolution Encouraging Professional Development And Continuing Education By Lowering Cost Barriers To Employees, Trey Magnuson, Glenn Kneebone, University Of Montana--Missoula. Staff Senate

University of Montana Staff Senate Resolutions

The Montana Board of Regents allows each campus to determine what fees are assigned aside from building and registration fees, which are mandatory. This Resolution encourages the University of Montana to create a new fee schedule and waive all non-mandatory fees for employees so that the cost barrier to continued education and professional development is lowered.

This was passed at the November 13th, 2024, meeting of the University of Montana Staff Senate.

Beyond The Surface: Nursing Strategies For Hospital Acquired Pressure Injury Reduction And Protocol Standardization, Mackenzie Kohlbrand Bsn, Bs, Rn, Cmsrn, Timothy S. Scholz Bba, Clssbb, Latasia Belin Dnp, Aprn, Agcns-Bc, Onc, Fcns, Jaime Moore Dnp, Rn, Cen, Tcrn, Ne-Bc

Nursing Research & Professional Development Conference

Background

Hospital-acquired pressure injuries (HAPIs) are a key nurse-sensitive indicator and a major component of the PSI-90 National Database of Nursing Quality Indicators (NDNQI) metrics. Preventing PIs are critical for enhancing patient care and reducing financial burdens, costing between $500 to $40,000 per patient.

Local Problem

Atrium Health (AH) Mercy experienced 56 HAPIs in 2022 and 67 in 2023, prompting the need for structured reduction initiatives. In 2023, the cost of treating Stages 3, 4, and Unstageable PIs averaged $14,500 each, totaling $536,500. Despite existing AH policies emphasizing prevention strategies and documentation protocols, an assessment revealed documentation gaps and inconsistent …

Pressure Off: A Phased-Intervention Approach To Decreasing Unit-Acquired Pressure Injuries On A Medical-Surgical Telemetry Unit, Joselyn White Mha, Msn, Rn, Cnl, Cmsrn, Megan Dulaney Msn, Rn, Cmsrn

Nursing Research & Professional Development Conference

Background

The AHRQ stated that a Hospital-Acquired Pressure Injury (HAPI) has a significant fiscal impact. A HAPI decreases functional level, leading to further complications with longer hospital stays and increased risk of mortality. The 10A medical-surgical telemetry unit had six HAPIs in 2023 and two HAPIs in 2024. In 2023, the unit’s two-person Skin Assessment compliance was 53.38%. A January 2024 audit revealed only 21% of patients were turned per the unit’s goal of a total of six or more repositioning occurrences per shift.

Aim/Purpose

Reduce the number of HAPIs by 50% in 2024, increase the occurrence and documentation of …

Fs Steering Committee Minutes 2024-11-13, Northern Illinois University

Faculty Senate Archives

No abstract provided.

Spartan Daily, November 13, 2024, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2024

Volume 163, Issue 34

For The Nurse, By The Nurse: Stimulation Through Simulation, Jennifer Caldwell Rn, Msn, Ccrn, Shana Kornfeind Rn, Msn, Ccrn, Merideth Pickering Msn, Rn, Ccrn

Nursing Research & Professional Development Conference

Introduction

To mitigate the demand of post pandemic turnover, many critical care nurses were hired with varying experience levels. “New Hire” class was developed to educate all new critical care nurses regarding the units’ expectations and experiences. This lecture-based program focused on key result areas but lacked hands on opportunities. Feedback and environmental scanning showed the need for interactivity.

Simulation is effective in developing critical thinking, hands-on skills, and decision making while fostering teamwork and strengthening self-confidence. Critical thinking is a fundamental tool in nursing practice.

Objective

To create a class that incorporates multiple modalities while providing a safe and …

Observation Unit Redesign: Strategies To Speed Up Discharge, Amy Pleasance Msn, Rn-Bc, Shea Radtke Dnp, Rn, Nea-Bc, Crrn

Nursing Research & Professional Development Conference

Background

A busy Level 1 Trauma center redesigned their Observation Unit workflow, utilizing an interdisciplinary team to test new strategies to proactively engage patients/family and teammates to efficiently meet 24- and 48-hour discharge goals and improve throughput.

Local Problem

Observation units are used to reduce ED overcrowding and provide focused, rapid treatment for patients diagnosed with conditions that can be managed within 24 to 48 hours. At baseline, only 33% of the hospital observation patients were discharged within 24 hours with only 81% discharged within 48 hours. These rates were below the targets set by the healthcare system.

Methods

The …

Investigating Nursing Impact To Surgical Outcomes By Adding A Thermo-Reflective Blanket To Warming Protocol: A Randomized Control Trial, Christine Westphal Msn, Rn-Bc, Tracy Haberkorn Msn, Rn, Cnor, Meagan Bayless Phd, Bsn, Rn, Npd-Bc

Nursing Research & Professional Development Conference

Background:

Unintended perioperative hypothermia (UPH) increases complications including surgical site infections (SSIs), which reduce patient outcomes and increase personal and financial costs.

Hypothesis:

Adding a thermo-reflective blanket on top of warming standard of care (WSOC) will reduce UPH, SSI, post-op length of stay (POLOS), and financial costs.

Methods:

We used a prospective, single-blinded randomized controlled trial (RCT). The control group received warming standard of care (WSOC); the intervention group received thermo-reflective blanket(s) in addition to the WSOC. The WSOC includes passive insulation of warmed cotton blankets and thermo-reflective head coverings with active warming of forced air. Odds ratios, student’s t-test, …

Reducing Patient Turnaround Time From The Emergency Department To Freestanding Behavioral Health Facility, Brooke Stephens Msn, Rn, Pmh-Bc

Nursing Research & Professional Development Conference

Background: Mental health encounters in the emergency department have proven to have a longer length of stay compared to medical encounters, which are associated with poor safety and health outcomes. Mental health patients can experience decompensation of their condition due to the more disruptive milieu and the lack of specialized treatment in the emergency department.

Local Problem: Transferring patients to an inpatient behavioral health facility in a timely manner is of utmost importance; however, the freestanding psychiatric facility has limited resources for complex medical needs requiring medical clearance to be obtained in the emergency department. From September – December 2022, …

Reimagining An Observation Unit To Make Room For More, Patricia West Dnp, Msn, Cmsrn, Pccn, Cen, Nea-Bc, Elizabeth Billiar Msn, Rn, Cmsrn

Nursing Research & Professional Development Conference

Background

In January 2023, the length of stay (LOS) for the observation (OBS) unit was 2.7 days. The care delivery was one of inpatient and observation in which there was little focus on LOS.

Local Problem

There were capacity challenges due to volume in the hospital with multiple overflow units open and extended LOS in the emergency department (ED) which led to increased boarding times of admitted patients.

Method

After working with the performance improvement (LEAN) specialist, the observation leadership identified a team of interdisciplinary stakeholders and began rapid cycle biweekly plan, do, study, act (PDSAs) on the journey to …

Freezing Chemo Induced Neuropathy In Its Tracks, Andrew Granada Bsn, Rn, Ocn, Adrienne Turri Bsn, Rn-Bc, Ocn

Nursing Research & Professional Development Conference

Background

Chemotherapy is known to cause peripheral neuropathy (PN) in 30-60% of patients, with no effective treatments once symptoms occur. Chemotherapy-induced peripheral neuropathy (CIPN) can lead to treatment delays, dose reductions/discontinuation, poor treatment outcomes, and reduced function and quality of life. Cryotherapy is thought to limit circulation of chemotherapy into periphery limiting nerve damage. Prophylactic cryotherapy has been shown to reduce CIPN.

Purpose

PICOT: In adult cancer patients initiating chemotherapy (P), what is the effect of implementing an evidence-based cryotherapy intervention during chemotherapy treatments (I), compared with standard care (C), on patient-reported sensory peripheral neuropathy (toxicity symptom) (O) during chemotherapy …

Fresh Faces To Icu Aces: Boosting Confidence And Retention For New Graduate Nurses In Intensive Care, Angela Flynn Msn, Rn, Lindsey Merrick Bsn, Rn

Nursing Research & Professional Development Conference

Introduction: In 2022, the intensive care division experienced an increased nurse turnover of 21.9% compared to a 13.1% organizational benchmark, and a first-year retention rate of 76% for new graduate nurses. In 2023, the division hired seven times more new graduate nurses than pre-pandemic. Leaders identified gaps in critical thinking, specialty-specific knowledge, and practice among new graduate nurses. The established enterprise new graduate residency program did not successfully bridge the gap from new graduate novice to intensive care nurse.

Purpose: To provide an in-person, post-orientation new graduate nurse residency program to increase confidence, personal wellness, and first year retention.

Method: …