Community College Leadership Commons^™

Fostering Interprofessional Collaboration In Community College Mental Health Centers: A Quality Improvement Project, Sara Jane Hamilton

Doctor of Nursing Practice (DNP) Projects

Background The worsening mental health rates among college students in the United States highlight the critical need for campuses to have high-quality comprehensive mental health centers (MHC). This necessity is particularly urgent in community college MHCs, which often lack these attributes. Local Problem An MHC within a large California community college recently introduced telepsychiatry services and is considering integrating a Psychiatric Mental Health Nurse Practitioner (PMHNP) into their team. However, knowledge gaps and limited interprofessional education (IPE) may hinder effective collaboration within the team. Methods A comprehensive literature review was conducted to assess current research on IPE, community college mental …

Implementation Of Prognosticator Algorithm For Initiation Of Serious Illness Discussions And Improving The Rate Of Palliative And Hospice Referrals, Joy Isebor

Doctor of Nursing Practice (DNP) Scholarly Projects

Context: Early serious illness conversations related to end-of-life and goals of care with seriously ill patients have been associated with improving patients' outcomes and quality of care (Bernacki et al., 2015). However, initiating these serious illness discussions has been challenging in the home-based primary care setting.

Objectives: To train and support home-based primary care clinicians in integrating best practices in serious illness discussions and decision-making engagement among patients sixty-five and older with serious illnesses, optimize the alignment between patient goals and the medical care they receive, improving their quality of life and the rate of palliative care and hospice referrals. …

Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White

Doctor of Nursing Practice (DNP) Scholarly Projects

Abstract

Background: In the United States (U.S.), falls are the leading cause of injury among adults 65 and over, resulting in 36 million falls yearly (Moreland et al., 2020). According to the Centers for Disease Control and Prevention (CDC, 2023), one in four older adults experiences a fall each year. Falls are the world's second most prominent cause of accidental deaths (World Health Organization [WHO], 2021). Falls are the leading cause of both fatal and non-fatal injuries among older adults (Moreland et al., 2020).

Methods: A quality improvement project that included a fall bundle was implemented in a primary clinic. …

A Qualitative Study On Nurse Facilitators Of Mind-Body Skills Groups, Paula D. Blake-Beckford

Mindfulness Studies Theses

The Center for Mind-Body Medicine (CMBM), founded by Dr. James Gordon, provides communities with evidence-based Mind-Body Skills Groups (MBSGs) that foster self-care, self-awareness, and self-expression. MBSGs range from 8 to 12-week series on various mind-body practices wherein group members meet, practice, and reflect on the impact of mind-body skills in their lives. Research has demonstrated that participants in MBSGs have positive outcomes. Healthcare professionals (HCPs), especially nurses, gain resiliency from MBSGs. As facilitators of MBSGs, nurses develop essential skills transferable to clinical and educational settings. MBSGs are therapeutic for adult participants with chronic stress. Prior to this thesis, only one …

A Descriptive Study On The Perceived Barriers To Academic Progression From Lpn To Rn, Rebekah B. Snyder

ATU Theses and Dissertations 2021 - Present

The significance of seamless academic progression has been emphasized in the nursing profession for more than a decade. A significant amount of research has been conducted on the transition from registered nurse (RN) to a Bachelor of Science in Nursing (BSN) prepared nurse in order to identify potential barriers to progression: yet a significant literature gap exists for the transition from licensed practical nurse (LPN) to RN. The purpose of this quantitative descriptive study was to identify what perceived barriers practical nursing students and recent practical nursing graduates identify as potentially hindering academic progression to a registered nursing program. Data …

Diversity In Community College Registered Nursing Education, Sergio Hernández Del Cid

Ed.D. Dissertations in Practice

The United States is currently facing a shortage of trained professionals in many fields such as Science, Technology, Engineering, and Nursing (Allen-Ramdial & Campbell, 2014; Georgetown University, 2020). As a result, current U.S. nursing student demographics do not mirror the populations they serve (Gooden, Porter, Gonzalez, & Mims, 2001). Research has shown the positive impact a diverse nursing staff has on patient care (Gooden, Porter, Gonzalez, & Mims, 2001). Representative care and cultural awareness translate to better patient outcomes especially for patients from marginalized and underrepresented communities (Woods-Giscombe, Rowsey, Kneipp, Lackey, & Bravo, 2019). Community colleges play a critical role …

Implementing Simulation In Icu New Graduate Nursing Orientation: Introducing Two Practice Innovations, Aiza Quinday Msn

Master's Projects and Capstones

A change project involving the use of innovative wearable simulation technology was integrated into the 12-week new graduate nurse ICU training program at one community hospital in Northern California. Project implementation was interrupted by the Covid-19 pandemic, so only the first pilot training session was conducted. Initial results from this training session suggest that the simulation training had a positive impact on the nurses’ ability to assess patient breath sounds and to recognize and treat a rapidly deteriorating patient. This training session also allowed the project team to identify additional areas of skill assessment and opportunities for improvement for the …

Millennial Male Associate Degree Of Nursing Students: Perceived Motivators, Benefits And Barriers, Daniela Brink

All Theses And Dissertations

There is a severe nursing shortage in the United States which affects the delivery of healthcare. The reasons for the nursing shortage are many and complex including the national movement toward healthcare reform, an aging population making greater demands on an already stressed healthcare system, and stereotypical attitudes about the work of nursing in general. While men comprise approximately half of the population, men represent only 9.6% of the nursing profession. As millennials are the current emerging workforce, this problem of a nursing shortage could be addressed by increasing the diversity of the nursing workforce to include more men from …

Most Likely To Succeed: The Exploration Of Factors Affecting Successful Completion Of A Practical Nursing Program, Jennifer J. Shoemake

Theses and Dissertations--Educational Leadership Studies

In the realm of higher education, retention is a concept vital to the progression and security of all institutions. This remains true for all nursing programs as well because reports have shown an attrition rate as high as 50% in some nursing programs across the globe. Along with the nursing shortage projected in the next 20 years, retention in nursing programs poses a massive problem for not just higher education but healthcare as well. Therefore, it is important for nursing educators to understand the factors affecting student completion of a nursing program.

This two-phase, mixed-methods study sought to answer the …

The Socialization Of Bullying Through Community College Nursing Education: A Multiple Case Study, Margaret M. O'Conner Machon

Educational Leadership & Workforce Development Theses & Dissertations

Many recent studies propose that bullying in the workplace is prevalent and is a phenomenon which occurs in the nursing workplace as well as in nursing education. This qualitative study examined the effects of vertical bullying upon community college nursing students and graduates, and the effect of this behavior upon the socialization of those learning the nursing profession. The study is based on a theoretical framework based on the findings of Salin (2003) and Twale and De Luca (2008) adapting their theory of bullying in academia which incorporated enabling, motivating and precipitating factors leading to intensified bullying. The study investigated …

General Education Requirements In A Community College Baccalaureate Rn-To-Bsn Program, Jason Bentley Krupp

Educational Leadership & Workforce Development Theses & Dissertations

Increasing demand for nurses with bachelor degrees, the growing culture of accountability in higher education, and the community college baccalaureate phenomena provided the impetus for this study. This ex-post facto quantitative study examined the graduation rates and time to degree of 240 students who were enrolled in a bachelor of science in nursing (BSN) program at a community college in Florida between Fall of 2002 and Spring of 2004. The general education course enrollment patterns of the students were analyzed to determine if they impacted student graduation rates and time to degree. Graduation rates and time to degree of students …

Student Persistence In Associate Degree Nursing Programs At Mississippi Community Colleges, Kathryn Lee Fleming

Dissertations

The purpose of this study was to examine factors of student persistence and attrition in addition to strategies that may help students persist in associate degree nursing programs at community colleges. Data were collected from nursing students enrolled in first-year associate degree nursing programs at participating Mississippi community colleges and analyzed using multiple regression and repeated measures ANOVAs. Tinto’s Classic Model and Bean & Metzner’s Nontraditional Model of Student Attrition were utilized in this study. This mixed methods convenience sample yielded 564 participants, and the results were as follows: environmental factors and demographic factors of student persistence were found to …